Advocate Physician Informatics

Clinical Decision Support March 2015

March 19, 2015, 1500-1600 hours CST

. . .
Attendees
Donna Currie (Safety) Sally Garrett (Pharmacy Informatics) Kasia Mansfield (Center for Health Information Services)
Maureen Dziadosz (South Suburban) Anupam Goel (Clinical Informatics) Charles Majewski (CareConnection Core)
Bill Forslev (Pharmacy)

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March 19, 2015

Clinical Decision Support

Improving physician diagnostic and treatment decisions

April 2015
March 2015

Main page|Report requests separate from alert requests

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March 19, 2015

Trauma diagnoses

Improving Physician Documentation Specificity

A-C D-P P-Z
Acute kidney failure/injury Coagulopathy Pulmonary contusion1
Adverse effects and poisoning Demand ischemia Pulmonary insufficiency
Alcohol/drug abuse and dependence Encephalopathy Respiratory failure
Anemia Fractures, . . .

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March 19, 2015

Medical Directors of Clinical Informatics March 2015

March 12, 0730-0830 hours CST

Attendees
Richard Baker (Good Shepherd) Tahir Khokher (South Suburban) Natalie Selk (Christ)
James Ferrel (Christ) Elliot Levine (Illinois Masonic) Pranjal Shah (Good Samaritan)
Anupam Goel (corporate) Robert Munson (Condell)
Sakhwat . . .

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March 18, 2015

Hematology/Oncology

Improving physician documentation specificity

Anemia
Ascites: document if ascitic fluid is malignant and document the neoplasm.
Coagulopathy
Leukemia
Oncology
Neutropenia
Pancytopenia
Pleural effusion: document if pleural effusion is malignant and document the neoplasm.
Purpura
Thrombocytopenia

Adult (main)|Pediatrics (main)

Thanks to . . .

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March 17, 2015

Purpura

Improving physician documentation specificity

If “allergic purpura,” please document:
  • Allergic vasculitis
  • Nonthrombocytopenic hemorrhagic purpura
  • Nonthrombocytopenic idiopathic purpura
  • Purpura anaphylactoid
  • Purpura Henochi
  • Purpura rheumatic
  • Vascular purpura
Document if “qualitative platelet defects” are present
Specify if “ . . .

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March 17, 2015

Pancytopenia

Improving physician documentation specificity

Document underlying cause
  • Chemotherapy-induced
  • Drug-induced
  • Disease-induced
    • Leukemia
    • HIV
    • Myelodysplastic syndrome

Adult (main)|Pediatrics (main)

Thanks to Advocate's Clinical Documentation Improvement and Coding teams for their assistance with this content.

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March 17, 2015

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