Advocate Physician Informatics
Increasing physician knowledge and proficiency with Advocate Health Care's clinical information systems.
Central line associated bloodstream infections (CLABSI)
Improving Physician Documentation Specificity
- Document if present on admission
- Use terms like "due to" or "secondary to" to indicate that the bacteremia is related to the central line
- Document type and site of central line
- Dialysis
- Femoral
- PICC
- Subclavian
- When known or suspected, document causative organism
Clinical Systems Steering Committee July 2015
1800-1835 hours CST
| Attendees | ||
|---|---|---|
| Jitendra Dassani (AMG hospitalist, IMC) | Kristen Hagerman (Nursing Informatics) | James Richardson (ED physician, South Suburban) |
| Bill Forslev (Pharmacy) | Susan Okuno-Jones (Nursing practice) | |
| Anupam Goel (Physician Informatics) | Kate Kovich (Safety) | . . .
Diabetes in pregnancy
Improving Physician Documentation Specificity
Types of diabetes in pregnant women
- Gestational diabetes - Pregnant women who have never had diabetes before but who have high blood glucose levels during pregnancy
- Document method of control (diet vs. insulin), and
- If the patient has abnormal glucose tolerance or gestational diabetes
- Type I diabetes . . .
Multiple deliveries
Improving Physician Documentation Specificity
For all deliveries, document:
- Weeks of gestation or trimester
- Outcome of delivery as twin or other multiple births,
- For twins, document:
- Monochorionic /monoamniotic
- Monochorionic /diamniotic
- Dichorionic/diamniotic
- or Unable to determine number of placenta and number of amniotic . . .
- For twins, document:
Obstetrics
Improving Physician Documentation Specificity
Abortion
Depression, post-partum
Diabetes
Ectopic pregnancy
Gestational hypertension, pre-eclampsia and eclampsia
Singleton deliveries
Multiple deliveries
Obstetric laceration
Obstetrical infections of the genitourinary tract
Obstructed labor
Adult (main)|Pediatrics (main)
Thanks to . . .
Medical Directors of Clinical Informatics June 2015
June 11, 2015, 0730-0830 hours
| Attendees | ||
|---|---|---|
| Richard Baker (Good Shepherd) | Tahir Khokher (South Suburban) | Douglas Propp (Lutheran General) |
| James Ferrel (Christ) | Elliot Levine (Illinois Masonic) | Natalie Selk (Christ) |
| Anupam Goel (corporate) | Robert Munson (Condell) | Pranjal Shah (Good . . . |
Sinusitis
Improving Physician Documentation Specificity
Document severity: Acute, Chronic, Recurrent
Document location: Ethmoid, Frontal, Maxillary, Mastoid, Pansinusitis, Sphenoid
Note that a diagnosis of sinusitis is coded as chronic sinusitis. If your intended diagnosis is acute sinusitis, you must document acute.
Adult (main)|Pediatrics (main)
Thanks to Advocate's . . .
