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News / eMinute Newsletter

eMinute Update - February 2019


Chasing Zero UPDATE!

C. How You Can Make a DIFFerence
Our systemwide Chasing Zero journey continues in 2019 with incredible results, enthusiasm and a new emphasis on C. diff. Over the next few months, we will be highlighting policies, procedures and educational initiatives to eliminate C. diff. Our physician partners play an important role in preventing C. difficile –here are three ways you can help stop the spread of C. diff.A detailed overview of our work thus far can be found here.


C. diff Testing Changes Take Effect

In support of our ongoing Chasing Zero efforts, changes have been made to the ordering of C. difficile tests in Epic. The new protocol went live on February 20 and includes a ‘hard stop’ to prevent the ordering of tests for patients with:   

  • Negative test in the previous 7 days
  • Positive test in the previous 14 days
  • Laxative administration in the last 24 hours 

These changes only apply to patients who have been admitted for more than two days.

Review this presentation for more information about these changes and how you can help us reduce C. diff. With questions, please contact West Paul, MD, PhD, at 919-350-7632.


Type & Screen Extended for Some Pre-op Patients

Pre-operative patients without a history of antibodies are now eligible for a 30-day extension of a type and screen (TAS) sample. Extending the TAS expiration from 14-days to 30 offers patients and providers additional flexibility in completing a full pre-operative work-up and gives additional time to treat underlying conditions, thus optimizing our patients’ health status prior to surgery.

Please note that this extension does not apply to patients:  

  • With a documented history of antibodies,
  • With a positive antibody screen on a current PAT TAS sample,
  • Who have been transfused in the prior 3 months, or
  • Who are pregnant.

For more information, read the full medical staff memo.


2019 Aspirational Goal Metrics

Every fiscal year, the Board of Directors and Strategic Leadership Team (SLT) establish metrics and targets that we will use to track progress toward our 10 Aspirational Goals. The metrics are reviewed and revised annually, and results are reported regularly.

See an overview of the metrics in place for fiscal year 2019 – and how we were performing at the end of fiscal year 2018.


Look for the Yellow Sticker!

As part of ongoing changes related to hazardous drugs, inpatients who have received a hazardous drug in the past 48 hours will soon have a yellow “HD” sticker on the door.
This sticker will quickly alert care team members and remind them to follow processes and procedures related to hazardous drugs.  


SPECT CT Comes to Cary Hospital

Cary Hospital now offers Nuclear Medicine SPECT CT, a state-of-the-art technology that provides improved diagnostic quality of studies and allows radiologists to differentiate between lesions and degenerative disease.
The technology offers benefits for a variety of specialty areas, including oncology, cardiology, endocrinology, orthopedics, urology and dermatology.
To refer a patient, call 919-350-7000, fax 919-350-8959 or enter an order through Epic.


Hello, SOZO!

WakeMed Outpatient Rehabilitation introduces SOZO®, the most accurate technology available to measure, monitor and manage lymphedema. SOZO can rapidly detect changes in the body before symptoms occur, reducing the incidence of clinical lymphedema by almost 90 percent.

Patients who experience surgery or an ongoing health condition or injury that impacts the lymphatic system can benefit from SOZO and treatment through WakeMed Outpatient Rehab

Patients can enjoy a free SOZO screening on March 6:
  • WakeMed Cary Hospital – 9 am to noon, main lobby
  • WakeMed North Hospital – 2 to 4 pm, main lobby

Walk-ins are welcome.


Leadership Updates!

  • David Kirk, MD, has been named Executive Director of Critical Care, which is a new leadership position created to improve and standardize care across the system. Dr. Kirk will work with leaders and staff across clinical disciplines as well as administration to develop and promote processes that provide superior care and outcomes, lower costs, promote standard work and improve population health while supporting ICU staff.  
  • Jihad Arteh, MD, joined WakeMed in January as the medical director of the Internal Medicine Hospitalist program at North Hospital. In this role, he will serve as the communication link between WakeMed North administration and Medical Staff members. Dr. Arteh comes to WakeMed from Cape Fear Valley Medical center where he was the program director for the hospitalist group since 2014.


Awards and Accolades

WakeMed Received Top International Rating for Cardiothoracic Surgery

WakeMed recently received a 3-star rating for quality of isolated coronary artery bypass graft (CABG) surgery from the Society of Thoracic Surgeons (STS) National Database™.

This is the highest rating a hospital can achieve and places WakeMed among the elite for heart bypass surgery in the United States and Canada.


WakeMed Named Cardiac ERAS Center of Excellence

WakeMed recently became the first organization in the world to be named a Center of Excellence by The Society for Enhanced Recovery After Cardiac Surgery.

The designation recognizes exceptional efforts related to continued improvement, implementation of evidenced-based interventions, data collection and contributions to the ERAS community.  


Congratulations, Health Care Heroes

The Triangle Business Journal recently announced its 2019 class of Health Care Heroes and several WakeMed employees and close partners are among this year’s list of 23 honorees.

Congratulations to

  • Stuart Ginn, MD, ENT - Head & Neck Surgery
  • Judson Williams, MD - WakeMed Heart & Vascular
  • Jessica Dixon, RN - Infection Prevention
  • Christine Khandelwal, MD - Transitions LifeCare
  • Bobby Park, MD - WEPPA


Epic Updates & Reminders

Recent Epic Workflow Changes

Two changes have been made recently to Epic workflows for Cardiology and Ophthalmology.

Follow the links below to learn more:


Check the Box!

Medications without a defined period of administration (such as antibiotics) are considered long term meds. Currently, when these meds are prescribed, the script defaults to 365 days and then will drop off the patient’s medication list.

One way to prevent this is to check the “Mark long-term” box. This will ensure the medication remains on the patient’s medication list until it is deleted.

See this memo for more information.


Improving Inpatient Consults: Epic-to-RapidConnect Workflow

Currently, physician consult orders in Epic are sent to a nurse or secretary who "calls in" the consult.

In an effort to improve consult timeliness and provider communication, last year Pulmonology piloted a new workflow where the Epic order triggers a real-time text message to the on-call provider via RapidConnect. Based on this successful pilot, this workflow will be expanded to additional specialties soon.

Inpatient Cardiology consults will go-live with this workflow on March 20, with other specialties to follow. Look for details within the Epic ordering screens.


WakeMed Foundation Appreciation Gala

Featuring an evening with Boyz II Men

Saturday, April 13, 2019

6-10 pm

Raleigh Convention Center

We hope you’ll join us for this special night as we celebrate the difference our donors are making in our community. There’s still time to join the WakeMed Foundation Society of 1961. Donors who contribute $1,500 or more will receive an invitation. For more information, contact breynolds@wakemed.orgor call 919-350-7676.


Reminder: Visitation Restrictions in Effect

To protect patients, staff, physicians, volunteers and visitors from the spread of illness, visitation restrictions for individuals under 12 are still in effect across WakeMed:

  • No children under the age of 12 are allowed to visit patient care areas.
  • No visitors who are experiencing fever, vomiting, diarrhea, cold or flu-like symptoms are permitted to enter patient care areas.