February FYI 2014

February 2014
For Your Information
CHI News
I am pleased to inform you that Catholic Health Initiatives and St. Alexius Medical Center,
Bismarck, ND, have signed a nonbinding agreement to form a new affiliation between CHI and St.
Alexius Medical Center.
Key Points/Next Steps:
1. Catholic Health Initiatives and St. Alexius Medical Center have signed a nonbinding letter of intent.
2. The current agreement is nonbinding and is the first step in a possible affiliation agreement between
St. Alexius Medical Center and CHI.
3. The vision of the new affiliation is to better serve communities in central and western North Dakota,
northern South Dakota and eastern Montana. Enhanced services would be available, and care delivered
outside local communities would be better coordinated for patients and providers.
4. CHI and St. Alexius are pursuing the affiliation to provide viable, innovative, high-quality care to the
region. We stand united by building on their strengths in rural and faith-based care.
5. CHI and St. Alexius will take time for due diligence assessments and work toward forming the new
affiliation.
6. The creation of a new affiliation could occur by the end of the calendar year.
7. CHI and St. Alexius will share information as it becomes available.
Thank you,
Jim Marshall
President
St. Alexius Medical Center is headquartered in Bismarck, ND, and is a 306-bed; full-service, acute
care medical center offering a full line of inpatient and outpatient medical services, including
primary and specialty physician clinics; home health and hospice services; durable medical
equipment services and fitness and human performance center. Besides the main campus located
in Bismarck, St. Alexius owns and operates hospitals and clinics in Garrison, ND and Turtle Lake,
ND and manages the hospital and clinics owned by Mobridge Regional Hospital in Mobridge, SD.
St. Alexius also owns and operates a primary care clinic in Mandan, ND and a specialty and
primary care clinic in Minot, ND. St. Alexius Medical Center is a Roman Catholic organization
whose sponsors are the Sisters of St. Benedict of the Annunciation Monastery, Bismarck, ND.
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ICD-10 coding will change how you document patient care. Telling a more complete story
won’t mean including additional description, it will mean including the specific description that
translates to ICD-10 codes.
With ICD-10 specificity, your reimbursement will be more closely tied to your services. Without it, your reimbursement could be delayed or denied altogether.
By October 1, 2014, every medical provider must be using ICD-10 codes.
There are two parts to ICD-10 CM/PCS (international Classification of Diseases, 10th Edition,
Clinical Modification/Procedure Coding System):
ICD-10 for diagnosis coding
ICD-10-PCS for inpatient procedure coding
Q. Why is the move to ICD-10 such a critical initiative?
A. Compliance with the federal mandate is not optional. If claims for services performed
October 1st and after are not submitted with the correct codes, they will be delayed or
denied, severely impacting revenue and cash flow.
Q. Why is ICD-10 an improvement over ICD-9?
A. At more than 30 years old, ICD-9 has reached its capacity and no longer adequately reflects
current medical practice. For example, while you can find several codes for Tuberculosis in
ICD-9, you won’t find one for West Nile Virus.
The updated and more specific data required in ICD-10 will better identify disease processes
and the interaction between symptoms, diagnoses and treatment procedures. This will help us
understand disease and injury in a way that helps us prevent disease and injury.
Q. Who is affected by the change to ICD=10?
A. Some people believe that ICD-10 applies only to coders and providers. The reality is that
ICD-10 codes are a part of nearly every step in the patient process and are based on documentation from the time a service or procedure is scheduled to the time reimbursement is received.
ICD-10 also impacts software and technologies, which must be ready to support the codes.
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ICD-10 requires a more detailed and specific telling of the patient’s story,
impacting everyone – in a hospital, clinic or medical practice – who has a
role in documenting a patient’s care
Q. How are those impacted by ICD-10 being trained?
A. Catholic Health Initiatives has partnered with Precyse Solutions to provide online training for
providers and staff. In-person, on-site sessions are also being scheduled for providers.
CHI’s revenue cycle partner, Conifer Health Solutions, is separately assigning and tracking ICD10 training for its employees.
If you are assigned training, you must complete it on time. If you are a leader, make sure to help
get the word out that successful transition to ICD-10 is critical.
Q. What are the biggest changes with ICD-10
A. ICD-10 allows the provider to capture a more complete clinical story, which means the data that results from ICD-10 codes will also tell a more complete story. Major changes include
more specific information on the part of the body affected, the origins of the patient’s disease
and any complications that might arise during or after a procedure.
As just one example, ICD-9 may identify a condition/disease of the ovary or ovaries in only one
code, ICD-10 gives the provider the ability to capture more specific information within four
codes: unspecified ovary, right ovary, left ovary or bilateral condition of the ovaries.
Q. How is Catholic Health Initiatives approaching the move to ICD-10?
A. CHI has a national team in place to plan for and implement a smooth transition to ICD-10.
Fourteen different work streams – under the direction of the national ICD-10 program – are
actively working on focus areas that range from provider readiness to ITS.
Training through ICD-10 expert Precyse Solution is underway, as is work on identifying the individual roles of staff members in patient documentation. The goal is to ensure the right
people receive the right training at the right time.
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Human Resource Spotlight
PCA
The Performance Culture Assessment is one of three key, integrated efforts in talent management. Each
is designed to advance CHI’s People Strategy: CHI will cultivate and advance a ministry culture that
forms, supports, and develops the necessary talent to become a leader in healthcare practice and outcomes. At the heart of this message there is a simple but important ideal that: Our ministry calls for exceptional people.
Performance Culture Assessment (PCA) is a survey designed to gain feedback from all employees
on their workplace experiences. Because it serves as a guide for making improvements within CHI,
taking the survey is an easy way for all of us to contribute towards cultivating a workplace in which
our people thrive. Read on for more information about how you can participate.
All employees are asked to complete the Performance Culture Assessment survey
starting March 10th thru March 31st! The survey takes only 10 minutes and gathers information
on what you think about working for CHI. This information is essential to creating a workplace in
which we can all thrive, because our ministry calls for exceptional people.
Without your input, we might miss opportunities for improving our workplace and increasing your
satisfaction. We must hit 85% employee participation for prizes to be awarded!
Please check your email for your login information. Questions?
If you have any question, or you’re uncertain about the understanding of a question, Please call your
manager or Human Resources for clarification. Thank you for participating and helping us to create a
great workplace.
2014 Employee Recognition
Bonnie Mattern
Human Resources Director
PH: 701-662-9717
FX: 701-662-9861
[email protected]
No date has been set yet
5 Years
Sharlene Olson
Adam Leiphon
Tim Overend
Cori Kaufmann
10 Years
Marjy Hunter
Sheryl Naasz
Deb Hodous
15 Years
Adam Hager
Brenda Kraft
Garis Pollert
20 Years
Patty Johnson
25 Years
Colleen Learned
35 Years
Rita Ecker
40 Years
Annette Savaloja
Deb Zieman
Retiree’s
Sarah Brown
New Hires:
Dr.George Dueber, DO, ER Provider
David Schmitt, PA, ER Provider
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CHI Feast Day ..... World Day of Healing
Healing takes place in many forms. In recognition of this, CHI’s Feast Day, World Day of Healing, was celebrated with a chapel service on February 11, 2014.
Staff and patients joined in this special service. We were led in prayer by Linda Culmer with
employees participating.
Ash Wednesday
Lent offers us all a very special opportunity to grow in our relationship with God and to deepen our commitment to a way of life, rooted in our baptism. In our busy world, Lent provides us with an opportunity to reflect upon our patterns, to pray more deeply, experience sorrow for what
we’ve done and failed to do, and to be generous to those in need. (Creighton University
Online Ministries)
Please feel free to join us the Chapel!
March 5th 2:30 - Ash Wednesday Prayer Service
with
distribution of Ashes, Linda will visit the Departments after for those who
were unable to attend the service.
March 18th 11:00 - Mass, Fr. Chuck (25-30 minutes)
Every Friday during Lent there will be
Stations of the Cross at 2:30 (10-15 minutes)
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R.
Rescue
A.
Alarm
C.
Contain
E.
Extinguish
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ULL
im
queeze
weep
Code Blue:
Cardiac/Respiratory
Arrest
We’re on the Web!
www.mercyhospitaldl.com
Check out our new site!!
Code Red:
Fire
Code Green:
Disaster
Code Pink:
Infant/Child
Corporate Responsibility
To discuss or report a corporate compliance
concern please contact:
Your supervisor
ethicspoint.com
Ethics at Work Line: 800-261-5607
Or Sheri Heinisch
Director of Corporate Responsibility
Catholic Health Initiatives, Fargo Division
4816 Amber Valley Parkway
Fargo, ND 58104
701/237-8136 (Direct)
701/446-7882 (Cell)
701/237-8195 (Fax)
Code T Warning:
Tornado has been
sighted
Adam 12:
Help needed somewhere immediately
violent or unruly
person. Severe
emergency.
Trauma Code:
Major trauma,
can be one or
more patients.
Prayer Express:
Acute need for prayer.
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Safety First continues to be a very important aspect at Mercy Hospital. On a daily basis we continue to
strive to keep our hospital safe for our employees, patients, and families. With the help of our staff and
our Safety Coach’s we have had some great achievements and good catches in the last year. Some of our
accomplishments have been the implementation of the new security system, which allows our
patients and staff to be in a safe environment. A good catch by a staff nurse led to maintenance
installing tamper proof screws on all patient windows so they cannot be opened. A questioning attitude
by nursing has prevented several potential medication errors.
Remember the Safety Techniques:
1.
2.
3.
4.
5.
6.
7.
The “5P’s” as part of standardized structured hand-off process when transferring
and sharing patient care or other work responsibilities. (Patient/Project, Plan,
Purpose, Problems, Precautions)
SBAR: use SBAR to communicate issues or concerns requiring action (Situation,
Background, Assessment, Recommendation)
Repeat-Backs and Read-Backs: use these with 1 or 2 clarifying questions
Document legibility and accurately
ARCC: practice team member checking and team member coaching using ARCC (Ask a question,
Request a change, voice a Concern, and invoke Chain of Command)
Questioning Attitude: have a questioning attitude: when you question something; stop and resolve
or validate and verify.
STAR: practice self checking with STAR (Stop, Think, Act, Review)
If you find a co-worker using these techniques remember to reward them with “You are a Star”
packets. (These are available in Melissa Hodous’ office).
Remember our Safety Coach’s:
Deb Zieman, Deb Hodous, Melissa Hodous, Rose Leier, Brigitte Cavallo, Lois Steinhaus, Emily Twedt,
Diane Blada, Natalie Halley, Renae Stratton, Craig Thornby, Jill Schlenker, Corinne Kaufmann, Terra
Eriksson, Maria Wolf, and Debby Anderson
If you know of anyone or are interested yourself in becoming a Safety Coach please contact Deb
Zieman or Melissa Hodous. When we get several people signed up we will be having another session
on becoming a Safety Coach.
Keep up the great work everyone!!
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Employee Giving Program
The 2014-2015 Mercy Foundation Employee Giving Program is off to a great start....
This year’s campaign will run from April 1, 2014 through December 31, 2014. We will run a
new campaign for 2015. All donations are recorded and available for your tax needs, your
gift is tax deductible within IRS limitations. Please complete and return the Employee
Donation Form in the envelope to Terra Eriksson, HR Assistant. Watch the Employee
Giving Hearts Tree grow in
the Mercy Cafeteria. Your
participation is greatly
appreciated. This past year
the Employee Giving Program
raised $10,000, per your
donation decisions, the money went to Areas of Greatest
Needs, Patient Care Equipment and the Mercy Garden. For Employee
Giving Program Foundation
questions please speak to
Roxanne at ext # 9707 or
Room 206.
Watch the FYI next month
for Patient Care Equipment
items purchased with your
past donations. The Mercy
Foundation Donor Wall will
reflect cumulative donations
and is updated annually.
Thank you to the Employee
You can also purchase tickets from....
Giving Committee for your
Auxiliary Gift Shop
Mercy Therapy & Fitness assistance.
Physical Therapy (9755)
JoAnne Musolf (9638)
Roxanne Wells
Terra Eriksson (9709)
Kensi Eisenzimmer(9619)
Foundation Director
Anna Walter (9711)
Maria Wolf (9773)
Linda Walter (9772)
Ceya Holler (9794)
Connie Whitney (9627)
Annette Savaloja (9775)
F
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For Your Information
Page 8
You’re a Star
BRITTANY STASKIVIGE
KATIE RITT
GLADYS ROTH
JASON TINKER
VICKI BACHMEIER
JEANIE WEINER
YOLANDA JIMINEZ
SHIRLEY RUDEDEB AN-
JOANNE DION
AMANDA HELGESON
AMANDA HELGESON
ASHLEY MYRUM
DERSON
MARY EVERSVIK
ANDREA GATHMAN
CHRIS GIBSON
LOIS STEINHAUSE
Star Employee
for the
month of
March
is
Katie Ritt
Katie is our Star for the month.
She is one of our RN’s in CCU, but also is often seen on Med/Surg and in the ED. Soon
she will have a different last name....her wedding is coming up in March!! Congratulations!!
Katie also wins an article of Mercy Clothing.
Congratulations Katie!!
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Infection Prevention
GOOD HAND HYGIENE IN THE HEALTHCARE SETTING PREVENTS THE SPREAD
OF INFECTION AND ILLNESS
How do we clean our hands properly in order to protect our patients, ourselves and our
visitors? Here’s a quick review:
Clean hands with waterless sanitizer:
●
Apply product to palm of one hand
●
Rub hands together covering all surfaces of hands and fingers until dry
OR
Wash hands with soap and water:
●
Wet hands with water – comfortable temperature
●
Apply soap – no bar soap
●
Rub hands and wrists vigorously for 15 seconds
●
Rinse and pat hands dry
●
Turn faucet off with dry paper towel
“Everyone . . . every time”
SHARPS SAFETY UPDATE
As healthcare workers, our first line of defense in protecting ourselves from exposure to blood
borne pathogens like HIV and Hepatitis, are the “Engineering Controls” that we
have in place. Examples of “Engineering Controls” are:
● Safety needles
● Sharps disposal containers
To stay safe with sharps, please be sure to:
► Do not attempt to bypass the use of sharps safety devices
► Always use sharps containers to dispose of sharps after use
► Do not re-cap or bend after use
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Infection Prevention
COMMUNICABLE DISEASE UPDATE
Please report needle stick
or body fluid
exposures to the
coordinator right away.
You need to be seen
in the ER.
Fill out an IRIS
report right away.
Any questions, please talk to
Cori Kaufmann,RN or the nursing
Coordinator on duty.
CRE: The 'Nightmare Bacteria'
We expect antibiotics to work for every
infection, but they don't….anymore.
CRE (carbapenem-resistant Enterobacteriaceae)
infections come from bacteria that are normally
found in a healthy person's digestive tract. When a
person is receiving serious medical care (for example, involving urinary catheters, intravenous catheters, or surgery) these bacteria can end up where
they don't belong—for example, in the bladder or blood. Because these bacteria have become resistant to antibiotics these infections are very difficult to treat.
Who is at risk for CRE?
CRE infections are more commonly seen in ill patients who are in and out of hospitals and
those patients with exposure to acute care and long-term care. CRE bacteria are able to give
their antibiotic resistance to any neighboring bacteria—essentially they can easily spread
resistance, making many more bacterial types potentially untreatable as well. Some CRE
bacteria have become resistant to ALL or almost all antibiotics, including last-resort drugs
called carbapenems.
Spread of CRE infection
To get a CRE infection, a person must be exposed to CRE bacteria.
CRE bacteria are most often spread person-to-person in healthcare settings specifically
through contact with:
infected or colonized people
contact with wounds or stool
CRE can cause infections when they enter the body, often through medical devices
such as:
intravenous catheters
urinary catheters
through wounds caused by injury or surgery
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Infection Prevention
Health Care Providers can help prevent the spread of CRE
Know if patients in your facility have CRE.
Alert the receiving facility when a patient with CRE transfers, and find out when a patient
with CRE transfers into your facility.
Protect your patients from CRE.
Follow contact precautions and hand hygiene recommendations when treating patients
with CRE.
Dedicate rooms, staff, and equipment to patients with CRE.
ALL DEPARTMENTS PLEASE
Remember to check your stock regularly for outdated supplies and processed
materials.
Check under your sinks and remove all items from underneath sinks.
No food or drink is allowed in patient care areas.

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