April 29

In this Issue:
New version of WebCIS released May 3      
Physician Notes for All Apheresis Procedures Located in WebCIS

New implantable cardiac pacemaker approved for use in MRI
Telephone dial-out prefix changes from “9” to “7”
Phlebotomy Services – New Hours
New Version of WebCIS – Full memo


New version of WebCIS released May 3

A new version of WebCIS (Version 3.0) is scheduled for release on May 3. In addition to bug fixes, the majority of changes contained in this release relate directly to requirements needed for the institution to certify all our electronic medical records applications with CCHIT (one of the certifying organizations authorized by the federal government) under the ARRA and Meaningful Use rules. View the full message online or in full at the bottom of this e-mail.

 


Physician Notes for All Apheresis Procedures Located in WebCIS

Beginning May 2, 2011, the physician procedure notes for all apheresis procedures will be located in WebCIS, in the Miscellaneous Procedure Notes Section. The notes will

detail the procedure, replacement fluids, fluid balance, medications given, complications, and plans for further procedures. If you have any questions, please contact Dr. Yara Park in the Transfusion Medicine Service at 966-4011. Read the memo online here.

 


New implantable cardiac pacemaker approved for use in MRI – Message from Richard Semelka, Director, MR Services
The FDA has approved for use in MRI a new implantable cardiac pacemaker, Medtronic’s RevoMRI SureScan Pacing System. The Centers for Medicare and Medicaid Services have also approved billing for MR services for patients with this device.  Please note that at the present time, this is the only approved pacemaker for use in MRI, so prior to anticipated MR scanning, it is essential that we are certain the patient has this device.

 


Telephone dial-out prefix changes from “9” to “7”
Beginning April 30, the University and UNC Health Care System community must dial “7” instead of “9” to make an outside call from landlines. The change is designed to reduce misdialed or hang-up 911 calls, saving both time and money. To give people a chance to get used to dialing “7” instead of “9,” there will be a grace period until Oct. 3, 2011 in which both numbers will work. Read more here.

 


Phlebotomy Services will suspend service daily at midnight and resume service promptly at 3 a.m., effective May 1
This is being done in an effort to continuously improve the patient care provided by Phlebotomy Services, and respond to concerns raised by the volume increase of early morning requests for blood collection. These changes will better focus staffing on the early morning collections. Read more online or click here for the full memo.

 


New Version of WebCIS to be Released on May 3, 2011 – Full memo
M E M O R A N D U M


TO: School of Medicine Faculty, House Staff, Medical Students, and Nursing

FROM: Robert G. Berger, MD

RE: New Version of WebCIS to be Released on May 3, 2011


A new version of WebCIS (Version 3.0) is being released on May 3rd, 2011. In addition to bug fixes, the majority of changes contained in this release relate directly to requirements needed for the institution to certify all our electronic medical records applications with CCHIT (one of the certifying organizations authorized by the federal government) under the ARRA and Meaningful Use rules. Many of these changes are infrastructure related and not visible to our users, however the following modules of WebCIS incorporate changes that will be visible by most:


Patient Information/Demographics:

1. If a patient dies during their stay, the Preliminary Cause of Death and the Death Date will be displayed on the demographics panel. This additional information will be captured when a Discharge Summary is finalized.

2. For our inpatient population, and in addition to the patient’s location, the Demographics panel will also include the Patient’s Service.

3. Similar to “flight risk” and “contact precautions”, two new patient indicators will be visible when appropriate. One is “Airway Alert” for patients with difficult airway management issues, and the other is “study protocol.”


Problem List:

1. In addition to the Active and Inactive statuses, patient’s problems can now be designated as entered erroneously or resolved.

2. A new Problem History filter choice will display a list of all distinct problems along with their most recent status.


Immunizations:

1. When entering an immunization, two additional fields: “Administered Units” and “Unit of Measure” will be available.


Reports / Notes:

1. A new “face to face” note will be available to indicate that care instructions were given to a patient. A reminder will be present on discharge summaries to fill out this form when appropriate. A future release will incorporate access to this form directly from the Discharge Summary.

2. Procedure Notes “Time Out” options will have an “N/A” (not applicable option) to be used for specific situations such as emergent intubation etc when there was literally no time to do a “timeout”.

3. Newborn Critical Care Progress note will contain an indication list for central lines. We continue our electronic prescription refills pilot with our small group of physicians and agents. This functionality will be expanded by department once departments successfully complete “hands on” training.

 

This memo can be found in the new version by clicking the version number on top of the left Nav bar in WebCIS. As always don’t hesitate to contact me at rberger@unch.unc.edu for comments or questions.

 

Robert G. Berger MD , FACP, FACR

Professor of Medicine

Chief Medical Information Officer

Associate Chief of Staff

UNC Health Care System