Sleep Lab Capacity Expands

Children’s Sleep Lab expanded in early 2018 from four beds to six beds, and is now open seven nights per week, an increase from the five to six nights previously available. Current wait time for a sleep study is approximately two weeks, with results typically available within seven days of study completion. Per insurance guidelines, if your patient is experiencing any of the following symptoms, please include them in your documentation and referral: difficulty breathing during sleep, tonsillar hypertrophy, witnessed apneas, gasping or choking during sleep, irregular breathing pattern or daytime sleepiness. Keep in mind that insurance authorizations for sleep studies can take 10 to 14 business days. For any questions, please call Glennette White, sleep coordinator, at 402-955-7378, option 1.

Enterprise Communication Upgrade Scheduled for Fall

An enterprise-wide plan to phase out pagers and upgrade to the latest Voalte technical platform—previously scheduled for launch in May—will now launch in the fall due to needed changes in Children’s technical infrastructure. The project, which will allow expanded use of secure messaging and the ability to identify and communicate with on-call providers, will use Lightning Bolt for provider scheduling.

Schedule administrators and physician/APP schedulers will build their on-call schedules within Lightning Bolt. An initial training session on provider scheduling has been held, and training will be complete before the new Voalte technical platform is set for kick-off. For questions, contact Marie Troya, project manager, at 402-955-6886.

Changes in Rounds for Med/Surg Medical Teams to Begin July 2

In recent years, the pediatric residency program has received feedback from surveys conducted by the Accreditation Council for Graduate Medical Education (ACGME) indicating residents should have a better balance of time managing general pediatric patients and educational needs. In response, the residency program, via a Children’s Ward Task Force with resident and attending representation, developed a plan to incorporate more general pediatrics education into the program.

Med/Surg leaders used this as an opportunity to evaluate the way rounds are conducted across all units. Working with the task force, they developed a new process for rounds that addresses the identified areas of opportunity while maintaining or enhancing patient safety, quality of care, patient/family satisfaction and patient throughput.

Starting July 2, residents will be divided into five teams. Huddles will be used to communicate specific service needs and anticipated discharge needs and will last approximately 15 minutes. Schedule details for each area will be shared by the leader or task force representative. Nursing Case Management (NCM) will change from a unit-based coverage model to team-based to provide more disease-based management.

The updates represent a significant change in workflow for all areas involved. Your patience and engagement is appreciated, as the effort to improve the rounds proceeds.

For questions regarding resident team structure, contact Pat Doherty, M.D. For questions about how rounds will operate on Med/Surg floors, contact Lauren Maskin, M.D., or Crystal Smith, Med/Surg Nursing Administration.

IGF-1 and IGFBP3 Testing Now at ARUP Laboratories

The Insulin-Like Growth Factor 1 (IGF-1) and Insulin-Like Growth Factor-Binding Protein 3 (IGFBP3) testing is now being performed at ARUP laboratories. The “IGF-1 and IGFBP3 panel” order is no longer available. Please order IGF-1 and IGFBP3 tests separately.

An enterprise of the University of Utah, ARUP is a national clinical and anatomic pathology reference laboratory, offering an extensive menu of highly complex and unique medical tests. The switch to ARUP provides better turnaround time and cost efficiency.

IGF-1 and IGFBP3 testing aids in diagnosing growth disorders, growth hormone deficiency, monitoring of recombinant human growth hormone treatment, and can be used in the diagnosis and follow-up of acromegaly and gigantism.

Contact George Bedrnicek, M.D., Children’s Pathology, with questions, at 402-955-5528.

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Innovation Joins Children’s List of Values

Innovation has formally joined Children’s list of values, and it is a logical addition, since it is already present in Children’s culture. New badge cards that include Innovation as a value were distributed to leaders following the June Leadership meeting to hand out to their staff. For those who were not in attendance, badge cards were delivered via internal mail. If you did not receive a new badge card, you may pick one up in Children’s Medical Staff office. Please direct questions about badge cards to [email protected]

Epic Update: Gravity Feeding Trials Added to Formula Order

Starting July 2, gravity feeding trials will be added to the formula order in Epic. Providers can use this section of the order to request that gravity feeding trials be performed when anticipating that the patient will go home with a new feeding pump. The rationale for performing the trial prior to discharge is to validate that the pump is medically necessary. Many insurance carriers require documentation that the patient has failed two trials of feeds to gravity bolus prior to discharge, in order to cover the cost of the pump.

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Mohan Mysore, M.D., Stepping Down

Mohan Mysore, M.D., is stepping down from his role as chief for the Division of Pediatric Critical Care. He will continue to serve patients needing critical care at Children’s. For more than 10 years, Dr. Mysore has led a highly dedicated team of critical care providers during a period of consistent clinical growth.  He has mentored members of the division to help them become key leaders for the organizations we serve, providing exceptional care to the most critically ill and injured children in our community.  Dr.  Mysore has provided the foundation for continued growth in clinical care, education and scholarship.  Please join us in thanking him for his service as he begins the next chapter of his career. Jayesh Thakker, M.D., will serve as interim division chief, effective July 1.

Visiting Professor Focuses on Mentoring

On Monday, June 25 at 7:15 a.m., Robert H. Beekman, III, M.D., will be giving a presentation in Children’s Glow Auditorium entitled, “Mentoring and Good Luck: Lessons Learned on a Journey Through Pediatric Cardiology.”

Dr. Beekman also will be meeting and discussing mentorship with fellows and faculty throughout his visit June 25-26. Times are available if you would like to schedule a time to meet with him.  Contact Lori Hueftle, 402-955-4354, to find a time.

Dr. Beekman is an adjunct professor of Pediatric Cardiology at the University of Michigan School of Medicine. His subspecialty interests involve cardiovascular physiology, interventional pediatric cardiology and clinical quality improvement.

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Guidelines for Learners on Our Campus

Your cooperation is needed to ensure we comply with patient safety protocols, internal policies and accreditation requirements related to the various learners we see on our campus. Below are some general guidelines:

High school students wanting to learn about the health professions are encouraged to attend the “Day in the Life” program. We are extremely mindful of patient privacy issues combined with the unique requirements of minor students. For these reasons, staff should never bring a high school student to campus without prior coordination through the applicable education office.  Information about the approved program is available here.

College shadowing experiences typically involve adults who need to meet an educational requirement for observer hours or someone wishing to advance their knowledge through observation. These programs require advanced notice of the shadower’s intent, as immunization must be verified, confidentiality agreements signed, and corporate compliance training must occur. This also involves finding a staff member who can support the needs of a shadower without interfering with the normal day.  In most cases, the shadowing opportunity is limited to a single four-hour experience—unless the student has extenuating circumstances that can be addressed by the education office.

Learners enrolled in a formal academic training program (academic interns, students, residents, fellows, etc.), require extensive coordination with their home institution to create a written affiliation agreement.  These learners often need network and Epic access and training. This is in addition to all of the same immunization and privacy requirements of the shadower. Having an academic learner placed with Children’s can easily take months of coordination before the first day of training. Talk to your appropriate education office as early as possible.

As with any of the programs listed above, staff members are required to work with either Medical Education or Nursing Education to ensure compliance with policies and procedures.  Additionally, these offices are here to support you by acquiring the proper affiliation agreements, tracking the learners and filing the correct paperwork.  Most importantly, these offices are charged with guaranteeing the safety of our patients, learners and everyone who works at Children’s. If you can’t find answers to your questions on MyChildren’s intranet page, don’t hesitate to contact Russ Buzalko, director of Medical Education, or Judy Timmons, director of Nursing Education.

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