ED Muskoka Physicians - Living the Dream

Archives for September 2016

smmh internal med

Hi all,

A small group met this morning in follow-up to the request put forward to admin and COS in a letter penned to Natalie by Kersti that was distributed recently….

Jan Goosens, Sanjay Jinal, Dave Johnstone, Mel Mar, Marty O, Sandi Adamson and Karen Fleming. All by video or phone.

All agreed in principle to the algorithm distributed about IM support sent out recently by Jan.
All agreed a phone call to the IM on call in Huntsville to problem solve how support can be obtained , or patient transferred if capacity exists, is the first step .

Risk stratifying the patient can be done with MRP and IM feedback.

In principle all agree that if HDDM is over capacity then either criticall may need to be called or if possible gridlock may apply and a patient could potentially be moved to SMMH if that makes capacity for an appropriate patient to go to Huntsville.

Nothing new I think really but at least ongoing discussion is always helpfull.

Discussion around renumeration of internists ensued.

Please always send a copy of the patient demographics to any internist giving phone advice as they need this to bill a telephone consult if appropriate.

Any questions please ask.

John

smmh ecgs

Hi SMERPS’s

If anyone has reviewed an old ecg that just got reported ( due to delay noted and posted recently)…..and identifies a case that this “late report” changes care…please let me know MRN and example!!!

Any “miss” like this I want to know about and feed back to senior admin. as they have asked about it.

questions? pls ask

thanks
John

ecg back log

Hi everyone,

So..Dave Johnston just recently read over 200 ecgs from SMMH with some dating back almost a year.

Heads up to look at dates as these come back to your mailboxes.

These eggs where mistakingly being put in a folder and never entered into cerner and then never getting interpreted by internal medicine. It was totally dependant on who did the egg and who entered the test into corner or so I’m told…

I had no idea and I expect none of you did either.

The process of entry into corner has been fixed and this should never happen again i’m told. I have expressed our concern to all parties over this happening!!!!!

These are ecgs that you should have seen in the ER but never would have received the formal interpretation.

John

Huntsville Emergency Physician Group – Clinical Leave / LOA 2016 and 2017

Hi All HDMH Physicians,

As per the group governance agreement, physicians can take clinical leave / leave of absences from time to time to pursue other activities (e.g. extended vacation, volunteering, locum work).  This arrangement allows all of us to do interesting things that we would otherwise not be able to do while also maintaining our group commitments.

A number of us have informally agreed that it would be nice to keep a list of when other group members are away so that we can coordinate leave and ensure good ED coverage.  Below is a simple list of the remaining months in 2016 and 2017 with known clinical leaves and leaves of absence.  If you have a leave of absence that you would like to make the group aware of please add a reply to this thread and I will update it from time to time (My apologies to the SMMH physicians but I think you can choose not to follow this thread).  If we would like to extend this to include vacations so we can coordinate that I think we can discuss it at a future group meeting.  Thanks for your help.

 

Huntsville Emergency Physicians Clinical Leave 2016 & 2017

 

2016

October

November – John Simpson – Full Month Mission Trip Ghana

December

 

2017

January

February – Tyler Johnston – Full Month EM Residency Teaching Haiti

March

April

May

June

July

August

September

November

December