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Common Ground at Salem Health, May 4, 2014
May 4, 2014
ErxEPrescribe comes to Salem Hospital
  • EPrescribe starts May 6  
  • Most pharmacies accept ePrescribe
  • Superusers on your floor to help

EPrescribe reduces the time patients must wait at a pharmacy for needed medications after discharge.  


Informatics coordinators will train the superuser in each unit. All clinical staff will complete an eLearning via HealthStream on workflow changes.  


An FAQ is available on the Medical Staff Website and will be provided via the red Epic message box when you log in.Controlled medications (schedule II, III, IV and V drugs) are not eligible (yet). 


Contact Lisa Wood for more information.   


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workflowChanges to Epic Medication Reconciliation Workflow  

  • Effective April 28
  • System flags medications for review
  • Tip sheet on Epic Radar page

Recent changes to the Epic medication reconciliation process have made it too easy to inadvertently reorder medications that patients should not receive on admission.


Medications which should not be continued are "flagged for review." This began Monday, April 28.  This will result in a larger number of medications "flagged" to be reviewed/reconciled on discharge.   


Please see the Epic Radar page for a tip sheet with more information on  workflow changes, and the Situation/Background/Assessment/Recommendation for more details on the reason for the change.


Questions? Contact Matthew Tanner at (503) 814-2048.


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Understanding others' perspectives

by David Holloway, M.D.

Chief Medical Officer

Salem Hospital has something special: a Compact between our medical staff, administration and our board that governs how we work together. The Compact supports our shared vision to provide an exceptional experience every time ---  for our patients and the people who work here.

Three groups worked hard to create an agreement that reflects our shared mission ---  t
o improve the health and well-being of the people and communities we serve. They continue to work together to implement the Compact. Very few hospitals in the nation have achieved what we have: only 1 percent has a compact. Even fewer can claim the governing board is a party to the Compact.

We also rely on every member of the Salem Hospital team to embrace the philosophy that supports the Compact: chiefly, that we assume our colleagues have good intentions. Remembering that, especially when we disagree, will help us achieve positive outcomes.

If you find yourself in disagreement, pause for a moment to ask questions. Clarify your own intentions. You will likely find that you agree on the big issues and can find common ground to focus on the best interests of our community and our patients.

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 submitSubmit your questions and stories for this newsletter
We'd love to hear your questions and provide answers in this regular column. We also want you to know that your submissions and story ideas are welcome as well. Feedback on this newsletter is also welcome! Help us improve this communication model to be effective and efficient.
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churchChurch Street property update
  • Plan submitted to City of Salem reflects views of neighbors, former Oregon School for the Blind students and staff, parents of children with disabilities and our own therapists.
  • New outpatient rehabilitation center to replace the aging Center Street facility.
  • Proposal includes a commemorative garden, encompassing an outdoor therapy area, an adaptive playground usable by all children of all abilities, and a tribute to the students and history of the former Oregon School for the Blind.
Read more

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GAUpdateGovernment Affairs update
Nellie deVries, Salem Health's Government Affairs Specialist reports on Oregon's 2014 legislative session and activity in Congress. Read more.

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Here's where you will find changes to Epic order sets, best practice advisories and reports from the Physician Leadership Council.
softmed3M (softMed) offline May 12 and 13
  • The 3M (sometimes known as SoftMed) system will be offline from 1 p.m., Monday, May 12, until 7 a.m., Tuesday, May 13.  
  • Physicians will be able to dictate during this time, but transcription will be completely unavailable during this window.
  • All documents needed for patient care, especially STATS, have to be hand-written or self-entered into Epic.
Coders will maintain access to the 3M Encoder product during this downtime, but SoftMed will be unavailable.

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delayICD-10 and Clinical Documentation Improvement newsletter

  • ICD-10 delay
  • Clinical documentation tip of the month
  • Tip of the hat
  • Clinical documentation specialists available throughout the hospital

Read more


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fetalMarion County ordinance addresses disposal of fetal tissue
  • Emergency ordinance for Marion County
  • Waste haulers may not accept fetal tissue
  • Hospital procedures to change 

In response to reports that fetal tissue may have been transported to a local waste-to-energy facility, the Marion County Commission voted in an emergency session to prohibit the practice. Read the commission's news release.

Salem Hospital has revised its procedures to meet the county's requirements for medical waste haulers. For more information, read the Perinatal/Neonatal Loss: Documentation, Examination, and Disposition policy.   


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kudoRamachandran and Loewen-Thomas receive honors    


Dr. Kishan Ramachandran was recogonized as a Leader in Practice and Teaching.  Samantha Norlin's nomination notes Ramachandran's approachability and patience. "He is always willing to take time to answer questions and provide further education to staff."  


According to Norlin, Dr. Ramachandran makes an effort to connect and share his knowledge with all clinical staff, "He can teach to all knowledge levels, speaks clearly and will even draw diagrams. He is also willing to allow RNs to suggest different ideas and work together on how to approach a patient's plan of care."  


Dr. Ian Loewen-Thomas received a Role Model for Excellence award.


"This physician has a robust primary care practice outside of our hospital walls, and treasures his family, and free time, yet his sense of community, and commitment to medicine is laudable, and merits this award," wrote Dr. Maurice Collada. Collada also cited Loewen-Thomas's work to develop the Compact and ongoing leadership of the Compact Implementation Committee.   


According to Collada, Loewen-Thomas, "makes us all in medicine shine a little brighter by how much he gives of himself to improve the medical community.


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nursesNurses Lead the Way May 5 to 9

Salem Health employs more than 1,500 registered nurses - and May 5 to 9 is their week, culminating in a Clinical Excellence awards banquet this Friday.

  • Remember to thank your own nurses - and any you see on our campus. The national theme is Nurses Leading the Way.
  • Swing by for our free Care Team Breakfast if you're on campus on May 7 in Creekside from 6:30 to 9 a.m., or even grab breakfast to go.
  • Visit nurse-led clinical and research projects in the B/C skybridge Tuesday from 10 a.m. to 2 p.m.
  • If you or your staff would appreciate hearing Elizabeth Falter, RN, MS, NEA on how to handle chaos and rapid change, our Professional Development Institute features her on Thursday in Wedel Auditorium from 8 a.m. to Noon and on Friday, same time.
eatingEating Disorders 101 lecture May 6

Tuesday, May 6 at 8 a.m. at the Wedel Auditorium at Salem Health. Patty Fahlstrom, M.S., R.D., L.D. from Rain Rock (a Monte Nido Affiliate Treatment Center) in Eugene will present "Eating Disorders 101."  One credit hour of continuing education will be available.


Patty Fahlstrom, M.S., R.D., L.D. -  Patty approaches her work as Nutrition Director with care and compassion, but also with directness. Clients appreciate her approach and feel secure that she is working with them in their recovery.  


In her role as Nutrition Director, she supervises the Nutrition programs at Monte Nido, RainRock and EDCE.  


Contact Jessica Short, R.D., L.D., C.D.E. with questions.  

familyFamily Medicine Day set May 9
  • Lance Loberg, M.D., plans a full day of presentations.

Friday, May 9, 2014

7 a.m. to 5 p.m.

Salem Conference Center

200 Commercial St SE

Salem, Oregon 97301


See the full agenda and registration guidelines    


quarterlyQuarterly Medical Staff meeting June 9


The next quarterly medical staff meeting:


Monday, June 9, 2014.

5:30 p.m. to 7:30 p.m.

Building D, Creekside Overflow


Dinner will be served in the foyer at 5:30 p.m. Please arrive in plenty of time to enjoy the food prior to the start of the meeting at 6 p.m.


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breakfastBreakfast with the CEO

Twice each month, Salem Health CEO Norm Gruber has breakfast with a small group of physicians and answers their questions. This month, affiliation dominated the conversation. Read those questions and Norm's answers.

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PLCGet your issue, concern or problem addressed


To use the Physician Leadership Council (PLC) Problem List, just submit your issue, concern or problem.

  • Each problem is assigned a leader
  • Action towards resolution is tracked by your Officers and Section Chiefs
  • Produces increased transparency and accountability

Submit issues, concerns, and questions to Kelli Fussell or contact one of your Medical Staff leaders with any items you would like to discuss.


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WHPAll the news about Willamette Health Partners

Wondering who is doing what at Willamette Health Partners? Read their most recent newsletter and get to know them better.

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SJHowardStatesman Journal reports on Salem Health's plans for Church Street
The Statesman Journal thoroughly covered Salem Health's proposal to build a new rehabilitation center and adaptive park:
  • Watch a video of Alden Kasiewicz of Scott Edwards Architecture LLP describing the park.
  • Read the article. 
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Common Ground Newsletter Editorial Board 
Email us anytime with feedback, suggestions, or something for the next issue!
Dr. David Holloway, CMO, Dr. Michael Hanslits, Medical Staff President
 Dr. Ian Loewen-Thomas, Chair, Compact Implementation Committee

Salem Health