Take our 5-minute Provider Survey starting September 1, 2015.

Take the survey by clicking the link on an email you will receive or by visiting our provider website, p.mercycare.org.

Help lead Mercy’s positive growth; take your provider survey and make your mark on our future!

Participants will be entered

to win an

Apple Watch!

starts here.

PROVIDERS ONLY

Provider Survey Reminder

A few weeks ago, we sent you a link via email to the 2015 Mercy Provider Survey. Many of your colleagues have taken the survey; have you?

If you haven’t, please take 5 minutes to share your feedback.

If you have any questions about this effort, please feel free to contact Jessica Coppess at (319) 861-7684 or jjcoppess@mercycare.org.

ICD-10 is quickly approaching

October 2015

Here are a few reminders for you... • Include the specific information you already know about the

conditions/diseases you are diagnosing in the narrative of your note. (ie: type of diabetes and the manifestations/complications of it; specific site of the cancer and the metastatic sites as well; the acuity and laterality of the disease)

• While picking a very specific ICD-10 code for billing ispreferable, remember that ICD-10 specificity is first aboutdocumentation and second about code selection. A specificICD-10 code without the specifics of that code documented inthe narrative of the note will not stand up against the scrutinyof auditing agencies. The body of the record needs to reflect thespecificity of the code that is selected.

• Please check your in-basket for any queries that the Codingor Clinical Documentation Team may have sent for ICD-10specificity and documentation clarifications.

Mercy welcomes Claudia S. Zavala, MD, Pediatric Hospitalist and Medical Director of Pediatrics

Dr. Zavala received her medical degree from the University of California, San Diego in 1997. Her pediatric internship and residency training was at Kaiser Permanente Oakland Medical Center in Oakland, Calif. Dr. Zavala has been a board-certified pediatrician since 2001. Previously, she practiced as an attending pediatrician in the inpatient and outpatient setting, the emergency department, and the newborn nursery in Bettendorf and Muscatine for 14 years.

Welcome, Dr. Zavala!

The race benefits the EFY Fund – to help individuals in need in our community get important breast care services.

For questions or to register for the race call, Michelle Cole, EFY Race Director at (319) 398-6582, or email especiallyforyou@mercycare.org.

ROAD CLOSURE TIMES:

START AREA: 10th Street SE from 3rd Avenue to 8th Avenue4 a.m. – 9 a.m.

FINISH AREA: 12th Avenue from C Street SW to 6th Street SE4 a.m. – Noon

POST-RACE ACTIVITIES: NewBo District 3rd Street SE from 9th Avenue to 16th Avenue6 a.m. – Noon

Rolling Closures 8 a.m. – 11 a.m.along course route.

On-street parking is restricted along course route.

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25th

5K RACE

FAMILY FUN WALK

2015 EFY Route Information

Especially for You® Race (Sunday, Oct 4)

o

There is still time to register for the 25th annual Especially for You (EFY) race. For race information, please visit www.especiallyforyourace. rg. Parking and shuttle service will be available. The finish line and post-race party will be at NewBo Market this year! Come join the fun and support a great cause!

Hospital Accessibility:• Mercy Medical Center will remain accessible at ALL times during theevent via 7th & 8th Streets SE• 8th Avenue /Mt. Vernon Road SE will only be closed as participantscross on 10th Street SE at 8:00 a.m. for approximately ½ hour

Physician Parking:• Both parking ramps will remain open at all times. 10th Street & 8thAvenue Ramp will not be accessible from 10th Street from 4:00 a.m. – 8:30 a.m. 8th Street & 8th Avenue Ramp will be accessible from 8th Street SE

SAVE THE DATE: Allied Health Professionals Recognition Breakfast

Tuesday, Nov. 3, 2015 | 7 to 9 a.m.Hall-Perrine Cancer Center Community Rooms A & BIn honor of National Allied Health Professionals Week, Mercy invites all nurse practitioners and physicians assistants to a recognition breakfast. Let's celebrate your contributions to advancing healthcare and improving the quality of patient care. Hope to see you there!

2016 Mercy medical staff officers – please vote!The slate of medical staff officers for 2016 recommended by the Nominating Committee is: Gary Schweiger, MD, President; Stan Eilers, MD, Vice-President/President-Elect; and Nicholas Hodgman, MD, Secretary/Treasurer.

The Medical Staff Bylaws state the current year’s vice-president shall automatically succeed the president without the requirement of a vote of the medical staff. Incoming vice-president/president-elect and secretary/treasurer positions require an election by a majority of the eligible medical staff.

Any additional nominations must be received in the Medical Staff Office by Nov. 1, 2015, and must be supported in writing by two medical staff members eligible to vote. Ballots will be sent out to the members of the medical staff eligible to vote by Oct.30, 2015 ..

Ongoing Professional Practice Evaluation (OPPE) Reports will be sent soon

The Medical Staff Office sends Ongoing Professional Practice Evaluation (OPPE) Reports to active and courtesy medical staff members twice a year. Be on the lookout for your next report to arrive near the end of October or early November. If you have questions about your report after receipt, please feel free to contact the Medical Staff Office at (319)221-8795.

New Provider WelcomeThe New Provider Welcome was held on Sept. 10 at Cedar Ridge Vineyards. It was a very nice event with approximately 140 in attendance. Thank you to all who came! New providers recognized at the event are listed below. Please help us welcome them to our medical community!

Bhavya Akhauri, MDGastroenterologists, PC

Nan Ambrosy, DNP, ARNPMercy Psychiatry Outpatient Clinic

Nicole Baccam, ARNPEastern Iowa Health Center

Robert Beck, MDCedar Rapids Medical Education Foundation

Sara Beer, PA-CFamily Medicine Specialists, PC

Jessica Berrett, ARNPHospitalist Medicine Physicians

of Linn County, PLLC

Jen Burgett, ARNPOB-GYN Associates, PC

Sara Butler, ARNPMercy Pulmonology Clinic

Bulent Cetindag, MD, FACSMercy General Surgery Clinic

Brian Cheney, MDLinn County Anesthesiologists,

PC and LCA, PLC

Samantha Clem, PA-CMercyCare South Urgent Care

Jessica Costanzo, DOHospitalist Medicine Physicians

of Linn County, PLLC

Teresa Davidson, ARNPMercy NICU

Rodney Dempewolf, DPMPCI Podiatry

Jay Diaz-Parlet, MDLinn County Anesthesiologists,

PC and LCA, PLC

Jennifer Donovan, MDCedar Rapids Medical Education Foundation

Jason Ellis, DOCedar Rapids Medical Education Foundation

Christopher Engeler, MDRadiology Consultants of of Iowa,

PLC

Claudia Engeler, MDRadiology Consultants of Iowa, PLC

Molly Garber, ARNPGastroenterologists, PC

Teresa Geneser, DMDCedar Rapids Pediatric Dentistry,

PC

Tamer Ghosheh, MDRadiology Consultants of Iowa, PLC

Janna Girardi, MDMercy Healing Center

Stacey Guertin, ARNPMercy NICU

John Hamm, DPMFoot & Ankle Specialists of Iowa

Justin Hepker, MDLinn County Emergency Medicine,

PC

Gregory Janda, MDPCI Urology

Melissa Janssen, ARNP, FNP-BC

PCI Otolaryngology

Bharat Jenigiri, MDPCI Hematology & Oncology

Kristy Kapfhamer, MDEastern Iowa Health Center

Alex Kartvelishvili, MDWolfe Eye Clinic

Catherine Knight, MDLinn County Emergency Medicine,

PC

Joseph Kukla, DPMPodiatry Associates, PC

Abhishek Kumar, MD, MPHMercy Pulmonology Clinic

Shona Lenss, MS, ARNPMercy General Surgery Clinic

Jeffery Link, DDSAspen Dental

Jarom Maurer, DMDEastern Iowa Oral Surgery

Joshua McDonald, MDRadiology Consultants of of Iowa,

PLC

Tamara Meier, ARNPLinn County Emergency Medicine,

PC

Cynthia Morrison, ARNP, FNP-CPCI Neurology & Sleep Medicine

Sarah Olmstead, ARNPEastern Iowa Health Center

Samir Patel, MDHospitalist Medicine Physicians of

Linn County, PLLC

Todd Pentico, MDMercyCare Mount Vernon

Stephanie Phillips, FNPMercyCare North Urgent Care

Pascuala Reyes, DOMercyCare East Post Road

Thomas Rogers, DOPCI Neurology & Sleep Medicine

Carly Roskop, ARNPMercyCare Marion Urgent Care

Jessica Hamill Schindler, DOLinn County Emergency Medicine,

PC

Aaron Schmidt, MDLinn County Anesthesiologists,

PC and LCA, PLC

Christa Slagle, DNPMercyCare Tama

Ann Soenen, DOMercyCare Vernon Village

Sarah Swenson, DDSCedar Rapids Pediatric Dentistry,

PC

Vince Taeger, MDMercyCare North Liberty

Trisha Welsh, ARNPEastern Iowa Health Center

Jeffrey Westpheling, MD, MPHMercyCare Occupational Health

Matthew Woodham, MDHospitalist Medicine Physicians

of Linn County, PLLC

Jarrod Yates, DORadiology Consultants of of Iowa,

PLC

Claudia Zavala, MD, FAAPMercy Pediatric Hospitalists

Jacquelyn Zillman, PA-CMercyCare Mount Vernon

Influenza vaccinations

With the upcoming influenza season upon us, we would like to share with you two new practices Mercy Medical Center has implemented.

1. Increase our inpatient vaccination rates.During the 2014-2015 flu season, we vaccinated 92percent of our patients but we think we can do better.There are ways you can help! When patients are seen forpre-operative visits (either by the primary care provider,specialty provider or by the surgeon) please considerarranging for an influenza vaccine prior to admission.This will reduce the number of patients we need toassess and vaccinate during the busy inpatient stay. Inaddition, please be sure vaccinations are given prior topatients being discharged.

2. Enhance our employee vaccination policy by makingcertain vaccines, including influenza, mandatory except formedical exemptions.We would appreciate your help encouraging staff to bevaccinated and to lead by example by getting vaccinatedyourself. Vaccination will again be provided by Mercy.Please watch for upcoming announcements on dates,times and locations.

Thank you for your support of these initiatives.

Continuing Medical Education Corner

HUMAN TRAFFICKINGTUESDAY, OCT. 27, 2015 | 5:30 TO 8 P.M.HALLAGAN EDUCATION CENTER | COST: $15For the complete agenda and registration information, please visit p.mercycare.org.

Sepsis Reportable Measure (Starting Oct.1, 2015)

Severe Sepsis Reportable Measures (Patients 18 years and older)1. Measure lactate level within 3 hours of time and presentation2. Obtain blood cultures prior to antibiotics within 3 hours of time

of presentation3. Administer broad spectrum antibiotics within 3 hours of time of

presentation4. Re-measure lactate on arrival to ICC5. Required provider documentation within 6 hours of presentation

to the ED (utilize the smartphase "sepsisexam" in your documentation)

Septic Shock Reportable Measures (Patients 18 years and older)1. All of the above criteria from the severe sepsis reportable

measures section AND both of the following:2. Minimum of 30 mL/kg of normal saline required within 3 hours

of presentation3. Applly vasopressors (for hypotension that does not respond to initial

fluid resuscitation to maintain a mean arterial pressure >= 65). Within 6 hours of septic shock patients

Jay Diaz-Parlet, MDLinn County Anesthesiologists,

PC and LCA, PLC

Brian Cheney, MDLinn County Anesthesiologists,

PC and LCA, PLC

Jarom Maurer, DMDEastern Iowa Oral Surgery

Aaron Schmidt, MDLinn County Anesthesiologists,

PC and LCA, PLC

Catherine Knight, MDLinn County Emergency Medicine,

PC

Justin Hepker, MDLinn County Emergency Medicine,

PC

WELCOME NEW PROVIDERS!

Robert Beck, MDCedar Rapids Medical Education Foundation

Jessica Hamill Schindler, DOLinn County Emergency Medicine,

PC

Jennifer Donovan, MDCedar Rapids Medical Education Foundation

Jessica Costanzo, DOHospitalist Medicine Physicians

of Linn County, PLLC

Abhishek Kumar, MDMercy Pulmonology Clinic

Jason Ellis, DOCedar Rapids Medical Education Foundation

Alex Kartvelishvili, MDWolfe Eye Clinic

Thomas Rogers, DOPCI Neurology & Sleep Medicine

Claudia S. Zavala, MDMercy Pediatric Hospitalist

Rochelle Remus, DOMercy Pediatric Clinic

Gregory Janda, MDPCI Urology

Ibrahim Bulent Cetindag, MD

Mercy General Surgery Clinic