Group Title: DoHM newsletter
Title: DoHM newsletter. June 2008.
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 Material Information
Title: DoHM newsletter. June 2008.
Series Title: DoHM newsletter
Physical Description: Serial
Creator: Division of Hospital Medicine, College of Medicine, University of Florida
Publisher: Division of Hospital Medicine, College of Medicine, University of Florida
Publication Date: June 2008
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Bibliographic ID: UF00088874
Volume ID: VID00002
Source Institution: University of Florida
Rights Management: All rights reserved by the source institution and holding location.

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Division of Hospital Medicine


Special points of
interest:
* Resident graduation
ceremony dates
* Wafarin vs. Aspirin
* Hospitalist Humor














Inside this issue:


Scorecards


We're being recognized by Community Hospice

In a letter received from John Mcllvaine,
Vice President of Business Development for
Community Hospice of Northeast Florida,
the Division of Hospital Medicine is being
recognized for our "commitment to quality
end-of-life care Community Hospice is
going to present us with a customized plaque
that acknowledges our partnership in caring.
A professional photographer will be coming
on site to take a group photo of us to display
on the customized plaque. "Picture Day" will
be June 12,2008 at 12:30pm. Dr. House
would like as many hospitalists to join him in
the group photo. The photographer will only
need 15 minute window for the photo. We
will send reminder emails prior to the date. If
you have any questions, please feel free to
contact Felixia Colon 904-244-4963 or Tanya
Capehart 904-244-7024.




Scorecards! We are not referring to baseball...


Adieu, Dr Pansel
This Month's events
Ask Dr House
MayJournal Club
Getting to know you


Effective in June we will begin to distribute scorecards on a monthly basis. The
scorecards will indicate your total charges billed, total RVUs billed, number of pa-
tients discharged, number of readmits, readmission percentage average length of
stay (ALOS) and case mix index (CMI). Also included on the scorecard is a target
range color; red if you did not meet the monthly total billed or RVUs; yellow if you
missed one of the two targets for the month and green if you surpassed both total
billed charges and total RVUs for the month. On a quarterly basis, the scorecard indi-
cate your rank in comparison to your peers. The ranking will not be used against you
in any kind of way, it is to assist you with determining if you are on target with the
goals set for documentation and billing by UFJHI.


June 2008


110 DoHM Newsletter









Is M N st


Adieu, Dr. Neeta Panse!


Graduation ceremonies
for:
Internal Medicine Residents
and Fellowships.
June 6, 2008, 6pm at the
MODIS building,
downtown Jacksonville.
College of Medicine-
Jacksonville.
June 18, 2008 at 3pm in
the Learning Resource
Center.


Former resident and OPS Hospitalist, Dr. Neeta Panse has moved onto greener pastures. Dr. Panse
completed her residency with UF-Jacksonville campus and has worked with the Division of Hospital
Medicine since January 2008. Dr. Panse will be moving to Phoenix, AZ after she returns from her
vacation to India. On Tuesday, May 20, 2008, the division presented Neeta with a card and a
brownie chocolate cake. We wish her the best of luck with her new endeavor.

GRAND CANYON STATE


ARIZONA,










Faculty Council/Committees


One of our very own hospitalists, Dr. Kancha has
been elected to represent the college of medicine
for the faculty council.

Other physicians included on various committees
throughout the hospital:

Drs. Sanchez and Asistores-Medical Safety Com- I
mittee

Dr. Garg-Medical Performance Improvement Com-
mittee




This Month's Events


Every Wednesday

12:00pm/LRC Audito-
rium


Grand Rounds


Itinerary of topics and
events will be posted in our
office. Friendly reminder
page will be sent to the
physicians on site on Wed.


June 6,2008


12:30pm/Banquet Room
10th floor, Tower II

Annual Faculty Meeting

Annual meeting. Atten-
dance is highly encour-
aged. Lunch will be pro-
vided. If not able to attend,
please contact Nanci Mor-
ton x8840.


June 17, 2008


12:30/7th fl Conference
Rm.


Journal Club


Presenter for the month of
April is Dr. Htoo.
Friendly reminder page
will be sent to the physi-
cians on site that day.


June 25,2008


l:30/East Conference
Rm


Division Meeting


Open Forum discussion
of issues that impact your
work at UF & Shands is
also included on the
agenda.


SPage 2














Ask Dr. House


Who should retrieve the con-
sent for a radiological proce-
dures?

Many procedures require a de-
scription of risks and benefits,
followed by consent for them to
be performed. It is common
practice for the person who is
performing the procedure to
obtain consent for afew rea-
sons. First; this person is most
familiar with risks and benefits
and therefore would logically
seem more apt to explain


them. Second; by the clinician
obtaining consent, he/she has es-
tablished a rapport with the pa-
tient or family. In the unfortunate
circumstance when a complication
does arise this can be quite helpful.
If there are difficulties in the con-
sent process, then either I or the
chiefofradiology should be con-
tacted.


What can we do about nurses who
complain that we aren't answering
pages when we answer them? An-
swer you pages as quickly as possi-
ble to eliminate any potential com-
plaining. In the event that you are
delayed due to "pager paralysis",
simply apologizing upfrontfor the
delay will serve to diffuse most com-
plaining.


Dr. Jeff House, Division
Chief Hospital Medicine


May Journal Club

Presenter: older?


than Aspirin therapy.


Nonette Asistores, M.D.

Topic: Atrial Fibrillation, War-
farin vs. Aspirin

Article: Warfarin vs. Aspirin for
stroke prevention in an elderly
community population with a fib.
A randomized controlled trial. J
Mant (BAFTA). Lancet, 11 Au-
gust 2007.

Summary: Does anticoagulation
benefit the risk of bleeding in
elderly population, 75 years and


* Studies have proven that
Warfarin is more effective
then Aspirin in the prevention
of major stroke in people with
A-Fib aged 75 or over.

* Frequency of major stroke,
arterial embolism and intrac-
ranial hemorrafe is signifi-
cantly lower in patients on
Warfarin vs. Aspirin.

* No evidence that anticoagu-
lants were more hazardous


* No difference in all-cause mor-
tality or other vascular event on
both treatments.

* Interpretation: The data in the
study supports the use of anti-
coagulation therapy for people
75+ years who have a-fib,
unless there are contraindica-
tions or the patient decides the
benefits are not worth the in-
convenience.


Getting to know you...Wendy


Full Name: Wendy Leigh Chambers, P.A.

Place of Birth: San Francisco, CA

Favorite Color: Green

Favorite Food: Sushi

Something Unique about you: I am a sommelier and a chef

Place you would like to visit: India


Wendy Chambers, P.A.


SPage 3


M ison o Hopita Medcin












Division of Hospital Medicine
655 West 8th Street
cc262
Jacksonville FL 32209

Phone 904-244-7024
Fax 904-244-4799
E-mail hospital medicine@jax ufl edu


The Division of Hospital Medicine has an established team of highly
qualified, specially trained, experienced providers. Our team works in
partnership with various entities within the hospital including special-
ists and case management.


"Hospital Medicine is a service that allows the physicians
to optimize and provide seamless patient coverage"
-Dr. House, Division Chief Hospital Medicine



r We're on the web!
http://www.hsci.ufl.edu/im/hosp/







Hospitalist Humor


Mrs. bumpty, although we were able to put your husband
back together again, I'm afraid he has Salmonella.


www.cerebralvortexcartoons.com


IP




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