Mount Sinai Health Partners
Clinically Integrated Network Newsletter
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Catch up on Mount Sinai Health Partners Podcast Episodes
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August 22, 2019
MSHP’s Board of Managers elections conclude and results will be announced.
Please note elections are only taking place in the specific territories that have open seats. If you are eligible to vote, you would have received an email from
invitations@app.electionbuddy.com
on August 8.
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Durable Medical Equipment Supplier Added to Mount Sinai Top Tier Network
Effective August 1, 2019, Byram Healthcare, a durable medical equipment (DME) supplier, has joined the Mount Sinai Health System Employee Health Benefit Plan as the exclusive "Top Tier" DME provider. Enrolled employees and their families who use Mount Sinai Top Tier providers will have lower out-of-pocket expenses, depending on their health benefit plan. If you are ordering such equipment, please contact Byram Healthcare using the information on
this flyer. You can also learn more about Byram Healthcare services and supplies at
https://www.byramhealthcare.com.
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MSHP Earns 4 Stars in America’s Physician Groups Annual Standards of Excellence™ Survey
We are excited to announce that MSHP earned a 4 out of 5 star rating in America’s Physician Groups’ (APG) Standard of Excellence™ survey. This is MSHP’s third consecutive year with this recognition.
The survey is conducted annually and is designed to assess tools and processes that APG member organizations have in place to meet the growing expectations of health care consumers. It helps set the standard for health care consumers to evaluate the quality, commitment to patient experience and affordability of physician groups. The survey evaluates and scores organizations on five domains: care management practices, information technology, accountability and transparency, patient-centered care, and group support of advanced primary care.
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Innovations in Care for Patients with IBD
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Improve Quality of Life in Your IBD Patients: The GRITT-IBD Program
In addition to the daily physical challenges, patients with Inflammatory Bowel Disease (IBD) also face psychological and social pressures. The Susan and Leonard Feinstein IBD Clinical Care Center offers the GRITT-IBD program designed to help patients cope with all aspects of this disease that can have such a severe impact on the quality of life.
The GRITT-IBD program, which stands for Gaining Resilience through Transitions in Cases of IBD, helps patients develop resilience and the ability to recover from the difficulties associated with IBD. Our multidisciplinary team works collaboratively to provide the best possible care using a team-based, patient-centered approach by meeting on a weekly basis to discuss each of our patients.
We collaborate on designing a customized care strategy with full access to a team of IBD professionals: medical, nursing, pharmacy, social, nutritional, and behavioral/psychological. Throughout treatment, we monitor and address any concerns so that each patient has the best quality of life possible.
If you have a patient with IBD who could benefit from a holistic program like this, or for more information, please go to
this website
or to refer a patient, please call 212-241-8100.
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Practice Tips & Transformation
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Use EHR Nudges to Reduce Unneeded and Low-Value Care
In 2012, the American Board of Internal Medicine (ABIM) launched the
“Choosing Wisely” initiative
which asked providers to identify five tests or procedures that may be overutilized and have a high impact (time and/or cost). Seven years later, providers are still struggling to actually reduce low value-care in their day to day practice. Dr. Sonam Sharma, a radiation oncologist at Mount Sinai, recently published a
research letter in JAMA Oncology
demonstrating that adding a default order to the EHR reduced unnecessary daily imaging before palliative radiation in advanced cancer patients; a reflection of updated 2016 national guidelines that recommend weekly rather than daily imaging in palliative care.
In
an interview with MedPage Today on the findings
, Dr. Sharma said that daily imaging, which is the standard in curative radiation interventions, had become a reflex in palliative care as well, and her clinic struggled to break the habit until they implemented a default imaging order in the EHR which specified no daily imaging in palliative care. The EHR “nudge” worked well and almost immediately. A randomized trial showed that the nudge reduced daily imaging in palliative care from 68% to 32%. Dr. Sharma and her co-authors suggest providers use nudges to both pick up high-value treatments and de-implement low-value treatments.
Have you implemented any workflows or EHR nudges to reduce low-value care in your practice? We’d love to hear about it. Email us at
mshp@mountsinai.org
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After Hours Care for Your Patients
There are times when an illness or injury needs to be addressed immediately by calling 911 or visiting the ED. But after hours care can frequently be handled at urgent care, saving your patients time and money. Please log in to the MSHP website to review our
Provider Guide to After Hours Care for common diagnoses that can be handled by urgent care and a directory of urgent care and walk-in clinics operated by Mount Sinai and our affiliates.
We also have a patient-facing version you can share with your patients to help them make appropriate after hours decisions:
Know Where to Go
Looking for more fliers, guides, and resources to improve patient outcomes and increase clinical quality and efficiency? Visit our
Practice Resources page.
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P: 877-234-6667
F: 646-537-1481
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