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In This Issue
Message from President
Documentation Requirements Revisited
Post-Op Progress Notes
Radiology Services Survey
News from Microbiology Department
CPOM website
CHRISTUS Santa Rosa News
Upcoming Educational Activities

Quick Links


Message from the President


Documentation Requirements


Post-Op Progress Notes 


Radiology Services Survey


CPOM Website


Meditech Refresher


Enhanced Security Measures


Ethics CME Lecture


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We hope you enjoy our new Physician FOCUS e-Newsletter!  Please read the articles of interest to you below.

Message from the President/CEO
Pat Carrier

Pat Carrier, CEO

As you all know, Texas recently passed its new   

state budget for the next two years. There were significant cuts across many state services, but the two largest areas of decreases were in education and health care. Education got a lot of attention

with a budget decrease of over 4 billion dollars,

but what most people outside of health care do

not know is that the state Medicaid program was decreased by over 11 billion dollars. These decreases affect many services paid for by Medicaid including inpatient and outpatient hospital services.


Every hospital in the state is affected by the budget cuts, and the decrease in reimbursement varies by hospital. For CHRISTUS Santa Rosa the initial cut to our Medicaid funding was 27%. I say 'initial' because this is a process still in motion and it is possible that we will see that decrease change as the details of the budget reductions become clearer.


Read on  

Documentation Requirements Revisited
  • The #1 problematic documentation standard continues to be timing and dating of all medical record entries. 
  • Also problematic is timely authentication of verbal orders within 24 hours. 
  • Did you know that the most commonly seen unapproved abbreviation is QD?

Physician charting

 Click here to review a slide presentation reviewing Joint Commission standards related to Medical Staff documentation.

Post-Op Progress Note Required Elements

There is a common misperception that if a physician dictates an operative note immediately following surgery then a hand-written immediate post-operative note is not needed.  However, a post-op progress note must be available in the medical record prior to the patient leaving the operating room and before the patient moves to the next level of care. The post-op progress note has been updated and is available in each of our operating rooms to assist in compliance with this requirement.


The required elements of the post-op progress note are:  

  • Name of Surgeon and Assistant(s)
  • Pre-operative Diagnosis
  • Post-operative Diagnosis
  • Name of procedure(s) performed
  • Findings of the procedure
  • Estimated blood loss
  • Specimens removed
  • Signed by physicain
  • Date and time recorded - Very important as it confirms that the note was recorded prior to moving the patient to the next level of care

Click here for the revised Immediate Post-Op Progress Note form.

Radiology Services Survey

Our Radiology Department has undergone many changes this year and we are interested in your feedback about how effective we are in meeting your needs. Please take a few moments to complete this short survey of the performance of our radiology services over the last three months. 

Click here to take survey.



News from Microbiology Department

Child in scrubsThe Mycology laboratory is proud to announce in-house sensitivity testing for yeast.  E test sensitivities for the following antibiotics: fluconazole, itraconazole, voriconazole and caspofungin are available by request.  Caspofungin is not FDA approved and is for research use only (RUO), the performance characteristics of this product have not been established.


Testing will be by physician request only and will be set up during the week for a 24 and 48 hour reads, with a verbal preliminary given at 24 hours.  Turn around time will be dependent on the day and time of the order and the growth pattern of the organism.


The Microbiology Department is excited to offer this testing for the CHRISTUS regional hospitals and believes that it will provide an added benefit for our patients and providers.

Computerized Patient Order Management 


Need a Meditech refresher?

Click here for Meditech mini-sessions.
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CHRISTUS Santa Rosa News

Shaking hands

Interim VP Human Resources named

CSRPACS-NB Receives APEX Award

Enhanced Security Measures at CC/CH Campus

CSRCH School Based Health Care Program receives grant 

Upcoming Educational Activities

Healthcare team

Click here for the August CME Calendar


Ethics Lecture Series: Tuesday August 23, 2011/12:30 PM - 1:30 PM/CHRISTUS Santa Rosa Center for Children and Families. 

Click here for more information.


Visit our CME website:

Your healthcare home for life

Have questions regarding this newsletter? Please contact:

Jann Harrison, RN, MSN, Director of Medical Education

CHRISTUS Santa Rosa Health System