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Physician Handoff System and the Attending of Record (for Non-ICU Teams)

The physician handoff system will soon be used to update the attending of record in Oasis. The handoff system is located in Oasis:
Oasis→Applications→Physician handoff system:


When you pick a team list, the top bar has a drop down with all credentialed attending providers' names. By 10am each day, the attending name needs to be updated in the handoff system. This name will be used to update the attending in Keane/Oasis within an hour.


For non-ICU services not currently using the handoff system, we highly encourage you to use this, as this will be the "Gold Standard" for updating the attending of record for our electronic systems. If you need a team name added to the handoff system, please contact Mark Daniels.

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Change Is Coming: ICD-10
Codes will have increased specificity:
  •  Require additional documentation of type or cause to generate most accurate code

New combination codes:

  • Combines cause and manifestation information into a single code 

View Cardiac Arrest and Coronary Atherosclerosis examples 


Resources for Surgery Patients

Refer surgery patients to MUSC Health's Surgery Information site to find out important information about their upcoming procedure.



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June 20, 2013
New & Improved Discharge Process

Dear MUSC Medical Staff,Dr. Cawley


In the last two weeks, we have had a major change in the discharge process. We are converting from a paper process to a partial IT process. Our goal is to eventually move to a 100% IT process, but this won't occur until the summer of 2014. In the meantime, please take 15 minutes to review and understand this new process. Most physicians who have done this are pleased with the enhancements.



Changing discharge orders from paper to CPOE



  1. Ensure all patients have a discharge order (in CPOE) before discharge.
  2. Improve efficiency of the discharge process by shifting from paper to electronic processes.
  3. Allow patient discharge instructions (paper) to be placed in the chart ahead of discharge, to get a "head start" on follow up appointments and home health needs.


All medical staff that discharge patients will need to fill out a discharge i-form in CPOE. 



When:  Started June 11, 2013


How    (see links below for views)
  1. For all adult (non-pediatric, non-psychiatric) discharges, you will no longer fill out paper discharge orders; they are now in CPOE. Old Discharge Orders
  2. In CPOE, click on "Physician Discharge Order Set". You will be prompted to enter "Disposition" and "Diagnosis"; then will be prompted to the discharge i-form. This i-form will look exactly like the old paper discharge orders. Old Discharge Orders
  3. You WILL still need to fill out the patient discharge instructions on paper, as well as the medication reconciliation, both of which can be found in the alpha search of the clinician order forms website. New Discharge Patient Instructions
  4. If you do your discharge summary in EPIC, you can also do your patient discharge instructions and your medication reconciliation in EPIC. Instructions on how to do this can be found at the following link.
  5. Nurses can view the discharge I-form elements in McKesson. How to View Orders in McKesson

A major change in the discharge process is occurring here. It is well worth the time and effort to understand and review the new process.           



Thank you for the great care you provide every day!





Patrick J. Cawley, MD
Executive Director/CEO, Medical Center
Vice President for Clinical Operations, University

Our Values (What we stand for)

Integrity, Trust, Respect, Social Responsibility,

Fiscal Responsibility, Cultural Competence, Adaptability, Sustainability


MUSC Health Strategic Plan

Information Security and the Need for Data Protection


When patients come to MUSC, they come with an expectation of receiving world-class care. In the course of delivering that world-class care, we are entrusted with our patient's most sensitive, personal health care data. Our patients have a right to expect world-class protection of the data that they entrust to our care.


How do we meet this obligation? We must first recognize that data protection is not just an "IT" problem. All of us are responsible for protecting data. Our success or failure hinges on the decisions that each of us makes when choosing how to handle sensitive data.


MUSC's Information Security Office, in collaboration with the Medical Center Compliance Office, has been working to increase awareness of what each of us needs to do in order to protect sensitive data from harm.


View a recent presentation that is part of this awareness effort.

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