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Telmediq Paging Going Live Next Tuesday!
What Your Providers Need to Know and How You Can Help
PerfectServe’s Telmediq (Munson’s new paging solution) will go live Tuesday, July 16.
Here's how you can help support your providers:
- Download and Login: Although only on-call physicians, on-call APPs, and leaders are required to use the Telmediq app for clinical paging, it is encouraged for all providers to support timely patient care. If clinical staff do not have Telmediq downloaded, they will not receive pages to their mobile device on July 16, which could include important patient information.
Note: If your providers have already downloaded Telmediq, please have them update to the latest version.
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Training: Optional training is being offered and encouraged.
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Key Points for Clinical Paging Process
- As nurses do not currently have smartphone capability in their workflow, nursing staff will receive any messages sent on a desktop computer. Please do not send time-sensitive messages to non-providers via the text message feature. Instead, please provide or respond to a call back number as in current state. We chose this vendor as it lays the groundwork for more two-way functionality in the future.
- Orders should NOT be sent or taken via Telmediq paging. Please continue to follow current procedures for this, i.e., Provider Order Entry plus the Verbal Orders policy exceptions.
Provider Moves
Munson Healthcare's Provider Moves webpage has been updated for May and June including new providers, practice changes, retirees, providers no longer on staff (or practicing), and other updates (e.g., name changes, practice moves, new phone and fax numbers).
For a complete directory of Munson-credentialed providers, go to Find A Doctor.
Please join us in welcoming the following new Munson-employed providers:
The following Munson-employed providers are new to the following MHC practices:
Digestive Health Associates is now Munson Healthcare Digestive Health. The following providers will continue to care for patients at the current location at 4100 Park Forest Drive, Ste. 208, in the Copper Ridge Surgery Center.
Be Vigilant for Scams Targeting Provider Licenses
LARA is asking providers to be aware of scams targeting provider licenses. A scammer impersonates a LARA official and threatens their professional license is at risk if they don't comply with demands, including a payment to maintain their license. For details, read the LARA news release.
Tips to avoid falling for one of these scams:
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Licensees should be suspicious of unsolicited requests for any of their personal information. LARA will not contact licensees threatening to suspend their license.
- If there are any hyperlinks, check the URL before clicking. LARA websites will always have "michigan.gov" in the URL. If you suspect an email might be malicious or spam, click the “Report Phishing” button to have it reviewed by a human being 24/7. You’ll receive feedback on the malicious email you report within 20 minutes.
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Scammers will spoof LARA's 517-241-0199 phone number to appear legitimate.
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If you suspect fraud, report it immediately by emailing LARA or calling 517-241-0199.
Gabapentin is No Longer a Controlled Substance in Michigan
As of May 28, 2024, a prescriber doesn't need a controlled substance license to prescribe Gabapentin. Gabapentin is now reclassified as a legend drug at the State and Federal levels. Gabapentin no longer needs to be included in reporting to the Michigan Automated Prescription System (MAPS). However, we encourage prescribers to continue to monitor the use and potential misuse of this drug.
 Services
MFB at MHC: "Better Breathing Physical Therapy Program" Now Available in Traverse City
Starting this week, Mary Free Bed Rehabilitation at Munson Healthcare now provides specialized breathing therapy for adults experiencing deconditioning, functional deficits, or declines due to cardiac or pulmonary conditions at Foster Family Community Health Center in Traverse City. A board-certified clinical specialist in cardiovascular and pulmonary physical therapy will work individually with patients to develop a plan of care.
The new "Better Breathing Physical Therapy Program" is accepting referrals. For details and how to refer patients, read the referral guide or visit our website.
Munson HME Services: Only Retail Stores Closed, Other Services Remain Open
Although Munson has closed our Home Medical Equipment (HME) retail stores in response to decreased sales, the following HME services remain open:
- Appointments and walk ins for fittings/supplies are available at the former retail locations in Cadillac, Gaylord, and Foster Family Community Health Center in Traverse City (now across the hall).
- CPAP services, including appointments for fittings
- Hospice home delivery
- Hospital discharge supplies (oxygen, wheelchairs, walkers, and hospital beds)
Questions? Call 231-935-2130 or email Tyler Scott, Practice Administrator, Medical Specialties.
More Grandview Parkway Construction
Although construction on Segment 1 of Grandview Parkway in downtown Traverse City completed in June, we still have another 4 months of construction ahead of us as Segment 2 construction started this week and continues into November. The next segment of construction will result in extensive traffic delays, but there are no major traffic detours scheduled to dramatically reroute traffic like we saw in Segment 1. (Traffic is still going to be slow, though.)
Patients traveling to a Munson Healthcare location or any other clinic in Traverse City may have their travel time extended. Please remind patients of the ongoing construction when appropriate.
Clinical Patient Care
Informed Consent When Treating Minors
When treating minors (≤17 years of age), a signed consent must be obtained from a parent or legal guardian prior to providing treatment.
Provider Guidance
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If there is any doubt about who can give consent to treatment for a minor, refer to the MHC Pediatric Medical Care Decision Making Flow Chart or contact Munson's Legal Department at 231-935-6553. After hours or on weekends, call the Switchboard to reach the Legal Department team member on call.
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Obtain and review the court documents and place in the medical record.
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Document all consent decision-making reasoning in the patient’s chart.
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If there is any ambiguity, make the decision that is in the best interest of the patient.
For more on this topic, read the latest It Happens Here on minor guardianship.
Annual 3D Mammography Screening is Recommended
The American College of Radiology (ACR), Society of Breast Imaging (SBI), and Grand Traverse Radiologists PC currently recommend annual 3D screening mammography beginning at age 40 for women at average risk.
Advanced 3D mammography is available at all Munson screening locations. Please set 3D as the default orderable for mammography in your office’s EHR.
For more provider guidance on Mammography, refer to clinical and educational Mammography resources.
2024-25 Northern Michigan Antimicrobial Guidelines
Munson has released its 2024-2025 Antimicrobial Guidelines, which are available here:
Doxy PEP Clinical Guidelines for Bacterial STI Prevention
The CDC has published clinical guidelines on counseling patients regarding doxycycline post-exposure prophylaxis (or doxy PEP) for bacterial sexually transmitted infection (STI) prevention.
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Doxy PEP has proven to reduce the risk of getting a bacterial STI for gay, bisexual, and other men who have sex with men and transgender women at increased risk for these infections (specifically, syphilis, chlamydia, gonorrhea).
- The CDC recommends providers discuss doxy PEP with all gay, bisexual, and other men who have sex with men and transgender women with a history of at least one bacterial STI (syphilis, chlamydia, gonorrhea) in the last 12 months. If offering doxy PEP, providers should write a prescription for self-administration of 200 mg of doxycycline within 72 hours of sex.
MDHHS highly encourages the adoption of doxy PEP to combat alarming increases in bacterial STIs in Michigan. Doxy PEP is readily available at any local pharmacy.
Provider guidance is available at michigan.gov/hivsti and munsonhealthcare.org/hiv. For additional guidance on prescribing Doxy PEP, please contact the Thomas Judd Care Center at 231-935-7548.
Reminder
How to Protect Lab Specimens from the Summer Heat
A reminder to use your office’s insulated specimen drop box (if available) and always place frozen ice packs in your drop box to keep the specimens from getting too hot.
One Patient Record – Wave 2
In May, the One Patient Record project team went through the first round of integration testing (IT1). Several issues were uncovered in that testing which has caused the team to adjust the timeline.
- In order to provide more time to address the outstanding issues, One Patient Record will not be going live with Wave II on September 9, 2024, as originally planned.
- As you make PTO plans for the rest of the year, please know the ‘go-live’ is not expected to take place in calendar year 2024.
- Right now, the team expects the go-live to take place in the first quarter of calendar year 2025.
- The team will know more after IT2 testing concludes in late August or early September and will share a more definitive date then.
If you have any questions, please reach out to OnePatientRecord-Questions@mhc.net.
Education
Save the Dates for Munson's 2025 Provider Symposium!
We hope your providers will join us! Participants at this popular and educational event can:
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Choose from an à la carte menu of in-person CME sessions featuring varied topics tailored to the educational needs of Munson Healthcare providers
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Participate in dynamic plenary sessions with renowned medical experts
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Network with colleagues at the Friday Evening Provider Reception
Registration opens in September. Stay tuned for updates later this summer...
For more information and updates, visit munsonhealthcare.org/providersymposium.
Women in Medicine
Munson Healthcare invites your female providers to join us for an evening of good wine, great conversation, fun games, and awesome prizes!
This event is hosted by Munson Healthcare. Heavy hors d'oeuvres will be provided. Dress is summer business casual.
- When: Wednesday, August 14, 6:00 - 8:00 pm
- Where: Visions Wedding & Banquets, Traverse City
Registration is available here.
New CME Series: Blurred Lines & Bioethics
Ethical complexities are common in healthcare, and it is not always clear what to do. MHC's Bioethics Resource Committee is hosting a 6-month education series to support healthcare professionals in navigating the blurred lines in a range of clinical scenarios. Classes will repeat starting in January 2025.
- When: 2nd Tuesday of the month, 5:30 - 6:30 pm
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Where: Attend virtually or in-person at Munson Medical Center REMEC Classroom (basement).
- CME:
- This activity has been approved for AMA PRA Category 1 Credit™.
- This activity includes 1 hour of medical ethics education.
- Nurses: CME credits can be used to meet the continuing education requirements for Michigan nursing licensure without limitation.
- Social Workers: CE credits are pending.
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Register: For topics, details, and registration links, refer to the flyer.
Upcoming CME Opportunities
For a list of upcoming events, visit our website.
To read past issues of Practice Pro, visit our website.
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