UME & GME Management
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Implementation
In order to achieve a high percentage of participation for duty hour documentation, we understand it is important to have a process that is both highly effective yet unobtrusive. Because MedHub does not drive institutional Medicare reimbursement through duty hour documentation, trainees are not burdened by numerous obstacles preventing them from simply documenting hours.
Our member institutions also tend to leverage most MedHub functionality beyond just duty hour documentation meaning trainees are typically already using MedHub on a daily basis for other tasks. This enhances duty hour documentation outcomes over systems only used for one or two tasks.
The MedHub duty hour module provides alerts to residency coordinators and program directors when residents log 'potential violations' - while there is still time to do something about it. Automatic calculations against 2011 ACGME duty hour regulations ensure residents, the residency program and the institution have real-time information that ensures a high level of compliance. Comprehensive reporting at the program and enterprise level flag potential problems before they become issues.
Detailed monitoring and workflow of internal and external moonlighting and Program Director review is also part of MedHub streamlined workflow.
Features of the MedHub duty hour module include:
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Easy-to-use intuitive "time sheet" interface
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New graphical input interface with sliding scale
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Automatic reminders for late/incomplete duty hours
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Automatic real-time calculations against ACGME regulations
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Ability to pre-populate standard activities (rotations, shift/calls and continuity clinics)
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Automated alerts sent to residency coordinators and program directors when a violation is logged
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GME setting to approve moonlighting by trainee
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Intuitive method to make distinction between regular duty and moonlighting (internal and external)
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Optional feature to allow duty hour sampling
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Automatic duty hours population for recorded conference attendance
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Comprehensive reports around all aspects of duty hour reporting - including service reports
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Institutional settings for duty hour exemptions
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Graphical charts and graphs
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Last updated information - by resident showing time and date of last duty hour update
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Automated alerts when a resident enters a potential violation with notification to Program Director and/or coordinator
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Resident review of duty hour history
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Compliance checklist to ensure shift/call schedules are prospectively created in compliance of duty hour regulations
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Color coded calendars visually display activity in compliance and out of compliance
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Coordinator ability to add trainee-specific notes to duty hour activity
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Multiple institutional-level GME duty hour reports
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Ability to view duty hour statistics by trainee in real time (maximum work periods, etc.)
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Vacations and other leave appear within duty hour time sheet to ensure accuracy of rotation schedule
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Automatic and immediate calculation of hours against trainee entries
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Direct communication links to coordinator and program director from duty hour time sheet (setting)
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10 hour and 8 hour break check reports
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Graphical charts available to program directors and coordinators display who is not completing duty hours on time
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16 hour shift limitation algorithm for PGY 1's with reports
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Multiple duty hour reports (compliance, by service, summary submission, etc.)
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GME institution wide duty hour reports