For Physicians

James Fiorica, MD - Chief of Staff

July 4, 2015 Holiday Weekend

Announcement of Named Residency Program Director
We welcome Wilhelmine Wiese-Rometsch, M.D., scheduled to begin her new role here October 1, 2015; she has experience as both a program director and assistant dean for graduate medical education at Wayne State University and Detroit Medical Center. Currently she serves as the corporate vice president for academic affairs and designated institutional official for the large GME programs at Detroit Medical.  

Dr. Wiese-Rometsch earned her MD at the Instituto Tecnológico de Santo Domingo. She completed her residency training in internal medicine at East Carolina University Brody School of Medicine/Pitt County Memorial Hospital in 1995 and stayed as faculty member until 2000.  Next step is to apply for accreditation from the Accreditation Council for Graduate Medical Education (ACGME), so that we could admit the first residents in 2017.  


Meckler Express Admission Center
A patient care area focused on prompt assessment and initiation of treatments to facilitate the admission process for adult patients arriving as Direct Admissions or from the Emergency Care Center

Direct Admission Procedure: If Attending Physician is admitting physician at SMH:

If Attending Physician is NOT admitting physician at SMH:


Coordination of Care for Observation Patients:
It was determined that Observation Patients are more efficiently monitored when they are placed in 1 of 3 Short Stay Units and the Short Stay Team is involved in coordination of care. The Medical Executive Committee supported the recommendation and coordination of care and has directed that observation patients be admitted to one of the three short stay units, barring any applicable clinical exclusions or lack of bed availability.  Short Stay team will be consulted on all observation patients.  


New Point of Care machines in the Anticoagulation clinics:
Sarasota Memorial Anticoagulation Clinic has great news for your anticoagulation patients. We are upgrading to new Roche CoaguChek XS machines for your patients’ PT/INR testing needs. We’re excited to let your patients know these machines require a smaller blood sample through a less painful finger stick – and results are now faster, in fact, relatively instantaneous.  All of our new machines were correlated against Sarasota Memorial laboratory’s “Gold Standard” and were reviewed and signed off by laboratory medical director, Dr. Thomas Reed.  


ICD-10 Documentation Tips:
“LATERALITY” (side of the body affected) is a new ICD-10 concept.  Conditions such as fractures, burns, ulcers, and neoplasms require documentation of the affected body side.  Remember to document left, right or bilateral when applicable. 

“ACUITY” (acute, chronic, acute on chronic) documentation is important to accurately identify the severity of the patient’s condition. Examples:  Acute on chronic diastolic heart failure, Chronic pancreatitis, Acute Cholecystitis


Thank you for taking the time to read this newsletter.  Please feel free to discuss these issues and any new issues with your medical staff leaders. You are a valued physician at Sarasota Memorial Health Care System.

Best regards,  

James Fiorica 

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