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Ephrata Community Hospital

Welcome to the Physician Resource Center

This page has been developed to provide physician-specific information in  a convenient, accessible location. We hope you find the information below helpful and would appreciate your recommendations for other information that may benefit the Medical Staff at Ephrata Community Hospital.  To open the content of each box, click on the plus sign (+) located to the left of the title. To close the box, click on the minus sign (-) located to the left of the title. For more information, please contact the Medical Staff Office at 717-738-6455.

MinimizeLatest Issues of Microscoop Newsletter (October 2013)

Click here to view the October edition of the Microscoop Newsletter.  For more information or questions, please contact Beverly McAllister, MS, MT(ASCP)SC, Laboratory Administrative Director, at 717-738-6527 or email

MinimizeCDC - Vaccines - Adult Immunization Schedules and Tools for Providers

CDC - Vaccines - Adult Immunization Schedules and Tools for Providers

Please review and share this link.

Peg Holland, R.N., CIC

MinimizeClinical and Patient Experience of Care Domains

To view memo, click here.

MinimizeTreatment of Staphylococcus aureus bacteremia in adults

To view this article, click here.

MinimizeVertebral osteomyelitis and discitis

To view this article, click here.

MinimizePerioperative Management of Antithrombotic Therapy Fact Sheet

To view a copy of the fact sheet, click here.

MinimizePalliative Care & QI Measures


Rationale:  Palliative Care is increasingly being offered as a care program provided with ongoing treatment.  Patients should not be excluded from quality improvement measures because they enter a palliative care program.

When: July 1, 2012

What:  CMS is changing the documentation requirements for a patient to be excluded from quality measures in the Acute Myocardial, Heart Failure, Pneumonia, Stroke, and VTE measure sets.  Documentation of Palliative Care or Palliative Measures will no longer exclude the patient from the measure population.  Documentation of Comfort Measures   will continue to exclude the patient from the measure requirements. 

Examples of documentation that would be considered Comfort Measures include: 

  • Comfort measures only recommendation
  • Order for consultation or evaluation by a hospice care service
  • Patient or family request for comfort measures only
  • Plan for comfort measures only
  • A referral to hospice care service
Documentation of Do Not Resuscitate (DNR), living will, no code, no heroic measures, Palliative Care or Palliative Measures will not exclude a patient from inclusion in the core measure requirements. 

Thank you for your efforts to provide the best evidence based care to our patients and assist Ephrata Community Hospital to accomplish our performance goals.

Please contact the Quality Improvement Department at 738-6594 or email Kim Gross at if you have questions or would like additional information regarding the measure requirements.  

To view memo, click here.

MinimizeAnnual Compliance Meeting Presentation

Click here to download the Annual Compliance Meeting presentation.

MinimizeProvider Order Sets

To access the Provider Order Sets, click here.

MinimizeOrdering Diagnostic Services

Ordering/Following Orders for Diagnostic Tests

 For more information or questions, contact Susan Parker, Corporate Compliance Officer, at 738-6772 or

  • A communication from the treating physician/practitioner requesting a diagnostic test be performed. 
  • Treating physician/treating practitioner is defined as the physician/practitioner who treats the patient for a specific medical problem and who uses the results of a diagnostic test in the management of the patient’s medical problem.
  • Order may conditionally request an additional diagnostic test if the result of the initial test yields a certain value.

Interpreting physician determined a different diagnostic test is appropriate:

  • If originally ordered test is clinically inappropriate or suboptimal.
  • Interpreting physician must obtain a new order from the treating physician/practitioner
  • If treating physician/practitioner cannot be reached for a new order, testing facility may furnish additional diagnostic tests if ALL of the following apply:

1.     The originally ordered test is performed;

2.     The interpreting physician at the testing facility documents that, because of abnormal results on the originally ordered test, additional testing is medically necessary;

3.     Delaying the additional testing would have an adverse effect on the care of the patient;

4.     The result of the additional test is communicated to, and used by the treating physician/practitioner; and

5.     The interpreting physician documents at the testing facility why additional testing was done AND that unsuccessful attempt(s) were made to reach the ordering physician/practitioner.

  • Unless specified in the order, the interpreting physician may determine, without notifying the treating physician/practitioner, the parameters of the diagnostic test.

MinimizeWound Healing & Hyperbaric Services Available at Ephrata Community Hospital

Every year, chronic wounds caused by diabetes, poor circulation or other conditions keep three to five million Americans from doing the things they love. The Center for Wound Healing & Hyperbaric Services at Ephrata Community Hospital applies proven wound care practices and advanced clinical approaches, including Hyperbaric Oxygen Therapy, to help patients who suffer from such chronic wounds.  To learn more about how this service may benefit your patients, click here.

MinimizeMedical Surgical Units Leadership Reorganization

The goal of the Medical Surgical Unit is to create an individualized plan of care that will provide high quality nursing care and establish an emotional connection with the patient and his/her family.

Over the last three months we were developing the reorganization of the Medical Surgical Units Leadership. The purpose of this reorganization is to increase clinical support, increase overall staff education, provide 1:1 mentoring of staff, and provide Unit Manager support. Since nursing is the heart of the healthcare team, the goal in implementing the Unit Leads is to:
  • Improve patient outcomes
  • Improve the customer experience
  • Improve communication between patients, families, physicians and other members of the healthcare team.
The Unit Leads responsibilities involve overseeing daily operations of the unit with the patient at the center of all activities. These responsibilities of communication and coordination of nursing care on their respective units include, but are not limited to:
  • Daily evaluation of the number and complexity of the patients in coordinating care
  • Responsible for orientation, training programs and ongoing educational opportunities
  • Daily staff mentoring and coaching related to patient care issues
  • Oversight of the ancillary staff in assuring all aspects of the patient’s ADLs are being completed
  • Assist with patient care as needed
  • Perform daily rounds on the patients to ensure nursing is communicating and meeting the emotional and physical needs of the patients
  • Facilitate nurse/physician rounding and assure the nurses are prepared to discuss the patient’s plan of care
Investigate concerns and make changes that will improve patient care.Please congratulate and continue to support the following Unit Leads:

Emma Mentz-Unit Lead MS3
She has been with the hospital since 1989. Previously she was the Clinical Educator. She has now assumed the responsibilities of Unit Lead on MS3. Emma shares her extensive nursing knowledge and skills with the staff and facilitates the overall orientation process. She has an interest in developing the Palliative Care Program for the hospital.

Laura Alexander-Unit Lead MS2

She has returned to the Medical Surgical Unit in 2009 after working in Virginia for two and half years on a cardiac unit. She is respected by her peers and has been able to share her past cardiac knowledge and skills with our telemetry unit nurses. Laura is an active member of the Heart Failure Committee and Readmission Task Force.

Christine Gehris De-Jesus- Unit Lead MS1
She has been with the hospital since November of 2008. She has been instrumental in the organization of the Bariatric Program. In addition, she is a member of the Stroke Committee and Chairperson of the Medical Surgical Unit Council.

Carolyn Wheeler-Surgical Telemetry
She has moved to the Surgical Telemetry Unit after working on MS3 since 1989. Carolyn demonstrates knowledge, excellent nursing skills and leadership in her role.

If you have any questions or concerns, please contact Kathy Musser, BSN, RN (Unit Manager Medical Surgical Unit) at 738-6352 or click here.

MinimizeLancaster County POLST Coalition Online CME/CEU Program

You can learn more about POLST through an online Physician Orders for Life-Sustaining Treatment (POLST): Respecting Patient Choices across the Continuum of Care training module. For more information, click here.

MinimizeLearn More About Physician Orders for Life-Sustaining Treatment (POLST)

MinimizeFace to Face Encounter

Please click here to download information about Face to Face Encounter, a new requirement that will affect physicians that order and the patients they refer for home health services.

MinimizePhysician Event Reporting Hotline

Call the Physician Event Reporting Hotline at 717-738-6334 to submit patient safety, quality improvement, and/or other Reportable Events directly to the Patient Safety/Legal staff.

The Hotline will be staffed between the hours of 0730 and 1530 on regular business days. Please call during these hours so sufficient information can be obtained to process the event.

Please be prepared to provide a summary of the event as well as pertinent details regarding any involved patients and/or staff members (name, approximate date/time, location, patient birth date).

Remember. . .Reportable events may also be submitted utilizing the Event Notification process in the Meditech RM/QM Module. Please feel free to contact the Hotline for more information about Meditech Event Reporting.

Click here to download a flyer.