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The Rounds

Medical Affairs Update
The 2022 Medical Staff Engagement Survey opens in November. Many of Harris Health System’s accomplishments are only possible with your feedback, and we value our partnership with our physicians and providers.  Active medical staff will receive an email from NRC Health to access the survey and provide input anonymously. 

Quality Digest: New Sepsis Definition
Harris Health System has adopted SEP-3 criteria as a diagnostic definition for Sepsis and Septic Shock patients. All clinicians should utilize the following definitions when evaluating patients. 
Sepsis: A life-threatening organ dysfunction caused by a dysregulated host response to infection.
Septic Shock: Shall be defined as a subset of sepsis in which particularly profound circulatory, cellular, and metabolic abnormalities are associated with a greater risk of mortality than with sepsis alone. Patients with septic shock can be clinically identified by a vasopressor requirement to maintain a mean arterial pressure of 65 mm Hg or greater and serum lactate level greater than 2 mmol/L (>18 mg/dL) in the absence of hypovolemia.
Other Sepsis News:
Sepsis Predictive Model Education Sessions will be scheduled during October and November 2022.
The tentatively scheduled Go-Live for the Sepsis Predictive Model is Sunday, Dec. 4.
Pet Therapy and Music Therapy Return to Harris Health System 
Harris Health Volunteer Services is thrilled to announce the return of pet therapy and music therapy volunteers! Both services will resume in November.

Pet therapy is provided by both individuals and groups, such as our partner organization, Caring Critters. Caring Critters visits are regularly scheduled at LBJ Hospital on the first and third Saturdays of each month, and at Ben Taub Hospital on the second and fourth Saturdays, all including holidays). Visits are at both locations from 10–11 a.m. There are no scheduled visits on the fifth Saturday of a given month.  Individual pet therapy volunteers are scheduled per volunteer availability, and may occur on weekdays, evenings or weekends. To request pet therapy for a patient, please email the patient name and bed/unit location to
At Ben Taub Hospital, email Courtney Hoyt, or call 713-873-2203.
At LBJ Hospital, email JerMarkus Booker, or call 713-566-2113.
Music therapy is available at Ben Taub Hospital via volunteers from MusicMDs at Rice University, and the Art and Music in Practice (AMP) at Baylor College of Medicine. Performance spaces include inpatient rooms, ICUs and waiting areas. Visits will be scheduled on a recurring basis, currently planned on Friday and Sunday afternoons. To request music therapy for a patient, please email the patient name and bed/unit location to

Clinical Documentation Improvement Tip
Best Documentation Practices: Cerebral Edema
  • Identify if the condition was present on admission.
  • Unable to capture condition from diagnostic/imaging reports; the diagnosis must be documented in the medical record progress/ H&P note.
  • Specify the clinical significance or insignificance to the specific encounter.
  • Not inherent to tumor-related conditions/etiologies





Remember to clinically validate your diagnosis within the medical record with justifiable, supported clinical criteria. 
See examples in attached reference sheet.​

Informatics Update
Four important informatics updates for the Epic EHR. 
Physician Kudos 
Exceptional feedback from our patients about our doctors
Ryan Michael Huebinger, MD 
Emergency Center
Lyndon B. Johnson Hospital
McGovern Medical School at UTHealth
“It was a great experience. It was much better than I expected. Dr. Ryan Huebinger and my Nurse were amazing. It was overall, a great experience!”


Terry Lee McDermott, MD
Family Practice 
Danny Jackson Health Center 
McGovern Medical School at UTHealth
“Dr. McDermott, he's a special person. He is a very professional human. He is extremely careful in taking care of his own Patients. It's very rare to find, nowadays, a person like him.  We highly appreciate him and we will never change our doctor. He’s great, he takes great, great care of us. Thank you.” 

Jessica Nicole Tolbert, MD
Emergency Center
Ben Taub Hospital 
Baylor College of Medicine  

“Dr. Jessica Tolbert was Fantastic!”

Thank you for your service!