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Lexington County’s Coroner and Medical Examiner Service

Since the early 1970s, death investigations in Lexington County
have had the combined advantages of a coroner system and a
medical examiner service.

Dr. Guy Calvert, the founding director of Lexington Medical Center’s laboratories,
offered his forensic pathology expertise to Coroner Harry Harman in 1974,
during Coroner Harman’s first term in office. Dr. Calvert and Coroner Harman
worked closely in a wide variety of death investigations, establishing the
pattern of law enforcement advantages of a coroner system with the forensic
medicine expertise of a medical examiner system. As the Lexington community and
the LMC pathology group have grown, the advantages of this combined service
have become an important part of the hospital’s quality assurance program.

Pathology Associates of Lexington, P.A., the 10-member pathology group
at LMC, has played a critical role in the full spectrum of death investigations
and has served as expert witnesses in numerous homicide and accidental death
cases. Through these investigations, the group has played an increasing role in
LMC’s medical staff quality assurance program. LMC’s pathologists investigate
all manners of death to the full extent of inpatient medical autopsy studies
and submit complete reports to LMC physicians involved in the care of patients
within the coroner’s investigation.

Possibly uniquely in the United States, annual QA reports to the medical staff
indentify opportunities to improve care. Thorough investigations of infant
deaths have led to a significant decrease in the number of accidental infant
deaths (SIDS) in Lexington County, and a significant decrease in the number
of sudden, unexpected cardiac deaths. Observations of sudden cardiac death in
the coroner system led directly to LMC offering 24/7 STAT AMI profiling in
1994, which has significantly decreased the number of cardiac deaths after
discharge from a community medical center or ER visit. LMC was the first
hospital in the Midlands to offer this service. Similar results of death
investigations have prompted the urgency of physician office referrals of patients
presenting with acute coronary symptoms directly to a CMC or LMC’s ER.

By using coroner autopsy findings as a medical staff quality assurance process,
we have identified the absence of a personal physician as the single greatest
risk factor; refusal to seek medical care is the second most important risk factor.
Other survival benefits resulting from the coroner/medical examiner interface
include improvements in EMS intubation of critically ill infants, the evaluation
of prosthetic cardiac valve dysfunction and treatment of excess anticoagulant

Electronic Health Records

Happy New Year! Throughout 2012, Lexington Medical Center will continue to implement Electronic Health Records throughout our hospital and physician practices. We believe this transformation will help to enhance and optimize patient care.

Electronic Health Records, known as EHR, move medical documentation into the 21st century by putting patient information at our fingertips with the simple touch of a button.

Health care providers will now access patient charts and securely exchange clinical information using computers, instead of paper patient charts. .

Doctors will be able to order and manage lab work electronically, reducing the time patients wait for tests and results. Results are added to the patient’s electronic chart allowing the clinicians and physicians greater opportunity to trend patient progress.

Staff can enter actions in the computer for a provider to complete such as reviewing results or signing notes. These processes can allow more time to be spent administering direct patient care.

Referrering doctors will have improved access to the patient record which will help enhance continuity of care.

EHR shows potentially dangerous drug interactions and keeps up-to-date lists of diagnoses, medications and allergies. The system also allows providers to send e-prescriptions to pharmacies so that your medications are ready when you get there.

Importantly, the system will maintain a secure place for health information, as both processes and system controls are in place to ensure access is based on need to know.

Some of Lexington Medical Center’s physician practices are already using EHR. Many more will be added this year. The transformation to EHR is required by federal law as part of the American Recovery and Reinvestment Act of 2009. We believe this change is good and consistent with Lexington Medical Center’s mission of providing quality health services to our community.

Hello. Meet LMC Mobile.

Lexington Medical Center is pleased to launch its Mobile website. Now you can access an excellent view of our hospital website from your smart phone.

LMC Mobile will allow you to search for a doctor, find a baby photo, get directions and call a room with ease, using just one touch of your fingertip. You can also watch physician videos and send a patient an e-card.

That’s important. Statistics show that last year, 73 million people accessed the web with a mobile browser. In addition, our hospital has seen an 8,203% increase (no, that’s not a typo) in the number of people accessing our hospital website from a mobile device.

And it’s all the same quality you expect from Our hospital’s website has received national honors including Best Overall Website, Best Content and Best Design in numerous competitions.

Check out LMC Mobile by visiting from your smart phone! The site will automatically recognize you are using a mobile phone. And let us know what you think!