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Welcome to South Austin Hospital New Physician Orientation.

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Presentation on theme: "Welcome to South Austin Hospital New Physician Orientation."— Presentation transcript:

1 Welcome to South Austin Hospital New Physician Orientation

2 2 Topics Mission and Values Mission and Values Because I Care Service Initiative Because I Care Service Initiative Overview of Hospital Overview of Hospital Patient Services Patient Services Admissions & Scheduling Admissions & Scheduling Case Management & Core Measures Case Management & Core Measures HIM & Quality HIM & Quality Cancer Registry, Tumor Board, and Educational Programs Cancer Registry, Tumor Board, and Educational Programs Computer Access Computer Access ID Badge, Parking, Door Access, and other miscellaneous info ID Badge, Parking, Door Access, and other miscellaneous info Safety and Infection Control Safety and Infection Control Physician Relations & Marketing Physician Relations & Marketing Leadership Leadership Our Staff Our Staff Physician FAQ’s Physician FAQ’s Physician Roster by Specialty Physician Roster by Specialty Phone Directory Phone Directory Forms Forms

3 3 South Austin Hospital MISSION: MISSION: To provide exceptional care to every patient every day with a spirit of warmth, friendliness, and personal pride. VALUES: VALUES: I ntegrity: Be honest and do what you say C ompassion: Be sympathetic to the needs of others A ccountability: Take ownership for how actions impact outcomes R espect: Value the rights of others and accept differences E xcellence: Take personal pride in exceeding expectations

4 4 Because I Care Our vision is to be the BEST hospital in the country for physicians to practice medicine, for employees to work, and for patients to receive care! Because I CARE is a multi-faceted initiative aimed at improving and sustaining patient, physician and employee satisfaction. The mission and values of St. David’s HealthCare describe what we do and how we do it.

5 5 Overview of Hospital

6 6 Nursing & Patient Care Services  Nursing  Inpatient Areas  Outpatient & Support Areas

7 7 Inpatient Services Surgical Services Surgical Services Endoscopy Endoscopy Cardiac Cath Labs (Invasive Cardiology) Cardiac Cath Labs (Invasive Cardiology) Cardiovascular & Heart Center Cardiovascular & Heart Center CVRU CVRU Neuro/Ortho/Renal Surgical Ctr. Neuro/Ortho/Renal Surgical Ctr. Diabetes Patient Education Program Diabetes Patient Education Program Women’s Services Women’s Services  Nursery Levels I & II  Post Partum Med Surg 2 Central 2 Central 3 North (Observation Unit) 3 North (Observation Unit) 3 Central (Med Surg/Tele) 3 Central (Med Surg/Tele) 3 South 3 South 4 Central (Cardiac/Tele) 4 Central (Cardiac/Tele) ICU/IMC ICU/IMC PCU (progressive care) PCU (progressive care) Special Needs Unit (Direct Admits) Special Needs Unit (Direct Admits)

8 8 Outpatient Services Outpatient Heart Center Outpatient Heart Center Outpatient Surgery Outpatient Surgery Lithotripsy - Dornier system Lithotripsy - Dornier system Hyperbaric Wound Care Hyperbaric Wound Care Cardiac Rehab Cardiac Rehab Respiratory Care Respiratory Care ISS (Interventional Short Stay) ISS (Interventional Short Stay) In-house CAP certified Laboratory In-house CAP certified Laboratory Emergency Department Emergency Department MRI/CT as well as full radiology support services for patient diagnostics and treatment

9 9 Nursing Administrative & Patient Care Areas Sally Gillam, RN, Chief Nurse Officer Sally Gillam, RN, Chief Nurse Officer  Nurse/House Supervisor avail. (24 hrs/day) Nurse/House Supervisor avail. (24 hrs/day)   Digital Pager *Bed assignment, Fax Orders, Direct Admits, Transfers, Resources for many issues. Printed Orders: Contact the Nursing Department Manger and he/she will facilitate the process for. Getting Acquainted: Nursing staff pictures are located on each floor to assist with the names and faces. Please feel free to ask for assistance with anything may need.

10 10 Admissions & Central Scheduling Hospital‘s Main Number Central Scheduling Main Central Scheduling Physician's Line Hours: 7:30 to 5:00 pm (After hours, contact the Operating Room or House Supervisor) Registration/Admissions Normal Hours Registration/Admissions After Hours House/Nurse Supervisor Physician's Direct Line to PBX operators

11 11 Case Management Been in existence at SAH since early 1996 Been in existence at SAH since early 1996 Drives the discharge process Drives the discharge process Coordinate the care across the continuum, services and resources for patients/families Coordinate the care across the continuum, services and resources for patients/families Education of patient/family regarding continuum of care Education of patient/family regarding continuum of care Conduct concurrent insurance reviews Conduct concurrent insurance reviews Plans and implements discharges with the interdisciplinary team Plans and implements discharges with the interdisciplinary team Consists of both RNs & Social Workers Consists of both RNs & Social Workers

12 12 Your Role in Case Management “Admit to Case Management” “Admit to Case Management” Keeping the case manager informed of plans for the patient Keeping the case manager informed of plans for the patient Communication with case manager is key to timely discharge/movement to next level of care Communication with case manager is key to timely discharge/movement to next level of care Daily discharge of patients by 11:00 a.m. Daily discharge of patients by 11:00 a.m. Debra Amirault, Case Management Director Office Blackberry

13 Core Measures AMI (Acute Myocardial Infarction) HF (Heart Failure) PN (Pneumonia) SCIP (Surgical Care Improvement Project)

14 14 Health Information Management Hours of Operation Hours of Operation Dictation Dictation  Timeliness  Requirements

15 15 Health Information Management Notification ProcessNotification Process Coding Query ProcessCoding Query Process LoungeLounge

16 16 Unacceptable Abbreviations Intended Meaning Misinterpretation Expected Action UUnits O, “4” Write out entire word “Units” IU International units Misread as IV (intravenous) or the number 10 Use the word “units” Trailing Zero (i.e. 1.0 mg) 1 mg Misread as 10 Do NOT use trailing zeros after a decimal point Lack of a leading zero 0.1 mg Misread as 1 or 11 mg ALWAYS use a zero before a decimal point MSMSO4MgSO4 Morphine sulfate or magnesium sulfate Confused for one another. Can mean morphine sulfate or magnesium sulfate Write “morphine sulfate” or “magnesium sulfate” Q.D., q.d., qd Q.O.D, q.o.d, qod “Daily” and “every other day” Mistaken for each other. The period after Q can be mistaken for an “I” or the “O” can be mistaken for an “I” Write “daily” and “every other day”

17 17 Cancer Registry Cancer Registry Cancer Registry Cancer Committee Cancer Committee Tumor Boards Tumor Boards Patient Care Evaluation Studies Patient Care Evaluation Studies

18 18 Meditech (Clinical Patient Care System) √ PCI (Patient Care Inquiry) LAB, RAD, PATH and HIM reports √ Demographic/Insurance Info. √ Access from hospital, office or home √ Physicians MUST write Consult Orders so consulting physician will have access to the patient √ Electronically sign dictated reports remotely √ Software provided by the hospital for remote installation Physician Help Desk #: (HELP) Physician Help Desk #: (HELP)  Obtain Access, Schedule Training, & Report Problems  7 a.m.- 6 p.m.

19 19 ID Badge Obtain your ID badge from the Travis County Medical Society Obtain your ID badge from the Travis County Medical Society 4300 N Lamar, PO Box 4679, Austin, TX N Lamar, PO Box 4679, Austin, TX For badges contact Darla Blasingame – (512) For badges contact Darla Blasingame – (512) Badge problems? Call Beth Case in Med. Staff Office (512) Badge problems? Call Beth Case in Med. Staff Office (512)

20 20 Parking… There are dedicated physician only parking spaces located around the facility. There are dedicated physician only parking spaces located around the facility. Physician parking is located on the first floor of the parking garage. Physician parking is located on the first floor of the parking garage. The physician parking lot at the SW corner of the building does require use of your TCMS security badge. The physician parking lot at the SW corner of the building does require use of your TCMS security badge.

21 21 Security Access Security Access Outside Entrances – use Physician ID Badge issued by TCMS Elevator & Exit doors – use ID Badge Internal Dept Entrances – For most, code is 5432 Including Physician lounge & dining room

22 22

23 23 Educational Programs Medical Grand Rounds Medical Grand Rounds Ethics Credit Ethics Credit Blood borne Pathogen & Tuberculosis Education Blood borne Pathogen & Tuberculosis Education CPR/ACLS Education CPR/ACLS Education Tumor Board Conferences Tumor Board Conferences

24 On-line CME

25 25 Emergency Call Responsibilities Department and specialty specific requirements Department and specialty specific requirements Most Active status members required to provide call coverage per medical staff bylaws Most Active status members required to provide call coverage per medical staff bylaws Contact Medical Staff Office for assistance. Contact Medical Staff Office for assistance.

26 26 Medical Staff Meetings Monthly meeting calendars are posted on the MedWeb site and ed to members. Monthly meeting calendars are posted on the MedWeb site and ed to members. There is a 50% meeting attendance requirement for Active members in the departments of Medicine, Surgery, and Cardiology. There is a 50% meeting attendance requirement for Active members in the departments of Medicine, Surgery, and Cardiology. There is a 25% meeting attendance requirement at the quarterly General Medical Staff meetings for all Active members. There is a 25% meeting attendance requirement at the quarterly General Medical Staff meetings for all Active members.

27 27 Safety & Infection Control OSHA: Practice Universal Precautions OSHA: Practice Universal Precautions Fire: R A C E Fire: R A C E TB patients TB patients Codes (see attachments) Codes (see attachments)

28 28 Physician Health Forms of Impairment   Alcoholism and other drug use   Other psychiatric disorders Addressed by the TCMS Physician Health and Rehabilitation committee

29 29 Physician Relations &  Media Relations - proactive media for new procedures  Educational Seminars  Physician Newsletter Progress Notes Marketing Services The Physician Relations Director is here for you! To help you get to know the facility, where things are and how processes work Help you with special requests, issue resolution, answer questions Help you meet other physicians in the area Physician Referral Line Sarah Zamora, Physician Relations Director Blackberry. (512)

30 Physician Satisfaction Team Team Charter: The SAH Physician Satisfaction Team commits to partner with the medical staff to improve the environment in which they work. We will strive to ensure that the highest level of service is consistently provided to the physicians. We will act as a liaison to foster open communication and will recognize our physicians as valued partners in the delivery of healthcare.

31 31 Chief Medical Officer: Al Gros, MD Chief of Staff: Richard DeBehnke, MD Chief of Staff-Elect: Robert Markus, MD Secretary: Amy Arrant, MD Medical Staff Leadership Dr. Al Gros CMO, South Austin Hospital Office. (512) Blackberry. (512) Fax. (512) Dr. Steve Berkowitz CMO, Central and West Texas Office. (512) Mobile. (512)

32 32 Governance & Peer Review

33 33 Credentialing and Medical Staff Services Application for membership and privileges Application for membership and privileges Qualification: Board certification or obtained within 5 years of initial appointment. Qualification: Board certification or obtained within 5 years of initial appointment. Centralized application & verification process at St. David’s office Centralized application & verification process at St. David’s office  Separate approval at each facility Website for Meetings, Bylaws, Rules and Regulations, and other information Website for Meetings, Bylaws, Rules and Regulations, and other information 

34 Physician PI Coordinator Variance Reports Patient Complaints Failed Measures Fall-out from Screens Prof. Liability Actions Employee Complaints Compliance Issues Action Clinical Issue: Competence, Core Measures, Outcomes Indicator 'Fall-outs' Department Compliance / Social Issue: (ie, Complaints, Non-compliance, Behavior) Egregious Event: (incl. Sentinel Events, In-House Physician Quality Issues) Rapid Review Team Medical Director / Vice Chief of Staff MCEC (Secretary of Medical Staff) MEC (Chief of Staff) BOT Triage (Med Dir & PIC) Sentinel Events Peer Review Process Approved by MEC 2/08

35 35 Senior Leadership Wes Fountain, CFO Wes Fountain, CFO Sally Gillam, CNO Sally Gillam, CNO Erol Akdamar, CEO Erol Akdamar, CEO Brett Matens, COO Brett Matens, COO Laura Hotze, Assoc. Admin. Laura Hotze, Assoc. Admin.

36 36 Erol Akdamar Chief Executive Officer Chief Executive Officer Worked at SAH for 3 years; with HCA for 13 years Worked at SAH for 3 years; with HCA for 13 years From New Orleans, Louisiana From New Orleans, Louisiana Married to Dara; son Ethan and twin daughters Ally and Emmy Married to Dara; son Ethan and twin daughters Ally and Emmy Departments include Human Resources, Surgicare, Marketing, Medical Staff and all Senior Managers Departments include Human Resources, Surgicare, Marketing, Medical Staff and all Senior Managers

37 37 Sally Gillam Chief Nursing Officer Chief Nursing Officer Worked at SAH for 19 years; with HCA for 21 years Worked at SAH for 19 years; with HCA for 21 years From Temple, Texas From Temple, Texas Married to Andy; sons Kendall and Colby Married to Andy; sons Kendall and Colby Departments include Emergency Services, Women's Services, Surgical Services, Telemetry (3S and 4C), Med/Surg (2C and 3C), Quality, Critical Care, ISS, Endo, Outpatient Heart Center, Nursing Administration Departments include Emergency Services, Women's Services, Surgical Services, Telemetry (3S and 4C), Med/Surg (2C and 3C), Quality, Critical Care, ISS, Endo, Outpatient Heart Center, Nursing Administration

38 38 Brett Matens Chief Operating Officer/ Ethics and Compliance Officer Chief Operating Officer/ Ethics and Compliance Officer Worked at SAH for 5 years; with HCA for 9 years Worked at SAH for 5 years; with HCA for 9 years From Jackson, Mississippi From Jackson, Mississippi Married to Christi; daughter Macy Caroline Married to Christi; daughter Macy Caroline Departments include Cardiovascular Services, Engineering, Pharmacy, Risk Management, Radiology, Pulmonary/ Neurodiagnostics, Hyperbarics/ Wound Care Departments include Cardiovascular Services, Engineering, Pharmacy, Risk Management, Radiology, Pulmonary/ Neurodiagnostics, Hyperbarics/ Wound Care

39 39 Wes Fountain Chief Financial Officer Chief Financial Officer Worked at SAH for 1 year; with HCA for 18 years Worked at SAH for 1 year; with HCA for 18 years From Atmore, Alabama From Atmore, Alabama Married to Melinda; son David and daughter Sarah Married to Melinda; son David and daughter Sarah Departments include Accounting, HIM, Materials Management, Shared Services Group, Information Systems, Revenue Integrity Departments include Accounting, HIM, Materials Management, Shared Services Group, Information Systems, Revenue Integrity

40 40 Laura Hotze Associate Administrator/ Co- Ethics and Compliance Officer Associate Administrator/ Co- Ethics and Compliance Officer Worked at SAH for 2 years; with HCA for 3 years Worked at SAH for 2 years; with HCA for 3 years From Houston, Texas From Houston, Texas Married to Patrick Married to Patrick Departments include Rehab Services, Laboratory, Environmental Services, Nutrition Services, Spiritual Care, Volunteers, Patient Relations Departments include Rehab Services, Laboratory, Environmental Services, Nutrition Services, Spiritual Care, Volunteers, Patient Relations Picture here

41 41 Thank you for taking the time to view this orientation program. We want your experience at South Austin Hospital to be the best in the city and we want to be your #1 facility of choice for your patients.


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