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Welcome to South Austin Hospital

Welcome to South Austin Hospital. New Physician Orientation. Mission and Values Because I Care Service Initiative Overview of Hospital Patient Services Admissions & Scheduling Case Management & Core Measures HIM & Quality Cancer Registry, Tumor Board, and Educational Programs

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Welcome to South Austin Hospital

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  1. Welcome to South Austin Hospital New Physician Orientation

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

  3. MISSION: To provide exceptional care to every patient every day with a spirit of warmth, friendliness, and personal pride. South Austin Hospital • VALUES: Integrity: Be honest and do what you say Compassion: Be sympathetic to the needs of others Accountability: Take ownership for how actions impact outcomes Respect: Value the rights of others and accept differences Excellence: Take personal pride in exceeding expectations

  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. Overview of Hospital

  6. Nursing & Patient Care Services • Nursing • Inpatient Areas • Outpatient & Support Areas

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

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

  9. Nursing Administrative & Patient Care Areas • Sally Gillam, RN, Chief Nurse Officer • 448-7106 • Nurse/House Supervisor avail. (24 hrs/day) • 448-7109 • Digital Pager 860-6194 • *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. Admissions & Central Scheduling

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

  12. Your Role in Case Management • “Admit to Case Management” • 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 • Daily discharge of patients by 11:00 a.m. Debra Amirault, Case Management Director Office. 416-6260 Blackberry. 517-4342

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

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

  15. Health Information Management • Notification Process • Coding Query Process • Lounge 15

  16. Cancer Registry • Cancer Registry • Cancer Committee • Tumor Boards • Patient Care Evaluation Studies

  17. 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 #: 901-4357 (HELP) Obtain Access, Schedule Training, & Report Problems 7 a.m.- 6 p.m. 18

  18. ID Badge Obtain your ID badge from the Travis County Medical Society 4300 N Lamar, PO Box 4679, Austin, TX 78765 For badges contact Darla Blasingame –(512) 206-1221 Badge problems? Call Beth Case in Med. Staff Office (512) 448-7102 19

  19. Parking… There are dedicated physician only parking spaces located around the facility. 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. 20

  20. 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 21

  21. www.sahmedweb.com 22

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

  23. On-line CME

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

  25. Medical Staff Meetings Monthly meeting calendars are posted on the MedWeb site and e-mailed to members. 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. 26

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

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

  28. Physician Relations & 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 • Media Relations - proactive media for new procedures • Educational Seminars • Physician NewsletterProgress Notes Sarah Zamora, Physician Relations Director Blackberry. (512) 461-9579

  29. 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.

  30. Medical Staff Leadership Chief Medical Officer: Al Gros, MD Chief of Staff: Richard DeBehnke, MD Chief of Staff-Elect: Robert Markus, MD Secretary: Amy Arrant, MD • Dr. Al Gros CMO, South Austin Hospital • Office. (512) 416-6112 • Blackberry. (512) 294-7064 • Fax. (512) 448-7278 • Email. Albert.Gros@stdavids.com Dr. Steve Berkowitz CMO, Central and West Texas Office. (512) 448-7465 Mobile. (512) 415-6095 Email. Steve.Berkowitz@stdavids.com

  31. Governance & Peer Review

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

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

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

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

  36. Sally Gillam • Chief Nursing Officer • Worked at SAH for 19 years; with HCA for 21 years • From Temple, Texas • 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

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

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

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

  40. 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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