Medical Staff Orientation

1. Medical Staff Orientation An introduction to TriPoint Medical Center

2. Introduction • TriPoint is a $150 million state-of-the-art healthcare facility. • It will offer around-the-clock family visitation, restaurant-style dining, room service and a Health Resources Library for Physicians, Hospital Staff and Patient Family Education. • All 119 private patient rooms overlook natural settings.

3. Way Finding for You and Your Patients • You can locate your inpatients and their nurse from any unit PC or by picking up a house phone and asking for your patient. Nurses will communicate through the Vocera system. • A surgical patient status board will be located in the surgery area. • Patient registration kiosks will be available in the 1st floor registration area. • Way finding signs and a computer kiosk, named “Sarah”, will also be located in the lobby area. This system is currently being trialed at West.

4. Physician Lounge • The Physician Lounge (Garden Level) will be located in the MOB (Medical Office Building) just North of the hospital adjacent to the physician parking lot. • Restrooms and lockers will be located within the lounge. • Coffee and pastries for breakfast and soup and sandwiches for lunch will be available. • Physician Mailboxes will be located outside of the lounge. • HIM will be located next to the physician lounge with staff present M-F from 7:30 am to 4:00 pm to assist with completion of medical records. • Call the Physician Help Line for any IT issues at (440)354-1000 and choose option 1. • The Hospital Physician dining area is on the Garden Level. Serving hours are: Breakfast 6:30 am – 10:00 am, Lunch 11:00 am – 1:30 pm and Dinner 4:30 pm – 6:30 pm.

6. Conference Rooms • Conference Rooms will be available adjacent to the Physician Lounge with videoconferencing capability.

7. MOB Services • Physical Therapy/Rehabilitation Services will be available on the 4th floor of the hospital for inpatients and on the ground floor of the MOB for outpatients, across from the Physician Lounge and Conference Rooms. • Library Services will be available on the 1st floor of the MOB. • Additional services located in the MOB: 1. Community Health Programs (diabetes care, infusion therapy, Chronic Kidney Disease Clinic and CHF/Anticoag clinic services) 2. Volunteer Office 3. Nursing Administration.

8. TriPoint Medical Center – 1st Floor • Patient Registration • Radiology • CPS • ED – 28 beds with a six-bed Clinical Decision Unit (CDU) • PAT

9. 1st Floor Plan

10. TriPoint Medical Center – 2nd Floor • Six Operating Rooms • Physician Locker Rooms/Showers • 26 preoperative rooms • 12 PACU rooms • Cardiac Catheterization Lab (with a 2nd shell) • Endovascular Interventional/Operating Room (2010) • Laboratory Services • Pharmacy • Endoscopy

11. 2nd Floor Plan

12. TriPoint Medical Center – 3rd Floor • 32 Medical Telemetry Private Rooms • 14 LDRP • 2 Ante-partum Rooms • 3 Labor exam rooms • 2 surgical suites - OB • 2 recovery beds • Newborn Nursery • Level II Nursery with 6 private rooms • Physician Sleep Rooms & Hospitalist Office

13. 3rd Floor Plan

14. TriPoint Medical Center – 4th Floor • 32 Surgical Telemetry Private Rooms • 32 bed CCU Stepdown Private Rooms

15. 4th Floor

16. Parking • Medical Staff members may park in the Physician parking spaces on the East side of the MOB (Medical Office Building). The MOB doors will be open from 6:00 am to 8:00pm and can be accessed after hours with your Lake Health ID badge. • There are also additional physician parking spaces near the Emergency Department entrance and the main hospital entrance. • Parking tags are required to park in these areas. To obtain a parking tag, please contact Security or call the Medical Staff Office (440-953-6082).

18. Badges • All physicians will need an ID badge to access and move freely within the TriPoint facility. Your ID badge will be required 24/7 for access to the physician lounge (within the MOB), patient units and all non-public hospital areas. • Security officers will be available every Wednesday evening to take your picture for your new ID badge at 6:00 pm to 7:30 pm at West (go to the telephone operators office) or at East (go to ED). Please call Security at (440)354-1395 with questions. • There will also be security officers at the October 7 General Staff meeting at TriPoint. Tours of the facility will be available before and after the meeting.

19. TriPoint Patient Care Introduces Decentralized Nursing Unit + Universal Bed Design = New Model of Nursing Care Delivery • Decentralized Nursing Unit: Patient Care Units at TriPoint will not have central nursing stations. Instead, there will be windowed alcoves between every two patient rooms that allow the nurse to observe the patient from just outside the room.

20. Patient Care Model • TriPoint will have one 32-bed Critical Care Unit equipped to care for patients from the ICU to Stepdown level of acuity. All of these patient rooms are equipped for dialysis treatment to be performed at the bedside. There will be a 32-bed Surgical telemetry and a 32-bed medical telemetry. The goal of universal beds is to accommodate a broader range of patient acuity, allowing patients to remain in the same room from admission to discharge, minimizing transfers between nursing units.

21. Patient Care Model • To gain all the advantages of this decentralized model, TriPoint will utilize new technology to ensure timely communication with physicians, nursing and other caregivers. Each caregiver will carry an IP phone to make and receive phone calls, decreasing overhead paging on the unit. Alerts from the nurse call system or monitors can be forwarded to the patient’s nurse via these phones. • The list of patients on the unit along with the caregiver and his/her contact number can be viewed on any unit PC using the “white board” function of the nurse call system selected for TriPoint. • Finally, new Drager monitors will be networked allowing physicians to access monitor data remotely.

22. Additional Information • Physician work areas will be available on each floor/unit. • Each nurse will communicate with you regarding each patient through the Vocera system. • Docking stations will be available in the nursing alcoves for your laptops. • Secretaries will work from carts (calves) rather than from a central location. • Physicians are welcome to observe our practice day “Day in the Life” at TriPoint on September 23, 2009, during which multiple patient care scenarios will be played out.

23. Upcoming Events Saturday, September 26, 2009 – 9:00am to 1:00 pm Physician, Team Member & Volunteer Open House Dedication of Courtyard and Garden TriPoint Medical Center, Auburn Road, Concord Wednesday, October 7, 2009 – 6:00 pm General Staff Meeting Officer Elections & Tours of TriPoint Physician Tours will be available before and after the meeting Saturday, October 17, 2009 – 10:00 am to 4:00 pm TriPoint Medical Center - Community Open House

24. New Clinical Services at TriPoint • All of the clinical services at LakeEast will transition to TriPoint when the facility opens on October 21, 2009. In addition, several new services will be available at TriPoint which were not provided at LakeEast including: • Cardiac Catheterization Lab • Six Bed Clinical Decision Unit (CDU) in ED • Hybrid Endovascular Interventional Operating Room (Opening 2010) • 24 hour Pharmacy Services

25. NetLearning: Computer Based Learning (CBLs) • You may access more detailed educational information that has been developed for equipment and individual areas of TriPoint Medical Center from any computer within the hospital. To log on to NetLearning, double click on the NetLearning icon. Your user name is your physician computer ID number and your password is your capitalized initials (first and last name) and your physician computer ID number. NetLearning is for your information only; you do not have to take the tests. • Some of the available CBLs are: Soarian Clinical Documentation, Medication Reconciliation, Care of the Dying Patient, Role of Ethics Committee, Surgical Time Out, Library Resources and many others. • You may also access them at home at: http://netapp.netlearning.com/ncsi/login.aspx?id=145

26. Lake Health Website • For Up-to-Date news and information about Lake Health, please access either of our new websites at: http://www.lakehealth.org http://lhs-tripoint.net • Also, watch for the Medical Staff Portal that is currently in development!

27. Helpful Numbers • Physician IT Help Line: 440-354-1000 (Option 1) • Soarian Training call 440-354-1653 or 440-354-1163. • Security: 216-634-4027 or 216-634-6528 (pager) • Dr. Nichols, Medical Affairs: 440-354-1931 • Joyce Taylor, Compliance Officer: 440-354-1121 • Medical Staff Office: 440-953-6082 • Physician Services: 440-354-1987 • Health Information Services: 440-953-6076