**All meetings on Fridays at the Health Council**
January 29, 2010
Full Group: 7:30-9:30am
February 26, 2010
Subgroup: 7:30-8:30am
Full Group: 8:30-9:30am
March 19, 2010
Subgroup: 7:30-8:30am
Full Group: 8:30-9:30am
April 23, 2010
Subgroup: 7:30-8:30am
Full Group: 8:30-9:30am
May 28, 2010
Subgroup: 7:30-8:30am
Full Group: 8:30-9:30am
June 25, 2010
Subgroup: 7:30-8:30am
Full Group: 8:30-9:30am
July 23, 2010
Subgroup: 7:30-8:30am
Full Group: 8:30-9:30am
August 27, 2010
Subgroup: 7:30-8:30am
Full Group: 8:30-9:30am
September 24, 2010
Subgroup: 7:30-8:30am
Full Group: 8:30-9:30am
October 29, 2010
Subgroup: 7:30-8:30am
Full Group: 8:30-9:30am
November 19, 2010
Subgroup: 7:30-8:30am
Full Group: 8:30-9:30am
December 17, 2010
Subgroup: 7:30-8:30am
Full Group: 8:30-9:30am
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PURPOSE:
The purpose of the Physician Impact Project Committee is to optimize patient care by implementing best practice processes and by improving and standardizing communication and physician education across participating member hospitals in accordance with accreditation and regulatory requirements in mutually agreed focus areas.
BACKGROUND:
Given the accreditation environment with the addition of many of the standards of compliance and National Patient Safety Goals that impact the hospital staffs, as well as the medical staffs, this committee has been proposed to assist in communication and education for the physicians of the community regarding these requirements. In addition, it would certainly be a best practice to achieve some element of standardization among the hospitals of the community, by jointly developing processes to achieve compliance with these accreditation and regulatory organizations.
OBJECTIVES:
- Determine focus areas regarding regulatory requirements and then communicate and educate the physicians in the community regarding those requirements.
- Review best practices and consider implementing similar process improvement approaches to aid the community physicians' compliance with these regulatory requirements.
- Hospitals and physicians of the community will work in a collaborative manner to develop education and communication processes to help make these resources more efficient and consistent.
For more information, please contact Dora Anim.
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The Joint Commission and Centers for Medicaid and Medicare services (CMS) have identified several areas where site surveyors are focusing their efforts. It is these suggested areas that the committee will initially prioritize and address. Currently, the three areas of focus are Verbal Order Authentication Process/Signing and Dating, Procedural Verification Process, and Professional Behavior Management.
1. Verbal order authentication process/Signing and Dating: Understanding that many hospitals are in the process of creating an electronic health record, the order authentication process is increasingly more challenging. The current requirement is that these orders are authenticated within 24-48 hours after they are issued.
2. Procedural verification process: Encourage physicians’ full attention and commitment to the process, as well as other guidelines such as the marking of the surgical site by the physician.
3. Professional behavior management
4. Care providers practicing outside the scope of their licensure
5. Falsification of the medical record
6. Preprinted order set management process
7. Conscious sedation privileging
8. Unapproved abbreviations
9. Physician Hand-Off Communications
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Physician Impact Co-Chairs
Leonard M. Randolph, Jr., MD, Mercy Health Partners
Robert Collins, MD, Bethesda North Hospital
PIP Committee Members
- Lynn Adams, MS, BSN, RN, Lindner Center of Hope
- Tricia Anthony, Summit Behavioral Healthcare
- Sharon Ashley, Adams County Regional Medical Center
- Kathleen Beal, The University Hospital
- Myrkol Bolden, The Christ Hospital
- Kevin Burns, Dearborn County Hospital
- Tiffany Coyle, The Christ Hospital
- Rachel Cummings, Adams County Regional Medical Center
- Diane Dieckman, Health Alliance
- Jane Dresselhaus, West Chester Medical Center
- Terry Dunn, Drake Center
- Georges Feghali, MD, TriHealth
- Nancy Glorius, TriHealth
- Steven Goldberg, MD, The Jewish Hospital
- Rebecca Haas, Drake Center
- Virginia Hamric, Clinton Memorial Hospital
- John Hollon, MD, Clinton Memorial Hospital
- Ricardo Horn, RN, BSN, Dearborn County Hospital
- Charles M. Johnson, MD, Adams County Regional Medical Center
- Larry Johnstal, TriHealth
- Linda Jones, McCullough-Hyde Memorial Hospital
- John Kennedy, MD, MHA, Lindner Center of Hope
- Nancy Kennedy, MD, Dearborn County Hospital
- C. Dean Kurth, MD, Cincinnati Children’s Hospital Medical Center
- Mary Lee, St. Elizabeth Hospital (Edgewood)
- Linda Miller, RN, MSN, The Jewish Hospital
- Mary Anne Morris, Cincinnati Children’s Hospital Medical Center
- Carol Muehlenkamp, Dearborn County Hospital
- Dee Murphy, St. Elizabeth Hospital (Edgewood)
- Robyn Myers, Atrium Medical Center
- Lynn Oswald, The Fort Hamilton Hospital
- Carol Perry, Veterans Affairs Hospital of Cincinnati
- Brian Revis, MD, The University Hospital
- John Robinson, MD, Good Samaritan Hospital
- Richard Roedersheimer, MD, Mercy Western Hills Hospital
- Dan Roth, MD, Mercy Anderson Hospital
- Jennifer Skinner, TriHealth
- Amy Sper, Drake Center
- Robert Stewart, TriHealth
- Rita Snyder, Mercy Health Partners
- Deborah Taylor, Shriners Hospital for Children
- Theresa Via, McCullough-Hyde Memorial Hospital
- Bob Waymeyer, St. Elizabeth Hospital (Edgewood)
- Jackie Westerfield, Veterans Affairs Hospital of Cincinnati
- Steven Yamaguchi, MD, The Christ Hospital
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