Welcome to South Austin Medical Welcome to South Austin Medical CenterCenter

New Physician OrientationNew Physician Orientation

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TopicsTopics

Mission and ValuesMission and Values

Because I Care Service InitiativeBecause I Care Service Initiative

Overview of Hospital Overview of Hospital

Patient ServicesPatient Services

Admissions & SchedulingAdmissions & Scheduling

Case Management & Core Case Management & Core MeasuresMeasures

HIM & QualityHIM & Quality

Cancer Registry, Tumor Board, Cancer Registry, Tumor Board, and Educational Programsand Educational Programs

Computer AccessComputer Access

ID Badge, Parking, Door Access, ID Badge, Parking, Door Access, and other miscellaneous infoand other miscellaneous info

Safety and Infection ControlSafety and Infection Control

Physician Relations & Marketing Physician Relations & Marketing

LeadershipLeadership

Our StaffOur Staff

Physician FAQ’sPhysician FAQ’s

Physician Roster by SpecialtyPhysician Roster by Specialty

Phone DirectoryPhone Directory

FormsForms

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South Austin Medical CenterSouth Austin Medical Center

MISSION: MISSION:

To provide To provide exceptional care exceptional care to to everyevery patient patient everyevery day with day with a spirit of a spirit of warmth, warmth, friendliness, and friendliness, and personal pride.personal pride.

VALUES:VALUES:

IIntegrity: ntegrity: Be honest and do what Be honest and do what

you sayyou say

CCompassion: ompassion: Be sympathetic to Be sympathetic to the needs of othersthe needs of others

AAccountability: ccountability: Take ownership Take ownership for how actions impact for how actions impact outcomesoutcomes

RRespect: espect: Value the rights of Value the rights of others and accept differencesothers and accept differences

EExcellence: xcellence: Take personal pride Take personal pride in exceeding expectationsin exceeding expectations

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Because I CareBecause 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.

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The Patient ExperienceThe Patient Experience

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Overview of Medical Overview of Medical CenterCenter

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Nursing & Patient Care ServicesNursing & Patient Care Services

NursingNursing Inpatient AreasInpatient Areas Outpatient & Support AreasOutpatient & Support Areas

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InpatientInpatient ServicesServices

Surgical ServicesSurgical Services EndoscopyEndoscopy Cardiac Cath Labs (Invasive Cardiac Cath Labs (Invasive

Cardiology)Cardiology) Cardiovascular & Heart CenterCardiovascular & Heart Center CVRU CVRU Neuro/Ortho/Renal Surgical Ctr.Neuro/Ortho/Renal Surgical Ctr. Diabetes Patient Education ProgramDiabetes Patient Education Program Women’s ServicesWomen’s Services

Nursery Levels I & IINursery Levels I & II Post Partum Med SurgPost 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/IMCICU/IMC PCU (progressive care)PCU (progressive care) Special Needs Unit (Direct Special Needs Unit (Direct

Admits)Admits)

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Outpatient ServicesOutpatient Services

Outpatient Heart CenterOutpatient Heart Center Outpatient SurgeryOutpatient Surgery Lithotripsy - Dornier systemLithotripsy - Dornier system Hyperbaric Wound CareHyperbaric Wound Care Cardiac RehabCardiac Rehab Respiratory CareRespiratory Care ISS (Interventional Short Stay) ISS (Interventional Short Stay) In-house CAP certified In-house CAP certified

LaboratoryLaboratory Emergency DepartmentEmergency Department

• MRI/CT as well as full radiology support services for patient diagnostics and treatment

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Nursing Administrative & Patient Care Nursing Administrative & Patient Care AreasAreas

Sally Gillam, RN, Chief Nurse Officer Sally Gillam, RN, Chief Nurse Officer 816-7106816-7106

Nurse/House Supervisor avail. (24 hrs/day)Nurse/House Supervisor avail. (24 hrs/day)816-7109816-7109Digital Pager 860-6194Digital 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.

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Admissions & Central SchedulingAdmissions & Central Scheduling

Hospital‘s Main Number 447-2211Hospital‘s Main Number 447-2211

Central Scheduling Main 816-7340 Central Scheduling Main 816-7340 Central Scheduling Physician's Line 816-7464Central Scheduling Physician's Line 816-7464

Hours: 7:30 to 5:00 pmHours: 7:30 to 5:00 pm(After hours, contact the Operating Room or House (After hours, contact the Operating Room or House

Supervisor)Supervisor)

Registration/Admissions Normal Hours 816-Registration/Admissions Normal Hours 816-71297129

Registration/Admissions After Hours 816-Registration/Admissions After Hours 816-71167116

House/Nurse Supervisor 816-7109House/Nurse Supervisor 816-7109

Physician's Direct Line to PBX operators 323-Physician's Direct Line to PBX operators 323-54655465

Direct Admit Unit

Developed on 3 North

Designed to streamline patient admissions during peak census times

Patients will be directly admitted and bypass the Emergency Department

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Case Management DepartmentCase Management Department

In existence at In existence at SAMC since early 1996 since early 1996 Drives the discharge processDrives the discharge process Coordinate the care across the continuum, Coordinate the care across the continuum,

services and resources for patients/familiesservices and resources for patients/families Education of patient/family regarding continuum Education of patient/family regarding continuum

of careof care Conduct concurrent insurance reviewsConduct concurrent insurance reviews Plans and implements discharges with the Plans and implements discharges with the

interdisciplinary teaminterdisciplinary team Consists of both RNs & Social WorkersConsists of both RNs & Social Workers

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Your Role in Case ManagementYour Role in Case Management

““Admit to Case Management”Admit to Case Management”

Keeping the case manager informed of plans for the Keeping the case manager informed of plans for the patientpatient

Communication with case manager is key to timely Communication with case manager is key to timely discharge/movement to next level of caredischarge/movement to next level of care

Daily discharge of patients by 11:00 a.m.Daily discharge of patients by 11:00 a.m.

May McAnally, Case Management DirectorMay McAnally, Case Management DirectorOffice. 816-6260Office. 816-6260

Blackberry. 517-4342Blackberry. 517-4342

Core Measures

AMI (Acute Myocardial Infarction) HF (Heart Failure) PN (Pneumonia) SCIP (Surgical Care Improvement

Project)

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Health Information ManagementHealth Information Management

Hours of OperationHours of Operation DictationDictation

TimelinessTimelinessRequirementsRequirements

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Health Information ManagementHealth Information Management

• Notification ProcessNotification Process• Coding Query ProcessCoding Query Process• LoungeLounge

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Unacceptable Unacceptable AbbreviationsAbbreviations

Intended Intended MeaningMeaning

MisinterpretationMisinterpretation Expected Expected ActionAction

UU UnitsUnits O, “4”O, “4” Write out entire Write out entire word “Units”word “Units”

IUIU International unitsInternational units Misread as IV Misread as IV (intravenous) or the (intravenous) or the number 10number 10

Use the word Use the word “units”“units”

Trailing Zero (i.e. 1.0 Trailing Zero (i.e. 1.0 mg)mg)

1 mg1 mg Misread as 10Misread as 10 Do NOT use trailing Do NOT use trailing zeros after a zeros after a decimal pointdecimal point

Lack of a leading Lack of a leading zerozero

0.1 mg0.1 mg Misread as 1 or 11 Misread as 1 or 11 mgmg

ALWAYS use a zero ALWAYS use a zero before a decimal before a decimal pointpoint

MSMS

MSO4MSO4

MgSO4MgSO4

Morphine sulfate or Morphine sulfate or magnesium sulfatemagnesium sulfate

Confused for one Confused for one another. Can mean another. Can mean morphine sulfate or morphine sulfate or magnesium sulfatemagnesium sulfate

Write “morphine Write “morphine sulfate” or sulfate” or “magnesium “magnesium sulfate”sulfate”

Q.D., q.d., qdQ.D., q.d., qd

Q.O.D, q.o.d, qodQ.O.D, q.o.d, qod

““Daily” and “every Daily” and “every other day”other day”

Mistaken for each Mistaken for each other. The period other. The period after Q can be after Q can be mistaken for an “I” mistaken for an “I” or the “O” can be or the “O” can be mistaken for an “I”mistaken for an “I”

Write “daily” and Write “daily” and “every other day”“every other day”

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Cancer RegistryCancer Registry

Cancer Registry Cancer Registry Cancer CommitteeCancer Committee Tumor BoardsTumor Boards Patient Care Evaluation Patient Care Evaluation

StudiesStudies

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MeditechMeditech(Clinical Patient Care (Clinical Patient Care

System)System)

√ PCI (Patient Care Inquiry)PCI (Patient Care Inquiry)LAB, RAD, PATH and HIM reportsLAB, RAD, PATH and HIM reports

√ Demographic/Insurance Info.Demographic/Insurance Info.√ Access from hospital, office or homeAccess from hospital, office or home√ Physicians MUST write Consult Orders so consulting physician Physicians MUST write Consult Orders so consulting physician

will have access to the patientwill have access to the patient√ Electronically sign dictated reports remotelyElectronically sign dictated reports remotely√ Software provided by the hospital for remote installationSoftware provided by the hospital for remote installation

Physician Help Desk #: 901-4357 (HELP)Physician Help Desk #: 901-4357 (HELP) Obtain Access, Schedule Training, & Report ProblemsObtain Access, Schedule Training, & Report Problems 7 a.m.- 6 p.m.7 a.m.- 6 p.m.

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ID BadgeID Badge

Obtain your ID badge from the Travis Obtain your ID badge from the Travis County Medical SocietyCounty Medical Society

4300 N Lamar, PO Box 4679, Austin, TX 4300 N Lamar, PO Box 4679, Austin, TX 7876578765

For badges contact Darla Blasingame –For badges contact Darla Blasingame –(512) 206-1221(512) 206-1221

Badge problems? Call Beth Case in Med. Badge problems? Call Beth Case in Med. Staff Office (512) 816-7102Staff Office (512) 816-7102

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Parking…Parking…

There are dedicated physician only There are dedicated physician only parking spaces located around the parking spaces located around the facility. facility.

Physician parking is located on the first Physician parking is located on the first floor of the parking garage. floor of the parking garage.

The physician parking lot at the SW The physician parking lot at the SW corner of the building does require use of corner of the building does require use of your TCMS security badge.your TCMS security badge.

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Security AccessSecurity Access

•Outside Entrances – use Physician ID Badge issued by TCMS

•Elevator & Exit doors – use ID Badge

• Internal Dept Entrances –For most, code is 5432Including Physician lounge & dining room

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www.sahmedweb.comwww.sahmedweb.com

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Educational ProgramsEducational Programs

Medical Grand RoundsMedical Grand Rounds

Ethics CreditEthics Credit

Blood borne Pathogen & Tuberculosis Blood borne Pathogen & Tuberculosis EducationEducation

CPR/ACLS EducationCPR/ACLS Education

Tumor Board ConferencesTumor Board Conferences

On-line CME

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Emergency Call ResponsibilitiesEmergency Call Responsibilities

Department and specialty specific Department and specialty specific requirementsrequirements

Most Active status members required to Most Active status members required to provide call coverage per medical staff provide call coverage per medical staff bylawsbylaws

Contact Medical Staff Office for Contact Medical Staff Office for assistance.assistance.

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Medical Staff MeetingsMedical Staff Meetings

Monthly meeting calendars are posted Monthly meeting calendars are posted on the MedWeb site and mailed to on the MedWeb site and mailed to members.members.

There is a 50% meeting attendance There is a 50% meeting attendance requirement for Active members in the requirement for Active members in the departments of Medicine, Surgery, and departments of Medicine, Surgery, and Cardiology.Cardiology.

There is a 25% meeting attendance There is a 25% meeting attendance requirement at the quarterly General requirement at the quarterly General Medical Staff meetings for all Active Medical Staff meetings for all Active members.members.

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Safety & Infection ControlSafety & Infection Control

OSHA: Practice Universal OSHA: Practice Universal PrecautionsPrecautions

Fire: R A C EFire: R A C E

TB patientsTB patients

Codes (see attachments)Codes (see attachments)

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Physician HealthPhysician Health

Forms of ImpairmentAlcoholism and other drug useOther psychiatric disorders

Addressed by the TCMS Physician Health and Rehabilitation committee

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Physician Relations Physician Relations

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

Kathryn Scoblick, Physician Relations Director512-816-6113512-897-0661 (cell)

Marketing ServicesMarketing Services Media Relations - Media Relations -

proactive media proactive media for new for new proceduresprocedures

Educational Educational SeminarsSeminars

Physician Physician Newsletter Newsletter Progress NotesProgress Notes

Tana Sykes, Corporate Communications & Marketing Director

Physician Satisfaction Team

Team Charter:The SAMC 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.

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Chief Medical Officer:Al Gros, MD

Chief of Staff: Amy Arrant, MD

Chief of Staff-Elect: Robert Northway, MD

Secretary: Alex Esquivel, MD

Medical Staff Leadership

Dr. Al Gros CMO, South Austin Medical CenterOffice: (512) 816-6112Mobile: (512) 294-7064 Fax: (512) 816-7278Email: Albert.Gros@stdavids.com

Dr. Steve Berkowitz CMO, Central and West Texas Office: (512) 448-7465 Mobile: (512) 415-6095Email: Steve.Berkowitz@stdavids.com

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Governance & Peer ReviewGovernance & Peer Review

C red en tia lin g F u n c tion M ed ic a l C are E va lu a tion C om m ittee(M C E C )

Y ou r D ep artm en t

M ed ic a l E xecu tive C om m ittee(M E C )

B oard o f Tru s tees

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Credentialing and Medical Staff ServicesCredentialing and Medical Staff Services

Application for membership and privilegesApplication for membership and privileges

Qualification: Board certification or Qualification: Board certification or obtained within 5 years of initial obtained within 5 years of initial appointment.appointment.

Centralized application & verification Centralized application & verification process at St. David’s officeprocess at St. David’s officeSeparate approval at each facilitySeparate approval at each facility

Website for Meetings, Bylaws, Rules and Website for Meetings, Bylaws, Rules and Regulations, and other informationRegulations, and other informationwww.sahmedweb.comwww.sahmedweb.com

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:(i.e., 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 Peer Review Review ProcessProcess

Approved by MEC 2/08

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Who We Are…..and WhyWho We Are…..and Why

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Senior Leadership

Wes Fountain Wes Fountain CFOCFO

Sally GillamSally GillamCNOCNO

Nikki SikesNikki SikesAssociate Associate

AdministratorAdministrator

Todd StewardTodd StewardCEOCEO

Brett MatensBrett MatensCOO/ECOCOO/ECO

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Sally GillamSally Gillam Chief Nursing OfficerChief Nursing Officer Worked at SAH for 19 Worked at SAH for 19

years; with HCA for 21 years; with HCA for 21 yearsyears

From Temple, TexasFrom Temple, Texas Married to Andy; sons Kendall and ColbyMarried to Andy; sons Kendall and Colby Departments include Emergency Services, Departments include Emergency Services,

Women's Services, Surgical Services, Women's Services, Surgical Services, Telemetry (3S and 4C), Med/Surg (2C and Telemetry (3S and 4C), Med/Surg (2C and 3C), Quality, Critical Care, ISS, Endo, 3C), Quality, Critical Care, ISS, Endo, Outpatient Heart Center, Nursing Outpatient Heart Center, Nursing AdministrationAdministration

Todd Steward

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From Dallas, TexasFrom Dallas, Texas Married to wife Toni; daughters Married to wife Toni; daughters

Sophia and Anna Sophia and Anna Departments include Human Departments include Human

Resources, Surgicare, Marketing, Resources, Surgicare, Marketing, Medical Staff and all Senior ManagersMedical Staff and all Senior Managers

Chief Executive Chief Executive OfficerOfficer

CEO at SAMC CEO at SAMC starting April 5, starting April 5, 2010; with HCA for 2010; with HCA for 8 years.8 years.

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Brett MatensBrett Matens

Chief Operating Chief Operating OfficerOfficer

Worked at SAMC Worked at SAMC for 8 years; with for 8 years; with HCA for 12 yearsHCA for 12 years

From Jackson, MississippiFrom Jackson, Mississippi Married to Christi; daughters Macy Caroline Married to Christi; daughters Macy Caroline

and Sarah McClain and son McCord.and Sarah McClain and son McCord. Departments include Cardiovascular Departments include Cardiovascular

Services, Plant Ops, Pharmacy, , Physician Services, Plant Ops, Pharmacy, , Physician Relations, Radiology, Pulmonary/ Relations, Radiology, Pulmonary/ Neurodiagnostics, Hyperbarics/ Wound CareNeurodiagnostics, Hyperbarics/ Wound Care

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Wes FountainWes Fountain

Chief Financial Chief Financial Officer/Ethics and Officer/Ethics and Compliance OfficerCompliance Officer

Worked at SAMC Worked at SAMC for 5 years; with for 5 years; with HCA for 22 yearsHCA for 22 years

From Atmore, AlabamaFrom Atmore, Alabama Married to Melinda; son David and daughter Married to Melinda; son David and daughter

SarahSarah Departments include Accounting, HIM, Departments include Accounting, HIM,

Materials Management, Shared Services Materials Management, Shared Services Group, Information Systems, Ethics and Group, Information Systems, Ethics and ComplianceCompliance

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Nikki Sikes

Associate AdministratorAssociate Administrator Worked at SDSAMC since

January 2010

From Georgetown, TexasFrom Georgetown, Texas Departments include Rehab Services,Departments include Rehab Services,

Laboratory, Environmental Services, Laboratory, Environmental Services,

Nutrition Services, Spiritual Care, Nutrition Services, Spiritual Care,

Volunteers, Risk Management, Special ProjectsVolunteers, Risk Management, Special Projects

Picture here

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

We invite you to view the next slide so you have a chance to meet some of the great people working at South Austin Medical Center……

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Meet our StaffMeet our Staff