Welcome to South Austin Hospital

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• Welcome to South Austin Hospital

New Physician Orientation
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Topics

• ID Badge, Parking, Door Access, and other
  miscellaneous info
• Safety and Infection Control
• Physician Relations Marketing
• Leadership
• Our Staff
• Physician FAQs
• Physician Roster by Specialty
• Phone Directory
• Forms

• 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

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South Austin Hospital

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

• 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

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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. Davids HealthCare
  describe what we do and how we do it.

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Overview of Hospital
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Nursing Patient Care Services

• Nursing
• Inpatient Areas
• Outpatient Support Areas

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Inpatient Services

• Surgical Services
• Endoscopy
• Cardiac Cath Labs (Invasive Cardiology)
• Cardiovascular Heart Center
• CVRU
• Neuro/Ortho/Renal Surgical Ctr.
• Diabetes Patient Education Program
• Womens 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)

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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

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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.

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Admissions Central Scheduling
Hospitals Main Number 447-2211 Central Scheduling Main 448-7340 Central Scheduling Physician's Line 448-7464 Hours 730 to 500 pm (After hours, contact the Operating Room or House Supervisor)
Registration/Admissions Normal Hours 448-7129 Registration/Admissions After Hours 448-7116
House/Nurse Supervisor 448-7109
Physician's Direct Line to PBX operators 323-5465
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Case Management Department

• 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

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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 1100 a.m.
• Debra Amirault, Case Management Director
• Office. 416-6260
• Blackberry. 517-4342

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Core Measures

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

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Health Information Management

• Hours of Operation
• Dictation
• Timeliness
• Requirements

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Health Information Management

• Notification Process
• Coding Query Process
• Lounge

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Unacceptable Abbreviations Intended Meaning Misinterpretation Expected Action
U Units 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
MS MSO4 MgSO4 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
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Cancer Registry

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

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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.

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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 [phone]

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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.

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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

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www.sahmedweb.com
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Educational Programs

• Medical Grand Rounds
• Ethics Credit
• Blood borne Pathogen Tuberculosis Education
• CPR/ACLS Education
• Tumor Board Conferences

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On-line CME
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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.

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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.

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Safety Infection Control

• OSHA Practice Universal Precautions
• Fire R A C E
• TB patients
• Codes (see attachments)

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Physician Health

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

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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

Sarah Zamora, Physician Relations
Director Blackberry. [phone]
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Marketing Services

• Media Relations - proactive media for new
  procedures
• Educational Seminars
• Physician Newsletter Progress Notes

Christin Cross, Corporate Communications
Marketing Director
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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.

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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.
[phone] Blackberry. [phone] Fax.
[phone] Email. Albert.Gros_at_stdavids.com
Dr. Steve Berkowitz CMO, Central and West Texas
Office. [phone] Mobile. (512)
415-6095 Email. Steve.Berkowitz_at_stdavids.com
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Governance Peer Review
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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. Davids office
• Separate approval at each facility
• Website for Meetings, Bylaws, Rules and
  Regulations, and other information
• www.sahmedweb.com

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BOT
MEC(Chief of Staff)
Peer Review Process
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)
Physician PI Coordinator
Variance Reports
Prof. Liability Actions
Patient Complaints
Sentinel Events
Failed Measures
Employee Complaints
Fall-out from Screens
Compliance Issues
Approved by MEC 2/08
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Senior Leadership

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

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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

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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

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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 and son Jesse.
• Departments include Cardiovascular Services,
  Engineering, Pharmacy, Risk Management,
  Radiology, Pulmonary/ Neurodiagnostics,
  Hyperbarics/ Wound Care

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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

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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

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• 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.