Welcome to South Austin Medical Center
New Physician Orientation
Topics
 Mission and Values
 Because I Care Service Initiative
 Overview of Hospital
 Patient Services
 Admissions & Scheduling
 ID Badge, Parking, Door Access,
and other miscellaneous info
 Safety and Infection Control
 Physician Relations & Marketing
 Leadership
 Our Staff
 Case Management & Core
Measures
 Physician FAQ’s
 HIM & Quality
 Physician Roster by Specialty
 Cancer Registry, Tumor Board,
and Educational Programs
 Phone Directory
 Forms
 Computer Access
2
South Austin Medical Center
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
3
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.
4
The Patient Experience
5
Overview of Medical Center
6
Nursing & Patient Care Services
 Nursing
 Inpatient Areas
 Outpatient & Support Areas
7
Inpatient Services
 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)
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
816-7106
 Nurse/House Supervisor avail. (24 hrs/day)
816-7109
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
Hospital‘s Main Number 447-2211
Central Scheduling Main 816-7340
Central Scheduling Physician's Line 816-7464
Hours: 7:30 to 5:00 pm
(After hours, contact the Operating Room or House Supervisor)
Registration/Admissions Normal Hours 816-7129
Registration/Admissions After Hours 816-7116
House/Nurse Supervisor 816-7109
Physician's Direct Line to PBX operators 323-5465
11
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
Case Management Department
 In existence at SAMC 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
13
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.
May McAnally, Case Management Director
Office. 816-6260
Blackberry. 517-4342
14
Core Measures
 AMI (Acute Myocardial Infarction)
 HF (Heart Failure)
 PN (Pneumonia)
 SCIP (Surgical Care Improvement Project)
Health Information Management
 Hours of Operation
 Dictation
 Timeliness
 Requirements
16
Health Information Management
•
•
•
Notification Process
Coding Query Process
Lounge
17
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”
18
Cancer Registry
 Cancer Registry
 Cancer Committee
 Tumor Boards
 Patient Care Evaluation Studies
19
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.
20
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) 816-7102
21
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.
22
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
23
www.sahmedweb.com
24
Educational Programs
 Medical Grand Rounds
 Ethics Credit
 Blood borne Pathogen & Tuberculosis Education
 CPR/ACLS Education
 Tumor Board Conferences
25
On-line CME
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.
27
Medical Staff Meetings
 Monthly meeting calendars are posted on the
MedWeb site and 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.
28
Safety & Infection Control
 OSHA: Practice Universal Precautions
 Fire: R A C E
 TB patients
 Codes (see attachments)
29
Physician Health
 Forms of Impairment
 Alcoholism and other drug use
 Other psychiatric disorders
 Addressed by the TCMS Physician Health
and Rehabilitation committee
30
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
Kathryn Scoblick,
Physician Relations
Director
512-816-6113
512-897-0661 (cell)
Help you meet other physicians
in the area
Physician Referral Line
31
Marketing Services
 Media Relations proactive media for
new procedures
 Educational Seminars
 Physician Newsletter
Progress 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.
Medical Staff Leadership
Chief Medical Officer:
Al Gros, MD
Chief of Staff:
Amy Arrant, MD
Chief of Staff-Elect:
Robert Northway, MD
Dr. Al Gros CMO, South Austin Medical Center
Office: (512) 816-6112
Mobile: (512) 294-7064
Fax: (512) 816-7278
Email: Albert.Gros@stdavids.com
Secretary:
Alex Esquivel, MD
Dr. Steve Berkowitz CMO, Central and West Texas
Office: (512) 448-7465
Mobile: (512) 415-6095
Email: Steve.Berkowitz@stdavids.com
34
Governance & Peer Review
Board of Trustees
Medical Executive Committee
(MEC)
Credentialing Function
Medical Care Evaluation Committee
(MCEC)
Your Department
35
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
36
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
Clinical Issue: Competence,
Core Measures, Outcomes
Indicator
'Fall-outs'
Triage
(Med Dir
& PIC)
Variance Reports
Patient Complaints
Approved by MEC 2/08
Compliance / Social Issue:
(i.e., Complaints,
Non-compliance,
Behavior)
Prof. Liability Actions
Physician
PI Coordinator
Sentinel Events
Failed Measures
Employee Complaints
Fall-out from Screens
Compliance Issues
Who We Are…..and Why
38
Senior Leadership
Todd Steward
CEO
Sally Gillam
CNO
Brett Matens
COO/ECO
Wes Fountain
CFO
Nikki Sikes
Associate
Administrator
39
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
40
Todd Steward
 Chief Executive
Officer
 CEO at SAMC
starting April 5,
2010; with HCA for 8
years.
 From Dallas, Texas
 Married to wife Toni; daughters Sophia
and Anna
 Departments include Human Resources,
Surgicare, Marketing, Medical Staff and all
Senior Managers
41
Brett Matens
 Chief Operating
Officer
 Worked at SAMC for
8 years; with HCA for
12 years
 From Jackson, Mississippi
 Married to Christi; daughters Macy Caroline and
Sarah McClain and son McCord.
 Departments include Cardiovascular Services,
Plant Ops, Pharmacy, , Physician Relations,
Radiology, Pulmonary/ Neurodiagnostics,
Hyperbarics/ Wound Care
42
Wes Fountain
 Chief Financial
Officer/Ethics and
Compliance Officer
 Worked at SAMC for
5 years; with HCA for
22 years
 From Atmore, Alabama
 Married to Melinda; son David and daughter Sarah
 Departments include Accounting, HIM, Materials
Management, Shared Services Group, Information
Systems, Ethics and Compliance
43
Nikki Sikes
Picture
here
 Associate Administrator
 Worked at SDSAMC since
January 2010
 From Georgetown, Texas
 Departments include Rehab Services,
Laboratory, Environmental Services,
Nutrition Services, Spiritual Care,
Volunteers, Risk Management, Special Projects
44
Thank you for taking the time to view this
orientation program. We want your experience at
South Austin Medical Center to be the best in the city
and we want to be your #1 facility of choice for your
patients.
45
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……
Meet our Staff
47