Below are the October Medical Staff Updates. As a reminder, all providers must complete the attestation at the bottom of this page by October 31.
Upcoming Events
13th Annual Lawrence and Nancy Golden Lecture in Mind-Body Medicine
Thursday, October 9, 2014
Noon
University at Buffalo South Campus
150 Farber Hall, Butler Auditorium
Main Street and Kenmore Avenue
Buffalo, NY 14214
Medical/Dental Staff Annual Meeting
Tuesday, October 14, 2014
Cocktails and hors d'oeuvres: 5:45 p.m.
Business meeting and dinner: 6:30 p.m.
Hotel @ The Lafayette
Marquis de Lafayette Ballroom
391 Washington Street
Buffalo, NY 14203
RSVP by Wednesday, October 1, 2014 to the Medical Staff Office at 716-859-5501 or kcrispin@kaleidahealth.org
Gates Vascular Institute Symposium: Updates in Cardiac, Vascular & Neuroendovascular Medicine
Friday, October 17, 2014 – Saturday, October 18, 2014
Millennium Hotel
2040 Walden Avenue
Buffalo, NY 14225
For registration details, please visit http://www.kaleidahealth.org/gvi-symposium
Medical Staff Bylaws
On September 29, 2014, providers received an email with the final version of the revised Bylaws of the Medical and Dental Staff of Kaleida Health.
Please review the document that was attached to that email and be prepared to vote on the revised bylaws during the Medical Staff Annual Meeting on October 14, 2014.
Physician Survey
This year, Kaleida Health will once again solicit feedback from providers about what the organization does well and where there are opportunities for improvement in the Physician Engagement Survey. The survey is the most direct method for capturing the voice of the medical staff and incorporating feedback into the organization's agenda moving forward.
A Physician Engagement Survey Steering Committee, consisting of Kaleida Health physicians from each site, is helping to shape this year's survey questions and how results are shared.
The goal of the survey, which will be sent to the kaleidahealth.org email in November, is for physicians to share their thoughts and insights by completing a series of standard questions.
Research shows that engaged physicians lead to more satisfied patients, improved quality and better organizational finances.
Influenza Vaccine
It is time to prepare for the 2014-2015 influenza season. Kaleida Health will continue to follow the New York State Department of Health (NYSDOH) mandate titled, "Regulation and Prevention of Influenza Transmission by Healthcare and Residential Facility and Agency Personnel" to document the vaccination status of healthcare personnel.
Kaleida Health developed a policy (EH.09) to comply with the mandate, protect our patients and prevent the spread of influenza by increasing the vaccination rates of all healthcare personnel.
Like last year, the vaccination status of all healthcare personnel must be documented and all unvaccinated personnel wear a surgical mask at all times while in areas where patients or residents are typically present during the entire influenza season as determined by the NYS Commissioner of Health.
Influenza vaccines are available for all paid Kaleida Health employees, medical staff, residents and other non-paid mid-level providers through Employee Health and the Visiting Nursing Association of Western New York (VNA).
"Flu Clinics" will be held throughout the fall by both Employee Health and the VNA. Vaccines will also be available at each site Employee Health office during scheduled hours for those unable to attend a clinic. The clinic schedule is available on Employee Health's website.
Providers can also obtain an influenza vaccine during the Medical/Dental Staff Annual Meeting on Tuesday, October 14, 2014.
Providers must have their Kaleida Health ID badge to receive the vaccine at Employee Health or a site clinic, or both their Kaleida Health ID badge and their health insurance card if utilizing a VNA sponsored clinic.
At the time of vaccination, a Kaleida Health Employee Health nurse or VNA administering nurse will apply a new sticker on the right lower corner of the provider's Kaleida Health ID badge to give visual verification of vaccination. Please remove last year's sticker from your badge prior to receiving this year's vaccination.
Kaleida Health will recognize vaccination stickers from other healthcare organizations. Providers vaccinated by a facility or provider other than Kaleida Health or the VNA will need to submit official proof of vaccination to the Medical Staff Office.
Those who decline the influenza vaccine must complete a "Declination of Influenza Vaccine" form. Any provider who declines the vaccine due to a medical condition will also need to complete the "DOH Medical Exemption Statement" form. Both forms are available on Employee Health's website.
Timely Completion of the Operative/Procedure Report
In the spirit of continual improvement and adherence to Kaleida Health's current medical staff policy, which requires the completion of the operative/procedure report within 24 hours of a procedure, the Medical Executive Committee (MEC) endorsed a recommendation from the Peer Review Committee (PRC) to shorten the time period for the escalation of overdue records and the respective consequences by the AMOK process.
Effective October 15, 2014, Health Information Management (HIM) will notify practitioners that a report needs to be completed when it becomes one day overdue via a Kaleida Health email, as well as a phone call/text message. A message will also be posted in the practitioner's message center. We will no longer fax notices.
On day two of the delinquent record, the practitioner will turn "yellow" on the AMOK list, and his or her respective chief of service (COS) will be notified. On day three, the notification of the delinquency will be escalated to the site chief medical officer as well as the PRC chair.
The notable change is on day four. If the delinquency continues after noon, the practitioner will turn "red" under the AMOK process and the following will occur:
- For all instances – the COS will inform the practitioner by 1 p.m. that he or she will not be able to perform elective procedures beginning on day five. The site CMO and operating room manager will be informed as well. The practitioner will be responsible for contacting his or her patients to cancel cases. The practitioner will not be able to schedule additional elective cases until the dictation/report is complete.
- First "red" occurrence – the practitioner will receive a written warning from the PRC chair (copied to the COS and site CMO) with a copy placed in his or her Medical Staff Quality file.
- Second "red" occurrence within his or her reappointment period, the letter from the PRC chair will go to the practitioner asking him or her to attend the PRC.
- Third instance or refusal to go to PRC, the practitioner will fall under the disruptive physician policy and will be referred to MEC. The practitioner will not be allowed to go through the expedited reappointment process.
An additional notable change is if the practitioner falls into the "yellow" status on the AMOK list three times in a reappointment period, the practitioner will be considered in a "red" status, and the process will be managed as noted above.
Medical Staff Attestation - October 2014
By submitting this attestation, I confirm that as a member of the medical staff I have read, understand and will comply with the information included in this email from Kaleida Health.
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