July 2015

Below are the July Medical Staff Updates. As a reminder, all providers must complete the attestation at the bottom of this page by July 31.

Medical Leadership Message

Chief Medical Officers

In 70 days, a truly monumental and historic undertaking occurred within the Kaleida Health community. A group of 54 leaders volunteered their time to bring an invigorating message to all staff and volunteers. The Leading with CARE message is a simple but powerful reminder of our responsibility to always provide exceptional patient experience. The sessions reflect on Kaleida Health’s mission, vision and values, define the present, and set expectations for the future.

Now that every one of Kaleida Health’s 10,000 team members has participated in Leading with CARE, it is vital that our physician and provider partners join with us in this organizational imperative. The importance of participating in the Leading with CARE session cannot be overstated. As a medical leadership team, we are convinced that in under an hour you will be left with an unmistakable positive impression of how Leading with CARE can make a difference for you, your patients, their families, and your colleagues.

Over the next six weeks, you will have multiple opportunities to participate in a Leading with CARE session. The site CMOs will serve as your guide at your respective sites, and the sessions will be facilitated by your fellow providers. For your convenience, many of the sessions will be scheduled during existing meetings to facilitate ease of scheduling. In addition, a standing session will be available at each site giving all physicians/providers the opportunity to participate. A schedule of Leading with CARE classes will be available on Talent Management.

Any questions or special requests for additional sessions should be directed to David Pierce, MD, at dpierce@kaleidahealth.org.

Thank you for joining us in committing to lead with CARE.

David Hughes, MD, MPH
Chief Medical Officer
Kaleida Health

Colin McMahon, MD
Chief Medical Officer
Buffalo General Medical Center

David Pierce, MD, FACEP
Chief Medical Officer
Millard Fillmore Suburban Hospital and DeGraff Memorial Hospital

Stephen Turkovich, MD
Chief Medical Officer
Women & Children’s Hospital of Buffalo

Kamil Alpsan, MD
Site Medical Director
DeGraff Memorial Hospital

Imprivata Cortext Reminder

Imprivata CortextAs a reminder, Kaleida Health now offers Imprivata Cortext, a secure messaging application that allows healthcare professionals and colleagues to exchange messages and photos in full compliance with HIPAA requirements.

Imprivata Cortext is available as an iOS or Android application that runs on smartphones and tablets, or as a desktop application that runs on any workstation.

All providers received an email from istcortextadmin@kaleidahealth.org containing their user name, password and the link to download Imprivata Cortext to a mobile device. Please follow the instructions outlined in the email to sign up. If you have questions, please call the Technology Assistance Center (TAC) at 859-7777.

Imprivata Cortext Guides are available for Android and iOS users. For more information, watch this brief video that demonstrates an overview of Imprivata Cortext.

Talent Management

Talent Management is Kaleida Health's online learning and performance system designed and used to strengthen the education, productivity and compliance of all Kaleida Health employees and providers.

All credentialed providers have access to Talent Management.

In the following months, when providers are assigned training for initiatives such as Leading with CARE, ICD-10 or EMR upgrades, an email will be sent to their kaleidahealth.org email account.

To access your Talent Management account:

1. Go to www.kaleidatms.com
2. Enter your Kaleida Health network user ID and password, and select sign in.

Assigned trainings will appear under the To-Do List. Users can also search for courses using the Catalog search bar at the top right of the home page.

For more instructions, see the Talent Management Quick Reference Card or call the Technology Assistance Center (TAC) at 859-7777.

Physician Medical Directorships Under Increased Government Scrutiny: Physicians Held Personally Liable

On June 9, 2015, the Department of Health and Human Services Office of Inspector General (OIG) issued a Fraud Alert advising that they had just reached settlements with 12 individual physicians who entered into questionable medical directorship relationships with hospitals. The OIG alleged that the compensation paid to these physicians under medical directorship arrangements constituted improper remuneration under the Anti-kickback Statute for a number of reasons, including that compensation did not reflect fair market value, took into account the physicians' volume or value of referrals, and because the physicians did not actually provide the services called for under the agreements. The OIG determined that these physicians were personally subject to liability under the Civil Monetary Penalties Law.

The Kaleida Health Legal Department works closely with Physician Services to ensure that financial arrangements with physicians are both Stark and Anti-kickback compliant. As an important takeaway from this Fraud Alert, physicians who contract with Kaleida Health to provide administrative services should ensure that times sheets are completed and submitted to the Physician Services Department on a monthly basis.

Lorraine Duthe
Associate General Counsel and Chief Compliance Officer
Kaleida Health

Restraint Policy UpdatedRestraint Policy Updated

Kaleida Health recently updated its Restraints Policy (TX.10) to ensure patient safety and quality.

A restraint is any method of physically or chemically restricting a person’s freedom of movement, physical activity, or normal access to his or her body. Restraints are used to prevent injury to patients and others only after all other less restrictive, reasonable alternatives have been evaluated.

The updated policy outlines how to determine if a restraint is necessary or appropriate for a specific patient at a specific time, how to safely implement the restraint, and how to document restraint orders.

Training is available through Talent Management for those affected by the policy changes.

For more information on how the policy updates affect providers’ work flow, review the Provider Restraint Quick Reference Card.

Gates Vascular Institute Symposium – Save the Date

Gates Vascular Institute SymposiumKaleida Health is excited to present the second annual Gates Vascular Institute Symposium: Updates in Cardiac, Vascular & Neuroendovascular Medicine.

This educational symposium will be held Friday, October 2, 2015 (full day) and Saturday, October 3, 2015 (half day) at the Millennium Hotel on Walden Avenue.

This year’s symposium will offer a wide range of speakers, topics and continuing education credits.

Registration opens July 15, 2015. For more information, visit www.kaleidahealth.org/gvi-symposium.

Free CME/CE Credits Through MedNews Plus

As a way for clinicians to develop their skills and further their education, Kaleida Health offers MedNews Plus, a website that provides access to free CME/CE credits from Penn University. Clinicians can use the website to sign up for specialty-specific headlines that are sent via email. Once they read the articles and answer a few questions, CME/CE credits are awarded. To access MedNews Plus, visit https://kaleida.mednewsplus.com/.

Chiefs of Service Reports

Oral Maxillofacial Surgery and Dental Department – Submitted by Richard Hall, DDS, MD

The face of oral surgery at Kaleida Health has changed over the years. What were once three separate departments is now one department with three divisions: Oral and Maxillofacial Surgery, Pediatric and Community Dentistry and Adult General Dentistry.

Oral surgery is growing. University Oral and Maxillofacial Surgery hired an oral and maxillofacial surgeon who works primarily out of Millard Fillmore Suburban Hospital. University Pediatric Dentistry hired two oral and maxillofacial surgeons who work at Women & Children’s Hospital of Buffalo (WCHOB).

There are no outpatient clinics at Buffalo General Medical Center, DeGraff Memorial Hospital, HighPointe on Michigan or Millard Fillmore Suburban Hospital. The outpatient clinic at WCHOB focuses on emergency patients and the special needs population.

Eighty-five to 90 percent of what an oral and maxillofacial surgeon does is in the outpatient/office setting. Essentially, everything a general dentist does is in the office setting, apart from OR cases for the special needs population. 

There have been ongoing talks with Kaleida Health’s administration and the deans of the respective schools to try to re-establish a presence at Kaleida Health’s sites.

Policy Updates for Providers

Below are the revised policies and standards of practice that affect providers at Kaleida Health. Please take a moment to review this month’s updates. The policy links below are accessible from a Kaleida Health computer only. For additional assistance, please contact Amy Palombo at apalombo@kaleidahealth.org or 716-859-8447.

Revised Policies:

CL.95 – HIV Testing and Reporting – Rewritten to follow current law and practice. Major update is the removal of written consent for HIV testing
MED.1 – Expiring Documents – Revised to reflect the current process of updating expiring practitioner documents. MED.36 – Reinstatement of Suspended Practitioners and MED.27 – Credential Verification Process and Procedure is included in this revised policy. MED.36 and MED.27 can be eliminated
MED.25 – Initial Medical Staff Appointment – Revised to reflect the current process for credentialing a new staff appointment. MED.24 – Expedited Credentialing, MED.27 – Credential Verification Process, and Procedure and MED.31 – Credentialing Time Gaps is included in this revised policy. MED.24, MED.27 and MED.31 can be eliminated
MED.26 – Credentialing Reappointment and/or Renewal of Privileges – Revised to reflect the current process for credentialing reappointments and/or renewal of privileges. MED.24 – Expedited Credentialing, MED.27 – Credential Verification Process and Procedure, and MED.36 – Reinstatement of Suspended Practitioners is included in this revised policy.  MED.24, MED.27 and MED.36 can be eliminated
MED.30 – Tracking and Monitoring License Sanctions and Revocations – Revised to reflect the current process of tracking and monitoring license sanctions and revocations
RM.2 – Disclosure to Patients of Unanticipated or Adverse Medical Outcomes – Changed Licensed Independent Practitioner (LIP) to Provider throughout and added statement on “apologies”

Submit New Content

Is there something you would like featured in an upcoming issue of Medical Staff Updates?

Contact Patty Vorpahl, vice president of Physician Services and Medical Staff Office, at pvorpahl@kaleidahealth.org.

Medical Staff Attestation - July 2015

By submitting this attestation, I confirm that as a member of the medical staff I have read and understand the information included in this email from Kaleida Health in accordance with Kaleida Health policy MED.41 as approved by the Medical Executive Committee.

Fields marked with an asterisk (*) are required.

First Name *
Last Name*
Practitioner Number *
Five-digit number assigned by Kaleida Health, also known as your dictation number. To look up your practitioner number, select "Practitioner Search" under Kaleida Links on KaleidaScope.
Kaleida Health Email*

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