COMMUNITY HOWARD REGIONAL HEALTH KOKOMO, INDIANA MEDICAL STAFF POLICY
|
|
- Julian McKenzie
- 5 years ago
- Views:
Transcription
1 The purpose of this Policy is to set forth the various requirements of the Hospital and the Medical Staff concerning the electronic medical record ( EMR ) in one location for all credentialed providers ("Providers"). This Policy is incorporated in the Medical Staff Bylaws and Rules and Regulations as if stated therein and is to be read in conjunction with the Bylaws and the Rules and Regulations provisions addressing medical records. Section I. EDUCATIONAL TRAINING The purpose of this Section is to set forth the expectations of the Hospital and Medical Staff regarding EMR education and training. It is important that all Providers complete the mandatory training. Without proper EMR training, the passwords will not be made available to users to protect the integrity of the system from untrained users and for the safety of our patients. Providers will not be given their user names and passwords to access the system until they have successfully demonstrated competency by completion of a competency assessment. This Section applies to all Providers who are required to enter information into the EMR unless stated otherwise. During periods of transition, specific goals will be set for Providers to embrace and achieve. The Hospital will provide help and assistance. Some Providers may need more education and assistance than others. The Hospital and Medical Executive Committee (MEC) are willing to provide extra assistance for Providers who may need it, but in the end, each Provider must be an active participant in this learning process. The ultimate goal is that each Provider will demonstrate competency of the functions within the timelines set forth by the Hospital, following recommendation of the Medical Staff. Objective benchmarks will be set to ensure that each Provider is reaching the target. The Hospital will offer several different training times and Providers may come as often as they like to increase comfort level. The Medical Staff expects that each Provider will participate in training. If for some reason a Provider is not available to participate in the training sessions, the Provider needs to let the Medical Staff know immediately the reason for unavailability. MEC expects that all Providers will comply with Hospital policies and procedures that apply to the EMR. Low or no volume Providers who infrequently admit or practice in the Hospital may have alternative training assistance appropriate to their activity. The following categories of Providers are excluded from training: 1. Medical Staff Members who have membership with no privileges 2. Medical Staff Members with Refer and Follow privileges 3. Existing Providers who have had no activity since implementation of EMR 1
2 The following Providers will be required to complete training and competency assessment prior to providing care at the Hospital: 1. New Providers 2. Existing Providers or locum tenens who anticipate need to provide care, but have not yet completed EMR training In rare cases when care is needed, and the Provider has not completed EMR training and competency assessment, patient safety must take priority. Therefore, staff will work with the Provider to ensure quality care is given to the patient. Staff should contact the Medical Staff Office or Department Chief to report such incidents, and to seek clarification. Department Chiefs (or their designees) have the authority to grant exemptions. The following guidelines in these circumstances include: 1. Provider will hand-write orders which will be entered electronically by nursing staff, and then scanned into the system. 2. Other documentation (i.e., H&P, progress notes, procedure note, etc.) will be dictated by the Provider. Health Information Department (HIM) will print the dictation. 3. Provider will be responsible for signing dictations and returning them to the HIM, to be scanned into the proper EMR. If Provider anticipates providing additional care at CHRH, the Provider is expected to complete EMR training and competency assessment. Providers who do not participate in the education and training may be subject to corrective action unless they can demonstrate competency of the EMR system. The Credentials Committee and MEC will factor progress when making reappointment recommendations. The MEC reserves the right to take the necessary action to encourage all Providers be trained in the EMR system. Section II. ELEMENTS OF VARIOUS COMPONENTS OF EMR The purpose of this Section is to define the requirements of the various components of EMR including general documentation requirements and medical record content. All entries in the EMR must be legible, complete, dated, timed and authenticated either in written or electronic format. Although written document should not occur unless EMR is down, any handwritten documentation must be written in black ink. If documented electronically, black font should be used. Medical records shall be retained in their original or legally reproduced form as required by federal and state law and shall contain sufficient 2
3 information to meet all accrediting and regulatory requirements. Plain paper facsimile orders, reports, and documents are acceptable for inclusion in the medical record. Emergency Department Documentation 1. Emergency Department records shall document and contain, but not be limited to, the following: a. Identification data b. Time of arrival, means of arrival, time treatment is initiated, and time examined by the Provider, if applicable. c. Pertinent history of illness or injury, description of the illness or injury, and examination, including vital signs. d. To be considered final and not subject to delinquency, the emergency department note shall be complete, dated and signed within twenty-four (24) hours. A. History and Physical (H&P) 1. Requirement The patient shall receive a medical history and physical examination no more than 30 days prior to, or within 24 hours after, registration or inpatient admission, but prior to surgery or a procedure requiring anesthesia services. For a medical history and physical examination that was completed within 30 days prior to registration or inpatient admission, an update documenting the review of the history and physical and any changes in the patient s condition must be completed within 24 hours after registration or inpatient admission, but prior to surgery or a procedure requiring anesthesia services. 2. Update Requirements The patient must be re-examined documenting any necessary changes. The history must be reviewed documenting any necessary changes. At a minimum, the verbiage must include The history and physical was reviewed, the patient was re-examined and any necessary changes have been documented. The entry must be authenticated and include signature, date and time of entry. A non-finalized history and physical will not become delinquent until twentyfour (24) hours after transcription is completed. 3. Responsibility of the H&P Provider Nurse practitioner co-signed if NP privileges requires. 3
4 Provider assistant requires a Provider countersignature. Resident requires attending Provider countersignature. 4. H & P Content a. History; b. Chief Complaint; c. Details of present illness; d. Medications; e. Allergies; f. Relevant past, social and family history; g. Vital Signs; h. Patient General Condition; i. Existing co-morbid conditions; j. Inventory of body systems; k. Physical assessment; l. Statement of impressions/conclusions; m. Statement of course of action planned. 5. Physical Requirements if Planned Procedure Includes a. Topical, Local or Regional Block Assessment of mental status; Examination specific to the procedure proposed to be performed and any comorbid conditions. b. IV Sedation Assessment of mental status; Examination specific to the procedure proposed to be performed and any comorbid conditions; Examination of heart/lungs by auscultation. c. General, Spinal or Epidural Assessment of mental status; Examination specific to the procedure proposed to be performed and any comorbid conditions; Examination of heart/lungs by auscultation; Assessment and written statement about the patient s general health. B. Discharge Summary Requirements 1. Purpose For continuity of care, the goal is to have the discharge summary completed within four (4) days following the patient s discharge. A discharge summary is required on all inpatient and observation accounts whose stay is equal to or 4
5 more than forty-eight (48) hours. A discharge summary is required on all mother s medical records whose infants have an APGAR score of 5 or below at 5 minutes. A discharge summary is required on all mothers who deliver by C-section. A discharge summary will be completed within fourteen (14) days of discharge. If the patient s stay is less than 48 hours and no procedures were performed, a Short Stay Note will meet the requirements for a discharge summary. Please refer to Short Stay Note Requirements set forth below. For patients leaving the Hospital against medical advice (AMA), the attending Provider should indicate that fact in the discharge summary. No discharge order is needed to be written for AMA patients. 2. Discharge Summary Responsibility a. The discharging Provider or the attending Provider. b. If completed by discharging Allied Health Professional, the AHP must specify if countersignature is required. 3. Discharge Summary Content Discharge summaries will contain the following components: a. Provisional diagnosis or reason for admission; b. Principal and secondary diagnoses; c. Clinical resume; d. Significant findings; e. Procedures performed; f. Treatment rendered; g. Condition of patient at discharge; in the cases of death, the date and preliminary cause of death; and h. Specific instructions given to patient and/or family, including provisions for follow up care. C. Short Stay Note Requirements 1. Requirements For continuity of care, the goal is to complete the short stay note within four (4) days following the patient s discharge. A short stay note shall be required on all inpatient and observation accounts whose stay was less than 48 hours except as in the specific cases as noted above in Discharge Summary Requirements. A short stay note will be documented within fourteen (14) days of discharge. 2. Short Stay Note Responsibility 5
6 a. Discharging Provider is responsible; b. If the short stay note is not dictated immediately following discharge because another Provider is responsible for the short stay note, the Provider must indicate through an order or progress note whom is responsible for the short stay note. c. Any discharging Allied Health Professional must specify if countersignature requirement exists. 3. Short Stay Note Content a. Reason for admission; b. Condition at discharge; c. Disposition of patient; and d. Discharge instructions, including follow-up care. D. Operative Note Requirements 1. Requirements If a detailed operative note is not documented electronically immediately following surgery or other high risk procedure, a brief operative note/postoperative progress note must be documented in the chart following surgery. A detailed operative or other high risk procedure report must be documented or dictated immediately following surgery. 2. Brief Operative Note/Post-operative Progress Note and Operative Note Responsibility The primary surgeon is responsible for the brief operative note and detailed operative note. In the event that a procedure requires another surgeon, the secondary surgeon must follow same content guidelines that are pertinent to Provider s role in the surgery. 3. Brief Operative Note/Post-Operative Progress Note Content a. Name of primary surgeon and assistants; b. Procedure performed; c. Description of findings; d. Estimated blood loss; e. Specimens removed; f. Postoperative diagnosis/es; and g. Any other pertinent data, including but not limited to, complications. 4. Detailed Operative Note a. Name of primary surgeon and any co-surgeon; b. Name of procedure; 6
7 c. Description of procedure, techniques, and/or methods; d. Findings of procedure; e. Estimated blood loss; f. Specimens removed; g. Post-operative diagnosis/es; and h. Any other pertinent data, including but not limited to, complications. E. Labor and Delivery Note 1. Requirement A Labor and Delivery Note is required for all newborn and vaginal deliveries. In instances where an infant is admitted to NICU, the note shall be documented prior to the transfer. In all other instances, the note is due immediately after delivery. 2. Labor and Delivery Note Responsibility Delivering Provider is responsible for the note. 3. Labor and Delivery Note Content The note will contain a complete account of the labor and delivery F. Consultations 1. Requirement Consultation documentation is required in all cases where a consultation has been ordered and completed by the consulting provider. A consultation includes review of the medical record and personal examination of the patient unless privileged to provide telemedicine services. Surgical consultation documentation is recorded prior to surgery except for an emergency. Consultations must be documented within twenty-four (24) hours from evaluation of the patient. 2. Consultation Responsibility Consulting provider is responsible to document the consultation. 3. Consultation Content a. Pertinent findings; b. Opinions of the consultant; and c. Recommendations of the consultant. G. Pre Anesthesia Documentation 1. Requirement 7
8 A pre-anesthesia evaluation must be performed for each patient who receives general, regional or monitored anesthesia prior to the start of anesthesia. 2. Pre-Anesthesia Evaluation Responsibility a. The anesthesiologist; b. A doctor of medicine or osteopathy (other than an anesthesiologist); or c. A dentist, oral surgeon, or podiatrist who is privileged to administer anesthesia. 3. Pre-Anesthesia Evaluation Content Within same day as anesthesia, the Provider will: a. review of the medical history, including anesthesia, drug and allergy history; and b. interview patient, if possible given the patient s condition, and examination of the patient. Within 30 days prior to anesthesia, the Provider will: a. note the anesthesia risk according to established standards of practice (e.g., ASA classification of risk); b. identify potential anesthesia problems, particularly those that may suggest potential complications or contraindications to the planned procedure (e.g., difficult airway, ongoing infection, limited intravascular access); c. gather additional pre-anesthesia data or information, if applicable and as required in accordance with standard practice prior to administering anesthesia (e.g., stress tests, additional specialist consultation); and d. develop the plan for the patient s anesthesia care, including the type of medications for induction, maintenance and post-operative care and discussion with the patient (or patient s representative) of the risks and benefits of the delivery of anesthesia. H. Post Anesthesia Documentation 1. Requirement A post anesthesia evaluation must be completed and documented no later than 48 hours after surgery or a procedure requiring anesthesia services or prior to discharge. The evaluation is required any time general, regional, or monitored anesthesia has been administered to the patient. The calculation of the 48-hour timeframe begins at the point the patient is moved into the designated recovery area. 2. Responsibility of the Post-Anesthesia Evaluation The anesthesiologist; 8
9 A doctor of medicine or osteopathy (other than an anesthesiologist); or A dentist, oral surgeon, or podiatrist who is privileged to administer anesthesia. 3. Content of Post-Anesthesia Documentation a. Respiratory function, including respiratory rate, airway patency, and oxygen saturation; b. Cardiovascular function, including pulse rate and blood pressure; c. Mental status; d. Temperature; e. Pain; f. Nausea and vomiting; and g. Postoperative hydration. Depending on the specific surgery or procedure performed, additional types of monitoring and assessment may be necessary. I. Dental Records/Oral Surgery Records 1. Requirements The medical record should include a description of the oral cavity as well as a detailed description of the problem by the attending dentist/oral surgeon. 2. The history and physical may be provided by the oral surgeon/dentist if he/she has privileges to perform otherwise must be provided by a Provider Member of the Medical Staff. J. Podiatry Records The history and physical must be provided by a Provider Member of the Medical Staff. The podiatrist should perform the part of the history and physical pertaining to podiatry. K. Progress Notes 1. Requirements a. All patients must have progress notes documented and signed every calendar day. b. In order to be considered final and not subject to delinquency, the progress note must be signed. c. Hospice patients must have progress notes documented on a weekly basis. 2. Content of Progress Notes a. Changes in patient condition; b. Changes in treatment or medication; c. Progress from therapies; 9
10 d. Results from treatment; and e. Discharge planning as applicable. L. Outpatient Records Outpatient records shall document and contain, but not be limited to, the following: a. Identification data; b. Diagnostic and therapeutic orders; c. Description of treatment given, procedures performed, and documentation of patient response to intervention, if applicable; and d. Results of diagnostic tests and examinations done, if applicable. Section III. AUTHENTICATION OF RECORDS 1. Requirement All entries in the medical record should include signature, time and date. The authentication is a reflection that the entry is complete, accurate and final. Authentication can be verified through electronic signatures or written signatures. Unless stated otherwise herein, all signatures must be completed within fourteen (14) days of discharge. All progress notes must be signed within twenty-four (24) hours to be considered final. 2. Responsibility of the Authentication Only individuals who are authorized to make entries in the medical record as Hospital policy. 3. Content All signatures must contain at minimum the first initial, last name and credential of the Provider, time, and date. Electronic signatures are acceptable in the EMR when the signature is linked to a unique identifier, biometric, password, or other secure key/method issued solely for use by the individual performing the authentication. Signature stamps cannot be used in the medical record. 4. Timing All verbal orders, including per protocol and read back and verify verbal and telephone orders need to be co-signed within forty-eight (48) hours of discharge. Section IV. DEFICIENCY AND SUSPENSION NOTIFICATION 10
11 The purpose of this Section is to define the Deficiency Notification process and the suspension process for incomplete charts. It is the policy of the Hospital to ensure patient safety through the continuity of care and holding those required to make certain entries accountable to the completion of the medical record. Providers will receive notification if their entries are deficient. In order to facilitate continuity of care, better quality review, and timely billing, Providers are required to record the patient s discharge diagnosis at the time of discharge. Any information necessary to complete the coding process must be provided within seven (7) days of request or will be considered delinquent this includes operative notes, discharge summaries, history and physicals, consultations, and outstanding queries. The Table below references operative notes, discharge summaries, history and physicals, and consultation requirements. Days after Notifications Consequences required timeframe 7 HIM sends letter Must be provided within seven (7) days of request or will be considered delinquent, and failure to complete will operate as an automatic suspension of the ability to exercise privileges during any new patient encounter which includes any new admission, consult, or order. However, the Provider will be allowed to continue to exercise privileges to complete any inpatient care started or consults 10 HIM sends letter and Medical Staff Office contacts Provider requested prior to the suspension. Failure to complete the delinquent record by the following Tuesday (within 10 days) will operate as an automatic suspension of the ability to exercise privileges during any new patient encounter which includes any new admission, consult, or order. However, the Provider will be allowed to continue to exercise privileges to complete any inpatient care started or consults requested prior to the suspension. The Table below references outstanding signatures including, but not limited to signatures, dates, and times of all medical record entries. 11
12 Days after required Notifications Consequences timeframe 7 HIM sends letter Must be provided within seven (7) days of request or will be considered delinquent, and failure to complete will operate as an automatic suspension of the ability to exercise privileges during any new patient encounter which includes any new admission, consult, or order. However, the Provider will be allowed to continue to exercise privileges to complete any inpatient care started or consults requested prior to the suspension. 14 HIM sends letter Failure to complete the delinquent record by the following Tuesday (within 17 days) will operate as an automatic suspension of the ability to exercise privileges during any new patient encounter which includes any new admission, consult, or order. However, the Provider will be allowed to continue to exercise privileges to complete any inpatient care started or consults requested prior to the 17 HIM sends letter and Medical Staff Office contacts Provider suspension. Failure to complete the delinquent record by the following Tuesday (within 17 days) will operate as an automatic suspension of the ability to exercise privileges during any new patient encounter which includes any new admission, consult, or order. However, the Provider will be allowed to continue to exercise privileges to complete any inpatient care started or consults requested prior to the suspension. Completion of those components of the medical record required to be entered and finalized in a defined period of time as set forth in the Bylaws, Rules and Regulations and Policies will be monitored. When warranted, any Provider who has a pattern of not complying with these specific time frames will be referred to the Medical Executive Committee. The suspension will be lifted once all delinquent records are complete. Such suspension does not give rise to fair hearing or appeal rights. 12
13 Section V. CONCURRENT DOCUMENTATION REVIEW/QUERY RESPONSES The purpose of this Section is to define parameters for clarifying Provider documentation whenever there is conflicting, ambiguous, or incomplete information in the medical record regarding any significant condition or procedure. Any Provider, including on-call Providers or partners for the Provider for the day, receiving a query from the Clinical Documentation Improvement RN will be expected to clarify the record for that Provider in his/her absence. Responses to concurrent queries from the Clinical Documentation Improvement RN are to be made in the medical record prior to discharge. Section VI. USE OF COPY/PASTE AND COPY FORWARD FUNCTIONALITY FOR PROVIDER DOCUMENTATION IN EPIC The purpose of this Section is to provide guidance for the safe, proper and effective use of the copy/paste and copy forward functionality in the EMR. It is intended to align the use of this documentation assist functionality with the Community Health Network precepts of high quality and safe patient care, integrity and accuracy of the health record and assure compliance with governmental, regulatory, and industry standards. This Section addresses acceptable copy/paste, copy forward practices, acceptable uses, including limitations on use; the identification of origin and author of copied information; and sanctions for violating copy/paste policy. 1. Providers documenting in the EMR through use of copy/paste or copy forward functionality must reference (or link to) the original source of the information, including its author, date, and time of entry. Providers are responsible for the total content and medical necessity of their documentation, whether that content is original, copied and pasted, or copied forward. Copy forward can only be used within the same patient record. Information from one patient's medical record cannot be copied into another patient's medical record. Providers may not copy/paste images, including scanned images, photographs, or tables into the EMR or into transcribed reports as these could create storage, printing, release, and readability issues. 2. Any entry into the patient medical record should be an accurate representation of the author's actual work product pertaining to that specific patient encounter. Accordingly, Providers are expected to make original entries into the record or review and appropriately amend any content of an entry that is copied and pasted or copy forwarded. The practice of a Provider copying and pasting the Provider s own previous note into a subsequent encounter's note without thoughtful review, amendment 13
14 and source referencing to reflect the actual work done by the Provider during the care encounter is strongly discouraged. 3. Providers are accountable for compliant use of documentation assist tools. It is preferred that Providers use a Smart Link to pull lab data, pathology reports, or radiology reports into a note rather than copying and pasting this data or reports into their note. Data copied and pasted into the EMR from sources outside of the EMR may be incompatible and as such may not display as in the original source. Such data may be impossible to print or appear distorted and illegible when printed. This includes multiple file formats such as word processing and spreadsheets. Forms created using word processing, spreadsheets, or other software programs that may include special formatting templates such as checkboxes or tables will not view or print properly when copied and pasted into the EMR. Paper documents from sources outside of the EMR will be scanned into the EMR. For most inpatient areas, the paper documents will be kept in the hard chart and scanned post discharge by HIM. 4. The Medical Staff Office, in coordination with HIM, will monitor compliance to this policy. Approved by the Medical Staff Executive Committee of Community Howard Regional Health October 17, Approved by the Board of Directors of Community Howard Regional Health November 24, I\
Community Health Network, Inc. MEDICAL STAFF POLICIES & PROCEDURES
Community East Community South Community North TITLE: Medical Record Chart Requirements The medical record of care comprises all the data and information about a patient s visit. It functions as both a
More informationMedical Staff Rules & Regulations Last Updated: October University Hospital Medical Staff. Rules & Regulations
University Hospital Medical Staff Rules & Regulations 1 UNIVERSITY HOSPITAL MEDICAL STAFF RULES AND REGULATIONS The Medical Staff shall adopt Rules and Regulations as may be necessary to implement the
More informationPOLICY SUBJECT: POLICY:
POLICY SUBJECT: Healthcare Provider Documentation and Compliance Standards Business: Madonna Rehabilitation Hospital - Omaha Date of Origin: 7/1/2016 System: Quality & Risk Management Review Date: 07/25/2016
More informationPatient Age Group: ( ) N/A (X) All Ages ( ) Newborns ( ) Pediatric ( ) Adult
Title: Documentation of Clinical Activities by UNMH Medical Staff and House Staff Applies To: UNM Hospitals Responsible Department: Office of Clinical Affairs Updated: 05/2016 Policy Patient Age Group:
More informationBeltway Surgery Centers, L.L.C.
MEDICAL STAFF RULES AND REGULATIONS ARTICLE I. PROFESSIONALISM 1.1 These rules and regulations are intended to provide comprehensive information to members of the Ambulatory Surgery Center in order for
More informationBAYHEALTH MEDICAL STAFF RULES & REGULATIONS
BAYHEALTH MEDICAL STAFF RULES & REGULATIONS Rules and Regulations initial approval by the Board of Directors: Amendments approved by the Board of Directors: Revised 1/21/13 Revised 4/17/13 Revised 9/16/13
More informationThe University Hospital Medical Staff. Rules And Regulations
The University Hospital Medical Staff Rules And Regulations - 1 - UNIVERSITY HOSPITAL MEDICAL STAFF RULES AND REGULATIONS The Medical Staff shall adopt Rules and Regulations as may be necessary to implement
More informationFayette County Memorial Hospital Medical Staff Rules and Regulations 2015
Fayette County Memorial Hospital Medical Staff Rules and Regulations 2015 Section One: GENERAL Rule 1.01 Rule 1.02 These Rules & Regulations adopt and incorporate by reference the definitions contained
More informationThe hospital s anesthesia services must be integrated into the hospital-wide QAPI program.
A-0416 482.52 Condition of Participation: Anesthesia Services If the hospital furnishes anesthesia services, they must be provided in a well-organized manner under the direction of a qualified doctor of
More informationTITLE: Processing Provider Orders: Inpatient and Outpatient
POLICY and PROCEDURE TITLE: Processing Provider Orders: Inpatient and Outpatient Number: 13211 Version: 13211.10 Type: Patient Care Author: Carol Vanetti; Provider Order Policy Committee Effective Date:
More informationCRITICAL ACCESS HOSPITALS
Are anesthesia services and post-anesthesia services medical director(s) qualified in terms of education, experience and competency as determined by the hospital medical staff and appointed by the governing
More informationRULES AND REGULATIONS OF THE BYLAWS OF THE MEDICAL STAFF UNIVERSITY OF NORTH CAROLINA HOSPITALS
RULES AND REGULATIONS OF THE BYLAWS OF THE MEDICAL STAFF UNIVERSITY OF NORTH CAROLINA HOSPITALS Approved by the Executive Committee of the Medical Staff, November 5, 2001. Approved and adopted by the Board
More informationInvestigation Outline for a Reportable Incident Non-Hospital Surgical Facility
Investigation Outline for a Reportable Incident Non-Hospital Surgical Facility MANDATORY NOTIFICATION The Medical Director shall notify the College of Physicians & Surgeons of Alberta (Accreditation Department)
More informationORIGINAL SIGNED BY DR. PETERS Mark J. Peters, M.D., President and CEO
Title: ORDERS FOR HOSPITAL OUTPATIENT Revised: Page 1 of 5 Effective Date: November 2013 Approved by: ORIGINAL SIGNED BY DR. PETERS Mark J. Peters, M.D., President and CEO I. POLICY: Patient testing and
More informationSTANFORD HEALTH CARE Medical Staff Rules and Regulations. Last Approval Date: December 2017
STANFORD HEALTH CARE Medical Staff Rules and Regulations Last Approval Date: December 2017 The Medical Staff is responsible to the Stanford Healthcare (SHC) Board of Directors for the professional medical
More informationMEDICARE CONDITIONS OF PARTICIPATION (CoPs) SPECIFIC TO THE HOSPITAL MEDICAL STAFF
482.12 CONDITION OF PARTICIPATION: GOVERNING BODY There must be an effective governing body that is legally responsible for the conduct of the hospital. If a hospital does not have an organized governing
More informationFORT WAYNE, INDIANA MEDICAL/DENTAL STAFF RULES AND REGULATIONS. Adopted: Amended: January 11, Amended: August 25, 2008
FORT WAYNE, INDIANA MEDICAL/DENTAL STAFF RULES AND REGULATIONS Adopted: 1991 Amended: January 11, 2006 Amended: August 25, 2008 Amended: June 1, 2009 Amended: March 3, 2010 Amended: December 9, 2010 Amended:
More informationPROFESSIONAL STAFF COMMON RULES AND REGULATIONS. Carondelet St. Mary s (CSM), St. Joseph s (CSJ), Holy Cross (CHC), Hospitals TABLE OF CONTENTS
PROFESSIONAL STAFF COMMON RULES AND REGULATIONS Carondelet St. Mary s (CSM), St. Joseph s (CSJ), Holy Cross (CHC), Hospitals The Professional Staffs of all of the (CHN) hospital facilities have adopted
More informationTACOMA GENERAL/ALLENMORE Rules and Regulations
TACOMA GENERAL/ALLENMORE Rules and Regulations Approval Dates WPRB December th Table of Contents Page Article I Article II Article III Article IV Article V Article VI Article VII Article VIII General.
More informationPRATTVILLE BAPTIST HOSPITAL MEDICAL STAFF RULES & REGULATIONS. October 15, 1997
PRATTVILLE BAPTIST HOSPITAL MEDICAL STAFF RULES & REGULATIONS October 15, 1997 Revised: April 1999 Revised: November 2002 Revised: June 2005 Revised: December 2005 Revised: December 2006 Revised: November
More informationJOINT RULES AND REGULATIONS OF THE MEDICAL STAFF OF MEMORIAL REGIONAL HOSPITAL, MEMORIAL REGIONAL HOSPITAL SOUTH, AND JOE DIMAGGIO CHILDREN S HOSPITAL
JOINT RULES AND REGULATIONS OF THE MEDICAL STAFF OF MEMORIAL REGIONAL HOSPITAL, MEMORIAL REGIONAL HOSPITAL SOUTH, AND JOE DIMAGGIO CHILDREN S HOSPITAL AND THE MEDICAL STAFF OF MEMORIAL HOSPITAL PEMBROKE
More informationMEDICAL STAFF RULES AND REGULATIONS. Lakeview Hospital Stillwater, MN April 2016
MEDICAL STAFF RULES AND REGULATIONS Lakeview Hospital Stillwater, MN 55082 April 2016 Table of Contents Page 1. ADMISSION OF PATIENTS:... 1 1.1 Types of Patients... 1 1.2 Admitting Prerogatives... 1 1.3
More informationJoint Commission quarterly update Medical record documentation guide and medical record reviews
April 2016 HIM Briefings Joint Commission quarterly update Medical record documentation guide and medical record reviews Jean S. Clark, RHIA, CSHA Our readers have been asking for an updated medical record
More informationCHARLESTON AREA MEDICAL CENTER MEDICAL STAFF ORGANIZATION AND FUNCTIONS MANUAL
CHARLESTON AREA MEDICAL CENTER MEDICAL STAFF ORGANIZATION AND FUNCTIONS MANUAL Approved by the Medical Staff Executive Committee: 09/09/04 Approved by the Board of Trustees: 09/22/04 Original effective
More informationMEDICAL STAFF ORGANIZATION MANUAL
MEDICAL STAFF BYLAWS, POLICIES, AND RULES AND REGULATIONS OF SARASOTA MEMORIAL HOSPITAL MEDICAL STAFF ORGANIZATION MANUAL Adopted by the Medical Staff: April 16, 2009 Approved by the Board: April 20, 2009
More informationMEDICAL STAFF RULES And REGULATIONS
Silverton Health MEDICAL STAFF RULES And REGULATIONS Amendments approved: 2007: Nov 7 2008: Feb 27; May 28; July 30 2010: Apr 7; Oct 27 2011: Sept 28 (H&P moved to Bylaws); Nov 30; 2013: Apr 5 (XVII);
More informationFY2018 TRACKING FORM SACRED HEART HOSPITAL MEDICAL STAFF BYLAWS AND POLICIES
SACRED HEART HOSPITAL MEDICAL STAFF AND POLICIES 1 REVISION Change the number of ad hoc investigative committee members from up to three to at least three. RATIONALE A committee of this nature may need
More informationDOCTORS HOSPITAL, INC. Medical Staff Bylaws
3.1.11 FINAL VERSION; AS AMENDED 7.22.13; 10.20.16; 12.15.16 DOCTORS HOSPITAL, INC. Medical Staff Bylaws DMLEGALP-#47924-v4 Table of Contents Article I. MEDICAL STAFF MEMBERSHIP... 4 Section 1. Purpose...
More informationYORK HOSPITAL MEDICAL STAFF BYLAWS
YORK HOSPITAL MEDICAL STAFF BYLAWS Table of Contents ARTICLE I. NAME...4 1.1 NAME... 4 ARTICLE II. PURPOSES AND RESPONSIBILITIES OF THE MEDICAL STAFF.4 2.1 PURPOSES... 4 2.2 RESPONSIBILITIES... 4 ARTICLE
More informationStony Brook University Hospital Medical Staff Rules and Regulations. March 2009
Stony Brook University Hospital Medical Staff Rules and Regulations March 2009 RULES AND REGULATIONS STONY BROOK UNIVERSITY HOSPITAL STATE UNIVERSITY OF NEW YORK AT STONY BROOK STONY BROOK, NEW YORK TABLE
More informationMEDICAL STAFF BYLAWS
MEDICAL STAFF BYLAWS, POLICIES, AND RULES AND REGULATIONS OF THE CHRIST HOSPITAL MEDICAL STAFF BYLAWS Adopted by the Medical Executive Committee: April 24, 2014 Adopted by the Medical Staff: May 13, 2014
More informationBasic Teaching Physician Presence and Documentation
Basic Teaching Physician Presence and Documentation Welcome to the Children s University Medical Group (CUMG) training on the Teaching Physician Presence and Documentation. The goal of this module is to
More informationRules and Regulations St. Johns Hospital Medical Staff
Rules and Regulations St. Johns Hospital Medical Staff Approved by MEC: 06/02/2014 Approved by Hospital Board 06/04/2014 MEDICAL STAFF RULES AND REGULATIONS TABLE OF CONTENTS A. ADMISSION AND DISCHARGE
More informationLEGACY EMANUEL HOSPITAL & HEALTH CENTER MEDICAL STAFF RULES AND REGULATIONS
LEGACY EMANUEL HOSPITAL & HEALTH CENTER MEDICAL STAFF RULES AND REGULATIONS Adopted September 16, 2010 Revised January 17, 2013 Revised December 19, 2013 Revised April 17, 2014 Revised April 16, 2015 Revised
More informationResident Orientation. Health Information Management Department (HIM)
Resident Orientation Health Information Management Department (HIM) Authentication Form Authentication form needed in the event you sign any documents on paper. Wake Forest Baptist Medical Center 2 HIM
More informationInstitutional Handbook of Operating Procedures Policy
Section: Clinical Policies Subject: General Procedures Institutional Handbook of Operating Procedures Policy 09.13.09 Responsible Vice President: EVP and CEO Health System Responsible Entity: UTMB Health
More informationCAH PREPARATION ON-SITE VISIT
CAH PREPARATION ON-SITE VISIT Illinois Department of Public Health, Center for Rural Health This day is yours and can be flexible to the timetable of hospital staff. An additional visit can also be arranged
More informationTORRANCE MEMORIAL MEDICAL STAFF
BYLAWS COMMITTEE: APPROVED WITH NO CHANGES 10/3/2017 Dates Approved: Medical Executive Committee 09/14/2010; 12/9/2014 PATIENT ATTRIBUTION PLAN: This Attribution Plan assures that all staff are able to
More informationLESSONS LEARNED FROM THE PROBE AND EDUCATE AUDIT K. CHEYENNE SANTIAGO, RN
LESSONS LEARNED FROM THE PROBE AND EDUCATE AUDIT K. CHEYENNE SANTIAGO, RN Created on 6/2/2014 DISCLAIMER DISCLAIMER: WPS Medicare has produced this material as an informational reference. Every reasonable
More informationThis policy applies to any hospital staff, within KKUH/KAUH, who has privileges to enter data into medical records.
King Khalid K University Hospital King Abdulaziz University Hospital Title: CLINICAL DOCUMENTATION Reviewed by: Date: Department: Unit: Policy Number: HWCPP - 005 Issue Date: DEC 2009 Prepared/Revised
More informationSANTA MONICA-UCLA MEDICAL CENTER & ORTHOPAEDIC HOSPITAL DEPARTMENT OF OBSTETRICS AND GYNECOLOGY RULES AND REGULATIONS
SANTA MONICA-UCLA MEDICAL CENTER & ORTHOPAEDIC HOSPITAL DEPARTMENT OF OBSTETRICS AND GYNECOLOGY RULES AND REGULATIONS - 2017 Page 2 of 10 I. NAME The name of the organization shall be the Department of
More informationDEACONESS HOSPITAL, INC.
DEACONESS HOSPITAL, INC. MEDICAL STAFF GENERAL RULES AND REGULATIONS TABLE OF CONTENTS Page I. ADMISSION AND DISCHARGE... 1 Section 1. Who May Admit Patients... 1 Section 2. Transfer of Patients... 1 Section
More informationRADIATION ONCOLOGY RESIDENCY SUPERVISION POLICY
RADIATION ONCOLOGY RESIDENCY SUPERVISION POLICY This policy is intended to guide the activities of radiation oncology residents in insuring that patient care activities in which residents participate are
More informationSTANDARD / ELEMENT EXPLANATION SCORING PROCEDURE SCORE
31.00.00 Condition of Participation: Outpatient Services If the hospital provides outpatient services, the services must meet the needs of the patients in accordance with 482.54 The Medicare Hospital Conditions
More informationObjectives Top Ten Cited Deficiencies for Acute Care Facilities April 21, 2015
2014 Top Ten Cited Deficiencies for Acute Care Facilities April 21, 2015 Michele Kala, MS, RN Director of Accreditation and Certification Objectives Understanding of the top scored deficient HFAP standards
More informationPROVIDENCE HOLY FAMILY HOSPITAL AND PROVIDENCE SACRED HEART MEDICAL CENTER
BYLAWS OF THE MEDICAL STAFF OF PROVIDENCE HOLY FAMILY HOSPITAL AND PROVIDENCE SACRED HEART MEDICAL CENTER TABLE OF CONTENTS PREAMBLE...1 ARTICLE I DEFINITIONS...2 ARTICLE II PURPOSE...3 ARTICLE III MEDICAL
More informationMedical Director 101: What it Takes to be a Great Medical Director
Becker s ASC Conference 2010 October 22, 2010 Medical Director 101: What it Takes to be a Great Medical Director Jenni Foster MD Medical Director TASC in Flagstaff Dawn Q. McLane RN, MSA, CASC, CNOR Mission
More informationCOMMUNITY HOWARD REGIONAL HEALTH KOKOMO, INDIANA. Medical Staff Policy POLICY #4. APPOINTMENT, REAPPOINTMENT AND CREDENTIALING POLICY
COMMUNITY HOWARD REGIONAL HEALTH KOKOMO, INDIANA Medical Staff Policy POLICY #4. APPOINTMENT, REAPPOINTMENT AND CREDENTIALING POLICY 1.1 PURPOSE The purpose of this Policy is to set forth the criteria
More informationSec Disconnect Go to End Forward Sec Next Report Go To
Effective 3/15/04 escription DICTATION SYSTEM FOR INPATIENT HISTORY & PHYSICALS, DISCHARGE SUMMARIES, DELIVERY (NORMAL) NOTES OPERATIVE REPORTS DIAL 3-4000 LISTEN FOR VERBAL PROMPTS. ENTER: First 5 digits
More informationMedical Staff Credentialing Policy
Medical Staff Credentialing Policy Revised: January 29, 2018 CREDENTIALING POLICY Table of Contents ARTICLE I. APPOINTMENT TO THE MEDICAL STAFF... 1 1.1. Qualifications for Appointment... 1 1.1.1 General...
More informationThe Joint Commission 2017 Medical Staff Standards Update
The Joint Commission 2017 Medical Staff Standards Update Session Code: TU07 Date: Tuesday, October 24 Time: 11:30 a.m. - 1:00 p.m. Total CE Credits: 1.5 Presenter(s): Louis Goolsby, MD The Joint Commission
More informationTwo Midnight Rule What does it mean for Coders?
Two Midnight Rule What does it mean for Coders? Heather Greene, MBA, RHIA, CPC, CPMA Vice President, Compliance Services AHIMA Approved ICD-10 CM/PCS Trainer 1 Agenda The Two-Midnight Rule Supportive documentation
More informationMedicare Manual Update Section 2 Credentialing (pg 15-23) SECTION 2: CREDENTIALING. 2.1 : Credentialing Policies & Procedures
SECTION 2: CREDENTIALING The credentialing program applies to all direct-contracted and those who are affiliated with Care1st through their relationship with a contracted PPG (delegated IPA/MG). Care1st
More informationWelcome to OHSU Snapshot of your role in supporting excellent patient care documentation. Clinical Documentation Information Program & Specialists
Welcome to OHSU Snapshot of your role in supporting excellent patient care documentation. Clinical Documentation Information Program & Specialists As an academic medical center, we have multiple types
More informationImpact of Medicare COP Changes on HIM
Impact of Medicare COP Changes on HIM Audio Seminar/Webinar March 29, 2007 Practical Tools for Seminar Learning Copyright 2007 American Health Information Management Association. All rights reserved. Disclaimer
More informationLOURDES HEALTH SYSTEM BYLAWS OF THE UNIFIED MEDICAL STAFF OF OUR LADY OF LOURDES MEDICAL CENTER AND LOURDES MEDICAL CENTER OF BURLINGTON COUNTY
LOURDES HEALTH SYSTEM BYLAWS OF THE UNIFIED MEDICAL STAFF OF OUR LADY OF LOURDES MEDICAL CENTER AND LOURDES MEDICAL CENTER OF BURLINGTON COUNTY TABLE OF CONTENTS PREAMBLE...1 DEFINITIONS...1 ARTICLE I
More informationCMS New Standards for Hospital Inpatient Admissions October Physician Admission Order Check List Detail
Providing technologically supported physician advisory and case management services to healthcare providers and payors CMS New Standards for Hospital Inpatient Admissions October 2013 Physician Admission
More informationMEDICAL STAFF CREDENTIALING MANUAL
MEDICAL STAFF CREDENTIALING MANUAL 2016 MOUNT CLEMENS REGIONAL MEDICAL CENTER CREDENTIALING MANUAL TABLE OF CONTENTS I. PROCEDURES FOR APPOINTMENT 4 1. GENERAL PROCEDURE 4 2. APPLICATION FOR INITIAL APPOINTMENT
More informationPOSITION DESCRIPTION COLUMBUS REGIONAL HEALTHCARE SYSTEM CERTIFIED REGISTERED NURSE ANESTHETIST
POSITION DESCRIPTION COLUMBUS REGIONAL HEALTHCARE SYSTEM JOB TITLE CERTIFIED REGISTERED NURSE ANESTHETIST JOB CODE 0265 DEPARTMENT FLSA (Exempt/Non-Exempt) ANESTHESIA Non-Exempt DEPARTMENT DIRECTOR SIGNATURE
More informationDEACONESS HOSPITAL, INC. Evansville, Indiana DEPARTMENT OF ANESTHESIOLOGY RULES & REGULATIONS
DEACONESS HOSPITAL, INC. Evansville, Indiana DEPARTMENT OF ANESTHESIOLOGY RULES & REGULATIONS I. Department Organization and Direction - The Department of Anesthesiology shall be properly organized, directed
More informationMEDICAL STAFF BYLAWS MCLAREN GREATER LANSING HOSPITAL
MEDICAL STAFF BYLAWS MCLAREN GREATER LANSING HOSPITAL Final Document May 16, 2016 Horty, Springer & Mattern, P.C. 245957.7 MEDICAL STAFF BYLAWS TABLE OF CONTENTS PAGE 1. GENERAL...1 1.A. PREAMBLE...1 1.B.
More informationBloomington Hospital MEDICAL STAFF BYLAWS. Rules and Regulations
Bloomington Hospital MEDICAL STAFF BYLAWS Revised April 25, 2016 Reviewed December 10, 2015 Table of Contents Article 1. Introduction 1 Article 2. Admission and Discharge 4 Article 3. Medical Records 10
More informationMEDICAL STAFF RULES AND REGULATIONS
MEDICAL STAFF RULES AND REGULATIONS SACRED HEART HOSPITAL Allentown, PA June, 2016 TABLE OF CONTENTS ARTICLE I GENERAL RULES... 6 ARTICLE II MEDICAL RECORDS... 8 ARTICLE III PHARMACY... 13 ARTICLE IV PLACEMENT
More informationFamily Practice Clinic
Family Practice Clinic FNP Job Description (Hospital Privileges) General: The Family Nurse Practitioner (FNP) assesses, plans and provides comprehensive patient care independently or in autonomous collaboration
More informationStanford Health Care Lucile Packard Children s Hospital Stanford
Practitioners Page 1 of 11 I. PURPOSE To outline individuals who are authorized to provide care as an Allied Health Provider as well as describe which categories of individuals who will be processed under
More informationAdvanced Practice Nurse Authority to Diagnose and Prescribe
Advanced Practice Nurse Authority to Diagnose and Prescribe Copyright protected information. Provided courtesy of the Illinois State Medical Society ADVANCED PRACTICE NURSES AUTHORITY TO DIAGNOSE AND PRESCRIBE
More informationRules and Regulations THE MEDICAL STAFF OF NORTHERN WESTCHESTER HOSPITAL
Page 1 of 49 of THE MEDICAL STAFF OF NORTHERN WESTCHESTER HOSPITAL Approved by the Medical Board on December 4, 2006 Approved by the Governing Board on January 25, 2007 Revisions: General - Medical Board:
More informationPI Team: N/A. Medical Staff Officervices Printed copies are for reference only. Please refer to the electronic copy for the latest version.
Document Owner: Karyn Delgado, Teresa Onken Approver(s): Karyn Delgado, Teresa Onken PI Team: N/A Location: Saint Joseph Regional Medical Center-Mishawaka Date Created: 09/01/2001 Date Approved: 10/01/2001
More information2012 Medical Staff Update 2011 CHALLENGING STANDARDS/NPSGS
2012 Medical Staff Update Laurel McCourt, M.D. TJC Surveyor: Hospital and Office-Based Surgery Programs, and Special Survey Unit 2011 CHALLENGING STANDARDS/NPSGS 2 Standard/NPSG 2010 Non Compliance 3 2011
More informationLOUISIANA MEDICAID PROGRAM ISSUED: 02/01/12 REPLACED: 02/01/94 CHAPTER 5: PROFESSIONAL SERVICES SECTION 5.1: COVERED SERVICES PAGE(S) 11
Anesthesia Services Surgical anesthesia services may be provided by anesthesiologists or certified registered nurse anesthetists (CRNAs). Maternity-related anesthesia services may be provided by anesthesiologists,
More informationCOLORADO. Downloaded January 2011
COLORADO Downloaded January 2011 PART 1. GOVERNING BODY 1.1 GOVERNING BODY. The governing body is the individual, group of individuals, or corporate entity that has ultimate authority and legal responsibility
More informationClient Alert. CMS Clarifies Interpretive Guidelines for Hospitals Providing Anesthesia Services
Contact Attorneys Regarding This Matter: Mark A. Guza 404.873.8796 - direct 404.873.8797 - fax mark.guza@agg.com Diana Rusk Cohen 404.873.8108 - direct 404.873.8109 - fax diana.cohen@agg.com Client Alert
More informationRules & Regulations Medical Staff of Yakima Valley Memorial Hospital d/b/a Virginia Mason Memorial
Table of Contents I. Admission and Discharge of Patients... 1 A. Admitted by a Member of the Staff. B. Medical Staff Responsibilities. C. Admitted with Provisional Diagnosis. D. On Call Obligations refer
More informationMEDICAL STAFF BYLAWS
MEDICAL STAFF BYLAWS Medical Staff Indu and Raj Soin Medical Center Beavercreek, OH Effective: 08/05/2010 Revised: 11/03/2011, 08/09/2012, 10/03/2012, 12/13/2012, 11/2013 Board approved: 11/10/2011, 2/16/2012,
More informationSTATEMENT ON THE ANESTHESIA CARE TEAM
Committee of Origin: Anesthesia Care Team (Approved by the ASA House of Delegates on October 18, 2006, and last amended on October 21, 2009) Anesthesiology is the practice of medicine including, but not
More informationMobile Medical Review Team Observation Services & the 2 Midnight Rule. The Audio and/or Video Recording of this Educational Session is Prohibited
Mobile Medical Review Team Observation Services & the 2 Midnight Rule The Audio and/or Video Recording of this Educational Session is Prohibited National Government Services, Inc. Medicare Part A & Part
More informationATTENDING PHYSICIAN ORDERS AND COVERAGE
ATTENDING PHYSICIAN ORDERS AND COVERAGE Patient s Choice of Attending Physician: CMS defines the hospice Attending Physician as either: a doctor of medicine or osteopathy legally authorized to practice
More informationARTICLE IV. MEDICAL STAFF CATEGORIES. The Active Staff shall consist of practitioners each of whom:
ARTICLE IV. MEDICAL STAFF CATEGORIES A. ACTIVE STAFF. The Active Staff shall consist of practitioners each of whom: a. meets all the basic qualifications set forth in Article III; b. will be available
More informationMEDICAL STAFF RULES AND REGULATIONS OF MEMORIAL HERMANN SOUTHEAST/PEARLAND HOSPITAL. Version (December 21, 2017)
MEDICAL STAFF RULES AND REGULATIONS OF MEMORIAL HERMANN SOUTHEAST/PEARLAND HOSPITAL Version (December 21, 2017) Medical Staff Rules and Regulations of Memorial Hermann Southeast/Pearland Hospital 1. PATIENT
More informationBAPTIST MEDICAL CENTER SOUTH MEDICAL STAFF
BAPTIST MEDICAL CENTER SOUTH MEDICAL STAFF RULES & REGULATIONS Approval Dates: Amended July 2005 Rules and Regulations Reorganized Amended September 2005 Section 9.2.2 Amended October 2005 Section 2.1.1
More informationCHAPTER MA PROGRAM PAYMENT POLICIES GENERAL PROVISIONS PAYMENT FOR SERVICES
Ch. 1150 MA PAYMENT POLICIES 55 CHAPTER 1150. MA PROGRAM PAYMENT POLICIES Sec. 1150.1. Policy. 1150.2. Definitions. GENERAL PROVISIONS PAYMENT FOR SERVICES 1150.51. General payment policies. 1150.52. Anesthesia
More informationBAPTIST EYE SURGERY CENTER AT SUNRISE MEDICAL STAFF BYLAWS
1 BAPTIST EYE SURGERY CENTER AT SUNRISE MEDICAL STAFF BYLAWS EFFECTIVE MARCH 28, 2014 2 PREAMBLE WHEREAS, Baptist Eye Surgery Center at Sunrise is an ambulatory surgical center owned and operated by Baptist
More informationMEDICAL STAFF ORGANIZATION MANUAL OF THE BYLAWS OF THE MEDICAL STAFF UNIVERSITY OF NORTH CAROLINA HOSPITALS
MEDICAL STAFF ORGANIZATION MANUAL OF THE BYLAWS OF THE MEDICAL STAFF UNIVERSITY OF NORTH CAROLINA HOSPITALS Approved by the Executive Committee of the Medical Staff, November 5, 2001. Approved and adopted
More informationTELECOMMUNICATION SERVICES CSHCN SERVICES PROGRAM PROVIDER MANUAL
TELECOMMUNICATION SERVICES CSHCN SERVICES PROGRAM PROVIDER MANUAL NOVEMBER 2017 CSHCN PROVIDER PROCEDURES MANUAL NOVEMBER 2017 TELECOMMUNICATION SERVICES Table of Contents 38.1 Enrollment......................................................................
More informationGulf Coast Medical Center Medical Staff. General Rules & Regulations
Gulf Coast Medical Center Medical Staff Adopted: April 12, 2012 Revisions approved by the Board of Directors June 28, 2012 Revisions approved by the Board of Directors September 27, 2012 Revisions approved
More informationSAMPLE MEDICAL STAFF BYLAWS PROVISIONS FOR CREDENTIALING AND CORRECTIVE ACTION
FOR CREDENTIALING AND CORRECTIVE ACTION [NOTE: THESE ARE RELATING TO CREDENTIALING AND CORRECTIVE ACTION. THE SAMPLE PROVISIONS MUST BE REVIEWED AND REVISED DEPENDING ON RELEVANT CIRCUMSTANCES, INCLUDING
More informationAPP PRIVILEGES IN RADIATION ONCOLOGY
APP PRIVILEGES IN RADIATION ONCOLOGY Education/Training Licensure (Initial and Reappointment) Required Qualifications Successful completion of a PA or NP program Current Licensure as a PA or RN in the
More informationStandard Location YES. Activities of Daily Living section completed. VMG Clinic Intake Form
Tracer Record Review - Outpatient Only updated: 3/21/2016 Data Definition Tool The Tracer Packet is to be completed in each outpatient area by the manager or designee on a monthly basis. It is suggested
More informationRULES AND REGULATIONS OF THE MEDICAL STAFF OF THE UNIVERSITY OF KANSAS HOSPITAL
RULES AND REGULATIONS OF THE MEDICAL STAFF OF THE UNIVERSITY OF KANSAS HOSPITAL Revisions approved by Executive Committee of the Medical Staff April 22, 2004 Revisions approved by the Authority Board of
More informationASCENSION SAINT MARY S HOSPITAL OF RHINELANDER, WISCONSIN BYLAWS OF THE MEDICAL STAFF
ASCENSION SAINT MARY S HOSPITAL OF RHINELANDER, WISCONSIN PREAMBLE BYLAWS OF THE MEDICAL STAFF Revised February 2016 Revised August 2, 2016 Revised June 6, 2017 Revised August 1, 2017 Revised: June 5,
More informationNurse Practitioner - Outpatient Lung Transplant (1.0 FTE, Days)
Nurse Practitioner - Outpatient Lung Transplant (1.0 FTE, Days) Category: Nursing Advance Practice Job Type: Full-Time Shift: Days Location: Palo Alto, CA, United States Req: 5609 FTE: 1 Nursing Advance
More informationAdvanced Practice Nurses Authority to Diagnose and Prescribe. Excellence Through Coordinated Patient Care. Copyright protected. information.
Excellence Through Coordinated Patient Care Copyright protected information. Provided courtesy of the Illinois State Medical Society Advanced Practice Nurses Authority to Diagnose and Prescribe 12-1655-S
More informationTORRANCE MEMORIAL MEDICAL CENTER DEPARTMENT OF OBSTETRICS AND GYNECOLOGY. RULES AND REGULATION Effective September 30, 2014
DEPARTMENT OF OBSTETRICS AND GYNECOLOGY RULES AND REGULATION Effective September 30, 2014 TABLE OF CONTENTS Page ARTICLE I Rules and Regulations 1 ARTICLE II Policies and Procedures 2 ARTICLE III ARTICLE
More informationMEDICARE RULE FOR TEACHING PHYSICIANS Effective July 1, 1996.
MEDICARE RULE F TEACHING PHYSICIANS Effective July 1, 1996. 1.0 GENERAL RULE: If a resident participates in a service provided in a teaching setting, the teaching physician may not bill Medicare for such
More informationUTHSCSA Graduate Medical Education Policies
Section 2 Policy 2.5. General Policies & Procedures Resident Supervision Policy Effective: Revised: Responsibility: December 2000 April 2002, November 2006, May 2010, July 2011, February 2015 Designated
More informationSARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY
PS1070 SARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY TITLE: ADMISSION/DISCHARGE CRITERIA: POST ANESTHESIA CARE UNITS (PACU) EFFECTIVE DATE: REVIEWED/REVISED DATE: POLICY TYPE: Job Title of
More informationChapter 1 Section 16
General Chapter 1 Section 16 Issue Date: August 26, 1985 Authority: 32 CFR 199.4(c)(2)(i), (c)(2)(ii), (c)(3)(i), (c)(3)(iii), and (c)(3)(iv) 1.0 APPLICABILITY Paragraphs 3.1 through 3.7 apply to reimbursement
More informationJ A N U A R Y 2,
MEDICAL STAFF BYLAWS FRASER HEALTH AUTHOR ITY J A N U A R Y 2, 2 0 1 3 Page 2 of 39 TABLE OF CONTENTS TABLE OF CONTENTS... 2 INTRODUCTION... 4 PREAMBLE... 5 ARTICLE 1. DEFINITIONS... 7 ARTICLE 2. PURPOSE
More informationProvider Rights. As a network provider, you have the right to:
NETWORK CREDENTIALING AND SANCTIONS ValueOptions program for credentialing and recredentialing providers is designed to comply with national accrediting organization standards as well as local, state and
More informationTexas Medicaid. Provider Procedures Manual. Provider Handbooks. Telecommunication Services Handbook
Texas Medicaid Provider Procedures Manual Provider Handbooks December 2017 Telecommunication Services Handbook The Texas Medicaid & Healthcare Partnership (TMHP) is the claims administrator for Texas Medicaid
More information