Table of Contents Welcome 3 Chief Medical Officer 3 Medical Director Misericordia Hospital 3 Mission, Vision, Values, Strategic Directions 4 Covenant Health Structure & Leadership 6 Governance 6 Administration 6 Organizational Structure 6 Senior Leadership Team 7 Medical Leadership 7 Facilities Map 8 Medical Affairs at Covenant Health 10 Location & Function 10 Medical Staff Bylaws & Rules 11 Medical Staff Appointments and Clinical Privileges 11 Medical Leadership of Clinical Programs 12 Acute Care Coverage 15 Code of Conduct 15 Concerns - Professional & Patient 17 Curtailment of Privileges for Incomplete Charts 17 Physician Wellness 18 Physician Absence Notification Process 19 Organizational Structure 20 Medical Affairs Administrative Contacts 21 PWA Assignments for Clinical Areas 22 Medical Staff Portal/Website 25 Corporate / Clinical Support Services 26 Communication/Media Access Policy 26 Emergency Disaster Response Codes & Quick Reference 26 eclinician 27 Ethics 28 Infection Control Overview 28 Interpretive Services 29 Library Services 29 Occupational Health & Safety Overview 30 Pharmacy Services 31 Prohibited Abbreviations, Symbols & Dose Designations 31 Protective Services 32 Quality & Patient Safety 32 Spiritual Care 33 Continuing Medical Education (CME) 34 1 Printed July 15, 2018
PLI Courses 34 Rounds & Telehealth - Find information 34 Essential Education for Medical Staff 36 Hand Hygiene 36 OHS Training Modules 36 Privacy & Security 36 Health Information Management 38 Transcription Dictation Services 38 DST Resource Repository 39 Data Collection & Required Clinical Documentation 41 Health Information Contacts 42 Information & Privacy 43 Covenant Health Confidentiality Policy 43 Health Information Overview 43 FOIP Overview 44 Privacy 45 Social Media 45 Medical Staff Association 47 Welcome from the MCH MSA President 47 MCH MSA Dues 47 ID Badge, Mailbox, Lab Coats, Lockers 48 Physicians Lounge 48 MSA Website 48 Edmonton Zone Medical Staff Association (EZMSA) 49 Site Amenities & Parking 50 Cafeteria & Catering 50 Fitness Rooms 50 Parking at MCH 50 Technology & Paging 52 Hospital Computer Access Requirements 52 Email/Network Access 52 Information Services IT HELP 53 NetCARE/PACS Access 53 Pagers 53 Switchboard Pager Guidelines 54 2 Printed July 15, 2018
WELCOME Chief Medical Officer I would like to personally welcome you to the medical staff of Covenant Health. As a key player in Alberta's integrated healthcare system, our facilities provide healthcare services, including acute care, continuing care, assisted living, hospice, rehabilitation, respite care and seniors' housing. Together, as visionaries, we are committed to walking out mission and values in all we do, continuously improving quality and safety for our patients and staff, responding to all those in need, building and engaging a dynamic team and working closely with our community. As a healthcare provider, you are an important part of a multidisciplinary care team whose aim is to deliver services to clients to improve their health and the health of their families. You are important to the process of delivering integrated community-based services, and we look forward to having you on our team. Dr. Owen Heisler Medical Director Misericordia Hospital Welcome To The Medical Staff The Misericordia The Misericordia Community Hospital provides a full range of health services to a diverse and growing urban community, following a deep-rooted tradition of healing the body, enriching the mind and nurturing the soul. The Medical Affairs Office has put together this orientation manual to assist your transition to our facility. We hope that you feel welcome here and remember that the Medical Staff Office is here to support you and assist with your interaction with the hospital, medical staff and physicians in the community. This manual is not meant to be an all-inclusive review of hospital policies, bylaws and rules, but is meant to give an overview of the most frequent physician queries. 3 Printed July 15, 2018
Please feel free to contact the Medical Affairs Office if you have questions. I sincerely welcome you to the Misericodia and trust you will have years of successful and satisfying professional practice here in Covenant Health. Dr. Bob Black BSc, MD, FRCS(C), FACOG Medical Director, Misericordia Hospital & Associate Chief Medical Officer, Covenant Health Email: bob.black@covenanthealth.ca c/o Phone: 780.735.2209 Mission, Vision, Values, Strategic Directions Covenant Health is Canada's largest Catholic healthcare organization with over 14,000 physicians, employees and volunteers serving in 14 communities across Alberta. A major provider in Alberta s integrated health system, Covenant Health works with Alberta Health Services and community partners to positively influence the health of Albertans through a broad range of programs and services in our hospitals, health centres and continuing care centers. Rooted in a tradition that is 150-years strong, our mission is carried out by inspired men and women workers, physicians and volunteers of all faiths, traditions and cultures who believe in the value of compassionate, holistic care. compassionate, holistic care. Our Mission We are called to continue the healing ministry of Jesus by serving with compassion, upholding the sacredness of life in all stages, and caring for the whole person body, mind and soul. Our Vision Covenant Health will positively influence the health of Albertans and be of greater service to those in need by working together with compassion, quality and innovation. Our Values As a Catholic organization, we are committed to serving people of all faiths, cultures and 4 Printed July 15, 2018
circumstances, according to our values: - Compassion - Respect - Collaboration - Social Justice - Integrity - Stewardship Covenant Health Strategic Plan Serve -> Contribute -> Grow -> Transform Click here to view/download Strategic Plan We look at health holistically, discerning the unmet healthcare needs of communities and vulnerable populations, recognizing that health and well-being is more than the absence of disease. Guided by our mission and commitment to exceptional care, Covenant Health finds opportunities and innovations to address unique health issues. We are a trusted partner in leading programs at zone and provincial levels that have a significant health impact for Albertans. Find out more about Covenant Health and the added value to Alberta's Integrated Health System. 5 Printed July 15, 2018
COVENANT HEALTH STRUCTURE & LEADERSHIP Governance Covenant Health brings together the rich history of sponsorship of eight communities of Catholic Sisters who founded the organizations and sites we currently operate. The Sisters transferred these operations to the sponsorship of the Catholic Bishops of Alberta over a span of 25 years beginning in 1976. The Bishops established Covenant with the consolidation of 12 different entities through a private bill of the Alberta legislature. Currently a Board of Directors is appointed by, and accountable to, the Catholic Bishops of Alberta. The Board of Directors has full governance authority for the entire organization and has appointed Community Boards in each community. These Community Boards are an important component in the governance of Covenant Health by assisting the Board of Directors in the areas of developing the vision, input in strategic planning, community engagement, site monitoring and physician liaison. The Bishops, the Board and the Community Boards are governed by Article of Association, Bylaws and Terms of Reference. These documents define the relationships, accountabilities and responsibilities of each group. Administration President and CEO Patrick Dumelie leads the Senior Leadership Team responsible for advancing the organization's strategic directions and working within the integrated provincial health system to lead operations, address operational issues, and respond to provincial priorities and opportunities. Operations are divided into three portfolios. 1. Edmonton Acute Care includes programs and services at our two large urban hospitals. 2. Operations in Seniors' Health include large continuing care programs in Edmonton, Lethbridge and St. Albert. 3. Our Rural Health portfolio brings together facilities in our smaller urban centres and rural areas. The portfolios have been designed to meet and address local community needs, look for new areas of growth and respond to Alberta Health Services priorities across the continuum of care in both urban and rural care settings. Read more about the Covenant Health Senior Leadership Team Organizational Structure 6 Printed July 15, 2018
Click to view Covenant Health Operational & Administrative Organizational Structure PDF Senior Leadership Team Senior Leadership Team Click to view fullsize PDF Read more about the Covenant Health Senior Leadership Team Medical Leadership Covenant Health medical leaders provide oversight and leadership in policy development, organizational planning and strategic decision-making related to recruitment and retention, resource allocation, service delivery models and the quality and safety of patient care. Read more Covenant Health Medical Leadership Organizational Chart Medical Leadership Organizational Chart (PDF) 7 Printed July 15, 2018
Facilities Map Covenant Health is part of a larger Covenant family. As part of the Seniors strategy, Covenant Health recognized a growing need for senior s services in Alberta and the Government s need for sustainability and responsive models for serving seniors in their communities. Covenant Care was established as a sister organization in 2013 with a nimble and flexible service model able to provide innovative models of care that met Alberta s need. Covenant Care provides continuing care at 6 facilities in 5 communities, providing a home for 538 seniors with another 310 suites under construction. Together, Covenant Health and Covenant Care have over 15,000 staff, physicians and volunteers working in 24 hospitals and seniors care centres in 15 communities across Alberta with a combined budget over $895 million. The third member of the family, Covenant Living, advances opportunities for seniors housing and other initiatives that are mission-aligned but not part of government funded programs. It operates on a market model, supporting the Covenant mission.. Covenant Health - Explore Covenant Health Hospitals & Care Centres to learn more or to get information to help you best access our services. Covenant Care - Explore Covenant Care to learn more or to get information to help you best access our services. 8 Printed July 15, 2018
Download Map of Covenant Facilities (PDF) 9 Printed July 15, 2018
MEDICAL AFFAIRS AT COVENANT HEALTH Location & Function Medical Affairs is the administrative arm that supports the Portfolio of the Vice-President, Medicine and Chief Medical Officer of Covenant Health. Dr.Owen Heisler, Vice-President Medicine & Chief Medical Officer of Medical Affairs, and Joanne Cowie, Corporate Director, Medical Affairs & IPC are responsible for the strategic direction of the administrative objectives of the portfolio, including budget, human resources, and staff leadership and development. Medical Affairs provides a number of services to support the relationship of Covenant Health to the privileged professional medical staff (physicians, dentists chiropracters and podiatrist) and manage all aspects of healthcare administration. Our Medical Affairs Department provides support services for all of our credentialed professional staff, and provides day-to-day support to our physician leadership team. The Vice-President and Chief Medical Officer is responsible for the Medical Staff role within Covenant Health, and similarly members of the Covenant Health Medical Leadership Structure are responsible for components of this. Some of the core responsibilities of the office include the following: i. Medical Leadership & Development ii. iii. iv. Medical Recruitment & Workforce Planning Appointments & Privileges Medical Education v. Administrative Coordination & Support to Medical Leadership vi. vii. viii. ix. Orientation Practitioner Dispute Resolution and Discipline Remuneration Medical Staff Wellness and Engagement Strategic Influence Medical Affairs staff stay up to date regarding Covenant Health and AHS strategic initiatives that impact the practice of medicine and/or medical training within Covenant Health and play a facilitative role in ensuring that the impacts of change on the medical 10 Printed July 15, 2018
staff are efficiently communicated, understood and considered. Medical Affairs also ensures that medical leaders and physicians are represented in strategic initiatives and communicated with as appropriate. Corporate Medical Affairs Location Main Floor of the Grey Nuns Hospital, Executive Administration 1100 Youville Drive West Edmonton AB T6L 5X8 Email: medicalaffairs@covenanthealth.ca Phone: 780.735.7185 Fax: 780.735.9921 Hours Monday to Friday, 8:15 a.m. to 4:30 p.m. Medical Staff Bylaws & Rules The Medical Staff Bylaws define the relationship between Covenant Health and Covenant Health practitioners (those physicians, dentists, oral and maxillofacial surgeons and podiatrists with a Covenant Health appointment). The rules outline in detail the terms and conditions on which Covenant Health may grant practitioners clinical privileges; the responsibility of the medical staff to Covenant Health for the quality and safety of all professional services provided by practitioners to patients and to Covenant Health; the responsibilities of the medical staff and Covenant Health to each other for the organization and conduct of the medical staff, and in particular, the processes relating to medical staff appointments and delineation of clinical privileges; and the administrative structures for the governance of practitioners working in Covenant Health facilities. Covenant Health Medical Staff Bylaws Covenant Health Medical Staff Rules Medical Staff Appointments and Clinical Privileges Upon appointment to Covenant Health medical staff, individual practitioners are expected to comply with the Covenant Health Medical Staff Bylaws and Rules and such approved amendments as may from time to time be made, and with applicable Covenant Health Policies, the Covenant Health Health Ethics Guide, and the Professional Code of Conduct of the relevant college, and/or the respective code of ethics of the relevant profession. Practitioners are also expected to comply with all obligations contained in contracts for 11 Printed July 15, 2018
service between a member of the Medical Staff and Covenant Health. In keeping with Covenant Health s focus on creating a respectful workplace, all practitioners are expected to demonstrate respect, accountability, transparency and engagement in their interactions with Covenant Health staff, colleagues and patients. In addition, practitioners are expected to participate in quality improvement programs and other mechanisms to maintain and enhance clinical practice standards and professionalism. For detailed information on appointments and the granting of clinical privileges, medical staff responsibilities, periodic reviews, etc., please refer to our Covenant Health Medical Staff Bylaws and Rules and Appointment Privileging Overview. Medical Leadership of Clinical Programs List of medical directors, facility chiefs & section leads (Click here to download pdf version) Medical Directors Edmonton Acute Care Grey Nuns Hospital Dr. Greg Hrynchyshyn Misericordia Hospital Dr. Robert Black Villa Caritas Dr. Candace Walker Medical Directors Continuing Care Edmonton General (Edmonton) Dr. Srinivasa Manchikanti St. Joseph's Auxiliary (Edmonton) Dr. Robert Bradstock Youville Home (St. Albert) Dr. Darryl LaBuick St Michaels (Lethbridge) Dr. Joel Weaver St Joseph's Home for Aged (Medicine Dr. Anthony Jeraj Hat) Medical Directors Covenant Care 12 Printed July 15, 2018
Dulcina Hospice (Calgary ) Dr. Rajeeve Sharma Foyer Lacome (St. Ablert) Dr. Ben Macedo Associate CMO Rural All Rural Sites listed below Dr. Guy Lamoureux Medical Directors Rural Banff Mineral Springs (Banff) Dr. Matthew McIsaac Bonnyville Health Centre (Bonnyville) Dr. Travis Webster St. Mary's Hospital (Camrose) Dr. Guy Lamoureux (interim) Our Lady of Rosary (Castor) Dr. David Hanton Killam Health Centre (Killam) Dr. Ahmed Meer Mary Immaculate Hospital (Mundare) Dr. Guy Lamoureux (interim) St Mary's Health Centre (Trochu) Dr. Anish Chari St. Joseph's General Hospital (Vegreville) Dr. Guy Lamoureux (interim) Facility Chiefs Grey Nuns Hospital Anesthesia Dr. Matthew Simmonds 13 Printed July 15, 2018
Cardiac Sciences Dr. Sanjay Sharma Child Health Dr. Michael Bowman Diagnostic Imaging Dr. Jordan English Emergency Dr. Patrick San Agustin Familly Medicine Dr. Irene Colliton Geriatrics Dr. Lotje Wasilenko Intensive Care Unit Dr. Dominic Carney Laboratory Dr. Maruf Saddik Medicine Dr. Amanda Brisebois Pallitative Care Dr. Robin Fainsinger Mental Health (Psychiatry) Dr. Jan Banasch Surgery Dr. Cliff Sample Women's Health Dr. Tom Corbett Facility Chiefs Misericordia Hospital Anesthesia Dr. Dorothy Hardy Cardiac Sciences Dr. Sayra Khandakar Child Health Dr. Shariff Shaik Diagnostic Imaging Dr. Malcolm Scott Emergency Dr. Korwin Cromwell Familly Medicine Dr. Grant Sawisky 14 Printed July 15, 2018
Geriatrics Dr. Marjan Abbasi Intensive Care Unit Dr. Ella Rokosh Laboratory Dr. Gregory Charrois Medicine Dr. Ben Sugars Mental Health (Psychiatry) Dr. Rick Gurke Surgery Dr. Gary Gray Women's Health Dr. Gail Black Acute Care Coverage Our Medical Affairs office is responsible for providing support to various clinical services and sites to ensure adequate, effective medical coverage is available to patients at Covenant Health acute care facilities. Support is provided by using a variety of acute care coverage providers such as licensed physicians working as clinical associates, international medical graduates working as clinical or surgical assistants, and residents providing service outside of their academic responsibilities working as physician extenders. See Acute Care Coverage section of Medical Staff Portal. If you are a physician and interested in opportunities as acute care coverage provider, you may call 780.735.2209 or email medicalaffairs@covenanthealth.ca. For AHS acute care coverage information, please call 780.735.0794 or visit AHS Insite. Code of Conduct Our Covenant Health Medical Staff Code of Conduct and Commitment to Ethical Integrity outlines the values, principles and standards of conduct that guide our actions and interactions. Our Covenant Health s Commitment to Ethical Integrity is our code of conduct it sets the standard and reinforces that as a member of the Covenant Health team, we are each accountable to uphold standards of behaviour and create the ethical culture by which our organization will be widely known. It is based on both rights and responsibilities. It protects and guides equally all of those who are part of, or work within, our health system. It is at the heart of the Covenant Health Bylaws and Rules, principles, directives, policies, 15 Printed July 15, 2018
procedures, protocols, standards, codes of practice and any other applicable guidelines, regulations and directives that set out how we conduct ourselves as physicians. Our promise to ethical integrity is grounded in the Health Ethics Guide. The guide is published by the Catholic Health Alliance of Canada and is approved by the Canadian Council of Catholic Bishops. It is our primary resource for ethical discernment and decision making. Individual members of the medical staff shall demonstrate their accountability and compliance with Covenant Health Bylaws, Covenant Health Policies, the Health Ethics Guide published by the Catholic Health Alliance of Canada, the relevant Professional Code of Conduct, and the respective code of ethics of the relevant profession. CPSA Code of Conduct The CPSA Code of Conduct clarifies the college s expectations for Alberta s physicians in all stages of their careers, in all facets of medicine, and in all methods of care delivery. The Code is consistent with the Canadian Medical Association s Code of Ethics and complements the CPSA s Standards of Practice. Alberta physicians are expected to know and abide by these rules. The CPSA Code of Conduct is the product of collaboration between the college and other key groups and a comprehensive consultation incorporating feedback received from physicians. Ethics at Covenant Health For more information, including steps in the decision-making process, key principles, and definitions, see our brochure Ethics at Covenant Health. Hard copies of this brochure are available by request through the Medical Affairs office. Helpful Links Ethics Services (COV) Code of Conduct (Medical Staff Portal) CPSA Code of Conduct (PDF) Alberta Health Services Code of Conduct (PDF) Canadian Medical Association Code of Ethics 16 Printed July 15, 2018
Concerns - Professional & Patient Healthcare Professional Concerns Most concerns are effectively dealt with at the first point of contact. If resolution is not achieved please escalate to your medical leader. If the issue still cannot be resolved you can bring your concern to your leader s superior. If the concern continues to persist, the next step would be to submit a written formal concern to your facility chief, site medical director or to the Chief Medical Officer, or designate. Concern From Patient Involving Patient Care All patient concerns regarding care by a physician are routed through Covenant Health Patient Relations and forwarded to Medical Affairs for review. A Triggered Initial Assessment [TIA] Part A as per MSB Section 6.3 (an investigation and initial assessment of a concern) may be initiated. (All information will be kept strictly confidential and will not be disclosed to anyone outside of the process unless agreed to, in writing, by all parties or required by law to ensure public and/or patient safety). A letter and a copy of the concern is sent to the affected practitioner for information. If further investigation is decided, TIA-Part B (Triggered Review) will be started and a letter and a copy of the concern is sent to the affected practitioner to provide written response to reviewer and a copy to the Associate Vice President (AVP) or designate, who then reviews responses and provides written assessment and any further actions needed. For detailed information regarding concerns see Staff Bylaws Concern Process Concerns Guide Curtailment of Privileges for Incomplete Charts Practitioners and Covenant Health share the responsibility to create and maintain an accurate health record of the care provided to every patient in Covenant Health facilities. In accordance with the AHS and Covenant Health Medical Staff Rules (Section 4.21.4), a shared AHS/COV process was initiated in 2012 for the Curtailment of Clinical Privileges for Incomplete Health Records. According to the Rules, if at any time a Practitioner accumulates ten or more Patient health records that have been incomplete for more than 28 days after they have been 17 Printed July 15, 2018
provided to the Practitioner for completion, or any single Patient health record has remained incomplete for more than 90 days after it has been provided to the Practitioner for completion, the Practitioner is eligible for curtailment of clinical privileges. For detailed information please refer to Medical Staff Portal web page "Curtailment of Privileges for Incomplete Charts.' Physician Wellness Health & Wellness Physicians are important role models for their patients and peers, which makes their own personal health an influential factor in health promotion and disease prevention. Physicians are characterized, in all of their interactions with patients, colleagues and support staff, by values of stewardship, integrity, collaboration, respect, compassion and social justice. The medical profession is demanding. Often physicians work long hours, with many patients and staff depending on them. The best interests of patients are served when physicians take time to meet their own needs and are continually aware of their own wellness. This means recognizing limits imposed by fatigue, stress or illness and taking care to ensure a healthy work-life balance. This is not always easy. Physicians set high expectations for themselves and may not immediately recognize either transient or longer term periods of incapacity. Recognition of transient incapacity is particularly difficult. Covenant Health recognizes the impact a medical career can have on a clinician s lifestyle and family. A Physician Wellness Committee is being created to address the physical, emotional and social needs of these very busy professionals. The purpose of Physician Wellness Committee will be to promote clinician well-being, prevent impairment from any cause and to assist clinicians who are impaired, or at risk of impairment, to return to the full, active, productive and satisfying practice of medicine, with no risk of patient harm. The Covenant Health Physician Wellness Committee will be available to offer confidential assistance when a clinician needs emotional or behavioural evaluation, support, guidance and referral. Find more information and resources regarding physician wellness, Please check back soon. 18 Printed July 15, 2018
Physician Absence Notification Process Notifying Medical Affairs As per section 4.16 of the Covenant Health Medical Staff Rules, Absence from a Covenant Health Site(s) of Clinical Activity, a Practitioner shall ensure requirements are met for coverage of all his/her responsibilities, and shall identify an alternative Practitioner to assume those responsibilities and to serve as Most Responsible Practitioner for his/her admitted Patients. The Practitioner providing coverage must have the appropriate Clinical Privileges. The Practitioner will document the identity of the covering Practitioner in the Patient s health record and shall inform the Patient, and/or his/her family and/or the Patient s Legal Representative. Leave of Absence Process Flowmap Key Messages The MS Rules are intended for medical staff to notify stakeholders if they are away from Clinical practice between 96 hrs and 45 days. Ifr you are working at multiple sites the 96 hr - 45 day rule does NOT apply when doing clinical work at another site. As per the MSR if you are taking vacation or on medical leave for greater than 96 hrs - 45 days you would complete the LOA form. 96 Hrs Coverage for patients during an absence of less than or up to 96 hours is provided through the on-call schedule of the service or group in which the practitioner participates, or by alternative prior arrangements. It is the physician s responsibility to make these arrangements and to ensure colleagues and healthcare team members are aware of the absence and coverage arrangements. > 96 Hrs 45 Days 19 Printed July 15, 2018
During an absence of greater than 96 hours, the provisions of section 4.15.2 of Medical Staff Rules for the formal transfer of responsibility must be fulfiled. In addition, notification of the absence and the identity of the covering practitioner will be provided to the relevant Covenant Health Facility medical director(s), who shall then forward this information to the Covenant Health Medical Affairs Office. Notification required to stakeholders as per Physician Absence Notification form or Medical Leadership Absence form. > 45 Days For an absence of greater than 45 consecutive days, a formal leave of absence is required and must be approved in advance by the Senior Vice-President, Medicine, or designate, upon the recommendation of the Covenant Health clinical department facility chief and/or the Covenant Health facility medical director(s). For absences greater than 30 days please forward email request for approval to the Medical Affairs office at medicalaffairs@covenanthealth.ca. The For absences greater than 45 days forward email request for approval to the Medical Affairs office at medicalaffairs@covenanthealth.ca. recommendation and approval to grant a leave of absence will be based on consideration of the reason(s) for the request, the responsibilities of the practitioner, workforce needs and the Practitioner Workforce Plan, and any other relevant matters. Only in exceptional circumstances will the length of a leave of absence exceed one year. If approved, you will receive a formal letter signed by the Vice-President, Medicine, & Chief Medical Officer, Covenant Health granting your leave of absence. For specific notification information and forms please view Physician Absence Notification or Medical Leadership Absence Notification. Organizational Structure 20 Printed July 15, 2018
Click to view fullsize chart (PDF) Medical Affairs Administrative Contacts Name Title Site Phone Fax Email Joanne Corporate MCH & 780.735.9144 780.735.9921 joanne.cowie@covenanthealth.ca Cowie Director, GNCH or 7124 or 9091 Medical Affairs & ICP Maureen Korzan Executive Associate & Team Lead Medical Affairs GNCH 780.735.7185 780.735.9921 maureen.korzan@covenanthealth.ca Darla Cote Executive Associate & Team Lead Medical Affairs MCH 780.735.2209 780.735.9091 darla.cote@covenanthealth.ca Breelyn Papillon Program Assistant (Casual) GNCH 780.735.9501 780.735.9921 breelyn.papillon@covenanthealth.ca Linette Morton- Banks Physician Workforce Assistant (PWA 5) GNCH 780.735.7561 780.735.9921 linette.mortonbanks@covenanthealth.ca Jill Gordeyko Physician Workforce Assistant (PWA 1) GNCH 780.735.7606 780.735.9921 jill.gordeyko@covenanthealth.ca Meaghan Schram Physician Workforce GNCH 780.735.7745 780.735.9921 meaghan.schram@covenanthealth.ca 21 Printed July 15, 2018
Assistant (PWA 4) Cindy Heathcote Medical Education & Medical Staff Secretary GNCH 780.735.7434 780.735.9921 cindy.heathcote@covenanthealth.ca Christy MacKinnon Medical Education & Medical Staff Secretary MCH 780.735.2991 780.735.9091 christy.mackinnon@covenanthealth.ca Milly Secratary MCH 780.735.9050 780.735.9091 milly.abraham@covenanthealth.ca Abraham Lacey Simmonds Program Assistant (Casual) MCH 780.735.9036 780.735.9091 lacy.simmonds@covenanthealth.ca Karen Administrative MCH 780.735.9994 780.735.9921 karen.anthony@covenanthealth.ca Anthony Assistant & or 9091 GNCH Karen Chilton Administrative Assistant Tawa 780.735.9940 780.735.9591 karen.chilton@covenanthealth.ca Leslie Pelletier Physician Workforce Assistant (PWA #2) GNH 780.735.7331 780.735.9921 leslie.pelletier@covenanthealth.ca PWA Assignments for Clinical Areas Edmonton Zone Facility Department Responsible Grey Nuns Misericordia Anesthesia Surgery Jill Gordeyko 22 Printed July 15, 2018
Villa Caritas Women s Health Youville Foyer Lacombe St Joseph Edmonton General Grey Nuns Misericordia Villa Caritas Youville Foyer Lacombe St Joseph Edmonton General Medicine Cardiac Sciences (CCU) Critical Care (ICU) Non-Appointed - All Areas ezone (Clinical Assistants, Physician Assistants, Surgical Assistants, Physician Extenders) Leslie Pelletier Grey Nuns Misericordia Villa Caritas Youville Foyer Lacombe St Joseph Edmonton General Addictions & Mental Health Family Medicine Geriatrics Palliative Care Meaghan Schram Grey Nuns Misericordia Villa Caritas Youville Foyer Lacombe St Joseph Edmonton General Child Health Diagnostic Imaging Emergency Medicine Laboratory Medicine & Pathology Linette Morton- Banks 23 Printed July 15, 2018
Calgary Zone Site Department Responsible Banff Dulcina (Calgary) All Areas Meaghan Schram Central Zone Site Department Responsible Camrose Castor Killam Mundare Trochu Vegreville All Areas Jill Gordeyko North Zone Site Department Responsible Bonnyville All Areas Linette Morton- Banks South Zone Site Department Responsible Lethbridge Medicine Hat All Areas Jill Gordeyko 24 Printed July 15, 2018
Medical Staff Portal/Website The Covenant Health Medical Staff Portal is a centralized source of information accessible to our medical staff anywhere (hospital, home or office) and gives us the ability to provide them with timely communication, relevant resources and immediate access to information they need. It offers a new environment of innovation, participation and engagement, better supporting our strategic initiatives. This website allows physicians access to corporate and clinical support services previously only available to them on the Covenant Health intranet - CompassionNet (behind the firewall). Check out some of the great features: Easily searchable Medical Staff Bylaws/Rules, Orientation manuals, etc. Find a Hospital Round or PMI course via the events calendar. Check out the latest news or alert. Submit a question to the Help line. This is a living website as such it constantly changes, updates and improves daily. Website Location Covenant Health Medical Staff Portal Want More Information? Contact Maureen Korzan 25 Printed July 15, 2018
CORPORATE / CLINICAL SUPPORT SERVICES Communication/Media Access Policy Corporate communications staff are to be notified if you are contacted directly by any media. Media are to be onsite only when granted access from Corporate Communications. Only a designated spokesperson may respond to media requests on behalf of Covenant Health or its facilities. Even if you ve initiated media contact for a story, Communications needs to be advised to ensure appropriate arrangements have been made and protocol is respected. Security will prohibit media from entering the building if they are not advised by communications staff of expected arrival. Questions: Covenant Health Media Relations Senior Advisor: Phone: 780.735.9930 Cell: 780.246.2523 Communications Corporate Office: 780.735.7766 Emergency Disaster Response Codes & Quick Reference Covenant Health s Emergency/Disaster Management office is responsible to work with sites/sectors within Covenant Health and Alberta Health Services to ensure that emergency/disaster management responses and business continuity plans are in place and that appropriate resources are identified and available to respond to emergency situations. Covenant Health site administrative leaders are responsible to demonstrate commitment by ensuring that emergency/disaster management response plans are in place and that staff have been provided opportunities to learn and practice response skills/techniques. Site sectors/programs are responsible to ensure their emergency/disaster management response plans are coordinated with the Covenant Health corporate plan and action items that result from an incident are communicated and completed in a timely fashion. Covenant Health contractors, employees, tenants, physicians and volunteers are responsible to follow disaster response protocols. Quick Code Reference ->Download Quick Code Reference or click on image below to enlarge 26 Printed July 15, 2018
Find Site Specific Code Definitions eclinician eclinician is a shared electronic medical record (also used by nurses and other colleagues within Alberta Health Services and Covenant Health) to schedule and record patient encounter information. All physicians who work in environments supported by eclinican must sign a Physician Participation Agreement (PPA). This is an AMA/CPSA supported direction with no opt out option. EClinician Contacts Contact your operational department manager for information/access to eclinician and associated forms. Alternatively, contact the eclinician Project Coordinator at 780.342-9031. Find more detailed information on eclinician or Information Sharing Framework. 27 Printed July 15, 2018
Ethics Ethics Overview Covenant Health Ethics sets the standard and reinforces that as members of the Covenant Health team, we are each accountable to uphold these standards of behaviour, and create the ethical culture by which our organization will be widely known. Edmonton Zone For urgent ethics consult requests dial the switchboard and ask for the on-call ethics consultant. Switchboard Covenant Health Edmonton: Onsite dial "0" Offsite 780.735.9000 More Information To learn more about Ethics Services, see Ethics Centre on this Medical Staff Portal For site specific contact information - see webpage Ethics Contacts. Covenant Health Ethics Guide The Health Ethics Guide is the foundational ethics resource used by Covenant Health. Key clinical and organizational policies, ethics consultations, and ethics education at Covenant Health are based on the principles contained in the Health Ethics Guide. It is also a defining document of our organizational identity referenced in the Cooperation and Service Agreement with Alberta Health Services. The guide is intended to help providers navigate the complex ethical issues encountered while providing service to the people in our care. The guide is also a key component of board orientation, leadership development programs for staff and the privileging process with physicians. Hard copies of the Health Ethics Guide are available at no charge from the Covenant Health Medical Affairs office or from your site administration office in continuing care or rural areas. Alternatively, copies can be requested from the Mission, Ethics and Spirituality Covenant Health Office by calling 780.735.9597. Infection Control Overview The purpose of Infection Prevention and Control is to facilitate, participate and collaborate in activities that prevent healthcare-associated infections in patients, staff and visitors. This is achieved through the integration of the knowledge and skills of all key stakeholders in healthcare delivery. Management personnel, frontline healthcare workers, 28 Printed July 15, 2018
patients, their families and the Infection Prevention and Control program must all work in collaboration to promote safety in practice and prevent infections from occurring. Covenant Health Infection Prevention & Control (IPC) team is dedicated to preventing infections acquired within healthcare facilities through the provision of infection prevention and control guidance to healthcare workers in the management of patients with suspected or confirmed diseases. The use of good infection control practices helps prevent infections from occurring while patients are in our healthcare facilities. For any IPC questions, please contact the main number at: GNCH: 780.735.7308 MCH: 780.735.2817 Rural: 780.679.2778 Learn more about Covenant Health Infection Control Interpretive Services Covenant Health is committed to providing quality healthcare services to all patients and residents. This requires reasonable attempts to overcome language barriers through the use of language interpretative services for patients, residents and families who do not speak English or have limited English proficiency. Interpretive services are available when patients, residents or family members request such services, or when healthcare providers determine that such services are required. Interpretive Services provides face-to-face interpretive services, conference calls, message relay, reminder calls and document translation for Covenant Health's healthcare professionals, patients, residents and families. To book an appointment, or if you have an immediate need you can book an interpreter by calling Interpretive Services at 780.735.9000. For more information and resources please visit Covenant Health Medical Staff Interpretive Services. Library Services Covenant Health Library Services provides quality, knowledge-based information that supports patient care and decision-making at all levels within Covenant Health, operating two site libraries - the Grey Nuns Health Sciences Library and the Misericordia Weinlos Library. Through these libraries, staff and physicians at all Covenant Health facilities have access to book, journal, and online resources covering a wide range of topics in medicine, nursing and allied health. They are a member of the NEOS Library Consortium - a cooperative library consortium consisting of hospital, government, college and university libraries that collaborate to share resources. Books & journals are included 29 Printed July 15, 2018
in the NEOS Library Catalogue. Covenant Health Library Services collaborates with Alberta Health Services Knowledge Resource Service to support health information needs throughout the region. Contact Library Services Literature searches, training, orientation and other inquiries: covenantlibrary@covenanthealth.ca Article and book requests and renewals: covenantlibraryarticlerequests@covenanthealth.ca Grey Nuns Community Hospital Health Sciences Library 0-Level, Room 0634 Phone: 780.735.7300 Fax: 780.735.7202 Email: CovenantLibrary@covenanthealth.ca Learn more about Library Services Occupational Health & Safety Overview Covenant Health is committed to providing a safe place to work for our employees, physicians, volunteers, students and contractors, and a safe environment for visitors and patients/residents. We will provide appropriate health and safety education, training and guidelines in support of continuous improvement. We expect our employees, physicians, volunteers, students and contractors to perform according to their responsibilities and legislative requirements in support of the overall goal of an uncompromising safe workplace. Behaviour that may jeopardize personal safety or the reputation of the organization is subject to discipline. Our goal is to have zero harm this means that we are working towards having no workplace hazards or injuries in any Covenant Health facility. Creating a safe and healthy workplace is part of Covenant Health s strategic directions to build and engage our team and to continuously improve quality and safety. Covenant Health s Occupational Health and Safety program helps to build this culture by providing guidance on the hallmarks of a safe and healthy workplace, by seeking continuous improvements in our practices and by providing increased staff training and education. Occupational Health services are provided by our Covenant Health occupational health nurses in consultation with physicians specialized in infectious diseases and occupational health. Occupational Health services are available to any Covenant Health staff, physician 30 Printed July 15, 2018
or volunteer. For further information on i. Needle stick injury or Splashs ii. Fit testing, iii. Reporting an injury, iv. Critical incident stress management v. Safety news/alerts Learn more about Covenant Health OH&S Body Fluid Exposure, Needlesticks Call 24/7 Workplace Incident/Injury Reporting Line 780-342-8070 (Edmonton area) 1-855-342-8070 (outside of Edmonton) Pharmacy Services Pharmacy Services are provided by: pharmacists monitoring drug therapy to ensure it is appropriate for the patient and making therapy recommendations. pharmacists providing direct patient care by reviewing patient clinical status and drug therapy, identifying drug-related problems, and working with the healthcare team to resolve them. the pharmacy department providing a safe, accurate, and timely drug distribution system. More Pharmacy Services Information can be found on Medical Staff Portal. Pharmacy Services Contact See Pharmacy Services Contacts page Prohibited Abbreviations, Symbols & Dose Designations Covenant Health is targeting the communication and education strategy towards high-risk 31 Printed July 15, 2018
medication abbreviations, symbols and dose designations as defined by the Institute of Safe Medication Practices (ISMP) to improve the effectiveness and coordination of communication among care and service providers. The abbreviations, symbols, and dose designation found on the Prohibited abbreviations DO NOT USE list have been reported as being frequently misinterpreted and involved in harmful and/or fatal medication errors. They should never be used when communicating medication information. A poster listing the prohibited abbreviations will be available in every patient care area and pharmacy. Find the complete list of Prohibited Abbreviations, Symbols and Dose Designations. Protective Services Community peace officers within Covenant Health provide a number of services to Covenant Health sites including complaint response, accident response, lost and found services, general patrol, alarm response, information and advice on safety, security, and crime prevention, traffic safety enforcement and public education services. Misericordia Hospital 780.735.7140 For More Information i. Covenant Health Medical Staff Protective Services ii. AHS Protective Services Website Quality & Patient Safety As healthcare providers, we are committed to ensuring that we are providing the safest and best care possible to our patients, residents and clients. At Covenant Health, we are committed to excel at providing quality care and service by: ensuring we deliver safe care and reduce harm. improving the patient, resident and family experience. exceeding performance expectations on standards and best practices by enhancing our capacity to use information to provide quality care and service. growing, innovating and integrating our acute care, continuing care and community programs and services to improve quality, access and sustainability. redeveloping our capital infrastructure to sustain quality care and service. 32 Printed July 15, 2018
These five commitments frame all of our activities related to quality and patient/resident safety. Together these commitments facilitate and support an environment where safe, quality care is delivered while ensuring that those we serve patients, residents and families are at the center of all that we do. Helpful Links Accreditation Adverse Events Falls Risk Management Medication Management Patient Relations RLS-Reporting & Learning System Quality & Safety News & Resources Contact Coordinator of Quality & Patient Safety: 780.735.9978 EMAIL Spiritual Care Chaplains offer a compassionate presence while providing emotional and spiritual care and counsel. Their presence promotes wholeness and the well-being of patients, residents, families, and staff. Chaplains honour all persons, respectful of their unique journey and the interweaving of health, cultural, philosophical, religious and spiritual traditions. Chaplains are integrated members of the healthcare team and provide spiritual leadership across Covenant Health sites. Access Chaplain Phone 780.735.9574 On Call Chaplain (24/7) Dial Switchboard at 0 Learn more about our Spiritual Care 33 Printed July 15, 2018
CONTINUING MEDICAL EDUCATION (CME) PLI Courses Continuing medical education (CME) and professional development are important aspects of the Canadian healthcare system. Courses offered by the Canadian Medical Association's (CMA s) Physician Learning Institute (PLI) can help you become a more effective leader. Alberta Health Services (AHS) has partnered with PMI to offer our practitioners specially designed leadership development opportunities. If you would like to attend a course outside your primary zone, please ensure you are put on the waitlist for the course by contacting medicalstaff.info@albertahealthservices.ca. PLI Courses Find AHS PLI Courses (Visit PLI page to see what courses are coming up in your zone. If you find a course that interests you, please fill out the PLI Registration Form.) Complete the registration form and email to Provincial Medical Affairs at ProvMAProfDevelopment@albertahealthservices.ca or fax to 403.943.1174 or call Lisa Beezley 403. 529.8993. Learning And Development Information Learning & Development Information Rounds & Telehealth - Find information Rounds For updated Rounds information please call: MCH call 780-735-2991 Telehealth For Telehealth Help in Edmonton MCH call 780-735-2991 To book a session: Telehealth Scheduler Current Schedules of Rounds can be searched on the Medical Staff Calendar After hours Telehealth Support 34 Printed July 15, 2018
North nor.telehealthscheduling@albertahealthservices.ca Edmonton: edm.telehealthscheduling@albertahealthservices.ca Central: cen.telehealthscheduling@albertahealthservices.ca Calgary: cal.telehealthscheduling@albertahealthservices.ca South: sou.telehealthscheduling@albertahealthservices.ca 35 Printed July 15, 2018
ESSENTIAL EDUCATION FOR MEDICAL STAFF Hand Hygiene Hand hygiene is the act of removing and/or killing microorganisms (germs) on the hands. When performed correctly, hand hygiene is the single most effective way to prevent the spread of communicable diseases and infections. In healthcare settings, hand hygiene is used to remove microorganisms that have been picked up through contact with patients, contaminated equipment or the environment. Hand hygiene may be performed either by using soap and running water, or with alcoholbased hand rubs. Access the Hand Hygiene Learning Module OHS Training Modules OHS Training Modules Occupational Health and Safety (OHS) has developed training courses for all leaders and employees of Covenant Health. Through a new learning initiative OHS is please to work collaboratively with Learning + Development and welcome CLiC - Covenant Learning Connection. The courses have been developed for directors, managers and supervisors. The training includes four key areas of occupational health and safety: OH&S Roles/Responsibilities, Incident Investigation, Workplace Inspections; and Hazard Identification, Assessment and Control. Access the training modules OH&S Contacts Email: OHS@covenanthealth.ca Edmonton: 780.342.8070 Toll-free: 1.855.342.8070 Privacy & Security The E-Learning module highlights key concepts of Alberta s privacy legislation, including the Health Information Act and the Freedom of Information and Protection of Privacy Act. It takes approximately 30 minutes to complete. All staff with direct access to personal or health information must complete this training, print off the Certificate of Completion and forward the certificate to their supervisor or manager. Note: When completing the module, please use the menu button to navigate from section to section. If you wish to complete the training in multiple sittings, you must use the same 36 Printed July 15, 2018
computer to ensure the e-learning module maintains a record of the portions you complete in each sitting. Access the Privacy & Security Awareness E-Learning Module Note: Please email a copy of the certificate to Medical Affairs and print a copy of the certificate for your records. 37 Printed July 15, 2018
HEALTH INFORMATION MANAGEMENT Transcription Dictation Services Medical Transcription services provides timely and accurate transcription/editing of clinical reports and distribution, with the main focus being on acute care dictation. The Dictation, Speech Recognition, Transcription (DST) platform is province wide at both Covenant Health and Alberta Health Services sites. The DST system allows for standardized tools and processes for both providers and medical transcriptionists, which provides better turn -around times and improved patient care. In 2014/15 all Covenant sites transitioned to the Dragon Medical 360 escription (Nuance) medical transcription platform, a speech recognition solution designed to fully integrate with the EHR and streamline clinical documentation. What Is EScription? Speech recognition solution designed to streamline documentation Transforms dictations into formatted draft documents that medical transcriptionists (MTs) quickly review and edit Physicians can electronically review, edit and sign transcribed reports Able to access the system on-site or remotely Contacts For ESscription/DST For Medical Transcription Questions: please contact the appropriate Supervisor or HIM Site Lead at your site. For technical assistance (e.g., cannot access dictation system), call the Information Centre Help Desk: 780.735.4357 i. Email: HIM.MT.Auditors.Covenant@albertahealthservices.ca After Hours Support DST Hotline: 1.844.944.3099 Edmonton Acute Sites dictation line: 22222 Toll-Free Dictation Line: 1.855.648.3117 38 Printed July 15, 2018
DST Resource Repository The Dictation Speech Recognition and Transcription (DST) Resource Repository holds all resource material required for physician dictation. This link contains all the information you need to dictate your reports and sign them using esignature. Please review the contents and become familiar with the tools that will help you transition to the new system. Two easy to follow elearning modules are contained within and all physicians are encouraged to take these prior to using the new system. Save the link http://www4.albertahealthservices.ca/elearning/wbt/dst/dst-resources/story.html as an ICON on your desktop - needs updated browser Internet Explorer 8 or higher, or Chrome, etc. Tip Sheets 5 Easy Steps to DST (pdf) Dictation Guidelines (pdf) ELearning Module Introduction To EScription This introduction to the system learning module is designed to be completed in approximately 10 minutes. visit the module now. How Do I Get A Speaker Code If you have questions or to obtain a Speaker Code for physicians, residents and students: Grey Nuns: 780.490.5903 (includes after hours & weekends) Misericordia: 780.735.2619 (includes after hours & weekends) All other Facilities: Please contact the appropriate Supervisor or HIM Site Lead at your site. DST Resource Repository 39 Printed July 15, 2018
The Dictation Speech Recognition and Transcription (DST) Resource Repository holds all resource material required for physician dictation. This link contains all the information you need to dictate your reports and sign them using esignature. Please review the contents and become familiar with the tools that will help you transition to the DST/escription system. Two easy to follow elearning modules are contained within and all physicians are encouraged to take these prior to using the new system. Save The Link http://www4.albertahealthservices.ca/elearning/wbt/dst/dst-resources/story.html as an ICON on your desktop - needs updated browser Internet Explorer 8 or higher, or Chrome, etc. Tip Sheets 5 Easy Steps to DST (PDF) FAQs for escription (PDF) Pocket Card EdmontonZone Urban (PDF) Pocket Card EdmontonZone Rural (PDF) How to save the DST ICON shortcut to Desktop (PDF) Viewing Dictate Deficiencies in Netcare (PDF) Chart Deficiency Instructions (PDF) Post Implementation DST Support (PDF) ELearning Module Introduction To EScription 40 Printed July 15, 2018
This introduction to the system learning module is designed to be completed in approximately 10 minutes. visit the module now. Data Collection & Required Clinical Documentation Effective documentation is the most important step in the documentation-coding-billing workflow. This documentation is used for the delivery and communication of care among caregivers, generating analytics, creating codes and metrics for profiling and reporting purposes. The quality of the documentation created by the physician at the start of this workflow affects every person and process that must use it afterwards. Contacts Dana Tate, Supervisor, Data Collection and Analysis, GNCH: 780.735.2532 Find detailed information on diagnosis codes Download Required Clinical Documentation(pdf) Clinical Documentation Learning Module (pdf) Documentation Tips (pdf) Palliative Care Documentation (pdf) i. Cardiology Tips ii. iii. iv. Endocrinology TIps ENT Tips Gastroenterology TIps v. Gen Surgery Tips vi. vii. viii. ix. General Conditions Tips Infectious Disease Tips Nephrology Tips Neurology Tips x. OBGYN Tips xi. xii. Orthopedics Tips Respirology Tips 41 Printed July 15, 2018
Alternate Level of Care [ALC] Designation i. ALC Standards Implementation Presentation (pdf) ii. iii. ALC Acute Inpatient Definitions & Guidelines (pdf) ALC Pocket Guide (pdf) Health Information Contacts ALL HIM Contacts - All Sites View Here 42 Printed July 15, 2018
INFORMATION & PRIVACY Covenant Health Confidentiality Policy Confidentiality of information is governed by Covenant Health policy and provincial law. You may have access to personal, health or other confidential information as part of your duties and responsibilities and you are obliged to handle that information in a secure and confidential manner in compliance with Covenant Health policies and the laws. In addition, there are rules and expectations related to accessing Alberta Health Services (AHS) information systems network and AHS/Covenant Health information systems. You may be required to comply with additional terms and conditions before accessing specific information systems. Upon appointment to Covenant Health, or to a new position within the organization, all medical staff must sign a confidentiality agreement acknowledging their understanding and agreement to comply with their obligations for properly handling and protecting personal and health information and the rules for accessing the Covenant Health information systems. Please ensure conversations regarding patients and patient care are held behind closed doors and not in public areas. All documentation containing any patient information cannot be removed from the hospital grounds. This includes pictures, patient lists and surgical slates. Personal computers, cell phones and tablets are not secure and shall not be used to store patient information. See Also: Information & Privacy on Medical Staff Portal Health Information Overview Covenant Health is subject to the Health Information Act (HIA) and the Freedom of Information and Protection of Privacy Act (FOIP). Together HIA and FOIP govern the collection, use and disclosure of individually identifying patient and staff information and the general business information of the organization. HIA Overview The Health Information Act (HIA) sets out the rules respecting the collection, use and disclosure of health information by custodians. Covenant Health is a custodian of health information under the HIA and our employees, volunteers, students or those providing services under a contract or agency relationship are affiliates. Affiliates are bound by the same rules in the HIA as their employer. The Freedom of Information and Protection of Privacy Act sets out the rules respecting the collection, use and disclosure of general and personally identifying information held by public bodies. 43 Printed July 15, 2018
For more information about the Health Information Act, visit the Alberta Health website If you have specific questions about the HIA, talk to your supervisor or contact the Privacy office at 780.735.9189 or privacy@covenanthealth.ca. Information Sheets Health Information Act (HIA) Overview (PDF) Freedom Of Information & Protection of Privacy (FOIP) Overview (PDF) Key Messages for Employees (PDF) Visit our Information & Privacy section for more information. FOIP Overview The Freedom of Information and Protection of Privacy Act (FOIP) sets out the rules respecting the collection, use and disclosure of general and personally identifying information held by public bodies. Personal information includes any recorded information about an identifiable individual, except for health information. Examples of personal information include employee information and information held in Protective Services about individuals who are not patients. General information includes all non-personal information. All Covenant Health business, financial, planning or other administrative records would contain general information. FOIP Requests All written requests citing the FOIP Act must be forwarded as soon as they are received to the Privacy Office by fax 780.735.2774 or email privacy@covenanthealth.ca. For more information about the Freedom of Information and Protection of Privacy Act, visit the Alberta Government website If you have specific questions about FOIP, talk to your supervisor or contact the Privacy office at 780.735.9189 or privacy@covenanthealth.ca. To request access to patient information call the Access and Disclosure area at GNCH: 780.735.7268. Find more information & resources on this site. 44 Printed July 15, 2018
Information Sheets Health Information Act (HIA) Overview (PDF) Freedom Of Information & Protection of Privacy (FOIP) Overview (PDF) Key Messages for Employees (PDF) Privacy Covenant Health is subject to the Health Information Act (HIA) and the Freedom of Information and Protection of Privacy Act (FOIP). Together HIA and FOIP govern the collection, use and disclosure of individually identifying patient and staff information and the general business information of the organization. Privacy & Security Awareness E-Learning Module The E-Learning module highlights key concepts of Alberta s privacy legislation, including HIA and the FOIP Act. It takes approximately 30 minutes to complete. All staff with direct access to personal or health information must complete this training, print off the Certificate of Completion and forward the certificate to their supervisor or manager. Find more information on the Privacy elearning Module Information Sheets Health Information Act (HIA) Overview (PDF) Freedom Of Information & Protection of Privacy (FOIP) Overview (PDF) Key Messages for Employees (PDF) Contact Privacy General Privacy Inquiries Email: privacy@covenanthealth.ca Phone: 1.866.254.8181 Social Media 45 Printed July 15, 2018
Covenant Health supports the use of social media to exchange ideas and build meaningful relationships to improve health and health care delivery. All staff, physicians, volunteers, students and any other persons acting on behalf of Covenant Health shall comply with the requirements identified in the Covenant Health Social Media Engagement Guidelines (Appendix A of attached Policy ) when using social media for business reasons. Covenant Health staff must receive authorization from a director/manager prior to representing Covenant Health on social media platforms for business purposes. Personal, private, confidential or internal information about staff, patients, residents and Covenant Health business matters obtained as part of an employment relationship with Covenant Health must never be disclosed using social media professionally or personally COV Social Media Policy 46 Printed July 15, 2018
MEDICAL STAFF ASSOCIATION Welcome from the MCH MSA President Welcome from the MCH MSA President Dr. Pauline Alakija Welcome to the Misericordia Community Hospital (MCH). The Misericordia Medical Staff Association (MSA) represents physicians at the Misericordia to the Covenant Health Board of Alberta and administration. The president serves as an ex-officio member of the Board of Directors of Covenant Health of Alberta. The association is also represented at: Facility Medical Advisory Committee (FMAC) meetings Provincial Medial Executive Committee (PMEC) Edmonton Zone Medical Staff Council Association (EZMSA) I am honored to be the President of the Misericordia Medical Staff Association and I take this position of advocacy seriously. This Medical Staff Association connect you with your colleagues and medical leaders in Covenant and AHS. Please utilize this Association to influence matters that affect you and your patients. We are lucky to have leaders such as Bob Black and Owen Heisler and I plan to communicate closely with both of them. It is important that you bring issues to me or to our Quarterly Medical Staff Meetings. Our upcoming Quarterly Staff Meeting will be held on December 13 at 5-6:30pm. Add this date to your calendar and bring your concerns, issues, and suggestions for improving your work environment. There is a history of the Misericordia Medical Staff having camaraderie and a feeling of community. Please help continue this positive culture by attending the social functions like the Annual Spring Dinner and the Christmas Dinner, My office is located in the main floor in the Pathology Department. You are welcome to visit me there or phone me on my cell at 780-707-0566. Read More - Dr. Pauline Alakija MCH MSA Dues Dues Paid Annually (April 1-March 31) The Misericordia fee this 2017-18 fiscal year is $350. Medical staff dues provide for payment of a modest honorarium for the president, medical staff dinners, the Annual Spring Dinner, the Christmas Dinner, the use of the doctors' lounge and other 47 Printed July 15, 2018
expenditures as required. If the Misericordia is your prime site, you are requested to pay these dues as part of your membership in the MCH Medical Staff Association. You are not expected to pay dues for more than one site. Therefore, if the Misericordia is not your principal site, and you are paying dues for the site association at another site within the Edmonton Zone, you are not expected to pay dues at the Misericordia. Only processing of annual reciprocal parking is done through this office. Processing of all other forms of parking will be through the MCH parking office, 8th Floor Cabrini Building, Room 817. ID Badge, Mailbox, Lab Coats, Lockers ID Badge Once privileges have been approved, an ID/access badge is provided by Parking Services Office (780.735.2503) Mailbox Site mailboxes in the physician lounge are granted once dues are paid. Please see Medical Affairs for mailbox assignment. Lab Coats You can obtain lab coats from the Uniform Issue Room (Room B-133) in Level O. Hours: Monday to Friday, 7 a.m. to noon and 12:30 to 2:45 p.m. Lockers Lockers are available in the physician lounge. They are assigned. If you would like a locker please see Medical Affairs. Physicians Lounge A lounge for the use of the medical staff is provided on the main floor in Room 1N-108. Basic amenities are provided along with three computers and a printer which are available for your use. ID Swipe Card access is required to enter the lounge, which can be obtained from Parking Office on the main floor, Monday to Friday, 7 a.m. to 3:45 p.m. Access to physician lounge is granted once medical staff dues are paid. MSA Website MSA Website Location 48 Printed July 15, 2018
Misericordia Medical Staff Association Events Calendar Medical Staff Association Events Edmonton Zone Medical Staff Association (EZMSA) The EZMSA will offer an opportunity for meaningful engagement for practitioners and a strong unified voice. The EZMSA is the formal voice of advocacy for practitioners in the Edmonton Zone. The members include practitioners, medical staff of hospitals, continuing care facilities, PARA, PCN and Non-PCN based community physicians, community-based specialists, dentists and oral surgeons, clinical scientists and podiatrists amongst others. It is paramount that issues concerning practitioners and the patients we serve, particularly those related to access and quality, are heard and receive appropriate attention. It is our goal to have all medical staff in the zone join and participate in the activities of this Medical Staff Association. Without our presence, the voice of busy clinicians working daily to provide world class care may not be heard. For more EZMSA information - View Here 49 Printed July 15, 2018