Medical Staff House Staff Orientation Manual - Montefiore Medical ...

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MONTEFIORE MEDICAL CENTER - AN OVERVIEW Montefiore Medical Center is a large, nonprofit, integrated health system and one of America's foremost academic medical centers. Montefiore seeks to improve health by delivering highquality patient care, producing superbly trained health professionals, advancing medical knowledge through imaginative research, and by reaching out to the community with new approaches to pressing problems that are often considered beyond the traditional medical mission. Montefiore is the University Hospital and Academic Medical Center for the Albert Einstein College of Medicine and shares with that distinguished institution an outstanding faculty of clinicians and scientists. These highly skilled professionals, engaged in exciting research initiatives, bring to patient care and physician training the fruits of their investigations, the most current scientific knowledge and the most sophisticated medical technologies. Countless patients have been helped, and their lives extended and enhanced, by innovations that Montefiore physicians have conceived, perfected and trained others to use. Montefiore serves the 1.3 million residents of the Bronx, 500,000 neighbors in nearby Westchester County, and persons referred from across the region and the nation. The medical center treats people, not just diseases, and offers a full range of services, including preventive, primary, specialty, acute and long-term care. Serving people of all ages, from newborns to the elderly, Montefiore offers special programs for specific age groups, such as the MontePlus Club, which provides senior citizens with a wide variety of health and fitness programs, educational events and discounts on products and services. Montefiore is widely recognized for its distinctive combination of cutting-edge medicine, caring response to patients and their families and commitment to community needs. Service to the community at large, not simply to those who come through its doors seeking help, has been a longstanding Montefiore tradition and an explicit component of its mission. This community commitment has resulted in a major expansion of basic health services in underserved neighborhoods and national models for combating AIDS, lead poisoning, child abuse and other intractable problems. Far more than a collection of services, Montefiore is a multilevel, interconnected and integrated delivery system, accredited with commendation by the Joint Commission on Accreditation of Healthcare Organizations. At the center of the system are three acute care hospitals, the 600-bed Henry and Lucy Moses Division and the 106-bed Children’s Hospital at Montefiore, both in the northwest Bronx and the 334-bed Jack D. Weiler Hospital of the Albert Einstein College of Medicine in the east Bronx. Together they provide nearly 56,000 inpatient stays annually. More than 3.4 million ambulatory visits are provided annually in Montefiore's emergency rooms, hospital-based outpatient department and primary and specialty care sites in the Bronx and Westchester County. Montefiore operates the oldest and one of the largest hospital-based home health agencies in the nation, with 400,000 visits made annually. Rehabilitation care is provided at the 22-bed Lubin Rehabilitation Center on the Weiler-Einstein Campus. A hospice program offers palliative care and family support services. Under the leadership of President Spencer Foreman, MD, Montefiore has undertaken a major expansion of its ambulatory care facilities, which has greatly improved access and increased patient service. The Montefiore Medical Group, a network of neighborhood health centers in the Bronx and southern Westchester County, has grown to more than 20 sites, which provide more than 600,000 patient visits annually. Specialty centers in Westchester include 4
Montefiore’s Institute for Reproductive Medicine and Health in Hartsdale, the Cross County Women’s Center in Yonkers and the Women's Center in Larchmont. Montefiore’s Centers of Excellence coordinate a full range of care for patients with highly specialized needs. The internationally recognized Centers of Excellence include: 1)The Children's Hospital at Montefiore (CHAM); completed in 2001, the CHAM is a model for pediatric care in the 21st century and the hub of a unique family-centered Child Health Network, 2) Women’s Health, which features excellent obstetrical care, a level 3 NICU, care for mothers with high risk pregnancies, Assisted Reproductive Technology Program for women with fertility problems, 3) Surgery, which features the Montefiore Institute for Minimally Invasive Surgery (MIMIS), 4) Montefiore-Einstein Heart Center treats virtually every type of heart disease or heart problem and features minimally invasive heart surgery and a designated heart transplant center, and 5) Montefiore-Einstein Cancer Center; designated as elite NCI (National Cancer Institute) Comprehensive Cancer Center, multidisciplinary teams offer a full range of cancer prevention, diagnosis and treatment services. Major new initiatives continue to enhance clinical excellence, customer service and access to the Montefiore system. To speed the flow of information and enhance quality across its extensive system, Montefiore has made major investments in information systems, which link the entire network through on-line patient care and business databases. Together with the Contract Management Organization (CMO), Montefiore has also been a leader in preparing for managed care, building an infrastructure that can accept and handle risk and that is widely recognized as the region's best hospital-based care-managing system. The Service Excellence initiative promotes a commitment by all Montefiore associates to participate in the creation of an exceptional health care delivery system that consistently meets and exceeds patients’ and all other customers’ requirements. The Customer Relationship Management initiative strives to provide easy access to Montefiore patients and providers by offering centralized services for referrals, appointment scheduling and billing inquiry through the CMO Call Center. Montefiore’s Vision for Service Excellence Service Excellence is a commitment by all Montefiore associates to participate in the creation of an exceptional health care delivery system that consistently meets and exceeds patients’ and all other customers’ requirements. Patients prefer Montefiore because they are assured an exceptional experience that promotes health and healing where: • Quality clinical outcomes are achieved with a high level of responsiveness to patients’ anxiety, pain, and personal needs. • They and their families are: • Valued as partners in the care process, • Listened to and educated, • Served by associates that demonstrate our Standards for Service Excellence. The seven Standards are: Respect Effective Communication Sensitivity Professionalism 5
Page 1 and 2: Medical Staff House Staff Orientati
Page 3: We would like to take this opportun
Page 7 and 8: TABLE OF CONTENTS SECTION 1- Genera
Page 9 and 10: Plastic and Reconstructive Surgery
Page 11 and 12: SECTION 1 • GENERAL INFORMATION 1
Page 13 and 14: Contract Management Organization (C
Page 15 and 16: Neurology M 4656 3351 Steuben A 316
Page 17 and 18: MOSES NURSING STATIONS C 741-2377 P
Page 19 and 20: M 5584 Lupus Clinic M 5584 Neurolog
Page 21 and 22: MEDICAL STAFF CREDENTIALING OFFICE
Page 23 and 24: MONTEFIORE INTEGRATED PROVIDER ASSO
Page 25 and 26: • Referral by the ED physician is
Page 27 and 28: HOUSE STAFF OFFICE 150 East 210th S
Page 29 and 30: • Institutions must have a GME Co
Page 31 and 32: accreditation, then the institution
Page 33 and 34: and the conditions under which livi
Page 35 and 36: • Patient support services, such
Page 37 and 38: following: counseling, appointment
Page 39 and 40: Physician Impairment and Drug Abuse
Page 41 and 42: participants the opportunity to com
Page 43 and 44: WALDO AVENUE SHUTTLE Those resident
Page 45 and 46: First Year Residents: Assignments o
Page 47 and 48: SECTION III • MONTEFIORE MEDICAL
Page 49 and 50: Administrator: Jennifer Ortiz Medic
Page 51 and 52: Medical Director: Marta Rico, MD, A
Page 53 and 54: 2532 Grand Concourse Bronx, New Yor
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Briggs Avenue Academy 3010 Briggs A
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Nurse: Maria Campos, LPN Sheila Mon
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Gloria Feliciano - Director FRANKLI
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ANESTHESIOLOGY Chairman 718-920-280
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Director John Fisher, MD 718-920-42
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Christine Clarke 718-920-5996 PROGR
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SOCIAL PEDIATRICS 3544 Jerome Ave.
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Vladimir Kvetan, MD 718-920-5440 De
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Residency Program Director Eugene S
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No procedure can be performed until
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Bronx, New York 10461 Administrativ
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Director, Education Programs Rasim
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North Central Bronx Hospital 718-51
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Arlene Saunders 718-741-2492 Admini
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printed name of the referring physi
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The radiology department at Jack D.
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Pediatric Surgery 718-920-7200 Burt
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SECTION V • POLICIES AND PROCEDUR
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Note: This summary contains key poi
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WHERE: • Advance directives are a
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• family has moral or religious o
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• OD1091-4 Affidavit of Close Fri
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Bioethics (Moses) 718- 920-6226 (We
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HOW: • Capacitated patients may r
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VERIFICATION OF OPERATIVE PROCEDURE
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INFECTION CONTROL PROGRAM Moses Nur
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person who feels that he/she may be
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CONTROLLED SUBSTANCES IN THE MEDICA
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• Practitioners will immediately
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One Quality Improvement Plan exists
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SECTION VI • SERVICE DEPARTMENTS
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Legal Certificates 718-904-3456 Fin
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CHILD PROTECTION CENTER The Childre
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CME REQUIREMENTS: Attending physici
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Hours: Monday - Friday 8:00AM - 5:0
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delivery system. Medical record inf
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All physician orders whether writte
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additional information is uncovered
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THE TISHMAN LEARNING CENTER HEALTH
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MAILROOM MOSES Brown Zone, Moses Ba
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The mission of the Occupational Hea
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• Families and caregivers need as
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The Patient Safety Officer and the
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Unified Director of Pharmacy Frank
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successful, expanded to other areas
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• Professional Misconduct • Pho
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Outpatient testing, evaluation and
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Office Coordinator Lillian Zambardi
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E Educational Administration 28 Eme
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Paychecks, House Staff 40 Pediatric
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