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

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Exceeding Expectations Courtesy Teamwork • Services throughout the continuum are superior, coordinated and patient-centered • The physical and emotional environments are welcoming, professional, and confidenceinspiring. Associates prefer to work at Montefiore because they: • Make a difference in people’s lives • Feel listened to and valued for who they are and what they do • Recognize, respect and thank each other • Have opportunities for learning, career development, and advancement • Experience a work environment that has clear expectations and is ethical, equitable, and appreciates diversity • Lead and are led in ways that encourage growth, innovation, and outstanding results. • Have a competitive pay and benefits package • Celebrate successes and have fun • Work as a great team 6
TABLE OF CONTENTS SECTION 1- General Information Frequently Used Numbers 12 Banking Facilities 19 SECTION 2- Medical Staff and House Staff MEDICAL STAFF Credentialing Office 21 Privileges and Appointment to the Medical Staff 21 Medical Staff Reappointment 21 Change of Status 22 Change of Address/Practice Location 22 Provider Relations Office 22 MIPA/CMO 23 MIPA Referral Management Process 23 CMO Important Telephone Numbers 25 HOUSE STAFF House Staff Office 27 Committee on Graduate Medical Education 27 General Essentials of Accredited Residencies 28 Approval and Accreditation 28 Institutional Requirements 28 Sponsoring Institution 28 Educational Administration 28 Institutional Agreements 30 Accreditation for Patient Care 30 Resident Eligibility and Selection 31 Resident Participation in Educational Activities 32 Resident Support, Benefits and Conditions of Employment 32 Resident Supervision, Duty, Hours and Work Environment 34 Licensing 35 DEA Registration Number 35 Malpractice Insurance 35 Procedures for Evaluation, Supervision, and Due Process 35 The Effects of Leave of Absence from a Program 37 House Staff Maternity Leave Policy 37 House Staff Sick Leave Policy 38 House Staff Vacation Policy 38 House Staff Benefit Plans 38 Limitation of House Staff Hours 38 Moonlighting 38 Physician Impairment and Drug Abuse Policy 39 Pre-Appointment and Annual Physical Examinations 39 7
Page 1 and 2: Medical Staff House Staff Orientati
Page 3 and 4: We would like to take this opportun
Page 5: Montefiore’s Institute for Reprod
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
Page 55 and 56: Briggs Avenue Academy 3010 Briggs A
Page 57 and 58:
Nurse: Maria Campos, LPN Sheila Mon
Page 59 and 60:
Gloria Feliciano - Director FRANKLI
Page 61 and 62:
ANESTHESIOLOGY Chairman 718-920-280
Page 63 and 64:
Director John Fisher, MD 718-920-42
Page 65 and 66:
Christine Clarke 718-920-5996 PROGR
Page 67 and 68:
SOCIAL PEDIATRICS 3544 Jerome Ave.
Page 69 and 70:
Vladimir Kvetan, MD 718-920-5440 De
Page 71 and 72:
Residency Program Director Eugene S
Page 73 and 74:
No procedure can be performed until
Page 75 and 76:
Bronx, New York 10461 Administrativ
Page 77 and 78:
Director, Education Programs Rasim
Page 79 and 80:
North Central Bronx Hospital 718-51
Page 81 and 82:
Arlene Saunders 718-741-2492 Admini
Page 83 and 84:
printed name of the referring physi
Page 85 and 86:
The radiology department at Jack D.
Page 87 and 88:
Pediatric Surgery 718-920-7200 Burt
Page 89 and 90:
SECTION V • POLICIES AND PROCEDUR
Page 91 and 92:
Note: This summary contains key poi
Page 93 and 94:
WHERE: • Advance directives are a
Page 95 and 96:
• family has moral or religious o
Page 97 and 98:
• OD1091-4 Affidavit of Close Fri
Page 99 and 100:
Bioethics (Moses) 718- 920-6226 (We
Page 101 and 102:
HOW: • Capacitated patients may r
Page 103 and 104:
VERIFICATION OF OPERATIVE PROCEDURE
Page 105 and 106:
INFECTION CONTROL PROGRAM Moses Nur
Page 107 and 108:
person who feels that he/she may be
Page 109 and 110:
CONTROLLED SUBSTANCES IN THE MEDICA
Page 111 and 112:
• Practitioners will immediately
Page 113 and 114:
One Quality Improvement Plan exists
Page 115 and 116:
SECTION VI • SERVICE DEPARTMENTS
Page 117 and 118:
Legal Certificates 718-904-3456 Fin
Page 119 and 120:
CHILD PROTECTION CENTER The Childre
Page 121 and 122:
CME REQUIREMENTS: Attending physici
Page 123 and 124:
Hours: Monday - Friday 8:00AM - 5:0
Page 125 and 126:
delivery system. Medical record inf
Page 127 and 128:
All physician orders whether writte
Page 129 and 130:
additional information is uncovered
Page 131 and 132:
THE TISHMAN LEARNING CENTER HEALTH
Page 133 and 134:
MAILROOM MOSES Brown Zone, Moses Ba
Page 135 and 136:
The mission of the Occupational Hea
Page 137 and 138:
• Families and caregivers need as
Page 139 and 140:
The Patient Safety Officer and the
Page 141 and 142:
Unified Director of Pharmacy Frank
Page 143 and 144:
successful, expanded to other areas
Page 145 and 146:
• Professional Misconduct • Pho
Page 147 and 148:
Outpatient testing, evaluation and
Page 149 and 150:
Office Coordinator Lillian Zambardi
Page 151 and 152:
E Educational Administration 28 Eme
Page 153 and 154:
Paychecks, House Staff 40 Pediatric
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