Meetings - Revision history

LiamG: /* Case Review Processes and Meetings */

2023-04-05T21:20:02Z

Case Review Processes and Meetings

← Older revision		Revision as of 21:20, 5 April 2023
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	From least detailed to most detailed discussion. Generally, cases are not referred to multiple reviews (e.g. if a case is going to be discussed at Trauma Review it will not be discussed at C&C or M&M). PI is the only case referral process that can result in disciplinary action. Concerns regarding individual providers may also be raised to the department heads or to the Chief of Staff.		From least detailed to most detailed discussion. Generally, cases are not referred to multiple reviews (e.g. if a case is going to be discussed at Trauma Review it will not be discussed at C&C or M&M). PI is the only case referral process that can result in disciplinary action. Concerns regarding individual providers may also be raised to the department heads or to the Chief of Staff.

	===Critical ~~case review~~ (CCR)===		===Critical Case Review (CCR)===
	What it is: CCR is a process by which providers receive an involved discussion of a critical or complicated case by their peers. Cases are reviewed by permanent staff not involved in the case and discussed quarterly. Although cases are autogenerated based on outcomes (intubations, transfers, etc.) any case which a provider would like reviewed in an investigative but non-punitive format can be subject to CCR.		What it is: CCR is a process by which providers receive an involved discussion of a critical or complicated case by their peers. Cases are reviewed by permanent staff not involved in the case and discussed quarterly. Although cases are autogenerated based on outcomes (intubations, transfers, etc.) any case which a provider would like reviewed in an investigative but non-punitive format can be subject to CCR.

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	How often: Quarterly.		How often: Quarterly.

	===Care and ~~collaboration~~ (C&C)===		===Care and Collaboration (C&C)===
	What it is: C&C is a friendlier version of M&M with a focus entirely on education. Cases are 20-30 minutes in length. Cases for C&C typically do not have bad outcomes. Complex cases, interesting pathology, or cases which highlight a particular aspect of patient care are appropriate for C&C.		What it is: C&C is a friendlier version of M&M with a focus entirely on education. Cases are 20-30 minutes in length. Cases for C&C typically do not have bad outcomes. Complex cases, interesting pathology, or cases which highlight a particular aspect of patient care are appropriate for C&C.

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	How often: As needed, up to monthly.		How often: As needed, up to monthly.

	===Morbidity and ~~mortality~~ (M&M)===		===Morbidity and Mortality (M&M)===
	What it is: M&M is an hour-long presentation on a single case, typically with a suboptimal outcome which demonstrates key management points in regards to a disease process and highlights potential for system improvement. M&M can look critically at both provider management and systems processes but is non-punitive as information is for education benefit.		What it is: M&M is an hour-long presentation on a single case, typically with a suboptimal outcome which demonstrates key management points in regards to a disease process and highlights potential for system improvement. M&M can look critically at both provider management and systems processes but is non-punitive as information is for education benefit.

LiamG at 21:19, 5 April 2023

2023-04-05T21:19:31Z

LiamG at 21:17, 5 April 2023

2023-04-05T21:17:24Z

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 ==Calendar==
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 |- style="vertical-align:top;"
 |1ST
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 ==Required and Recommended Meetings==
 * Thursday 1100: Inpatient Rounds (Required if doing regular daytime rotations)

LiamG at 21:16, 5 April 2023

2023-04-05T21:16:08Z

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 !style="width:200px; text-align:center;color:blue"|FRIDAY
 |- style="vertical-align:top;"
 |1ST

LiamG at 22:09, 19 December 2022

2022-12-19T22:09:28Z

← Older revision		Revision as of 22:09, 19 December 2022
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	[[file:Meetings.PNG]]		[[file:Meetings.PNG]]

			[[media:YKHC_Case_Review_Processes_and_Meetings.pdf\|Case Review Processes and Meetings]]

	==Calendar==		==Calendar==

JenniferH: /* Calendar */

2021-07-21T19:21:08Z

Calendar

← Older revision		Revision as of 19:21, 21 July 2021
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	<BR/> All Out-Patient Staff Meeting		<BR/> All Out-Patient Staff Meeting
	<br/>Suboxone/Opioid Committee		<br/>Suboxone/Opioid Committee
			<br/>Inpatient Rounds
	\|1ST		\|1ST
	<br/>High Risk OB (HROB)		<br/>High Risk OB (HROB)
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	\|2ND		\|2ND
	<br/>Suboxone/Opioid Committee		<br/>Suboxone/Opioid Committee
			<br/>Inpatient Rounds
	\|2ND		\|2ND
	<br/>High Risk OB (HROB)		<br/>High Risk OB (HROB)
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	<br/> EHR/Provider RAST Committee		<br/> EHR/Provider RAST Committee
	<br/>Suboxone/Opioid Committee		<br/>Suboxone/Opioid Committee
			<br/>Inpatient Rounds
	\|3RD		\|3RD
	<br/>High Risk OB (HROB)		<br/>High Risk OB (HROB)
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	\|4TH		\|4TH
	<br/>Suboxone/Opioid Committee		<br/>Suboxone/Opioid Committee
			<br/>Inpatient Rounds
	\|4TH		\|4TH
	<br/>High Risk OB (HROB)		<br/>High Risk OB (HROB)

JenniferH: /* Required and Recommended Meetings */

2021-07-21T19:16:17Z

Required and Recommended Meetings

← Older revision		Revision as of 19:16, 21 July 2021
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	==Required and Recommended Meetings==		==Required and Recommended Meetings==
	~~'''Time''': 11:00am~~		* Thursday 1100: Inpatient Rounds (Required if doing regular daytime rotations)

	* Thursday: Inpatient Rounds ~~on North Wing~~ (Required if doing regular daytime rotations)

JenniferH: /* Meeting Locations */

2021-07-21T19:15:33Z

Meeting Locations

← Older revision		Revision as of 19:15, 21 July 2021
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	==Meeting Locations==		==Meeting Locations==
	*~~CHSB = Paul John Board Room –~~ across ~~the street 3rd floor Admin bldg.~~		*BB (''Blueberry (across from ED just past FastTrack'')
	*~~HCRD = Halibut Conference Room~~ (~~A1302)~~		*BBA (''Blueberry (sideA-front)'')
	*KCRD = King Conference Room (~~B1146~~)		*BBB (''Blueberry (sideB-back)'')
	*PCRD = Pike Conference Room (C1144)
	*~~SCRD = Silver Conference Room~~ (~~D1101~~
	WAC = Wellness Center Activity Room (~~2nd floor~~)
	*BHCR = Behavioral Health Conference Room
	*CHSB = Community Health Services Building
	*PJBR = Paul John Board Room (CHSB)

	==Required and Recommended Meetings==		==Required and Recommended Meetings==

JenniferH: /* Calendar */

2021-07-21T19:13:45Z

Calendar

← Older revision		Revision as of 19:13, 21 July 2021
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	\|- style="vertical-align:top;"		\|- style="vertical-align:top;"
	\|2ND		\|2ND
			<br/>Credentialing Committee (MSEC)
	\|2ND		\|2ND
	*Grand Rounds		<br/>Grand Rounds
	*Credentialing Committee (MSEC)		<br/> Medical Staff Executive (MSEC) Committee
	\|2ND		\|2ND
	~~<br/> Medical Staff Executive (MSEC) Committee~~
	\|2ND		\|2ND
	<br/>Suboxone/Opioid Committee		<br/>Suboxone/Opioid Committee

JenniferH: /* Calendar */

2021-07-21T19:11:39Z

Calendar

← Older revision		Revision as of 19:11, 21 July 2021
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	\|1ST		\|1ST
	<BR/> All Out-Patient Staff Meeting		<BR/> All Out-Patient Staff Meeting
			<br/>Suboxone/Opioid Committee
	\|1ST		\|1ST
	<br/>High Risk OB (HROB)		<br/>High Risk OB (HROB)
	\|- style="vertical-align:top;"		\|- style="vertical-align:top;"
	\|2ND		\|2ND
	~~<br/>Suboxone/Opioid Committee~~
	\|2ND		\|2ND
	*Grand Rounds		*Grand Rounds
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	<br/> Medical Staff Executive (MSEC) Committee		<br/> Medical Staff Executive (MSEC) Committee
	\|2ND		\|2ND
			<br/>Suboxone/Opioid Committee
	\|2ND		\|2ND
	<br/>High Risk OB (HROB)		<br/>High Risk OB (HROB)
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	\|3RD		\|3RD
	<br/> EHR/Provider RAST Committee		<br/> EHR/Provider RAST Committee
			<br/>Suboxone/Opioid Committee
	\|3RD		\|3RD
	<br/>High Risk OB (HROB)		<br/>High Risk OB (HROB)
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	<br/>Pharmacy & Therapeutics Committee		<br/>Pharmacy & Therapeutics Committee
	\|4TH		\|4TH
			<br/>Suboxone/Opioid Committee
	\|4TH		\|4TH
	<br/>High Risk OB (HROB)		<br/>High Risk OB (HROB)

← Older revision		Revision as of 21:19, 5 April 2023
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	===Critical case review (CCR)===		===Critical case review (CCR)===
	What it is: CCR is a process by which providers receive an involved discussion of a critical or complicated case by their peers. Cases are reviewed by permanent staff not involved in the case and discussed quarterly. Although cases are autogenerated based on outcomes (intubations, transfers, etc.) any case which a provider would like reviewed in an investigative but non-punitive format can be subject to CCR.		What it is: CCR is a process by which providers receive an involved discussion of a critical or complicated case by their peers. Cases are reviewed by permanent staff not involved in the case and discussed quarterly. Although cases are autogenerated based on outcomes (intubations, transfers, etc.) any case which a provider would like reviewed in an investigative but non-punitive format can be subject to CCR.

	How cases are referred: Automatically by meeting criteria, then filtered by department heads. Cases can also be referred for CCR by providers by emailing the department head. As CCR is the least involved discussion any case which goes to C&C, PI or M&M does not need to be referred for CCR.		How cases are referred: Automatically by meeting criteria, then filtered by department heads. Cases can also be referred for CCR by providers by emailing the department head. As CCR is the least involved discussion any case which goes to C&C, PI or M&M does not need to be referred for CCR.

	How often: Quarterly.		How often: Quarterly.

	===Care and collaboration (C&C)===		===Care and collaboration (C&C)===
	What it is: C&C is a friendlier version of M&M with a focus entirely on education. Cases are 20-30 minutes in length. Cases for C&C typically do not have bad outcomes. Complex cases, interesting pathology, or cases which highlight a particular aspect of patient care are appropriate for C&C.		What it is: C&C is a friendlier version of M&M with a focus entirely on education. Cases are 20-30 minutes in length. Cases for C&C typically do not have bad outcomes. Complex cases, interesting pathology, or cases which highlight a particular aspect of patient care are appropriate for C&C.

	How cases are referred: By providers, by emailing the Care and Collaboration Committee. Providers involved in the case typically present and co-presentations are encouraged.		How cases are referred: By providers, by emailing the Care and Collaboration Committee. Providers involved in the case typically present and co-presentations are encouraged.

	How often: Twice a month.		How often: Twice a month.

	===Trauma Review===		===Trauma Review===
	What it is: Multidisciplinary review of major trauma cases. Pre-arrival care, hospital care and subsequent management at tertiary referral center is reviewed with a focus highlighting key points in the management of trauma and the potential for system improvement.		What it is: Multidisciplinary review of major trauma cases. Pre-arrival care, hospital care and subsequent management at tertiary referral center is reviewed with a focus highlighting key points in the management of trauma and the potential for system improvement.

	How cases are referred: Automatically by meeting criteria. Select major trauma cases resulting in significant morbidity or mortality. Cases are presented by Trauma Director with collaboration from ED Nurse Manager and ED Director.		How cases are referred: Automatically by meeting criteria. Select major trauma cases resulting in significant morbidity or mortality. Cases are presented by Trauma Director with collaboration from ED Nurse Manager and ED Director.

	How often: Quarterly.		How often: Quarterly.

	===Performance Improvement (PI)===		===Performance Improvement (PI)===
	What it is: PI is an as-needed case review by members of the Medical Staff Executive Committee, with a focus on correcting suboptimal provider medical care and documentation. After a case is referred, the heads of PI Committee will delegate the case to be reviewed by a member of MSEC not directly involved in the case. Participating in these reviews is a condition of being on MSEC and is non-optional. MSEC members discuss these reviews and determine potential for provider improvement. Providers involved in the case are not present for these reviews and receive a letter from PI committee following MSEC review.		What it is: PI is an as-needed case review by members of the Medical Staff Executive Committee, with a focus on correcting suboptimal provider medical care and documentation. After a case is referred, the heads of PI Committee will delegate the case to be reviewed by a member of MSEC not directly involved in the case. Participating in these reviews is a condition of being on MSEC and is non-optional. MSEC members discuss these reviews and determine potential for provider improvement. Providers involved in the case are not present for these reviews and receive a letter from PI committee following MSEC review.

	How cases are referred: By providers, by emailing the PI Med Staff Committee. Members of MSEC not involved in the case present.		How cases are referred: By providers, by emailing the PI Med Staff Committee. Members of MSEC not involved in the case present.

	How often: As needed, up to monthly.		How often: As needed, up to monthly.

	===Morbidity and mortality (M&M)===		===Morbidity and mortality (M&M)===
	What it is: M&M is an hour-long presentation on a single case, typically with a suboptimal outcome which demonstrates key management points in regards to a disease process and highlights potential for system improvement. M&M can look critically at both provider management and systems processes but is non-punitive as information is for education benefit.		What it is: M&M is an hour-long presentation on a single case, typically with a suboptimal outcome which demonstrates key management points in regards to a disease process and highlights potential for system improvement. M&M can look critically at both provider management and systems processes but is non-punitive as information is for education benefit.

	How cases are referred: By providers, by emailing the Inpatient Service Chief. The person requesting the case typically presents. Multiple presenters may discuss a single case.		How cases are referred: By providers, by emailing the Inpatient Service Chief. The person requesting the case typically presents. Multiple presenters may discuss a single case.

	How often: Monthly		How often: Monthly