President’s Message

Posted on Mar 4, 2019 in President's Message | 0 comments

Happy Doctor’s Day a bit early!
On Friday, March 29, in the Bay View Room on the 11th floor,
we will celebrate Doctor’s Day. A breakfast and lunch buffet will be served on behalf of the Hospital
Administration in appreciation and support of the Medical Staff.
Also, if you pre-ordered a zip-up sweat shirt, they will be available. Thank you to Administration for the gift!

It’s that time of the year: JCAHO. They have been making rounds throughout the Sutter system over the last few months and will be here soon.
Below are a few tips:

-Wear your hospital ID badge.
-Wash your hands or use foam upon entering and exiting a patient room.
-Sign your verbal/telephone orders ASAP.
-Carry with you the Blue Book, which can be found at the nursing stations or drop by the Medical Staff Office to secure yourself a copy.
-Or, download a digital copy to your phone with this link:

http://mysutter/bay/absmc/Resources/documentation/jc/Pages/default.aspx

-You can use the book or web link at any time to look up an answer.
-Most importantly, if you don’t know the answer, tell them where you can find it (ask the manager, Medical Director, or Chair of your Department).
-Follow the Universal Protocol for surgical and non-surgical invasive procedures by performing a “time-out” to correctly identify the patient, procedure, site, and availability of appropriate equipment.

On another note, many of our Medical Staff Leaders attended a Sutter Physician Leadership Symposium at the end of January. Medical Executive Committee members from across the Sutter system were invited to attend and learn more about issues related to Medical Staff Leadership including credentialing and privileging, peer review, and regulatory compliance. Not only did we learn a lot about how to better serve you, but we also reconnected with the purpose of the Medical Staff Organization.

First, a hearty thank you to the many Medical Staff Leaders who are currently serving and have served before us for your leadership and time spent doing this important job.

For those who are closer to residency training and at the beginning of your career, you may be learning about the organized Medical Staff and wondering what it’s all about. A hospital’s Medical Staff is an independently functioning, self-governed organization (separate from hospital administration), of all licensed independent physicians and other practitioners who are permitted by law to provide patient care within that hospital or facility. We are accountable to the governing body, which is the Sutter Bay Board, for quality of care. We are composed of MDs and DOs, along with other practitioners including, but not limited to, PAs, NPs, Dentists, and Podiatrists.

The Medical Staff has a set of Bylaws, Rules and Regulations, and policies we abide by. Our Bylaws provide a framework for self governance in order to permit the Medical Staff to discharge its responsibilities in matters involving the quality of medical care and to govern the orderly resolution of those purposes. The Rules and Regulations supplement the Bylaws and cover Medical Staff and hospital procedures in more detail than the Bylaws. Policies supplement the Rules and Regulations.

The Medical Staff has an important role providing physician leadership throughout many aspects of the hospital. We partner with administration, directors, managers, and the staff of many departments throughout the hospital to provide feedback and elicit change. Physician leadership is important now more than ever in our rapidly changing healthcare environment. The next newsletter will give more detail and describe how you can get involved.

 

Be well,

Jill Kacher Cobb, MD
President, Summit Medical Staff, ABSMC

 

 

 

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