June, 25, 2007
MEDICAL DIRECTOR OF ENDOCRINOLOGY
David Kinsaul announced on June 20, 2007 that Maria Urban, MD, is stepping
down as medical director of endocrinology. In his letter, Kinsaul said
that Dr. Urban "will remain at Dayton Children's and is planning to
dedicate more time to her academic, teaching and clinical
responsibilities. During her tenure as medical director, she has provided
long-term leadership that has resulted in the continued development and
expansion of endocrine services at Dayton Children's. Paul Breyer, MD, has
agreed to serve as the interim director while we launch a national search
for a new medical director. I appreciate Dr. Breyer's willingness to
assist and serve in the interim role." Questions? Contact Tom Murphy, MD,
at 937-641-5871.
PROFESSIONAL STAFF PARKING
The newly paved and gated lot for professional staff members located
outside the laboratory entrance opened recently. This lot provides ample
parking for hospital-based staff as well as community physicians and
dentists. We are working on a way to make the angle of access to the lot
less acute. Stay tuned for what are likely to be changes in the next few
weeks. Meanwhile, be careful when you access the lot. Questions? Contact
Tom Murphy, MD, at 937-641-5871.
PEER REVIEW ACTIVITIES AT DAYTON CHILDREN’S
Recently a member of the department of surgery asked for information on
peer review activities at Dayton Children’s. Peer review activities are
conducted on a regular basis for members of the departments of medicine
and surgery. For the medicine staff, every readmission within 15 days of
discharge and every unplanned transfer to the PICU are reviewed as well as
every death and a number of adverse outcomes. That means about 150
reviews a year. In most cases, the care is appropriate and the
documentation excellent. Further peer review is performed on 15 to 20
cases a year, with input from the attending of record. Ultimately, any
data that result from the reviews are stored in the credential's files for
the department member.
In surgery, the process is a bit different. While every death and many
adverse outcomes are reviewed, each surgical division has also identified
indicators that are used to review more routine surgical cases. If these
events trigger the need for additional review, the division head or the
chair of surgery completes it with input from the professional staff
member when necessary. These reviews usually conclude that the standard
of care was met and that documentation was adequate. In the event that a
minor or major complication is reviewed, or that the standard of care is
not met (usually documentation issues), a copy of the review and its final
conclusion is also stored in the credential's files.
Formal investigations of clinical competency require review and approval
by professional staff leaders before being started. In some cases formal
action by the credential's committee, professional staff executive
committee or the board of trustees is required before an investigation is
started. Feel free to contact Tom Murphy for questions or clarification.
NATIONAL PROVIDER IDENTIFIER (NPI) NUMBERS TO BE RELEASED BY CENTER FOR
MEDICARE AND MEDICAID SERVICES (CMS)
CMS is encouraging health care providers who have been assigned NPIs to
review their NPPES data as soon as possible and make any necessary updates
or corrections before June 28 (expected go-live) to ensure their
information is accurate when disclosed by CMS. The Federal Register
Notice states that health care providers who wish to delete any NPPES data
that was not required to be furnished to obtain an NPI may do so before
June 28 if they prefer those data elements not be disclosed by CMS. CMS
will not release SSN, ITIN or DOB.
CME online
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