Page 130 - Flipbook January Board

ROBERT PACKER HOSPITAL

SAYRE, PA 18840
MEDICAL EXECUTIVE COMMITTEE

MINUTES

January 2, 2019

Present: David Bertsch, MD, Chair; Joseph Ronsivalle, DO; Hani Hojjati, MD, Theodore Them, MD, Jason Granet, MD, Brian Fillipo, MD, Jerry Terwilliger, MD, MD, Douglas

Trostle, MD, Donald Phykitt, DO, Dan Brown, MD Absent: Charles McGurk, MD James Scott, MD, Marc Harris, DO

Staff: D. Luchaco, B. Gordon, J. Stenson, C. Mohr, E. Lampe, Counsel, B. Pennypacker

Meeting Started: 12:05 P.M. Meeting Adjourned 12:50 p.m.
TOPIC DISCUSSION/CONCLUSION RECOMMENDATIONS/ ACTION/FOLLOW UP
/RESPONSIBLE PARTY

I. Approval of Prior The December meeting minutes were presented for approval. On a motion made by Dr. Granet seconded by Dr. Them,
Minutes the December minutes were approved as presented.
II. Medical Records Tamara Donaldson, Senior Director, Corporate HIM, was present for this portion of the On a motion made by Dr. Granet seconded by Dr. Them,
Committee Charter (copy committee to review a proposed committee charter outlining objectives, metrics, the charter was approved as presented.
attached to official copy of performance improvement for the medical records committee. Dr. VanderMeer has
minutes) agreed to co-chair this committee and regular reports will be forwarded to MEC.

III. Medical Staff Policy Dr. Hojjati reviewed the critical value for pediatric patients that was approved in On a motion made by Dr. Trostle and seconded by Dr.
(copy attached to official December and the inclusion within the Critical Results Reporting Policy. Them, the policy was approved as presented.
copy of minutes)

IV. Infection Control Andrew Klee, Infection Control Preventionist, gave an overview of CAUTI infections Additional data will be provided to the section chiefs in the
and reviewed changes for isolation precautions. Patients with MRSA colonization will form of a quarterly report. Recommendation to precheck
no longer be placed on contract precautions. Change in Epic infection flags are needed the Epic orders to remove the Foley if criteria are not met.
to delineate active vs. colonized MRSA and patients with active MRSA will continued On a motion made by Dr. Granet and seconded by Dr.
to be isolated under the current policy. Phykitt, this was approved.
V. Clinical Quality The Clinical Quality Committee minutes from December 11 and December 17, 2019 Formulary actions approved on a motion made by Dr. Them
Committee were reviewed and accepted by consensus by the Committee. and seconded by Dr. Trostle.

VI. Operations Report Barb Pennypacker reviewed the Operations Report highlighting admissions year-to-date Informational
(copy attached to official and financial data as well as new services and performance improvement.
copy of minutes)

V. Credentials No Meeting this month
Committee