Meetings

Generic Monthly Calendar

MONDAY	TUESDAY	WEDNESDAY	THURSDAY	FRIDAY
1ST	1ST Grand Rounds Medical Staff Executive (MSEC) Committee	1ST General Medical Staff Meeting (day after MSEC)	1ST All Out-Patient Staff Suboxone/Opioid Committee	1ST High Risk OB (HROB)
2ND	2ND Grand Rounds	2ND	2ND Suboxone/Opioid Committee	2ND High Risk OB (HROB)
3RD	3RD Grand Rounds	3RD Performance Improvement Committee	3RD Provider RAST Committee Suboxone/Opioid Committee	3RD High Risk OB (HROB)
4TH	4TH Grand Rounds Antimicrobial Stewardship Commttee	4TH Pharmacy & Therapeutics Committee	4TH Suboxone/Opioid Committee	4TH High Risk OB (HROB)

Meeting Locations

• BB (Blueberry (across from ED just past FastTrack)
• BBA (Blueberry (side A-front))
• BBB (Blueberry (side B-back))

Required and Recommended Meetings

• Daily 1100: Inpatient Rounds (Required if doing regular daytime rotations)

Case Review Processes and Meetings

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 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)

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 often: Quarterly.

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.

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.

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.

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.

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.

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