Grady Memorial Hospital Corporation Quality & Regulatory Committee (QRC) Minutes Monday, January 9, 2017, 1:00 p.m.
The Quality and Regulatory Committee of Grady Memorial Hospital Corporation convened on Monday, January 9, 2017 at 1:00 p.m. in the Administrative Conference Room located at 80 Jesse Hill, Jr. Drive S.E., Atlanta, Georgia 30303.
Committee Members Present Lisa Borders, Chair Henry W. Grady, III Sharon Bent-Harley, MD Erica Qualls-Battey William Bornstein Valerie Montgomery-Rice, MD James Dallas Annette Bernard, MD
Committee Staff Present Robert Jansen, MD, Staff Liaison Timothy Jefferson, Esq., Gen. Counsel, Staff Liaison Jacqueline Herd, PhD, RN, Staff Liason Raymond Smith, Staff Liason Kimberly Mays, RN, Staff Liason Lawrence Sanders, MD Adam Webb, MD Yolanda Wimberly, MD Angela King, RN, MSN
Committee Members & Staff Absent John Haupert, President, CEO Kelly Loeffler Christian P. Larsen, MD Rhonda Scott, PhD, RN, Staff Liaison
Others Present Angela King, RN, MSN David Stephens Bisa Ajanakin, Esq, Sr. Assoc, Gen Counsel Cynthia Alexander Ted Eichellberger, Atty, Alston & Bird Tonia Clancy Leon Haley, MD
Call to Order Lisa Borders called the QRC meeting to order at 1:00 p.m. and the Confidentiality Statement was read.
Quality & Regulatory Committee Minutes 1 January 9, 2017 Approval of Minutes The Committee unanimously approved the November 14, 2016 minutes.
UNFINISHED BUSINESS – None
NEW BUSINESS
Case Review – Timothy Jefferson, Esq.
Mr. Jefferson discussed a recent case and subsequent settlement. This case will be revisited to discuss a Life Care Analysis during the next QRC meeting on March 13, 2017. Due to the lengthy nature of this discussion, the QRC will began at 12:30 p.m. with committee members and staff liaisons only.
Action: It was motioned, seconded, and approved to agree to the case settlement amount. Motion was carried.
Action: It was also motioned, seconded, and approved that a Life Care Analysis for this case be brought back to the QRC meeting on March 13, 2017 as an agenda item.
Credentials Report – Lawrence Sanders, MD
Dr. Sanders presented the medical staff and advance practice providers for appointments, reappointment consideration (the providers are noted in the Board packet).
Grady o Initial Appointments – 27 o Reappointments – 40 o Advanced Practice Providers Initial –3 o Advanced Practice Providers Reappointments – 4 o Focused Professional Practice Evaluations - 2 o Extended Focus Professional Practice Evaluation - 19 o Resignations – 3
Hughes Spalding o Initial Appointments –16 o Reappointments – 24 o Advanced Practice Providers Initial – 0 o Advanced Practice Providers Reappointments – 0 o Focused Professional Practice Evaluations - 0 o Extended Focus Professional Practice Evaluation - 0
Quality & Regulatory Committee Minutes 2 January 9, 2017 o Resignations – 24
Dr. Montgomery-Rice also discussed including an amendment to add sponsoring physicians for Advanced Practice Providers.
Action: It was motioned and seconded to approve appointments and reappointments. Motion was carried.
Chief Medical Officer’s Update – Robert Jansen, MD
Dr. Jansen briefly reported the following: The Quality Focus for 2017 will include Vizient scorecard and QSMR elements, Sepsis protocols and order sets, reducing ventilator associated events, mortality review process, perinatal quality improvement, define TOP Quality role, and improving patient throughput.
Great Catch Recognition – deferred
2016 Performance Improvement Goals – deferred
Patient Safety, Accreditation, & Regulatory Update – deferred
Further Discussions – None
Adjournment – Having no further discussions, the QRC meeting was adjourned at 2:30 p.m.
Submitted by: Approved by,
Robert Jansen, MD, EVP, CMO, CQO, COS Lisa Borders Staff Liaison Chair Quality & Regulatory Compliance Quality & Regulatory Compliance Committee Committee
Quality & Regulatory Committee Minutes 3 January 9, 2017