Orientation Our Mission at Riverside Medical Center Core Values

RIVERSIDE MEDICAL CENTER ORIENTATION MANUAL Medical Staff Orientation Our Mission at Riverside ABOUT US Medical Center Riverside Healthcare is revolutionizing care using Life is a remarkable journey. leading-edge technology to diagnose and treat patients. We Health impacts every step – how we connect with others, how are ranked top in the nation for we express our potential, how we pursue our dreams. performance in neurosurgery, orthopedics, and heart surgery. At Riverside, our mission is to provide healthcare experiences Riverside is nationally recognized that are just as remarkable. for our specialty programs in obstetrics, trauma, oncology, We do this for each and every person, regardless of their rehabilitation, geriatrics, occupational health, psychiatric personal or economic circumstances. services, and treatment of alcohol and chemical dependency, as We offer our highest thinking, our kindest touch, and our well as patient safety. We strongest commitment to excellence. combine innovation and convenience at state-of-the-art facilities located in communities throughout the greater Kankakee area. Core Values: Riverside Medical Center process that truly progressive medicine is Integrity being delivered in Chicago’s We respect human dignity and consistently promote fairness southwest suburbs and East and honesty. Central Illinois. Welcome to a Excellence team that is not only concerned We strive for clinical, operational and service excellence by with providing the best care fostering professional development, accountability, teamwork possible, but also with offering a work environment of and commitment to high value. advancement and growth. Partnership Riverside is a place that We work in cooperation with other care providers, guided by embraces a culture where open communication, trust and shared decision-making. opinions count, dedication is respected, and where superior Stewardship performance is recognized. We advocate prudence in the use of our financial and human resources for the advantage of the communities we serve. MEDICAL STAFF ORIENTATION 2 Expectations We look forward to working with you in the delivery of high-quality patient care. At Riverside, we recognize that this professional relationship largely depends on our ability to communicate well, collaborate effectively, and work as a team to monitor and optimize outcomes. We would like to highlight the following items from our Medical Staff Bylaws as well as some general expectations that will provide the foundation of a successful relationship. FOCUSED PROFESSIONAL PRACTICE EVALUATION (FPPE) & GOOD STANDING ONGOING PROFESSIONAL PRACTICE EVALUATION (OPPE) Ensure good standing as a member of the Medical Staff by: An FPPE period is the period of observation and evaluation by your a. Maintenance of current licensure, malpractice coverage, board assigned sponsor and division chairperson. All practitioners are certification, as well as ongoing continuing medical education placed on an FPPE period upon appointment to the Medical Staff, in accordance with the Illinois State Medical Society and when granted new privileges at any time during their appointment, licensing board’s CME requirements. Failure to remain current or if performance issues are identified. It is your responsibility to in these areas will result in the suspension of medical staff contact your sponsor, introduce yourself, and establish a privileges until the updated documentation is received and professional relationship. Case numbers required on the privilege verified by the Medical Staff Office. form are to be obtained during this time. It is your responsibility to b. Timely and complete submission of all required documentation contact your sponsor when performing procedures requiring case at the time of reappointment. Failure to submit this numbers to ensure the sponsor observes or reviews your documentation within 30 days will result in monetary penalties. performance for quality issues and signs off accordingly. Methods c. Practicing within your approved delineation of privileges and used to evaluate your performance may include direct observation, regularly assessing your privileges to ensure they reflect your chart reviews, or evaluations from other physicians and/or support practice. You can request or relinquish privileges at any time staff. during your appointment. OPPE is conducted at least every six (6) months. OPPE is obtained d. Participation in the peer review process by responding by compiling inpatient and utilization data, evaluations performed completely and promptly to peer review inquiries. by physicians who regularly observe your work, or any other means e. Timely payment of yearly Medical Staff Dues. Dues are due no requested by Physician Services to support your competency. The later than January 1st of each year and are used to support CME chairperson of your respective division then reviews the OPPE data activities, leadership activities, and memorials. Failure to pay and makes a recommendation. dues will result in the suspension of Medical Staff privileges until the payment is received. CONTACT INFORMATION CHANGES f. Adherence to HIPPA guidelines in maintaining confidentiality of patient and other sensitive information. Any HIPPA related Illinois law requires the completion of the Health Care Professional questions can be directed to Riverside Medical Center’s Chief Update Gathering Form whenever there is a change to the Privacy Officer, Karen Block. information included on your application (i.e. adverse actions, g. Attending Medical Staff meetings as outlined in the Medical cases brought against you, sanctions or investigations against your Staff Bylaws. license, etc.). This form is to be submitted to the Medical Staff Office within 5 days of your notification. PARKING PARKING Physicians joining the Riverside Medical Group will be placed on Practitioners have designated areas for parking near the hospital the hospital disaster call roster. Physicians belonging to the as well as the north and pavilion parking garages. Physician spaces Presence Medical Group will not be placed on the Riverside roster. located in the south lot should be utilized by practitioners rounding Independent physicians holding privileges at both Riverside and at the hospital, or by the specialties indicated on the space’s St. Mary’s will be placed on the roster based on staff status and signage. If physician spaces are full, please utilize row C and back specialty. Non-Physician Providers will be placed on the roster in the pavilion lot. Penalties for failure to comply with parking based on the assignment of their collaborating physician. policies include a warning, notification of the appropriate Vice President, and vehicle immobilization via a wheel boot device which carries a $50 removal fee. Placards and vehicle registration are required to park in practitioner spaces. MEDICAL STAFF ORIENTATION 3 MEDICAL STAFF COMMUNICATION EMERGENCY ROOM CALL SCHEDULE Medical Staff members will be kept abreast of important clinical All active hospital staff members must take their turn on the and administrative issues via their mailboxes, facsimile, cellular backup call roster and must accept and attend the Emergency calls/texts, and email. This includes information regarding Department. Medical Staff specialties with one or more active downtimes, go-lives, update on clinical services, meetings, agendas, call schedule, infection control, administrative memos, hospital staff members will be included on the backup call medical staff newsletters, residency program, Kankakee County schedule. Specialties with one or more active hospital staff Medical Society, medical staff surveys, consultations between members will be included on the backup call schedule. Specialties physicians. Non-Physician Providers will be given the opportunity with less than four (4) active hospital medical staff members shall to provide contact information for dissemination to their peers have a mandatory eight (8) days on call per physician per month, (APNs and PAs). which includes one weekend, a Friday, Saturday, and Sunday. BYLAWS Holiday coverage of specialties/ departments with less than four It is your responsibility to review and understand the Medical (4) active hospital members includes at least one holiday per Staff Bylaws that were sent to you upon your initial application physician per year. Medical staff designated holidays are: to the Medical Staff here at Riverside. If you have questions or New Year’s Day wish to obtain another copy of the bylaws, please contact the Easter Medical Staff Office. Memorial Day Independence Day DISASTER CALL ROSTER Labor Day Physicians joining the Riverside Medical Group will automatically Thanksgiving be added to the hospital disaster call roster. Physicians bellowing Christmas Eve to the Presence Medical Group who hold privileges at Riverside will Christmas Day not be placed on the Riverside roster. Independent physicians New Year’s Eve holding privileges at both Riverside and St. Mary’s will be placed Alternate coverage for absences occurring on an “on call” day(s) is to be arranged by the “on call” physician. If two (2) physicians on the roster based upon staff status and specialty. Non-physician agree to changes in their assigned days on call, the changes to the providers are placed on the roster based on the assignment of their schedule may be made once the schedule is published by sending collaborating physician. an email to [email protected] or sending

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