OMC In-ServiceJune 10, 2020

CEO Updates

1. Interim CEO Appointment

2. Email Etiquette & Communication Expectations

3. Other Expectations

4. Current Priorities

Assess current financial debts

Implement standard accounting systems

Continuing care in COVID environment

Balancing available money with staff and resources (clinic by clinic; service by service)

OMC Vulnerabilities -1

1. Getting paid for people we see (insurance credentialing)

2. Qualified staff in jobs that match their experience and skills

3. Prompt, accurate coding and billing prior to submitting a claim

4. Matching patient volume with available providers

5. Unstandardized, inaccurate provider contracts

OMC Vulnerabilities - 2

1. Some administrative activities (e.g., leave accruals) are inconsistent with Board policies that need to be updated and annually reviewed

2. Impact of COVID on staffing and patient volume

3. Lack of standardized front desk business functions for all OMC sites

4. Reactive, last-minute work culture (more proactive planning ahead is needed).

Staffing Updates -1

Heather von Heimburg – Executive Assistant to CEO/CMO

Mary Moran – Pilot to work backlog of billing claims and daily reports

Genevie Hick – Pilot supervisor to work on standardizing clinic front desk functions (cross train staff)

Staffing Updates (2)

Mary Lancaster – Continues special projects for CEO and DON duties

Kazue Seo – IT Manager RETURNS!! – Working to update access, email distribution lists, and new communication tools (e.g. auto reply)

Cynthia Harris – New Controller

QUESTIONS??

Outpatient Medical Center

Covid-19 Protocols

Protocol for patients coming into clinic

Front desk staff member will have table at front of clinic (foyer area) with supplies:

Questionnaire/pen/Clipboards

Hand sanitizer

Masks

Gloves

Thermometer

Caviwipes

COVID-19 Screening Checklist-PatientDate:_______________________

Circle One: Medical Dental Behavioral Health

Name:______________________ Date of Birth:_________________

Temperature:________________

Y N 1. Are you or anyone you have been in proximity to experiencing any of the following:

Fever

Cough

SOB/Difficulty breathing

Y N 2. Have you or anyone you have been in proximity to tested positive for COVID-19

Y N 3. Have you been tested for COVID-19 and are waiting to receive test results

If YES to any restrict entry, notify someone on the clinical team for triage instructions

IF NO to all, check temperature:

If consistent with fever (>/= 100.4): If normal:

Make sure patient is wearing a mask Make sure patient is wearing mask

Restrict entry and notify a member of the Allow entry and remind of the socialClinical team distancing policy

Patient to return to car and nurse will callto triage patient symptoms. Discuss patient with provider

Negative/Positive Questionnaire

Negative Questionnaire

Once questionnaire has been completed and patient is wearing mask patient can proceed to front desk for check in. Tape will be placed on floor to mark 6 feet to assist with social distancing.

Patient will then be seated in waiting room.

Patients will be spaced 6 feet apart with “Do not sit” signs placed on chairs to practice social distancing.

Once patient is called back by nurse, front desk staff will use Caviwipes to clean chair.

Positive Questionnaire

Patient will be asked to return to car and front desk staff will notify clinical team. Nurse will call patient for triage and then discuss with provider on how to proceed.

COVID-19: Screening Checklist for Staff

Donning of mask upon entry

Perform Questionnaire:

Any of the following symptoms

Cough

Shortness of breath

Fever

IF YES to any restrict entry, notify a member of the clinical team or Infectious Disease Specialist

If NO to all, Check temperature and document results.

If fever present, restrict entry and notify member of clinical team or ID Specialist

If no fever allow entry

Donning(putting on the gear):

1. Identify and gather the proper PPE to don.

2. Perform hand hygiene using hand sanitizer.

3. Put on isolation gown.

4. Put on NIOSH-approved N95 filtering facepiece respirator or higher (use a facemask if a respirator is not available).

5. Put on face shield or goggles.

6. Perform hand hygiene before putting on gloves

7. HCP may now enter patient room.

Doffing(taking off the gear):

1. Remove gloves

2. Remove gown.

3. HCP may now exit patient room.

4. Perform hand hygiene.

5. Remove face shield or goggles.

6. Remove and discard respirator (or facemask if used instead of respirator).

7. Perform hand hygiene after removing the respirator/facemask

Donning/Doffing PPE per CDC

Donning

https://youtu.be/of73FN086E8

Doffing PPE procedure

https://youtu.be/PQxOc13DxvQ

General Guidance for All Workers and EmployersFor all workers, regardless of specific exposure risks, it is always a good practice to:

•Frequently wash your hands with soap and water for at least 20 seconds. When soap and running water are unavailable, use an alcohol-based hand rub with at least 60% alcohol. Always wash hands that are visibly soiled.

•Avoid touching your eyes, nose, or mouth with unwashed hands.

•Practice good respiratory etiquette, including covering coughs and sneezes.

•Avoid close contact with people who are sick.

•Stay home if sick.

•Recognize personal risk factors. According to U.S. Centers for Disease Control and Prevention (CDC), certain people, including older adults and those with underlying conditions such as heart or lung disease or diabetes, are at higher risk for developing more serious complications from COVID-19.

OMC Letter to Patients

Minutes

Outpatient Medical Center

OMC General In-Service

June 10, 2020

Facilitator: Mark Guidry, MD

Attendees: Mark Guidry, Doris Kochinsky, Mary Lancaster,

Nicole Roberson, Vernon Mills, Kathy Corbin, April Bedgood,

Cynthia Parker, Mary Moran, Cynthia Harris, Kandiss Smith,

Dr. Sunil, Kendra Froemming, Hannah Hyatt, Kazue Seo,

Genevie Hicks, Edwin Roberts, Shatoya Ayers, Brent Hudson,

Vicki Mosely, Brittany Lacour, Cassandra Smith, Latrinda

McGee, Laura Meziere, Shawndrea White, Heather von

Heimburg, Tyna Perry, Nashadrian Smith, Michael Uwaelue

Absences: Joan Walker (excused)