Harris County Hospital District - HCC Learning Web

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Harris County Hospital DistrictDiversityStudent gyHarris County Hospital DistrictLearning and Resource Center06/11

Orientation AgendaSECTION1SECTION2SECTION3SECTION4HCHD Organizational StructureServiceFIRSTPatient and Customer SatisfactionEnvironment of CareSafety ManagementStandard Precautions/Exposure ControlInfection Control DepartmentBreakSECTION5HCHD Compliance/HIPAACorporate ComplianceSECTION6Interpretation ServicesPatient and Public AffairsSECTION7Regulatory EducationLearning and Resource CenterAPPENDIXForms and Charts-1-

Section 1HCHDOrganizationalStructure Organizational Chart Board of Managers Vision, Mission, Values HCHD Facts at a Glance

HARRIS COUNTY HOSPITAL DISTRICTORGANIZATION CHARTCommunity HealthChoice BoardMercedes LealLegal AffairsHarris County HospitalDistrict Bd. of ManagersHCHD FoundationPeter Doyle, MDDavid S. LopezPresident &Chief Executive OfficerChair ofMedical BoardTim TindleExec. VP & ChiefInformation OfficerMike Norby, InterimExec. VP & ChiefFinancial OfficerGeorge MasiExec. VP & ChiefOperating OfficerBeth CloydExec. VP ClinicalOperations & CNETerry ReevesSr. VP of CorporateCompliance &Audit ServicesAmanda CallawayAsst. AdministratorMissionAdvancementOttley SimsAdministratorBoard AffairsChief Nursing OfficersBT / LBJ / CHP/QMLou GouldVP of HumanResourcesJose Garcia, MDGeneral DirectorAMSFred Sutton, M.D.Exec. VP & ChiefMedical OfficerDr. Margo HilliardSr. VP ofCommunity ServicesR. King HillierVP of Public Policyand Govt. RelationsRon JohnsonVP of Planning/EngineeringPATIENT CARE SERVICESAMBULATORY SERVICESHOSPITAL SERV ICESCHP/Specialty ClinicsBen Taub/QM HospitalLBJ HospitalRobert John Trenschel, D.O.Sr. Vice President &AdministratorJeff WebsterSr. Vice President &AdministratorJessie Tucker, Ph.D.Sr. Vice President &AdministratorCarlos Vallbona, MD *Chief of StaffKen Mattox, MD *Chief of StaffSteven Brown, MD *Chief of StaffMargery WattAssoc. Admin. &Chief Nursing OfficerDana BjarnasonAssoc. Admin. &Chief Nursing OfficerBarbara ReeceAssoc. Admin. &Chief Nursing OfficerCarol OddoAssoc. Admin. Amb. Services& District ServicesMike StaleyBTGH Assoc. Admin.& District ServicesChris OkezieAssoc. Admin. LBJ& District ServicesBusiness ServicesBusiness ServicesBusiness ServicesInformation TechnologyInformation TechnologyInformation TechnologyPatient & Public AffairsPatient & Public AffairsPatient & Public Affairs* Non-Hospital District staff who are members of Affiliated Medical Services (AMS).7/2010

BOARD OF MANAGERSStephen DonCarlos, ChairmanLawrence D. FinderElvin Franklin, Jr.George D. Santos, MDDaisy StinerMary SpinksCarolyn G. TruesdaleE. Dale WorthamAtul Varadhachary, MD, Ph.DThe Harris County Hospital District Board of Managers is comprised of nine members appointed by theHarris County Commissioners Court and who serve without compensation.Members serve a term of two years or until their successors are appointed and qualified. They also areeligible for reappointment by Commissioners Court. The Commissioners Court may make some initialappointments for one year in order to stagger terms. Appointees are members in good standing in thecommunity having shown interest and responsibility through community service. During their two-yearterms, the Board of Managers are sworn to uphold the constitution of the state of Texas and oversee theefficient administration of the Hospital District.Terms of appointment are overlapping with four members being appointed in odd years and fivemembers appointed in even years. This arrangement is subject to modification by the CommissionersCourt.The Board Members are not housed at District facilities. However there is a Board Office located at theAdministration Building available to assist you should you need to communicate with a Board member.The mailing address is:Harris County Hospital DistrictBoard of Managers2525 Holly HallHouston, Texas 77054Phone. (713) 566-6420Fax(713) 566-6421Pictures and bios of the Board Members are available on the District’s web site at: www.tmc.edu/hchd4

MISSIONWe improve our community’s health by delivering high-quality health care to HarrisCounty Residents.VISIONWe will create a healthier community and be recognized as one of America’s bestcommunity-owned healthcare systems.WE VALUE:Our patients, staff and partnersCompassionate CareTrustIntegrityMutual RespectCommunicationEducation, Research and InnovationOUR PROMISE TO YOUTo provide high quality healthcare by knowledgeable and highly-trained staff;To provide prompt, friendly and courteous service;To be sensitive and responsive to your needs and concerns as well as those of yourfamily;To provide a clean, comfortable and safe environment in all of our settings.5

HARRIS COUNTY HOSPITAL DISTRICTFacts at a GlanceThe Harris County Hospital District (HCHD) is the public healthcare provider for thenation’s third most populous county. In 2009, HCHD accommodated more than 1.6 millionemergency and outpatient visits and delivered more than 11,000 babies to area residents.During the past five years, hospital district facilities have encountered more than 5.5 milliontotal patient/physician visits.Providing academic connections . . .HCHD provides academic teaching facilities for the faculty and residents of Baylor Collegeof Medicine and the University of Texas Health Science Center at Houston. These academicaffiliations give HCHD patients access to the latest breakthroughs in medical technology andspecialized treatment techniques.World-class acute care facilities . . .HCHD’s two major hospitals, Ben Taub General Hospital and Lyndon B. Johnson GeneralHospital, are recognized for their world-class medical staffs and high level of acute specialtycare.Ben Taub General Hospital is a 598 licensed-bed facility, and is home to one of thenation’s top Level one trauma centers. It is the busiest emergency center in theHouston area and houses the city’s only psychiatric emergency center. Ben Taubserves as the teaching hospital for Baylor College of Medicine.Lyndon Baines Johnson (LBJ) General Hospital is a 328 licensed-bed facility,featuring state-of-the-art equipment and a reputation for excellence in gynecology,obstetrics and neonatal intensive care. LBJ’s level III trauma center was one of thefirst in Texas and it is the area’s second busiest emergency center. LBJ is the teachinghospital for the University of Texas Health Science Center-Houston.6

HCHD in the community . . .The Harris County Hospital District reaches beyond its acute-care facilities and into thecommunity. HCHD was one of the nation’s first public health care systems to embrace theconcept of neighborhood primary care through its Ambulatory Care Services healthcenters. In 2009, the health centers had more than 596,000 patient visits to its network of 13community health centers, nine school-based clinics, 13 homeless shelter clinics, a dentalcenter, five mobile health units and the Riverside Dialysis Center.CHP Health centers are located throughout the county to provide easy access for ourpatients. The 13 HCHD primary-care locations are:Acres Home Health Center, 818 Ringold StreetAldine Health Center, 4755 Aldine Mail RouteHarris-Baytown Health Center, 1602 Garth RoadCasa de Amigos Health Center, 1615 North Main StreetE. A. “Squatty” Lyons Health Center, 1712 First Street in HumbleEl Franco Lee Health Center, 8901 Boone Rd.Martin Luther King Health Center, 3550 Swingle RoadNorthwest Health Center, 1100 West 34th StreetPeople’s Health Center, 6630 DeMoss StreetGulfgate Health Center, 7550 Office City DriveSettegast Health Center, 9105 North Wayside DriveStrawberry Health Center, 927 E. Shaw Road in PasadenaThomas Street Health Center, 2015 Thomas Street.Serving Harris County’s special needs populations . . .Harris County Hospital District offers two facilities dedicated to delivering high qualitymedical care to the county’s special needs populations. Quentin Mease Community Hospitaland Thomas Street Clinic illustrate the Hospital District’s continued dedication to providingfor the community’s spectrum of medical needs.Quentin Mease Community Hospital is a 49-bed geriatric and inpatient physicalrehabilitation care facility. Patients suffering spinal cord injuries, traumatic falls orviolence-related injuries work to regain mobility and life skills through the hospital’sinnovative programs.Thomas Street Clinic opened its doors in 1989 as the nation’s first freestandingHIV/AIDS treatment facility. Approximately 60 percent of Harris County’s AIDSpatients are treated at Thomas Street. In addition to a full-range of medical services,Thomas Street Clinic provides patients with easy access to a variety of counseling,housing and job placement assistance services. Childcare is also provided to patientfamilies through a federally funded grant program.7

Section 2serviceFIRSTCustomer Service Values Friendliness Integrity Responsibility Satisfaction TeamworkContact:Patient and Customer Satisfaction713-566-6767

SERVICE MISSION STATEMENTTo create a culture where employees want to work, physicianswant to practice, and patients want to come for care by alwaysputting ServiceFIRST!SERVICE ionTeamworkSERVICE STANDARDS OF BEHAVIORFriendliness: Make eye contact and smile. Introduce yourself;offer assistance. Say the patient's name often.Integrity: Ensure our customers' right to privacy and modesty.Do what you say you'll do. Exceed expectations.Responsibility: Live HCHD's mission. Be accountable.Take pride in your appearance and keep our facilities clean.Satisfaction: Say words like, "my pleasure," and "I'll behappy to." Give everyone prompt service; keep them informed.Teamwork: Respect and encourage co-workers so our guests'needs are met. Encourage co-workers and recognize them for ajob well done.1

Section 3Environment of CareSafety 7 Environment of Care Standards Safety Management Policies and Procedures Manual Reporting Employee Incidents Hazardous Materials and Waste Fire Safety Electrical Safety Practices Emergency References Basic Emergency Quick Reference Guidelines Environment of Care/Patient Safety RelationshipContact:Environment of Care and Safety713-566-6825

Harris County Hospital DistrictEnvironment of Care Safety TeamLinda TellisonDirector Environment of Care (EOC)/Safety ProgramENVIRONMENT of CARE(EOC)SAFETY PROGRAM“It’s All About You”Environment of Care-SafetyOur Mission:We will maintain a healthy andsafe environment for ourselvesand our community.EOC StaffRoger Olsen, EOC SpecialistJuan Olivo, EOC RepresentativeFACILITY OFFICES BTGH: x3-4419 or x4-1313 LBJGH & ACS(Health Centers & Eligibility Centers):x6-5480Environment of CareVisionTo promote a safe, functional, and supportiveenvironment within the hospital so that qualityand safety are preserved.1

Identifying Unsafe Practices/Safety HazardsWhat’s wrong with these pictures?What’s wrong with these pictures?Environment of Care:Management PlansThree Basic Elements of theEnvironment of Care1. The building or space, including how it is arrangedand special features that protect patients, visitors,and staff.2. Equipment used to support patient care or to safelyoperate the building or space.3. People, including those who work within thehospital, patients, and anyone else who enters theenvironment, all of whom have a role in minimizingrisks. Safety RisksSecurity RisksHazardous Materials & Waste RisksFire/Life Safety RisksMedical Equipment RisksUtility Systems Risks2

Important Facts for Staff ToRememberSafety RisksSAFE LIFTING TIPS: Report risks that can cause incidents/accidents. Maintain a safe environment: grounds,equipment, staff education, policies, safetyand product recalls, etc. HCHD is a “No Smoking” Campus.EMPLOYEE/HEALTHCARE WORKERSINCIDENTS/ACCIDENTS(JOB INJURY) Think before you lift.- Clear the path- Lift with knees/back straight- Carry the load close to your body- No bending/twisting at waist Know your limit and don’t tryto exceed it. Use available resources- Request assistance- Carts/Lift Devices¾ Report ALL incidents/accidents to Director/Supervisor/Manager.¾ Employee completes the online incident/accident report – eRisk Alert.¾ Manager investigates and follows-up on incident/accident to implementopportunities for improvement.An on the job injury is defined as a compensable injury that arises out of and in the course andscope of employment for which compensation is payable under Workers‘ Compensation.Course and scope of employment means an activity of any kind or character that has to do withand originates in the work ,business, trade, or profession of the employer and that is performed byan employee while engaged in or about the furtherance of the affairs or business of the employer.QUESTIONS?Human ResourcesBenefits Dept/Workers Comp713-566-62433

High Risk Areas:Security Risks Nursery Pharmacy ER Business Office Engineering Power Plant HVAC System Radiology-Nuclear Medicine Medical Gas/Oxygen Supply Laboratory ServicesSecurity-Related CodesCODE STORKCODE ORANGEPicture ofBaby TagInfant Security tagHazardousMaterials/Chemicals&Waste RisksCODE ANDERSONNamed AP Reporter Terry Anderson heldhostage in Lebanon from Mar 85 – Dec 91.NOTE: Please review the BOMB THREAT Policy (# 7101) on EOC / Safety Policy Website.4

Examples of hazardous chemicals found inthe healthcare:Clinical: ChemotherapeuticsNon-Clinical: Petroleum Based Solvents, Alcohol, Acids,Formalin, MercuryChemical Spill Code:CONDITION “YELLOW”HCHD is mercury free in patient care areas. (No mercuryFirst Responders: Hazardous Chemical Response Teamfilled blood pressure equipment, thermometers)Laboratory Staff (Team Leader), DPS-Security, Environmental Services, Engineering,Hazardous Materials, Safety, Emergency Management, AdministrationBIO-HAZARD WASTEDISPOSAL:MSDS:Regulated Medical WasteMaterial SafetyData S

Gulfgate Health Center, 7550 Office City Drive Settegast Health Center, 9105 North Wayside Drive Strawberry Health Center, 927 E. Shaw Road in Pasadena Thomas Street Health Center, 2015 Thomas Street. Serving Harris County’s special needs populations . . . Harris County Hospital District offers two facilities dedicated to delivering high quality medical care to the county’s special needs .