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ERIE C OUNTY M EDICAL C ENTER C ORPORATIONNOVEMBER 24, 2020 M INUTES OF THEBOARD OF DIRECTORS REGULAR M EETINGHELD VIA ZOOMPresent:Bishop Michael Badger, Ronald Bennett, Scott Bylewski, Ronald Chapin,Anthony J. Colucci, III, Jonathan Dandes, Darby Fishkin, Kathleen Grimm,Sharon Hanson, Michael Hoffert, James Lawicki, Christopher O’Brien,Jennifer Persico, Thomas J. Quatroche, Jack Quinn, Eugenio Russi, MichaelSeamanExcused:AlsoPresent:William PaulyI.II.III.Donna Brown, Peter Cutler, Andrew Davis, Victor Filadora, MD, WilliamFlynn, MD, Joseph Giglia, Susan Gonzalez, Al Hammonds, Donna Jones,Michelle Krause, Pamela Lee, Charlene Ludlow, Keith Lukasik, Brian Murray,MD, Paul Shields, DO, Jonathan Swiatkowski, James Turner, CassandraWilliams, MD, Karen ZiemianskiCall to Order:The meeting was called to order at 4:30 p.m.MinutesUpon a motion made by Jennifer Persico and seconded by Bishop Michael Badger,the minutes of the September 22, 2020 regular meeting of the Board of Directors wereunanimously approved.Board PresentationsOffice of Diversity, Equity and InclusionCindy R. Bass, Director of Diversity and InclusionCindy Bass presented to the board the Diversity and Inclusion training initiatives andaccomplishments attained in 2020. She reported that ECMC has been makingimprovement in diverse hiring and was the top company for hiring residents from the14215 zip code. Mr. Dandes reminded the board members that there will be Diversityand Inclusion training in 2021.
IV.Action ItemsA Resolution of the Board of Directors of Erie County Medical Center CorporationApproving Sale of 2282 Elmwood Avenue Real PropertyMoved by Michael Hoffman and seconded by Jack QuinnMotion approved unanimouslyResolution Receiving and Filing Medical-Dental Staff Meeting MinutesMoved by Michael Seaman and seconded by Kathleen GrimmMotion approved unanimouslyAppointment of New Department Chief of ServiceMoved by Kathleen Grimm and seconded by Sharon HansonMotion approved unanimouslyV.Reports of Corporation Leadership TeamChief Executive Officer and PresidentHospital UpdateThomas Quatroche gave an update on the monthly COVID-19 efforts and statisticsfor the hospital. He noted that the number of patients has doubled since the previousweek. He also reviewed the hospital’s initiatives in response to the increase inCOVID-19 patients.Karen Ziemianski reported on the results of the National Database of Nursing QualityIndicators survey.Dr. Quatroche reviewed events that occurred during the month demonstratingexternal support for the hospital and internal support of the staff. IT has establisheda Virtual School Support Line for parents of school age children.With six weeks remaining, the Annual Giving Campaign is on schedule to surpasslast years totals in both participation and dollar amount. The ECMC Foundation willsupport 79 individuals in their educational advancement through the ProfessionalDevelopment Fund.Chief Financial OfficerJonathan Swiatkowski reported increased inpatient volumes and emergency room visitsand a decrease in observation cases and surgeries. Mr. Swiatkowski reviewed monthlyand year-to-date financial performance and the continuing impact of COVID-19.
VI.Reports from the Standing Committee Chairsa. Executive Officers Committee: Mr. Dandes had nothing to report.b. Finance Committee: Mr. Seaman had nothing more to report.c. Buildings and Grounds Committee: Mr. Bennett gave a brief summary ofthe most recent Buildings and Grounds Committee meeting.d. Human Resources Committee: Bishop Badger reported on a presentationgiven on Diversity.e. Quality Improvement and Patient Safety Committee: Michael Hoffert gavea brief summary of the QI and Patient Safety Committee meeting.VII.Recess to Executive Session – Matters Made Confidential by LawMoved by Michael Hoffert and seconded by Jennifer Persico enter into ExecutiveSession at 5:40 p.m. to consider matters made confidential by law, including certainlitigation matters, strategic investments, and business plans.Motion approved unanimously.VIII.Reconvene in Open SessionMoved by Sharon Hanson and seconded by Eugenio Russi to reconvene in OpenSession at 6:18 p.m. No action was taken by the Board of Directors in ExecutiveSession.Motion approved unanimouslyIX.AdjournmentMoved by Jonathan Dandes and seconded by Sharon Hanson to adjourn the Board ofDirectors meeting at 6:19 p.m.Michael A. BadgerCorporation Secretary
A Resolution of the Board of Directors of Erie County Medical Center CorporationApproving Sale of 2282 Elmwood Avenue Real PropertyApproved November 24, 2020WHEREAS, Erie County Medical Center Corporation (the “Corporation”) holds title tocertain real property located at 2282 Elmwood Avenue, Village of Kenmore, New York (the“Property”); andWHEREAS, the Corporation has determined it has no current use for the Property and wishesto dispose of it in accordance with New York property disposal requirements, including those setforth within Article 9, Title 5-A of New York Public Authorities Law and the Corporation’sDisposal of Property Guidelines; andWHEREAS, in accordance with the law and its guidelines, the Corporation has obtained anappraisal of the property and multiple bids to purchase from prospective buyers; andWHEREAS, the Corporation wishes to sell the Property to the highest bidder;NOW, THEREFORE, the Board of Directors resolves as follows:1.The Board of Directors of Erie County Medical Center Corporation herebyapproves and ratifies the sale of the Property to WNY Property Connection, Inc., consistent withthe contract executed between the parties dated August 7, 2020, for a sum of one hundred ninetythousand dollars ( 190,000), minus such costs, expenses, or other adjustments to the sale pricedeemed necessary by the Corporation to effectuate the sale.2.The Chief Financial Officer of the Corporation, Jonathan Swiatkowski, is vestedwith the requisite authority to execute all of the necessary documents with respect to the sale ofthe Property, upon approval of these documents by the Corporation’s Office of General Counsel.2.This resolution shall take effect immediately.Bishop Michael A. BadgerCorporation Secretary
Erie County Medical Center CorporationMINUTESCredentials Committee MeetingVirtual MeetingNovember 5, 2020Present: Yogesh Bakhai, MD; Sam Cloud, MD; Brian Murray, MD; Richard Hall, MD; Victor Vacanti, MD; Mandip Panesar, MD; Richard Skomra, CRNA; RobertGlover, MDExcused: Mark LiVecchi, MD; Ashvin Tadakamalla, MDAgenda ItemDiscussion/RecommendationActionFollow-upI.CALL TO ORDERDr. Yogesh Bakhai called the meeting to order None required.None required.at 3:02 pmII.ADMINISTRATIVEA. MinutesThe minutes of the October 2020 meetingThe Committee approved, all in Via these minutes, the actionswere distributed for review.favor to accept the distributedof the Credentials Committeeminutes.are submitted to the MedicalExecutive Committee forreview and action.B. DeceasedNoneNoneNoneC. ApplicationsNotedInformational Only Enaame Farrell, MD – Psychiatry,Withdrawn/Processingapplicant withdrew application.Cessation Mariya Vengrenyuk, MD InternalMedicineD. Automatic Conclusion (Initial NoneNoneNoneAppointment)E. Resignations (3)Noted.Updates made to files.Notification via these minutesto the Medical ExecutiveCommittee and the Board.PRACTICE PERVISINGDATERichard Blondell, MDFamily MedicineUBMD/retired-wrote resignation letterNo Midlevels/Covering MD10/18/20Joseph DeNagy, DOObstetrics andUBMD/moving to CaliforniaNo Midlevels/Covering MD10/24/20GynecologyAnthony Notino, MDRadiologyGLMI/Leaving Practice planNo Midlevels/Covering MD11/20/20III.CHANGE IN STAFFCATEGORYHighlight: Initiate FPPE
IV.A.Alfredo Torres, MDB.Simona Velicu, MDCHANGE/ADDDEPARTMENTA. Rebecca Balone, FNPB. Eileen Purcell, IVILEGE ADDITION/REVISIONA. Jill Tirabassi, MDB. Destiny Ciemny, NPHighlight: Initiate FPPEFamily Medicine Retiring from Terrace View Change from Active to Courtesy, Referand FollowNeurology Did not renew contract Change from Active to Courtesy, Referand FollowThe Committee voted, all infavor, to approve this change instaff category.Recommendation to theMedical Executive Committeefor approval.The Committee voted, all infavor, to approve this change instaff category.Recommendation to theMedical Executive Committeefor approval.Emergency Medicine Adding Internal Medicine- Dr. Alam (2) Dr. Grimm approved for Palliative CareprivilegesInternal Medicine-ICU Adding Thoracic/Cardio Surgery- Dr.Picone (5 NP) (2 PA) Temps granted for 11/11/2020The Committee voted, all infavor, to approve this change indepartment with privilegesgranted as requested.The Committee voted, all infavor, to approve this change indepartment with privilegesgranted as requested.Recommendation to theMedical Executive Committeefor approval.NoneNoneNoneFamily Medicine Musculoskeletal ultrasound; includingdiagnostic and therapeutic jointinjections and aspirations Covering Physician: Dr. LugoInternal Medicine- ICU Abdominal Paracentesis Tracheostomy Tube Replacement Arterial Catheter Endotracheal Intubation Femoral Vein; CVP Internal Jugular Vein Catheter Ventilator ManagementThe Committee voted, all infavor, to approve this change inprivileges.Recommendation to theMedical Executive Committeefor approval.The Committee voted, all infavor, to approve this change inprivileges.Recommendation to theMedical Executive Committeefor approval.Recommendation to theMedical Executive Committeefor approval.
C. Faith Wayne, ANPVII.PRIVILEGE WITHDRAWALVIII.UNACCREDITEDFELLOWSHIPSIX.INITIAL APPOINTMENTS(14)Abby Leishman, PA-CAnesthesia PainManagement Collaborating Physician: Dr. Anillo (7)Case logs submitted and reviewed.Internal Medicine-ICU Ventilator Management Collaborating Physician: Dr. Desai (6)Training logs submitted and reviewedNONE 2 applicants for Neurosurgery. Onewould like to start asap, (awaitinglicensure), the other December 1st. Waiting on one more application forSurgery; start date ASAP Possible applicant for OrthopaedicSurgery-; Jan 2021 start Highlight: Initiate FPPEMassachusetts College of Pharmacyand Health Sciences PA May 2013Physician Assistant to OrthopaedicSpine Surgeon at New EnglandOrthopaedic and Spine Surgery May2013 to October 2016Physician Assistant to OrthopaedicSpine Surgeon at Denver InternationalSpine Center November 2016 to June2020Current Physician Assistant toPhysiatrist at ReVive Spine CenterJoining GPPC as Physician Assistant toDr. Thomas Suchy, III Anesthesia PainManagement. Temporary privilegesgranted October 19, 2020 forimmediate patient needNCCPA certifiedSupervising Physician – Dr. ThomasSuchy, III (2)The Committee voted, all infavor, to approve this change inprivileges.Recommendation to theMedical Executive Committeefor approval.NONENotedNONEInformational OnlyThe Committee voted, all infavor, to approve theappointment with privilegesgranted as requested.Recommendation, via theseminutes, to the MedicalExecutive Committee forapproval.
Alessandra Giorgione, PA-CEmergency Medicine Azadeh Hassan-Tehrani, NPFamily Medicine Sarah Toblin, PA-CFamily Medicine Highlight: Initiate FPPEBaldwin Wallace University PA May2019Albany Medical Center PhysicianAssistant Emergency MedicineFellowship September 2020Joining UEMS in December 2020NCCPA certifiedSupervising Physician – Dr. MichaelO’Brien (1)D’Youville College NP December 2019Registered Nurse – York CentralHospital Ontario - Critical Care August2007 to February 2009; Henry MayoNewhall Memorial Hospital California Critical Care July 2009 to January2012; Athena Mental Health Ontario Counselor Group Therapist June 2012to August 2014; Kenmore Mercy NewYork - Endoscopy November 2014 toJune 2016; Buffalo Surgery CenterNew York -Endoscopy June 2016 toSeptember 2017Joining GPPC as Post-Acute Care NursePractitioner at TerraceView.Temporary privileges granted October26, 2020AANP certifiedCollaborating Physician – Dr. RyanMikac (2)Daemen College PA May 2020Joining GPPC as Post-Acute CarePhysician Assistant at TerraceView.Temporary privileges granted October12, 2020NCCPA certifiedCollaborating Physician – Dr. RyanMikac (1)The Committee voted, all infavor, to approve theappointment with privilegesgranted as requested.Recommendation, via theseminutes, to the MedicalExecutive Committee forapproval.The Committee voted, all infavor, to approve theappointment with privilegesgranted as requested.Recommendation, via theseminutes, to the MedicalExecutive Committee forapproval.The Committee voted, all infavor, to approve theappointment with privilegesgranted as requested.Recommendation, via theseminutes, to the MedicalExecutive Committee forapproval.
Gopal Katkoria, MDInternal Medicine Melissa Owens, NPInternal Medicine Alpen Patel, MDInternal Medicine Highlight: Initiate FPPESt. George’s University School ofMedicine MD May 2015ECFMG certified June 2015The University of Texas Rio GrandeValley Internal Medicine ResidencyJune 2019UBMD Hospitalist at Buffalo GeneralSeptember 2019 to presentJoining UBMD Hospitalist at ECMC inOctober, temporary privileges grantedOctober 20, 2020 for immediatepatient needAmerican Board of Internal MedicinecertifiedD’Youville College NP May 2019Registered Nurse – Trauma ICU atECMC October 2014 to January 2020NP Hospitalist at Niagara FallsMemorial Center January 2020 topresentJoining Apogee Physicians at ECMC asnight coverage. Temporary privilegesgranted October 14, 2020 forimmediate patient needANCC certifiedCollaborating Physicians – Dr. AshvinTadakamalla (13)St. George’s University School ofMedicine MD June 2004ECFMG certified August 2004Atlanticare Regional Medical CenterPreliminary Internal MedicineInternship July 2005New York Flushing Hospital InternalMedicine Residency June 2008Locums Tenen Physician since May2008, Clinical Assistant Professor andThe Committee voted, all infavor, to approve theappointment with privilegesgranted as requested.Recommendation, via theseminutes, to the MedicalExecutive Committee forapproval.The Committee voted, all infavor, to approve theappointment with privilegesgranted as requested.Recommendation, via theseminutes, to the MedicalExecutive Committee forapproval.The Committee voted, all infavor, to approve theappointment with privilegesgranted as requested.Recommendation, via theseminutes, to the MedicalExecutive Committee forapproval.
Dhara Patel, NPInternal Medicine Cynthia Pie, MDInternal MedicineHighlight: Initiate FPPE Faculty at University of TexasSouthwestern Medical CenterSeptember 2011 to April 2015,Hospitalist Physician at RWJ-BarnabasHealth since September 2015Independent Contractor with ApogeePhysicians since December 2019 withaffiliation at Olean General Hospitaland Samaritan Medical Center.Joining ECMC Medical Staff throughApogee as Independent ContractorAmerican Board of Internal MedicinecertifiedD’Youville College NP May 2018Nurse Practitioner Hospitalist withSound Physicians of New York, MercyHospital March 2019 to June 2020Registered Nurse – Foothills Hospital,Calgary, Canada - General Surgery &Oncology April 201 to January 2013;Peter Lougheed Hospital, Calgary,Canada - ICU April 2012 to April 2014;Houston Methodist Hospital, TexasMedical Center, Houston, TX - Surgicaland Liver Transplant ICU April 2014 toNovember 2014Joining Apogee Physicians. Currentattending, Dr. Archit Patel is herhusband. Temporary privilegesgranted November 4, 2020 forimmediate patient needANCC certifiedCollaborating Physicians – Dr. AshvinTadakamalla (14)Cebu Doctors’ University College ofMedicine, Philippines, MD April 2008The Committee voted, all infavor, to approve theappointment with privilegesgranted as requestedRecommendation, via theseminutes, to the MedicalExecutive Committee forapproval.The Committee voted, all infavor, to approve theRecommendation, via theseminutes, to the Medical
Suparna Saha, MDInternal Medicine Yi Shun Felix Cheng, MDNeurology Highlight: Initiate FPPENew York Methodist Hospital InternalMedicine Residency June 2013Hospitalist Physician since October2013 with Apogee Physicians TravelTeam. Anticipated clinical coverageDecember 2020American Board of Internal MedicinecertifiedSt. George’s University School ofMedicine MD May 2015ECFMG certified June 2015Icahn Mount Sinai School of MedicinePGY1 Preliminary Internal MedicineResidency June 2016SUNY Stony Brook University School ofMedicine PGY2-PGY3 InternalMedicine Residency June 2018Hospitalist Physician (Locum) YaleNew Haven Hospital January 2019 –August 2019UBMD Hospitalist at Buffalo GeneralOctober 2019 to presentJoining UBMD Hospitalist at ECMC inOctober, temporary privileges grantedOctober 20, 2020 for immediatepatient needAmerican Board of Internal Medicineeligible, sitting December 2020St. George’s University School ofMedicine MD June 2015ECFMG certified June 2015Jacobs School of Medicine NeurologyResidency June 2019 andNeurophysiology Fellowship June 2020Hired through ECMC for immediatepatient need. Temporary privilegesgranted for November 9, 2020appointment with privilegesgranted as requested.Executive Committee forapproval.The Committee voted, all infavor, to approve theappointment with privilegesgranted as requested.Recommendation, via theseminutes, to the MedicalExecutive Committee forapproval.The Committee voted, all infavor, to approve theappointment with privilegesgranted as requested.Recommendation, via theseminutes, to the MedicalExecutive Committee forapproval.
Kathleen Boyle, MDOrthopaedic Surgery Gregory Zybczynski, PA-COrthopaedic Surgery Stephanie Kaminska, PA-COrthopaedic Surgery Highlight: Initiate FPPEAmerican Board of Psychiatry andNeurology certifiedThe George Washington UniversityMD May 2014Jacobs School of MedicineOrthopaedic Surgery Residency June2019Hospital for Special Surgery/CornellMedical Center Adult Reconstruction& Joint Replacement Fellowship July2020Joined University Orthopaedic ServicesAugust 2020. Currently on staff atKaleida and Niagara Falls MemorialHospitalAmerican Board of OrthopaedicSurgery eligible, passed part I July2019Daemen College PA May 2018Physician Assistant with UniversityOrthopaedic Services since July 2018Supervising Physicians – Dr. KathleenKeely Boyle (1)NCCPA certifiedSeton Hall University PA May 2010Orthopaedic Physician Assistant atNorthtown Orthopaedic’s P.C. October2010 to November 2018Orthopaedic Surgery PhysicianAssistant at Erie County MedicalCenter December 2018 to May 2020Laid off May 2020 due to COVIDpandemic, hired back by ECMC inSeptemberTemporary privileges granted October12, 2020 for immediate patient needThe Committee voted, all infavor, to approve theappointment with privilegesgranted as requested.Recommendation, via theseminutes, to the MedicalExecutive Committee forapproval.The Committee voted, all infavor, to approve theappointment with privilegesgranted as requested.Recommendation, via theseminutes, to the MedicalExecutive Committee forapproval.The Committee voted, all infavor, to approve theappointment with privilegesgranted as requested.Recommendation, via theseminutes, to the MedicalExecutive Committee forapproval.
Supervising Physician – Dr. MatthewBinkley (3) NCCPA certifiedStephanie Kaminska, PA-C - OrthopaedicSurgery 10/12/2020Sarah Toblin, PA-C - Family Medicine10/12/2020Melissa Owens, PA-C – Internal Medicine10/14/2020Abby Leishman, PA-C – Anesthesia PainManagement 10/19/2020Gopal Katkoria, MD – Internal Medicine10/20/2020Suparna Saha, MD – Internal Medicine10/20/2020Azadeh Hassan-Tehrani, NP - Family Medicine10/26/2020Dhara Patel, NP - Internal Medicine 11/4/2020 X.TEMPORARY PRIVILEGESXI.REAPPOINTMENTS (30)NAMEBrignon, Kimberly CRNAConiglio, Julia CRNAHaws, Brianna CRNAKocz, Remek MDMeyers, Shannon CRNABalone, Rebecca siaAnesthesiaEmergency MedicineCATEGORYAHPAHPAHPActiveAHPAHPHall, Elizabeth PAEmergency MedicineAHPEmergency MedicineInternal MedicineInternal MedicineInternal MedicineInternal ting: Dr. Naheed AlamSupervising: Dr. Kerry HlubikTanaka, Kaori DOBerenji, Farid MDChang, Shirley MDChaudhuri, Ajay MDDadani, Farhan MDHighlight: Initiate FPPENotedInformationalThe Committee voted, all infavor, to recommend approvalof the re-appointments listedwith privileges as requested.Recommendation to MedicalExecutive Committee forapproval.OPPEPRIVILEGESWithdrawing: all Surgical Privileges
Edd, Thomas MDKim, Chee Hoon MDInternal MedicineInternal MedicineActiveAssociateKohen, Aniqa MDPisano, Heather FNPInternal MedicineInternal MedicineActiveActiveShah, Dhiren MDYacoub, Rabi MDBenedict, Ralph PhDButtaccio, Rebecca PAInternal MedicineInternal s, John MDNagai, Michael DDS, MDOphthalmologyOral & Maxillofacial SurgeryOtolaryngologyPlastic & ReconstructiveSurgeryActiveActiveBernas, Geoffrey MDOrthopaedic SurgeryActiveStegemann Philip MDGunn, Susan NPOrthopaedic SurgeryPsychiatry and BehavioralMedicinePsychiatry and BehavioralMedicinePsychiatry and BehavioralMedicinePsychiatry and Collaborating: Dr. TadakamallaSupervising: Dr. Kerry HlubikCollaborating: Dr.Evelyn CogginsLeo, Raphael MDPuca, Zachary MDSmith, Beth MDJones, Kendall MDHighlight: Initiate FPPEActiveActiveActiveActiveAdding 6 new Privileges: Cardioversion-elective, InternalJugular Puncture (with/without catheter), Insertion ofLoop Recorder, Temporary Transvenous Pacemaker,Moderate Sedation, Permanent Pacemaker insertion.Adding 1 new Privilege: Video Capsule EndoscopyWithdrawing 1 privilege: NG Tube Insertion with GuideWire.Adding 1 new Privilege: Educational TestingAdding 4 new Privileges in Otolaryngology: Branchial cleftcyst removal, Thyroglossal duct cyst removal, Excisiondermoid, Cervical node biopsy; Adding 3 new Privileges inPlastic and Reconstructive: Operations for thyroid tumorsw/CA partial or total excision, Excision of major salivaryglands for neoplasm, parotid surgery and facial nervereconstruction, 12th cranial nerve stimulation implant(Inspire).Adding 2 new Privileges: Ambulatory non Procedural,Coccyx, simple not requiring reduction; Withdrawing 10privileges COS aware.Adding 1 new Privilege: Psychotherapy Group
El-Ashry Awad MDXII.AUTOMATIC CONCLUSION1st NoticeThoracic/CardiovascularSurgeryReappointment ExpirationEzenwa, Chinyere MD 2nd NoticeWithdrawing 3 privileges: Trachea (open tracheostomy,biopsy, repair); Lung (plication, resection, incision, biopsy);Chest wall Pleura, Mediastinum.ActiveNotedInformational OnlyNotedInformational OnlyNotedInformational OnlyCRF – Internal MedicineGregory Bennett, MD- Active-NeurosurgeryChristopher Jacobus, MD3rd NoticeXIII.PROFESSIONAL PRACTICEEVALUATIONS- Active- Internal MedicineClara Ramas, MD- Active – Radiology/TeleradiologyOPPE (30)Chemical Dependency 12Chiropractic8Rehabilitation 10FPPE10/1/202010Cardiothoracic Surgery 2Family Medicine1Internal Medicine2Internal Medicine1Neurosurgery 1Orthopaedic Surgery 1Psychiatry1Rehabilitation Medicine 1XIV.OLD BUSINESSHighlight: Initiate FPPE11/5/20203Internal MedicineSurgery 12NoneInformational Only
A. ExpirablesB. DEA, License, BoardsC. Name changesXIIV. NEW BUSINESSA. Emeritus StaffPsychiatry Cowan, Richard MDExpired PPD 9-23-20Plastic & Reconstructive Surgery Dr. Hughes’ DEA is being audited. Hehas renewed in time but website cantake up to 6 weeks to verify. We haveobtained a copy of his paid receipt forhis file as verification of timelyrenewalThe MDSO will continue to check daily for acompleted verificationPlastic & Reconstructive Surgery From Rachel Attea, NP to RachelHarris, NPPsychiatry From Jessica Grudzien, MD to JessicaBortel, MD B. Samer Kareem, MBBS C. Percutaneous Tenotomy Highlight: Initiate FPPECOS to speak to ProviderInformational OnlyNotedInformational OnlyNotedInformational OnlyThe MEC discussed the Qualificationsfor Emeritus staff status. They will,going forward, look for arecommendation from the CredentialsCommittee, as it is a staff categorychange. For discussion at thismeeting:Dr. BennettDr. PranikoffDr. SchaefferThe Committee voted, all infavor, to recommend Dr.Gregory Bennett, Dr. KevinPranikoff and Dr. DanielSchaeffer be granted EmeritusStatus.Recommendation, via theseminutes, to the MedicalExecutive Committee andBoard of Directors for approval.The MEC has approved the request forDr. Kareem to pursue the SpecialCertification Pathway for internallytrained physicians through the ABIM.We will monitor.TENJET Procedure Credentialing:Awaiting information from Dr.Monitoring will continue andwill be reported to the MedicalExecutive Committee asneededInformational OnlyWill follow up at DecemberCredentials MeetingMs. Carpenter will follow-up.Follow up required
D. OPPE/FPPE UpdatesE. Staff Category and IT AccessF. OnboardingG. Update on ACLS for CRNAsJ. Pacemaker criteria for IMHighlight: Initiate FPPEStegemann to determine whether theprocedure needs to be privileged.Current review of specific measures and dataavailable to formulate OPPE and FPPE forAHP’s. It was noted that AHP “Notes” are ableto be captured now in the data repository andshould help provide more meaningful data tothe process.An audit was conducted to be sure IT Accessaligned with staff category as outlined in theBylaws. There are some changes to be made. Badges to be transitioned to SecurityEffective Monday, November 9, 2020. Ms.Carpenter reported that she is working withChief Hanesworth to be sure providers comingon staff are aware of the process. It was notedthat the process should be easier for providersas the Security Dispatch office is available24/7.The need for badges for Medical Students etcwas discussed. It was brought to theCommittee’s attention that for students toobtain scrubs and enter the bldg., a badge isrequired. The CMO stated that he will notifyall COS prior to the meeting; at which time adetailed discussion can take placeThe ECMC Policy as it relates to nursing wasreviewed.The criteria for Permanent Pacemakerinsertion for internal medicine (cardiology)providers was reviewed.Recommendations will bepresented to the Committee.Ms. Carpenter will follow-up.It was noted that staffmembers with C,R,F accesswill/should be view only andEmeritus staff will have noaccess.Updates will be reviewed atDecember Credentials meetingInformational OnlyThe anesthesia department isrecommending one policy forall providers in the department,including physicians andCRNA’s.The current criteria for internalmedicine is recommended,however, the committee wouldMs. Carpenter and Mr. Skomrawill review and make arecommendation to theCommittee.Ms. Carpenter and ChiefHanesworth will monitor.Ms. Carpenter will follow-up atthe December meeting.
XIIIV. ADJOURNMENTThe meeting was adjourned at 4:12 pmlike information on theprivileging of cardio/thoracicsurgeons on same.Pg. 9 details:CARDIOLOGY: PACEMAKER IMPLANTATION1. Physician must be Cardiology fellowship trained, and Board Eligible/Certified in Cardiology.2. During training, physician must have performed at least 40 Pacemaker implants as primary operator and at least 30 replacements/revisions.3. Current competence must be demonstrated by documentation of at least 12 Pacemaker implants/year and at least 5 replacement/revisions/year.Reference:2015 ACC/AHA/HRS Advanced Training Statement on Clinical Cardiac Electrophysiology, J Am Coll Cardiology 2015 Sep, 66(24), 2767-28022017 ACC/HRS Lifelong Learning Statement for Clinical Cardiac Electrophysiology Specialists, J Am Coll Cardiology 2017 Nov, 71(2), 231-250Highlight: Initiate FPPE
Highlighting indicates commencement of FPPERespectfully submitted,Yogesh Bakhai, MDChair, Credentials CommitteeHighlight: Initiate FPPE
Massachusetts College of Pharmacy and Health Sciences PA May 2013 Physician Assistant to Orthopaedic Spine Surgeon at New England Orthopaedic and Spine Surgery May 2013 to October 2016 Physician Assistant to Orthopaedic Spine Surgeon at Denver International Spine Center November 2016 to June 2020 Current Physician Assistant to
