August 14, 2023, CRC Minutes Final
pdf
keyboard_arrow_up
School
Arizona Western College *
*We aren’t endorsed by this school
Course
EMS-150
Subject
Medicine
Date
Jan 9, 2024
Type
Pages
15
Uploaded by RustyShackleford007
Cardiopulmonary Resuscitation Committee (CRC) VA Veterans Affairs Medical Center (VAMC) — Tomah, Wisconsin US. Department of Vaterans Affair, Vesrans Health Administra;ion ATTENDANCE: P = Present A = Absent E = Excused X = Alternate N = Not Required V = Vacant MEMBERS OCT NOV DEC JAN FEB FEB MAR APR MAY JUNE JUL AUG AUG SEP Chair—Acute Care Chief or Designee X 1
3
p p p X E X P X P P P Co-Chair — Deputy Associate Chief of Staff (DACOS) - Medicine Service (MS) P X P X P P P P - - - - - - Co-Chair — Acute Medical and Urgent Care Nurse Manager - - - - - - _ - P P P P P Committee Administrative Support — Medicine Service (MS) P P P P P P P P P P P P P Fire Department Chief or Designee PPPPPEEPP PPPP Urgent Care Nurse Manager or Designee P P P P PPP X - - - - P - Director of Quality Management or Designee P P P P P X X PP PPPP Education Instructor(s) X PPP PPPP EPPP Respiratory Therapist Supervisor P P P P P EP PP PEPP Police Chief or Designee P P P P P X A P E X P P Nurse of the Day (NOD) or Designee X P P_P X X X P P PPPP GUESTS Associate Chief of Staff- (ACOS) Medicine Service (MS) P P NP P PP P P N P P P Chief of Staff PNNNNNNNN NNNN Madison Emergency Department Service Chief P P P P N P P P P PPPN Organizational Improvement Analyst—Acute Care N P P P P P P N N X N X N - Risk Manager NNPPPNPPP PPPN Deputy Associate Chief of Staff (DACOS) - Medicine Service (MS) - - - - - - - - P P N P N Psychiatrist, Outpatient Mental Health - - - - - - - - - - - P - - Confidentiality Note: The information contained in these minutes is privileged and confidential information intended for quality management purposes and is protected from disclosure. Dissemination, distribution, or copying of this information is prohibited. This document and related records (or information contained herein) are deemed CONFIDENTIAL AND PRIVILEGED under the provisions of 38 U.S.C. § 5705. The statute provides for fines up to $20,000 for unauthorized disclosures. Page 1 of 15
Topic Discussions/Conclusions Recommendations/ Action Responsible Person None. Follow-up Date None. 1.
Date, Time, and Place of Meeting August 14, 2023, 1100-1150, Microsoft Teams (out-of-cycle CRC meeting) Informational. 2.
Review/ Acceptance of Previous Minutes The Cardiopulmonary Resuscitation Committee (CRC) meeting minutes can be found on the Share Drive in the Committees folder, Cardiopulmonary Resuscitation Committee (CRC), LINK. Informational. Informational. CRC Recorder CRC Recorder September 14,2023 September 14, 2023 The July 13, 2023, CRC meeting minutes are pending review and signature. The August 10, 2023, CRC meeting minutes are being drafted. 3.
Disclosure of Conflicts of Interest No conflicts of interest noted. None. None. 4.
Announcements None. None. None. 4. Old Business None Informational. CRC Recorder September 14,2023 a. Review CRC Action Items There were no actions discussed during out-of-cycle CRC meeting. 5.
Standard Agenda Items a. Review of Emergency Response Reports i. Medical Emergency: A.B.; 7/15/2023 The CRC members reviewed the Medical Emergency (ME) from July 15, 2023 (see attached memo, debrief, and review), Informational. No follow-
up needed. Confidentiality Note: The information contained in these minutes is privileged and confidential information intended for quality management purposes and is protected from disclosure. Dissemination, distribution, or copying of this information is prohibited. This document and related records (or information contained herein) are deemed CONFIDENTIAL AND PRIVILEGED under the provisions of 38 U.S.C. § 5705. The statute provides for fines up to $20,000 for unauthorized disclosures. Page 2 of 15
Topic Discussions/Conclusions The Acute Medical and Urgent Care Nurse Manager reported ME was for an Employee who was at the Promise to Address Comprehensive Toxics (PACT) Act event on July 15, 2023. The Employee fell injuring upper extremity and scraping knee. The Employee's Electronic Health Record was not reviewed due to privacy, but reviewing the ME memo and debrief, the ME team responded well and had all appropriate equipment The Employee was picked up by spouse and taken to the local Emergency Department The ME debrief reported staff did not hear the overhead speaker in the Resource Office. Tomah Veteran's Affairs Medical Center (VAMC) Police placed a work order for the overhead speaker to be tested. The CRC members rated the ME: 1. No issues identified. Recommendations/ Action Responsible Person Follow-up Date 7.15.23 7.15.23 7.15.23 —
Th PDF A.B. A.B. A.B. Memo.pdf ME .--. .
11
.- Debrief.pdf ME Review.pdf ME ii. Medical 7/18/2023 7.18.23 7.18.23 Emergency: ----. di- PDF K.R., K.R. K.R. The CRC members reviewed the Medical Emergency (ME) from July 18, 2023 (see attached memo, debrief, ambulance report, and review), The Simulation Nurse Educator reported ME was called for a 68 year old Veteran who was brought to the Tomah VAMC by a friend for alcohol detox. The Veteran fell in the parking lot and hit his head. The Veteran was combative, noncompliant, and very intoxicated. A cervical collar was placed on the Veteran, but the Veteran was demanding cervical collar be removed, so staff did remove cervical collar. The Veteran was conscious and oriented to self. The Emergency Medical Services (EMS) arrived and took over Veteran's care. The Veteran continued to be aggressive with EMS. The EMS Informational. No follow-
up needed. Debrief.pdf ME ,i-
PDF Memo.pdf ME Confidentiality Note:
The information contained in these minutes is privileged and confidential information intended for quality management purposes and is protected from disclosure. Dissemination, distribution, or copying of this information is prohibited. This document and related records (or information contained herein) are deemed CONFIDENTIAL AND PRIVILEGED under the provisions of 38 U.S.C. § 5705. The statute provides for fines up to $20,000 for unauthorized disclosures. Page 3 of 15
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
Topic Discussions/Conclusions Recommendations/ Action Responsible Person Follow-up Date administered Veteran Versed and transported Veteran to Tomah Health. There were no concerns noted in the ambulance run report ME 7.18.23 K.R. Ambulance Reportpd The documentation was completed by the Medical Officer of the Day —Th (MOD) and Nurse of the Day (NOD). Overall, there wasn't much the ME di- team could do with Veteran's state and behaviors; the Veteran was 7.18.23 ME K.R. refusing cares. Review.pdf The Simulation Nurse Educator did not have any concerns regarding staff response to ME. The CRC members rated the ME: 1. No issues identified. iii. Medical The CRC members reviewed the Medical Emergency (ME) from July 19, Emergency: M.M., 2023 (see attached memo, debrief, and review). 7/19/2023 The NOD Manager reported Residential Rehabilitation Treatment 7
E1
7 Program (RRTP) Veteran was found in the north parking lot of Tomah VAMC and a ME was called. ME 7.19.23 M.M. Memo.pdf —Th A Registered Nurse (RN) called 911 from personal cell phone from the pDF parking lot; the RN was asked to stay on the line for a transfer to the 7.19.23 ME M.M. Tomah VAMC Police department, but the call was then disconnected on Debrietpdf the Monroe County dispatchers side. Another RN ran inside Tomah VAMC and called a ME; during this time the Monroe County dispatcher called for a 911 ambulance to Tomah VAMC. PDF 7.19.23 ME M.M. The ME debrief indicated two RN's had difficulty using the glucometer, as Review.pdf their personal codes did not work when trying to log in. Confidentiality Note: The information contained in these minutes is privileged and confidential information intended for quality management purposes and is protected from disclosure. Dissemination, distribution, or copying of this information is prohibited. This document and related records (or information contained herein) are deemed CONFIDENTIAL AND PRIVILEGED under the provisions of 38 U.S.C. § 5705. The statute provides for fines up to $20,000 for unauthorized disclosures. Page 4 of 15
Topic Discussions/Conclusions Recommendations/ Action Responsible Person Follow-up Date The NOD completed a ME note. The MOD only completed a transfer note, but did indicate in the transfer note it was due to the ME. Respiratory Therapist also wrote a ME note. The CRC members rated the ME: 3. Improvement opportunities, education assigned. The CRC recommended the Nurse Managers review glucometer access with all of their ambulatory care are RNs. The ACOS-MS educated all MODs on August 10, 2023, to complete ME note for all ME/RRs. Nurse Managers to review glucometer access with all of their ambulatory care are RNs. NOD Manager No follow-
up needed. September 14, 2023 iv. Rapid M.M., 7.21.23 7.2123 7.21.23 ---, .A- PDF 7/21/2023 Response: M.M. M.M. M.M. The CRC members reviewed the Rapid Response (RR) from July 21, 2023 (see attached memo, debrief, and review), The Acute Medical and Urgent Care Nurse Manager reported the Veteran was returning from the main dining room and complained of not feeling well, and Veteran asked to have vitals checked. The Veteran was hypotensive. There were no issues identified in calling the RR. The RR team responded timely. An Electrocardiogram (EKG) was completed promptly. The Veteran's labs were drawn, and vitals were monitored continuously. There was good documentation by the MOD, NOD, and RN in the Veteran's Electronic Health Record (EHR). All equipment worked well, and equipment and supplies were readily available. There were no concerns noted with the RR. Informational. No follow-
up needed. Memo.pdf RR p
rF
F Debrief.pdf RR •
—• di-
PDF Memo.pdf RR Confidentiality Note: The information contained in these minutes is privileged and confidential information intended for quality management purposes and is protected from disclosure. Dissemination, distribution, or copying of this information is prohibited. This document and related records (or information contained herein) are deemed CONFIDENTIAL AND PRIVILEGED under the provisions of 38 U.S.C. § 5705. The statute provides for fines up to $20,000 for unauthorized disclosures. Page 5 of 15
Topic Discussions/Conclusions * Recommendations! Action Responsible Person Follow-up Date The CRC members rated the RR: 1. No issues identified. v. Medical The CRC members reviewed the Medical Emergency (ME) from July 21, Emergency: J.B., 2023 (see attached memo, debrief, and review). 7/21/2023 ).-.\ The Director of Quality Management reported ME was called for an 80 year old male Veteran who sustained a fall in the shower room and PDF received a laceration to scalp. ME 7.21.23 J.B. Memo.pdf )r- pi. A cervical collar was placed on the Veteran. Due to the location of the fall, the staff could not use the hover mat, so they used the ceiling lift and was 7.21.23 ME J.B. noted to be appropriate. The Veteran was sent to Tomah VAMC Urgent Debrief.pdf Care and received sutures for laceration. The Veteran had a Computed Tomography (CT) scan completed; the CT was negative. PDF The Director of Quality Management reported the ME memo indicated ME 7.21.23 ME J.B. staff did not wear masks. The staff are required to wear masks in the Review.pdf Community Living Centers (CLCs) if within six feet of a Veteran. The MOD, NOD, and RN appropriately documented ME notes. The Veteran did return back to the unit. The CRC members rated the ME: 3. Improvement opportunities, education assigned. The CRC recommended reeducating ME/RR team to wear masks when Educate ME/RR NOD September entering the CLC for a ME/RR when within six feet of a Veteran, team to wear masks when entering the Manager 14, 2023 CLC for a ME/RR Confidentiality Note: The information contained in these minutes is privileged and confidential information intended for quality management purposes and is protected from disclosure. Dissemination, distribution, or copying of this information is prohibited. This document and related records (or information contained herein) are deemed CONFIDENTIAL AND PRIVILEGED under the provisions of 38 U.S.C. § 5705. The statute provides for fines up to $20,000 for unauthorized disclosures. Page 6 of 15
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
Topic Discussions/Conclusions Recommendations/ Action Responsible Person Follow-up Date when within six feet of a Veteran. vi.
Rapid W.J., 7.24.23 7.24.23 7.24.23 --. )... PDF 7/24/2023 Response: WJ. WJ. WJ. The CRC members reviewed the Rapid Response (RR) from July 24, 2023 (see attached memo, debrief, and review), The NOD Manager reported the RR occurred by the kitchen for an Employee who was having severe contractions. There was no documentation in an EHR, as RR was for an Employee. The RR team asked Employee if Employee wanted an ambulance called; the Employee declined. The Employee stated husband was on the way. The RR team asked again if Employee wanted an ambulance when the husband arrived and both Employee and husband declined a need for an ambulance. Tomah VAMC dispatch did reach out to Tomah Health just to inform them that the Employee was on her way in personal vehicle. There were no concerns noted with RR. The CRC members rated the RR: 1. No issues identified. Informational. No follow-
up needed. Memo.pdf RR 4-
Th, )
1
... pi. Debrietpdf ---. RR ..4. PDF Review.pdf RR vii.
Rapid T.C., 7.25.23 ------. di. PDF 7/25/2023 Response: T.C. The CRC members reviewed the Rapid Response (RR) from July 25, 2023 (see attached memo, debrief, and review). The Acute Medical and Urgent Care Nurse Manager reported the Veteran was found to be having what appeared to be a seizure while he was lying in Memo.pdf RR Confidentiality Note: The information contained in these minutes is privileged and confidential information intended for quality management purposes and is protected from disclosure. Dissemination, distribution, or copying of this information is prohibited. This document and related records (or information contained herein) are deemed CONFIDENTIAL AND PRIVILEGED under the provisions of 38 U.S.C. § 5705. The statute provides for fines up to $20,000 for unauthorized disclosures. Page 7 of 15
Topic Discussions/Conclusions Recommendations/ Action Responsible Person Follow-up Date bed. Staff initiated a RR. There were no issues with the call, no issues with 11
; the response. The Veteran's vitals were taken appropriately. 7.25.23 Debrietpdf RR T.C. The MOD ordered some Ativan, Ativan was given Intramuscular Injection (IM), which was appropriate route appropriate dose. The staff did --\ document that they checked for oral trauma after the seizure and there .0
1
.- was none present. 7.25.23 RR T.C. Review.pdf The RR team inserted an Intravenous (IV) and called for local EMS. The Veteran was transported to Tomah Health. It is noted the Veteran has a history of a conversion disorder. There was no ME note from the NOD and the MOD. The MOD charted in a transfer out note versus a ME note, but there was documentation of what had happened in the transfer out note. There was great documentation by provider and RN; they are on the unit and were very clear, provided a nice picture about what was going on during the RR. The following comments were noted in the RR debrief 1.
Staff had contacted the provider, on the unit, to come and see the Veteran prior to calling the RR. The NP was at bedside and asked for the MD to come over, but MD was unable to respond immediately, so NP called a RR for additional resources. Informational only. No follow-
up needed. 2.
There are not hard copies of Do Not Resuscitate (DNR) paperwork on the unit in case there would be a system outage and Confidentialitv Note: The information contained in these minutes is privileged and confidential information intended for quality management purposes and is protected from disclosure. Dissemination, distribution, or copying of this information is prohibited. This document and related records (or information contained herein) are deemed CONFIDENTIAL AND PRIVILEGED under the provisions of 38 U.S.C. § 5705. The statute provides for fines up to $20,000 for unauthorized disclosures. Page 8 of 15
Topic Discussions/Conclusions Recommendations/ Action Responsible Person Follow-up Date staff were unable to access the EHR. The Nurse Manager was to investigate and follow up with staff. 3.
It was noted that there was only one IV start kit in the Fire departments supply bag; recommendation was to add two more, as there should be three IV start kits. The CRC members rated the ME: 3. Improvement opportunities, education assigned. The CRC recommended the following actions: 1.
Follow up with unit Nurse Manager to confirm if and where DNR Confirm if and where Acute Medical September paperwork is kept and to then educate the staff on where DNR DNR paperwork is and Urgent 14, 2023 paperwork is kept on the unit for reference, in case of a systems outage and they are not able to access EHR. kept and to then educate the staff on where DNR paperwork is kept on the unit for reference, in case of a systems outage and they are not able to access Care Nurse Manager EHR. 2.
The Fire Department will stock three IV start kits in their Fire Confirm Fire Fire September department bags. department bags are stocked with three IV start kits. Department Chief 14, 2023 Confidentiality Note:
The information contained in these minutes is privileged and confidential information intended for quality management purposes and is protected from disclosure. Dissemination, distribution, or copying of this information is prohibited. This document and related records (or information contained herein) are deemed CONFIDENTIAL AND PRIVILEGED under the provisions of 38 U.S.C. § 5705. The statute provides for fines up to $20,000 for unauthorized disclosures. Page 9 of 15
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
Topic Discussions/Conclusions Recommendations/ Action Responsible Person Follow-up Dab viii. Medical The CRC members reviewed the Medical Emergency (ME) from July 26, Emergency: M.D., 2023 (see attached memo, debrief, and review). 7/26/2023 —4, di- The Director of Quality Management reported ME was called for a 73 year old male Veteran that was present at Tomah VAMC for an appointment. p., While Veteran was in the waiting room, Veteran's oxygen tank ran out and 7.26.23 ME M.D. RN was asked to go assess the Veteran. The Veteran was short of Memo.pdf breath, crying and unable to speak more than two to three word sentences. The Veteran initially declined any chest pain or pressure and declined any pain, headache, nausea, weakness and stated was very 7.26.23 ME M.D. emotional that day. The Veteran was taken into the clinic treatment room. Debrief.pdf There was three sets of vitals that were documented for the Veteran. --. ..
1
-
PDF Initially, Veteran's pulse oximeter was 87%. The RR staff put Veteran on 15 litters via nonrebreather and his oxygen increased to 97%, and 7.26.23 ME M.D. Veteran's respiratory rate decreased to 18, initially it was 74. A recheck Memo.pdf was completed a minute later, per the charting, and Veteran's oxygen level was at 99%. The Veteran was taken to Tomah VAMC Urgent Care for an assessment. The Veteran told it was noted in the MOD's note that the Veteran later did state that he had right sided chest pain and pressure. There was an EKG completed at 1054 that showed normal sinus rhythm, that was in EHR. There was a ME note written by Respiratory Therapy, RN and NOD. There was not a ME note written by the MOD, just an urgent care note. There were no other concerns noted with the RR. The CRC members rated the ME: 3. Improvement opportunities, education assigned. Confidentiality Note: The information contained in these minutes is privileged and confidential information intended for quality management purposes and is protected from disclosure. Dissemination, distribution, or copying of this information is prohibited. This document and related records (or information contained herein) are deemed CONFIDENTIAL AND PRIVILEGED under the provisions of 38 U.S.C. § 5705. The statute provides for fines up to $20,000 for unauthorized disclosures. Page 10 of 15
Topic Discussions/Conclusions Recommendations/ Action Responsible Person Follow-up Date - The CRC recommended educating all MODs to enter ME note for all The ACOS-MS No follow-
ME/RR. educated all MODs on August 10, 2023, to complete ME note for all ME/RRs. up needed. ix. Rapid Response: The CRC members reviewed the Rapid Response (RR) from July 28, Informational. No follow-
T.C., ,x- p., 7/28/2023 2023 (see attached memo, debrief, and review). The Acute Medical and Urgent Care Nurse Manager reported the RR was called for Veteran who is known to have a conversion disorder (Veteran up needed. 7.28.23 RR T.C. also had a RR called on July 25, 2023). There were staff in Veteran's Mem o.pdf room at the time Veteran had episode; the Veteran was noted to lean ---, dt- head against the wall while sitting in wheelchair with eyes shut. The staff checked on the Veteran, but the Veteran didn't respond or open eyes PDF 7.28.23 RR T.C. when staff verbally called Veteran's name. Staff then rubbed Veteran's Debrief.pdf arm again, but got no response. The staff notified the attending Provider at t
pA
c71
; 1036 and the Provider responded immediately. The Provider instructed the staff to call RR and RR was initiated. 7.28.23 RR T.C. The Veteran's vitals were taken and then the Veteran had a seizure like Review.pdf episode. The Veteran was slipping out of wheelchair; the staff were able to assist Veteran to the floor without injury. The RR team arrived timely. Once the RR team was on scene, RR team called for a 911 ambulance at 1046, and put a non-rebreather mask on the Veteran. The MOD gave a 2 milligram dose IM of Lorazepam. There was good documentation on vitals. The Veteran left via 911 ambulance at 1101. Confidentiality Note:
The information contained in these minutes is privileged and confidential information intended for quality management purposes and is protected from disclosure. Dissemination, distribution, or copying of this information is prohibited. This document and related records (or information contained herein) are deemed CONFIDENTIAL AND PRIVILEGED under the provisions of 38 U.S.C. § 5705. The statute provides for fines up to $20,000 for unauthorized disclosures. Page 11 of 15
Topic Discussions/Conclusions Recommendations/ Action Responsible Person Follow-up Date All interventions appear to be appropriate. Documentation was appropriate of the entire RR. There were no issues identified in the RR. The CRC members rated the RR 1. No issues identified. x. Medical The CRC members reviewed the Medical Emergency (ME) from July 28, Emergency: J.W., 2023 (see attached memo, debrief, and review). 7/28/2023 The NOD Manager reported the ME happened in Respiratory Therapy. 1 There was no ME note by the NOD. There was a ME note by the provider 7.28.23 ME J.W. and Respiratory Therapy, and one of the staff RNs Memo.pdf They were having some trouble with getting a good connection to the Veteran with the EKG, but then EMS arrived and attached their Zoll and 7.28.23 ME J.W. ran a four and a 12 lead on the Zoll, which was documented in the Debrief.pdf ambulance run report. 4
-
-, ...t. . _ In the Respiratory Therapy note it was reported that Respiratory Therapy ME 7.28.23 J.W. was able to use that EKG machine without any deficiencies after the ME. Review.pdf The NOD Manager inquired if there needed to be a transfer note if the Veteran is outpatient. The CRC confirmed a transfer note is not required for outpatient Veterans who are not present in Urgent Care. The CRC members rated the ME: 3. Improvement opportunities, education assigned. The CRC recommended educating NODs to enter ME note for all The NOD Manager No follow-
ME/RR. educated all NODs up needed. Confidentiality Note: The information contained in these minutes is privileged and confidential information intended for quality management purposes and is protected from disclosure. Dissemination, distribution, or copying of this information is prohibited. This document and related records (or information contained herein) are deemed CONFIDENTIAL AND PRIVILEGED under the provisions of 38 U.S.C. § 5705. The statute provides for fines up to $20,000 for unauthorized disclosures. Page 12 of 15
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
Topic Discussions/Conclusions Recommendations/ Action Responsible Person Follow-up Date on August 10, 2023, to complete ME note for all ME/RRs. Mock Code: Building 405, Day Shift, July 13,2023 ir
P
'
l
The Simulation Nurse Educator reviewed mock code from July 13, 2023, (see attached). The Simulation Nurse Educator reported during debriefing, multiple staff still reported not being able to hear overhead announcement in 405 third floor, 406B, 403B, and the new urgent care area. The Tomah VAMC Police on duty performing tests to verify the volume level. The CRC recommended that facilities review the overhead paging system The Tomah VAMC Police Chief did report that Facilities are still in process of updating the overhead paging system throughout Tomah VAMC, as it was found the overhead paging system requires re-wiring. The Tomah VAMC Police Chief reported each staff member can call Tomah VAMC dispatch and request a test at any given time. Present continued concern that staff are unable to hear overhead announcements to ESC and follow up with Facilities to review overhead paging system. Informational. ACOS-MS September 14,2023 No follow-
up needed. Mock Code 405 7-13-23 Dayshift.doo 6. New Business None. Confidentiality Note:
The information contained in these minutes is privileged and confidential information intended for quality management purposes and is protected from disclosure. Dissemination, distribution, or copying of this information is prohibited. This document and related records (or information contained herein) are deemed CONFIDENTIAL AND PRIVILEGED under the provisions of 38 U.S.C. § 5705. The statute provides for fines up to $20,000 for unauthorized disclosures. Page 13 of 15
Topic Discussions/Conclusions Recommendations! Action Responsible Person Follow-up Date 7. Next Meeting: Out-of-Cycle CRC meeting will be held August 14, 2023, 0900 —0950, via Microsoft TEAMS, to complete July 2023 ME, RR, and mock code reviews. None. CRC Recorder August 14, 2023 Confidentiality Note: The information contained in these minutes is privileged and confidential information intended for quality management purposes and is protected from disclosure. Dissemination, distribution, or copying of this information is prohibited. This document and related records (or information contained herein) are deemed CONFIDENTIAL AND PRIVILEGED under the provisions of 38 U.S.C. § 5705. The statute provides for fines up to $20,000 for unauthorized disclosures. Page 14 of 15
Kristal Moen Management Analyst/Recorder Sarah Niles, MD, MPH Acting Acute Care Chief Chair Crystal Raiten, MSN, RN Acute Medical and Urgent Care Nurse Manager Co-Chair Mary Ellis, MD, MS, FCCP Chief of Staff Confidentiality Note: The information contained in these minutes is privileged and confidential information intended for quality management purposes and is protected from disclosure. Dissemination, distribution, or copying of this information is prohibited. This document and related records (or information contained herein) are deemed CONFIDENTIAL AND PRIVILEGED under the provisions of 38 U.S.C. § 5705. The statute provides for fines up to $20,000 for unauthorized disclosures. Page 15 of 15
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help