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Currents

Plans are under way to hold a retreat for all Medical Center managers and clinical leaders on July 30. We will use this retreat to outline a two-year tactical plan for carrying out the clinical enterprise strategic plan, which was approved in principle by the MUSC board of trustees in October 1998.

As previously communicated, the five-year clinical enterprise strategic plan addresses major focus areas, including ownership and legal structure, clinical enterprise relationships, organizational structure, and infrastructure.

The tactical plan will define the Medical Center's priorities and specific objectives that need to be carried out to achieve the more global strategic plan. During a period of several months, we will form work teams to focus on the specific details.

Recently, I met with Medical Center administrators for a full day to brainstorm and develop a general framework for the July 30 tactical plan retreat. We agreed that the tactical plan priorities should include implementation of the authority organization, physician involvement in the Medical Center operation, customer service, information-based decision-making, and management effectiveness. We expect to discuss these and other topics in depth at the July 30 retreat.

In order to accomplish the transition to an authority, we hope to establish multiple work teams to address key areas, including procurement and materials management, physical plant, human resources, information technology, financial systems, and shared services. We expect these work groups to include staff from the university's administration, UMA, Charleston Memorial Hospital, the state Budget and Control Board, and the Medical Center.

I will continue to communicate the details of the planning process as we move forward. Thank you very much.

W. Stuart Smith, Vice President for Clinical Operations, Executive Director, MUSC Medical Center

Pharmacy Services

  • Bobby Bradham, interim director of the Department of Pharmacy Services, reviewed the following questions and answers about recent changes in filling employee prescriptions.

Why is the Clinical Sciences Building Pharmacy the location to fill employees' prescriptions? The largest number of employee prescriptions are processed in this pharmacy. As a result, we will displace fewer employees with the change.

Why is this move being made? The move is part of cost-cutting measures to reduce expenses. Employees are the only group we fill all prescriptions for, regardless of formulary. (All nonformulary items for patients other than employees must be accompanied by a nonformulary request form.) This allows one pharmacy to routinely stock nonformulary items. Inventory is the largest expense of all pharmacies. It is quite expensive to routinely stock these items in three pharmacies instead of one.

If you are a patient and an employee, which pharmacy should you use? You should use the CSB pharmacy. Your status as an employee takes precedent over your status as a patient in order to honor your nonformulary status. Additionally, as an employee, you have the privilege of having prescriptions from non-MUSC physicians filled for you or your family members.

I work in Rutledge Tower. Can I be excused from this process and use the Rutledge Tower Pharmacy? No. You would not receive the employee privileges of nonformulary prescription processing or having prescriptions from non-MUSC physicians filled. Additionally, we could not guarantee we could monitor your prescriptions for drug interactions if your medications are on file in two different pharmacies.

When can I transfer my prescriptions to the CSB Pharmacy? The sooner the better. Each ambulatory pharmacy operation is licensed as a separate entity. The transfer of prescriptions from one licensed entity to another is time-consuming and cumbersome. As you receive new medication orders or need refills of existing prescriptions between now and July 1, we urge you to begin the transfer process.

Have you thought of filling prescriptions at the CSB location and then transferring them to another location? We have explored many options. The labor required, as well as the legal implications, prevent us from implementing this option. We will continue to review options in order to offer the best and most economic services.

What are the CSB Pharmacy's hours? The pharmacy is open from 8:30 a.m. to 5:30 p.m., Monday through Friday. The pharmacy is closed on Christmas, Thanksgiving and New Year's Day, but offers abbreviated hours on most other holidays, depending on the patient appointment loads on those days. The Audix phone service is available seven days a week, 24 hours a day to call in a prescription order or refill. The numbers are 792-2661 or 1-800-237-0794.

How many employees use MUSC pharmacy services? The most recent audit in February 1999 indicated more than 4,000 MUSC employees use this convenient service.

When should employees expect to receive a bill for medications received that were part of the mandated deductible from the state? The Pharmacy Billing Department, located in room 219 of the CSB, is loading that data into the new billing system now. The 1999 pharmacy services bills should be received by late summer or early fall.

I received a check from Blue Cross Blue Shield for prescriptions I received but did not pay for. How should I handle this? You should take the payment to the nearest MUSC ambulatory pharmacy along with a copy of the explanation of benefits that accompanied the check. Put this information in an envelope addressed to the Pharmacy Billing Department. Glitches in the processing departments in Columbia, S.C., and Parsippany, N.J., created this error. If you do not return the payment, you will receive a bill for the complete prescription service. The Pharmacy Billing Department's phone numbers are 792-9349 and 792-9368. Allyson Hart is the coordinator of pharmacy billing. She can be reached at 792-9354.

AREA Award

  • Alpa Vyas, administrative resident and AREA/Applause coordinator, presented the second quarter AREA award to Vernell Threat, safety and security officer for Public Safety. MUSC applauds Threat for helping a patient stranded in Rutledge Tower with no transportation home. Threat called for a taxi, but discovered the patient had no money. Threat helped pay for the cab ride home with his own money. AREA awards are given to employees who go above and beyond their job descriptions, and demonstrate actions that support MUSC's mission, vision and values.

Authority Bill and Me Issues Update

  • The General Assembly recently passed the MUSC Hospital Authority Bill. The bill needs the governor's final approval. The authority provides the MUSC board of trustees with flexibility for management and operation of the Medical Center.
  • The bill enables employees to remain in the state insurance and retirement plans. In the future, we may look at an alternative retirement plan to better meet employees' needs; however, no one will be asked or required to discontinue participation in the state retirement plan.
  • While we plan to develop a new paid-time-off program, no employee will lose any accrued annual or sick leave. The new leave program will stipulate accrual rates based on seniority. We will consider best practices from the University HealthSystem Consortium and other sources as we develop a new leave program.
  • The Medical Center will not abandon other human resources policies overnight. As we move forward, we will revise and customize existing policies as needed. We anticipate the conversion will not take place until January 2000 or later.
  • The Me Issues Committee was formed to help implement the MUSC Hospital Authority by providing recommendations on human resources issues. In particular, the committee will focus on developing new leave and grievance plans. The committee is prepared to respond to any questions raised by employees.
  • You can send questions to the committee by e-mail (address: ME Issues), or through campus mail: Me Issues Committee, Post Office Box 250332, Hospital Administration Mail Room
  • You also can send questions by e-mail to individual Me Issues Committee members. The committee members include: Susan Beason from Children's Services (beasons); Adell Bell from Adult Echo Lab (bellae); Cindy Brown from Radiology Services (brownc); Josie Craig from Occupational Therapy (craigjmc); Kim Greene from Institute of Psychiatry (greenek); Gail Hale from Central Supply (haleg); Stacia Lancaster from LaboratoryServices (lancasts); Ray Manigaul from Radiology Services (manigaul); Phyllis Malpas from DDC (malpas); Roberta Martin from Health Information Services (martinr); Joan McPherson from NNICU (macpherj); Sherry Gillespie Miller from Ambulatory Care Services (gilless); Dolores Reynolds from Children's Services (reynolds); Phyllis Watson from Respiratory Therapy (millermar); Audrey Wilder from Ambulatory Surgery (wildera); Cindy Williams from Patient Admissions (williacy); Laurie Zone-Smith from Clinical Services (zonel)

Announcements

ClinLAN95

  • Dave Northrup, director of CCIT Healthcare Computing Services, said some ClinLAN95 users are having difficulty logging in. This is the same problem some users experienced approximately two weeks ago. A number of users were unable to log in to the system, or experienced long pauses during log-in.
  • The general problem area has been identified, and CCIT is working with the vendor to resolve these issues. The cause has not been pinpointed. Northrup stressed that CCIT and the vendor understand the seriousness of this problem. They are committed to restoring reliable and consistent service.
  • For additional information, visit <http://clinlan.musc.edu> at the section titled ‘ClinLAN95 System Event Log,’ or call Northrup at 792-6675 or Bill Rust at 792-3403.

Department of Laboratory Services

  • Pam Cipriano, Ph.D., administrator for Clinical Services, announced that the Department of Laboratory Services did very well in the recent inspection by the College of American Pathologists and the American Association of Blood Banks. Congratulations to staff members in these areas.

Hospital Communications Update

  • Hospital Communications is pleased to announce that the maildrop messaging feature will be added to SIMON pager services. Operator-assisted group pages now can be delivered in three formats:
  • 1. Urgent/emergent—overriding SOS-type audible alert

    2. Routine—alert of choice

    3. Maildrop—alert of choice

    For nonclinical/nonprofessional messages such as social events and personal announcements, your SIMON pager now can be programmed to have the same variety of alerts currently provided for routine paging, including silent vibrate or no alert. The SIMON pager can be programmed to sound one alert for routine messages and another for maildrop messages. Similarly, the pager can be programmed to audibly alert for routine messages and not alert at all for maildrop messages. This feature will help users audibly distinguish between professional and informational messages. This new feature will become effective July 1. For detailed instructions, please refer to pages 25 through 27 of the SIMON directory.

    Y2K Message

    • Check out MUSC Medical Center's policy A-43 on Utility Services at <http://www.musc.edu/medcenter/policy>