Medical Director Activity Log printable pdf download

Medical Director Activity Log

Clinical UNIT:

____________________

MONTH/YEAR:

___________________

Due to CMO on 10

of following month- Fax 206/720-3705

Check here (X)

Comments. Describe below other time or duties.

FACILITY OR PROGRAM QUALITY IMPROVEMENT

1. Conduct Quality Improvement and QA/PI per NKC standards/Development and review of action plans

Review Monthly the Clinical Indicators (described in MAT and NKC monthly report)

IF NOT ,PLEASE EXPLAIN WHY:

Hold monthly meetings of QA/PI interdisciplinary team.

Discuss changes to patient outlier Plan of Care with attending nephrologist, as needed

IF NOT, PLEASE EXPLAIN WHY:

2. Review Water Systems

Review all water logs with FSS and Nurse Manager

Review the culture and LAL results; develop action plan and correction steps, as needed

Ensure education of staff and FSS, as indicated

3. Oversees that NKC policy and procedures are followed; provide input to policy/procedures as needed

4. Participate in review and response to Medicare survey requirements and Network projects.

COORDINATION WITH CLINICAL STAFF

5. Regular contacts with facility Nurse Manager and Clinical Director

6. Resource for interdisciplinary team: case manager/nurse educator, social worker, dietician

7. Consultant/resource for facility staff and FSS

EDUCATION OVERSIGHT

8. In-services provided to staff. – Amount of Time (in minutes) of the in-service

-- Topic(s)

INVOLVEMENT WITH NKC ORGANIZATION

9. Attend monthly Medical Director meetings

10. Attend NKC medical staff meetings

11. Represent NKC program to community/public

OTHER

12. Participate in continuing education related to medical dir role

Describe:

13. Transit time back/forth from facility and Medical Directors meetings and other NKC meetings

14. Telephone and Email time spent on Medical Director duties.

PLEASE INDICATE NUMBER OF HOURS

TOTAL HOURS DEVOTED TO MEDICAL DIRECTOR ROLE:

MD Signature / DATE

MD Printed Name

Revised 11/10/2015

ADM-M12067A

Medical Director Activity Log