I forget…what did that email say? oh yeah, its at

Archive for July, 2013

Pediatric Asthma Clinic

Gordon has brought to my attention that not all of the adult docs are aware of the asthma follow up clinic. For patients followed in the general peds clinic there is a follow up asthma clinic in the gen peds clinic. The book for follow up is on the desk and labelled Asthma Clinic. Please schedule follow up for all known clinic pts who present with asthma for the following day.

Adam Vella, MD

Written by phil

July 18th, 2013 at 3:49 pm

Posted in Asthma,Peds

Office Based Surgery Adverse Event Reporting

This is a reminder that the state has strict regulations covering office based surgery (OBS) that include us in the mandate reporting of such events. The OBS laws are: Public Health Law (PHL) §§ 230-d and 2998-e and State Education Law § 6530(48). They include the following: “ reportable adverse events shall be reported to the NYSDOH Patient Safety Center within one business day of the occurrence of the event…. Failure to report this information falls within the definition of professional misconduct.” Mandated reporters include “ANY physician, PA and/or SA who believes or becomes aware of a patient complaint, complication, condition, emergency department visit, hospital admission or death that occurred status post an OBS procedure.”

If you become aware of such a case there are a few things to do.

1. Fill out the forms (attached) yourself and email/fax them to Jacqueline S. Lustgarten MD, Program Coordinator, Risk Management Fax: (212) 876-3191.


2. Let me know. I will get the forms filled out to the best of my ability. (It is possible that by emailing me, if I’m away or post night shift, I won’t turn them around in the 24 hours mandate.)

In this recent case the gastroenterologist sent the state the forms and risk management here still felt the ED was obligated to report it as well.

This does NOT apply to adverse events from hospital based procedures.

Peter Shearer, MD FACEP

doh-4431 reporting form

Written by phil

July 7th, 2013 at 4:40 pm

Posted in Admin

ICU Bed Hunting

Here’s a helpful bit of news from the ICUs.

In the evening and overnight there is ONE Nursing Administrator covering all the ICUs.

The direct line is: 646.385.5937.
They are available to help out with bed management. They can contact ICUs about bed availability and identify open ICU beds. If there are issues with ICUs blocking beds, they are told to contact the VPs office for guidance.

So, if you have that patient that all agree belongs in an ICU (usually the MICU) but they have no beds, this ICU Nursing Administor can help you figure out which units have capacity. You will still need to contact the doctors covering that unit, but at least this helps streamline that process.

Please let me know if this is helpful, or if the process doesn’t work.


Written by phil

July 7th, 2013 at 3:51 pm

Posted in Admitting