Institutional Requirements Sample Clauses

Institutional Requirements. Article 24:

Institutional Requirements. Any medical institution undertaking the management of morbidly obese, super obese, and super-super obese patients with laparoscopically adjustable gastric banding (LAGB) and/or procedures requiring stapling of the stomach and the gut, such as sleeve gastrectomy, roux-en-y gastric bypass (RYGBP) and biliopancreatic diversion (BPD)/duodenal switch (DS)* or revision cases should, apart from points described in guidelines for PBIs, ensure that they fulfil the following additional conditions: 1. Ensure that the director of bariatric surgery has at least five years’ experience in the field and is capable of performing advanced bariatric procedures successfully. 2. Have comprehensive and full in-house consultative services required for the care of Bariatric surgical patients, including critical care services. 3. Have the complete range of necessary equipment, instruments, items of furniture, wheel chairs, operating room tables, beds, radiology facilities such as CT scan and other facilities specially designed and suitable for morbidly and super obese patients. 4. Have a written informed consent process that informs each patient of the surgical procedure, the risk for complications and mortality rate, alternative treatments, the possibility of failure to lose weight and his/her right to refuse treatment. 5. Maintain details of the treatment and outcome of each patient in a digital database. 6. Provide all necessary assistance and advise the staff to attend relevant meetings, subscribe to international journals and become members of a national Bariatric Society. 7. Have experienced interventional radiologists available to take over the non- surgical management of possible anastomotic leaks and strictures. * Duodenal switch is associated with high morbidity and will normally be reserved for extreme cases.

Institutional Requirements. The following table (Table 1) provides the estimated yearly requirements for current facilities under the Contract. The data in this table is not a guarantee of service levels, but will be used for evaluation purposes only. TABLE 1 NAME/LOCATION ESTIMATED REQUIRED PICK -UP FREQUENCY ESTIMATED REQUIRED BAGS & CONTAINERS ESTIMATED YEARLY VOLUME IN POUNDS ▇▇▇▇▇ Correctional Institution ▇▇▇▇ ▇. ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 4501 Lima, Ohio 45802 Monthly 2 - 24x15x24 444 Appalachian Behavioral Health ▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇. ▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Monthly 2 – 18x18x24 600 * Appalachian Behavioral Health Country Garden ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇ Cambridge, OH 43725 Monthly 1 – 18x18x24 100 * Appalachian Behavioral Health Liberty Manor ▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇. Cambridge, OH 43725 Monthly 1 – 18x18x24 100 * Indicates the addition of Country Garden and Liberty Manor group homes for Appalachian Behavioral Health. TABLE 1 (continued) NAME/LOCATION ESTIMATED REQUIRED PICK- UP FREQUENCY ESTIMATED REQUIRED BAGS & CONTAINERS ESTIMATED YEARLY VOLUME IN POUNDS Belmont Correctional Institution ▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇. ▇▇▇▇▇▇▇▇▇▇▇, Ohio 43950-0540 Monthly 5 – 30 gal. plastic containers 864 Cambridge Developmental Ctr. ▇▇▇▇▇ ▇▇▇ ▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Monthly or On Call As Needed 1 – 32 gal. plastic container 120 Chillicothe Correctional Institution ▇▇▇▇▇ ▇▇. ▇▇. ▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇ ▇▇▇▇▇ Monthly 7 – 17x17x22 3,600 Circleville Juvenile Corr. Facility ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇ P. O. Box 598 Circleville, Ohio 43113 Bi-weekly 4 - 17x17x22 1,356 Columbus Developmental Ctr. ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Monthly 2 – 30 gal. plastic containers 1,200 Correctional Reception Center ▇▇▇▇▇ ▇▇. ▇▇. ▇▇▇ P.O. Box 300 Orient, Ohio 43146 Weekly 2 - 24x15x24 1,248 Cuyahoga Hills Juvenile Correctional Facility ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇, ▇▇ ▇▇▇▇▇-4898 Bi-weekly 2 - 30 gal. plastic containers 1,020 Dayton Correctional Institution ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇ ▇▇▇▇▇ Bi-weekly 1 – 18x18x24 1,200 * Department of Agriculture Analytical Toxicology Lab ▇▇▇▇ ▇. ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ #▇, ▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Weekly 2 - 30 gallon reusable tubs with liners 390 * Department of Agriculture ▇▇▇▇▇▇ ▇▇▇▇ Racetrack ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇, ▇▇ ▇▇▇▇▇ Pick-up once or twice per year as needed None at this time 15 * Department of Agriculture Lebanon Raceway ▇▇▇ ▇. ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Pick-up once or twice per year as needed None at this time 15 * Department of Agriculture Northfield Park Racetrac...

Institutional Requirements. As the position of Resident Physician involves a combination of supervised, progressively more complex and independent patient evaluation and management functions and formal educational activities, the clinical competence of the Resident Physician is evaluated on a regular basis. The program maintains a confidential record of the evaluations. The position of Resident Physician entails provision of care commensurate with the Residents Physician's level of advancement and competence, under the general supervision of appropriately privileged attending teaching staff. These functions and responsibilities shall include but not be limited to the following: The Resident Physician participates in safe, effective and compassionate patient care, which includes such functions as the initial evaluation of the patient, the ordering of diagnostic tests, interpretation of results, performance of specific procedures, ongoing therapeutic management of patients, emergency management and consultations. And following structured handoff and transitions of care protocol that facilitates both continuity of care and patient safety. Residents will play an active role with system improvement processes, promoting patient safety and enhancing the quality of patient safety. The Resident Physician develops an understanding of healthcare disparities, ethical, socioeconomic and medical/legal issues that affect graduate medical education and how to incorporate cost awareness and risk benefit analysis in the provision of patient care; i.e., the Resident Physician shall be required to use EPIC or the current medical records system utilized by ▇▇▇▇▇▇ Medical Center in all clinical areas/units. The Resident performs all of his/her responsibilities in a professional, ethical, compassionate, courteous and customer-focused manner according to the Medical Center's Courtesy Performance Standards. The Resident Physicians will be engaged hospital wide performance improvement projects and scholarly activity with their respective residency training program. The Resident Physician will be involved in recruitment, residency training program improvement, team building, interdisciplinary quality improvement and patient safety programs. The Resident Physician shall participate in the educational activities of the training program and, as appropriate, assumption of responsibilities for teaching and supervising other Residents and students, and participation in institutional orientation and education program...

Institutional Requirements