Medical Center names external
review panel; keeps funding status
outside experts in managing the treatment of patients in hospital
psychiatric units have agreed to serve as a team of consultants
for the niversitys
of them, a doctor and nurse from the University of Rochester Medical
Center, have been nationally recognized for their work to reduce
the use of restraints with hospital patients. The other, a nurse
with graduate degrees in psychiatric nursing and behavioral sciences,
was a long-time clinical administrator at the Medical University
of South Carolinas Institute of Psychiatry. [See page 4
for names and titles.]
team has two main goals, said Leonard W. Sandridge, executive
vice president and chief operating officer: to suggest additional
measures for behavior management that could achieve an effective,
safe and restraint-free environment; and to assure that the Universitys
program of psychiatric services meets accepted standards of medical
and nursing practice.
has asked them to work directly with Pamela F. Cipriano, chief
clinical officer at the Medical Center, over the next six to eight
weeks. As part of their review, they will look at the appropriateness
and quality of care, the effectiveness of administrative systems,
and any changes in institutional support needed to improve the
quality of psychiatric services.
addition to these consultants, Sandridge has asked Dr. Anita Smith
Everett, inspector general for Virginias mental health system,
to provide an educational session for physicians and staffs to
share best practices she has observed in other state facilities.
to the Medical Center
Glenn W. Currier, M.D., M. Public Health
Director, Comprehensive Psychiatric Emergency Program
University of Rochester Medical Center
Carole Farley-Toombs, M.S., R.N.C.
Clinical Chief, Strong Behavioral Health Nursing
University of Rochester Medical Center
Gail Wiscarz Stuart, Ph.D., C.S., F.A.A.N.
Professor, Department of Psychiatry and Behavioral Sciences,
College of Medicine
Coordinator, Psychiatric-Mental Health Graduate Program,
College of Nursing
Director of Nursing; Chief Executive Officer (both former)
Institute of Psychiatry
Medical University of South Carolina
medical director of the Valley Community Service Board in Staunton
and chair of the Psychiatric Society of Virginias committee
on public psychiatry, Dr. Everett has been a practicing physician
in Staunton and at U.Va.s Medical Center.
jeopardy status lifted
officials announced June 27 that the Centers for Medicare and
Medicaid Services, formerly the Health Care Financing Administration,
has lifted the immediate jeopardy status from the
U.Va. Medical Center. This means that CMS will not terminate Medicare
funding for the Medical Center, and there will be no break in
coverage for Medicare patients.
Medical Center was put into immediate jeopardy following
CMSs findings that it was not in compliance on issues relating
to the protection of patients, stemming from allegations of sexual
assault on the psychiatric unit. U.Va. submitted a 14-page corrective
action plan to CMS on June 21. On June 25, a team of CMS inspectors
began its review of the plan and determined that the Medical Center
has addressed its concerns regarding patient health and safety.
are pleased that the immediate jeopardy status has been removed,
Sandridge said. The entire staff of the Medical Center has
worked hard to correct the problems identified by CMS. All of
us want to assure our patients and families that we are absolutely
committed to sustaining the highest quality patient care and safety
at the Medical Center. Our community and the Commonwealth deserve
six-member team from CMS and the Virginia Department of Health
continues to evaluate the Medical Centers compliance with
remaining Medicare requirements. A full hospital survey has been
conducted, and the results will be forthcoming, according to a
recent letter from CMS.
will not be satisfied until we have met the expectations of CMS
on all fronts, Sandridge said. This announcement is
but one step in our ongoing commitment to provide a safe, protective
environment for all who use our services. We are expanding our
internal education efforts, instituting new review practices and
carefully monitoring all that we do. Recent incidents have only
strengthened our resolve to protect our patients and provide the
best possible care.