smmh internal med

Hi all,

A small group met this morning in follow-up to the request put forward to admin and COS in a letter penned to Natalie by Kersti that was distributed recently….

Jan Goosens, Sanjay Jinal, Dave Johnstone, Mel Mar, Marty O, Sandi Adamson and Karen Fleming. All by video or phone.

All agreed in principle to the algorithm distributed about IM support sent out recently by Jan.
All agreed a phone call to the IM on call in Huntsville to problem solve how support can be obtained , or patient transferred if capacity exists, is the first step .

Risk stratifying the patient can be done with MRP and IM feedback.

In principle all agree that if HDDM is over capacity then either criticall may need to be called or if possible gridlock may apply and a patient could potentially be moved to SMMH if that makes capacity for an appropriate patient to go to Huntsville.

Nothing new I think really but at least ongoing discussion is always helpfull.

Discussion around renumeration of internists ensued.

Please always send a copy of the patient demographics to any internist giving phone advice as they need this to bill a telephone consult if appropriate.

Any questions please ask.

John