Medical Staff Meetings

April 2018

18        GI Section, 12:15 p.m., Board Room or Private Dining Room, Quarterly, Wednesday

18        Pediatrics, 6:45 p.m., Board Room or Auditorium, 3rd Tuesday

18        Podiatry, 6:00 p.m., Auditorium, Quarterly, 3rd Tuesday

18        Podiatry Residency Training Committee, After podiatry section meeting

23        Professional Practice Evaluation Committee (PPEC), 6:00 p.m., DQI (N. Decatur), Admin Conference  Room (Hillandale), 4th Monday

26        Multidisciplinary Committee, 7:30 a.m., 4040 Classroom, Women’s Center, 4th Thursday

26        System Credentials Committee, 5:00 p.m., Board Room or Auditorium, Monthly, 4th Wednesday

27        Cardiology Section, 7:00 a.m., Board Room or Private Dining Room, Quarterly, 4th Friday

Continuing Medical Education


April 2018

16        Tumor Conference, 12:30 to 1:30 p.m., Stubbs Auditorium, North Decatur

17        Critical Care Conference, 12:15 to 1:15p.m., Hospital Theater, North Decatur*

20        Infectious Disease Conference, 12:15 p.m. to 1:15 p.m., Keeton Auditorium, North Decatur*

23        Lung Conference, 12:30 to 1:30 p.m., Stubbs Auditorium, North Decatur

24        GYN Tumor Conference, 7:30 to 8:30 a.m., Cancer Center Library, Suite 130, North Decatur

27        Surgery Conference, 12:15 to 1:15p.m., Keeton Auditorium, North Decatur

30        Tumor Conference, 12:30 to 1:30 p.m., Stubbs Auditorium, North Decatur           

To download the April 2018 calendar, click here: April 2018 CME Calendar.

Please note that the schedule may change. To check for late notice cancellations or the current week’s schedule, call 404.501.5638 and press “2” to hear an updated message. All conferences isted are approved for a maximum of one continuing medical education credit. 

*Conference webcast to Hillandale Board/Community Room

**Conference webcast to Classroom 0236, North Decatur

+ Physicians can request participation from individual personal computer or mobile device with more than one day notice

^Conference webcast to Theater at North Decatur

DeKalb Medical Wins Top Performer Award for Reducing Sepsis

According to Vizient MidSouth, DeKalb Medical rose to the top as a shining example of success regarding improvement with Sepsis! We won a Top Performer Award and were able to sustain forward momentum with continued improvement through 2017 at both hospitals!

Sepsis was identified as a top driver of inpatient mortality within our system and subsequently the organization made a commitment to prioritize this issue. We were challenged with the task of evaluating and refining the processes of early recognition and treatment of sepsis patients. Specifically we wanted to establish a process for the timely implementation of the evidenced based three and six hour care bundles.

The Quality Institute team implemented several solutions. They obtained organizational support from leadership. They also developed a multidisciplinary collaborative team. Finally, they utilized practices outlined in the Vizient collaborative to develop Emergency Department and Intensive Care Unit specific screening tools.

The team is happy to report that the solutions resulted in 30% mortality rate reduction at both campuses. The solutions also saved approximately 48 lives across the system. The system has realized a cost avoidance savings totaling in $2,755,511.

New Medical Record Requirements & Suspension Process

To ensure the accuracy and enforcement of the medical record documentation process, we are implementing a number of changes. These changes will become effective April 1, 2018.

What is the new medical record documentation requirement? 

A medical record is completed as soon as possible after discharge, and shall not exceed 14 days  (previously 30 days) post discharge, with the exception of operative report, discharge summary, HP, and progress note, which must be present on the chart within twenty-four hours.

Regulatory documents shall become delinquent after 72 hours and include qualitative elements as well outlines in the medical staff rules and regulations. Completion means documents present, and in the chart. Signatures shall be completed within 14 days.

What are the changes to the suspension process? 

  • For regulatory documents, suspension shall occur on day 3.
  • Parking & Physician Lounge Privileges will be revoked on day 8.
  • For all non-regulatory documents, suspension begins on day 14.

To view the new process, click here: Suspension workflow process.

Example of proper documentation

The discharge summary shall include:

  1. Dates of admission and discharge (death).
  2. Admission diagnosis.
  3. Final diagnosis, including principal and secondary diagnoses for all conditions (including infections and complications) for which patient was treated while hospitalized.
  4. Reason for hospitalization.
  5. Procedures performed and treatment rendered.
  6. Significant findings and clinical course.
  7. Patient’s condition on discharge (expressed in specific, measurable terms).
  8. Any specific instructions given to the patient or patient’s family regarding diet, activity, medications, and follow-up care. If preprinted instructions are used, the record should so indicate, and a copy of the instructions should be on file in the Medical Records Department.
  9. Cause of death, if applicable.
  10. Signature of responsible physician.

To review the PowerPoint presentation, click here: Rules and Regulation Documentation Changes

If you have questions about the medical documentation changes, please contact Charles Flowers, Director, Medical Records at 404.501.5052 Office or 757.597.4663 Cell phone.

NICU Story: Moms of Intensive Care Babies With Transportation Challenges Receive Free Rides to Hospital

Lisa OsborneOne of the most rewarding moments in a mother’s life is giving birth. One of the scariest moments is finding out that the baby needs to stay in the hospital because she needs to receive expert care in the Neonatal Intensive Care Unit (NICU). A baby may stay in the NICU for weeks, months or even longer. In some cases, this is devastating for mothers who have transportation challenges and are unable to see their baby on a daily basis.

When Lisa Osborne, an audiologist who works in the NICU, found out about these transportation challenges, she wanted to help. After careful thought and with the support and compassion of other NICU nurses, the NICU Ride Program was born. This Program provides free Uber rides, to and from the hospital, for mothers who find it difficult to visit with their babies. There are multiple reasons why transportation is an issue for some mothers. Having a C-section and being unable to drive may be a factor.  Others may not have the funds to take public transportation or public transportation may not be accessible.

The funds that support the NICU Rides program come primarily from the proceeds of Lisa Osborne and her husband’s stand-up comedy routine held at the Red Light Café in Midtown. She and her husband, who is an Emergency Room doctor, share a passion for helping others and for making people laugh. “We wanted to use the money to do something good for the people in our community,” said Lisa Osborne. At their latest performance, they donated $1,200, which brings the total amount raised for transportation to $3,700.

Another key player in the program’s success is NICU nurse manager Michelle Lynch. She organizes the entire process and finds discount deals that help stretch the dollars raised. So far, the Program has provided over 600 rides to get mothers to and from the hospital.

Since the Program began in January 2017, they have seen an increase in consistent and on-time visits from moms. This helps in the babies healing process and it establishes the bond between the mother and child.

If you are interested in attending a future comedy show, contact Lisa at for more information.

Surgical Weight Loss Center become Comprehensive Weight Loss Center

To meet the needs of patients seeking weight loss help without surgery, the DeKalb Medical Surgical Weight Loss Center will change its name to Comprehensive Weight Loss Center, effective April 10, 2018. Nutritional counseling has always been part of the surgical weight loss program but will be tailored to the specific needs of those wishing to lose weight without surgery.

The Center, along with DeKalb Medical Physicians Group Surgical Associates, will relocate as well. Both offices will be located on the first floor of the 2665 professional building in space previously occupied by the Charles B. Eberhardt Cancer Center.

DeKalb Medical Physicians Group Surgical Associates

2665 N. Decatur Road Suite 130 Decatur, GA 30033

DeKalb Medical Comprehensive Weight Loss Center

2665 N. Decatur Road Suite 150 Decatur, GA 30033