Provider Resources
The Medical Staff Services department is located in the main hospital, on the first floor next to the provider's lounge.
Office Hours: Monday-Friday, 7:30 a.m.-5:30 p.m.
Fax Number: 812-283-2948
TRICIA BRIAN
Regional Director, Medical Staff Services
812-283-2285
tricia.brian@clarkmemorial.org
Sarah Hannon
Medical Staff Coordinator
812-283-2258
sarah.hannon@clarkmemorial.org
Growth & Outreach
Jessica Kaufer
Regional Director, Provider Relations & Industry
(812) 285-5910
jessica.kaufer@clarkmemorial.org
ID BADGE
You will receive your identification badge during onsite orientation.
Your badge should be visible at all times while you are in the hospital or other on and off campus hospital facilities.
PHYSICIAN PARKING
Designated physician parking is available on the hospital's campus, in the back lot off of Gordon Gutmann Drive. Please refer to the campus map.
PROVIDER'S LOUNGE
A provider's lounge is located on the first floor of the main hospital.
Services include:
- Dictation/chart completion area
- Computers/printers for research
- A variety of food and drink options (a hot lunch buffet is served Mon-Fri, 11:00a.m.-2:00p.m.)
- TV
- Newspapers
- A quite place to relax
COMPUTER ACCESS AND TRAINING
Completion of a four-hour computer training session is required for all physicians and is offered twice per month. You will be contacted by the Provider Relations Liaison to register for a session.
Physicians practicing with the Clark Medical Group are offered additional computer training specific to his/her office. You will be contacted by the practice manager to schedule a training session.
Documents marked with an * must be printed, reviewed, signed and provided to the Medical Staff Services department.
Paperwork can be delivered directly to the department or mailed or emailed to the following address:
Clark Memorial Health
Medical Staff Office
1220 Missouri Avenue
Jeffersonville, IN 47130
tricia.brian@clarkmemorial.org
- Credentialing Letter*
- Physician Access Authorization and HIPAA form*
- Computer Access Confidentiality Agreement*
- Emergency Management Letter
RULES AND REGULATIONS
Documents marked with an * must be printed, reviewed, signed and provided to the Medical Staff Services department.
Paperwork can be delivered directly to the department or mailed or emailed to the following address:
Clark Memorial Health
Medical Staff Office
1220 Missouri Avenue
Jeffersonville, IN 47130
tricia.brian@clarkmemorial.org
- Medical Staff Bylaws
- CMH Code of Conduct*
- Physician Coverage Emergency Care
- Emergency Medical Staff On Call List
- Abbreviations - Do Not Use
- Anesthesia Services Policy
- Autopsy Radioactive Treatment
- Consent for Operation and Other Procedures
- CPR Competence
- Student-Resident-Fellow Supervision
- Medical Consent
- Physician Call Back Protocol
- Pronouncement of Death
- Restraints
- Medical Record Completion
- Medical Record Documentation
- Universal Protocol (Time-Out)
- Physician Response Time