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*TJCsvyrMD_Kirven_LEO E. KIRVEN, JR., MD
Physician Surveyor


KirvenLeo

Leo E. Kirven, Jr. MD

 

Surveyor Program(s): Comprehensive Accreditation Manual for Hospitals/Trained in the Integrated Survey Process

Lives: Virginia and South Carolina

TJC Bio:

  • BS from Clemson University in Clemson, MD from the Medical University of South Carolina.

  • Hospital Director and Medical Director at Southwestern Virginia Mental Health Institute in Marion, VA; Director of Forensic and Court Services at Eastern State Hospital in Williamsburg, VA; Commissioner for the Virginia Department of Mental Health, Mental Retardation and Substance Abuse Services; and Hospital Director, Medical Director and Director of Forensic and Court Services of Central State Hospital in Petersburg, VA.

Other Background:

  • Faculty appointment at the University of Virginia in Charlottesville.  Life Fellow of the American Psychiatric Association, and  affiliated with the Psychiatric Society of Virginia and the Southside Psychiatric Society

Comments & Recommendations

2008

  • Old school physician, full time surveyor who is getting older, but continues to have the ability to see the most significant issues and to be “on target”. He is one of those old-timers who cuts through “fluff” with ease and diplomacy. (Believe that he was the commissioner in the state of Virginia for many years.)  He is fair and fairly thorough. May start off rough/tough but usually eases up in the end. Very strong on medical staff, bylaws, rules/regs, privileging, if CEO participates in Med Exec Com, he liked the Indiana State Hosp Bylaws – looks carefully @ fire extinguishers in locked encasement, strong on competencies, often checks temp in med prep rooms, does med record reviews quickly, often asks about assessment of physical functioning status. May ask MDs about their role in pain assmt.
  • Pet peeves:  legibility, PRN meds orders lasting longer than 30 days but never used
  • Doesn’t eat/like turkey or bottled drinks
  • Just listen and no debates.  Allow him to teach.  Doesn’t often give type 1’s unless someone p—- him off.?
2007

  • xxxxx xxxxx xxxxx x
  • xxxxx xxxxx xx

Relevant Survey History:

• Eastern Louisiana Mental Health System06/06/08 • John J. Madden Mental Health Center08/29/07
• Chester Mental Health Center03/29/07 •  1102

102


** Sample Survey Citations (Premier Level)**

[private Membership premier]

[/private]


Sample Citations:

2007

  • MM.8.10./EP 8A/ Observed in Tracer Activities: No documented data inthe medical record on medication reconciliation /Indirect/
  • MS.4.10/EP 5/ Observed in Credentialing Process: none of the files reviewed had a valid photo of the physician in the credential file. /Indirect/

 

 

You may provide surveyor feedback by clicking on the ‘Comments’ link above (2nd line, top left) and/or via the New Post Survey Questionnaire (PSQ).


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