From the President, January 2015

Posted on Jan 5, 2015 in President's Message | 0 comments

Junaid H. Khan, M.D.

Junaid H. Khan, M.D.

Happy New Year:

  • The new PCP continues to get rave reviews from patients, visitors and physicians.
  • The ability to adequately staff remains a significant challenge particularly during the holidays. The problem was exacerbated by the labor action at Kaiser, utilizing a portion of the traveling nurse pool. A significant number of new nurses have been hired in the past month and we anticipate many will start in the first week of January. The Medical Staff Leadership will be having a special meeting with Administration in the first week of January to discuss some opportunities for improvement. In the meantime, please let me know of any specific concerns, as well as letting our CNE, Denise Navellier, know.
  • $500 Best Buy gift certificates were awarded to physicians following a raffle drawing at the holiday party for participation in the Physician Satisfaction Survey.  Honors went to the Department of Surgery and the Department of Emergency Medicine for having the most improved participation and to the Department of Anesthesia for being the Department with the highest over-all participation. Donnis Hobson, M.D., and Christine Riguzzi, M.D., won for the Departments of Surgery and Emergency Medicine.  Karin Klika, M.D. won for Department of Anesthesia.

Congratulations to all the winners! Next year, only those completing the survey will be eligible to participate.  And you may have to be in attendance at the Medical Staff Holiday Party to claim your prize!  Stay tuned next year for further information. We expect the results of the survey early in January.

  • 2014 Sutter EHR upgrade to Epic occurred seamlessly in December. Optimization is the key going forward in being more efficient in using the E H R.  I would encourage all of you to reach out to our liaison, Patty Fitzgibbons, for access to all the resources available to you.  Patty also has lunchtime hours in the physician cafeteria area.
  • Thursday lunch meal service will be moving to the Fir Room for a three month trial for physician convenience. The hours will remain the same before and after the Medical Grand Rounds.
  • Outpatient physician contact information accuracy remains a challenge in certain circumstances. Please notify Medical Records Director Alisa Stinn when you identify a problem and she will help facilitate correction via S3 (Sutter Shared Services).  StinnAl@sutterhealth.org
  • Rehabilitation services have moved into the lower floors of the PCP. We welcome those physicians to the medical staff at Summit.
  • Medical Staff Performance Improvement will be reaching out to inform physicians that PET/CTs should only be ordered on an inpatient basis when the results will impact care on that admission. Drs. Dean Nickles and Manj Gunawardane will be reaching out to key stake holders in developing a policy/guidelines on when PET/CT can be ordered on an inpatient.
  • A coffee truck has started operations in front of the new PCP.

By Junaid Khan, M.D.

Ebola Update

Posted on Jan 5, 2015 in Infection Prevention | 0 comments

Preparations for the arrival here of a patient suspected of having Ebola virus disease are part of greater planning efforts Sutterwide and more generally in coordination with public health authorities at the local, state and federal levels. Our efforts here at Summit fall into two categories, policies and equipment.

A bi-campus Ebola Steering Committee, including physicians and representatives of the hospital, has formed and met to guide activities, as has a physician-specific task-force. The major areas of organizational effort are:

  • Hospitals nationwide will be in one of three tiers: front line, assessment and treatment. Locally, if current plans play out, UCSF and Oakland’s Kaiser will be the treatment facilities. Summit will be in the front line, that is, where a patient who on presentation meets criteria as a “person under investigation” for Ebola will be isolated, and from which the patient will be transported to an assessment facility, that is, where the patient will reside for the anticipated 3-5 days needed to confirm or exclude the diagnosis of Ebola. (Planning is underway for Alta Bates to be an assessment facility, but the authority for that decision is the public health sector’s, not the hospital’s or Sutter’s, and the decision is at the time of this writing pending.) The ultimate site for management of a patient confirmed to have Ebola will be a treatment facility.
  • Policies are in a state of refinement, materials and equipment are being obtained and updated, and training (and confirmatory drills) are proceeding to accommodate the isolation, initial management, and subsequent transport of the suspected patient, regardless where the patient presents (ER, registration, etc.).

By Roger Phelps, M.D. and Merrilee Newton, R.N.

 

 

Sutter EHR Update

Posted on Jan 5, 2015 in EHR Updates | 0 comments

As we’ve closed out the month of December, it is a good opportunity to reflect on the status of the Sutter EHR at Summit. A few key points:

The Epic 2014 upgrade that was initiated Dec. 6 went remarkably well, thanks in no small part to the patience and diligence of our medical staff. As a reminder, some of the new and improved functionality with this upgrade includes:

  1. The ability to save different personalized versions of an order set.
  2. A search feature that allows one to more easily find clinical data
  3. A more intuitive “Manage Orders” function that makes it easier to track active orders and eliminate duplicate orders or orders that are no longer needed. Since this is essentially the same view as that which the nurses see, it should facilitate better communication between ordering providers and nurses.

These are just a few of the improvements. Please connect with your physician liaison, Patty Fitzgibbons, to learn more.  Patty can be reached at 510-869-8339 or on her cell, 510-325-9618.

A word about Meaningful Use: Congratulations are in order to medical and clinical staff for achieving excellent results in various Stage 1 Meaningful Use categories that are reported to CMS. This is a complicated program whose objective is to provide incentives to use the EHR tool to improve patient care and the fact that we have performed well reflects well on both the clinical and administrative sides of this program.

As of October 2014, Summit entered Stage 2 of the Meaningful Use program. Many of the basic incentives are still in place although with somewhat different measurements. The one area in Stage 2 where we are at risk has to do with the consistency with which we send post discharge information to our providers. It is very important for any discharging provider to update the “Follow up” provider field as one moves through the discharge navigator. Your help in this is greatly appreciated, primarily as it improves the transition of care from the inpatient setting to the outpatient follow up.

Looking forward to 2015, your EHR team including the physician champions, analysts and physician liaison are working together to give one-on-one or small group sessions to optimize the use of the EHR. This can be done by appointment or drop in to Patty’s office. These sessions have been very helpful to take a fresh look at preference lists, Smart Phrases and other tools to make the use of the EHR more efficient.

As a point of information, the “Hotel Order Set” is being reviewed at the system level with representatives from the East Bay participating to make it more user friendly and to address some of the problems we have had with either missing orders, duplicate orders or confusing admission workflows. More to come on this as work progresses.

Lastly, as we look at the calendar for 2015, we anticipate the implementation of Optime around August. This will bring our East Bay facilities in line with colleagues elsewhere in the Sutter system to make possible more automated capture of anesthesia orders and documentation. Work is currently scheduled to upgrade the ORs to accommodate the power and network improvements that are necessary for Optime.

By Bill DeWolf, M.D.

Welcome New Physicians

Posted on Jan 5, 2015 in New Physicians | 0 comments

Please welcome the new physicians who joined our staff in December:

Samuel Choi, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Sonja Kassuba, M.D.
Hospice and Palliative Care Medicine
350 Hawthorne Ave. # 2304
Oakland, CA. 94609
(510) 869-8373

Tun Maung, M.D.
Medical Hospital
3901 Lone Tree Way
Antioch, CA. 94509
(925) 756-1192

Joan Reynolds, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Eric Saldinger, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Keith Tao, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Janice Timm, PhD
Neuropsychology
2001 Dwight Way, 5N
Berkeley, CA. 94704
(707) 225-5462

David Wixson, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

David Woo, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

From the President, December 2014

Posted on Dec 2, 2014 in President's Message | 0 comments

Junaid H. Khan, M.D.

Junaid H. Khan, M.D.

  • A great improvement in our completion rate for the physician satisfaction survey — 43 percent responded — but still room to improve next year. The Departments of Anesthesia, Surgery and Emergency Medicine had great response rates and improvements from the previous year. A raffle prize will be given to a member from each of those departments at the Annual Holiday Party.
  • Holiday Party: Dec. 11, 5:30 p.m., Bechtel Hall, HEC. Please RSVP to Medical Staff Office, 510-869-6565.
  • Sutter EHR update will go live Dec. 6. The Emergency Department will have the greatest impact and will have significant “at the elbow” support. There is significant opportunity for optimization for the rest of the Medical Staff. Please take some time to review the changes with Patty Fitzgibbons, who has been holding informal sessions in the cafeteria during lunchtime.
  • To make it easier for physicians to attend Thursday Noon Conferences, we will move all physician food to Fir Conference Rooms 1& 2 on Thursdays from 11 a.m.-2 pm. This will be a three month trial. A number of options were discussed and this was the most practicable. There will be a few other changes to the conference that Dr. Upadhyay, chair of Education Committee, will communicate to you.
  • An enhancement to the Hospital Volunteer Program is being created by Drs. Justin Lee, Hussein Gilani and Christine Wong. Please ask them how you can help.  Details soon.
  • Hopefully a “coffee cart” will be in the main lobby by the New Year.
  • The Surgical Hospitalists Program is being delayed slightly, as Administration is working on the exact metrics of the program.

 By Junaid Khan, M.D.

Welcome New Physicians

Posted on Dec 2, 2014 in New Physicians | 0 comments

Please welcome the physicians who joined our staff in November:

Amy Asandra, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Joseph Chan, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Ronald Chan, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Barry Engelstad, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Sunil Gandhi, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

David Goldberg, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Refugio Gonzalez, M.D.
General Surgery
2850 Telegraph Ave. #110
Berkeley, CA. 94705
(510) 204-8140

Daniel Kim , M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Norman Moscow, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Kiran Narsinh, M.D.
Gastroenterology
2089 Vale Rd. #33
San Pablo, CA. 94806
(510) 234-5012

Alvin Rivera, M.D.
Hospitalist
350 Hawthorne Ave. #2346
Oakland, CA. 94609
(510) 869-6883

Clare Rudolpf, M.D.
Obstetrics & Gynecology
2850 Telegraph Ave. #120
Berkeley, CA. 94705
(510) 204-8190

Robert Schick, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Kirk So, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Christopher Tran , M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Mark Tu, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

John Van Uden IV, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Vivian Wing, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Cindy Zhang, M.D.
Obstetrics & Gynecology
12 Camino Encinas
Orinda, CA. 94563
(510) 204-8180

By Medical Staff Services

 

 

 

From the President, November 2014

Posted on Oct 30, 2014 in President's Message | 0 comments

Junaid H. Khan, M.D.

Junaid H. Khan, M.D.

Happy Halloween!       

  • Vote No on Prop 46.  If you have any questions look at ACCMA.org to see why this will be harmful to our patients.
  • Please join us for the Holiday Party, Dec. 11 at 5:30 p.m. in Bechtel Hall in the Health Education Center.
  • There are significant organizational changes to Sutter. You received an email from Pat Fry on Oct. 23 with details. The five regions will become two. One of the key goals is to improve the patient experience.
  • Coffee cart is anticipated in the lobby before the end of the year.
  • EHR access points are planned for the physician area in the cafeteria and lobby.
  • EMIM successfully replaced PACS in late October.
  • Medical Staff leadership and administration and have identified several opportunities for improvement with respect to staffing, particularly in the ICU. I expect the situation to improve quickly. Please let me know if you encounter an issue.
  • The surgical preop clinic is expected to start shortly.
  • We have increased our confidence in the accuracy of the medical record deficiency identification process and will expand it from the the top ten offenders to the entire delinquent list shortly.

 By Junaid Khan, M.D.

Medicare: “Two-Midnight Rule”

Posted on Oct 30, 2014 in Uncategorized | 0 comments

Medicare has adopted the “two-midnight rule” requiring Medicare beneficiaries to meet inpatient criteria for two midnights in order for hospitals to bill as inpatients and to obtain the full DRG reimbursement.

  • This regulation requires physicians and hospitals to work more collaboratively.
  • The Center for Medicare and Medicaid Services has authorized its auditors to downcode physician claims if hospital documentation does not justify that claim.

For example, CMS may deny a physician claim for inpatient services if those services could have been provided under outpatient or observation status, and will recode the physician claim to the appropriate evaluation.

Noridian Healthcare Solutions, the California Medicare Administrative Contractor, has information on its website www.noridianmedicare.com.

By Dean J. Nickles, M.D.
Medical Director, Utilization Management

Holiday Party

Posted on Oct 30, 2014 in Events | 0 comments

SAVE THE DATE

 

The Summit Medical Staff And Administration

 Take Pleasure in Inviting You and Your Guest to

 A Holiday Party

 Thursday, Dec. 11, 2014

5:30 p.m. – 8:00 p.m.

HEC Bechtel Room

 Elegant Holiday Hors D’oeuvres!

Libations!

 Invitation to Follow

Welcome New Physicians

Posted on Oct 30, 2014 in New Physicians | 0 comments

Please welcome the physicians who joined our staff in October:

Jeeven Brah, M.D.
Hospitalist
350 Hawthorne Ave.
Oakland, CA. 94609
(510) 869-6883

Nelson Bunin, M.D.
Internal Medicine
5915 Hollis St. Suite B
Emeryville, CA. 94608-2066
(510) 525-2400

Susan Cha, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Amit Chadha, M.D.
Hospitalist
2450 Ashby Avenue
Berkeley, CA. 94705
(510) 204-1893

Sharon Chan, M.D.
Hospitalist
350 Hawthorne Ave. �
Oakland, CA. 94609
(510) 869-6883

Ruby Chang, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Angelo Crudale, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Arpita Doshi, M.D.
Hospitalist
2450 Ashby Avenue
Berkeley, CA. 94705
(510) 204-1893

Erik Gaensler, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Karen Goodwin, DO
General Surgery
3300 Webster St.
Oakland, CA. 94609
(510) 835-9900

Stephen Hesseltine, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Emmy Ho, M.D.
Orthopedic Surgery
80 Grand Ave. 5th Fl.
Oakland, CA. 94612
(510) 451-6266

Mitul Kadakia, M.D.
Cardiologist
365 Hawthorne Ave. #201
Oakland, CA. 94609
(510) 452-1345

Richard Kerbavaz, M.D.
Otolaryngology
2316 Dwight Way
Berkeley, CA. 94704
(510) 845-4500

Mark Kogan, M.D.
Gastroenterology
2089 Vale Rd. #33
San Pablo, CA. 94806
(510) 234-5012

Amy Lai, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Heather Lee, M.D.
Hospitalist
2450 Ashby Avenue
Berkeley, CA. 94705
(510) 204-1893

Shlomo Leibowich, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Brandon Lu, M.D.
Pulmonary Diseases
633 Folsom St.
P.O. Box 7999
San Francisco, CA. 94120
(415) 600-7618

Thomas Mampalam, M.D.
Neurosurgery
2150 Appian Way, #100
Pinole, CA. 94564

Susie Ng, M.D.
Gastroenterology
300 Frank Ogawa Plaza, #450
Oakland, CA. 94612
(510) 444-3297

Keyvan Nouri, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Vishal Panchal, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Jacqueline Park, M.D.
Gastroenterologist
2089 Vale Road. #33
San Pablo, CA. 94806-3850
(510) 234-5012

Saurabh Patel, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Jonathan Posin, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Robert Shimshak, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Richard Sigel, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Eric Tao, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Clifton Watt, M.D.
Cardiologist
3300 Webster St. #410
Oakland, CA. 94609
(510) 549-4220

Vincent Wong, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. # 200
Walnut Creek, CA. 94598
(925) 296-7150

Laura Zhang, M.D.
Hospitalist
350 Hawthorne Ave.
Oakland, CA. 94609
(510) 869-6883

Medical Staff Services