From the President, August 2016

Posted on Aug 1, 2016 in President's Message | 0 comments

Dear Medical Staff Colleagues,Dr Tigno MS President


I want to take a moment and acknowledge that current events have created a tough stressful month. There is news coverage of violence stemming from race relations and law enforcement, violence due to terrorist activities within our nation and abroad, and depending on your political affiliation, stress brought on by reality TV programming — the election campaign.

It becomes that much more important to focus on wellness and emotional health among ourselves and colleagues.  We will benefit and ultimately our patients will benefit. I want to share an article: In Challenging Times Practice More Compassion.   (Thank you for sharing, Dr. Mouratoff.)

We did meet for the first gathering of the Wellness Branch of the Well Being of Practitioners Committee and we came up with some great ideas. The overarching chair of the Well Being Committee is Dr. Donnis Hobson. Dr. Douglas Patton will remain the chair of the traditional Well Being of Practitioners Subcommittee.

We continue to have a high patient census and with high acuity of illness. Thank you to both the hospitalists and intensivists for your strong work and for managing the volume and complexity of these patients.

  • Intensivist program: Starting Aug. 1, the Intensivist program is simplifying the way to reach them for consults and ED admissions. The one number is 510-301-3871 . Flyers will be posted as a reminder.
  • Verbal orders: A friendly reminder — please sign verbal orders within 48 hours. I would strongly encourage that physicians sign the outstanding verbal orders for themselves and for members of their own group. I will go one step further and ask that you sign the verbal orders by all the physicians caring for your patient. Tip sheets were sent out on the various ways this can be done. Patty Fitzgibbons, our Sutter EHR physician liaison, can walk you through these steps. In the old days (pre-EHR), the pink sticky tabs were easily visible and we could reach our goal. Nowadays, it is not as easily visible. So please take extra steps to accomplish this. (See article below on signing verbal orders.)
  • The newly elected Chair of Ob-Gyn Department is Dr. Elisabeth Schleuning.
  • Tele beds: Reminder to please evaluate on a daily basis whether your patient who is on a tele bed still needs tele monitoring. We continue to have a shortage of tele beds and this impacts patient flow throughout the hospital. Here are the indications for tele monitoring.  (Double click to enlarge.)
  •  American Heart Association Heart Walk: This will be the 12th year ABSMC participates in the American Heart Association Heart Walk to be held Oct. 2, 2016, 8:30-11 a.m. at Bishop Ranch 8 in San Ramon. You may have seen the announcements. Please register to join the Heart Walk and/or donate to the cause.  If you donate at least $10 for each day, you can wear jeans as a sign of support August 26 and/or September 23rd.

Be well,

By, Donna Tigno, M.D.




Quick Tips for Signing Verbal Orders & EHR Updates

Posted on Aug 1, 2016 in EHR Updates | 0 comments

To meet Summit Campus Rules and Regulations, physicians need to co-sign verbal orders within 48 hours. We continue to fall short of the Joint Commission requirement.  It is imperative that we improve our compliance on an ongoing basis.

There are three efficient methods for signing verbal orders. Our recommendation is to co-sign your orders at the end of your shift/day. With two of these methods, you will be able to co-sign verbal orders for your colleagues or other physicians on the treatment team.
See quick tips here.  (Double click on screen shots to enlarge.)

For further assistance, please see EHR Physician Liaison Patty Fitzgibbons. She can be reached at 510-325-9618 or

Please help us to meet this strict requirement.

Interval H&P

Previously, clinicians could only create an Interval H&P from an H&P note.

Now, interval H&Ps can be created from Consults & Progress notes, including those created in a previous outpatient encounter. This saves time.

Catheter-Associated Urinary Tract Infection (CAUTI) Orders

In-dwelling Urinary Catheter LDA and Assessment documentation has been changed to reduce CAUTI instances.

“Manage Urinary Catheter Discontinue Per algorithm criteria” order is pre-checked in order sets.  If the physician does not want the nurse to remove per algorithm criteria, uncheck the box.

Fever/Antibiotics Report is available to all MDs

It will be available in the Summary Tab. Use the reports search box to find it. It can be wrenched in.  Lactate will also be included in this report with the other labs.

By Patty Fitzgibbons, EHR Physician Liaison

Quick Tips: Signing Verbal Orders

Posted on Aug 1, 2016 in EHR Updates | 0 comments

Preferred method - LR CP PF_Page_1Preferred method - LR CP PF_Page_2

Admitting Guidelines for Telemetry

Posted on Aug 1, 2016 in Uncategorized | 0 comments

Admitting Guidelines for Telemetry_Page_1



Admitting Guidelines for Telemetry_Page_2






Numbers to Call for ICU & Pulmonary Consults

Posted on Aug 1, 2016 in Announcements | 0 comments

Effective Aug. 1, 2016

For all ICU consults/admissions, call: 510-301-3871

For all pulmonary consults, call:

EBRCCPM: 510-801-0622
Dr. Greenberg: 510-388-3158

By Donna Tigno, M.D.

Welcome, New Physicians

Posted on Aug 1, 2016 in New Physicians | 0 comments

Please welcome the physicians who joined the Medical Staff in July:

Wilson Chwang, MD
Diagnostic Radiology
2125 Oak Grove Rd. Ste. 200
Walnut Creek, CA.  94598
(925) 296-7150

Lawrence Low, MD
350 Hawthorne Ave.
Oakland, CA 94609
(510) 869-6567

Madhu Shetti, MD
Radiation Oncology
1418 64th St. Ste. 100
Emeryville, CA 94608
(510) 629-6682

Uma Suryadevara, MD
2001 Dwight Way
Berkeley, CA 94704
(510) 204-1591

Christopher Woods, MD
Cardiovascular Disease
1501 Trousdale Dr. Fl 2
Burlingame, CA. 94010
(650) 652-8600

From Medical Staff Services

From the President, July 2016

Posted on Jun 30, 2016 in President's Message | 0 comments


Dr Tigno MS President

Dear Medical Staff Colleagues,

On the heels of a successful Joint Commission Survey, Summit Medical Center has performed well in the College of American Pathologists (CAP’s) Laboratory Accreditation Program. Thank you Dr. Sasu; Dr. Shaieb; Dr. Swain; Dr. Gologorsky; Jeff Jennings, lab manager; and your whole team for your great work. The Respiratory Therapy Department also did very well, with no significant deficiencies in the Summit ABG Lab. Thank you Dr. Herskowitz; Dr. Dobbs and John Leatherman, manager of pulmonary services; for your dedication! (See details below about the Summit Clinical Laboratory Services.)

  • The Summit Campus received a Silver Award for Tissue Donor Recognition from Donor Network West (see details below).
  • We often do amazing work here at Summit, which sometimes goes unrecognized. Sutter does have a marketing team, which can message information out to the community. So for awards, innovative therapies or anything you think should receive recognition, please send the information to Dr. Steve O’Brien and Dr. Ursi Boynton, and they will forward that information to the Marketing Department.
  • The Sutter Health Air-Ground Medical Transport Network, dedicated to Sutter hospitals in the East Bay, kicked off this week. Hoping for improved efficiencies in patient transport to and from the Summit Campus (see below).

On a social note – the hospitalists from Alta Bates and Summit Campuses have monthly Liver Rounds, which alternate between SF and the East Bay. Everyone is invited and it is a great way to meet people in a social setting. On June 30 at 7 p.m., it will be held at Rosa Mexicano in San Francisco. For future events, and if you want to be on the mailing list, please contact Dr. Charu Puri.

Be well,

By Donna D. Tigno, M.D.
President of Summit Medical Staff

Summit Clinical Laboratory Services

Posted on Jun 30, 2016 in Announcements | 0 comments

These tests are performed on-site by the Summit Clinical Laboratory:

  • Chemistry
  • Coagulation
  • Hematology
  • Immunohematology (Blood Bank)
  • Immunology/Serology
  • Microbiology (Gram stain, Specimen processing, Antigen testing)
  • Parasitology (Blood parasites only)
  • Pathology/ Cytology
  • Phlebotomy
  • Point of Care Testing
  • Urinalysis

Tests not performed on-site are sent to several different reference laboratories, depending on test availability and turn-around time, in order of preference:

  • Alta Bates Clinical Laboratory, Berkeley
  • Sutter Shared Laboratory, Livermore
  • Quest Diagnostics, San Juan Capistrano
  • Other “specialty” reference labs (such as Machaon, Stanford, Blood Centers of the Pacific, etc)

The Sutter Shared Laboratory in Livermore provides reference laboratory services for the Sutter Health system, including acute care hospitals.

Courier pickup schedules are noted below. Samples must be received in the lab 1-2 hours prior to the pick-up time in order to be processed and packaged for pick-up.  If needed, STAT couriers to Alta Bates are also available to pick-up Summit samples within 1 or 2 hours after being called.

Day Pick-up Delivery Pick up Times Delivery Times
M-F Summit Shared Lab 1145 1930 1315 2125
Summit Alta Bates 1302 1800 1326 1820
Sat Summit Shared Lab 1340 2225 1545 2335
Summit Alta Bates 1340 1830 1400 1900
Sun Summit Shared Lab 1305 2225 1545 2330
Summit Alta Bates 1306 1830 1324 1900
M-F Summit Quest 1800 2359
Sa-Su Summit Quest 1530 2359

All microbiology cultures are plated on-site; plates are sent to Shared Lab for incubation/ID/Sensitivity.

For MICROBIOLOGY cultures performed at Sutter Shared Lab:

  • Main Lab (for general questions): 925-371-3800
  • Microbiology Dept (to speak with a microbiology tech about technical issues): 925-371-3850

For all other tests, contact the Summit Clinical Lab for assistance at 510-869-6560.  Our lab staff knows where specific testing is performed, so they are your best resource to follow-up on the status of test results.  The status of a test can also be found in Epic Chart Review, in the Status column of the Lab tab.

Please contact Dr. Sebastian Sasu, Pathology Chair, or Dr. Annette Shaieb, Clinical Lab Medical Director, with any questions at 869-6567.

Summit Campus Recognized as an Outstanding Tissue Recovery Partner by Donor Network West

Posted on Jun 30, 2016 in Announcements | 0 comments

On June 8, 2016, Donor Network West, the organ, eye and tissue procurement organization for northern California and Nevada, announced that Alta Bates Summit Medical Center – Summit Campus has been recognized with a 2015 Silver Award for its invaluable contribution in the field of eye and tissue recovery. The award recognizes hospitals for meeting and exceeding key metrics vital to successful eye and tissue recovery programs.

Donor Network West partners with 175 hospitals in its service area of 40 counties, including five transplant centers. In 2015, 2,232 individuals became eye and tissue donors. These donors have the potential to improve the lives of nearly 100,000 people. One organ donor can save the lives of up to eight people and an eye a tissue donor can heal more than 50 others. Anyone can register as a donor at or at the DMV.

By Nakia Madrigal, Donation Program Consultant
Donor Network West

Donor Network Award2

New Sutter Health Air-Ground Medical Transport Network

Posted on Jun 30, 2016 in News from Administration | 0 comments

Physician Colleagues:

On June 27, our ambulance/transportation vendor changed to AMR.  This is a Sutter-wide contract and Sutter-wide launch that should result in expanded services and availability of transportation services.  As with all transitions, there may be growing pains.  AMR up-staffed in anticipation of glitches.  Command Centers will be at our Transfer Center, at the Sutter-AMR Transport Call Center and locally at ABSMC. 

We have distributed the relevant information to our managers.  This transition should be mostly invisible to the physicians since our policies and procedures for arranging transportation are not changing and it is uncommon for physicians to actively interface with the ambulance service.  Of note, our Transfer Center (844-223-3278) remains unchanged. 

If you have problems/questions/concerns, please, contact Lisa King (510-861-3100) during weekday hours or the Administrative Nurse Supervisor during evening or weekend hours.  Please, notify me of issues that are not being resolved (Steve O’Brien, M.D., 510-869-6785,

Thank you,
Steve O’Brien, M.D.