• I am testing a survey question. Please take a minute to click here, answer the question and then read the response.
• Please indulge me by watching this Cleveland Clinic video that was presented at an Improving the Patient Experience conference I attended.
• I would like to ask for your help in preventing patients from leaving the floors to go smoke out front. This is a patient safety issue as well as an esthetic issue. The official policy of the medical center is to offer counseling and nicotine patches, and not give passes. If a patient insists on leaving, then they should be discharged AMA.
• Chuck Prosper has outlined a Master Facility Plan proposal to be submitted to Sutter to include enhancements in the Cardiac Cath Labs, creation of a Hybrid Operating Room and in-facility MRI with a rough completion target date of late 2018.
• We will have four Joint Commission surveys in the next few months: Knee, Hip, Stroke and follow up to the new tower. A key item identified as a focus will be “updated H&Ps” (i.e. interval notes).
• The hospital remains at a very high census. Physicians can help by identifying patients for discharge early in the day. The official closure of Doctors Medical Center will continue to have an impact on visits to our ED.
• Dr. Martin Garcia has agreed to represent Summit, along with Drs. Charu Puri and Michael Kim, at the system level EHR work group. Dr. Garcia has been doing a fantastic job on the RVOT Committee coordinating with local stake holders with respect to order set changes in EPIC.
• We are working with our physician Well Being Committee to create a task force to consider an approach to assessing the impact of aging on all practitioners’ capacity to perform requested privileges. This item has been working its way through CMA, with a draft proposal being discussed for approval at the system level. More details to follow.
• Special thanks to Administration for enhancing the Hospitalist work space/lounge.
By Junaid Khan, M.D.
In January, the ABSMC Research and Education Institute (REDI) began revamping some of its educational programs to enhance the curriculum and increase physician participation.
The first program improvement is the Summit Medical Staff Grand Rounds, which meets every Thursday from 12:15-1:15 p.m. in the Fir conference rooms. Thanks to the collaborative efforts of the Summit Medical Staff president and Medical Staff Services, Food and Nutrition Services and EVS, our CEO, senior administrative staff and the Summit CME Committee, we now have a robust program offering weekly educational lectures on a wide variety of medical topics with buffet lunch provided.
To enhance the Tumor Board program and to remain in compliance with Commission On Cancer requirements, the Ashby and Summit General Tumor Boards have combined. All cases will be presented at the merged General Tumor Board that occurs weekly on Mondays at noon in the Family Resource Conference Room at the Summit Campus South Pavilion.
This joint meeting is open to all physicians and will be broadcast live via WebEx for those who wish to take part and earn CME credit virtually. The first joint General Tumor Board is scheduled to convene Monday, May 4 at noon. To submit cases for presentation, to be added to the email distribution list or to obtain a WebEx invite, please contact Najia Jamjoum, the tumor board coordinator, at 510-204-2160 or firstname.lastname@example.org.
For questions about the Commission On Cancer requirements or about Alta Bates Summit Comprehensive Cancer Center programs, please contact Kimberly Christensen at email@example.com.
Other continuing medical education activities scheduled for enhancement include Psychiatry Grand Rounds that convenes at the Herrick Campus on Monday’s (first, second and third Mondays of the month) at noon in the Maffly Auditorium. This CME activity runs on an academic calendar from October through May and is open to all medical staff.
Additionally, the Pulmonary Conference that takes place at the Summit Campus on Tuesdays in the Fir conference rooms at noon has been reduced in frequency from weekly to biweekly beginning Tuesday, May 12. This schedule change will be for the short term until further notice. To submit cases for presentation at the Pulmonary Conference or to be added to the email distribution list, please contact Najia Jamjoum at 510-204-2160 or firstname.lastname@example.org.
Future educational activities include the 28th Annual East Bay HIV Update Conference scheduled for Friday, May 29 at Samuel Merritt University. Featured faculty speakers include Jeff Burack, M.D.; Steve O’Brien, M.D.; and Anthony Jones, M.D.; as well as a host of highly qualified physicians and health care professionals working in the East Bay. This activity is open to primary care and HIV doctors, nurses, pharmacists, case managers, program coordinators and client advocates.
Also planned is the 10th Annual Goggio Cardiovascular Conference scheduled for Wednesday, Oct. 28 at Samuel Merritt University, featuring staff speakers Russell Stanten, M.D.; Eric Johnson, M.D.; Jack Edelen, M.D.; Kristina Kury, M.D.; Michael Lee, M.D.; and Junaid Kahn, M.D.
For more information on these upcoming conferences, please contact me at 510-204-2423 or email@example.com.
By Robert Romero
ABSMC CME Coordinator
#1 (Inpatient Overlay):
An inpatient overlay is created when a patient has been registered incorrectly under another patient’s Epic record or when care providers inadvertently chart on the wrong patient record.
#2 (Cutting and Pasting):
The Joint Commission has received reports to the Sentinel Event Database noting documentation errors and other problems with the data integrity of the clinical record. Several sentinel events leading to patient harm report the Cute and Paste Function (CPF) as the specific root cause. Although it is difficult to determine how often CPF leads to patient harm due to the challenge of accurately identifying and tracking this information, as the adoption of EHRs continues to increase, the potential for patient harm due to the copy and paste function also increases. Examples of harm included outdated weight information used for dose calculation of chemotherapeutic agents, and lengthy progress notes that prevent timely and efficient communication.
The Joint Commission Sites Several Risk Factors:
Safety Actions to Consider:
#3 (Out of Office / Vacation Procedure)
Q: What do I do when I am going on vacation or going off service for anticipated or unanticipated absences?
A: Physicians, or someone on his/her behalf, shall notify the Health Information Management Department that you are going on vacation or off service. HIM will place your records on an “OUT OF OFFICE” hold while you are out. This places your deficient records and delinquent days on hold. Upon return, the physician will be allotted one calendar day to complete the records before suspension of privileges for delinquent records with publication of the next suspension list.
#4 (Deficiencies & Content Requirement for Documentation)
By Alisa Stinn, RHIT
Client Location Lead, Health Information Management
Click on Table to Enlarge Text.
Please welcome the new physicians who joined our staff in April.
Kimberly Blumberg, M.D.
2125 Oak Grove Rd. #200
Walnut Creek, CA. 94598
Daniel Paik, M.D.
Gynecology & Oncology
1455 Montego Suite 100
Walnut Creek, CA. 94598
Scott Peerenboom, DO
424 28th St.
Oakland, CA. 94609-3603
Santhi Raja, M.D.
Critical Care Medicine
350 Hawthorne Ave. #2346
Oakland, CA. 9409-3108
Denise Yun, M.D.
350 30th St.
Oakland, CA. 94609
By Junaid Khan, M.D.
Each spring, Sutter Health asks employees and hospital-based physicians to provide feedback on the Culture of Safety in our organization. In 2014, we had outstanding patient safety achievements — including recognition from Leapfrog and HealthGrades — thanks to the dedication and commitment of our staff and physicians.
The medical center is hoping the work we’ve done relative to patient safety will be positively reflected by your teams again this year. On April 1, the hospital-based physicians will receive an email invitation to complete the Hospital Survey on Patient Safety Culture for Alta Bates Summit Medical Center. including instruction on how to access the survey.
The survey will be available online the first three weeks of April, is entirely confidential and takes about 10 minutes to complete.
We have received awards and accolades, in large part, because of the outstanding care our physicians provide to our patients. Our doctors are committed to the success of our medical center and to ensuring our patients have a safe journey under our care. Each doctor is an excellent proponent of patient safety.
We have accomplished so much through our patient safety program and there is more to do. The medical center asks hospital-based physicians to participate in and reflect our achievements on the survey. The input of our physicians will help us in this effort.
By Holly Colin
Alta Bates Summit Medical Center is committed to patient safety and to the goal that no patient will be harmed as a result of medical error. In 2014, we had remarkable patient safety achievements, thanks to the dedication and commitment of our staff and physicians:
ABSMC also received top recognition for quality and patient safety from:
We should all be proud of the tremendous work in quality and patient safety being done throughout the medical center. We celebrate our nurses, staff and physicians in their continuing efforts to provide safe and excellent care to our patients.
By Holly Colin
A Sutter EHR module called Care Everywhere allows clinicians to electronically access patient medical records from other health care organizations that use EPIC.
Care Everywhere can provide access to records for shared patients who have received care at health care organizations that use Epic EHR, including Kaiser, UCSF, Stanford, UC Davis, John Muir, Washington Hospital, CVS Minute Clinics and UCSF Benioff Children’s Hospital Oakland.
“This is a powerful tool with value across the Sutter organization, from clinicians to support services staff,” says Louis Wu, M.D., medical director, East Bay Physicians Medical Group.
The Care Everywhere section displays in navigators for face-to-face encounters, which allows clerical or clinical staff to request electronic access to external medical records.
“Patients don’t have to remember whether they had the measles vaccine or whether they’re allergic to penicillin,” Wu says. “And we can get detailed information directly from lab reports and other technical documents.”
The Care Everywhere activity tab displays for patients who have had their Sutter Health record linked to their electronic record at one or more external organizations. This tab provides view access to downloaded information organized in a consistent and familiar manner.
“Support services staff can use Care Everywhere to follow up on care received by patients referred to Children’s or UCSF,” Wu adds.
Users can access Care Everywhere from active face-to-face patient encounters, including patient registration/arrival or treatment:
EPIC is working on Interoperability with other EHR providers.
By Liz Agnello
Writer and Publications Coordinator
Sutter Health East Bay Region
Please welcome the physicians who joined our staff in March.
Joshua Kayman, M.D.
2001 Dwight Way
Berkeley, CA. 94704
Joshua Kravetz, D.O.
2000 Crow Canyon Place. Suite 260
San Ramon, CA. 94583
From Medical Staff Services