From the President, November 2015

Posted on Nov 2, 2015 in President's Message | 0 comments

Junaid H. Khan, M.D.

Junaid H. Khan, M.D.

  • Successful implementation of Optime (EHR in the OR) occurred last month under the leadership of Jill Kacher-Cobb, M.D. If you need assistance on where to find items from the operative record, please reach out to Patty Fitzgibbons, our EHR physician liaison.
  • If you have not had your flu shot, please contact Employee Health — 655-4000, Ext. 8920 — for an appointment to do so. Their hours are Monday-Friday, 8 a.m.-noon and 1-4:30 p.m.
  • ECRI, a consulting firm, did a very thorough review of the Surgical Processing Department at the request of the surgeons. Significant opportunities for improvement were identified. A formal report is pending.
  • The Surgical Hospitalist Program will start providing 24/7 coverage Dec. 1. If you have any questions, please reach out to Dr. Refugio Gonzales and/or Dr. Matt Dahnke.
  • A more user friendly method for addressing coding queries is set to launch. Please take a moment to address these queries when they arrive in your inbox as it really helps properly risk-stratify the patient with respect to quality metrics tracked by the state.
  • If you have received your Physician Satisfaction Survey but have not yet completed it, please do so. The survey is only available through the first week of November. The Medical Staff office (510-869-6565) can resend the link, if needed. This is your opportunity to give direct, unfiltered feedback to Medical Staff leadership and Administrative leadership.
  • Save the date for our second New Physician Orientation: Jan. 20, 2016.
  • Looking forward to seeing all Active Staff Members at our annual Closed Active Medical Staff meeting Nov. 12 at 5:30 p.m. in the Health Education Center – Bechtel Hall. Invitations have been sent to your office. Please be sure to RSVP to the Medical Staff office, 510-869-6565.
  • The Annual Holiday Party is scheduled for Dec. 10 at the Scottish Rite Center in Oakland at 5:30 p.m. Watch for your invitation in the mail.

2016 Annual Medical Staff Dues

Posted on Nov 2, 2015 in Announcements | 0 comments

The Medical Executive Committee has determined that 2016 Annual Medical Staff Dues will remain at this year’s level of $325. The first dues letters will be mailed to your office Nov. 16 and subsequent reminder letters will be emailed to the address we have on file for you in the Medical Staff Office. If you are in a group, one letter will be mailed to your office with a list of doctors in the group owing dues.   The dues are due no later than March 1, 2016.

Please keep your email address current with the Medical Staff Office by calling 510-869-6555 or by emailing

By Medical Staff Office


UpToDate Available to Sutter Health Users

Posted on Nov 2, 2015 in Announcements | 0 comments

We are pleased to announce that the UpToDate reference tool is now available to all Sutter Health users through their mobile software, providing access to extensive clinical content, medical calculators and evidence-based recommendations. Users can earn CME credit for reading articles at no additional cost.

Below is a Tip Sheet with instructions to register and download the UpToDate Mobile App from Android or iOS App Store. For additional assistance, please call your EHR Physician Liaison, Patty Fitzgibbons, at 510-325-9618.

By Patty Fitzgibbons


UpToDate Tip Sheet

Posted on Nov 2, 2015 in Announcements | 0 comments


UpToDate Flyer_Page_1                  UpToDate Flyer_Page_2

Holiday Party Save the Date

Posted on Nov 2, 2015 in Events | 0 comments


 The Summit Medical Staff  and Administration

 Take Pleasure in Inviting You and Your Guest to

 A Holiday Party

Thursday, December 10, 2015

5:30 p.m.

Scottish Rite Center in Oakland

Holiday Hors D’oeuvres & Dinner

 Watch for Invitation to Follow

Welcome, New Physicians

Posted on Nov 2, 2015 in New Physicians | 0 comments

Please welcome the physicians who joined our staff in October:

Beverly Botnick, M.D.
Internal Medicine
1510 4th St. Ste. 1 Berkeley, CA. 94710-1717

Harpreet Dhatt, M.D.
Diagnostic Radiology
2125 Oak Grove Rd. Ste 208
Walnut Creek, CA. 94598

Cassidy Lavorini-Doyle, DDS
Oral & Maxillofacial Surgery
363 15th St.
Oakland, CA.  94612-3303

Robert Lucas, M.D.
Orthopedic Surgery
3717 Mt. Diablo Blvd. Ste 100
Lafayette, CA 94549-3547

Shital Pavawalla, PhD.
350 Hawthorne Ave.
Oakland, CA.  94609-3108

Cheruba Prabakar, M.D.
Obstetrics & Gynecology
365 Hawthorne Ave. Ste. 301
Oakland, CA.  94609-3113

Frank Scott, D.O.
Internal Medicine
350 30th St.
Oakland, CA.  94609

Christopher Welty, M.D.
3300 Webster St. #710
Oakland, CA. 94609

By Medical Staff Services

From the President, October 2015

Posted on Oct 1, 2015 in President's Message | 0 comments

Junaid H. Khan, M.D.

Junaid H. Khan, M.D.

  • Congratulations to our General Surgeons for receiving national recognition for meritorious outcomes from the American College of Surgeons, National Surgical Quality Improvement Program (NSQIP). For more information, see article below.
  • Please join me in welcoming Rose Calhan as our new COO.
  • Chuck Prosper will be sending out a note shortly detailing the Master Facility Plan encompassing the Cardiac Cath Lab, new MRI, Hybrid OR, ICU expansion, Emergency Department changes, new GI/Pulmonary Lab and Providence Campus.
  • The Surgical Hospitalist Program is set to start 11/1/2015.
  • ECRI, an outside consulting firm, is doing a top down review of central processing. They will be reaching out to key physician leaders to get their input.
  • ICD 10 and Optime are set to launch in early October. Patty Fitzgibbons is our physician liaison. Please reach out to her if you have any questions.
  • HIM (Medical Records) will be tracking responses to queries from the Coding/CDI Teams. The process is being beta tested currently to allow “check boxes” for responses to make it easier for physicians. Lack of response will be considered a delinquency for the physician.
  • We have continued our “A” grade from The Leapfrog Group on our Culture of Safety.
  • Most quality metrics, VTE, CAUTI, acute care mortality, re-admits are trending in the positive direction. You will recall we were “green” before E H R, went to red after the E H R launch and are now mostly “white” (middle) and trending towards green. Dr. Donna Tigno will present a detailed quality report to the Active Staff at their upcoming Closed Medical Staff Meeting 11/12/15 in the HEC. Invitations to follow.
  • Save the date of December 10th for the Annual Holiday Party at the Scottish Rite Center in Oakland.
  • Physician Satisfaction Surveys are set to come out via email Oct. 5.  The survey is being sent to physicians with inpatient volume of more than 10 cases during the last year. The survey will be active for one month only. Please reach out to the Medical Staff Office if you need any assistance in filling out the survey. This is your opportunity to give direct feedback to Administration.

By Junaid Khan, M.D.


National Recognition for Meritorious Outcomes from the American College of Surgeons

Posted on Oct 1, 2015 in Announcements | 0 comments

The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) has recognized Alta Bates Summit Medical Center for the second time in three years as one of 52 out of more than 500 ACS NSQIP-participating hospitals nationwide that have achieved meritorious outcomes for surgical patient care.

As a participant in ACS NSQIP, our hospital is required to track the outcomes of inpatient and outpatient surgical procedures and to collect data that directs patient safety and the quality of surgical care improvements.

The ACS NSQIP recognition program commends a select group of hospitals for achieving meritorious outcome performances related to patient management in eight clinical areas:

  • mortality
  • unplanned intubation
  • ventilator > 48 hours
  • renal failure
  • cardiac incidents (cardiac arrest and myocardial infarction)
  • respiratory (pneumonia)
  • SSI (surgical site infections-superficial and deep incisional and organ-space SSIs)
  • urinary tract infection.

We achieved the distinction based on our outstanding composite quality score in the eight areas listed above. Risk-adjusted data from the July 2015 ACS NSQIP Semiannual Report, which presents data from the 2014 calendar year, were used to determine which hospitals demonstrated meritorious outcomes.

Under the leadership of Steven Stanten, M.D., with help from other members of the Department of Surgery, surgical process improvement is paramount at department meetings and informational sessions. In addition, Alta Bates Summit received the same recognition in 2012. This is a tremendous achievement for the medical center and reflects on the first rate surgical care provided by the physicians and nurses and all other care givers.

ACS NSQIP is the only nationally validated quality improvement program that measures and enhances the care of surgical patients. This program measures the actual surgical results 30 days postoperatively, as well as risk-adjusts patient characteristics to compensate for differences among patient populations and acuity levels.

The goal of ACS NSQIP is to reduce surgical morbidity (infection or illness related to a surgical procedure) and surgical mortality (death related to a surgical procedure) and to provide a firm foundation for surgeons to apply what is known as the “best scientific evidence” to the practice of surgery.

Furthermore, when adverse effects from surgical procedures are reduced and/or eliminated, a reduction in health care costs follows. ACS NSQIP is a major program of the American College of Surgeons and is currently used in more than 650 adult and pediatric hospitals.

By Steven Stanten, M.D.

Physicians and ICD-10

Posted on Oct 1, 2015 in Clinical Documentation | 0 comments

ICD-10 Key Facts:

  • The federally-mandated ICD-10 compliance date is 10/1/15.
  • ICD-10 requires additional diagnosis specificity in three axes: (mnemonic SEAL the deal)
  • Severity of illness (e.g. Stage 2 cancer), Etiology, Anatomy (body site) including Laterality
  • About 25 percent of new codes are based on laterality (left, right, bilateral), and 25 percent are related to encounter type (first, second, sequela) or pregnancy trimester (1st, 2nd, 3rd).
  • The Sutter E H R ICD-10 Diagnosis Calculator and Problem List Calculator prompt physicians to document with the level of specificity required for ICD-10. The current diagnosis look-up tool will  remain the same with physicians entering diagnosis terms (e.g. pneumonia) rather than codes

It’s not too late

  •  Practice using ICD-10 Diagnosis terms (not codes) as well as adding specificity for procedures performed at the hospitals
  •  Review your office written order forms to ensure they are ICD-10 compliant.
  •   ICD-10 General Trainings in HealthStream: ( are named:
    • The Language of ICD-10: Specificity and Granularity
    •  Documenting in ICD-10-CM
    • Documenting in ICD-10-PCS
  • ICD-10 Specialty Training in HealthStream:
    • Take at least one (1) additional specialty-specific course (e.g. “ICD-10 and Pediatrics” for pediatricians or “ICD-10 and Dermatology” for dermatologists)
  • Work with your Coders and Clinical Documentation Specialist to check your compliance with ICD-10.  Respond to queries timely

Note: Additional training materials, including ICD-10 WebEx sessions and training videos, are available on the ICD-10 portal for viewing at http://mysutter/Resources/ICD10.

By Alisa Stinn, RHIT
Client Location Lead, Health Information Management


Welcome New Physicians

Posted on Oct 1, 2015 in New Physicians | 0 comments

Please welcome physicians who joined our staff in September:

Erica Bromley, M.D.
Internal Medicine
350 30th St. Ste. 320
Oakland, CA. 94609

John Michael D. Cruz, M.D.
Psychiatry, Child/Adolescent
2001 Dwight way, Ste. 4190
Berkeley, CA. 94704

Deepak Dhawan, M.D.
Internal Medicine
19845 Lake Chabot Rd., Ste. 211
Castro Valley, CA. 94546

Guity Farahmand, M.D.
3300 Webster St. Ste. 804
Oakland, CA 94609-3123
(510) 451-0996

Jesse Jung, M.D.
3300 Telegraph Ave.
Oakland, CA. 94609

Terrence Liu, M.D.
General Surgery
2850 Telegraph Ave. Ste. 110
Berkeley, CA. 94705-1159

Mary McClellan, M.D.
Medical Hospitalist
350 Hawthorne Ave. Rm. 2346
Oakland, CA. 94609-3108

Jennifer O’Neill-Cha, M.D.
Medical Hospitalist
350 Hawthorne Ave. Rm. 2346
Oakland, CA. 94609-3108

Sara Skolnick, M.D.
Obstetrics and Gynecology
365 Hawthorne Ave. Ste. 301
Oakland, CA. 94609

Grace Tarng, M.D.
Emergency Medicine
3470 Mt. Diablo Blvd. Ste A-220
Lafayette, CA 94549

Clifford Tom, M.D.
3000 Colby St. Ste. 205
Berkeley, CA. 94705

From Medical Staff Services