President’s Message

Posted on Dec 2, 2019 in President's Message | 0 comments

Hints of cinnamon, a cool breeze tickles your nose, softly painted sky…

Thank you to those who joined us at the Closed Active Medical Staff meeting~we had a great turnout! Below is a summary of our amazing accomplishments over the past year, along with a few other highlights from the meeting. Thank you to all of our wonderful physicians (you!), advanced practice clinicians, nurses and our entire hospital team who’ve helped make this happen!

Accolades:

-CMS 5/5 stars
-Healthgrades America’s Best Hospitals 2019~ABSMC is rated as one of the top 250 hospitals in the country. The award is given for clinical quality outcomes based on 32 conditions and procedures, for exceptional, comprehensive quality of care.
-NISQIP Meritorious Award~we’ve received this award for the past 7 out of 8 years for top surgical quality of care in the country.
-Society of Thoracic Surgeons distinguished 3 star rating~designating us as one of the top hospitals in the country for heart surgery. 
-American Heart Association/American Stroke Association Get with the Guidelines Gold Plus Quality Award~given to us for the 10th consecutive year.
-We continue to earn the Target Stroke Honor Roll Elite Award for quick treatment of stroke patients.
-We continue to be a Bariatric Center of Excellence.
-We continue to be a Robotic Hernia Mentor Case Observation Site.
-We are a leader in LGBTQ health care, once again receiving the LGBTQ Health Care Equality Award.

Medical Staff Awards:

-Congratulations to the Bariatric Clinic who received the President’s Award for going above and beyond while taking care of patients in our community!

-Congratulations to the Preop Clinic who received the Quality Award for improving the quality of care for our patients!

Other highlights:

-We formed the nominating committee at the meeting, and the committee met the following week. The nominee for Vice Chief of Staff (who will become Chief of Staff) is Theresa Kim, MD and Secretary/Treasurer is Steven Kang, MD. Ballots will follow in approximately one month. Please remember to vote in the election!
-We continue to focus on growth and strategy.
-A Joint Venture with Stanford to develop a Comprehensive Cancer Center was announced earlier this year.
-We have a new Bioethicist, Robert Fulbright.
-We added Department Chairs to the Credentials Committee.
-Philanthropy has been deconstructed to local councils at each affiliate to better capture donors. Our partnership with Philanthropy continues to strengthen as we rely on more funds from Philanthropy for capital investment.
-We continue to develop our Physician Wellness Program~we will offer the Employee Assistance Program for all members of the Medical Staff by the middle of next year. The program offers initial counseling sessions, they help identify local counseling resources covered by individual insurance plans, and offer a 24 hr/7 day a week crisis hotline, allowing us to better support the mental health needs of our physicians and APC’s. Thank you to David Clark for helping make this happen! More to come…
-We just passed the one year anniversary of launching our Peer Support Program. The program offers the gift of compassionate listening to any member of the medical staff for any reason. The Peer Support email is peeroutreachABSMC@gmail.com and the phone number is 510-869-8688.
-We have wellness resources on the intranet.
-Dr. Lenny Husen is planning two, yes two, Wellness Retreats for 2020. Thank you Lenny! Details to follow.
-Our Wellness program also plans to look at addressing gender bias in 2020.

-Thank you for filling out the Physician Satisfaction Survey! We had a record number of surveys returned this year. The results of the survey will be reported to each department in early 2020. There will be a special focus on the comments section to batch and address the “pebbles in your shoe”. While we may not be able to solve all problems, we will look into addressing, and begin to address, many of the issues brought forward. Please be patient, offer help to solve problems, and become a part of the solution!

Wishing you a very Happy Holiday season,

Jill Kacher Cobb, MD
President, Summit Medical Staff, ABSMC

Wellbeing Committee News

Posted on Dec 2, 2019 in Announcements | 0 comments

The Summit campus Peer Support Program is turning one year old this month. We reached out to about 25 people – that’s 2 a month. We don’t keep data other than the date of contact, but we were able to, by memory, reach out to most of those we contacted and 80% said they felt at least a little better after talking to us.  90% thought the program added to the sense of community of the med center. 

The program works best when we can pair people with those is similar specialties.  Emily Abe learned how to do lead a support conversation earlier this month so now we have a surgeon on our team! Thanks, Emily!

We will help Eden, Alta Bates and SEBMG start programs in the coming year. Which will potentially help those of us who work in those setting. 

Thanks to all involved – especially JillKC for her leadership.   Please contact me with questions or comments!

Leif Hass

Potential benefits of probiotics and proton pump inhibitor (PPI) minimization on hospital-acquired Clostridium Difficile infection

Posted on Dec 2, 2019 in Announcements | 0 comments

Normal gut flora is thought to prevent Clostridium Difficile (C.diff) colonization and disease. Antibiotics causes a disruption in this gut flora, making patients more vulnerable to C.diff disease and recurrences. The 2018 Infectious Disease Society of America (IDSA)/Society for Healthcare Epidemiology of America (SHEA) guidelines recommends oral vancomycin or fidaxomicin for first-line therapy of initial Cdiff disease. Oral metronidazole is no longer recommended as first-line therapy for initial episodes given its lower clinical response rate. 

The use of probiotics may decrease the risk of developing C.diff infections in those patients taking antibiotics by replenishing some of the natural gut microflora that may have been lost. Current guidelines do not make a recommendation either for or against probiotics use, although some evidence exists that supports its use.

A 2017 Cochrane review article based on 31 randomized trials (8672 patients) with moderate evidence suggested that the risk of C.Diff-associated diarrhea (CDAD) is reduced by 60% when probiotics are used. A post-hoc analysis, however, demonstrated that probiotics were effective among trials with a high baseline CDAD risk (>5%) but not in trials with a baseline risk ≤ 5%.

Short-term use of probiotics appeared to be safe and effective in patients who were not immunocompromised or severely debilitated. Although further research is needed, the benefits and harms of probiotics can be evaluated on a case-by-case basis.

Proton Pump Inhibitors (PPI) such as pantoprazole have been associated with increased occurrence of CDAD by decreasing gastric acid production and allowing C.diff to proliferate in the host. In a 2017 systematic review article by Trifan A. et al, a significant association between C.diff infections and PPI use was found. The IDSA guidelines currently has no recommendations on the use of PPIs, although they recommend discontinuing unnecessary PPI usage. If the following indications are not present, discontinuation of PPIs should be considered: coagulopathy, >48 hours of mechanical ventilation, GI ulcer/bleeding, PUD, GERD, or chronic NSAID use.

References:

  • Johnston, Brad C, and Kristian Thorlund. “Probiotics for the Prevention of Clostridium Difficile Associated Diarrhea in Adults and Children.” Cochrane Database of Systematic Reviews, 2009, doi:10.1002/14651858.cd006095.pub2.
  • Mcdonald, L Clifford, et al. “Clinical Practice Guidelines for Clostridium Difficile Infection in Adults and Children: 2017 Update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA).” Clinical Infectious Diseases, vol. 66, no. 7, 2018, pp. 987–994., doi:10.1093/cid/ciy149.
  • Trifan, Anca, et al. “Proton Pump Inhibitors Therapy and Risk of Clostridium Difficile Infection: Systematic Review and Meta-Analysis.” World Journal of Gastroenterology, vol. 23, no. 35, 2017, pp. 6500–6515., doi:10.3748/wjg.v23.i35.6500.

Why Sutter Community Connect (SCC)

Posted on Dec 2, 2019 in Announcements | 0 comments

Summit Emergency Department Renovation Will Create Modern & Safe Space for Staff and Patients

Posted on Dec 2, 2019 in Uncategorized | 0 comments

Taste of the East Bay is Delicious!

Posted on Dec 2, 2019 in Uncategorized | 0 comments

New Providers Memo

Posted on Dec 2, 2019 in New Physicians | 0 comments

Andrew D. Booty, MD
Psychiatry
Bay Psychiatric Associates
2001 Dwight Way, Ste 4190
Berkeley, CA 94704-2608
(510) 204-4635

Brett J. Dupont, DPM
Podiatry
Golden Gate Foot & Ankle
686 3rd St. W.
Sonoma, CA 95476-6805
(707) 938-1977

Saqib Hasan, MD
Orthopedic Surgery
Webster Orthopedics
3315 Broadway Fl 1
Oakland, CA 94611-5717
(510) 238-1200

Puskar Pattanayak, MD
Radiology, Diagnostic
Bay Imaging Consultants
2125 Oak Grove Rd., Ste. 200
Walnut Creek, CA 94598-2520
(855) 424-2723

Nihar U. Shah, MD
Gastroenterology
2850 Telegraph Ave.
Berkeley, CA 94704
(510) 204-8120

Jeffrey L. Sugarman, MD
Dermatology
Redwood Family Dermatology Medical Associates
2725 Mendocino Ave.
Santa Rosa, CA 95403-2805
(707) 545-4537

Sean A. Wilkie, MD
Emergency Medicine
Berkeley Emergency Medical Group, Inc.
2450 Ashby Ave.
Berkeley, CA 94705
(510) 204-4723

Lynell H. Williams, Jr., MD
Critical Care Medicine
1411 E 31st St
Oakland, CA 94602-1018
(510) 535-7573

President’s Message

Posted on Nov 1, 2019 in President's Message | 0 comments

Crisp air, swirling leaves
Reflections in a puddle
Memories blow, bye

~The Closed Active Medical Staff Meeting will take place in Bechtel Hall, Samuel Merritt University (west of the hospital main entrance), on November 14 and will begin at 5:30 pm with food, drinks and social time. Bring a friend (or your department)! Come find out what we’ve been up to over the past year. We hope to see you all there!

~The Medical Staff Holiday Party at Trader Vics is December 11, 2019. Please save the date! Come socialize and enjoy the company of your colleagues, and have dinner, drinks and fun!

~Congratulations to our Orthopedic Surgeons, OR and floor orthopedic nurses, techs and staff, the Preop Clinic, the Department of Internal Medicine, the Department of Anesthesiology, our quality staff, and the entire team for a successful biannual Joint Commission Hip and Knee Certification survey. Your great teamwork is a testament to our outstanding orthopedic care.

~Work on the hybrid OR will interfere with the normal Operating Room schedule from November 26 until 6 am Monday December 2 and December 23 until 6 am December 30. Traffic outside of the OR will be rerouted. Please look out for further information via email as the details become available.

~Medical Staff Leadership continues to work with Administration and Tyler Bennett to create a growth strategy for ABSMC. We also are engaged in conversations with the Marketing team regarding local marketing and the ABSMC website. Thank you all for your partnership.

~Thank you for filing out the Physician Satisfaction survey. If you have not already, please fill it out soon. Also, please add detail to your free text answers, as we will work with administration and do our best to address the issues you bring forward. A new question was added regarding wellness; please do share your ideas! Ursi is also raffling two restaurant gift certificates per week. Names will be randomly selected by NRC as the results of the survey are de-identified.

~Unfortunately, the MRI opening is postponed for six months due to the need to create a zone 2 screening area.

~We are currently focusing on improving patient satisfaction, specifically on nurse and physician communication. There are a few small things we can do to improve our communication with patients, including introducing ourselves (and our role in their care), sitting down while listening and discussing their plan of care, asking “what questions do you have for me today”, and asking the patient to repeat to you what their plan is for the day.

~An EPIC upgrade will occur on November 10. Details are below. Of note, you will now have the ability to sign verbal orders on Haiku. Be sure to update Haiku on your device to ensure proper functionality.

~Neurointerventional Radiology is now operational 24/7.

~Our Peer Support team continues to reach out to colleagues. We are here for you! Our email is peeroutreachABSMC@gmail.comand telephone number is 510-869-8688. All conversations are confidential and 1157 protected.

Take care and have a wonderful Thanksgiving,

Jill Kacher Cobb, MD
President, Summit Medical Staff

 

 

2019 ABSMC Town Hall with David Clark, Interim CEO

Posted on Nov 1, 2019 in Announcements | 0 comments

ePOLST Form Location Update

Posted on Nov 1, 2019 in Announcements | 0 comments