President’s Message

Posted on Jan 4, 2019 in President's Message | 0 comments

Happy New Year! I hope everyone had a great holiday. Welcome back to those who were able to take time off, and thank you to everyone who helped care for our patients over the holidays!

I’d like to extend a hearty thank you to Dr. Gerard Jenkins, one of our Hospitalists, who took the lead planning the Holiday Party at Scott’s Seafood, along with the Medical Staff Office, in particular, Leanna, Heidi, Terri and Karen, who were invaluable making the event happen. The venue was great, the food tasty, and the company was, of course, awesome! Also, a special thank you to Administration for their contribution to the Holiday Party. We had a great showing from both the Alta Bates and Summit Campuses. I hope everyone had fun catching up with colleagues and celebrating the holidays.

We had a busy year in 2018. Here is the year in review:

 -The year began by discussing with the Sutter Executive Leadership how to grow business at ABSMC in the face of increasing pressure to provide high quality care at a low cost. We discussed updating websites, improving our internet presence including getting our programs to the top of google searches, and more *local* advertising. Since then, we’ve identified areas in our hospital ripe for growth.

-Over the year, we’ve continued to receive awards for our high quality of care including, but not limited to, the NSQIP Meritorious Award (six out of the past seven years), the American Heart Association/American Stroke Association’s Get with the Guidelines Gold Plus Quality Award (eight consecutive years), the Target Stroke Elite Honor Roll Award for quick treatment of stroke patients with tPA, and we also received Summit’s Acute Rehabilitation Program CARF accreditation for our Comprehensive Inpatient Program.

-ABSMC ranked as one of the top hospitals in the Bay Area and is among the top 50 hospitals in California according to US News and World Report’s “Best Hospitals” guide. In particular, we are high performing in Colon Cancer Surgery, Heart Bypass Surgery, Heart Failure and Orthopedics.

-This year, we became the first hospital in Northern California to be designated as a Robotic Hernia Mentor/Case Observation site by Intuitive Surgical, with Dr. Rockson Liu blazing the trail.

-Our Robotics Program continues to expand.

-We remain a Center of Excellence for Bariatric Surgery.

-EBAC and the Summit Emergency Department were recognized for their HIV and Hepatitis C screening program.

-We gained a new CEO, Dr. Jerry Kozai, and a new CMO, Dr. Fillip Roos.

-There is now a dedicated seat on MEC for our Hospitalists who are integral to hospital based patient care.

-Dr. Catherine Stapleton, an Anesthesiologist and Director of the Preop Clinic, launched the Prehab Program. Now, select patients, typically elderly frail patients with a planned inpatient stay, are receiving preoperative physical therapy with the goal of getting them stronger, leading to a faster recovery.

-The Neuro Interventional Radiology Program began this fall adding an important facet of care for patients suffering a large vessel ischemic stroke. Neurointerventional Radiologists perform an endovascular thrombectomy proven effective at restoring cerebral blood flow to ischemic brain parenchyma.

-Our Physician Wellbeing Program has become more robust. We now have a Physician Wellbeing website on the intranet. We recently launched the Peer Support Program.

-The Closed Active Medical Staff Meeting now has two awards which will be given annually, the President’s Award and the Quality Award. This year, we had two President’s Award recipients, the Wellness Branch of the Wellbeing Committee for their commitment to improve physician wellbeing with a focus on wellness, and the Ethic’s Committee for their tireless work offering assistance in addressing complex ethical issues that arise in patient care, facilitating sound decision making, and attending to some of the most complicated patients and issues our hospital encounters. Dr. Steven Stanten received the Quality Award for his work on NSQIP (National Surgical Quality Improvement Program) resulting in multiple years receiving the Meritorious Award which is given to select hospitals for exemplary outcomes in surgical patient care.

-Finally, our Medical Staff directed donations to several organizations. Administration directed a donation on behalf of the Medical Staff on Doctor’s Day to a local organization helping victims of human trafficking. MEC donated gift cards for holiday meals for needy families. The Medical Staff also adopted a family of four displaced by the Camp Fire.

-None of this could be accomplished without the help of you, our amazing Medical Staff. Thank you for the excellent care you provide and all that you do! It’s a team effort.

We have a lot to look forward to in 2019. The new Hybrid OR equipment with advanced imaging technology enabling minimally invasive surgery will open. The Emergency Department expansion and renovation will wrap up at the Summit Campus and welcome our patients. The new MRI will also be in service and the new physician lounge on the ground floor will open in early 2019. Our conversations with the Sutter Executive Leadership and ABSMC Administration regarding growth will continue. Also, we will continue to support each other on the wards, in the OR and in the ED, and provide Peer Support. We will continue to expand our Physician Wellbeing Program and look at system ways to mitigate burn out. We’ve gotten a lot accomplished, with all of your help, and, as always, there is more to do!

 Happy New Year!

 Here’s to new beginnings,

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

 

Sutter Community Connect

Posted on Jan 4, 2019 in Announcements | 0 comments

Sutter Community Connect (SCC) is an Epic-powered electronic health record (EHR) and practice management system designed for independent physicians.

 

SCC integrates with Sutter Health hospitals and medical foundations along with other institutions using Epic as part of the Care Everywhere network.

Epic‘s newest feature, Happy Together, looks to enhance user

collaboration and creates a single, easily-readable, and

merged view across Epic and other EHRs to improve patient care

and care coordination.

 

For a limited time, Sutter Health is providing a donation to eligible clinicians to reduce the cost of the SCC system, its implementation and ongoing support in accordance with the Stark Law Exception.

 

Contact Larraine Ewing at (510) 590-1241 or EwingL@sutterhealth.org to learn more today!

 

 

 

Welcome New Physicians

Posted on Jan 4, 2019 in New Physicians | 0 comments

Paul T. Cheung, MD
Hospitalist, Medical
350 Hawthorne Ave., Rm 2346
Oakland, CA  94609-3108

Jeffrey W. Grossman, MD
Radiology, Diagnostic
Direct Radiology, LLC
1839 N. Government Way, Ste.B
Coeur d Alene, ID  83814
(855) 687-7237

Joshua E. Logan, MD
Urology
Bay Area Surgical Specialist
2637 Shadelands Dr.
Walnut Creek, CA  94598
(925) 932-6330

 

Message from the President – December 2018

Posted on Dec 4, 2018 in President's Message | 0 comments

As we enter this holiday season, I want to share how grateful I am for the gifts that you give our patients each and every day. I am in awe of your extraordinary competencies as caregivers and the spirit of compassion and empathy that you bring to each of our patients, colleagues and the community. I am thankful that by working together, we are able to create the best experience and guide our patients in their healthcare journey.

Caring for people in need can be exhilarating and inspiring, but it can also be exhausting. Physicians have a suicide rate that’s three times the rate of the general population and is an important issue that I will continue to address.

Pamela Wible, M.D., a family medicine physician and founder of the ideal medical care movement has spent the last six years investigating more than 1,100 physician suicides. Her message is that we need to be there for each other during times of suffering. It’s really that simple. She suggests sharing our stories and our struggles. She also suggests being a warm line for someone and offer to listen to a colleague during a time of need.

As physicians, we may suffer greatly. Many of us have repressed our memories of difficult situations we’ve encountered as a physician. In the spirit of Dr. Wible’s advice, I’ll share a story; a repressed memory that surfaced this month. It was triggered by a physician’s response to the controversial National Rifle Association (NRA) tweet stating that physicians should “stay in their lane” in response to a paper written by the American College of Physicians. The paper wrestled with how to reduce firearm violence in the U.S. consistent with the Second Amendment. Aside: to keep politics out, as one physician stated, physicians are not anti-gun, we are anti-bullet hole.

The following paragraph is a bit graphic. If you are squeamish or do not want to read something intense, please skip the rest of this paragraph and move to the next paragraph. A physician tweeted in response to the NRA’s tweet that as physicians, we are in our lane. We try to save bullet ridden patients while listening to family members scream in the hallway. This shocking statement immediately transported me back approximately 15 years when I was UCSF Anesthesiology resident doing a trauma rotation at San Francisco General Hospital. There were three anesthesiology residents working that night, including myself, when a page came through announcing three gunshot wound patients en route to SFGH. We each quickly chose one of the three trauma bays and waited. My patient was an infant. I quickly intubated the infant to the background sound of a screaming family member in the hallway. Unfortunately, our resuscitative efforts did not save our patient. I ran to the next room to help my colleagues try to save a toddler also riddled with bullet holes. Resuscitation was still being attempted. Screams continued in the background. We could not save the toddler. In the third bay, the other family member was pronounced dead. We then quickly needed to attend to cases in the operating room and on labor and delivery. We never stopped to take a breath or discuss what had just happened; I’m sure you can relate.

We experience so many traumatic events as physicians. Often, we move from one patient to the next without stopping to recognize how these intense experiences impact us. Our training teaches us how to care for our patients and not necessarily how to care for ourselves or for each other. Our current physician culture does not allow for weakness. Emotions can get in the way of logic when we are in an acute situation caring for a critically ill patient, and we are rightly trained to brush aside our emotions in this situation. However, we often carry over this logic after the acute situation has passed. As a result, we may bury our emotional reaction. Over time, this takes a toll.

About a year and a half ago, one of our physician colleagues committed suicide. He was a partner in our group. None of us knew he was suffering. It’s not in our culture to show weakness or vulnerability. We have to be tough. Suffer alone. What if we reject these norms? What if we open up to each other and discuss what has happened or is happening to us? Let’s change our culture. Let’s open up and make it abnormal to NOT discuss our experiences. As Dr. Wible suggests, in order to prevent physician suicides and, in my opinion, to better improve our overall health and well-being, we need to be there for each other during times of suffering.

The Peer Support Program is up and running. Please reach out if you would like to talk to a physician colleague trained as a Peer Supporter. Let us know if a colleague had a tough case and you’d like a Peer Supporter to check in on them. The Peer Support email address is peeroutreachABSMC@gmail.com and phone number is 510-869-8688. A Peer Support triage volunteer checks the email and telephone messages during regular business hours. Conversations with Peer Supporters are confidential and 1157 protected. It is optional to talk to a Peer Supporter; really, it’s up to you. No record will be kept other than that a phone call was made.

Our Wellness Committee also has a website on the Sutter intranet with resources including counselors, crisis hotlines including the National Suicide Prevention Hotline, books, spiritual care support, career coaching, and other resources. If you have other resources you’d like to share, please let us know. Also, if you’d like to be a part of our Wellness Committee, please contact the Medical Staff Office.

Thank you for the incredible care you provide to the patients in our community. Your dedication and compassion are deeply appreciated. Let’s continue to spread compassion throughout our hospital community. Let’s make it the norm to reach out and check in to see if our colleagues are OK. Let’s begin to discuss our intense experiences. Let’s start to change our culture and share our stories. Let’s be there for one another. Let’s become more connected to one another and continue to build a strong and healthy physician community.

Wishing you a very happy holiday season,

Jill Kacher Cobb, MD

President, Summit Medical Staff, ABSMC

Improving Patient Blood Management

Posted on Dec 4, 2018 in Announcements | 0 comments

IMPROVING PATIENT BLOOD MANAGEMENT

Our initial focus on a single unit RBC transfusion strategy continues to show improvement.  The % of transfuse orders for 1 RBC unit has increased from 37% to almost 60%.  The statistics exclude RBC transfusions for sickle cell disease, GI hemorrhage and post-partum hemorrhage.

Recommendation: Don’t transfuse more RBC units than absolutely necessary.  Give single unit RBC transfusions in stable, non-bleeding hospitalized patients, with reassessment of the patient after the single-unit transfusion to decide if a second unit is needed.

RBC transfusion decisions should be influenced by patient symptoms and HGB level.  AABB guidelines support a restrictive HGB transfusion threshold:

  • 0 gm/dL for stable, non-bleeding hospitalized patients
  • 0 gm/dL for stable orthopedic, cardiovascular or cardiac surgery patients

During Jan-Oct 2018, ~25% of RBC units were transfused to patients with a HGB > 8.0 gm/dL.  The Blood Utilization Committee will begin drilling down on these cases to determine if transfusion was indicated.

To achieve the single unit RBC transfusion strategy, please remember to:

  • Place Type & Crossmatch and/or Transfuse orders for 1 unit in Epic.
  • Order post-transfusion hemoglobin [LABHGB] and reassess patient to determine if a second RBC unit is needed. A post-transfusion HGB can be drawn as soon as 15 minutes after the transfusion is completed.

Annette Shaieb, MD

 

Introducing SutterLink for Sutter’s Inpatient Providers

Posted on Dec 4, 2018 in Committee Briefings | 0 comments

What is SutterLink? 

A way for you to access the Sutter EHR from outside the hospital environment, using a secure, web-based portal with configurations and workflows optimized for the outpatient setting.

Why would I want to use SutterLink?

  • Fewer clicks to logon vs remote access to Inpatient Hyperspace
  • You and your office staff use the same application to manage clinical workflows
  • SutterLink can be accessed via your mobile device providing more functionality than Haiku/Canto
  • SutterLink workflows are optimized to meet ambulatory practice needs:
    • View clinical info via Chart Review
    • Place outpatient orders & receive results
    • Referral initiation & status checks
    • In Basket Messaging with other Sutter EHR users
  • Event Monitor notifications of admissions, discharges and test results

Which Inpatient Providers can use SutterLink?

  • Physician providers (MD, DO, DPM) who use Sutter EHR only in the Inpatient hospital setting

How do I get started?

  • Send an email to SutterLinkSupport@sutterhealth.org
  • Tell them you are an Inpatient provider, want to be given SutterLink access, and provide the following information:
    • Does your office already have access to SutterLink? Yes/No
    • Name of Practice
    • Office Manager First/Last Name
    • Office Manager Email
    • Office Manager Phone number
    • Corporate/Main Office Location
    • Providers/Users that are located in the office (or within your call group)
    • Sutter Affiliate or Hospital you work with
    • Specialty
  • Once you are notified that your security has been updated, you will be:
    • Provided with simple login instructions
    • Coached on how to transition between Inpatient EHR and SutterLink views

Offered self-guided and other educational training opportunities

Why Sutter Community Connect

Posted on Dec 4, 2018 in Committee Briefings | 0 comments

 

 

 

Why Sutter Community Connect (SCC)

EpicCare Ambulatory Electronic Health Record and Practice Management System

This comprehensive offering provides the software tools, systems integration, training and support that a medical practice needs to deliver quality health care efficiently, including;

 

Integration to Improve Patient Care

  • System integration with Sutter Health medical foundations and hospitals
  • Interfaces to laboratory and radiology including Sutter Labs and radiology, Quest, and LabCorp
  • Interconnected patient registration, appointment scheduling, and billing programs

Robust Support

  • On-site go-live support
  • Web-based and in-person training
  • Ongoing maintenance and upgrades
  • 24/7 help desk support
  • Secure data center and back-ups
  • Local account managers available to you through the life of your contract

Healthcare Experience

  • Backed by two healthcare leaders, Sutter Health and Epic

Pricing

For a limited time, Sutter Health is providing a donation to qualified clinicians to reduce the cost of the SCC system, its implementation, and ongoing support in accordance with the Stark Law Exception.

Contact Larraine Ewing at EwingL@sutterhealth.org or (510) 590-1241 to learn more about SCC today!

suttercommunityconnect.org

Proprietary and confidential. Not to be released without the permission of Sutter Community Connect.

 

Welcome New Providers

Posted on Dec 4, 2018 in New Physicians | 0 comments

Manasi A. Bapat, MD
Nephrology
East Bay Nephrology Medical Group
2905 Telegraph Ave.
Berkeley, CA  94705-2017
(510) 841-4525

George D. Chu, MD
Radiology, Diagnostic
Bay Imaging Consultants
2125 Oak Grove Rd., Ste. 200
Walnut Creek, CA  94598-2520
(925) 296-7150

Vivian Le-Tran, DO
General Surgery
Epic Care
6380 Clark Ave.
Dublin, CA  94568
(925) 875-1677

Charles K. Lee, MD
Plastic Surgery
L Plastic Surgery
2250 Hayes St., Ste 508
San Francisco, CA  94117
(415) 933-8330

Artemio A. Perez, DO
Hill Health Medical Group
3300 Webster St., Ste 1000
Oakland, CA  94609
(510) 271-4400

Chrislyn L. White, MD
Obstetrics and Gynecology
OB/GYN Partners for Health
365 Hawthorne Ave., Ste. 301
Oakland, CA  94609
(510) 893-1700

Brian A. Yokers, DO
Emergency Medicine
Berkeley Emergency Medical Group Inc.
2450 Ashby Ave.
Berkeley, CA  94705-2067
(510) 204-4723

From the Medical Staff Office

Message from the President – November 2018

Posted on Nov 1, 2018 in President's Message | 0 comments

Crisp and cool fall air

Leaves crunching under your feet

Family, friendship

-Alta Bates Summit has been awarded the NSQIP (National Surgical Quality Improvement Program) Meritorious Award from the American College of Surgeons. This marks the sixth time since 2011 that we have received this prestigious designation.  This distinctive award is given to select hospitals for exemplary outcomes in surgical patient care. Thank you Dr. Steven Stanten for all of your hard work implementing and leading this important quality initiative! Congratulations to our surgeons, anesthesiologists, and nursing staff, along with the interdisciplinary team of physicians who work hard to prevent surgical complications and save lives!

-The Summit Campus began a new Neuro Interventional Radiology Program on October 15th. Congratulations to all involved in supporting this program! The program will be a great addition to treatment options available for patients who have suffered an ischemic stroke using state-of-the-art technology through a minimally invasive procedure, mechanical thrombectomy.

-The Closed Active Medical Staff Meeting will be held on November 7, 2018 in the Bechtel Auditorium at Samuel Merritt University. Hors d’oevres, wine, and beer will be served at 5:30 p.m, and the meeting will begin at 6:00 p.m. The meeting is open to all active Medical Staff members. We will give a Medical Staff and hospital update. This year, we will also celebrate our Medical Staff with a few new awards. We hope to see you there!

-The ABSMC Joint Medical Staff Holiday Party will occur on Wednesday, December 5, 2018 at Scott’s Seafood in Jack London Square. Come for the dinner and dancing, stay for the company. Join us for some holiday cheer, catching up with old friends and making new connections!

-Peer Support Program update: the ground work is currently being laid and a lot of work is happening behind the scenes. The Peer Support e-mail address is peeroutreachABSMC@gmail.com and the phone number is 510-869-8688. The email and telephone messages will be checked intermittently Monday through Friday during regular business hours. A Peer Supporter will make contact as soon as possible.

-The new MRI, cafeteria, and Medical Staff lounge are slated to open February 2019.

-Work continues on the new Hybrid OR.

-Transfer Center update: there have been a few bumps in the road with the change to the Bay Transfer Center. If you are having issues, please email Lory Wiviott, M.D. the medical director of the transfer center at wiviotl@sutterhealth.org. He is interested in knowing all of the issues and is working to improve the process.

-Please remember to sign your verbal and telephone orders within 48 hours. Remember, you can sign for each other if you are caring for the same patient.

Happy Fall!

Jill Kacher Cobb, MD

President, Summit Medical Staff, ABSMC

2018 Epic/EHR Update- November 11, 2018

Posted on Nov 1, 2018 in EHR Updates | 0 comments

The fourth quarter Sutter EHR release of 2018 is scheduled for Sunday, November 11th.

Many upgrade changes are coming which will impact inpatient providers, including:

  1. New notes chart layout
  2. Streamlined Order Reconciliation Process 3. New custom order panel feature

All inpatient medical staff are encourage to become familiar with the coming changes.

An informational link is now available on the Sutter Desktop computers.

For further information on these coming changes, please refer to the Sutter Wiki link:

URL for Sutter Wiki Link:

http://sutterapp/sites/Education/sutterwiki/sutter%20ehr%20-%20quarterly%20releases.aspx#tabs-5