Patient Blood Management Update

Posted on Feb 4, 2019 in Announcements | 0 comments


Single unit RBC transfusion strategy:  Our continued improvement is impressive – kudos to everyone for embracing this strategy!  69% of transfuse orders are for 1 RBC unit, and a HGB is checked between units ~84% of the time.  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; and reassess the patient and check a HGB level after the single-unit transfusion to decide if a second unit is needed.

Department/Group/Provider-specific data has been shared with your leaders.  Please contact Crystal Huber (510-570-6592 or if you are interested in seeing your provider-specific data.

Platelet Transfusions:  For a new diagnosis of thrombocytopenia of unknown etiology, we recommend checking a 1-hour post-transfusion platelet count to help determine the effectiveness of the platelet transfusion and the etiology of the thrombocytopenia.  The 1-hour post-transfusion platelet count must be drawn within 10-60 minutes after the transfusion is competed.  One (1) plateletpheresis unit is expected to increase the platelet count by 30-60K/uL.

  • If the 1-hr platelet count increment shows an appropriate increase, with subsequent drop, then consider consumption/sequestration (such as DIC, splenomegaly).
  • If the 1-hr platelet count increment is less than expected, then consider immune-mediated causes (such as ITP). Consider a Heme-Onc consultation in this situation.

Alta Bates Summit Surgeon Celebrates 500th Robotic Surgery Case

Posted on Feb 4, 2019 in Announcements | 0 comments

The robotic surgery program at Alta Bates Summit has truly taken root in the East Bay with 25 highly trained robotic surgeons performing general, bariatric, gynecology, gynecologic cancer, pelvic floor reconstruction, urological and thoracic surgery. In December 2015, Alta Bates Summit added the latest da Vinci Surgical System, the Xi, to our already robust surgical program, allowing physicians to better treat a wider range of diseases and in 2017 the robotics program celebrated 2,700 surgeries performed with the da Vinci system.

Dr. Ajay Upadhyay, who specializes in bariatric weight loss surgery recently completed his 500th robotic surgery case and Alta Bates Summit physicians and employees took time to celebrate this remarkable achievement.

“We are very proud of Dr. Upadhyay and all of our surgeons who have helped make our robotic surgery program so successful,” says Daniel Davis, Alta Bates Summit’s Robotics Program Manager. “We thank Dr. Upadhyay for his commitment to providing world class care and he’s been a major reason why our robotic surgery program continues to grow and evolve.”

In 2018, Alta Bates Summit was designated a Robotic Hernia Mentor/Case Observation site by Intuitive Surgical. Intuitive is now sending physicians from around the country to learn advanced techniques, and also how to run a safe, efficient and profitable robotics program.

“Becoming a case observation site is a great honor and confirms our high quality of medical excellence and the advancement of robotic surgery at Alta Bates Summit,” says Davis. “Dr. Upadhyay’s personal achievement is a symbol of how our robotic surgery program has established a new era in surgical care for patients.”

2019 Sutter Neuroscience Symposium

Posted on Feb 4, 2019 in Announcements | 0 comments

The Neuroscience Service Line in the Valley and Bay are collaborating to put together a symposium April 5-6, 2019 for physicians, nurses and other allied health professionals. There will be CEUs available.

Please join us at the 2019 Sutter Health Neuroscience Symposium. Neuroscience physicians, nurses and allied care professionals are invited for a weekend of networking and learning in beautiful Napa on April 5-6, 2019. This continuing education conference will cover the latest advances in care for stroke, migraine management, pain management, autism, neuro-rehabilitation, epilepsy and Parkinson’s disease. For the entire agenda of topics and registration link, please visit: or email

History and Physical – Update Requirements

Posted on Feb 4, 2019 in Announcements | 0 comments

Joint Commission and CMS will have increased focus on the medical record review portion of the survey.   You can expect additional review in the area of History and Physicals among additional area’s outlines below:

You can expect additional review on the following topics:

  • Admitting diagnosis
  • H&P
  • Notes and reports necessary to monitor condition
  • Care plan
  • Patient Rights
  • Informed consent
  • Advanced directives
  • Notification of admission
  • Visitation rights
  • Medication administration
  • Medical record justification for care
  • Nutritional needs
  • DC planning
  • DC summary
  • List of home health agencies/SNFs given if referred
  • Information forwarded to next provider of care
  • Final diagnosis
  • Consultation reports
  • Complications
  • Pre/post anesthesia assessments and Intraop care
  • Suicide assessment
  • Complaint resolution
  • Restraints and seclusion
  • Deaths (including organ procurement policies followed)
  • Notification of infectious blood, if applicable

Doctor’s Day Celebration

Posted on Feb 4, 2019 in Announcements | 0 comments

Care Everywhere

Posted on Feb 4, 2019 in Announcements | 0 comments

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

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

                                     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 (510) 905-1241 or to learn more today!