HIM Reminders

Posted on Apr 6, 2018 in Health Information Management | 0 comments

HIM Reminders:

  • Summer is around the corner. Please inform the HIM Department if you are planning a leave or vacation. HIM will place all chart deficiencies on hold while you are out. It is advised that you complete and sign all records before you leave.
  • Please sign your Verbal orders within 48 hours. This includes canceled and or discontinued orders which are currently counting towards our compliance rate.

Alisa Stinn, RHIT
Health Information Manager / HIM Leader
Alta Bates Summit Medical Center-Oakland Campus
(Office) 510-869-8741
(Cell) 510-381-5181
(Fax)  510-869-8856

Provider Query Response

Posted on Apr 6, 2018 in Health Information Management | 0 comments

April 15th Mindfulness for Physicians Retreat

Posted on Apr 6, 2018 in Announcements | 0 comments

Happy Together

Posted on Apr 6, 2018 in Committee Briefings | 0 comments

Maternal Medicine Open House

Posted on Apr 6, 2018 in Announcements | 0 comments

Workplace Violence Training

Posted on Apr 6, 2018 in Announcements | 0 comments

On Behalf of William Isenberg, M.D., Ph.D. Vice President, Patient Safety, Sutter Health

By April 1, California law (Title 8 Section 3342) requires adoption of certain standards to protect healthcare workers from aggressive and violent behavior. Since all hospital employees our care team colleagues with whom we work every day will be taking Sutter-developed mandatory training, I strongly encourage that all of us view this Workplace Violence Prevention training (https://360.articulate.com/review/content/03fc41e3-c7d6-48dd-b55d-f5e155ff4a54/review) and review Workplace Violence Prevention plans for facilities where we enjoy hospital privileges. There are three broad categories of physicians defined by their relationship with the hospital, and training obligations vary among them:

  1. Physicians who are directly employed by Sutter Health are subject to Cal-OSHA jurisdiction and should complete this Sutter-developed training program (https://360.articulate.com/review/content/03fc41e3-c7d6-48dd-b55d-f5e155ff4a54/review) and submit attestation that they have done so to their respective Medical Staff Offices.
  2. Physicians who are members of medical groups that are contracted by a Sutter Health affiliate for the provision of care to our patients (e.g. ED physician groups, anesthesia physician groups, etc.) similarly fall under Cal-OSHA jurisdiction and should participate in training. This may be accomplished using the Sutter-developed training referenced above. You’re also welcome to use training materials that your medical group might have already provided you. Given the interdependence of roles and documentation requirements within the electronic health record, the Sutter training will likely most effectively describe the workflows we will experience in daily work. Regardless of which training this group of physicians chooses, submission of an attestation of completion to the Medical Staff Office is needed.
  3. Physicians not affiliated in any other way, or are exclusively independent contractors, are not mandated under law to complete Sutter-developed training. That said, as we are seeing with increasing frequency in the news, persons with violent behaviors rarely, if ever, take the time to check credentials before escalating and hurting others. In fact, the opposite is true – their actions are unpredictable. This is precisely why I encourage each of us take this training, whether legally mandated or not.

This law applies to all Sutter Health-affiliated general acute care hospitals, psychiatric facilities and Sutter Care at Home. Additionally for hospitals, the regulation applies to any hospital-based outpatient clinics, and other operations located at a health facility and all off-site operations included under the hospital license. While we are committed to fully comply with this law, Sutter Health’s broader goal is to reduce assaults, injuries and aggressive behavior in all of our facilities.

Workplace Violence Prevention Training and Facility Plan

  1. Please complete this training (https://360.articulate.com/review/content/03fc41e3-c7d6-48dd-b55d-f5e155ff4a54/review) and review the attached facility Workplace Violence Prevention plan by June 30, 2018.
  2. Please review affiliate-specific Workplace Violence Prevention (http://mysutter/Resources/SystemDepartments/protective-services/Pages/Violence-Prevention-Plans-Affiliates.aspx) Plans for each affiliate at which you provide services. (Note: you will need to be on a Sutter Health network connected computer to access.)
  3. Please complete this attestation form (https://emma-assets.s3.amazonaws.com/ou92/9f838c3036f33884cff262b896c91d3e/WPV_Training_Medical_Staff_Attestation_03_28_18_1130_am.pdf) and return to your local Medical Staff Office. Attestation forms are needed to meet the record-keeping provisions of the law.
  4. We estimate time for the training and plan review to take approximately 45 minutes.
  5. For more information about the Workplace Violence Prevention Program, see this fact sheet (https://emma-assets.s3.amazonaws.com/ou92/61e7c7fe4ffedbaeeac78636ff8bdac6/Workplace_Violence_Program_Fact_Sheet_03_30_18.pdf).

Thank you for your attention to this important program. Consistent with being a high reliability organization, the Workplace Violence Prevention Program is one more way Sutter Health seeks to eliminate harm to our patients and workforce and to improve our ability to provide safe patient care.

For more information, please contact the Program Administrator at your Sutter Affiliate or email workplaceviolence@sutterhealth.org:

Facility Name WPV Program Administrators Email Address Phone Number
ABSMC – Summit Erick Wilkinson wilkig1@sutterhealth.org 510-869-8724
ABSMC Merritt Pavilion Erick Wilkinson wilkig1@sutterhealth.org 510-869-8724


Special Thank You

Posted on Apr 6, 2018 in Uncategorized | 0 comments

Sutter Safe Care – Our Journey to High Reliability

Posted on Apr 6, 2018 in Announcements | 0 comments

As physicians, you work hard every day to provide safe, quality care for your patients, and you hold your team members to the same high standard. We all understand, however, that in our fast-paced, complex healthcare environment, even the most skilled and well-intentioned among us can make mistakes. And sometimes our mistakes harm not only patients but employees and caregivers as well.

We aim to change that. With Sutter Safe Care, a new multiyear effort, we will renew and reinforce the primacy of patient and workforce safety across our organization. Sutter Health, of course, has always been committed to safety, but Sutter Safe Care will help us take a more holistic approach to it. We want to create a no-harm, safety-first, high-reliability culture, with new safety-reporting processes and a different approach to analyzing and solving for systemic safety risks and human error.

As part of Sutter Safe Care we  is launching safety training for everyone across Sutter Health, a total of more than 60,000 leaders, physicians and staff members. The training is designed to give us all a common framework and a shared set of safety practices.

In the coming months, we will share more information about Sutter Safe Care and the vital role you and your team play in it. Please keep an eye out for training sign-up and logistics information, which will be sent directly to you.

If you have questions or would like to learn more about Sutter Safe Care, please contact me at roosf@sutterhealth.org or Holly Colin at colinh@sutterhealth.org


Message from the President – March 2018

Posted on Mar 2, 2018 in President's Message | 0 comments

It has been said that two things are guaranteed in life: death and taxes. I’ll propose a third. Change. Many of us who have been out of residency for a while have watched the practice of medicine change over the years. Not too long ago, the majority of Internal Medicine and Family Practice physicians followed their patients throughout the patient’s hospitalization. Now, hospitalized patients are mainly cared for by Hospitalists, and our outpatient physicians pick up where our Hospitalists left off, helping keep our patients healthy in the community. In the past, many Surgeons, Obstetricians/Gynecologists, and other specialists hung their own shingle. Now, many physicians have joined multispecialty physician practices, larger groups, some with University affiliations, and some are employed. There are not many of us are left in solo practice. Many of these changes resulted from external pressure making it difficult to practice medicine and deliver care as we had in the past. We continue to adapt to the ever changing environment of medicine, sometimes in order to survive.

On the hospital side, to remain viable, there is pressure to deliver high quality care at a lower cost, resulting in many changes at ABSMC. The Huron Group continues to make recommendations including finding ways to increase efficiencies and reduce overhead to drive down cost. To help improve quality and reduce preventable errors, Sutter is implementing a program called Sutter Safe Care, a high reliability program. For the program to achieve success, the expectation is that all Active Medical Staff will participate in training. Four hour physician leader training (i.e. Department Chairs, Medical Directors, etc.) will occur in April and May, and two hour Active Medical Staff physician training will begin in June and end this Fall. We will receive CME credit for participation. Dates are TBA.

We also have seen changes in hospital leadership recently. We welcome our new CME, Dr. Filip Roos, who was Chief of Staff at his previous hospital and is a Cardiac Anesthesiologist. Chuck Prosper announced last week that he will be departing as CEO on May 6th. We thank him for his dedicated service to ABSMC for the past 6 years.

A national search will take place to recruit a new CEO to ABSMC.

In light of the inevitability of change, please join us for our second annual Physician Mindfulness One Day retreat at Green Gulch Sunday, April 15 from 9:30 a.m to 4:30 p.m. The event last year was both relaxing and invigorating, and also helped many of us to refocus our sense of self in our ever-changing busy lives. A bonus: the food was fantastic. Details are in the flyer below.

Take care,

Jill Kacher Cobb, MD

President, Summit Medical Staff, ABSMC

Alta Bates Summit Becomes the First Hospital in Northern California to Mentor Robotic Assisted Hernia Repair

Posted on Mar 2, 2018 in Announcements | 0 comments

Alta Bates Summit has been designated a Robotic Hernia Mentor/Case Observation site by Intuitive Surgical.  Dr. Rockson Liu has been identified as the expert in complex hernia repair using our da Vinci Xi robotic system here at the Summit Campus.

Intuitive will start sending physicians from around the country to learn his advanced techniques, and also how to run a safe, efficient and profitable robotic program.  We are very excited and extremely proud of our robotic staff and all our robotically trained physicians here at ABSMC for their commitment to excellence in patient care.  Look for more news about this exciting development in the coming weeks and months.

Clayton Warren
Communications Manager