Bioethics Service

Posted on Oct 1, 2019 in Announcements | 0 comments

HIM Interim Supervisor

Posted on Oct 1, 2019 in Announcements | 0 comments

Alisa Stinn, HIM Manager will be on extended LOA from 9/30/2019 through 1/1/2020.   For all HIM operational issues please contact:

Angel Zheng
HIM Interim Supervisor
Alta Bates Summit, Ashby, CCC
E-mail: zhenga@sutterhealth.org 
Phone: 510-204-1390
Fax: 510-204-6421

 

Extended Duration Beta Lactam Infusions

Posted on Oct 1, 2019 in Announcements | 0 comments

Extended Duration Beta Lactam Infusions

Beta-lactam antibiotics exhibit bactericidal activity when the concentration of free antibiotic in the plasma exceeds the minimal inhibitory concentration (MIC) of the organism for extended periods of time. Extending the infusion duration beyond the standard 30-60 minute duration optimizes the time-dependent bactericidal activity of beta-lactam antibiotics leading to improved efficacy by maximizing the exposure of the antibiotic.1 Piperacillin/tazobactam (Zosyn), cefepime, and meropenem are the three beta-lactam antibiotics that have options for extended infusion at ABSMC. Target populations who may benefit most from extended infusion are patients who present critically ill with deep seated or severe infections, hospital acquired pneumonia (HAP), ventilator-associated pneumonia (VAP), suspected P. aeruginosa infection and those who are infected with organisms with high MICs.2 Studies of all 3 antibiotics have demonstrated that the use of extended duration infusions is associated with clinical benefit and improved outcomes.3,4,5 Prolonged infusions do not appear to increase the risk of acute kidney injury (AKI) compared to intermittent infusions.6 Extended infusion order panels are available in EPIC with the option of selecting a bolus dose plus maintenance infusion. A loading dose infused over 30 minutes should be given prior to extended infusion to achieve adequate drug concentrations.7 If a renal dose adjustment is required, please consult pharmacy.

References:

  1. Lodise TP, et.al. Application of antimicrobial pharmacodynamic concepts into clinical practice: Focus on beta-lactam antibiotics. Pharmacotherapy 2006; 26:1321-1332.
  2. Cutro SR, Holzman R, Dubrovskaya Y, et al. Extended-Infusion versus standard-infusion piperacillin-tazobactam for sepsis syndromes at a tertiary medical center. Antimicrob Agents Chemother. 2014;58(8):4470–4475. doi:10.1128/AAC.02759-14
  3. Prolonged versus short-term intravenous infusion of antipseudomonal β-lactams for patients with sepsis: a systematic review and meta-analysis of randomized trials. Lancet Infect Dis 2018; 18(1):108-120.
  4. Yu Z, Pang X, Wu X, Shan C, Jiang S. Clinical outcomes of prolonged infusion (extended infusion or continuous infusion) versus intermittent bolus of meropenem in severe infection: A meta-analysis. PLoS One. 2018;13(7):e0201667. Published 2018 Jul 30. doi:10.1371/journal.pone.0201667
  5. Bauer KA, West JE, O’Brien JM, Goff DA. Extended-infusion cefepime reduces mortality in patients with Pseudomonas aeruginosa infections. Antimicrobial agents and chemotherapy. Jul 2013;57(7):2907-2912.
  6. Cotner SE, Rutter WC, Burgess DR, Wallace KL, Martin CA, Burgess DS. Influence of Beta Lactam Infusion Strategy on Acute Kidney Injury. Antimicrobial agents and chemotherapy. Oct 2017;61(10).
  7. Rhodes NJ, MacVane SH, Kuti JL, Scheetz MH. Impact of loading doses on the time to adequate predicted beta-lactam concentrations in prolonged and continuous infusion dosing schemes. Clin Infect Dis. 2014;59:905-907

ABSMC Earns Highest Honor for Heart Bypass Surgery

Posted on Oct 1, 2019 in Announcements | 0 comments

https://newsplus.sutterhealth.org/east-bay/2019/09/23/alta-bates-summit-earns-highest-quality-honor-for-heart-bypass-surgery/

 

EPIC Upgrade

Posted on Oct 1, 2019 in Announcements | 0 comments

EPIC Upgrade

Our annual EPIC upgrade will Go Live on Sunday, November 10, 2019.  There will be numerous subtle upgrades.  Educational materials will be placed around the campus as we move closer to the Go Live date.

Sarah Krevans Visits Alta Bates Summit Medical Center

Posted on Oct 1, 2019 in Announcements | 0 comments

https://newsplus.sutterhealth.org/east-bay/2019/09/26/sarah-krevans-visits-alta-bates-summit-medical-center/

ABSMC: HIPAA Reminders when Accessing Patient Records

Posted on Oct 1, 2019 in Announcements | 0 comments

To ABSMC Practitioners:

This is a reminder regarding access to patient records, including your own or those of family members. In general, access should be limited to the minimum necessary to facilitate Treatment, Payment or Healthcare Operations.

ACCESSING YOUR OWN EHR RECORD:
• May access your own medical records:
– Viewing purposes only
• Discuss your records with your healthcare provider if you need to:
– Ask questions
– Modify them

ACCESSING FAMILY MEMBER’S EHR RECORD:
• May access your family members’ medical records if:
– Providing treatment, OR
– Received prior written authorization (adult patients only)
• You are not permitted to access a minors record (including minor child) unless it relates to a treatment purpose

POTENTIAL CONSEQUENCES FOR INAPPROPRIATELY ACCESSING AN EHR RECORD:
• Medical staff privileges suspended, restricted or revoked
• The incident requires regulatory reporting
• Practitioners may be subject to further investigation, fines, and/or disciplinary action against their license
• Named in a lawsuit by the patient
• Physician termination from medical group

Sutter Community Connect

Posted on Oct 1, 2019 in Announcements | 0 comments

New Physicians Memo

Posted on Oct 1, 2019 in New Physicians | 0 comments

Heidi Y. Chang, MD
Obstetrics and Gynecology
Bass Medical Group
2637 Shadelands Dr.
Walnut Creek, CA  94598
(925) 948-8143

 

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

 

Garima Gupta, DO
Critical Care Medicine
350 Hawthorne Ave., RM 2346
Oakland, CA  94609
(510) 869-6883

 

Sunit P. Harris, MD
Radiology, Diagnostic
Bay Imaging Consultants Medical Group Inc
2125 Oak Grove Rd., Ste. 200
Walnut Creek, CA  94598-2520
(855) 424-2723

 

Christina P. Kwok-Oleksy, DPM
Podiatry
Christina Kwok-Oleksy, DPM
400 30th St., Ste. 403
Oakland, CA  94609-3305
(510) 628-8477

 

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

 

Siyuan A. Ni, MD
Pulmonary Associates Burlingame Medical Corporation
1720 El Camino Real, Ste 150
Burlingame, CA  94010-3231
(650) 697-7079

 

Eric F. Shi, DPM
Podiatry
20101 Lake Chabot Rd.
Castro Valley, CA  94546
(510) 204-1844

 

Cynthia C. Tsui, MD
Nephrology
Renal Associates Inc.
13939 E. 14th St., Ste. 170
San Leandro, CA  94578
(510) 483-2480

 

Sikai Yang, MD
Rheumatology
2999 Regent St., Ste 301
Berkeley, CA  94705-2118
(510) 204-8120

 

Rafik N. Zarifa, MD
Bay Imaging Consultants Medical Group, Inc
2125 Oak Grove Rd., Ste. 220
Walnut Creek, CA  94598
(855) 424-2723

 

President’s Message

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

  • The New Physician and Allied Health Professional Meet and Greet has been reinstated and will take place in the Bay View Conference room on the 11th floor on September 25 from 4-6 pm.  Please come join us for conversation, wine, and appetizers, and meet your new colleagues!
  • The Annual Closed Active Medical Staff Meeting is tentatively November 13th or 14th  at 5:30 pm at the Health Education Center Bechtel room.  We will be forming the nominating committee for the next Medical Staff Vice President (who will become President) and the Secretary/Treasurer of the Medical Staff at this meeting. Please help participate in choosing our future Medical Staff Leaders! Also, we will give a “year in review” presentation about what’s been accomplished over the past year. Our CEO Jerry Kozai will give a presentation regarding the state of affairs at ABSMC. Jeff Chen, MD, our Vice President, will give departmental updates including quality and improvement measures. Dinner, wine and beer will be served, and there will be plenty of time to socialize with your colleagues.
  • Room service is in full swing. Patients can now order the food they want at the time they want it. It takes approximately 45 minutes to receive their food.
  • The new MRI will be open for business at the end of October; hopefully, there will not be any further delays.
  • Work continues on the hybrid OR causing disruption in hallway traffic. Your patience is greatly appreciated.

 

Take care,

Jill Kacher Cobb, MD
President, Summit Campus, ABSMC