Medical Staff Voice – July 15, 2019

JW Moore Tuesday July 16, 2019 CME Conference – “Ultrasound in the ICU”

Lawrence Kim, M.D., CMHS Critical Care & Pulmonary, will present a lecture on “Ultrasound in the ICU”.  At the conclusion of the presentation, learners should be better able to: 1) Demonstrate a foundation of ultrasound knowledge, 2) Discuss the importance of acquisition of high-quality images, and 3) Demonstrate image interpretation and utilization of ultrasound as a diagnostic tool in the ICU.

The conference will take place on Tuesday, July 16, 2019, at noon, in the Nichols Auditorium. Lunch will be provided and Category 1 & 1-A CME will be available.  If you would like to view this lecture online, please contact the CME Coordinator, Christeva Vazquez cvazquez1@cmhshealth.org or by phone 805-948-5638.

Removal of IV Phenergan from the CMHS formulary

The 2018-2019 ISMP Targeted Medication Safety Best Practices for Hospitals has a new best practice recommendation to eliminate injectable promethazine from the hospital due to the risk of serious tissue injuries and amputations from the inadvertent arterial injection or IV extravasation of injectable promethazine.

CMHS has decided to classify IV promethazine as a non-formulary medication and remove the IV route from all computerized medication order screens, order sets, and protocols. The IM route of promethazine and safer alternatives, noted below, are available for use.

First Floor Mountain to Ocean Towers East Corridor Opened

The first floor East Corridor construction is complete and opened for access connecting CMH Mountain to Ocean Towers.  The entrance to the corridor in the Mountain Tower is just beyond Nuclear Medicine and located at the east end of the Ocean Tower.  This new passage significantly cuts down the travel time from tower to tower.

New Medicare Beneficiary Identifier (MBI) Get It, Use It – Important info for Physician Offices & Medicare Billing

This updated article is intended for physicians, providers, and suppliers submitting claims to Medicare Administrative Contractors (MACs), including Durable Medical Equipment MACs (DME MACs) and Home Health and Hospice MACs, for services provided to Medicare beneficiaries. Click on the link to the CMS article.
Link to New Medicare Beneficiary Identifier (MBI) Get It, Use It

EHR-GENERATED MESSAGES CONTRIBUTE TO PHYSICIAN BURNOUT

study recently published in Health Affairs found that health IT challenges are contributing to physician burnout. In particular, in-basket messages generated by algorithms in EHRs are overwhelming physicians.

In-basket messages generated by an EHR system accounted for almost half of the 243 weekly in-basket messages received per physician, according to an analysis of results from a survey of 934 physicians at the Palo Alto Medical Foundation. In-basket messages from colleagues totaled only 53 per physician and from patients only 30 per physician.

According to the same survey, 36 percent of physicians reported burnout symptoms and 29 percent intended to reduce their clinical work time. Physicians who received more than the average number of EHR-generated in-basket messages were 40 percent more likely to report burnout symptoms and 38 percent more like to express an intention to reduce clinical work time.
Click on the Link for the full article.

Nurses are always right. And 28 other tips for new residents

This summer, new resident physicians begin their training all across the United States. Today, our future family physicians and pediatricians, neurosurgeons and emergency physicians, plastic surgeons and laser tattoo removal specialists (OK, not really a specialty, just a sideline) will begin learning how to be physicians, having completed four years of expensive college and four years of even more expensive medical school. Anxiety-filled and debt-ridden, they will embark on four to seven (or even more) years of training to make them knowledgeable, technically proficient physicians.  Click on the following link for the 28 other tips: Link

CMH Weekly Medical Staff Calendar – July 15 – 19

MondayTuesdayWednesdayThursdayFriday
12:00 pm Cancer Cmte – BR12:00 pm JWM Education Conf – NA
7:45 am- Pediatrics Cmte/Neonatal Cmte-NA (back)

12:00 pm General CA Conf – BR
12:00 pm Radiology Division – NA (front)

5:00 pm – Disaster Preparedness Cmte - BR

OVCH Weekly Medical Staff Calendar – July 15 – 19

MondayTuesdayWednesdayThursdayFriday
11:00am
PI/Patient Safety Committee

Final Thoughts

“The future ain’t what it use to be.”
– Yogi Berra
 

Keep the faith, 

Stan Frochtzwajg, M.D.

Chief Medical Officer
Community Memorial Health System
sfrochtzwajg@cmhshealth.org
www.cmhshealth.org/voice – Medical Staff Voice Blog link

Tracey Shoop – Physician Liaison – tshoop@cmhshealth.org & (805) 490-3860
Megan O’Neill – Business Development Manager – moneill@cmhshealth.org & (805) 207-8216
Scott Goodfriend, M.D. – Physician Advisor – sgoodfriend@cmhshealth.org & (805) 701-3514
Medical Staff Office – (805) 948-5662

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Medical Staff Voice – July 8, 2019

JW Moore Tuesday July 9, 2019 CME Conference – “Neurological Exams”

Nicholas Tarlov, M.D., Community Memorial Hospital, will present a lecture on “Neurological Exams”.  He will discuss how to: 1) Determine diagnostic criteria for neuro-infectious disorders in primary care setting, and 2) Demonstrate important components of neurological care.

The conference will take place on Tuesday, July 9, 2019, at noon, in the Nichols Auditorium. Lunch will be provided and Category 1 & 1-A CME will be available.  If you would like to view this lecture online, please contact the CME Coordinator, Christeva Vazquez cvazquez1@cmhshealth.org or by phone 805-948-5638.

4th of July Medical Staff Ventura College Celebration

Special thank you and expression of appreciation to Tracey Shoop, Christy Harrington, Michael Ellingson and Ric Ruffinelli for the prodigious and talented efforts in helping bring about this celebration.

Delays in scheduling OR cases or Imaging studies

I’ve received a number inquires from Medical Staff about the delays for some patients being scheduled for surgery or imaging studies.  Although we are fortunately quite busy and a scheduled time in both areas may be felt to be excessively delayed, a simple physician to physician or physician to department director communication can usually create a more timely appointment when there is clinical importance in doing so.  We’re very responsive to physician concerns about timeliness in scheduling and often the only way to differentiate those cases that can wait versus those that cannot, is by doc to doc communication.
Let me know your thoughts and ideas on how to improve our systems.
Thank you.

Got an idea to reduce physician burden? CMS wants to hear it

The Centers for Medicare & Medicaid Services has opened a request for information, looking for ways to reduce paperwork and allow physicians to spend more time on patient care. [Read More]
– Getting Paid Blog from FPM Journal

CMH Weekly Medical Staff Calendar – July 8 – 12

MondayTuesdayWednesdayThursdayFriday
7:00 am Medicine Cmte – NA (front)

8:00 am MERP- NA (front)

12:00 pm JWM Education Conf – NA
12:00 pm General CA Conf – BR

12:30 pm Family Medicine Cmte – NA (back)
12:00 pm QA & Patient Safety Cmte – BR

12:15 pm Cardiac Division Cmte – NA (front)

12:15 pm OB/GYN Dept – NA (back)

OVCH Weekly Medical Staff Calendar – July 8 – 12

MondayTuesdayWednesdayThursdayFriday
12:30pm
Medicine Department

7:30am
MERP Subcommittee

12:30pm
Quality Board
@ CMH Boardroom
7:15am
Emergency Medicine Department

Final Thoughts

“The impediment to action advances action. What stands in the way becomes the way.”
– Marcus Aurelius

Keep the faith,

Stan Frochtzwajg, M.D.
Chief Medical Officer
Community Memorial Health System
sfrochtzwajg@cmhshealth.org
www.cmhshealth.org/voice – Medical Staff Voice Blog link

Tracey Shoop – Physician Liaison – tshoop@cmhshealth.org & (805) 490-3860
Megan O’Neill – Business Development Manager – moneill@cmhshealth.org & (805) 207-8216
Scott Goodfriend, M.D. – Physician Advisor – sgoodfriend@cmhshealth.org & (805) 701-3514
Medical Staff Office – (805) 948-5662

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Medical Staff 4th of July Celebration – Medical Staff Voice – Special Edition

4th of July Celebration for the Medical Staff and their Families

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Medical Staff Voice – July 1, 2019 – Special Medical Staff Meeting

CMH – Special Meeting of the Medical Staff 

We invite all members of the Medical Staff to a special meeting on Monday July 1, 2019 at 6:00 pm in Nichols Auditorium.  In light of rampant rumors and misinformation, the Medical Staff Officers have requested this meeting with CMH administration.  

The purpose of the meeting is to share important information and get physician feedback.

We hope to see you there.

JW Moore Tuesday Noon CME Conference – “Trauma 101”

Javier Romero, M.D., Director of Trauma Services, VCMC, will present a lecture on “Trauma 101”.  He will discuss how to: 1) Assess and manage common trauma issues related to the airway and respiratory management, fluid resuscitation, neurotrauma, diagnosis and support, and delayed diagnosis of critical lesions, and 2) Implement current guidelines for a systematic approach to the trauma patient’s care.

The conference will take place on Tuesday, July 2, 2019, at noon, in Nichols Auditorium. Lunch will be provided and Category 1 & 1-A CME will be available.  If you would like to view this lecture online, please contact the CME Coordinator, Christeva Vazquez cvazquez1@cmhshealth.org or by phone 805-948-5638.

4th of July Celebration for the Medical Staff and their Families

Mobile Heartbeat App Upgrade for iPhone & Android users

  • Mobile Heartbeat has been upgraded to v19.1. Although not required at this time, personal device users are encouraged to upgrade the Mobile Heartbeat app on their phone.
  • iPhone users may update the “MH-Cure Brown” app in the Apple “App Store”. Once the app is upgraded no further configuration is required.
  • Android users need to follow the instructions below to update their app:
    • Uninstall the existing “MH-Cure” App
    • Open a web browser on the phone and go to Http://bit.ly/mhbcmhs2
    • Click on the MH-Cure Brown link to download the correct app.
    • *** Please note: this next step is required and often overlooked *** After the app is installed, open the app and enter “cmhs-p” in the username field (no quotes), leaving the password field blank, and click LOGIN. This step configures the app to work on your “personal” device.
    • Now that the app is configured you may login with your Active Directory credentials.

If you have any issues, please call the Helpdesk at (805) 948-5090.

CMH Weekly Medical Staff Calendar – July 1 – 5

MondayTuesdayWednesdayThursdayFriday
6:00 pm - Special Meeting of the Medical Staff - NA12:00 pm JWM Education Conf – NA

5:30 pm MEC - BR
12:00 pm General CA Conf – BRIndependence Day

5:00 pm - 4th of July Physician Appreciation Event – Ventura Community College

OVCH Weekly Medical Staff Calendar – July 1 – 5

MondayTuesdayWednesdayThursdayFriday
6:00 pm - Special Meeting of the Medical Staff - CMH NA12:30pm
General Medical Staff Meeting immediately followed by
MEC
Independence Day

Medical Staff Office Closed

Final Thoughts

“He who knows that enough is enough will always have enough.”
– Lao Tzu

Keep the faith,

Stan Frochtzwajg, M.D.
Chief Medical Officer
Community Memorial Health System
sfrochtzwajg@cmhshealth.org
www.cmhshealth.org/voice – Medical Staff Voice Blog link

Tracey Shoop – Physician Liaison – tshoop@cmhshealth.org & (805) 490-3860
Megan O’Neill – Business Development Manager – moneill@cmhshealth.org & (805) 207-8216
Scott Goodfriend, M.D. – Physician Advisor – sgoodfriend@cmhshealth.org & (805) 701-3514
Medical Staff Office – (805) 948-5662

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Medical Staff Voice – June 24, 2019

JW Moore Tuesday Noon CME Conference – “Advancements in Prediction and Prevention of Sudden Cardiac Death”

Ashkan Ehdaie, M.D., Smidt Heart Institute, Cedars-Sinai Medical Center, will present a lecture on “Advancements in Prediction and Prevention of Sudden Cardiac Death”.  He will discuss how to: 1) Assess current epidemiology of sudden cardiac death, 2) Identify “at risk” populations/patients testing, and 3) Construct the primary care physician and cardiologist role in prevention of sudden cardiac death.

The conference will take place on Tuesday, June 25, 2019, at noon, in Nichols Auditorium. Lunch will be provided and Category 1 & 1-A CME will be available.  If you would like to view this lecture online, please contact the CME Coordinator, Christeva Vazquez cvazquez1@cmhshealth.org or by phone 805-948-5638.

Mobile Heartbeat App Upgrade for iPhone & Android users

  • Mobile Heartbeat has been upgraded to v19.1. Although not required at this time, personal device users are encouraged to upgrade the Mobile Heartbeat app on their phone.
  • iPhone users may update the “MH-Cure Brown” app in the Apple “App Store”. Once the app is upgraded no further configuration is required.
  • Android users need to follow the instructions below to update their app:
    • Uninstall the existing “MH-Cure” App
    • Open a web browser on the phone and go to Http://bit.ly/mhbcmhs2
    • Click on the MH-Cure Brown link to download the correct app.
    • *** Please note: this next step is required and often overlooked *** After the app is installed, open the app and enter “cmhs-p” in the username field (no quotes), leaving the password field blank, and click LOGIN. This step configures the app to work on your “personal” device.
    • Now that the app is configured you may login with your Active Directory credentials.

If you have any issues, please call the Helpdesk at (805) 948-5090.

Correct & Appropriate CPOE Transfusion Orders in PatientKeeper

Recently, the Blood Bank has received phone calls regarding delays in availability of blood products. After investigating these incidences we have discovered that there may be some confusion around ordering blood products in PK CPOE. On these occasions in question, the order that was selected was the “Transfuse RBC existing XMATCH today”.  This is a nursing order to tell nursing staff to transfuse products that were ordered previously but not transfused. Because this is a nursing order, the Blood Bank does not see these orders and they are not aware of the need for product.
The steps to take would be to:

Order the product. In this screen shot, “ RED BLOOD CELLS (RBC’s) today”.  The Blood Bank gets the order and it is processed.

If there are products ready on this patient that were not previously transfused and you would like them transfused, select the second option, “Transfuse RBC existing XMATCH today”. This will then prompt nursing staff , they will verify that there are products available and request the unit for transfusion.

If you have any questions please don’t hesitate to call the Blood Bank at 805 652-5696 so that we can assist you.

New Physician Friendly PatientKeeper Rehab Chart Notes

This new look applies to the PT & OT Eval & Daily Notes.  The following will appear at the top of the report  above the solid line.

  • Assessment
  • Plan of Care
  • Short Term Goals

4th of July Celebration for the Medical Staff and their Families

CMH Weekly Medical Staff Calendar – June 24 – 28

MondayTuesdayWednesdayThursdayFriday
8:30 am ED Division – NA (front)

12:00 pm JWM Education Conf – NA

5:30 pm Surgery Committee - BR
5:30 pm Credentials Cmte NA - (front)
12:00 pm General CA Conf – BR

OVCH Weekly Medical Staff Calendar – June 24 – 28

MondayTuesdayWednesdayThursdayFriday
5:15pm
CMHS Credentials Committee

Final Thoughts

People with courage and character always seem sinister to the rest.
– Hermann Hesse

Keep the faith,

Stan Frochtzwajg, M.D.
Chief Medical Officer
Community Memorial Health System
sfrochtzwajg@cmhshealth.org
www.cmhshealth.org/voice – Medical Staff Voice Blog link

Tracey Shoop – Physician Liaison – tshoop@cmhshealth.org & (805) 490-3860
Megan O’Neill – Business Development Manager – moneill@cmhshealth.org & (805) 207-8216
Scott Goodfriend, M.D. – Physician Advisor – sgoodfriend@cmhshealth.org & (805) 701-3514
Medical Staff Office – (805) 948-5662

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Medical Staff Voice – June 17, 2019

JW Moore Tuesday Noon CME Conference“Procalcitonin Guided Antibiotic Stewardship in the Hospital: How to Use PCT Effectively”

Mike Broyles, PharmD, Director of Pharmacy & Laboratory Services, Five Rivers Medical Center, AR, will present a lecture on “Procalcitonin Guided Antibiotic Stewardship in the Hospital: How to Use PCT Effectively”.  He will discuss how to: 1) Review current biomarkers used in the management of bacterial infection, 2) Describe how Procalcitonin can aid in severity assessment and evaluation of therapy choices, and 3) Assess the expected clinical and health economic outcomes of PCT guided therapy.

The conference will take place on Tuesday, June 18, 2019, at noon, in Nichols Auditorium. Lunch will be provided and Category 1 & 1-A CME will be available.  If you would like to view this lecture online, please contact the CME Coordinator, Christeva Vazquezcvazquez1@cmhshealth.org or by phone 805-948-5638.

Green Dysphagia Wristbands Have Launched!

On June 12th, the Speech-Language Pathology department launched the implementation of green dysphagia wristbands to identify correct diets of our patients at CMH.  Baskets filled with goodies, balloons, and National Dysphagia Diet comprehensive handouts were delivered by the SLPs to critical care, Tele/PCU, 5 East and West, 6 East and West, Respiratory, Radiology, ED, Rehab, Dietary and Dining Services.  Staff were in-serviced by our Speech Pathology team on the new dysphagia wrist band process and procedure for one month prior to the launch.  We are excited to initiate this patient-centered practice to ensure safer outcomes and dysphagia diet compliance!  For any further questions or comments, please contact Dina Tarin or the speech pathology department at 805-948-3099.

System Maintenance Downtime

The following systems will be down for scheduled maintenance:

Allscripts PM and EHR – 2 hour downtime starting 6/19 @ 10:00 PM
Patient Keeper and Intelex – 2 hour downtime starting 6/20 @ 12:00 AM
Mobile Heartbeat – starting 6/19 @ 10:00 PM


Medical Staff and Their Families Invitation for 4th of July Celebration

Ventura County Star: Official: Fewer Layoffs Will Happen At Ventura County Medical Center

About a quarter fewer employees will be laid off from the Ventura County health care system than originally predicted last month as part of close to $47 million in budget fixes. Health Care Agency Director Bill Foley said Tuesday that 59 employees are now expected to be laid off from their jobs effective July 1, compared with the initial estimate of 79. Half of the 20 restored jobs are at Santa Paula Hospital and half at Ventura County Medical Center in Ventura, he told the Ventura County Board of Supervisors. Slots for 46 nurses who work on a per diem basis will also be restored, 55 percent of the original estimate of 83 positions. (Wilson, 6/11)

Dr. Charles Hair Memorial Service

A Memorial Service is being planned for August 23, 2019 at the Limoneira Ranch in Santa Paula the time is to be announced.

CMH Weekly Medical Staff Calendar – June 17 – 21

MondayTuesdayWednesdayThursdayFriday
12:00 pm Cancer Cmte - BR12:00 pm JWM Education Conf – NA
4:30 pm Anesthesia Cmte - BR
7:45 am- Pediatrics Cmte/ Neonatal Cmte-NA (back)
11:30 am UM Cmte – NA (back)
12:00 pm General CA Conf – BR
12:15 pm Inpatient Medicine Division – NA (front)

OVCH Weekly Medical Staff Calendar – June 17 – 21

MondayTuesdayWednesdayThursdayFriday
11:00pm
P.I. Patient Safety Committee

Final Thoughts

“Security Is Mostly A Superstition. Life Is Either A Daring Adventure Or Nothing.”
– Helen Keller

Keep the faith,

Stan Frochtzwajg, M.D.
Chief Medical Officer
Community Memorial Health System
sfrochtzwajg@cmhshealth.org
www.cmhshealth.org/voice – Medical Staff Voice Blog link

Tracey Shoop – Physician Liaison – tshoop@cmhshealth.org & (805) 490-3860
Megan O’Neill – Business Development Manager – moneill@cmhshealth.org & (805) 207-8216
Scott Goodfriend, M.D. – Physician Advisor – sgoodfriend@cmhshealth.org & (805) 701-3514
Medical Staff Office – (805) 948-5662

 

 

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Medical Staff Voice – June 10, 2019

Tuesday Noon Conference -Resident Research Forum

Please join us on Tuesday, June 11th 12 p.m. to 1 p.m. for our Resident Research Forum in place of our regular JW Moore lecture.  Come support our Residents as they present their ongoing and upcoming research and quality improvement projects.  This session gives Residents a chance to discuss their scholarly work in a public forum and engage the medical staff in their research.  Lunch will be provided and no CME credit will be provided for this event.

For any questions, please contact the CME Coordinator, Christeva Vazquez cvazquez1@cmhshealth.org or by phone 805-948-5638

In Memoriam – Charles Hair, M.D.

Charles M. Hair, M.D., CMA President 1982, and VCMA President 1958, died peacefully in Santa Paula, CA at age 99 on May 31, 2019 ending a long life of dedication to patients and organized medicine.
If you didn’t know him personally, here is an a biographical summary of his personal and professional life published a few years back. https://santapaulatimes.com/news/archivestory.php/aid/2072/Charles_M._Hair,_M.D.,_Class_of_1937.html

No public obituary memorializing his life is posted as of yet.

Sadly, Dr. Hair’s wife, Geri, to whom he had been married for 77 years passed away earlier this year on March 9th. Her obituary is here: https://www.dignitymemorial.com/obituaries/ventura-ca/geraldine-hair-8200529

CME Requirement for Physician & Surgeons Licensed On or After January 1, 2019

As a requirement to maintain your license with the Medical Board of California, all physicians and surgeons must complete a one-time continuing medical education (CME) course in pain management and the treatment of terminally ill and dying patients. This course must also include the subject of the risks of addiction associated with the use of Schedule II drugs.* This 12-hour course requirement must be met within four years of an initial license being issued. This requirement does not apply to physicians practicing in pathology or radiology specialty areas.

As an alternative, physicians and surgeons can opt to complete a one-time mandatory 12-hour CME course on the treatment and management of opiate-dependent patients.** This CME option must include 8 hours of training in buprenorphine treatment or other similar medicinal treatment for opioid use disorders to take the place of the existing CME pain management requirement. A physician who chooses this alternative must complete the CME requirements by his or her next license renewal date. Physicians who meet the definition of a “qualifying physician” as determined by the Board pursuant to 21 U.S.C. section 823(g)(2)(G)(ii) as read on January 1, 2018, shall be deemed to have met the requirements.

Please be aware that the changes that took effect January 1, 2019 only apply to physicians and surgeons who have not previously taken the mandatory continuing education in the subjects of pain management and the treatment of terminally ill and dying patients. If a physician and surgeon has already taken the required 12 hours of CME, no further action is needed.

*Business and Professions Code 2190.5(a)(2) – effective January 1, 2019 **Business and Professions Code 2190.6(a) – effective January 1, 2019

AHA & Stroke award

Congratulations CMH! We have been honored with the 2019 Get With The Guideline – Stroke Gold Plus Quality Achievement Award and also qualified for recognition on the Target: Stroke Elite Plus Honor Roll.  This award recognized CMH’s commitment and success in implementing a high standard of stroke care by ensuring that our stroke patients receive treatment that meets nationally accepted, evidence-based standards and recommendations.

A special thanks to our Stroke Medical Director, Dr. Safwan Alboiny and to our Stroke Coordinator, Stephanie Lara-Jenkins.

PT Consult order

The PT Consult order now has a new query for providers to indicate if the patient will be discharged today.  This was added to alert the therapist so that they can prioritize those patients for timely discharge, particularly patients admitted for Observation status.
View from PK:

Also, PT/OT note is being formatted for easier review with the Assessment and Plan posted to the top of the PT/OT note in PK.

CMH Weekly Medical Staff Calendar – June 10 – 14

MondayTuesdayWednesdayThursdayFriday
5:15 pm QA & Improvement Cmte – BR7:00 am Medicine Cmte – BR
12:00 pm JWM Education Conf – NA
12:00 pm General CA Conf – NA (front)
13
12:00 pm QA & Patient Safety Cmte – BR
12:15 pm Cardiac Division Cmte – NA (front)
5:30 pm Bylaws Cmte - BR

OVCH Weekly Medical Staff Calendar – June 10 – 14

MondayTuesdayWednesdayThursdayFriday
12:30pm
MSQA Committee
7:15am / 7:45am
Emergency Medicine
Department

Final Thoughts

“Those who would give up essential liberty to purchase a little temporary safety, deserve neither liberty nor safety.”
– Thomas Jefferson

Keep the faith,

Stan Frochtzwajg, M.D.
Chief Medical Officer
Community Memorial Health System
sfrochtzwajg@cmhshealth.org
www.cmhshealth.org/voice – Medical Staff Voice Blog link

Tracey Shoop – Physician Liaison – tshoop@cmhshealth.org & (805) 490-3860
Megan O’Neill – Business Development Manager – moneill@cmhshealth.org & (805) 207-8216
Scott Goodfriend, M.D. – Physician Advisor – sgoodfriend@cmhshealth.org & (805) 701-3514
Medical Staff Office – (805) 948-5662

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Physician Forum – Friday, June 7th – Special Edition – Medical Staff Voice

Join your colleagues in an opportunity to share experiences, ask questions and get direction about these dynamic times in Medicine in Ventura County.  Everyone on the Medical Staff and Residents are invited.

Stan Frochtzwajg, M.D.
Chief Medical Officer

Posted in MSV - Special Edition 2 Comments

Medical Staff Voice – June 3, 2019

JW Moore Tuesday Noon CME Conference – Cancelled

The June 4th CME conference has been Cancelled.

Please join us on Tuesday, June 11th 12 p.m. to 1 p.m. for our Resident Research Forum in place of our regular JW Moore lecture.  Come support our Residents as they present their ongoing and upcoming research and quality improvement projects.  This session gives Residents a chance to discuss their scholarly work in a public forum and engage the medical staff in their research.  Lunch will be provided and no CME credit will be provided for this event.

For any questions, please contact the CME Coordinator, Christeva Vazquez cvazquez1@cmhshealth.org or by phone 805-948-5638

ACGME Tools and Resources for Resident and Faculty Member Well-Being

The ACGME’s Task Force on Physician Well-Being Tools and Resources Subcommittee created this compendium of materials and other references for residents and faculty members as a resource for well-being, wellness, and related tools. It is the Task Force’s hope that these resources will support the elements in Section VI of the ACGME’s Common Program Requirements. The requirements emphasize that psychological, emotional, and physical well-being are critical in the development of the competent, caring, and resilient physician.

The Task Force assembled this list of resources to help programs and institutions identify solutions that best meet local needs. Neither the ACGME, nor the Task Force, endorse the use of any specific tool or resource.

These resources can be used as part of program and institutional efforts to improve faculty member and resident/fellow well-being. Resources can support, but cannot take the place of local commitment to fostering well-being, and to assessing and assisting residents/fellows, faculty members, or others in distress.

All of the tools and resources included have been reviewed for relevance in graduate medical education settings. This compendium includes open access (free) resources, as well as proprietary (fees may apply) programs, tools, and materials.

Click on the link for access to the ACGME resource: Tools and Resources Link

New Law Requires Naloxone HCl Prescriptions in Certain Instances

A law (AB 2760) which took effect January 1, 2019, requires prescribers to offer a prescription for naloxone HCl or another drug approved by the FDA for complete or partial reversal of opioid depression in certain circumstances.

Naloxone (or another FDA-approved opioid antagonist) must be offered:

  • If the patient is taking a daily prescription dose of 90 or more morphine milligram equivalents of an opioid medication;
  • If an opioid medication is prescribed concurrently with a prescription for benzodiazepine, or
  • If the patient presents with an increased risk for overdose, including:
    • the patient has a history of overdose;
    • the patient has a history of substance use disorder; or
    • the patient is at risk for returning to a high dose of opioid medication to which the patient is no longer tolerant.

In addition, the new law requires a prescriber to provide education to a patient, or patient’s designee, or for a minor patient, the patient’s parent or guardian, on overdose prevention and use of naloxone (or similar FDA-approved drug).

The law specifies that a prescriber who fails to offer a prescription or provide education, as required by this law, must be referred to the appropriate licensing board solely for the imposition of administrative sanctions deemed appropriate by that board.

For more information about naloxone, including a video on administering nalozxone nasal spray – sold as Narcan, click on the link: the California Department of Public Health’s Get Naloxone website.

CMHS Pathology Department Medical Staff Survey

Dear Physicians,

We value your feedback. Please take a moment and share your experience with the CMHS Pathology Department.  This brief survey should take only a few minutes. Thank you for your participation. Click on this link:  https://www.surveymonkey.com/r/NBTPX67

MeeAe Kwon, MD, Pathologist
CMHS Medical Director

CMH Weekly Medical Staff Calendar – June 3 – 7

MondayTuesdayWednesdayThursdayFriday
12:30 pm – Interdisciplinary Practice Cmte – Quality Conf Rm
5:30 pm MEC - BR
12:00 pm -General CA Conf – BR
12:15 pm OB/GYN Cmte – NA (front)

OVCH Weekly Medical Staff Calendar – June 3 – 7

MondayTuesdayWednesdayThursdayFriday

12:30pm @CMH CMHS IDP Committee12:30pm Medical Executive Committee

Final Thoughts

“There are only two mistakes one can make along the road to truth; not going all the way, and not starting.”
– Buddha

Keep the faith,

Stan Frochtzwajg, M.D.
Chief Medical Officer
Community Memorial Health System
sfrochtzwajg@cmhshealth.org
www.cmhshealth.org/voice – Medical Staff Voice Blog link

Tracey Shoop – Physician Liaison – tshoop@cmhshealth.org & (805) 490-3860
Megan O’Neill – Business Development Manager – moneill@cmhshealth.org & (805) 207-8216
Scott Goodfriend, M.D. – Physician Advisor – sgoodfriend@cmhshealth.org & (805) 701-3514
Medical Staff Office – (805) 948-5662

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Medical Staff Voice – May 27, 2019

JW Moore Tuesday, CME Conference – “Effective Communication in Patient Hand Off”

Hannah Robinson, D.O., will present a lecture on “Effective Communication in Patient Hand Off”.  She will discuss how to: 1) Recognize effective vs ineffective hand offs, 2) Identify the components of an effective hand off, and 3) Internalize the importance of communication.

The conference will take place on Tuesday, May 28, 2019, at noon, in Nichols Auditorium. Lunch will be provided and Category 1 & 1-A CME will be available.  If you would like to view this lecture online, please contact the CME Coordinator, Christeva Vazquez at cvazquez1@cmhshealth.org or by phone 805-948-5638.

CMH Quarterly General Medical Staff Meeting

Last week we had another very successful General Medical Staff meeting.  Attendance reached 120 physicians.  Chef Brian outdid himself with a delicious array of hors devours and desserts.  Dr. Brackett kept the meeting short, to just over 30 minutes, and Gary Wilde, CEO, Cindy Demotte and I gave our updating reports on the State of the Health System, Quality measures and Medical Staff updates.  These are the salient components of the info I presented at the meeting:

  • Mobile Heartbeat – IT support was present at the Quarterly Meeting, call 948-5090 for assistance.
  • Verbal Orders – only use when unable to readily access a computer
  • Direct Admit – Nurse Supervisor: 805 208-8544(24/7)
    • Direct Admit Nurse – 805 910-9332 (8 am – 3:30 pm)
  • Pathology Department Survey for the Medical Staff: https://www.surveymonkey.com/r/NBTPX67
  • medicalstaffvoice.com/voice – Medical Staff Newsletter Blog Site
  • Interventional Radiology (IR) Hotline 805–879–7568 (24/7)

CMH Medical Staff Alert – Policy Change – Pre-Op Labs, EKG’s and X-rays

Beginning June 3, 2019, we are directing all pre-op patients to go to the Medical Office Building, 168 N. Brent, 3rd floor draw station, in the Outpatient Radiology area, for all their Lab, EKG and radiology needs.

Any patients with only EKG orders should be directed to the 2nd floor Physiology Department in the Mountain Tower.

Therapy Dogs at CMH

We have had a therapy dog program at CMH for the past four years. Pam Schuman gave a presentation at the Quarterly Medical Staff meeting with one of the most behaved dogs you’ve ever seen.  The healing power of therapy dogs for adults and children is well documented.  Medical Staff that would like a therapy dog visit should contact Debbie in Nursing Services or directly, Pam Schuman at 805-407-4208 for a patient therapy dog visit. They have teams available outside of regularly scheduled visits which are the second and fourth Mondays of each month at 11am, and the third Saturday each month at 11am.

Pantoprazole (Protonix) Shortage

Pharmacy has just become aware that pantoprazole (Protonix) 40mg injectable vials are on backorder. This shortage is due to manufacturing delays which in turn is leading to insufficient supply for usual ordering. Recovery dates are estimated to be September 2019.

In the past, we have switched to our non-formulary option of esomeprazole (Nexium) injectable. Currently, Nexium injectable is unavailable for ordering. Our distributer only has short-dated items, which it is not shipping out.

Our strategy during this shortage will be:

  1. Existing orders and all new order for pantoprazole injectable will be evaluated by Pharmacy for conversion to PO doses, per the CMHS Intravenous to Oral Therapeutic Interchange Policy HS-PHA155 (copy attached).
    1. Pantoprazole IV criteria are patients who are strict NPO or those being treated for an active GI bleed.
    2. Nursing will not receive a written change order from Pharmacy for these conversions, as they are per policy. Pharmacy will note the change in the label comments.
  2. Once our pantoprazole injectable supply is depleted, we do have a few remaining vials of esomeprazole (Nexium) which we can exhaust. The goal is to reserve injectables for GI bleed patients we may see throughout the summer months.As always, thank you for your assistance in helping our health system manage national drug shortages.
    – Renu Bajwa, Pharm.D.

CMH Weekly Medical Staff Calendar – May 27 – 31

MondayTuesdayWednesdayThursdayFriday
Memorial Day8:30 am ED Division – NA (front)
12:00 pm JWM Education Conf – NA
12:00 pm Board of Trustees – BR

5:30 pm Surgery Committee – BR

5:30 pm Credentials Cmte NA-(Front)
12:00 pm General CA Conf – BR

12:00 pm Bioethics Committee –NA (front)
12 :15 pm Pharmacy & Therapeutics Cmte – BR

OVCH Weekly Medical Staff Calendar – May 27 – 31

MondayTuesdayWednesdayThursdayFriday

Memorial Day
12:00pm
Board of Trustees@ CMH

5:15pm
CMHS Credentials Committee

Final Thoughts

“It is not the mountain we conquer but ourselves.”
– Edmund Hillary

Keep the faith,

Stan Frochtzwajg, M.D.
Chief Medical Officer
Community Memorial Health System
sfrochtzwajg@cmhshealth.org
www.cmhshealth.org/voice – Medical Staff Voice Blog link

Tracey Shoop – Physician Liaison – tshoop@cmhshealth.org & (805) 490-3860
Megan O’Neill – Business Development Manager – moneill@cmhshealth.org & (805) 207-8216
Scott Goodfriend, M.D. – Physician Advisor – sgoodfriend@cmhshealth.org & (805) 701-3514
Medical Staff Office – (805) 948-5662

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