Medical Staff Voice – March 18, 2019

JW Moore Tuesday CME Conference – Polycystic Ovarian Disease “PCOS”

Daniel Rychlik, M.D., will present a lecture on “PCOS”.  He will discuss how to 1) Formulate practice guidelines for the diagnosis and treatment of PCOS.
The conference will take place on Tuesday, March 19, 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 805-948-5638 to be added to the webinar list.

Doctors’ Day Celebration CMHS 2019

Come to the celebration to enjoy a great catered luncheon and the camaraderie of your colleagues and friends.

 

Doctors Take the MOC® Stick: Legal Avalanche Unfolds

In light of the ABMS boards ignoring working physicians’ demands to end MOC®, or even allow a meaningful alternative to MOC®, physicians across specialty boards have felt empowered to initiate litigation against time-limited certification. Rather than thinking of this as doctors suing other doctors, it is more accurate to say that this is doctors taking a collective stand against insulated, self-elected, answer-to-no-one bureaucratic bodies; organizations that hide behind humanistic slogans while churning billions of hidden dollars for themselves.

The recent litigation timeline:

– Westby G. Fisher, MD, (link to the full article)

Dr. Michael Trauner and MOH’s surgery at the Centers for Family Health

Dr. Michael Trauner is joining our long-standing Dermatologist, Dr. Joel Siegel. Dr. Trauner in addition to practicing dermatology specializes in Mohs Surgery.

Michael Trauner, M.D., is a fellowship-trained Mohs micrographic surgeon. He earned his medical degree from Duke University. Dr. Trauner completed his residency in dermatology at the University of California at Davis Medical Center and a fellowship in dermatologic surgery at the New England Medical Center in Boston.

His main location will be at Premier Dermatology & Mohs Surgery Center, 3655 West 5th St., Oxnard 805/948-6920 cmhspremierdermatology.org

About Mohs Surgery

Developed by Dr. Frederick Mohs in the late 1930s, Mohs surgery has been widely embraced by surgeons as the most advanced, precise and effective technique for treating a wide variety of skin cancers.

Unlike traditional surgery, which involves removing visible cancer as well as the surrounding healthy tissue, Mohs surgery ensures that all traces of cancer are removed without causing unnecessary harm to healthy skin.

Security Rx Fix Signed by Governor

After intense lobbying from the California Medical Association (CMA), Gov. Gavin Newsom signed a bill on Monday that will end the confusion caused by the flawed implementation of the state’s new prescription pad law. AB 149 will delay implementation of the new law until January 1, 2021, ensuring that patients will continue to have access to the medicine they need while the state creates a system to better track prescriptions across the state. Physicians will be required to order a new set of prescription pads by that date, and the Department of Justice (DOJ) will determine the specs of those new pads sometime next year.

CMHS  Pharmacy Drug Shortage Update

We’ve just been notified of another sodium bicarbonate shortage. Both the abbojects and vials are unavailable from our distributor until mid-June. We have a very limited stock of 50 meq/50mL abbojects remaining in a few pyxis machines and in crash carts. We have stock of about 150 50 meq/50mL vials but don’t expect this to last until June.

We will be reinstituting the management strategies we used during the last bicarb shortage in 2017 to preserve our remaining stock for crash carts, severe metabolic acidosis, and TCA/salicylate overdoses. Call CMHS Pharmacy for management protocols as needed.

Thank you,
Kaitlyn Moorehead, PharmD

CMH Weekly Medical Staff Calendar – March 18 – 22

MondayTuesdayWednesdayThursdayFriday
12:00 pm Cancer Cmte – BR12:00 pm JWM Education Conf – NA

12:00 pm Finance Cmte – BR

4:30 pm Anesthesia Cmte - BR
7:45 am- Pediatrics Cmte/Neonatal Cmte-NA (back)

12:00 pm General CA Conf – BR
12:00 pm Radiation Safety/Radiology Division – NA (front)11:00 am – 1:30 pm Doctors’ Day Luncheon - NA

OVCH Weekly Medical Staff Calendar – March 18 – 22

MondayTuesdayWednesdayThursdayFriday
12:00pm
CME LECTURE
@ CMH or Online.
11:00am
PI Patient Safety Committee

Final Thoughts

 “My religion is very simple. My religion is kindness.” 
– Dalai Lama
 

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 – March 11, 2019

JW Moore Tuesday CME Conference – “Colorectal Cancer: Current Landscape of Molecular Diagnosis”

Brad Barrows, D.O., will present a lecture on “Colorectal Cancer: Current Landscape of Molecular Diagnosis”.  He will; 1) Identify pathologic stages of colon cancer and which stages molecular studies are indicated, 2) Identify the spectrum of primary carcinomas of the colon, 3) Familiarize the audience with the current distribution of clinically significant molecular markers for adenocarcinoma of the colon, and 4) Demonstrate some of the methods for molecular testing of adenocarcinoma in the colon and how to interpret results.

The conference will take place on Tuesday, March 12, 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 805-948-5638 to be added to the webinar list.

Doctors’ Day Celebration – Friday, March 22, 2019

A Special Thanks to our CMHS Hospital and Medical Staff

Last Thursday we experienced an unplanned Meditech downtime that created a great deal of extra work and diligence on the part of everyone involved in caring for our patients.  Our Hospital Staff, Nursing and support services, and our Medical Staff stepped up to the plate and saw to the exceptionally good care and safety of our patients. This effort can only be characterized as dedicated and tireless, despite the need to go to paper downtime procedures without the convenience of the electronic health record with which we have all become so reliant.

Thank you to all for showing your true colors of professionalism, collaboration and calm in the face of challenges faced that day.  You are the greatest!

Registered Dietitian Nutritionist Day on Wednesday, March 13

CMHS would like to recognize our RDNs on March 13 by posting this message on our blog for all employees:

In 2019, the Academy of Nutrition and Dietetics celebrates Registered Dietitian Nutritionist Day on Wednesday, March 13. As the nation’s food and nutrition experts, registered dietitian nutritionists are committed to improving the health of their patients, clients, and communities. Registered Dietitian Nutritionist Day and National Nutrition Month® promote the Academy and RDNs to the public and the media as the most valuable and credible source of timely, scientifically-based food and nutrition information.

First celebrated in 2008, Registered Dietitian Nutritionist Day commemorates the dedication of RDNs as advocates for advancing the nutrition status of Americans and people around the world. Registered Dietitian Nutritionist Day, celebrated each year on the second Wednesday in March, was created by the Academy of Nutrition and Dietetics to increase the awareness of registered dietitian nutritionists as the indispensable providers of food and nutrition services. This occasion also serves to recognize both RDNs and nutrition and dietetic technicians, registered for their commitment to helping people enjoy healthy lives.
Please thank our dietitians working at CMH and Ojai this week!

Benefactor’s Ball Invitation

CMH Weekly Medical Staff Calendar – March 11 – 15

MondayTuesdayWednesdayThursdayFriday
7:00 am Practitioner Well Being Cmte – BR

12:15 pm CME Committee - BR
7:00 am Medicine Cmte – BR

10:00 am Audit & Compliance Cmte – BR

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

12:30 pm Family Medicine Cmte – NA (back)
6:30 am HIM Cmte- BR

12:00 pm Quality Assurance Committee – BR

12:15 pm Cardiac Division Cmte – Quality CR

OVCH Weekly Medical Staff Calendar – March 11 – 15

MondayTuesdayWednesdayThursdayFriday
12:00pm
CME LECTURE
@ CMH or Online
12:00pm @CMH
Quality Board

Final Thoughts

“The love we give away is the only love we keep.” 
– Elbert Hubbard
 

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 – March 4, 2019

CME Tuesday Noon Conference – CANCELLED

Pathology Department Moves into New Offices – Mountain Tower

Our pathologists have officially moved in the Mountain tower to the former radiology reading area. The Pathologists retain their same phone numbers as previously held. Individuals will be able to access the pathologists through the former front radiology area where radiology office staff use to be.

Transcatheter Aortic Valve Replacement (TAVR) Program

Congratulations to the Community Memorial Hospital TAVR Team on their first successful TAVR procedures in our NEW Ocean Tower last week! With our expanded surgical center and state-of-the-art heart catheterization and electrophysiology labs, we are excited about the future of TAVR and other structural heart procedures. Stay tuned as we share more on this exciting program!  Dr. Omid Fatemi, Structural Heart Medical Director, has led our team to these first two successful TAVR’s and we look to his leadership for our future success in Structural Heart.

In Memoriam – Gary Nishida, M.D.

It is with sadness that I must announce the untimely death of our colleague Dr. Gary Nishida on Feb. 24th.

Dr. Nishida was a well-respected and admired obstetric and gynecology physician. He was most active at St. John’s Hospital, but often had patients at CMH. Dr. Nishida’s family had a memorial service at the Poinsettia Pavilion in Ventura, last Saturday. There also will be a hospital-based memorial service to honor his life and share memories with colleagues and work friends, Tuesday, March 5th from 12 p.m. to 1 p.m. in St John’s Regional Medical Center Conference Rooms 2 & 4.

VCMA General Membership Dinner Meeting

Thursday – March 14, 2018 –  TWO WEEKS AWAY! – RSVP today!
Spanish Hills Country Club
999 Crestview, Camarillo

“Good Things Happening In Ventura County”
A Panel Discussion of Top Issues & Services in Our County
Keynote Speakers:

Mike Powers – CEO, County of Ventura
Josh Lemore, PhD -Clinical Director, Casa Pacifica
Emergency Services Representative: Status of Services & First Responders
New Feature: “Medical Mission (10) Minutes”

At each General Meeting, one Medical Mission will be featured and shared (10 minutes Powerpoint) by a VCMA Member. Get to really know your fellow colleagues.

5:30-7pm – VCMA Exhibitor Reception
7 pm – Buffet Dinner
7:20pm – Program

 RSVP – ASAP! (no later than Monday, March 11) to marycarr@venturamedical.org

Extortion Scam Targeting DEA Registrants

DEA is aware that registrants are receiving telephone calls and emails by criminals identifying themselves as DEA employees or other law enforcement personnel.  The criminals have masked their telephone number on caller id by showing the DEA Registration Support 800 number.  Please be aware that a DEA employee would not contact a registrant and demand money or threaten to suspend a registrant’s DEA registration.

If you are contacted by a person purporting to work for DEA and seeking money or threatening to suspend your DEA registration, submit the information through “Extortion Scam Online Reporting” posted on the DEA Diversion Control Division’s website, www.DEADiversion.usdoj.gov.

CMH Weekly Medical Staff Calendar – March 4 – 8

MondayTuesdayWednesdayThursdayFriday
12:00 pm JWM Education Conf – NA - CANCELLED!

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

12:15 pm OB/GYN Cmte – NA - Front
5:30 pm Credentials Cmte – BR

OVCH Weekly Medical Staff Calendar – March 4 – 8

MondayTuesdayWednesdayThursdayFriday
5:15pm
CMHS Credentials Committee - CANCELLED
12:00pm
CME LECTURE - CANCELLED!
12:30pm
Medical Executive Committee
7:15am (Physicians)
7:45am (Hospital Staff)
Emergency Medicine Department

Final Thoughts

“A gem cannot be polished without friction, nor a man perfected without trials.”
– Lucius Annaeus Seneca

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 – February 25, 2019

JW Moore Tuesday CME Conference – “Adult Congenital Heart Disease: Preparing for the Surge”

Rose Tompkins, M.D., Assistant Director of Cedars-Sinai Adult Congenital Heart Program, will present a lecture on “Adult Congenital Heart Disease: Preparing for the Surge”.  She will 1) Discuss awareness about the increasing prevalence of Adult Congenital Heart disease, and 2) Discuss common congenital heart disease diagnoses encountered in adult practice.

The conference will take place on Tuesday, February 26, 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 805-948-5638 to be added to the webinar list.

Restraints Applied for Violent Behavior

Patients who have restraints ordered and applied for violent behavior must be seen by the physician within one (1) hour of having the restraints applied.  The “one-hour-face-to-face” assessment must include documentation of the following.

  • The patient’s immediate situation;
  • The patient’s reaction to the intervention;
  • The patient’s medical and behavioral condition; and
  • The need to continue or terminate the restraint or seclusion.

The time-frame for the renewal of restraints applied for violent behavior is based on the age of the patient. For example:  if after 4 hours an adult patient (age 18 or greater) still requires restraint for violent behavior, a nurse may get a 4 hr. renewal from the physician for up to 24 hours.  At the end of the 24 hours, it is determined the patient still needs restraint, the physician must see and assess the patient before issuing a new order.

  • 4 hours for adults 18 years of age or older;
  • 2 hours for children and adolescents 9 to 17 years of age; or
  • 1 hour for children under 9 years of age.

Hospital Acquired Infections Notification

A reminder that the CMHS Infection Prevention and Control Department expects to be notified whenever a hospital or healthcare-associated infection is suspected or recognized.  While we have surveillance systems in place, immediate notification by the physician is preferred and allows us to begin the investigation process quickly to determine cause and solution. The Department will complete the investigation, keep you informed and work to ensure the best outcomes for your patients. Contact information:

Physician Suspension for Medical Records Policy Update

As of Monday, 02-18-19 CMHS implemented the approved updated Physician Suspension for delinquent Medical Records Policy. This policy affects CMH, OVCH and CMHS Clinics.

  1. Physicians will be given 7- and 14-day notifications of their delinquent charts prior to suspension.
  2. Physicians on a rotating schedule are expected to complete any potential suspendable deficient items prior to going off rotation.  When the Hospitalist scheduled rotation ends they will have 48 hours to complete their chart deficiencies.  For example, when a physician is off of rotation starting on 10/1/18 midnight, they have until 10/3/18 midnight to complete chart deficiencies.
  3. Physicians scheduled for vacation or rotation are to notify the Health Information Management (HIM) Department prior to going on vacation; any potential suspendable items are to be completed prior to going on vacation. To advise HIM of your impending vacation please send your communications to kcarrillo2@cmhshealth.org or lmac@cmhshealth.org

Please contact the HIM Department if you would like to receive a copy of the complete updated CMHS Physician Suspension for Medical Records Policy at 805 948-4691.

Thank you,
Health Information Management

Sodium Bicarbonate shortage

We’ve just been notified of another sodium bicarbonate shortage. Both the abbojects and vials are unavailable from our distributor until mid-June. We have a very limited stock of 50 meq/50mL abbojects remaining in a few pyxis machines and in crash carts. We have stock of about 150 50 meq/50mL vials but don’t expect this to last until June. Our buyer is reaching out to 503B compounders to increase our order of compounded syringes but often in shortage situations they cannot increase our order amount.

We will be reinstituting the management strategies we used during the last bicarb shortage in 2017 to preserve our remaining stock for crash carts, severe metabolic acidosis, and TCA/salicylate overdoses.

CMH Weekly Medical Staff Calendar – February 25- March 1

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

12:00 pm Board of Trustees- BR
12:00 pm JWM Education Conf – NA

5:30 pm Surgery Cmte - BR
12:00 pm General CA Conf – BR

OVCH Weekly Medical Staff Calendar – February 25 – March 1

MondayTuesdayWednesdayThursdayFriday
12:30pm
Surgery Department
12:00pm
CME LECTURE
@ CMH or Online

12:00pm @CMH
Board of Trustees

Final Thoughts

“There is nothing noble in being superior to your fellow men. True nobility lies in being superior to your former self.”

– Ernest Hemingway

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 – February 18, 2019

JW Moore Tuesday CME Conference – “Is My Patient Having a Stroke?”

Nicholas Tarlov, M.D., CMHS Interventional Stroke Neurologist, will present a lecture on “Is My Patient Having a Stroke?”.  He will 1) Discuss utilization of recommended stroke-evaluation time benchmarks to stabilize patients within 60 minutes of arrival in the emergency department, including initial evaluation, assessment, imaging, and laboratory studies., 2) Outline current treatments for acute ischemic stroke, including IV thrombolytic therapy with tissue-type plasminogen activator and endovascular therapies, such as intra-arterial thrombolytic therapy and the use of clot-retrieval devices, and 3) Discuss how to utilize tools to predict patients’ clinical response and risk of hemorrhagic complications following IV thrombolytic therapy.

The conference will take place on Tuesday, February 19, 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 805-948-5638 to be added to the webinar list.

CMHS Outpatient Lab Locations and Hours

Print, save as a PDF or bookmark the following link as a valuable reference.
Drs. Scott Goodfriend and Stan Frochtzwajg – Medical Staff Resources

Dr. Goodfriend and I were discussing how often Medical Staff is unsure of who to call or hesitant to ask about issues that may be confusing or unclear.  One oft-heard reason is that colleagues don’t want to bother us. Dr. Goodfriend’s general knowledge and expertise are in the realm of appropriate chart documentation and compliance.  As your CMO, I will assist or point you in the correct direction with most everything else.

Part of our job descriptions is to be a resource for the Medical Staff.  Dr. Goodfriend can be reached through his cell phone: 805 701-3514.  I can be reached through the Medical Staff Office at 805 948-5418 or directly at 805 701-1466.

The following systems will be down for scheduled maintenance:
 
Allscripts PM and EHR – 3-hour downtime starting 2/19 at 10:00 PM.

Patient Keeper and Intelex – 3-hour downtime starting 2/20 at 1:00 AM.

Are you ready for another year of Tax Season Scams? – Cybersecurity Update

The IRS saw an approximate 450% surge in phishing and malware incidents during the 2017 tax season.  CMHS has already started to experience an uptick in email’s requesting W-2’s and other documents preferred for identity theft.

To help keep our users informed we are implementing a technology which will inform you when an email originated from outside our organization.  Please treat these with additional caution before clicking links or opening attachments

Example:  This email originated from outside the organization.  Please verify the sender and proceed with caution, Do not click any links, open any attachments, or reply unless you are certain of the sender.

Remember:  Scam emails are designed to trick taxpayers into thinking these are official communications from the IRS or others in the tax industry, including tax software companies. These phishing schemes can ask taxpayers about a wide range of topics. Emails can seek information related to tax refunds, filing status, confirming personal information, ordering transcripts, verifying PIN information and asking people to verify their tax software account.

Variations of these scams can be seen via text messages, and misleading communications can be seen in every section of the country.

When people click on these email links, they are taken to sites designed to imitate an official-looking website, such as IRS.gov. The sites ask for Social Security numbers and other personal information, which could be used to help file false tax returns. The sites also may carry malware, which can infect people’s computers and allow criminals to access your files or track your keystrokes to gain information.

Keep in mind that the IRS will never contact you by telephone if there are issues with your returns, or if they need information. They will always send information by U.S. mail, and only by email if you have requested and provided them with an address. Do not respond to any contact that is threatening or attempts to alarm you. Always contact the IRS through their official website (www.irs.gov) or call for telephone assistance.

UHC moves from denial to downcoding of E/M claims

UnitedHealthcare (UHC) is changing how it handles claims for evaluation and management (E/M) services when the medical record documentation does not support the E/M level submitted. Currently, UHC denies such claims, in which case the physician must either appeal, resubmit the claim with the appropriate level of service, or amend the documentation to support the level of service billed.Under a policy change effective in the second quarter of 2019 (www.uhcprovider.com), UHC will no longer automatically deny a claim based on the documentation but instead may adjust the level of a submitted code to reflect what it believes is appropriate and then pay it. The policy appears aimed at Level 4 and 5 services. If a physician disagrees with the adjustment, he or she could still appeal as that process will not change.

Your billing staff will need to be on their game and know what the appropriate payment is for the E/M codes they submit to catch potential downcoding by UHC. Close review of remittance advice may be in order. Otherwise, your practice risks being underpaid and not knowing it.
– Kent Moore, Senior Strategist for Physician Payment at the American Academy of Family Physicians

CMH Weekly Medical Staff Calendar – February 18 – 22

MondayTuesdayWednesdayThursdayFriday
President’s Day12:00 pm JWM Education Conf – NA
12:00 pm Finance Cmte – BR

General Staff Meeting - see announcement above.
7:45 am- Pediatrics Dept/Cmte/Neonatal Cmte-NA (back)

12:00 pm General CA Conf – BR
12:15 pm Inpatient Medicine Division – NA (front)

5:30 pm Orthopedic Division - BR

OVCH Weekly Medical Staff Calendar – February 18 – 22

MondayTuesdayWednesdayThursdayFriday
PRESIDENT’S DAY12:00pm
CME LECTURE
@ CMH or Online.

12:30pm
MSQA Committee
(12)

11:00am
PI Patient Safety Committee
11:00am
PI Patient Safety Committee

Final Thoughts

“Before you heal someone, ask him if he’s willing to give up the things that made him sick.”
– Hippocrates

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 – February 11, 2019

JW Moore Tuesday CME Conference – “Sexual Discrimination”

Paul Wilcox, Esq., will present a lecture on “Sexual Discrimination”.  He will 1) Define harassment, discrimination, and abuse, 2) Discuss the legal requirements, company policy and practices required to maintain an open environment, and 3) Identify resources, tools,
and strategies for treating others with respect and dignity.

The conference will take place on Tuesday, February 12, 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 805-948-5638 to be added to the webinar list.

Medical Staff Updates

  1. Physician Orders – Physicians need to write the specific route for all medication orders so no interpretations are being made by the nurses; e.g. which route to use first, second, etc.
  2. Chemotherapy Orders – CMHS pharmacy requires 48 hours advance order for all chemotherapy medications for inpatient and outpatient administration.
  3. 4 East Dictation room – We have a dictation room on 4 east with 4 computers in the room.  Some have noted that the temperature in the room is kept too cool. If it is too cool, notify the Charge Nurse to adjust the thermostat.
  4. In House, Cocci Screening Testing is going live on Monday, February 11th with a new cocci screening test.  We will no longer be offering the testing through Mayo Laboratories. Any screening test for Cocci will be done in–house with same day results.    This test has been correlated with both the Immunodiffusion and Complement Fixation tests.  Any positive screening test will reflex the Complement Fixation/Immunodiffusion panel automatically and testing will be sent to ARUP laboratories.

Laboratory Diagnosis of Gastrointestinal Pathogens – CHANGES IN TESTING

Over the past year, the laboratory has begun offering a molecular test that will detect multiple gastrointestinal pathogens from the same stool sample (FilmArray GI panel).  While the traditional stool cultures take 3-5 days to complete testing, the GI PCR panel can be completed within 18-24 hours of receipt in the laboratory.

In comparing the two methods of gastrointestinal pathogen testing, we looked at data from January to June 2018.  During this timeframe, 262 traditional stool cultures were performed.  Of these cultures, 1 Campylobacter and 2 Salmonella species were isolated.

During the same time period, 812 GI PCR panels were performed.  Positivity rates ranged from 0.1-17.7%.  See below for a breakdown of all organisms isolated.

Campy 3.8% Ecoli O157 5.8%
CdIfftoxin 17.7% Ecoli-EIEC 1.0%
Pleiso 0.3% Crypto gi 0.7%
Salmon 15.2% Cylcospora 0.0%
Vibrio 0.2% Entamoeba 0.0%
Vibcho 0.1% Giardia 0.4%
Yersi 0.9% Adeno 1.2%
Ecoli-EAEC 2.7% Astro 1.9%
Ecoli-EPEC 6.8% Norovirus 6.6%
Ecoli-ETEC 1.6% Rotavirus 1.4%
Shiga-Like 1.5% Sapo 1.3%

It is clear from the data that the PCR methodology has a greater positivity rate to detect gastrointestinal pathogens in the stool.

The only acceptable specimen type for the GI PCR panel is stool in Cary-Blair transport media (orange stool vial).  If the fresh stool is obtained it should be transported to the laboratory as soon as possible, but no later than 2 hours’ post-collection.

Effective March 4th, 2019, the Microbiology Laboratory will no longer offer Stool Culture testing in-house.  We will only perform the GI PCR panel.  If traditional Stool Culture testing is warranted, it will be sent to the ARUP reference laboratory.  Clostridium difficile by PCR and O&P testing will continue to be offered and tested separately in-house.

If you have any questions, please feel free to call: 805-948-5324.

Meeae Y. Kwon, M.D.
Laboratory Medical Director

Updated Flu Season Data

CMH Weekly Medical Staff Calendar – February 11 – 15

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 – BRValentine’s Day

12:00 pm QA & Patient Safety Cmte- BR

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

OVCH Weekly Medical Staff Calendar – February 11 – 15

MondayTuesdayWednesdayThursdayFriday
12:30pm
Family Medicine Department
12:00pm
CME LECTURE
@ CMH or Online
VALENTINE’S DAY

12:00pm @CMH
Quality Board

Final Thoughts

“Everything that irritates us about others can lead us to an understanding of ourselves.”
– Carl Jung

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
Medical Staff Office – (805) 948-5662

 

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Medical Staff Voice – February 4, 2019

JW Moore Tuesday CME Conference – “Infection Control”

Gail Simpson, M.D., and Chris Ouellette, RN, Nurse Epidemiologist, will present a lecture on “Infection Control”.  They will; 1) Discuss pertinent safety, infection control, and quality improvement practices, and 2) Explain the diagnosis and treatment of acute illness in the hospital setting.

The conference will take place on Tuesday, February 5, 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 805-948-5638 to be added to the webinar list.

Mobile Heartbeat Use Reminders

  1. Be mindful of mobile device use in the presence of patients.
  2. Texting guidelines:
    1. Use texting for non-urgent communication that relates to patient care or hospital business (not for personal use).
    2. Include appropriate information:
      1. Patient specific details (e.g. name, room number) available inpatient pick list.
      2. Use approved abbreviations so the receiver understands the intended message.
    3. Do not text or accept texted orders.
    4. Ensure a system acknowledgment is received for each communication. Do not send extra acknowledgments via text.
    5. If a response is expected and not received (including communication to off duty users)escalate communication to a telephone call following the proper chain of command.
    6. Do not use texting:
      1. When extensive details or clarification is needed.
      2. When urgent action or response is needed.
      3. For clinical emergencies or as a replacement for rapid response or code blue.
      4. For handoff communication.
  3. Broadcast and group texts should only be used by leadership designee to communicate the same information to multiple users simultaneously.

VenturaCare Partners Outpatient Palliative Care – A Letter from Chuck Pankratz, M.D.

Dear Colleague,

I am pleased to inform you that after a brief period of restructuring VenturaCare Partners APC has reopened in our new location! We have two Palliative Care physicians and are scheduling patient appointments Tuesday through Friday.

Dr. Jerry Maryniuk will provide clinical services on Thursday and Friday.  Dr. Maryniuk has 30 years of experience as an emergency room physician.  He has been a part of the Palliative Care team at Community Memorial Hospital since 2015.  He is excited to transition to our outpatient Palliative Care clinic.

Dr. Christina Matts will provide clinical services on Tuesday and Wednesday.  Dr. Matts completed her fellowship at the University of Utah in Hospice and Palliative Medicine.  She also practiced as an emergency room physician at Los Robles Hospital. We are excited to have Dr. Matts join our team.

I continue to act as the Palliative Care Medical Director and oversee the outpatient Palliative Care clinic.  I am available to talk with you about any of your patients who may benefit from an outpatient Palliative Care consult.

I will contact you in the near future by phone to answer any questions you may have about our clinical service.   The support staff at our clinic would also like to reach out to your office to share information and address any questions.

Our new address and contact information is:
2705 Loma Vista Rd, Suite 202
Ventura, CA 93003
Main office:  805-667-2273

Sincerely,

Chuck Pankratz, MD
President, VenturaCare Partners, APC
Medical Director, Palliative Care Services, CMHS

CMHS Cyber Security Corner

Why is multi-factor authentication important?
Multi-factor authentication simply means that you are using more than one means to prove your identity.  Most commonly this is described as something you know (password), something you have (mobile phone), or something you are (biometrics).  Many organizations protecting sensitive information have implemented multi-factor authentication to protect their customers.  For instance, online banking will require the use of a username and password as well as a code sent to your phone the first time you log in.  Without this second factor, any criminal that gains access to your password would have full access to all of your information.  As many of us use the same password across multiple sites, this problem becomes amplified.  Please find below some additional reasons to enable multi-factor authentication wherever possible.

  1. Identity theft is an easy, low-risk, high-reward type of crime and a threat to all businesses. It is the fastest-growing type of crime and is now more profitable than drug-related crimes.
  2. Weak or stolen user credentials are hackers’ weapon of choice, used in 95 percent of all Web application attacks.
  3. Headlines tend to belong to the household-name companies, but they are not the only companies being targeted. Of all targeted attacks, 31 percent are aimed at businesses with fewer than 250 employees.
  4. Password theft is constantly evolving as hackers employ methods like keylogging, phishing, and pharming.
  5. Cybercriminals do more than merely steal data. With the rise of ransomware, they destroy data, change programs or services, or use servers to transmit propaganda, spam, or malicious code.
  6. Employees are already accustomed to authenticating themselves in their personal lives, as providers of online services like home banking, gaming, social media, and email have all adopted mobile-based tools to effectively authenticate their users when accessing their systems. – Michiel de Bruin
    CMHS Information Security Officer

Injectable Thiamine Critical Shortage

We have a critical shortage of injectable Thiamine. It is currently unavailable and we have #32 vials left in the hospital. Expected recovery is February 7-11th.
We are requesting that medical staff help us reserve these remaining 100 mg vials for patients with known or suspected Wernicke Encephalopathy or BeriBeri syndrome, and limit doses in these patients to no more than 200 mg q8h.
Oral thiamine is still well stocked and should be utilized for anyone without the above indications, including replacement in patients with Alcohol Use Disorder.
An injectable multivitamin provides 6 mg of thiamine if the patient is on TPN.

Thank you,
Kaitlyn Moorehead, PharmD

CMH Weekly Medical Staff Calendar – February 4 – 8

MondayTuesdayWednesdayThursdayFriday
12:00 pm JWM Education Conf – NA
12:30 pm – Interdisciplinary Practice Cmte – MSL

5:30 pm Medical Executive Cmte (MEC)- BR
12:00 pm General CA Conf – BR

12:15 pm OB/GYN Cmte – NA (front)
5:30 pm CMHS Credentials Cmte- BR

OVCH Weekly Medical Staff Calendar – February 4 – 8

MondayTuesdayWednesdayThursdayFriday
12:00pm
CME LECTURE
@ CMH or Online

12:30pm@CMH
CMHS Interdisciplinary Practice Committee (Medical Staff Office)
12:30pm
Medical Executive Committee

5:30pm
CMHS Credentials Committee
(Medical Staff Office)
7:15am (Physicians)
7:45am (Hospital Staff)
Emergency Medicine Department

Final Thoughts

“If you tell the truth, you don’t have to remember anything.” 
― Mark Twain

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
Medical Staff Office – (805) 948-5662

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Medical Staff Voice – January 28, 2019

JW Moore Tuesday CME Conference – “Functional Anatomy Approach to Low Back Pain”

Cathy Kim, M.D., CMHS, Integrative Body Medicine, will present a lecture on “Functional Anatomy Approach to Low Back Pain”.  She will 1) Correlate the biomechanics of the low back and relationship to symptoms, 2) Discuss the role of fascia, 3) Apply a functional anatomy perspective to improve the dysfunctional mechanics, and 4) Describe the role of an anti-inflammatory diet.

The conference will take place on Tuesday, January 29, 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 805-948-5638 to be added to the webinar list.

CMH Wound Care & Ostomy Nurse

Isabel Jimenez Pantoja, RN, CMH interim wound care nurse, is covering for our lead wound care nurse Daphne until she returns from maternity leave.  Isabel has been receiving orders from physician’s to administer medications via the patient’s colostomies. Normally, this is not a problem because Daphne is an ostomy certified nurse and has the training to administer medications via an ostomy. Isabel is not ostomy certified and has no training to instill medications into patient’s colostomies. The physician, if they have the training, may personally administer the medication via the ostomy.

Update on how best to reach various radiology sites and personnel

The staff is all listed on mobile heartbeat under ocean tower radiology. This is the best way to reach a tech:

  • Radiology front desk – ext. 8160
  • CT – ext. 8175
  • Radiology nurse – ext. 8161
  • Rad reading rooms – ext. 5647 (rings in all reading rooms including Ojai)

A list of covering Radiologists is posted in the reading room area in the new department.
In addition, a Radiology on-call list is posted with cell phone numbers. This list is updated each day and sent to the house operator, emergency room, nurse supervisor and intensive care units.

Other important phone numbers include

  • IR Hotline 805–879–7568.
  • Pueblo answering service 805–879–7595
  • ATR/nighthawk 888–225–0386

We are working on getting the Rad photos posted on the reading room doors so one will know who is reading. Our reading rooms are located behind the waiting room and scheduling desk in the new imaging department of the ocean tower.
– Ivan Hayward, M.D. – Radiology Medical Director

PatientKeeper Update – Patient Code Status Located in the Header 

OVCH Medical Staff Leadership and  Chain of Command

2019/2020 Medical Staff Officers

Carl Constantine, MD – Chief of Staff

Catherine Ferguson, MD – Vice Chief of Staff

James Halverson, MD – Secretary / Treasurer

Carl Gross, MD – Member-at-Large

Maria Halvorson, DO – Member-at-Large

2019/2020 Department Officers

Emergency Department

  • Yasha Long, MD, Chair
  • Matthew Koger, MD, Vice Chair

Family Medicine Department 

  • Mary Dial, MD, Chair
  • Natalie Horn, DO, Vice Chair

Medicine Department

  • Carl Constantine, MD, Chair
  • Timothy Williamson, MD, Vice Chair

Surgery Department 

  • John Slaght, MD, Chair
  • James Beaty, DPM, Vice Chair

IT Software Downtime

Inpatient systems downtime for server patching is Wednesday, January 30th, 2019, from 12:15 am to 6:00 am. Users may lose data filed after 12:10 am.
PK will remain available but there will be no CPOE.
This includes all of the inpatient systems:

  • Meditech
  • Picis
  • Mobile Heartbeat
  • Rauland
  • 3M
  • AirStrip
  • Kronos
  • CCW
  • Muse
  • Perigen
  • TeleTracking

CMH Weekly Medical Staff Calendar – January 28 – February 1

MondayTuesdayWednesdayThursdayFriday
7:00 am CMHS Outpatient Division – NA (front)8:30 am Emergency Division – NA (front)

12:00 pm Board of Trustees- BR
12:00 pm JWM Education Conf – NA
12:15 pm Pharmacy & Therapeutics Cmte – BR

OVCH Weekly Medical Staff Calendar – January 28 – February 1

MondayTuesdayWednesdayThursdayFriday
12:00pm @CMH
Board of Trustees

Final Thoughts

I met a traveller from an antique land
Who said: Two vast and trunkless legs of stone
Stand in the desert. Near them, on the sand,
Half sunk, a shattered visage lies, whose frown,
And wrinkled lip, and sneer of cold command,
Tell that its sculptor well those passions read
Which yet survive, stamped on these lifeless things,
The hand that mocked them, and the heart that fed;
And on the pedestal these words appear:
“My name is Ozymandias, king of kings:
Look on my works, ye Mighty, and despair!”
Nothing beside remains. Round the decay
Of that colossal wreck, boundless and bare
The lone and level sands stretch far away.
– Ozymandias by Percy Shelley

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
Medical Staff Office – (805) 948-5662

 

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Medical Staff Voice – January 21, 2019

JW Moore Tuesday CME Conference – “Non-Invasive Positive Pressure Ventilation”

Amir Arfaei, M.D., Pulmonologist, Community Memorial Hospital, will present a lecture on “Non-Invasive Positive Pressure Ventilation”.  He will 1) Evaluate evidence-based recommendations for the use of non-invasive ventilation (NIV) in acute respiratory failure, 2) Implement current practice guidelines by ATS/ERS, 3) Specify the indications, contradictions, initiation, and weaning of NIV, and 4) Determine when and where NIV should start.

The conference will take place on Tuesday, January 22, 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 805-948-5638 to be added to the webinar list.

Controlled substance (CS) serial number script enforcement postponement

It looks like they came out with further guidance on the CS form serial number requirement. The California Board of Pharmacy and DOJ are not enforcing this law until July 2019. This gives us a few months to transition, where Pharmacies will be able to fill without fear of enforcement from breaking the law.

“Prescribers are encouraged to procure compliant security forms at their earliest opportunity. In the interim, however, none of the signatory agencies want to see patients denied access to necessary medications during this transition period. With that in mind, the Enforcement Committee of the Pharmacy Board has recommended to the Pharmacy Board and the Executive Officer that, prior to July 1, 2019, enforcement staff not make an enforcement priority of actions against and/or investigations of pharmacists (or their employing pharmacies) who, in the exercise of his or her best professional judgment, determine that it is in the best interest of patient or public health or safety to fill a controlled substance prescription written on a security form that would have been compliant prior to January 1, 2019”.

Go to resource endorsed by CMA, offering CMA discount for ordering new forms:https://www.rxsecurity.com/order-now/new-order?member=cma-order

How to contact our CMHS Radiologists

Extension 5647 rings in each of the radiologists’ offices at CMH and also in the radiologist office at OVCH. If not answered within 5 rings, the call rolls over to the front desk in Imaging (CMH extension 8160).

The front desk is not currently staffed after 5 PM or on weekends. The front desk phone rolls to the PBX operator.

As we advance with Mobile Heartbeat, we will work to implement practices which continue to improve our communication capabilities.

CT ED Scanner up & running 0n 1/16/19

Exciting news, our CT scanner in the CMH Emergency Department is up and running as of last week.

Dr. Jennifer Wan, Cardiothoracic Surgeon, joins Drs. Tedesco and Bushnell

Dr. Jennifer Wan

Dr. Jennifer Wan is a cardiothoracic surgeon who comes to CMH from the Mayo Clinic and Kaiser in Northern California.  In addition to practicing cardiac surgery, she has six years of expertise in general thoracic surgery and thoracic oncology.    She specializes in minimally invasive approaches to lung cancer, esophageal cancer, and benign foregut disease.  Dr. Wan performs thoracoscopic surgery for lung cancer and mediastinal masses, as well as laparoscopic and thoracoscopic procedures for disorders such as achalasia, hiatal hernia, and esophageal cancer.   Prior to coming to CMH she founded and co-chaired a thoracic tumor board and high-risk lung nodule committee and was part of a team that implemented a lung cancer screening program. She enjoys the multidisciplinary workup of thoracic tumors and cardiac disease and is looking forward to working with other physicians across disciplines at CMH.

New Ocean Tower Lactation Accommodations

The Ocean Tower has a new private space available to accommodate our Breastfeeding Mothers.  A Baby-Friendly Office is now available in the Radiology Department in Room 1210.

The office has a keypad lock that requires a code for entrance.  Please contact Human Resources at (805) 652-5020, ext. 5020 or email Pierre Silva at psilva@cmhshealth.org to get the code.

The lactation accommodations listed below are still available as well:

Mountain Tower:

  1. 2nd floor in the Respiratory department (private room).
  2. Room 701

Ocean Tower:

  1. Each nursing unit, on floors 3, 4, 5 and 6, has a hard blue privacy screen in the break room or another room on the floor to accommodate pumping in the workplace.

IT Software Downtime

Inpatient systems downtime for server patching, Wednesday, Jan. 30th, 2019, from 12:15 am to 6:00 am. Users may lose data filed after 12:10 am.
PK will remain available but there will be no CPOE.
This includes all of the inpatient systems:

  • Meditech
  • Picis
  • Mobile Heartbeat
  • Rauland
  • 3M
  • AirStrip
  • Kronos
  • CCW
  • Muse
  • Perigen
  • TeleTracking

CMH Weekly Medical Staff Calendar – January 21 – 25

MondayTuesdayWednesdayThursdayFriday
Martin Luther King Day

12:00 pm Cancer Cmte - BR
12:00 pm JWM Education Conf – NA

12:00 pm Finance Cmte – BR

12:15 CMHS Infection Control Cmte –Quality

5:30 pm Surgery Cmte-BR
12:00 pm General CA Conf – BR

12:00 pm CMHS Bioethics Cmte- NA (front)
6:30 am HIM Cmte – BR

12:15 pm Pharmacy & Therapeutics Cmte – NA (front)

OVCH Weekly Medical Staff Calendar – January 21 – 25

MondayTuesdayWednesdayThursdayFriday
Martin Luther King Day12:30pm
CMHS Infection Control Committee

Final Thoughts

“We must learn to live together as brothers or perish together as fools.”
– Martin Luther King, Jr.

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
Medical Staff Office – (805) 948-5662

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Medical Staff Voice – January 14, 2019

JW Moore Tuesday CME Conference – Pediatric Status Epilepticus”

Jesse Wyatt, M.D., Pediatric Critical Care Physician, Ventura County Medical Center, will present a lecture on “Pediatric Status Epilepticus”.  He will 1) Break down the core principles in the treatment of pediatric status epilepticus and its varied presentations, 2) Assess need for PICU referral, 3) Analyze initial treatment modalities for Status Epilepticus, and 4) Evaluate treatment of Refractory Status Epilepticus.

The conference will take place on Tuesday, January 15, 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 805-948-5638 to be added to the webinar list.

Medical Staff – Chain of Command

Every member of the Medical Staff, with the exception of Outpatient and Affiliate Staff status, has an alternate covering physician as a requirement of Medical Staff membership. For Hospital Staff, the alternate covering physician identified is available by viewing the E-Priv portal on the CMHS Intranet.  If the patient’s physician does not answer in a timely fashion, then their colleague on call should be reached through their answering service.  If, after a reasonable time interval, the required response is not achieved, then the Chair of the physician’s respective department should be called.  The departments are Ob/Gyn, Surgery, Medicine, Family Medicine, Anesthesia and Pediatrics.  If for any reason, the Chair feels that the next level of involvement is necessary or preferable, the Chair or an Administrative VP may bring it to the next level; the Chief of Staff.

The Chain of Command can also be used for concerns about physician conduct or questions about the medical or surgical standard of care.

At any time, the Chief Medical Officer can be contacted to assist Staff in working through the chain of command.

Elected Medical Staff Leaders:

  • Jeff Brackett, M.D. – Chief of Staff
  • Debby Carlson, M.D. – Chief of Staff Elect
  • Lamar Bushnell, M.D. – Past Chief of Staff
  • Chris Johnson, M.D. – Secretary-Treasurer

Department Chairs:

  • Ali Esmaili, M.D. – Medicine (including Divisions of Radiology, Emergency, Cardiology, Inpatient)
  • Jason Hofer, M.D. – Surgery (including Division of Orthopedics)
  • David Crownover, M.D. – Ob/Gyn
  • Ali Shuman, M.D. – Pediatrics
  • Margaret Peterson, M.D. – Family Medicine (including CMHS Outpatient Division)
  • Thomas Cummings, M.D. – Anesthesia
  • Stanley Frochtzwajg, M.D. – Chief Medical Officer (Hospital Administration)

MIPS 2019 Learning Session, Saturday, January 19th, 9 – 11 am, CMH 8th Floor, Mountain Tower Nichols Auditorium

For: Ventura County Physicians

From: The Accountable Care Alliance of Ventura (ACAV) in partnership with The Ventura County Medical Association

Confused and overwhelmed by CMS MIPS reporting requirements? You are not alone and there is the help to guide you.

Please join us for this MIPS Learning Session presented by the CMS Quality Improvement Organization, Health Services Advisory Group (HSAG).

Topics covered in the presentation will include:

  1. A Review of 2018 Quality Reporting Requirements
  2. An Overview of MIPS 2019:
    1. What are the requirements
    2. How each requirement should be met
  3. Health Services Advisory Group (HSAG) Resources and How to Access Them

HSAG representatives will be available following the presentation and Q&A to address your specific questions and collect your contact information for ongoing support.

This program is paid for by CMS and is free to you2 CME credits will be offered

HSAG services are for practices that are trying to decide what the benefits of different methods of MIPs reporting are and to provide technical assistance for MACRA/MIPs QPP programs.  Click on the link for additional information on HSAG and their support options: Quality Payment Program Website.

Please RSVP to Bonnie Subira, MSW, ACAV Manager, bsubira@cmhshealth.org

2018/19 Flu Season Update

An estimated 6 million to 7 million people have been sick with influenza so far this winter, and as many as 84,000 may have had to be hospitalized for the illness, the Centers for Disease Control and Prevention reported Friday.
Last season was one of the worst on record. The CDC estimated that nearly 80,000 people died from the flu in 2017-2018, which was classified as a high severity season.

An unvaccinated 4-year-old is the first pediatric influenza-related death in Riverside County since the flu season began in October, officials announced Wednesday.

New Prescription Form Requirements Effective January 1, 2019

Please click the link below to view important information regarding a new law, AB 1753 (Low, Chapter 479), which becomes effective on January 1, 2019. This bill includes a new requirement for controlled substance security prescription forms to include a unique serialized number in a format approved by the Department of Justice (DOJ).

http://www.mbc.ca.gov/Licensees/Prescribing/AB1753Notice.pdf

A prescription vendor resource endorsed by CMA, offering a CMA member discount for ordering new forms: https://www.rxsecurity.com/order-now/new-order?member=cma-order

Insurers Kept $9.1 Billion in Medicare Dollars Over Decade: WSJ

According to a Wall Street Journal investigation, private insurance companies kept $9.1 billion more in taxpayer funds than they would have if estimates for providing prescription-drug benefits to Medicare beneficiaries had been accurate from 2006 to 2015. Citing Medicare data, the WSJ states that due to arcane payment rules that the incorrect estimates have led to more revenue for health insurers. Part D providers submit bids, or estimates, on how much it will cost them to provide drug benefits, CMS then uses these bids to determine monthly payments to each of the plans. However, if the insurer overestimates the actual costs, they can keep some of the extra funds it received leading often times to profits. For example, in 2015, insurers overestimated costs by about $2.2 billion and kept about $1.06 billion of it after paying back $1.1 billion to CMS. Providers such as CVS Health, UnitedHealth Group, and Humana, among others, who benefited state that this is largely due to “unpredictable drug pricing.” To read the full WSJ article, click here.

CMH Weekly Medical Staff Calendar – January 14 – 18

MondayTuesdayWednesdayThursdayFriday
12:00 pm JWM Education Conf – NA

4:30 pm Anesthesia Cmte -BR
12:00 pm General CA Conf – BR12:00 pm Radiology Division – NA (front)
12:15 pm OB/GYN Dept – NA (back)
5:30 pm Disaster Preparedness Committee - BR

OVCH Weekly Medical Staff Calendar – January 14 – 18

MondayTuesdayWednesdayThursdayFriday
12:30pm
Medicine Department
11:00pm
P.I. Patient Safety Committee

Final Thoughts

“To live happily is an inward power of the soul.”
– 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
Medical Staff Office – (805) 948-5662

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