Medical Staff Voice – November 18, 2019

Pre-op Testing Services/Outpatient Laboratory Services Relocation

The Community Memorial Health System is committed to providing quality care to our patients throughout the health system. In order to meet the needs of our patients, we have made the decision to relocate pre-op testing along with outpatient laboratory testing from the Medical Office Building to the first floor Mountain Tower (formerly OP laboratory services). We will be able to accommodate all pre-op testing needs including Laboratory, EKG and X-Ray in one convenient location. We will begin this new service on December 2, 2019.

Our hours of operation will be 6:30 a.m.-6:00 p.m. Monday through Friday. Saturdays 6:30 a.m. to 2:30 p.m.

There will no longer be any phlebotomy services in the Medical Office Building as of November 29, 2019. However, radiology services will remain the same.

Our goal is provide our pre-op patients the ability to get all of their pre-op needs met including registration and testing (EKG, Laboratory and X-Ray) in one convenient location.

CMH Quarterly General Medical Staff Meeting – Tomorrow

CME Lecture Cancellations

This message is to inform you that there will be no JW Moore noon conference for the dates November 19th and November 26th. Unfortunately, the speaker we had scheduled for November 19th has been cancelled and our tentative back up speaker will not be able to fill in. November 26th we will be going dark due to the Thanksgiving holiday.  We apologize for any inconvenience this may have caused and we will see you again on December 3rd.  Enjoy your Thanksgiving!
– Erin Parker, CME Coordinator

Dr. Jim Woodburn Update

Jim is happy to be home again after a second stay at UCLA and is slowly regaining his strength.  He is undergoing hyperbaric treatment at CMH, which he is tolerating well. He and I both appreciate all the thoughts and prayers and concern that everyone has shown us both.
– Kay Woodburn

CMH Daisy Award Winner

CMH Weekly Medical Staff Calendar – November 18 -25

MondayTuesdayWednesdayThursdayFriday
7:00 am CMHS Outpatient Division – NA (front)12:00 pm JWM Education Conf – CANCELLED
12:00 pm Finance Cmte – BR
4:30 pm Anesth Dept - BR 5:30 pm Medicine Dept - NA (back)
5:30 pm Surgery Dept – NA (front)
5:30 pm Family Medicine Dept -Topa Topa Conference Room – 7th Floor MT
6:00 pm Quarterly General MS Meeting - NA
7:45 am- Pediatrics Dept.-NA (back)
12:00 pm General CA Conf – BR
6:30am HIM Committee – BR
12:00 pm Radiation Safety/Radiology Division – NA (front)
12:15 pm Pharmacy & Therapeutics Cmte – NA (back)
5:30 pm Orthopedic Division - BR

OVCH Weekly Medical Staff Calendar – November 18 -25

MondayTuesdayWednesdayThursdayFriday
12:00pm CME LECTURE - CANCELLED11:00am PI Patient Safety Committee

Final Thoughts

“I am a firm believer in the people. If given the truth, they can be depended upon to meet any national crisis. The great point is to bring them the real facts.”
– Abraham Lincoln

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 – November 11, 2019

JW Moore Tuesday Noon CME Conference – “Exploring the Role of Gut Flora in Disease.”

Sabine Hazan, M.D. will present a lecture on “Exploring the Role of Gut Flora in Disease.” At the end of the conference, the learner should be able to: 1) Identify what the Microbiome is, 2) Identify the relationship between gut flora and C. Difficile, 3) Understand fecal transplantation and its role in the gut microbiome.The conference will take place on November 12th, 2019, at noon, in Nichols Auditorium. Lunch will be provided and Category 1 & 1A CME will be available.

CMH Quarterly General Medical Staff Meeting – Next Week

How does prior authorization affect your practice and put up barriers to care for your patients?

Prior authorization is a health plan cost-control process that restricts patient access to treatments, drugs and services. This process requires physicians to obtain health plan approval before delivery of the prescribed treatment, test or medical service in order to qualify for payment.

According to an AMA survey of 1,000 practicing physicians, more than nine in 10 respondents said PA had a significant or somewhat negative clinical impact, with 28% reporting that PA had led to a serious adverse event such as a death, hospitalization, disability or permanent bodily damage, or other life-threatening event for a patient in their care.

The vast majority of physicians (86%) described the administrative burden associated with PA as “high or extremely high,” and 88% said the burden has gone up in the last five years.

Learn more about the AMA’s prior authorization reform initiatives.

Link to full article

Invite your comments to the comment link at the bottom of the MSV Blog site

CMS Announces Plan to Expand Coverage for Testing in Breast and Ovarian Cancer Patients

CMS announced a plan to expand coverage for next-generation sequencing in breast and ovarian cancer patients. The decision was based on evidence that supports testing in patients. NGS testing is not currently approved by the FDA; however, patients with a family history – or patients who do not know their family history – and are at a great risk of cancer are eligible and generally benefit from the testing. To read more, click here. To read the proposed decision memo from CMS, click here.
Strategic Health Care

CMH Weekly Medical Staff Calendar – November 11 -15

MondayTuesdayWednesdayThursdayFriday
Veteran's Day7:00 am Medicine Cmte – BR
10:00 am Audit & Compliance – BR
12:00 pm JWM Education Conf – NA
4:30 pm MEC FAC – NA (front)
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)

OVCH Weekly Medical Staff Calendar – November 11 -15

MondayTuesdayWednesdayThursdayFriday
12:30pm Family Medicine12:00pm CME LECTURE @ CMH12:00pm @CMH Quality Board

Final Thoughts

“We don’t see things as they are, we see them as we are.”
– Anais Nin

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 – November 4, 2019

JW Moore Tuesday Noon CME Conference – “Sleep Deprivation in Physicians.”

Dr. Ronald Pollack, M.D. will present a lecture on “Sleep Deprivation in Physicians.” At the end of the conference, the learner should be able to exercise appropriate assessment and treatment strategies for treating sleep deprivation in Physicians taking into consideration age and possible comorbidities.

The conference will take place on November 5th, 2019, at noon, in Nichols Auditorium. Lunch will be provided and Category 1 & 1A CME will be available.

Meditech will be unavailable for ~3 hours beginning at 12:05 am on 11/05/19

During the downtime MediTech will be completely unavailable and
downtime procedures should be followed. All other applications will remain available, but they will not be able to communicate with Meditech.  That means that you’ll be able to document notes in PK, but CPOE will be unavailable and orders will need to be handwritten.

National Medical Staff Services Awareness Week  

Join our staff in observing National Medical Staff Services Awareness Week on November 3-9, 2019.

What Exactly Do MSPs Do?

MSPs are an essential part of any healthcare organization. MSPs are primarily accountable for the administrative and medical-legal structure of the medical staff organization. What role do these professionals play?

  • MSP’s are the people behind the scenes who make certain the credentials of all practitioners who are caring for patients are correct and have been verified.
  • MSPs are experts in provider credentialing and privileging, medical staff organization, accreditation and regulatory compliance, and provider relations in the diverse healthcare industry.
  • MSP’s credential and monitor ongoing competence of the physicians and other practitioners who provide patient care services in hospitals, managed care organizations, and other healthcare settings.
  • MSP’s establish systems to facilitate meetings and communication between physicians, both within and outside their specialties, as well as with a hospital’s administration
  • MSP’s assist in developing, establishing and enforcing of medical staff bylaws, rules and regulations, and policies that govern the activities of the medical staff.

The American Medical Association-Organized Medical Staff Section also recognizes the medical services profession in a resolution that formally acknowledges “the importance and value of medical services professionals to the healthcare organization and its physician members, and recognizes their contribution and dedication in preserving quality patient care.”

Please recognize Community Memorial Health System’s dedicated MSP’s:

  • Erin Davis, CPCS,  Credentials Coordinator
  • Makayla Endo, Administrative Assistant/Credentialing Coordinator
  • Martina Longobardi, Medical Staff Coordinator
  • Krizia Yap, Medical Staff Coordinator
  • Vicki van der Toorn, CPHQ, CPMSM, CPCS, Director, Medical Staff Services

For more information about MSPs and the National Association Medical Staff Services (NAMSS), visit www.namss.org.

Ventura County Medical Association – Annual Installation 

St. John’s Hospitals In Oxnard, Camarillo To Cut Jobs

More than 30 employees at St. John’s hospitals in Oxnard and Camarillo have been told their positions will be eliminated next month in what a hospital representative called a restructuring, not a reduction. The 30-day notices were issued Monday, workers said. A spokesman for SEIU-United Healthcare Workers West said notices were given to 23 members of the union for certified nursing assistants, technicians and other employees outside of registered nurses. Of the affected workers, 18 are from St. John’s Regional Medical Center in Oxnard and the others from St. John’s Pleasant Valley in Camarillo. (Kisken, 10/25)

Health-care system causing rampant burnout among doctors, nurses

Imagine a health-care system in which doctors and nurses are so exhausted and beaten down that many of them work like zombies — error-prone, apathetic toward patients and at times trying to blunt their own pain with alcohol or even suicide attempts.

That is what America’s broken health care system is doing to its health workers, according to a 312-page report released Wednesday by the National Academy of Medicine, one of the country’s most prestigious medical institutions.

The report found that as many as half of the country’s doctors and nurses experience substantial symptoms of burnout, resulting in increased risks to patients, malpractice claims, worker absenteeism and turnover, as well as billions of dollars in losses to the medical industry each year.

“It’s a moral issue, a patient-care issue and a financial issue,” said Christine K. Cassel, professor of medicine at University of California at San Francisco, who co-chaired the committee of experts that wrote the report.

It is alarming and tragic, she and other committee members noted, that the system is hurting the very people we have put in charge of healing us as a society.

– Washington Post – William Wan

CMH Weekly Medical Staff Calendar – November 4 -8

MondayTuesdayWednesdayThursdayFriday
12:00 pm Cancer Cmte - BR12:00 pm JWM Education Conf – NA
4:30 pm MEC FAC - BR 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 – November 4 -8

MondayTuesdayWednesdayThursdayFriday
12:00pm CME LECTURE @ CMH12:30pm Medical Executive Committee7:15am (Physicians) 7:45am (Hospital Staff) Emergency Medicine Department

Final Thoughts

“We are more fulfilled when we are involved in something bigger than ourselves.”
– John Glenn

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 – October 28, 2019

JW Moore Tuesday, October 29th, 2019 CME Conference – “Breast Imaging – What Referring Clinicians Need to Know”

Dr. Benjamin Johnson, M.D., Pueblo Radiology, will present a lecture on “Breast Imaging – What Referring Clinicians Need to Know”.  At the end of the conference, the learner should be able to: 1) Understand the rationale behind breast cancer screening, 2) Understand the difference between screening and diagnostic mammography, 3) Understand the roles of x-ray, ultrasound and MRI in breast imaging, 4) Understand what BI-RADS categories are, and what an assigned category means for their patients, 5) Understand how breast screening protocol differs in high risk patients.

The conference will take place on October 29, 2019, at noon, in Nichols Auditorium. Lunch will be provided and Category 1 & 1A CME will be available.

Pharmacy Update – Medication Shortage – Acyclovir IV

Acyclovir IV is on backorder, with an ETA of early December. Oral valacyclovir can be used to achieve plasma concentrations equivalent to levels achieved with intravenous acyclovir.

CMHS Updates

OVCH

General and Orthopedic Surgery are returning to OVCH.

Robotic assisted knee surgery is planning to start in Mid-November.

Ojai October Classic is this Saturday October 26, 2019  for more details go to  www.octoberclassic.org . Free Flu shots will also be available!

CMH

December 2nd,  Out Patient Registration will move back to the Mountain Tower first floor lab area  More details to come!

Patty Williams, NEW CMHS Director of Development—Grateful Patient Program at pwilliams@cmhshealth.org  or 805 948-5635

ED phone number to admit patient from your office, so that patient is placed on CMH ED tracker board: 805-948-8100

The Prostate Institute has moved to the first floor of the Mountain Tower ( GI Lab area)  from the  Medical Office Building (MOB).

The Breast Center Mammogram Order form is available upon request.  If you would like copies, please contact Leslie Minato , lminato@cmhshealth.org  or 805-948-2810

The Cancer Resource Center will have their referral forms soon.  No physician referral necessary.  Deb Lawry, dlawry@cmhshealth.org or 805-948-5459 can deliver to office when ready, as well as be sent as a pdf.

CMH Weekly Medical Staff Calendar – October 28- November 1

MondayTuesdayWednesdayThursdayFriday
7:00 am CMHS Outpatient Division – BR
12:00 pm Inpatient Medicine Division, Critical Care – BR
8:30 am ED Division – NA (front)
12:00 pm Board of Trustees – BR
12:00 pm JWM Education Conf – NA
4:30 pm MEC FAC - BR
12:00 pm General CA Conf – BRHalloween

OVCH Weekly Medical Staff Calendar – October 28 – November 1

MondayTuesdayWednesdayThursdayFriday
12:00pm @CMH Board of Trustees

Final Thoughts

“In a controversy the instant we feel anger we have already ceased striving for the truth, and have begun striving for ourselves.”
– 
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 – October 21, 2019

JW Moore Tuesday Noon CME Conference – “Male Factor Infertility”

Daniel Rychlik, M.D., from Southern California Reproductive Center, will present a lecture on the “Male Factor Infertility.” He will discuss the etiology and treatment of male factor infertility.

The conference will take place on October 22nd, 2019, at noon, in Nichols Auditorium. Lunch will be provided and Category 1 & 1A CME will be available.

Traffic Impact on Access around CMH beginning Tonight

We have just received notification from Southern California Gas of two continuous road closures that may have an impact on traffic and access around CMH beginning tonight.
When:    October 16, 2019 at 1930 through October 18, 2019 at 0630
Where:   Intersection of South Mills Road and Telegraph & Intersection of East Main St.                       and Telephone Rd
Why:      Per Southern California Gas, construction repairs within the intersections

Please notify your fellow coworkers, physicians and staff members regarding this information, and share as appropriate.

CMHS Centers for Family Health Free Flu Shot Clinics for the Public

Ventura County Medical Association Membership Meeting

2019 CMHS Library Resources

Services

The Library provides collections and services to physicians, nurses, students and staff including:

  • Access to current peer review and specialty leader books
  • Document delivery with the National Network of Libraries of Medicine
  • Education, training, referral, and consulting
  • Literature Review service
  • Reference services
  • Proctoring Services
  • Publishing Support
  • National Network of Libraries of Medicine InterLibrary Loan Services
  • 3 networked computer workstations in the library
  • Access to the Intranet and Internet
  • Dedicated study location

Database Subscriptions – 24/7 access
(remote and mobile access granted through CMHS email username and password)

AccessMedicine IM
AccessMedicine Surgery
AccessMedicine Case Reports
AAP (American Academy of Pediatrics Collection)
BMJ Case Reports
CINAHL

Clinical Key
Lippincott Procedures
Micromedex

New England Journal of Medicine
New England Journal of Medicine Resident 360
Psychiatry Online

UptoDate

Contact
CMHS Medical Library
Janet Hobbs, Library Services Manager
147 North Brent Street
#720
Ventura, CA 93003
library@cmhshealth.org
805 948 5683

CMH Weekly Medical Staff Calendar – October 21- 25

MondayTuesdayWednesdayThursdayFriday
12:00 pm Cancer Cmte - NA (front)12:00 pm JWM Education Conf – NA
4:30 pm MEC FAC - BR
5:30 pm Surgery Cmte – BR
5:30 pm Credentials Cmte – NA (front)
12:00 pm General CA Conf – BR

OVCH Weekly Medical Staff Calendar – October 21 – 25

MondayTuesdayWednesdayThursdayFriday

5:30pm
CMHS Credentials Committee

Final Thoughts

“He that does good to another does good also to himself.”
– 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 – October 14, 2019

JW Moore Tuesday Noon CME Conference – “Death Certificates and the Medical Examiner’s Office”

Christopher Young, M.D., Chief Medical Examiner, Ventura County, will present a lecture on “Death Certificates and the Medical Examiner’s Office”. He will: 1) Discuss the key components of the death certificate and 2) Identify circumstances of death that need to be reported to the medical examiner/coroner.

The conference will take place on October 15th, 2019, at noon, in Nichols Auditorium. Lunch will be provided and Category 1 & 1A CME will be available.

Dr. Jim Woodburn Update

Dr. Woodburn continues to improve and is out of the UCLA ICU as of last week.  Kay indicated that he should be home early this week and is doing great! She and Jim appreciate everybody’s thought and concerns.

West Corridor Open!

The first floor west corridor connecting the Ocean Tower to the Mountain Tower is open. The entrance in the Mountain Tower is just east of the lab and in the Ocean Tower just east of the main elevators.

Allscripts Electronic Prescribing

Allscripts has informed CMHS that they will performing a data migration on 10/15 at 7 PM. During this time electronic prescribing will be unavailable. This will effect controlled and non-controlled medications. Please use downtime procedures.
– CMHS IS Department

Attention to Mac Users and Catalina OS Upgrade

Mac users considering upgrading to the new Catalina OS may find incompatibilities with current software. Early adopters should proceed with caution.

Clinical Pearls

  1. Remember to follow up on STAT/urgent  dialysis to ensure that the dialysis is initiated promptly after placement of the dialysis orders.
  2. Dictating Op reports immediately after the procedure results in a much higher likelihood of accuracy and timeliness of the Op report availability to colleagues.

CMH Weekly Medical Staff Calendar – October 14- 18

MondayTuesdayWednesdayThursdayFriday
5:15 pm QA & Improvement Cmte – BR9:45 am CMHS Infection Control Cmte – QA Conf. Rm.
12:00 pm JWM Education Conf – NA

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

12:00 pm General CA Conf – BR
12:15 pm OB/GYN Dept – NA (back)


5:30 pm Disaster Preparedness Cmte - BR

OVCH Weekly Medical Staff Calendar – October 14 – 18

MondayTuesdayWednesdayThursdayFriday
12:30pm
Medicine Department
10:00am
@CMH Quality Office
CMHS Infection Control Committee
11:00am
P.I. Patient Safety Committee

12:30pm
Pharmacy & Therapeutics Committee

Final Thoughts

“While we are postponing, life speeds by”
― 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 – October 7, 2019

JW Moore Tuesday Noon CME Conference – “Prescribing High Risk Medications (HRM) in Elders”

Robert Deamer, PharmD, from Kaiser Permanente Medical Center, will present a lecture on the “Prescribing HRM in Elders.”

Lecture objectives: 1) Recognize medications that are deemed “high risk” 2) Alternative therapy to patients that are utilizing high risk medications inappropriately, and  3) Identify and appropriately utilize tools when assessing patients for high risk medications.

The conference will take place on October 8th, 2019, at noon, in Nichols Auditorium. Lunch will be provided and Category 1 & 1A CME will be available.

Obituaries published for Drs. Burger and Edwards

The obituaries for our two esteemed mentors and colleagues were published yesterday in the Ventura Star.  Links are provided to both. They highlight some of their respective history and accomplishments that better reflect why they were so highly regarded and loved.  Click on the name for the complete Obituary: William Burger, M.D.  and P.K. Edwards, M.D.

Mobile Heartbeat (MH) Upgrade for Android Users

Android users need to upgrade their Mobile Heartbeat app as the newest Android 10 operating platform release, is not currently compatible with the previous (or older) versions of Mobile Heartbeat. The newly published version of the MH app (19.1.8) is now compatible with all operating platforms for Android, including Android 10. We’d like all Android users, whether or not they decide to upgrade their phone’s software, on the latest release of the MH app.

For Android devices only: uninstall the current version of MH-Cure Brown. Go to the Google Play store and download the latest version of MH-Cure Brown (19.1.8). Once downloaded, launch the app and enter the one-time device configuration code- ‘cmhs-p’ into the username field (no password) and hit the Login button. After this, proceed with logging in normally.

First Annual CMHS Chili Competition

CMH Weekly Medical Staff Calendar – October 7- 11

MondayTuesdayWednesdayThursdayFriday
Columbus Day7:00 am Medicine Cmte – BR
8:00 am – MERP – NA (front)
12:00 pm JWM Education Conf – NA
4:30 pm MEC FAC – NA (front)
Yom Kippur

12:00 pm General CA Conf – BR
10 6:30am HIM Cmte- BR

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 – October 7 – 11

MondayTuesdayWednesdayThursdayFriday
7:30am
MERP

12:00pm @CMH
Quality Board
7:30am
Emergency Medicine Department

Final Thoughts

“Fortune befriends the bold.”
– 
Emily Dickinson

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 – September 30, 2019

JW Moore Tuesday Noon CME Conference – “When to Collaborate With Palliative Care”

Dr. Charles Pankratz, M.D., CMHS, will present a lecture on the “When to Collaborate With Palliative Care.” He will: 1) Employ expanded definitions of palliative care in conversations with your patients, 2) Describe the benefits of early integration of palliative care in severe illness, 3) Identify common symptoms experienced by patients with severe and life-threatening illness and understand their prevalence.

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

Medical Staff Physicians – Cafeteria Meal Plan Change

Starting October 1st your complimentary meal plan will include entrees, grill items, packaged house-made on the go salads, sandwiches, salad bar, fresh desserts, fountain soda, fresh brewed iced tea and hot coffee, etc.

All pre-packaged items can be purchased using cash, apple/google pay, or credit card. A pre-packaged item is defined as an item with a barcode that must be scanned at the register when checking out. Barcoded item examples: Bottled Soda, Bottled Water, Bottled Coffees, Packaged Chips, Packaged Candies, Packaged Snack, etc.

These changes have been supported by Medical Staff leadership.

If you have any questions please reach out to Jordan Dennis or at ext 5373 or your Medical Staff leadership.

Thank you,

Jordan Dennis, MS, RD, CSP, CNSC
Director of Food and Nutrition Services
Phone: (805) 948-5373, Email: Jdennis.con@cmhshealth.org

Well Wishes for Dr. Jim Woodburn

Our thoughts are with Dr. Jim Woodburn, Kaye and their family for well wishes and a speedy recovery from his illness.

Physician Forum – All Medical Staff Invited – Pressing Questions at CMHS & Beyond

Celebration Of Life – PK Edwards, MD

DEA raids some West Coast Kaiser Permanente pharmacies

Federal narcotics agents from the Drug Enforcement Administration raided several Kaiser Permanente pharmacies along the West Coast Sept. 18, according to The Oregonian

The inquiry is part of a Los Angeles-based investigation. Federal narcotic officers from the agency’s diversion control office used administrative inspection warrants to search records to determine if legitimately made controlled substances were being diverted for illicit drug use.

“We are fully cooperating with the DEA to provide the agency with the information they are seeking. As always, we are committed to complying with all state and federal regulations and ensuring the safety of our patients and members,” Mike Foley, a spokesperson for Kaiser Permanente, told The Oregonian. 

It is unclear how many warrants were served, but a pharmacy in Portland, Ore., Woodland Hills, Calif., and Riverside, Calif., were searched, according to California news station KTLA 5.
September 18th, 2019

CMH Weekly Medical Staff Calendar – September 30 – October 4

MondayTuesdayWednesdayThursdayFriday
Rosh Hashanah12:00 pm General CA Conf – BR
12:30 pm – Interdisciplinary Practice Cmte – Quality Conference Rm
4:30 pm MEC FAC - BR
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 – September 23 – October 4

MondayTuesdayWednesdayThursdayFriday
12:30pm Interdisciplinary Practice Committee12:30pm MEC

Final Thoughts

“My opponent is my teacher. My ego is my enemy.’
– Renzo Gracie

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) 948-566

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Medical Staff Voice – September 23, 2019

JW Moore Tuesday, Noon CME Conference – “Perioperative Clinical Pearls”

Dr. Christina Desai, M.D., CMHS Hospitalist, will present a lecture on the “Perioperative Clinical Pearls.”

She will: 1) Identify which patients benefit from noninvasive cardiac testing prior to surgery, 2) Discuss how to become familiar with different surgical risk stratification tools, 3) Discuss perioperative pulmonary evaluation, 4) Define screening tools for identifying patients at risk for OSA and Alcohol Withdrawal, 5) Review optimal timing and goals for perioperative glycemic control, 6) Review medication management strategies.

The conference will take place on September 24, 2019, at noon, in Nichols Auditorium. Lunch will be provided and Category 1 & 1A CME will be available. If you would like to view this lecture online, please contact CME Coordinator, Erin Parker eparker@cmhshealth.org or by phone 805-948-5638.

Dr. Reghunathan – New Medical Staff ENT/Laryngology Subspecialty

Saranya Reghunathan MD is a board certified Otolaryngologist with additional fellowship training in Laryngology. She has joined Centers for Family Health (CFH) and will be seeing patients at the Vineyard CFH clinic. Dr. Reghunathan practices the entire range of adult and pediatric ENT. Her fellowship training distinguishes her further as she specializes in the medical and surgical treatment of dysphagia, dysphonia and other conditions of the larynx. Dr. Reghunathan is a native of Southern California and is excited to share her expertise with Ventura County.

Meditech (MT) Downtime – Thursday, 12:05 am – 7:00 am

Meditech will be unavailable for approximately 6-7 hours beginning at 12:05 am on 9/26/19. This is to allow IT to remediate server issues that were discovered during the last server patching. It is important to do this to allow us to resume applying security patches on a routine schedule.

During the downtime Meditech will be completely unavailable, paper procedures will need to be followed. Other inpatient applications will remain available, but it is important to note that there will be no communication to/from MT. This means the following will be available, but without communication to/from MT:

  • PK – no CPOE
  • PICIS
  • Mobile Heartbeat
  • Rauland
  • Kronos
  • Perigen
  • Teletracking

October – Breast Cancer Awareness Month – Let your Patients Know!

At the Bowl 2019 with the Spazmatics & Boogie Knights!

SATURDAY, OCTOBER 12, 2019 • LIBBEY BOWL • OJAI – Join us for this benefit concert supporting the construction projects of Community Memorial Health System.
www.cmhsatthebowl.org

 

In Memoriam – Dr. William Burger

Dr. Burger, the consummate Family Physician, passed on September 9, 2019. He mentored many of us in Obstetrics and Family Medicine at VCMC.  He will be remembered with respect and fondness. No service has been announced.

In Memoriam – Dr. Paul K. Edwards

It is with sadness that I announce the passing last week of Dr. PK Edwards, Anesthesiologist.  He trained many of us in anesthesia during our Family Medicine residency at VCMC.  Dr. Edwards will be remembered for his strength, kindness and sense of humor. He is survived by his wife, Dr. Nellie Mac. No service has been announced.

CMH Weekly Medical Staff Calendar – September 23- 27

MondayTuesdayWednesdayThursdayFriday
12:00 pm CME Committee – BR8:30 am ED Division – NA (front)
12:00 pm Board of Trustees – BR
! ! 12:00 pm JWM Education Conf – NA
5:30 pm Surgery Cmte – BR
5:30 pm Credentials Cmte NA- (Front)
12:00 pm General CA Conf – BR
12:00 pm Bioethics Cmte – NA (front)
12:15 pm Pharmacy & Therapeutics Cmte - NA (front)

OVCH Weekly Medical Staff Calendar – September 23 – 27

MondayTuesdayWednesdayThursdayFriday
12:00pm
-Board of Trustees -CMH -CME Lecture
5:30pm
CMHS Credentials Committee - Medical Staff Office

Final Thoughts

“The measure of a man is what he does with power.”
– Plato

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) 948-566

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Medical Staff Voice – September 16, 2019

 

JW Moore Tuesday Noon CME Conference – “(Not so) Resistant Hypertension”

Florian Rader, M.D., Co-Director, Clinic for Hypertrophic Cardiomyopathy, Cedars-Sinai Smidt Heart Institute, will present a lecture on the “(Not so) Resistant Hypertension”.  He will: 1) Review the clinical workup of resistant hypertension, 2) Identify treatment plans for patients with resistant hypertension, and 3) Discuss the update on renal denervation.

The conference will take place on Tuesday, September 17, 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, Erin Parker eparker@cmhshealth.org or by phone 805-948-5638.

Chef Appreciation Week

September 16th – 20th 

JOIN US in the Brent Street Cafe next week as we celebrate Chef Appreciation Week with daily specials!
Monday September 16th: Chef Brian’s Breakfast Sandwich Extravaganza
Cheeseburger or Impossible Burger with bacon, hash brown patty, fried egg, lettuce, tomato, onions and your choice of salsa (house red or tomatillo).

Tuesday September 17th: Chef Brian and Chef Nancy present “Greek Yogurt Pizza Crust” served meat-lovers style or with roasted vegetables.

Wednesday September 18th: Chef Nancy’s Blenders

Thursday September 19th: Stop by and show your appreciation or come meet Chef Brian for the first time and receive a FREE Chef Brian’s Chocolate Chip Cookie with the purchase of a Brand Entree.

Friday September 20th: “Up and Coming Chefs”
Our Brand Cooks, Ricardo and Mo, will be working together to present their favorites on the Brand Station for lunch and dinner.

A huge THANK YOU to Chef Brian and his entire team for everything they do to ensure that our patients, physicians, and staff have access to tasty, nutritious food!  Happy Chef Appreciation Week!

Anti-Factor Xa Heparin Assay

BACKGROUND:
Continuous intravenous heparin requires continuous monitoring and adjustments to ensure safe and efficacious use. Activated partial thrombin time (aPTT) has been the standard assay for heparin monitoring for decades. aPTT measures the intrinsic and common pathways of coagulation serving as an indirect surrogate marker of heparin activity. In addition to the challenges associated with inability to standardize, frequent re-calibration, and adjustment of nomograms, aPTT measurements are prone to interference. Preanalytic, analytic, and biologic factors are known to influence aPTT.
The anti-factor Xa assay (AXA) offers an alternative to aPTT and has been adopted by a growing number of institutions. The AXA is a direct measurement of heparin activity with less variability and less potential for interference.
PROTOCOL FOR ADJUSTING HEPARIN BASED ON ANTI-XA RESULTS:
ACCP guidelines recommend a therapeutic heparin level of 0.3 to 0.7 units/mL measured by an anti-Xa assay. Heparin order sets will be converted to utilize AXA for heparin infusion monitoring and adjustment protocols.
SPECIAL CONSIDERATIONS:
Oral Factor Xa inhibitors such as apixaban and rivaroxaban have a strong effect on AXA. aPTT monitoring is recommended for the first 48 hours of heparin infusion if patient was maintained on a Xa inhibitor prior to initiation.
Baseline aPTT is still recommended to identify inherited or acquired bleeding risks (Acquired Vitamin K Deficiency, Chronic Liver Disease, DIC, etc).
Because the assay is a colorimetric assessment, substances that interfere with absorbance of 405 nm light can produce spurious results. Common interfering substances include bilirubin (hyperbilirubinemia with Tbili greater than 6.6 mg/dL) including increased bilirubin due to sample hemolysis, and triglyceride (triglyceride level greater than 360 mg/dL). The laboratory will notify physicians of samples that may result in errors.
SUMMARY:
Based on available clinical evidence, AXA monitoring is safe and provides several advantages over aPTT. On September 24th, 2019 CMHS will transition to AXA as the preferred monitoring assay for IV heparin therapy. aPTT will remain available for baseline assessment of coagulopathies, monitoring patients recently exposed to Factor Xa inhibitors, and for argatroban monitoring.
– P&T Committee/CMHS Pharmacy

Radiology Requests

When requesting imaging, always use a sign or symptom or diagnosis as the indication for an imaging study (i.e. x-ray, etc.)  If the study is a follow-up for a known diagnosed condition, a diagnosis may be submitted as an indication for a study. Never put the rule out (R/O) as the primary reason for the reason for the request.  R/O may be used after providing the sign or symptom, i.e.; shortness of breath – r/o pneumonia.
Reminder: When ordering an interventional radiology study, consider ordering a consult and enhance the value of the study by discussing the case directly with the interventional radiologist, physician to physician.

Radiology phone numbers

The best way to communicate directly with the radiologist you’re looking to speak with is by contacting them using the Mobile Heartbeat app.

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

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

CMH Weekly Medical Staff Calendar – September 9 – 13

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

See Tonight's Meeting Schedule at top of MSV
7:45 am- Pediatrics Dept - NA (back)

11:30 UR Cmte – NA (back)

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

OVCH Weekly Medical Staff Calendar – September 9 – 13

MondayTuesdayWednesdayThursdayFriday
12:00pm
CME Lecture


11:00am
P.I. Patient Safety Committee

Final Thoughts

“The object of the superior man is truth.”
– Confucius

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) 948-566

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