July 2016, Volume 8, Issue 7 - Torrance Memorial Medical Center

MONTHLY
MEDICAL
VOLUME 8
ISSUE
7
July
2016
STAFF
NEWSLETTER
ProgressNotes
In This Issue
Torrance Memorial’s Bioethics
Committee Is Here to Help You.....P 1 - 2
CURES Update…………..………...P 3
Torrance Memorial Integrated
Physicians ACO to Offer Health
Plan to Boeing……………………...P3
Medical Executive Committee
Approvals………….………..…....…P 3
EBSCOhost Full-Text Databases...P 4
HIPAA Tip………………….…….....P 5
Medical Staff Calendar....…..…......P 6
New Practitioners on Staff..…..…..P 7
Physician/AHP Roster Updates.....P 8
Torrance Memorial’s Bioethics Committee Is Here to Help You
Torrance Memorial Medical Center has a Bioethics Committee that considers ethical issues arising during the care of
patients and provides education to caregivers, patients and families on ethical issues in health care. The goals of the
committee include responding to requests for biomedical ethics consultations for patients of Torrance Memorial
Medical Center and maintaining a forum for discussion and review of consultations and bioethical concerns.
Mission Statement & Goals:
The Torrance Memorial Medical Center Bioethics Committee acts as a resource for the medical center employees,
medical staff, volunteers, patients, families and the community regarding bioethical and patient rights issues. The
Bioethics Committee meets its mission by:
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Providing guidance and expertise in the area of bioethics and patient rights
Assessing medical center performance regarding patient rights issues
Reviewing and evaluating medical center policy and procedures that address the areas of bioethics and
patient rights
Development of training programs for medical staff members, employees, physicians, volunteers and the
community
Provision of a consultation program for issues or concerns in the area of bioethics or patient rights
Education and communication regarding bioethical issues and patient rights for the South Bay community
Committee Membership:
The committee is a multidisciplinary group that includes members of the medical staff, members of the medical center
staff and administration, lay community representatives, clergy, ethicists, and attorneys.
Continued on next page….
1
Torrance Memorial’s Bioethics Committee Is Here to Help You
How the Bioethics Committee Can Help:
Because health care decisions can be complex and difficult to make and disagreements can arise among individuals
involved in a patient’s care, the committee can help by taking into account what the law says, what our values are and
how similar issues were resolved in the past. Committee members help:

Decision Makers – When family members disagree about what to do, when members of the care team have
different opinions or when the patient lacks the ability to make his or her own decisions the committee acts as
a consultant and facilitator but the actual decision is still left up to the patient or the patient’s legal
representative or family.
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Health Care Providers – Health care providers depend on policies and procedures to protect the patient’s
right to decide and the committee reviews and comments on proposed new guidelines, helps keep existing
policies current and identifies issues or situations that may need to be addressed in the future.
Situations for Which Committee Assistance May Be Needed:
Early recognition of the following situations and early intervention by the Bioethics Committee may help to avert
serious conflicts which may arise concerning a patient’s care:
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Expressed disagreement regarding management of the patient among surrogates or caregivers
Objection by a surrogate to an Advance Directive on file
Staff, patient or surrogate request for early intervention
Failure to follow a patient’s Advance Directive
Absence of an end-of-life management plan in a critical patient
Disagreement regarding end-of-life management between a competent patient and others who seek to speak
for the patient
Unique patient or surrogate beliefs that may indicate a need for committee support or intervention
Patient or surrogate expressions of uncertainty about end-of-life wishes
Failure to provide follow-up information and assistance for the completion of an Advance Directive after a
request by a hospitalized patient
How to Obtain Assistance from the Bioethics Committee:
When you recognize the presence of one or more of the situations listed above, call the Medical Staff Services
Department at 310-517-4616 to alert them. They will then notify the Chair of the Bioethics Committee or his/her
designee who has the discretion to call on one or more members of the committee, or the committee as a whole, to
provide consultant support, usually within 48 to 72 hours. Requests for assistance may come at any time and from
any individual who is concerned about an existing or potential dilemma for a patient, including a caregiver, case
manager, nursing supervisor, patient representative, volunteer or family member.
If the attending physician did not initiate the referral to the Bioethics Committee, he or she will be notified by the Chair
of the Bioethics Committee or a designee that a concern has been identified and referred to the committee.
For additional information about the Bioethics Committee contact Robin Camrin, Vice President of Medical Staff
Services & Performance Improvement, at robin.camrin@tmmc.com or (310) 517-4921.
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2
CURES Update
On January 8, 2016, the Department of Justice (DOJ) released the upgraded Controlled Substances Utilization Review and
Evaluation System, also referred to as CURES 2.0. A new streamlined registration process has been implemented that allows
prescribers to request and receive approval to access CURES entirely online.
Existing CURES users do not need to re-register; however, you will need to confirm your account with DOJ and update security
information the first time you access CURES after January 8.
For additional information and frequently asked questions regarding the new CURES system, visit the Medical Board's website
at:
http://www.mbc.ca.gov/Licensees/Prescribing/CURES_Update.aspx Torrance Memorial Integrated Physicians ACO to Offer Health Plan to Boeing
The Torrance Memorial Integrated Physicians ACO (Accountable Care Organization) has entered into a transformational
partnership with four other health systems in Southern California and the Boeing Company to offer a customized health plan
available to Boeing’s nearly 37,000 Southern California employees, retirees and their families. Additional health systems
partnering in this health plan, called the MemorialCare Health Alliance, include MemorialCare Health System, UC Irvine Health,
PIH Health and Monarch HealthCare. Boeing’s partnership with these health systems is the first of its kind, direct-to-employer
contract in California, and one of only a few in the country.
Following passage of the Affordable Care Act, new ACOs have been formed to better coordinate care for Medicare patients who
have traditional Medicare coverage. On April 1, 2012 Torrance Memorial Medical Center launched its ACO, becoming one of
the first in the country to set up such a program.
This new partnership was developed to further expand network choices and access across the broad geography where Boeing
employees live and work. Boeing chose these health systems as its trusted and exclusive ACO partners in Southern California
after carefully assessing a highly competitive field of respected health systems. Because the majority of Boeing employees live
throughout the greater South Bay, Long Beach and Orange County communities, areas well-served by Torrance Memorial and
its partners, many Boeing employees are already accustomed to and comfortable with the network’s primary care and specialty
care physicians. Since Boeing is one of the largest employers within our marketplace, this ACO contract was vigorously pursued in order to provide our physician partners the best opportunity to retain their existing Boeing patients and to attract new
patients. This partnership puts Torrance Memorial Integrated Physicians ACO at the forefront of a transformation in our industry.
Medical Executive Committee Approvals
Items approved at the last Medical Executive Committee meeting can be viewed by using this website link and selecting the
particular month: http://www.torrancememorial.org/For_Physicians/Medical_Staff/MEC_Approval.aspx .
If you have any questions, please contact the Medical Staff Services Department at (310) 517-4616.
3
EBSCOhost provides access to the full-text databases described below. Only individuals affiliated with Torrance
Memorial are allowed access and a user ID and password are required.
To access available databases click on http://search.ebscohost.com/ and select EBSCOhost Web after login. A link is
also available on Torrance Memorial's TMI website in the lower left corner of the main page. For user ID, password
and additional information please contact Anita Klecker, Health Sciences Librarian/CME Coordinator at
anita.klecker@tmmc.com or (310) 517-4720.
Full-Text Databases
In January 2004 Torrance Memorial's Medical Library began a subscription to EBSCOhost Web that provides access
to full-text journals and allows clients to link to full-text from journal citations within National Library of Medicine's
PubMed (MEDLINE) database. Most of the full-text journals covered are available in PDF format. Databases to which
the Medical Library subscribes include:
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CINAHL Plus with Full Text is a robust collection of full text for nursing and allied health journals, providing full
text for more than 760 journals indexed in CINAHL. This authoritative file contains full text for many of the most
used journals in the CINAHL index - with no embargo. Content covers nursing, biomedicine, health sciences
librarianship, alternative/complementary medicine, consumer health and 17 allied health disciplines. CINAHL Plus
with Full Text is the core research tool for all areas of nursing and allied health literature. Full text coverage dates
back to 1937.
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Cochrane Database of Systematic Reviews contains full text articles, as well as protocols focusing on the
effects of health care. The reviews are highly structured and systematic, with evidence included or excluded on the
basis of explicit quality criteria, to minimize bias. Data for the more than 4,800 records is evidence-based
medicine and is often combined statistically (with meta-analysis) to increase the power of the findings of numerous
studies, each too small to produce reliable results individually.
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Health Business Elite provides comprehensive journal content detailing all aspects of health care administration
and other non-clinical aspects of health care institution management. Topics covered include hospital
management, hospital administration, marketing, human resources, computer technology, facilities management
and insurance. The database contains full text content for more than 570 journals.
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MEDLINE Complete provides authoritative information on general health and medicine, nursing, pharmacology,
dentistry, genetics & genomics, veterinary medicine, the health care system, pre-clinical sciences, and much more.
It is the world's most comprehensive source of full text for medical journals, providing full text for over 2,000
journals indexed in MEDLINE. This wide-ranging file contains full text for many of the most used journals in the
MEDLINE index - with no embargo. With coverage dating back to 1809 and full-text back to 1865, it is the
definitive research tool for medical literature.
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Nursing & Allied Health Collection: Comprehensive is designed for nursing and allied health professionals,
students, educators and researchers. This database provides full text for nearly 400 journals, including nearly 300
peer-reviewed titles, covering the areas of nursing, biomedicine, health sciences, consumer health and allied
health disciplines. Nearly all full text titles included are indexed in CINAHL. Full text information dates as far back
as 1975.
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Psychology and Behavioral Sciences Collection is a comprehensive database covering information concerning
topics in emotional and behavioral characteristics, psychiatry & psychology, mental processes, anthropology and
observational & experimental methods. It also provides particularly strong coverage in child and adolescent
psychology and various areas of counseling. This is the world's largest full text psychology database offering full
text coverage for more than 530 journals.
To view a 4-minute EBSCOhost tutorial video click:
http://support.ebsco.com/training/flash_videos/intro_to_ehost/intro_to_ehost.html
http://support.ebsco.com/training/flash_videos/intro_to_ehost/intro_to_ehost.html
/wEPDwULLTE5MD /wEdAAQmBZorqO
4
HIPAA Tip
QUESTION:
MY FRIEND IS A PATIENT AT TMMC. CAN I LOOK UP HER ROOM NUMBER OR LOCATION ON
MY COMPUTER SYSTEM (CERNER)? I WILL NOT ACCESS ANY CLINICAL INFORMATION,
JUST THE ROOM NUMBER SO I CAN VISIT HER.
ANSWER:
NO, it is a HIPAA Privacy violation and violation of hospital policy. Accessing, looking up or viewing
any patient information for personal reasons (Non-TPO) is a HIPAA violation regardless of your
relationship with the patient (friend, family or co-worker).
When planning to visit a patient (friend, family or co-worker) you will need to check with the
Information Desk in our hospital lobby for the location and/or patient room number. You will need the
patient full name (first and last name) to obtain the information.
We are required to protect the confidentiality and privacy of all patients. Accessing any patient
information including the location of a patient for personal reasons is a violation of the patient’s
privacy. State and Federal Regulations mandate covered entities (TMMC) to protect patient
PHI.
Protecting PHI is everyone’s job; PHI is NOT everyone’s business.
PHI = PROTECTED HEALTH INFORMATION = Patient name, room number, address, phone
number, diagnosis, procedures, medications, insurance information, SS#, email address,
photographs, etc.
TPO = Treatment, Payment or Health Care Operations
REFERENCE: State and Federal Regulations;
45 CFR 164.506 (c), 164.502(b), 164.508,
Policy # 1410.01, “Uses and Disclosures of PHI – General Rules”
Policy # 1410.13, “PHI Access Controls and Minimum Necessary”
Policy # 1410.03, “Confidentiality and Protected Health Information”
Form # 14 “Confidentiality Agreement”
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5
July 2016
Medical Staff Calendar
Monday
Tuesday
Wednesday
Thursday
Friday
1
4
5
8:00a TCU……………...….…..WT-C
11
12
12:30p Cardiology………...…WT-D
12:30p Credentials……….....WT-C
18
5:00p Quality & Patient Safety
Committee……..……....WT-C
6:00p Medical Executive……..WT-D
19
12:00p Burn & Wound Surg...WT-C 12:30p Medicine Dept………….WT-D
25
26
6
7
7:00a CV Review Conf……….WT-D
12:30p CME Conference….HCC-1&2
7:00a Breast Tumor Board..WT-Aud 7:00a Lung TumorBoard..WT-Aud
7:45a Gen Tumor Board…..WT-Aud 7:30a IRB……………….…..WT-E
8:00a Oncology Program
7:30a Oncology………...…..WT-D
Steering Committee...WT-Aud
12:30p Medical Staff PI……..….WT-D
13
14
15
7:00a Anesthesia Dept…….WT-Aud
7:00a CV Review Conf……….WT-D
12:30p CME Conference….HCC-1&2
12:30p Medicine PI………….....WT-D
7:00a Breast Tumor Board..WT-Aud
7:00a Cardiac PI………………WT-B
7:45a GI Tumor Board….....WT-Aud
12:30p Pediatric PI……………..WT-B
7:00a Gastroenterology…...WT-B
7:00a Lung TumorBoard..WT-Aud
7:00a Surgery Advisory..….WT-D
20
21
22
7:00a CV Review Conf……….WT-D
27
CME CONFERENCES
Wednesdays, 12:30 p.m.
Hoffman Health Conference Center
Torrance Memorial Medical Center is accredited by the Institute for
Medical Quality/California Medical Association (IMQ/CMA) to provide
continuing medical education for physicians.
Torrance Memorial Medical Center designates this live activity for a
maximum of 1 AMA PRA Category I creditTM. Physicians should claim
only the credit commensurate with the extent of their participation in
the activity.
This credit may also be applied to the CMA Certification in Continuing
Medical Education.
For up-to-the-minute conference information call (310) 784-8776
or visit: http://www.torrancememorial.org/For_Physicians/
Wednesday_CME_Conferences.aspx
7:00a Breast Tumor Board..WT-Aud 7:00a General Surg Subc..WT-C
7:45a CNS Tumor Board…..WT-Aud 7:00a Lung TumorBoard..WT-Aud
9:00a Emergency Dept……….WT-D
12:30p Pediatric Dept……….WT-Aud
28
12:30p Stroke Ad-Hoc….…...WT-D 7:00a Breast Program Subc....WT-B
7:00a CV Review Conf……….WT-D
4:00p Bariatric Surgery…....WT-C 12:30p OB/GYN PI……..……WT-Aud 12:30p Antibiotic Stewardship...WT-B
12:30p Bioethics………………..WT-C
3:00p Ortho COE Hip&Knee...WT-C
29
7:00a Breast Tumor Board..WT-Aud 7:00a Lung TumorBoard..WT-Aud
7:30a Family Practice Dept…..WT-B
7:45a GI Tumor Board….....WT-Aud
12:30p Credentials……….….....WT-C
12:30p Health Info Mgmt……....WT-B
July 6, 2016
“Update on Liver Metastasis”
Neil Bhayani, M.D.
Torrance Memorial Medical Cntr
Commercial Support: None
July 13, 2016
“Cardiac Rehabilitation for
Congestive Heart Failure”
Chrisandra Shufelt, M.D.
Cedars-Sinai Heart Institute
Commercial Support: None
July 20, 2016
NO CONFERENCE
8
July 27, 2016
NO CONFERENCE
August 3, 2016
“Asthma Update”
Raffi Tachdjian M.D.
UCLA School of Medicine
Commercial Support: None
August 10, 2016
“Controversies in Cancer
Screening”
Lily Lai, M.D.
City of Hope National Medical Cntr
Commercial Support: None
6
Welcome New Practitioners on Staff
Abbey B. Gaske, M.D.
Surgery
Skyline Urology
3445 Pacific Coast Hwy., Ste. 310
Torrance, CA 90505
Phone: (310) 602-5005
Fax:
(310) 373-7895
Ramin J. Javahery, M.D.
Surgery
Coast Neurosurgical Associates
2888 Long Beach Blvd., Ste. 240
Long Beach, CA 90806
Phone: (562) 595-7696
Fax:
(562) 988-1559
Omer M. Khan, M.D.
Medicine
Internal Medicine & Nephrology Medical Group
3291 Skypark Dr.
Torrance, CA 90505
Phone: (310) 325-4517
Fax:
(310) 325-1144
Eugene C. Yeh, M.D.
Medicine
HealthCare Partners Hospitalists
3330 Lomita Blvd., HCP 1st Floor
Torrance, CA 90505
Phone: (310) 784-8770
Fax:
(310) 784-4991
7
Physician/AHP Roster Updates
Address Change
Phone/Fax Change
Kathleen M. Berkowitz, M.D.
OB/GYN
Magella Medical Group
23441 Madison St., Bldg. 8,
Ste. 290
Torrance, CA 90505
Phone: (310) 375-7172
Fax:
(310) 375-7192
Paul J. Brown, M.D.
Medicine
Fax: (855) 673-7160
Kenneth K. Chan, M.D.
OB/GYN
Magella Medical Group - Long Beach
2888 Long Beach Blvd., Ste. 400
Long Beach, CA 90806
Phone: (562) 997-8510
Fax:
(562) 997-8523
Stephen C. Wan, D.P.M.
Surgery
Phone: (310) 326-8551
Fax:
(310) 326-3363
Alexandra O. Bujor, M.D.
OB/GYN
Phone: (310) 539-5060
Fax:
(310) 539-7899
Suite Number Change
Emad Khaleeli, M.D.
Medicine
Suite 301
Michael P. Nageotte, M.D.
OB/GYN
2801 Atlantic Ave.
Long Beach, CA 90801
Phone: (562) 933-2730
Fax:
(562) 997-8520
Leave of Absence
Timothy A. Hartshorn, M.D.
Surgery
Mona S. Shah, M.D.
Medicine
1600 S. Gafey St.
San Pedro, CA 90731
Phone: (310) 548-0201
Fax:
(310) 547-3340
Eunice M. Kohara, D.O.
Surgery
Akshay M. Mehta, M.D.
Surgery
Quynh T. Vo-Hanser, M.D.
OB/GYN
Magella Medical Group
23441 Madison St., Ste. 290
Torrance, CA 90505
Phone: (310) 375-7172
Fax:
(310) 375-7192
Marc G. Mittleman, D.P.M.
Surgery
Resignation
Sahar E. Lashin, M.D.
Medicine
Lisa M. Young, M.D.
Family Practice
Gerinet Medical Associates
3401 W. Sunflower Ave., Ste. 250
Santa Ana, CA 92704
Phone: (714) 619-8777
Fax:
(562) 803-4500
Jennifer L. Scarborough, P.A.
Emergency
Jonathan A. Thompson, D.P.M.
Surgery
Melani S. Veran-Delos Reyes, N.P.
Medicine
The Medical Staff Newsletter ProgressNotes is published monthly
for the Medical Staff of Torrance Memorial Medical Center.
Vinh Cam, M.D.
Chief of Staff
Robin S. Camrin, CPMSM, CPCS
Vice President, Medical Staff Services &
Performance Improvement
ANK-07/2016
8
Medical Staff Services
3330 Lomita Boulevard
Torrance, CA 90505
Phone: (310) 517-4616
Fax: (310) 784-8777
www.TorranceMemorial.org
Mailing Label
ProgressNotes
Vol. 8 Issue 7
MONTHLY
MEDICAL
STAFF
NEWSLETTER
July 2016
ProgressNotes