Common Ground: Breakfast with CEO recap and OHSU Knight Cancer Institute collaboration news
Nov. 16, 2014
WELCOME TO SALEM HOSPITAL
IN THIS ISSUE

Coming events:

SCI2Salem Cancer Institute and OHSU Knight Cancer Institute collaborate on liver cancer care
Salem Cancer Institute has been affiliated with OHSU Knight Cancer Institute since 2007. Accomplishments over the past year have included collaboration to improve care for shared patients with liver cancer. Following is a summary:
  • The liver clinical pathways group developed referral patterns and a joint referral process for managing liver cancer. This allows patients to remain within the Salem community for treatment and creates a seamless transition for those who need treatment at OHSU. (See clinical pathway here.)
  • OHSU has supported the development of the TransArterial ChemoEmbolization (TACE) program at Salem Hospital. TACE is used to effectively treat liver tumors. Historically, these patients were referred to OHSU. We are still cooperating with OHSU for the care and treatment of the patient, but an important piece of that care is now delivered at Salem Hospital. All cases are reviewed by Salem physicians at the OHSU liver tumor board for possible transplant or resection.
  • A Liver Symposium for Primary Care will be held Wednesday, Nov. 19, from 5:30 to 8 p.m. on the Salem Hospital campus. Scott Naugler, MD, from OHSU and Robert Ponec, MD, from Salem Cancer Institute will team up to share the latest information on managing patients with liver related complications. 
OctBkfstwithCEOOctober Breakfast with the CEO recap
In the October Breakfast with the CEO, Norm Gruber answered questions about the ongoing discussions with OHSU, pediatric operating room scheduling and the search for a chief medical officer. 
 
Return to top
FluOrEbolaIs it flu or Ebola? 
Centers for Disease Control poster helps identify
A poster developed by the Centers for Disease Control (CDC) helps distinguish differences between flu and Ebola including how they are spread, signs and symptoms, and people who are most at risk. The CDC encourages use of the poster to help patients and health care workers understand the differences. Read the poster. 
 
Oct16PLCPhysician Leadership Council meeting recap
It was announced at the Oct. 16 Physician Leadership Council meeting that a department chair position is open for the Medical Specialty and Hospital Oriented department. Interested individuals should contact the medical staff office. Read the complete minutes from the meeting here.

 

Return to top   
CICUpdateCIC update
The following provides a high-level review of the conversation at the Nov. 5 Compact Implementation Committee.

Problem list and merging processes

The existing medical staff problem list managed by the Quality Operations Committee (QOC), which started as a list of 175 identified problems in the organization, has been gradually getting smaller. QOC is prioritizing 27 of the remaining issues. The first ten issues were evaluated at the last QOC meeting to identify the highest priority problems to solve so that organizational resources can be assigned. 
Additionally, CIC members discussed creating a section in the Common Ground e-newsletter for sharing success stories about issues resolved as a result of medical staff input to the problem list.

Return to top 

WELCOME TO SALEM HOSPITALWelcome
JustinJustin M. Braukman, DO - Anesthesiology, 
Oregon Anesthesiology Group, PC   
Medical
Education:
Western University of Health Science -
Pomona, California
Aug. 1998 to May 2002
Internship:
Transitional
Sacred Heart Medical Center -
Spokane, Washington
June 2002 to June 2003
Residency:
Anesthesiology
Oregon Health Sciences University -
Portland, Oregon
July 2003 to June 2006
Board
Certification:

American Board of Anesthesiology

 

Return to top 

 

RonaldRonald D. Im, MD - Urology, 

Kaiser Westside Medical Office 

 

Medical
Education:
Loma Linda University School of Medicine -
Loma Linda, California
Aug. 2000 to May 2004
Internship:
General Surgery
Loma Linda University School of Medicine -
Loma Linda, California
July 2004 to June 2005
Residency:
Urology
University of California at San Diego -
San Diego, California
July 2005 to June 2010
Board
Certification:

American Board of Urology

   

 

 

Return to top

 

JordanaJordana L. McDonald, FNP - Nurse Practitioner, 
Willamette Health Partners - South Salem
     
Medical
Education:
Western University of Health Science -
Pomona, California
Aug. 2012 to Aug. 2014
Board Certification: 
American Academy of Nurse Practitioners

  
 Return to top 

 

 

  

KevinKevin J. Tarrant, MD - Anesthesiology, 

Oregon Anesthesiology Group, PC 

Medical
Education:
Loyola University of Chicago, Stritch School of Medicine -
Maywood, Illinois
June 1986 to June 1990
Internship:
Transitional
Resurrection Medical Center -
Chicago, Illinois
June 1990 to June 1991
Residency:
Anesthesiology
Medical College of Wisconsin -
Milwaukee, Wisconsin
June 1991 to June 1994
Board
Certification:
American Board of Anesthesiology

 

Return to top
COMING EVENTSComingEvents
ForYourPatientsFor your patients, from the CHEC
Welcome to Medicare
Led by a certified senior health insurance benefits assistance (SHIBA) counselor, this presentation will cover how Medicare works; supplemental insurance options; assistance for people with low income and resources; how the Affordable Care Act improves Medicare; and how to prevent, detect and report Medicare fraud and abuse.
  • Wednesday, Nov. 19, 2014
  • 1 to 2 p.m.
  • Free
Read the flier
Return to top

Lower Sodium:  The New Normal in Nutrition

Taught by Salem Health registered dietitians, this class will offer nutrition tips, snack suggestions, how to manage dining out and information about low sodium diets.    

  • Wednesday, Nov. 19, 2014
  • 1 to 2 p.m.
  • Free
Read the flier
Return to top

Family Fun Night
This event includes fun activities and healthy foods for the whole family. The evening is made up of 30 minutes of exercise appropriate for all ages and 30 minutes of hands-on nutrition education in healthy cooking. Each family will be introduced to the 5-2-1-0 healthy living program and invited to participate in the 30-day home challenge for a chance to win prizes.
  • Friday, Nov. 21, 2014
  • 5 to 6 p.m.
  • Free with any Salem Cancer Institute food pantry donation
Read the flier
Return to top

Support for Those Living with Multiple Sclerosis

The CHEC offers these daytime and evening support groups for your patients with Multiple Sclerosis. 

Daytime Group
  • First Tuesday of every month
  • 1 to 3 p.m.
  • Free
  • Evening Group
  • Third Monday of every month
  • 7 to 9 p.m.
  • Free
  •  

    PRACTICAL MATTERSPracticalMatters
    RegDictaphoneRegular monthly dictaphone and ESA downtime
    There will be a monthly one-hour downtime for dictaphone dictation and the 3M ESA system which will take place on the third Saturday of each month. The systems will be offline from 10 to 11 p.m. for maintenance during this time. Physicians will not be able to dictate or edit/sign their transcribed notes during this one-hour window. There will be an alert on your MyEpic/Radar dashboard each month reminding you of the downtime. 

    Return to top
    EbolaVideoEbola video instructions from the Centers for Disease Control:  Donning and doffing personal protective equipment
    Ebola Preparedness: PPE Guidelines Introduction
    Ebola Preparedness: PPE Guidelines Introduction

    The Centers for Disease Control (CDC) released a video demonstrating procedures described in CDC guidelines for donning and doffing personal protective equipment. The video is intended to promote patient safety and increase safety of the health care providers. See the video.  





    Return to top
    NewEpicNew Epic glycemic management orders section coming this week 
    A new glycemic management orders section is being added to the inpatient adult admission orderset to standardize and simplify provider ordering for glycemic management. This order set is the result of the diabetes affinity project work with the goal of saving clinician time and improving the delivery of patient care. Please see the message and link in Epic on the physician dashboard for a tip sheet describing these changes. The planned go-live with the new glycemic management section is scheduled for the week of Nov. 17.

     Return to top
    PatientVideoPatient video:  Kathrine Reed shares how LDCT discovered her lung cancer 
    What Kathrine's doctor told her about lung screenings in Salem saved her life. Listen to her story.
    Painless screening for lung cancer now available in Salem, Oregon
    Painless screening for lung cancer now available in Salem, Oregon.
     Return to top
    EDMSElectronic Document Management System photo capture to go live Nov. 18
    The Electronic Document Management System (EDMS) photo capture will allow wound photos and hard copies of documentation to be uploaded electronically into the patient's chart. Physicians will be sent an inbasket message when a photo has been taken. The message will include a link to the photo for immediate viewing, or physicians can access the photo in the patient's chart. For more information, see the tip sheets in MyEpic/Radar.

    Return to top
    FromMPRCFrom the Multidisciplinary Peer Review Committee:  
    All products containing Hydrocodone are now classified
    as Schedule II medications   
    All products containing hydrocodone are now classified as Schedule II medications. The Drug Enforcement Agency issued a final rule moving hydrocodone containing products (HCP's) from Schedule III to Schedule II beginning Oct. 6, 2014. This change applies to all products containing hydrocodone, such as Vicodin and Norco. Please remember:  as Schedule II medications, along with  morphine, oxycodone and hydromorphone, HCP prescriptions must be hand signed and dated. Hard copies of prescriptions must be received by the pharmacy in order to be filled. No refills are allowed on any HCP prescription dated on or after October 6, 2014. For further details on transitional phase allowances, read the full notice from the Oregon Board of Pharmacy here

    Return to top
    IVIV acetaminophen (Ofirmev) restrictions from the
    Pharmacy and Therapeutics Committee  
    At the last Pharmacy and Therapeutics Committee meeting, IV acetaminophen (Ofirmev) restrictions were discussed. The decision from the committee was made to restrict IV acetaminophen to single doses in either critical care patients (who are unable to take oral or rectal acetaminophen) or operating room patients (when ordered by an anesthesiologist). Effective Nov. 17, the IV acetaminophen orders will reflect these changes. If you have any questions, please contact Matthew Tanner in Pharmacy.
     
    ClinicalDocClinical Documentation Improvement
    addresses adult malnutrition   
    Clarity around adult malnutrition documentation is given in the latest update from Clinical Documentation Improvement (CDI). Read the full update here.
     
    PrelimSBAR"Preliminary" lab susceptibilities SBAR  
    Changes required by Meaningful Use mean susceptibility results show as "preliminary" until the culture is made "final." Read the SBAR here.
     
    Common Ground Newsletter Editorial Board 
    For past issues of this newsletter, visit
    Email us anytime with feedback, suggestions, or something for the next issue!  Dr. Ian Loewen-Thomas, Chair, Compact Implementation Committee

    Salem Health

    503-561-5200