Medical Staff 76 Swedish/Edmonds March VitalSigns 2015

this issue Save the Date P.1 Quarterly Medical Staff Meeting Save the Date: Medical Tuesday, April 21 Staff Meeting Auditoriums A-C 5:30 p.m. dinner; 6 p.m. meeting CARE Training Dinner provided. RSVP for dinner by Friday, April 17 Enhancing Patient Satisfaction

P.2 CARE Training Enhancing Patient Satisfaction

Patient Satisfaction Providing not only quality care to patients, The training involves twice monthly meetings Survey Comments but ensuring that patients feel cared for is with members of Organizational What Are Patients the focus of CARE training at Swedish Development and staff members from the Edmonds. Launched at the about Swedish Edmonds ED, hospital laboratory, Saying? six months ago, CARE (Connect, patient registration and imaging – all P.3 Acknowledge, Recognize, Engage) is a departments active in the care of emergency Doctors’ Day project to train caregivers in the Swedish patients. Encouragement of nurse-leader Edmonds Emergency Department (ED) how rounding, use of whiteboards in patient March for Babies Honor to better connect with patients and enhance rooms for communication between nurses, National Healthcare patient satisfaction. providers and patients, and how to use not only your head, but your heart when talking Decisions Day “Part of the training has involved discussing to patients have been among training topics. CDIP Report things we can do to support the nursing staff so that they feel engaged, feel that their “At the last meeting we concentrated on how P.4 voices are heard and take that feeling and thinking with your heart and acting with your Code of Conduct, transfer it to the patient,” says Heather heart translates to good patient care,” Protecting Patient Gutierrez, R.N., ED clinical nurse manager. Heather says. “You want the patient to feel Privacy that they’re heard and know that you care Swedish Edmonds is the first hospital in the about them and want them to have a good Swedish CME Events Swedish/Providence systems to offer CARE experience.” P.5 training. The ED team was asked by Register Now for Organizational Development at Providence Acknowledging good work by caregivers is to take part in the CARE pilot project. also an important. Staff is encouraged to Destination Swedish write positive comments about coworkers on Caregiver Forum “In 2013, the ED team increased Press star-shaped cards which are posted on a Ganey patient satisfaction scores more than Create Your Swedish any other ED in the Swedish/Providence Please see CARE on Web Profile systems,” says Heather. “To ensure we page 4 inside P.6 continue to receive positive scores, CARE training is helping to show us how to sustain Welcome New new ED policies and systems we have in place.” Congratulations… These physicians were mentioned by name in the December Press Ganey Patient Satisfaction Surveys and complimented for their great work.

Adrianna Mickelson, M.D. George Birchfield, M.D. Kimberly Dickey, D.O. Birth & Family Clinic Swedish Cancer Institute, Medical Swedish OB GYN Specialists- , Edmonds Edmonds Anand Patani, M.D. Swedish Internal Medicine at Jason Schneier, M.D. Linda Strong, M.D. Edmonds Puget Sound Gastroenterology Swedish Internal Medicine at Edmonds Aric Christal, M.D. Jeremy Hammel, M.D. Edmonds Orthopedic Center Emergency Services Richard McClelland, M.D. Emergency Services Bich-Khanh Nguyen, M.D. John Baumeister, D.O. Swedish Internal Medicine at Swedish Edmonds Specialty Clinic Ryan David, M.D. Edmonds Emergency Services Keith Luther, M.D. Brian Takagi, M.D. Swedish Internal Medicine at Ophthalmology Edmonds

Elena Geamanu, M.D. Swedish Edmonds Specialty Clinic

What Are Patients Saying? Below are a few positive comments from recent Press Ganey Satisfaction Surveys and discharge calls at Swedish/Edmonds. Congratulations to physicians and hospital staff mentioned.

Emergency Services good care of our baby and for “Dr. Josh Yi did well.” calming our nerves!” "Dr. Rutherford was just wonderful 8-West and had so much compassion during “Dr. Martha Moe was excellent for my stay. He even called me back. “I would highly recommend Dr. the delivery and circumcision. The This is just great." Cornejo.” anesthesiologist was also very good.” “ assistant, Glenn, was so “Dr. Sinnett was just great.” excellent. He sat down with my “Trish was a great labor nurse. I had husband and me and explained Minor Procedures good care from everybody. I was every single blood test. We left the really happy Dr. Yerram delivered “Dr. Schneier is excellent in every ED so much more confident and my baby.” way!” knowledgeable! He was just so personable." 5-West

Childbirth Center “Love Dr. Alberts. He did a good job on my spinal surgery.” “Cynde Bray and Jennifer Morrison were superstars! Many thanks to Dr. “Dr. Christal is wonderful.” Erhart and Dr. Dickey for taking 2 4

Doctors’ Day Celebration March 30

National Doctors’ Day was officially hospital staff will be shared with designated as a national day of physicians. National Healthcare recognition in 1990 to honor physicians. In recognition of the Swedish Edmonds physicians Decisions Day at talented medical staff at Swedish consistently apply their skills and Edmonds, we invite physicians to talents in a way that makes life- Swedish Edmonds attend this year’s Doctors’ Day changing and often life-sustaining celebration at Swedish Edmonds. differences in the health of patients National Healthcare Decisions Day and their families. Thank you for is Thursday, April 16. This is a day On Monday, March 30, a special your uncompromising commitment to inspire, educate and empower buffet lunch will be served in the and dedication to the health and well the public and health-care providers hospital’s physicians lounge located -being of patients, and to the about the importance of advance on the third floor from 11 a.m. to community served by Swedish care planning. 1:30 p.m. In addition to lunch, Edmonds. messages of appreciation from Events planned at Swedish Edmonds include information sessions focused on the benefits of advance care planning and how to Participation in March begin these difficult but important conversations. We will also have for Babies Honored staffed information tables stocked Pictured left: Sarah Zabel, vice president of with forms and brochures on the operations at Swedish Edmonds, accepts the first floor of the hospital by the Eye hospital’s award for the third highest amount Center elevators and in the raised by a corporate sponsor in Snohomish cafeteria. Informational posters will County for the 2014 March for Babies Walk be distributed soon detailing the held at Edmonds. This year’s walk is April 25 in Everett. Look for details on how to register complete agenda for the events of or make a donation to this year’s walk in an this day. upcoming issue of Vital Signs. Support this year’s Swedish Edmonds March for Babies team at http://tinyurl.com/mxclgjs.

Clinical Documentation Integrity Program (CDIP) Report: January

Total Reviews: 243 January’s Top 5 Clarifications: 1. Acute renal failure Total Clarifications: 38 2. Congestive heart failure 3. Sepsis Response Rate: 87% 4. Acute blood loss anemia 5. Malnutrition Physician Agree Rate: 74%

Total Case Mix Index for Medicare and Managed Medicare: 1.6911

Thank you to the medical and surgical staff for taking the time to respond to these queries. Please contact Melanie Westerinen, Documentation Integrity Liaison, at 425-640-4378 with any questions.

3 Code of Conduct, Protecting Patient Privacy

Integrity and Compliance member of the medical staff is CARE (continued from page 1) subject to corrective action as Swedish is committed to conducting defined in the Corrective Actions – bulletin board in the ED for all business within ethical, legal and Integrity, Compliance, Privacy or caregivers to see. At the end of each regulatory standards. Providers who Security Policy, PROV-HR-422. month, a random drawing of the stars are granted privileges are expected Corrective action is based on the is held and the caregiver named on to comply with privacy and facts and circumstances of the the star that’s drawn wins a free compliance policies and the Swedish violation. In addition, a medical staff coffee. Code of Conduct. The organization member may be subject to a civil is committed to investigating all money penalty and criminal “It’s a nice gesture to make sure staff alleged violations of laws, policies, prosecution. feels appreciated,” explains Heather. standards or procedures. Any corrective action will be based on the For more information on the According to Heather, CARE training facts and circumstances of the Corrective Actions, please log on to will be ongoing and if it’s successful at violation. Violations may result in Swedish Online. Go the to the Swedish Edmonds, the project may be disciplinary action and could result in Medical Staff Services department rolled out to other Swedish/Providence fines, civil and/or criminal penalties. page, click the Resources tab, campuses. Standards, Administrative and To review the Code of Conduct, Enterprise-wide. Scroll down until “I think the training concept is great – please log on to Swedish Online. Go you see Corrective Actions – reminding caregivers why we’re in to the Medical Staff Services Integrity, Compliance, Privacy or ; to care for patients and to department page and look for Security Policy, PROV-HR-422. make sure they know we care,” Swedish Code of Conduct under the Heather says. Resources tab. You may also consult the Corrective Actions -

Integrity, Compliance, Privacy, or Swedish CME Events Security Policy, PROV-HR-422 also Below are upcoming Swedish CME activities. Visit www.swedish.org/cme for found at Swedish Online under the locations, times and the most up-to-date information about upcoming CME Medical Staff Services department activities. To sign-up for the CME mailing list, go to www.swedish.org/for-health- page and the Resources tab. Click professionals/continuing-medical-education. on Standards, Administrative and Enterprise-wide. Scroll down until 5th Annual Pacific Northwest Head and Neck Cancer Symposium: Thyroid you see Corrective Actions – and Parathyroid Disease - A Practical Approach Integrity, Compliance, Privacy or Friday, April 10 Security Policy, PROV-HR-422. Annual Oncology Symposium: Personalized Medicine Unauthorized Access to Patient Friday, May 8 Information Accessing a patient’s protected Swedish Liver Care NetworkSpring Hepatology Update health information (PHI) without a Saturday, May 9 business reason constitutes unauthorized access. These 8th Annual Iris and Ted Wagner Endowed Lectureship (Evening Lecture) incidents are neither unintentional Wednesday, May 13 nor inadvertent and are always a HIPAA privacy violation that may Ninth Annual Cerebrovascular Symposium have to be reported to the Thursday and Friday, May 14-15 government and to the patient if it poses a significant risk of financial, Grand Rounds reputational or other harm. 2nd Thursday of the month

Unauthorized access to PHI by a Medical Ethics Conference Series for Health-care Providers 4th Wednesday of the month 4 4

Register Now for Destination Swedish April 21

An estimated 43.7 million adults in community. Online registration and table captain the suffered from a information is available now at mental illness in the past year— At this year’s Destination Swedish www.swedishfoundation.org/ nearly 20 percent of the population. fundraising luncheon, Tuesday, April destination-swedish. And 1 in 5 children in the U.S., either 21 at noon at the Sheraton Seattle currently or at some point during Hotel, you’ll have the opportunity to their life, have had a seriously help provide the start-up costs Caregiver Forum debilitating mental disorder. Too needed to embed mental health Join Jennifer Graves, chief often, the needs of these individuals counselors in our primary care executive at Swedish Edmonds, for with mental health concerns go clinics. This will allow convenient, a caregiver forum on Wednesday, unmet until their conditions worsen. same-day care and help reduce the April 15 from 7:30-8:30 a.m. in The resulting increased problems barriers many patients face when auditoriums A-C at Swedish and costs can become a serious seeking care for their mental health Edmonds. Refreshments will be burden for patients, families and the concerns. served and all are welcome to attend. New Medical Staff (continued from page 6)

Name Group Specialty Estelle S. Lin, M.D. Swedish Medical Group-Float Pool Internal Medicine

Francois M. Cady, M.D. Cellnetix Pathology, Seattle Pathology

Jennifer L. Droz, M.D. Swedish HealthCare For Women and Gynecology

Junaid Q. Usman, M.D. Swedish Hospital Medicine Internal Medicine

Richard W. Krouskop, M.D. Weatherby Healthcare

Rostislav D. Ranguelov, M.D. Cellnetix Pathology, Seattle Pathology Cellnetix Pathology at Highline Thomas A. Dean, M.D. Pathology Medical Center William O. Hahn, M.D. Swedish Hospital Medicine Internal Medicine

Create Your Swedish Web Profile

All active Swedish/Edmonds physicians are eligible to create a physician web profile at www.swedish.org. Follow the steps below to create your profile today and attract new patients. Please also use this tool to make changes to an existing profile.

Go to www.swedish.org/CMSDesk and enter your user name and temporary password:

 User name: Same as your username on the Swedish network, e.g., Tom G. Smith would be SmitTg1

 Password: Lastname (case sensitive)

Physicians are asked to maintain their own office information on profiles such as office hours, address/phone changes, etc. It’s recommended that you change your default password (last name) to your ‘strong’ password used on the Swedish network, so your Swedish logins are consistent and easier to remember.

If You Need Help Please visit www.swedish.org/physician.

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