VOLUME 5 MONTHLY ISSUE MEDICAL

STAFF 4 NEWSLETTER ProgressNotes April TORRANCE MEMORIAL MEDICAL CENTER 2013

this issue CPOE P.1 Doctor’s Day P.2 MEC Approvals P.3-4 Medical Staff Calendar P.5 New Providers P.6 Roster Updates P.6

What is it? CPOE Select Rewards is a tiered program geared to reward pro- CPOE viders as they expand their use of CPOE (Computerized Provider Order Entry). Computerized How are providers enrolled in the CPOE Select Rewards Provider Order Program? Entry Select Enrollment is automatic as you or your group begins CPOE. Rewards Program How does it work? Providers qualify for monthly raffles based on meeting or exceed- ing CPOE percentage goals for their assigned tier.

When will winners be announced? Winners will be announced the second Monday of every month, beginning in April.

CPOE Monthly Raffle includes several prizes including an i-Pad mini.

Individualized program details will be sent out to providers. Please call CPOE hotline at x2763 (xCPOE) if you have any questions.

Doctor’s Day

Thank you to all the physicians who attended the Doctor’s Day Celebration at Torrance Memorial on Wednesday, March 27th. The event was a success with many physicians attending to enjoy a great meal, music and prizes. Congratulations to Dr. Lauren Nguyen and Dr. James Flores, the two lucky winners of the iPad mini and the thirty physicians who also won gift cards to Nordstroms, California Pizza Kitchen, HealthLinks, Starbucks and iTunes.

Torrance Memorial appreciates our physicians’ dedication and commitment to the health of our community.

Medical Executive Committee Approvals The following items were presented and actions were approved at the March 12, 2013 Medical Executive Committee meeting: A. Proposal to Expand Physician Information on the TMMC Website Roster

TREASURER’S REPORT

A. November/December Treasurer’s Report

OBSTETRICS & GYNECOLOGY DEPARTMENT

A. Revised Clinical Privilege Application Card for Department of OB/GYN – Gynecologic Oncology Revisions: Privilege 50.01-Major Gynecology Core * The use of an assistant in surgery will be at the sole discretion of the Surgeon. Privileges to admit, evaluate, diagnose, provide consultation, perform history and physical exam and pre-, intra-, and post- operative care necessary to correct or treat female patients of all ages presenting with illnesses, injuries, and disorders of the gynecologic or genitourinary system. and nonsurgical treatment of illnesses, Bartholin cyst, minor and major* vaginal plastic procedures, , cervical amputation, colpotomy, vaginal *, abdominal hysterectomy, myomec- tomy, adnexal surger*, presacral neurectomy*, simple vulvectomy, uterine/vaginal suspension*, bladder (urinary) suspen- sion*, operative pelviscopy, hysterectomy, and (D&C), except for those special procedure privileges listed below. Proctoring Requirements: 30 # case required Init App: 30Total of 30 Major Core from 50.07; 50.08;50.09 # cases required Reapp: 30Total of 30 Major Core from 50.07; 50.08;50.09

50.07-Operative Laparoscopy * The use of an assistant in surgery will be at the sole discretion of the Surgeon. Includes total laparoscopic hysterectomy, laparoscopic supracervical hysterectomy, adnexal surgery* (ovarian cystectomy, bilateral salpingo-, myomectomy), presacral neurectomy*, colposacropexy Proctoring Requirements: 1 (Operative Pelviscopy-Excludes , tubal dye, study, and diagnostic) # case required Init App: Total of 30 Major Core from 50.07; 50.08;50.09 # cases required Reapp: Total of 30 Major Core from 50.07; 50.08;50.09

50.08-Laparotomy * The use of an assistant in surgery will be at the sole discretion of the Surgeon. Includes total abdominal hysterectomy, BURCH, bladder neck suspension, adnexal surgery* (ovarian cystectomy, bilateral salpingo-oophorectomy, myomectomy) presacral neurectomy*, exploratory laparotomy Proctoring Requirements: 1 (Abdominal Hysterectomy) # case required Init App: Must hold 50.01 # cases required Reapp: Must hold 50.01

50.09-Vaginal * The use of an assistant in surgery will be at the sole discretion of the Surgeon. Includes total vaginal hysterectomy*, bladder neck suspension, anterior (cystocele) and/or posterior (rectocele) vaginal wall repair, vaginal suspension. Proctoring Requirements: 1 (Vaginal Hysterectomy) # case required Init App: Must hold 50.01 # cases required Reapp: Must hold 50.01

55.00-Minor Gynecology Core * The use of an assistant in surgery will be at the sole discretion of the Surgeon. Privileges to admit, evaluate, diagnose, provide consultation, perform history and physical exam, and pre-, intra-, and post- operative care necessary to correct or treat female patients of all ages presenting with illnesses, injuries, and disorders of the gynecological or genitourinary system and nonsurgical treatment illnesses. Cervical conization, diagnostic hysterectomy, hysteroscopic tubal occlusion, laparoscopic tubal. Proctoring Requirements: 2 # case required Init App: Total of 20 Minor Core from 55.00 and 55.01 # cases required Reapp: Total of 20 Minor Core from 55.00 and 55.01

3 Medical Executive Committee Approvals The following items were presented and actions were approved at the March 12, 2013 Medical Executive Committee meeting:

OBSTETRICS & GYNECOLOGY DEPARTMENT (CONTINUED)

A. Revised Clinical Privilege Application Card for Department of OB/GYN – Gynecologic Oncology (Continued) Revisions (Continued): 55.01-Not Proctored * The use of an assistant in surgery will be at the sole discretion of the Surgeon. Bartholin cyst, and dilatation and curettage (D&C), neonatal circumcision, cervical amputation, colpotomy, vulvectomy, ap- pendectomy, hysterectomy w/ Proctoring Requirements: 0 # case required Init App: Total of 20 Minor Core from 55.00 and 55.01 # cases required Reapp: Total of 20 Minor Core from 55.00 and 55.01

51.00-Gynecologic Oncology Core Addition of: * The use of an assistant in surgery will be at the sole discretion of the Surgeon.

SURGERY DEPARTMENT

A. Revised Practice Prerogative Application Card for Allied Health Professional Physician Employed – R.N. First Assistant – Operating Room Revisions: Deletion of: Name of Employer Surgeon n Certification: Must be certified through Competency & Credentialing Institute (CCI) as Certified Nurse Operating Room (CNOR). and a Certified Registered Nurse First Assistant (CRNFA) Addition of: Supervising Physician Signature Date Department Chair’s Chief’s Recommendation

CREDENTIALS COMMITTEE – Approvals filed in Medical Staff Services – please see Toni Woodard.

HEALTH INFORMATION MANAGEMENT COMMITTEE

A. Verbal/Telephone Orders Physician’s Order Sheet

INFECTION CONTROL/P&T COMMITTEE

A. Epidural Continuous and PCEA Infusion Physician’ B. Post-op Intraspinal Opiate Analgesia Physician’s Orders C. Peripheral Nerve Block Infusion Physician’s Orders D. Total Joint Replacement Pre-op Physician’s Orders E. Patient Controlled Analgesia (PCA) Physician’s Orders F. Multimodal Pain Management Orders G. Rapid Response Team Protocol (Adult) H. Calcium Chloride Quantity Reduction (from 2 to 1) in the Crash Carts

INSTITUTIONAL REVIEW BOARD – Approvals filed in Medical Staff Services – please see Yumi Lee.

SURGERY ADVISORY COMMITTEE

A. OR Efficiency Recommendations  Changing blocks to a minimum of 8-hour blocks  Utilization goals  Filling block time  Open room rules  Scheduling effectiveness  Block expiration times  Urgent room rules  Two rooms for one surgeon/service rule

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Medical Staff Calendar Monday Tuesday Wednesday ThursdayApril Friday 1 2 3 4 5

12:30p Cardiology……………...WT-D 12:30p Infection Control/P&T….WT-C 7:00a CV Review Conference.WT-D 7:00a Breast Tumor Board..WT-Aud 7:00a Surgery Dept……...WT-Aud 12:30p CME Conference…...HCC1&2 7:30a Tumor Board………...WT-Aud 7:30a IRB…………………….WT-C 12:30p MSPI…………………….WT-C

8 9 10 11 12

7:30a Physician Alignment…..WT-B 5:00p Professional Relations...WT-C 7:00a Anesthesia PI……….WT-Aud 7:00a Breast Tumor Board..WT-Aud 12:30p Ophthalmology……….WT-B 12:30p Credentials……………..WT-C 6:00p Medical Executive……..WT-D 7:00a CV Review Conference.WT-D 7:30a Tumor Board………...WT-Aud 8:00a Endocrinology………….WT-B

15 16 17 18 19

7:00a Cardiothoracic Surgery..WT-C 7:00a Construction Oversight..WT-D 7:00a CV Review Conference.WT-D 7:00a Block Schedule…………WT-D 7:00a Block Schedule………WT-D 12:00p Burn & Wound………….WT-C 8:00a TCU…………………..WT-Aud 12:30p CME Conference…...HCC1&2 7:00a Breast Tumor Board...WT-Aud 12:30p Block Schedule…...…WT-D 12:00p Radiology Dept……...WT-Aud 7:30a Tumor Board………...WT-Aud 6:00p Block Schedule...……WT-D 9:00a Emergency Dept……….WT-D 12:30p Pediatric Dept……….WT-Aud 12:30p Block Schedule…...……WT-D 6:00p Block Schedule...………WT-D

22 23 24 25 26

7:00a Quality/PI Safety……….WT-D 7:00a Breast Program………..WT-C 7:00a CV Review Conference.WT-D 7:00a Breast Tumor Board..WT-Aud 7:00a General Surgery……..WT-C 4:00p Bariatric Surgery……....WT-C 12:30p Medicine PI……………..WT-B 12:30p Bioethics………………..WT-B 7:00a Surgery Advisory………WT-D 12:30p OB/GYN Dept……….WT-Aud 7:30a Family Practice Dept…..WT-B 7:30a Tumor Board………...WT-Aud 12:30p Credentials……………..WT-C

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12:30p Stroke Ad-Hoc………….WT-D

April 3, 2013 April 24, 2013 CME CONFERENCES “Religious & Cultural Sensitivity to NO CONFERENCE End-of-Life Issues” May 1, 2013 Wednesdays, 12:30 pm James Walter, Ph.D. Loyola Marymount University NO CONFERENCE Health Conference Center Commercial Support: None Torrance Memorial Medical Center is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide April 10, 2013 continuing medical education for physicians. NO CONFERENCE

Torrance Memorial Medical Center designates this live activity for a April 17, 2013 maximum of 1 AMA PRA Category I creditTM. Physicians should claim “Globulin Blood Disorders Update” only the credit commensurate with the extent of their participation in the activity. Herbert Eradat, M.D. UCLA School of Medicine This credit may also be applied to the CMA Certification in Continuing Commercial Support: None Medical Education.

For up-to-the minute conference information call (310) 784-8776.

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Welcome New Practitioners on Staff David H. Cho, M.D. Susan B. Medlicott, R.N.F.A. Pain Management/Anesthesiology Registered Nurse, First Assistant 25550 Hawthorne Blvd, Ste. 210 Torrance Orthopaedic & Sports Medicine Grp. Torrance, CA 90505 23456 Hawthorne Blvd. Ste. 300 Phone: (310) 294-9002 Torrance, CA 90505 Fax: (310) 294-9777 Phone: (310) 316-6190 Fax: (310) 540-7362

Kenneth E. Follmar III, M.D. Adam M. Weitzman, M.D. Pediatrics Pain Management 1294 W. 6th St., Ste. 102 2573-B Pacific Coast Hwy San Pedro, CA 90732 Torrance, CA 90505 Phone: (310) 832-6487 Phone: (310) 997-1796 Fax: (310) 832-6913 Fax: (310) 997-1798

Andy Huang, M.D. The Medical Staff Newsletter Progress Notes is published monthly Reproductive Endocrinology for the Medical Staff of Torrance Memorial Medical Center. Reproductive Partners Medical Group 240 S. La Cienega Blvd., Ste. 350 Thomas G. Simko, M.D. Beverly Hills, CA 90211 Chief of Staff Phone: (310) 855-2229 Robin S. Camrin, CPMSM, CPCS Fax: (310) 206-7186 Vice President, Medical Staff Services & Performance Improvement Physician Roster Updates Nalini S. Brahmbhatt, M.D. Octavio Gonzalez, M.D. Khanh L. Nguyen, M.D. Shibani Patell, M.D. Orthopedic Surgical Specialists Real Time Neuromonitoring Assoc. Bhupala Raghavender, M.D. 23600 Telo Ave., Ste. 180 3004 B. Poston Ave. Jayshree N. Rao, M.D. Torrance, CA 90505 Nashville, TN 37203 Jerry B. Schwartz, M.D. (310) 257-1500 Phone: (615) 346-8182 TMMC—Neonatology Group (310) 257-1508 Fax: (615) 823-8951 3330 Lomita Blvd.– Neonatology Torrance, CA 90505 Hakimeh B. Kadivar, M.D. Sunmin Park, M.D. Phone: (310) 517-4663 3440 Lomita Blvd., Ste. 242 2727 W. Olympic Blvd., Ste. 313 Fax: (310) 784-8722 Torrance, CA 90505 Los Angeles, CA 90006 Phone: (310) 517-8690 Phone: (213) 736-0010 David Chan, M.D. Fax: (310) 534-2889 Fax: (213) 736-0020

Vanessa L. Dickey, M.D. Hugo Hool, M.D. Chong U. Kim, M.D. 23430 Hawthorne Blvd., Ste. 325 Hilda E. Rodriguez, M.D. Andrew G. Horodner, M.D. 3440 Lomita Blvd., Ste. 202 Syed M. Jilani, M.D. Torrance, CA 90505 Phone: (310) 373-1220 Torrance, CA 90505 Thomas E. Lowe, M.D. Phone: (310) 325-9400 Cancer Care Associates Medical Group, Inc. Fax: (310) 373-1253 Fax: (310) 325-9405 514 N. Prospect Ave—4th Floor Joseph F. Lopez, M.D. Redondo Beach, CA 90277 3475 Torrance Blvd., Ste. D Julie P. Sim, M.D. Phone: (310) 750-3300 Torrance, CA 90503 3275 Skypark Dr., Ste. A Fax: (310) 379-0437 Torrance, CA 90505 Phone: (310) 540-6032 Eric M. Cheung, D.O. Fax: (310) 543-8743 Phone: (310) 517-4709 Fax: (310) 784-6344 Richy Agajanian, M.D. James C. Matchison, M.D The Oncology Institute of Hope & Innovation 2841 Lomita Blvd., Ste. 235 4305 Torrance Blvd., Ste. 109 Torrance, CA 90505 Torrance, CA 90503 Phone: (310) 517-8950 Phone: (562) 869-1201 Fax: (310) 326-6054 Fax: (562) 869-1281

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Medical Staff Services

3330 Lomita Boulevard Torrance, CA 90505 Phone: (310) 517-4616 Fax: (310) 784-8777 www.TorranceMemorial.org

Mailing Label

ProgressNotes Vol. 5 Issue 4 April 2013

MONTHLY MEDICAL STAFF NEWSLETTER ProgressNotes TORRANCE MEMORIAL MEDICAL CENTER