April 2013, Volume 5, Issue 4
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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 conization, cervical amputation, colpotomy, vaginal hysterectomy*, abdominal hysterectomy, myomec- tomy, adnexal surger*, presacral neurectomy*, simple vulvectomy, uterine/vaginal suspension*, bladder (urinary) suspen- sion*, operative pelviscopy, hysterectomy, and dilation and curettage (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-oophorectomy, myomectomy), presacral neurectomy*, colposacropexy Proctoring Requirements: 1 (Operative Pelviscopy-Excludes tubal ligation, 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/endometrial ablation 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 4 Medical Staff Calendar Monday Tuesday Wednesday Thursday April 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 29 30 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.