ProgressNotes. Happy New Year. this issue TORRANCE MEMORIAL MEDICAL CENTER

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1 VOLUME 4 ISSUE 1 JANUARY 2012 ProgressNotes MONTHLY MEDICAL STAFF NEWSLETTER TORRANCE MEMORIAL MEDICAL CENTER this issue Medical Staff Leadership P.1 For Your Information P.2 Medical Staff Calendar P.3 New Providers P.4 MEC Approvals P.5-7 Torrance memorial medical center 2012 Medical Staff Leadership Chief of Staff Thomas Simko, M.D. Radiation Oncology Years on Staff: 32 Vice-Chief of Staff Eric N. Milefchik, M.D. Infectious Diseases Years on Staff: 17 Members at Large Secretary/Treasurer Vinh T. Cam, M.D. Nephrology Years on Staff: 6 Happy New Year George D. Haas, M.D. Family Practice Years on Staff: 20 David P. Kobayashi, M.D. Franklin D. Pratt, M.D. Garrett S. Matsunaga, M.D. Urology Years on Staff: 5 Clinical Department Chiefs Anesthesiology Emergency Medicine Benjamin Rosin, M.D. Interventional Cardiology Years on Staff: 38 Daniel E. Harvey, M.D. Family Medicine David W. Berman, M.D. Pediatrics Tonny M. Lee, M.D. Medicine Melanie Friedlander, M.D. Ricardo E. Huete, M.D. John D. Blakey, M.D. George J. So, M.D. Surgery OB/GYN Pathology Radiology

2 Torrance Memorial Earns Magnet Recognition Holiday Festival Holiday Festival Brings in $14.5 Million for New Patient Tower The 28th annual Holiday Festival raised a record $14.5 million toward construction of the hospital s new $450 million patient tower. More than 5,000 community members enjoyed the six-day event. At Friday evening s Gala Dinner Torrance Memorial announced the largest collective donation in the history of the hospital, a $13.5 million gift. Donald and Priscilla Hunt of Manhattan Beach provided a gift of $11.5 million as a thank you to the hospital for its dedication to caring for the community. In recognition of the gift, the Donald and Priscilla Hunt Cancer Institute and the Donald and Priscilla Hunt Nuclear Medicine Center will be named and housed within the new patient tower upon its completion in The hospital s 850-member volunteer group, the Auxiliary, announced a separate $1 million multiyear pledge, the largest gift from this group in its 60-year history. The gift will be allocated toward the Healing garden in the new main tower. Longtime hospital supporters Melanie and Richard Lundquist made a matching $1 million gift as honorary co-chairs of the $200 million main tower capital fundraising campaign in the hopes of inspiring the generosity of others. On the heels of these announcements, an additional $436,700 was raised through a live auction. Auction highlights included the heartwarming Gifts from the Heart opportunity for guest to come forward with donations starting at $1,000. As the excitement grew, Ralph and Sigrid Allman of Ranch Palos Verdes and the Graziadio Foundation each came forward with a donation of $100,000. Sam and Rose Feng of Manhattan Beach contributed $50,000. As a bonus to the week s festivities, Toyota Motor Sales, USA, Inc., donated a Lexus CT 200h as the Opportunity Drawing Grand Prize, with an estimated value of $35,000. Alfredo Robillos, the father of Lana Kubota from Health Information Management, purchased the winning raffle ticket. 2 The American Nurses Credentialing Center (ANCC) has awarded Magnet Recognition to Torrance Memorial Medical Center, making it the first hospital in the South Bay to receive this designation which measures nursing care quality. ANCC delivered the news on Wednesday afternoon during a conference call in the West Tower lobby to a crowed fo several hundred Torrance Memorial employees wearing Magnet red shirts and waving pom poms. As a representative from ANCC broke the news to Peggy Berwald, R.N., senior vice president, Patient Services/CNO via speaker phone, the crowd burst into cheers and applause. A magnet hospital is a facility that has embarked on an extensive review oand systematic evaluation by ANCC. Magnet hospitals must meet stringent quantitative and qualitative standards that define the highest quality of nursing practice and patient care. During the conference call, Torrance Memorial was praised for its transformational leadership by the Chief of Nursing Officeer and its ability to influence change through its Shared Decision Making structure. It was also recognized for development of its quality care model. Torrance Memorial is one of only 26 hospitals to achieve the prestigious designation in the state and among 6 percent of hospitals worldwide. New White Boards in Patient Rooms Torrance Memorial will be installing new patient white boards in patient rooms. The boards will be used as a communication tool between the patient, family and care team. Information on the board will be updated by the nurse at the beginning of each shift and as needed based on updates to the patients plan of care. The admitting nurse will orient the patient and family on the white board and its use. On a daily basis the nurse will update and review the information on the board with the patient and/or patient designated primary family member. The information on the white board will be written in non-medical, easy to understand language and will include the current date and day, contact names and phone numbers of the care team, individualized focused plan of care including pain management, activity and diet, discharge goals and anticipated discharge date. All information will comply with HIPPA regulations and will not include the patients diagnosis, identifiers or sensitive health information. The patient has the right to refuse having their information displayed on the white board.

3 Torrance Memorial Medical Center Medical Staff Calendar January Monday Tuesday Wednesday Thursday Friday :00a TCU..WT-C 7:00a CV Review Conference.WT-D 7:00a Breast Tumor Board..WT-Aud 7:30a Tumor Board...WT-Aud :30p Cardiology..HCC-3 12:30p Credentials..WT-C 5:00p Professional Relations..WT-C 6:00p MEC...WT-D 7:00a Anesthesia Dept.WT-Aud 7:00a CV Review Conference.WT-D 8:00a Endocrinology..WT-B 12:30p CME Conference..HCC 1&2 7:00a Breast Tumor Board..WT-Aud 7:30a Tumor Board...WT-Aud 12:30p Critical Care.WT-C 12:30p Pediatric Subcommittee/ Pediatric PI..WT-Aud 12:30p Vascular Surgery WT-D 7:30a IRB...WT-D 8:00a Oncology.WT-Aud 12:30p Ophthalmology...WT-C :00a Cardiothoracic.WT-C 12:00p Burn & Wound.WT-C 7:00a Pract. Well Being...WT-C 12:30p Medicine Dept.WT-Aud 7:00a CV Review Conference.WT-D 12:30p CME Conference..HCC 1&2 7:00a Breast Tumor Board..WT-Aud 7:30a Tumor Board...WT-Aud 9:00a Emergency Dept.WT-D 12:30p Pediatric Dept.WT-Aud 7:00a Surgery Advisory.WT-D :30p Stroke Committee..WT-D 4:00p Bariatric Surgery.WT-C 8:00a TCU.WT-C 12:30p OB/GYN Dept.WT-Aud 12:30p Utilization Mgmt..WT-D 7:00a CV Review Conference.WT-D 12:30p Bioethics..WT-B 7:00a Breast Tumor Board..WT-Aud 7:30a Family Practice Dept..WT-B 7:30a Tumor Board...WT-Aud 12:30p Credentials..WT-C 7:00a General Surgery..WT-C CME CONFERENCES Wednesdays, 12:30 pm Health Conference Center Torrance Memorial Medical Center is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CME) to provide continuing medical education for physicians. Torrance Memorial Medical Center takes responsibility for the content, quality, and scientific integrity of this CME activity. Torrance Memorial Medical Center designates this live activity for a maximum of 1 AMA PRA Category I credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This credit may also be applied to the CME Certification in Continuing Medical Education. For up-to-the minute conference information call (310) January 4, 2012 NO CONFERENCE January 11, 2012 Basic Current Concepts in Immunology Maureen McMahon, M.D. UCLA School of Medicine Commercial Support: None January 18, 2012 Clinical Use of Hematopoietic Stem Cells: Today & in the Future Mary Territo, M.D. UCLA School of Medicine Commercial Support: None January 25, 2012 NO CONFERENCE February 1, 2012 Autism Kathleen McKenna, M.D. Harbor-UCLA Medical Center Commercial Support: None February 8, 2012 Evolution of Congestive Heart Failure Treatment Michael Bowdish, M.D. USC School of Medicine Commercial Support: None 3

4 Welcome New Providers on Staff Kartik Ananth, M.D. Pain Management/Psychiatry 3400 Lomita Blvd., Ste.301 Torrance, CA Phone: (310) Fax: (310) Photo not available John W. Pagliano, D.P.M. Podiatry West Torrance Podiatrists Group, Inc W. Lomita Blvd., Ste. 403 Torrance, CA Phone: (310) Fax: (310) Veronique H. Jotterand, M.D. Pediatric Ophthalmology 2865 Atlantic Ave., Ste. 109 Long Beach, CA Phone: (562) Fax: (562) Physician Roster Updates The Medical Staff Newsletter Progress Notes is published monthly for the Medical Staff of Torrance Memorial Medical Center. Thomas G. Simko, M.D. Chief of Staff Robin S. Camrin, CPMSM, CPCS Vice President, Medical Staff Services & Performance Improvement Change of Address Joachim Granzow, M.D. Plastic Surgery Aviation Blvd., Ste. 210 Manhattan Beach, CA Phone: (310) Fax: (310) John C. Lim, M.D. OB/GYN 3465 Torrance Blvd., Ste. S Torrance, CA Phone: (310) Fax: (310) Francine Ito, M.D. OB/GYN 3465 Torrance Blvd., Ste S Torrance, CA Phone: (310) Fax: (310) Timothy Hunt, M.D. Orthopedics Fax: (310) Jane Semel, M.D. Ophthalmology Fax: (310) Resignations Avnit Golten, M.D. Pediatric Cardiology Karen Rhee, M.D. Internal Medicine Deceased Richard Hoffman, M.D. Radiology 4

5 Medical Executive Committee Approvals The following items were presented and actions were approved at the December 13, 2011 Medical Executive Committee meeting: Treasurer s Report A. October 2011 Treasurer s Report Anesthesia Department Clinical Privilege Application Card for Department of Anesthesiology Clinical Privilege Application Card for Department of Anesthesiology Pain Management Emergency Department Clinical Privilege Application Card for Department of Emergency Medicine Family Practice Department Clinical Privilege Application Card for Department of Family Practice Family Medicine Medicine Department A. Revised Clinical Privilege Application Card for Department of Medicine Neurology Revisions Proctoring: With the review of the Chief, Department of Medicine or his/her designee, review of 2 (two) office based #47.52 Electromyography (EMG) may be accepted to meet the proctoring requirements for that procedure. At least 1 (one) EMG case must be proctored in the hospital setting Electroencephalogram (EEG) studies # of cases required Initial Appointment: Deletion of privilege Electromyography (EMG) B. Revised Practice Prerogative Application Card for Allied Health Professional Clinical Psychology Revisions Licensure: Applicants are required to have current license from the California Board of Psychology Training: Successful completion of an accredited training program in psychology. Recognized accreditations are: American Psychological Association (APA) or Canadian Psychological Association (CPA) or listing in the National Register of Health Service Providers in Psychology. Experience: Applicants are required to have current license and doctoral degree in clinical psychology with written documentation (verified) of successful completion of (1) year or (1500 hours) of recent (past two years) supervised clinical training or experience in a multi-disciplinary inpatient health care setting or hospital or licensed community clinic Clinical Psychology Privileges # of cases required Initial Appointment: see qualifications experience as noted above Psychology Privileges for Outpatient Chemical Dependency: Practice prerogative include psychological evaluation with chemical dependency history as well as recommendations for chemical dependency treatment; and psychotherapy focused on chemical dependency issues and treatment. Qualifications: 1 year1,500 hours of verifiable supervised training or experience in a structured chemical dependency program. AND APA Certification as follows: Certificate of Proficiency in the Treatment of Alcohol and Other Psychoactive Substance Use Disorders # of cases required Initial Appointment: 1,500 hours of training see qualifications experience as noted above Deletion of: Signature of Chair, Psychiatry Subcommittee C. The following language has been added to the noted privilege cards: Clinical Privilege Application Card for Department of Medicine Allergy and Immunology Clinical Privilege Application Card for Department of Medicine Cardiovascular Disease/Cardiology Clinical Privilege Application Card for Department of Medicine Dermatology 5

6 Medical Executive Committee Approvals The following items were presented and actions were approved at the December 13, 2011 Medical Executive Committee meeting: 6 Medicine Department (Continued) C. The following language has been added to the noted privilege cards: (Continued) Clinical Privilege Application Card for Department of Medicine Endocrinology, Diabetes, and Metabolism Clinical Privilege Application Card for Department of Medicine Endovascular Privileges Clinical Privilege Application Card for Department of Medicine Gastroenterology and Endoscopy Clinical Privilege Application Card for Department of Medicine Hematology/Medical Oncology Clinical Privilege Application Card for Department of Medicine Infectious Disease Clinical Privilege Application Card for Department of Medicine Internal Medicine Clinical Privilege Application Card for Department of Medicine Intensive Care Privileges Clinical Privilege Application Card for Department of Medicine Nephrology Clinical Privilege Application Card for Department of Medicine Neurology Clinical Privilege Application Card for Department of Medicine Physical Medicine and Rehabilitation Clinical Privilege Application Card for Department of Medicine Psychiatry Clinical Privilege Application Card for Department of Medicine Pulmonary Disease Clinical Privilege Application Card for Department of Medicine Radiation Oncology Clinical Privilege Application Card for Department of Medicine Rheumatology Clinical Privilege Application Card for Department of Medicine Sleep Medicine Practice Prerogative Application Card for Allied Health Professional Clinical Psychology Practice Prerogative Application Card for Allied Health Professional Nurse Practitioner (NP) Heart Failure Obstetrics and Gynecology Department Clinical Privilege Application Card for Department of OB/GYN Obstetrics and Gynecology Clinical Privilege Application Card for Department of OB/GYN Reproductive Endocrinology and Infertility Clinical Privilege Application Card for Department of OB/GYN Gynecologic Oncology Clinical Privilege Application Card for Department of OB/GYN Perinatology B. Revised Clinical Privilege Application Card for Department of OB/GYN Obstetrics and Gynecology Revisions 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 or the gynecological or genitourinary system and nonsurgical treatment of illness. Cervical conization, diagnostic hysterectomy, hysteroscopy, hysteroscopic tubal occlusion, laparoscopic tubal Proctoring Requirements: 2 (for new practitioner who requests only Minor Core and not Major Core) C. Revised Clinical Privilege Application Card for Department of OB/GYN Gynecologic Oncology Revisions Gynecologic Oncology Core Privileges to admit, evaluate, diagnose, provide consultation, perform history and physical exam and surgical and therapeutic treatment to women with malignant diseases, including carcinomas of the cervix, ovary and fallopian tubes, uterus, vulva, and vagina. Also included with this core set of privileges are cystoscopy, chemotherapy, radical hysterectomy, vulvectomy, and staging by lymphadenectomy, pelvic exenteration, and the performance of concomitant procedures on the bowel, urethra, and bladder as indicated. Privileges include radical pelvic and / or vulvar surgery*; bowel surgery with resection; reanastomosis; enterostomies; take down of reanastomosis / enterostomies; placement of venous access devices, including Hickman catheters; paracentesis; thoracentesis; ureteral resection and re-implantation; hernia repair associated with gynecologic procedure; and urinary diversion procedures including ileal conduit Pathology Department Clinical Privilege Application Card for Department of Pathology Pediatric Department Clinical Privilege Application Card for Department of Pediatrics General Pediatrics

7 Medical Executive Committee Approvals The following items were presented and actions were approved at the December 13, 2011 Medical Executive Committee meeting: Pediatrics Department (Continued) (Continued) Clinical Privilege Application Card for Department of Pediatrics Pediatric Cardiology Clinical Privilege Application Card for Department of Pediatrics Gastroenterology and Endoscopy Clinical Privilege Application Card for Department of Pediatrics Neonatal-Perinatal Medicine Radiology Department Clinical Privilege Application Card for Department of Radiology Surgery Department A. Recommendation to require Nerve Monitoring on all spine surgeries by a Medicare approved company B. The following language has been added to the noted privilege cards: Clinical Privilege Application Card for Department of Surgery Burn Unit Clinical Privilege Application Card for Department of Surgery Cardiothoracic Surgery Clinical Privilege Application Card for Department of Surgery Dentistry Clinical Privilege Application Card for Department of Surgery General Surgery Clinical Privilege Application Card for Department of Surgery Neurosurgery Clinical Privilege Application Card for Department of Surgery Oral and Maxillofacial Surgery Clinical Privilege Application Card for Department of Surgery Ophthalmology Clinical Privilege Application Card for Department of Surgery Orthopedic Surgery Clinical Privilege Application Card for Department of Surgery Pediatric Surgery Clinical Privilege Application Card for Department of Surgery Plastic and Reconstructive Surgery Clinical Privilege Application Card for Department of Surgery Podiatric Medicine and Surgery Clinical Privilege Application Card for Department of Surgery Urology Clinical Privilege Application Card for Department of Surgery Vascular Surgery Practice Prerogative Application for Allied Health Professional Nurse Practitioner (NP) Cardiothoracic Surgery Practice Prerogative Application for Allied Health Professional Physician Employed-Physician Assistant Operating Room Practice Prerogative Application for Allied Health Professional Physician Employed Non-Physician Surgical Assistant Operating Room Practice Prerogative Application for Allied Health Professional Physician Employed-R.N. First Assistant Operating Room Credentials Committee Approvals filed in Medical Staff Services please see Toni Woodard. Infection Control/P&T Committee A. Smart Infusion Pump, Oncology Library B. Adult IV Insulin Continuous Infusion Orders C. CRRT Policy/Procedure D. CRRT Order Set E. Formulary Review, Ofirmev (acetaminophen injection) F. Acute Coronary Syndrome/AMI Orders G. Activase t-pa Order Set H. Post t-pa Stroke Order Set I. Ischemic Stroke/TIA Orders J. Activase t-pa Order Inclusion/Exclusion Guidelines K. Pharmacy Renal Adjustment Guidelines, Adult L. Tote Box Changes M. Automatic Substitution List N. Revision, Formulary Interchange, Pharmacy Policy/Procedure O. Formulary Deletions P. Total Joint Replacement Post-Op Orders Q. Laminectomy/Discectomy/Fusion or Disc Replacement Post-Op Orders R. Policy/Procedure entitled, Environmental Services Institutional Review Board Approvals filed in Medical Staff Services please see Yumi Lee. Utilization Management Committee A. Recommendation to move septicemia as a focus topic of the Utilization Management Committee 7

8 Medical Staff Services 3330 Lomita Boulevard Torrance, CA Phone: (310) Fax: (310) Mailing Label ProgressNotes Vol. 4 Issue 1 January 2012 MONTHLY MEDICAL STAFF NEWSLETTER ProgressNotes TORRANCE MEMORIAL MEDICAL CENTER Torrance Memorial s Planned New Main Tower