Medical Staff
Swedish/Edmonds VitalSigns
this issue P.1
Wound Healing Clinic
Opening
Two EDs Recognized With
Nurse Lantern Award
P.2
Improved Performance
Measures Worthy of
Comment
Swedish CME Events
P.3
Obstructive Sleep Apnea
Program Returns
New Hospital Parking
Garage Opens
CDIP Report
P.4
Physicians Recognized as
Top Docs
New Foundation Staff
Member
P.5
New Swedish Insulin - SC
Basal Bolus Correctional -
Adult
Create Your Swedish Web
Profile
P.6
Patient Satisfaction Survey
Comments
What are Patients Saying?
P. 7
New Parking Garage,
Lantern Award cont.
P. 8
Welcome New Physicians
69 July 2014
Two Swedish Emergency Departments Recognized With Nurse Lantern Award The Emergency Department (ED) nursing
teams at Swedish/Edmonds and Swedish/
Ballard are among only 17 ED teams
nationwide to be honored with the
Emergency Nurse Association (ENA) 2014
Lantern Award. The Lantern Award
recognizes an ED’s commitment to quality,
safety, a healthy work environment and
innovation in nursing practice and
emergency care. Achievement of the
Lantern Award indicates that an ED
exemplifies outstanding and exemplary
performance in the core areas of leadership,
practice, education, advocacy and research.
“The Lantern Award is a result of
tremendous hard work and dedication by the
ED caregivers to serve the medical needs of
our community,” says David Jaffe, chief
executive at Swedish/Edmonds. “I’m so very
proud of the ED nursing staff, who in
collaboration with all physicians, technicians,
laboratory and imaging staff, for their
ongoing ability to make great strides in the
delivery of the highest quality care.”
The Edmonds ED nursing team has focused
recent initiatives on reducing the time
patients spend in the ED as well as
contacting ED patients after discharge to
follow up on their care. Also credited with
working closely to collaborate on improving
ED care are physicians, technicians,
laboratory and imaging staff.
“This award reflects the diligence of our
nurses, physicians, physician assistants,
technicians, social workers and ancillary
staff to improve the care our patients
receive,” says Heather Gutierrez, clinical
nurse manager of the Swedish/Edmonds
ED. “We have transformed this ED on many
levels over the past several years and our
hard work is now nationally recognized.”
In addition to Swedish/Edmonds, the Ballard
ED nursing team is also a recipient of the
Lantern Award.
"Our campus and the community
surrounding Swedish/Ballard are truly thrilled
Wound Healing Clinic Opening
Celeste Sather, Sarah Zabel, David Jaffe, Beth
Mueller, Darren Mazza, Tony Armada and Peter
Ro, M.D., celebrate the opening of the new
Swedish/Edmonds Center for Wound Healing &
Hyperbarics at Kruger Clinic. The clinic moved to
Kruger Clinic, 21600 Highway 99, suite 150, in May.
The new location offers more space and enhanced
accessibility for patients.
Please see Lantern Award on page 7 inside
2
All staff at Swedish/Edmonds work
diligently to continuously improve the
quality of the care we deliver to our
patients. Everyone in the institution,
from housekeeping to specialty
physicians, from bedside nurses to
the executive administrative team,
focuses daily on steps we can take
to bring the best medical science
and compassionate care to each
and every patient that comes
through our doors. And while
medicine is very much a human
endeavor and perfection is the
ultimate goal, improving in
performance measures along the
road is a gratifying affirmation of our
achievements to date.
The Medicare program, under the
umbrella of the Centers for Medicare
and Medicaid Services and the legal
framework of the Affordable Care
Act, now compiles and reports
publicly many measures of the
health care delivered in hospitals
around the country. Recent results
regarding Swedish/Edmonds are
worthy of comment.
First, according to Medicare’s
Hospital Specific Report, May 2014 -
Medicare Spending Per Beneficiary,
which compares what our facility
actually costs to deliver services for
specific diagnoses and patients to
other hospitals in Washington and
around the country, our bottom line
number is 0.95 for 2013. This means
we spent significantly less per dollar
average cost compared to American
hospitals as a whole. This number in
fact places us in the top third of
hospitals nationally for efficiency.
Second, our readmission rate is 15.6
percent for 2013, down from 17.3
percent in 2010 and significantly
below the state (15.9 percent) and
national (18.16 percent) averages
according to the Hospital
Performance Report: Medicare Fee
for Service 30-day Readmissions
Report. We are arguably doing
superior work in integrating patients
with community resources at the
time of discharge; improving patient
well-being by providing durable
results.
Third, a recent comparison of
hospitals in the Seattle metropolitan
area by "hospital acquired
conditions," meaning harms
experienced by patients during their
stay, ranks Swedish/Edmonds in the
top quartile of 22 citywide facilities.
The measure includes catheter
related infections, falls, bedsores
and other potentially preventable
injuries and is a reflection of the care
we take and the emphasis we place
on patient safety by all hospital staff.
Our goal at Swedish/Edmonds is to
be the best community hospital in
Washington state. We are well on
the road to providing an exceptional
level of medical service and care to
the residents of south Snohomish
County with superior, measurable
improvements in efficiency, safety
and the successful integration of
care after discharge.
Bruce Williams, M.D.
Improved Performance Measures Worthy of Comment By: Bruce Williams M.D., chair, Quality Council
Swedish CME Events
Below are upcoming Swedish CME activities. Please visit www.swedish.org/cme
for locations, times and the most up-to-date information about upcoming CME
activities.
4th Annual Intensive Update in Neurology
Thursday and Friday, Sept. 11-12
TeleHealth: Improving Access to Health Care
Friday, Sept. 19
18th Annual Pain Management Symposium: Be an Einstein – Use the Brain
to Treat Pain
Friday, Sept. 26
Medical Ethics Conference Series for Health-Care Providers
4th Wednesdays, broadcast to the 4th Floor Conference Room at Swedish/
Edmonds
4
3
We are pleased to announce the
return of the Obstructive Sleep
Apnea (OSA) management program
at Swedish/Edmonds. As a first step
in reintroducing the OSA program,
nursing has already begun
screening any patient placed in a
bed, inpatients as well as
outpatients, for “known sleep apnea”
or “at higher risk of sleep apnea”
using the hospital’s former STOP-
BAG criteria. Providers may have
already noticed the yellow OSA
banners that appear in Epic on
some patients. This means the
patient was identified as having
known sleep apnea or screened
positive for being at higher risk for
OSA.
When the program is live July 21
and the yellow banner designation
appears on a patient’s Epic record,
physicians/providers will be
responsible for initiating the OSA
protocol by placing a stand-alone
order which activates the protocol
for staff to begin OSA monitoring
and care.
As part of the protocol, patients will
also receive OSA educational
materials at discharge and
instructions to follow up with their
primary care physician to discuss
whether a referral for a sleep study
is appropriate for them.
We look forward to once again
improving the care delivered to this
population of at risk patients.
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.
Obstructive Sleep Apnea Program Returns
Total Reviews: 343
Total Clarifications: 39
Response Rate: 77%
Physician Agree Rate: 59%
May’s Top 5 Clarifications:
1. Acute kidney failure
2. Hyponatremia
3. Malnutrition
4. Acute blood loss anemia
5. Sepsis
Total Case Mix Index for Medicare and Managed Medicare: 1.6507
Clinical Documentation Integrity Program (CDIP) Report: May
New Hospital Parking Garage Opens The first phase of the Swedish/
Edmonds expansion project,
construction of a new parking
garage, is complete. In celebration, a
ribbon-cutting ceremony for the new
garage was held on June 27.
Following the ribbon cutting, the
mayor of Edmonds, Dave Earling,
was the first driver to officially park a
vehicle in the new structure. The
parking garage is now open for use
by Swedish/Edmonds caregivers and
the community.
The garage provides free parking for
more than 360 vehicles and includes
added security features such as
security cameras and assistance
buttons. Providers and staff may also
request an escort from Swedish/
Edmonds security to and from the
garage.
Looking ahead to the next phase of
the hospital expansion project, a
ground-breaking ceremony will be
held in September for the new
ambulatory center which will include
an emergency department (ED),
urgent care center, outpatient
diagnostic imaging center, spacious
public lobby and more. But not
everything being planned for the
project is new. In fact, a feature has
been identified that’s been around
millions of years.
Please see New Parking Garage on page 7 inside
4
The results of Seattle magazine’s
14th annual “Top Doctors” survey
are published in the July issue, now
available on newsstands. As in
years past, several Swedish-
affiliated (or credentialed) physicians
are recognized in the popular issue
because they were nominated by
their peers. Congratulations to the
following physicians:
Amir Bastawrous
Andrew Ting
Angeli Mayadev
Arpan Waghray
Brenna Born
Brian Louie
Claire Buchanan
Clark Coler
Dan S. Veljovich
David Ege
David Luthy
Drew Schembre
Ednea Simon
Elizabeth Meade
Eric Vallieres
Erin Ellis
Fran Broyles
Gad Kletter
Gregory Rudolf
Hank Kaplan
James Harding
James Willems
Jay Parikh
Jim Walsh
Joel Wassermann
John Wynn
John Joseph Brandabur
Joseph Teply
Kathleen Moen
Kristine Rinn
Laurie Fouser
Lily Jung Henson
Lina Fine
Michelle Sinnett
Neil Siecke
Pamela Paley
Per Danielsson
Philip Gold
Ralph Aye
Rebecca Duke
Richard Lindquist
Robert Weinsheimer
Ross McMahon
Sameer Gopalani
Sarah Bork
Sean Lawler
Steven Han
Tanmeet Sethi
Tracy Johannsen
Vivek Mehta
* Bolded names are those of Swedish/Edmonds physicians.
New Foundation
Staff Member for
Swedish/Edmonds Maggie Keelan joined the Swedish
Foundation team on May 19 as the
major gifts officer for Swedish/
Edmonds. In this role, Maggie will work
closely with Swedish/Edmonds chief
executive David Jaffe to secure gifts
for the hospital’s expansion project and
to build community support for the
hospital. Maggie was most recently the
director of annual giving at Seattle
University where she raised $2.4
million annually from alumni and
friends of the university. Maggie is also
a professional harpist. For information
on giving, contact Maggie at
[email protected] or call
206- 386-2751.
Swedish and Swedish/Edmonds Physicians Recognized
as Top Docs in Seattle Magazine
Maggie Keelan
4
5
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.
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.
This updated “best practice” order
set has been in use at First Hill
(excluding obstetrics) since January
and was formally introduced system
wide on June 17. The order set
replaces existing subcutaneous
insulin order sets in Epic, both basal
bolus and sliding scale, with few
exceptions.
Three “IV insulin” order sets,
including two transitional order sets,
were also created by the Glycemic
Control Project team and have been
piloted and fine-tuned at First Hill
since January. These order sets will
be rolled out to other campuses later
in the year.
The new order sets are not meant to
be further customized.
Save time, save to your favorites
Open Order Sets from any
Navigator or from Manage Orders
and do the following:
1. Type Swedish Insulin in
search box, then select
Swedish Insulin – SC Basal
Bolus Correctional – Adult.
2. Right-click on the order set title.
3. Select Add to Favorites.
To remove any prior saved sets from
your favorites:
1. Right click on the set title
2. Select Remove from Favorites
What’s new in the Swedish basal
bolus correctional order set?
The updated basal bolus insulin
order set, when completed as
written, provides a more
individualized approach to
glycemic management for each
patient.
The term “correctional”
replaces the term “sliding
scale.” Insulin used to correct
BG in the moment vs. being
given proactively before a meal
(nutritional)
R.N.s will be able to give
nutritional insulin up to an hour
after a patient has eaten
R.N.s will be able to choose
between giving half of
prescribed nutritional dose or
full amount, depending on a
patient’s appetite or intake
(how much they’ve eaten or are
anticipated to eat)
HS glucose checks
(approximately 9 p.m.) for all
patients. Those given
correctional insulin at bedtime
will need a 3 a.m. check.
Inform the patient ahead of time
of the need for a 3 a.m. check
to make sure their blood sugar
stays in a safe range during the
night.
Please contact Fran Broyles, M.D.,
Endocrinology, at
[email protected]; Beth
Ann Reimel, Surgery, at
Clark Coler, Hospital Medicine, at
questions or concerns.
New Swedish Insulin - SC Basal Bolus Correctional - Adult
6
Adam Balkany, D.O.
Swedish Edmonds Specialty Clinic
Anand Patani, M.D.
Swedish Internal Medicine at
Edmonds
Anny Soon, M.D.
Swedish Internal Medicine at
Edmonds
Aric Christal, M.D.
Edmonds Orthopedic Center
Bich-Khanh Nguyen, M.D.
Swedish Internal Medicine at
Edmonds
Catherine Rogers, M.D.
Sound Women’s Care
Irina Zigelboym, D.O.
Hospitalist
Jeremy Hammel, M.D.
Emergency Services
John Maldazys, M.D.
Sound Urological Associates
Keith Luther, M.D.
Swedish Internal Medicine at
Edmonds
Kurt Harmon, M.D.
Surgical Associates of Edmonds
Linda Strong, M.D.
Swedish Internal Medicine at
Edmonds
Parul Sharma, D.O.
Premier Orthopedic Group
Peter Ro, M.D.
Center for Wound Healing &
Hyperbarics
Richard McCLelland, M.D.
Emergency Services
Swastik Sinha, M.D.
Western Washington Medical Group
Thomas Jurich, M.D.
Surgical Associates of Edmonds
Zerin Rahman, M.D.
Hospitalist
Congratulations… These physicians were mentioned by name in the April Press Ganey Patient
Satisfaction Surveys and complimented for their great work.
Intensive Care
“Dr. Youssef saved my life. It can't
get better than that!”
Childbirth Center
“We loved Dr. Moe!”
Progressive Care
“I had all the trust in my physicians
and they really listened to me. Great
team.”
9-West
“The nurses and doctors on 9 -West
cared for me and supported me
through two serious hyper
inflammatory immune responses to
antidepressants. They talked with
me at night to encourage me to try a
third with success. I will never forget
all the staff and doctors on 9-West.
They are kind, compassionate and
caring. They saved my life.”
Emergency Department
“Dr. Chow called us from his home
the day after we came in for
treatment to follow up!”
Patient says the entire staff from the
front of the ER to the back was
fantastic. Patient offered a special
thank you to Dr. Chow because the
patient appreciated how he
explained everything before he did it.
Day Surgery
“I had the best team. My surgeon is
awesome. I love Dr. Pham. So
honest and up front with all my
surgeries.”
Outpatient
“Dr. Althouse sent me to Swedish/Edmonds for an electrocardiogram. Dr. Althouse is the greatest doctor. I really like him.” 5-West
“Dr. Min is an excellent doctor.”
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.
7
New Medical Staff (continued from page 8) Name Group Specialty
Jennie M. Allen, M.D. Pediatrix Cardiology of Washington Pediatric Cardiology
Jordan W. Greenberg, M.D. Swedish Pediatric Intensivists Pediatric Critical Care Medicine
Karen M. Stone, M.D. Radia Inc. Radiology
Matthew N. Ashbach, M.D. WWMG Otolaryngology and Audiology
Otolaryngology/Otorhinolaryngology
Michael C. Shannon, M.D. Swedish Pediatric Specialist Anesthesiology
Pediatric Critical Care Medicine
Richard D. Kim, M.D. Swedish Critical Care Critical Care
Sandeep Sachdeva, M.D. Swedish Hospital Medicine Internal Medicine
Warren L. Dinges, M.D. Polyclinic Madison Center Infectious Disease
Jennifer S. Kicker, M.D. Swedish Pediatric Specialist Anesthesiology
Pediatric Critical Care Medicine
Jerry D. McLaughlin, M.D. Swedish Pediatric Intensivists Pediatric Critical Care Medicine
Johnny W. Sun, M.D. Swedish Pediatric Hospitalists Pediatrics
New Parking Garage (continued from page 3) Just along the Swedish/Edmonds
walk path, about 200 feet south of
the ED ambulance bay, sits a 10-ton
rock that a geologist has determined
was formed between 150 and 200
million years ago. The rock was
transported from Fidalgo Island to its
current location during the glacial ice
flow period. The new hospital
expansion architecture will have a
glacial theme and there’s a
possibility the rock will be moved and
displayed outside what will be the
hospital’s new entrance. Signage will
explain to hospital visitors the history
of the rock including where it came
from and how it
was relocated.
The rock will be
a great
aesthetic and
historic feature
for the new
hospital
addition.
A ribbon-cutting ceremony opens the new Swedish/Edmonds three-story parking garage on June 27. Cutting the ribbon are David Jaffe, chief executive at Swedish/Edmonds, Michelle Sinnett, M.D. and Carl Zapora, superintendent at Verdant Health Commission. Inset: security cameras and assistance intercoms are available throughout the new garage as added security features.
Lantern Award (continued from page 1) that our emergency department has
been honored with the 2014 Lantern
Award,” says Jennifer Graves, chief
executive at Swedish/Ballard. “Our
visionary manager and nursing staff
have consistently sought to raise the
bar and achieve the highest levels of
professional practice, and through a
relentless focus on continuous
improvement, they have demonstrated
exceptional care, quality and safety. As
a nurse, I feel blessed to work beside
this group of colleagues, and am
particularly grateful to our ED Shared
Leadership team who dedicated a
significant amount of time and energy to
telling our story of success through the
Lantern application process."
A formal awards gala to honor ENA
award winners, including Lantern Award
recipients, will be held at the ENA
annual conference in Indianapolis on
Saturday, Oct. 11.
21601 - 76th Avenue West, Edmonds, WA 98026
Vital Signs Issue 69 July 2014
Newsletter Access Vital Signs is available on
our website. Visit the
Medical Staff section swedish.org\EdmondsMedicalStaff
and select Physicians Links &
Resources from the menu on
the left.
Contributions
Any medical staff member
with an article or item for the
newsletter should contact
Amy Morrow, marketing
copywriter, at
the 1st of the month.
To Admit a Patient to Swedish/Edmonds, Call 425-640-4444 For Medical Staff information on the web, visit:
www.swedish.org/EdmondsMedicalStaff
WELCOME New Swedish/Edmonds Medical Staff
Name Group Specialty
Andre Fallot, M.D. Swedish Pediatric Intensivists Pediatric Critical Care Medicine
Anna B. Berry, M.D. Cellnetix Pathology, Seattle Pathology
Dinesh Thekke-Karumathil, M.D. Swedish Pediatric Hospitalists Pediatrics
Elizabeth H. Meade, M.D. Swedish Pediatric Hospitalists Pediatrics
Farah L. Cassis-Ghavami, M.D. Swedish Pediatric Specialty/First Hill Pediatric Infectious Diseases
Izabel R. Belem, M.D. Swedish Pediatric Specialist Anesthesiology
Pediatric Critical Care Medicine
Anne Nguyen-Vermillion, M.D. Pediatrix Medical Group Pediatrics
Barbara Z. Harper, M.D. Swedish Residential Care Team Internal Medicine
Please see New Medical Staff on page 7 inside