I S S U E

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MONTHLY

MEDICAL

STAFF

NEWSLETTER ProgressNotesVOLUME 7

N o v e m b e r

License Renewal Processing Delay

2 0 1 5

In This Issue License Renewal Processing Delay...P 1

C Diff Power Plan/Order Set………....P 2

Sedimentation Rate Testing Change………………..……………......P 3

Torrance Memorial Fire Safety & Codes…………………………………..P 4

Please Be Mindful of Pedestrians…...P 4

HIPAA Tip………….....………....….....P 5

Medical Executive Committee Approvals…………………….….…......P 6

General Medical Staff Meeting……....P 6

Cardiology Update 2016…..……........P 6

Medical Staff Calendar....………..…...P 7

New Practitioners on Staff..……..…...P 8-9

Physician Roster Updates…….....…..P 10

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Attention Renewing Licensees:

Avoid Unnecessary Delays in Your License Renewal The Department of Consumer Affairs (DCA) is scheduled to transition additional Boards and Bureaus to the new BreEZe online licensing and enforcement system in January 2016. The transition to the new system will require a temporary shutdown of all licensing processes for several business days, and could result in delays in processing initial license applications, license renewals, and changes such as name changes or changes of address. Individuals holding a professional license with December 2015 or January 2016 expiration dates who wish to renew their licenses are strongly encouraged to renew as early as possible, preferably before the end of November 2015. NOTE: You may receive this alert more than once if you are subscribed to multiple Medical Board of California Subscribers' lists.

C Diff Power Plan/Order Set

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IF YOU HAVE A PATIENT WITH C DIFF

PLEASE REMEMBER TO USE THE C DIFF

POWER PLAN/ORDER SET

Sedimentation Rate Testing Change

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October 7, 2015

 

   Dear Doctor:  I would like to inform you of a change in the sedimentation rate testing in our Hematology Laboratory.  Effective, October 13, 2015, all sedimentation rate assays will be performed by the AliFax® Roller 20 PN. This automated method uses stopped flow kinetic analysis with capillary photometry to measure the optical density of red blood cell aggregation.  The Roller 20PN provides several advantages over our current method, the modified westergren technique:

1. It requires less volume of whole blood. 2. It is not susceptible to the interfering substances which affected the modified

westergren method, i.e. plasma proteins, temperature, hematocrit, MCV results, and plasma viscosity.

3. The stability of the sample is 48 hours refrigerated.  The susceptibility of the modified westergren to interfering substances became very apparent during the validation of the Roller 20PN. Correlation bias testing percentages ranged from -22 to -6.4% for patient results. It is vital that we provide you with this information so that you can properly evaluate current and previous test results. There are no laboratory standards for comparative baseline testing for sedimentation rates.  There have been normal results generated on the Roller 20 for patients with multiple myeloma. The international guidelines for the diagnosis and management of multiple myeloma do not recommend sedimentation rate testing in this population. Sedimentation rate testing, if required, should be performed by a different sedimentation rate method.  Please note: Sedimentation rate results will now chart under “Sed Rate”. This may change where you review results on your EMR.  Sincerely,  

Michael Dunlap, M.D. Medical Director Hematology Laboratory

Torrance Memorial Fire Safety & Codes

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Dial 88 for ALL Codes

CODE RED

CODE BLUE

CODE PINK

CODE PURPLE

CODE ORANGE

CODE YELLOW

CODE GRAY

CODE GREEN

CODE SILVER

CODE TRIAGE

CODE WHITE

CODE TOXIC CLOUD

Fire

Cardiac/Respiratory Arrest

Infant Abduction (Newborn to 1 year of age)

Child Abduction (Over 1 year of age & under 14 years)

Hazardous Spill

Bomb Threat

Assaultive Behavior

Evacuation

Weapon

Internal or External Disaster

Pediatric Cardiopulmonary Arrest

Toxic Cloud

Fire Safety Procedures - RACE Rescue patients in endangered fire area. Alarm: Use the nearest fire alarm pull station. Dial 88 to report more information. Contain the fire and smoke by closing all windows and doors. Evacuate the impacted area. Locate the fire alarm pull stations, fire extinguishers and emergency exits in your area. Remember their locations.

There have been instances of drivers ignoring Stop signs at crosswalks and/or driving too fast when approaching and entering parking structures. Please use caution when going from daylight into a parking structure due to changes in visibility. Please be mindful of pedestrians when driving on Torrance Memorial’s campus. Your assistance in keeping our environment safe for patients, visitors and staff is much appreciated.

Please Be Mindful of Pedestrians

HIPAA Tip

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QUESTION: WHILE PERFORMING A PROCEDURE OR ANY WORK RELATED TASKS, I RECOGNIZE THE PATIENT AS A CO-WORKER (OR FAMILY, FRIEND etc.). OUT OF CONCERN, MAY I ASK MY CO-WORKER / PATIENT HOW HE/SHE IS DOING, THE REASON FOR THE VISIT OR INFORM OTHER STAFF MEMBERSABOUT MY CO-WORKER / PATIENT? ANSWER: No. You should NOT ask your co-worker / patient how they are feeling, the reason for their visit or any other question relating to their visit, procedure, treatment or medical condition. And No, you should not inform other staff members or friends about the patient. Sharing, discussing or disclosing patient information for non-TPO reasons is a HIPAA Privacy Breach. All patient medical information (employees and non-employees) is confidential and protected. Patient PHI comes in many forms;

Seeing a patient in a clinical department waiting to be seen; Performing or assisting with a procedure or treatment on a patient; Hearing information being discussed in your department or other area; Viewing information on paper, schedules, tracking boards, etc., the computer or electronically; and Oral communication.

Every employee has an obligation to protect patient information. If you see a co-worker, friend or family member here as a patient, you should leave it up to the discretion of the patient to speak to you about their visit, treatment, procedure or condition. Protection of patient confidentiality is a State and Federal Regulation and an important practice that should be part of our daily activities. PROTECTING EVERY PERSON’S PRIVACY IS A KEY PART OF QUALITY CARE PHI = PROTECTED HEALTH INFORMATION = Patient name, room number, address, phone number, SS#, diagnosis, procedures, insurance information, email, photographs, etc. TPO = Treatment, Payment or HealthCare Operations. REFERENCE: 45 CFR 164.502 (a) through (j), SB 541, AB 211 and HITECH Act POLICY # 1410.01 USES AND DISCLOSURES OF PHI – GENERAL RULES” POLICY # 1410.03 “CONFIDENTIALITY AND PROTECTED HEALTH INFORMATION” FORM # 14 “CONFIDENTIALTY AGREEMENT”

Medical Executive Committee Approvals

Cardiology Update

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CARDIOLOGY UPDATE 2016 CONVENTIONAL WISDOM AND BEYOND

For physicians & healthcare professionals only

SAVE THE DATE Friday, April 29, 2016

8:00 a.m. - 5:00 p.m.

Items approved at the last Medical Executive Committee meeting can be viewed by using this website link and selecting the particular month: http://www.torrancememorial.org/For_Physicians/Medical_Staff/MEC_Approval.aspx . If you have any questions, please contact the Medical Staff Services Department at (310) 517-4616.

Save the Date General Medical Staff Meeting

November 4, 2015 12:00 Noon

Hoffman Health Conference Center Rooms 1 & 2

General Medical Staff Meeting

Monday Tuesday Wednesday Thursday Friday 2 12:30p Cardiology………...…WT-D

3 12:30p Infection Cntrl/P&T...WT-Aud 12:30p Stroke Ad-Hoc………....WT-D

4 7:00a CV Review Conf……….WT-D 12:00p Gen Med Staff Mtg.HCC-1&2

5 7:00a Breast Tumor Board..WT-Aud 7:45a CNS Tumor Board…..WT-Aud 12:30p Medical Staff PI……..….WT-D

6  7:00a Lung/Thoracic Tumor Board………...…...WT-Aud 7:30a IRB…………………..WT-D

9 12:30p Credentials………......WT-C

10 6:00p Medical Executive……..WT-D

11 7:00a Anesthesia Dept…….WT-Aud 7:00a CV Review Conf……….WT-D 8:00a Endocrinology……….WT-Aud

12 7:00a Breast Tumor Board..WT-Aud 7:00a Cardiac PI………………WT-D 7:45a GI Tumor Board….....WT-Aud 9:00a Emergency Dept……….WT-D 12:30p Pediatric PI…………..WT-Aud

13 7:00a Lung/Thoracic Tumor Board………...…...WT-Aud 8:00a Oncology………..…..WT-D

16 12:00p Burn & Wound Surg...WT-C

17 7:00a Practitioner Well Being..WT-C 12:30p Medicine Dept………….WT-D 12:30p OB/GYN Dept……….WT-Aud

18 7:00a CV Review Conf……….WT-D 12:30p Antibiotic Stewardship...WT-C 12:30p Bioethics………………..WT-D

19 7:00a Breast Tumor Board..WT-Aud 7:45a Gen Tumor Board…..WT-Aud

20 7:00a CV Institute/ Heart Failure………..WT-C 7:00a Lung/Thoracic Tumor Board………...…...WT-Aud

23 4:00p Bariatric Surgery…....WT-C

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25 7:00a CV Review Conf……….WT-D

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27

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CME CONFERENCES Wednesdays, 12:30 p.m. Hoffman Health Conference Center

Torrance Memorial Medical Center is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical education for physicians.

Torrance Memorial Medical Center designates this live activity for a maximum of 1 AMA PRA Category I creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This credit may also be applied to the CMA Certification in Continuing Medical Education. For up-to-the-minute conference information call (310) 784-8776 or visit: http://www.torrancememorial.org/For_Physicians/Wednesday_CME_Conferences.aspx

Medical Staff Calendar November 2015

November 4, 2015 NO CONFERENCE

January 6, 2016 “Medical Marijuana: Where Do We Stand?” Steven Schandler, Ph.D. Chapman University Commercial Support: None

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November 11, 2015 NO CONFERENCE

November 18, 2015 NO CONFERENCE

November 25, 2015 NO CONFERENCE

December 2, 2015 NO CONFERENCE

December 9, 2015 NO CONFERENCE

December 16, 2015 NO CONFERENCE

December 23, 2015 NO CONFERENCE

December 30, 2015 NO CONFERENCE

Welcome New Practitioners on Staff

Benjamin P. Carroll, M.D. Anesthesiology Anesthesia Medical Group, Inc. 3330 Lomita Blvd., Anesthesia Office Torrance, CA 90505 Phone: (310) 517-4759 Fax: (310) 517-4658

Miguel A. Gutierrez, M.D. Medicine 3475 Torrance Blvd., Ste. E Torrance, CA 90503 Phone: (310) 540-5272 Fax: (310) 540-5271

Molly L. Chung, M.D. Anesthesiology Anesthesia Medical Group, Inc. 3330 Lomita Blvd., Anesthesia Office Torrance, CA 90505 Phone: (310) 517-4759 Fax: (310) 517-4658

Jennifer Y. Han, M.D. Medicine UCLA Health Southbay Endocrine, Thyroid & Diabetes Center 3445 Pacific Coast Hwy., Ste. 100 Torrance, CA 90505 Phone: (310) 542-6333 Fax: (310) 326-2236

Samuel E. Cohen, M.D. Medicine Torrance Memorial Hospitalists Associates 3330 Lomita Blvd., TMHA 1st Floor Torrance, CA 90505 Phone: (310) 891-6623 Fax: (310) 891-6673

Sunil S. Hebbar, M.D. Family Practice Torrance Memorial Physician Network - Hermosa 705 Pier Ave. Hermosa Beach, CA 90254 Phone: (310) 891-6708 Fax: (310) 374-4908

Cassandra L. Coleman, N.P. Surgery 3330 Lomita Blvd., Ste. 6040 Torrance, CA 90505 Phone: (310) 784-6828 Fax: (310) 784-8790

Thomas Jacob, M.D. Pediatrics UCLA Dept. of Pediatrics Group Practice 10833 LeConte Ave., Ste.12-358MDCC Los Angeles, CA 90095 Phone: (310) 825-9346 Fax: (310) 206-4855

Reece R. Doughty, M.D. Medicine UCLA Health Southbay Hospitalists 3445 Pacific Coast Hwy., Ste. 100 Torrance, CA 90505 Phone: (310) 825-2916 Fax: (310) 319-4908

Sheena L. Kamra, M.D. Pediatrics UCLA Dept. of Pediatrics Group Practice 10833 LeConte Ave., Ste.12-358MDCC Los Angeles, CA 90095 Phone: (310) 825-9346 Fax: (310) 206-4855

Arthur B. Fontaine, M.D. Radiology Advanced TeleRadiology 6789 Quail Hill Parkway, Ste. 728 Irvine, CA 92603 Phone: (888) 225-0628 Fax: (949) 861-9086

Jeffrey Kim, M.D. Medicine Torrance Memorial Physician Network - Neurology 3400 Lomita Blvd., Ste. 104 Torrance, CA 90505 Phone: (310) 517-7021 Fax: (310) 784-1903

Gabriel A. Gomez, M.D. Medicine HealthCare Partners Hospitalists 3330 Lomita Blvd., HCP 1st Floor Torrance, CA 90505 Phone: (310) 784-8770 Fax: (310) 784-4991

Minisha Kochar, M.D. Medicine UCLA Health Palos Verdes Family & Internal Medicine 501 Deep Valley Dr., Ste. 100 Rolling Hills Estates, CA 90274 Phone: (310) 257-0028 Fax: (310) 326-2236

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Welcome New Practitioners on Staff

Eric Kwoh, M.D. Medicine Torrance Memorial Hospitalists Associates 3330 Lomita Blvd., TMHA 1st Floor Torrance, CA 90505 Phone: (310) 891-6623 Fax: (310) 891-6673

Jeffrey K. Satterfield, P.A. Surgery Torrance Orthopaedic & Sports Medicine Grp. 23456 Hawthorne Blvd., Ste. 300 Torrance, CA 90505 Phone: (310) 316-6190 Fax: (310) 540-7362

Judy L. Law Torok, M.D. Medicine 3640 Lomita Blvd., Ste. 204 Torrance, CA 90505 Phone: (310) 698-6344 Fax: (310) 698-6339

Arti D. Shah, M.D. Medicine UCLA Health Southbay Endocrine, Thyroid & Diabetes Center 3445 Pacific Coast Hwy., Ste. 100 Torrance, CA 90505 Phone: (310) 542-6333 Fax: (310) 326-2236

Nicola M. Lowrey, P.A. Emergency Torrance Memorial Urgent Care 22411 Hawthorne Blvd. Torrance, CA 90505 Phone: (310) 784-3740 Fax: (310) 375-1392

Sheronda T. Smith, M.D. Anesthesiology Anesthesia Medical Group, Inc. 3330 Lomita Blvd., Anesthesia Office Torrance, CA 90505 Phone: (310) 517-4759 Fax: (310) 517-4658

Naoko Matsumoto, M.D. Pediatrics 1360 W. 6th St., Ste. 300 San Pedro, CA 90732 Phone: (310) 514-0838 Fax: (310) 514-0425

Ben Tseng, M.D. Medicine Torrance Memorial Physician Network - Neurology 3400 Lomita Blvd., Ste. 104 Torrance, CA 90505 Phone: (310) 517-7021 Fax: (310) 784-1903

Jennifer M. Orosco, M.D. Pediatrics Pediatric Hospitalists of America 2801 Atlantic Ave., 3rd Floor Long Beach, CA 90806 Phone: (562) 933-8743 Fax: (562) 933-8744

Donald Whang, M.D. Medicine ID Med Medical Group 23560 Crenshaw Blvd., Ste. 101 Torrance, CA 90505 Phone: (310) 784-5880 Fax: (866) 283-2975

Jonathan N. Quach, M.D. Medicine UCLA Health Southbay Hospitalists 3445 Pacific Coast Hwy., Ste. 100 Torrance, CA 90505 Phone: (310) 825-2916 Fax: (310) 319-4908

David D. Wu, M.D. Anesthesiology 1408 Crenshaw Blvd. Torrance, CA 90501 Phone: (424) 256-7356 Fax: (424) 253-0925

Benjamin Y. Rafii, M.D. Surgery Beach Cities ENTS 20911 Earl St., Ste. 340 Torrance, CA 90503 Phone: (310) 540-2111 Fax: (310) 944-9295

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The Medical Staff Newsletter ProgressNotes 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 ANK-11/2015

Address Change Amir H. Ajar, M.D. Surgery 3655 Lomita Blvd., Ste. 308 Torrance, CA 90505 Phone: (310) 378-8787 Michelle G. Barhaghi, M.D. OB/GYN TMPN - Women’s Center of San Pedro 717 S. Averill Ave. San Pedro, CA 90732 Phone: (310) 831-1225 Fax: (310) 831-1228 Gladys E. Palomeno, M.D. Medicine 3655 Lomita Blvd., Ste. 100 Torrance, CA 90505 Phone: (310) 791-2890 Fax: (310) 791-2895 Daniel R. Stephenson, M.D. Surgery Torrance Orthopedics & Sports Medicine 23456 Hawthorne Blvd., Ste. 300 Torrance, CA 90505 Phone: (310) 316-6190 Fax: (310) 540-7362 William W. Tarng, M.D. Medicine 3330 Lomita Blvd., TMHA 1st Floor Torrance, CA 90505 Phone: (310) 891-6623 Fax: (310) 891-6673 Tiffany T. Trinh, M.D. Medicine Torrance Memorial Hospitalists Associates 3330 Lomita Blvd., TMHA 1st Floor Torrance, CA 90505 Phone: (310) 891-6623 Fax: (310) 891-6673 Meiling L. Yuen, M.D. Medicine 1000 W. Carson St., Ste. 458 Torrance, CA 90509

Phone/Fax Change Tanya Arvan, M.D. Medicine Phone: (310) 378-2234 Fax: (310) 791-7994 Keith T. Chumley, M.D. Family Practice Phone: (310) 378-7986 Fax: (310) 791-7979 Anna Basile Mellor, M.D. Medicine Phone: (310) 378-2234 Fax: (310) 791-7993 Fred L. Reitler, M.D. Family Practice Phone: (310) 378-2234 Fax: (310) 791-7984 Patricia Sacks, M.D. Radiology Phone: (310) 517-4709 Fax: (310) 784-6377 Scott Tong, M.D. Family Practice Phone: (310) 378-2234 Fax: (310) 791-7992 Natalie Zelta, M.D. Medicine Phone: (310) 378-2234 Fax: (310) 791-7994 Leave of Absence Edward G. Buchsbaum, M.D. Medicine Hanaa N. Hanna, M.D. Pediatrics Gene A. Naftulin, M.D. Surgery

Resignation Izzat Alamdari, N.P. Medicine Anthony D. Becker, M.D. Radiology Ofelia C. Caratao, M.D. Pediatrics Emory C. Chang, M.D. Surgery Tracy Chiem, M.D. Medicine Noel Lee Chun, M.D. Anesthesiology Torin J. Cunningham, M.D. Surgery Mary Jo Ford, M.D. Anesthesiology Dilruba N. Haque, M.D. Medicine Kenneth Y. Huh, M.D. Surgery Ardeshir Khosraviani, M.D. Medicine Nicholas Tangchaivang, M.D. Medicine Robert A. Winston, M.D. Medicine Retired Gerald I. Schiff, M.D. Surgery

Physician Roster Updates

10

ProgressNotes Vol. 7 Issue 11 November 2015

ProgressNotesMONTHLY

MEDICAL

STAFF

NEWSLETTER

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

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