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Medical DialogueKEEPING PHYSICIANS ABREAST OF THE LATEST NEWS AND INFORMATION AT DIGNITY HEALTH – COMMUNITY HOSPITAL OF SAN BERNARDINOFALL 2022 National Sepsis Awareness MonthRuby A. Skinner MD, FACS Chief Medical OfficerIn recognition of Sepsis Awareness month in September, I’d like to provide you with CommonSpirit’s Up-to-Date clinical goals implemented at Community Hospital of San Bernardino.According to the Centers for Disease Control and Prevention CDC, approximately million adults in the U.S. develop sepsis every year, and nearly die as a result. Sepsis was rst mentioned in Ancient Greece. It is derived from the Greek word “sepo”, which translates to “I rot,” and has been referred to as septicemia or blood poisoning.A global report on Sepsis conducted by the World Health Organization found that Sepsis often results from diarrhoeal diseases, lower respiratory infections pneumonia, and obstetric infections following a cesarean section. The report also found that about half of patients with sepsis in intensive care units acquired the infection in the hospital.Over the past three decades, there has been a signicant evolution in the denition and management of sepsis. A revolutionary change in the way we manage sepsis has been the adoption of early goal-directed therapy. This involves the early identication of at-risk patients and prompt treatment with antibiotics, hemodynamic optimization, and appropriate supportive care. This has contributed signicantly to the overall improved outcomes with Sepsis.Our system’s Up-to-Date clinical goals aim to do just that through early diagnosis and appropriate clinical management. Specically, our clinical goals are to rapidly identify and treat Sepsis by adhering to the following protocol:•Screening all patients managed in the ED and admitted patients for clinical signs of Sepsis.•If Sepsis is suspected, the rapid mobilization of our multidisciplinary team provides medical care, including IV uids, IV antibiotics, and additional clinical therapies, as needed.• Supplementing the medical therapy with comprehensive nutritional, rehabilitation, and care coordination support to ensure appropriate disposition planning and good long-term outcomes.•Active monitoring and surveillance of our clinical outcomes by a multidisciplinary sepsis committee.Thank you to all of our physicians for making Sepsis awareness, identication, and treatment a priority.
2 Community Hospital of San Bernardino Medical DialoguePhysician ResourcesWe’d like to share with you some resources for physicians that may be benecial:NEPO Annual Summit Physicians for a Healthy California hosts the Network of Ethnic Physician Organizations’ NEPO annual summit, Oct. , , which is an innovative educational event for physicians, public health professionals, advocates and community leaders that oers policy and best practices for reducing health disparities, building diversity in the workforce and increasing cultural competency in clinical care. For more information, visit cmadocs.org/event-info/sessionaltcd/NEPO__SUMMIT.Loan Repayment for Educational DebtCalHealthCares administers loan repayment on educational debt for California physicians and dentists who provide care to Medi-Cal patients, which represent one-third of Californians and half of the state’s children. Eligible physicians can apply for up to in loan repayment in exchange for a ve-year service obligation. Eligible dentists can apply for a loan repayment up to in exchange for a ve-year service obligation or a Practice Support Grant for up to in exchange for a ten-year service obligation. For details, visit phcdocs.org/Programs/CalHealthCares.3D Digital Mammography for Early DetectionIn honor of Breast Cancer Awareness month in October, Community Hospital of San Bernardino would like to remind physicians of our state-of-the-art digital mammogram services. Getting a mammogram is still the gold standard for breast cancer detection. The American Cancer Society recommends an annual mammography screening for all healthy women beginning at age . Community Hospital’s Medical Imaging oers Hologic Dimensions D mammograms breast tomosynthesis that combine multiple breast X-rays to create a three-dimensional picture of the breast. These detailed images help to identify any abnormalities and aid in early detection. This is coupled with expert radiologists who provide the most accurate results. For an improved patient experience, our digital mammography unit features specialized ex paddles that adapt to varying body shapes, and cushioned, soft pads designed for patients’ comfort. We also oer a variety of ultrasound services, including OB, pelvic, breast, abdominal as well as ultrasound guided breast biopsies.We accept Medi-cal, Medi-Care, some Medi-Cal HMO programs, and most major health insurance plans. including HMO plans under Community Hospital IPA. If your patients would like more information or need to schedule an appointment, please have them call .Community Hospital’s Medical Imaging Center is accredited by the American College of Radiology for Mammography services.
Community Hospital of San Bernardino Medical Dialogue 3Understanding Our Journey as a High Reliability OrganizationNicholas Testa Chief Physician Executive Southern California DivisionWe are all working together to become a High Reliability Organization, one which prioritizes patient safety in our ever changing environment, but many may still ask ‘what does High Reliability really mean?’ A High Reliability Organization or HRO has fewer than its share of errors and events by prioritizing safety and adopting a culture where we consistently do the right thing for our patients and sta. We empower our people to ask questions, we organize our leadership around safety activities, and we all commit to studying and improving our processes to become safer. Other organizations, such as the airline industry have become HROs by having every member of the team adopt safety as their number one priority. It is not enough for us to say we are going to be safe. Safety is everyone’s responsibility, and we all must align around it to truly advance our culture.To date, the progress we have made is nothing short of inspiring. Our HRO initiative, Safety by Choice, Not by Chance, is being rolled out at all of our Southern California Division hospitals and while hospitals are at various stages of implementation, we are seeing a growing focus around safety. On a daily basis, we exemplify an increased mindfulness on patient safety, a closer collaboration across disciplines, and an atmosphere of trust that heightens our day-to-day sensitivity to operations. To continue on our journey to high reliability, we are aiming to have every physician participate in High Reliability behaviors and tools training. For some this will be the rst time they are seeing this material and for others this will be a refresh of training they did years ago, but for all of us, it will be yet another important step forward towards creating a consistent culture of safety. Simultaneously, we are regularly sharing stories that prioritize safety and rolling out leader tools that augment our team safety huddles and rounds.I am grateful for your partnership and enthusiasm. I believe our collective commitment will lead to our long-term success, as we strive to make our division’s hospitals the safest in the nation by consciously practicing High Reliability practices and encouraging our teams to do the same. Thank you for doing your part on our journey to becoming highly reliable. Top CDI Query Response Achievers High physician response rates help accurately reect patient severity of illness and intensity of service. We thank the following physicians for their diligence and commitment to Community Hospital of San Bernardino. Criteria for Top Clinical Documentation Improvement CDI Query Response Achievers: Only physicians with three or more queries and an answer rate of – are included. Below are the top achievers for June, July and August . Congratulations on a job well done!Mohammed Al-Khayyat, MD, Internal MedicineAli Alktai, MD, Internal MedicineShuang Bai, MD, Internal MedicineArshad Sial, MD, Internal MedicineNicole Sims, DO, Internal MedicineRobert Yang, MD, Internal MedicineThinn Wah, MD, Internal Medicine
CALL FOR ARTICLES: We encourage members of the Community Hospital of San Bernardino Medical Staff to submit information or articles for publication in the Medical Dialogue. Please contact Tracie Gipson, Editor, at 818.522.4574 or Tracie.CheesmanGipson@commonspirit.org. EDITORIAL TEAMRuby Skinner, MDChief Medical OfficerNichelle RossDirector, Medical Staff AdministrationTracie GipsonMedical Dialogue Editor1805 Medical Center Dr. • San Bernardino, CA 92411 | 1.909.887.6333 | dignityhealth.org/san-bernardinoOur values are the core principles that enable us to deliver humankindness.CommonSpirit Values: Compassion | Inclusion | Integrity | Excellence | Collaboration4 Community Hospital of San Bernardino Medical DialogueWelcome New Physicians to the Community Hospital FamilyCardiologySinan R. Denny-Brown, MDDiagnostic Radiology/TeleradiologyLaurie A. Abrams, MDChristopher A. Bedford, MDJerey S. Bisker, MDReid D. Breckwoldt, MDEdward S. Brewer, MDAlex C. Chan, MDNicolaus J. Kuehn, MDSurender Kurapati, MDCarl A. Recine, MDFamily Medicine/HospitalistSanket S. Kunde, MDCalvin P. Patel, MDInternal Medicine/HospitalistNawal Badran, MDBrian M. Bui, MDKhanh T. Duong, MDGarvin S. Patel, MDErin D. Wiltchik, MDNeonatal/Perinatal MedicineM. Hany F. Elsayed, MDPediatricsBhumi B. Patel, MDPsychiatryQ yana K. Grith, MDPhysicians in the NewsWe’d like to thank and recognize the following physician who was recently featured in the local media stories.Johnny Negusse, MD, Chief of Sta, authored an op-ed that was featured in Energy News Network that discussed the dangers of air pollution on marginalized communities and how stronger electric vehicle standards can make a signicant impact in reducing preventable deaths.How to Respond to Media RequestsOur Public Relations team helps to ensure all media and social media mentions reflect our hospital’s mission, vision, and values. If you are contacted by the media to speak on behalf of Community Hospital of San Bernardino, please be sure to first contact Christina Zicklin, External Communications Director, at 310.922.8522 to discuss the request. All media requests involving Dignity Health SoCal hospitals must first be approved by Christina Zicklin and Administration. Thank you.