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Medical DialogueKEEPING PHYSICIANS ABREAST OF THE LATEST NEWS AND INFORMATION AT DIGNITY HEALTH – COMMUNITY HOSPITAL OF SAN BERNARDINOSPRING Robotic Surgery Program Launches with da Vinci XiDignity Health – Community Hospital of San Bernardino is excited to oer minimally-invasive da Vinci Xi® Robotic Surgery to our patients. The da Vinci Xi Robot single console system allows surgeons to perform delicate operations with great precision but requiring only tiny incisions.The da Vinci Xi, the fourth generation in da Vinci technology, integrates robotics and extremely sophisticated computer technology with the skills of the surgeon. It features immersive D-HD visualization and robotic instruments, which allows the surgeon to maneuver and control instruments with smaller, more precise movements inside the patient’s body. Unique to the da Vinci Xi version is the ability for surgeons to go into multiple quadrants with new arms designed to work in degrees--something highly advantageous for complex procedures. The enhanced technology allows for magnication and superior visual clarity of tissue and anatomy, which increases safety and accuracy. By avoiding the large incisions of open surgery, robotic surgery helps avoid many post-surgical complications while speeding the patient’s recovery. da Vinci Xi Features•A new overhead instrument arm architecture designed to facilitate anatomical access from virtually any position.•A new endoscope digital architecture that creates a simpler, more compact design with improved vision denition and clarity.•An ability to attach the endoscope to any arm, providing exibility for visualizing the surgical site.•Small, thin arms with newly designed joints that oer a greater range of motion than ever before.Less is More: Patient Benefits of Robotic Surgery •Less invasive •Less hospital time•Less down time•Less pain •Less blood loss In March, I was pleased to perform a robotic partial nephrectomy using Community Hospital’s new da Vinci Xi. Moving forward, surgeons at Community Hospital will use this technology to treat a wide variety of medical conditions across a multitude of surgical specialties, including general surgery, colorectal, gynecology, and urology.Avinash Chenam, MD Medical Director, Robotic Surgery Program
2 Community Hospital of San Bernardino Medical Dialogue.Quality, Safety, and Experience – At the Heart of Everything We DoAcross the Southern California Division, our High Reliability journey has not only improved our patient safety, the steps we take have a signicant impact on our quality and experience. The combined eorts of every member of our team continue to improve our delivery of care. Each year, CommonSpirit Health establishes a Clinical Scorecard with various areas for improvement. Last scal year, thanks to your dedication towards excellence, Community Hospital of San Bernardino received a Southern California Division FY Entity Award for being the Highest Performing and Most Improved Medium Facility for Blood Platelets. What’s more, the Southern California Division was the highest performing Division in many of CommonSpirit Health’s key quality and patient safety measures, including: • fewer surgical complications, which is a signicant step towards our goal of zero harm.•A focus on the care of our septic patients, saving more lives, representing more people who returned to their families. • fewer unnecessary blood product transfusions, reducing the risk to the people entrusted to our care. Through successful collaboration and enhanced communication between nurses, physicians and all members of our Southern California care teams, you improved the care we provide for nearly patients. With our patients and their families as our focus, we will continue to achieve amazing results. Thank you for your continued commitment to making our Southern California Division care sites the safest facilities in the country.Nicholas Testa, MD Chief Physician Executive Southern California DivisionClinical Scorecard AwardsScan or click the QR code to watch a special message from our executive team, outlining the Southern California Division successes in quality performance–all achieved thanks to your hard work and commitment.Physician Survey Coming SoonThe CommonSpirit Health MyVoice Physician and Advanced Practice Provider Survey is coming soon! We strongly encourage all practicing Physicians and Advanced Practice Providers APPs to take the survey to share your feedback about our organization. Watch for details and a link to the survey, which will be distributed to all physicians soon.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 September, October, November and December , and January . Congratulations on a job well done!Mohammed Al-Khayyat, MD, Internal MedicineBrian Bui, MD, CardiologyKhanh Duong, MD, Internal MedicineRushin Patel, MD, Internal MedicineArshad Sial, MD, Internal MedicineNicole Sims, DO, Internal MedicineRobert Yang, MD, Internal Medicine
Community Hospital of San Bernardino Medical Dialogue 3Neurological Care Wing Opening Community Hospital of San Bernardino is excited to announce the opening of our expanded Neurological Care Wing, which opens this spring. The expanded wing will help fulll the need for subacute beds across the state of California, as we have received inquiries on bed availability from all over the State, as far away as Sacramento area hospitals. Since our current unit is almost constantly full, we are adding another beds to our current beds capacity for a total of beds.The unit is staed by a dedicated team of seven Internal Medicine physicians who routinely round on patients, in addition to most of the specialists at Community Hospital who are credentialed and provide services to our unit’s patients when needed.Conditions TreatedThe expanded unit will treat all patients with subacute conditions, but mainly those with respiratory failure who require ventilator management for an extended time. The unit will also treat patients who require intensive nursing help with the ADLs activities of daily living, as many of our patients have suered a catastrophic event, such as cerebrovascular accident or traumatic brain injury, and require extensive nursing care. In addition, being part of Community Hospital of San Bernardino provides us with an advantage of being able to access a broad range of services that are not usually available at other subacute units. For instance, we have multiple patients with nephrostomy tubes that require routine changes every few weeks. Traditionally, such procedures require patients to be transferred and admitted to an acute facility in order to change these tubes. However, at our unit we are able to perform these procedures without the need for hospitalization–thanks to the ability to use the specialists and services available at Community Hospital. In addition, we oer a broad range of services, including wound care, respiratory care, behavioral and psychiatric care, and treatments that are rarely available at a subacute unit, such as blood transfusions.Thanks to all of our physicians who are helping us to meet the demand for more subacute beds, not only in our community, but across the State as well. Badran Madani, MDMedical DirectorNeurological Care WingAnnual Charity Golf ClassicThe Dignity Health Foundation – Inland Empire invites you to support our hospital by joining us at Morongo Golf Club at Tukwet Canyon where the Annual Charity Golf Classic will be in full swing. In anticipation of a sellout event, we have reserved both The Champions and The Legends courses, creating an exclusive private event! Charity Golf ClassicFriday, May 5Morongo Golf Club at Tukwet CanyonAfter the action packed tournament, be sure to stick around for a cocktail reception, dinner and awards for our tournament winners!There are many ways to get involved–participate, become a sponsor, or both.For more information, please reach out to the Dignity Health Foundation - Inland Empire by emailing FoundationIE@Commonspirit.org or calling --.May 5, 2023Morongo Golf Clubat Tukwet CanyonShotgun Start 9:00amSingle Golfer $375Foursome $1,500FOR MORE INFORMATION ON SPONSORSHIP LEVELS PLEASE VISIT OUR WEBSITEWWW.SUPPORTSANBERNARDINO.ORG
4 Community Hospital of San Bernardino Medical Dialogue.CALL FOR ARTICLES: We encourage members of the Community Hospital of San Bernardino Medical Sta 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 OcerNichelle RossDirector, Medical Sta 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 | CollaborationWelcome New Physicians to the Community Hospital of San Bernardino Family AnesthesiologyHenry Huey, MDJerey D. Moses, MDJohn J. Peckham, MDAlice M.S. Tsao, MDDiagnostic RadiologyJohnny O. Alexander, MDDeborah M. Ash, MDHakeem A. Afuwape, DOMatthew F. Barchie, MDJerey G. Barnes, DOSean R. Bowman, MDGary B. Brennan, MDJudith L. Corey, MDJonathan A. Frankel, MDCarrie L. Harvey, MDHenry Huson, II, DOCatherine N. Keegan, MDSean C. Keenan, MDKevin R. Kroeger, MDRoger P. Lee, MDJustin Q. Ly, MDMarshall P. Mallory, MDMichael G. Myers, MDAnna Miller, MDBradley R. Peters, MDThomas L. Pope, Jr, MDMark P. Preston, MDRichard W. Rieck, MDKeith M. Spellman, MDJohn E. Stewart, MDAnthony A. Terreri, MDBradford A. Winans, MD Emergency MedicineDouglas T Hofstetter, MDTami R. Moore, MDRicardo A. Padilla, MDLuis Villegas, MDFamily Medicine/HospitalistLaurentiu Istrate, MDCathryn O’Neill, MDGeneral SurgeryJudi Anne B. Ramiscal, MDHematologyWalter Y. Tsang, MDInternal MedicineMichael H. Nguyen, DOInternal Medicine/HospitalistRoofan Alsayegh, MDBrian M. Bush, DOGilbert Chen, MDArmen M. Malkhasian, MDGeorge Mousa, MDRushin M. Patel, MDFarzad Tariq, MDTimothy Yaopruke, DOInterventional CardiologyTanawan Riangwiwat, MDMedical OncologyAmy Q. Wang, MDNephrologyMark A. Asef, MDNitin Bhasin, MDAamir Z. Jamal, MDAmin Motaref, MDEduardo J. Nam, MDChristopher C. Wong, DOObstetrics & GynecologySrinath Senguttuvan, MDOphthalmologyLeila M. Khazaeni, MDMichael E. Rauser, MDOrthopaedic SurgeryNirav H. Amin, MDRoshan Melvani, MDSamir Nayyar, MDJason C. Tani, MDPediatricsNgoc T.H. Bui, MDAtalie M. Lim, MDTheresa A. Longo, MDShawn Sedgh, MDPsychiatryDebbie K. Chang, MDMonique D. Harrison, MDDonghui Wei, MD5th District Supervisor Joe Baca, Jr. Visits CHSBCommunity Hospital had the pleasure of hosting San Bernardino County’s th District Supervisor Joe Baca, Jr. for a roundtable discussion with the hospital’s executives to talk about workforce development, mental health, and homelessness. In addition, leaders were able to share key hospital initiatives and give Supervisor Baca a tour through Couplet Care and the Pediatric units.