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KEEPING PHYSICIANS ABREAST OF THE LATEST NEWS AND INFORMATION AT DIGNITY HEALTH – ST. JOHN’S HOSPITALSMARCH / APRIL 2023Medical DialogueSt. John’s: Top Performing Facility in All of CommonSpirit HealthAcross the Southern California Division, our High Reliability journey has not only improved our patient safety, but 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, St. John’s Regional Medical Center was the Top Performing Large Facility Across All of CommonSpirit, and received a Special Nursing Recognition – Facility with Zero HAPI.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.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 this spring. Nicholas Testa, MD Chief Physician Executive Southern California Division
2 St. John’s Medical DialogueMSQC Updates for the Medical StaffI would like to provide you with some important pearls of wisdom from recent meetings among the Medical Sta Quality Committee MSQC. This is helpful information that is applicable to the entire Medical Sta.Pre-eclampsia DangersDid you know pre-eclampsia continues for many weeks after delivery? If you see a recent post-partum woman with hyper-tension, consult an obstetrician right away. Unfortunately, maternal mortality due to pre-eclampsia after delivery is not insignicant. According to the National Institutes of Health, to of direct maternal deaths are associated with preeclampsia and eclampsia.Review Your X-RaysOur Radiology sta is excellent. However, it is good medicine to always review your own lms. The ordering physician likely has a specic question and may identify a nding not appreciated by Radiology. Something I was told as an intern by my Program Director at Cedars: “An abnormal chest x-ray is one you didn’t look at.”As always, remember to place orders. We all get busy and can forget to place orders. Yet, it’s important to continue providing optimum care. Please don’t forget.Documentation Requirements and Rule BreaksThe Medical Executive Committee MEC has updated the Medical Record Completion policy to address the lack of timely and complete documentation of key elements required by Medical Sta Bylaws and regulatory requirements from the Centers of Medicare and Medicaid Services, The Joint Commission and Title California regulations. Key documents include the History and Physical, Operative Record, Anesthesia Pre- and Post-Notes and Discharge Summary. The lack of compliance to any of these for any patient constitutes a “Rule Break” and all practitioners are being notied of these missing or incomplete documents.The MEC wants to provide practitioners with early notication of these upcoming changes in hopes that they will nd a way to comply with these well-known regulations before this policy is enforced in the upcoming months. All practitioners are encouraged to use Dragon, the voice recognition system, or get additional help from Clinical Informatics to support timely notes in the patient health record.The Health Information Management HIM Department team is reviewing each patient admission daily to identify opportunities to capture these key documents with the intent that all patients and all caregivers have the benet of the most current information regarding each patient. Thank you for ensuring appropriate and timely documentation in all patient records.Kevin Major, MD MSQC Committee ChairJoseph LoPresti, MD Chief of StaffIntegrityExcellenceCompassionInclusionCollaboration
St. John’s Medical Dialogue 3115 Robotic Surgeries and CountingSt. John’s Hospital Camarillo recently surpassed a milestone by completing its th robotic surgery! SJHC stands as the only hospital in Ventura County to oer two advanced orthopedic robotic systems: Mako Robotic System for knee replacements, and Zimmer Biomet’s ROSA® which provides specialized robotics for both hip and knee replacements. Both systems oer patients customized joint replacements and enable surgeons to control and move surgical instruments, allowing for greater precision during procedures. We’re pleased to oer this advanced technology, which is proven to improve outcomes as patients recover quickly and get back to enjoying life. Congratulations to our robotic surgeons for their successful procedures: John Ross Burge, MD, Andrew Jeers, MD, Stephan Sweet, MD not pictured, and John Ryan Quinn, MD. Andrew Jeffers, MD John Ross Burge, DO John Ryan Quinn, MDStudents Try Out da Vinci Xi Surgical RobotSt. John’s Regional Medical Center SJRMC and Brian Tuai, MD, recently hosted an open house showcasing the da Vinci Xi, the hospital’s newest surgical robot. During the open house, students from Oxnard High School, Camarillo High School and Rancho Campana High School had the opportunity to try out the robot and learn about advancements in robotic surgery. The event garnered media attention with our robotic surgery program being featured on ABC Channel 7 News and on the cover of the Ventura County Star.Our Doctors in the CommunityWhether providing direct patient care or leading a speaking engagement, our doctors are always looking out for the communities we serve. Most recently, Ali Sovari, MD, Medical Director of Electrophysiology, was invited to speak with a group of community members at the Channel Islands Yacht Club. Dr. Sovari discussed heart health and the latest advancements in electrophysiology oered at St. John’s. In addition, Andrew Jeers, MD, Medical Director of St. John’s Orthopaedic Center and Ryan Quinn, MD, visited our friends at Leisure Village in Camarillo and shared the latest in joint replacement procedures at St. John’s Hospital Camarillo.Ali Sovari, MD, gives a lecture on heart health at the Channel Islands Yacht Club in Oxnard.Andrew Jeffers, MD, presents a lecture on joint replacement at Leisure Village in Camarillo
4 St. John’s Medical DialogueCALL FOR ARTICLES: We encourage members of the St. John’s Hospital Camarillo and St. John’s Regional Medical Center Staff to submit information or articles for publication in the Medical Dialogue. We welcome your input! Please contact Tracie Gipson, Editor, at 818.522.4574 or tracie.cheesemangipson@CommonSpirit.org.EDITORIAL TEAMLynn Jeffers, MDCMO, St. John’s Hospital Camarillo and St. John’s Regional Medical CenterRenee ShimitzSenior Director, Medical Staff ServicesTracie GipsonMedical Dialogue EditorHappy Doctor’s WeekSt. John’s Hospitals’ Administration is celebrating our physicians to show our appreciation for the meaningful work you do. Not only do you improve your patients’ health and change their lives, but you also stay true to your commitment to excellence no matter the current challenges we face in health care. The awards, recognitions and honors bestowed upon our hospital are possible because of your steadfast commitment and dedication to be the very best at what you do.On behalf of the Hospitals’ Administration, we are grateful for every one of you, and invite you to join us as we celebrate your dedication, compassion, and support. Please watch for details of our Doctor’s Week events, which will be sent out separately as well as posted in the physician lounges. HAPPY DOCT RS’ WEEKWelcome New Physicians to the St. John’s Hospitals’ FamilyAnesthesiologyIsuru Wijesinghe, DO Critical CareAfshin Ahoubim, MDZachary Taich, MDEmergency MedicineReza Jamehdor, MDGastroentetrologyBaham Falakassa, MDHospitalistHuma Taqi, MDInternal MedicineHazel Abaya, MDKioumars Bolourian Kashi, MDMeelad Mohammadi, MDPhysical Medicine/RehabilitationThai Vu, DOPodiatric SurgerySean Pearson, DPMTele NeurologyAnkit Nayyar, MDTodd Raleigh, MDGalen Maze-Rothstein, MDEvgeny Tsimerinov, MDTele Pediatric NeurologyReza Kanani, MDTele RadiologyRemy Ngwanyam, MD 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 St. John’s hospitals. 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 December and January . Congratulations on a job well done!St. John’s Hospital CamarilloGarry Forkosh, MD Vashdeo Harjani, MD Avan Patel, MDSt. John’s Regional Medical CenterSi Chen, MDRoseller Ditangco, MDJack Shenouda, MD