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SEPTEMBER OCTOBER 2022 Medical Dialogue K E E P I N G P H Y S I C I A N S A B R E A S T O F T H E L AT E S T N E W S A N D I N F O R M AT I O N AT D I G N I T Y H E A LT H N O R T H R I D G E H O S P I TA L M E D I C A L C E N T E R In This Issue Health Beliefs and Effective Communication 1 Health Beliefs and Effective Communication 2 CommonSpirit Health Welcomes Wright L Lassiter III as New CEO Jeremy Grosser MD Medical Staff President Physicians in the News Practice Greenhealth Award 3 Top CDI Query Response Achievers Welcome New Physicians 4 Funding 5 6 Million for Northridge Hospital Programs and Services 5 Physician Resources 6 Steppin Out 2022 Is Back In Person 7 ECMO Program to Launch at Northridge Hospital Patient Praise 8 Grand Opening of Northridge Hospital s Designated Neurological Stroke Unit Improving the patient experience remains a top priority at Dignity Health Northridge Hospital Medical Center As we strive to continuously enhance our care and services it s important to note how a patient s beliefs and values can affect the doctor patient relationship and interaction Divergent beliefs can affect health care through competing therapies fear of the health care system or distrust of prescribed therapies This perception gap may negatively affect treatment decisions and therefore may influence patient outcomes despite appropriate treatment Although doctors use a biomedical model to understand illness patient beliefs and values are influenced by social and behavioral factors Doctors should understand patients functional meaning of disease It is important to identify and address both perceived barriers and benefits of treatment to improve patient adherence to medical plans Doctors should provide a summary of this information from their perspective and then ask the patient to summarize what was said Agreement between doctor and patient is a key variable that influences outcome Doctors with better communication and interpersonal skills are able to detect problems earlier can prevent medical crises and expensive intervention and provide better support to their patients This may lead to higher quality outcomes and better satisfaction lower costs of care greater patient understanding of health issues and better adherence to the treatment process There is a greater expectation of collaborative decision making with physicians and patients participating as partners to achieve the agreed upon goals and the attainment of quality of life

CommonSpirit Health Welcomes Wright L Lassiter III as New CEO Wright L Lassiter III officially joined CommonSpirit Health as CEO on Aug 1 He succeeded Lloyd Dean who retired Wright brings 30 years of experience working in large health systems most recently as CEO at Henry Ford Health in Michigan There he led Henry Ford through the COVID 19 pandemic expanded services grew revenue and earned recognition for the system s focus on employee well being and a commitment to diversity equity inclusion and social justice We welcome him to our health care ministry Physicians in the News We d like to thank and recognize the following physicians who were recently featured in local media stories Mark Liker MD Neurosurgery shared tips on ways to improve brain health and the importance of taking preventive measures to minimize the risk of diseases affecting the brain in the online publication Eat This Not That Suhail Salem MD Gastroenterology was featured on Good Day LA Fox Channel 11 News speaking about Blink 182 drummer Travis Barker s recent diagnosis of acute pancreatitis and the risk factors for developing this painful condition Mitali Wadekar MD Child Psychiatry was featured on NBC Channel 4 News in a story about the anxieties faced by many students as they return to school and the warning signs that parents should look out for Practice Greenhealth Award It is with great pleasure to announce that Northridge Hospital has received the 2022 Partner for Change Award from Practice Greenhealth We thank our physicians for helping further our ongoing commitment to improving our environmental performance and ensuring sustainability remains an integral part of our hospital s operations and overall culture 2 Northridge Hospital Medical Dialogue

Top CDI Query Response Achievers High physician response rates help accurately reflect patient severity of illness and intensity of service We thank the following physicians for their diligence and commitment to Northridge Hospital Criteria for Top Clinical Documentation Improvement CDI Query Response Achievers Only physicians with three or more queries and an answer rate of 90 100 are included Below are the top achievers for June and July 2022 Congratulations on a job well done Rahul Ahuja DO Family Medicine Samuel Feizi MD Internal Medicine Sarah Albert DO Internal Medicine Mark Greenstadt MD Endocrinology Marta Almli MD Internal Medicine Deepa Gupta MD Internal Medicine Marc Amico MD Internal Medicine Jennifer Hyer DO Internal Medicine M Kevin Ariani MD Cardiovascular Disease Fatima Imtiaz DO Internal Medicine Raluca Arimie MD Cardiovascular Disease Sam Kalioundji MD Cardiovascular Disease Ali Atabaki MD Critical Care Medicine Joseph Karam MD General Surgery Sandeep Chadha MD Family Medicine Leo Kassabian MD Cardiovascular Disease Prathima Charugundla DO Family Medicine Sid Kohan MD Internal Medicine Christian Chiavetta DO Internal Medicine Uthaiah Kokkalera MD General Surgery Eric Choi MD Internal Medicine Yoko Miyasaki MD Internal Medicine Michael Damavandi DO Internal Medicine Anthony Murphy MD Internal Medicine Ali Daneshvari MD Internal Medicine Amrita Nensey MD Internal Medicine Dantae Davies MD General Surgery Osezemeghonghon Obilor MD Internal Medicine Noah Duncan MD Internal Medicine Mahdi Paridari MD Family Medicine Moshen Ebneshahidi MD Internal Medicine Kalpesh Patel MD Nephrology Zouheir Elias MD Cardiovascular Disease Leo Polosajian MD Cardiovascular Disease Mohammed Farooqui MD Internal Medicine Welcome New Physicians to the Northridge Hospital Medical Center Family Critical Care Medicine Ariosto Rosado MD Diagnostic Radiology Remote Alexander Grimm MD Family Medicine Lord Addo Yirenkyi MD Family Medicine Sports Medicine Fellow Andrew Pawliwec MD Orthopedic Surgery SCOI Fellow Omar Hariri MD Nathan Huff MD Jeff Kimball MD Muzammil Memon MD Christopher Ruland MD Radiology Diagnostic On Site Abdullah Malkawi MD Pediatric Critical Care Regina Yu DO Northridge Hospital Medical Dialogue 3

Funding 5 6 Million for Northridge Hospital Programs and Services Brian Hammel President Northridge Hospital Foundation The Northridge Hospital Foundation is passionate about making investments in our facility people and our community In our ongoing efforts to further improve care to our patients the Foundation would like to share with you all of the capital programs and services that were funded in FY22 totaling more than 5 6 Million Transfers Year to Date for Capital Department FY22 Actual 7 1 2021 6 30 2022 Acute Rehab 8 629 Emergency Department 12 142 Bladder Scanner with Mobile Cart Radiology 12 042 Carescape Monitoring System Radiology 7 138 Orthopedics 226 990 Bariatric Lift Bladder Scanner C ARM Cooling System Pediatrics 21 461 Defibrillators 75 Pediatrics 519 620 Endoscopy Procedure Room Capital Item 355 155 Flex Intubation Video Scope Pediatrics Neonatal Intensive Care Unit Pediatric Intensive Care Unit 25 399 Pediatrics 488 308 Jaundice Meters Neonatal Intensive Care Unit 18 005 MRI IV Pump Labor and Delivery Neonatal Intensive Care Unit 43 732 MRI Monitor Neonatal Intensive Care Unit Pediatric Intensive Care Unit Pediatrics 69 015 Interventional GI and Pulmonology 12 064 Labor and Delivery 26 562 Neonatal Intensive Care Unit 58 538 Respiratory 61 024 Thermogard Temperature Management System Labor and Delivery 42 347 Ultrasound Machines 2 Intensive Care Unit 377 192 Ventilators 5 Intensive Care Unit 174 545 Hospital Wide 57 604 Infant Warmers 14 NICU Transport Incubators Portable Transport Ventilators 4 Sonosite OB Ultrasound Sonosite Ultrasound Miscellaneous Capital Items Total Capital Transfers 4 Northridge Hospital Medical Dialogue 2 617 512

Transfers Year to Date for Programs and Services Program FY22 Actual 7 1 2021 6 30 2022 Behavioral Health Unit Individualized Therapy 46 755 Cancer Center Education and Screenings 72 635 Cancer Center Home Health Services 48 867 Cancer Center Inpatient and Outpatient Massages 22 165 Cancer Center Transportation 30 939 Center for Assault Treatment Services 42 591 Community Support Mental Health Resiliency 79 664 Community Support Diabetes and Cardiovascular Education and Prevention 104 211 Community Support COVID Outreach and Vaccine Access 703 481 Community Support COVID 19 Outreach and Education 189 003 Community Support Local Elder Abuse Prevention 68 094 Community Support Stop School Violence and Bullying 271 978 Community Support Trauma Recovery Program 81 487 Emergency Department Behavioral Health Pilot Program 100 000 Medical Safe Haven Services for Human Trafficking Victims 48 548 Welcome Baby Program for Pregnant and Postpartum Women 993 921 Miscellaneous and Area of Greatest Need 105 681 Total Programs Funded 3 010 020 Northridge Hospital Foundation Cumulative Transfers Total Capital Transfer for FY22 2 617 512 Total Transfers for Programs and Services for FY22 3 010 020 Total 5 627 532 Updated August 19 2022 Physician Resources We d like to share with you some resources for physicians that may be beneficial NEOP Annual Summit Loan Repayment for Educational Debt Physicians for a Healthy California hosts the Network of Ethnic Physician Organizations NEPO annual summit Oct 6 2022 which is an innovative educational event for physicians public health professionals advocates and community leaders that offers 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_2022_SUMMIT CalHealthCares 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 300 000 in loan repayment in exchange for a five year service obligation Eligible dentists can apply for a loan repayment up to 300 000 in exchange for a five year service obligation or a Practice Support Grant for up to 300 000 in exchange for a ten year service obligation For details visit phcdocs org Programs CalHealthCares Northridge Hospital Medical Dialogue 5

Steppin Out 2022 Is Back In Person This year the Northridge Hospital Foundation will return to an in person event for our Steppin Out Celebration of Hope Annual Gala Please join us Steppin Out Celebration of Hope Annual Gala Saturday October 29 2022 Four Seasons Hotel 2 Dole Drive Westlake Village 6 p m Silent Auction and Reception 7 30 p m Dinner Black Tie Optional Entertainment and Dancing Splash Hollywood s Award Winning Event Band We look forward to recognizing our Steppin Out 2022 Award Recipients The Grace Leland Physician Appreciation Award Will be received by Pamela Davis MD Medical Director for the Dignity Foundation Medical Group for her 20 years of service to our community and her dedication to the Family Medicine Residency Program The Celebration of Hope Award Recipient All the employees at Northridge Hospital Medical Center Accepted by Paul Watkins President CEO For their heroic efforts over the last year delivering hope to patients and their families during the greatest pandemic in more than a century The Celebration of Hope Award Recipient All the Medical Staff Physicians at Northridge Hospital Medical Center Accepted by Jahandar Saleh MD Past Medical Staff President For going above and beyond to respond to the pandemic by showing unwavering professionalism and dedication to providing optimal care in an effort to beat the virus Due to the cancellation of Steppin Out in 2021 those of you who have purchased underwriting sponsorships table sponsorships tickets opportunity draw tickets etc we sincerely thank you and appreciate your loyal support Your sponsorships have automatically been carried forward to this year s event which will go towards the purchase of Northridge Hospital s new Extracorporeal Membrane Oxygenation ECMO Program For more information please contact Jen Zeltser at Jenny zeltser commonspirit org or 818 885 5341 ext 3 6 Northridge Hospital Medical Dialogue

ECMO Program to Launch at Northridge Hospital Dignity Health Northridge Hospital is excited to launch an Extracorporeal Membrane Oxygenation ECMO Program starting in October November The ECMO machine is similar to the heart lung by pass machine used in open heart surgery It pumps and oxygenates a patient s blood outside the body allowing the heart and lungs to rest ECMO can help patients who need life support after surgery who have heart or lung conditions or who are waiting for or recovering from a heart transplant It may also be an option when other life support measures haven t worked Some heart conditions in which ECMO may be used include Heart attack acute myocardial infarction Heart muscle disease decompensated cardiomyopathy Inflammation of the heart muscle myocarditis Life threatening response to infection sepsis Low body temperature severe hypothermia Post transplant complications Shock caused by the heart not pumping enough blood cardiogenic shock Some lung pulmonary conditions in which ECMO may be used include Acute respiratory distress syndrome ARDS Blockage in a pulmonary artery in the lungs pulmonary embolism Coronavirus disease 2019 COVID 19 Defect in the diaphragm congenital diaphragmatic hernia Fetus inhales waste products in the womb meconium aspiration Flu influenza Hantavirus pulmonary syndrome High blood pressure in the lungs pulmonary hypertension Pneumonia Respiratory failure Trauma We are excited about the upcoming launch of this program and would like to thank our ECMO Program champions for helping to implement this important service at Northridge Hospital Azmi Atiya MD Thoracic Surgery Ed Lopez Director Cardiovascular Center Hamid Nasseri DO Critical Care Medicine Jahandar Saleh MD Cardiovascular Disease Maria Goytia Program Educator for Critical Care Services Tiffany Pessy Critical Care Manager and Cheryl Wheelock Chief Nurse Executive Patient Praise Congratulations to physicians who recently received Class Actor nominations or recognition in complimentary letters to our hospital administration M Kevin Ariani MD Cardiology Gustavo Machicado MD Gastroenterology Mahdi Paridari MD Family Medicine and Jahandar Saleh MD Cardiology Their patience and professionalism highlighted Northridge Hospital s commitment to excellent medical care Azmi Atiya MD Thoracic Surgery and William Yang MD Nephrology Internal Medicine They headed my husband s care and entire stay through rehab Not only are they excellent in their care the compassion they showed us was unbelievable Irena Bauman MD Anesthesiology She helped to coordinate a multidisciplinary team effort we all strive for during a trauma case which went smoothly and the patient did well Howard Jen MD Pediatric Surgery Bjorn Lobo MD Neurosurgery Roya Maani MD Anesthesiology and Justin Wagner MD Pediatric Surgery They all went above and beyond during a devastating trauma case consoled the family and offered the best support they possibly could Steve Kwak MD Orthopedic Surgery I want to thank him and his staff for his excellent care and treatment Northridge Hospital Medical Dialogue 7

18300 Roscoe Boulevard Northridge CA 91325 You re Invited Grand Opening of Northridge Hospital s Designated Neurological Stroke Unit Dignity Health Northridge Hospital Medical Center welcomes you to the grand opening of our newly designated Neurological Stroke Unit which is specially designed for optimal management of our patients with stroke and other neurologic diagnoses The new 30 bed unit features state of the art equipment and specialty trained nurses who are experienced in providing advanced care to help patients return to their best function and quality of life after having a stroke or other neurological conditions Join us for a tour of our new unit Thursday September 15 Noon 1 30 p m Northridge Hospital Medical Center Neuro Stroke Unit G Tower 4th Floor use the F Tower elevators Refreshments will be provided CALL FOR ARTICLES We encourage members of the Northridge Hospital Medical Staff to submit information or articles for publication in the Medical Dialogue Please contact Tracie Gipson Editor at 818 522 4574 or Tracie Gipson CommonSpirit org MEDICAL STAFF OFFICERS Jeremy Grosser MD Medical Staff President Uthaiah Kokkalera MD President Elect Leo Kassabian MD Secretary Adel Jabour MD Treasurer EDITORIAL TEAM Mark Dumais MD MBA FACP Chief Medical Officer Nina Hirsch Director Medical Staff Services 8 Northridge Hospital Medical Dialogue Tracie Gipson Medical Dialogue Editor Desiree Garcia Market Development Representative Priscilla Bourbonnais Market Development Representative