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MONTHLY

MEDICAL

STAFF

NEWSLETTER ProgressNotesVOLUME 8

M a r c h 2 0 1 6

In This Issue Doctors’ Day Celebration.……….....P 1-2

Anion Gap Reference Range Change……..…………….......……...P 3

ICD-10 Diagnosis Assistant…..…....P 4

HIPAA Tip…………………….….......P 5

Medical Executive Committee Approvals………………………….....P 6 Cardiology Update 2016…..…….....P 6

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

Physician Roster Updates….….......P 8

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Doctors’ Day Celebration

Doctors’ Day Celebration

Wednesday March 30, 2016 11:30 a.m. - 2:00 p.m.

Hoffman Health Conference Center Rooms 1 & 2

Lunch - Entertainment - Raffle

Doctors’ Day Celebration

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We, at Torrance Memorial, will show our appreciation of doctors on March 30, 2016. Please join us on the units and at a luncheon with more fun activities in the Hoffman Health Conference Center Rooms 1 & 2 between 11:30 am and 2:00 pm. Did you know…… More than the application of science and technology, medicine is a special calling, and those who have chosen this vocation in order to serve their fellowman understand the tremendous responsibility it entails. Referring to the work of physicians, Dr. Elmer Hess, a former president of the American Medical Association, once wrote: "There is no greater reward in our profession than the knowledge that God has entrusted us with the physical care of His people. The Almighty has reserved for Himself the power to create life, but He has assigned to a few of us the responsibility of keeping in good repair the bodies in which this life is sustained." Accordingly, reverence for human life and individual dignity is both the hallmark of a good physician and the key to truly beneficial advances in medicine. The day-to-day work of healing conducted by physicians throughout the United States has been shaped, in large part, by great pioneers in medical research. Many of those pioneers have been Americans. Indeed, today we gratefully remember physicians such as Dr. Daniel Hale Williams and Dr. Charles Drew, who not only advanced their respective fields but also brought great honor and pride to their fellow Black Americans. We pay tribute to doctors such as Albert Sabin and Jonas Salk, whose vaccines for poliomyelitis helped to overcome one of the world's most dread childhood diseases. We also recall the far-reaching humanitarian efforts of Americans such as Dr. Thomas Dooley, as well as the forward-looking labors of pioneers such as members of the National Institutes of Health, who are helping to lead the Nation's fight against AIDS, cancer, and other life-threatening diseases. These and other celebrated American physicians have enabled mankind to make significant strides in the ongoing struggle against disease. However, in addition to the doctors whose name we easily recognize, there are countless others who carry on the quite work of healing each day in communities throughout the United States -- indeed, throughout the world. Common to the experience of each of them, from the specialist in research to the general practitioner, are hard work, stress, and sacrifice. All those Americans who serve as licensed physicians have engaged in years of study and training, often at great financial cost. Most endure long and unpredictable hours, and many must cope with the conflicting demands of work and family life. As we recognize our Nation's physicians for their leadership in the prevention and treatment of illness and injury, it is fitting that we pay special tribute to those who serve as members of the Armed Forces and Reserves and are now deployed in support of Operation Desert Storm. Whether they carry the tools of healing into the heat of battle or stand duty at medical facilities in the Persian Gulf and elsewhere, these dedicated physicians -- along with thousands of nurses and other medical personnel -- are vital to the success of our mission. We salute them for their courage and sacrifice, and we pray for their safety. We also pray for all those who come in need of their care. In honor of America's physicians, the Congress, by Senate Joint Resolution 366 (Public Law 101-473), has designated March 30, 1991, as "National Doctors Day" and has authorized and requested the President to issue a proclamation in observance of this day. George Bush, President of the United States of America, proclaimed March 30, 1991, as National Doctors Day on February 21, 1991. Further, he encourage all Americans to observe this day with appropriate programs and activities. Citation: John T. Woolley and Gerhard Peters.The American Presidency Project [online]. Santa Barbara, CA: University of California (hosted), Gerhard Peters (database). Available from World Wide Web: http://www.presidency.ucsb.edu/ws/?pid=47267.

Anion Gap Reference Range Change

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January 28, 2016 Dear Doctor, The current reference range for anion gap (7 – 16) was established decades ago using flame photometry methodology for the determination of electrolytes. Recently, the NIH published a study evaluating the anion gap reference range using the newer methodology of ion-selective electrodes for the determination of electrolytes. The results of their study showed that the reference range for anion gap using ion-selective electrodes is 3 – 11. Ion-selective electrode methodology is used in our Laboratory for electrolyte testing. Using 621 of our own outpatient anion gap results, we evaluated the ion-selective electrode reference range and were able to validate the newer reference range of 3 – 11. We were especially diligent to evaluate the lower levels of the new range. We will be changing our anion gap reference range to the new range of 3 - 11 on February 2, 2016. If you have any questions regarding this change, please contact me or Jeannie Lavezzari, Technical Specialist. Specific information on the reference range validation or the NIH study is available upon request. Sincerely, John Blakey, M.D. Medical Director Chemistry Laboratory

ICD-10 Diagnosis Assistant

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Diagnosis Assistant – Available Feb 2ndFind Specific ICD‐10 Terminology Fast!

1. Non‐Specified Terms in the Consolidated Problem List will appear with an exclamation mark.

2. Click on the exclamation mark to have the system help you find the more specific terminology.

Selecting from the provided categories will help you drill down to the appropriate ICD‐10 Terminology.

3. Training video is available:

https://www.youtube.com/playlist?list=PLsTRHDYoGuLbePZ3oywWP4uMlaDtBo7BI

Link will be e‐mailed week of January 25th

HIPAA Tip

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QUESTION: IF A CALLER OR VISITOR (EVEN WHEN THEY IDENTIFY THEMSELVES AS A PHYSICIAN) ASKS TO OBTAIN PATIENT MEDICAL INFORMATION OR OBTAIN ACCESS TO THE PATIENT RECORD, CAN I DISCLOSE THE PATIENTS’ MEDICAL INFORMATION OR RECORD TO THE CALLER /VISITOR? AANNSSWWEERR:: You should NEVER disclose patient PHI* to anyone (especially over the telephone) without following the appropriate HIPAA guidelines and policies listed below. Prior to releasing PHI, employees MUST: Verify IDENTIFICATION. Request identification from any physician / person requesting PHI, if the identity or authority

of the person is not known to the employee; Verify the REQUEST.

Is the request for PHI needed or part of TPO? o If Not for TPO, the patient’s authorization is required (HIPAA form # 17);

Is the physician requesting the information or access to the record treating the patient or covering for another physician treating the patient?

o If Yes – You can disclose the PHI o If No, do NOT disclose PHI or provide access to the record.

Is the physician, family or friend calling to obtain results or status on the patient condition for personal reasons / Non-TPO?

o The patient authorization is required (HIPAA form # 17) prior to the release or disclosure of any PHI or access to the patient record

*Note: HIPAA regulations permit the disclosure of a ONE word patient condition such as;

Undetermined, Good, Fair, Serious or Critical by a healthcare provider. A One word condition may be disclosed without the patient’s authorization as long as there is no patient PHI restriction.(Refer to Policy # 1410.15)

PHI = PROTECTED HEALTH INFORMATION = Patient name, room number, address, phone

number, diagnosis, results, procedures, treatment, SS#, etc. TPO = Treatment, Payment or HealthCare Operations REFERENCE: 45 CFR 164.502, 164.506, 164.512 and 164.514(h)(1) Policy # 1410.01 “Uses and Disclosures of PHI- General Rules” Policy # 1410.10 ”Authorization for Use and Disclosure of PHI” Policy # 1410.11 “Verification of Identity and Authority of Persons Requesting PHI” Policy # 1410.15 “Release of Patient Condition and Location” HIPAA Form # 17 “Authorization for Use and Disclosure of PHI”

Medical Executive Committee Approvals

CARDIOLOGY UPDATE 2016 CONVENTIONAL WISDOM AND BEYOND

For physicians & healthcare professionals only

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

Friday April 29, 2016

LEARN FROM NATIONALLY RENOWNED SPEAKERS &

Receive 8 CME or 8 CEU Credits

Torrance Memorial & USC Keck Physicians, Nurses, Employees - $100

Non-Torrance Memorial Physicians & Other Healthcare Professionals - $150 For more information call (310) 517-4720 or visit our website at http://TorranceMemorial.org/cardiosymposium

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Cardiology Update 2016

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.

Heart Month 50% Discount Extended Through March 15th

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

Monday Tuesday Wednesday Thursday Friday

1 7:00a Breast Oncology……....WT-C 12:30p Infection Prev/P&T........WT-D

2 7:00a CV Review Conf……….WT-D 12:30p CME Conference….HCC-1&2

3 7:00a Breast Tumor Board…..WT-D 7:45a Gen Tumor Board…..WT-Aud 12:30p Medical Staff PI……..….WT-D

4  7:00a Colon/GI Oncology....WT-B 7:00a Lung TumorBoard..WT-Aud 7:30a IRB…………….……..WT-D

7 12:30p Cardiology………...…WT-D 12:30p Credentials……….....WT-C

8 12:30p Medical Educ/Library...HCC-4 5:00p Quality & Patient Safety Committee……….……..WT-C 6:00p Medical Executive……..WT-D

9 7:00a CV Review Conf……….WT-D 12:30p CME Conference….HCC-1&2

10 7:00a Breast Tumor Board....WT-D 7:45a GI Tumor Board….......WT-D 7:00a Cardiothoracic Surg…..WT-B

11 7:00a Lung TumorBoard…..WT-D

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15 12:30p C-Section………..……..WT-B 12:30p Medicine Dept………….WT-D

16 7:00a CV Review Conf……….WT-D

17 7:00a Breast Tumor Board..WT-Aud 7:45a Gen Tumor Board…..WT-Aud 9:00a Emergency Dept……….WT-D

18 7:00a Lung TumorBoard..WT-Aud 7:30a Lung Oncology…...WT-Aud

21 12:00p Burn & Wound Surg...WT-C

22 12:30p OB/GYN Dept……….WT-Aud

23 7:00a CV Review Conf……….WT-D 12:30p Antibiotic Stewardship...WT-B 12:30p Bioethics………………..WT-C 3:00p Ortho COE Hip&Knee...WT-C

24 7:00a Breast Tumor Board..WT-Aud 7:45a Gen Tumor Board…..WT-Aud 8:00a Oncology Steering….WT-Aud 12:30p Credentials……….….....WT-C 3:30p Gastroenterology……....WT-D

25 7:00a Lung TumorBoard..WT-Aud

28 4:00p Bariatric Surg Subc.....WT-C

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30 7:00a CV Review Conf……….WT-D 11:30a - 2:00p Doctor’s Day Lunch…HCC-1&2

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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 March 2016

April 13 2016 “Management of Atrial Fibrillation” David Cannom, M.D. Good Samaritan Hospital Commercial Support: None

March 16, 2016 NO CONFERENCE

March 9, 2016 “Aging & Dementia” Szofia Bullain, M.D. U.C. Irvine School of Medicine Commercial Support: None

March 2, 2016 “Venous Thromboembolism Prophylaxis” Ian Gordon, M.D. U.C. Irvine School of Medicine Commercial Support:

March 23, 2016 NO CONFERENCE 7

April 20, 2016 NO CONFERENCE

April 6, 2016 “Palliative Care” Finly Zachariah, M.D. City of Hope National Medical Ctr Commercial Support: None

March 30, 2016 NO CONFERENCE

Doctor’s Day Celebration

Physician Roster Updates

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Address Change Saroj Bharatiya, M.D. Medicine 4101 Torrance Blvd. Torrance, CA 90503 Phone: (310) 374-8191 Fax: (310) 303-6834 John D. Fitzgerald, M.D. Medicine 10880 Wilshire Blvd., Ste. 530 Los Angeles, CA 90024 Phone: (310) 582-6350 Fax: (310) 794-8406 Brandy A. Hattendorf, M.D. Pediatrics CHLA - Division of Pediatric Cardiology 4650 Sunset Blvd., Ste. M/S 34 Los Angeles, CA 90027 Phone: (323) 361-7398 Fax: (323) 361-1513 Lisa M. Humphreys, M.D. Medicine HealthCare Partners 2175 Park Place El Segundo, CA 90245 Phone: (310) 965-1244 Tyler S. Jung, M.D. Medicine HealthCare Partners 2175 Park Place El Segundo, CA 90245 Phone: (310) 354-4418 Erol M. Kosar, M.D. Medicine 2841 Lomita Blvd., Ste. 100 Torrance, CA 90505 Phone: (310) 257-0508 Fax: (310) 325-8109 Carline Louis-Jacques, M.D. OB/GYN 24241 Hawthorne Blvd., Ste. 201 Torrance, CA 90505 Phone: (310) 371-4994 Fax: (844) 593-9950 Matthew P. Ostrom, M.D. Medicine 2841 Lomita Blvd. #100 Torrance, CA 90505 Phone: (310) 257-0508 Fax: (310) 325-8109

Gordon F. Schaye, M.D. Surgery P.O. Box 14224 Torrance, CA 90503-8221 Phone: (310) 541-3757 Fax: (310) 541-1867 Lynda A. Stoodley, N.P. Surgery COR Healthcare Medical Associates 2841 Lomita Blvd., Ste. 100 Torrance, CA 90505 Phone: (310) 257-0508 Fax: (310) 325-8109 Meiling L. Yuen, M.D. Medicine 4201 Torrance Blvd., Ste. 640 Torrance, CA 90503 Phone: (310) 543-4446 Fax: (310) 543-4444

Phone/Fax Change Rafael A. Amaro, M.D. Medicine Phone: (310) 374-8191 Fax: (310) 539-4172 Gwen K. Friend, M.D. Pediatrics Phone: (310) 539-2445 Fax: (310) 626-6431 William M. Liu, M.D. Medicine Phone: (310) 376-8816 Fax: (310) 379-3563 Peter S. Lorman, M.D. Surgery Phone: (310) 257-1500 Fax: (310) 257-1508 Christen R. Mellano, M.D. Surgery Phone: (310) 257-1500 Fax: (310) 257-1508 Mikael M. Purne, M.D. Surgery Phone: (310) 257-1500 Fax: (310) 257-1508 Romina Shirka, D.O. Medicine Phone: (615) 346-8182 Fax: (615) 823-8956 Donald B. Striplin, M.D. Surgery Phone: (310) 257-1500 Fax: (310) 257-1508 Charles D. Turek, M.D. Surgery Phone: (310) 257-1500 Fax: (310) 257-1508

Suite Number Change Ramin M. Roohipour, M.D. Surgery Ste. 307 Deceased John J. O’Hara, M.D. Surgery John Schugt, M.D. Emergency Medicine

The Medical Staff Newsletter ProgressNotes is published monthly for the Medical Staff of Torrance Memorial Medical Center. Vinh Cam, M.D. Chief of Staff Robin S. Camrin, CPMSM, CPCS Vice President, Medical Staff Services & Performance Improvement ANK-03/2016

ProgressNotes Vol. 8 Issue 3 March 2016

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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