Medical Staff Newsletter
November 2018
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New Medical Staff Leadership and Chairs Announced
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CMC Earns an "A" in Latest Leapfrog Safety Scores
The latest Leapfrog Safety Scores for hospitals have been announced, and CMC has earned an "A!" CMC has made steady progress with its initiatives to improve quality for patients. During the previous Leapfrog rating periods, CMC earned a "B," and prior to that, CMC received a "C."
"Achieving an 'A' from Leapfrog validates our continuous efforts to create a culture of patient safety at Community Medical Center and our deliberate actions to become a High Reliability Organization," said Michael Mimoso, MHSA, FACHE and President and Chief Executive Officer, Community Medical Center. "We have empowered our staff and physicians to have a relentless focus on providing safe, high quality patient care and I am extremely proud of what they have accomplished. Together, we will continue to be vigilant in our efforts to assure patients, who trust us with their care, receive the safest care possible."
Eight RWJBarnabas Health Facilities were awarded with "A" Hospital Safety Scores by the Leapfrog Group, an independent national nonprofit run by employers and other large purchasers of health benefits, the most "A"s for our System to date. Letters are assigned based on a hospital's performance in preventing medical errors, infections and other harms. Only 855 of more than 2,600 hospitals analyzed nation-wide earned an "A".
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High Reliability Organization Journey Continues
As of November 16, 90.08% of required Medical Staff have attended an HRO presentation and 95% percent report that they were satisfied or very satisfied with the presentation. In addition, 99% reported having a better understanding on how human errors occur.
Safety Tools Refresher - Number Clarifications
For sound alike numbers,
say the number and then the digits
15...that's one-five
50...that's five-zero
45...that's four-five
425...that's four-two-five
4 to 5...that's the range four dash five
...and always use leading zeroes - as in 0.9
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Make Way for Renovations at CMC! Main Lobby Is Under Construction
The Main Entrance to the hospital is closed as we prepare for renovations to the Main Lobby. During this time please use the Outpatient Entrance.
Access to the Emergency Department will not be affected by this construction.
The Saige Café will remain open.
Access to the Main Lobby elevators will be closed on the weekends.
Construction is expected to be completed by the end of 2018.
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Center for Diabetes Education Receives Reaccreditation
The Center for Diabetes Education earned reaccreditation by the American Diabetes Association for the care they provide. The American Diabetes Association recognizes that the education services provided by the center meet their national standards for diabetes self-management education. To refer a patient, call 732-349-5757.
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Thank You from the Nursing Staff
The Nursing Staff sincerely appreciates the generosity of the Medical Staff and their support of continuing education for nurses. At the November Medical
Surgical
Symposium, 47 nurses attended a geriatric patient care update. The Medical Staff donated two stethoscopes to be offered to the participants. All were entered into a free drawing and the winners were - Eugena Ricardo, RN, 3E, Community Medical Center, and Noah Meares, RN, Medical Surgical 1, Robert Wood Johnson University Hospital Hamilton.
Thank you!
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Update on Unavailable Medications
The Pharmacy publishes a weekly list of medications that are unavailable due to multiple reasons including national shortages.
Click here to view the list.
If you have any medication questions, call the Pharmacy at ext. 18048.
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Clinical Documentation Tip of the Month:
Specified Encephalopathy and Cause
- Type II MI secondary to demand ischemia is a major co-morbid condition.
- Mismatch between myocardial oxygen supply and demand driven by a secondary process other than coronary artery disease.
- Caused by cardiac stress due to other causes with myocardial necrosis.
- Type 2 MIs are treated by addressing the underlying cause.
For more information, contact Nancy Jobes, RNC, MSN, at 908-814-7409, or the Clinical Documentation Team at x12805 or 732-557-2805.
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HCAHPS Communication with Doctors Update
Q: "During this stay, how often did doctors explain things in a way you could understand?"
QUESTION DEFINITION: This HCAHPS question asks patients to recollect the frequency with which physicians provided easy-to-understand explanations. The physician is usually the one who communicates the most emotionally significant and technically complex information to patients. The patient will try to look back at each specific encounter with the physician and recall whether or not the physician effectively communicated the situation and resolved the patient's questions, reservations and uncertainties.
Here is what our patients have said regarding communication with their doctors.
- "My doctor took time to explain my condition. He reviewed everything twice so he was sure I got it."
- "The doctors did not tell me I had a kidney stone show up on the CT scan or that I had diverticulitis."
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Reminders from the Medical Staff Office
Please:
- Inform us when you are going on vacation
- Keep your contact information current
To reach the Medical Staff Services Office:
Phone: 732.557.8082
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Medical Staff Dinner Dance November 30th at The Old Mill Inn in Spring Lake, contact the Medical Staff Office.
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The following CME programs are scheduled for December 2018 at Community Medical Center:
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12/06/2018
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"Looking Beneath the Surface of Opioid Addiction"
12:00 noon - 1:00 pm
Auditoriums A & B
Jarrett Tosk, MD, Community Medical Center & Deena Cohen, BA, CADC, WTS, CTTS,
Project Director Opioid Addiction,
Central Jersey Family Health Consortium
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12/20/2018
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"Genetics of Colorectal Cancer: Implications for your patients"
12:00 Noon - 1:00 pm
Auditoriums A & B
Kaitlin Kraft, MS, LGC,
Licensed Genetic Counselor, C
ommunity Medical Center
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Changes to CMC Medical Staff
MEDICAL-DENTAL STAFF - NEW APPOINTMENTS
Arash Darvish, MD - Department of Medicine, Hospitalist Medicine
John Soliman, MD, DDS - Department of Surgery, Section of Oral/Maxillofacial Surgery
ALLIED HEALTH PROFESSIONAL STAFF - NEW APPOINTMENTS
Kattly Andre, APN - Department of Medicine, Section of Intensivist Medicine
Danny Diaz, PA - Department of Emergency Medicine
Marissa Falzarano, APN - Department of Medicine, Section of Intensivist Medicine
Anselma Gabudao, APN - Department of Medicine, Internal Medicine
Zaneta Pabon, PA - Department of Surgery, Section of Plastic Surgery
Melinda Reuter, APN - Department of Medicine, Hospitalist Medicine
Anna Urbank, APN - Department of Medicine, Section of Intensivist Medicine
Patricia Wesch, APN - Department of Emergency Medicine
Leaves of Absence
Thomas Pidduck, MD - Department of Ophthalmology - effective September 20, 2018
Sukhwinder Hundle, MD - Department of Medicine, Internal Medicine - effective September 25, 2018
Suman Jain, MD - Department of Pediatrics - effective September 21, 2018
Ziaulhaq Zia, MD - Department of Medicine/Nephrology - effective August 6, 2018
Thomas Fowlie - Department of Emergency Medicine - effective October 11, 2018
Resignations
Kamel Ghaben, MD - Department of Pediatrics, Neonatology - effective September 30, 2018
Lyndsay Hall, CNM - Department of Ob/Gyn - effective December 11, 2018
David Junkin, MD - Department of Orthopedics - effective September 21, 2018
Anoop Porwal, MD - Department of Medicine, PM & R - effective September 20, 2018
Bruce Coplin, MD - Department of Medicine, PM & R - effective September 24, 2018
Modification of Privileges
David Dickerson, MD - Department of Orthopedics - Addition of MAKO- Robot Surgery - Hip and Knee
Hillary Fuirita, PA - Department of Surgery - Addition of Robot Assistant privileges
The following providers have elected not to seek reappointment and will therefore be resigned effective January 1, 2019:
Kimberly Daley, DPM - Department of Podiatry
Miguel Damien, MD - Department of OB/GYN
Linden Ho, MD - Department of Medicine
David Junkin, MD - Department of Orthopedics
Sushil Mehandru, MD - Department of Medicine, Section of Nephrology
Lisa Schneider, MD - Department of Surgery, Section of Plastic Surgery
Eric Wimmers, MD - Department of Surgery, Section of Plastic Surgery
The following providers have not returned a completed application and will therefore be resigned effective January 1, 2019:
James McCaughan, MD
Andrew Romano, MD
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Department/Committee
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Date
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Time
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Bioethics Committee
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12/18
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12:00 PM
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Cardiac Cath Bus/QA/PR
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12/13
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5:30 PM
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Credentials Committee
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12/17
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5:30 PM
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Executive Committee
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12/4
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6:00 PM
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Infection Control Committee
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12/11
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12:00 PM
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Medicine/Fam. Practice Peer QA Committee
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12/4
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8:00 AM
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New Physician Orientation
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12/17
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4:00 PM
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OB Peer Review
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12/13
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7:00 AM
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OR Advisory
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12/19
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7:00 AM
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Pathology Department
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12/21
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4:30 PM
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Performance Improvement Council
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12/21
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7:30 AM
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Radiation Oncology Quality Assurance
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12/27
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12:30 PM
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Radiation Safety Committee
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12/12
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1:00 PM
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Radiology Department
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12/19
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5:30 PM
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Radiology Peer Review
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12/19
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5:00 PM
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STEMI Review Committee
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12/18
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6:00 PM
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Surgery QA&I/PR
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12/27
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7:00 AM
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Tumor Board - Breast
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12/10
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8:00 AM
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Tumor Board - Breast
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12/17
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8:00 AM
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Tumor Board - ENT-
CANCELED
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12/7
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Tumor Board - Neuro Oncology -
CANCELED
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12/24
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Tumor Board - OB/Gyn
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12/21
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12:00 PM
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Tumor Board - Thoracic
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12/14
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8:00 AM
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Tumor Board - Thoracic
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12/28
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8:00 AM
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