Medical Staff Newsletter
March 2019
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Medical Staff Represented at Ed Asner Performance
Ed Asner had the audience laughing at his March 23 performance of A Man and His Prostate at Ocean County College, sponsored by Community Medical Center. Asner, a seven time Emmy Award winner, is primarily known for his role as Lou Grant on The Mary Tyler Moore Show. The play, written by Emmy Award winner Ed Wienberger, is based on the writer's personal experience with prostate cancer.
More than 450 people, predominantly Ocean County seniors, attended the one-man show, and received info about CMC service lines including Cardiology Services, Center for Sleep Disorders, the Jay and Linda Grunin Neuroscience Institute, and Total Joint and Spine Institute. David Kurz, MD, urologist, was available to answer guests questions about cancer and urologic health.
A special meet and greet with Asner, was held for CMC guests including Patrick Ahearn, Chief Executive Officer, and David Kurz, MD.
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Want to Update Your Portrait?
Monday, April 22, 5:30 - 7 pm
Auditorium C
Do you need a portrait? Would you like to update your portrait?
A photographer will be available for Medical Staff photos at the Quarterly Medical Staff meeting.
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High Reliability Organization Journey Continues
As of February 28, there have been 196 Good Catches in 2019.
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Card Access for Outpatient Elevators Starts April 8
As part of our ongoing efforts to provide a safe work environment, effective April 8, 2019 we are initiating a new security process regarding elevator usage. To enhance our ability to keep you and our patients safe, key card access will now be required for the Outpatient Lobby elevators to get to inpatient care units on floors 2, 3, 4 and 5.
All employees, Medical Staff members and volunteers will use their current access card to use the elevators. Visitors will use the Main Lobby elevators after receiving a visitor pass at the Main Lobby Desk. Access to the Emergency Department will not be affected by this change.
To ensure our visitors and patients have timely elevator service, employees must now use the four Outpatient Lobby elevators. If you see a patient or visitor attempt to use the Outpatient Lobby elevators kindly direct or escort them to the Main Lobby to get a visitor pass and access to the inpatient care units.
As a reminder, the Patient Transport Elevators are reserved for the exclusive use of Patient Transport.
Thank you for your assistance and cooperation. If you have any questions, please feel free to contact Neil Bryant at 732-557-8158.
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Did You Know You Can Dictate with Your Smartphone?
In March, the Medical Staff Office launched the use of Fluency Mobile, an app that can be used to dictate anywhere, anytime. The app interfaces with the CMC patient database, and patients can be searched by name, MRN or ACCT. Dictation through the app features advanced voice capture abilities, resulting in better transcription.
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DEA Warns Public of Extortion Scam by DEA Special Agent Impersonators
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Don't Forget to Pick Up Your Doctors' Day Gift!
Community Medical Center celebrated Doctors' Day on Tuesday, March 26 with a breakfast for Medical Staff in the Auditorium.
Don't forget to stop by the Medical Staff Office to receive your Doctors' Day gift!
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Medical Staff Celebrate Certified Nurses
March 19 is Certified Nurses Day, a day to acknowledge and thank
nurses who have pursued additional certification. Certified nurses contribute to better patient outcomes through national board certification in their specialty, which affirms advanced knowledge, skill, and practice to meet the challenges of modern nursing.
Hasmukh Tank, MD, anesthesiology, stopped by the Certified Nurses Day to share his thoughts about the
the importance of professional development and a multi-discipline collaboration for optimal patient outcomes and staff satisfaction. He also took a photo with Lisa Burton-Fiorentino, BSN, RN, CCRN, Non-Invasive Cardiac Lab, who he has worked with for many years.
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HCAHPS Communication with Doctors Update
Question:
Rate your doctor's concern to keep you informed about your treatment.
Definition: On our patient satisfaction survey this question measures the extent to which the actions of the physician met the patient's expectations regarding information that should be provided by a physician in the course of care.
Different people have different informational needs and expectations. To some extent, this varies with age, socio-economic status, and cultural background, but the "New Consumerism" generally demands a greater amount of disclosure than
in prior years. Studies have repeatedly shown that clinicians typically believe they are providing a suitable amount of information to patients, but when the patients are asked, they typically consider the amount of information given to be inadequate. Patients respond negatively to physicians who do not keep them informed, who are inconsistent in what they communicate, or who fail to mention unpleasant consequences of particular treatments.
Physicians should inform patients about treatment options as well as the progress of their condition. Patients make assessments about the amount as well as timing of information and respond positively to physicians who give them relevant, timely information. Disclosing information in a timely manner requires that the physician gauge how much information the patient can assimilate at any one time, as well as informing the patient about recent developments in their condition.
Improvement Solutions:
- Anticipate and address common concerns without the patient having to raise them.
- Assess the patient's comprehension of the information given
- Inquire as to how much the patient and family would like to know about the condition.
- Supplement verbal information with written/print information.
- Don't sugar-coat the unpleasant side effects of certain medications or treatments. Patients want the truth.
- Be sensitive to confidentiality issues. Provide information with tact and consideration.
- Use terminology that is understandable (e.g., heart attack instead of AMI).
- Be accessible to your patients. Check in with your patients voluntarily and do not wait for the patients or their family members to seek you out.
- Take initiative. Open the lines of communication by asking your patients what additional information they would like to have or if they have specific questions that have not been answered.
- Sit down while communicating information to your patients. This will help remove the patient's perception that the physician is an authoritative figure, which will assist in creating a more comfortable environment for effective interpersonal communication to take place.
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Medical Staff Alert - NEW LAWS
Implementation of New State Laws Concerning Gender Identity on Birth and Death Certificates
Governor Phil Murphy signed two pieces of legislation:
- The first law requires that a decedent's gender identity be recorded on his or her death certificate
Governor Murphy signed the death certificate law July 3rd, 2018. Among other items, this law requires the sex of the decedent be recorded to reflect his/her gender identity. The decedent's gender identity must be established through specific documentation memorializing the gender transition. Examples of such documentation include, but are not limited to, written instructions from the decedent, a court order, an advance health care directive, proof of clinical treatment or documentation of a change on a birth certificate, or a state or federally-issue identification card. In the absence of the aforementioned, the gender identity is determined as reported by the person with the right to control the funeral and disposition. Currently, there is no "gender identity" field in the Electronic Death Registry System (EDRS). Patient gender identity information is documented in the electronic health record, and can be inserted in the sex field in EDRS.
- The second law, commonly known as the "Babs Siperstein Law, revises the process for obtaining an amended birth certificate due to a person's change in gender identity.
New Jersey law now allows a person to be issued a new birth certificate after the person submits a form affirming the request for a change in gender - to female, male, or undesignated/non-binary - in order to conform the birth certificate to that person's gender identify. Previously, a person seeking to amend the gender on their birth certificate must have undergone gender reassignment surgery. Diversity and Inclusion has worked with the Patient Access team to assist with additional training to prepare staff with gathering gender identity information at the point of registration that allow our patients to self-identify their sex assigned at birth, their current gender identity and their preferred name of choice. Other processes to update patient armbands removing sex assigned at birth have begun.
The new laws were signed on July 3, 2018 - with the death certificate law taking effect on July 4, 2018 and the birth certificate law taking effect on February 1, 2019.
We wanted to make you aware of these new laws as we continue to provide inclusive care and services for the LGBTQ community.
Should you have any questions concerning the law or Diversity and Inclusion's work, respectively, please do not hesitate to contact
Brenda Snipes, Director, Office of Diversity & Inclusion, Community Medical Center, at
Brenda.Snipes@rwjbh.org
or 732-557-2406.
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Update on Unavailable Medications
The Pharmacy publishes a 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: Acute and/or Chronic Respiratory Failure
Two or more
of
the following
indicators,
as well as a treatment
regimen,
must be present in order for a CDS to query for
Acute
R
espiratory Failure
:
- Respirations <12 or > 25/min
- Cyanosis
- Inability to speak in full sentences
- Air Hunger or Tripodding
- Use of accessory muscles of respiration
- Pulse Ox <90% on RA or <95% on O2
- pH < 7.35 or >7.45
- pCO2 >50mmHg (or 10mmHg above COPD patient's baseline and/or pO2 <60mmHg below COPD patient's baseline)
Please note: the ABG's are counted as
one
criteria. There must be at least two
out of three
abnormal values to count as one
clinical indicator.
Patients
on home oxygen may be described as having chronic respiratory failure as they do meet these requirements in most cases.
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Wear Blue & Green
April 12
Join us for a group photo at 8:45 am in the Main Lobby.
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Upcoming Medical Staff Events
To register for any of these events, please contact the Medical Staff Office at 732-557-8082.
Day of Fishing
June 8,
Bogan's Basin, Brielle
Annual Golf Outing
August 14,
Metedeconk National Golf Club
Annual Dinner Dance
December 13,
The Mill Lakeside Manor
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Important Information for Your Patients
Make Sure They're Playing It Safe
Saturday, April 13, 8 am - 12 pm
RWJBarnabas Health Arena, Toms River
Every three days, a young athlete somewhere in the United States collapses and dies due to an undetected heart problem. The young brain is especially susceptible to concussion, and sports-related concussions account for more than half of all emergency room visits by children aged 8 through 13.
Free cardiac and concussion screenings for kids will be offered.
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Register for the 2019 Geriatric Symposium Today!
Tuesday, April 23, 8:30 am - 4:30 pm, The Palace at Somerset Park, Somerset
RWJBarnabas Health and Rutgers Biomedical and Health Sciences presents an immersive conference spotlighting the geriatric experience in unique and enlightening ways.
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CME Programs
The following CME programs are scheduled for April 2019 at Community Medical Center:
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04/04/2019
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"Cardiac Electrophysiology Update"
Noon
Auditoriums A & B
John Merlino III, DO
Community Medical Center
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04/11/2019
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| 04/18/2019 |
"Nocturia - Causes, Consequences and Management"
Noon
Auditoriums A & B
David Kurz, MD
Community Medical Center |
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"State-of-the-Art Issues in Tobacco Control: E-cigarettes, Tobacco Treatment and Lung Cancer Screening"
Noon
Auditoriums A & B
Michael Steinberg, MD
Director, Rutgers Tobacco Dependence Program
Rutgers Robert Wood Johnson Medical School
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Changes to CMC Medical Staff
Medical - Dental Staff Appointments
Shehryar Anjum, MD - Department of Medicine, Section of Nephrology
Teshagar Ejigu, MD - Department of Medicine, Section of Hospitalist Medicine
Bishoy Hanna, MD - Department of Medicine, Section of Hospitalist Medicine
Malik Khan, MD - Department of Medicine, Section of Hospitalist Medicine
Rewais Morcus, MD - Department of Medicine, Section of Hospitalist Medicine
Francis Onwochei, MD - Department of Medicine, Section of Hospitalist Medicine
Tarek Rashid, MD - Department of Medicine, Section of Hospitalist Medicine
Allied Health Professional Staff
Eva Banag, APN - Department of Medicine, Section of Hospitalist Medicine
Danielle DeFoto, PA - Department of Emergency Medicine
Beata Lesniowska, APN - Department of Medicine, Section of Hospitalist Medicine
Mary Beth Browne, MD - Department of Pediatrics, Neonatology - Return to active status effective April 1, 2019
Thomas Kedersha, MD - Department of Surgery - Return to active status - effective April 22, 2019
Resignations:
Chetna Singh, MD - Department of Emergency Medicine- Effective March 1, 2019
Maria O'Donnell, CNM - Department of OB/GYN - Effective March 1, 2019
Janae Hohbein, MD - Department of Emergency Medicine- Effective June 30, 2019
Dana Supe, MD - Department of Medicine, Section of Pulmonary Medicine - Effective March 12, 2019
Modification of Privileges:
Henry Moyle, MD - Department of Surgery, Section of Neurosurgery - Neuro-interventional procedures as a Consultant
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Upcoming Meetings
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Dept/Committee
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Date
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Time
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Anesthesia Peer Review
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4/4
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6:30 AM
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Anesthesiology Dept.
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4/18
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7:00 AM
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Blood Utilization
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4/9
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2:30 PM
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Breakfast compliments of Wound Care
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4/16
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7:00 AM
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Cancer Committee
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4/12
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8:00 AM
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Credentials Committee
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4/15
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5:30 PM
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Executive Committee
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4/2
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6:00 PM
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Health Information Management Committee
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4/17
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12:15 PM
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Infection Control Committee
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4/9
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12:00 PM
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Med Staff Quality Council
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4/18
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7:30 AM
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Medical Education Committee
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4/10
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8:00 AM
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Medicine\Family Med Peer Review
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4/24
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8:30 AM
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Neurology Peer Review
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4/16
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9:00 AM
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New Physician Orientation
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4/15
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4:00 PM
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OB\Gyn Peer Review
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4/11
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7:00 AM
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Ophthalmology Dept.
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4/22
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5:30 PM
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OR Advisory
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4/17
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7:00 AM
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Orthopedics Dept.
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4/16
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6:00 PM
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Orthopedics Peer Review
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4/16
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5:30 PM
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Otolaryngology/Head & Neck Surgery Dept.
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4/26
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8:00 AM
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Pediatric Peer Review
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4/8
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12:00 PM
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Performance Improvement Council
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4/19
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7:30 AM
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Pharmacy & Therapeutics Committee
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4/23
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8:00 AM
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Podiatry Department
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4/22
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5:30 PM
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Podiatry Peer Review
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4/22
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5:00 PM
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Quarterly Staff Meeting
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4/22
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6:00 PM
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Radiation Oncology Quality Assurance
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4/25
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12:30 PM
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Radiology Peer Review
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4/16
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12:00 PM
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Robotics Committee
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4/9
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7:00 AM
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STEMI Review Committee
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4/23
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6:00 PM
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Surgery Department
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4/8
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6:00 PM
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Surgery Peer Review
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4/25
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7:00 AM
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Tumor Board - Breast
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4/8
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8:00 AM
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Tumor Board - Breast
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4/22
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8:00 AM
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Tumor Board - Colorectal
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4/19
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12:00 PM
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Tumor Board - ENT
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4/5
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12:00 PM
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Tumor Board - Neuro Oncology
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4/15
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8:00 AM
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Tumor Board - Thoracic -
CANCELLED
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4/12
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Tumor Board - Thoracic
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4/26
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8:00 AM
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Utilization Review Committee
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4/24
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7:30 AM
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