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    For Our Physicians
    Sutter Medical Center, Sacramento

    Important Notices

    January

    • New Quality Teams - For 2012 we have approved the Quality Teams that will be our primary focus. They are: CLABSI (Claudia Crist), CAUTI (Tim Daly), Mortality (Shelly McGriff), MERP (Margaret Mette), Elective Deliveries less than 39 Weeks (Chris Swanson), Pediatric Asthma Bundle (Chris Swanson), Anticoagulation Therapy (Daryn Kumar), Sepsis (Cecilia Hernandez, M.D.), Aspiration (Laurie Rose and Kim Meyers) and Restraint (John Boyd). The names in Parentheses are the executive sponsors. If you are interested in joining a team, please contact the executive sponsor.
    • SMCS Transition Planning - Transition planning for the new SMCS campus is underway! Detail highlights include:
      • SMCS contracted with transition planning consultants, RTKL, to provide expert guidance in planning the move.
      • The Transition Planning Organizational Structure consists of 13 Focus Groups (teams working on specific aspects of the move), as well as the Transition Leadership Team, the Transition Core Team and the Transition Oversight Group. These last three leadership teams are comprised of hospital administration and physician leaders. We are looking for additional physician participation on the following Focus Groups:
        • Furniture & Equipment
        • IT & Telecom
        • Operation Process Redesign
        • Move Logistics
        • Department Activation
        • Facility Orientation & Training
        • Communications
        • Bridging Cultures

        Please let Dineen Greer, Cecilia Hernandez, or Cindy Banta know if you would like more information. There are additional opportunities for physician participation through unit-based planning groups. The move is targeted for November 2013.

    2012 Core Measures

    As you know, the Centers for Medicare and Medicaid Services require hospitals to participate in core measures for various clinical and disease states.  For several years now, we have looked at the surgical care improvement project (SCIP), which includes elements such as selecting the correct prophylactic antibiotic, giving it within an hour of surgery, providing post operative DVT prophylaxis, etc.  We have also measured processes of care for acute myocardial infarction, heart failure and community-acquired pneumonia.  These requirements are all part of the value-based purchasing initiative from CMS.  For 2012, there have been some additions:

    Indicator 2012 Requirement
    Influenza vaccine CMS will now require that we offer and vaccinate all eligible patients, from childhood through adults unless contraindicated
    Pneumococcal vaccine CMS will now require that we offer and vaccinate all eligible patients, from age 6 through adults unless contraindicated
    Door to troponin time <  60 minutes for chest pain patient in ED CMS requires we measure the time of arrival to time of troponin result for chest pain patients. 

    Cycle times (ED throughputs)

    •  from ED arrival to departure for pts sent home
    • Door to diagnostic evaluation
    • admit decision to departure from ED
    • ED arrival to admission
    • Left without being seen
    • Transition record with specified elements
    • Median time to pain management for long bone fracture
    CMS has not set specific targets for these measures.  Historically, they collect data for about a year and then set targets.

    The hospital is working on processes to ensure compliance to these measures.   As you know, the immunization process for influenza for children and adults has been in place for some time.  Pneumococcal vaccination has been in place for adults - it will be new to our Pediatric patients.  Obviously if the patient has a contraindication as specified by CMS, they will not be vaccinated. 

    As you can see from this list, the Emergency Department throughput is an area of considerable focus for 2012.  For the door to troponins in less than 60 minutes, the lab is working feverishly on their end to come up with a rapid TAT for the test, and the ED is working on the specimen acquisition process on the front end.  The other metrics for ED involve the time it takes to see a physician as well as measuring the length of time from decision to admit to actual admission.  We will need everyone’s help with this metric -efficient ED throughput is dependent on having beds to which the patient can be admitted, timely response to the ED for admissions and moving the patient as quickly as possible to the appropriate level of inpatient care. 

    I appreciate your interest in these new core measures.  For more detailed information, please click on the measure below:

    • Acute Myocardial Infarction (AMI)
    • Emergency Department (ED)
    • Heart Failure (HF)
    • Hospital Outpatient (HOP)
    • Immunization (IMM)
    • Pneumonia (PNEU)
    • Surgical Care Improvement Project (SCIP)

    Sutter Medical Center, Sacramento values its affiliated physicians as customers and as partners in the high-quality patient care that is delivered at SMCS each and everyday. We offer this Internet site to provide you with easy access to information about the Medical Center and the services it provides as well as resources you can use to improve your patients’ experience at SMCS.

    Sutter Medical Center, Sacramento's management and employees are continually striving to improve their service to you and, as such, want to ensure that their efforts are meeting your needs. Please contact us with any and all service-related questions and to suggest improvements to this Internet site.

    SMCS cares for you, your patients, and your practice. We strive to be the provider of choice for all of your medical needs and we hope this online tool will help improve the delivery of care to your patients.

    SHSSR Physician Remote Access Quick Links Page

    Physicians in the Sacramento Sierra Region can find links to their clinical applications and other resources remotely at www.suttermedicalfoundation.org/remoteaccess.

    Directions to Sutter General Hospital
    Sutter General Hospital
    2801 L Street
    Sacramento, CA 95816
    (916) 454-2222
    Directions to Sutter Memorial Hospital
    Sutter Memorial Hospital
    5151 F Street
    Sacramento, CA 95819
    (916) 454-3333
     
    Directions to Sutter Center for Psychiatry
    Sutter Center for Psychiatry
    7700 Folsom Blvd.
    Sacramento, CA 95826
    (916) 386-3000
    Sutter Capital Pavilion
    Sutter Capital Pavilion
    2725 Capital Avenue
    Sacramento, CA 95816
    (916) 454-2222
     

    For Our Physicians | Sacramento, CA | Sutter Medical Center, Sacramento
    News & Notes
    2012 Medical Staff Leadership
    Michael Abate, M.D., Chief of Staff
    Muhammad Afzal, M.D., Vice Chief of Staff
    Dineen Greer, M.D., Secretary/Treasurer
    Michael Aguilar, M.D., Member-at-Large

    Department Chiefs:

    Harold Humphreys, M.D., Anesthesia
    Robert Kincade, M.D., Cardiovascular Disease
    Mylon Marshall, M.D., DIRO
    Christian Feinauer, M.D., Emergency Medicine
    James Lee, M.D., Family Medicine
    Kristin Vandewalker, M.D., Lab Medicine
    Richard Kim, M.D., Medicine
    Thomas Melchione, M.D., Obstetrics/Gynecology
    Angela Rosas, M.D., Pediatrics
    Morris Pleasant, M.D., Psychiatry
    Mark Endicott, M.D., Surgery


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