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MONTHLY

MEDICAL

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NEWSLETTER ProgressNotesVOLUME 8

M a y 2 0 1 6

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Insulin Therapy in the Hospital

In This Issue

Insulin Therapy in the Hospital….P 1 How to Access the Wednesday CME Conference Schedule....….P 2 Medical Executive Committee Approvals………………………....P 2 HIPAA Tip...………….…………...P 3 Doctors’ Day Celebration 2016...P 4-5 Medical Staff Calendar....…..…...P 6 New Practitioners on Staff..……..P 7 Physician/AHP Roster Updates...P 8

What Does the Literature Say?

Inpatient treatment with premixed insulin resulted in similar glycemic control but in significantly higher frequency of hypoglycemia compared with treatment with basal-bolus insulin regimen in hospitalized patients with diabetes

An insulin regimen with basal, nutritional, and correction components is the preferred treatment for patients with good nutritional intake

Change in Practice

Premixed insulins (i.e. Humalog 75/25, Novolog 70/30) removed from formulary*

Continue to use CPOE to order basal, nutritional and correction insulin

References:

Bellido, V., et al. Comparison of basal-bolus and premixed insulin regimens in hospitalized patients with type 2 diabetes. Diabetes Care, 2015; 38 (12): 2211-2216

American Diabetes Association. Diabetes care in the hospital. Sec. 13. In Standards of Medical Care in Diabetes -2016. Diabetes Care, 2016; 39 (Suppl.1): S99-S104.

*Approved by the Medical Executive Committee 4/12/16

 

How to Access the Wednesday CME Conference Schedule

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To access the schedule of Wednesday CME Conferences: Go to Torrance Memorial’s “For Physicians” website http://www.torrancememorial.org/For_Physicians/

Wednesday_CME_Conferences.aspx to view 2 months of upcoming activities Go to Torrance Memorial’s TMI website http://tmi/, scroll through the news items and click on “Medical Staff Newsletter” to

view 1 to 2 months of upcoming activities located on the “Medical Staff Calendar” page Call the CME Program phone number at (310) 784-8776 and select Option 1 to hear a voice recording of 2 months of up-

coming activities Obtain a copy of the CME notice listing 2 months of upcoming activities that is available as a handout at each Wednesday

CME Conference View the flyer of the current Wednesday CME Conference that is attached to the bulletin board near Torrance Memorial’s

West Entrance and located at the end of the short hallway leading to the Central Tower For additional information please contact Anita Klecker, Health Sciences Librarian/CME Coordinator, at anita.klecker@tmmc.com or (310) 517-4720.

Medical Executive Committee Approvals

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.

HIPAA Tip

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QUESTION: ARE PATIENTS (INPATIENTS AND OUTPATIENTS) ALLOWED TO OBTAIN COPIES OF THEIR RESULTS OR MEDICAL RECORD? ANSWER: Yes, under the HIPAA Privacy Regulations, patients have the right to obtain a copy of their medical record or test results. Provide patients or patient legal representative HIPAA Form # 17; “Authorization for Use or Disclosure of PHI” prior to obtaining a copy of their medical record or test result. A valid authorization form requires all items highlighted in yellow to be completed. Forms are located under “Shared Files Folder”, ‘HIPAA Resources”. Guidelines for completing HIPAA Form # 17;

Patient: o Complete all items highlighted in yellow on the first page; o Sign and date the form

Hospital employees complete the following section; o From the first page:

Information Released By; initial and date o From the second page:

Office Use Only Information Released

o Place HIPAA Form # 17 in the patient chart (or scan directly into Power Chart or send to HIM for scanning)

State and Federal laws require covered entities to document and track all PHI that is released to patients for Non-TPO reasons. PHI = PROTECTED HEALTH INFORMATION = Patient name, room number, address, phone number, diagnosis, SS#, etc. TPO = Treatment, Payment or HealthCare Operations. REFERENCE: 45 CFR 164.502, 164.506, 164.512, 164.514 and 164.528 (Accounting of Disclosures), HITECH; 13405 POLICY # 1410.01 USES AND DISCLOSURES OF PHI – GENERAL RULES” POLICY # 1410.10 “AUTHORIZATION FOR USE OR DISCLOSURE OF PHI” POLICY # 1410.07 “ACCOUNTING OF DISCLOSURES OF PHI” FORM # 17 “AUTHORIZATION FOR USE OR DISCLOSURE OF PHI”

For your long hours….. For your caring and dedication….

For your support and patient safety...

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Doctors’ Day Celebration 2016 - March 30, 2016

Doctors’ Day Celebration 2016 - March 30, 2016

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Monday Tuesday Wednesday Thursday Friday 2 12:30p Cardiology………..…WT-D

3 7:00a Breast Oncology Subc...WT-D 12:30p Infection Control/P&T....WT-D

4 7:00a CV Review Conf……….WT-D

5 7:00a Breast Tumor Board..WT-Aud 7:45a Gen Tumor Board…..WT-Aud 12:30p Medical Staff PI……..….WT-D

6  7:00a Lung TumorBoard..WT-Aud 7:30a IRB…………………..WT-D 7:30a Lung Oncology…...WT-Aud

9 12:30p Credentials……….....WT-C

10 5:00p Quality & Patient Safety Committee……….……..WT-C 6:00p Medical Executive……..WT-D

11 7:00a CV Review Conf……….WT-D 12:30p CME Conference….HCC-1&2

12 7:00a Breast Tumor Board..WT-Aud 7:00a Cardiac PI………………WT-B 7:45a GI Tumor Board….....WT-Aud 12:30p Pediatric PI……………..WT-B

13 7:00a Lung TumorBoard..WT-Aud 7:30a Oncology………...…..WT-D

16 12:00p Burn & Wound Surg...WT-C

17 7:00a Practitioner Well Being..WT-C 12:30p Medicine Dept………….WT-D

18 7:00a CV Review Conf……….WT-D 12:30p Palliative Care………….WT-D

19 7:00a Breast Tumor Board..WT-Aud 8:00a Oncology Steering…..WT-Aud 9:00a Emergency Dept……….WT-D 12:30p Pediatric Dept……….WT-Aud

20 7:00a Lung TumorBoard..WT-Aud

23 4:00p Bariatric Surgery…....WT-C

24 7:00a Breast Program Subc...WT-A 12:30p OB/GYN Dept……….WT-Aud

25 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-B

26 7:00a Breast Tumor Board..WT-Aud 7:45a GI Tumor Board….....WT-Aud 12:30p Credentials……….….....WT-C 12:30p Health Info Mgmt……....WT-B

27 7:00a Lung TumorBoard..WT-Aud

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

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 May 2016

May 11, 2016 “Advances in Pain Management” Talin Evazyan, M.D. USC School of Medicine Commercial Support: None

June 1, 2016 “Prescription Drug Awareness” Michael Bishop, M.D. U.C. San Diego School of Medicine Commercial Support: None

May 4, 2016 NO CONFERENCE

May 18, 2016 NO CONFERENCE

May 25, 2016 NO CONFERENCE

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June 15, 2016 NO CONFERENCE

June 8, 2016 “The State of Probiotics in 2016” Michelle Pietzak, M.D. USC School of Medicine Commercial Support: None

Welcome to New Practitioners on Staff

Diane L. Alterman, P.A. Emergency Torrance Memorial Urgent Care - Manhattan Beach 855 Manhattan Beach Blvd., Ste. 101 Manhattan Beach, CA 90266 Phone: (310) 939-7873 Fax: (310) 375-1392

Nina S. Janatpour, M.D. Anesthesiology Anesthesia Medical Group, Inc. 3330 Lomita Blvd., Anesthesia Office Torrance, CA 90505 Phone: (310) 517-4759 Fax: (310) 517-4658

Sirinan Tazen, M.D. Medicine HealthCare Partners 3565 Del Amo Blvd., Ste. 203 Torrance, CA 90503 Phone: (310) 214-0811 Fax: (310) 214-8340

Namrata Varma, D.O. Surgery Southern California Ear Nose & Throat 433 E. Wardlow Rd. Long Beach, CA 90807 Phone: (562) 427-0550 Fax: (562) 988-8899

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Address Change Ellyn R. Ashida, M.D. Medicine 4201 Torrance Blvd., Ste. 730 Torrance, CA 90503 Phone: (310) 944-9098 Fax: (310) 944-9064 Timothy J. Hunt, M.D. Surgery 3475 Torrance Blvd., Ste. F Torrance, CA 90503 Phone: (310) 626-4831 Fax: (310) 626-4833 Sunila Fuster, M.D. Family Practice HealthCare Partners Medical Grp 3240 Sepulveda Blvd. Torrance, CA 90505 Phone: (310) 891-2508 Fax: (310) 543-3199 Maureen E. Mulvihill, M.D. OB/GYN 1294 W. 6th St., Ste. 105 San Pedro, CA 90731 Phone: (424) 262-1284 Ajanta Naidu, M.D. Pediatrics 3640 Lomita Blvd., Ste. 305 Torrance, CA 90505 Phone: (310) 373-0250 Fax: (310) 373-0256 Mahdi Yazdany, M.D. Medicine 2841 Lomita Blvd., Ste. 215 Torrance, CA 90505 Phone: (310) 379-2860 Fax: (310) 325-1144

Phone/Fax Change Craig J. Baker, M.D. Surgery Phone: (323) 442-5849 Fax: (323) 442-5959 Michael E. Bowdish, M.D. Surgery Phone: (323) 442-5849 Fax: (323) 442-5959 Robert B. Fenton, M.D. Surgery Phone: (310) 543-1154 Fax: (310) 543-2626 Fernando Fleischman, M.D. Surgery Phone: (323) 442-5849 Fax: (323) 442-5959 Peter Gleiberman, M.D. Surgery Phone: (310) 543-0395 Fax: (310) 543-2626 Amy E. Hackmann, M.D. Surgery Phone: (323) 442-5849 Fax: (323) 442-5959 Bang Pham, M.D. Medicine Phone: (310) 675-0395 Fax: (310) 675-0073 Leave of Absence Raj U. Dugel, M.D. Surgery Jeremy B. Shelton, M.D. Surgery David M. Speiser, M.D. OB/GYN Resignation Patrick K. Yang, M.D. Anesthesiology

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-05/2016

Physician/AHP Roster Updates

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ProgressNotes Vol. 8 Issue 5 May 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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