Cedars-Sinai Medical Center

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A BI-WEEKLY PUBLICATION FROM THE CEDARS-SINAI CHIEF OF STAFF July 20, 2012 Issue | Archived Issues

Medical Staff Leadership Development Program starts new session in September

Cedars-Sinai's Medical Staff Leadership Development Program will start a new session in September. The program is aimed to train and motivate future physician leaders. Participants are nominated by department chairs and members of the Medical Executive Committee.

» Read more

Medical staff members enjoy fireworks, Barry Manilow at Hollywood Bowl

Read more and see a photo slideshow

Joining a capacity crowd at the Hollywood Bowl on July 3, more than 360 medical staff members and their families enjoyed a night of patriotic music, spectacular fireworks and a special performance by American pop icon Barry Manilow, who led the Bowl's popular tribute to our nation's birthday.

» Read more

Patient classification orders alert expanded

CS-Link update for physicians

The pilot on the 5th floor with a CS-Link™ alert to remind physicians to enter patient classification orders has been expanded to the 7th floor. Classification Orders include "observation" status and "inpatient" status.

» Read more

Cedars-Sinai ranked among best in 2012-13 U.S News & World Report Best Hospitals issue

Cedars-Sinai Medical Center has 12 medical specialties nationally ranked in the 2012-13 America's Best Hospitals issue of U.S. News & World Report, which was released today. Cedars-Sinai was also named as No. 2 among all hospitals in California.

» Read more

Kappa:lambda ratio reference range adjusted

Kappa and lambda free light chain (FREELITE™) testing on serum is moving to a new instrument platform, SPAPLUS™ on Wednesday, Aug. 1. Thus, the kappa:lambda ratio range will be changed to 0.26-1.65 (from 0.19-1.42) that day.  

» Read more

Restricted distribution programs required for bosentan, ambrisentan

June Pharmacy and Therapeutics decisions released

Due to the risk of teratogenicity associated with bosentan and ambrisentan, manufacturers of both drugs require that prescribers and patients be enrolled in restricted distribution programs. Please note that bosentan and ambrisentan are non-formulary at Cedars-Sinai.

» Read more

Circle of Friends honorees for June

The Circle of Friends program honored 112 people in June. Circle of Friends allows grateful patients to make a donation in honor of the physicians, nurses, caregivers and others who have made a difference during their time at Cedars-Sinai.

» Read more

Mural illustrates Jewish legacy in medicine

Time moves from left to right in the Harvey Morse Auditorium, where "Jewish Contributions to Medicine," the mural that lines the wall, blends art with history. From the concept of a weekly day of rest, as called for in the Fourth Commandment in the Old Testament, to panels that celebrate specific medical contributions throughout the centuries, the mural reveals how much Jewish doctors and scientists, as well as Jewish law itself, have contributed to the growth of medicine.



» Read more

Medical Staff Leadership Development Program starts new session in September

Cedars-Sinai's Medical Staff Leadership Development Program will start a new session in September. The program is aimed to train and motivate future physician leaders. Participants are nominated by department chairs and members of the Medical Executive Committee.

The program curriculum includes a series of evening lectures once a month from medical staff leaders and members of Cedars-Sinai's executive management team to provide an overview of healthcare management and policy, as well as performance improvement methodology.

Also included in the curriculum is an offsite weekend retreat on a selected theme. Previous retreats covered topics on medical staff governance, health information technology, and team building and leadership skills.

As part of the program, participants manage a performance improvement project that affects their patients and practice, allowing hands-on use of the tools and concepts introduced in the program. Participants also receive continuing medical education credits and networking opportunities.

The program began in 2001 and is co-sponsored by the MEC and Cedars-Sinai's president and chief executive officer. It requires a nine-month commitment from selected medical staff members and is co-chaired by the immediate past chief of staff and a recent graduate of the program.

Pictured above: The class of 2011-12. First row: Amy Christianson, MD, Psychiatry, Avner Gereboff, MD, Anesthesiology, Laith Jamil, MD, Medicine/Gastroenterology, Daniel Stone, MD, General Internal Medicine,Mark Edelstein, MD, Medicine/Gastroenterology, Jeremy Perlman, MD, Pediatrics/Neonatology, Edwin Posadas, MD, Medicine/Hematology-Oncology, Gil Melmed, MD, program co-chair. Second row: Doris Moradzadeh, MD, Emergency Medicine, William Brien, MD, program co-chair, Neel Joshi, MD, Surgery, Steven Sykes, MD, Neurology, Anthony Loffredo, MD, Emergency Medicine, Christina Adberg, MD, Obstetrics & Gynecology, Lily Lee, MD, Obstetrics & Gynecology. Not pictured: David Seil Kim, MD, Obstetrics & Gynecology, Ryan Kotton, MD, Pediatrics, Lorraine Lubin, MD, Anesthesiology.

Medical staff members enjoy fireworks, Barry Manilow at Hollywood Bowl


Joining a capacity crowd at the Hollywood Bowl on July 3, more than 360 medical staff members and their families enjoyed a night of patriotic music, spectacular fireworks and a special performance by American pop icon Barry Manilow, who led the Bowl's popular tribute to our nation's birthday.

The show kicked off with a rousing rendition of patriotic standards performed by the Los Angeles Philharmonic. Then Manilow entered the stage to a roaring crowd waving their Bowl-provided light sticks in unison. He sang many of his greatest hits from the past 40 years, including “Copacabana” and “I Write the Songs.”

“I was the Justin Bieber of the '70s,” Manilow joked during his hour-long performance. “Ask your mother,” he added.

At evening's end, the Los Angeles Philharmonic set the musical backdrop for a breathtaking display of fireworks.

The annual medical staff event was organized by Marjorie Santore-Besson, director of System Affairs, and Cheryl Verne, executive assistant. Marjorie and Cheryl are also organizing tonight's popular Sand ‘n Snore event for the medical staff at the Jonathan Beach Club.Look for photos of this event in a future issue of Pulse.

Patient classification orders alert expanded

CS-Link update for physicians

The pilot on the 5thfloor with a CS-Link™ alert to remind physicians to enter patient classification orders has been expanded to the 7th floor. Classification Orders include "observation" status and "inpatient" status.

Physicians must enter patient classification ("admissions") orders into their patients' medical records so they can bill for care when patients are hospitalized. If audited, physicians are at risk of having to return monies collected for hospital care they provided if the appropriate patient classification order was not documented in the chart.

The alert pictured below is designed to guide physicians to provide patient classification orders if they have forgotten to do so.The alert will not launch if appropriate patient classification orders are entered at the time physicians are entering "admission orders."

Physicians can use the “help” button in CS-Link to provide feedback.

The training update – “Responding to Admission Best Practice Advisories” – can be found at www.cslinkcentral.org/wp-content/uploads/2012/06/MD0056_RespondingToAdmissionnBPAs.pdf

CS Link Update for Physicians - July 9 (PDF)

Cedars-Sinai ranked among best in 2012-13 U.S News & World Report Best Hospitals issue

Cedars-Sinai Medical Center has 12 medical specialties nationally ranked in the 2012-13 America's Best Hospitals issue of U.S. News & World Report, which was released today. Cedars-Sinai was also named as No. 2 among all hospitals in California.

Cedars-Sinai is among an elite group of hospitals that had more than 10 specialties ranked in the top 50 nationwide.

Of the roughly 5,000 hospitals in the U.S, fewer than 150 scored high enough to be ranked in even a single specialty.

The 12 Cedars-Sinai specialties ranked were: cancer; cardiology and heart surgery; neurology and neurosurgery; gastroenterology; geriatrics; gynecology; nephrology; orthopedics; pulmonology; urology; diabetes and endocrinology; and ear, nose and throat.

"While we are grateful for this recognition, it is the dedication and commitment to quality patient care that our talented physicians and staff undertake each day that make Cedars-Sinai unique," said Thomas M. Priselac, Cedars-Sinai's president and CEO.

U.S. News rankings are based on mortality rate, patient safety and other factors, as well as reputation as rated by a group of physicians from across the nation.

Kappa:lambda ratio reference range adjusted

Kappa and lambda free light chain (FREELITE™) testing on serum is moving to a new instrument platform, SPAPLUS™, on Wednesday, Aug. 1. Thus, the kappa:lambda ratio range will be changed to 0.26-1.65 (from 0.19-1.42) that day.

Testing is moving from a third-party platform to one designed and validated by Binding Site, the assay manufacturer, specifically for their free light chain assays.

The reference ranges for kappa and lambda light chains both were adjusted individually about nine months ago per current manufacturer recommendations. However, the kappa:lambda ratio was not adjusted at that time. It now will be adjusted slightly in keeping with the manufacturer’s recommended range.

If there are any questions or concerns, contact the Special Testing Section of the Department of Pathology and Laboratory Medicine at (310) 423-5571.

Restricted distribution programs required for bosentan, ambrisentan

June Pharmacy and Therapeutics decisions released

Due to the risk of teratogenicity associated with bosentan and ambrisentan, manufacturers of both drugs require that prescribers and patients be enrolled in restricted distribution programs. Please note that bosentan and ambrisentan are non-formulary at Cedars-Sinai.

If continuation of therapy is warranted for a patient who was on bosentan/ambrisentan prior to admission, please refer to the procedure outlined in the PDF below.

Bostentan Ambrisentan MD Fact Sheet - July 2012 (PDF)

In other pharmacy news, the June Pharmacy and Therapeutics Committee decisions and pertinent agenda topics are summarized in the PDF below. Highlights include: 2012 chest updates, anticoagulation protocol updates for dalteparin and enoxaparin, and 2012 empiric treatment guidelines for common adult and pediatric infections.

P&T Decisions - June 2012 (PDF)

Circle of Friends honorees for June

The Circle of Friends program honored 112 people in June.

Circle of Friends allows grateful patients to make a donation in honor of the physicians, nurses, caregivers and others who have made a difference during their time at Cedars-Sinai. When a gift is made, the person being honored receives a custom lapel pin and a letter of acknowledgement.

Click here for more information about the program and for a list of past honorees.

- Massoud H. Agahi, MD

- Michael J. Alexander, MD

- Arie L. Alkalay, MD

- Deborah Ambrose, RN, BSN, MSN

- Paula J. Anastasia Davis, RN, MN, AOCN

- Carlos Anaya, MD

- Hyun Bae, MD

- Gladis A. Barravecchio

- Eraj Basseri, MD

- Samuel A. Berkman, MD

- Sushma Bhadauria, MD

- Donna M. Bias, RN, BSN

- Keith L. Black, MD

- Danielle H. Blum

- Derek Boardman, RN

- Kathryn H. Bornhurst, RN

- Cheryl Bradley, RN

- Glenn D. Braunstein, MD

- Barry J. Brock, MD

- Blessie M. Bulaon

- Metchi Z. Caballero, RN

- Brendan J. Carroll, MD

- Ilana Cass, MD

- Bojan Cercek, MD, PhD

- Julie Choi

- Andrew Chuang, MD

- Sumeet S. Chugh, MD

- J. Louis Cohen, MD

- Steven D. Colquhoun, MD

- Maria V. Cordero

- Elsa I. Cunha, RN, BSN

- Catherine M. Dang, MD

- Mark M. Davidson, MD

- Noam Z. Drazin, MD

- J. Kevin Drury, MD

- Marla C. Dubinsky, MD

- Joel D. Feinstein, MD

- Morton H. Field, MD

- Arnold S. Friedman, MD

- Gerhard J. Fuchs, MD

- Angel M. Fuentes

- Elayne K. Garber, MD

- Anita B. Gattenuo

- Eli Ginsburg, MD

- Armando E. Giuliano, MD

- Richard N. Gold, MD

- Jeffrey S. Goodman, MD

- Richard E. Gould, MD

- Robert A. Gross, MD

- Behrooz Hakimian, MD

- Solomon I. Hamburg, MD

- Jason S. Hamilton, MD

- Michael D. Harris, MD

- Leonel Hunt, MD

- Asma Hussaini, MS, PA-C

- Bree Hysjulien

- Stanley C. Jordan, MD

- David Y. Josephson, MD

- Peter Julien, MD

- Adam D. Karns, MD

- Stephen P. Kay, MD

- Jon P. Kea, MD

- Hyung L. Kim, MD

- Diana Kirakosyan

- Jon A. Kobashigawa, MD

- Jennifer W. Lin, MD

- Rajendra Makkar, MD

- Dwight L. Makoff, MD

- William J. Mandel, MD

- Glenn A. Marshak, MD

- Sasan Massachi, MD

- Philomena McAndrew, MD

- Robert McKenna, Jr., MD

- Amin Joseph Mirhadi, MD

- Zuri Murrell, MD

- Ronald B. Natale, MD

- Nicholas Nissen, MD

- Megan O'Dell, RN

- Raena Olsen, DO

- Guy D. Paiement, MD

- Mitchel Pariani, MS, CGC

- Robert S. Pashman, MD

- Chirag G. Patil, MD

- Brian Perri, MD, DO

- Edward H. Phillips, MD

- Edwin Posadas, MD

- Irving Posalski, MD

- Vichin C. Puri, MD

- Robbin Rabbani, RN

- Rab R. Razzak, MD

- Ricardo R. Reantaso, CN

- Sutha Sachar, MD

- Gregory P. Sarna, MD

- Jay Schapira, MD

- Joshua B. Scherling, MD

- Dina L. Schultz, RN

- Alan E. Shapiro, MD

- Edward J. Share, MD

- Omid A. Shaye, MD

- Chrisandra L. Shufelt, MD, MS

- Robert J. Siegel, MD

- Allan W. Silberman, MD, PhD

- David S. Silver, MD

- Edy E. Soffer, MD

- Jasminka Stegic, MS, ANP-BC, CCRN

- Alfredo Trento, MD

- Conrad J. Tseng, MD

- Robert A. Vescio, MD

- Xunzhang Wang, MD

- Jonathan M. Weiner, MD

- Janet Y.White, MD

- Edward M. Wolin, MD

Mural illustrates Jewish legacy in medicine

Time moves from left to right in the Harvey Morse Auditorium, where "Jewish Contributions to Medicine," the mural that lines the wall, blends art with history. From the concept of a weekly day of rest, as called for in the Fourth Commandment in the Old Testament, to panels that celebrate specific medical contributions throughout the centuries, the mural reveals how much Jewish doctors and scientists, as well as Jewish law itself, have contributed to the growth of medicine.

"The mural was created by Terry Schoonhoven, an L.A. artist who has since passed away," said John T. Lange, curator of the Cedars-Sinai art collection. "He created the mural in his studio, and then it was installed in the auditorium, placed on the walls in a fashion similar to putting up wallpaper."

The mural, donated by Beverly and Joseph Mitchell, was dedicated on May 2, 1999. Schoonhoven planned the mural in cooperation with the medical center's Art Council, and with a special committee, Lange said.

The mural's opening panel depicts a snake wrapped around a staff, an image that, since ancient times, has been associated with the healing arts. Leon Morgenstern, MD, emeritus chair of the Department of Surgery, chair of the mural committee and the author of a booklet about the artwork, ties the image to a passage in Numbers 21:6-10. In the text, God directs Moses to "... take a fiery serpent, and set it upon a pole ..."

The artwork goes on to celebrate early Jewish scholars and scientists, like Asaph Harofe. A sixth-century physician living in Palestine, Harofe's teachings were compiled by his students and constitute the earliest medical manuscript written in Hebrew. Asaph the Physician, as he was called, recognized the hereditary nature of certain diseases, and is known for the "Asaph Oath," which closely resembles the Hippocratic Oath.

In more recent history, Schoonhoven's mural celebrates Jewish doctors like Paul Ehrlich, whose research led to advances in anti-microbial therapy and the development of chemotherapy, and scientists like Stanley Cohen, who shared a Nobel Prize in physiology and medicine in 1986 for his work in isolating nerve growth factor. While 10 Jewish winners of the Nobel in physiology and medicine are singled out in the mural, all 47 who received the award between 1908 and 1997 are honored.

The mural also highlights the importance of the Talmud, which expands upon and explains biblical references to health and well-being. However, as Morgenstern notes in his introduction, a number of Jewish doctors and scientists who deserve to be recognized could not be pictured.

For those who want to learn more about the history shown in the mural, a few signed and numbered limited edition prints of the artwork are available for sale, Lange said. The reproduction comes with Morgenstern's booklet, as well as a 20-minute video that walks you through the piece.

"Schoonhoven did a lot of murals around the city, typically outdoors, so many of those were lost; either they were painted over, or the buildings are no longer there," Lange said. "This is one of, if not the last, surviving mural that he made."

Click here to access an interactive tool and learn more about those featured in the mural.