Cedars-Sinai Medical Center

medical staff pulse newsletter

Text size: A A A
A BI-WEEKLY PUBLICATION FROM THE CEDARS-SINAI CHIEF OF STAFF May 23, 2014 | Archived Issues

Meetings and Events


Grand Rounds

Click here to view upcoming grand rounds.


Upcoming CME Conferences

Click below to view a complete list of all scheduled Continuing Medical Education conferences.

CME Newsletter - May 2014


Milestones

Do you know of a significant event in the life of a medical staff member? Please let us know, and we'll post these milestones in Medical Staff Pulse. Also, feel free to submit comments on milestones, and we'll post the comments in the next issue. Click here to email us your milestones and comments.

» Read more

CS-Link Upgrade Set for June 7

CS-Link™ will be upgraded with new features and functionality on Saturday, June 7. Following are some of the enhancements, although you will not see a significant amount of change in your day-to-day workflows or screens.

» Read more

Anthem Blue Cross EPO Individual/Family Coverage Now Includes Cedars-Sinai as Tier 1 Facility

Effective May 1, 2014, Cedars-Sinai is being offered as a Tier 1 facility in Anthem Blue Cross Exclusive Provider Organization (EPO) individual and family health plans (i.e., nonemployer, nongroup plans) offered through Covered California as well as outside of the exchange.

» Read more

CS-Link Tip: Submitting Professional Charges

CS-Link™ now supports professional billing charges for bedside procedures and evaluation and management codes. Physicians no longer need to submit charges via MD Bill and can complete the Inpatient Billing workflow entirely within CS-Link.

» Read more

Morgenstern Debaters to Tackle Robotics

Robotics in medicine is the subject of this year's Dr. Leon Morgenstern Great Debates in Clinical Medicine Resident Competition. Kicking off the first Cedars-Sinai Founders Day, the debate will convene for its 11th year on Friday, June 6, at 8 a.m. in Harvey Morse Auditorium.



» Read more

Cedars-Sinai Celebrates Its Beginnings

Cedars-Sinai will inaugurate Founders Day next month as it unveils a preview of its Historical Conservancy exhibit. Scheduled for Friday, June 6, Founders Day will be an annual observance of the day in 1976 that Cedars-Sinai first opened in its present location. The day will include the Dr. Leon Morgenstern Great Debates in Clinical Medicine Resident Competition, as well as a lunchtime presentation on Cedars-Sinai history.

» Read more

RN From 8SW Wins Stempson-Carter Award

The medical staff honored Rema Pendon, RN, CN III, with the Maggie Stempson-Carter, RN, Excellence in Caring Award during this year's Nurses Week celebration, held May 7 in Harvey Morse Auditorium.

 

» Read more

Library Asks Users to Take Survey by May 30

The Cedars-Sinai Medical Library wants your opinion. The library's User Satisfaction Survey runs through May 30.

» Read more

Fireworks, Sand 'N' Snore Are on the Horizon

Summer has a couple of treats in store for medical staff members and their families: the Independence Day celebration at the Hollywood Bowl on July 3, and the Sand 'N' Snore sleepover on Sept. 5.
 

» Read more

FDA Compares Blood Thinners, Airs Lunesta Risk

Pharmacy Focus

A new study has found that the blood-thinning drug Pradaxa® has a lower risk than warfarin of clot-related strokes, bleeding in the brain and death, but a higher risk of major gastrointestinal bleeding. Also, the U.S. Food and Drug Administration has warned that the insomnia drug Lunesta® can cause next-day impairment of driving and other activities that require alertness.

» Read more

CS-Link Upgrade Set for June 7

CS-Link™ will be upgraded with new features and functionality on Saturday, June 7.

Following are some of the enhancements, although you will not see a significant amount of change in your day-to-day workflows or screens:

  • New Manage Orders section
  • Enhanced chart review search functions
  • Improved Care Everywhere functionality
  • Inpatient search feature
  • Enhanced AVS for patients
  • Personal Sticky Notes
  • Additional "Quick Actions" for InBasket
  • NoteWriter in sidebar
  • Enhanced diagnosis preference list
  • New Diagnosis Calculator

While the compliance date for the transition to ICD-10 has been delayed, system enhancements designed to assist physician documentation and diagnosis selection will be introduced during this upgrade.

To become familiar with all of the new features and functionality, you are strongly encouraged to view both the CS-Link upgrade and ICD-10 e-learning modules, which will be posted by May 26 at CS-Link Central. Related job aids also will be available.

No Creating or Editing SmartPhrases June 2-7

As part of the upgrade process, you will not be able to create new SmartPhrases or edit current SmartPhases from Monday, June 2, through Saturday, June 7. If you attempt to do so, you will get an error message. You will be able to use your current SmartPhrases during this period.

This upgrade will require a downtime. CS-Link users will need to log off of the system and follow downtime procedures on June 7 from 1 a.m. until about 5 a.m.

For more details about what to expect with the CS-Link upgrade, visit the System Upgrade page at CS-Link Central.

CS-Link Upgrade

Anthem Blue Cross EPO Individual/Family Coverage Now Includes Cedars-Sinai as Tier 1 Facility

From Thomas M. Priselac, President and CEO

I am pleased to let you know that effective May 1, 2014, Cedars-Sinai is being offered as a Tier 1 facility in Anthem Blue Cross Exclusive Provider Organization (EPO) individual and family health plans (i.e., nonemployer, nongroup plans) offered through Covered California as well as outside of the exchange. This will provide significantly expanded access to Cedars-Sinai for those purchasing individual insurance from Anthem Blue Cross.

Previously, Cedars-Sinai was offered by Anthem Blue Cross as a Tier 2 facility, meaning that patients had to pay higher co-pays and deductibles for treatment.

The change applies to all of Anthem’s EPO metal plans (Platinum, Gold, Silver and Bronze) as well as Anthem’s Minimum Coverage EPO plan.

For more information on the individual and family health plans that Cedars-Sinai is contracted with, please visit cedars-sinai.edu/insurance.

CS-Link Tip: Submitting Professional Charges

CS-Link™ now supports professional billing charges for bedside procedures and evaluation and management codes. Physicians no longer need to submit charges via MD Bill and can complete the Inpatient Billing workflow entirely within CS-Link.

E-learning modules and job aids explaining how to submit professional charges are available at CS-Link Central.

You can schedule physician efficiency training at your office by emailing Alex Bram at alex.bram@cshs.org or Lisa Masson, MD, at lisa.masson@cshs.org.

Click here for more CS-Link training updates for physicians.

Morgenstern Debaters to Tackle Robotics

Heidi Reich, MD

Ryan Spurrier, MD

Robotics in medicine is the subject of this year's Dr. Leon Morgenstern Great Debates in Clinical Medicine Resident Competition.

The debate will convene for its 11th year on Friday, June 6, at 8 a.m. in Harvey Morse Auditorium. The topic will be "Robotics — Medicine or Marketing? Progress or Promotion?" Heidi Reich, MD, will argue that robotics is a medical advance. Ryan Spurrier, MD, will argue that robotics is medical marketing.

The debate will anchor the inaugural Cedars-Sinai Founders Day.

For more information about the debate, contact Leo Gordon, MD, at leo.gordon@cshs.org.

To see coverage of last year's debate, click here.

Morgenstern Debate - June 6 (PDF)

Related story in this issue:

Cedars-Sinai Celebrates Its Beginnings With Founders Day

Cedars-Sinai Celebrates Its Beginnings

Preview of Historical Conservancy Exhibit Will Be Part of Inaugural Founders Day

Cedars-Sinai's earliest predecessor was Kaspare Cohn Hospital, which opened in 1902.

Eight years after a routine phone call inspired the late Leon Morgenstern, MD, to become an advocate for preserving Cedars-Sinai's storied history, the medical center is inaugurating Founders Day and unveiling a preview of its Historical Conservancy exhibit.

Scheduled for Friday, June 6, Founders Day will be an annual observance of the day in 1976 that Cedars-Sinai first opened in its present location. The Historical Conservancy exhibit, a collection of books, documents and artifacts, traces the founding and development of the medical center over the past century.

"Founders Day is a time of celebration, an event that will, hopefully, grow and develop over time," said Jonathan Schreiber, director of Community Engagement and a force behind bringing Morgenstern's vision to fruition.

"We all look with great pride at how Cedars-Sinai has grown over the decades," Schreiber said. "From its humble beginnings in 1902 as the Kaspare Cohn Hospital to the world-class institution it is today, Cedars-Sinai has become an integral part of the community, and continues today to fulfill its mission of putting its patients first."

Opening the Founders Day festivities will be the 11th annual Dr. Leon Morgenstern Great Debates in Clinical Medicine Resident Competition. Founders Day also will include a lunchtime program featuring stories from people who were a part of the 1976 move into the current Cedars-Sinai facility.

In less than one generation, the 12-bed Kaspare Cohn Hospital became Cedars of Lebanon Hospital, large enough to accommodate 278 patients.

Mount Sinai Hospital moved into this new building in 1926. In 1955, it moved to the future site of Cedars-Sinai. Cedars of Lebanon and Mount Sinai merged to become Cedars-Sinai in 1961. A new, combined facility opened in the current location on June 6, 1976.

Like Cedars-Sinai itself, the Founders Day observance and the Historical Conservancy have their own origin stories. While Morgenstern, who served as chair of the Department of Surgery for 33 years, was writing a magazine article, he telephoned St. Vincent Medical Center for some background information. The operator offered to connect Morgenstern to the St. Vincent Historical Conservancy, and in that instant, the idea of Cedars-Sinai's own historical record was born.

"No one knew there was such a thing as a historical conservancy at any hospital in L.A.," said Leo Gordon, MD, an attending physician who has worked at the medical center for 35 years and helped found the Historical Conservancy. "For Dr. Morgenstern, that was the start of the idea to create a historical conservancy here at Cedars-Sinai."

Morgenstern formed a planning committee, and though the group made presentations to administrators at the medical center, the idea for a historical conservancy was initially slow to gain traction. Gordon and his fellow committee members persevered. For the next eight years, they continued to meet, make plans and collect historical materials.

Slowly but surely, the historical archive was created. Gordon took on the task of collecting and preserving important papers and ephemera from physicians who had retired or passed away.

"Not many of the children of doctors are going into medicine these days, so when a parent died, they would go into their parent's study to clean it out, and 30 or 40 years of medical history would get thrown away," Gordon said. "I've been through a lot of attics and garages in the last eight years, picking and choosing and cataloging in the hopes we could really get this thing off the ground."

The turning point for the creation of a historical conservancy came several years ago, when Schreiber learned about the effort.

"The idea of establishing a historical conservancy caught the eye of Jonathan Schreiber, and under his leadership, that's really when everything changed," Gordon said. "Jonathan got things moving, and he is the one who formulated the idea of Founders Day as a yearly reminder to all who work here about where this institution began and what it means."

Events on Founders Day, June 6

  • 8 a.m.: Dr. Leon Morgenstern Great Debates in Clinical Medicine Resident Competition, Harvey Morse Auditorium. The topic will be "Robotics — Medicine or Marketing?"
  • Noon: "June 6, 1976 — You Were There," a presentation on Cedars-Sinai history, Harvey Morse Auditorium. Lunch will be provided.
  • All day: Preview of a new Historical Conservancy exhibit on Cedars-Sinai's past. The exhibit will be in the corridor outside the Medical Library.

Another significant partner in collecting and collating historic materials was Janet Hobbs, manager of the Medical Library.

"Ever since there has been a library at Cedars-Sinai, the staff has been collecting historical items in preparation for the day we would have a historical conservancy," Hobbs said. "We are thrilled to finally have reached this day."

The historic archive includes a one-of-a-kind collection of books, journals, pamphlets, photographs and ephemera. Taken together, they tell the complex and fascinating story of the growth of Cedars-Sinai, its leaders and staff, and the communities the medical center serves, Hobbs said.

In addition to printed matter, visitors to the Historical Conservancy exhibit and the Medical Library can see items such as a parking sticker from 1966, a hospital menu from 1954 and a collection of the peculiar objects — a carpet tack, a nickel, an open safety pin — that were swallowed by the patients of an internist practicing in the 1930s. A portion of the historical archive also can be found online.

Most importantly, though, the Historical Conservancy is about people.

"It is 112 years of the history of Cedars-Sinai Medical Center," Gordon said. "It's the story of men and women of great foresight, and of the genius of coming up with the idea of combining two competing hospitals — Cedars of Lebanon and Mount Sinai — to create a greater whole."

Related story in this issue:

Morgenstern Debaters to Tackle Robotics

RN From 8SW Wins Stempson-Carter Award

Chief of Staff Chris Ng, MD, presents Rema Pendon, RN, CN III, with the Maggie Stempson-Carter Award.

The medical staff honored Rema Pendon, RN, CN III, with the Maggie Stempson-Carter, RN, Excellence in Caring Award during this year's Nurses Week celebration, held May 7 in Harvey Morse Auditorium.

Pendon joined Cedars-Sinai in 2000 and works on 8 Southwest. She was chosen for the award by the medical staff selection committee chaired by Chris Ng, MD, chief of staff. Committee members were Antonio Conte, MD, Andrew Freedman, MD, Robert Goodman, MD, Eve Newhart, MD, and Farzin Samadi, MD.

"We received 30 nominations from the medical staff this year, and I would like to thank those who took the time to recognize our nursing colleagues," Ng said.

The Maggie Stempson-Carter Award is the medical staff's highest nursing honor. It is given each year to a Cedars-Sinai nurse who exemplifies professionalism, clinical excellence and caring.

Originally known as the Excellence in Caring Award, it was renamed in 2005 in honor of the late Maggie Stempson-Carter, RN, who received the award in 2004.

Library Asks Users to Take Survey by May 30

The Cedars-Sinai Medical Library wants your opinion. The library's annual User Satisfaction Survey runs through May 30.

The survey's goals are to better understand the information-seeking behavior of the Cedars-Sinai community, and to measure awareness and satisfaction with the library's services.

To take the survey, click here.

Fireworks, Sand 'N' Snore Are on the Horizon

Summer has a couple of treats in store for medical staff members and their families.

Hollywood Bowl Fireworks — July 3

Celebrate Independence Day at the Hollywood Bowl with fireworks and music by the Hollywood Bowl Orchestra, along with Steve Martin and the Steep Canyon Rangers, featuring Edie Brickell.

The event on Thursday, July 3, is open to Cedars-Sinai physicians and their immediate family members. Cost is $130 per adult and $65 per child 3-11 years of age.  

Valet and Lower Terrace parking passes also are available.

To see coverage of the 2013 celebration, click here.

A photo from last year's Independence Day event at the Hollywood Bowl

Sand 'N' Snore — Sept. 5

The dinner, sleepover and breakfast starts Friday, Sept. 5, at the Jonathan Beach Club in Santa Monica. Those who don't want to sleep on the sand are welcome to enjoy dinner and the evening with colleagues and their families. There's a limit of one tent per physician.

Tickets for the whole event are $60 per adult and $45 for each child under age 12. Tickets for Friday's dinner only are $50 per adult and $25 for each child younger than 12.

A photo from the 2013 Sand 'N' Snore

To see coverage of the 2013 event, click here.

To reserve a place for either event, call Cheryl Verne, in the office of Marjorie Santore Besson, at 310-423-2681.

FDA Compares Blood Thinners, Airs Lunesta Risk

Pharmacy Focus

The U.S. Food and Drug Administration recently completed a study in Medicare patients comparing Pradaxa® (dabigatran) to warfarin for risk of ischemic or clot-related stroke, bleeding in the brain, major gastrointestinal bleeding, myocardial infarction (MI) and death.

The new study included information from more than 134,000 Medicare patients 65 or older, and found that among new users of blood-thinning drugs, Pradaxa was associated with a lower risk than warfarin of clot-related strokes, bleeding in the brain and death.

The study also found an increased risk of major gastrointestinal bleeding with use of Pradaxa as compared to warfarin. The MI risk was similar for the two drugs.

For more information, click here.

Lunesta® Can Impair Next-Day Alertness, FDA Warns

The FDA has notified health professionals and their medical care organizations that the insomnia drug Lunesta (eszopiclone) can cause next-day impairment of driving and other activities that require alertness.

The agency recommends decreasing the starting dose of Lunesta to 1 mg at bedtime.

The FDA approved changes to the Lunesta prescribing information and the patient medication guide to include these new recommendations. The drug labels for generic eszopiclone products also will be updated.

For more information, click here.