Cedars-Sinai Medical Center

medical staff pulse newsletter

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A BI-WEEKLY PUBLICATION FROM THE CEDARS-SINAI CHIEF OF STAFF Sept. 26, 2014 | Archived Issues

P and T Approvals, Details About Tramadol Change

Pharmacy Focus

See highlights of the Aug. 5 meeting of the Pharmacy and Therapeutics Committee. Also, more details are available about tramadol's new status as a controlled substance.

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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 - September (PDF)


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.

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Share Your News

Won any awards or had an article accepted for publication? Share your news about professional achievements and other items of interest.

Click here to share your news

TJC Is Coming; Here's Help With Survey Prep

Cedars-Sinai's triennial survey by the Joint Commission (TJC) will occur before Dec. 31. In preparation for the survey, we will be providing tidbits for you to review so that you may be better equipped to respond to questions from the surveyors.

For example, TJC surveyors may ask you to describe new clinical programs or initiatives that Cedars-Sinai has implemented to enhance the quality, safety and/or efficiency of patient care. The following is a summary of some of these programs. Thank you for your attention to this and future tidbits.

New programs

  • Total Artificial Heart (TAH): The Total Artificial Heart®, an implanted pumping device that replaces the human heart, is a treatment option in the Heart Transplant Program as a bridge to transplantation. The device is prescribed for patients who are candidates for heart transplantation, are in imminent danger of death and for whom a donor heart is not available. In the future, the TAH will be utilized as an alternative for heart transplantation for patients who qualify. Cedars-Sinai Heart Institute surgeons implanted the TAH for the first time in 2012. To date, 43 Cedars-Sinai patients have received the Total Artificial Heart.
  • Medical Observation Unit: Located on the third floor of the South Tower, the new Medical Observation Unit is a specialized unit designed to observe patients who are expected to be discharged within 24-48 hours. Medical conditions typically include chest pain, dehydration and/or electrolyte disturbances, syncope/near syncope, asthma and pneumonia, among others.
  • Supportive Care Services: Supportive Care Medicine is treatment given to prevent, control or relieve complications and side effects and to improve the patient's comfort and overall quality of life. It is available to any patient who is facing serious illness at any age, even those who are pursuing curative treatment. It is not to be confused with hospice, which focuses exclusively on patients with a life expectancy of less than six months. The Supportive Care Medicine team is led by Brad Rosen, MD.
  • Physician Advocates: This is a new role for Cedars-Sinai, which is one of the first to pioneer the strategy. Physician advocates serve as eyes and ears for attending physicians during daily progression of care rounds. As part of a multidisciplinary team, they offer extra clinical support to help facilitate appropriate patient care and overcome obstacles to patients progressing toward appropriate discharge. The program is being implemented on units 5 North, 5 South and 7 North. Bill Stanford, MD, is medical director of the program.
  • Post Discharge Resources (Transitions in Care): Cedars-Sinai offers a number of services to improve patients' ability to manage care in the outpatient setting and to help patients transition successfully from the hospital to their next level of care. These services include the Enhanced Care Program, nurse practitioner coverage provided at certain skilled nursing facilities; Enhanced Home Health, an intensive bundle of services provided by participating home health services; and Healing at Home, acute-level care provided to older adults in the comfort of their own homes.
  • 5 South Closure: Peer institutions are using long-term acute-care facilities (LTACs) to improve the care for ventilator-dependent patients. Learning from them, we decided the most appropriate care for these long-term vent-dependent patients was not at our institution but at LTACs with more expertise in caring for these patients.
  • Future Acute Inpatient Rehabilitation Hospital: This is a joint venture with UCLA Health System and Select Medical. The site is the former Century City Hospital. The hospital will be an expansion of our inpatient rehabilitation services from 28 beds (always at capacity) to 138 beds. It will be a comprehensive, dedicated rehabilitation facility to meet the growing demand for highly specialized care of individuals with spinal cord injuries, brain injuries, stroke and other neurological, musculoskeletal and orthopedic conditions. It is expected to open by 2016.