Cedars-Sinai Medical Center

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A BI-WEEKLY PUBLICATION FROM THE CEDARS-SINAI CHIEF OF STAFF July 26, 2019 | Archived Issues

Cedars-Sinai Leadership Series: Patient Care

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Watch the third video in a new series featuring executive leaders talking about Cedars-Sinai's most important goals and initiatives. This week, Rekha Murthy, MD, talks about patient care. Murthy is vice president of Medical Affairs and acting chief medical officer.

» Read more

Letter From Chief of Staff: Wellness Task Force

A summary of the Wellness Task Force's questionnaire from earlier this year showed that most physicians agree that they feel a great deal of stress from their job, most surveyed felt that they had marginally sufficient time for documentation, and, most felt that there was a need for better work/life balance and better access to exercise opportunities.

» Read more

Physician Wellness Tip: Don't Forget the Sunscreen

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Everyone thinks about sun safety during the summer, but it’s important to protect yourself all year long—even on cloudy and hazy days. The sun, as well as tanning beds and sunlamps, gives off an invisible kind of radiation called ultraviolet (UV) rays. Too much exposure to UV rays can damage your skin and eyes, and can lead to cancer.

» Read more

Preparing for Quakes and Other Disasters

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The recent earthquakes serve as a vivid reminder of the importance of being prepared for an emergency. We offer some disaster-preparation tips for an emergency at Cedars-Sinai, at home or on the road.

» Read more

Cedars-Sinai Gives $15 Million to 108 Local Organizations

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Cedars-Sinai is deepening its commitment to the health and wellbeing of underserved populations in Los Angeles County by significantly increasing its financial support for safety-net organizations that serve people experiencing homelessness and others who are vulnerable. Cedars-Sinai is contributing $15 million to 108 nonprofit programs and organizations that foster housing stability, provide sustainable programs for homeless residents, and build clinical and financial capacity at community clinics. 

» Read more

Deadline for Award Nominations Is Aug. 12

A call for nominations is now open for the Pioneer in Medicine and Master Clinician awards, which will be presented during the annual meeting of the medical staff on Oct. 14, 2019. All medical staff members are eligible to participate, with a panel selecting the winners. Please read more to review criteria and instructions before submitting your nominations.

» Read more

Blood Donors Needed During Summer Months

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Employees, friends and families are encouraged to donate blood and platelets for patients at Cedars-Sinai to help ease the strain on the national blood supply caused by a seasonal dip in blood collections. To schedule a donation, visit the Blood Donor Services page or call the Blood Donor Center at 310-423-5346.

» Read more

CS-Link Tip: Pre-register for Okta App

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The electronic process for prescribing controlled substances is being simplified. The new process will begin Wednesday, Aug. 7, and require that you pre-register for Okta.

» Read more

Cedars-Sinai Leadership Series: Patient Care

Murthy480px.jpg

Watch the third video in a new series featuring executive leaders talking about Cedars-Sinai's most important goals and initiatives. This week, Rekha Murthy, MD, talks about patient care. Murthy is vice president of Medical Affairs and acting chief medical officer.

Letter From Chief of Staff: Wellness Task Force

We would like to update you on the progress of our Wellness Task Force launched last year. Our first task was to survey the Medical Staff and measure the current state of wellness of our physicians. The Wellness Questionnaire was a 16-question survey sent to the entire medical staff in January. We received responses from 313 physicians.

Since the survey, we have been analyzing the responses and have summarized our findings below:

  • Our first question asked if physicians were satisfied with their current job, and encouragingly, the majority of respondents strongly agreed that they were satisfied with their current job.
  • Most physicians agree that they feel a great deal of stress from their job—this was true regardless of employment setting (faculty, foundation or private). The majority of physicians noted they are under stress but are not burned out. Interestingly, the physicians who indicated they felt burned out were clustered around two age groups, 25-34 and 55-64.
  • Most surveyed felt that they had marginally sufficient time for documentation, which was especially true in the 35-54 age group.
  • The majority of physicians felt their primary area of work was busy but reasonable to manage, and also felt that their professional values aligned well with the department leaders.
  • Most felt their efficiency in the EMR was good, but few felt it was optimal. Physicians universally agreed that they need better proficiency with EMR.
  • Comments highlighted the need for better communication with leadership, better work/life balance and better access to convenient exercise opportunities, such as a wellness center or gym. Unique to private practitioners was a desire for pooled resources for practice management.
  • The burnout rate at Cedars-Sinai Medical Center was 41%, which is better than the burnout rate of 44% quoted nationally in the 2018 Medscape survey.

In response to the survey, our task force has been exploring ways to address the most common issues causing physician dissatisfaction/burnout. In the coming weeks, we will be sharing more about our approach to medical staff wellness and the initiatives we have launched to address physician wellness. In the meantime, your thoughts are always welcomed and appreciated.

Monique Araya, MD
Co-chair, Wellness Task Force
Vice Chief of Staff

Karyn Eilber, MD
Co-chair, Wellness Task Force

Clement Yang, MD
Chief of Staff

Physician Wellness Tip: Don't Forget the Sunscreen

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Everyone thinks about sun safety during the summer, but it’s important to protect yourself all year long—even on cloudy and hazy days. The sun, as well as tanning beds and sunlamps, gives off an invisible kind of radiation called ultraviolet (UV) rays. Too much exposure to UV rays can damage your skin and eyes, and can lead to cancer.

The hours between 10 a.m. and 4 p.m. are the most dangerous for UV exposure. To play it safe, stay in the shade, use a broad-spectrum sunscreen with a sun protective factor (SPF) of 15 or higher, and wear full-coverage clothing, sunglasses and wide-brimmed hats.

Preparing for Quakes and Other Disasters

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The recent earthquakes serve as a vivid reminder of the importance of being prepared for an emergency.

Here are some disaster-preparation tips for an emergency at Cedars-Sinai, at home or on the road:

Make a plan:

  • At Cedars-Sinai, review your department's disaster plan in the red Fire Disaster or Emergency Operations and Business Continuity Plan binder. What is expected of you and your department during a disaster?
  • Create a communications plan for your family. Include an out-of-state contact. Try texting if you cannot get a call to go through. A customizable wallet card plan is available on Safety Net or in CS-Aware's library.
  • Set meeting places ahead of time. If you can’t communicate, know where to look for your loved ones.
  • Have evacuation routes identified. Multiple routes give you options to adapt to the crisis.
  • If you have children, know the school's emergency plan and what is expected of you.
  • Keep copies of important documents in a safe place. Consider storing electronic copies in the cloud or emailing them to yourself. Consider backing up important photos to the cloud.
  • See additional planning information in the Staying Safe Where the Earth Shakes guide, on the Safety Net or at gov/make-a-plan.

Get a kit:

  • At Cedars-Sinai, we have emergency supplies to continue to care for our patients. We also have basic supplies to assist our employees during an emergency.
  • Consider keeping a personal emergency kit at work, in your car and at home. Include personal medications, hygiene items, a change of clothing and supplemental, nonperishable food.
  • Keep a pair of comfortable shoes at work. You may have to walk on uneven surfaces and up/down stairs.
  • You can make your own kit or buy a ready-made kit. An internet search for emergency kits will show local vendors where you can buy a kit in-store, and there are many online options.
  • Water is a key component of your emergency kit. At home, plan to have 1 gallon per person per day. Plan for a minimum of three days, but a week is better if possible. Keep some water in your car.
  • Consider purchasing a backup battery and/or solar charger for your phone.
  • See additional kit information on the Safety Net or at gov/build-a-kit.

Stay informed:

  • At Cedars-Sinai, we use a mass-notification system called Everbridge to send important information during an emergency. You will soon have the opportunity to update your contact information in the system.
  • After the initial Everbridge message, and when the command center is opened, updates will be posted on CS-Aware. Go to csmc.edu.
  • Add the site to your favorites. Log in using your Cedars-Sinai email address and password. From off-site, you must use Okta. On mobile devices, look for the “Announcements” tab.
  • On the right side of the CS-Aware home page, there are links to sources of information from our community emergency-management and response agencies.
  • Listen to the radio, watch TV or check news sources online for event updates. Especially online, consider the source of information to determine whether it is accurate and truthful. As part of your emergency kit, it is helpful to have a battery-powered portable radio to receive news updates. Cedars-Sinai may also put out messages to employees on our website and social media platforms, including Facebook and Twitter.

During an earthquake:

  • Drop, cover and hold on!
  • If you are in bed, stay there and protect your head. If you are driving, safely pull to the side of the road and stop (not on or under bridges). If there is nothing to seek cover under, drop to the ground and protect your head with your arms.
  • Do not run outside. Hazards such as falling glass, power lines and trees all can cause injury. You are safer practicing “Drop, cover and hold on.”
  • Do not head for the doorway. In modern buildings, doorways are no stronger than any other parts of the building and usually have doors that will swing and can injure you.
  • Expect aftershocks!

Reach out to Emergency Management in the Safety Office for help updating your department's disaster plan. If you have any questions, email disaster@cshs.org or call 310-423-4336.

NoteThe new earthquake early-warning system was not triggered by the recent quakes. The medical center's system is designed to initiate only starting at a "moderate" level of shaking. The recent earthquakes only produced a "weak" level of shaking at the medical center. We are reevaluating the threshold for activating our system and may alter our threshold in the future. To find out more about the early-warning system at Cedars-Sinai, visit the Safety Net or CS-Aware's library. To download the app, visit the city's website.

 

Cedars-Sinai Gives $15 Million to 108 Local Organizations

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Cedars-Sinai is increasing its contributions to safety-net organizations that help the homeless and others who are vulnerable.

Cedars-Sinai is deepening its commitment to the health and wellbeing of underserved populations in Los Angeles County by significantly increasing its financial support for safety-net organizations that serve people experiencing homelessness and others who are vulnerable.

Cedars-Sinai is contributing $15 million to 108 nonprofit programs and organizations that foster housing stability, provide sustainable programs for homeless residents, and build clinical and financial capacity at community clinics.

The grants, announced this month, also will support mental health training, services for LGBTQ+ and veterans' groups, as well as a range of social services provided by several Jewish organizations.

Cedars-Sinai contributed $5.9 million last year to safety-net organizations in the Los Angeles region.

The effort to address homelessness and housing stability comes at a critical time for the region. The 2019 Greater Los Angeles Homeless Count found a 12% increase in homelessness across the county compared to a year ago, pushing the numbers of homeless residents in the area to nearly 59,000. The count also showed that 600,000 people countywide face critical housing stability issues because they spend more than 90% of their income on shelter.

"We take our role in the community as seriously as we take patient care, research and education," said Thomas M. Priselac, president and CEO. "We are driven by a strategic focus on improving access to care and addressing social determinants of health. Ultimately, we are working to break down barriers that affect tens of thousands of people within the safety net."

More than 20 of the Cedars-Sinai grants are going to organizations that work directly with people experiencing homelessness or strive to improve housing stability. In total, Cedars-Sinai is contributing $2.5 million to these dual priorities. Among the recipients:

  • The City of Santa Monica is receiving $100,000 for a feasibility study about comprehensive healthcare for homeless residents in the seaside city.
  • Home for Good, a public-private partnership that invests in solutions to homelessness in Los Angeles County, will receive $100,000 to support its work.
  • The Los Angeles LGBT Center will have $160,000 to develop vocational training for youth who are transitioning out of homelessness.
  • The People Concern is receiving $100,000 to expand a "navigator" program that connects homeless patients at Cedars-Sinai Marina del Rey Hospital with community resources and services. The Los Angeles nonprofit received a $100,000 Cedars-Sinai grant last year to launch the program.
  • St. Joseph Center is receiving $100,000 to train first responders in Culver City to meet the needs of the city's homeless population and to teach members of the business community how to connect those who are homeless to social services.

Cedars-Sinai also is distributing several major grants to assist community clinics to reduce disparities in health and healthcare. More than 1.6 million Angelenos receive their healthcare from community clinics, making these organizations the backbone of the region's safety net. The Cedars-Sinai Community Clinic Initiative is contributing $1.5 million over two years to help 17 Los Angeles County community clinics build greater capacity to address food insecurity and transportation issues for those who need the support. The contribution is among more than $10 million Cedars-Sinai has devoted to community clinics over the last four years.

Planned Parenthood also is receiving $500,000 over three years to help develop wellbeing centers on school campuses across the county. Other community clinic grantees include Saban Community Clinic, APLA Health, Eisner Health, Venice Family Clinic, and Korean Health Education Information and Research Clinic.

Behavioral health is another priority area. Cedars-Sinai is providing funds for training and partnerships with clinics and social service agencies.

Martin Luther King, Jr. Community Hospital is receiving more than $1 million to develop a self-sustaining behavioral health program for its local community, which significantly lacks access to care. Other behavioral health grantees include Beit T’Shuvah, Korean American Family Services, The Maple Counseling Center, Didi Hirsch Mental Health Services and Para Los Niños.

Several grants also are going to institutions and programs in alignment with Cedars-Sinai's Judaic values of welcoming and treating all people with dignity and respect. Grants are going to Jewish Family Services, Sharsheret and Bet Tzedek to serve a range of social, education, homeless and legal needs.

The Jewish Free Loan Association will receive $500,000 over five years to establish the Cedars-Sinai Housing Stability Loan Fund, designed to provide immediate housing assistance to stabilize those on the verge of homelessness.

Cedars-Sinai also is making significant investments in workforce development to train healthcare workers in the community. Charles Drew University Medical School is receiving a grant of nearly $1.4 million to help develop a medical education program and a community health worker training program focused on serving people in vulnerable communities. Other workforce grantees include the Southside Coalition of Community Health Centers and the Los Angeles Urban League.

Deadline for Award Nominations Is Aug. 12

A call for nominations is now open for the Pioneer in Medicine and Master Clinician awards, which will be presented during the annual meeting of the medical staff on Oct. 14, 2019. All medical staff members are eligible to participate, with a panel selecting the winners.

The deadline for submissions is August 12, 2019. Please review the criteria and instructions below before submitting your nominations.

The Pioneer in Medicine Award

This award is given to a member of the medical staff who has made clinical and research contributions recognized at Cedars-Sinai and in the national or international medical communities. The criteria for candidates for the Pioneer in Medicine award are set forth in the Rules and Regulations of the Medical Staff, Article XXVI, Section 26.1(c) as follows:

  • The candidate shall have made a major contribution to the medical center.
  • The candidate shall be or have been involved in research.
  • The candidate shall have been published in national or international peer-reviewed journals.
  • The candidate shall be a teacher and a positive role model.
  • The candidate shall be an innovator or have changed the medical world around him or her.
  • The candidate shall have made clinical contributions recognized nationally.
  • The candidate shall have been a physician at the medical center during a major part of his or her career.

Master Clinician Award (New)

The award is separate and distinct from the Pioneer in Medicine Award. The master clinician candidate shall have an outstanding reputation and clinical expertise. Additionally, the candidate shall have demonstrated a major impact on advancing healthcare at Cedars-Sinai and the community. The criteria for candidates for the master clinician award are set forth in the Rules and Regulations of the Medical Staff, Article XXV, as follows:

  • The candidate shall have spent the majority of their career at Cedars-Sinai.
  • The candidate shall be a renowned clinician with an established reputation and demonstrated expertise who has made a substantive contribution to patient care at Cedars-Sinai.
  • The candidate shall have contributed clinical innovation that has improved patient care in a significant and systemic way at Cedars-Sinai.
  • The candidate shall have demonstrated community activism and educational efforts that advanced healthcare and the wellbeing of the Cedars-Sinai community.
  • The candidate shall have made contributions recognized at a national level by specialty societies or specialty boards.
  • The candidate shall represent the paragon of collegiality who fosters collaboration to offer best possible patient care.
  • The candidate shall have committee service at Cedars-Sinai.

Nominations

To submit a nomination for either award, please include a letter detailing your nominee's qualifications, key contributions and major accomplishments, as well as a copy of your nominee’s curriculum vitae. You can email these documents to monique.araya@cshs.org, or by mail to:

Monique Araya, MD
Vice Chief of Staff, Cedars-Sinai
8700 Beverly Blvd., Suite 2211
Los Angeles, CA 90048
Attention: Jenna Renella

For more information, contact jenna.renella@cshs.org.



 

Blood Donors Needed During Summer Months

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With the help of phlebotomist Larry Pangestu (left), Thomas M. Priselac, president and CEO, donated blood last year in order to highlight the importance of giving blood during the summer when supplies traditionally are low.

Employees, friends and families are encouraged to donate blood and platelets for patients at Cedars-Sinai to help ease the strain on the national blood supply caused by a seasonal dip in blood collections.

During the summer months, the need for blood spikes but donations are traditionally at their lowest. Vacations often cause regular donors to miss their scheduled donations, and school closures mean fewer mobile health drives.

Blood Donor Services is open Monday through Saturday in the South Tower, Room 1690. To schedule a donation, visit the Blood Donor Services page or call the Blood Donor Center at 310-423-5346.

CS-Link Tip: Pre-register for Okta App

The electronic process for prescribing controlled substances is being simplified. The new process will begin Wednesday, Aug. 7, and will require that you pre-register for Okta.

Currently, to prescribed controlled substances electronically, you use the DUO application on your phone. This requires entering the order, verifying your DEA number, putting in your usual Cedars-Sinai log-in, and then picking up your phone, going to the DUO application, and typing in a number.

However, once you have the new Okta application and need to prescribe electronically, you will see a screen that says "Okta Verify." Click "Send Push," and instead of typing in a number on your phone, you will only have to hit "Approve."

To learn more, attend a CS-Link Efficiency and Review for Physicians meeting on the second Thursday of each month. The classes, which begin at 7:30 a.m., are held in PEC 4.

If you have questions, contact groupeisphysicians@cshs.org.