Physician Communication Packet December 2014 by Baptist Health

Physician Communication Packet December 2014

PHYSICIAN COMMUNICATION Packet

What’s Inside: 3 – 6

Baptist Physician Partners

7 – 10

New Physicians

Baptist Hospitalist Team Vera Abaaba, MD Mona Chiribau, MD Delia Cucoranu, MD Curtis Mracke, DO 11 – 12 Announcements Dr. Catherine Lindsay moves offices Dr. David E. Pirrung retires 13 – 15

Facility Updates

New patient garments 16

Risk Management - Healthcare Advisor Series

17 – 20

Medical Staff

Ebola FAQ

PHYSICIAN COMMUNICATION Packet

What’s Inside: 21 – 24

Medical Staff

Patient does not meet CDC guidelines for Ebola

SHEILD - New Icons

Updated ByLaws

Online

Sincalide Shortage is over

Baptist CareConnection

Link — November 2014

Baptist Briefs Link — November 2014

Physician Partners

Q UALITYCONNECTI O N BAPTIST PHYSICIAN PARTNERS BOARD OF MANAGERS

Our journey to population health management – care coordination program update

CHAIR

Timothy Groover, MD, MBA, CPE Anesthesiology VICE-CHAIR

Jennifer Fulton, MD Pulmonary Critical Care Charles Cousar, MD Cardiothoracic Surgery Michael Erhard, MD Pediatric Urology A. Hugh Greene, FACHE President & Chief Executive Officer, Baptist Health Jack Groover, MD Gastroenterology Ceree Harden Board Member, Baptist Health Board Chair, Baptist Medical Center Jacksonville Richard Picerno, MD Orthopedic Surgery David Rice, MD Chief Medical Officer, Baptist Physician Partners Edward Sim President, Physician Integration, Baptist Health Todd Snowden, MD Otolaryngology Keith Stein, MD Chief Medical Officer, Baptist Health and Senior Vice President, Medical Affairs/Clinical Effectiveness

FALL 2014

David Rice, MD Chief Medical Officer

As we prepare for changing payment methodologies that will tie reimbursement to value, Baptist Physician Partners (BPP) spent the spring and summer months focused on building infrastructure and alignment.

Collaboration between the independent and employed physicians and the health system in the delivery of high quality, wellcoordinated, cost-effective care is critical to our success. As we implement and validate our care coordination model, our intent is to continue re-evaluating market dynamics and our position to ensure that we respond to any potential future changes that may arise. An Adult Ambulatory Care Coordination Workgroup, a subgroup of the BPP Performance Improvement Committee, was formed in May. We brought together a multidisciplinary team of physician and health system stakeholders to evaluate “best practice” models, and to help design our care coordination strategy. As defined by the workgroup, care coordination involves: • Helping patients navigate the system, with improved access and communication across the care team • Minimizing gaps in care

Mark Stich, DO Family Medicine

• Proactively managing patients at the lowest acuity setting with the appropriate resources

Randy Wainwright, MD Cardiology

• Improving patient management and engagement

John Wilbanks, FACHE Executive Vice President and Chief Operating Officer, Baptist Health

• Aligning providers and staff across the continuum of care (care transitions)

Based on our research and feedback from other programs, BPP employed an embedded model, with nurse care coordinators working in the primary care offices. Under the direction of Mary Leen, Director, BPP Ambulatory Care Coordination, these individuals work closely with the physicians’ office to improve the quality of care and decrease the fragmentation experienced by patients. The initial focus will be on chronic disease management for the high-risk and rising-risk populations. We plan to contract with Baptist Health to provide care coordination services for the team member health plan beneficiaries, beginning January 1, 2015. This will initially focus on four chronic diseases, in addition to helping manage gaps in care with respect to preventive screenings through telephonic outreach (i.e.: mammography/ colorectal screening). We anticipate further engagement and involvement of participating specialists as we work together to provide coordinated care. This will continue to grow as we define specialty specific metrics and focus on impacting total cost of care. To ensure the success and future scalability of this program, the workgroup recommended a four office pilot of varying size and patient populations. By launching in “bite-sized pieces”, we continue to evaluate and nimbly tweak as needed. The offices selected were Baptist Primary Care at Ponte Vedra, Mandarin North, Lane Avenue, and Pavilion. The first two offices launched in October. Our care coordination strategy is outlined in the infographic on page 4. We welcome your involvement and input as we lay the foundation for our clinically integrated network and proactively prepare for future market changes. Baptist Physician Partners

Welcome our BPP Physician Members As of October 2014 To date, 300+ physicians have joined BPP. Our strategy involved early engagement of our robust primary care (IM/FP/peds) base, 130+ physicians, as BPP believes that primary and preventive care is the foundation on which a successful clinically integrated network and care coordination program is built. Our outreach strategy has broadened to now engaging the specialty physician groups. Welcoming these physicians into the network and encouraging their early involvement in the development and implementation of metrics and initiatives will create buy-in and help drive the quality of care we are seeking. Felix Acholonu, MD - Obstetrics/Gynecology Christina Adams, MD - Obstetrics/Gynecology Kenneth Adams, MD - Cardiology/Internal Medicine Tolulope Adeyemo, MD - Family Medicine Jeffry Altomare, MD - Pediatrics Jesus Arcenas, MD - Internal Medicine/Internal Medicine Bethany Atkins, MD - Pediatrics Shaun Aure, MD - Nephrology Sarah Austin, MD - Obstetrics/Gynecology Tim Baird, MD - Gynecology James Baker, III, MD - Nephrology Emily Balanky, MD - Obstetrics/Gynecology Manish Bansal, MD - Cardiology Kim Barbel-Johnson, DO - Family Medicine Harrison Barnes, MD - Gynecology Darlene Bartilucci, MD - Family Medicine William Barton, MD - Anesthesiology Brent Beadling, MD - Family Medicine Eugene Bebeau, Jr., MD - Anesthesiology Mark Bedard, DO - Pediatrics Steve Beiser, MD - Internal Medicine - Hospitalist Miguel Bejar, MD - Anesthesiology Regina Bielawski, MD - Internal Medicine/Geriatrics Kathryn Bing, MD - Obstetrics/Gynecology Edward Bisher, MD - Cardiology Virginia Black, MD - Pediatrics Alfred Blum, MD - Anesthesiology Jacob Blum, MD - Family Medicine Charles Booras, MD - Family Medicine John Bordelon, MD - Obstetrics/Gynecology H. Dale Boyd, MD - Family Medicine Marijane Boyd, MD - Gynecology William Boyd, MD - Obstetrics/Gynecology Traci Bragg, MD - Family Medicine Josue Brainin, MD - Anesthesiology April Brenes, MD - Pediatrics Jerry Bridgham, MD - Pediatrics Mitzi Brock, MD - Obstetrics/Gynecology Alex Brown, MD - Internal Medicine Samuel Brown, MD - Reproductive Endocrinology & Infertility Arthur Browning, MD - Family Medicine Michael Brumback, MD - Nephrology John Butcher, MD - Family Medicine Mujtaba Butt, MD - Gastroenterology Patricia Calhoun, MD - Family Medicine James Campbell, MD - Cardiology/Interventional Cardiology Efren Cardenas, DO - Anesthesiology Jing-Jing Cardona, MD - Family Medicine Perry Carlos, DO - Family Medicine Pamela Carrington-Cooper, MD - Pediatrics David Carter, MD - Internal Medicine Hem Chataut, MD - Nephrology Anhtung Chau, MD - Gastroenterology Samuel Christian, MD - Gynecology

Baptist Physician Partners

Francis Chrzanowski, Jr., MD - Colorectal Surgery Alex Chugay, MD - Anesthesiology Lara Church, MD - Family Medicine James Clower, III, MD - Family Medicine Kevin Comar, MD - Gastroenterology Patrick Connor, MD - Gynecology Amanda Cooper, MD - Internal Medicine Scott Cooper, MD - Gastroenterology Ana Corregidor, MD - Gastroenterology Charles (Don) Cousar, MD - Cardiothoracic Surgery Joseph Cronin, DO - Family Medicine Mark Crowe, MD - Pulmonary/Critical Care Joseph Czerkawski, MD - Internal Medicine/Sports Medicine Robert Davis, MD - Nephrology Ashwini Davuluri, MD - Cardiology/Internal Medicine Matthew DeBoer, DO - Family Medicine Francis DeCandis, MD - Family Medicine Charles Dellinger, MD - Pediatrics Eufrocina Del Rosario, MD - Internal Medicine Sharon Desmarais, MD - Obstetrics/Gynecology Sarfaraz Dhanji, MD - Family Medicine Linda Di Teodoro, MD - Gastroenterology Graciela Diez-Hoeck, MD - Internal Medicine Paul Dillahunt, II, MD - Cardiology/Interventional Cardiology Salvatore DiLoreto, MD - Cardiology/Interventional Cardiology Adam Dimitrov, MD - Family Medicine H. Jackson Downey, MD - Family Medicine John Drewniany, MD - Hand Surgery William Drewry, MD - Gastroenterology Daniel Duffy, MD - Reproductive Endocrinology & Infertility Florangel Edralin, MD - Pediatrics Christopher Emanuel, MD - Pediatrics Lee Epstein, MD - Urogynecology James Ervanian, MD - Anesthesiology Kyle Etzkorn, MD - Gastroenterology Samuel Fern, DO - Family Medicine Kristin Fernandez, DO - Gynecology Nura Festic, MD - Family Medicine Mark Fleisher, MD - Gastroenterology James Fleming, MD - Anesthesiology Lindsay Foutz, MD - Obstetrics/Gynecology Sonja France, MD - Pediatrics Michael Freeman, MD - Reproductive Endocrinology & Infertility Lisa Frison, DO - Anesthesiology Juan Fuentes, MD - Family Medicine Jennifer Fulton, MD - Pulmonary/Critical Care/Internal Medicine Fidel Garcia, MD - Internal Medicine Martin Garcia, MD - Obstetrics/Gynecology Manik Garg, MD - Internal Medicine - Hospitalist Richard Gehret, MD - Pediatrics Joe Gerges el Khoury, MD - Gastroenterology Walter Gilbert, MD - Ophthalmology Stephen Gill, MD - Family Medicine William Gill, MD - Pulmonary /Critical Care

Denise Ginart, MD - Family Medicine Erika Glas, DO - Obstetrics/Gynecology J. Maurice Glick, MD - Family Medicine Gary Glicksteen, MD - Internal Medicine Richard Glock, MD - Internal Medicine/Geriatrics Lawrence Goldberg, MD - Gastroenterology Steven Goldwasser, MD - Urogynecology Vikram Gopal, MD - Gastroenterology C. Cameron Greene, MD - Gynecology Joseph Greenhaw, MD - Obstetrics/Gynecology Amy Greenwald, MD - Obstetrics/Gynecology John (Dan) Grigas, MD - Pulmonary /Critical Care/Sleep Medicine Richard Grochmal, MD - Internal Medicine Warren Groff, MD - Family Medicine Jack Groover, MD - Gastroenterology Timothy Groover, MD - Anesthesiology Rahul Gujarathi, MD - Internal Medicine - Hospitalist Caron Gutovitz, MD - Obstetrics/Gynecology George Hage-Nassar, MD â&#x20AC;&#x201C; Gastroenterology Catherine Hartley, MD - Pediatrics Steven Harvey, MD - Gastroenterology Terry Hayes, MD - Family Medicine Frank Healey, III, MD - Colorectal Surgery Michael Herman, DO - Gastroenterology Todd Hewlett, MD - Anesthesiology Jeffrey Hoffman, MD - Gastroenterology Silke Hunter, MD - Family Medicine Michael Ibach, MD - Gastroenterology Wellford Inge, III, MD - Anesthesiology Valerie Jacobson, MD - Pediatrics Robert James, MD - Family Medicine/Geriatrics Michael Janssen, MD - Family Medicine Dinesh Jayadevappa, MD - Nephrology/Internal Medicine Bradford Joseph, MD - Gastroenterology Praveen Kanaparti, MD - Cardiology Robert Kanner, MD - Gastroenterology Philip Kartsonis, MD - Family Medicine Kevin Kasych, MD - Pediatrics Jennifer Keen, MD - Pediatrics Arpitha Ketty, MD - Internal Medicine Ateeque Khan, MD - Internal Medicine - Hospitalist Jaime Kibler, DO - Family Medicine James Kimberly, MD - Gastroenterology Daniel Kohm, MD - Gastroenterology Semaan Kosseifi, MD - Pulmonary/Critical Care Ramesh Kotihal, MD - Nephrology Mark Kramp, MD - Anesthesiology Jeffrey Krenzer, MD - Family Medicine Stephen Kuehn, MD - Gastroenterology Latoya Kuester, MD - Obstetrics/Gynecology Aalok Kuthiala, MD - Nephrology Kirk Landau, MD - Family Medicine Murry Langfitt, MD - Gastroenterology Louis Larmoyeux, Jr., DO - Family Medicine

Stephen Lazoff, MD - Pediatrics Carol Le, MD - Internal Medicine Minh Le, MD - Family Medicine George Le-Bert, DO - Cardiology Steven Lee, MD - Anesthesiology Ilene Levenson, MD - Internal Medicine Jeffrey Levenson, MD - Ophthalmology Donald Levine, MD - Family Medicine Alan Lim, MD - Family Medicine Catherine Lindsay, MD - Family Medicine Marc Litt, MD - Cardiology Dinesh Madhok, MD - Gastroenterology Antony Maniatis, MD - Gastroenterology Kenneth Mayer, MD - Family Medicine Travis McCoy, MD - Reproductive Endocrinology & Infertility Frank McDonald, MD - Ophthalmology E. William McGrath, MD - Obstetrics/Gynecology Gregory McHugh, MD - Family Medicine Catherine McIntyre, MD - Obstetrics/Gynecology Margaret McKibben, MD - Family Medicine Dale Merrell, MD - Gastroenterology Carolyn Messere, MD - Colorectal Surgery Kenneth Meyer, MD - Infectious Disease/Internal Medicine David Michal, MD - Nephrology Emmanuel Miel, MD - Family Medicine Roger Miller, MD - Family Medicine Bharat Misra, MD - Gastroenterology Ali Moghani Lankarani, MD - Gastroenterology James Moore, MD - Family Medicine Robert Moore, MD - Colorectal Surgery Erin Moore, MD - Vascular Surgery Richard Myers, MD - Gynecology Fara Nadal, MD - Family Medicine Simone Nader, MD - Cardiology Jose Nieto, DO - Gastroenterology Anthony Nioso, MD - Family Medicine David Ogburn, MD - Anesthesiology Baltazar Orallo, MD - Family Medicine David Page, MD - Family Medicine Mehul Parekh, MD - Family Medicine Sanjeev Patel, MD - Anesthesiology R. Matthew Paton, MD - Pediatrics Wilford Paulk, MD - Gynecology Amila Perera, MD - Family Medicine Elizabeth Perry, MD - Anesthesiology Nicholas Peterkin, MD - Family Medicine John Petersen, DO - Gastroenterology Harvey Phillips, MD - Gastroenterology Marina Pierce, MD - Anesthesiology David Pippins, MD - Anesthesiology/Pain Management David Pirrung, MD - Family Medicine Iulia Platte, MD - Internal Medicine Anitha Police, MD - Internal Medicine Manuel Portalatin, MD - Family Medicine Kwasi Prakah-Asante, MD - Anesthesiology Deborah Price, MD - Nephrology Kiersten Prince, DO - Family Medicine Patricia Pulwers, MD - Family Medicine Forrest Quiggle, MD - Anesthesiology Sofija Rak, MD - Family Medicine Prabodh Ranjan, MD - Nephrology/Internal Medicine Todd Rasner, MD - Obstetrics/Gynecology Deepica Reddy, MD - Internal Medicine Ann Reichheld, MD - Anesthesiology Buffie Reid, MD - Gastroenterology

Richard (Dick) Reid, MD - Pulmonary/Critical Care Sharon Reinertsen, MD - Family Medicine Ronald Renuart, DO - Internal Medicine Tessa Ricci, MD - Family Medicine David Rice, MD - Internal Medicine - Hospitalist Leandro Rodriguez, MD - Obstetrics/Gynecology Lorraine Rodriguez, MD - Obstetrics/Gynecology Ana Maria Romero, MD - Family Medicine Elicia Roos, DO - Family Medicine R. Eric Rosemund, MD - Internal Medicine Emily Rostholder, MD - Gastroenterology Abhijit Roychowdhury, MD - Gastroenterology Christopher Ruisi, MD - Cardiology/Electrophysiology Charles Rust, MD - Family Medicine Ellen Sackett, MD - Family Medicine Venkata Sagi, MD - Cardiology/Electrophysiology Haritha Sakhamuri, MD - Nephrology Muhammad Salahuddin, MD - Nephrology Nydia Sanchez, MD - Gastroenterology Aristides Sastre, MD - Family Medicine Shiree Sauer, MD - Pediatrics Erich Schramm, MD - Family Medicine Rashmi Schramm, MD - Family Medicine Kenneth Sekine, MD - Gynecology Andrea Shah, MD - Pediatrics Craig Shapiro, MD - Nephrology Sonia Sharma, MD - Family Medicine Girish Shroff, MD - Cardiology/Interventional Cardiology Dinshaw Sidhwa, MD - Family Medicine Sayra Sievert, MD - Obstetrics/Gynecology Raymond Silbar, MD - Family Medicine Stephen Silberman, MD - Pediatrics James Smart, Jr., MD - Nephrology Robert (Todd) Snowden, MD - Otolaryngology Gary Soud, MD - Pediatrics Dan Spearman, MD - Pediatrics Richard Sprague, MD - Gastroenterology Russell Stapleton, MD - Cardiology/Interventional Cardiology Michael Stephens, MD - Family Medicine Joseph Stepp, MD - Internal Medicine/Geriatrics Mark Stich, DO - Family Medicine Robert Still, MD - Cardiothoracic Surgery/Vascular Surgery Kelley Stoddard, MD - Obstetrics/Gynecology Judith Sutter, MD - Anesthesiology Antal Takacs, MD - Anesthesiology Staci Tanouye, MD - Obstetrics/Gynecology Erica Tarbox, MD - Pediatrics Shane Tartt, MD - Anesthesiology Thomas Taylor, MD - Family Medicine Menno Terriet, MD - Anesthesiology Payvand Tiurchy, MD - Family Medicine Quirino Toledo, MD - Family Medicine Richard Townsend, MD - Family Medicine John Trainer, MD - Family Medicine Alejandro Traveria, MD - Internal Medicine Frederick Trent, MD - Pulmonary/Critical Care Frank Trogolo, MD - Obstetrics/Gynecology Diana Twiggs, MD - Family Medicine Tracy Tyson, MD - Pediatrics Bernardo Utset, MD - Cardiology Richard Valenzuela, MD - Family Medicine Jason VanBennekom, MD - Obstetrics/Gynecology David Vangura, MD - Anesthesiology Karin Vangura, MD - Anesthesiology Samuel Velez, MD - Anesthesiology

Tony Villena, MD - Family Medicine Alison Vukich, MD - Family Medicine Elizabeth Walsh, MD - Obstetrics/Gynecology William (Randy) Wainwright, MD - Cardiology James Waler, MD - Pediatrics Martha Walker, MD - Pediatrics Frank Walker, MD - Anesthesiology Andrew Wasiluk, MD - Nephrology Michael Waters, MD - Family Medicine Raquel Watkins, MD - Allergy Mary Wechter, MD - Gynecology Tiffany Wells, MD - Obstetrics/Gynecology D. Kevin White, MD - Family Medicine Victor Widner, MD - Gastroenterology Nikita Wilkes, MD - Obstetrics/Gynecology Kevin Winslow, MD - Reproductive Endocrinology & Infertility Bud Wolfson, MD - Family Medicine Rhonda Woolwine, MD - Pediatrics Amy Wrennick, MD - Obstetrics/Gynecology Peter Yalch, MD - Family Medicine

An updated list can also be found on the BPP website at baptistphysicianpartners.com If you are interested in learning more or joining BPP, please contact us at: David Rice, MD Chief Medical Officer 904.202.3354 David.Rice@bmcjax.com Sharon Kaplan Director 904.202.4745 Sharon.Kaplan@bmcjax.com

Save the Date Baptist Physician Partners 1st Annual Meeting of Members Tuesday, Jan. 27, 2015 (evening) Location and Time: TBD

Baptist Physician Partners

Care coordination three year strategy

Focus on chronic disease management

 

Pilot “embedded model” in 4 adult primary care offices



Define strategy, develop framework, and hire clinical leader



PREPARATION (0-12 months)

rway Unde

Transitional care



Launch adjunct telephonic outreach to manage care gaps



Roll out continues in adult primary care offices (hire addt’l RNs/SW)



Measure success of phase 1; tweak/modify as necessary



DEMONSTRATION (12-36 months)

Develop oversight group for ongoing monitoring



Explore & deploy pediatric model

Deploy care coordinators in all PCP offices



TRANSFORMATION (>36 months) Involve pharmacy & nutrition

Building the IT infrastructure By Todd Snowden, MD Chair, Information Technology Committee

The future success of Baptist Health’s clinically integrated network will rely on our ability to share medical data across multiple practices and locations. We will need to collect, compile, sort, and analyze this information in a meaningful way. To accomplish this, our IT strategy requires sequential layers of technology to connect BPP’s different data sources. The primary layer for this system is our existing EMR systems (acute and ambulatory). There is currently limited connectivity between different practices due to the variety of these systems. This lack of integration will be addressed with dbMotion, a data aggregating system designed to pull in discrete data elements from a variety of different sources. dbMotion’s clinical repository and Master Patient Index will collect information about individual patients from different sources, ensuring that every patient is represented only once.

Baptist Physician Partners

Information from the dbMotion data repository will flow through a “clinical analytics gateway” to the Explorys platform, the top layer of our system. This gateway also will receive claims information from insurance companies, so that Explorys can generate reports that allow us to focus on patients with complex medical issues, targeting these individuals for further patient education (i.e.: patients with asthma admitted to the hospital more than once in the past year). It also will allow us to measure our performance and use this information for improvement and value-based contracting. dbMotion and Explorys will roll out in Q2 2015. At that point, dbMotion will have 2 months of stored patient data and Explorys will have 13 months of stored data for reporting and analytics purposes. Soon, more information will be available as to how this technology will incorporate in your offices and facilities, while having minimal negative impact on dayto-day practice workflow. I believe this data network will represent an exciting new level of integration in the Baptist Health community.

PHYSICIAN INTRODUCTION

Meet Dr. Abaaba Hospitalist, Baptist Medical Center Jacksonville Vera Abaaba, MD, has joined the Baptist Hospitalist team and is practicing at Baptist Medical Center Jacksonville. Dr. Abaaba believes in patient and family-centered care. She strives to educate, support and encourage patients and their families to be involved in all aspects of their care, while paying

To contact, please call

attention to their input and personal needs. As a hospitalist, Dr.

904.348.0974.

Abaaba will work very closely with the patient, their family and the patient’s physicians, both primary care and specialists, so everyone knows and understands the care plan. Her education and qualifications include: • M edical Degree from University of Yaounde, Yaounde, Cameroon • R esidency in internal medicine, Morehouse School of Medicine, Atlanta, Ga. • Board-certified in internal medicine

Baptist Medical Center Jacksonville 800 Prudential Drive Jacksonville, FL 32207 Phone: 904.348.0974 • Fax: 904.348.5627

PHYSICIAN INTRODUCTION

Meet Dr. Chiribau Hospitalist, Baptist Medical Center Jacksonville Mona Iuliana Chiribau, MD, has joined the Baptist Hospitalist team and is practicing at Baptist Medical Center Jacksonville. As a hospitalist, Dr.Chiribau will work very closely with the patient, their family and the patient’s physicians, both primary care and specialists, so everyone knows and understands the care plan. Her education and qualifications include: • M edical Degree from “Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Romania • R esidency in Internal Medicine, MetroHealth Medical Center, Cleveland, Ohio • Board-certified in Internal Medicine

Baptist Medical Center Jacksonville 800 Prudential Drive Jacksonville, FL 32207 Phone: 904.348.0974 • Fax: 904.348.5627

Areas of focus: • Hospital-based medicine To contact, please call 904.348.0974.

PHYSICIAN INTRODUCTION

Meet Dr. Cucoranu Hospitalist, Baptist Medical Center Jacksonville Delia Cucoranu, MD, has joined the Baptist Hospitalist team and is practicing at Baptist Medical Center Jacksonville. Dr. Cucoranu’s goal is to combine the latest evidence-based medicine with thoughtful consideration of each patient’s needs in order to foster wellness and healing. She applies scientific

To contact, please call

knowledge and clinical expertise to the diagnosis, treatment and

904.348.0974.

compassionate care of adults. Her education and qualifications include: • M edical Degree from University of Medicine and Pharmacy “Grigore T. Popa”, Iasi, Romania • P ostdoctoral Fellow in the Department of Physiology, Emory University, Atlanta, Ga. • Postdoctoral Fellow in the Department of Cell Biology, Emory University, Atlanta, Ga. • Residency in internal medicine, University of South Alabama, Mobile, Ala. • Board-certified in internal medicine Baptist Medical Center Jacksonville 800 Prudential Drive Jacksonville, FL 32207 Phone: 904.348.0974 • Fax: 904.348.5627

PHYSICIAN INTRODUCTION

Meet Dr. Mracek Hospitalist, Baptist Medical Center Jacksonville Curtis Mracek, DO, has joined the Baptist Hospitalist team and is practicing at Baptist Medical Center Jacksonville. As a hospitalist, Dr. Mracek will work very closely with the patient, their family and the patient’s physicians, both primary care and specialists, so everyone knows and understands the

To contact, please call

plan of care.

904.348.0974

His education and qualifications include: • B achelor Degree in Molecular Biology and Microbiology from the University of Central Florida, Orlando, Fla. • M edical Degree from Lake Erie College of Osteopathic Medicine, Bradenton, Fla. • R esidency in internal medicine, Geisinger Medical Center, Danville, Pa.

Baptist Medical Center Jacksonville 800 Prudential Drive Jacksonville FL, 32207 Phone: 904.348.0974 • Fax: 904.348.5627

PHYSICIAN INTRODUCTION

Meet Dr. Lindsay Family Medicine, Baptist Primary Care Charles Rust, MD, is pleased to welcome Catherine Lindsay, MD, MPH, to his Baptist Primary Care practice as of November 17, 2014. Dr. Lindsay has been practicing family medicine for over 14 years, and has additional training in women’s health and sees patients from infancy through senior years. Dr. Lindsay has cared for patients in Colombia, North Carolina, Florida and Illinois. Her education and qualifications include: U Medical Degree from Pontificia Universidad Javeriana, Bogota, Colombia

Areas of focus: U Women’s health U Child’s health U High blood pressure

U Masters in Public Health, University of North Carolina at Chapel Hill U Internship in Obstetrics and Gynecology, New Hanover Medical Center, Wilmington, N.C. U Family Medicine Residency, St. Vincent’s Medical Center,

U High cholesterol U Minor skin procedures U Joint injections U Treats patients ages infant to geriatrics.

Jacksonville U Board-certified in Family Medicine

For an appointment,

U Fluent in Spanish

call 904.564.4343.

Baptist Primary Care 3690 St. Johns Bluff Road South Jacksonville, FL 32224 Phone: 904.564.4343 Fax: 904.224.7051

BPC_1315_StJohnsBluff_Lindsay_Flyer_v05.indd 1

10/16/14 10:12 AM

Drop In Reception Honoring

David E. Pirrung, MD

As he retires with seven years service with Baptist Primary Care and fifty-three years in the medical community

Thursday, December 4 5:30 â&#x20AC;&#x201C; 7:30 pm Baptist Primary Care at Roosevelt 4495 Roosevelt Boulevard, Suite 316 (Located in the Roosevelt Square Shopping Center)

Regrets Only 904.388.6453

Baptist Health’s New Patient Garments Provide Greater Dignity, protectionFlorida Health System Is First in World to Adopt Antimicrobial Textiles for Patients, Team Members Baptist Health patients can look forward to safer, more comfortable hospital visits due to the health system’s new offering of antimicrobial garments specially designed with patient protection and dignity in mind. The launch of patient apparel comes on the heels of the health system’s implementation of protective uniforms featuring the same Vestex technology in June, making it the first in the world to widely adopt this level of protection. Jacksonville, FL (PRWEB) November 05, 2014 -- Baptist Health patients can look forward to safer, more comfortable hospital visits due to the health system’s new offering of antimicrobial garments specially designed with patient protection and dignity in mind. The launch of patient apparel comes on the heels of the health system’s implementation of protective uniforms featuring the same Vestex technology in June, making it the first in the world to widely adopt this level of protection. Baptist began a phased roll out of the technology-enhanced, modified gowns and shirt and sportsstyle shorts to its inpatients ages 1 year and older in mid-October at its community hospitals. Baptist Medical Center Jacksonville started using the patient garments on Nov. 3 and Wolfson Children’s Hospital will have the Vestex patient apparel in January. Designed with input from Baptist team members, patients and their families, patient shirts, shorts and gowns provide full coverage, as well as pockets, for convenient storage of personal items such as mobile phones. The designs feature full fabric panels on both sides that wrap, snaps along the tops of both shoulders for quick and easy access, ties at the waist and two pockets. This move represents an organization-wide emphasis on enhancing quality, safety and patient experience with an investment of more than $1 million for about 40,000 pieces of patient apparel and 30,000 pieces of uniforms for team members. “Baptist Health is focused on all aspects of the patient experience,” said Hugh Greene, Baptist Health president and CEO. “Adopting specially designed patient apparel is another dimension of our commitment to changing health care for good by preserving dignity and comfort, while enhancing safety and protection.” The patient garments feature a fluid barrier bonded to individual fibers, resulting in material that is highly repellent to bodily fluids, water, oil and dirt. High repellency has been shown to synergize with embedded antimicrobial technology to prevent organisms from being acquired and retained on the fabric. Soft surfaces, like patient gowns, are vectors for the spread of organisms in acute care settings. “The fabric will reduce a patient’s exposure to organisms while they are in the hospital and the design will help maintain their dignity,” said Diane Raines, Baptist Health’s senior vice president and chief nursing officer. “While standard safety measures such as hand hygiene and the use of sterilized rooms and equipment are imperative, this technology allows us to go a step further in creating a safer environment for everyone.” If adopted on a large scale by hospitals and health systems nationwide, garments with Vestex technology could help significantly reduce the spread of infection and incidence of hospital-acquired infections such as antibioticresistant Methicillin-resistant Staphylococcus aureus (MRSA). The Centers for Disease Control and Prevention reports about one in 25 hospital patients has at least one health care-associated infection. Hospital-acquired

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infections result in up to $4.5 billion in additional health care expenses annually. About Baptist Health Baptist Health is a faith-based, mission-driven system in Northeast Florida comprised of Baptist Medical Center Jacksonville; Baptist Medical Center Beaches; Baptist Medical Center Nassau; Baptist Medical Center South; Baptist Clay Medical Campus and Wolfson Children’s Hospital – the region’s only children’s hospital. All Baptist Health hospitals, along with Baptist Home Health Care, have achieved Magnet™ status for excellence in patient care. Baptist Health includes the area’s only dedicated heart hospital; cancer centers; orthopedic institute; women’s services; neurological institute, including comprehensive neurosurgical services, a comprehensive stroke center and two primary stroke centers; a Bariatric Center of Excellence; a full range of psychology and psychiatry services; outpatient facilities; urgent care services; and primary and specialty care physicians’ offices throughout Northeast Florida. For more details, visit baptistjax.com. For information on Wolfson Children’s Hospital, visit www.wolfsonchildrens.org. About Vestagen Technical Textiles Vestagen Technical Textiles develops and markets advanced performance textile products and technologies. Vestagen has developed Vestex®, which represents a new class of technology-based, active barrier protective fabrics combining antimicrobial, liquid repellent and breathability properties. Vestex uniforms and scrubs are designed to protect healthcare workers and their patients from dangerous contaminants. They are clinically proven to prevent or reduce the acquisition and retention of contaminants on clothing and are comfortable, durable and affordable. For more information, visit www.vestagen.com.

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Contact Information Deborah Circelli Baptist Health +1 (904) 202-4916 Online Web 2.0 Version You can read the online version of this press release here.

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Beginning on November 13, 2014, all employees and medical staff will be able to access the Healthcare Advisor Series (H.A.S.) reporting system using your Baptist Health Network log in ID. Information reported in the H.A.S. system is not limited to incidents, but also includes any near miss, area of concern, or event. Hot sheets will be posted in clinical areas. Please ensure the information below is posted for your staff. ______________________________________________________ Logging into Occurrence/Event Report - Healthcare Advisor Series (HAS) Effective 11/13/2014, switch to using your Baptist Health network log-in ID (e.g., GWash001) instead of your badge number to log into Occurrence/Event Reporting. Access to Occurrence/Event Reporting will remain at its current location; BHS Home Page/Quick Links/Occurrence Reporting. For Password Issues: Service Desk at 202.7565 For System Questions: Risk Management at 202.2971

Ebola FAQs The following FAQs represent what we know about the Ebola situation in the United States as of Noon, Wednesday, Oct. 15, 2014. We will keep the organization updated as more information is known from our state and federal authorities. 1.

Do we have an Ebola patient at Baptist Jacksonville right now? A local resident presented to our ED with flu-‐like symptoms common to many emergency patients this time of the year. This person self-‐reported to have casual contact in a work environment with someone from West Africa, who may or may not have travelled there recently. We exercised extreme caution and contacted the Florida Department of Health, following all state and national guidelines.

This patient was put into isolation and monitored closely for their protection as well as the safety of our team members and the community. While we continue to use all precautions, the Department of Health subsequently has informed us that this patient does not meet CDC guidelines for criteria in testing for the Ebola virus. 2.

How did the local media learn of this patient this week? The local media was notified through social media. We are not certain where that originated but it reminds us all that it is highly inappropriate to use social media to communicate any patient information, even if the intentions are good. Once the media received notification, Baptist Health needed to respond by being transparent and trying to use the situation to help educate our community. What is the situation in Florida? Has anyone been tested for Ebola? There are no known Ebola cases in Florida. Two individuals have been tested and both were negative. What is Baptist Health doing to protect patients and visitors on a day-‐to-‐day basis? All of Baptist Health’s emergency centers are following the Center for Disease Control’s infection prevention recommendations. This includes screening patients’ travel history if they are exhibiting flu-‐like symptoms. Patients who have flu-‐like symptoms and have traveled to West Africa or have cared for someone who has traveled to West Africa within the last 21 days will be isolated and tested for the Ebola virus by the Florida Department of Health. A team of Baptist Health physicians, clinicians and administrators are meeting to ensure continued meticulous infection control. Signs are currently in place for all of our emergency centers and will be expanded to other points of care to direct anyone who meets the CDC criteria to immediately identify themselves to a Baptist Health team member.

What is the standard for Baptist’s health care providers to protect themselves and others from the virus? In the event we were to care for a patient with the Ebola virus, team members would wear water repellant attire, facemasks or hoods, goggles and gloves. In addition the patient would be isolated in a private room with a private bathroom. We are following the CDC recommendations closely and will continue to update any protection requirements as they do.

Baptist Health will also follow the recent CDC and Florida Department of Health recommendations: • training and competency in doffing and donning PPE is essential. We will have general reviews for all staff who care for infectious patients but also very specific training for those who will likely care for Ebola patients—critical care and emergency team members. • monitoring of donning by other team member (buddy system) • presence of a “safety observer” for teams caring for Ebola patients to watch care and review protocols while teams are caring for the patient • use of double gloves, disinfecting inner gloves between each step • evaluate and mitigate for fatigue, exhaustion and complacency 6.

What about front line staff? Front line staff is at minimal risk for Ebola. According to CDC guidelines, you must come in contact with body fluids or secretions to be susceptible to getting the disease.

How is the virus transmitted? According to the CDC, the virus is transmitted through close contact with bodily fluids, including vomit, blood, diarrhea and others from an infected person. It is not transmitted through casual contact. It is important to remember that Ebola is a relatively difficult virus to contract.

What are the symptoms of Ebola? The initial symptoms of Ebola are very similar to the flu. Symptoms include: • fever • headache • joint and muscle aches • weakness • diarrhea • vomiting • stomach pain • lack of appetite

Some patients may experience: • rash • red eyes • hiccups • cough • sore throat • chest pain • difficulty breathing and swallowing • bleeding inside and outside of the body Severe forms of the disease may include hemorrhagic symptoms and multi-‐organ dysfunction.

How soon after being exposed to the Ebola virus do people exhibit signs? The most common occurrence of signs of infection is 8 to 10 days, while symptoms may appear 2 to 21 days after exposure.

It is the combination of flu-‐like symptoms coupled with travel to or caring for someone from West Africa within three weeks of the onset of symptoms that would make screening for Ebola necessary. 10. Is there a treatment for Ebola? Currently, there is no FDA-‐approved treatment for Ebola, although development is underway. Treatment is currently limited to supportive therapy, such as providing the patient with fluids, maintaining their oxygen and blood pressure levels, and treating any complicated infections. 11. What risk factors are associated with fatal cases of Ebola? Fatal case risk factors include the patient being 45 years or older, having unexplained bleeding and also having the following symptoms: • Diarrhea • chest pain • cough • difficulty breathing • difficulty swallowing • conjunctivitis • sore throat • confusion • hiccups • being in a coma or being unconscious Fatal cases usually develop more severe clinical signs early and die within 6-‐16 days. They usually experience multi-‐organ failure, septic shock and massive bleeding. 12. What is the disease progression in non-‐fatal cases? Non-‐fatal cases are usually accompanied by a fever for several days with improvement typically around 6 – 11 days. Patients typically have prolonged convalescence. 13. What type of environmental cleaning should be done in health care settings? Daily cleaning and disinfection of hard, non-‐porous surfaces should be done using an EPA-‐registered hospital disinfectant with a label claim for a non-‐enveloped virus. Staff performing environmental cleaning and disinfection should wear recommended PPE and consider the use of additional barriers (such as shoe and leg coverings.) The virus can remain on hard, non-‐porous surfaces for about 24 hours. Bleach is effective in killing the virus.

14. What can I do to protect myself and my family? According to the CDC hand hygiene is the number one thing you can do to prevent or spread any infectious disease. Making sure you and your family receive a flu shot is the second most important thing you can do. In the U.S., more people are likely to die from the flu than any other infectious disease. If everyone gets their flu shot we will have less people coming to the hospital with flu-‐like symptoms, which will alleviate a lot of concern and overall fear. 15. What is the key to controlling the spread of Ebola? Early identification of cases with proper isolation precautions are keys to controlling the spread of this virus. The Florida Department of Health is recommending three main points when it comes to potential Ebola patients: identify, isolate and inform. 16. What is the CDC doing to prepare community health departments? Community health departments have been given posters that inform patients of what the screening requirements are for Ebola. They are: • flu-‐like symptoms, in conjunction with • travel to West Africa or caring for someone who has recently traveled to West Africa 17. How should we respond if we suspect a patient meets the screening requirements? • protect other patients and team members by placing the suspected patient in a private room with a dedicated bathroom • inform your supervisor IMMEDIATELY. Your supervisor will escalate notification through their normal chain of command and alert our infectious disease specialists. • a log of who enters and leaves the room should be established 18. What type of isolation room is required? A negative-‐pressure room is not required. The person must be placed in a private room with its own bathroom with the door closed. Only use a mattress and pillow with waterproof plastic or other waterproof covering.

References §

Centers for Disease Control and Prevention. 2014, 10 4). Ebola Virus Disease Information for Clinicians in U.S. Healthcare settings. Retrieved 10 6, 2014, from www.cdc.gov:http://www.cdc.gov/vhf/ebola/hcp/clinician-‐information-‐us-‐healthcare-‐settings.html

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Centers for Disease Control and Prevention Infection Control Guidelines http://www.cdc.gov/vhf/ebola/hcp/infection-‐prevention-‐and-‐control-‐recommendations.html

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Centers for Disease Control and Prevention Doffing and Donning Procedures http://www.cdc.gov/hicpac/2007IP/2007ip_part2.html#e

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Feldmann H, Geisbert TW. Ebola Hemorrhagic Fever. Lancet. 2011 Mar 5;377(9768):849-‐62

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Florida Department of Health. (2014, 9 14). Decision Algorithm to Assist with Testing and Monitoring of Patients with Suspected Ebola Virus Disease. Retrieved 10 6, 2014, from http://www.flhealth.gov:http://www.floridahealth.gov/diseases-‐and conditions/ebola/guidance/_documents/algorithm_for_testing_of_suspected_evd.pdf

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Florida Department of Health. (2014, 10 6). Ebola Virus Disease (EVD) Screening. Retrieved 10 6, 2014, from www.floridahealth.gov: http://www.floridahealth.gov/diseases-‐and-‐conditions/ebola/guidance/_documents/doh_ebola_screening_form.pdf

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Kortepeter MG, Bausch DG, Bray M. Basic Cpnicaland Laboratory Features of Filoviral Hemorrhagic Fever. J Infect Dis. 2011 Nov;204 Suppl3:S810-‐6

MEMO TO MEDICAL STAFF Keith L. Stein, MD, FCCM, FCCP Chief Medical Officer and Senior Vice President for Medical Affairs and Clinical Effectiveness

Date: Oct. 13, 2014 Re:

Important News - Patient in Jacksonville does not meet CDC guidelines for Ebola

This morning, Baptist Jacksonville worked with the Department of Health to evaluate a patient who presented to the emergency department with common, flu-like symptoms and self-reported casual contact in a work environment with a person who may have traveled to West Africa. This patient was put into isolation and monitored closely for their protection as well as the safety of our team members and the community. While we continue to use all precautions, the Department of Health subsequently has informed us that this patient does not meet the CDC guidelines for criteria in testing for the Ebola virus, as no fever is present. Despite much media interest, this ended up being a non-story about Ebola. What it did demonstrate, however, is that Baptist Health is prepared, has the necessary infectious disease protocols in place and is following CDC guidelines. We have a team of ~ 35 clinicians including physicians, nurses, laboratorians, safety, administrators, etc. who have been meeting continuously to prepare for any aggressive pathogen, including but not limited to the Ebola virus. Precautions when a patient meets CDC criteria for Ebola evaluation: • Getting our ID physicians involved as early as possible • Isolating a patient • Treating the patient’s symptoms • Protecting our physicians, staff and other patients and hospital visitors from exposure • Requesting a definitive test for the virus from the Florida Department of Health CDC criteria for include: • Patients with fever greater than 101.5 degrees Fahrenheit and with additional symptoms of vomiting, severe headache, muscle pain, diarrhea, unexplained abdominal pain or unexplained hemorrhage… • …and who have cared for an Ebola-infected patient or traveled to West Africa, specifically the countries of Guinea, Liberia, and/or Sierra Leone, within 21 days of the symptom onset. The CDC and World Health Organization continue to update the list of affected areas and have noted isolated, travel-related or localized transmission case(s) in Senegal (2) and Nigeria (1). Symptoms may appear 2 to 21 days after exposure to Ebola; the average is 8 to 10 days. Caring for an Ebola patient requires the same PPE process that any other infectious patient requires— rigorous adherence to infection control procedures. If you have questions, please contact me directly: keith.steinMD@bmcjax.com. For more information, visit http://www.cdc.gov/vhf/ebola/hcp/index.html

Non-formulary medications will be indicated with a red diamond

II.

Questions: South Pharmacy 271.6910 • Nassau Pharmacy 321.3681 • Beaches Pharmacy 627.2973 Downtown Pharmacy 202-2551 • Wolfson Pharmacy 202-2551

Formulary medications will be indicated with a green circle

Formulary indicators will be added for medications in PowerChart.

Formulary Icons:

Pharmacy Update:

New: Formulary Icons 10/7/14

Memorandum Date:

October 8, 2014

To:

All Medical Staff

From:

Keith L. Stein, MD, FCCM, FCCP Chief Medical Officer, SVP for Medical Affairs and Clinical Effectiveness

Re:

Updated Bylaws & Rule and Regulations for Downtown, South & Wolfson

For your reference, the updated Professional Staff Bylaws and Rules and Regulations for the above campus have been placed on the Physician Portal found at www.e-baptisthealth.com and on the home page of the Baptist Health intranet. The following sections of the Bylaws and Rules & Regulations below have been updated. Should you have any questions, please contact Amy Hart, Executive Assistant, Medical Staff Office, at (904) 202-2938, or by email at Amy.Hart@bmcjax.com.

Downtown/South/ Wolfson Bylaws

Section

Reference

3.5-4

R&R

07.2

Medical Board WCH-Composition Orders; Drugs, Treatment

R&R

11.14

R&R

7.0-4

Allied Health Professionals Medical Physicist Department of Psychiatry Requirements