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Dec 27, 2015

27 Dec 2015

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Dec. 27, 2015
packingAffiliation update
Submitted by Lori James-Nielsen, chief strategy officer
Happy New Year! As we near 2016, we wanted to give you a short update on what to expect with affiliation in the New Year.

An affiliation transition plan is in development and should be finalized in early January. The plan will provide a road map for more specific ways Salem Health and OHSU can begin to work more closely together.

As was mentioned in the last edition of Common Ground, OHSU and Salem Health recently teamed up to successfully recruit cardiovascular surgical physicians to the Salem area. The tangible success of this collaboration between the two organizations is a good example of the opportunities we now have through affiliation.

Soon a process will be announced that will make it easier you to submit ideas for collaboration. Physicians are well-positioned to see the practical ways OHSU and Salem Health can pair their strengths to bring value for patients.

Look for more detailed updates on the transition plan in upcoming Common Ground newsletters. 
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hygieneHand hygiene campaign results
Submitted by Amber Aguinaga, workflow coordinator
Salem Health focused on hand hygiene this year as a strategy to combat hospital acquired infections (HAI). Tactics included education where, when and how to wash your hands, reminders placed in key locations and hand hygiene auditing.
So how did it go? The results are in and there is much to be proud of. Check out the charts below to see the increase in hand hygiene compliance and the decrease in hospital acquired infections. The HAI slide shows year-to-date cumulative totals for each month.  

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PCAPCA shortage looming
Submitted by Matthew Tanner, pharmacy residency program director and clinical coordinator
Nationwide, there is only one supplier of patient controlled analgesia (PCA) vials that work with our PCA pumps. Due to a quality-assurance problem, these vials are on a national shortage and may not be back into full production until April. While the pharmacy has not run out of PCA vials yet, our ability to create a fentanyl PCA is very limited. Although the supply is better at the moment, the same problem will affect the supply of morphine and hydromorphone PCAs as well. Please consider using an infusion or boluses of opioid in patients for whom a PCA is not necessary. If you have any questions, please e-mail
Matthew Tanner in Pharmacy or call 4-2048.
orOR floor reconstruction
Submitted by Shauna Claudio, nurse manager, operating room
In January reconstruction begins on the flooring in the OR's. The rooms will be closed for approximately 10 days. However, the time allotted may vary. Below you will see the anticipated room and closure dates. Please let OR management know if you have any questions or concerns  
  • OR 31 closed for construction Jan. 4 to Jan. 13
  • OR 25 closed for construction Jan. 14 to Jan. 23
  • OR 26 closed for construction Jan. 24 to Feb.2
  • OR 30 closed for construction Feb. 3 to Feb. 12
  • OR 29 closed for construction Feb. 13 to Feb. 22
sepsisGet to know a leader: Cheryl Wolfe
Submitted by Michael Gay, internal communications coordinator
As part of a new regular feature, Cheryl Wolfe, CEO of Salem Health, recently answered a few questions about her interests, passions and influences. Look for other Salem Health leaders to be featured here in the future!

What are some of your favorite books?
I love to read. I've read almost 40 books this year, mostly listening to audiobooks while I am knitting. I will read almost anything, but I particularly enjoy mysteries and thrillers written by authors like Robert Crais and Michael Connelly.

What is the most recent book you have read?
I just finished "All the Light We Cannot See." I periodically ask others to recommend a book to me, and Dr. McGee mentioned this one. It was wonderful.

What apps, software or tools can you not live without?
I'm a bit of a tech geek. I recently bought an Apple watch, and use apps that control my yard sprinklers and cooking timers on a regular basis. I'm also addicted to Cupcake Mania. I just reached level 312!

What hobbies do you have?
I've been an avid knitter for 12 years. I taught myself how to knit because I wanted to make a set of scarves and hats for my grandchildren one Christmas. I've been 'hooked' ever since! I just knitted a Christmas stocking for my 16th grandchild, as I have for the others. Every year I go to a knitting convention in California with my sister and two girlfriends. There are designers and yarns from around the world, and classes to take. I'm a big fan of the Irish designer Maggie Jackson. Many of the shawls I wear to work I've knitted.

Who is your hero?
Though not famous or well-known, I worked for a woman named Maryanne Washington for 20 years who has mentored me throughout most of my career. Even though she is retired now, I still call her and she helps me problem solve. She understands the way I think and how I approach difficult situations. She is a master at perceiving the root causes of conflict and navigating through them. I've also been deeply impacted by my mom and dad. They have a tremendous life history and unfailing common sense.

What is your favorite family tradition?
On birthday mornings as a child, my mom would rub butter on our noses first thing, before we had a chance to rub the sleep out of our eyes. It's something I have carried on with my kids. My husband finally asked why we did such a strange thing, and I did a little research. It's apparently a Scottish tradition, but I still don't know if there was a practical purpose or superstition behind it.

providerOnline provider directory update
Submitted by Mary Maberry, physician liaison
Thank you to everyone who updated their online profile and/or photo for the Find A Doctor section of the Salem Health website.
We received more than 155 profile updates and 189 photo updates by the due date. Please look for your updated profile online by the end of February.
If you would still like to update your profile, please complete the online form. If you would like to update your photo, please email a professional photo to or call him at 503-561-1190 to arrange getting a photo taken.
If you have not updated your profile by your reappointment cycle, you will have an opportunity in HealthStream to update it. 
Please contact Mary Maberry, physician liaison, at 503-561-3778 or if you have questions.
Thanks again for your participation.
parkinsonPartnership enables Parkinson's patient to stand up by self for first time in two years
When Neurologist Kathryn A. Chung, MD, at Oregon Health & Science University (OHSU) recommended physical therapy for Phyllis Vohs, a Stayton resident, she suggested two options: OHSU Parkinson Center of Oregon or the Salem Health Rehabilitation Center. She wanted to be sure Phyllis received treatment from a therapist trained in the LSVT (Lee Silverman Voice Treatment) BIG program.

BIG is a clinically proven method for improving functional movement and gait quality in individuals with Parkinson's disease.
According to Richard Vohs, Phyllis' husband of 46 years and former clinical director at Oregon State Hospital, "It was shocking at first. The very first day of therapy in Salem, Phyllis learned how to get out of a chair for the first time in a couple years without assistance."
Through a partnership with the OHSU Parkinson Center of Oregon, Phyllis' physical therapist, Salem Health's Jason Gough, received Parkinson's-specific training in addition to his extensive education in the LSVT program. Jason Gough; Nicole Collings, speech-language pathologist; and Cathy Wilson, occupational therapist, also of Salem Health, are affiliated with OHSU's TEAM-PD, which stands for Therapists Educated and Aligned in Managing Parkinson's Disease.
"We are fans of Jason," said Richard Vohs. "It is a fantastic program. I don't say this lightly. We had all kinds of physical therapy and nothing helped until we got to Jason."
Phyllis didn't have tremors. She had a balance disorder and fell backwards often. Jason Gough taught a variety of exercises to help her improve balance, stability and movement.
"Since rehab, she has had only one fall in the last two months," said Richard.
"When you have Parkinson's, a neurological condition, your perception and reality of movements become small... for example, when you see someone shuffling to walk," said Richard. "BIG helps you overcome these things. For example, you take big steps and march. You don't cross-step, which is dangerous."
"If you remember from your childhood, Bobo the clown (a toy floor punching bag)," said Richard, "Parkinson's has that effect. People's feet freeze to the floor when they try to move and this can lead to dangerous falls."

In addition to being LSVT BIG certified, Jason Gough has taken additional courses on Parkinson's Plus syndromes from the OHSU Parkinson Center of Oregon. Through these courses, he learned specifically about the loss of ability to shift weight from limb to limb in patients with Parkinson's disease and that is something he worked on with Phyllis.  
Because of Salem Health Rehabilitation's partnership and training with OHSU Parkinson Center of Oregon, Parkinson's patients outside Portland are regularly referred to Salem.
"Parkinson's is a progressive disease," said Jason Gough. "BIG is a commitment (four therapy sessions per week for four consecutive weeks), but it gives people the tools they need to compensate for the neurological impacts on their body and muscles."
"For Phyllis and me," Richard said, "it gave us hope."

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surgeryGeneral Surgery Section meeting
Submitted by Mary Maberry, physician liaison
The December General Surgery meeting saw a joyful reunion with former colleagues, bridging generations of surgeons.

Top row: Jonathan Durning, MD (GS), Everett Mozell, MD (GS), Gordon Moe, MD (GS), Beth Dayton, MD (GS), Rajan Nair, MD (GS)

Middle row: Catherine Boulay, MD (GS), Jim Slama, MD (GS), Jiyoun Kim, MD (GS), Deborah Eisenhut, MD (GS), Nicole Van Der Heyden, MD (GS), Bob Buza, MD (NS), Jim Thomas, MD (OB-GYN), Bruce Carter, MD (PS), Carrie Allison, MD (GS), Andrew Cleary, MD (GS), Juan Carlos Esguerra, MD (GS)

Front row: Duane Beard, MD (OB-GYN), Don Masson, MD (GS), Don Gaiser, MD (GS), Calvin Collins, MD (GS)
bevBev JeffsSteele, DO - Role Model for Excellence
Dr. JeffsSteele consistently goes above and beyond in meeting the needs of patients. Recently she paid for the harpist to come in to play for a patient in NICU who is dying. Her role model inspires those she works with to go beyond assigned responsibilities to serve patients.
barathBarath Krishnamurthy, MD - Role Model for Excellence
Dr. Krishnamurthy is a hero to one family. He has personally invested in helping their loved one live a productive, full life for as long as possible. Over and over, when it appears that all options have been exhausted, Dr. Krishnamurthy came up with a course of care and plan that gives the patient optimism, energy and the will to keep living. Dr. Krishnamurthy is credited with much of the patient's drive and "can do" attitude. He isn't willing to give up without a fight and passes on that determination in his patient. During office visits and consultations at the hospital, Dr. Krishnamurthy takes the time necessary to ensure questions are answered and displays such compassion and care, it is truly heartwarming.

BONURAEric J. Bonura, MD - Pulmonary Medicine
Kaiser Sunnyside Medical Center  
Medical education: 
University of Medicine/Dentistry of New Jersey - Camden, New Jersey
Aug. 1999 to May 2003 
Residency: Internal medicine
Georgetown University Hospital
Washington, DC
July 2003 to May 2006 
Fellowship: Pulmonary/Critical care  New York University School of Medicine
New York, New York
July 2007 to June 2010 
Board certification: 
American Board of Internal Medicine/Critical Care Medicine

American Board of Internal Medicine/Pulmonary Disease

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olgaOlga P. Goldobin, MD - Anesthesiology
Oregon Anesthesiology Group PC 
Medical education: 
University of Vermont College of Medicine
Burlington, Vermont
Aug. 2003 to May 2007 
Residency: Anesthesiology 
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire
June 2007 to June 2011 
Fellowship: Acute Pain  University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania
July 2014 to June 2015 
Board certification: 
American Board of Anesthesiology

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Alireza Shabani-Ardali, MD - Internal Medicine
Salem Health-Adult Medicine Hospitalistshabani
Medical education: 
Hormozgan University of Medical Sciences  
Bandar-Abbas, Hormozgan, Iran 
Feb. 1989 to March 1996 
Residency: Internal medicine
Franklin Square Hospital Center
Rosedale, Maryland
June 2006 to June 2009 
Board certification: 
American Board of Internal Medicine

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Daniel J. Spiger, DO - Internal Medicine
Kaiser Westside Medical Center
Medical education: 
Des Moines University
Des Moines, Iowa
July 2007 to June 2011 
Residency:  Internal medicine  
Legacy Health System
Portland, Oregon
July 2011 to June 2014 
Board certification: 
American Board of Internal Medicine

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Tamara J. Wilson, CNM - Midwifery
Willamette Valley Midwives  
Medical education: 
University of Cincinnati Nurse Midwifery Program
Cincinnati, Ohio
Jan. 2008 to Dec. 2009 
Board certification:

American Midwifery Certification Board

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Common Ground Newsletter Editorial Board 
For past issues of this newsletter, visit
Email us anytime with feedback, suggestions, or something for the next issue!  Dr. Ian Loewen-Thomas, Chair, Compact Implementation Committee
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