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Sep 20, 2015

20 Sep 2015

Sept. 20, 2015
gordonDecommissioning Ebola Task Force
The Ebola Readiness Task Force, established Oct. 17, 2014, just days after Salem Hospital received a suspected Ebola patient, is being decommissioned. The work developing and maintaining staff readiness for a suspected Ebola patient is transitioning back to traditional organizational components.

What does this mean to you? As disease alerts are published by recognized authorities, the screening and treatment process will be modified as necessary using the usual organization communication channels and leadership structure.  Travel questions used for screening patients at the point of entry will be continued until guidance is received from the CDC that they can be discontinued. All staff need to assess patients for signs and symptoms of communicable disease at the point of entry and initiate the use of appropriate personal protective equipment and isolation.
What the Task Force accomplished:  The Task Force enabled Salem Health to rapidly improve and broaden Ebola processes and integrate those processes throughout the organization and our community. The Task Force guided efforts of more than 100 staff in the critical planning work. This significantly bolstered and expanded upon plans that had been developed by a much smaller planning team.

Resources developed include:
  • Personal protective equipment (PPE) inventory sufficient for a team of care providers treating a high-contagion patient.
  • High-contagion training for patient care providers and for staff directly involved in patient support.
  • A High-Contagion Plan notebook that includes department standard work, physician and staff training rosters, patient screening processes, etc. The notebook is posted on the Emergency Preparedness quick link on the Salem Health intranet home page.
  • A quarterly drill schedule to ensure designated staff remain proficient and safe in high-contagion patient care.
Lessons learned:  The Task Force model is an adaptation of the hospital incident command system used to manage disasters and emergency incidents. This model enabled Salem Health to quickly develop an effective, sophisticated, and integrated inventory of resources and capabilities to address a rapidly evolving health care threat. It is well-suited for rapidly evolving, complex, long-term health care threats.

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VTEVTE risk assessment feedback and FAQ
The VTE risk stratification team continues to meet and gather provider feedback and utilization data on the new VTE risk stratification tool in Epic. Please read the document responding to frequently asked questions regarding the new risk assessment tool.  Please continue to reach out to John Hannig, MD, or Preethi Prakash, MD, the prevention team physician champions, with any questions or concerns.
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vteICD-10 countdown: Provider guidelines
Ten days until the ICD-10 go-live! After years of starting and stopping, we can finally transition to ICD-10 and move on.

A command center will be set up beginning 5 a.m. on Oct. 1 to support all impacted providers and Salem Health employees. Call 503-561-4357 (1-HELP from hospital phones) and follow the prompts for ICD-10 command center.

Providers, please follow these guidelines:

  1. Ensure your diagnoses are ICD-10 compliant and as specific as possible.
  2. Strive to provide the most specific documentation possible throughout the patients' course.
    There are, of course, unknowns throughout the patient's stay and treatment and a high degree of specificity is not always an option, but where you can, be as specific as possible.
  3. The clinical documentation specialists will be in their usual places for extended hours (Monday to Friday 7 a.m. to 7 p.m.) to offer providers support during go-live.
  4. If you need assistance immediately, call 503-561-4357 (1-HELP from hospital phones) and follow the prompts for ICD-10 command center
  1. Use Epic diagnosis calculator and roll down to the most specific diagnosis possible.
  2. Be as specific as possible in your notes.
  3. If you need assistance immediately, call 503-561-4357 (1-HELP from hospital phones) and follow the prompts for ICD-10 command center.
More command center information
The command center will operate in variable daytime hours.

It will be fully staffed from 5 a.m. to 8 p.m. on Oct. 1 and 2, 7 a.m. to 6 p.m. Oct. 3 and 4, 5 a.m. to 8 p.m. on Oct. 5, 6 and 7.

Fpr after-hours support call 503-561-4357 (1-HELP) from hospital phones and follow the prompts for ICD-10 command center. Solution Center staff will direct your call to the appropriate resource. Regular status updates and information will be sent from the command center.
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surgeonsICD-10 survival guide for surgeons
First thing to remember about ICD-10: Document to the required specificity. Your documentation is required to support the severity of illness (SOI), length of stay (LOS), risk of mortality (ROM) and to support the codes that need to be assigned. 

Key elements needed to support procedural coding:
  1. State the intention
    • Procedure objective (I&D, excision, etc.)
    • Site of procedure
  2. Describe the approach
    • Technique and/or method (percutaneous, endoscopic, etc.)
    • Conversions (laproscopic to open)
  3. Detail the outcomes
    • Total vs. partial
  4. Document any devices and/or implants; anything left in the body; grafts, prostheses, etc.
The Op note will have greater significance because the chart cannot be coded until it has been completed.

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VPMA1Vice President of Medical Affairs
Salem Health now has a Vice President of Medical Affairs (VPMA), Andrew Furman, MD. Read Chief Medical Officer Steve Gordon's introductory letter to learn more about Dr. Furman and the role of the VPMA.
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fluFlu vaccinations
The medical staff flu vaccination goal this year is 100 percent! Read the letter from Medical Staff President Michael Hanslits, MD, to learn what you need to do, how to get an exception if needed, and where to get the vaccine.
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ICDPA policy changes
Salem Hospital has dropped the 30-day co-signature requirement for physician assistants. This change conforms Salem Hospital to the national standard of supervision for physician assistants.  
clinicalNew McKesson EKG database

On Sept. 15 Salem Health went live with a new McKesson EKG database for all EKGs performed in the Salem Health network.  McKesson replaces Tracemaster.  Processes are unchanged with the exception of one additional click in Epic for viewing EKGs. Email Julie Whitlow  for the tip sheet.


Call the Help Desk at 503-561-4357 for support if you're having trouble logging in or other issues with the McKesson/EKG database.      


inventoryNew OR inventory management system
Salem Health surgical services went live on Sept. 14, 2015, with a new OR Inventory Management System (ORIMS), QSight, supported by the vendor Owens & Minor. Implementation of QSight will greatly improve the current state of inventory ordering, usage tracking, and reporting processes. By moving to the use of an integrated inventory system, real-time access to inventory data will be created for continuous improvement.

If you experience any technical problems related to QSight, please contact the Solution Center at or dial 1-4357 (1-HELP) and your call will be triaged for resolution. Surgical Services team members and leadership are also prepared to answer any operations questions you may have about the new system.

 John A. Gilliam II , MD - Family Medicine gilliam 
Medical education: 
University of Texas Southwestern Medical Center
Dallas, Texas
August 1991 to May 1995 
Family Medicine 
John Peter Smith Hospital      
Fort Worth, Texas 

June 1996 to June 1998 
Board certification:  American Board of Family Practice

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  Mary K. Lajoy, MD - Psychiatry    lajoy
Medical education: 
Temple University School of Medicine
Philadelphia, Pennsylvania
August 2006 to May 2010  
Brown University
Providence, Rhode Island

July 2010 to June 2014 
Fellowship: Geriatric psychiatry Oregon Health Sciences University School of Medicine
Portland, Oregon
August 2014 to July 2015
Board certification:  American Board of Psychiatry and Neurology

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Alistair J. Scriven, MD - Pulmonary Medicine scriven
Medical education: 
Washington University School of Medicine
St. Louis, Missouri
August 1986 to May 1990 
Pulmonary/Critical Care
Washington University School of Medicine      
St. Louis, Missouri
July 1990 to June 1993 
Fellowship:  Pulmonary/Critical Care
University of Utah Hospital      
Salt Lake City, Utah
July 1993 to June 1997
Board certification: 
American Board of IM/Critical Care Medicine
American Board of IM/Pulmonary Disease

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Holly Vanni (Colwell), MD - Pulmonary Medicinevanni
Medical education: 
Weill Medical College of Cornell University
New York, New York
August 1998 to May 2002 

New York Presbyterian Hospital      
White Plains, New York
June 2002 to June 2005
July 2008 to June 2009 
Fellowship:  Pulmonary/Critical Care New York Presbyterian Hospital      
White Plains, New York
July 2005 to June 2008
Board certification: 
American Board of IM/Critical Care Medicine
American Board of IM/Pulmonary Disease

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Noel R. Wardwell Jr., MD - Pulmonary Medicinewardwell
Medical education: 
University of Cincinnati College of Medicine
Cincinnati, Ohio
August 1995 to June 1999
Internal medicine 
University of Cincinnati College of Medicine  
Cincinnati, Ohio
July 1999 to June 2002 
Fellowship:   Pulmonary medicine Vanderbilt University  
July 2002 to June 2005
Nashville, Tennessee     
Board certification: 
American Board of IM/Critical Care Medicine
American Board of IM/Pulmonary Disease

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Here is a list of providers voluntarily resigning from the medical staff:  
  • Wil C. Berry, MD - Psychiatry, effective July 1, 2015
  • Christopher Brubaker, MD - Psychiatry, effective May 4, 2015
  • Octavio S. Choi, MD - Psychiatry, effective July 1, 2015
  • Linda E. Cunningham, MD - Internal Medicine, effective Aug. 14, 2015
  • Ritchie B. Gooch, MD - Family Medicine, effective July 31, 2015
  • Marion C. Hull, MD - Family Medicine, effective Aug. 21, 2015
  • Kathryn L. Lueken, MD - Family Medicine, effective Sept. 11, 2015
  • Jan Merin, MD - Hematology Oncology, effective July 28, 2015
  • Abdul Mohsin, MD - IM/Adult Medicine Hospitalist, effective Sept. 15, 2015
  • Garrett W. Wolter, DO - Anesthesiology, effective Aug. 3, 2015
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handsNew video: Hands
The most recent Salem Health video is a kind, simple reminder of what it means to be  involved in health care. Take a look and know that you make a difference in the lives of others every day.  
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brownKate Brown appoints health care policy adviser
Oregon has never been afraid to try new things when it comes to health care policy. Governor Kate Brown has added a new aid to help chart the course of health care in Oregon. Read Kate Brown appoints health care policy adviser from The Oregonian on Sept. 3.  
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forumsDiabetes symposium
Salem Health and the Diabetes CARE Collaborative of Marion and Polk Counties are hosting the first primary care diabetes symposium on Friday, Nov. 13, 2 to 7 p.m. Read the learning objectives, CME potential in the flier.
checUpcoming classes at the CHEC  
For more information and to register, visit the CHEC website or call 503-814-2432 (CHEC). 
Balance Screening
For those feeling a little off-balance or have experienced a fall before, physical therapists will help identify risks for falls and give tips for decreasing your fall risk.
Date: Monday, Sept. 21
Time: 3:30 to 5:30 p.m.
Cost: Free
Location: Community Health Education Center, Bldg. D, Classroom 1 and 2
Aging in Place
Learn from occupational therapists how to make adaptations and modifications that will make one's home safer. Topics include use of equipment, simple home modifications, home safety, and assistance in home.
Date: Tuesday, Sept. 22
Time: 3 to 4 p.m.
Cost: Free
Location: Community Health Education Center, Bldg. D, Second floor classroom
Cooking Classes
Modifying Food Textures Cooking Classes
Learn simple tips and tricks to make modified textured meals easier and more enjoyable to eat. Speech language pathologists will teach you why diet modifications are important for conditions that require reflux restrictions, texture changes, and liquid consistencies.
Date: Wednesday, Sept. 23
Time: 6 to 7:30 p.m.
Cost: Free
Location: Community Health Education Center, Bldg. D, Gehlar Wellness Kitchen
Adaptive Cooking: Transforming your Ability
Enjoy comfort food made healthy. Join occupational therapists in the kitchen as they demonstrate strategies and equipment that will help you regain or maintain cooking independence.
Date: Thursday, Sept. 24
Time: 6 to 7:30 p.m.
Cost: Free
Location: Community Health Education Center, Bldg. D, Gehlar Wellness Kitchen
This is a peer-led group which offers information about the resources they have found useful in managing their day-to-day lives with arthritis.
Date: Saturday, Nov. 14
Time: 10 to 11:30 a.m.
Cost: Free
Location: Community Health Education Center, Bldg. D, CHEC Support Group Room

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