MONTHLY
MEDICAL
VOLUME 8
ISSUE
3
STAFF
NEWSLETTER
ProgressNotes
March
2016
In This Issue
Doctors’ Day Celebration.……….....P 1-2
Anion Gap Reference Range
Change……..…………….......……...P 3
ICD-10 Diagnosis Assistant…..…....P 4
HIPAA Tip…………………….….......P 5
Medical Executive Committee
Approvals………………………….....P 6
Cardiology Update 2016…..…….....P 6
Medical Staff Calendar....….….…....P 7
Physician Roster Updates….….......P 8
Doctors’ Day Celebration
Doctors’ Day Celebration
Wednesday March 30, 2016
11:30 a.m. - 2:00 p.m.
Hoffman Health Conference Center Rooms 1 & 2
Lunch - Entertainment - Raffle
1
Doctors’ Day Celebration
We, at Torrance Memorial, will show our appreciation of doctors on March 30, 2016. Please join us on the units and at a
luncheon with more fun activities in the Hoffman Health Conference Center Rooms 1 & 2 between 11:30 am and 2:00 pm.
Did you know……
More than the application of science and technology, medicine is a special calling, and those who have chosen this vocation in
order to serve their fellowman understand the tremendous responsibility it entails. Referring to the work of physicians, Dr. Elmer
Hess, a former president of the American Medical Association, once wrote: "There is no greater reward in our profession than
the knowledge that God has entrusted us with the physical care of His people. The Almighty has reserved for Himself the power
to create life, but He has assigned to a few of us the responsibility of keeping in good repair the bodies in which this life is
sustained." Accordingly, reverence for human life and individual dignity is both the hallmark of a good physician and the key to
truly beneficial advances in medicine.
The day-to-day work of healing conducted by physicians throughout the United States has been shaped, in large part, by great
pioneers in medical research. Many of those pioneers have been Americans. Indeed, today we gratefully remember physicians
such as Dr. Daniel Hale Williams and Dr. Charles Drew, who not only advanced their respective fields but also brought great
honor and pride to their fellow Black Americans. We pay tribute to doctors such as Albert Sabin and Jonas Salk, whose
vaccines for poliomyelitis helped to overcome one of the world's most dread childhood diseases. We also recall the far-reaching
humanitarian efforts of Americans such as Dr. Thomas Dooley, as well as the forward-looking labors of pioneers such as
members of the National Institutes of Health, who are helping to lead the Nation's fight against AIDS, cancer, and other lifethreatening diseases. These and other celebrated American physicians have enabled mankind to make significant strides in the
ongoing struggle against disease.
However, in addition to the doctors whose name we easily recognize, there are countless others who carry on the quite work of
healing each day in communities throughout the United States -- indeed, throughout the world. Common to the experience of
each of them, from the specialist in research to the general practitioner, are hard work, stress, and sacrifice. All those
Americans who serve as licensed physicians have engaged in years of study and training, often at great financial cost. Most
endure long and unpredictable hours, and many must cope with the conflicting demands of work and family life.
As we recognize our Nation's physicians for their leadership in the prevention and treatment of illness and injury, it is fitting that
we pay special tribute to those who serve as members of the Armed Forces and Reserves and are now deployed in support of
Operation Desert Storm. Whether they carry the tools of healing into the heat of battle or stand duty at medical facilities in the
Persian Gulf and elsewhere, these dedicated physicians -- along with thousands of nurses and other medical personnel -- are
vital to the success of our mission. We salute them for their courage and sacrifice, and we pray for their safety. We also pray for
all those who come in need of their care.
In honor of America's physicians, the Congress, by Senate Joint Resolution 366 (Public Law 101-473), has designated
March 30, 1991, as "National Doctors Day" and has authorized and requested the President to issue a proclamation in
observance of this day.
George Bush, President of the United States of America, proclaimed March 30, 1991, as National Doctors Day on
February 21, 1991. Further, he encourage all Americans to observe this day with appropriate programs and activities.
Citation: John T. Woolley and Gerhard Peters.The American Presidency Project [online]. Santa Barbara, CA: University of California (hosted), Gerhard Peters
(database). Available from World Wide Web: http://www.presidency.ucsb.edu/ws/?pid=47267.
2
Anion Gap Reference Range Change
January 28, 2016
Dear Doctor,
The current reference range for anion gap (7 – 16) was established decades ago
using flame photometry methodology for the determination of electrolytes.
Recently, the NIH published a study evaluating the anion gap reference range
using the newer methodology of ion-selective electrodes for the determination of
electrolytes. The results of their study showed that the reference range for anion
gap using ion-selective electrodes is 3 – 11. Ion-selective electrode methodology
is used in our Laboratory for electrolyte testing.
Using 621 of our own outpatient anion gap results, we evaluated the ion-selective
electrode reference range and were able to validate the newer reference range of
3 – 11. We were especially diligent to evaluate the lower levels of the new
range.
We will be changing our anion gap reference range to the new range of 3 - 11 on
February 2, 2016. If you have any questions regarding this change, please
contact me or Jeannie Lavezzari, Technical Specialist. Specific information on
the reference range validation or the NIH study is available upon request.
Sincerely,
John Blakey, M.D.
Medical Director
Chemistry Laboratory
3
ICD-10 Diagnosis Assistant
Diagnosis Assistant – Available Feb 2nd
Find Specific ICD‐10 Terminology Fast!
1. Non‐Specified Terms in the Consolidated Problem List will appear with an exclamation mark.
2. Click on the exclamation mark to have the system help you find the more specific terminology.
Selecting from the provided categories will help you drill down to the appropriate ICD‐10 Terminology.
3. Training video is available:
https://www.youtube.com/playlist?list=PLsTRHDYoGuLbePZ3oywWP4uMlaDtBo7BI
Link will be e‐mailed week of January 25th
4
HIPAA Tip
QUESTION:
IF A CALLER OR VISITOR (EVEN WHEN THEY IDENTIFY THEMSELVES AS A
PHYSICIAN) ASKS TO OBTAIN PATIENT MEDICAL INFORMATION OR OBTAIN
ACCESS TO THE PATIENT RECORD, CAN I DISCLOSE THE PATIENTS’ MEDICAL
INFORMATION OR RECORD TO THE CALLER /VISITOR?
ANSWER:
You should NEVER disclose patient PHI* to anyone (especially over the telephone)
without following the appropriate HIPAA guidelines and policies listed below.
Prior to releasing PHI, employees MUST:
 Verify IDENTIFICATION.
Request identification from any physician / person requesting PHI, if the identity or authority
of the person is not known to the employee;

Verify the REQUEST.
 Is the request for PHI needed or part of TPO?
o If Not for TPO, the patient’s authorization is required (HIPAA form # 17);
 Is the physician requesting the information or access to the record treating the patient or
covering for another physician treating the patient?
o If Yes – You can disclose the PHI
o If No, do NOT disclose PHI or provide access to the record.
 Is the physician, family or friend calling to obtain results or status on the patient condition
for personal reasons / Non-TPO?
o The patient authorization is required (HIPAA form # 17) prior to the release or
disclosure of any PHI or access to the patient record
*Note:
HIPAA regulations permit the disclosure of a ONE word patient condition such as;
Undetermined, Good, Fair, Serious or Critical by a healthcare provider. A One word condition
may be disclosed without the patient’s authorization as long as there is no patient PHI restriction.
(Refer to Policy # 1410.15)
PHI = PROTECTED HEALTH INFORMATION = Patient name, room number, address, phone
number, diagnosis, results, procedures, treatment, SS#, etc.
TPO = Treatment, Payment or HealthCare Operations
REFERENCE:
45 CFR 164.502, 164.506, 164.512 and 164.514(h)(1)
Policy # 1410.01 “Uses and Disclosures of PHI- General Rules”
Policy # 1410.10 ”Authorization for Use and Disclosure of PHI”
Policy # 1410.11 “Verification of Identity and Authority of Persons Requesting PHI”
Policy # 1410.15 “Release of Patient Condition and Location”
HIPAA Form # 17 “Authorization for Use and Disclosure of PHI”
5
Medical Executive Committee Approvals
Items approved at the last Medical Executive Committee meeting can be viewed by using this website link and selecting the particular
month: http://www.torrancememorial.org/For_Physicians/Medical_Staff/MEC_Approval.aspx .
If you have any questions, please contact the Medical Staff Services Department at (310) 517-4616.
Cardiology Update 2016
Heart Month 50% Discount Extended Through March 15th
CARDIOLOGY UPDATE 2016
CONVENTIONAL WISDOM AND BEYOND
Friday April 29, 2016
8:00 a.m. - 5:00 p.m.
For physicians & healthcare professionals only
LEARN FROM NATIONALLY RENOWNED SPEAKERS
&
Receive 8 CME or 8 CEU Credits
Torrance Memorial & USC Keck Physicians, Nurses, Employees - $100
Non-Torrance Memorial Physicians & Other Healthcare Professionals - $150
For more information call (310) 517-4720 or visit our website at
http://TorranceMemorial.org/cardiosymposium
6
March 2016
Medical Staff Calendar
Monday
Tuesday
1
7
Wednesday
2
3
4
7:00a Breast Tumor Board…..WT-D 7:00a Colon/GI Oncology....WT-B
7:45a Gen Tumor Board…..WT-Aud 7:00a Lung TumorBoard..WT-Aud
12:30p Medical Staff PI……..….WT-D 7:30a IRB…………….……..WT-D
8
10
9
7:00a CV Review Conf……….WT-D
12:30p CME Conference….HCC-1&2
14
16
15
12:30p C-Section………..……..WT-B
12:30p Medicine Dept………….WT-D
22
12:00p Burn & Wound Surg...WT-C 12:30p OB/GYN Dept……….WT-Aud
28
Friday
7:00a Breast Oncology……....WT-C 7:00a CV Review Conf……….WT-D
12:30p Infection Prev/P&T........WT-D 12:30p CME Conference….HCC-1&2
12:30p Cardiology………...…WT-D 12:30p Medical Educ/Library...HCC-4
12:30p Credentials……….....WT-C
5:00p Quality & Patient Safety
Committee……….……..WT-C
6:00p Medical Executive……..WT-D
21
Thursday
29
7:00a Breast Tumor Board....WT-D
7:45a GI Tumor Board….......WT-D
7:00a Cardiothoracic Surg…..WT-B
17
7:00a CV Review Conf……….WT-D
11
7:00a Lung TumorBoard…..WT-D
18
7:00a Breast Tumor Board..WT-Aud 7:00a Lung TumorBoard..WT-Aud
7:45a Gen Tumor Board…..WT-Aud 7:30a Lung Oncology…...WT-Aud
9:00a Emergency Dept……….WT-D
23
24
25
7:00a CV Review Conf……….WT-D
12:30p Antibiotic Stewardship...WT-B
12:30p Bioethics………………..WT-C
3:00p Ortho COE Hip&Knee...WT-C
7:00a Breast Tumor Board..WT-Aud 7:00a Lung TumorBoard..WT-Aud
7:45a Gen Tumor Board…..WT-Aud
8:00a Oncology Steering….WT-Aud
12:30p Credentials……….….....WT-C
3:30p Gastroenterology……....WT-D
30 Doctor’s Day Celebration 31
4:00p Bariatric Surg Subc.....WT-C
7:00a CV Review Conf……….WT-D
11:30a - 2:00p Doctor’s Day
Lunch…HCC-1&2
CME CONFERENCES
March 2, 2016
“Venous Thromboembolism
Wednesdays, 12:30 p.m.
Prophylaxis”
Hoffman Health Conference Center Ian Gordon, M.D.
U.C. Irvine School of Medicine
Torrance Memorial Medical Center is accredited by the Institute for Commercial Support:
Medical Quality/California Medical Association (IMQ/CMA) to provide March 9, 2016
continuing medical education for physicians.
“Aging & Dementia”
Torrance Memorial Medical Center designates this live activity for a Szofia Bullain, M.D.
maximum of 1 AMA PRA Category I credit . Physicians should claim
U.C. Irvine School of Medicine
only the credit commensurate with the extent of their participation in
Commercial Support: None
the activity.
For up-to-the-minute conference information call (310) 784-8776
or visit: http://www.torrancememorial.org/For_Physicians/
Wednesday_CME_Conferences.aspx
April 6, 2016
“Palliative Care”
Finly Zachariah, M.D.
City of Hope National Medical Ctr
Commercial Support: None
March 16, 2016
NO CONFERENCE
April 13 2016
“Management of Atrial Fibrillation”
David Cannom, M.D.
Good Samaritan Hospital
Commercial Support: None
March 23, 2016
NO CONFERENCE
April 20, 2016
NO CONFERENCE
TM
This credit may also be applied to the CMA Certification in Continuing
Medical Education.
March 30, 2016
NO CONFERENCE
7
Physician Roster Updates
Address Change
Saroj Bharatiya, M.D.
Medicine
4101 Torrance Blvd.
Torrance, CA 90503
Phone: (310) 374-8191
Fax: (310) 303-6834
John D. Fitzgerald, M.D.
Medicine
10880 Wilshire Blvd., Ste. 530
Los Angeles, CA 90024
Phone: (310) 582-6350
Fax: (310) 794-8406
Brandy A. Hattendorf, M.D.
Pediatrics
CHLA - Division of Pediatric
Cardiology
4650 Sunset Blvd., Ste. M/S 34
Los Angeles, CA 90027
Phone: (323) 361-7398
Fax: (323) 361-1513
Gordon F. Schaye, M.D.
Surgery
P.O. Box 14224
Torrance, CA 90503-8221
Phone: (310) 541-3757
Fax: (310) 541-1867
Phone/Fax Change
Suite Number Change
Rafael A. Amaro, M.D.
Medicine
Phone: (310) 374-8191
Fax: (310) 539-4172
Ramin M. Roohipour, M.D.
Surgery
Ste. 307
Lynda A. Stoodley, N.P.
Surgery
COR Healthcare Medical
Associates
2841 Lomita Blvd., Ste. 100
Torrance, CA 90505
Phone: (310) 257-0508
Fax: (310) 325-8109
Gwen K. Friend, M.D.
Pediatrics
Phone: (310) 539-2445
Fax: (310) 626-6431
William M. Liu, M.D.
Medicine
Phone: (310) 376-8816
Fax: (310) 379-3563
Meiling L. Yuen, M.D.
Medicine
4201 Torrance Blvd., Ste. 640
Torrance, CA 90503
Phone: (310) 543-4446
Fax: (310) 543-4444
Deceased
John J. O’Hara, M.D.
Surgery
John Schugt, M.D.
Emergency Medicine
Peter S. Lorman, M.D.
Surgery
Phone: (310) 257-1500
Fax: (310) 257-1508
Christen R. Mellano, M.D.
Surgery
Phone: (310) 257-1500
Fax: (310) 257-1508
Lisa M. Humphreys, M.D.
Medicine
HealthCare Partners
2175 Park Place
El Segundo, CA 90245
Phone: (310) 965-1244
Mikael M. Purne, M.D.
Surgery
Phone: (310) 257-1500
Fax: (310) 257-1508
Romina Shirka, D.O.
Medicine
Phone: (615) 346-8182
Fax: (615) 823-8956
Tyler S. Jung, M.D.
Medicine
HealthCare Partners
2175 Park Place
El Segundo, CA 90245
Phone: (310) 354-4418
Donald B. Striplin, M.D.
Surgery
Phone: (310) 257-1500
Fax: (310) 257-1508
Erol M. Kosar, M.D.
Medicine
2841 Lomita Blvd., Ste. 100
Torrance, CA 90505
Phone: (310) 257-0508
Fax: (310) 325-8109
Charles D. Turek, M.D.
Surgery
Phone: (310) 257-1500
Fax: (310) 257-1508
Carline Louis-Jacques, M.D.
OB/GYN
24241 Hawthorne Blvd., Ste. 201
Torrance, CA 90505
Phone: (310) 371-4994
Fax: (844) 593-9950
Matthew P. Ostrom, M.D.
Medicine
2841 Lomita Blvd. #100
Torrance, CA 90505
Phone: (310) 257-0508
Fax: (310) 325-8109
The Medical Staff Newsletter ProgressNotes is published monthly
for the Medical Staff of Torrance Memorial Medical Center.
Vinh Cam, M.D.
Chief of Staff
Robin S. Camrin, CPMSM, CPCS
Vice President, Medical Staff Services &
Performance Improvement
ANK-03/2016
8
Medical Staff Services
3330 Lomita Boulevard
Torrance, CA 90505
Phone: (310) 517-4616
Fax: (310) 784-8777
www.TorranceMemorial.org
Mailing Label
ProgressNotes
Vol. 8 Issue 3
MONTHLY
MEDICAL
STAFF
NEWSLETTER
March 2016
ProgressNotes