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.CatherineLindsaymovesoffices 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

Sincalide Shortage is over

Online Baptist CareConnection

Link — November 2014

Baptist Briefs Link — November 2014

Our journey to population health management – care coordination program update

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, well-coordinated, 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

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

• Improving patient management and engagement

• 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.

David Rice, MDChief Medical Officer

BAPTIST PHYSICIAN PARTNERS BOARD OF MANAGERS

CHAIR Timothy Groover, MD, MBA, CPE Anesthesiology

VICE-CHAIRJennifer Fulton, MD Pulmonary Critical Care

Charles Cousar, MDCardiothoracic Surgery

Michael Erhard, MDPediatric Urology

A. Hugh Greene, FACHEPresident & Chief Executive Officer, Baptist Health

Jack Groover, MDGastroenterology

Ceree HardenBoard Member, Baptist Health Board Chair, Baptist Medical Center Jacksonville

Richard Picerno, MDOrthopedic Surgery

David Rice, MDChief Medical Officer, Baptist Physician Partners

Edward SimPresident, Physician Integration, Baptist Health

Todd Snowden, MDOtolaryngology

Keith Stein, MDChief Medical Officer, Baptist Health and Senior Vice President, Medical Affairs/Clinical Effectiveness

Mark Stich, DOFamily Medicine

Randy Wainwright, MDCardiology

John Wilbanks, FACHEExecutive Vice President and Chief Operating Officer, Baptist Health

Physician Partners

FALL 2014QUALITYCONNECTION

1Baptist 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/GynecologyChristina Adams, MD - Obstetrics/GynecologyKenneth Adams, MD - Cardiology/Internal MedicineTolulope Adeyemo, MD - Family MedicineJeffry Altomare, MD - PediatricsJesus Arcenas, MD - Internal Medicine/Internal MedicineBethany Atkins, MD - PediatricsShaun Aure, MD - NephrologySarah Austin, MD - Obstetrics/GynecologyTim Baird, MD - GynecologyJames Baker, III, MD - NephrologyEmily Balanky, MD - Obstetrics/GynecologyManish Bansal, MD - CardiologyKim Barbel-Johnson, DO - Family MedicineHarrison Barnes, MD - GynecologyDarlene Bartilucci, MD - Family MedicineWilliam Barton, MD - AnesthesiologyBrent Beadling, MD - Family MedicineEugene Bebeau, Jr., MD - AnesthesiologyMark Bedard, DO - PediatricsSteve Beiser, MD - Internal Medicine - HospitalistMiguel Bejar, MD - AnesthesiologyRegina Bielawski, MD - Internal Medicine/GeriatricsKathryn Bing, MD - Obstetrics/GynecologyEdward Bisher, MD - CardiologyVirginia Black, MD - PediatricsAlfred Blum, MD - AnesthesiologyJacob Blum, MD - Family MedicineCharles Booras, MD - Family MedicineJohn Bordelon, MD - Obstetrics/GynecologyH. Dale Boyd, MD - Family MedicineMarijane Boyd, MD - GynecologyWilliam Boyd, MD - Obstetrics/GynecologyTraci Bragg, MD - Family MedicineJosue Brainin, MD - AnesthesiologyApril Brenes, MD - PediatricsJerry Bridgham, MD - PediatricsMitzi Brock, MD - Obstetrics/GynecologyAlex Brown, MD - Internal MedicineSamuel Brown, MD - Reproductive Endocrinology & InfertilityArthur Browning, MD - Family MedicineMichael Brumback, MD - NephrologyJohn Butcher, MD - Family MedicineMujtaba Butt, MD - GastroenterologyPatricia Calhoun, MD - Family MedicineJames Campbell, MD - Cardiology/Interventional CardiologyEfren Cardenas, DO - AnesthesiologyJing-Jing Cardona, MD - Family MedicinePerry Carlos, DO - Family MedicinePamela Carrington-Cooper, MD - PediatricsDavid Carter, MD - Internal MedicineHem Chataut, MD - NephrologyAnhtung Chau, MD - GastroenterologySamuel Christian, MD - Gynecology

Francis Chrzanowski, Jr., MD - Colorectal Surgery Alex Chugay, MD - AnesthesiologyLara Church, MD - Family MedicineJames Clower, III, MD - Family MedicineKevin Comar, MD - GastroenterologyPatrick Connor, MD - GynecologyAmanda Cooper, MD - Internal MedicineScott Cooper, MD - Gastroenterology Ana Corregidor, MD - Gastroenterology Charles (Don) Cousar, MD - Cardiothoracic SurgeryJoseph Cronin, DO - Family MedicineMark Crowe, MD - Pulmonary/Critical Care Joseph Czerkawski, MD - Internal Medicine/Sports MedicineRobert Davis, MD - NephrologyAshwini Davuluri, MD - Cardiology/Internal MedicineMatthew DeBoer, DO - Family MedicineFrancis DeCandis, MD - Family MedicineCharles Dellinger, MD - PediatricsEufrocina Del Rosario, MD - Internal MedicineSharon Desmarais, MD - Obstetrics/GynecologySarfaraz Dhanji, MD - Family MedicineLinda Di Teodoro, MD - Gastroenterology Graciela Diez-Hoeck, MD - Internal MedicinePaul Dillahunt, II, MD - Cardiology/Interventional CardiologySalvatore DiLoreto, MD - Cardiology/Interventional CardiologyAdam Dimitrov, MD - Family MedicineH. Jackson Downey, MD - Family MedicineJohn Drewniany, MD - Hand SurgeryWilliam Drewry, MD - Gastroenterology Daniel Duffy, MD - Reproductive Endocrinology & InfertilityFlorangel Edralin, MD - PediatricsChristopher Emanuel, MD - PediatricsLee Epstein, MD - UrogynecologyJames Ervanian, MD - AnesthesiologyKyle Etzkorn, MD - GastroenterologySamuel Fern, DO - Family MedicineKristin Fernandez, DO - GynecologyNura Festic, MD - Family MedicineMark Fleisher, MD - Gastroenterology James Fleming, MD - AnesthesiologyLindsay Foutz, MD - Obstetrics/GynecologySonja France, MD - PediatricsMichael Freeman, MD - Reproductive Endocrinology & InfertilityLisa Frison, DO - AnesthesiologyJuan Fuentes, MD - Family MedicineJennifer Fulton, MD - Pulmonary/Critical Care/Internal MedicineFidel Garcia, MD - Internal MedicineMartin Garcia, MD - Obstetrics/GynecologyManik Garg, MD - Internal Medicine - HospitalistRichard Gehret, MD - PediatricsJoe Gerges el Khoury, MD - GastroenterologyWalter Gilbert, MD - OphthalmologyStephen Gill, MD - Family MedicineWilliam Gill, MD - Pulmonary /Critical Care

Denise Ginart, MD - Family MedicineErika Glas, DO - Obstetrics/GynecologyJ. Maurice Glick, MD - Family MedicineGary Glicksteen, MD - Internal MedicineRichard Glock, MD - Internal Medicine/GeriatricsLawrence Goldberg, MD - Gastroenterology Steven Goldwasser, MD - UrogynecologyVikram Gopal, MD - Gastroenterology C. Cameron Greene, MD - GynecologyJoseph Greenhaw, MD - Obstetrics/GynecologyAmy Greenwald, MD - Obstetrics/GynecologyJohn (Dan) Grigas, MD - Pulmonary /Critical Care/Sleep MedicineRichard Grochmal, MD - Internal MedicineWarren Groff, MD - Family MedicineJack Groover, MD - Gastroenterology Timothy Groover, MD - AnesthesiologyRahul Gujarathi, MD - Internal Medicine - HospitalistCaron Gutovitz, MD - Obstetrics/GynecologyGeorge Hage-Nassar, MD – GastroenterologyCatherine Hartley, MD - PediatricsSteven Harvey, MD - Gastroenterology Terry Hayes, MD - Family MedicineFrank Healey, III, MD - Colorectal Surgery Michael Herman, DO - Gastroenterology Todd Hewlett, MD - AnesthesiologyJeffrey Hoffman, MD - Gastroenterology Silke Hunter, MD - Family MedicineMichael Ibach, MD - Gastroenterology Wellford Inge, III, MD - AnesthesiologyValerie Jacobson, MD - PediatricsRobert James, MD - Family Medicine/Geriatrics Michael Janssen, MD - Family MedicineDinesh Jayadevappa, MD - Nephrology/Internal MedicineBradford Joseph, MD - GastroenterologyPraveen Kanaparti, MD - CardiologyRobert Kanner, MD - Gastroenterology Philip Kartsonis, MD - Family MedicineKevin Kasych, MD - PediatricsJennifer Keen, MD - PediatricsArpitha Ketty, MD - Internal MedicineAteeque Khan, MD - Internal Medicine - HospitalistJaime Kibler, DO - Family MedicineJames Kimberly, MD - Gastroenterology Daniel Kohm, MD - Gastroenterology Semaan Kosseifi, MD - Pulmonary/Critical Care Ramesh Kotihal, MD - NephrologyMark Kramp, MD - AnesthesiologyJeffrey Krenzer, MD - Family MedicineStephen Kuehn, MD - Gastroenterology Latoya Kuester, MD - Obstetrics/GynecologyAalok Kuthiala, MD - NephrologyKirk Landau, MD - Family MedicineMurry Langfitt, MD - Gastroenterology Louis Larmoyeux, Jr., DO - Family Medicine

2 Baptist Physician Partners

Baptist Physician Partners

1st Annual Meeting of Members

Tuesday, Jan. 27, 2015 (evening)

Location and Time: TBD

3Baptist Physician Partners

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 Officer904.202.3354David.Rice@bmcjax.com

Sharon Kaplan Director904.202.4745Sharon.Kaplan@bmcjax.com

Stephen Lazoff, MD - PediatricsCarol Le, MD - Internal MedicineMinh Le, MD - Family MedicineGeorge Le-Bert, DO - CardiologySteven Lee, MD - AnesthesiologyIlene Levenson, MD - Internal MedicineJeffrey Levenson, MD - OphthalmologyDonald Levine, MD - Family MedicineAlan Lim, MD - Family MedicineCatherine Lindsay, MD - Family MedicineMarc Litt, MD - CardiologyDinesh Madhok, MD - Gastroenterology Antony Maniatis, MD - Gastroenterology Kenneth Mayer, MD - Family MedicineTravis McCoy, MD - Reproductive Endocrinology & InfertilityFrank McDonald, MD - OphthalmologyE. William McGrath, MD - Obstetrics/GynecologyGregory McHugh, MD - Family MedicineCatherine McIntyre, MD - Obstetrics/GynecologyMargaret McKibben, MD - Family MedicineDale Merrell, MD - Gastroenterology Carolyn Messere, MD - Colorectal SurgeryKenneth Meyer, MD - Infectious Disease/Internal MedicineDavid Michal, MD - NephrologyEmmanuel Miel, MD - Family MedicineRoger Miller, MD - Family MedicineBharat Misra, MD - Gastroenterology Ali Moghani Lankarani, MD - GastroenterologyJames Moore, MD - Family MedicineRobert Moore, MD - Colorectal SurgeryErin Moore, MD - Vascular SurgeryRichard Myers, MD - GynecologyFara Nadal, MD - Family MedicineSimone Nader, MD - CardiologyJose Nieto, DO - Gastroenterology Anthony Nioso, MD - Family MedicineDavid Ogburn, MD - AnesthesiologyBaltazar Orallo, MD - Family MedicineDavid Page, MD - Family MedicineMehul Parekh, MD - Family MedicineSanjeev Patel, MD - AnesthesiologyR. Matthew Paton, MD - PediatricsWilford Paulk, MD - GynecologyAmila Perera, MD - Family MedicineElizabeth Perry, MD - AnesthesiologyNicholas Peterkin, MD - Family MedicineJohn Petersen, DO - Gastroenterology Harvey Phillips, MD - Gastroenterology Marina Pierce, MD - AnesthesiologyDavid Pippins, MD - Anesthesiology/Pain ManagementDavid Pirrung, MD - Family MedicineIulia Platte, MD - Internal MedicineAnitha Police, MD - Internal MedicineManuel Portalatin, MD - Family MedicineKwasi Prakah-Asante, MD - AnesthesiologyDeborah Price, MD - NephrologyKiersten Prince, DO - Family MedicinePatricia Pulwers, MD - Family MedicineForrest Quiggle, MD - AnesthesiologySofija Rak, MD - Family MedicinePrabodh Ranjan, MD - Nephrology/Internal MedicineTodd Rasner, MD - Obstetrics/GynecologyDeepica Reddy, MD - Internal MedicineAnn Reichheld, MD - AnesthesiologyBuffie Reid, MD - Gastroenterology

Richard (Dick) Reid, MD - Pulmonary/Critical Care Sharon Reinertsen, MD - Family MedicineRonald Renuart, DO - Internal MedicineTessa Ricci, MD - Family MedicineDavid Rice, MD - Internal Medicine - HospitalistLeandro Rodriguez, MD - Obstetrics/GynecologyLorraine Rodriguez, MD - Obstetrics/GynecologyAna Maria Romero, MD - Family MedicineElicia Roos, DO - Family MedicineR. Eric Rosemund, MD - Internal MedicineEmily Rostholder, MD - GastroenterologyAbhijit Roychowdhury, MD - GastroenterologyChristopher Ruisi, MD - Cardiology/ElectrophysiologyCharles Rust, MD - Family MedicineEllen Sackett, MD - Family MedicineVenkata Sagi, MD - Cardiology/ElectrophysiologyHaritha Sakhamuri, MD - NephrologyMuhammad Salahuddin, MD - NephrologyNydia Sanchez, MD - Gastroenterology Aristides Sastre, MD - Family MedicineShiree Sauer, MD - PediatricsErich Schramm, MD - Family MedicineRashmi Schramm, MD - Family MedicineKenneth Sekine, MD - GynecologyAndrea Shah, MD - PediatricsCraig Shapiro, MD - NephrologySonia Sharma, MD - Family MedicineGirish Shroff, MD - Cardiology/Interventional CardiologyDinshaw Sidhwa, MD - Family MedicineSayra Sievert, MD - Obstetrics/GynecologyRaymond Silbar, MD - Family MedicineStephen Silberman, MD - PediatricsJames Smart, Jr., MD - NephrologyRobert (Todd) Snowden, MD - OtolaryngologyGary Soud, MD - PediatricsDan Spearman, MD - PediatricsRichard Sprague, MD - Gastroenterology Russell Stapleton, MD - Cardiology/Interventional CardiologyMichael Stephens, MD - Family MedicineJoseph Stepp, MD - Internal Medicine/GeriatricsMark Stich, DO - Family MedicineRobert Still, MD - Cardiothoracic Surgery/Vascular SurgeryKelley Stoddard, MD - Obstetrics/GynecologyJudith Sutter, MD - AnesthesiologyAntal Takacs, MD - AnesthesiologyStaci Tanouye, MD - Obstetrics/GynecologyErica Tarbox, MD - PediatricsShane Tartt, MD - AnesthesiologyThomas Taylor, MD - Family MedicineMenno Terriet, MD - AnesthesiologyPayvand Tiurchy, MD - Family MedicineQuirino Toledo, MD - Family MedicineRichard Townsend, MD - Family MedicineJohn Trainer, MD - Family MedicineAlejandro Traveria, MD - Internal MedicineFrederick Trent, MD - Pulmonary/Critical Care Frank Trogolo, MD - Obstetrics/GynecologyDiana Twiggs, MD - Family MedicineTracy Tyson, MD - PediatricsBernardo Utset, MD - CardiologyRichard Valenzuela, MD - Family MedicineJason VanBennekom, MD - Obstetrics/GynecologyDavid Vangura, MD - AnesthesiologyKarin Vangura, MD - AnesthesiologySamuel Velez, MD - Anesthesiology

Tony Villena, MD - Family MedicineAlison Vukich, MD - Family MedicineElizabeth Walsh, MD - Obstetrics/GynecologyWilliam (Randy) Wainwright, MD - CardiologyJames Waler, MD - PediatricsMartha Walker, MD - PediatricsFrank Walker, MD - AnesthesiologyAndrew Wasiluk, MD - NephrologyMichael Waters, MD - Family MedicineRaquel Watkins, MD - Allergy Mary Wechter, MD - GynecologyTiffany Wells, MD - Obstetrics/GynecologyD. Kevin White, MD - Family MedicineVictor Widner, MD - Gastroenterology Nikita Wilkes, MD - Obstetrics/GynecologyKevin Winslow, MD - Reproductive Endocrinology & InfertilityBud Wolfson, MD - Family MedicineRhonda Woolwine, MD - PediatricsAmy Wrennick, MD - Obstetrics/GynecologyPeter Yalch, MD - Family Medicine

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Building the IT infrastructureBy Todd Snowden, MDChair, 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.

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 day-to-day practice workflow. I believe this data network will represent an exciting new level of integration in the Baptist Health community.

4 Baptist Physician Partners

PREPARATION (0-12 months)

TRANSFORMATION (>36 months)

Define strategy, develop

framework, and hire clinical

leader

Focus on chronic disease management

Pilot “embedded model” in 4

adult primary care offices

Develop oversight group for ongoing

monitoring

Deploy carecoordinators inall PCP offices

Involve pharmacy &

nutrition

DEMONSTRATION (12-36 months)

Measure success of phase 1;

tweak/modify as necessary

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

Launch adjunct

telephonic outreach to

manage caregaps

Transitionalcare

Underway

Explore & deploy

pediatricmodel

Care coordination three year strategy

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

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

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:

• Medical Degree from University of Yaounde,

Yaounde, Cameroon

• Residency in internal medicine, Morehouse School of Medicine,

Atlanta, Ga.

• Board-certified in internal medicine

To contact, please call

904.348.0974.

P H Y S I C I A N I N T R O D U C T I O N

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

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:

• Medical Degree from “Gr. T. Popa” University of Medicine and

Pharmacy, Iasi, Romania

• Residency in Internal Medicine, MetroHealth Medical Center,

Cleveland, Ohio

• Board-certified in Internal Medicine

Areas of focus:

• Hospital-based medicine

To contact, please call

904.348.0974.

P H Y S I C I A N I N T R O D U C T I O N

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

Meet Dr. CucoranuHospitalist, 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

knowledge and clinical expertise to the diagnosis, treatment and

compassionate care of adults.

Her education and qualifications include:

• Medical Degree from University of Medicine and Pharmacy

“Grigore T. Popa”, Iasi, Romania

• Postdoctoral 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

To contact, please call

904.348.0974.

P H Y S I C I A N I N T R O D U C T I O N

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

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

plan of care.

His education and qualifications include:

• Bachelor Degree in Molecular Biology and Microbiology from

the University of Central Florida, Orlando, Fla.

• Medical Degree from Lake Erie College of Osteopathic

Medicine, Bradenton, Fla.

• Residency in internal medicine, Geisinger Medical Center,

Danville, Pa.

To contact, please call

904.348.0974

P H Y S I C I A N I N T R O D U C T I O N

Baptist Medical Center Jacksonville800 Prudential DriveJacksonville FL, 32207Phone: 904.348.0974 • Fax: 904.348.5627

Meet Dr. LindsayFamily 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:

Medical Degree from Pontificia Universidad Javeriana,

Bogota, Colombia

Masters in Public Health, University of North Carolina at

Chapel Hill

Internship in Obstetrics and Gynecology, New Hanover Medical

Center, Wilmington, N.C.

Family Medicine Residency, St. Vincent’s Medical Center,

Jacksonville

Board-certified in Family Medicine

Fluent in Spanish

Areas of focus:

Women’s health

Child’s health

High blood pressure

High cholesterol

Minor skin procedures

Joint injections

Treats patients ages infant

to geriatrics.

For an appointment,

call 904.564.4343.

P H Y S I C I A N I N T R O D U C T I O N

Baptist Primary Care 3690 St. Johns Bluff Road SouthJacksonville, FL 32224 Phone: 904.564.4343Fax: 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 45:30 – 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

PRWeb ebooks - Another online visibility tool from PRWeb

Baptist Health’s New Patient Garments Provide Greater Dignity,protectionFlorida Health System Is First in World to Adopt AntimicrobialTextiles for Patients, Team Members

Baptist Health patients can look forward to safer, more comfortable hospital visits due to thehealth system’s new offering of antimicrobial garments specially designed with patientprotection and dignity in mind. The launch of patient apparel comes on the heels of the healthsystem’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, morecomfortable hospital visits due to the health system’s new offering of antimicrobial garments specially designedwith patient protection and dignity in mind.The launch of patient apparel comes on the heels of the health system’s implementation of protective uniformsfeaturing the same Vestex technology in June, making it the first in the world to widely adopt this level ofprotection. Baptist began a phased roll out of the technology-enhanced, modified gowns and shirt and sports-style shorts to its inpatients ages 1 year and older in mid-October at its community hospitals. Baptist MedicalCenter Jacksonville started using the patient garments on Nov. 3 and Wolfson Children’s Hospital will have theVestex patient apparel in January.

Designed with input from Baptist team members, patients and their families, patient shirts, shorts and gownsprovide full coverage, as well as pockets, for convenient storage of personal items such as mobile phones. Thedesigns feature full fabric panels on both sides that wrap, snaps along the tops of both shoulders for quick andeasy access, ties at the waist and two pockets. This move represents an organization-wide emphasis onenhancing quality, safety and patient experience with an investment of more than $1 million for about 40,000pieces 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 presidentand CEO. “Adopting specially designed patient apparel is another dimension of our commitment to changinghealth 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 highlyrepellent to bodily fluids, water, oil and dirt. High repellency has been shown to synergize with embeddedantimicrobial 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 helpmaintain 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 areimperative, 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 couldhelp significantly reduce the spread of infection and incidence of hospital-acquired infections such as antibiotic-resistant Methicillin-resistant Staphylococcus aureus (MRSA). The Centers for Disease Control and Preventionreports 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 HealthBaptist Health is a faith-based, mission-driven system in Northeast Florida comprised of Baptist MedicalCenter Jacksonville; Baptist Medical Center Beaches; Baptist Medical Center Nassau; Baptist Medical CenterSouth; 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 forexcellence 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 ofpsychology and psychiatry services; outpatient facilities; urgent care services; and primary and specialty carephysicians’ offices throughout Northeast Florida. For more details, visit baptistjax.com. For information onWolfson Children’s Hospital, visit www.wolfsonchildrens.org.

About Vestagen Technical TextilesVestagen 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 protectivefabrics combining antimicrobial, liquid repellent and breathability properties. Vestex uniforms and scrubs aredesigned to protect healthcare workers and their patients from dangerous contaminants. They are clinicallyproven 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 InformationDeborah CircelliBaptist Health+1 (904) 202-4916

Online Web 2.0 VersionYou can read the online version of this press release here.

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

 

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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.    

3. 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.    

4. 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.  

 5. 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.  

 

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 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.      

 7. 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.    

 8. 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.  

 

 

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9. 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.  

     

 

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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  

 § Centers  for  Disease  Control  and  Prevention  Infection  Control  Guidelines  

http://www.cdc.gov/vhf/ebola/hcp/infection-­‐prevention-­‐and-­‐control-­‐recommendations.html    

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

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

§ 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  

 § 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    

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

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

MEMO TO MEDICAL STAFF

Keith L. Stein, MD, FCCM, FCCP Chief Medical Officer and Senior Vice President

for Medical Affairs and Clinical Effectiveness

New: Formulary Icons

10/7/14

Pharmacy Update:

Formulary Icons:

Form

ulary indicators will be added for medications in PowerChart.

I.Form

ulary medications will be indicated with a green circle

II.

Non-form

ulary medications will be indicated with a red diamond

Questions: South Pharm

acy 271.6910 • Nassau Pharm

acy 321.3681 • Beaches Pharm

acy 627.2973

Downtown Pharm

acy 202-2551 • W

olfson Pharm

acy 202-2551

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 Section Reference

Bylaws

3.5-4 Medical Board

WCH-Composition

R&R 07.2 Orders; Drugs, Treatment

R&R 11.14 Allied Health Professionals

Medical Physicist

R&R 7.0-4 Department of Psychiatry

Requirements