THE MONTHLY PHYSICIAN NEWSLETTER OF LIMA MEMORIAL HEALTH SYSTEM
Physicians’ NEWS
LIMA MEMORIAL HEALTH SYSTEM
1001 BELLEFONTAINE AVE.
LIMA, OH 45804-2899
PHONE: 419-228-3335
www.limamemorial.org
A Message From the Medical Staff President - Did You Thank Someone Today?
The presents have all been opened and the ball has dropped on
Time Square – It is time to ring in another promising year at
Lima Memorial!
In the spirit of the season I want to ask all of you to take a
minute to thank and recognize the people you work with every
day in your offices and at the hospitals. At Lima Memorial, you
can fill out a simple STAR Gram card found in the Physicians’
Lounge and drop it in the box. The Health System will formally
recognize that individual for a job well done.
Personally, I am so grateful to all of you for the support and
input you have given me throughout 2010 during my first year
as your Medical Staff President.
For the second year of my two-year term, I plan to continue to
focus on improving open communication between the Medi- Sarat Kuchipudi, M.D. and Vijaya Kuchipudi, M.D. pose for a photo at the
cal Staff and all areas of Lima Memorial. As many of you heard annual medical staff dinner on Dec. 1.
me discuss at our Medical Staff Dinner on Dec. 1, having open,
honest communication with each other and taking a moment to me to spend some of my money!
have fun is imperative to our own success and that of the Health
System’s. If you would like more information on ways you can give to the
Foundation, call Steve Strathmann, the Foundation’s Executive
I also want to challenge each of you to give back to the Health Director, at 419-226-5073.
System through a donation to the Lima Memorial Foundation.
I announced at the Medical Staff Dinner that I will personally As always, please reach out to me if there is anything I can assist you
match every dollar our Medical Staff donates to the Foundation with. My e-mail address is kuchipudisb@gmail.com.
in 2011 up to $25,000. Your donation to the Foundation not
only helps support quality care and the staff that works very hard
to take care of our patients every day, but it is also a way to get
JANUARY 2011
P h y s i c i a n s ’ NEWS
THE MONTHLY PHYSICIAN NEWSLETTER OF LIMA MEMORIAL HEALTH SYSTEM
Patients Benefit From Wound Center Expertise Wilfred J. G. Ellis, M.D. -
Infectious Diseases from
Problem to Solution
Wilfred J. G.
Ellis, M.D. is
an expert in the
field of infec-
tious diseases
and wound
care. With
more than 20
years experi-
ence, he has
treated patients
with all types of complex, non-healing
wounds. His goal with every patient is to
find a seamless transfer from problem to
solution.
Even though many wounds are resistant
to treatment, he works tirelessly to find
One of Lima Memorial's two hyperbaric oxygen chambers a solution using the most advanced
resources available, such as hyperbaric
oxygen therapy (HBO). He often turns
The Wound Center at Lima Memorial hyperbaric oxygen therapy for wound care to other resources that have been around
Health System (LMHS) offers a multi- and other medical uses,” explained Dr. El- for quite some time, such as the “wound
disciplinary panel of experienced phy- lis. “Only the facility at Wright-Patterson vac” and calcium alginate (seaweed with
sicians and nurses trained in wound Air Force Base has more experience than the salt water extracted), to encourage
care and hyperbaric oxygen therapy LMHS in HBO therapy.” healing.
for patients with chronic, non-healing
wounds. The Wound Center helps patients with all Dr. Ellis has extensive education that has
types of wounds, including: helped make him an expert in his field.
Backed by Wilfred J.G. Ellis, M.D., • Diabetic He attended the University of Dayton
medical director, the Wound Center • Ulcers where he received a bachelor’s and
offers advanced technology, including • Peripheral vascular disease master’s degree in biology and received
hyperbaric oxygen (HBO) therapy • Venous stasis a medical degree from Washington
with two monoplace chambers on • Lymphedema University in St. Louis, MO. His internal
site. They also have 24/7 coverage for • Traumatic and post-op surgical non- medicine internship and residency was
emergency and on-call cases. “If we healing wounds completed at Wayne State University,
did not offer 24/7 coverage, our pa- Detroit, Mich., and his residency in
tients would be transferred to Toledo, The center also handles emergency cases pediatrics was completed at Michigan
Dayton or Columbus. We are the only such as smoke inhalations from fires, mal- State University, East Lansing, Mich.
center in the region to offer around the functioning generators or HVAC equip- He also attended Brown University in
clock coverage,” stated Laura Karhoff, ment, suicide attempts and decompression Providence, RI, where he completed his
registered nurse in the Wound Center. illness from deep water diving. fellowship in infectious diseases.
The registered nurses in the Wound If you have a patient with a non-healing In addition to his work at the Wound
Center are second to none. They have wound, the Wound Center recommends Center, Dr. Ellis has an active practice,
advanced training in wound care from getting a culture of the wound before Infectious Diseases, and runs a pediatric
distinguished training centers through- referring the patient to the center. This clinic at LMHS. “My life is my practice,”
out the United States. In addition to will allow the Wound Center to determine states Ellis. “I love what I do and the
their training, two of the nurses are what antibiotic to use when they see the challenges I get to solve every day.”
certified in hyperbaric oxygen therapy. patient. Referrals and appointments to the
“The Wound Center is the most Wound Center can be made by calling Infectious Diseases
experienced in the area. We are known 419-998-4410. 329 N. West St.
state-wide for pioneering the use of Lima, Ohio 45801
419-229-6007
CLASSES & COURSES
WELCOME
Dr. Marietta Medel has joined North Central Ohio Contact Lima Memorial’s AHA Training
Physician Services. The address is 1005 Bellefontaine Center at 419.226.5086 to register for
Ave., Suite 350, Lima, Ohio 45804. The phone number is any of the classes listed below (pre-regis-
419.998.8200, and the fax number is 419.998.8203.
tration is required).
MEDICAL STAFF UPDATES BLS Class. A Basic Life Support training class will be
offered Tuesday, Jan. 18, from 8 a.m. to 2 p.m. in the 7th
ADVANCEMENTS floor conference room of the hospital.
The following practitioners have advanced from Provisional
to Active Staff Status:
BLS Retraining Class. Basic Life Support retraining
Hanna Kifetew, M.D. – (Internal Medicine) classes will be offered Tuesday, Jan. 11 at 8 a.m. and 12:30
Pierce C. Park, M.D. – (Nephrology) p.m. Sessions are three hours long and will be held in the
7th floor conference room of the hospital.
ACLS Provider Training. ACLS provider training class
NEW LMHS PHYSICIANS will be offered on Thursday, Jan. 13, from 8 a.m. to 4:30
p.m. in the Auxiliary Conference Center on the ground
Salman Alim, M.D. floor of the hospital.
Hospitalist
Dr. Alim received his medical degree at the Aga Khan
University in Karachi, Pakistan. He completed an internal
medicine internship and residency at Hahnemann Univer- ACLS Provider Retraining. A provider retraining class
sity Hospital/Drexel University in Philadelphia, PA. Dr. will be offered on Friday, Jan. 14, from 8 a.m. to noon in
Alim is certified by the American Board of Internal Medi- the Auxiliary Conference Center on the ground floor of the
cine. He is a member of Apogee Physicians. hospital.
Nauman Shahid, M.D.
Hospitalist Physician ACLS Provider Training. The Physician ACLS
Dr. Shahid received his medical degree at King Edward course will be offered on Wednesday, Jan. 12, from 5 to 9
Medical College in Lahore, Pakistan. He completed an p.m. in the Auxiliary Conference Center. The class is open
internal medicine internship and residency at the University to physicians, physician assistants and nurse practitioners.
of Toledo. Dr. Shahid is certified by the American Board of The fee of $135 includes the newest AHA ACLS textbook,
Internal Medicine. He is a member of Apogee Physicians. handouts, pre-test and certification card upon successful
completion. The fee without the textbook is $100. Pre-
registration and pre-payment are required.
Marietta J. Medel, M.D.
Neurology
Dr. Medel received her medical degree at the University of LAMED designates this educational activity for a maxi-
the East – Ramon Magsaysay Memorial Medical Center mum of 4 hours in category 1 credit toward the AMA
in the Philippines. She completed an internship at Makati Physician's Recognition Award. Each physician should claim
Medical Center in the Philippines, a neurology residency only those hours of credit that he/she actually spent in the
at The University of Toledo Medical Center, and a clini- educational activity.
cal neurophysiology fellowship at Henry Ford Hospital in
Detroit, Mich. Dr. Medel joined Dr. Baker and Dr. Mills Meetings
at North Central Ohio Physician Services.
January Office Managers Meeting. The office managers
meet on the third Thursday of every month alternating be-
tween LMHS and SRMC. Everyone is welcome. The next
meeting will be held at 8 a.m. on Thursday, Jan. 20, in the
Congratulations and Best Wishes! Emergency Center Conference Room at Lima Memorial.
For additional information, contact LMHS Medical Staff
Bak Kim, M.D. retired in November after practicing in Lima Services at 419.226.5018.
for 34 years as an anesthesiologist with Anesthesia Associates,
Inc. We would like to thank him for the time and dedica-
tion he has shown to our patients over the past three decades.
Best wishes to Dr. Kim on his retirement!
NEWS
Case Management Adds Clinical Documentation Manager
Lima Memorial Health System documentation. The goal is to identify clinical indicators to
(LMHS) welcomes Melissa ensure that the documentation accurately reflects the severity
Windau to the case manage- and complexity of inpatient cases and to confirm the diagnosis
ment team as the new Clinical and procedures are supported by appropriate coding.
Documentation Manager. She
has been a registered nurse In this new role, Windau will use written queries to obtain
for the past 15 years and an clarification from the physicians. Patients will be followed
LMHS Associate for the past throughout their hospital stay to continually evaluate docu-
nine. mentation issues.
The clinical documentation If you have any questions for Windau, please contact the Case
improvement program was Management Department at ext. 6195.
created to initiate concurrent,
appropriate and retrospective
reviews of inpatient health
records for conflicting, incom-
Melissa Windau, R.N. plete, or nonspecific provider
Noninvasive Vascular Lab Earns Recognition
Lima Memorial’s Noninvasive Vascular Laboratory has been or exceed the ICAVL standards for noninvasive vascular test-
recognized for their dedication to providing quality care ing. During the accreditation process, every detail of a labo-
and testing for the diagnosis of vascular disease. The facility ratory’s daily operations and its impact on the care provided
achieved re-accreditation by the Intersocietal Commission for to patients is carefully scrutinized. Accredited laboratories
the Accreditation of Vascular Laboratories (ICAVL). The Lab are required to identify and correct potential problems, revise
has been accredited since 1995. protocols and validate quality assurance programs.
The Noninvasive Vascular Lab at Lima Memorial performs Participation in the accreditation process confirms the Non-
diagnostic testing to determine a patient’s risk for cardiovascu- invasive Vascular Lab’s attention to high level patient care and
lar disease, stroke and deep vein thrombosis. quality testing. ICAVL accreditation is valid for three years.
The Lab is one of the elite laboratories in the country to meet
LMHS Clinic Advocates for Young Victims
Together with Allen County Children Services, Lima Memo- Since being established in 2001, Lima Memorial’s Kid's
rial operates the only clinic in West Central Ohio that cares Clinic has helped more than 900 children in the region. It is
for children who are victims of sexual abuse. the only program of its kind serving Allen County and the 10
surrounding counties.
“We are proud of the Kid's Clinic and to be able to provide
this much needed service to the community,” said Kyle Er- For more information or if you encounter a patient that you
ford, emergency center director at Lima Memorial. “Our mis- suspect has been a victim of sexual abuse, please contact the
sion is to improve the quality of life in our communities, and Emergency Center at 419.226.5002.
the Kid's Clinic serves as an important outlet in accomplish-
ing that goal. Without this service, children would be sent to
Toledo, Columbus or Dayton for exams. This clinic is vital to
west central Ohio.”
The Kid's Clinic operates under the leadership of Medical
Director, Dr. Frank E. Cunningham, Jr., who is trained in the
medical determination of child abuse, along with the assis-
tance of Sexual Assault Nurse Examiners (SANE) nurses who
help staff the clinic. The clinic’s multi-disciplinary team of
medical, social services, law enforcement and judicial profes-
sionals work together to care for the children who are victims
of sexual abuse.
Phy s ic ian s’ NEWS
January 2011
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
1
2 3 4 5 6 7 8
Cardiovascular QR, Cancer Conf.,
5:30 p.m. ACR Noon ACC
CCBL, 12 p.m. ACR
OB/GYN QR,
7 a.m. ECCR
9 10 11 12 13 14 15
Surgery/ICU QR, Breast QR 7 a.m.
11:30 a.m. ACR Med Park Conf.
Room
Medicine QR,
7:30 a.m. EDR
16 17 18 19 20 21 22
Cancer Conf., Trauma QR 7 a.m.
Noon ACC ACC Cardio-Thoracic
Meeting,
7 a.m. ACR
23 24 25 26 27 28 29
Cardiology Meet- Pathology QA, Emergency Medicine Breast QR 7 a.m. Ethics
ing, 6 p.m. ACC 7 a.m. RCR & Emergency QA Med Park Conf. 7:30 a.m., EDR
7 a.m. ECCR Room
Utilization Review,
9 a.m. ECCR
30 31 KEY
Administrative Conference Room - ACR
East Dining Room - EDR
Emergency Center Conference Room - ECCR
Auxiliary Conference Center - ACC
Renal Conference Room - RCR
Phy s ic ian s’ NEWS
Dragon Naturally Speaking Now Available
Dragon Naturally Speaking is a new voice recognition software A group of physicians, including Dr. Sreenivasa Chanamolu,
that can be used in conjunction with Meditech’s Physician Dr. Wilfred Ellis, Dr. Sarat Kuchipudi, and Dr. Norman
Documentation Application from PCM. Moser, piloted the software in December. The pilot group
found that after using the electronic notes they can create a
Providers can select an electronic template and can use Dragon to more informational note in a shorter amount of time. MIS
dictate into the template. This software also allows the providers encourages you to talk to those providers involved in the pilot
to see what they are dictating right on the screen. to see how Dragon is working for them.
Currently, it is being used for just Progress Notes. There are Call Emily Recker in MIS at ext. 4673 to schedule a time to
several benefits of using the templates and voice recognition. “Train Your Dragon!” It takes approximately 1 1/2 hours for
Notes are legible and can be easily read by nursing staff as well Dragon to learn your voice and train your Dragon to work for
as other providers. These Progress Notes can also be viewed you!
electronically when you are away from the hospital.
CORE QUALITY MEASURES
Average Best Performance 4th Quarter 10
Acute Myocardial Infarction
Aspirin at Arrival 95 100 100
Aspirin at Discharge 94 100 100
Smoking Cessation Counseling 96 100 100
PCI within 90 minutes 82 100 100
Congestive Heart Failure
Discharge Instructions 79 100 89
Evaluation of LVS Function 90 100 100
ACEI or ARB for LVSD 90 100 100
Pneumonia
Pneumococcal Vaccination 87 100 100
Blood Cultures 92 100 100
Antibiotic within 6 hours 94 100 98
Surgical Care Improvement
Antibiotic within 1 hour of
Incision (SCIP-1) 92 99 92
Antibiotic Selection (SCIP – 2) 95 100 100
Antibiotic Discontinued within
24 hours (48 hours for CABG) 90 99 91
(SCIP-3)
Lima Memorial Launches New Intranet
Lima Memorial has launched a new internal website, or Intranet. The new Intranet replaces the current Direc-
tory/Intranet that served as the home page for LMHS computers.
All of the links on the previous Directory/Intranet page (Escription, UpToDate, SRMC's Powerchart, etc.) are
on the new Intranet.
• The Escription link is fourth button on the top row.
• The UpToDate link is the sixth button on the top row.
• SRMC's Powerchart can be found by mousing over the "S" in the alphabetical
navigation at the top of the page.
There are many features on the new Intranet that are designed to make it easier to find the information you
need.
The features of the new Intranet include:
• A searchable internal phone directory;
• A ‘Find a Physician’ online directory with contact information and photos of the
medical staff;
• A ‘hot link’ navigation bar to help you quickly find links;
Don’t hesitate to call Marketing at ext. 5077 or ext. 4645 if you have any questions.
Lima Memorial to Implement Tobacco-Free Hiring Practice
As part of Lima Memorial’s efforts to foster a healthy workplace and community, Lima Memorial will
begin hiring only tobacco-free employees beginning January 1, 2011. St. Rita’s is also implementing a
similar policy at the same time.
Under the new hiring practice, applicants to either hospital will be asked to confirm their tobacco use
status on their employment application.
Lima Memorial will test all applicants for tobacco use as part of the regular, pre-employment drug
screening process. LMHS applicants who declare tobacco use, as well as those who do not pass the
screening, may reapply for a position after 90 days.
The tobacco-free hiring practice is aligned with Lima Memorial’s ongoing efforts to support good
health among Associates. The hiring practice does not impact current Associates, however the Living
Well Wellness Program will be offering smoking cessation support for Associates as well as incentives
to encourage participation in wellness activities.
Please call Human Resources at ext. 5089 if you have questions about the new policy.