2018 Blue Distinction® Center for Maternity Care designation by Blue Cross Blue Shield. The Blue Distinction Specialty Care program recognizes nationally designated health care facilities that show expertise in delivering improved patient safety and better health outcomes.
2018 Blue Distinction® Center for Bariatric Surgery
2018 Blue Distinction® Center for Bariatric Surgery designation by Blue Cross Blue Shield. The Blue Distinction Specialty Care program recognizes nationally designated health care facilities that show expertise in delivering improved patient safety and better health outcomes.
2016 Silver Award for the Workplace Partnership for Life
2016 Silver Award for the Workplace Partnership for Life campaign, presented by the Health Resources & Services Administration’s (HRSA), a national initiative that spreads the word about organ donation.
2016 Blue Distinction® Center for Maternity Care
2016 Selection as a Blue Distinction® Center for Maternity Care by Anthem Blue Cross signifying that Natividad delivers high quality maternity care safely and effectively, based on objective quality measures that represent evidence-based practices of high quality maternity care.
2016, 2015, 2014 and 2012 Award for Sustained Excellence
2016, 2015, 2014 and 2012 Award for Sustained Excellence in Reducing Hospital Acquired Pressure Ulcers presented by CALNOC (the Collaborative Alliance for Nursing Outcomes), the leading provider of actionable information and research on nursing sensitive quality indicators.
Dr. Alyssa Burgart, pediatric anesthesiologist and medical ethicist, presents “Managing Expectations: Delivering the Worst News in the Best Way”, addressing common communication challenges in pediatric serious illness. With few evidence based resources, how can clinicians effectively manage parent and consultant expectations, provide sign posting for families, and compassionately navigate times of high risk and great uncertainty. This activity is applicable to all clinical areas of Natividad.
Desired Outcomes:
Participants will gain perspective about communication in serious illness, including evidence regarding commonly used interventions, such as “complex care meetings.”
Participants will recognize how approaching difficult communication early serves to decrease moral distress throughout the care continuum.
Participants will have increased awareness of evidence based communication tools that may be tailored for use with patients of all ages.
Lunch is provided.
A companion SIMLab Grand Rounds CME will be held on 1/15/19
…arises in the ED with an EMS arrival of a mom with a probable SIDS baby.
…a baby who has had several episodes of bradycardia/arrest and although resuscitated is suffering from a potentially and likely fatal illness.
Desired Outcomes:
Participants will gain perspective about communication in serious illness, including evidence regarding commonly used interventions, such as “complex care meetings.”
Participants will recognize how approaching difficult communication early serves to decrease moral distress throughout the care continuum.
Participants will have increased awareness of evidence based communication tools that may be tailored for use with patients of all ages.
Lunch is provided.
A companion PEDS Grand Rounds CME will be held on 1/11/19
Control of hyperglycemia in hospitalized patients is important for optimal clinical outcomes, but can be very challenging. Uncontrolled hyperglycemia in hospitalized patients with or without a previous diagnosis of diabetes is associated with adverse outcomes and longer lengths of stay. In addition to the increasing prevalence of diabetes in the United States, many patients without preexisting diabetes experience stress-related hyperglycemia during hospitalization. It is estimated that one-third of hospitalized patients will experience significant hyperglycemia. The cost associated with hospitalization for patients with diabetes accounts for half of all health care expenditures for this disease. Controlling glucose levels for inpatients should be a priority for hospitals and practicing physicians. This activity will present an overview of management of inpatient diabetes, glucose goals, and transitions of care.
Desired Outcomes:
Examine current scientific evidence regarding glycemic control.
Be familiar with medications best for controlling blood glucose levels in the hospital.
Identify methods for glycemic control in both the critically ill and non-critically ill patient.
Compute an appropriate dose of insulin and develop an insulin regimen to manage diabetes in the hospital.
Apply strategies for developing a discharge plan for patients on insulin.
Recognize the cultural factors and the risk factors associated with patients with diabetes (age, ethnicity, socioeconomics, culture, and diet).
The landscape of trauma surgery is changing, in part due to non-operative management of solid organ injuries, and the use of endovascular and interventional techniques. Furthermore, training models are shifting to include the care of critically ill and Emergency General Surgery (EGS) patients. With the field rapidly evolving, we will review the tools and skills required to keep pace with current advancements.
Desired Outcomes:
Review the expanding use of minimally invasive techniques in trauma (ultrasound, interventional radiology, REBOA).
Breakdown the clinical and healthcare cost burden of trauma and EGS.
Determine the future role of the trauma surgeon as an Acute Care Surgeon (EGS and trauma and critical care).
There is a need to recognize that existing systems of care designed to treat people with single diagnoses are less effective and result in under-diagnosis and under-treatment of persons with co-occurring disorders. Using an integrated care model to serve this population results in superior outcomes with regard to both the mental illness as well as the co-occurring SUDs and other co-occurring chronic illnesses/disorders that may be present.
Desired Outcomes:
Paradigm shift in conceptualization of substance use disorders (SUDs) from categorical toward spectrum
Paradigm shift away from diagnostic parsimony toward diagnostic plurality in approach to diagnosing and treating co-occurring disorders
Describe classification and criteria changes from DSM IV to DSM 5 in realm of SUDs
Employ “Chronic Disease” concept when considering illness course and treatment expectations
Treatment considerations for co-occurring disorders using an integrated behavioral health model (role of individuals within the multidisciplinary treatment team)
Distinguish functional and neuroanatomical overlaps between SUDs and other mental health disorders, common brain regions and neurocircuitry pathways
Pharmacotherapy for co-occurring disorders, including medication assisted treatment aspects and the concept of harm reduction vs abstinence
Pharmacotherapy of co-occurring mental health disorders (including adjustment disorders)
The Neonatology/Pediatric Department recognized a gap in their practices relating to newly released clinical studies and guidelines. The education need is to review literature with staff and interpret the studies & guidelines into potential changes in practice.
Desired Outcomes:
Critically read and interpret literature
Incorporate knowledge gained into neonatal care
Be able to diagnose and treat newborns more effectively
In 2006, noting a rise in maternal deaths and complications, the California Department of Public Health launched efforts to investigate maternal deaths. In that year, the California Maternal Quality Care Collaborative was formed as a public-private partnership to lead maternal quality improvement activities. Key steps undertaken over the next decade included linking public health surveillance to actions, mobilizing a broad range of public and private partners, developing a rapid-cycle Maternal Data Center to support and sustain quality improvement initiatives, and implementing a series of data-driven large-scale quality improvement projects. While US maternal mortality has worsened in the 2010s, by 2013 California’s rate had been cut in half to a three-year average of 7.0 maternal deaths per 100,000 live births. The state’s rate had become comparable to the average rate in Western Europe (7.2 per 100,000). Dr. Main will cover the key steps undertaken by the California Department of Public Health and the California Maternal Quality Care Collaborative that supported change on such a large scale.
Desired Outcomes:
Identify the significant gaps in maternity outcomes.
Examine the racial and ethnic gaps in maternity outcomes.
Prepare for your role as physicians in OB Quality/Performance Improvement projects.
This presentation will discuss the history, evidence, and limitations of the quality movement in health care. The inadequacies of current methods will be highlighted and a new scientific paradigm will be offered. The principal message is that patient values and preferences, and local circumstances, need to be incorporated when developing, implementing, and measuring quality improvement initiatives.
Desired Outcomes:
Describe the history, methods, and limitations of quality improvement initiatives.
Evaluate the impact of at least one major population-based quality program.
Develop sufficient understanding of basic quality principles to use them in practice.
On-Call List
Physician Privileges
Safety Data Sheets (SDS)
Workplace Violence Reporting
On-Call List
Physician Privileges
Safety Data Sheets (SDS)
Workplace Violence Reporting
