Saturday, December 16, 2017

OCMA Blog

CMA-Western Health Care Leadership Academy - New Workshop Series

Continuing its mission of providing information and tools needed to succeed in today’s rapidly
changing health care environment, the Western Health Care Leadership Academy is pleased
to introduce a new series of workshops designed specifically for organizational leaders.
The academy’s “Organizational Leadership Principles” track will give you the skills you need
to be a successful leader in the workplace, whether that is a medical practice, medical
association, hospital medical staff or other organized health care group or business.

For more information on all sessions and to register, visit www.westernleadershipacademy.com

The Road Ahead: Diagnosis and Treatment of Breast Cancer

Cancer. Just hearing the word can bring you down. For many women, a breast cancer diagnosis is a reality they have to face. The thought of receiving a diagnosis can cause much distress and anxiety in women on top of all the stresses they experience every day. Fortunately, there have been great strides in breast cancer research, treatment and diagnosis. Breast cancer is no longer a death sentence, and more women are living healthy and happy lives after their diagnosis. With death rates down 34% since 1990, breast cancer is no longer a death sentence, and more women are living healthy and happy lives after their diagnosis.

The road to recovery begins with diagnosis. So, how do we do so with confidence and accuracy? Physicians employ a variety of breast imaging services including mammography, ultrasound and MRI to detect breast cancer, depending on various patient factors. However, breast cancer screening guidelines have become somewhat confusing in recent years, with multiple organizations offering different recommendations. The most common advice from radiologists and breast surgeons is for an annual mammogram starting at the age of 40. For women with denser breast tissue, tomosynthesis (3D) mammography may be beneficial and/or consideration of screening breast ultrasound. Those women whose lifetime risk of breast cancer exceeds 20% would also be screened with annual MRI. Still, I find it helpful for women to have a general sense of what is normal for them. For instance, if a new breast lump is identified by a patient that does not go away within one menstrual cycle, it is worth exploring with at least an ultrasound.  In a postmenopausal woman, a new lump warrants diagnostic breast imaging including ultrasound.
  

Once breast cancer is detected, the next step to recovery is treatment. There are three main forms available: medications, radiation therapy and surgery. Which one or ones are right for you is dependent on the type and severity of the cancer. Medications used for breast cancer include chemotherapy agents, hormone blocking drugs like tamoxifen or aromatase inhibitors, and immunotherapy. The biology and behavior of the cancer tend to influence which drugs, if any, would work best for a particular cancer. With radiation therapy, doctors take into account a patient’s age, surgery performed, and pathology characteristics to assess whether radiation is indicated, and if so, what course might be best suited for the patient. Breast surgery procedures range from lumpectomy, which conserves breast tissue, to mastectomy, which removes the majority but not all of the breast tissue. In determining which surgery is best for an individual, several factors are taken into consideration, including the size and location of the cancer, personal and family history, and the patient’s personal preferences. More and more women are benefiting from the use of oncoplastic surgery, where oncologic principles of taking out cancer with, ideally, widely clear margins, are combined with plastic surgery closure techniques. Oncoplastic breast conserving procedures and mastectomy reconstruction options have really revolutionized breast surgery, allowing women to boost their self-confidence and feel more like their usual selves. 

Reconstruction is an option for the vast majority of patients undergoing mastectomy and allows women to retain a natural, feminine appearance after surgery. Two main forms of reconstruction are available: reconstruction with implants and reconstruction with tissue. Reconstruction with implants is the most common technique used in breast reconstruction. It often involves the initial placement of a tissue expander to maximize the ability of the skin to heal, while allowing flexibility in the size of the reconstructed breast, followed by later removal and replacement with a formal implant. Some women may prefer to use their own tissue for reconstruction. In this case, tissue is taken from another part of the body, most commonly the abdomen or the back, and transferred to the mastectomy site, creating a natural texture to the reconstructed breast. 
The thought of being diagnosed with breast cancer can be frightening. Fortunately, great strides have been made in breast cancer research, and new technologies help women get back to their normal lives more quickly. 

For more information on breast cancer imaging, treatment and diagnosis, visit breastlink.com. 


Webinar: Coordinated Care Initiative: Key Information for O.C. Physicians

The Coordinated Care Initiative:  Key Information for Orange County Physicians occurs several times:

Wednesday, April 27, 2016, 12:00 noon - 1:00 p.m.

Wednesday, May 25, 2016, 12:00 noon - 1:00 p.m.

Wednesday, June 22, 2016, 12:00 noon - 1:00 p.m.

Please register for the date and time that works best for you:  https://attendee.gotowebinar.com/rt/6054087317243662596

Program Description:  This webinar is designed for physicians and will cover the Coordinated Care Initiative (CCI) and the programs within the initiative including Cal MediConnect, known as OneCare Connect in Orange County.

The CCI is a new program designed to help provide extra support for low-income seniors and people with disabilities in California, including those who are dually eligible for Medicare and Medi-Cal.

Webinar topics include:  

1.  Overview:  How the CCI is changing health care for dual eligible patients;

2. Continuity of Care:  How to keep seeing your patients if they join OneCare Connect;

3. Care Coordination:  How OneCare Connect can help support physicians in coordinating care for patients, including in-home and community based services;

4. Billing Processes: How billing works under the CCI for patients who join OneCare Connect and for those who remain in  fee-for-service Medicare and join the CCI for Medi-Cal services.

Speakers:  Rita Cruz Gallegos & Joe Garbanzos, Provider Outreach Specialists, Harbage Consulting; and Laura Grigoruk, Director of Direct Networks - CalOptima.

 


CURES On-Demand Webinar

July 1, 2016 is the deadline for mandatory CURES registration for all physicians with an active medical license and a Drug Enforcement Agency certificate. In order to help prepare physicians, CMA hosted a webinar on the CURES 2.0 registration process, which was presented by the Department of Justice. The webinar is now available on-demand in the CMA Resource Library and is free for both members and non-members. Please click here to view the CURES 2.0 webinar


St. Joseph Hoag Health Names Tarek A. Salaway as Chief Operating Officer of Mission Hospital

 

 

FOR IMMEDIATE RELEASE


Media Contact: Nisha Morri

Office: 714-414-3232

Email: nisha.morris@stjoe.org


 St. Joseph Hoag Health Names Tarek A. Salaway as Chief Operating Officer of Mission Hospital


MISSION VIEJO, CA, March 8, 2016 Mission Hospital, part of the St. Joseph Hoag Health network of care, today announced that Tarek A. Salaway, MHA, MPH, MA, has been named Chief Operating Officer of Mission Hospital, one of seven not-for-profit hospitals operated by the health system.

 

In his new position, Salaway will be responsible for maximizing the operational performance of Mission Hospital’s campuses in Mission Viejo and Laguna Beach as well as its off-site locations, including inpatient and outpatient centers and associated services. He will play a key role in developing the hospital’s strategic direction and optimizing the market presence of the hospital in the Orange County region. Salaway will oversee a wide range of clinical and ancillary programs that are core to Mission Hospital, and he will also be responsible for identifying and developing opportunities for growth.

 

The chief operating officer plays an extremely important executive role in the success of Mission Hospital. Having a proven leader like Tarek Salaway in that role fortifies our more than 40-year-old ministry and strengthens our ability to provide our communities with access to advanced, integrated care in the years to come,” said Richard Afable, MD, interim CEO of Mission Hospital and President and CEO of St. Joseph Hoag Health, the Southern California region of St. Joseph Health. St. Joseph Hoag Health, of which Mission Hospital is a vital part, is committed to transforming the delivery of care through innovations that foster ever higher quality, access, and efficiency,Dr. Afable continued. Mr. Salaway provides Mission Hospital with senior-level experience and talent to implement its goals in all aspects of our operations.

 

I am truly honored for the opportunity to join the Mission Hospital leadership team, said Salaway. Mission Hospital, like many hospitals in Southern California, operates in a changing and intensely competitive market. I look forward to developing our clinical programs and mobilizing our stakeholders to be best positioned to respond to the market and deliver high quality results for patients and their families.


Salaway comes to Mission Hospital after serving as the chief operating officer at Keck Medical Center of the University of Southern California (USC), which includes Keck Hospital of USC and USC Norris Cancer Hospital. His experience in the health care clinical operations and business management spans more than 20 years and includes progressively responsible leadership positions at Stanford Hospital and Clinics and Providence Health & Services.

 

Salaway completed his Master of Healthcare Administration (MHA) degree at the University of Washington. He earned his Master of Public Health (MPH) degree, with an emphasis in epidemiology  and health services, and his Master of Arts in international relations, at the University of Washington. He received a Bachelor of Arts degree in political science and French literature from the University of California, San Diego. Salaway, a native of Southern California, resides in Aliso Viejo.

 

About Mission Hospital

 

As a part of the St. Joseph Hoag Health network of care, Mission Hospital was founded in Mission Viejo in 1971 and has since grown to a two-campus facility with 552 beds and approximately 2,500 employees. Mission Hospital, a ministry of St. Joseph Health, has been serving the greater needs of the community for more than 40 years, improving the quality of life in the communities it serves in the tradition of the Sisters of St. Joseph of Orange. Mission Hospital in Mission Viejo is an acute care, full- service facility providing advanced health care services and diagnostic care to south Orange County and is the only designated trauma center in South Orange County. Mission Hospital Laguna Beach (MHLB) provides South Orange County coastal communities with 24-hour emergency and intensive care as well as medical-surgical/telemetry services. Mission Hospital offers specialty care in cardiovascular, neuroscience and spine, orthopedics, women’s services, urology, behavioral health, head and neck and other key specialties. CHOC Children’s at Mission Hospital is a 48-bed facility that is the area’s only dedicated pediatric hospital for more than two decades. Fully accredited by The Joint Commission and designated as a Magnet hospital by the American Nurses Credentialing Center for nursing excellence, Mission Hospital has received numerous awards and recognition for its high quality of care. For more information, visit www.mission4health.com.



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