Dec. 28 Common Ground: parking changes, termination of answering service, and more
Dec. 28, 2014
Your input helps make sure we are in sync with the Compact

Dr. Ian Loewen-Thomas, Chair, Compact Implementation Committee

Two years ago we developed the Common Ground Compact, an effort by the Salem Health board, medical staff and administration to collaborate for the benefit of our patients and our community. In doing so, we asked ourselves how we can balance what is best for each of us with what is best for the whole.

I have been very encouraged by the openness and support from both the hospital administration/board and medical staff. Institutional change is by nature a slow process, but I have already seen some fruit developing from this labor. I continue to encourage you to be a positive partner in this endeavor.

Your voice in this Compact matters. In February, you will have an opportunity to let us know how you think it is going and how we can improve medical staff engagement and satisfaction. I encourage you to take the medical staff engagement survey so that we can continue strengthening the Common Ground Compact and your personal satisfaction. 


Return to top 

Changes coming to physician parking access

Starting Jan. 5, access to physician parking behind Building B will be via the north entry only. Signage will be posted reminding drivers of this change. The closure of the south entry is part of construction preparations on the Church Street property behind Building B. 


Return to top
Proposed increase for malpractice insurance 
Risk Management recently proposed an increase in the minimum requirements for malpractice insurance.  Limits have not increased for many years, and recent claim history suggests increased coverage is prudent. 

The current minimum is $1 million per claim or $3 million aggregate. The proposed requirement will increase the minimum to $2 million per claim or $4 million aggregate for each provider in the group, to a maximum of $30 million.
Feedback will be solicited through Jan. 20, 2015. Please email comments to Kelli Fussell with Malpractice Limits Revision as the subject line so the Medical Staff Engagement Committee and Physician Leadership Council can consider your viewpoint.
Breakfast with the CEO meeting recap
At the November breakfasts, physicians asked a range of questions from residency programs to the changing economics of health care. Read the questions and Norm Gruber's responses

Return to top
Salem Health to terminate answering service in 90 days
Salem Health will end its answering service on March 31, 2015. Read Cort Garrison's letter explaining the reasons behind the change and local options to meet your answering service needs
QOC Corner: Surgical Care Improvement Project reaches goal
Surgical providers and staff met the target goal of 96 percent Appropriate Care Score for the Surgical Care Improvement Project (SCIP) core measures using real time clinical decision support.  

Read the Quality Operations Committee (QOC) SCIP Project Executive Summary to learn how Dr. Raj Nair led his team to success by optimizing how we use Epic

Return to top

Cristian M. Hutanu, MD - Internal Medicine

Salem Hospital - Adult Medicine Hospitalist

Medical Education:

Bucharest University
Emergency Hospital 



July 2005 to June 2006


Internal Medicine

McLaren Regional Medical Center 

Flint, Michigan

July 2006 to June 2009

Board Certification:

American Board of Internal Medicine 




Uljana Scott, MD - Pediatrics

Willamette Family Medical Center 



University of Medicine and Dentistry 

Newark, New Jersey

July 2011 to June 2014 








Eric C. Shields, MD - Anesthesiology

Oregon Anesthesiology Group, PC 

Medical Education:

Duke University School of Medicine 

Durham, North Carolina

August 2004 to May 2008



Brigham and Women's Hospital

Boston, Massachusetts

June 2008 to June 2009



University of California

San Francisco, California

July 2009 to June 2012

Board Certification: 

American Board of Anesthesiology



Ralph A. Yates, DO - Family Medicine

Willamette Health Partners - Salem 

Medical Education:

Kirksville College of Osteopathic Medicine 

Kirksville, Missouri

September 1975 to June 1979



Eastmoreland Hospital

July 1979 to June 1980

Board Certification:

American Osteopathic Board of Family Physicians

Proposed revisions to medical staff Credentials Procedure Manual
The Medical Executive Committee (MEC) welcomes your comments on a proposed revision to the Credential Procedure Manual (CPM) related to Category 2 criteria. All comments should be sent to Kelli Fussell prior to Jan. 22, 2015.  



Return to top 


The FDA issued a warning late last month against using laparoscopic power morcellators in the majority of women undergoing hysterectomy or myomectomy for uterine fibroids. 


Read the FDA safety communication.


Return to top
EPIC upgrade in February to improve workflow 

EPIC upgrades are going live in late February 2015. Physician workflow improvements include:

  • New "manage orders" sidebar activity that stays available while clicking through the patient's chart
    • allowing you to compare active orders and "shopping cart" orders side-by-side.
    • creating a centralized activity for all non-reconciled order functions, reducing clicks.
  • New duplicate orders highlighting functionality.
  • Multiple personalized order sets.
  • Easier patient list searches.
  • Streamlined chart search functionality.
  • Improvements to problem list maintenance.
  • Medication reconciliation improvements, including exclusions based on phase of care, medication variance reporting (highlighting differences in prescribed vs. patient reported dosages during reconciliation) and notification to nursing staff that a medication has already been reconciled.

Our hope is that these and other exciting new features will create a better product and help streamline physician workflows and patient care delivery. Watch for training opportunities in future issues of Common Ground. 


Return to top
New copy and paste rules in EPIC 

Two new rules for copy and paste in Epic have been approved by the Medical Staff Engagement Committee and are available in the rules and regulations document.

  1. A note cannot be copied verbatim from another provider and used as though it were your own note. It can be copied and pasted, but credit has to be given to the writer as well as time, date, and verification that the information is still credible. It will not replace your note for the encounter.
  2. A physician's own previous note cannot be copied forward, unless it is edited to reflect the specific encounter for that day.

There is a new smart phrase available for provider use that satisfies the new copy and paste
rules and regulations outlined in rule 1 (above). 
You can access the phrase by typing ".cencopiedreport" in any self-entered note. If you select the new smart phrase, you will only have to fill in the physician's name and the original date, and select the report source.


The smart phrase is an optional tool. You can fill in the information on your own, as long as
the requirements are met.


Return to top
Clinical Engineering hours changing

Starting Jan. 5, 2015, Clinical Engineering (formerly BioMed) has new hours of operation: 6 a.m. to 3:30 p.m. Monday through Friday. The change allows for better face-to-face customer communication and reduces overtime for Clinical Engineering staff. 


Return to top 

Peer Review orientation dinner

All Peer Review participating physicians, section chiefs, medical staff leadership and others interested in Peer Review are invited to attend an orientation dinner and program from 4:30 to 8 p.m. on Feb. 2, 2015, in Creekside Overflow. For more information, read the flier.

2015 section chief orientation

Salem Health physician leaders, section chiefs and department chairs are encouraged to attend a two-part orientation from 6:30 to 7:30 a.m. on Jan. 29 and Feb. 5, 2015, in Creekside Overflow. For more information, read the flier.

Annual medical staff appreciation dinner

Invitations will be mailed in early January for the Thursday, Jan. 22, event at the Red Lion Hotel in Salem. Social hour starts at 6 p.m., followed by dinner and program at 7 p.m. Mark your calendar now for this exciting event.

For your patients, from the CHEC

Select class headlines to download a flier to print and share with your patients.


Tai Chi for Arthritis

This gentle form of Tai Chi can be performed sitting or standing and is appropriate for people with all forms of joint and muscle pain. 


Chair Yoga

This chair-based yoga class is perfect for anyone, especially those with limited mobility, arthritis, injuries, or chronic pain. 

Yoga Basics

This non-intimidating yoga class connects breath and movement to find more comfort, mobility and fitness. All experience levels can participate in this class regardless of flexibility and stamina.

Mindful Eating

This four-week series includes eating activities, discussion and simple guided mindfulness exercises to integrate mindful eating into daily life. 


Conversations about work, women, fatherhood, friendship and life. 

Return to top
Retired doctor, Death With Dignity advocate ponders own death
Oncology doctor Peter Rasmussen advocates for terminally ill patients' right to choose. A small malignant tumor in his brain means he is now facing the choice personally. Read the Statesman Journal article.
Three receive star awards 

David Volkov, MD, awarded Role Model for Excellence
Nominated by Dr. Maurice Collada who noticed all the compliments Dr. Volkov receives on the communication board. "I wanted to celebrate this wonderful anesthesiologist for making our OR and our medical staff better through his leadership and commitment to excellence," Collada said. "He is the type of physician we all need to be, or strive to be, to make our collective patient care efforts consistently successful."
Charles Petrunin, MD, awarded Role Model for Excellence
Nominated by the medical staff office after a family member of a patient who died that day stopped to talk with Dr. Cort Garrison. The family member expressed his appreciation for the care Dr. Petrunin provided, stating he did an excellent job, had a great bedside manner and exuded compassion.
Michael Brisbin, CRNA, awarded Leader in Practice and Teaching
Nominated by Jennifer Broadus who said, "I find it difficult to explain how Mike puts our surgery patients at ease." She describes his warm smile and way he introduces himself to every patient, finding a unique connection with each patient. In the more than five years he has been at West Valley Hospital, he has assisted in nearly all surgery cases. Jennifer describes Michael as education-oriented. Her examples include him putting on education sessions, inviting doctors into the OR for observations, welcoming questions from medical and nursing students, sitting on committees and continual personal education to keep up on the latest information. 
Common Ground Newsletter Editorial Board 
For past issues of this newsletter, visit
Email us anytime with feedback, suggestions, or something for the next issue!  Dr. Ian Loewen-Thomas, Chair, Compact Implementation Committee

Salem Health