the magazine of madera community hospital madera … · in 1981, a former classmate, mohammad...

2019-Q2THE MAGAZINE OF MADERA COMMUNITY HOSPITAL Concepcion, MD, General Surgery, Stephen DeSantis, MD, FACS, Jennifer

Ng, MD, MD, FACOG, Obstetrics/Gynecology, Charles Ugwu-oju, MD - Obstetrics/Gynecology, Felipe Ruiz DPM, Podiatry, Jose Zamora II, MD, General Surgery

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2019-Q2THE MAGAZINE OF MADERA COMMUNITY HOSPITAL

MADERAHOSPITAL.ORG

Emergency Department Advisory Council

page 4

Partners in Cancer Prevention

page 8

Madera Community Hospital surgeons perform more than 2000 general and orthopedic surgeries each month.

TreasuredTrustees

page 3


2 NEW ERA IS PUBLISHED BY MADERA COMMUNITY HOSPITAL | 1250 E. ALMOND AVE | MADERA, CA 93637 | (559) 675-5555

Ihave always been a patient advocate; when I began my career as a nursing assistant, at Madera Community Hospital more than 37 years ago, then

as a Registered Nurse and as a Family Nurse Practitioner. Now, as Chief Executive Officer I have the opportunity to

advocate for all our patients and lead the entire organization on a quest for excellence in healthcare quality, safety and service.

Leading an institution, vital to the physical and economic health of Madera County, is an awesome responsibility.

According to The American Hospital Association, General Acute Care Hospitals have been closing at a rate of about 30 per year. As Chief Executive Officer, it is my charge to ensure our hospital thrives. Thriving requires goal alignment from our nearly 900 employees and more than 250 credentialed Medical Staff. It also requires support from our community.

Today, as I complete my first year as CEO of Madera Community Hospital, I know each member of our team is committed to providing the best patient care. We understand our patients have a choice on where to receive healthcare services and we value our community physicians and healthcare providers who choose Madera Community Hospital.

Although we are unwavering in our compliance of Federal and State regulatory standards and Hospital Facilities Accreditation Program standards, we are not the hospital or health system you heard about 30 years ago, 5 years ago or even a year ago. Our employee written and adopted Standards of Behavior have created a culture of courtesy and respect for one another and guides our united purpose of delivering patient centered care. Everyone on our team is an advocate for patients.

I invite you to get to know your hospital. Attend Wellness Wednesday, our monthly educational sessions, apply to serve on our Emergency Department Advisory Council, attend our Hospital Foundation Events, talk with us at community events. Walk with a Doc the First Saturday of each month or invite us to share information about our hospital with your club or organization.

This is my Hospital, this is where I receive care and my family receives care. Madera Community Hospital is your Hospital too. ■

Message from the CEOKaren Paolinelli, Chief Executive Officer

Karen Paolinelli, MSN, FNP-C, PA-C, RN Chief Executive Officer


3MADERAHOSPITAL.ORG | ` FACEBOOK.COM/MADERACOMMUNITYHOSPITAL

Treasured Trustees

Madera Community Hospital is a private, not-for-profit, General Acute Care facility, governed by a

self-appointed volunteer Board of Trustees. While the governance structure isn’t unique in Fresno or Madera, it is unique in the State. Most hospitals are part of larger health or university system. Regardless of the governance structure, hospitals are highly regulated and treasured community health and economic resources.

Charged with ensuring all residents have access to quality medical care, Hospital Trustees have four main responsibilities: Hire the Chief Executive Officer, approve Medical Staff privileges, pass policy and approve the annual budget.

The approval of Medical Staff privileges is based on California Law prohibiting hospitals from employing

physicians. Many consumers are unaware of the regulation. The rationale for the prohibition on employment of physicians is based on the potential for conflict between a physician’s loyalty to the patient and the financial interests of the hospital.

The success of a hospital is highly dependent on the relationship between the Governing Board, the Chief Administrator and the independent, self-governing Medical Staff members. Madera Community Hospital Board of Trustees wisely developed their governance structure to include three officers of the Medical Executive Committee, elected by their peers: Chief of Staff, Vice Chair and Immediate Past Chief.

The community is grateful for the commitment of our Hospital Trustees and their proven commitment to healthcare excellence. ■

Left to right back row: Wally Nishimoto, Jon Basila, Rob Poythress, Don Warnock, Mike Diebert, Bruce NortonMiddle Row: Khalid Rauf, MD, Mohammad Ashraf, MD, Muhammad Anwar, MD, Chief of Staff, Stell Manfredi, Board Chair, Stell Manfredi, Board Chair, Monte Pistoresi, Steve Schafer Seated: Anita Eden, Brenda Garcia, Deidre da Silva, Anna da Silva, Jan Zitek Not Pictured: Steve Barsotti, Jay Mahil, John Markle, Aftab Naz, MD



Emergency Department Advisory Council (EDAC)

Brad Danby, RN, DirectorCritical Care and

Emergency Services

R. Scott French, MDMedical Director

Emergency Service



RBetween 2000 – 2018, the Central Valley lost

Seven Emergency Departments.

Alta Hospital District Closed in 2001

Chowchilla Closed in 2002

Cochran Closed in 2018

Dos Palos Closed in 2006

Exeter Closed in 2001

Kingsburg Closed in 2010

Lindsay Closed in 2000

Emergency Department Advisory Council (EDAC)

egardless of where you receive healthcare; community physician, Federally Qualified Health Center, Rural Health

Clinic, Urgent Care, Employer Based Clinic, or our own RapidCare Clinic, the Emergency Department is the front door into every hospital.

Madera Community Hospital Emergency Department averages 100 daily patient encounters. In early 2017, Valley Emergency Physician Healthcare, Inc. (VEP) was invited to provide the medical provider care in our Emergency Department. In the last nine months, under the Medical Directorship of Scott French, MD and the clinical directorship of Brady Danby, RN, consumers have noted an uptick in efficiency as well as compassion.

EDAC, Madera Community Hospital’s Emergency Department Advisory Council is being developed to improve care based on community perception and need. “The delivery of Emergency Medicine is complicated to most consumers,” said Dr. French. “The intervals of care include multiple interruptions and interactions in an environment of high density decision making.” EDAC members will work collaboratively to co-design programs and policies to effectively impact health care challenges and enhance the patients’ experience in Madera Community Hospital’s Emergency Department.

The Emergency Department Advisory Council will consist of 7-10 Community Advisors, along with our Emergency Department Clinical and Operational Leadership. The Council Members agree to serve a two year term and meet in-person, monthly for 90 minutes. EDAC Members will establish their own charter and work plan. The EDAC application can be found at www.MaderaHospital.org/EDAC or call 559-675-5502. Application deadline is June 15, 2019. ■



Physician Profile - Afab Naz, MD – Pediatrician

told me I was going to be a doctor. So, I began my pre-med courses.

MCH: Sounds like your parents were a great influence.Dr. Naz: Yes. My mom was a school teacher and my dad was a clerk in education. I had 7 siblings and we lived in a 1 bedroom house. My mom is the one who always told us, ‘you must study’ if you want to succeed. MCH: Where did you study?Dr. Naz: I graduated Medical School from the University of Karachi in 1972. I always knew I wanted to be a pediatrician and the US Healthcare Expansion in the ‘60’s and ‘70’s provided the opportunity.

After three years in the Pakistan Army, I came to the United States for a degree in pediatrics. At the time, only 5% of the doctors from Pakistan passed the Educational Council for Foreign Medical Graduates Exam, required to practice in the United States.

I earned Board Certification in May of 1980, by The American Board of Pediatrics and in October of 1980, I was awarded a Fellow by the American Academy of Pediatrics.

MCH: What brought you to Madera? After a year in Kansas City, practicing at a psychiatric facility,

I took a job at Cook County Hospital in Chicago. My plan was to practice for two years and pass Board Certification. I needed to pass the Boards before I could return to Pakistan. After passing my Boards I told my wife, just two more years in the US and we will be financial secure to return home, but this County seduced me.

In 1981, a former classmate, Mohammad Ashraf, MD, called me in Chicago and told me he was practicing in California and the hospital needed a pediatrician. I told him I couldn’t make the visit to Madera, because my wife was close to delivering our second child. Dr. Ashraf told me, ‘your wife is going to deliver regardless of where you are.’ I couldn’t argue with his logic so I made the visit to Madera.

California is one of five states in the United States where doctors cannot be employed by hospitals. The rationale for the prohibition on employment of physicians is based on the potential for

conflict between a physician’s loyalty to the patient and the financial interests of the hospital corporation. Doctors are independent practitioners licensed by the California Medical Board and governed by their peers.

MCH: First off, Happy Birthday. Dr. Naz: Thank you. My children surprised me with a

party at my son’s house. There were about 150 family and friends who attended

MCH: How many children do you have? Dr. Naz: I have 3 children, a daughter and two sons. My

daughter, Lizma, is the first born. She has a master’s degree in linguistics. Lizma runs my clinical research division. My oldest son, Ednann, is a doctor and administrator for Community Medical Centers. My youngest, Tabish is also a medical doctor. He is starting his Internal Medicine residency in Michigan. MCH: You are conducting clinical research in Madera?Dr. Naz: Yes. In fact, my daughter and I just returned from a clinical research meeting in Spain.

I am a principle investigator and have documented the effects of more than 100 pharmaceuticals and vaccines.

MCH: When did you know you wanted to be a doctor?Dr. Naz: Around the time I was in middle school; my dad

Aftab Naz, MD



MCH: What made you stay in Madera?Dr. Naz: I had a good opportunity to build a practice but primarily, it was the lifestyle. The trees are green the weather is great and my commute in Chicago was more than an hour each way. The first 13 years in Madera, I lived one mile from my office.

The geographic similarity to Pakistan was a draw, but my wife didn’t like it. She liked the urban features and benefits of Chicago.

MCH: How about now?Dr. Naz: We moved to Madera in June. When the weather began to change, my wife went shopping for a coat for our daughter. She found a coat at a local boutique. She asked the store owner if she could return the coat if her husband wasn’t pleased with the purchase. The store owner said to her, ‘Mrs. Naz, take the jacket. If your husband doesn’t like it, bring the jacket back. If he does, mail us a check.’ This experience brought a new sense of appreciation for rural living. Nothing like this would have happened in Chicago.

MCH: The story sounds like Madera welcomed you and your family.Dr. Naz: Yes but I also earned the community’s respect and support. I have had the privilege of caring for so many of our community’s children. For the first several years, I answered calls and met parents and children any time or night and on the weekends.

MCH: Did any of your siblings or your wife’s family move to Madera?Dr. Naz: More than 100 of my relatives live in the Madera /Fresno area. In the last 40 years, all my brothers and sisters as well as all nine of my wife’s siblings moved here. My mother is buried in Madera and my father is buried in Fresno.

MCH: What would you like the community to know about our hospital?We have a great hospital. Most of the specialties are available. If anyone of our residents has a medical emergency, guess where you are going to go? Madera Community Hospital. If we are good for emergencies, we are good for routine care.

MCH: In addition to owning a successful pediatric medical and clinical research practice you also give your time toward advancing the health and wellbeing of the community.Dr. Naz: Madera is my place. All of my investments are in Madera. Whatever life I have left, it is important for me to do good. ■ Place Carpet One

Certification from the Education

Council for Foreign Medical Graduates

(ECFMG) is required by the American

Medical Association and the

American Hospital Association.



Partners in Cancer Prevention

n October of 2018, the American Cancer Society presented data on HPV Vaccination rates; noting Madera County leads the

state with 43% of the targeted youth population having received the vaccination. San Francisco followed with 39%. Other Counties in our region fell to 31% in Tulare, 27% in Fresno and 19% in Kings County. The California Dialogue on Cancer HPV Vaccination Roundtable is striving to attain an 80% vaccination rate in the targeted youth population.

The American Cancer Society awarded a small grant to the Hospital for the development and implementation of strategies to increase HPV Vaccination rates. CalViva Health is partnering with Madera Community Hospital Family Health Services to develop strategies to attain 80% vaccination compliance. “We are excited about the partnership with CalViva Health and our mutual commitment to creating opportunities for health promotion,” said Peter Garcia, RN, Director, Family Health Services “Parent education and health practitioner diligence are our primary tools for ensuring all youth between 11-12 are protected from nine different cancers.”

The HPV Vaccination is a covered health expense and can be administered during the well visit when also receiving the Tdap Vaccination, required prior to entering middle school.

Visit www.cancer.org to learn more about the HPV Vaccination. Call Family Health Services, 559-675-5530, or your child’s primary care provider, to schedule the vaccination appointment. ■

The human papillomavirus, HPV, is a serious problem

causing several cancers. The HPV vaccination protects

against this virus and the cancers it can cause. The

virus is so common it will infect most people at some

point in their lives. Most infected people do not know

it. The best way to help prevent HPV infection is to get

vaccinated. The HPV Vaccination is expected to prevent

90% of HPV related cancers when given before children

are exposed to the virus.

I Immunizations for Adolescents, Combo 2 (IMA-2) by Medi-Cal Managed Care Plan and County or Region, Measurement Year 2016: Assesses adolescents 13 years of age who had 1 Tdap vaccine, 1 dose of meningococcal vaccine, and the complete HPV vaccine series (3 doses) by their 13th birthday (for reference during presentation by Jane Pezua)

Source:http://www.dhcs.ca.gov/dataandstats/reports/Documents/MMCD_Qual_Rpts/TechRpt/CA2016-17_EQR_Technical_Report_F1.pdf

26%

CalViva – MaderaAnthem – Madera

San Francisco Health Plan – San Francisco Health Plan of San Mateo – San Mateo

CenCal – San Luis ObispoSanta Clara Family Health Plan – Santa Clara

CalOptima – OrangeCenCal – Santa Barbara

Kaiser SoCal – San DiegoKaiser NorCal – Region 5 Anthem – San Francisco

Health Net – TulareAlameda Alliance for Health – Alameda

Partnership – Region 8 Anthem – Tulare

Central California Alliance for Health – Region 3Community Health Group Partnership – San Diego

LA Care – Los AngelesPartnership – Region 9

Contra Costa Health Plan – Contra CostaAnthem – Santa Clara

CalViva – FresnoHealth Net – Sacramento

Anthem – FresnoCalifornia Health & Wellness – Imperial

Health Net – Los AngelesInland Empire Health Plan – Region 4

Anthem – SacramentoGold Coast Health Plan – Ventura

Molina – San DiegoAnthem – AlamedaMolina – Region 4

Health Plan of San Joaquin – San JoaquinKern Family Health Care – Kern

Anthem – Contra CostaCalifornia Health and Wellness – Region 1

Central California Alliance for Health – MercedHealth Net – Kern

Anthem – Region 2 Molina – Imperial

Health Plan of San Joaquin – StanislausAnthem – Kings

Molina – SacramentoCare1st – San Diego

Anthem – Region 1 California Health & Wellness – Region 2

Partnership – Region 7 Health Net – San DiegoHealth Net – Stanislaus

CalViva – KingsAnthem – San Benito

Health Net – San JoaquinPartnership –Region 6

Region Key:*

Region 1: Butte, Colusa, Glenn, Plumas, Sierra, Sutter, and Tehama CountiesRegion 2: Alpine, Amador, Calaveras, El Dorado, Inyo, Mariposa, Mono, Nevada, Placer, Tuolumne, and Yuba CountiesRegion 3: Monterey and Santa Cruz CountiesRegion 4: Riverside and San Bernardino CountiesRegion 5: Amador, El Dorado, Placer, and Sacramento CountiesRegion 6: Lassen, Modoc, Shasta, Siskiyou, and Trinity CountiesRegion 7: Del Norte and Humboldt CountiesRegion 8: Napa, Solano, and Yolo CountiesRegion 9: Lake, Marin, Mendocino, and Sonoma Counties

*Note: Regions are not DHCS health plan reporting units, but generated by CDPH for visual reporting.

% of 13-Year-Olds Immunized, 2016, IMA-2



2019 Employee Giving Campaign

2019 Employee Giving Stats Average Gift $557.16

Hour Club Average Gift: $701.49

Gifts and Pledges totaling more than $41,000



Thank You for Investing in Madera Community Hospital

Table Hosts: 47th Place Carpet One • Arya Medical Group–Ali Rashidian, MD • Avalon Medical Group• Melissa and Shawn Bushéy • Camarena Healthcare

• Central Valley Community Bank • Central Valley Medical • James Chin, PhD • Chukchansi Gold Resort & Casino• Anna daSilva • Fantaski Financial Management • Florestone Products • Gunner Ranch • Madera Community College Center • North Fork Rancheria • Pathology Associates • Regional Anesthesia Associates • Valley Children’s Healthcare • VEP Healthcare • Wood, Wiley & Jebion ■

Benefiting Madera Community Hospital Foundation - 05.03.19



2018 Employer of the Year

adera Community Hospital received recognition as the 2018 Employer of the Year from San Joaquin Valley

College. In a letter from Nick Gomez, President of San Joaquin Valley College, Madera Community Hospital was lauded for supporting 12 students through externships; ensuring students received quality hands-on practical skills in the workplace. “The skills our students learned through externships are immensely valuable and our college cannot accomplish this without the help and partnership of employers like Madera Community Hospital,” said Gomez.

Madera Community Hospital is committed to improving access to and advancing the quality of healthcare provided in our community. “We are pleased to be acknowledged for our educational partnership and our culture of welcoming those seeking healthcare careers,” said Hospital CEO, Karen Paolinelli. “The appreciation and recognition truly goes to our clinical practitioners who donate their time and expertise in training the next generation of clinicians,” Paolinelli added.

WELCOMEMichael DaCoco, CLS, DHADirector of Laboratory and Radiology

Michael served as the Clinical Laboratory Scientist Manager for Madera Community Hospital from

2005 to 2008. Michael has over 20 years’ experience in healthcare management. His most recent position was the Director of Laboratory Services at Marin General Hospital. Michael has a Doctorate in Health Administration, and a Bachelor of Science in Medical Technology.

Rebecca Avila, RN, MBADirector of Obstetric Services

Rebecca’s most recent position was Post-Partum Manager for Clovis Community Medical Center. Rebecca received her

MBA in Health Care Management at Capella University and is also a graduate of California State University- Fresno.

In 2018, Madera Community Hospital invested more than $120,000 in pre-graduate clinical training through partnerships with Madera High School, Madera Community College Center, Clovis Adult School, Fresno City College, Fresno Pacific University, Fresno State, California Health Sciences University and San Joaquin Valley College. ■

M


2019-Q2THE MAGAZINE OF MADERA COMMUNITY HOSPITAL

1250 E. ALMOND AVE | MADERA, CA 93637

ON THE FORNT COVERPictured: Muhammad Anwar, MD, Chief of Staff - General Surgery, Jonathan Mayer, MD, FACOG, FACS - Obstetrics/Gynecology, Cyril Rebel, MD - Orthopedic Surgery, Rame Iberdemaj, MD -General Surgery, Mohammad Arain, MD -General Surgery.

Not pictured: Ronald Castonguay, MD Orthopedic Surgery, Rendoll Concepcion, MD, General Surgery, Stephen DeSantis, MD, FACS, Jennifer Ng, MD, MD, FACOG, Obstetrics/Gynecology, Charles Ugwu-oju, MD - Obstetrics/Gynecology, Felipe Ruiz DPM, Podiatry, Jose Zamora II, MD, General Surgery

Reservations encouraged but not required

559-675-5502 or [email protected]

Third Wednesday of the month from 12:00 p.m. - 1:00 p.m.Hosted by Madera Avenue Bible Church • 124 Walnut Street - Madera

Join usThe third Wednesday of every month for

A free community health forum and lunch provided by Madera Community Hospital. You will meet a different doctor each month, improve your health literacy and enjoy a meal.

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