October 17 - PNWU & VMM IPE Case Presentation / PNWU / 6:00 - 8:00
November 15 - Pre-holiday Kick-off & Provider Appreciation event / VM Memorial Power Plant / 6:00- 8:30
Have you been inspired?
As many of you have heard, the Pediatric Hospitalist Service model at Virginia Mason Memorial is changing and we will no longer be contracting with Seattle Children's Hospital to staff the pediatric unit as of February 2019.
We are committed to providing inpatient pediatric services and have been meeting with physicians and community partners over the last few months to determine the best patient care model moving forward. Our goal is to provide high quality and safe inpatient pediatric care.
This is an exciting opportunity for VMM to engage with long standing community partners. Over the next month or so, we will be finalizing the new model and we look forward to sharing it with the organization. Thank-you for your patience as we work through the details.
Serious Safety Event Reset, by Dr. Marty Brueggemann
Just to put this in perspective, the last time we had to reset our Serious Safety Event (SSE) calendar, Barack Obama was President of the United States.
Our teams continue to do an amazing job of making VMM safer for our patients and their families. We have multiple indicators as proof of this including dramatic reductions in our rates of catheter-associated UTIs (CAUTI) and central line associated bloodstream infections (CLABSI). Medicare recently recognized these achievements by giving us a 4-star rating, the highest in our history and one of the top ratings in the state! This has also been by far the longest time period since our last SSE since we started keeping track. While we haven't achieved our goal of zero harm to patients yet, we are making great strides in the right direction.
In the past couple of months we became aware of a potential gap in our safety checks that triggered a Root Cause Analysis (RCA) whereby we evaluate every factor of how the safety gap occurred. The conclusion of this rigorous work is that we will have to reset our SSE calendar.
The gap that resulted in this SSE occurred when one of our patients received a contraindicated medication after an abnormal blood test went unnoticed on successive safety checks. Our review determined that the contraindicated medication likely resulted in complications for the patient and on July 8 the patient died. The corrective action plan from the RCA involved teams from the pharmacy, lab, nursing, physicians and IT to create tighter safety checks and ensure that in the future treatment is not started until hard stops are bypassed. This action plan will be put into effect immediately and will also be reported to our Quality Assessment Committee and the VMM Board Quality Oversight Committee. In our desire to be completely transparent, we also disclosed these findings to the patient's family. The team also agreed that the calendar should be reset to the when the patient first received the contraindicated medication, which was on January 17.
With adversity comes opportunity as the bar has been raised significantly. With continued work using our Virginia Mason Production System (VMPS) tools, I'm confident we can continue to push the bar even higher!
Courtney Lombardi, ARNP
Education: Master’s of Science in Nursing, Adult Gerontology Primary Care, School of Nursing, Vanderbilt University, 2017.
Previous work experience: Advanced nurse practitioner, The Advanced Care Group, Nashville, Tenn., 2018.
What inspired you to choose medicine? I was a patient and I saw what it was like to be in the system. I had a nurse who was really kind to me in a very difficult situation. She inspired me to be that advocate for the patient.
Why did you choose your specialty? I like the relationship with patients my specialty affords.
What is your philosophy of care? My No. 1 nursing value that I bring to every patient is patient autonomy. The patient’s decision is their decision. I’m there to be a partner with them.
What do you like about Yakima? I like hiking and being outside. I like the farmers markets and anything outdoors, really.
What do you like to do outside of work? I like to spend time with my family, go on hikes with my dog.
'Ohana: I will be navigating women through their breast concerns, helping them through the process at 'Ohana and introducing them to a navigator at North Star, if that is needed. I want them to think of me as a friend that they can talk to who has a lot of knowledge and expertise in this area.
De-Ann Williams, MD
Medical school: Bachelor of Medicine , Bachelor of Surgery, University of the West Indies, Mona, Jamaica
Residency: Internal medicine, State University of New York Health Sciences Center, Brooklyn, N.Y., 2013-2016
Fellowship: Rheumatology, University of Massachusetts Medical School, 2016-2018
What inspired you to choose medicine? I chose medicine, because I love to serve others. By serving others, the patients and the family members benefit. Healthy families make healthy communities.
Why did you choose your specialty? As a rheumatologist I enjoy serving my community. Some of the rheumatic disease are complex in nature and hard to diagnose. It also seems to affect young women in the prime of their lives. Being a rheumatologist is rewarding.
What is your philosophy of care? My philosophy of care mirrors the code of ethics: respect for persons, justice for all, do no harm ( nonmaleficence) and do good ( beneficence.)
What do you like about Yakima? The valley is beautiful and made up for diverse group of people.
What do you like to do outside of work? Outside of work I am active in Toastmasters.
Jason Franklund CRNA
Education: Master of science in nurse anesthesia, Wolford College, Naples, Fla., 2015-2018; bachelor of science in nursing, Texas A&M University, Corpus Christi, Texas.
What inspired you to choose medicine? My father is an architect here in town -- for KDF Architecture -- and all of our friends at church were in the medical field. So, I grew up in the medical environment.
Why did you choose your specialty? I chose nursing because I thought it was suited to my personality. When I was a student at Davis High School, I followed Dr. Dennis Crane around for a day. When I realized that I could do anesthesia as a nurse, that’s what I wanted to do. I enjoy the opportunity to bring a patient through one of the most difficult experiences in their life.
What is your philosophy of care? Do your best for each and every patient.
What do you like about Yakima? Family.
What do you like to do outside of work? Kiteboarding, hiking, snowboarding.
Faisal Siddiqui MD
Medical school: Doctor of medicine, American University of Antigua College of Medicine,
Residency: Central Washington Family Medicine, Yakima 2013-2016
What inspired you to choose medicine? I always wanted to have a job that involved being of service to the community. Being a physician offers me the opportunity to help my patients improve their quality of life and reach their health goals. Being a part of that process is what I find most valuable
Why did you choose your specialty? I like the ability to see an entire family of all age groups and follow them. It helps me care for them because I understand the dynamics of each family.
What is your philosophy of care? My approach is to be a partner with my patients to help assist them reach their health goals. I use an evidence-based approach for patient care.
What do you like about Yakima? I trained in family medicine at CWFM, so I was a provider in the community for three years previously. I’m happy to be back to serve this community again. I like Yakima because my family is here. My wife and I are looking forward to finding new hikes in the region.
What do you like to do outside of work? I enjoy spending time with my wife. I like to watch sports, and we’re learning about places to hike.
Bob Bordeaux, ARNP
Education: Master of science in nursing, Pacific Lutheran University, 2005; bachelor of science in nursing, Seattle Pacific University, 1990; bachelor of arts in psychology, Seattle Pacific University, 1986
What inspired you to choose medicine? I really wanted to help people and health care provides jobs to do that.
Why did you choose your specialty? Providing medical care for the transition from curing an illness to living with an illness is an important piece of health care.
What is your philosophy of care? That health care involves a holistic perspective of care and quality of life.
What do you like about Yakima? I was raised in Yakima until I graduated high school. It’s wonderful to have four seasons. It was a wonderful place to grow up; it still has a small-town feeling. And I still have family who live here.
What do you like to do outside of work? I really enjoy music – I play guitar. And my wife and I hike and ski.
Previous work experience includes geriatric care specialist for Optum Healthcare, Pierce and King counties, 2016-17; geriatric care specialist, Group Health, 2008-2015; nurse practitioner, Evergreen Nephrology Associates, Tacoma, 2006-2008.
Silas Klaver, DPM
Medical school: Midwestern University, Glendale Campus, Glendale, AZ., 2015
Residency: Podiatry, New Mexico VA Health Care System, 2015-2018
What inspired you to choose medicine and your specialty? I grew up playing soccer and I was always really interested in running. That got me interested in biomechanics. It was a slow progression from physical therapy to wanting to be more involved in patient care and the surgical side of patient care.
What is your philosophy of care? Making sure the patient understands their condition and the treatment plan and that they have an active role in that treatment plan. Also, building a good relationship of trust with my patients.
What do you like about Yakima? I like the weather and the proximity to all the outdoor activities.
What do you like to do outside of work? Running, just about anything outdoors; winter sports, soccer, hunting, fishing, camping, backpacking. This list goes on and on. I develop a new hobby every year. We have two boys and a girl: 8, 7, and 3.
How did you come to Yakima Podiatry? An old family friend of mine from Oregon knew Dr. Orminski, and he set me up. I really wanted to get back to the Northwest: I was born in Corvallis, Ore., and we also lived in Florence and Eugene. It turned out to be a fantastic opportunity
Amy Hinton, MD Palliative Care
Medical school: Baylor College of Medicine, Houston, Texas
Residency: Family Medicine, University of Texas Health Science Center at Tyler—Tyler, TX, 2010-13
Fellowship: Hospice and Palliative Medicine, University of Florida College of Medicine, Jacksonville, Jacksonville, Fla., 2017-2018
What inspired you to choose medicine? My grandfather was a cardiologist. My grandmother and my mom were both nurses, and I’ve always like puzzles, finding patterns and problem-solving.
Why did you choose your specialty? My grandmother was on home health/hospice in the early days of hospice. As a young child, I was able to walk along with her in the dying process, and I saw how peaceful it can be.
What is your philosophy of care? To treat all of my patients as if they were a member of my own family.
What do you like about Yakima? We go up to Rimrock Lake, Chinook Pass, Dog Lake. We go fishing, hiking and we went to a really cool bat cave. I love all the fresh food.
What do you like to do outside of work? I like to go hunting with my husband. I like reading, going for walks. I also have three kids, ages 9, 7 and 4.
Frederik Rebling, MD Anesthesia
Medical school: George Washington University School of Medicine & Health Sciences, Washington, D.C., 2013
Residency: Clinical anesthesiology, Medical College of Wisconsin Affiliated Hospitals, Milwaukee, WI, 2014-17
Fellowship: Regional anesthesiology and acute pain, Medical College of Wisconsin Affiliated Hospitals, 2017-18
What inspired you to choose medicine? I really enjoy sciences and interacting with people. Also, both my father and grandfather were physicians, and I’m sure that influenced me as well.
Why did you choose your specialty? I really enjoy physiology and pharmacology and the ability to be involved in different areas of medicine, such as surgery, OB and imaging.
What is your philosophy of care? The patient and safety come first. My philosophy is to provide the safest care possible and make sure that a patient is comfortable throughout their hospital experience.
What do you like about Yakima? I really like the friendliness and helpfulness of the people, the beauty of the country and the fresh fruit.
What do you like to do outside of work? I like to spend time with my family, fly fishing and skiing. I have two children, ages 1 ½ and 3 years old.
Mark Trump, MD, Orthopedics Northwest
Medical school: University of British Columbia, Vancouver, B.C.
Residency: Orthopedics, University of Alberta, Edmonton, Alberta, Canada, 2004-2008; orthopedic surgery/emergency medicine, University of Western Ontario, London, Ontario, Canada, 2001-2004.
Fellowship: Orthopedic trauma, Keck School of Medicine of USC, Los Angeles, 2013-2014; sports and arthroplasty, Perth Orthopedic & Sports Medicine Centre, Perth Australia, 2009; upper extremity, Melbourne Orthopedic Group, Melbourne, Australia, 2008.
What inspired you to choose medicine? I left a career to make a difference to society and my local community. I had a good career working on expedition cruise ships.
Why did you choose your specialty? I enjoy procedural medicine and I enjoy the gratification of surgery. And I particularly enjoy trauma. My entire has been geared toward trauma and sports medicine, since my undergrad days.
What is your philosophy of care? Why I go to work every day is to relieve pain and improve function. That is the motivating force for me, and that’s a fact.
What do you like about Yakima? I’ve been a Pacific Northwesterner since 1992. About Yakima in particular, I like the outdoor environment, the proximity to the mountains.
What do you like to do outside of work? Mountaineering (Swiss Alps, Andes, Canadian and American Rockies, Mount Rainier, Denali and various volcanoes in Indonesia), mountain biking, triathlons, marathons, skiing, sailing and diving.
What do you like about Orthopedics Northwest? The group, the community. The collegiality among the group is what attracted me.
Jeff Bushman, MD – Anesthesia
Medical school: Doctor of medicine, Louisiana State University Health Sciences Center – Shreveport, Shreveport, LA., 2010-2014.
Residency: Anesthesiology, Virginia Commonwealth University Medical Center, Richmond, VA.
What inspired you to choose medicine? I really enjoy human anatomy and physiology, and I like helping people. That made it an easy choice.
Why did you choose your specialty? When I did a rotation in anesthesia it really clicked. I get to actually give medicines that have immediate effects. I like the immediate nature of what I’m doing.
What is your philosophy of care? I treat my patients like they are one of my own family members.
What do you like about Yakima? The weather and the orchards.
What do you like to do outside of work? My hobbies include sports, woodworking, outdoor activities and family. My wife and I have four girls: 8, 6, 3, 17 months. They keep me busy.
Kimberlee Van Der Kolk, ARNP
Undergraduate education: Pepperdine University (Bachelor of Science in Teaching/Athletic Training) and Mount Saint Mary’s College (Bachelor of Science in Nursing)
Medical education: California State University, Long Beach (2005)
Board certification: I am board certified in Family Medicine by the American Association of Nurse Practitioners
What inspired you to choose medicine? I have a strong desire to help educate people on their health, and teach them how to live their best lives. I come from a long line of amazing Registered Nurses, and that experience from a young age helped to influence my decision to also enter this rewarding profession.
Why did you choose your specialty? I didn’t want to limit my options in my practice, and I am fortunate to work with people of all ages and stages of their lives. Caring for patients who are newborns all the way up through grandparents and great-grandparents helps to keep my job exciting, and I enjoy taking care of entire families.
Other medical interests or special services you offer: I am a Certified Lactation Counselor and I find great joy in helping Moms through those sometimes challenging early days of breastfeeding their new babies. My goal is to help reduce the psychological as well as physical demands that raising a newborn can place upon both parents. I am also a Certified Medical Examiner with the Department of Transportation (DOT). Additionally, I have special interest in PCOS and Diabetes Management.
What do you like about Yakima? I moved to Washington in 2012 from Southern California, where I was born and raised. I’ve lived in a few different regions around Washington state, and we realized that we prefer experiencing all four seasons. We love to participate in many sports year-round, and figured that Yakima is a great place to foster our love for the outdoors. With mountains and lakes nearby, and the city traffic a distant memory, Yakima is where I want to continue raising my family.
What do you like to do outside of work? I enjoy exploring the great outdoors with my family and friends. I love to run, ski, snowboard, wakeboard, fish, camp… you name it!
VM Teleconferenced Grand Rounds: Friday’s 7:30 – 8:30 a.m. Lakeview Conference Room AMA PRA Category 1 Credit
Provider Experience Specialist
Talent Acquisition & Provider Experience