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In This Issue
Message from the CMO
Children's Hospital of San Antonio
City Centre Campus Transformation Update
Join our Performance Improvement Teams
E-Prescribe Deadline
Sepsis Collaborative
CPOM Information
CHRISTUS Santa Rosa News
Upcoming Educational Activities

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Message from the CMO


Children's Hospital of San Antonio


e-Prescribing Deadline


Sepsis Collaborative


CME Calendar

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 June 2012



Please take some time to read the important information provided in the articles below.  Thank you again for being our physican partners!

Message from the CMO

Jim Martin, MD

From our ongoing physician lecture series, we have been cautioned to expect significant health care environment and alignment shifts as the financial pressures and various elements of the health care reform agenda begin to impact how we practice medicine. CHRISTUS Santa Rosa has not been immune to that impact, with both anticipated and unanticipated concerns and consequences. 


Two of the unanticipated alignment issues are well known to our medical community. As CHRISTUS Santa Rosa worked with the University Health System (UHS) and the University of Texas Health Science Center at San Antonio (UTHSCSA) on the development of a free standing Children's Hospital, CHRISTUS Santa Rosa was caught by surprise at the UHS unilateral decision to end that working relationship. The UTHSCSA's decision to consider offers from other potential academic training sites was also unexpected, necessitating that CHRISTUS Santa Rosa look at alternatives for an academic partner. CHRISTUS Santa Rosa's decisions to move forward with a freestanding Children's Hospital and close the adult City Centre hospital were both bold and necessary if it is to be that nimble and flexible hospital system described as necessary to be successful in the coming years.  


The anticipated consequences of physician alignment have been well addressed by our highly popular and successful physician lecture series: Health Care 2020 (August 2011) with speaker Bradford Coles; Clinical Integration (October 2011) with speaker David Willis; Building a Performance-Focused Physician Network (February 2012) with speaker Rob Lazerow; Patient Centered Medical Home (April 2012) with speaker Amanda Berra; and Will I still be in Practice in 2013? - The Inevitability of Health Care Reform (May 2012) with speaker Jamie Orlikoff. Many of our physicians now have a better understanding of the coming forces of change, and they will be better equipped to be an influence on those changes. 


Read on

Announcing Children's Hospital of San Antonio

CHOSA logo

CHRISTUS Santa Rosa Health System is proud to announce the transformation of its downtown campus into the Children's Hospital of San Antonio.  The Children's Hospital of San Antonio, will be 100 percent dedicated to caring for children. 


We will undertake a complete exterior renovation and a significant interior renovation without sacrificing quality, to create a 10 acre, 800,000 square foot center of excellence for children.


Read on   

City Centre Campus Transformation Update

City Centre

The adult services offered at the CHRISTUS Santa Rosa Hospital - City Centre campus have begun the transfer/transition process.  The final closure of adult services at the City Centre campus will occur on July 31.  A step-down reduction approach has been implemented for some service lines while others will conclude without a phased approach.  The Emergency Department will gradually reduce number of beds over the next two months, and will close July 31 - the ED diversion and transfer plan was initiated June 3.   The following service lines will relocate elsewhere throughout the CHRISTUS Santa Rosa region:

  • Acute Care for the Elderly and GI services will transfer to CHRISTUS Santa Rosa Hospital - Medical Center
  • The CHRISTUS Santa Rosa Family Medicine Residency Program will begin to offer inpatient services at the CHRSITUS Santa Rosa Hospital-Westover Hills campus beginning July 1
  • The Family Health Center will continue to serve outpatients at the downtown campus
  • Other service moves will be communicated as they are finalized

CHRISTUS Santa Rosa is investing $250,000 in resources to help our Associates transition to other positions within the region or outside of the organization.  The Human Resources department has created a number of Associate resources for those who are being affected by the closure of the adult City Centre hospital. 


Very special decommissioning events are being scheduled for July 25 so we can memorialize City Centre's legacy.  We want to properly honor all of the great work our many Associates, physicians, and volunteers have put forth for more than 142 years of caring for our adult patients.

Join Our Performance Improvement Teams

We Want You 

The Quality & Patient Safety Department is assembling Regional Performance Improvement Teams at each of our adult CHRISTUS Santa Rosa hospitals and we need your help!  Physician Champions are needed to participate on the following teams: 

  • Pain Management
  • Colon Surgical Site Infections
  • Catheter-Associated Urinary Tract Infections

As a Physician Champion you will be an integral piece of the improvement puzzle! 


Physician Champions are needed to... 


 ...Communicate with other members of the Medical Staff 

 ...Provide physician perspective to the project team 

 ...Assist in the identification and elimination of process barriers

If you are interested in participating, or wish to recommend a colleague, please contact Kendra Lange, Regional Performance Improvement Facilitator at 210.704.4046.

Don't forget about June 30 e-prescribing deadline

Physicians have until June 30 to report use of e-prescribing systems or apply for a hardship exemption if they want to avoid a Medicare penalty, the American Medical Association (AMA) recently warned providers. More...



Sepsis Collaborative

Sepsis logo

In January 2012, CHRISTUS Health rolled out a 90 Day Rapid Cycle Sepsis Collaborative with the goal of reducing the overall sepsis mortality rate by 25 percent. Towards that goal, CHRISTUS Santa Rosa assembled an interdisciplinary team comprised of physicians from the Emergency Department, Critical Care, and Hospitalists, Nursing, Quality and Patient Safety, Infection Control, and Pharmacy.


The interdisciplinary team implemented several tools and algorithms to assist nursing in the prompt identification of severe sepsis:

In addition, the CPOM Adult Sepsis Order Sets will include the recommended treatment measures. 


The order sets are available on the Santa Rosa SharePoint, under Emergency Medicine, General Medicine, and Critical Care.


Read on

Computerized Patient Order Management (CPOM)

Foundations for Change  

CPOM went live beginning January 2012 at our new Alamo Heights hospital, and went live at CSRH - Westover Hills throughout March and April.  It is currently being rolled out at CSRH - New Braunfels.  CPOM will go live in mid August at CSRH - Medical Center, and in September at the Children's Hospital.


All CPOM problems and issues reported by physicians are maintained by the CPOM Support Team within a Physician Issues Dashboard which is distributed via email to physicians throughout the launch period.  The Dashboard lists issues by physician surname, summarizing the problem and disposition as to whether resolved immediately or escalated for resolution within the CHRISTUS Santa Rosa region or to the CHRISTUS system (corporate) informatics.  As outstanding issues are resolved, updates are noted in subsequent Dashboard reports.  


Several recent improvements in CPOM and Informatics service achievements are noteworthy: 

  • Improved response turnaround time on software and user interface requested changes;
  • Reduced CPOM alerts to physicians at discharge and medication reconciliation;
  • Reduced CPOM alerts to physicians at medication order entry;
  • Insulin sliding scale standard text made available for use with outpatient prescriptions;
  • Laboratory test queries to physicians have been removed;
  • Success with providers asking for and receiving CPOM support when needed.

In addition to the above, CHRISTUS Santa Rosa has launched a process to refine the order sets within CPOM on a regionwide basis involving all facilities starting with the subset of surgery order sets deployed at our first live facility Alamo Heights.  Subsequently other specialty order sets will be refined and revised as needed.


To schedule CPOM training, contact Gabriel Maciaz.


For more information go to

CHRISTUS Santa Rosa news



Leadership changes: 

  • Jerry Rodriguez, VP/Administrator, CSRH-City Centre has assumed the role of VP/Administrator for CSRH-Medical Center.
  • Angie Lambert, RN, CNO, CSRH-City Centre and CSRH-Alamo Heights has assumed the role of CNO for CSRH-Medical Center.
  • Deon Hobbs, RN is now the CNO for CSRH-New Braunfels.
  • Brad Hamilton, VP Ambulatory Surgery and Non-Acute Services has assumed interim administrative responsibility for operations at CSRH-Alamo Heights.
Upcoming Educational Activities

Click here for the June CME Calendar

Visit our CME website:



Your healthcare home for life
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Have questions regarding this newsletter? Please contact:

Jann Harrison, RN, MSN, Director of Medical Education

CHRISTUS Santa Rosa Health System