JANUARY 2011 publication of St. Vincent Medical Center

St. Vincent Times

VINCENTIAN VALUES: Respect Compassionate Care Simplicity Advocacy for the Poor Inventiveness to Infinity

EARLY ADOPTERS TALK ABOUT WHAT’S MEANINGFUL

Dr. Shigematsu selects EHR solution for higher Medicare HMO reimbursement / Page 3

1st hospital in Los Angeles

Orthopaedics 101: Back and Lower Extremity Exam

Call the Values Line at (800) 371-2176 or online at www.dchsvaluesline.org to report concerns

confidentially and anonymously.

St. Vincent Times is a publication for St. Vincent Medical Staff and Associates. Please submit articles for inclusion in the newsletter as soon as possible prior toprior to or after an event for the earliest inclusion in the newsletter by e-mailing information to SharonGreengold@DOCHS.org or by calling (213) 484-5593. Medical Staff submissions may also be sent to SusanLauzier@DOCHS.org or by calling (213) 484-5525.

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he New Year will see an expansion of our services to our community. Even as we face external challenges to the mission and business of

healthcare delivery, the St. Vincent Medical Center community is coming together in a smarter and more robust way than ever. Please be here with me for the exciting journey that the year brings - a time for each of us to excel at what we do best and to work together for the health of our community.

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COVER STORYSt. Vincent Medical Center physicians are signing up for Allscripts MyWay EHR solutions to take advantage of higher reimbursement and HITECHincentive pay. Page 3

CARE ANTI-SEPSIS PROGRAMSt. Vincent Medical Center nurses work the frontlines, finding ways to quickly identify patients at risk for sepsis. Find out how the effort is coming along. Page 5

PATIENT EXPERIENCE – “SHHH”Quiet on the units is the goal of a poster awareness campaign throughout the hospital. Do you know whose children are starring in the posters? You might be surprised. Page 5

Ronald S. Fishbach, MD – chief of medical staff

Cathy Fickes – president/president/president chief executive officer

Sr. Sylvia Parks, DC – chairman of the board

On March 26, 2011, St. Vincent Medical Center will host An Enchanted Evening: Journey Around the World. The event, to be presented by St. Vincent’s Auxiliary, Medical Staff, and St. Vincent Foundation, will benefit three high-priority projects at the medical center that reflect the values of the Daughters of Charity. The projects include: sustaining support to Casa de Amigos, St. Vincent’s after-school program, which provides at-risk, low income youth with a safe haven to obtain academic and recreational opportunities; Seton Guest Center, which offers hotel-like, on-campus accommodations for more than 3,000 patients and their family members annually; and renovations to the GI Lab for a more efficient and comfortable environment for patients. This elegant evening will be held in the Grand Hall of the Dorothy Chandler Pavilion at the Music Center in downtown Los Angeles. It will be a time for St. Vincent family and friends to come together to enjoy international cuisine and entertainment as well as a special performance by four-time Grammy Award Winner k.d. lang. The program will also feature the presentation of Vincentian Legacy Awards for Community Service, Medicine and Philanthropy. Please contact Karen Thomas in the Foundation about sponsorship opportunities or to purchase a ticket. (213) 484-7209 or KarenThomas@DOCHS.org.

Journey Around the World

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Physicians may report safety or quality of care concerns:

physician quality hotline: (213) 207-5783.

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Ministry Around the World

“I thank St. Vincent Medical Center for stepping up and helping doctors with the cost of these EHR systems.” – Ronald Shigematsu, MDSVMC physicians are beginning to use an EHR solution so they may take advantage of incentives for so-called “early adopters.”So long as physicians achieve “meaningful use” by frequently using an EHR solution in accordance with the Federal Stimulus Program’s Healthcare Information Technology (HITECH) Act, they should be eligible for incentive pay.Members of the St. Vincent IPA are among the early adopters.Jeffrey Hendel, MD will likely pilot the Allscripts EHR program by giving specific feedback that will be used to roll out the solution to more doctors in the future. Dr. Hendel believes the EHR is an important safety initiative. “It will be good for patient care,” he said. “We don’t have to worry about getting information from off a fax machine. This will allow for more readily transferable information among physicians,” said Dr. Hendel. “Whatever the initial program, I believe it will improve over time.”Other St. Vincent IPA colleagues also have recently decided to sign on for the Allscripts EHR.Sumi Kawaratani, MD, George Ngan, MD, Daniel Sanchez, MD, and Dr. Shigematsu signed MyWay contracts in December. The physicians received webinar training in use of the software in December and a follow-up in-service on campus on Jan. 19.According to Dr. Shigematsu,

EHR is particularly well-suited to the practice needs of St. Vincent IPA physicians. “HMO Medicare reimbursement is based on diagnosis. Better coding with the Allscripts solution will be really important for us,” he said.Certified Healthcare Systems Inc. provides answers to frequently asked questions about the Allscripts EHR solution:Q: How may I learn more about

Allscripts MyWay Electronic Health Record (EHR) system and the St Vincent Medical Center (SVMC) EHR subsidy?

A: Schedule a quick one-on-one phone call and/or customized demonstration of the system. You may e-mail to russell.suzuki@getemr.com or call (213) 261-0810 x7000 to schedule our call and/or demo.

Q: Why did SVMC choose Allscripts MyWay as a solution?

A: Allscripts is the nationwide market leader providing best-of-breed EHR solutions with a focus on a Connected Community.

Q: What subsidy is St Vincent Medical Center offering?

A: Once you sign up for Once you sign up for Once yAllscripts MyWay through Certified Healthcare Systems Inc., SVMC will contribute $237 per month to Allscripts on your behalf. SVMC will make monthly payments until December 2013. After you receive your first stimulus incentive payment of up to $18,000, SVMC will request that half of its previous contribution be paid back. The SVMC EHR support agreement provides details.

Q: What’s included with the

Allscripts MyWay system? A: The Allscripts MyWay

system standard package includes the certified EHR and Practice Management (i.e. billing) system, scheduling, registration, ePrescribing, clinical and financial reporting, Payerpath Clearinghouse for unlimited claims submission and remittance, and Insurance Eligibility verification. The package also includes training for physicians, their billers and office staff, online learning portal, data hosting of the physician’s records database at Allscripts datacenters, unlimited software support and software maintenance for future updates and upgrades at no additional cost.

Q: How much does the Allscripts MyWay package cost?

A: Total monthly cost for the standard package is $412 per month per physician after SVMC’s monthly contribution. At the end of 2013, when hospital contributions cease, the monthly cost will increase to $649 per month per physician through the remainder of your five-year financing agreement.

Q: What if I just want to pay for the system outright in full?

A: Your upfront cost would be Your upfront cost would be Y$15,250 per physician and your typical ongoing cost would be $119 per month. This outright purchase option eliminates the five-year financing commitment and associated interest charges. To get started, you would provide a credit card or check payment of 25 percent of the $15,250. The remaining 75 percent would be due in 30

days. After SVMC’s monthly contributions are exhausted at the end of 2013, your monthly cost would be $356.

Q: What federal stimulus incentives would I be eligible for by implementing Allscripts MyWay EHR?

A: For every dollar in Medicare For every dollar in Medicare Fthat you collect, you can receive another 75-cents in EHR stimulus incentives, up to the maximum of $18,000 for 2011 and a total of $44,000 per physician by 2015. By 2015, physicians who take Medi-Cal can have their EHR-related expenses reimbursed up to $63,000.

Q: Is the Allscripts MyWay EMR web-based or server-based?

A: Most physicians will opt to have Allscripts host their records databases at the Allscripts datacenter. The monthly cost for the web-based option is included in the standard package. Or physicians may buy their own servers and be responsible for IT maintenance and data backup. Physicians may start off using the web-based server and later buy their own servers.

Q: Is Allscripts MyWay certified?A: Allscripts MyWay EHR

version 9.0 has received Complete EHR Ambulatory ONC-ATCB certification – enabling providers to meet Stage 1 Meaningful Use Measures required to qualify for funding under the American Recovery and Reinvestment Act (ARRA). Allscripts guarantees MyWay will continue to meet certification and meaningful usage requirements.

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Associates Enjoyed Christmas Dinner With All The Fixin’s

Adopt-A-Family Gifts Reflect Vincentian Compassion, Respect

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Juan Martinez works as a Non-Invasive Tech in the Cardiology Department. He is respectful and compassionate, showing concern for the patient’s privacy, comfort and safety. He provides patients with simple explanations of the procedures they will go through, while taking time to listen to their concerns.

He is respectful of our resources too, taking care of our equipment and keeping it all in good working order. Juan provides instruction to others on how to use both old and new department technology and systems.

Juan MartinezNon-Invasive Tech

CardiologyVincentian Spirit Award

WinnerDecember 2010

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S t . V i n c e n t T i m e sMary Acquah, RN

Multi-Organ Transplant Center

Vincentian Spirit Award Winner

November 2010

Mary Acquah, RN works as Kidney Transplant Coordinator in the MOTC, where she is in constant communication with physicians and hospital staff. Her bright smile lightens up the space around her.She is efficient in coordinating patient needs, including getting their prescriptions and setting their follow-up appointments. In every sense, Mary is an advocate for her patients. She does not quit until an obstacle has been surmounted for a patient’s benefit. She is in tune with each patient’s needs and anticipates what each will need upon discharge from the hospital.

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Guardian Angel recognition goes to Robert Yesko in Administration from a grateful patient.

Guardian Angel Award

Out Of The Mouths Of Babes: “Shhh!”

Guardian Angel recognition goes to Jody Spector, Patient Relations, Guest Services, Volunteers and the Gift Shop.

The CARE Team at St. Vincent Medical Center

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My thanks to each of you for the work you do each day. Without each of you, we could not maintain the Quality of Care that we give here at St. Vincent to our patients, their families and each other. In closing, I would like to quote from Sr. Angelita Mombrado, DC. Sr. Angelita came as part of the original Daughters of Char-ity, arriving in Los Angeles in 1858. In her journal she writes…..“One day, Father Raho came to our House and said he had a very sick man for us to take care of. Sister Ann said, “Father, where can we put a sick man? We have hardly room for ourselves.” He said we must find

a corner as the man had to be cared for or he would die. Sister Ann said there was a place near the gate where the gardener kept his tools and we could take them out and put the man in. Father brought the man and he got well. That was the beginning of the Hospital in Los Angeles.”

That is the history and tradition we carry for the Daughters of Charity in our Service. Let us remember the Simplicity and the complete acceptance of these words: “There were sick and they needed to be cared for.” We do this with all of our skills, talent and a caring heart.

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a w a r d s a n d e v e n t sVincentian Spirit AwardVincentian Spirit AwardVincentian Spirit AwardVincentian Spirit AwardVincentian Spirit AwardVincentian Spirit AwardVincentian Spirit AwardVincentian Spirit AwardVincentian Spirit Award

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Juan Martinez works as a Non-Invasive Tech in the Cardiology Department. He is respectful and compassionate, showing concern for the patient’s privacy, comfort and safety. He provides patients with simple explanations of the procedures they will go through, while taking time to listen to their concerns.

He is respectful of our resources too, taking care of our equipment and keeping it all in good working order. Juan provides instruction to others on how to use both old and new department technology and systems.

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S t . V i n c e n t T i m e sMary Acquah, RN works as Kidney Transplant Coordinator in the MOTC, where she is in constant communication with physicians and hospital staff. Her bright smile lightens up the space around her.She is efficient in coordinating patient needs, including getting their prescriptions and setting their follow-up appointments. In every sense, Mary is an advocate for her patients. She does not quit until an obstacle has been surmounted for a patient’s benefit. She is in tune with each patient’s needs and anticipates what each will need upon discharge from the hospital.

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Guardian Angel recognition goes to Robert Yesko in Administration from a grateful patient.

Guardian Angel Award

Oskar and Theodore Brady sons of Lynnae Brady – Acute Rehab Unit

Diego, Brandon and Jonathan Serpassons of Amy Yang-Serpas, RN – 7-S1

Kaylee and Claire Chodaughters of Leo Cho – Radiology sons of Lynnae Brady – Acute Rehab Unit daughters of Leo Cho – Radiology

Austin Seoson of Moon Jeong, RN – 6S2

Patrick Seoson of Moon Jeong, RN – 6S2

Daniella and Francesca Fajardogranddaughters of Susan David – Lab

Out Of The Mouths Of Babes: “Shhh!” t h e p a t i e n t e x p e r i e n c e

Among many hospitalwide efforts to improve the patient experience is to keep down noise levels on all the units, where rest is prescribed.A small, silent public awareness campaign has begun at the grassroots level. The Living Our Values Everyday (LOVE) Committee came together and decided

that, in order to achieve a courteous quiet throughout the hospital, all we need is a simple reminder. The LOVE committee decided to create homespun posters, starring our own little darlings. Committee members invited associates to bring their cutest kids and grandkids to pose for these pictures. With

posters up on units and in front of elevators, these children have achieved a little fame at SVMC. Do you know to whom these cute children belong? Read the captions.

Guardian Angel recognition goes to Jody Spector, Patient Relations, Guest Services, Volunteers and the Gift Shop.

The Clinical Advancement in Research and Education (CARE) program is moving forward in its quest to reduce sepsis mortality at St. Vincent Medical Center. The CARE program was launched in September 2010, bringing together staff RNs from the Critical Care, Telemetry, Med-Surg, and Emergency

departments to implement a shared plan to reach this goal. It is supported by a grant from the UniHealth Foundation members of the CARE

Council, and facilitated by Susan Connor, Director of the Emergency Department, and me. Medical Director of Emergency Services Kevin

Chamas, MD serves as medical staff champion for the CARE program.Unit teams have created awareness of the program with informational

posters in associate lounges and presentations at staff meetings and Medical Staff committee meetings. The Council also has worked collaboratively to develop a sepsis screening tool that will be used on all patients upon admission to SVMC and at every shift thereafter. This evidence-based tool will promote early recognition of sepsis and early intervention with definitive treatment The CARE Team at St. Vincent Medical Center

By Barb MayerDirector, Professional Nursing Practice

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“I thank St. Vincent Medical Center for stepping up and helping doctors with the cost of these EHR systems.” – Ronald Shigematsu, MD

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Associates move through the line on Dec. 16 during the annual Christmas buffet. After the meal, several associates sang karaoke in the Vincentian Dining Room.

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Associates Enjoyed Christmas Dinner With All The Fixin’s

Adopt-A-Family Gifts Reflect Vincentian Compassion, Respect

Our annual Adopt-a-Family Our annual Adopt-a-Family Program, organized by Sr. Program, organized by Sr. Patricia Miguel, DC, benefited Patricia Miguel, DC, benefited 26 families this year. Associates 26 families this year. Associates on nursing units and in on nursing units and in departments throughout the departments throughout the hospital purchased retail items hospital purchased retail items on wish lists submitted by on wish lists submitted by

mothers, fathers and their children.The families – all struggling financially – were selected by the Cathedral of Our Lady of Angels, of the Los Angeles Archdiocese, Mother of Sorrows School, Our Lady of

Talpa School, and SVMC’s Casa de Amigos. Gifts were age-appropriate for children and adults. Coats, shoes, blankets, pots and pans and all sorts of other items that had been requested were purchased by associates and administrators

at SVMC for the families that at SVMC for the families that were “adopted” into the program were “adopted” into the program by the hospital. Sr. Patricia said by the hospital. Sr. Patricia said the generosity seems to increase the generosity seems to increase every year as we realize how the every year as we realize how the economic slowdown is taking a economic slowdown is taking a toll on our neighbors, friends, toll on our neighbors, friends, and the entire community.and the entire community.

A volunteer from Mother of Sorrows School collects gifts for famiA volunteer from Mother of Sorrows School collects gifts for fami-lies of schoolchildren. Contract Coordinator Venus Neverson helps lies of schoolchildren. Contract Coordinator Venus Neverson helps him load up the packages. him load up the packages.

Volunteers from the Cathedral of Our Lady of Angels collect gifts Volunteers from the Cathedral of Our Lady of Angels collect gifts for families that were “adopted” by SVMC associates. Sr. Patricia for families that were “adopted” by SVMC associates. Sr. Patricia Miguel, DC leads the way to the elevator.

m i s s i o n i n t e g r a t i o n : g i v i n g m i s s i o n i n t e g r a t i o n : g i v i n g

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A year ago, the Daughters of Charity of St. Vincent de Paul were among the victims of the Jan. 12, 2010 earthquake that struck Haiti, yet they were also among the first aid workers. For this reason, as well as the continuing work they have been doing in that country over the past 30 years, the communities in Haiti were chosen as recipients of the “Van Thuân Prize — Solidarity and Development.”Sr. Maria Teresa Tapia, provincial of Haiti, described to ZENIT the work that led to their recognition.The award, instituted three years ago by the St. Matthew Foundation of the Pontifical Council for Justice and Peace, recognizes institutions, associations and entities that carry out humanitarian and work projects in developing countries to defend human rights through the promotion and diffusion of evangelical

principles, following the directives of the social doctrine of the Church.Sr. Tapia said that her communities have been working for 30 years in Haiti “on the level of instruction as well as health, in the promotion of woman and in the struggle against malnutrition.”The congregation lost its provincial house and a school in the quake, but the sisters rallied nonetheless to go to the largest hospital in Port-au-Prince and aid the wounded.“So many sisters then arrived from Spain, from France, from England, from the United States, and from South and Central America to help the victims of the catastrophe, taking care of them and helping them in the refugee camps, in the clinics, in the districts of Port-au-Prince and in the Petit Goave campaign,” Sr. Tapia said.

(800) 371-2176www.dchsvaluesline.org

(213) 484-5593

(213) 484-5525

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I s s a i i n s i g h t s

s the New Year unfolds, let me take this opportunity to tell you, our valued associates, all that I appreciate and am

thankful for: The Daughters of Charity Health System Mission that

inspires us to serve everyone in need so they may have a brighter more desirable future.

All who make our patients feel welcome, safe, and respected by your grateful actions and by the kindness in your voice.

Those of you who demonstrate leadership through your Those of you who demonstrate leadership through your Those of yknowledge and expertise, and through your hard work and willingness to lead with new ideas and innovative and challenging projects.

All who pay attention to the details of everyday work, and who do their jobs to the best of their abilities.

The physicians who partner with us and have confidence in our care for their patients.

All the patients who believe in us and entrust to us their safety and wellbeing.

Our DCHS and Local Health Ministry Boards who give their time and their expertise for the purpose of making our ministries invaluable in the communities we serve.

Everyone who participates in food drives and other efforts for the less fortunate, and those of you who are ready to help when there is an accident, an illness, or a death in someone’s family.

All who say hello with a ready smile, who hold open doors, who are courteous, and ask if there’s anything more they can do to help.

All who make new associates feel welcome and who encourage new staff members to feel a part of the DCHS family.

All of you with giving hearts who volunteer your time, share your stories, and make time for others.

And last of all, to our Daughters of Charity who have devoted their lives to caring for the less fortunate and remain a strong presence in our Health System today.

In closing, I would like to salute all of you for making a difference in the lives of so many, including mine. Many blessings and may the New Year bring peace and joy into your hearts.

modalities. Expanding on the work of previous SVMC teams, the CARE Council will develop an evidence-based order set to be implemented when a patient screens positive for sepsis.To provide the tools required by the CARE team to complete this program, several off-site educational sessions are scheduled throughout the 18-month program. At the session on Nov. 12, 2010, participants focused on engaging the medical staff in the CARE

program, the nurse’s role in screening for sepsis, interpreting improvement data, and managing conflict in the workplace. Presenters included Michael Taylor, MD, trauma surgeon and intensivist at the Cleveland Clinic, Martie Mattson, RN, DCHS CARE Program Sepsis Consultant, Joan Grebe, The Altos Group consultant, and Nancy Carragee, DCHS VP of Quality.CARE Council members thank everyone for their support and look forward to the next steps.

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PATIENT EXPERIENCE – “SHHH”

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(213) 484-7209 KarenThomas@DOCHS.org

Journey Around the World

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o u r c o m m u n i t yMinistry Around the World

Submitted by Patricia Smith, DCHS PRhttp://famvin.org/en/archive/daughters-of-charity-in-hait-awarded-van-thuan-prize

c m e l u n c h l e c t u r e sc m e l u n c h l e c t u r e sc m e l u n c h l e c t u r e s St. Vincent Times2131 W. 3rd St.Los Angeles, CA 90057www.StVincentMedicalCenter.com

VINCENTIAN VALUES: Respect Compassionate Care Simplicity Advocacy for the Poor Inventiveness to Infinity

EARLY ADOPTERS TALK ABOUT WHAT’S MEANINGFUL

1st hospital in Los Angeles

Conference Rooms B&C at 12:15 p.m.Conference Rooms B&C at 12:15 p.m.Conference Rooms B&C at 12:15 p.m.

Orthopaedics 101: Neck and Upper Extremity ExamOrthopaedics 101: Neck and Upper Extremity ExamOrthopaedics 101: Neck and Upper Extremity ExamOrthopaedics 101: Neck and Upper Extremity ExamOrthopaedics 101: Neck and Upper Extremity ExamFeb. 3, 2011Feb. 3, 2011Feb. 3, 2011Feb. 3, 2011Charles Alexander, MD, Orthopaedic Surgery – Charles Alexander, MD, Orthopaedic Surgery – Charles Alexander, MD, Orthopaedic Surgery – Charles Alexander, MD, Orthopaedic Surgery – St. Vincent Orthopaedic ClinicSt. Vincent Orthopaedic ClinicSt. Vincent Orthopaedic ClinicSt. Vincent Orthopaedic ClinicSt. Vincent Orthopaedic Clinic

Chronic Fatigue Syndrome – Evidence of a Viral LinkChronic Fatigue Syndrome – Evidence of a Viral LinkChronic Fatigue Syndrome – Evidence of a Viral LinkChronic Fatigue Syndrome – Evidence of a Viral LinkChronic Fatigue Syndrome – Evidence of a Viral LinkFeb. 10, 2011Feb. 10, 2011Stratos Christianakis, MD, Rheumatology – Stratos Christianakis, MD, Rheumatology – Stratos Christianakis, MD, Rheumatology – Stratos Christianakis, MD, Rheumatology – Assistant Professor of Clinical Medicine, USCAssistant Professor of Clinical Medicine, USCAssistant Professor of Clinical Medicine, USCAssistant Professor of Clinical Medicine, USC

Tumor Board – Interesting Case PresentationTumor Board – Interesting Case PresentationTumor Board – Interesting Case PresentationFeb. 17, 2011Feb. 17, 2011Feb. 17, 2011Speaker TBA – SVMCSpeaker TBA – SVMCSpeaker TBA – SVMC

Blood Utilization in Orthopaedic SurgeryBlood Utilization in Orthopaedic SurgeryBlood Utilization in Orthopaedic SurgeryFeb. 24, 2011Feb. 24, 2011H. Michael Mynatt, MD, Orthopaedic Surgery – H. Michael Mynatt, MD, Orthopaedic Surgery – JRI/SVMCJRI/SVMC

General Orthopaedist Charles Alexander, MD, at St. Vincent General Orthopaedist Charles Alexander, MD, at St. Vincent General Orthopaedist Charles Alexander, MD, at St. Vincent Orthopaedics Clinic, gives the first in a two-part CME lecture Orthopaedics Clinic, gives the first in a two-part CME lecture Orthopaedics Clinic, gives the first in a two-part CME lecture Orthopaedics Clinic, gives the first in a two-part CME lecture about differentiating pain, the benefits of physical therapy and about differentiating pain, the benefits of physical therapy and about differentiating pain, the benefits of physical therapy and medical management, and what types of surgeries work best for medical management, and what types of surgeries work best for medical management, and what types of surgeries work best for medical management, and what types of surgeries work best for different conditions.

Orthopaedics 101: Back and Lower Extremity Exam