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*TJCsvyrMD_Landen_James E. Landen, MD


James E. Landen, MD

Surveyor Program(s): Hospitals

Surveyor Tenure: x 2012?

Lives: California

TJC Bio:

  • Dr. Landen is board certified in psychiatry by the American Board of Psychiatry and Neurology (ABPN )and has a sub-specialty of Child and Adolescent Psychiatry.
  • Licensed M.D. in California since 1983
  • Practicing psychiatrist in Westlake Village California
  • Since 1990 he has served in senior medical staff positions at Los Robles Hospital (large, acute care hospital in Ventura county).
  • He was founder and CEO of a southern California behavioral medical group/specialty PPO in the 1990s; has been a consultant to several managed behavioral healthcare payors (e.g., Pacificare Behavioral Health)
  • Has had a completely computerized practice since 2001.

Comments & Recommendations

2013

  • Very new surveyor who appeared to have little knowledge of the standards and their applicability (e.g. required an explanation on what OPPE as he was not “really familiar” with it). Dr. Landen posed all questions to the Administrative staff escorting him to the unit.  He did not individually interview unit staff members, patients or observe any team meetings or groups.

Relevant Surveying History:

Chicago-Read Mental Health Center 7xxxxxxxxxx
 • East Central Regional Hospital
 • Alton Mental Health Center 1308

102


** Sample Survey Citations (Premier Level)**

[private Membership premier]

[/private]


Sample Citations:

2013

  • MM.03.01.01/EP 2/ Observed in Tracer – Unit medication refrigerator in which water-based liquid parenteral medications such as insulin are stored, was at a temperature outside of safe parameters. The last (most recent) entry was 30 degrees Fahrenheit, and a prior of 28 degrees. There was no indication that this had been identified as abnormal by the staff member responsible, or that any corrective action was initiated. The form for entering temperature data points specified only that the temperature had to be lower than a certain amount (no lower limit) , thus providing no point-of-operation guidance to staff members responsible. for collecting and entering data.
  • MM.03.01.01/EP 2/The medication refrigerator log on Unit X indicated numerous days each month when the temperature was below the acceptable range of 41 degrees. There was lack of documentation that the temperature was adjusted and rechecked per hospital procedure for any of the occurrences. On the day of survey, the temperature was 40 degrees.
  • PC.02.01.01/EP 1/ Observed in Individual Tracer – Treatment plan did not include hyperglycemia (blood glucose of 150 at non-psychiatric medical hospital before admission to Chicago-Read, with a slightly elevated HbA1c after admission; the patient was also judged to be obese; and was prior to admission, and while in-hospital, on an atypical antipsychotic.)
  • PC.02.01.01/EP 1/Reviewing the assessment, the initial nursing treatment plan, and the treatment team document, the Treatment Plan was serviceable, with danger to self and psychosis listed for psychiatric section (HTN & bronchitis as medical), but the team should have listed as a separate problem that the patient had sustained head trauma several months prior to admission
  • PC.02.01.01/EP 1/ Observed in the tracer record of an individual with substance abuse issues, there was lack of evidence that the potential for complications associated with recent substance use was addressed in the initial nursing plan of care on admission.

 

You may provide surveyor feedback by clicking on the ‘Comments’ link above (2nd line, top left) and/or via the New Post Survey Questionnaire (PSQ).


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