SCMS BULLETIN - September 2022 by SCMS Bulletin

BulletinThe Saginaw County Medical Society September 2022 | Volume 80 | No 5 www.SaginawCountyMS.com REGISTER NOW! September Membership Meeting(ACEs)ChildhoodAdverseExperiences p. 9 REGISTER NOW! Implicit Bias Training 2022 Saturday, October 8 p. 10 SCMS BENEFITS OF MEMBERSHIP MSMS/SCMS 2023 Dues Renew before 11/30/22 for $100 CME Coupon p. 16-17

The purpose of Low-Dose Computerized Tomography (LDCT) for lung cancer screening is to look for nodules or masses in the lungs of people who do not have symptoms but are at a greater risk for the disease. Smoking is the biggest risk factor for lung cancer – increasing with the amount and length of time a person has smoked. Lung cancer screenings are recommended by the US Preventive Services Task Force for:

Patients need to participate in a lung cancer screening, counseling and shared decision-making appointment with their primary healthcare provider. The provider can then schedule a LDCT screening for those patients who qualify.

• American College of Radiology designated Lung Cancer Screening Center

HOW DO I SCHEDULE A LDCT LUNG SCREENING EXAM?

• Serve as a resource for education and support throughout the diagnostic, treatment and survivor ship process.

LDCT LUNG CANCER SCREENING

• Image-guided biopsy services

NURSE NAVIGATION

• Endobronchial Ultrasound (EBUS) technology featur ing Super capabilitiesDimensionTM

• Comprehensive imaging and diagnostic services including MRI and PET CT

Lung Cancer is More Deadly than Breast, Prostate and Colon Cancer Combined.

• Biomarker testing

Our certified thoracic nurse navigator works with the patient, patient’s family and multidisciplinary team to identify possible barriers and to promote a team-based approach to care. The nurse navigator can help:

• Make the complicated more understandable, the overwhelming more manageable and the overall health experience patient-centered.

For more information about the Covenant Thoracic Oncology Program, LDCT or FREE Smoking Cessation classes, please contact Thoracic Nurse Navigator Ann Werle, RN, BSN, ONN-CG (T) at 989.583.5014.

• Current smokers or former smokers who have quit in the last 15 years

Lung Cancer Screenings

• Anyone 50-77 years of age

• Heavy smokers with a history of 20 pack years or more

OUR COMPREHENSIVE IMAGING AND DIAGNOSTIC SERVICES INCLUDE

• Coordinate the multidisciplinary conference and expedite various tests and appointments in collaboration with physician offices.

A pack year = smoking an average of 1 pack of cigarettes per day per year. (Example: A 20 pack year = 1 pack a day for 20 years or 2 packs a day for 10 years.)

Resident Representatives

Miriam T. Schteingart MD Kala K. Ramasamy MD

PUBLISHER

Jennifer M. Romeu MD

Ann Sobell, MD Candidate, Class of 2023 Mary Galuska MA, MD Candidate, Class of 2024

Christopher J. Allen MD

Saginaw County Medical Society

Mildred J. Willy MD

MSMS Resource Guide Advertiser Index

Heather L. Foster (517) 336-5719

BulletinThe

Christopher J. Allen MD

Elizabeth M. Marshall MD

Caroline G.M. Scott MD

The Bulletin is mailed free of charge to SCMS members as part of their membership. Complimentary copies are sent to various other parties. Others may subscribe at the rate of $50 per year.

Calendar of Meetings and Events for 2022-2023

Anthony M. Zacharek MD

MSMS Member Service Representative

The Bulletin | September 2022 3

Elizabeth M. Marshall MD

Secretary Caroline G.M. Scott MD

Saginaw County Medical Society

OFFICERS2022-2023ANDDIRECTORS contents

Cell (989) 284-8884 | jmcramer@sbcglobal.net

President’s Letter Guest Writers Welcome From the Editor Retirees Meet for Lunch

Treasurer Miriam T. Schteingart MD

The Bulletin can be viewed online at www.SaginawCountyMS.com under the Bulletin tab.

Joan M. Cramer

Retiree Representative

Dues Now Payable Free CME if paid by 11/30/22

Mary J. McKuen MD

J. Eugene “Gene” Rank, MD Applications for Membership SCCMHA Free Confidential Counseling Covenant HealthCare October Birthdays

• And more!

Waheed Akbar MD, Chair

Office Space for Sale or Lease Barb Smith SRRN

Mohammad Yahya Khan MD

Waheed Akbar MD

Karensa L. Franklin MD

MSMS Alternate Delegates

Past President Anthony M. Zacharek MD

Claudia C. Zacharek MD

Thomas J. Veverka MD Executive Director

Furhut R. Janssen DO

Caroline G.M. Scott MD

Louis L. Constan, MD

James R. Hines MD

National Physician Suicide Awareness Day 9/17/22

CMU CME Implicit Bias Training 2022 CMU CME

31 CMU Telehealth Suicide Prevention Toolkit Key Providers Calendar of Meetings and Events for 2022-2023

The Editor determines which are accepted. Advertisements are accepted as space is available at our going rates. Members may advertise office information, professional services, skills, and procedures, also at our going rates. We do not accept advertisements from nonmembers, or non-Saginaw hospitals.

Telephone (989) 790-3590 | Fax (989) 331-6720

Nicholas E. Haddad MD

Caduceus Meeting for Recovering Health Care Professionals

MSMS Delegates

Ascension St. Mary’s GLBHC Now Accepting Adult Outpatient Psychiatry Referrals CMU College of Medicine

Joan M. Cramer DESIGNER

• A Day of Board of Medicine

Peer Review Ethics Committee

Bieri Hearing Specialists In Memory

EXECUTIVE DIRECTOR

Cecilia E. Kraus-Horbal DO

EDITOR

All statements or comments in the Bulletin are those of the writers, and not necessarily the opinion of the Saginaw County Medical Society. Contributions are welcome. We publish committee reports, letters to the editor, Alliance reports, public health activities of the members, and some personal items (birthdays, weddings, graduations and like events).

COVER PHOTO: TURNIP ROCK, PORT AUSTIN, MICHIGAN

President-Elect Mark G. Greenwell MD

Thank you Key Providers!

Bulletin Editor Louis L. Constan MD

Lori Krygier

Renewal Requirements 9/23/22

Administrative Assistant

31st Annual Robert M. Heavenrich, MD Endowed Guest Lecture

SCMS/MSMS 2023 Membership

Board of Directors

Judy V. Blebea MD

Mary J. McKuen MD

350 St. Andrews Rd., Ste. 242, Saginaw, MI 48638-5988

Kai Anderson MD

Yuri J. Kim MD (IM)

Medical Student Representatives

President Tiffany K. Kim MD

Kai Anderson MD

ThomasPresidentJ.Veverka, MD

Caroline G.M. Scott MD

MSMS Region 7 Representative

Keri L. Benkert

Peer Review Ethics Committee Key Provider of the Month

16-17 MSMS

Elvira M. Dawis MD

CMU Health ACEP Reacts to Final Rule of No Surprises Act MSMS

Pay your 2023 Dues by 11/30/22 and Get Free CME!

Hours By Appointment | SaginawCountyMS.com

MSMS President

Jessica H. Faris MD (OB)

Mohammed A. Saiyed MD (FM)

Benefits of Membership

Jennifer M. Romeu MD

If you would like to write an article of interest to your colleagues for publication in a future issue of The Bulletin, please contact Joan Cramer at jmcramer@sbcglobal.net for further information.

Tiffany K. Kim, MD

Read previous issues of The Bulletin www.SaginawCountyMS.comatundertheBulletintab

that of the person helped." I feel that this definition is who we are as physicians. Can kindness be taught or is it innate? It seems to be a combination of both for most humans, but continuing to learn how to implement kindness can have a dramatic impact on our lives. According to UC Berkeley’s Greater Good program: Kindness bridges those gaps and helps build a sense of connection among the students, the teachers, and even the parents. Learning to strengthen their attention and regulate their emotions are foundational skills that could benefit kids in school and throughout their whole lives. They have found that curriculum that includes cultivating kindness can improve students’ grades, cognitive abilities and relationship skills.

What is the importance of kindness?

Aristotle defined kindness as "helpfulness towards someone in need, not in return for anything, nor for the advantage of the helper himself, but for

It is easy to lose our ability to be kind. We have intense responsibilities, increasing demands from all angles and less appreciation in our field. It is easy to dwell on the negatives in our work, at home and during our day to day interactions. But if we are able to adjust our focus away from all the negatives and instead on kindness, focus on ways to be kind on a daily basis, we may accomplish so much more and enjoy it at the same time!

Kindness is Key!

GUEST WRITERS WELCOME!

Articles are not designed for self-promotion, but rather as information for members.

Kindness has many reasons to be important. According to “Practicing Kindness is the Best Medicine” by Hazan, Alberto MD; Haber, Jordana MD: Our mood is instantaneously positive when we are kind. Dopamine, serotonin, oxytocin and endorphins are all associated with generosity. Being kind is also associated with success in the workplace, an overall decrease in stress and just a good feeling.

“Our mood is instantaneously positive when we are kind. Dopamine, serotonin, oxytocin and endorphins are all associated with generosity."

4 The Bulletin | September 2022 PRESIDENT'S LETTER

s physicians, we are taught so much during our training and throughout our careers – how to diagnose and treat our patients, how to give bad news and how to multitask, just to name a few. Some traits are modeled for us during our training: How to be a leader; how to have a good bedside manner; how to be empathetic; and, from some, how to be kind. But do we realize the importance of being kind? Can we learn it or is it inherent? For many of us, it is what helped drive our decision to become a physician, but is it something that is routinely practiced in all aspects of our lives?

What is kindness?

The strength and effectiveness of SCMS/MSMS as your professional association is predicated on strong membership. The free CME course is just a small token of appreciation for your continued support of organized medicine.

HOW TO PAY

For questions about membership or if you have not yet received your 2023 dues invoice, please contact Joan Cramer, SCMS Executive Director at jmcramer@sbcglobal.net or (989) 284-8884.

• National polls show physicians as one of the most respected professions. Sadly, they don’t use their clout often enough to preserve their profession and protect their patients.

The Bulletin | September 2022 5 5161 Cardinal Park Drive, Saginaw, MI 48604 1601 Marquette, Suite 1, Bay City, MI 48706 • Custom Lasek Surgery • No-Stitch Cataract Surgery • Macular TreatmentDegeneration • Oculoplastic Surgery • Cornea Treatment • Low Vision • Optical Boutique • Retinal Surgery “Come See The Difference !” www.anderseneye.com989.797.2400 Lori Krygier | Graphic Designer 989.239.1056 | lorikrygier.comlkrygier@charter.net MarketingHealthcare& Helping practices create and design a wide range of professional visual materials for healthcare marketing initiatives LOGOS & BRAND ASSETS | PRINT MATERIALS FORMS/PATIENT FOLDERS | PRESENTATIONS TRADESHOW & PROMOTION MATERIALS DIGITAL AD GRAPHICS | WEBSITE DESIGN Proud to be the Designer for the Saginaw County Medical Society Put creativity to work for your practice!

• Because all physicians need to “fund their voice.”

• There is strength in numbers. Together we are stronger.

Free CME for Your SCMS/MSMS Membership Renewal by November 30

Tax Information

SCMS/MSMS 2023 MEMBERSHIP DUES

As a thank you for your loyalty as a member of the SCMS/ MSMS and for paying early all physicians who pay their 2023 dues in full by November 30 will receive a $100 coupon towards a CME course at an MSMS educational session. Visit https:// msms.org/lms for upcoming live events and on-demand webinars.

NOW PAYABLE

WHY PAY DUES?

SCMS/MSMS dues are not deductible as a charitable contribution but may be deductible as an ordinary and necessary business expense (check with your tax specialist). SCMS dues are 100 percent deductible, and 81.1 percent of MSMS dues are deductible (a portion of MSMS dues is attributable to lobbying activities). The SCMS and MSMS are non-profit organizations focused on improving the lives of physicians so they may best care for the people they serve. Click HERE for Benefits of SCMS membership.

• Mail to: MSMS Membership Department | PO Box 950 East Lansing, MI 48826-0950

• Fax to (517) 481-3976

• Online CLICK HERE

• Installment payments available – call (517) 336-5716

The psychological mindset that denies the need of a doctor’s help can be as serious as any disease, and, if untreated, leads to premature morbidity and mortality.

wife; refuses the stress test; lies to his wife that the doctor told him he was fine; then dies later of a heart attack.

• Acknowledge the patient’s uncertainty and fears. “What can I do for you today?” Always a good way to start the visit.

By Louis L. Constan, MD

Like it or not, a patient’s visit to our office contains elements analogous to Faith Healing. The patient needs to summon up the courage to “come to the front,” which is our very imposing office setting; he needs to have faith (may I say Trust here) in the Healer (us); and there is commonly a laying on of hands in some fashion (Physical Exam). Finally, and perhaps most important, the sick person must have “Faith,” a firm expectation that all this trouble will have a positive outcome - healing. Else why would he jump through all the hoops - financial, transportation, cost, limited available appointments, and interminable (perhaps) waits in that aptly named “waiting room?” EDITOR

• Optics are important. The patient’s first impression can be crucial. Our office must seem warm and inviting. Our staff friendly and welcoming. “Come on down, we’re glad to see you, we can help you.”

This unwillingness to put one’s faith in a doctor has dramatic consequences population-wide. Despite our best efforts to get the population vaccinated and socially distanced, many insisted on “doing their own research” instead of trusting in the advice of someone who knew what he was talking about. A million Americans died; many, many more suffered and continue to suffer.

• Touch the patient (lay on those hands).

aith Healers inhabit a different world, alien to that of the scientifically trained physician. They hold very public, very large events; during which a sick person, perhaps a cripple, is called up to a stage, with vocal encouragement by the crowd, undergoes a dramatic “Laying on of Hands,” followed by vigorous praying for him. The crippled person then throws away his crutches - or gets out of his wheelchair - and walks. I have been at these events…and their results are impressive. Faith Healers became the first to practice “Tele-health,” asking their TV viewers to “place your hands on the Television,” while they did the praying.

FROM THE

Bad Faith

• We must greet the patient, establish good eye contact (avoiding at all costs focusing on the computer screen).

• Reassure him that we intend to help. For the Faith Healer, the faith itself is essential to this goal. And we should remember that the patient

F continued on page 7

In my last article, I went into detail about the impediments we face when patients lie to us and the ways we must strive to get accurate “data” about our patients’ problems. Today I will argue that overcoming these impediments is actually the easy part. The bigger roadblock to a patient’s successful diagnosis and treatment is his inability to be in an emotionally vulnerable position where he must admit that he cannot fix his problem alone but needs to place his “faith” in another person (you). Many adults, especially male adults, do not like to do this. They have perfected the art of lying to themselves. The result? Patients refuse to see a doctor, their frustrated family often begging and pleading; men dying, on average, seven years earlier thanThewomen!psychological mindset that denies the need of a doctor’s help can be as serious as any disease, and, if untreated, leads to premature morbidity and mortality.I’veseen some dramatic examples of this playing out. The man who called in to a medical advice radio show, bragging to the doctor that “he who,seewouldwiselygood-are-doctors-anyway?”and-had-never-seen-a-doctor-and-what-was-70-years-old-Thedoctorsuggestedthat“someday”hegetsickandbegratefulhecouldadoctor.Themanwithchestpain,afterbeingcajoledintoavisitbyhis

6 The Bulletin | September 2022

It seems, then, that we doctors must find ways to break through these walls of denial. Perhaps, like the Faith Healer, a bit of showmanship is in order:

continued from page 6

Medical Arts Building I 4705 Towne Centre Road, Suite 204 Saginaw, Michigan 48604 2,450 square feet Call for details (989) 284-2659 SPACE OR LEASE help-seeking behaviors, and those impacted by suicide.

Our goal is to save lives through prevention, intervention, and aftercare. To request trainings or resources, contact info@srrn.net I www.srrn.net I 989.781.5260 networksafety for our community Creating a

If you find it difficult to communicate with your doctor; if you find it hard to get personal attention from an 'impersonal healthcare industry'; if you don't understand all those insurance-company rules; if you don't know how to change your bad health habits; if you think you may be on unnecessary medications; if you are perplexed by those annoying health-product advertisements; and if you'd like to know which are your greatest health risks - you'll appreciate this Family Doctor's advice, gleaned from 44 years of practice.

Each chapter is illustrated with real-life examples from his and other doctors' practices. Each chapter ends with 'bonus' essays written by the author and published in newspapers and magazines giving the doctor's viewpoint. This will give you a unique perspective and allow you to 'get into the mind' of a doctor. Sweet!

Available on Kindle (different cover but same book) and paperback.

caring for

The Bulletin | September 2022 7

THE GROUP ALWAYS MEETS IN THE BACK ROOM. If you are told no one from the group is there, please go directly to the back room and check for yourself!

Available on Amazon by clicking HERE

OFFICE

Retired physicians meet for lunch every Wednesday at 12 noon at IHOP, 2255 Tittabawassee Road in Saginaw. Those attending are responsible for their own lunch, and the informal gathering lasts about an hour. Join your retired colleagues whenever you like!

FOR SALE

Our Network trains individuals in evidence-based suicide prevention with the hope of destigmatizing suicide, increasing

The SCMS, its officers and employees, cannot guarantee the accuracy, reliability, completeness or timeliness of any information, and may not be held liable for any individual’s reliance on our web or print publications. For questions or the latest information, please contact Joan Cramer of the SCMS at (989) 284-8884 or jmcramer@sbcglobal.net

RETIREES MEET FOR LUNCH!

All statements or comments in The Bulletin are those of the writer, and not necessarily the opinion of the Saginaw County Medical Society (SCMS).

wants complete healing, not an interim result such as “feeling better” or “being educated.” We need to impress on the patient, if he puts his faith in us, we will strive for full healing.

If you have questions, please contact Joan Cramer at (989) 284-8884 or Dr. Caroline Scott at (989) 295-2721.

Some of this may seem obvious. Years ago it was “oldfashioned doctoring;” but hardly seemed necessary when modern medical treatments became available. Clearly this was needed, and its absence left a vacuum eagerly filled by charlatans, hawkers of herbal medicines, and unscrupulous politicians. It is time to refocus attention on ALL the patient’s needs - especially on the need to put their faith in a provider who deserves that faith.

The Bulletin is made available electronically for members as an informational service. Reliance on any such information is at the user's own judgment.

Shine a Light. Speak its name. Saturday, September 17, 2022

“Our goal, not to lose one.” - Thomas J. Nasca, MD MACP

New Location for Support Group!

Third Thursday of each month at 7 p.m. Zion Lutheran Church 545 7th Street, Freeland, Michigan

Vision Zero

• Physician & Resident Curriculum • Suicide Postvention During Residency Resources • Podcasts & Videos • Blogs & Additional Resources S A V E T H E D A T E S A T U R D A Y , N O V E M B E R 1 9 , 2 0 2 2 B A V A R I A N I N N L O D G E , F R A N K E N M U T H For more information call 989 781 5260 ext 2 barb smith@srrn net www srrn net I N T E R N A T I O N A L S U R V I V O R S O F S U I C I D E L O S S D A Y A D A Y T O S U P P O R T F A M I L Y A N D F R I E N D S I M P A C T E D B Y A L O S S T O S U I C I D E H O S T E D B Y : B A R B S M I T H S U I C I D E R E S O U R C E & R E S P O N S E N E T W O R K

The Lifeline’s network of over 200 crisis centers has been in operation since 2005, and has been proven to be effective. It’s the counselors at these local crisis centers who answer the contacts the Lifeline receives every day. Numerous studies have shown that callers feel less suicidal, less depressed, less overwhelmed and more hopeful after speaking with a Lifeline counselor.

Our Survivors of Suicide support group has changed locations. We meet on the first and third Tuesday of the month from 6:30-8 p.m. in Saginaw. If you or someone you know has been impacted by suicide, call us at (989) 781-5260 ext. 2 to learn more about our support group. Are you in a crisis? Call 988 or text TALK to 741741. Anyone who needs help can call the Suicide & Crisis Lifeline 24 hours a day, seven days a week, at 988. Press 1 for the Veterans Crisis Line. Anyone under age 21 can ask to talk to a peer at Teen Link, 1-866-833-6546. TTY users can use their preferred relay services or dial 711 then 1-800-273-8255.

The Council of Residency Directors in Emergency Medicine (CORD), in collaboration with ACEP, AAEM, ACOEP, EMRA, RSA, RSO and SAEM have come together to annually dedicate September 17th as National Physician Suicide Awareness (NPSA) Day.

Let us challenge each other as individuals, communities, institutions and organizations to make changes to reach zero physician suicides.

National Physician Suicide Awareness Day

Mission: To prevent suicide through education, connection to resources, and support for those impacted by suicide.

The National Suicide Prevention Lifeline is now 988 Suicide & Crisis Lifeline

8 The Bulletin | September 2022

988 has been designated as the new three-digit dialing code that will route callers to the new Suicide & Crisis Lifeline. The old Suicide Prevention Lifeline phone number (1-800-273-8255) will remain available to people in emotional distress or suicidal crisis, even after 988 was launched nationally.

Learn More:

Caduceus Meeting for Recovering Health Care Professionals

(Behind Pat’s Grocery Store on Midland Road in Freeland)

Caduceus meetings are available to health care industry professionals, and have adopted many of the principles of 12-Step programs. Caduceus meetings are “closed” meetings for recovering health care professionals including, but not limited to, nurses, doctors, dentists and pharmacists. We engage in group discussions where members may want to speak up, ask questions or share thoughts with fellow members.

Physician suicide is a tremendous issue in healthcare today. While estimates of the actual number of physician suicides vary, literature has shown that the relative risk for suicide being 2.27 times greater among women and 1.41 times higher among men versus the general population. Each physician suicide is a devastating loss affecting everyone - family, friends, colleagues and up to 1 million patients per year. It is both a very personal loss and a public health crisis. Vision Zero calls on individuals, residency programs, health care organizations and national groups to make a commitment to break down stigma, increase awareness, open the conversation, decrease the fear of consequences, reach out to colleagues, recognize warning signs and learn to approach our colleagues who may be at risk.

Membership Meeting Joint with the Saginaw Valley Osteopathic Society - Social (cash bar) at 6:30 p.m., followed by dinner, meeting and program at 7 p.m.

Time: 8-11 a.m.

Membership Meeting - Social (cash bar) at 6:30 p.m., followed by dinner, meeting and program at 7 p.m.

Topic TBD

Email meeting notices will be sent in early January.

Saturday-Sunday, April 22-23, 2023 - The Henry in Dearborn 158th Annual MSMS House of Delegates

There is no Membership Meeting in February.

Tuesday, April 18, 2023 - Horizons Conference Center, 6200 State Street, Saginaw Board Meeting - 5:30 p.m.

CLICK HERE TO MAKE A RESERVATION Or scan the QR Code

There is no Membership Meeting in November.

• Develop strategies to respond to children who present with trauma symptoms

Online reservations are required by 9/14/22

Disclosure:

Tuesday, March 21, 2023 - CMU College of Medicine, 1632 Stone Street, Saginaw Board Meeting - 5:30 p.m.

• Understand why children exposed to ACEs are at elevated risk for chronic disease and risky behavior

Email meeting notices will be sent in early October. Online reservations are required.

There is no Board or Membership Meeting in December.

Speaker - Alison Arnold, Ed.D., Director, Interdisciplinary Center for Community Health & Wellness, Central Michigan University“Revisiting ACEs: The Roots of Wellness and Building Our Inner and Collective Resilience” Approved for 1.5 AMA PRA Category 1 CreditsTM

Saturday, October 8, 2022 – Horizons Conference Center, 6200 State Street, Saginaw CMU CME presents “Implicit Bias Training” (required for licensure)

Tuesday, January 17, 2023 - Horizons Conference Center, 6200 State Street, Saginaw Board Meeting - 5:30 p.m.

Membership Meeting Joint with the Saginaw County Dental Society - Social (cash bar) at 6:30 p.m., followed by dinner, meeting and program at 7 p.m.

The Bulletin | September 2022 9

CALENDAR OF MEETINGS AND EVENTS FOR 2022-23*

There is no Membership Meeting in March.

Online reservations are required.

Tuesday, October 18, 2022 - Horizons Conference Center, 6200 State Street, Saginaw Board Meeting - 5:30 p.m.

- Social (cash bar) at 6:30 p.m., followed by dinner, meetings and program at 7 p.m.

Email meeting notices will be sent in early May. Online reservations are required.

12th Annual SCMS Foundation Golf Outing – date TBD

Speaker - Thomas J. Veverka, MD, MSMS President“The Future of Medicine”

*subject to change rev 8/3/22

Speaker - TBD

Tuesday, September 20, 2022 - Horizons Conference Center, 6200 State Street, Saginaw Board Meeting - 5:30 p.m.

University College of Medicine designates this live activity for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The planners and speaker have no relevant financial relationships with ineligible companies to disclose.

3 AMA PRA Category 1 CreditsTM Available

Online reservations are required

Tuesday, February 21, 2023 - CMU College of Medicine, 1632 Stone Street, Saginaw Board Meeting - 5:30 p.m.

Accreditation Statement:

SCMS Health Fair “The Doctor Is In!”Horizons Conference Center Date TBD

• Increase awareness of trauma-responsive practice and the ripple effects of secondary traumatic stress

Learning Objectives:

Tuesday, November 15, 2022 - CMU College of Medicine, 1632 Stone Street, Saginaw Board Meeting - 5:30 p.m.

Membership Meeting - Social (cash bar) at 6:30 p.m., followed by dinner, meeting and program at 7 p.m.

Email meeting notices will be sent in early April.

• Review the discoveries of the Adverse Childhood Experiences study and the significant life-long health impacts of early trauma and toxic stress

Program - Candidates’ Forum for the November election

• Increase awareness of statewide resources, including the Prevention of ACEs Data to Action Project and the Michigan ACEs Initiative

DEADLINE FOR RESERVATIONS 9/14/22

Tuesday, May 16, 2023 - Horizons Conference Center, 6200 State Street, Saginaw Board Meeting - 5:30 p.m.

Speaker TBD

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Central Michigan University College of Medicine and the Saginaw County Medical Society. CMU College of Medicine is accredited by the ACCME to provide continuing medical education for Centralphysicians.Michigan

Annual SCMS and SCMS Foundation Membership Meetings

Click HERE to register and for more information, disclosures and accreditation (see page 10 in this issue for more information).

Topic - TBD

Defining, understanding and applying practical strategies to improve provider interactions and client care. Introduce the many aspects of diversity and how identity develops. Explore the process of socialization and the development of values shaped by our interaction with the world around us. Meets all of the State of Michigan's Implicit Bias training requirements.

Allison Arnekrans, Ph.D.

All Healthcare Professionals

• Discuss how implicit biases impact human behavior

Target Audience

Assistant DepartmentProfessorofPharmacology Toxicology Systems Biology Faculty Director of Faculty Development Statewide Campus System

At the end of this presentation, you will be able to:

Central Michigan University College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

• Implement diversity and inclusion initiatives

Implicit Bias Training 2022

AA/EOCMU,aninstitution,stronglyandactivelystrivestoincreasediversityandprovideequalopportunityforallindividuals, females,ofirrespectivegenderidentityorsexualorientationandincludingbutnotlimitedtominorities,veteransandindividualswith disabilities.

• Recognize personal biases and be able to interrupt and counteract them

Funded by a grant from the Saginaw Community Foundation https://bit.ly/3Ipk49JorusetheQRcode

Course Description

• Identify and describe cultural sensitivity in clinical practice

Deborah L. Virant Young, Pharm. D., BCPS

Accreditation

Michigan Social Work Program, an accredited social work education program, is authorized by the Michigan Licensure Law Administrative Rule 33.2965 to award Michigan social work continuing education credit contact hours. For this program, 3.0 CE hours will be awarded.

REGISTRATION:

Saturday, October 8, 8:00 - 11:00 am

Associate Professor of Counseling Department of Counseling, Educational Leadership, & Higher Education (CEH) Practicum & Internship Coordinator, Mu Kappa Chapter of Chi Sigma Iota, Chapter Faculty Advisor, Central Michigan University

Breakfast at 7:30 am

Theactivity.Central

Michigan State University College of Osteopathic Medicine

Objectives

Horizons Conference Center, 6200 State Street, Saginaw, MI

• Define implicit bias in the context of equitable access to healthcare

Speakers and planners have no relevant financial relationships with ineligible companies.

Disclosure

• Describe, in depth, their own social identities

• Understand best practices in serving diverse populations

Sheri Pickover, Ph.D., LPC, BC TMH Professor of Counseling and Special EducationalDepartmentEducationofCounseling,Leadership,&HigherEducation(CEH)CentralMichiganUniversity

Speakers:

Central Michigan University College of Medicine designates this live activity for a maximum of 3.00 AMA PRA Category 1 Credits TM Physicians should claim only the credit commensurate with the extent of their participation in the

Continuing Medical Education

• Using Narrative Comments in Medical Education Assessment: Good or Bad or Just Ugly?

CREDIT FOR TEACHING - CMU College of Medicine appreciates ALL that you do in teaching our residents and medical students! To ensure that you adequately obtain your Category 2 Credit for Teaching, all forms (2019 to 2022) and instructions are available on our website at med.cmich.edu/ cmecert under Category 2 Physician Teaching Credit Forms.

Recently added eLearning enduring materials include:

This one-hour workshop introduces participants to the differences between Alzheimer's disease and related dementias, as well as, the connection between communication and behavior when working with a person with memory loss. The workshop ends with an invitation for participants to create at least one item to address with their own cognitive health or that of a loved one.

The Bulletin | September 2022 11

CLAIM CME CREDIT and CERTIFICATE PROCESS – click HERE

Wendy S. Biggs, MD, Director of the Comprehensive Community Clerkship and Professor of Family Medicine at Central Michigan University College of Medicine. This course reviews the use of narrative comments in medical education assessment. It examines the “who, what, where, when, why and how's” of medical education assessment. The speaker also explores various potential scenarios using the 5 W’s and How’s.

CME ONLINE - eLearning Activities: CMU CME ONLINE These courses are free of charge to all CMU faculty, residents, students and our affiliated partners: Covenant, Ascension St. Mary’s, and the VA, as well as, to those who teach our medical students throughout Michigan and Ohio. Courses are also included from the Michigan Public Health Institute with links to their large eLearning library.

CME COMMENTS AND SUGGESTIONS - Your comments and suggestions about CME are always invited (and are very important to us). They may be submitted at any time on our website at med.cmich.edu/cme under Comments and Suggestions.

Website: med.cmich.edu/cme www.SaginawCountyMS.com

P: 989-746-7602 | F: 989-746-7579

Catherine A. Macomber, PhD, MSW

Administrator: joan.ford@cmich.edu | 989-259-4036

Email: CMEDCME@cmich.edu

• Human Trafficking Update 2022Theresa Wyatt, PhD, CCM, CFN, CCRE, FACFEI Dr. Wyatt has been a registered nurse for 36 years, with 16 years in the Emergency Department and five years as a Forensic Nurse Examiner. She has a Master’s in Forensic Nursing and a PhD in Nursing with an emphasis on vulnerable populations. She works closely with the MidMichigan Human Trafficking Task Force. This course provides an overview of the types of human trafficking, current U.S. statistics, recommendations for screening, assessment of human trafficking victims and reviews available resources. This course meets the State of Michigan licensing requirements for healthcare professionals.

CME WEBSITE – click HERE

• Recognizing Dementia at Home -

120 Years of Serving the Residents of Saginaw County!

CME CALENDAR: For a complete list of our CME accredited courses for September 2022 click HERE.

Heavenrich Lecture PM Zoom https://msu.zoom.us/j/96369736106ID: Passcode: 857189

PEER REVIEW ETHICS COMMITTEE

Section 5. PEER REVIEW ETHICS COMMITTEE. This Society shall have a standing committee designated the Peer Review Ethics Committee, charged with duties and powers concerning the maintenance of standards of conduct and discipline of members including the duties and powers specifically set forth in this chapter. Whenever any matter of alleged misconduct is referred to the Peer Review Ethics Committee, such Committee shall have the right to conduct investigations and hearings thereon, both informal and formal, and to make findings of fact and recommendations for discipline.

• Topic: “Protective and Risk Factors of Mother-Child Attachment in the Treatment of Complex Childhood Trauma”

Michigan State University is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Dr. Fitton will also present an EVENING LECTURE from 6-8:30 p.m. at Horizons Conference Center, Saginaw

Victoria A. Fitton, PhD, LMSW, is a retired Clinical Associate Professor for the Michigan State University School of Social Work. She taught Master of Social Work practice courses in a variety of formats: Face-to-face, hybrid and online. She continues to teach for the Continuing Education Department on a wide variety of clinical issues. She held the Ruth Koehler Endowed Clinical Professorship in Children Services and was the MSW Program Director. Dr. Fitton is a clinical social worker, expressive therapist, clinical supervisor, and consultant with a specialization in complex trauma including childhood sexual abuse with complicating factors. She has specialized training in attachment, child development, adolescents and technology, psychoanalytic psychotherapy, play therapy, sand play therapy and neurobiology. Dr. Fitton is a frequent invited speaker and

31st Annual Robert M. Heavenrich, MD Endowed Guest Lecture

• Topic: “Complicating Family Factors in Medical Trauma: A Case Study”

Pediatric Grand Rounds: Michigan State University designates this live activity for a maximum of 2.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the Heavenrichactivity.

Victoria Fitton, PhD, LMSW Retired, Clinical Associate MichiganProfessor State University School of Social Work

We are very happy to welcome Dr. Victoria Fitton!

Deadline to Register: October 10, 2022 Event Coordinator: Liz Stanton, stanto52@msu.edu (517) 355-3308

Lecture: Saginaw, MI: Michigan State University designates this live activity for a maximum of 1.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Saginaw County Medical Society has a Peer Review Ethics Committee (“Committee”) which is comprised of Waheed Akbar, MD –Chair, Caroline G.M. Scott, MD and James R. Hines, MD. Members of the Committee are elected by the membership.

The following is the definition of the Committee pursuant to Chapter IX Conduct and Discipline of Members of the SCMS Bylaws:

If you need to refer a matter to the Committee, please contact Drs. Akbar, Scott or Hines, or Joan Cramer at the Saginaw County Medical Society office. All matters are confidential and are not to be disclosed to the Board or membership.

Cell Phone (517) 290-5788

CLICK HERE TO REGISTER

Questions? Contact Liz Stanton, CHRS, CWI&D Email stanto52@msu.edu | Phone (517) 355-3308

presenter on multiple clinical topics that cross the lifespan. She has published several articles and a book chapter in the areas of attachment and child development. Her current work focuses on neurobiology and trauma. Her greatest loves are teaching and private clinical practice.

Pediatric Grand Rounds AM Zoom https://msu.zoom.us/j/99856677928ID: Passcode: 032590

12 The Bulletin | September 2022

Thursday, October 20, 2022

On a personal note, Dr. Fitton is a wife, mother and grandmother. She travels extensively across the globe and reads voraciously.

Dr. Fitton will present at our PEDIATRIC GRAND ROUNDS from 8-9 a.m. at the Sparrow Hospital Auditorium

The Bulletin | September 2022 13 At Bieri Hearing, we believe an annual hearing exam, together with medical, dental and vision, should be part of everyone’s overall wellness program. We invite you to come and be our guest to receive a FREE hearing evaluation and consultation from Mid Michigan’s mostAudiologyexperiencedstaff. MenziesMelissa Doctor ofAu.D.Audiology/ AndersonMartha M.S., C.C.C. A/AudiologistLaseckiAngela Doctor ofAu.D.Audiology/ MeyerLinda Doctor Audiology/Au.D.of RabiorSue M.A., C.C.C. A/AudiologistSaginaw • Midland Clare • Bay FrankenmuthCity Mid Michigan’s MostAudiologyExperiencedStaff www.bierihearing.com1-800-329-1747 PROVIDERKEY OF THE MONTH! “Key meetings.provideProviders”supportforSCMSmembershipEachmonth,aKeyProviderisfeaturedinTheBulletin.

Read previous issues of The Bulletin

At age 93, death occurred on Saturday, August 27, 2022. Gene was born on November 9, 1928, in Saginaw, son of John E. and Violet J. (Hager) Rank.

www.SaginawCountyMS.comatundertheBulletintab

He graduated from Saginaw High School in 1946, Master Gunner’s School with the U. S. Army, Ft. Bliss, Texas in 1951, Central Michigan University (Class Valedictorian) in 1956, Medical School at the University of Michigan in 1963, and a pediatric residency in 1963. After retirement, he studied Fine Arts at Delta College from 19982000.During his years in medicine, he was in a partnership in the practice of pediatrics with Drs. Heavenrich, Jarvi and Mason. Gene was a Diplomat of the American Board of Pediatrics, a Fellow of the American Academy of Pediatrics, a member of the Michigan State Medical Society, Saginaw County Medical Society, Michigan Pediatric Society and Northeastern Michigan Pediatric Society. He served seven years as Chairman of Pediatrics at Saginaw General Hospital, and was also an off-campus Associate Professor of Pediatrics at Michigan State University Medical School.

J. Eugene "Gene" Rank, MD

During life, Gene enjoyed camping, fishing, gardening, photography, painting, writing and the study of mythology and historicity of religion. He was a member of the Saginaw Area Watermedia Artists, and of the education and discussion group, Serendipity.Heissurvived by his wife, Janet C. (nee Savage); two sons, David and Andrew (Wendy) Rank; stepson, Mark (Kristi) Sauve; stepdaughter, Linda (Bob) (nee Sauve) Leaym; daughter-in-law, Sue Rank; sister, Mary Lou Visnaw; brother, Charles R. Rank; seven grandchildren; and five great-grandchildren. He was preceded in death by his son, Stephen Rank.

14 The Bulletin | September 2022 IN MEMORY

In keeping with Gene’s wishes, cremation has taken place. His family will gather privately to celebrate his life.

The Bulletin | September 2022 15 We produce customized medications specially suited to meet the patient’s needs; thus, allowing limitless prescribing opportunities. continued on page 13 Commercial medications not meeting the needs of your patients? • Liquid solutions • Discontinued medications • Topical medications • Human Identical Hormone Replacement for men and women • Sugar free/dye free medications • Non narcotic pain medications Key Provider to the SCMS Healthway Compounding Pharmacy 2544 McLeod Dr. N. | Saginaw, MI 48604 | 989.791.1691 | www.healthwayrx.com 3 AppleshireFreelandCourt $599,900 Right now is a great time to think about building your dream home! 4,840 totalSquareFeet•Sauna•Finishedlowerlevel & 23 E Grove &34WGrove•Overlookspond4939totalsq/ft• Overlookingthe13th fairway More listings @ www.iknowsaginaw.com • 5580 State St. Suite 4 Saginaw MI 48603 989.798.5217 Jan Hauck 989.239.7662 Mary Knoll& Premier Building Sites 18 Woodshire Drive Freeland $629,900 Lot 42 E Grove Ct $149,900 Lot 34 W Grove Ct $139,900 Lot 23 E Grove Ct $134,900

Dear

foremost, we want to thank you for your continued investment with the Michigan State Medical Society (MSMS) and Saginaw County Medical Society (SCMS). Without your loyalty and support, we would not be able to continuously provide benefits and protection of Michigan physicians and patients. Put simply, you make what we do possible.

If, like most of our members, you are satisfied with your membership, consider renewing now at MSMS.org/Renew If you renew by November 30, you will receive a $100 CME coupon to be used for any MSMS CME program.

• MSMS is working to improve access to mental health services in Michigan and the Michigan State Senate recently adopted two MSMS-initiated budget proposals to provide support to primary care providers. The first

• MSMS crafted legislation for Telehealth Parity, that requires payment and coverage for telehealth visits as if the service were provided in-person. House Bill 5651 ensures these equitable payments and coverage policies greater access to care and telehealth will remain a sustainable option for providers to offer.

We hope you’ve benefited from your membership with MSMS and SCMS. If not, let us know how we can provide benefit to you, personally. Contact Joan Cramer/SCMS at 989-284-8884 or jmcramer@sbcglobal.net or Heather Foster/ MSMS at 517-336-5719 or at hlfoster@msms.org to see how we may meet your needs.

Kind Thomasregards,J.Veverka,

of these programs is for practices in smaller counties facing access to care struggles and allowing them to get on their financial feet and thrive long term. The second, would provide a Medicaid reimbursement uplift for primary care services totaling roughly $100 million, expanding access to care and allow primary care practices to remain financially sustainable.

It’s time to renew your membership for 2023! Your membership has enabled us to accomplish so many initiatives:

MD, FACS

MSMS President

Members,irstand

MSMS/SCMS 2023 Dues Renew before 11/30/22 for $100 CME Coupon

To change hearts and minds in Michigan, we need to keep the conversation going, broaden our understanding, and learn to make lasting and positive impacts on the patients and communities we serve.

• Prior Authorization Reform has been signed into law! Led by MSMS, Health Can’t Wait was formed to end delays in care. On April 7, 2022, Senate Bill 247 was signed into law, reforming prior authorization process by reducing wait times and streamlining how physician offices and payers interact, ultimately improving access to care for patients.

16 The Bulletin | September 2022

• An independent voice for physicians on issues they face at the hospitals.

- Opioids - Overcoming Obstacles

• Contact with local, state and federal legislators regarding issues of importance in Saginaw County. The SCMS maintains contact with local legislators to provide issue education and help them understand the impact of healthcare legislation.

• An active Peer Review Ethics Committee for physician to physician issues.

• And more!

I have been asked many times by both members and nonmembers “Why should I belong to the SCMS and MSMS?” “What do you do for me?” Some have responded they “don’t use their membership because they don’t attend SCMS meetings.” SCMS and MSMS membership is so much more than membership meetings. We are not only support for you, but for your office staff as well. I’m hoping the information below will help members who are on the fence about paying their dues decide to remain members, and also convince nonmembers why they should belong. We represent physicians in all specialties and in all types of practices – solo, group, employed, etc. Active membership is open to MDs and DOs.

• The SCMS offers a discount for first year physicians, and MSMS offers discounts for first, second and third year physicians, as well as, physician spouses when both are members.

• The Bulletin with articles and information pertinent to SCMS members and their staff.

• Referrals to patients seeking a physician.

SERVING ALL SPECIALTIES AND SOLO, GROUP AND HOSPITAL EMPLOYED PHYSICIANS SINCE 1902 Visit www.SaginawCountyMS.com for a Membership Application under the “Membership” tab

• Five Membership Meetings per year where our members have an opportunity to network and enjoy the camaraderie of fellow physicians who love the practice of medicine and want to see progress made in the Saginaw medical community. In addition, our meetings include interesting speakers and an opportunity to earn FREE CME credit. A few recent and future program topics include:-Ethics

• An active Peer Review Mediation Committee to provide a forum for patient complaints to be heard. Peer Review reduces the number of malpractice lawsuits.

• There is strength in numbers. Together we are stronger. If you or your office staff need assistance on an issue of any kind, please feel free to contact me at jmcramer@sbcglobal. net, (989) 790-3590 (office) or (989) 284-8884 (cell) and I will work with you to come up with a resolution for your problem through a variety of resources available to you as a SCMS/ MSMS member.

• Liaison with MSMS for assistance on practice issues, billing and coding, health information technology, legal alerts, legislative issues, insurance and much more.

• Pictorial Membership Directory is published annually and used by members and their staff on a regular basis. Our Private Directory provides information on your practice to other member physicians outside your specialty. In addition, a Public Directory that includes office address and phone (but not fax numbers or email) is printed and distributed to 1,000+ households in Saginaw County. The response from the public on this listing of SCMS physicians has been extremely positive.

• Website which is full of useful information and resources www.SaginawCountyMS.com.

• National polls show physicians as one of the most respected professions. Sadly, they don’t use their clout often enough to preserve their profession and protect their patients.

• A unified voice on medical issues to our legislators, our area hospitals, insurance companies, etc.

• Confidential assistance for members with substance abuse or personal issues affecting their practice of medicine.

- Implicit Bias - Workplace Violence

WHY PAY DUES?

• Communication and camaraderie with physicians of other specialties in a neutral setting.

- Physician Compassion - Human Trafficking Fatigue/Burnout

• Community service to actively and tangibly give back to the community where you live and work through SCMS sponsored projects, such as our annual Health Fair for the Saginaw community attended by 1,100+ offering free health screenings and information, plus the opportunity for residents to speak with our member physicians directly to answer questions and promote your practice.

• Because all physicians need to “fund their voice.”

• Loans and scholarships to local medical students, residents and nursing students.

120 Years of Caring for Saginaw County Residents

- Adverse Childhood in Health Care Experiences (ACE’s) - What to do if a complaint has been filed against you

BENEFITS OF MEMBERSHIPSCMS/MSMS

• Active physician dues are $795 per year ($495/MSMS and $300/SCMS). One hundred percent of SCMS dues and 81 percent of MSMS dues are tax deductible as a business expense.

Joan M. Cramer, SCMS Executive Director

What We Offer SCMS Members and Their Staff:

• Representation of physicians in all specialties and in all types of practices–solo, group, employed, etc.

• Resident and medical student memberships are also available.

he Saginaw County Medical Society (SCMS) is the professional association of physicians in Saginaw County, and a component of the Michigan State Medical Society (MSMS). In order to be a member of one, you must be a member of both.

Research Fellowship: University of North Carolina, Chapel Hill, NC between PGY-3 and PGY-4 Academic Year of General Surgery Residency, 7/15-6/16

Research: Research Fellow at San Juan City Hospital-Centro Medico PR, Pediatrics, 2016-18 and Post-Doctoral Master’s in Clinical and Translational Research, University of Puerto Rico, 2016-20

Fellowship: Wright State University, Dayton, OH, Surgery Critical Care, 2019-20

Specialty: Pediatrics - Board Certified 2016; Palliative and Hospital Medicine

Sponsors: Doctors Chet A. Morrison and Samuel J. Shaheen Christina L. Maser MD (CMU Health-Surgery)

18 The Bulletin | September 2022

Applications for membership for first reading at the September 20, 2022, Board Meeting:

Specialty: Surgery - Plastic, Hand, Reconstructive and Cosmetic, Board Certified 2020 Medical School: Ross University School of Medicine, New Brunswick, NJ and Dominica, West Indies, 2012 Residency: University of South Carolina/Palmetto Health, Columbia, SC, General Surgery, 7/12-6/18

Fellowship: Medical University of South Carolina, Charleston, SC, Plastic, Reconstructive and Hand Surgery, 7/18-6/21

Medical School: University of Puerto Rico School of Medicine, San Juan, PR, 2013

Sponsors: Doctors Samuel J. Shaheen and Julia M. Walter

*Application for Affiliate Member Brianna C. Pitre DC (Shields Chiropractic)

Franchesca Garcia Robles MD (CMU Health - Pediatrics)

Fellowship: University of Minnesota, Minneapolis, MN, Surgical Research, 2000-01

Free Confidential Counseling for Frontline Healthcare Workers Call the Saginaw Community Care HUB at 989.498.2266 for an immediate appointment

Sponsors: Doctors Christopher J. Allen and Dafina W. Allen Narong Kulvatunyou MD (CMU Health-Surgery)

Specialty: Pediatrics - Board Certified 2011; International Board of Certified Lactation Specialist - Board Certified 2017 Medical School: Sri Venkant Sai Medical College, India, 2006 Residency: Children’s Hospital of Michigan/Detroit Medical Center, Pediatrics, 7/8-8/11

Steven Hermiz MD (Covenant Plastic Surgery)

These services are available to those that need extra help coping during this extremely stressful time. There is no shame in talking, in person or virtually, with someone.

Specialty: Surgery - Trauma, Critical Care - Board Certified 2021 Medical School: State University of New York (SUNY) Upstate Medical University, College of Medicine, Syracuse, NY, 2013 Residencies: The Alpert Medical School of Brown University, Providence, RI, Surgery Preliminary, 2013-14; Lincoln Medical Center, Bronx, NY, Surgery Categorical, 2014-15; and CAMC –WVU Charleston Division, Charleston, WV, General Surgery, 2015-19

Fellowship: Yale University School of Medicine, New Haven, CT, Surgical Endocrinology, 2005-06

Sponsors: Doctors Anthony M. Zacharek and Claudia C. Zacharek

APPLICATIONS FOR MEMBERSHIP

Education: Palmer College of Chiropractic, Davenport, IA, 2021

MHA: University of Southern California, Price School of Public Policy, Healthcare Administration, 2017-19

Residency: New York Methodist-Cornell University Hospital, General Surgery, 1994-99

Fellowship: University of Massachusetts, Worcester, MA, Surgical Critical Care, 1999-2000

Residency: University of Puerto Rico, Pediatrics, 2013-16

A new service to support and assist frontline healthcare workers with behavioral health services is now available from the Saginaw County Community Mental Health Authority.

Professional counselors provide primary care screening, assessment and monitoring of key health indicators.

FIRST READING:

Rikat E. Baroody MD (CMU Health - Surgery)

Specialty: Surgery - Acute Care - Board Certified 2002; SurgeryGeneral - Board Certified 2001 Medical School: University of Alabama at Birmingham, Birmingham, AL, 1994

Specialty: Surgery - General - Board Certified 2006; Surgery - Endocrine Medical School: Michigan State University College of Human Medicine, 1999 Residency: William Beaumont Hospital, Royal Oak, MI, Surgery, 1999-2005

Free, confidential counseling services are available for healthcare professionals and their immediate family to provide help coping with the stress and anxiety due to the COVID-19 pandemic.

Specialty: Chiropractor

Fellowship: Mercy Health, St. Mary’s Hospital, Grand Rapids, MI, Hospice and Palliative Medicine, 2018-19

Sponsors: Doctors Ronald C. Barry and Anthony M. Zacharek Adeeba S. Khan MD (CMU Health - Pediatrics)

Sponsors: Doctors Anthony M. Zacharek and Claudia C. Zacharek

Sponsors: Doctors John Blebea and Chet A. Morrison

SUJAL G. PATEL, MD, FACS

Board Certified by the American Board of Surgery/ General Surgery

CHAD D. RINGLEY, MD, FACS

Friday: 8:00 am-12:00 noon

ANDREW VASYLUK, MD

JASON KUHN, DO

Phone: 8:00Monday-Thursday:989.583.5679am-12:00noonand 1:00-5:00 pm

GENERAL, BARIATRIC & COLORECTAL SURGERY

TODD G. RICHARDSON, MD, FACS

COVENANT MEDICAL GROUP

BARIATRIC, GENERAL, LAPAROSCOPIC AND ROBOTIC SURGERY

Board Certified by the American Osteopathic Board of Surgery/General Surgery

Board Certified by the American Board of Surgery/ General Surgery and Surgical Critical Care

JORGE HERNANDEZ, MD, FACS, FACSCRS

GENERAL, LAPAROSCOPIC, ROBOTIC AND TRAUMA SURGERY

Board Certified by the American Board of Surgery/General Surgery and the American Board of Colon and Rectal Surgery

GENERAL, LAPAROSCOPIC, ROBOTIC AND TRAUMA SURGERY

COLON AND RECTAL SURGERY

BARIATRIC, GENERAL, LAPAROSCOPIC AND ROBOTIC SURGERY

Board Certified by the American Board of Surgery/ General Surgery

JOHN P. SHARPE, MD, MS, FACS

SAGINAW 5415 Cardinal Square, Saginaw, Michigan 48604

GENERAL, LAPAROSCOPIC, ROBOTIC AND TRAUMA SURGERY

Board Certified by the American Board of Surgery/ General Surgery and Surgical Critical Care

“Our teams work diligently to provide high quality neurological and cardiovascular services from onset through rehabilitation to patients in the region,” says David D. Gill, DO, Covenant Stroke Medical Director. Covenant is proud to be one of four hospitals in the state recognized for 10 or more consecutive calendar years of Gold Plus achievements in Get With the Guidelines® - Stroke and/or Get With the Guidelines® Heart Failure.”

Each year, program participants qualify for the award by demonstrating how their organization has committed to providing quality care for stroke patients. In addition to following treatment guidelines, Get With The Guidelines® participants also educate patients to help them manage their health and recovery at home.

Cecilia E. Kraus-Horbal DO

Ian Kuo Student

Kristi M. Murphy MD

Please join us on Friday, October 7, 2022, for the Covenant Kids Gala at Horizons Conference Center. This elegant black-tie affair will feature the outstanding showband, Persuasion and the Backstreet Horns, performing a vast musical selection, a unique four-course meal, festivities and fellowship all while raising money for state-ofthe-art equipment for our region’s pediatric patients in the Covenant Emergency Care Center. Tickets for this fundraising event are $200 per person or $1,600 for a table of eight. For more information about supporting this amazing effort, contact Aimee Minard at aimee.minard@chs-mi.com or 989.583.7602.

Najiha B. Farooqi MD

Naa Atswei Laryea Student

Christopher J. Robertz MD

Jacquelyn A. Robinson MD

Bei F. Liu MD

Vipin Khetarpal MD

Additionally, Covenant HealthCare received the American Heart Association’s Target: Type 2 Honor Roll award. Target: Type 2 Diabetes aims to ensure patients with Type 2 diabetes, who might be at higher risk for complications, receive the most up-to-date, evidence-based care when hospitalized due to stroke.What’s more, Covenant HealthCare met specific scientific guidelines as a Primary Stroke Center, featuring a comprehensive system for rapid diagnosis and treatment of stroke patients admitted to the emergency department.

Paul A. LaClair MD

Samuel S. Valia MD

Alexander Bejna DO

Alaa Shanbour MD

Jonathan T. Broadwell MD

20 The Bulletin | September 2022

The American Heart Association presents Covenant HealthCare with the Get With The Guidelines® - Stroke GOLD PLUS with Target: Stroke Honor Roll Elite Plus and Target: Type 2 Diabetes Honor Roll award for proven dedication to ensuring all stroke patients have access to best practices and life-saving care

Lioudmila Kinachtchouk MD

Majed J. Sahouri MD

John B. Johnson MD

Chai-Yakarn Soontharotoke MD

Gerard P. Farrar MD

Michael L. Hudson Student

David J. Kramp MD

Iris A. Marteja MD

Ahmed Munir MD

Sara L. Rivette MD

Sara E. Schambach MD

Matthew L. Abrell DPM

Zenobia E. Ofori-Dankwa MD

Marilyn T. Haupt MD

George K. Tong MD

Bong Jung MD

Bala Srinivasan MD Happy Special Birthday!

Delicia J. Pruitt MD

James A. Fugazzi MD

Gerardo Dizon Reyes MD

Matthew Welch Student

Rikat E. Baroody MD

Manasa Gudur MD

Allen J. Solomon MD Happy Special Birthday!

Kamran K. Shokoohi MD

Chris Paul Liakonis DO

Judy V. Blebea MD

David B. Krebs MD

Peter J. Biggane MD

Kaitlyn A. Blanchard MD

Karim Nasra MD

Joshua S. Grant MD

Mahela S. Ashraf MD

Raivinder Singh MD

Covenant has received the American Heart Association’s GoldPlus Get With The Guidelines® - Stroke quality achievement award for its commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines, ultimately leading to more lives saved and reduced disability.

OCTOBER BIRTHDAYS

Jade Foldie Student

Kizhakepat P. Sukumaran MD

Sanjay J. Talati MD

Covenant Kids Gala | October 7

Mark A. Zaki MD

James M. Parkkonen MD Krishna J. Patel DO

Noel D. Wagner MD

Covenant HealthCare also received the American Heart Association’s Target: Stroke Honor Roll Elite Plus. To qualify for this recognition, hospitals must meet specific criteria that reduce the time between an eligible patient’s arrival at the hospital and treatment with the clot-buster alteplase.

Anushka N. Magal MD

Ileana Marie Daly MD

Kristin M. Nelsen MD

Thomas J. Hyde DMD

Covenant HealthCare Nationally Recognized for Commitment to Providing High-Quality Stroke Care

“There are approximately 6.5 million patients in the U.S. suffering from chronic wounds (e.g. diabetic foot ulcers and pressure ulcers) and approximately 140,000 patients are hospitalized every year with new wounds. Currently, over 23 million people have been diagnosed with diabetes.”*

LEAD

Hyperbaric Oxygen Therapy (HBOT) is the administration of 100% oxygen in a pressurized environment. Diffusing oxygen throughout the body promotes angiogenesis, allowing a chronic wound to get the nutrient and oxygen rich blood it needs to heal. Specialized wound care, including HBOT, is often necessary for optimal treatment of chronic wounds. HBOT is an effective adjunctive therapy used in conjunction with advanced wound care. Along with proper attention to nutrition and other underlying medical problems, we achieve greater healing results. HBOT is a proven treatment for:

Covenant Wound Healing Center

Covenant Wound Healing & Hyperbaric Medicine Center has a team of experts trained to evaluate your patient’s wound and develop a treatment plan. Using the most advanced technology and research, our wound care team can work with you and your patients to heal wounds quickly.

The SCMS would like to thank our dedicated Key Providers, old and new, for continuing to provide support for SCMS Membership Meetings. When have a need for a service, please consider our Key Providers!

Thank You Key Providers!

Mark Bullock, DPM Khalid Malik, MDScott Byron, DPM, FAAPSM

The Bulletin | September 2022 21

What is Hyperbaric Oxygen Therapy?

• Chronic Refractory Osteomyelitis

• Lower Extremity Diabetic Ulcers

WE IN HEALING CHRONIC WOUNDS

ONLY ACCREDITION IN MICHIGAN; SECOND IN THE U.S.

David Gustavison, DO Medical Director Anthony de Bari, MD, CWSP

*https://WWW.NCBI.NLM.NIH.GOV, article PMC6161627 • © 2021 Covenant HealthCare. All rights reserved. PK 5/21 13958 COVENANT WOUND HEALING & HYPERBARIC MEDICINE CENTER 900 Cooper, Saginaw, Michigan 989.583.4401 • covenanthealthcare.com

• Radiation Cystitis/Proctitis or Radiation Necrosis

you

Ted’s Treasures Gifted to Ascension St. Mary’s Bariatric Program

Thaddeus (Ted) Wiecek was considered a gentle soul by many people. He cared deeply about others, valued family, nature and the joy of shared laughter. But, like many people, he had struggles. It was the bariatric center at Ascension St. Mary’s Hospital and its support community (Ted’s bariatric family) that helped him persevere. Ted was proud of his weight loss journey and adored his bariatric family.

Ascension St. Mary’s Hospital Bariatric Surgery Program Re-accredited

Members of the Wiecek family, along with Ascension St. Mary’s Hospital bariatric associates, cutting the ceremonial ribbon

Ascension St. Mary’s Hospital Seton Cancer Institute is advancing its cancer-fighting technology with a new, state-ofthe-art typetreatmentprovidesandpinpointtreatmentspowerfulsystemlocation.atradiotherapyTrueBeam®systemtheirWestBranchThenewdeliversmorecancerwithaccuracyprecision.Itoptimalforeveryofcancerandenables

Sadly, Ted passed away from complications of a rare, untreatable cancer unrelated to his bariatric surgery journey. Like many, he was challenged after his bariatric surgery with not having the right size clothes to wear and burdened by the high cost of protein and vitamins. To honor Ted, the Wiecek family celebrated the opening of Ted’s Treasures with his bariatric family during a recent support night.

DirectorKittyBouchard, RN, has been selected as Director of Surgical Services at Ascension St. Mary’s Hospital. She will oversee daily operations of the pre- and post-operative units and surgical suites. With more than 40 years of nursing and leadership experience, including serving as Clinical Director at Towne Centre Surgery Center (TCSC) which she will continue to oversee, Kitty will provide leadership to patient care and service areas, including staff, budget and quality issues.

Advanced Cancer Treatment Now at Ascension St. Mary’s Hospital Seton Cancer Institute - West Branch

Ascension St. Mary’s Hospital bariatric surgery program has been re-accredited as a Comprehensive Center by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP). This is the highest level of accreditation provided by MBSAQIP, which is a collaboration of the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery. This accreditation formally acknowledges Ascension St. Mary's Hospital for its commitment to providing and supporting quality improvement and patient safety efforts for metabolic and bariatric surgery patients. Ascension St. Mary's Hospital was recognized as having a very strong multidisciplinary team, including two dedicated dietitians who serve as great resources for patients, as well as, excellent patient educational materials.

the treatment team to bring a wide spectrum of advanced radiotherapy treatment options to patients.“Thisnew system represents a quantum leap in the ability to help people fight cancer,” said Kathi Smith-Nowlin, RN, Director, Cancer Care Services. “This system lets us treat even the most challenging cases with tremendous speed and precision. We can offer patients fast, more targeted treatments for tumors — even those that move when the patient breathes, such as lung tumors. This advanced technology lets our team offer safe, accurate and precise treatment and an outstanding patient experience.”

continued on page 24

Ascension St. Mary’s Hospital Announces Surgical Services

individuals celebrate their weight loss success by having access to clothes that fit, as well as, ease the cost of the protein and vitamins bariatric patients need post-surgery. Individuals can select clothing based on their weight loss progress so they can look and feel good on their journey, and bariatric center staff can assist them with protein and vitamins. Clothing is available thanks to donations from various retailers and suppliers, and gently used clothing is also “Tedaccepted.hadabeautiful giving spirit and his family continues his legacy by helping others within his ‘bariatric family,’” said Lisa Guyton, Ascension St. Mary’s Hospital Bariatric Program Manager. “This is an amazing resource for our current and future patients as they go through their weight loss journey. We will miss Ted always, but having Ted’s Treasures keeps him near at heart.”

Daryl Gross, a bariatric program

TreasuresbenefitingparticipantfromTed's

Located at Ascension St. Mary’s Hospital Bariatric Center, 1015 S. Washington Avenue in Saginaw, Ted’s Treasures helps

22 The Bulletin | September 2022

If you are experiencing a life-threatening emergency or difficulty breathing, go directly to the ER or dial 911.

Get advanced care at Ascension St. Mary’s ERs and stroke center

Find your closest ER location at ascension.org

Stroke care can’t wait

When you experience signs of a stroke, it’s important to call 911 or go to the nearest emergency room. Ascension St. Mary’s emergency rooms provide early stroke intervention, and all of our ERs are connected to specialists at our Comprehensive Stroke Center, recognized for excellence in the care of stroke patients. Through the latest technology, our team of stroke specialists collaborate on diagnosing your stroke in as little as seconds and deliver the care that’s right for you. We’re beside you from the ER through recovery and rehabilitation.

MEMBERSHIPSCMS/MSMS2023DUESNOWPAYABLE Free CME for Your SCMS/MSMS Membership Renewal by November 30! See page 5 for details

GLBHC priority is to serve the underserved, uninsured, and underinsured. We offer transportation along with multiple other integrated services to address your patients’ needs like dental, laboratory and on site pharmacy, and community health workers to address social disparities. This is our priority population and we do well serving them!

GLBHC is not a crisis intervention program. If patient is currently suicidal/homicidal/danger to self or others, please seek emergency intervention for them by contacting your local Community Mental Health or sending to the Emergency Room

*Bay Arenac Behavioral Health (800) 327 4693

24 The Bulletin | September 2022

What: Outpatient psychiatry services

Of Special Note:

Medicaid welcome!

Now accepting referrals! Adult Outpatient Psychiatry

Ascension St. Mary's Hospital Foundation is pleased to announce the return of the Cornette Ball. Mark your calendar for Saturday, November 19, 2022. The time-honored event will be held at Horizons Conference Center in Saginaw. The Cornette Ball is one of the grandest black-tie galas in the region. The festive evening will include a cocktail hour, gourmet meal and live music. The Spirit of St. Vincent Award will also be presented. For sponsorship information or event details, contact Tammy Weighman at (989) 9078875 or tamera.weighman@ascension.org

continued from page 22

Where: Davenport Location Bay City South Location 3023 Davenport Ave 690 S Trumbull St Saginaw, MI 48602 Bay City, 48708

How: To learn more about our new referral process, please contact Amra Bader, Behavioral Health Supervisor at (989) 907 2765 or abader@glbhealth.org

Who: Adults with mild to moderate mental health conditions

*Saginaw Community Health Mental Health Authority (800) 233 0022

Save the Date - 2022 Cornette Ball

When: Now!

WE’VE COVERED.MID-MICHIGANGOT

At Renue Physical Therapy, we don’t rely on machines or equipment to do the work for us. Our patients benefit from hands-on, one-on-one treatment with the same therapy team throughout the treatment process.

“After dealing with my back pain for almost a year and a year’s worth of visits to the chiropractor I thought the pain would never go away. After completing physical therapy I can finally sleep through the night and wake up without horrible pain.”

AUBURN

16 convenient locations

The Bulletin | September 2022 25

(Amy, Bridgeport)

• AU GRES • BAY CITY • BRIDGEPORT • CARO • FRANKENMUTH • FREELAND • MIDLAND • SAGINAW • SHIELDS • TAWAS

“What a great experience! I was not looking forward to physical therapy but one visit here changed my mind. Great staff who always know your name and makes you feel like you are the most important person. Great job to everyone!” (Susan, Saginaw)

There is a difference between going to therapy and truly getting healthy.

“I would say I’m a ‘patient for life.’ I have come to Renue for therapy for 3 different conditions and I have been treated with respect, kindness, and professionalism. The staff was very knowledgeable and I ended my treatment with a total recovery of flexibility and range of motion exceeding my expectations.” (Pamela, Freeland)

“I am excited to continue this work in certification standards and working along stakeholders nationally,” said Janssen. “I am equally excited to be a part of the CMU College of Medicine and CMU Medical Education Partners as we teach medical excellence to the next generation of physicians.”

The American Osteopathic Association appointed Furhut Janssen, DO, FACN, CMU Assistant Professor of Psychiatry and Director of Community Behavioral Health Initiatives, as the Vice Chair of the Bureau of Osteopathic Specialists (BOS)

CMU College of Medicine Graduates Sixth Class of New Physicians, Celebrates 500 Alumni

American Osteopathic Association Appoints Dr. Janssen

The new CME Family Medicine Residency Sports Medicine track, as designed by Dr. Saiyed in partnership with his residency program director, Amandeep S. Dhaliwal, MD, provides education, training and exposure to primary care sports medicine experiences that surpass the required core education and training during residency. Its curriculum includes eight weeks each of core and elective rotations, event/game coverage under the supervision of a dedicated sports medicine faculty mentor, research and scholarly activities and monthly didactics and journal club discussions.

For more than 80 years, the BOS has served as the certifying body for all American Osteopathic Association specialties and subspecialties. Janssen has served as an executive member of the BOS for the past three years.

AAFP Foundation presented the award to Dr. Saiyed at the American Academy of Family Physicians’ 2022 National Conference of Family Medicine Residents & Medical Students, held July 28-30, in Kansas City, Missouri.

Courtesy of CMU College of Medicine

CMU Resident Project Earns Best Project Award at National Conference

Congratulations to Mohammed Aamir Saiyed, MD—a secondyear resident at Central Michigan University Family Medicine Residency in Saginaw—whose Family Medicine Leads Emerging Leader Institute (ELI) project was selected as a 2021-2022 Best Leadership Project Award winner.

26 The Bulletin | September 2022 continued on page 27

The year-long ELI focuses on ensuring the future of the Family Medicine specialty by increasing the number of future Family Medicine leaders and provides training for this important role. The course includes in-depth, in-person workshops, a project management session, assignment of a family physician mentor, and the opportunity to complete a leadership project related to the scholar's interests.

Dr. Saiyed’s project within ELI’s Personal & Practice Leadership track focused on designing and implementing the CMU Family Medicine Residency Sports Medicine Track. According to the needs statement on Dr. Saiyed’s poster, which was selected for presentation at the National Conference, “The Central/Mid-Michigan area needs primary care physicians with enhanced training in musculoskeletal and non-operative orthopedic medicine to promote safe physical activity and healthy diet in order to tackle rising rates of obesity and diabetes in adults and adolescents.” Saginaw’s adult obesity rate of 36.5 percent exceeds the state’s rate of 32 percent, while 16 percent of Saginaw-area high-schoolers are obese—a rate that is higher than both the state and nation of 16.75 percent and 14.8 percent, respectively, for this age group. Saginaw residents with diabetes nears 35 percent, significantly higher than Michigan’s rate of 22.5 percent.

Congratulations, Dr. Janssen!

At the May 2022 Commencement, the CMU College of Medicine graduated its 500th physician—a major milestone that solidifies the college’s transition from a newly formed institution to an established school of medicine. CMU formed the College of Medicine to address a national and statewide shortage of physicians, particularly those in primary care. When the first students arrived on the Mount Pleasant campus in 2013, they embraced the opportunity to be part of something new and the responsibility of building a reputation for themselves, the college and future classes. In a Fired Up for 500 video celebrating the achievement, Nicholas Cozzi, MD, ’18, currently an EMS fellow with a fire department in New York City, said he attributes his success to the College of Medicine. “I chose the right destination in CMU College of Medicine—from the faculty to the staff to the community. Thank you to all of our donors who have made this day and all these memories possible.”InAugust of 2022, the College of Medicine’s tenth class arrived on the Mount Pleasant campus. They were welcomed by faculty and staff well-prepared to deliver an outstanding education and support student success and wellbeing. They will be taught by a growing network of physicians and staff at our partner hospitals throughout the state, plus community educators who are committed to the college’s mission. They will benefit from the experience and comradery of those who preceded them, and they will be part of the solution to providing quality, comprehensive care to underserved communities in both rural and urban areas.

www.acep.org

Community outreach—giving back to the community—is also a large focus of the curriculum. Residents within the track spend time representing the CMU Family Medicine Residency program at local sporting events, as well as, educating community members on healthy lifestyle practices focused on nutrition, safety and preventive healthcare.“Coupled with MIDOCs, this track will allow [family medicine] residents with roots in Saginaw to stay local, rather than go outof-state, for the training and experience needed to deliver highly effective musculoskeletal and sports medicine care in the community setting,” said Dr. Saiyed. The curriculum is also designed to prepare participating residents to pursue a sports medicine fellowship program for extended training.

The Bulletin | September 2022 27 continued from page 26

ACEP is pleased that the final rule specifies the QPA will no longer be the presumptive factor. Less favorably, the rule claims that some additional factors, such as patient acuity, could already be reflected in the QPA, and therefore allows IDR arbitrators to omit them from consideration when choosing the proper payment amount. The rule does call out insurers for requiring providers to use a proprietary web portal to initiate open negotiation, and reaffirms they cannot require that.

ACEP Reacts to Final Rule of No Surprises Act

The CMU College of Medicine, in collaboration with multiple community organizations and clinical partners, is creating the CMU Health Women and Children Center in Saginaw. Supported by generous donations from the C.K. Eddy Family Memorial Fund administered through Huntington Bank and the Harvey Randall Wickes Foundation, the Center will serve children from birth through adolescence and provide personalized care for women throughout their entire lives. Designed to provide cutting-edge treatment and diagnostics, the Center will provide prenatal care and support the needs of families from diagnosis and counseling through treatment and follow-up. The Center will also provide a clinical learning site for medical students and residents. In addition to outstanding health care, women and children will receive assistance with socio-economic issues such as food insecurity, domestic violence and substance abuse; obtain support from other women with similar backgrounds and concerns; and have nearby access to hospital and subspecialty services with care coordination to enhance quality and reduce disparities in care. The CMU Health Women and Children Center is slated to open in early 2023.

On August 19, 2022, the federal government issued a final rule implementing part of the No Surprises Act addressing a problematic policy included in previous regulation that gave unequal weight to the Qualified Payment Amount (QPA) during the independent dispute resolution (IDR) process, tilting the process unreasonably in favor of insurance companies. ACEP joined with the American College of Radiology and the American Society of Anesthesiology to file a lawsuit against the government on this issue, as did several other organizations. In late February, the U.S. District Court for the Eastern District of Texas, in response to one of these suits filed by the Texas Medical Association, ordered that the flawed policy be withdrawn and invalidated immediately on a nationwide basis.

Notably, in a major win for emergency medicine, the rule adds an official definition of downcoding and adds a new requirement that if a QPA is based on a downcoded service code or modifier, the plan must provide an explanation of why the claim was downcoded, and the amount that would have been the QPA had the service code or modifier not been downcoded. The rule notes that without information on what the QPA would have been had the claim not been downcoded, the provider may be at a disadvantage during open negotiation compared to the plan or issuer. ACEP had strongly advocated for this additional disclosure requirement from health plans, and we are happy that the Departments have adopted the new policy.

For information about participating in a future AAFP Foundation Family Medicine Leads Emerging Leader Institute cohort as a resident or student, or serving as a faculty mentor, click here

Congratulations, Dr. Saiyed!

Diversity, Equity and Inclusion Director Joins College of Medicine Staff

Coming Soon! CMU Health Women and Children Center

The College of Medicine welcomed Donnesha Blake, PhD, as the Director of Diversity, Equity and Inclusion (DEI) for the College of Medicine. DEI efforts are central to the College of Medicine’s excellent education. Blake’s position collaborates with leaders and colleagues at CMU, the College of Medicine, CMU Medical Education Partners, and affiliate hospitals, as well as, with students to create an inclusive learning climate. Blake holds a bachelor’s in communication from CMU, and a master’s and a PhD in women’s studies from the University of Maryland, College Park.

ACEP is still reviewing the rule, as well as additional information that the Departments released in conjunction with the rule. A more detailed analysis is coming soon.

The Court ruled 2-1 in favor of the plaintiffs in the case of Andary et al. v USAA Casualty Insurance Company et al. The lawsuit was filed in 2019 by guardians of two catastrophically injured auto accident victims - along with the nationally renowned brain injury rehabilitation clinic Eisenhower Center - and names Citizens Insurance Company of America and USAA Casualty Insurance Company as the defendants. The victims, on whose behalf the lawsuit was filed, are Ellen Andary of East Lansing, and Philip Krueger of Ann Arbor.

Friday, September 23, 2022 | 8:30 a.m. - 4:15 p.m.

In a major victory for survivors of catastrophic crashes and their loved ones, the Michigan Court of Appeals ruled on

• Even if the legislation contained sufficient provisions intending to apply benefit reductions retroactively, such an application would have been an unconstitutional violation of the Contracts Clause of the Michigan Constitution.

• The legislation did not contain specific and sufficient language confirming that the legislature intended to apply these changes retroactively.

Carl Christensen, MD, PhD, D-FASAM, FACOG, cMRO, Clinical Associate Professor, Dept. of Psychiatry and OB GYN, WSU School of Medicine

A Day of Board of Medicine Renewal Requirements

8:30 - 10:30 a.m.

A Day of Board of Medicine Renewal Requirements

Implicit Bias Training

Survivors of Catastrophic Crashes and Their Families

Michael Redinger, MD, MA, Department of Psychiatry, Co-Chief, Program in Medical Ethics, Humanities & Law, Western Michigan University Homer Stryker MD School of 1:15Medicine-4:15 p.m.

AMA Credit Designation Statement

The Michigan State Medical Society (MSMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

BCBSM/BCN - CS modifier limited to specific codes that result in COVID-19 testing for commercial plans, effective September 1

Approved for 7 AMA PRA Category 1 Credits™

12:15 - 1:15 p.m.

MSMS Reimbursement Alert

Pain and Symptom Management

Balancing Pain Treatment and Legal Responsibilities

Advocate

The MSMS designates this live activity for a maximum of 7 AMA PRA Category Credit(s)™.

10:30 - 11:30 a.m.

Major Victory

To make physician billing practices more uniform, Blue Cross Blue Shield of Michigan (BCBSM) and Blue Care Network (BCN) commercial plans will limit the use of the CS modifier to

28 The Bulletin | September 2022 continued on page 30

Under the Michigan Court Rules, this published opinion has immediate, binding, precedential effect unless it is overturned by the state Supreme Court.

Aaron J. Kemp, Chapman Law Group

Statement of Accreditation

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

• The trial court improperly dismissed the plaintiffs’ constitutional equal protection and due process challenges, which alleged that such benefit reductions would violate these constitutional provisions if applied to future accident victims, for the reason that such allegations required factual development in the trial court.

August 26, 2022, that benefit reductions passed as part of 2019 auto insurance reforms could not be applied retroactively.

Marriott East Lansing, 300 MAC Ave., East Lansing, MI 48823

Legal and Ethical Issues in ED Boarding of Psychiatric Patients

Decision has binding effect on retroactive application of benefit reductions

Court of Appeals Decision Represents for

MSMS is offering this course again on Friday, November 4, 2022, at the Sheraton Ann Arbor.

FOR MORE INFORMATION AND TO REGISTER, CLICK HERE

significantly, the ruling determined that:

“The decision will enable thousands of severely injured accident victims to continue receiving medical expense and home care reimbursement at the benefit levels that were legally enforceable under insurance policies that those victims bought and paid for years before the new laws went into effect,” said George Sinas, lead counsel for the plaintiffs in Andary. Mr. Sinas is also general counsel for CPAN. “In addition, the decision will prevent insurance companies from reaping windfall profits by retaining premiums they collected to pay benefits they would no longer be required to provide,” said Mr. Sinas.Most

Let MSMS be your resource to earn the Michigan Board of Medicine CME - all in one day

Stacey Hettiger

dwheelock@msms.org517-336-7591

Risk (TheManagementDoctorsCompany) ........................ 517/899-1457

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For information 517/336-plus the four digit extension (unless full number is provided). For information here, call MSMS at 517/337-1351 or 800/352-1351.

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• Retired/Life Benefits 5716

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• Advertising 5753

REGULATORYMEDICAL/POLICY

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MSMS Resource Guide

AMA LegislativeAnnualDelegation..........................................................5731ScientificMeeting.......................................5789AntitrustIssues.5766BoardofDirectors5735ChiefExecutiveOfficer5735ClosingaPractice5766Coding&BillingQuestions.....................................5722ContinuingMedicalEducation7580•Accreditation7580ContractingChecklists5766Committees5711CorporateCompliance.............................................5766CountyMedicalSocieties5729DurablePowerofAttorney(toorderforms)5727E&MCoding5722EducationalPrograms5723EmployedPhysicians5716GovernmentRelations..............................................5737GrassrootsActionCenter/Engage5745GrassrootsPoliticalAction5788GroupPracticeResources5716HealthCareLaw5766HealthInformationTechnology............................5770HouseofDelegates5723HumanResource5730Immunizations5770InformationSystems7604Insurance–Medical,Dental,Vision,Liability877/742-2758InternationalMedicalGraduateSection............5723Advocacy–Federal&State5737ManagedCareContracting5766MediaRelations5745Medicaid&Medicare•Legislation/Funding................................................5737•Reimbursement5722MedicalEducation5729MedicalEthic5789MedicalRecordsRelease5766MedicalStudentSection5723Medigram......................................................................5753MeetingRegistration5789Membership•AccountSpecialists5716•Applications5716•ChangeofAddress..................................................5716

Quantum Medical Concepts 517/336-5745

Michigan State Medical Society PO Box 950 East Lansing, MI 48826 | Membership Fax Line: 517-481-3976 Please email or call if you have any member benefit questions!

Diane Wheelock

American Osteopathic Association 312/202-8000

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Jodi Schafer, SPHR, SHRM-SCP 517-336-5716msms.org/HR

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Rebecca Blake

MSMS SUBSIDIARIES & AFFILIATES

Unlike other businesses, physicians and others providing health care services are subject to constraints on their ability to determine the amount of the fees for their services and when waivers of copayments and deductibles is permissible. First, the terms and conditions of your contracts with third party payers must be considered. These contracts typically restrict your ability to discount your fee and waive copayment and deductible obligations. You must carefully review all these agreements prior to doing so.

Covenant Wound Healing Center 21

Covenant General, Bariatric 19 & Colorectal Surgery

Barb Smith Suicide Resource & Response Network

continued from page 28 Ask Our Lawyer: Is It Legal to Offer Discounts and Waive Patient Copayment and DeductibleSCMS/MSMSObligations?2023 MEMBERSHIP DUES NOW PAYABLE Free CME for Your SCMS/MSMS Membership Renewal by November 30! See page 5 for details

CLICK HERE for more information.

I am planning to build my private practice by offering patients discounts and/or to waive their copayment or deductible obligations. Is this legal? Must it be done on an “across the board” basis or can I instead be selective in deciding which patients to offer the waivers?

Andersen Eye Associates

Second, Michigan's Health Care False Claim Act (the "False Claim Act") makes it illegal to submit a claim for payment to a third party payer that contains a statement of fact or that fails to reveal a material fact that is misleading. Discounting a fee for a patient covered under a policy issued by a health care corporation or health care insurer or waiving such patient's

Covenant Healthcare

1 1

Jan Hauck – Century 21 15

By Daniel J. Schulte, JD, MSMS Legal Counsel

ANSWER:

Ascension St. Mary’s Hospital

a list of codes that is similar to the list published by the Centers for Medicare & Medicaid Services (CMS) on February 4, 2021. This change for their commercial plans will go into effect with dates of service on or after September 1, 2022.

When you

Healthway Compounding Pharmacy 15

QUESTION:

Shields Chiropractic 24

copay or deductible obligation without disclosing this fact could constitute the submission of a claim which fails to reveal a material fact. In the absence of the disclosure, it will appear to the health care corporation or health care insurer that your fee for the service provided was more than what was actually charged. Therefore, the claim may be deemed "deceptive" and "false" under the False Claim Act. The False Claim Act also prohibits the "rebate" of all or any portion of your fee if the rebate is given to a patient in consideration of that patient providing you a referral(s) of other patients.

Renue Physical Therapy 25

Wellspring Lutheran Services Home Health 14 & Hospice

All Seasons Skin and Surgery Center

The CS modifier identifies that the services resulted in a COVID-19 test, and are subject to the member cost-sharing waiver during the public health emergency.

Lori Krygier Graphic Designer 5

Melissa Morse – Bricks Real Estate 16

have a need for a service, please consider our dedicated advertisers first!

30 The Bulletin | September 2022 ADVERTISER INDEX

Third, the Federal Department of Health and Human Services ("HHS") has taken the position that the routine (i.e., “across the board”) waiver of Medicare copayments and deductibles by health care providers could be a violation of the Federal False Claims Act and the Federal Anti-Kickback Statute. HHS' theory is that if the waiver of the patient's copayment and/or deductible was based upon any reason other than the patient's financial hardship (e.g., referrals of patients by the patient whose deductible or copayment had been waived) violations of these Federal statutes would likely be deemed to have occurred. In guidance issued by HHS, it has been made clear that only the "routine" Medicare and/ or Medicaid copayments and deductibles would subject the health care provider to HHS scrutiny for violation of these Federal statutes. To the contrary, waivers of Medicare and/ or Medicaid copayments and deductibles made on a caseby-case basis due to a finding of patient's financial hardship would not subject the health care provider to such scrutiny. To protect yourself, the best practice is to have a written policy in effect in your practice setting forth the criteria that is used to determine when copayment and deductible obligations will be waived, and to limit those waivers to only those cases where a financial hardship combined with a documented need for care is present.

Preventing Suicide in Michigan Men is a five-year, Centers for Disease Control grantfunded program aimed at reducing suicide in men ages 25 and older. To achieve this goal, the Michigan Department of Health and Human Services has implemented a comprehensive, multi-sector partnership and action plan that targets the male population in the state.

CMU, an AA/EO institution, strongly and actively strives to increase diversity and provide equal opportunity within its community. CMU does not discriminate against persons based on age, color, disability, ethnicity, familial status, gender, gender expression, gender identity, genetic information, height, marital status, national origin, political persuasion, pregnancy, childbirth or related medical conditions, race, religion, sex, sex-based stereotypes, sexual orientation, transgender status, veteran status, or weight (see http://www.cmich.edu/ocrie). 20237 MGX 100 qty (10/21)

CMU’s partnership with the PRiSMM initiative is to create and disseminate the toolkit and, in the process, cultivate a statewide training network for suicide prevention and telehealth.

The Michigan PRiSMM project is being led by the MDHHS. By 2024, the statewide PRiSMM initiative will work to reduce the number of suicide deaths and attempts among men ages 25 and older by at least 10 percent. From 2014–2018, more than 6,700 Michiganders lost their lives to suicide. Two-thirds of the suicide deaths in Michigan are adult men.

New Telehealth Suicide Prevention Toolkit Resource!

Preview the PRiSMM Telehealth SP Toolkit: med.cmich.edu/prismmtoolkit or Scan QR Code

For more information, sign up for an overview, or to give us feedback on the toolkit, please contact the CMU Interdisciplinary Center for Community Health and Wellness at icchw@cmich.edu.

Preview the telehealth toolkit, developed by Central Michigan University. Your input will enhance and benefit the resources for service providers in Michigan!

The planners and speaker have no relevant financial relationships with ineligible companies to disclose.

• Increase awareness of trauma-responsive practice and the ripple effects of secondary traumatic stress

Online reservations are required by 9/14/22

Membership Meeting - Social (cash bar) at 6:30 p.m., followed by dinner, meeting and program at 7 p.m.

Tuesday, October 18, 2022 - Horizons Conference Center, 6200 State Street, Saginaw Board Meeting - 5:30 p.m.

PRSRT STD U.S.Saginaw,POSTAGEPAIDMI48605PERMIT#52 350 ST. ANDREWS ROAD | SUITE 242 SAGINAW, MI 48638-5988 These Area Businesses Support Saginaw County Medical Society Membership Meetings. When you have a need for a service, please consider our Key Providers.

*subject to change

DEADLINE FOR RESERVATIONS 9/14/22

Learning Objectives:

Speaker - Thomas J. Veverka, MD, MSMS President“The Future of Medicine” Program - Candidates’ Forum for the November election Email meeting notices will be sent in early October. Online reservations are required.

CLICK HERE TO MAKE A RESERVATION Or scan the QR Code

Saturday, October 8, 2022 – Horizons Conference Center, 6200 State Street, Saginaw CMU CME presents “Implicit Bias Training” (required for licensure) Time: 8-11 a.m.

Tuesday, September 20, 2022 - Horizons Conference Center, 6200 State Street, Saginaw Board Meeting - 5:30 p.m.

Tuesday, November 15, 2022 - CMU College of Medicine, 1632 Stone Street, Saginaw Board Meeting - 5:30 p.m. There is no Membership Meeting in November.

• Develop strategies to respond to children who present with trauma symptoms

2022 KEY PROVIDERS

3 AMA PRA Category 1 CreditsTM Available Click HERE to register and for more information, disclosures and accreditation (see page 10 in this issue for more information).

• Increase awareness of statewide resources, including the Prevention of ACEs Data to Action Project and the Michigan ACEs Initiative

Centralphysicians.Michigan University College of Medicine designates this live activity for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CALENDAR OF MEETINGS AND EVENTS FOR 2022-23*

• Understand why children exposed to ACEs are at elevated risk for chronic disease and risky behavior

• Review the discoveries of the Adverse Childhood Experiences study and the significant life-long health impacts of early trauma and toxic stress

Accreditation Statement:

Membership Meeting Joint with the Saginaw Valley Osteopathic Society - Social (cash bar) at 6:30 p.m., followed by dinner, meeting and program at 7 p.m.

Disclosure: