PHYSICIAN CONNECTION

Brittany Tayler, MD

Read more about Dr. Tayler at her Hurley web bio page.

graduate medical education BLOG

Alice Hamilton Scholar named for 2022-2024

A dual-trained physician has been named as the second-ever Alice Hamilton Scholar, which is part of the Pediatric Public Health Initiative in Flint, Mich., and involves public health work, as well as teaching resident physicians. PPHI is operated jointly by Michigan State University and Hurley Children's Hospital.

Brittany Tayler, MD is trained in both pediatrics and adult medicine, thanks to her residency in Combined Internal Medicine/Pediatrics at Albany Medical Center, Albany, N.Y. In addition to her public health work, Dr. Tayler is precepting Hurley pediatric resident physicians at the Hurley Children's Clinic atop the Flint Farmers' Market and Hurley combined medicine/pediatric residents at the Hurley MOB Family Medical Clinic on the second floor of the Hurley Medical Office Building.

The two-year position was named after Alice Hamilton, an American physician, researcher and author who made great strides in social justice and is considered the mother of the field of occupational health. Alice Hamilton scholars complete public-health training, mentored research, and clinical care within the PPHI. They earn a master's degree in public health.

Dr. Tayler also plans to serve on the Hurley Graduate Medical Education Wellness Curriculum Committee.

New Implicit Bias Training Requirement

The Michigan Department of Licensing and Regulatory Affairs (LARA) will require Implicit Bias Training for physicians (and other health care professionals), effective June 1, 2022. The requirements apply to both new applicants as well as those renewing their existing licenses or registrations.

An applicant for license renewal shall have completed a minimum of 1 hour of implicit bias training for each year of the applicant’s license or registration cycle. An applicant for new licensure, both limited and medical, shall have completed a minimum of 2 hours of implicit bias training within the 5 years immediately preceding issuance of the license or registration.

Please note, the implicit bias training for licensure must “provide opportunities for interaction among participants and with the instructor” to meet LARA requirements

For more information on the Implicit Bias requirement and any other issues regarding physician licensing, please visit: michigan.gov/lara

welcome

new providers

ANESTHESIA Caitlin Pemberton, CRNA

Nurse Anesthetist

Genesee Medical Anesthesia, P.C. Hurley Medical Center One Hurley Plaza, 4N Flint, Michigan 48503 Office Phone: 810-262-9284 Office Fax: 810-262-9610 Office Manager: Bethany Lipka

Stephanie Vallie, CRNA

Nurse Anesthetist

Genesee Medical Anesthesia, P.C. Hurley Medical Center One Hurley Plaza, 4N Flint, Michigan 48503 Office Phone: 810-262-9284 Office Fax: 810-262-9610 Office Manager: Bethany Lipka

BEHAVIORAL HEALTH Rebecca Gleason, NP

Nurse Practitioner

Hurley Adolescent Behavioral Health Unit 1 Hurley Plaza, 3D Flint, Michigan 48503 Office Phone: 810-262-7380 Office Fax: 810-262-4768 Office Manager: Debra McCovery

Korinne Perry, PA-C Physician Assistant

Hurley Behavioral Medicine One Hurley Plaza, 2C & 2D Flint, Michigan 48503 Office Phone: 810-262-9406 Office Fax: 810-262-6607 Office Manager: Binny Patel

EMERGENCY MEDICINE Collin Stickel, PA-C

Physician Assistant

Hurley Medical Center 1 Hurley Plaza, ED Flint, Michigan 48503 Office Phone: 810-262-9020 Office Fax: 810-760-0853 Office Manager: Melanie Krznarich

Serrina VanEckhoutte, NP

Nurse Practitioner

Hurley Medical Center Urgent Care 1 Hurley Plaza Flint, Michigan 48503 Office Phone: 810-262-6774 Office Fax: 810-760-9955 Office Manager: Katherine Blodgett

MEDICINE Nicole Morgan, NP

Nurse Practitioner

Flint Cardiovascular Consultants, PC 4455 Town Center Parkway Suite A Flint, Michigan 48532 Office Phone: 810-720-3370 Office Fax: 810-720-3367 Office Manager: Zaid Almajdalawi

MEDICINE/PEDIATRICS Brittany Tayler, MD

Internal Medicine/Pediatrics

Hurley Children's Center 300 E. First Street Suite 201 Flint, Michigan 48503 Office Phone: 810- 262-9773 Office Fax: 810- 262-6207 Office Manager: Mattie Pearson

OBSTETRICS & GYNECOLOGY Katarina Dean, CNM

Nurse Midwife

Hurley Medical Center One Hurley Plaza, 2N Flint, Michigan 48503 Office Phone: 810-262-9261 Office Fax: 810-262-6031 Office Manager: Mericlare Helcher

Jennah Duchesne, NP

Nurse Practitioner

Hurley Medical Center One Hurley Plaza Labor & Delivery, 2N Flint, Michigan 48503 Office Phone: 810- 262-9261 Office Fax: 810- 262-6031 Office Manager: Mattie Pearson

Collen Newlin, NP, CNM

Nurse Practitioner/Nurse Midwife

Ladies First Healthcare 1010 N. Linden Road Flint, Michigan 48532 Office Phone: 810- 733-7791 Office Fax: 810- 733-7898 Office Manager: Naureen Ahmad

SURGERY Richard Veyna, MD

Neurosurgery

Michigan Head and Spine Institute 29275 Northwestern Hwy Suite 100 Southfield, Michigan 48034 Office Phone: 248-784-3667 Office Fax: 248-784-3678 Office Manager: Karen Lewis

Surgical Documentation Tip o ’ the Month ~or~ How to Survive the Government Documentation Rules

Didyou mean “ paralysis ” or “ paraplegia ”?

The Federal Government has enough regulations to handcuff any coder and significantly impair his or her ability to code the level of care of our patients require.

H Here ’ s what you already know The terms “paralysis” and “paraplegia” are often used interchangeably. Damage to the spinal cord may result in varying levels of paralysis; paralysis may be temporary and/or partial, while for others it is permanent and/or complete. As a result, there are several classifications of paralysis (monoplegia, hemiplegia, paraplegia and quadriplegia/ tetraplegia).

H Here ’ s what you may not know In ICD-10 coding, the terms “paralysis” and “paraplegia” are distinct.

“Paralysis” as a general term is used to describe the loss of movement or sensation following damage to the nervous system. Therefore, without specific documentation of the term “paraplegia”, the coder is only permitted to code the diagnosis as “paralytic syndrome, unspecified”.

Let’s look ata clinicalscenario: A 52-year-old male, with long-standing paraplegia after a gunshot wound, presents for a VATS lobectomy for surgical management of a newly diagnosed lung cancer. Here’s how this can be coded:

MS DRG Description Average Medicare Compensation

Average Length of Stay 165 Major Chest Procedures w/o CC/MCC $12,042.78 2.3 days

164 Major Chest Procedures w CC $16,141.41 3.9 days

W Why the difference? In the first scenario, you noted “long-standing paralysis secondary to GSW at L2” in the admission H&P and discharge summary.

Comparatively, in the second scenario, you used the word “ paraplegia” instead of “paralysis”. The small, but significant, difference in the documentation afforded the patient a longer stay under your thorough management.

T The moral of the story? Be careful when documenting paraplegia and other types of paralysis (mono-, hemi, quadriplegia)!

This material is confidential and proprietary property of FairCode Associates, LLC. Revised February 2022

continuing medical education (cmE)

SAVE the DATE*

MARCH 8, 2023 – Wednesday

Navigating Ethical Issues in the Hospital Setting (This activity fulfills the CE requirements for medical ethics.)

MARCH 22, 2023 – Wednesday

Practices to Foster Physician Presence and Connection with Patients in the Clinical Setting

APRIL 12, 2023 – Wednesday

Advances in OB Pain Management

APRIL 26, 2023 – Wednesday

Pediatric Update

*Activity dates and/or speakers are tentative and subject to change until final advertising.

PHYSICIAN SUPPORT LINE: (888) 409-0141

• Free & Confidential • No appointment necessary • Available 7 days a week 8:00AM - 1:00AM ET Learn More: www.physiciansupportline.com

What is Physician Support Line?

Physician Support Line is a national, free, and confidential support line service made up of 600+ volunteer psychiatrists, joined together in the determined hope to provide peer support for our physician colleagues and medical students. Physician Support Line was created with the mission of physicians supporting physicians as we navigate the many professional and personal intersections of our lives.

Physician Support Line promises to provide emotional support and a safe holding space for physicians and medical students.

continuing medical education (cmE)

To get FREE continuing medical education online, please visit: education.hurleymc.com/cme/calendar for the following topics that have been approved for AMA PRA Category 1 Credit ™:

• Drug Endangered Children • Pediatric & Adolescent Obesity • Thyroid Cancer Management • Impact of Racism on Children and Adolescents

CONTINUING EDUCATION REQUIREMENTS FOR MICHIGAN MEDICAL DOCTORS

Authority: Public Act 368 of 1978, as amended

REQUIREMENTS FOR RENEWAL

The continuing education requirements apply to every physician renewing a Michigan medical license who has been licensed in the 3-year period immediately preceding the application for renewal. The requirements apply whether or not the physician is actively engaged in the practice of medicine. No one, including medical school faculty and resident physicians, is exempt from this requirement.

Each medical doctor is required to complete 150 hours of continuing education in courses or programs approved by the Board of Medicine, of which a minimum 75 hours of the required 150 hours must be earned in courses or programs designated as Category 1 programs.

A minimum of 1 hour of continuing education must be earned in the area of medical ethics. A minimum of 3 hours of continuing education must be earned in the area of pain and symptom management.

Michigan Department of Licensing and Regulatory Affairs (LARA) Mandatory Training Standards

NOTE: LARA trainings are separate from Continuing Education requirements. • LARA requires a one-time mandatory training in Opioids and Controlled Substances Awareness and

Human Trafficking.

• LARA requires Implicit Bias Training for new applicants, as well as those renewing their existing licenses or registrations.

An applicant for license renewal shall have completed a minimum of 1 hour of implicit bias training for each year of the applicant’s license or registration cycle, and every renewal cycle thereafter.

An applicant for new licensure, both limited and medical, shall have completed a minimum of 2 hours of implicit bias training within the 5 years immediately preceding issuance of the license or registration.

For more information or questions, please visit: michigan.gov/lara

Hurley offers the following free CME on Demand courses that fulfill requirements, training, and are approved for AMA PRA Category 1 Credit ™

• Ethical Principles – Choosing Wisely (This activity fulfills the CE requirements for medical ethics.) Please visit: education.hurleymc.com/cme/calendar • Managing the Chronic Opioid User (This activity fulfills the CE requirements for pain and symptom management.) • Human Trafficking: the Role of the Healthcare Provider Coronavirus Educational Resources (This activity fulfills the LARA training standards for identifying victims of human trafficking requirements.) There is a Novel Coronavirus Education Resources webpage on the

Please visit: education.hurleymc.com/cme/calendar ACCME website at www.accme.org/coronavirus-resources that includes a list of accredited continuing education (CE) activities and additional resources that can help the clinician community respond to the novel Coronavirus coronavirus public health emergency. The majority of the CE activities are Educational Resources There is a Novel Coronavirus Education Resources webpage on the ACCME website at www.accme.org/ Free. coronavirus-resources that includes a list of accredited continuing education (CE) activities and additional resources that can help the clinician community respond to the novel coronavirus public health emergency. The majority of the CE activities are free.

HURLEY REGULARLY SCHEDULED SERIES (RSS)

CREDIT CONTACT NAME RSS TITLE HOURS DEPT LOCATION DAY & TIME & NUMBER

Multidisciplinary Tumor Board

1.00 Oncology Virtual Wednesdays, 7:00-8:00 AM

WEEKLY

Robyn Hatch 810-262-9585

Pediatric Grand Rounds 1.00 Pediatric Virtual and Ed Center Rm 123 Wednesdays, 8:00-9:00 AM

WEEKLY

Audrina Roberts 810-262-7045

Pediatric Oncology Tumor Board

1.00 Oncology For Location, Day, and Time, please call the Pediatric Dept at 810-262-7045 Audrina Roberts 810-262-7045

Surgical Conference 1.00 Surgery Virtual and 7B Conference Rm

Surgical Critical Care Journal Club

1.00 Surgery Virtual and 7B Conference Rm 3rd Friday, 7:00-8:00 AM

MONTHLY

4th Friday, 7:00-8:00 AM

MONTHLY

Pauline Tippett 810.262.6823

Pauline Tippett 810.262.6823

Trauma Conference 1.00 Trauma Virtual and 7B Conference Rm 1st Friday, 7:00-8:00 AM

MONTHLY

Pauline Tippett 810.262.6823