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Bulletin Saginaw County Medical Society August 2017 Volume 86, No 9

Don’t Miss September 19th Meeting on Physician Resiliency Register Online Now p. 8

Physician Mentors Needed for M3 Students p. 4-5

8th Annual SCMS Foundation Golf Outing - Over $20,000 Raised for Medical Student and Resident Programs! p. 16-18

WArning SignS of


Sudden numbness or weakness of the face, arm or leg, especially on one side of the body. Sudden trouble walking, dizziness, loss of balance or coordination. Sudden, severe headache with no known cause. Sudden trouble seeing in one or both eyes. Sudden confusion, trouble speaking or understanding. For more information go to

Every minute counts CALL 911

Do not wait for the symptoms to go away.

Š2016 Covenant HealthCare. All rights reserved. Bus. Dev. PK 4/16


Bulletin Saginaw County Medical Society

SAGINAW COUNTY MEDICAL SOCIETY 2017-2018 OFFICERS AND DIRECTORS President Julia M. Walter, MD President-Elect Zubeda S. Khan, MD

contents 4-5


Past President Virginia R. Dedicatoria, MD Secretary Sanjay J. Talati, MD Treasurer Thomas J. Veverka, MD Board of Directors B.L. Nahata, MD Mildred J. Willy, MD Gopi K. Nallani, MD Anthony M. Zacharek, MD Maliha N. Shaikh, MD Jorge M. Plasencia, MD Bulletin Editor Louis L. Constan, MD Retiree Representative Larry S. Kelly, MD Resident Representative Abhishek A. Bhandiwad, MD MSMS Delegates Elvira M. Dawis, MD B.L. Nahata, MD Zubeda S. Khan, MD Sanjay J. Talati, MD Julia M. Walter, MD Virginia R. Dedicatoria, MD Mohammad Yahya Khan, MD

4 6 7 9 10 10 12 14 15 19 20 24

Steven J. Vance, MD J. Patricia Dhar, MD Danielle C. Duncan, MD Jorge M. Plasencia, MD Christopher J. Allen, MD


September Birthdays Second Victims Applications for Membership Walk With a Doc St. Mary’s of Michigan | Ascension


MiMGMA Fall Conference


Key Provider of the Month – Healthway Compounding Pharmacy

Pediatric Health Care Providers Needed for NIH Research Project


30 31 32

MSMS Foundation Regional Scientific Meeting (Opioids) 9/16/17 CMU College of Medicine | CMU Health • 3rd Annual MiHIA Symposium 9/28/17 • 2nd Annual Psychiatry Update Conference 10/28/17 • Human Trafficking Awareness Training 9/30/17 Michigan’s Opioid Epidemic – A Regional Forum 9/8/17 CMU Health CenteringPregnancy Program Advertiser Index Human Trafficking: A National and State Problem 10/11/17 Key Providers

The Bulletin can be viewed online at under the Bulletin tab.

Caroline G.M. Scott, MD

Anthony M. Zacharek, MD


From the Editor

MSMS Alternate Delegates

Gopi K. Nallani, MD

Foundation Golf Outing

President’s Letter

Covenant HealthCare

Michigan-OPEN: Fight Against The Opioid Epidemic - SCMS Members Invited – Register by 9/5/17

16 8th Annual SCMS

Register Online Today for SCMS Membership Meeting on 9/19/17 on Physician Resiliency

Mildred J. Willy, MD

Waheed Akbar, MD


Physician Mentors Needed for CMU CoM Medical Students

ON THE COVER: SCMS Foundation President, Dr. Matt Deibel, and his Team EDITOR Louis L. Constan, MD

PUBLISHER Saginaw County Medical Society


350 St. Andrews Rd., Suite 242, Saginaw, Michigan 48638-5988. Hours: Tuesday, Wednesday, Thursday 8:30 AM - 3:30 PM. Web:

DESIGNER Lori Krygier

Telephone: (989) 790-3590. Fax: (989) 790-3640 E-Mail:

Jacqueline M. Charbel, DO Peer Review Ethics Committee Waheed Akbar, MD Caroline G.M. Scott, MD James R. Hines, MD MSMS District 8 Director Thomas J. Veverka, MD EXECUTIVE DIRECTOR Joan M. Cramer ADMINISTRATIVE ASSISTANT Keri Benkert

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). 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. 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.

The Bulletin | August 2017 3


Physician Mentors Needed for CMU CoM Medical Students By Julia M. Walter, MD


gain this summer, the SCMS welcomed third year CMU CoM students to Saginaw. As part of her presentation to the students, our Executive Director, Joan Cramer, offered physician mentorships to the students. We know the future of medicine in Saginaw County is these students, and we work to welcome them to our community and become involved in the SCMS. They are at a point in their career where they are trying to decide on a specialty, and most are new to the Saginaw area. Physician mentors are needed to answer questions the students may have, serve as a confidante if needed in personal or professional matters, and help the students make decisions that may affect the rest of their careers. Several students have asked for a physician mentor. Following is a brief summary of the students and their comments to Joan. We currently have four female students and one male student to match with a SCMS physician. If you would like to serve as a mentor to one or more students, please contact Joan Cramer at or call at (989) 284-8884. Thank you to Dr. Henry Moon who has already committed to serving as a mentor to a male student.


The Bulletin | August 2017

Male Student: First of all, thank you for making us feel very welcomed during orientation; it feels really nice to know that we have someone like you who genuinely cares about our success as medical students and future physicians. The purpose of my email is to inquire about being paired with a physician mentor. Some brief background about myself: I am originally from the Democratic Republic of Congo (DRC), and I have spent the majority of my time in the USA living in NY (Long Island and Rochester). I am currently a 3rd year medical student at CMU. Although I am interested in the field of Gastroenterology, I am still keeping an open mind in regards to where my journey will lead me. However, I am sure that I want to eventually practice in underserved urban communities in the US, and also engage in international

service (my hope is to someday establish a small clinic in the DRC). In sum, Gastroenterology is what I am currently interested in; I am quite unsure about from which angle I want to pursue this field from (i.e. surgery or medicine). At this point in my career, I believe that it would greatly enhance my chance of success where I am able to learn from a physician in the field. I understand that time is valuable and greatly appreciate any type of commitment. Female Student #1: You spoke last week during my M3 orientation for CMED in Saginaw. First of all, thank you for being so welcoming. After an intense week of rules and regulations, your talk was very reassuring that this year will be manageable. You mentioned the physician mentor program continued on page 5

We know the future of medicine in Saginaw County is these students, and we work to welcome them to our community and become involved in the SCMS.

Julia M. Walter, MD

continued from page 4 and I am very interested. As far as background on myself, I am the oldest child in a family of six. I grew up in Metro Detroit and completed my undergrad at Michigan State University with a Spanish degree. As far as hobbies, I enjoy staying active, working out, movies, and being outside. I love working with kids and spent a lot of time as a camp counselor for children of parents with cancer. I am interested in specializing, although I have no idea in what yet. Female Student #2: I am also interested in being paired with a physician mentor. I am an Afro-Caribbean Canadian citizen, and I am interested in a wide range of specialties. My interests include neurosurgery, neurology, emergency medicine, internal medicine, general surgery, and anesthesiology. I am also interested in taking part in research, if possible. I am very interested in getting involved in the Saginaw community, through mentoring others or volunteering my time to help others in need. Ultimately, I am looking to make connections and to make a home in Saginaw, while exploring my future career options. Female Student #3 I am definitely interested in getting paired with a physician mentor. Here is a little bit about myself. I am 25 years old and will be a 3rd year medical student this year at CMU College of Medicine. I got married in July 2014 right before starting medical school. My husband and I have three little dogs that weigh less than 20 pounds all put together! My husband is a software developer, and currently works between Ann Arbor, Grand Rapids, and some days, home, for a start-up company. Prior to this opportunity, he worked for a company in Detroit that allowed him to work remotely full time (which was definitely a blessing for the first two years of medical school!). I will be returning to school this year after taking a year leave of absence (LOA). Over this past year, I did research with a CMU College of Medicine faculty member in Mt. Pleasant, and spent much needed time with my husband. It was definitely a really good decision for me to take a break from the craziness of medical school. I now feel refreshed and a lot more prepared for 3rd year! In my free time, I enjoy drawing (or more, learning how to draw), painting, cross stitching (a new hobby of mine), playing my Nintendo 3ds, Netflixing, and spending time with family. I also enjoy music - I have played the alto sax since 7th grade and have been learning on-and-off how to play the guitar for the past two years. Based on the first two years of medical school, I definitely find I struggle with the “work-life” balance and maintaining stress levels, and I am hoping to be paired with a physician mentor who will provide some great insight concerning these matters.

Female Student #4 Thank you for coming to speak with us during orientation week. I would love to participate in the physician mentor program. A little background about me: I am originally from the Grand Rapids area and completed undergraduate coursework at CMU. I am currently interested in Internal Medicine, but I am keeping an open mind to all specialties. Outside of school, I enjoy playing sports and exercising, the outdoors, and spending time with my two dogs. If possible, I would like to speak with a physician mentor who is also a female, so that I can ask questions about balancing a family and a career from the perspective of another female. Thank you again for introducing yourself to us during orientation week and for facilitating this program. As you can see, these students feel they would benefit greatly from a SCMS physician mentor. It is likely more students will request a mentor, so let Joan know if you are willing and able to mentor additional students if the need arises. Thank you!

Focusing our practice on the needs of our community, we provide the following services for both individuals and businesses: n Monthly Accounting n Tax Planning n Financial and Business Consulting Service n Payroll Service n Tax Preparation Service n Retirement Planning Contact us for a complimentary visit at 989-791-1040. Three convenient locations to serve you in: Saginaw | Vassar | Frankenmuth

“Attention to detail since 1980.” The Bulletin | August 2017 5


The 3 Thing 1 We Know For Sure rd

By Louis L. Constan, MD


ave you heard the one about the Psychiatrist’s patient who believed he was dead? The doctor tried to convince him he was not but repeatedly failed. He finally tried the Socratic approach. He carefully outlined the characteristics of living organisms, including the importance of the heart, the blood vessels, and how the flow of blood provides nourishment, oxygen, etc. The patient, he thought, became convinced that the ability to bleed is a hallmark of a person who is alive. “I see, dead men don’t bleed,” the patient finally averred. At this point the doctor dramatically picked up a scalpel, made a small incision in the patient’s arm, and was rewarded by a generous flow of blood. The patient looked at his arm and exclaimed: “Aha, I was wrong, dead men DO bleed.” The above is a dramatic illustration of the power of a fixed belief, and shows how reluctant people can be when they hold a

belief and someone tries to change their mind. When the evidence against that belief is overwhelming, and the person still refuses to accept that evidence, we may say that he is suffering from a delusion. Such is the case with the millions of Americans (and many of our patients) who insist that the world was created 6,000 years ago and biological creatures have not changed one bit since then. It is puzzling that someone in this Age can believe such nonsense, but we can see where they’re coming from. Their religious belief is that every letter and punctuation mark in the Bible is perfect, and is the only explanation for all that goes on in the world. These folks are definitely not scientists, and that can lead to trouble for us, in several ways: First: We depend on new disease treatments and these are threatened when voters deny the science that leads to those treatments. Legislators may cut off funding for biological research when their constituents

don’t trust scientists and what they do. School Boards may buy Biology textbooks that deny the preeminence of Evolution, discouraging some of the brightest young students from choosing careers in science. We live in the Golden Age of biological discovery, but we could lose this without adequate funding and without a pool of young scientists. And the billions of us who depend on those advanced treatments for life and health, myself included, get shortchanged. Second: Certain problems inevitably occur when a sick patient needs a new treatment derived from evolutioninspired research. Think former President Jimmy Carter, who had metastatic melanoma to the brain, usually a death sentence. Imagine the scene when his doctors told him: “Mr. Carter, we’re going to give you a new treatment that involves removing lymphocytes from your body, and continued on page 7

Thus, the delusion “Evolution is Fake Science” is harmful to the health of our patients. It may be considered a lifestyle choice, and is just as bad as certain other lifestyle choices such as not exercising, eating a poor Louis L. Constan, MD


The Bulletin | August 2017

diet, smoking and excessive alcohol use.

continued from page 6


CHANGING THEIR GENETIC MAKEUP so that they attack your tumor. You, in effect, will become a genetically modified organism (a GMO!).” Now imagine what would have happened if Jimmy Carter had been one of those millions of patients with a deep distrust of Evolutionary Genetics. He might have refused the treatment that saved his life.

Altamash A. Amin MD Umesh A. Badami MD Leroy C. Barry MD Glenn J. (Jason) Bunn, Jr. MD Jacquelyn M. Charbel DO Radha Cherukuri MD Kristin M. Constantino MD Matthew D. Deibel MD Paul R. Goyt MD Nina R. House MD Parminder S. Jaswal MD Daniel B. Kehres DC Zaira Khalid MD Deirdre H. Knobeloch DO Palaniandy K. Kogulan MD John B. Llewelyn MD Ashley M. Lopez MD Mary Jean McKuen MD Thersilla Oberbarnscheidt MD James E. Packer MD Brian F. Perry MD Kaushik Raval MD Jennifer M. Romeu MD Naman A. Salibi MD Stacey L. Sharp MD Tory K. Snyder DO Joseph C. Spadafore MD Dennis M. Tibble MD Prabhundha Vanasupa MD Neill D. Varner DO Mary Jo Wagner MD James R. Weir MD Lawrence C. Whiting MD Fakhar H. Zaidi MD

Third: We could lose credibility with our patients. We need patients to have faith in us. But that faith needs confidence in both the doctor and the reliability of the treatment we prescribe. Both go together. When Medical Science is debased and dragged through the mud over issues like immunizations, perceived conflicts of interest in the research community, and accusations of improper FDA evaluations of drugs, patients are less likely to have confidence in our treatments. They may refuse outright a lifesaving treatment, stop it abruptly with the least complication, or practice intermittently following the regimen, depending on how they feel from day to day. Not good. Thus, the delusion “Evolution is Fake Science” is harmful to the health of our patients. It may be considered a lifestyle choice, and is just as bad as certain other lifestyle choices such as not exercising, eating a poor diet, smoking and excessive alcohol use. As such, this delusion requires a response from the medical community. So, what can we do? • We can lend our voices in support of all evolutionary-based research (which is probably ALL biological research), and point out to our patients how very dependent we all are on that research. • We can encourage our young patients, and our young friends and relatives to go into science as a career. • We can speak to school boards, teachers and principals about the importance of evolution and science. • We can join with our specialty societies, MSMS, and AMA in speaking with legislators on this issue. It is important that they understand the implications of this delusion for medical care. Indeed, the personal views of legislators about Evolution may be as important as their party affiliation and their views on fiscal policy. Wouldn’t this be a great question to ask at our next Legislative Forum? From the November 2016 article in Scientific American: “Five things we know for sure” The opinions expressed here are my own, and not necessarily the opinions of the SCMS 3 Just now, NIH is being threatened with a billion dollar cut in funding 1 2

9/6 9/18 9/14 9/23 9/5 9/29 9/5 9/9 9/26 9/21 9/11 9/20 9/12 9/26 9/16 9/5 9/24 9/6 9/7 9/24 9/11 9/25 9/7 9/25 9/20 9/14 9/20 9/19 9/18 9/3 9/20 9/20 9/30 9/19


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! If you have any questions, please contact Joan Cramer at the SCMS office at 790-3590 or by email at The Bulletin | August 2017 7

The Saginaw County Medical Society Presents:


6:30 p.m. Social (cash bar) 7 p.m. Dinner and Brief Meeting 7:15 p.m. Program Horizons Conference Center 6200 State Street, Saginaw, MI

Register now at


Target Audience: Physicians, community preceptors, residents and medical students Healthcare professions practitioners, faculty and trainees are at risk for stress and burnout which can impact well-being and optimal patient care. Within “The Becoming,” the dynamic lifelong process of professional formation, “3R’s” – Reflection, Relationships, Resourcefulness – can inspire, enrich and fortify us as we craft our own story for resilience and vitality. Reflective writing-enhanced reflection, in particular, can serve as a “Resiliency Workout” and help us reconnect to our own hearts, values, passion and humanity. Dr. Hedy Wald will discuss how we can effectively serve as our own “reflective coach,” utilizing a “3R” professional “toolkit” approach to enhance resilience and well-being for ourselves and our organizations. A partnership of individual skills and workplace factors as a shared commitment for cultivating a “culture of resilience and wellbeing” will be discussed.

Objectives • Knowledgeable about the need for protective strategies for reducing stress and mitigating/preventing burnout and depression, ideally preserving empathy and promoting humanistic practices within patient care and education. • Able to identify and value a “3R” resilience and wellbeing “professional toolkit” of Reflection, Relationships and Resourcefulness for clinicians, educators and trainees. • Aware of the role of interactive reflective writing-enhanced reflection in supporting healthy professional identity formation, and boosting resilience as a “Resiliency Workout.” • Aware of a partnership of individual skills and workplace factors as a shared commitment for cultivating a “Culture of Resilience and Wellbeing.” Statement of Accreditation: Central Michigan University College of Medicine Office of Continuing Medical Education (CMED OCME) is accredited by the Michigan State Medical Society to provide continuing medical education for physicians. CMU College of Medicine Office of Continuing Medical Education designates this live activity for a maximum of 1.25 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Speaker and program coordinators disclose they have no relevant financial relationships with commercial interests.


Tuesday, September 19, 2017 6:30-8:30 p.m.

The Bulletin | August 2017

Cost: SCMS members, residents, medical students and spouse/significant other - NO COST Saginaw County Osteopathic Society (SCOS) members – NO COST (dinner fee paid by SCOS) Spouse/significant other of SCOS members $35 each (payable in advance) Physicians who are NOT members of the SCMS or SCOS - $100 each (payable in advance) All others - $40 each (payable in advance) Those who make a reservation but do not cancel seven days prior to the meeting or attend, will be charged a $25 cancellation fee. The SCMS would like to thank Key Providers, Bieri Hearing Specialists, Caretel Inns of TriCities, Covenant HealthCare and HealthSource Saginaw for their assistance in sponsoring tonight’s meeting. The SCMS and SCOS would like to thank CMU College of Medicine for hosting Dr. Wald.

Hedy S. Wald, PhD Clinical Professor of Family Medicine, Warren Alpert Medical School of Brown University; Director, Resident Resilience & Wellbeing Residency Programs in Child Neurology & Neurodevelopmental Disabilities, Boston Children’s Hospital-Harvard Medical School

SECOND VICTIMS About Second Victims Most health care providers adjust well to the multitude of demands encountered during an unexpected or traumatic clinical event. Providers often have strong emotional defenses that carry them through and let them “get the job done.” Yet sometimes the emotional aftershock (or stress reaction) can be difficult. Signs and symptoms of this emotional aftershock may last a few days, a few weeks, a few months or longer. Who is a Second Victim? Second Victims are “healthcare providers who are involved in an unanticipated adverse patient event, medical error and/or a patient related injury and become victimized in the sense that the provider is traumatized by the event.” The Second Victim phenomenon can occur to any healthcare provider, in any organization. Frequently, Second Victims… • Feel personally responsible for the unexpected patient outcomes; • Feel as though they have failed the patient;

• Second-guess their clinical skills; and • Second-guess their knowledge base. Second Victim Fast Facts • Each Second Victim (even those involved in the same event) will have unique experiences and needs. • Regardless of job title, providers respond in predictable manners. The six stages of Second Victim recovery explain how the Second Victim is impacted by the clinical event. • There are some events that are high risk for inducing a Second Victim response. • The first tendency of providers is self-isolation. • Providers tend to ‘worry’ in a predictable pattern. • Sometimes the entire team is impacted by a clinical event. Source: Information on upcoming educational programs on Second Victims will be published in future issues of The Bulletin.

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APPLICATIONS FOR MEMBERSHIP Below are Applications for Membership that may be recommended for acceptance at the Tuesday, September 19, 2017, Board Meeting. Please contact Joan Cramer at or 790-3590 if you have any questions or would like more information on the applicants.

Marina J. Ananich, MD (Advanced Diagnostic Imaging) Primary: Radiology, Board Certified 2005 Secondary: Neuroradiology, Board Certified 2007 Medical School: Minsk State Medical Institute, Minsk, Belarus, 1986 Sponsors: Doctors Peter Lassing and Steve Min

Vedang J. Bhavsar, MD (Michigan CardioVascular Institute) Primary: Cardiology, Board Certified 2015 Medical School: Smt. NHL Municipal Medical College, Ahmedabad, India, 2007 Sponsors: Doctors Naveed Akhtar and Vipin Khetarpal

Syed R. Hassan, MD (Covenant Cancer Care Physician Group) Primary: Internal Medicine, Board Certified 2005 Secondary: Oncology, Board Certified 2010 Medical School: Universidad Eugenio Maria de Hostos, Dominican Republic, 1986 Sponsors: Doctors Binu Malhotra and Sue C. Tobin

Rajeev Savanth Sudhaker, MD (Michigan CardioVascular Institute) Primary: Cardiovascular Disease, Board Certified 2011 Medical School: Sri Venkat Sai Medical College, Andhra Pradesh, India, 2005 Sponsors: Doctors Naveed Akhtar and Vipin Khetarpal

John Blebea, MD

Gregory Sutton, MD

(CMU Health-Surgery) Primary: Vascular Surgery, Board Certified 1992 Secondary: General Surgery, Board Certified 1989 Medical School: Case Western Reserve University, Cleveland, OH, 1982 Sponsors: Doctors Timothy Hackett and Samuel Shaheen

(Covenant Cancer Care Physician Group) Primary: Ob/Gyn, Board Certified 1982 Secondary: Gynecologic Oncology, Board Certified 1984 Medical School: University of Michigan Medical School, 1976 Sponsors: Doctors Sussan Bays and Binu Malhotra

Below are Applications for Membership that may be recommended for acceptance at the Tuesday, October 17, 2017, Board Meeting. Please contact Joan Cramer at or 790-3590 if you have any questions or would like more information on the applicants. Joseph P. Contino, MD

S. Sethu K. Reddy, MD

(Covenant Cancer Care Physician Group) Primary: General Surgery, Board Certified 1996 Secondary: Breast Surgery Medical School: Loyola Stritch Medical School, Chicago, IL 1988 Sponsors: Doctors Ronald C. Barry and Sussan M. Bays

(CMU College of Medicine, Professor and Chair of Medicine) Primary: Internal Medicine, Board Certified 1984 Secondary: Endocrinology, Diabetes and Metabolism, Board Certified 1985 Medical School: Memorial University of Newfoundland, Canada, 1980 Sponsors: Doctors Ramakrishnayya Gadam and Steven J. Vance

Get Outside for a Healthy Inside (GOHI), is encouraging Saginaw residents to take a step toward better health with “Walk With a Doc,” a health program that brings doctors and patients together to walk on Saturdays. Walk location will be at Hoyt Park from 10 a.m. - 12 p.m. In case of rain, the walk will be at the Saginaw YMCA.

“Walk With a Doc” Program Launching in Saginaw Physicians and Medical Personnel Needed! “Walk With a Doc” is a national non-profit organization whose mission is to encourage healthy physical activity in people of all ages and reverse the consequence of a sedentary lifestyle in order to improve the health and well-being of the country. GOHI is a group of citizens from the City of Saginaw with the mission to create or revitalize innovative neighborhood parks. The parks will serve all ages and abilities. The walk is open to everyone in the community. Participation is free and preregistration is not required. Participants will listen to a 5-10 minute presentation from a physician or other health professional, prior to the walk. Walkers will enjoy a refreshing and rejuvenating walk with the professionals who will answer questions.

Still have questions? Contact Sharon Dinse at 989-284-3409. 10 The Bulletin | August 2017

The Saginaw Surgical Society Invites SCMS Members and Spouse/ Significant Other To Their Membership Meeting

Thank you SCMS for the opportunity to work with you!

Wednesday, September 13, 2017 6 p.m. Social (Cash Bar) | 6:30 p.m. Dinner 7 p.m. Program Saginaw Country Club, 4465 Gratiot Road, Saginaw RESERVATIONS REQUIRED and SPACE IS LIMITED! Topic: Michigan-OPEN: Fight Against the Opioid Epidemic Michigan Opioid Prescribing Engagement Network, or Michigan-OPEN, is the effort that aims to cut in half both the amount of opioids prescribed to Michigan surgical patients, and the number of patients who still use opioids many months after surgery. Because opioid abuse is a widespread issue in Michigan – costing nearly $2 billion annually and with mortality accelerating faster than in other states – MichiganOPEN will act quickly to get evidence-based information and guidance to health care teams across the state. The Michigan-OPEN effort will put special focus on people who have Medicaid insurance, paid for by state and federal funds. Medicaid patients account for 12 percent of surgical patients in the state, but make up 30 percent of people who develop a dependence on opioids after surgery. In addition to working to prevent addiction in patients whose first opioid experience happens with surgery, Michigan-OPEN will also focus on patients who are already on prescription opioids before they went into surgery. For more about Michigan-OPEN, visit Speaker: Michael J. Englesbe, MD, FACS Transplant Surgeon at the University of Michigan and member of Michigan-OPEN Dinner Cost: Saginaw Surgical Society Members and spouse/ significant other – NO COST (cash bar) Residents and Medical Students – NO COST (cash bar) Physicians who are not SSS members and Guests $40 per person (cash bar) Online reservations accepted at RSVP required by September 5, 2017

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989-272-8123 IT Specialist to the SCMS and many physician practices Hours: MON-FRI 9 AM to 5 PM The Bulletin | August 2017 11

New Hospitalist Group Joins St. Mary’s St. Mary’s of Michigan has partnered with Sound Physicians, a hospitalist group to provide services to referred inpatients. The physician team will be on-site 24/7. The Hospitalist office is on the 5th floor at St. Mary’s Main. The office number is 989-907-8215 and fax is 989-907-8798. Sound Physicians will accept unassigned patients in rotation with community providers. They will also provide support for Rapid Response and “Code Blue” alerts. Nursing units and other key departments will receive a Daily Census Fax providing a patient list by each Hospitalist Team. This will facilitate direct communication with the covering provider for each patient. To help communicate with primary care physicians, they will receive a fax from Sound Physicians notifying them of a patient’s admission and/or discharge from the Hospitalist service, along with summary information. Sound Physicians has a thorough discharge planning process to ensure safe and effective transition of care so that each patient has instructions for post-discharge follow up with their physician. Sound Physicians is a leading hospitalist organization focused on quality, patient satisfaction and efficiency of inpatient health care delivery. Seton Cancer Institute Receives Accreditation St. Mary’s of Michigan Seton Cancer Institute has been awarded full accreditation as an “Academic Comprehensive Cancer Program” from the Commission on Cancer of the American College of Surgeons. This is a three-year full accreditation. In addition, Seton Cancer Institute was also awarded the full, three-year reaccreditation by the Board of Chancellors of the American College of Radiation Oncology. Receiving care at an accredited cancer program ensures that a patient will have access to comprehensive care, including state-of-the-art services and equipment; a team approach to coordinate the best treatment options; information about ongoing clinical trials and new treatment options; access to cancer-related information, education and support; a cancer registry that collects data on type and stage of cancers and treatment results and offers lifelong patient follow-up; ongoing monitoring and improvement of care; and, most importantly, quality care close to home. New Patient-Centered, Wide Bore MRI St. Mary’s of Michigan recently added the Optima MR450w 1.5T with GEM Suite coil technology to their imaging services. This advanced system from GE Healthcare is designed to help maximize comfort for patients undergoing MRI exams. Features include: • A 70 cm wide bore to add patient space for comfort • A table surface with different cushion densities designed to alleviate pressure points 12 The Bulletin | August 2017

• A coil array that offers feet-first imaging for all exam types This system also delivers uncompromised imaging capability for the most advanced and demanding exams. The soft, flexible GEM Suite coils follow body contours while facilitating high resolution, signal-tonoise (SNR) imaging from the top of the head down to the feet. Plus, advanced functionality gives you the tools to help you to make definitive diagnoses. “The new scanner provides greater flexibility for physicians and clearer, quicker results to help with diagnosis and treatment,” shared Michelle Newman, regional director of Imaging Services for St. Mary’s. To schedule a patient for an appointment, call Central Scheduling at 989-907-8222 or for more information, contact 989-497-3080. St. Mary’s of Michigan Performs First Unique Weight-Loss Surgery Procedure in Region Minimally invasive procedure offers hope and health to those with clinically severe obesity and significant health risks. Fady Moustarah, MD, associate professor of surgery at Central Michigan University College of Medicine, is a metabolic and bariatric surgeon who recently performed a biliopancreatic diversion with duodenal switch at St. Mary’s of Michigan. Dr. Moustarah and his team are the first in the region to offer and perform this unique and highly specialized laparoscopic procedure. The biliopancreatic diversion with duodenal switch (referred to as BPDDS) is one of the most complex and technical weight loss surgeries; however, it can also be the most effective surgery to offer patients significant and sustained weight-loss and improvements in metabolic conditions such as type 2 diabetes.

continued on page 14

St. Joseph

Lung C a ncer Scr eening Progr a m

Take charge of your lung health A lung screening could save your life!

Is it covered by insurance?

If you’re a long-time smoker age 55 to 80, you’re at a higher risk for developing lung cancer. National studies have shown a low-dose CT (computed tomography) lung screening can diagnose early stage lung cancer, when it can be more effectively treated. An early diagnosis could save your life.

• Medicare covers an annual low-dose CT lung cancer screening for beneficiaries who meet the criteria.

Why is a lung cancer screening important? • Can detect cancer long before symptoms are present • Identifies the cancer’s stage to help your doctor decide the best course of treatment. • Early diagnosis can reduce the risk of death by up to 20%

• Most private insurances now cover all or a majority of the screening cost. A self-pay option is also available.

What are the benefits of going to St. Mary’s of Michigan and St. Joseph Health System? • Education about the benefits and risks of a lung cancer screening to help you make an informed decision.

• Noninvasive, painless and only takes a few minutes.

• Low-dose computed tomography with expert radiological interpretation.

Who should get a lung screening?

• Interdisciplinary lung nodule review by physicians for every positive screening result.

High-risk category 1: • Age 55-80 years (77 with Medicare)

• A thorough follow-up report and recommendation is sent to your primary care physician.

• Asymptomatic (no signs or symptoms of lung cancer)

• Immediate access to experts in the treatment of lung cancer.

• Smoked at least 30 pack years (1 pack a day for 30 years OR 2 packs a day for 15 years, etc.)

• Patient Navigator to coordinate care, answer questions and provide support.

• Currently smoking or have quit smoking within the last 15 years

Where do I go for my screening?

High-risk category 2a:

St. Mary’s of Michigan & St. Joseph Health System offer two convenient locations:

Age 50 or older with a 20+ pack year history AND one additional risk factor (family history of lung cancer, emphysema, pulmonary fibrosis or exposure to certain carcinogenic substances).

• Located inside St. Mary’s of Michigan Towne Centre 4599 Towne Centre Road, Saginaw • Located inside St. Joseph Health System 200 Hemlock, Tawas City

Call now to learn about your options and to schedule your The Bulletin | August 2017 lung cancer screening. 1-866-246-4673


continued from page 12 During the procedure, part of the stomach is removed to create a small, tube-like stomach pouch and a large portion of the small intestine is bypassed to reduce the amount of calories, fat, protein and nutrients the body can absorb. This limits the amount of food that can be consumed and reroutes the intestines to both limit the amount of food absorbed and alter the body’s metabolism. This complex procedure is effective because it combines restrictive, malabsorptive, and hormonal properties to help patients improve their health and quality of life. It is an option best for those with a high body mass index who live with existing chronic health conditions. BPD-DS is highly effective in improving diabetes, elevated cholesterol, sleep apnea, high blood pressure and can also provide a weight loss between 65 and 80 percent of a patient’s excess body weight. Dr. Moustarah specializes in advanced laparoscopic general, metabolic, and bariatric surgery and is in the two percent of world surgeons expertly offering this highly effective metabolic weight-loss BPD-DS procedure. St. Mary’s of Michigan Bariatric Center offers patients medical experts and a comprehensive program of care from the initial consult to ongoing follow-up and support, nutrition counseling and a variety of support services to help patients with their lifelong weight-loss journey. The program is accredited as a Comprehensive Center under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP). For more information on whether weight loss surgery is right for you, visit or call the Bariatric Center at 989-907-8716.

Ahoy Mates! Don’t be left behind wondering how to advance your practice/organization regarding healthcare management! Michigan Medical Group Management Association (MiMGMA) is holding its fall conference September 2527 on beautiful Mackinac Island at Mission Point Resort. MiMGMA offers growth, education, networking, marketing, leadership, collaboration, and current information that each practice manager/administrator needs today to successfully run their practices. MiMGMA is not optional, it is essential! For more information on MiMGMA, please visit our website at mimgma. org or call (517) 253-8036. It is not too late to join MiMGMA or to plan on attending the fall conference!

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The Bulletin | August 2017


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Proud to be a Key Provider to the SCMS for 5 Consecutive Years!

In 2007, we were the first compounding pharmacy in Michigan to become PCABaccredited.

Customized Medications Bio-Identical Hormone Replacement for Men and Women Topical Medications Pain Medications Sugar-Free & Dye-Free Medications Liquid Solutions Discontinued Medications

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Healthway Compounding Pharmacy celebrating 30 years of

Better Solutions. Better Care. 2544 McLeod Dr. N. | Saginaw, MI. 48604 Ph. 989.791.1691 | Fax 989.791.4603 The Bulletin | August 2017 15

The SCMS Foundation held its 8th Annual Golf Outing at the Saginaw Country Club on Saturday, June 10, 2017. Over $20,000 was raised from this year’s Outing for Medical Student and Resident Programs!

Mark your calendar for the 9th Annual SCMS Foundation Golf Outing on Saturday, June 9, 2018!

The Foundation was founded in 1968 by SCMS members, and is the charitable entity of the SCMS. The Foundation: • Provides low interest loans to medical students with ties to Saginaw with a maximum of $20,000 per student; • Forgives loan interest if the recipient returns to Saginaw to practice after completion of their residency; • Forgives 25 percent or a maximum of $5,000 loan principal per year if the recipient returns to Saginaw to practice after completion of their residency and is a dues paying member; • Awards scholarships and mentors Saginaw County high school students who are interested in becoming a physician; • Provides research grants and scholarships to medical students and residents through the CMU College of Medicine; and • Assists the SCMS Alliance in awarding seven nursing scholarships each year. Over $170,000 has been raised from the annual Golf Outing that was started by past Foundation President and current Treasurer, Rao Gudipati, MD. Proceeds from this event are used for the above endeavors and to help assure the future of medicine in Saginaw County.

SCMS Foundation Golf Outing Right Keri Benkert and Joan Cramer Dr. Sunil Pandit’s Team Bottom from left Marlee and Dana Curnutt Dr. Tom Veverka’s Team Drs. Ramesh Raju and Revan Maragiri Team

The Foundation currently has over $195,000 in outstanding loans to medical students and residents. Steve Vance, MD on behalf of Title Sponsor, CMU College of Medicine and CMU Health, spoke at the Award Reception on the importance of the support of the SCMS Foundation, especially with the College of Medicine being at full capacity and increased financial need by students. Loan recipient, Taylor Boehler, a graduate of Swan Valley High School at M4 at CMU College of Medicine, thanked those attending for their support in increasing funding opportunities. First Place Winner with a score of 55 was RT Care’s Team – Dr. Altamash Amin, Lom Poungthana, Dean Emede and Paul Otsby. Second Place Winner with a score of 61 was Advanced Diagnostic Imaging’s Team – Tim Royle, Ryan Bruce, Todd Essex and Stephen Ellis. Other winners were Closest to the Pin #13 – Paul Otsby; Longest Drive Men #1 – Brett McBride; Putting Contest – Tim Royle; and Hit the Green 50/50 – Dr. Ramesh Raju. The winner of the 50/50 drawing collected $190. The SCMS Foundation would like to thank the following sponsors for making this year’s event a success:

Event Sponsors

Title Sponsor

Longest Drive Sponsors

Award Reception Sponsors

Putting Contest Sponsor Covenant Hospital Medicine

Beverage Sponsors Dornbos Printing Impressions Healthway Compounding Pharmacy Mid-Michigan Surgical Specialists

Lunch Sponsors Norton+Kidd Accounting & Consulting Oncology/Hematology Associates of Saginaw Valley Saginaw Bay Underwriters St. Mary’s of Michigan | Ascension

Closest to the Pin Sponsor Thomas E. Damuth, MD Covenant Emergency Physicians Group Tri-Star Trust Bank

continued on page 18

Top Left to Right SCMS Foundation Golf Outing Banner, CMU CoM M4 Taylor Boehler, CMU CoM-CMU Health Team Bottom Left to Right Covenant Medical Group Team Dr. Liaqat Zaman’s Team

continued from page 17

Tee/Hole Sponsors Lowell A. Butman, MD Covenant Pulmonary and Critical Care Associates Merrill Lynch - The Provenzano-Bade-Rand Group Pain Consultants of Michigan Panda House Clarence and Dr. Sara Rivette St. Mary’s of Michigan | Ascension

Team Sponsors Advanced Diagnostic Imaging CMU College of Medicine & CMU Health Covenant Medical Group Matt Deibel, MD Rao Gudipati, MD Looby Baumgarten Michigan CardioVascular Institute Mid-Michigan Surgical Specialists Pain Consultants of Michigan (two teams) Sunil Pandit, MD RT Care Ramesh Raju, MD & Revan Maragiri, MD Tri-Star Trust Bank Tom Veverka, MD Liaqat Zaman, MD


Envision Eye Care – David B. Krebs, MD Mildred J. Willy, MD

SCMS Foundation Board Members

Matthew D. Deibel, MD – President Lowell A. Butman, MD – Vice President/Secretary Rao V.C. Gudipati, MD – Treasurer Thomas E. Damuth, MD – Trustee George J. Gugino, MD – Trustee Iris A. Marteja, MD – Trustee Robert J. Toteff, MD – Emeritus Trustee


Keri Benkert Joan Cramer Dana Curnutt, SMFCU Branch Manager Marlee Curnutt, Former Foundation Essay Contest Winner Stephanie Krieger, s7 Consulting


From top, Left to Right; Most Creative Picture - Dr. Rao Gudipati’s Cath Lab Team, Stephanie Krieger, Joan Cramer and Keri Benkert, Mid Michigan Surgical Specialists Team, RT Care Team, Tri-Star Trust Bank Team, Pain Consultants of Michigan Team A

The Bulletin | August 2017

The SCMS Foundation would like to give special thanks to the Head Golf Professional at the Saginaw Country Club, Chad L. Boyce PGA; Golf Shop Manager, Amy Dreffs; and Sherry Charbonneau for all their help arranging and planning the golf outing.

Pediatric Health Care Providers Needed for NIH Research Project

communication strategies that might be important in your practice. This will help us to design training for health care providers about environmental risk factors related to breast cancer.

A $75 Amazon gift card will be provided to all participants! You are invited to participate! What would I do? A 30 minute interview with a researcher from Michigan State University. We can come in person or do a telephone interview.

Where will this happen? A research team member will either come to your office or do a telephone interview with you. You tell us a good time. Who is the contact person? Research assistants, Maddy or Brandon, will contact you to set up a time. Or feel free to contact Maddy directly at to schedule an appointment. Dr. Kami Silk is the principal investigator of this project should you have specific questions about the research (

Who can participate? Pediatricians, pediatric nurses, and family practitioners who work with children in a clinical or pediatric practice setting. What is the purpose of research? This research is part of an NIH funded project related to breast cancer and the environment as it relates to young girls. We need your input about information needs and Visit our website today!

Don’t let pain keep you down. If you are Don’t let pain keep you down. If you are experiencing the following, WE CAN HELP! experiencing the following, WE CAN HELP!

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The Bulletin | August 2017 19

Governor’s Award of Excellence Presented to Covenant Covenant HealthCare recently received the 2017 Governor’s Award of Excellence for outstanding achievements in improving the quality of healthcare in the following three areas: • Effective Reporting and Measurement: Acute Care Hospitals • Effective Reporting and Measurement: Acute Care Hospitals (ENHANCED AWARD) • Lowering the Risk of Infection: Hospitals The Governor’s Award of Excellence program is a partnership between MPRO and the Office of the Governor to recognize outstanding achievements by providers and organizations in healthcare quality improvement. The program, developed in 2003, requires participating healthcare providers to meet specific improvement criteria in order to achieve this prestigious award.

BJ Helton, MPH, CIC, Manager Patient Safety and Quality, and Bethany Guerrero, RN, BSN, Infection Prevention Specialist, accepted the award on behalf of Covenant. The 2017 Governor’s Award of Excellence is based upon work from 2015-2016. This award recognizes participants for their dedication and success in improving healthcare quality and patient safety in Michigan. To be eligible for the award, participants must have achieved, maintained and continually improved in specific and rigorous milestones related to the award they received. Helton states, “These awards took collaborative efforts with many different departments (nursing, surgical services, pharmacy, laboratory, and environmental services) and teams. Covenant promises to give extraordinary care for every generation, and the Governor’s recognition of our promise is a great honor.”

Covenant Named 2017 Most Wired® Technology is making it easier for patients and providers to interact, thus improving communication, safety and patientprovider relationships. New tools are helping patients become continued on page 21



900 Cooper, Fourth Floor Saginaw, Michigan 48602 989.583.4401 Tel Hours: Monday – Friday 8 am – 5 pm 20 The Bulletin | August 2017

Extraordinary care for every generation.

continued from page 20 more actively involved in their care and maintaining their health, according to results of the 19th Annual Health Care’s Most Wired® survey, recently released by the American Hospital Association’s (AHA) Health Forum. According to the survey, Most Wired® hospitals are using smart phones, telehealth and remote monitoring to create more ways for patients to access health care services and capture health information. This year’s results show: • 76 percent offer secure messaging with clinicians on mobile devices. • When patients need ongoing monitoring at home, 74 percent use secure e-mails for patients and families to keep in touch with the care team. • 68 percent simplify prescription renewals by letting patients make requests on mobile devices. • 62 percent add data reported by patients to the electronic health record to get a better picture of what is going on with the patient. • Nearly half of the hospitals are using telehealth to provide behavioral health services to more patients. • 40 percent offer virtual physician visits. • More than 40 percent provide real-time care management services to patients at home for diabetes and congestive heart failure. Frank Fear, MA CHCIO, Chief Information Officer at Covenant HealthCare says, “Covenant HealthCare’s focus is to be patient-centric, meeting our customers where they are to meet their healthcare needs. I am very proud to work for such a great organization. The ‘Most Wired®’ award is a great organization-wide achievement demonstrating further affirmation of the great work our staff does every day providing extraordinary patient care.” “The Most Wired® hospitals are using every available technology option to create more ways to reach their patients in order to provide access to care,” said AHA President and CEO Rick Pollack. “They are transforming care delivery, investing in new delivery models in order to improve quality, provide access and control costs.” Innovation in patient care embraces emerging technologies and underscores the need for secure patient information exchange. Hospitals have increased their use of sophisticated IT monitoring systems to detect patient privacy breaches, monitor for malicious activities or policy violations and produce real-time analysis of security alerts. • 97 percent use intrusion detection systems. • 96 percent perform data access audits. • Nearly 90 percent run targeted phishing exercises to teach employees to question suspicious emails. Most Wired® hospitals are transforming care delivery

with knowledge gained from data and analytics. They are investing in analytics to support new delivery models and effective decision-making and training clinicians on how to use analytics to improve quality, provide access and control costs. • 82 percent analyze retrospective clinical and administrative data to identify areas for improving quality and reducing the cost of care. • Three-quarters use sophisticated analytics such as predictive modeling and data to improve decisionmaking. • Nearly 70 percent interface electronic health record data with population health tools for care management. • More than 70 percent are providing data analytic tools training to physicians and nurses. • 45 percent initiate a patient pathway using health IT to follow a care plan. • Nearly 40 percent deliver quality metrics to physicians at the point-of-care. • 32 percent have tools for real-time patient identification and tracking for value-based care conditions, such as chronic obstructive pulmonary disease. HealthCare’s Most Wired® survey, conducted between Jan. 15 and March 15, 2017, is published annually by Hospitals & Health Networks (H&HN). The 2017 Most Wired® survey and benchmarking study is a leading industry barometer measuring information technology (IT) use and adoption among hospitals nationwide. The survey of 698 participants, representing an estimated 2,158 hospitals — more than 39 percent of all hospitals in the U.S. — examines how organizations are leveraging IT to improve performance for value-based health care in the areas of infrastructure, business and administrative management; quality and safety; and clinical integration. Detailed results of the survey and study can be found in the July issue of H&HN. For a full list of winners, visit Covenant says, “thank you” to our physician champions and partners for helping us drive technology. About the Most Wired® Survey The 2017 Most Wired® Survey is conducted in cooperation with the American Hospital Association and Clearwater Compliance, LLC.

Covenant Announces Hybrid Operating Room Covenant recently broke ground on the new hybrid operating suite and home of the ARTIS pheno, a robotic C-arm angiography system used for minimally invasive interventional procedures. This new robotic technology is the first of its kind in the Great Lakes Bay Region, and it’s changing the way surgeons view the human body nationwide. Very few continued on page 22 The Bulletin | August 2017 21

continued from page 21 hospitals in the country possess the high-tech equipment, and Covenant will be the second in Michigan to have this advanced product. Images produced by the laser-guided tool allows physicians a 3-D image of patient’s organs and vessels for advanced diagnostic and interventional cardiac procedures, including trans catheter aortic valve replacement (TAVR), vascular, neurological procedures and some trauma. When the multi-floor, $7.2-million renovation is complete in the summer of 2018, the hybrid operating room (OR) will combine the advanced imaging capabilities of a cardiac catheterization laboratory and interventional radiologic rooms with the environment of a traditional operating room. The hybrid OR can easily transform for conventional open surgery if the need arises without transporting the patient to a second operating room or a different team of specialists increasing safety and efficiency.

“Our community deserves the best and this technology will provide our physicians and staff with the tools necessary to provide safe, high-quality care,” said Director John Germain, Surgical Services. “It will greatly enhance our surgical capabilities, and as a bonus, it will increase our ability to attract the best surgeons to our medical staff.” Building the 12,000 square-foot addition requires construction to transform the outside of the Covenant Cooper campus on Houghton Avenue. The construction will cause no interruption to patient care. OR 9 is being relocated and will be almost twice the size of its existing space. The second-floor expansion will also create an improved patient flow in / out of the surgical department along with additional storage and workroom space. The first floor will provide additional office space for the staff of the Cooper campus. The basement of the addition has space available for the future relocation of Central Sterile Processing. This relocation will provide a direct connection between the Surgical Department and Central Sterile Processing through two lifts that only serve these departments. The addition of the ARTIS pheno continues the tradition of extraordinary care that Covenant is known for and expands on our advanced robotics family that already includes three da Vinci robots at Harrison campus, and the Mako robot for knee replacement at Cooper campus, as well as, state-of-theart Cath and radiology labs.

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The Bulletin | August 2017


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LIVE: Medicare Quality Payment Program Hardship Exception The Quality Payment Program Hardship Exception Application for the 2017 transition year is now live on the Quality Payment Program website. Certified electronic health record technology is required for participation in the Advancing Care Information performance category of the Quality Payment Program. Under Merit-based Incentive Payment System scoring, MIPS eligible clinicians and groups may qualify for a reweighting of their ACI performance category score to 0 percent of the final score. READ MORE Michigan’s New CME Licensure Requirements As previously reported by the Michigan State Medical Society, the State of Michigan, Department of Licensing and Regulatory Affairs announced in December of 2016 revised Medical Rules. With these new rules came new requirements for Continuing Medical Education. READ MORE New MAPS Tool for Prescribers An updated and more user-friendly Michigan Automated Prescription System (MAPS), powered by the Appriss PMP AWARxE software platform, went live this past April. Utilizing the enhanced data analytic data capabilities of the new MAPS platform, the Michigan Department of Licensing and Regulatory Affairs (LARA) is launching new prescriber “report cards” and clinical alerts. READ MORE

Management Services. Mrs. Schafer has been with HRM Services since 2010, and in 2013 she took over as the company’s owner and general partner. Medicine is a noble profession. Physicians work selflessly for the good of their patients. But the reality is physician business owners have the added responsibility of managing employees. READ MORE

Cybersecurity Must be a Part of Every Healthcare Professional’s Job On May 12, 2017, the world’s biggest ransomware attack nearly crippled Britain’s public health system and forced doctors to turn patients away. The WannaCry worm, which experts believe to have come from U.S. National Security Agency (NSA) hacking tools released by Wikileaks, spread quickly to companies and critical infrastructure worldwide. A White House homeland security adviser said that more than 300,000 computers across 150 countries were hit. One cyber risk modeling firm put the total economic damage at $8 billion. Since the attack occurred, security researchers have already identified a new strain of malware that could be much more dangerous. READ MORE Patient Safety: Medication Disposal Guide Medications play an important role in treating patient conditions and diseases; however, when they are no longer needed or they expire, it’s important to dispose of them properly to avoid potential harm to others. Unused or expired medications left in the household could get into the wrong hands and have, unfortunately, become the target for misuse and theft. READ MORE

Write Your Lawmaker and Ask for Support to Rein in MOC Red Tape Michigan patients have a right to high quality healthcare, and Michigan physicians have a right and a responsibility to deliver that care to our patients. Unfortunately, Maintenance of Certification red tape and insurance company policies too often stand in between physicians and their patients. That’s not just a hassle — that’s dangerous. READ MORE

Report: Michigan Needs Better Palliative Care for Cancer Patients WMUK-TV A report says Michigan’s healthcare system does not do as well as other states in providing complete care for people with cancer. An American Cancer Society report is suggesting for what’s called patient-centered treatment. The report says Michigan doesn’t have the tools in place to meet the demand for palliative care. That means specialized medical care that focuses on all patient needs — from physical to emotional. READ MORE

MDPAC: Wake Up Your Sleeping Giant! Deciding on whether or not to join the Michigan Doctors’ Political Action Committee (MDPAC) should be easy. Why? Because we can make a difference by choosing legislative leaders who are concerned with the health of our communities. The MDPAC is the political arm of the Michigan State Medical Society. We are a bipartisan political action committee made up of physicians, their families, residents, students and others interested in making a positive contribution to the medical profession through the political process. READ MORE

CMS Cancels Two Mandatory Pay Models and Scales Back a Third Modern Healthcare The CMS recently said it will toss two bundled-payment models and cut down the number of providers required to participate in a third, citing providers’ requests to have more input in the models’ designs. The agency slashed the number of mandatory geographic areas participating in the Comprehensive Care for Joint Replacement, or CJR, model from 67 to 34, it announced recently in a proposed rulemaking. Comments are due Oct. 17. READ MORE

Are You in Compliance with Current Employment Laws? Let MSMS Help You! MSMS is excited to announce a new partnership with Jodi Schafer, SPHR, SHRM-SCP owner of Human Resources 24

continued on page 25 The Bulletin | August 2017

continued from page 24 21st Annual Conference on Bioethics - First Do No Harm: Avoiding Overdiagnosis and Overtreatment in Medicine The MSMS Foundation will present the 21st Annual Conference on Bioethics on Saturday, November 11 at the Sheraton Ann Arbor Hotel. Supported by the Blue Cross Blue Shield of Michigan Foundation, First Do No Harm: Overdiagnosis and Overtreatment in Medicine will: • Assess the history and evolution of cardiopulmonary resuscitation and the do not attempt resuscitate (DNR) order; • Describe the ethical tensions that emerge when families request that clinicians continue non-beneficial care in the hopes a miracle will occur; • Analyze the moral dilemmas that arise when patients cannot express their own wishes, have no surrogates, but express stable preferences; • Evaluate the role of capacity for preference for resolving ethical dilemmas involving incapacitated patients; and, • Summarize the concept of over-diagnosis and overtreatment when diagnostic tests are performed.

Additionally, First Do No Harm: Overdiagnosis and Overtreatment in Medicine will discuss situations in which medicine or physicians may do more harm than good. This may occur when incidental findings are uncovered, indolent diseases are treated aggressively, and treatments cause morbidity and mortality. During the meeting, experts will present research and network with colleagues. The program is planned for health care professionals by physicians. First Do No Harm: Overdiagnosis and Overtreatment in Medicine allows physician attendees to earn up to 6 AMA PRA Category 1 Credit(s)™ during this one-day event. To register or for more information on the MSMS Foundation’s First Do No Harm: Overdiagnosis and Overtreatment in Medicine conference, please visit Statement of Accreditation: The Michigan State Medical Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. AMA Credit Designation Statement: The Michigan State Medical Society designates this live activity for a maximum of 6.0 AMA PRA Category 1 Credits™. Physicians should claim only credit commensurate with the extent of their participation in the activity.

2 Courses - 1 Day 8:30-11:45 a.m.

Session 1: Safe Opioid Prescribing and Overdose Prevention Completion of this course fulfills the minimum three hours of continuing medical education in the area of pain and symptom management required by the Department of Licensing and Regulatory Affairs.

1:15-3:45 p.m. Session 2: Symposium on Retirement Planning

Plan now to enjoy a secure, comfortable retirement. Whether you have recently retired or are in the planning stages, expert speakers will share their knowledge and help you navigate through the personal, professional and financial aspects of retirement. *Please note AMA PRA Category 1 Credits™ are not available for this course.


Full Day (lunch will be provided with full day registration) MSMS Members - $175 • Non Members - $195 • Medical Students - Free

Session 1 Only MSMS Members - $135 • Non Members - $185 • Medical Students - Free

Session 2 Only

MSMS Members - $135 • Non Members - $185 • Medical Students - Free

Earn up to 3 AMA PRA Category 1 Credits™ Saturday, September 16, 2017 Prince Conference Center, Calvin College, Grand Rapids 1800 East Beltline Ave SE, Grand Rapids, Michigan 49546

3 Easy Ways to Register

1. Register online today 2. Call the MSMS registrar at 517-336-7581 3. Fax registration form to 517-336-5797

Register at idPassThru/3BA6B336-9765-E711-AA7F-001B782AFE89 Statement of Accreditation: The Michigan State Medical Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. AMA Credit Designation Statement: The Michigan State Medical Society designates this live activity for a maximum of 3 AMA PRA Category 1 Credits™. Physicians should claim only credit commensurate with the extent of their participation in the activity. AAFP Credit: Application for CME Credit has been filed with the American Academy of Family Physicians. Determination of Credit is Pending.

We look forward to seeing you in September. Space is limited, so register today! The Bulletin | August 2017 25

Office of Continuing Medical Education

Shifting Healthcare Delivery from Illness to Wellness REGISTER NOW and join the Michigan Health Improvement Alliance, Inc. (MiHIA) for the 3rd Annual Great Lakes Bay Region Symposium: “Shifting Healthcare Delivery from Illness to Wellness” on Thursday, September 28, 2017, from 4:30-6 p.m. at the CMU College of Medicine in Saginaw. Explore how actions taken now can further improve our health and economic outcomes. Click HERE to learn more about the event purpose, featured speaker, who should attend and to register for this FREE event (registration required).

More details to come from the symposium organizers, Dr. Neli Ragina, Dr. Edward McKee and Dr. Mary Jo Wagner. Until then, direct any questions you may have to Dr. Ragina at More details to come… Class of 2021 White Coat Ceremony

Save The Date for 2018!

Photo courtesy of CMU College of Medicine

The CMU College of Medicine and CMU Medical Education Partners Research Symposium is scheduled for Wednesday, April 11, 2018.

The Central Michigan University (CMU) College of Medicine Class of 2021 donned their clinical white coats for the first time on August 4 during the College of Medicine’s 5th White Coat Ceremony, welcoming the fifth class of medical students to join the College of Medicine. continued on page 27

Central Michigan University CoM and CMU Health - Psychiatry - 2nd Annual Psychiatry Update Conference “Psychiatry for the Non-Psychiatrist” • Saturday, October 28, 2017, 8 a.m. – 1 p.m. CMU College of Medicine Saginaw Education Building • 1632 Stone Street • Saginaw, MI 48602

SAVE THE DATE! Human Trafficking Awareness Training

Location: Horizons Conference Center 6200 State Street, Saginaw MI 48603

Saturday, September 30, 2017 A course for all medical providers and members of the interprofessional healthcare team. 8 - 9 a.m. Registration and Breakfast 9 a.m. – 12 p.m. Training Course Speakers include: • High-level government officials • Law enforcement • Physicians and members of the medical community 26

The Bulletin | August 2017

This training course is FREE. A full breakfast will be provided

To register, please contact the CMU College of Medicine Office of Continuing Medical Education (989) 746-7514 or

continued from page 26

Seen as a symbol of authority and professionalism, the white coat signifies the beginning of a student’s journey toward becoming a physician. The CMU College of Medicine seeks to admit students who are academically qualified and have interests that align with our mission to prepare diverse, culturally competent physicians focused on improving access to high-quality health care. This new class represents the mission very well, with 5,443 applications and 423 campus interviews resulting in the 104 students welcomed to the College of Medicine this year, 78 percent of whom are Michigan residents. The states with the largest number of non-resident students for this incoming class are California, Florida and Texas; and the top four institutions from which students from this class graduated were the University of Michigan, Michigan State University, Wayne State University and Central Michigan University (in that order). This year’s class includes 50 men and 54 women, with 13 percent from populations that are underrepresented in medicine. The White Coat Ceremony’s keynote speaker was Catherine Baase, MD, FAAFP, FACOEM, former Chief Health Officer & Global Director of Health Services for The Dow Chemical Company. Dr. Baase pointed out during her remarks that the significance of the white coat ceremony is the symbolism of the conversion of the layperson into the health profession, and that the white coat visually conveys the sacredness of being a physician. Photos courtesy of CMU College of Medicine

The Bulletin | August 2017 27



Michigan’s Opioid Epidemic A Regional Forum Hosted by: College of




$125 (Students and Residents with ID are FREE)

How to Register:


g efforts of ounselors.


The forum will examine how the opioid epidemic is impacting the Great Lakes Bay Region and Michigan, and how it is being encountered by cross-sector agencies, health care and addiction specialist services, public health, employers and the community. Additionally, the program will review current resources, alternative treatment approaches and promising intervention/prevention models that are making a difference.

Course Tuition



Course Description


CMU College of Medicine, 1280 E. Campus Drive, Mt. Pleasant, MI

September 8, 2017 Friday 8 a.m. - 4 p.m. The Dow Chemical Company Foundation Auditorium at the CMU College of Medicine

Contact us:

Larry Ashley, M.A., Ed.S. (702) 824-3080 Teresa Armstead, B.S. (989) 774-1273 Accreditation: The Central Michigan University College of Medicine Office of Continuing Medical Education is accredited by the Michigan State Medical Society to provide continuing medical education to physicians. The Central Michigan University College of Medicine designates this live activity for a maximum of 6.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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Healthcare Liability Insurance & Risk Resource Services ProAssurance Group is rated A+ (Superior) by A.M. Best.

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The Bulletin | August 2017

CenteringPregnancy Program CenteringPregnancy Program a new initiative in Saginaw County to improve a new initiative in Saginaw Countyand to improve the health of expectant mothers newborns the health of expectant mothers and newborns

WhatWhat is CenteringPregnancy? is CenteringPregnancy?

What arethe thebenefits benefits of Centering What are of Centering Pregnancy for moms, babies providers? Pregnancy for moms, babies andand providers?

CMU Health is partnering withwith MiHIA andand Centering CMU Health is partnering MiHIA Centering •• Better BetterHealth Health Outcomes - Numerous published Outcomes - Numerous published Healthcare Institute to provide group carecare to pregnant Healthcare Institute to provide group to pregnant studies Centering moms havehave healthier studiesshow showthat that Centering moms healthier in an effort to improve infant mortalityrate. rate.This This womenwomen in an effort to improve the the infant mortality babies and that Centering nearly eliminates racial babies and that Centering nearly eliminates racial disparities birth. project is funded by the Michigan Health Endowment Fund. disparitiesininpreterm preterm birth. project is funded by the Michigan Health Endowment Fund.

areare actively engaged in their •• Self-Care Self-Care- Moms - Moms actively engaged in own their own healthcare and have greater ownership of their health How does the program work? healthcare and have greater ownership of their health How does the program work? information. information. - Centering moms are better This proven, evidence-based program leads expectant • Self-Confidence This proven, evidence-based program leads expectant • prepared Self-Confidence - Centering are better for labor, delivery, and tomoms care for their mothers through a structured process that results in prepared for labor, delivery, and to care for their mothersfewer through a structured process that results in infant. spontaneous pre-term births and improved health time with your provider - Moms in Centering infant. fewer spontaneous pre-term birthsimproving and improved health outcomes for babies, including low birth weight. • More more time withprovider their provider thanin women • spend More10x time with your - Moms Centering outcomes for babies, including improving weight. in traditional care. CenteringPregnancy leads groups of low 8-12birth women, spend 10x more time with their provider than women • Support & Friendship all with similar delivery dates, through the prenatal care in traditional care. - Centering moms create CenteringPregnancy leads groups of 8-12 women, lasting friendships and are wonderful resources to • Support & Friendship - Centering moms create in this way enables the expectant all withprocess. similarProviding deliverycare dates, through the prenatal care one another during a very exciting but also stressful lasting friendships and care their in care providers to feel atthe ease and get to time in their lives. and are wonderful resources to process.mothers Providing this way enables expectant one another during a veryisexciting stressful - Centering based onbut thealso proven a much deeper and meaningful level. • Learning & Fun mothersknow andeach theirother careonproviders to feel at ease and get to time in their lives.people are actively engaged and principle that when Members of these groups have formed lasting friendships • involved Learning Fun - Centering basedrather on the proven in & a discussion with theirispeers, than know each other on a much deeper and meaningful level. and are connected in ways not possible in traditional care. being lectured or given a pamphlet, they will have principle that when people are actively engaged and Members of these groups have formed lasting friendships greater understanding and are more likely to change involved in a discussion with their peers, rather than and are connected in ways not possible in traditional care. their behavior. being lectured or given a pamphlet, they will have greater understanding and are more likely to change their behavior. Located at: CMU Health,1000 Houghton Ave, Saginaw, MI 48602 For more information contact 989-583-6800 or visit Located at: CMU Health, 1000 Houghton Ave, Saginaw, MI 48602

Located CMU Health,1000 Houghton Ave, Saginaw, MI 48602 For moreat: information contact 989-583-6800 For more information contact 989-583-6800 or visit or visit

The Bulletin | August 2017 29

ADVERTISER INDEX When you have a need for a service, please consider our dedicated advertisers first!

Advanced Diagnostic Imaging, P.C. Aperion Information Tech Ben Hamann Covenant HealthCare Covenant Wound Healing Center Evergreen Physical Therapy (f/k/a Sport and Spine) Jan Hauck – Century 21 Healthway Compounding Pharmacy Horizons Conference Center

23 23 2 20 19 14 30 23

Lori Krygier Graphic Designer Norton + Kidd Accounting & Consulting, P.C. Peak Performance PC Services ProAssurance Saginaw Bay Underwriters Shields Chiropractic St. Mary’s of Michigan

Commercial medications not meeting the needs of your patients? We produce customized medications specially suited to meet the patient’s needs; thus, allowing limitless prescribing opportunities. • 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 | 30

The Bulletin | August 2017

11 5 11 28 22 9 13

Human Trafficking:


Keynote Speakers: Trooper Will Smith Mid-Michigan Human Trafficking

Michiganders at-risk •

Human trafficking is the fastest growing crime in America

Reports of human trafficking in the U.S. increase every year.

Michigan is not immune

Every Michigan resident can make a difference. It begins with awareness

Sara Morley LaCroix Kalamazoo Anti Human Trafficking Coalition

Public Welcome

Wednesday, October 11, 2017 Saginaw Country Club, 4465 Gratiot 12:00pm: Optional Buffet $15 per person/cash RSVP required by October 4, call 799-8541 12:30pm: FREE presentation, no RSVP required Presented in partnership by:

Becky McDonald President

Handcrafted items made by local at-risk and rescued women will be available for purchase. Donations accepted. In need of services or shelter? Innerlink 24 hour Crisis Line: Youth age 12-17: 989-753-3431 Underground Railroad, Inc. 24 hour Crisis Line: Local: 989-755-0411 Toll Free:1-888-399-8385 Text: 989-770-8892

The Bulletin | August 2017 31


350 ST. ANDREWS ROAD | SUITE 242 SAGINAW, MI 48638-5988


2016-2017 KEY PROVIDERS These Area Businesses Support Saginaw County Medical Society Membership Meetings. When you have a need for a service, please consider our Key Providers. Please mark your calendar for the following meetings and events for 2017. You will receive an email meeting notice and reminder each month for SCMS events. Non-SCMS events are listed as a courtesy and you must contact the sponsor directly to register. Friday, September 8, 2017 CMU College of Medicine in Mt. Pleasant. Topic: “Michigan’s Opioid Epidemic: A Regional Forum.” See page 28 for more information, cost and to register. Wednesday, September 13, 2017 Saginaw Country Club – The Saginaw Surgical Society invites SCMS Members, spouse/significant other, residents and medical students to their Membership Meeting. Social at 6 p.m. (cash bar), followed by dinner at 6:30 p.m. and program at 7 p.m. Program “Michigan-OPEN: Fight Against the Opioid Epidemic.” Speaker: Michael J. Englesbe, MD, FACS, Transplant Surgeon at the University of Michigan and member of Michigan-OPEN. RESERVATIONS REQUIRED and SPACE IS LIMITED! See page 11 for more information and cost. Click HERE to register (reservation deadline is September 5). Saturday, September 16, 2017 Grand Rapids - MSMS Foundation Regional Scientific Meeting. Topics: Session 1 – Safe Opioid Prescribing and Overdose Prevention. Session 2 – Symposium on Retirement Planning. See page 25 for more information, cost and to register. Tuesday, September 19, 2017 Horizons Conference Center - SCMS Board meets at 5:30 p.m. Membership Meeting joint with the Saginaw County Osteopathic Society follows with Social at 6:30 p.m. (cash bar), dinner and program at 7 p.m. Program: “The Becoming: Crafting a Story of You for Resilience and Vitality.” Speaker: Hedy S. Wald PhD, Clinical Associate Professor of Family Medicine at Warren Alpert Medical School of Brown University in Providence, Rhode Island. RESERVATIONS ARE REQUIRED. See page 8 for more information. Click HERE to register.

Thursday, September 28, 2017 CMU College of Medicine in Saginaw – MiHIA’s 3rd Annual Great Lakes Bay Region Symposium: “Shifting Healthcare Delivery from Illness to Wellness.” See page 26 for more information and to register. This event is FREE but registration is required. Saturday, September 30, 2017 Horizons Conference Center – “Human Trafficking Awareness Training” presented by CMU College of Medicine. See page 26 for more information, cost and to register. Wednesday, October 11, 2017 Saginaw Country Club – “Human Trafficking: A National and State Problem,” presented in part by the Saginaw County Medical Society Alliance. Optional buffet at 12 p.m. ($15 per person), free presentation at 12:30 p.m. PUBLIC WELCOME. See page 31 for details. Tuesday, October 17, 2017 HealthSource Saginaw - SCMS Board meets at 5:30 p.m. Membership Meeting (spouse/significant other invited) with Social at 6:30 p.m. followed by dinner and program at 7 p.m. Program: TBD. Saturday, October 28, 2017 CMU College of Medicine in Saginaw - CMU CoM and CMU Health Psychiatry – 2nd Annual Psychiatry Update Conference. See page 26 for more information. Tuesday, November 21, 2017 SCMS Board meets at 5:30 p.m. at the CMU College of Medicine, 1632 Stone Street, Saginaw in Room 1016. There is no membership meeting in November.

Joan Cramer/SCMS | Office 790-3590 | Fax 790-3640 | Cell 284-8884 |