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The

Bulletin Saginaw County Medical Society February 2017 Volume 83, No 6

COUNTY MEDICAL SOCIETY MICHIGAN STATE MEDICAL SOCIETY: SAGINAW COUNTY MEDICAL SOCIETY &&MICHIGAN STATE MEDICAL SOCIETY: SAGINAWSAGINAW COUNTY MEDICAL SOCIETY & MICHIGAN STATE MEDICAL SOCIETY:

Theorganizations ONLY organizations advocating The ONLY advocating for for ALL physicians andpatients. their patients. ALL physicians and their Advocating Advocating for your patients and for your patients and their rights, their rights, including access to careincluding access to care and public health initiatives. and public health initiatives. Working Working with elected officials to with pass elected officials to pass common-sense legislation which support common-sense legislation which support the physician and their patients. the physician and their patients. Aligning quality initiatives Aligning quality initiatives and appropriate reimbursement and appropriate reimbursement to better care for patients. to better care for patients. From employment termsFrom to employment terms to privileges, we are independent privileges,independent we are your voice in a hospital setting. your voice in a hospital setting. with regulators to Working with regulatorsWorking to lessen administrative hassles. lessen administrative hassles.

Tuesday, April 18, 2017 Meeting

MiHIN

Developing the Capacity For a Statewide Electronic Health Record Exchange p. 5 13th Annual Health Fair Saturday, March 18, 2017 p. 10

The Saginaw County Medical Society andMedical the Michigan Society, for more than 150 years, The Saginaw County Medical Society and the Michigan State Society, for Medical more Society, than 150 years, The Saginaw County Medical Society and the Michigan StateState Medical for more than 150 years, have had a has had a leadership role in Michigan. From standing up for patients’ rights to working has had a leadership role in Michigan. From standing up for patients’ rights to working

leadership role in Michigan. From standing up for patients’ rights to working with lawmakers for sensible legislation with lawmakers for to sensible legislation to advocating insurance companies to with lawmakers for sensible legislation advocating insurance companies to to advocating insurance companies to negotiating with hospitals to lessening negotiating with hospitals to lessening administrative hassles, administrative hassles, negotiating with hospitals to lessening administrative hassles, SCMS and MSMS are the ONLY organizations advocating Michigan physicians. and MSMS are the ONLY organizations advocating for for ALL ALL Michigan physicians. SCMS and MSMS areSCMS the ONLY organizations advocating for ALL Michigan physicians.

www.SaginawCountyMS.com

Covenant Heart Disease Disease Program Program Covenant Structural Structural Heart

Structural ProgramServices Services Structural Heart Heart Disease Program Research Researchshows showsthat thatananestimated estimatedtwo twomillion millionpeople people inin the the U.S. are currently currentlyliving livingwith withstructural structuralheart heartdisease. disease.While Whilemost most individuals individuals can have havesurgery surgerytotohelp helpimprove improvetheir theirheart heartcondition, condition,some some patients patients may consideredinoperable inoperableororhigh-risk. high-risk.AsAsaaresult, result,they they find find themselves themselves bebeconsidered livingin inconstant constantfear fearand andexhaustion exhaustionbecause becausethey’ve they’ve been been told told that living there is nothing else they can do. there is nothing else they can do.

Watchman ––ToTolower lowerstroke strokerisks, risks,this thisdevice deviceis ispermanently permanently Watchman implantedtotoclose closethe theleft leftatrial atrialappendage appendage(LAA), (LAA),thethesource sourceforfora a implanted large majority majorityofofstroke-causing stroke-causingblood bloodclots clotsininpeople peoplewith withnon-valvular non-valvular large atrial of of atrial fibrillation. fibrillation.The TheWatchman Watchmandevice devicehelps helpsprevent preventthethemigration migration blood blood clots clotsfrom fromthe theLAA, LAA,reducing reducingthe thepatient’s patient’srisk riskofofstroke. stroke.

Nowthere’s there’snew newhope hopeforforthese thesepatients. patients.With Withthe thefirst first and and most most comNow prehensiveStructural StructuralHeart HeartDisease DiseaseProgram Programininthe the Great Great Lakes Lakes Bay prehensive Region, Covenant Center for the Heart is leading the way with new, Region, Covenant Center for the Heart is leading the way with new, emergingoptions optionsininminimally-invasive minimally-invasivetreatments. treatments. emerging

In addition, addition,our ourextraordinary extraordinaryheart heartteam teamalso also provides provides other otherstructural structuralheart heartdisease diseaseprocedures procedures

TheStructural StructuralHeart HeartDisease DiseaseProgram Program offers offers three three The minimally-invasiveprocedures proceduresfor for inoperable inoperable or or minimally-invasive high-riskheart heartpatients patients high-risk Transcatheter Aortic Valve Replacement (TAVR) – Transcatheter Aortic Valve Replacement (TAVR) – Individuals with aortic stenosis need an aortic valve replacement. When Individuals with aortic stenosis need an aortic valve replacement. When the aortic valve is not fully open, patients suffer a decrease in blood the aortic valve is not fully open, patients suffer a decrease in blood flow from the heart to the body. While open heart surgery is the ideal flow from the heart to the body. While open heart surgery is the ideal treatment for aortic stenosis, a third of these patients do not qualify for treatment for aortic stenosis, a third of these patients do not qualify for the surgery. This minimally-invasive procedure repairs the narrowing thevalve surgery. This minimally-invasive procedure narrowing by wedging a replacement valve in place,repairs which the expands and valve by wedging a replacement valve in place, which expands and pushes the old valve out of the way. pushes the old valve out of the way. MitraClip – This method is the only alternative treatment to mitral MitraClip – This method is the only alternative treatment to mitral valve regurgitation surgery. It’s designed for patients who have been valve regurgitation surgery. It’s designed for patients who have been denied surgery to fix this condition. Using a minimally-invasive techdenied to fix mimics this condition. Usingmethod a minimally-invasive nique,surgery the MitraClip the surgical of edge-to-edge techvalve nique, the MitraClip mimics the surgical method of edge-to-edge valve repair, clipping together the mitral valve leaflets instead of suturing repair, them clipping together.together the mitral valve leaflets instead of suturing them together. ©2016 Covenant HealthCare. All rights reserved. Bus. Dev. (AQ/RF) 6/16

Percutaneous PercutaneousAortic Aorticand andMitral MitralValvuloplasty Valvuloplasty– –ThisThis procedure uses a balloon to expand abnormally procedure uses a balloon to expand abnormallynarrow narrowheart heartvalves. valves. Patent Patent Foramen ForamenOvale Ovale(PFO) (PFO)procedure procedure– –This Thisis isa cathetera catheterbased closure of atrial and ventricular wall defects, commonly based closure of atrial and ventricular wall defects, commonlyknown known as as aa “hole “holeininthe theheart”. heart”. Atrial Atrial Septal SeptalDefect Defect(ASD) (ASD)procedure procedure––A Acatheter catheteris isthreaded threaded through a blood vessel in the body up to the heart. Then, a closure device through a blood vessel in the body up to the heart. Then, a closure device is threaded through the catheter and placed into the ASD, an abnormal is threaded through the catheter and placed into the ASD, an abnormal hole in the wall separating the top two chambers of the heart. hole in the wall separating the top two chambers of the heart.

For more information For more information

Contact Covenant Structural Heart Coordinator, Deb Best, MSN, RN, at Contact Covenant Structural Coordinator, Deb Best, MSN, RN, at 989.583.7171 or speak with Heart your physician liaison. 989.583.7171 or speak with your physician liaison.

Extraordinary care for every generation. Extraordinary care for every generation.

The

Bulletin Saginaw County Medical Society

SAGINAW COUNTY MEDICAL SOCIETY 2016-2017 OFFICERS AND DIRECTORS PRESIDENT Virginia R. Dedicatoria, MD PRESIDENT-ELECT Julia M. Walter, MD PAST PRESIDENT Danielle C. Duncan, MD SECRETARY Maliha N. Shaikh, MD TREASURER Thomas J. Veverka, MD BOARD OF DIRECTORS

B.L. Nahata, MD Zubeda S. Khan, MD Sanjay J. Talati, MD Anthony M. Zacharek, MD Mildred J. Willy, MD BULLETIN EDITOR Louis L. Constan, MD RETIREE REPRESENTATIVE Larry S. Kelly, MD RESIDENT REPRESENTATIVE Rahul Jacob, MD PEER REVIEW ETHICS COMMITTEE Waheed Akbar, MD Caroline G.M. Scott, MD James R. Hines, MD MSMS DELEGATES Elvira M. Dawis, MD

contents 5 5 4 6 8 9 9 11 12 14 16 18 20 22 24

B.L. Nahata, MD Zubeda S. Khan, MD Sanjay J. Talati, MD Julia M. Walter, MD

MiHIN Overview: Save The Date! April 18, 2017, Meeting Physician Resiliency Save the Date!

From The Editor

Caroline G.M. Scott, MD Vijay K. Chaku, MD Waheed Akbar, MD Gopi K. Nallani, MD Anthony M. Zacharek, MD Dennis A. Boysen, MD Steven J. Vance, MD Daniel J. Wechter, MD J. Patricia Dhar, MD MSMS DISTRICT 8 DIRECTOR Thomas J. Veverka, MD EXECUTIVE DIRECTOR Joan M. Cramer ADMINISTRATIVE ASSISTANT Keri Benkert

Alliance News The SCMS Welcomes Keri Benkert Golf Outing - Save The Date! 13th Annual Health Fair Vendor Registration Form CMU College of Medicine Office of Continuing Eduction March Birthdays January Meeting Minutes St. Mary’s of Michigan

28 28 28 29 29 29 30 30 31

MSMS Covenant HealthCare Medical Student Loan Applications Available

32 32

Soup Kitchen Volunteers Needed! AMA - Top Issues That Will Affect Physicians in 2017 Key Provider of the Month Caretel® Inns of Tri-Cities Applications For Membership In Memory - Janice Jackson Attention Retired Members! MiMGMA www.SaginawCountyMS.com Medical Records - Did You Know? Advertiser Index SCMS/MSMS Advocates for YOU and YOUR PATIENTS! SCMS FOUNDATION Make a Tax Deductible Gift Today! 2016-2017 Key Providers Calendar of Events for 2017

Nursing Scholarship Applications Available The Bulletin can be viewed online at www.SaginawCountyMS.com under the Bulletin tab.

Mohammad Yahya Khan, MD MSMS ALTERNATE DELEGATES

President’s Letter

Virginia R. Dedicatoria, MD Mildred J. Willy, MD

10 15

SCMS Members Needed to Staff SCMS Booth at the 13th Annual Health Fair

ON THE COVER: Saginaw County Medical Society and Michigan State Medical Society: The ONLY organizations advocating for ALL physicians and their patients EDITOR Louis L. Constan, MD

PUBLISHER Saginaw County Medical Society

EXECUTIVE DIRECTOR Joan M. Cramer

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

DESIGNER Lori Krygier

Telephone: (989) 790-3590. Fax: (989) 790-3640 E-Mail: Joan@SaginawCountyMS.com jmcramer@sbcglobal.net

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 | February 2017 3

PRESIDENT’S LETTER

ETHICS IN MEDICINE What is the Right Care? By Virginia R. Dedicatoria, MD

ight care, according to the January 8, 2017, issue of The Lancet, is “tailored for optimizing health and wellbeing, by delivering what is needed, wanted, clinically effective, affordable, equitable, and responsible in its use of resources.” It does not mean the overuse or underuse of available resources. We progressed through the November 2016 election and cast our ballots. The Affordable Care Act (ACA) remains law for now. It will be hypothetical to discuss the results of the ACA’s replacement. The resources available among medical doctors vary, and we must communicate that to government officials and each other. The ACA is not perfect for healthcare professionals and recipients, but it

can serve as a lesson to improve efficiency and delivery of “right care.” The year 2017 will be a perfect start to progress and plan for the coming years. Recently, I received in the mail a “United Premium Care Program” authored by UnitedHealth Care. The dialogue and execution of better healthcare requires the cooperation of patients, physicians, insurance providers, and other healthcare professionals. Broader access to care is dependent on the providers and beneficiaries to discuss and follow health plans. I’m certain the time has come for the evaluation of medical care policy and changes. Is the right care a better way? Sincerely caring about our people’s health is a top quality

among many physicians. We are not only motivated, but pushing from good to the best! I’d like to ask everyone to share their stories and lessons they learned from previous years. If you have ideas that can shape the legislative and regulatory agendas, then we can practice the “right care” and initiate the “Right Care Act.” Get involved! Now is your chance! The Michigan State Medical Society (MSMS) House of Delegates meets every spring. Any member of the SCMS can submit a resolution in writing (deadline for submission of resolutions to the SCMS for board consideration is February 20, 2017). Let’s hear from you!

The dialogue and execution of better healthcare requires the cooperation of patients, physicians, insurance providers, and other healthcare professionals. Virginia R. Dedicatoria, MD

6 4

The 6 Bulletin | February 2017

SAVE THE DATE! April Membership Meeting Mark your calendar now for our Tuesday, April 18, 2017, Membership Meeting at Horizons Conference Center. Rick Wilkening, Director of Major Accounts and Emerging Solutions of MiHIN, will present Michigan Health Information Network Shared Services (MiHIN) Overview. The purpose of MiHIN is to develop the capacity for a statewide electronic health record exchange. A growing number of health care providers in Michigan have started storing patient data in electronic health records as the first step in moving away from traditional, paper-based files. These records create instant increase in efficiency within each provider’s practice, but more work needs to be done to ensure timely and relevant patient information can be shared among providers and other health care stakeholders. This sharing of patient information between legally authorized health care providers is known as health information exchange. In Michigan, a health information network has been created to coordinate and facilitate building a statewide capability to securely, electronically exchange health information. MiHIN is Michigan’s initiative to continuously improve health care quality, efficiency, and patient safety by promoting secure,

electronic exchange of health information through the MiHIN Health Information Services Cloud™ (HISC). MiHIN represents a growing network of public and private organizations working to overcome data sharing barriers, reduce costs, and ultimately advance the health of Michigan’s population.

Date: Time:

Tuesday, April 18, 2017 6:30 p.m. social (cash bar), 7 p.m. dinner, brief meeting and program Program: “MiHIN Overview” Speaker: Rick Wilkening, Director of Major Accounts and Emerging Solutions of MiHIN Place: Horizons Conference Center 6200 State Street, Saginaw Cost: No cost - SCMS members and medical students Non-member physicians - $100 each All others - $60 each

RESERVATIONS ARE REQUIRED. Those who make a reservation and do not attend will be charged a $40 cancellation fee. Invitations will be mailed and emailed in late March, but please mark your calendar now to attend.

Tuesday, September 19, 2017

September Membership Meeting

Physician Resiliency SAVE THE DATE!

Date: Tuesday, September 19, 2017 Time: 6:30 p.m. Social (cash bar), 7 p.m. dinner, brief meeting and program

Mark your calendar now for our Tuesday, September 19, 2017, Membership Meeting at Horizons Conference Center. Hedy S. Wald PhD, Clinical Associate Professor of Family Medicine at Warren Alpert Medical School of Brown University in Providence, Rhode Island will present a program on Physician Resiliency. Her presentation will be based on her programs "Guiding Professional Identity to Prevent Burnout" and "What's Good in the World of Health Care".

Place: Horizons Conference Center, 6200 State Street, Saginaw Cost:

No cost for SCMS Members and CMU CoM Medical Students

Non-member physicians $100 each All others $60 each

Those who make a reservation and do not attend will be charged a $40 cancellation fee. Invitations will be mailed and emailed late in August, but please mark your calendar now to attend.

The Bulletin | February 2017 5

FROM THE EDITOR

The Patient as Skeptic By Louis L. Constan, MD

as this ever happened to you? You’re shooting the bull with a group of friends when someone starts talking about a particular disease. You pipe in (because you’re the doctor and you’re quite up to speed on this condition and you want to share what you know) when someone cuts you off with: “Well, I’ve always taken ‘such and such’ brand of vitamins and they work great for this.” The conversation proceeds without you, completely ignoring the scientific facts you’ve provided, and each person gives their opinion as if it had the same weight as your educated scientific knowledge. What goes on here? This doesn’t happen elsewhere, such as on the wards or in the office. There patients generally listen to you respectfully, eagerly nodding from time to time, and gratefully accepting whatever script or tests you propose. They don’t interrupt, disagree

and ramble on about flagrantly unscientific opinions. Why here? Well, you’d know why if you’ve ever sat quietly in a restaurant listening to the people in the next booth mercilessly dissect every aspect of the last encounter with their doctor. The discussion often drips with skepticism: “If the doctor actually knows what he’s talking about, he’s hiding something, or perhaps taking a kickback from the pharmaceutical company.” That sort of thing. I’ve come to believe that such behavior is common and that, before most people accept anything their doctors say, they’ll: • Discuss their medical encounter with more than one friend, soliciting comments and suggestions. • Scan the magazines in the check-out counter at the supermarket for additional information. There is a whole

•

publishing industry around “what your doctor won’t tell you.” Call their relative who has the closest relationship with an actual doctor…a nurse, an aide, or really anybody at all who has ever worked in a doctor’s office, regardless of what they did there. Ask their pharmacist, someone with an advanced degree in science, but who makes much of his income selling vitamins, useless OTC meds, and, of course homeopathic remedies. Ask Dr. Google and scan through the list of references, then read the articles from popular magazines, usually written by reporters with no scientific training. Read commercial sites which usually promote a product or service.

continued on page 7

Is it any wonder that many of our patients don’t fill their script, get their test done, change their lifestyle, or even show up for their follow-up appointment?

Louis L. Constan, MD

The Bulletin | February 2017

continued from page 6 There is a huge divide between doctors who are immersed in science since high school and dream about double blind studies; and patients for whom truth-seeking involves asking someone else about their experience, or watching the news on TV, or just making up their mind based on how they feel at the moment. They may seem to value science; they may acknowledge that our modern life is heavily dependent on science and technology; they may listen to scientific argument, but may give it no more credence than they give an opinion poll. Science is a choice, no more valid or invalid than any other choice. For many folks, one can disprove a scientific fact merely by getting a scientist, any scientist will do, to disagree. In fact, the skeptic doesn’t even have to be a scientist if he is a person who speaks with authority, say, for instance, one of the charismatic mouthpieces on the evening news. For many of our patients, in fact, if their friends and relatives don’t believe a scientific fact, that is all it takes to debunk it. Is it any wonder that many of our patients don’t fill their script, get their test done, change their lifestyle, or even show up for their follow-up appointment? With this in mind, I was interested in a recent article from “Scientific American” magazine, a publication that has been dealing with Science skepticism for 170 years,

titled “Five things we know for sure.” These are scientific concepts for which the evidence is overwhelming, and the agreement in the scientific community is as universal as anything in this life. No mistakes, no hoaxes here. This is the real deal. If our patients allow any credence at all to science and its importance to our modern life, they must accept these ideas. What’s fascinating about these unassailable scientific facts is that four out of the five are essential to the practice of medicine, so that it is doubly important that our patients understand and accept them. “In other words, my dear patient, if you cannot accept these facts, don’t even bother to see me again, or attempt to live in modern society. You might as well go live in a cave.” I hope I have piqued your interest in this article. I will be discussing it in detail over the next several months. If you can’t wait, you can look at the full article in the November issue of “Scientific American,” which I’m sure you can find in the library, which of course is a great source for facts! If you don’t want to make a trip to the library and can’t wait (and want to pay for it), you can read the digital version at https://www.scientificamerican.com/ magazine/sa/2016/11-01/

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Healthway Compounding Pharmacy 2544 McLeod Dr. N. | Saginaw, MI 48604 | 989.791.1691 | www.healthwayrx.com The Bulletin | February 2017 7

ALLIANCE NEWS

As reported in the January Bulletin, the Saginaw County Medical Society Alliance raised over $2,000 for The Mustard Seed Shelter (MSS) in Saginaw. MSS is a homeless shelter for single women and women with children. Founded in 1995 by Sr. Leona Sullivan, MSS is open 24 hours a day, seven days a week, and is funded solely by individual donors, businesses, churches and foundation grants. Women stay at MSS from three to six months on average. During their time at MSS, staff and volunteers assist them with putting together the pieces from their lives that have fallen apart. MSS begins with the basics such as helping them obtain all their identification, then work with each woman to set goals that will help her get out of the crisis situation. Some services include: • Recovery support groups • Individual counseling sessions • Random drug screening • Life skills support group • Parenting skills • Safe, supportive home environment MSS is the perfect place for you to support a woman with children, as she works to move from homelessness to selfsufficiency.

Here is what you can do: • Pray for an end to homelessness and violence • Donate money • Volunteer • Donate a vehicle to be used by the shelter (they are in need of vehicles at this time) • Donate used or new computers so residents can attend college online Please visit MSS if you (l-r) Amy Bartels-Roe, Amanda Tucker holding guest of MSS, Anne deBari, Sr. would like to donate or Leona Sullivan and Janie Gugino. volunteer your time. On Tuesday, January 17, Alliance Board Members presented a check to Amy Bartels-Roe, Director and Sr. Leona Sullivan, Founder, of MSS.

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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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Arthritis Arthritis Head and Neck Pain Head and Neck Pain Sports Related Injury Sports Related Injury Work Related Injury Work Related Injury

SHIELDS SHIELDS 7680-4 Gratiot 7680-4 Gratiot Saginaw, MI 48609 Saginaw, MI 48609 t: 989.781.1258 t: 989.781.1258

THE SCMS WELCOMES KERI BENKERT The SCMS is pleased to welcome Keri Benkert as our new Administrative Assistant. Keri comes to us from Habitat for Humanity. She has previous experience with King Communications and MCVI, and is a Certified Medical Assistant. Keri and her husband, Ben, live in Thomas Township and have three young children – Owen (10), Halle (8) and Dylan (5). Ben owns Peak Performance PC Services, LLC, and is the IT specialist for the SCMS. Welcome, Keri!

GOLF OUTING SAVE THE DATE! June 10, 2017

The SCMS Foundation will host its 8th annual golf outing on Saturday, June 10, 2017, at the Saginaw Country Club. The SCMS Foundation makes low interest loans to medical students with ties to the Saginaw area in the hopes of encouraging the students to return to Saginaw to practice. Interest and principal can be forgiven if they return to Saginaw to practice as SCMS members.

Saturday, June 10, 2017 Saginaw Country Club Four Person Scramble 12 p.m. Registration • 1 p.m. Shotgun Start Watch upcoming issues of The Bulletin for information and sponsorship opportunities!

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Services include: Support Desk – Our team of experts are available to assist healthcare professionals 24 hours a day, 7 days a week. Managed Services – with easy remote capabilities and pro-active monitoring, problems and response times are quick and reliable. HIPAA Risk Assessment: A detailed on-site visit to analyze your vulnerabilities A corrective action report Quarterly reports to satisfy HIPAA Binder to store reports Reports provided printed and downloadable from secure customer portal Encrypted e-mail Back-up and disaster recovery solutions Network, computer design and work flow analysis

2825 McCarty Road | Saginaw, MI 48603 | www.heidentechnology.com The Bulletin | February 2017 9

SCMS Members Needed To Staff SCMS Booth At the 13th Annual Health Fair “The Doctor Is In!”

Saturday, March 18, 2017 • 9 a.m. to 1 p.m. • Horizons Conference Center SCMS members of all specialties are needed to staff the SCMS Booth and interact with patrons, answer their questions and distribute the 2017 Public Membership Directory and other information. Members will be scheduled in one hour shifts from 9 a.m. to 12 p.m. Please contact Joan Cramer at 790-3590 or jmcramer@ sbcglobal.net if you can help! If you or your group is interested in purchasing a booth to promote your practice, please contact Joan as well. Booths are available on a first come, first served basis. This is your chance to get in front of 1,100+ Saginaw County residents in one convenient location! Visit www.SaginawCountyMS.com under the Health Fair tab or click HERE to reserve a booth!

• Professional liability • Employment practices liability • Directors & officers liability • Contingency excess liability • Own occupation disability • Group health benefits • Key person life • Umbrella policies business | benefits | home & auto | sbuins.com 10 The Bulletin | February 2017

SAGINAW COUNTY MEDICAL SOCIETY ! 13 Annual Health Fair “The Doctor Is In!” SAGINAW COUNTY MEDICAL SOCIETY • 13th Annual Health Fair “The Doctor Is In!” Saturday, March 18, 2017, 9 a.m. – 1 p.m.

Saturday, March 18,State 2017, 9 a.m. – 1 p.m.Michigan 48603 Street ! Saginaw, Horizons Conference Center ! 6200 Horizons Conference Center • 6200 State Street •Saginaw, Michigan 48603 VENDOR REGISTRATION

VENDOR REGISTRATION

PLEASE NOTE: Registration fee prior to February 24, 2017, is $200. Registration fee after February 24, 2017,NOTE: is $250. DEADLINE OF24, ALL BOTH RESERVATIONS IS after WEDNESDAY, MARCH 2017 – PLEASE Registration fee FOR prior RECEIPT to February 2017, is $200. Registration fee February 24, 2017, is8,$250. NO EXCEPTIONS. boothsRESERVATIONS include one eight foot skirted table and8,two chairs. Coffee, water Vendor and soft DEADLINE FOR RECEIPT Vendor OF ALL BOTH IS WEDNESDAY, MARCH 2017 – NO EXCEPTIONS. booths drinks be provided. increased costs, we are noand longer towill provide lunch toDue vendors, but you arewe are no include onewill eight foot skirtedDue tabletoand two chairs. Coffee, water softable drinks be provided. to increased costs, welcome to bring a snack. Sales from booths are prohibited, but giveaways are encouraged. If you require two are longer able to provide lunch to vendors, but you are welcome to bring a snack. Sales from booths are prohibited, but giveaways tables, you will be charged for two booths. Booths are available on a first come, first served basis, and space encouraged. If you require two tables, you will be charged for two booths. Booths are available on a first come, first served basis, is limited. Participants are asked to staff their booth during the entire Health Fair. Tear down will not be allowed and space is limited. Participants are asked to staff their booth during the entire Health Fair. Tear down will not be allowed until until 1 p.m. Anticipated attendance - 1,100. 1 p.m. Anticipated attendance - 1,100. th

If you would like to participate in the 13 Annual Health Fair, please complete and return this form and your check If you would like to participate in the 13th Annual Health Fair, please complete and return this form and your check in the amount in the amount of $200 per booth (before 2/24/17) or $250 per booth (after 2/24/17) BUT NO LATER THAN of $200 per booth (before 2/24/17) or $250 per booth (after 2/24/17) BUT NO LATER THAN WEDNESDAY, MARCH 8, 2017, payable WEDNESDAY, MARCH 8, 2017, payable to the Saginaw County Medical Society, to Joan M. Cramer, Executive to the Saginaw County Medical Society, to Joan M. Cramer, Executive Director, SCMS, 350 St. Andrews Road, Suite 242, Saginaw, Director, SCMS, 350 St. Andrews Road, Suite 242, Saginaw, Michigan 48638-5988. Please contact the SCMS at Michigan 48638-5988. Please contact the SCMS atwith jmcramer@sbcglobal.net or 989-790-3590The withVendor any questions (fax 989-790jmcramer@sbcglobal.net or 989-790-3590 any questions (fax 989-790-3640). Registration form 3640). The Vendor Registration form can also be downloaded from our website at www.SaginawCountyMS.com. can also be downloaded from our website at www.SaginawCountyMS.com. th TheThe 13th Fairisisaaprivately privately sponsored event. SCMS reserves the to right to refuse any vendors, 13Annual AnnualSCMS SCMSHealth Health Fair sponsored event. The The SCMS reserves the right refuse any vendors, includingincluding but butnot notlimited limited to, those who do not fit the mission and scope of the SCMS, physicians and/or businesses owned by physicians to, those who do not fit the mission and scope of the SCMS, physicians and/or businesses owned by physicians who are members of the SCMS, hospitals outside ofoutside Saginawof County. whonot are not members of theand SCMS, and hospitals Saginaw County.

PLEASE PRINT Name of Organization Contact Person Address City

State

Office Phone

Cell Phone

What is planned for your space?

Zip Code Fax

Email Number of people working your booth

Will you provide a health screening? If so, what type?

Do you require electricity? Please do not request electricity if you do not need it. Electrical outlets are not available at all booth locations, and booth placement is based partly on electrical needs. If yes, please bring an extension cord. " YES, we need electricity " NO, we do NOT need electricity Each booth has two chairs. If you are performing a screening or have more than two people staffing your booth, please indicate the total number of chairs needed: # of Vendor Chairs Needed ____ # of Testing/Waiting Chairs needed ____ Will you donate an item to be raffled off at the Health Fair? If so, please bring the item the day of the Health Fair and label it with your organization’s name. " YES, we will donate an item for the raffle. Planned in association with CMU Health, Covenant HealthCare, Great Lakes Bay Health Centers., Michigan Cardiovascular Institute, Saginaw County Osteopathic Society and St. Mary’s of Michigan (rev 1/16/17)

The Bulletin | February 2017 11

Office of Continuing Medical Education

CME Announcements CME TRANSCRIPTS It is that time of year when physicians and interprofessional healthcare team members want their CME transcripts for the previous year (or three years) for relicensing and credentialing purposes. The Office of CME is delighted to announce the process is now instantaneous and available at the touch of a button! The process is the same as for entering an automated evaluation: • Go to the CME Website and click on CME Evaluation & Certificate • Click on MY TRANSCRIPT on the top right banner next to MY PROFILE. • Follow onscreen directions and enter the begin and end dates of transcripts • You must have a Profile to obtain either CME Credit or a CME Transcript • Click on MY PROFILE to establish a profile if you do not have one. If physicians have been participating in the automated online evaluation/attestation process, their transcripts will be up-to-date to the most recent entry. If physicians have not been participating in the online evaluation/attestation process, their transcripts will reflect credits through May 2016. Our automated online system has eliminated the necessity of distributing hardcopy transcripts; thus, the OCME is no longer mailing out paper transcripts. The new system is designed to allow physicians to access, view and print their CME Credit transcripts on a real-time basis. The following page has a simple graphic representation of the CME Transcript and Evaluation process. Please contact our office for assistance or if you have questions. 2016 ANNUAL CME SURVEY The OCME is conducting an annual survey seeking input and feedback from learners who have attended accredited CME activities over the past year. The survey on our website consists of three questions and should only take a few minutes. We respectfully request and invite your participation in our 2016 survey as your suggestions, opinions and feedback provide invaluable information and data to assist us in analyzing the effectiveness of our overall continuing medical education program and to better meet your needs. All responses are completely anonymous. Please click CME Survey to start. ACCME ACCREDITATION This year, CMU College of Medicine Office of CME is applying for reaccreditation to the Accreditation Council for Continuing Medical Education (ACCME). Physicians rely on 12 The Bulletin | February 2017

accredited continuing medical education to help them improve their practice and deliver high-quality, safe and effective patient care. Accredited CME covers the full range of topics important to health care—from the latest breakthroughs in medical research to how to communicate with families. Across the country, from national conferences in big cities to grand rounds in rural hospitals to just-in-time learning at the patient’s bedside, more than 148,000 educational activities each year support public health improvement. Nearly 1,900 organizations, accredited within the ACCME System, offer relevant, practice-based CME in nearly 26 million interactions with physicians and other healthcare professionals annually. ACCME accreditation is a national model, assuring the public that CME is designed to be relevant, effective and independent. CME CALENDAR To view the February 2017 CME calendar, visit www.SaginawCountyMS.com and click on the CMU College of Medicine – CME tab or click HERE for the most up-to-date information (cancellations, rescheduling, etc.). ABBREVIATED EVALUATION PROCESS EFFECTIVE FEBRUARY 1 In an effort to create more efficiency and save physician time, we are instituting an abbreviated evaluation process (utilized at other academic medical centers) for Grand Rounds evaluations: • As of February 1, 2017, we will be eliminating the requirement of completing an evaluation for each Grand Round (such as M&M, journal clubs, case studies, QA, breast and tumor boards, etc.). Evaluations for the Grand Rounds listed here will be completed on a quarterly basis only. • Physicians must still login to the evaluation portal for each activity using the activity code provided on the signin sheet, as well as, to attest in order to receive CME credit. No evaluation is necessary. Thus, the process will be: o Login in as usual o Type in the specified activity code o Attest o CME credit will automatically be added to the transcript • For those Grand Rounds with a monthly title/ objective change and/or specialty speaker, an evaluation and attestation will be required. The OCME hopes these small steps will save physicians time and also improve efficiency. Please remember your comments are very important on the quarterly evaluations.

continued on page 13

continued from page 12

Finally, all physicians and staff can go to the CME website at CMED OCME for up-to-date information about CME and now to comment, complain or suggest – anonymously – at CME Comments and Suggestions. We value your input! For assistance or further information, please contact us at 989-746-7514 or by email at CMEDCME@cmich.edu. Office of Continuing Medical Education To obtain a TRANSCRIPT of all CME credit, go to this page and be sure to click My Transcript https://www.cmich.edu/colleges/cmed/Education/CME/Pages/cmetranscript.aspx

The ribbon that contains My Profile, also selects either My Transcript or My Certificate. You must have a Profile to obtain CME Credit or a CME Transcript.

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

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To obtain CME CREDIT when on the Transcript page, go to this page and be sure to click My Certificate https://www.cmich.edu/colleges/cmed/Education/CME/Pages/cmetranscript.aspx

this page.

January 2017

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The Bulletin | February 2017 13

MARCH BIRTHDAYS Faith Abbott DO 3/1 Robert P. Ainsworth MD 3/29 Joseph N. Aquilina MD 3/7 Ashwathy Balachandran Pillai MD 3/1 Edward S. Bernreuter MD 3/19 Harold Blumenstein MD 3/22 Aditya D. Bulusu MD 3/18 Louis F. Byrne MD 3/30 Brenda M. Coughlin MD 3/13 Jonathon P. Deibel MD 3/20 Danielle C. Duncan MD 3/9 Maher Ghanem MD 3/8 Timothy R. Hackett MD 3/24 Timothy H. Kaufman MD 3/29 Lauren A. Kershnar MD 3/11 Andrew M. LaFleur MD 3/22 James R. LaFleur MD 3/9 James A. Letson, Jr. MD 3/29 Veronica E. Lorenzo MD 3/27 Luigi Maresca MD 3/19 Michelle M. McLean MD 3/27 Kurt A. Menapace MD 3/6 Omer S. Mirza MD 3/28

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SOUP KITCHEN VOLUNTEERS NEEDED THURSDAY, MARCH 30, 2017 - TIME TO SIGN UP! The Saginaw County Medical Society will again volunteer at the Soup Kitchen on Thursday, March 30, 2017, from 9:30 a.m. to 12:30 p.m. in celebration of Doctors’ Day. The Soup Kitchen is located in the Hunger Solution Center, 940 East Genesee in Saginaw (corner of Janes Street). In November, our members, their families and staff prepped food for another day, and prepared and served lunch to 236 people. Please consider donating your time on Thursday, March 30, 2017, to help those in need in Saginaw. The tradition was started many years ago by Dr. Bill Engelman. Volunteers are asked to sign up to work at the Soup Kitchen for various one hour shifts from 9:30 a.m. – 12:30 p.m., or for the entire morning if desired.

Volunteer online by clicking HERE I will work at the Soup Kitchen at the following time (check shift(s) you will work): n 9:30 a.m. to 10:30 a.m. n 11:30 a.m. to 12:30 p.m. n 10:30 a.m. to 11:30 a.m.

n Other time

a.m. to

a.m./p.m.

n Entire time - 9:30 a.m. to 12:30 p.m.

Name Phone Email PLEASE PRINT

(we will call/email to remind you)

IT IS VERY IMPORTANT THAT YOU HONOR THIS COMMITMENT. We will be the only organization volunteering that day. If our members are not in attendance, there will be no other workers there to serve and pack lunches. Please fax to the SCMS office at 989-790-3640 or mail to 350 St. Andrews Road, Suite 242, Saginaw, Michigan 48638. Thank you!

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The Bulletin | February 2017 15 HOURS: Monday–Thursday 8am–5pm • Friday 8 am–Noon

The regular Membership Meeting of the Saginaw County Medical Society was held on Tuesday, January 17, 2017, at Horizons Conference Center.

The next Membership Meeting will be held on Tuesday, April 18, 2017, at Horizons Conference Center.

Virginia R. Dedicatoria MD, President of the SCMS, called the meeting to order at 7:19 p.m. Dr. Dedicatoria welcomed Stacey Hettiger, Director, Medical and Regulatory Policy of MSMS, office staff, nonmembers and guests. She introduced Keri Benkert, the new Administrative Assistant for the SCMS. Dr. Dedicatoria thanked Sarah Cramer for helping Keri with registration, and the following Key Providers in attendance for their ongoing support of SCMS Programs: • Barton Woods Assisted Living – Rebecca Evans, Tabitha Girvin, Kelsey Treichel and Jennifer Vacca • Bieri Hearing Specialists – Cathy Bieri Ryan and Sarah Harris • Caretel Inns Assisted Living – Dean Rumsey and Stephanie Valley Dr. Dedicatoria asked for a Moment of Silence for Janice Jackson, wife of longtime SCMS member, Dr. Ed Jackson, who passed away that morning in Florida from injuries sustained in an automobile accident on December 22. Dr. Jackson has given us permission to share the link to the blog he kept to keep family, friends and colleagues updated on their progress. Dr. Jackson was also injured in the accident. http://edwardajacksonmd.simplesite.com/ Janice is being cremated and a memorial service will be held at Hopevale here in Saginaw in the future. In lieu of flowers, Dr. Jackson requested donations be made to the City Rescue Mission, 1021 Burt Street, Saginaw, MI 48607, or the Michigan Academy of Family Physicians Foundation (MAFPF).

January 2017 Meeting Minutes Members enjoying conversation with their colleagues

Dr. Dedicatoria then conducted the following business of the SCMS: • The Minutes of the October 18, 2016, Membership Meeting were attached to the Agenda and published in the November Bulletin. MOTION: Accept the October 18, 2016, Meeting Minutes as printed. MOTION APPROVED. • Dr. Dedicatoria reported the following physicians were approved for membership at tonight’s Board Meeting: 1) Syed K. Alam MD (Covenant HealthCare), Anesthesiology (Board Certified), sponsored by Drs. Waheed Akbar and Danielle C. Duncan; 2) Joy A. Hart MD (Valley Ob-Gyn Clinic, PC), Ob/Gyn (Board Certified), sponsored by Drs. James R. Hines and Julia M. Walter; 3) Sue C. Tobin DO (Covenant Cancer Care Physician Group), Internal Medicine and Medical Oncology (both Board Certified), sponsored by Drs. Binu Malhotra and Carlotta M. Maresca; and 4) Joseph R. Yacisen DO (Sports Orthopedic Specialists), Surgery – Orthopaedic (Board Certified) and Sports Medicine, sponsored by Drs. Kenneth W. Distler and Michael J. Tucker, Jr. • Dr. Dedicatoria then welcomed new members in attendance: 1) Binu Malhotra MD 2) Sue C. Tobin DO 3) Joseph R. Yacisen DO

The following information was made available to those attending: • 13th Annual Health Fair will be held on Saturday, March 18, 2017, at Horizons Conference Center. Members are needed to attend and staff the SCMS booth. • Volunteers are needed to serve at the East Side Soup Kitchen in honor of Doctors’ Day on Thursday, March 30, 2017. • The Program Committee is looking for topics for the 2017-2018 Membership Meetings. • The Nominating Committee is looking for members interested in a leadership position. • The MSMS House of Delegates will be held May 6-7, 2017, at the Amway Grand in Grand Rapids. • The 8th Annual SCMS Foundation Golf Outing will be held on Saturday, June 10, 2017, at the Saginaw Country Club. Dr. Dedicatoria introduced Stacey Hettiger from MSMS who presented a program on “MACRA: The Big Picture.” The next Membership Meeting will be held on Tuesday, April 18, 2017, at Horizons Conference Center. The meeting was adjourned at 8:30 p.m. Respectfully submitted, Joan M. Cramer Executive Director

Top (left to right): Key Providers Barton Woods Assisted Living, Caretel® Inns and Bieri Hearing Specialists The Bulletin | January 2017 17 Right: Stacey Hettiger of MSMS

St. Mary’s Now Provides Dissolving Stent Option Interventional cardiologists at St. Mary’s now are using a new, FDA-approved fully dissolving stent for patients with coronary artery disease. This new stent represents a major advancement in the interventional treatment of heart disease. St. Mary’s joins Genesys as being the only hospitals in the Mid-Michigan region, and among only 50 hospitals in the entire country, to offer the Absorb bioabsorbable stent for heart patients. John F. Collins, MD, began using the new stent for patients in January. Through a minimally invasive procedure in the cardiac cath lab, the new stent is inserted to open clogged arteries and restore normal blood flow. After a few months, the stent will slowly begin to dissolve, and after two to three years, it will dissolve completely and naturally once the vessel heals and can stay open on its own. By contrast, metal stents, which traditionally have been used to open blocked arteries, are permanent implants. Air Handling Unit Upgrade and Renovations to Begin at St. Mary’s in Saginaw St. Mary’s will begin upgrading the air handling units at the Saginaw hospital due to the aging of existing equipment and frequent maintenance issues. The energy efficient upgrade will provide better quality air flow to patient rooms which is important to the healing process. While there is never a good time for renovation work, the hospital operations team is working closely with the construction team to develop a staging plan to limit disruption and reduce noise while keeping the hospital fully functional. Only a few patient rooms will be taken “offline” at a given time in order to keep as many rooms available. Unfortunately, there will be sporadic periods of noise and disruptions, especially during the early stage of the project. These will be limited to day time hours. Staff will be sharing information with patients and visitors about the work being done. The end result will be a patient enhancement and satisfier when completed. The project will be completed in two phases: • Phase one is focused on “Side B” (the core of the hospital which includes floors 1-7) however, work will take place only on floors 3-7. • Phase two will encompass “Side A” (the surgery center, emergency department, imaging and Seton Cancer Institute) and take place later in 2017.

The Bulletin | February 2017

Regional Neurosciences and Oncology Service Line Director Named Rebecca Banat, RN, ONC, CNRN, has accepted the position of Regional Service Line Director of Neurosciences and Oncology for the Ascension Michigan Mid-Michigan ministries (which includes St. Mary’s of Michigan, Genesys and St. Joseph Health System) effective January 1. Prior to this regional role, she served as Director of Clinical Service Lines at Genesys for the Neuroscience Institute, Stroke Center, Neuro Tele-Medicine and Oncology. Her 23 years of healthcare experience includes clinical nursing excellence, nursing management, education, service line leadership and accreditation. Rebecca has been instrumental in strategic program development, regional growth initiatives and project management. Rebecca has held various academic positions; her most recent ones were at the University of Michigan-Flint and Spring Arbor University in Lansing. In addition, she serves on the State of Michigan Stroke Steering Committee for the MOSIAC Stroke Registry. Save the Date – Wednesday, May 24 St. Mary’s of Michigan Charity Golf Classic at Apple Mountain Golf Club Mark your calendar now for the 31st Annual St. Mary’s of Michigan Charity Golf Classic on Wednesday, May 24. Enjoy a great day of golf while supporting the hospital’s mission to provide the latest health care technology and treatments to everyone, every day. Watch for additional details. St. Mary’s of Michigan Foundation Scholarship Program Now Open St. Mary's of Michigan Foundation's annual education and training scholarship applications are now being accepted. Scholarships support individuals who are enrolled or accepted for enrollment in an academic program leading to a degree, certificate or advanced training in a healthcare or allied healthcare field. The St. Mary's of Michigan Foundation has been providing scholarships to associates, their children and community members since 1992. The scholarships are made possible through individual donations from community members, businesses and St. Mary's of Michigan associates. Applications are due Friday, February 17 by 3 p.m. Additional information is available at: http://www.stmarysofmichigan. org/scholarship-opportunities .

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 lung cancer screening. 1-866-246-4673 The Bulletin | February 2017

MSMS Board Discusses Prescription Drug Diversion, MAPS, New Continuing Medical Education Rules at Meeting On January 25, the Michigan State Medical Society (MSMS) Board of Directors heard from Kim Gaedeke, Director, Bureau of Professional Licensing for the State of Michigan, regarding the current status of the upgrades to the Michigan Automated Prescription System (MAPS). They also heard from Leland A. Babitch, MD, MBA, President and CEO of MPRO, who shared their work in the areas of quality improvement, review services and consulting. Additionally, the Board discussed legislative priorities for the upcoming year, and the new continuing medical education rules. Prescription Drug Diversion: With Prescription Drug Diversion as one of the early priorities of the legislatures, Kim Gaedeke gave a presentation on the process of the upgrades to MAPS. As directed by our House of Delegates, upgrading the software platform is a crucial element in improving and measuring physician use of MAPS, and thereby serving to help reduce the amount of prescription drugs available for illicit purposes.

MPRO: Recently appointed as the president and chief executive officer of MPRO, Leland A. Babitch, MD, MBA, provided an overview of their work. Their quality improvement activities are primarily funded by a grant from the Centers for Medicare and Medicaid Services (CMS). This grant is to improve patient care by sharing best practices with physicians as it relates to heart health, diabetes, care coordination, adverse drug events, antibiotic stewardship, MIPS/ABMs, adult immunizations and behavioral health. MSMS will be partnering with MPRO on MACRA education for physicians. Legislative Priorities: With the 2015-2016 legislative session ending in December, the Legislative Policy Committee built a strategy and identified priorities for the Committee. Those priorities include: • A regular invitation to legislators, interest groups, or other key stakeholders in order to better deliver the message of physicians and gain valuable perspective to help shape policy within MSMS.

continued on page 21

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• Building opportunities for members of the MSMS Board of Directors to interact with their elected officials on behalf of MSMS. • The Committee can help to better shape the dynamics of the relationship between the MSMS Board and the Committee on State Legislation and Regulations and how the unique strengths of each group can serve one another and thus better serve physicians. • The Committee discussed taking an active role in specific areas of interest, including: The inexplicable rise of prescription drug costs to consumers, Medicaid expansion, and issues that contribute to damaging the physician-patient relationship such as confusion over coverage, insurer responsibility for collection of copays and the expectations of insurers with respect to high deductible plans. New Continuing Medical Education Rules: In December 2016, the Michigan Department of Licensing and Regulatory Affairs announced revised Medical Rules. Significant changes to be aware of include: • Training standards for identifying victims of human trafficking. This is a one-time training that is separate from continuing education. Licensees renewing for 2017 must complete training by renewal in 2020; renewals for 2018 by 2021, and renewals for 2019 by 2022. Beginning in 2021, completion of the training is a requirement for initial licensure. • Starting in December 2017, a minimum of three hours of continuing education shall be earned in the area of pain and symptom management. Please visit www.msms.org/Education/ EducationalCourses/On-DemandWebinars.aspx for online programming for both of these requirements.

Who Sets MSMS Policy? YOU DO! The House of Delegates (HOD), comprised of 319 elected delegates, is the official legislative and policy-making body of the Michigan State Medical Society. The next HOD meeting will be held on May 6-7, 2017, at the Amway Grand Plaza in Grand Rapids. Resolutions debated during the annual MSMS HOD are the vehicles by which MSMS policies, priorities and directives are determined. This year's deadline for submission to the SCMS is Thursday, February 17, 2017 (for Board approval if resolution is being submitted by Saginaw Delegation), and

5 p.m. on Wednesday, March 1, 2017, to MSMS. Resolutions must be submitted via the online submission. If you have any questions, contact Stacey Hettiger at (517) 336-5766. The best way to get your idea or recommendation adopted as MSMS policy or directive is at the grassroots level. As a member in good standing, you have the right to bring your ideas to the annual HOD for consideration by MSMS’s "legislators." To do so, present your suggestion and rationale at your SCMS Board Meeting. If the SCMS agrees, they will work with you to draft a resolution to be presented at the next HOD meeting. The resolution should specify the desired MSMS policy or directive for MSMS action. If the SCMS does not agree with your idea, you may ask a delegate to submit a resolution on your behalf as an individual delegate. It is also prudent to check the MSMS’ current Policy Manual and, if relevant, the AMA Policy Finder to determine if policy on the issue already exists. How to Write a Resolution to the MSMS House of Delegates More about the MSMS House of Delegates

MSMS Dues are 87% Tax Deductible, SCMS Dues are 100% Tax Deductible as Business Expense Contributions or gifts to the Michigan State Medical Society (MSMS) and the Saginaw County Medical Society (SCMS) are not tax deductible as charitable contributions for federal income tax purposes. However, a portion of your dues may be tax deductible as ordinary and necessary business expenses. MSMS estimates that 13 percent of your 2016 and 2017 dues will be nondeductible as this portion is allocable to lobbying as defined by law. If you've paid your 2016 or 2017 MSMS/SCMS dues prior to December 31, 2016, you may deduct up to 87 percent of MSMS dues, and 100 percent of SCMS dues, as a business expense.

The Bulletin | February 2017 21

Extraordinary Emergency Care - Just for Seniors No hard hats, jackhammers or bricks needed this time. The Covenant Emergency Care Center’s latest renovation is an expansion in patient centric care. Covenant has added the Great Lakes Bay Region’s first Senior Emergency Care Center. Here’s why. The population of seniors in the United States has been growing steadily since 2011, which is the year the first Baby Boomers turned 65. Today, this group represents 13 percent of the U.S. population. By 2030, experts estimate that number will swell to 20 percent, or 70 million. Michigan population numbers for 65 and older closely mirror the national trend. The U.S. Census Bureau estimates 24 percent of Michigan’s population will be 60 and older by 2030, an increase of 32 percent from 2012. Locally, the ECC logged more than 90,000 patient visits in 2016. Of those patients: • 18,692 patients were older than age 65 (20 percent of the hospital’s annual ECC visits). • 10,585 patients, or 57 percent, were admitted to the hospital. • Approximately 3,900 were age 85 to 95. • 500 patients were older than age 95. Hospital leaders believe adding specialized senior services in the ECC can help improve outcomes for seniors while reducing costs. Approximately 18 of the ECC’s 65 beds have been designated for elderly patients. In designing an emergency center to meet the distinct needs of older patients, physicians and hospital leaders included best practices such as: • Board-certified emergency doctors, nurses and residents with specialized training in the care of senior patients. Seniors not only feel comfortable, but also understood. • Senior-friendly rooms keep patients comfortable while social work support, assessments and goals maximize independence. • All medications are closely monitored to avoid interactions, and more.

Physicians and hospital leaders believe that providing specialized patient centric care to the elderly can reduce readmissions and improve patient satisfaction. As physician administrator of Covenant Senior Care, Risty T. Kalivas, DO adds that senior emergency rooms can be the saving grace for many elderly patients who need specialized treatment. “This can improve outcomes and quality of life while reducing errors and costs,” he said. “The goal is to better serve this portion of our community and continue a tradition of providing extraordinary care for every generation.” Learn more at CovenantHealthCare.com/SeniorECC or read the full article, “A Saving Grace: Senior Emergency Rooms” by Dr. Risty Kalivas, in The Chart newsletter, a publication by the Covenant Medical Staff.

2016 Distinguished Physician of the Year John B. Johnson, MD was awarded the honor of Distinguished Physician of the Year during the December Active Medical Staff Annual Dinner Meeting. Dr. Michael Slavin spoke regarding Dr. Johnson’s 36 years of dedication, service and contribution in the medical profession and presented him with his award. In addition, Caroline G.M. Scott, MD and Manuel M. Perea, MD were presented with the Emeritus recognition. We thank them for their service! Announcing Covenant Medical Staff Officers 2017-2018

Michael L. Fiore, MD 2017-2018 Chief of Staff

Medical Staff Officers Chief of Staff: Michael L. Fiore, MD Vice Chief of Staff: Sarosh Anwar, MD Secretary/Treasurer: Kathleen M. Cowling, DO Past Chief of Staff: James R. Hines, MD

continued on page 23 22

The Bulletin | February 2017

continued from page 22

Members-At-Large Manoj Sharma, MD Michael D. Williams, DO Maternal/Family Care Department Chairman: John B. Llewelyn, MD Family Medicine Section Chief: Jorge M. Plasencia, MD Pediatrics Section Chief: Thomas M. Burkey, MD OB/GYN Section Chief: John B. Llewelyn, MD Medicine Department Chairman: Rakesh Chokshi, MD Cardiology Section Chief: Vipin Khetarpal, MD General Medicine Section Chief: Muhammad U. Khan, MD Surgery Department Chairman: Todd G. Richardson, MD Orthopedics Section Chief: Colleen A. Linehan, MD General Surgery Section Chief: Elizabeth A. Paulus, MD Clinical Services Department Chairman: Iris A. Marteja, MD Anesthesia Section Chief: Vasil Mamaladze, MD Emergency Medicine Section Chief: Matthew D. Deibel, MD

diabetes Self Management Program

Pathology Section Chief: Nicholas J. Hruby, MD Radiology Section Chief: Sanjay J. Talati, MD Hospital Medicine Section Chief: Iris A. Marteja, MD Kelly DeBolt, RN Joins Physician Relations Team Kelly DeBolt, RN, has joined the Office of Physician Relations and Regional Outreach as a Physician Liaison. She has assumed the duties of Jaime TerBush who transitioned to the position of Covenant VirtualCare Program Administrator. Kelly has 10 years of experience as an RN at Covenant in Critical Care and MedicalTelemetry areas and most recently served as Risk Management Specialist. Kelly joins Hannah Schultz as one of two physician liaisons whose role is to serve as a personal contact to the medical staff and their office personnel. She can be reached at 583-4051 or kdebolt@chs-mi.com. The Office of Physician Relations is under the direction of Karen Schafer, Director and John M. Kosanovich, MD, MBA, EVP Physician Enterprise/CEO Covenant Medical Group.

We are the region’s most experienced diabetes management team. Our program is certified by the American Association of Diabetes Educators (AADE) through the Michigan Department of Community Health (MDCH). We are certified to provide education for patients of all ages and diabetes diagnoses, including pregnant women.

While it can’t be cured, the good news is that more than 95% of it can be managed by understanding diabetes, setting goals and planning how to achieve them. Put your trust in the region’s most experienced diabetes management team . . . your Patient-Centered Medical Home partner. To refer a patient or for 25.8 million more information call people are affected 989.583.5193 by diabetes – 8.3% of the U.S. population. The Bulletin | February 2017 23

MEDICAL

STUDENT LOAN APPLICATIONS AVAILABLE

Do you know of a medical student (with ties to the Saginaw area) in need of a loan? The SCMS Foundation may be able to help. The Foundation was formed in 1968 and originally funded through physician donation of earnings from educational and charity work. The Annual Golf Outing and donations now fund the Foundation which makes low interest loans to medical students with ties to the Saginaw area. The intent is to encourage physicians to return to Saginaw County to practice medicine. The terms of these loans are generous. No interest is charged while the student is in medical school, simple interest is charged at a rate of four percent per annum during a residency program, and interest is charged at a rate of eight percent per annum upon the completion of a residency program. As of 2012, the Foundation Board voted to forgive all interest if the student returns to Saginaw upon completion of a residency to practice. Additionally, the Board voted in May 2016 to start a loan forgiveness program. If the loan recipient return to Saginaw to practice upon completion of their residency and they are a dues paying member of the SCMS/MSMS, 25 percent of the principal balance will

be forgiven at the end of each year they are practicing in Saginaw County, with a maximum of $5,000 per year forgiven. The Foundation Board generally considers students who are past their first year of medical school, and among other things, according to: • Strength of connection to Saginaw • Financial need • Scholastic performance • Community service/extracurricular activities The intent of the Foundation loans are to assist and encourage students to return to Saginaw to practice medicine. If any SCMS member knows of a medical student in need (with an interest in the Saginaw area), please encourage him or her to apply. Applications may be downloaded from the SCMS website www.SaginawCountyMS.com under the “Foundation” tab. Deadline for applications is March 31, 2017.

NURSING

SCHOLARSHIP APPLICATIONS AVAILABLE

The SCMS Alliance and SCMS Foundation provide $500 nursing scholarships to Saginaw County residents. Over the years, we have awarded many scholarships to help students continue their nursing education. Requirements for consideration: • Must be a permanent resident of Saginaw County; AND • Currently enrolled in a nursing program or beginning nursing clinical core courses for award year; AND • Overall college GPA no lower than 2.79. Application packet MUST be complete for consideration. Incomplete applications will be denied. All applications must include a one page essay describing your nursing career goals and how this scholarship would help you financially 24

The Bulletin | February 2017

in completing your nursing degree. Two letters of recommendation from past or current professors must be included. NOTE: Prior award recipients must complete a new application packet with new letters of recommendation. This scholarship is not for graduating high school seniors. Applications may be downloaded from the SCMS website www.SaginawCountyMS.com under the “Alliance” tab. Deadline for applications is March 31, 2017.

The Top Issues That Will Affect Physicians in 2017 The year ahead in medicine, tumultuous as it promises to be, holds several key issues on which physicians should focus their attention. Health insurance coverage and access, prescription drug pricing, the new Medicare payment system and the opioid epidemic all require a strong physician voice present in the conversation.

Health Insurance Coverage and Access A new administration entered the White House on January 20th, and the new president has expressed his intention to repeal the Affordable Care Act (ACA), which could threaten the insurance coverage that more than 20 million Americans gained under President Obama’s signature legislation. Acknowledging that health system reform is an ongoing process, the AMA has expressed its willingness to work with the incoming administration and Congressional leaders on addressing the shortcomings of current law while maintaining the insurance enrollment gains of the ACA and expanding health insurance affordability and choice. Read more about the AMA’s vision on health care reform. Implementation of New Medicare Pay System The Centers for Medicare and Medicaid Services (CMS) released its final rule for implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) in October, which repealed the flawed Sustainable Growth Rate (SGR) formula in 2015. Thanks to physician feedback, the new payment system—the Quality Payment Program (QPP)— should transition the health care system toward one that supports physician efforts to provide high-quality care. The AMA will continue its work to make sure this implementation offers the best possibility for success for physician practices. To help your practice transition smoothly, the AMA has put together a collection of resources, such as the payment model evaluator, that are housed on its understanding Medicare payment reform webpage. Learn more about the numerous terms and acronyms associated with the QPP. Reversing the Opioid Epidemic The latest data from the Centers for Disease Control and Prevention provide a sobering reminder that more work remains to reverse the nation’s opioid epidemic. From 2014 to 2015, opioid-related deaths increased from 28,647 to

33,091—with significant increases in death from heroin and illicit fentanyl. At the same time, physicians have been using prescription drug monitoring programs with greater frequency, prescribing opioids more judiciously, taking more education, and becoming trained to treat substance use disorders. And tens of thousands of lives have been saved through the opioid antidote naloxone—thanks in part to nearly every state now having improved naloxone-access laws. While physicians must continue their efforts, to truly turn the tide, greater access to treatment for substance use disorders and non-opioid and non-pharmacologic pain care must occur. The AMA’s Task Force to Reduce Opioid Abuse, a coalition of numerous state and medical specialty societies, will continue efforts to increase registration and use of PDMPs, enhance physician education, reduce stigma of chronic pain and substance-use disorder, enhance access to treatment, and expand access to naloxone through coprescribing and standing orders.

Prescription Drug Pricing Recent increases in prescription drug prices are of major concern to patients. These increases have created higher costs and price swings, making it difficult for some patients to afford much needed medications. The AMA’s grassroots initiative, TruthinRx.org , was launched late last year with the purpose of collecting patient stories about how rising drug prices are affecting their lives. Achieving greater transparency in prescription drug costs and coverage will be significant issues in the coming year as the nation attempts to address these concerns. The AMA’s grassroots network is asking the public to join the initiative to uncover the truth about prescription drug pricing. EHR Interoperability* Physicians enjoy treating patients. A recent qualitative study found that physicians spend nearly two hours on EHR and other clinical desk work for every hour of direct face-to-face time with patients. One of the major sources of professional dissatisfaction found in the study was poor EHR usability and interoperability. This is a battle physicians have been fighting since the introduction of EHRs and the fight isn’t over. One key step was taken late last year when Carequality and CommonWell, representing more than 90 percent of the EHR marketplace in acute care settings and nearly 60 percent of the office-based EHR market, entered an agreement to advance nationwide interoperability. continued on page 26 The Bulletin | February 2017 25

continued from page 25 This is a step in the right direction, but physicians have also taken matters into their own hands. It will be important in the coming year to continue progress toward interoperability and make sure that these tools, which hold so much promise, are not just another roadblock to the patientphysician relationship.

*Executive Director’s Note: The Tuesday, April 18, 2017, SCMS Membership Meeting program is Michigan Health Information Network Shared Services MiHIN Overview. The purpose of MiHIN is to develop the capacity for a statewide electronic health record exchange. See page 5 for more information. Regulatory Relief The regulatory burden placed on physicians is a major component of physician burnout. Physicians spend too much of their time on administrative tasks rather than providing care to patients. The evolving health care system needs easier enrollment, more rational program integrity rules and, overall, fewer reporting requirements.

Former HHS Head: Long-Term Reform Requires Physicians at the Wheel With the health care system in the midst of change, a rowdy election behind us and many unknowns still in the air, former Utah governor and Health and Human Services (HHS) Secretary, Mike Leavitt, detailed the true nature of this transformation and why physicians need to lead the way. Leavitt, who spoke in early January at the AMA State Legislative Strategy Conference in Amelia Island, Florida, engaged in a conversation with physicians in attendance. After Leavitt briefly speculated on the possible upcoming repeal— hopefully paired with a replacement—of the Affordable Care Act (ACA), physicians did not hesitate to jump in with their concerns about the impact such actions could have on the payment system transformation that is well underway with the new Quality Payment Program (QPP). And Leavitt offered a broader perspective of health system change.

Medicine, Business or Both? The repeal of the flawed Sustainable Growth Rate formula through the passage of the Medicare Access and CHIP Reauthorization Act (MACRA), the latest development in health care transformation, was a physician-led effort toward a more efficient health care system. “We have found our way into a new kind of payment model that is the result of what we have learned over the last 26

The Bulletin | February 2017

15 or 20 years,” he said. But it’s not perfect, he added, and we are not very good at it yet. The transition from fee-for-service payment will continue implementation regardless of what happens in the next few months. “The reason that MACRA passed the Congress with bipartisan votes is that it has broad-based bipartisan support,” Leavitt said. He sees the full-scale transformation of the health care system as being based on three questions: “Who matters? Who pays? And who gets to decide?” Which is the reason why organizations like the AMA have to be in the debate, he said. Looking to his time as HHS secretary, Leavitt explained the two voices he would hear in the debate. “The first was the CFO of a business who would say to me, ‘My CEO’s hair is on fire. He’s saying to me if we can’t find a way to get health care costs down, we will no longer be a competitor. And we’ve got to find something to measure. I don’t care if it’s perfect, but turn the MBAs [loose] on how to get this done.’” “The second voice I would hear would be from the physician who would say, ‘I’m all for quality. I’m all for the fact that we’ve got to do this better. But if you’re going to grade me as a physician, you better get this right. Because if you’re not, you’re doing my patient a grave disservice and you’re being unfair to me.’” Listening to both sides of the conversation as Secretary, Leavitt said the question that remained was simple: Will the MBAs be running it or will the MDs? “One way or another, payers are going to drive change,” Leavitt said, “and your voice needs to be there.” A friend of Leavitt’s had a son in medical school. He said his son wants to be a family physician. “Is that a good idea?” Leavitt was asked. “You know the truth is, in the long run, I think that’s a good idea, but I’d like to make a suggestion. Tell your son to learn how to manage, as well as, practice medicine because that’s the role of the future physician.” “I believe that we are beginning to see people do very hard things,” Leavitt said. “We are seeing people merge and begin to unify and work together [who] would rather be independent. That’s a hard thing.” “We have to find a way for the small, independent practice to play here,” he said. “I believe we’re talking about a need for real change, and when it comes to real change, we only have three options. One is to fight it and die. A second is to be ‘overcome by events.’ The third is ‘you can lead it and prosper.’” That’s what the AMA, state and county medical societies and individual physicians’ imperative should be, Leavitt said. “It is not to disengage. It is to engage. It is not to turn it over to MBAs alone. It is to work collaboratively.” Troy Parks Staff Writer • AMA Wire®

Rest, Relaxation & Rehabilitation

Caretel® Inns of Tri-Cities You’ll Want to Rehab Here! Recovering from a fall, stroke or any major life event is work, but you can face it with confidence at Caretel. Our physical, speech and occupational therapists are the best in the area. Hard work deserves it’s just reward, and we know a thing or two about pampering. Every Caretel mixes the amenities of an inn with 24/7 assistance from caregivers. Rest, Relax, Rehab, Repeat until you are back to your best health. TH! E MON H T F m O ip ER r SCMS membersh ee.tings. D I V O R P pport fo KEY he Bulletin

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6700 Westside Saginaw Road • Bay City, MI 48706 • 989.667.9800 • Fax: 989.667.5900 • caretelinns.com The Bulletin | February 2017 27

APPLICATIONS FOR MEMBERSHIP Below are Applications for Membership that may be recommended for acceptance at the Tuesday, March 21, 2017, Board Meeting. Please contact Joan Cramer at jmcramer@sbcglobal.net or 790-3590 if you have any questions or would like more information on the applicants. Christopher J. Allen, MD Covenant HealthCare Pediatric Neurology Primary: Pediatric Neurology, Board Eligible Secondary: Sleep Medicine, Adult & Pediatric, Board Eligible Wayne State University School of Medicine, Detroit, MI, 2009 Sponsored by Drs. Michael L. Fiore and Michael L. Schultz Catherine M. Baase, MD Active Emeritus – Transfer from Midland County Primary: Family Medicine - Retired, Board Certified Michigan State University College of Human Medicine, 1985 Sponsored by Dr. Thomas J. Veverka

James A. Fugazzi, MD Covenant HealthCare Radiation Center Primary: Radiation Oncology, Board Certified 2006 New York Medical College, Valhalla, New York, 2000 Sponsors TBD

Zeina Habib, MD CMU Health – Endocrinology Dept. Primary: Internal Medicine, Board Certified 2008 Secondary: Endocrinology, Board Certified 2011 American University of Beirut Medical Center, Beirut, Lebanon 2004 Sponsored by Drs. Joseph G. Adel and J. Patricia Dhar Kirstan K. Meldrum, MD Covenant HealthCare Pediatric Urology Primary: Urology, Board Certified 2004 Secondary: Pediatric Urology, Board Certified 2008 University of Colorado Health Sciences Center, Denver, Colorado 1994 Sponsored by Drs. Asad I. Mehboob and Mark S. Pankonin Fady Moustarah, MD CMU Health – Surgery Primary: Surgery - General, Board Eligible University of Alberta, Edmonton, Alberta 1997 Sponsored by Drs. Timothy R. Hackett and Vasanth Stalin

The Bulletin | February 2017

IN MEMORY Janice Andrews Jackson, wife of Edward A. Jackson, MD, passed away on January 17, 2017, in Florida from injuries sustained in an automobile accident on December 22, 2016. Janice was a teacher, creative seamstress and “Mrs. Organized to the max.” She enjoyed traveling and was fiercely devoted to her family, including her husband of 33 years; their son, Scott; and two beautiful granddaughters. Cremation has taken place, and Janice will be interred in her home state of Pennsylvania at a later date. A memorial service was held at Hopevale Church in Saginaw on January 27. In lieu of flowers, Dr. Jackson requested donations be made to the City Rescue Mission, 1021 Burt Street, Saginaw, MI 48607, or the Michigan Academy of Family Physicians Foundation Dr. Jackson was also injured in the accident and continues his recovery. If you would like to send a personal message to Dr. Jackson, cards can be sent to him at 133 Terra Vista Lane, Kissimmee, Florida. 34759. Dr. Jackson kept a blog to keep family and friends updated if you are interested http:// edwardajacksonmd.simplesite.com/. Please keep him and his family in your prayers.

ATTENTION RETIRED MEMBERS! 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 jmcramer@sbcglobal.net.

As leaders in healthcare, it is vital that managers/administrators of medical practices have resources available to stay abreast of the ever changing rules in healthcare in order to maintain successful practices. An excellent resource available to all physician office administrators is the Michigan Medical Group Management Association (MiMGMA). The organization is open to all specialties and provides an excellent return on investment allowing all managers the luxury of membership. Conferences are held each spring and fall in Michigan; extensive travel is not required to attend. Attendees of the conferences are kept informed and updated on current issues impacting medical practices today such as Risk Management, Human Resources, Marketing, Meaningful Use, EMR, and HIPAA just to name a few. Vendors representing many services and products attend the conferences allowing the managers the opportunity to discuss solutions to issues they are working on in their individual practices. Professional relationships are developed through networking allowing ongoing communications; these communications serve to strengthen both the administrator and the practice alike. As an attendee, one manager reported saving her organization $26,000 in one year due to networking opportunities presented to her at one MiMGMA conference. The ROI cannot be overlooked. For more information, please visit our website at http://www. michmgma.org/ or contact Sandy Sprague, MiMGMA Legislative Committee Co-Chair, at ssprague@greatlakeseyeinst.com or (989) 793-2820.

www.SaginawCountyMS.com Visit our website today! Includes information on: • MACRA • Opioid Epidemic • MOC Requirements • Direct Link to MSMS Advocacy Center to contact your lawmakers with ease • Read The Bulletin • CMU College of Medicine – CME • Human Trafficking Toolkit to help physicians screen, identify and get help for trafficked victims • RSVP for upcoming Membership Meetings • Calendar of Events • And more!

MEDICAL RECORDS – DID YOU KNOW??? •

If a patient has provided you with a written request for their medical records, you are required to provide the records within 30 days of the written request (or within 60 days if the record is stored off-site).

•

Pursuant to the Michigan Medical Records Access Act, you may charge a fee for the records. For 2016, the maximum charges are: • An initial fee of $23.34 per request for a copy of the record • $1.17 per page for the first 20 pages • $.58 per page for pages 21-50 • $.23 per page for pages 51+

MSMS updated their “Medical Records Guide for Physician Practices” in July 2013. Visit www.msms.org and choose Resources; For Practices; Guides, Checklists & Alerts to view the Guide in its entirety.

This information is one of the many invaluable benefits you receive with your MSMS and SCMS membership! The Bulletin | February 2017 29

SAGINAW COUNTY MEDICAL SOCIETY & MICHIGAN STATE MEDICAL SOCIETY: SAGINAW COUNTY MEDICAL SOCIETY & MICHIGAN STATE MEDICAL SOCIETY:

The ONLY organizations advocating for ALL physicians and their patients.

The Saginaw County Medical Society and the Michigan State Medical Society, for more than 150 years, have had a leadership role in Michigan. From standing up for patients’ rights to working with lawmakers for

Advocating for your patients and their rights, including access to care and public health initiatives.

sensible legislation to advocating insurance companies to negotiating with hospitals to lessening administrative hassles, SCMS

Working with elected officials to pass common-sense legislation which support the physician and their patients.

and MSMS are the ONLY organizations advocating for ALL Michigan physicians.

Aligning quality initiatives and appropriate reimbursement to better care for patients. From employment terms to independent privileges, we are your voice in a hospital setting. Working with regulators to lessen administrative hassles.

To join join the the movement, movement, please please call call 800/352-1351; 800/352-1351; To email msms@msms.org; msms@msms.org; or, or, visit visit us us online online at at email www.joinmsms.org www.joinmsms.org The Saginaw County Medical Society and the Michigan State Medical Society, for more than 150 years, has had a leadership role in Michigan. From standing up for patients’ rights to working with lawmakers for sensible legislation to advocating insurance companies to

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SCMS and MSMS are the ONLY organizations advocating for ALL Michigan physicians.

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The Bulletin | February 2017

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SCMS FOUNDATION Make a Tax Deductible SCMS FOUNDATION GiftMake Today! a Tax Deductible* Gift Today!

The Saginaw County Medical Society Foundation provides funding through low interest loans, grants and scholarships to medical students with ties to the Saginaw community, in anticipation these new physicians will stay in Saginaw to practice medicine once they complete their training. The Foundation also assists the SCMS Alliance in providing scholarships to nursing students from Saginaw County. The annual Golf Outing raises approximately $20,000 per year for these programs, but the Foundation also relies on donations to continue and increase funding programs in order to assist as many students as possible.

! If you would like to honor a colleague who is living or deceased, please make a contribution to the SCMS Foundation ! Please remember the SCMS Foundation in your Will *The Saginaw County Medical Society Foundation is a 501(c)(3) nonprofit. Gifts have charitable tax benefits so please consult with your tax advisor for specifics. A tax receipt will be provided. PLEASE COMPLETE AND RETURN THE FOLLOWING WITH YOUR CHECK (We are unable to accept credit card payments) ! ------------------------------------------------------------------------------------------------------------------------! Enclosed is my contribution made payable to the SCMS Foundation (please designate amount): " $1,000

" $500

" $250

" $100

" $50

" Other __________

Donorâ€™s Name ______________________________________________________________ Mailing Address _____________________________________________________________ City, State, Zip ______________________________________________________________ Daytime Phone (_____) ________________ Email _________________________________ #### If you wish to make your gift as a memorial or tribute, please provide the following: My gift is:

" in honor of

" in memory of

Occasion/Person to be honored: _________________________________________ " Please send notice of my gift (without specifying amount) to: Name _____________________________________________________________________ Address ___________________________________________________________________ City, State, Zip ______________________________________________________________ Checks should be made payable to the SCMS Foundation and sent to the SCMS office at 350 St. Andrews Road, Suite 242, Saginaw, Michigan 48638-5988. Thank you! The Bulletin | February 2017 31

PRSRT STD U.S. POSTAGE PAID Saginaw, MI 48605 PERMIT #228

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

ADDRESS SERVICE REQUESTED

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.

SCMS CALENDAR OF EVENTS FOR 2017 Please mark your calendar for the following meetings and events for 2017. You will receive an email meeting notice and reminder each month. Tuesday, February 21, 2017 SCMS Board meets at 5:30 p.m. at the CMU College of Medicine Education Building, 1632 Stone Street, Saginaw in Room 1016. There is no membership meeting in February. Saturday, March 18, 2017 13th Annual SCMS Health Fair “The Doctor Is In!” at Horizons Conference Center from 9 a.m. to 1 p.m. See page 10 to sign up to volunteer. Tuesday, March 21, 2017 SCMS Board meets at 5:30 p.m. at the CMU College of Medicine Education Building, 1632 Stone Street, Saginaw in Room 1016. There is no membership meeting in March. Thursday, March 30, 2017 SCMS serves at the East Side Soup Kitchen in honor of Doctors’ Day from 9:30 a.m. to 12:30 p.m. See p. 15 to sign up. Tuesday, April 18, 2017 Horizons Conference Center - SCMS Board meets at 5:30 p.m. Membership Meeting follows with Social at 6:30 p.m. (cash bar), followed by dinner and program at 7 p.m. Program: Michigan Health Information Network Shared Services MiHIN Overview The purpose of MiHIN is to develop the capacity for a statewide electronic health record exchange. Speaker: Rick Wilkening, Director of Major Accounts

and Emerging Solutions. Non-member physicians - $100. All others - $60 per person. RESERVATIONS ARE REQUIRED. Those who make a reservation and do not attend will be charged a $40 cancellation fee. Saturday-Sunday, May 6-7, 2017 152nd Annual MSMS House of Delegates at the Amway Grand Plaza in Grand Rapids, Michigan. Delegates and Alternates, please mark your calendar now to attend. Tuesday, May 16, 2017 Horizons Conference Center - SCMS Board meets at 5:30 p.m. prior to the Annual Membership Meeting with Social at 6:30 p.m. (cash bar), followed by meeting and program at 7 p.m. Program: TBD. Saturday, June 10, 2017 8th Annual SCMS Foundation Golf Outing at the Saginaw Country Club. 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), followed by dinner and program at 7 p.m. Program: “Physician Resiliency.” Speaker: Hedy S. Wald PhD, Clinical Associate Professor of Family Medicine at Warren Alpert Medical School of Brown University in Providence, Rhode Island. Non-member physicians - $100. All others - $60 per person. RESERVATIONS ARE REQUIRED. Those who make a reservation and do not attend will be charged a $40 cancellation fee. See page 5 for more information.

Joan Cramer/SCMS | Office 790-3590 | Fax 790-3640 | Cell 284-8884 | jmcramer@sbcglobal.net