SCMS BULLETIN - May 2018

The

Bulletin Saginaw County Medical Society

May 2018 | Volume 76 | No 7

May Annual Membership Meeting p.16-18

MSMS: The Next 150 Years Organizational Remodeling p. 9-15

www.SaginawCountyMS.com

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The

Bulletin Saginaw County Medical Society

SAGINAW COUNTY MEDICAL SOCIETY 2018-2019 OFFICERS AND DIRECTORS

President Julia M. Walter, MD President-Elect Zubeda S. Khan, MD

contents 9-15

MSMS: The Next 150 Years – Organizational Remodeling

29

Walk for Hope Sunday, August 12 Depression & Suicide Awareness 5K Walk/Run

16-18 May Annual

Membership Meeting

Past President Virginia R. Dedicatoria, MD Secretary Caroline G.M. Scott, MD Treasurer Mohammad Yahya Khan, MD Board of Directors Mildred S. Willy, MD Anthony M. Zacharek, MD

4

President’s Letter

5

Caduceus Meeting for Recovering Health Care Professionals

Jorge M. Plasencia, MD Kala K. Ramasamy, MD Tiffany K. Kim, MD Mark G. Greenwell, MD Bulletin Editor Louis L. Constan, MD Retiree Representative Rustico B. Ortiz, MD Resident Representative Mary J. McKuen, MD MSMS Delegates Elvira M. Dawis, MD Zubeda S. Khan, MD Julia M. Walter, MD Virginia R. Dedicatoria, MD Mildred J. Willy, MD

5

Attention Retired Members!

5

Save the Date for Future Meetings

6

From the Editor

8

Key Provider of the Month – St. Mary’s of Michigan | Ascension

19 19

July Birthdays Save the Date: Opioid Crisis and Pain Management

20

Covenant HealthCare

22

St. Mary’s of Michigan | Ascension

26 MSMS 27

Applications for Membership

28

In Memory

30

Advertiser Index

31

Advertise in the 2018-2019 Membership Directory!

32

Key Providers

32

Calendar of Events

Anthony M. Zacharek, MD Jorge M. Plasencia, MD

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

Christopher Allen, MD MSMS Alternate Delegates Caroline G.M. Scott, MD

ON THE COVER: Drs. Mary McKuen, Julia Walter and Stacey Sharp

Waheed Akbar, MD Mohammad Yahya Khan, MD Danielle C. Duncan, MD Steven J. Vance, MD Amandeep S. Dhaliwal, MD Miriam T. Schteingart, MD Peer Review Ethics Committee Waheed Akbar, MD, Chair Caroline G.M. Scott, MD James R. Hines, MD MSMS District 8 Director Thomas J. Veverka, MD EXECUTIVE DIRECTOR Joan M. Cramer ADMINISTRATIVE ASSISTANT Keri Benkert

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: 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 | May 2018 3

PRESIDENT’S LETTER

MSMS Organizational Remodeling

By Julia M. Walter, MD

T

he MSMS House of Delegates was held in Dearborn on April 28-29.

Delegates from all over the state of Michigan convened to vote on resolutions proposed by members of the medical community in Michigan. Among the multitude of resolutions presented, various themes emerged including marijuana use, opioids and addiction medicine, and sex education in the culture of bias and abuse.

The SCMS sponsored a Resolution proposed by SCMS Executive Director, Joan Cramer, on Suicide Awareness Training in Healthcare Systems and Medical School Curriculums, researched and written by CMU medical students and presented by Dr. Anthony Zacharek.

The Resolution was amended and approved.

We are all a part of the changes in medicine. These changes affect all levels of the health care environment.

As a result, these changes are having a profound impact on MSMS and the county societies. Several years ago, MSMS began analyzing membership trends using over 30 years of

data. This has resulted in the need for organizational remodeling of MSMS and county societies. Trends identified included: 1) changing physician demographics - there has been a large shift as more physicians are joining large groups or systems and not viewing the relevance of individual membership; 2) competition of dues between specialty societies and MSMS; and 3) a large number of physicians retiring.

The goal is for MSMS to be relevant and represent all physicians in every professional setting by offering a wide array of worthwhile products and services.

Proposals for increasing membership include joining MSMS through: 1) physician organizations or employed groups; 2) county medical societies; or 3) specialty societies. The present organization of the county societies is also being evaluated. Should county societies be regionalized so that physicians in inactive counties can collectively be aligned with active regions?

In a time when we are seeing more patients with higher medical acuity, receiving lower reimbursements

and spending more time on documentation and administrative activities, it is hard to justify joining another organization or attending another meeting or dinner. We are more isolated in our careers than ever before. Organizational medicine does provide a social opportunity that is important for our careers.

We have an opportunity to meet physicians we refer to or receive referrals from. While we all face many of the same challenges, there are difficulties that do not affect us in the same way or at all. It is important to hear different viewpoints. This has the potential to make us better physicians. If you have suggestions about what you would like to see in terms of changes, please reach out and communicate your ideas.

Everyone has a voice.

See pages 9-15 in this issue of The Bulletin for detailed information on the MSMS Organizational Remodeling.

“We are all a part of the changes in medicine.

These changes affect all levels of the health care environment. As a result, these changes are having a profound impact on MSMS and the county societies.�

Julia M. Walter, MD

4

The Bulletin | May 2018

ATTENTION RETIRED MEMBERS!

Caduceus Meeting for Recovering Health Care Professionals

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!

Tuesday Nights at 7 p.m.

Zion Lutheran Church 454 7th Street, Freeland, Michigan

If you have any questions, please contact Joan Cramer at the SCMS office at 790-3590 or by email at jmcramer@sbcglobal.net.

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

Caduceus meetings are available to health care industry professionals, and have adopted many of the principles of 12-Step programs.

Caduceus meetings are “closed” meetings for recovering health care professionals including, but not limited to, nurses, doctors, dentists and pharmacists.

We engage in group discussions where members may want to speak up, ask questions or share thoughts with fellow members.

There are no Membership Meetings in June, July or August Tuesday, September 18, 2018 Membership Meeting - ETHICS

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Mark your calendar now for our Tuesday, September 18, 2018, Membership Meeting joint with the Saginaw County Osteopathic Society at Horizons Conference Center. The social with cash bar starts at 6:30 p.m., followed by dinner, meeting and program at 7 p.m.

Jason Wasserman, PhD, Associate Professor of Biomedical Sciences at Oakland University William Beaumont School of Medicine will present a program on “Why Preventative Medicine is Failing: Understanding the Human Nature Behind Social Determinants of Health.”

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Tuesday, October 16, 2018 Membership Meeting Mark your calendar now for our Tuesday, October 16, 2018, Membership Meeting hosted at and by HealthSource Saginaw. The social starts at 6:30 p.m., followed by dinner, meeting and a Candidates’ Forum for the November election at 7 p.m.

The Bulletin | May 2018 5

FROM THE EDITOR

Rationality vs. Irrationality

By Louis L. Constan, MD

G

iven that doctors commonly make important decisions in a rational manner, it’s especially sad to see what happens when, from time to time, we act highly irrationally, leading to catastrophic state and even national results. This is perhaps best exemplified by the twin disasters of the scandal at Michigan State University wherein a doctor sexually abused hundreds of young girls and children over decades right under the noses of his colleagues despite dozens of warnings, investigations, and accusations; and the opioid epidemic wherein doctors were led into believing that certain narcotics were not addicting and could be prescribed with impunity and in insane amounts until tens of thousands of patients started dying, leaving a nationwide landscape strewn with addicted Americans demanding an explanation for all those apparently inappropriate prescriptions, an answer that we have so far not given but badly need to investigate because, as we all know, those who forget history are doomed to repeat it.

Why? How? What is going on here?

I think that there may be a rather simple answer. We’re rational, thoughtful and scientific most of the time… but not all of the time. Some of the time we’re human and make mistakes.

No! Yes! No! Yes! And when we’re human, we sometimes make decisions using the “nice guy” decision model.

We ourselves are nice people who are eminently moral and sometimes assume the other guy is moral when that is not true, and we find ourselves getting manipulated.

Examples of this model: • The “nice guy” pharmaceutical representative comes into the office, with a big smile, firm handshake, perhaps with a small gift. They’re here to help you.

All those difficult pain patients.

He has a product that will take care of them. No side effects.

It’s an entirely new kind of narcotic, the addicting potential has been engineered out. It’s long acting, easy to take. Your patients will love it. Your patients will love you. He puts on such a good show that you buy it hook, line and sinker. You don’t consider that he might be lying.

• The “nice guy” is a colleague.

One you’ve consulted with, commiserated over difficult patients with, gone to conferences with, played golf with. One you see every day in your clinic.

One who seems, to all intents and purposes, to be every bit as

forthright, energetic and devoted a physician as you are. Now someone complains that he did something inappropriate during a physical exam.

No! You go to him and ask him to explain. He does. The patient was “difficult, you know how that is,” and of course you accept his explanation because he is a “nice guy.” You don’t consider that he might be lying.

In these cases, perhaps because we want to believe the liar, perhaps it just makes our lives easier if we believe the liar, perhaps it’s unpleasant to deal with a reality in which the person with whom we have a relationship is a liar… any of these reasons may lead us to suspend our critical modes of thinking that ordinarily stand us in good stead.

The fact is that it is difficult to be coldly rational about everything. We do not learn this in medical school.

The Krebs cycle, though complicated, was straightforward. E=mc^2 is unambiguous. Human beings, and our interactions with them, seem impossible to analyze rationally.

But analyze them we must. The consequences of not doing so are consequential. In some ways we must be smarter than Albert Einstein.

In some ways we must be smarter than Stephen Hawking. Oh, and certainly continued on page 7

The same problems occur with patients, staff and hospital administrators.

Once people sense that you can “talk the talk” but not “walk the walk,” you lose credibility and they do not believe that Louis L. Constan, MD

6

The Bulletin | May 2018

you are reliable to work with.

continued from page 6 learn to be smarter than that mentor in medical school, who taught us much, but whose wisdom was for simpler times.

None of these comments should be construed as criticism of anyone. God knows I’ve made my share of mistakes.

We all can only hope: 1. We don’t come down too hard on ourselves when, as humans, we inevitably make mistakes.

2. The mistakes we make don’t land our faces on the Evening News.

3. If #2 occurs, our colleagues will at least try to understand.

Yes, I do think these two issues stem from the same weakness, a certain naïveté we have in certain situations, which I will explain later. By the way, unless you are a professional writer, do not attempt to write such a long sentence at home.

1

Sometime during the investigation into the opioid crisis, someone needs to ask the FDA why they let the Drug companies market these dangerous addicting drugs in the first place and, in the second place, why it let them tell doctors that they were not addicting.

2

Thank you SCMS for the opportunity to work with you!

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The Bulletin | May 2018

MSMS: The Next 150 Years

yellow line shows, membership was relatively stable in the 1980s and 1990s, dropped in the early 2000s as market consolidation began, increased for a few years when MSMS began offering discounted group membership, and then began to decline again. Dues revenue grew in the 1980s and 1990s due to regular dues increases, but in the early 2000s, began to decline. Four factors led to this change: 1) An increasing number of physicians joined large groups or systems and viewed individual membership as unnecessary; 2) Physicians joined MSMS as part of a discounted group; 3) Physicians joined specialty societies in greater numbers, leading to competition for dues dollars; and 4) The beginning of a large number of current members retiring as part of a demographic shift. These trends are not unique to Michigan or organized medicine, but are being experienced in every industry.

Organizational Remodeling

https://www.msms.org/About-MSMS/MSMS-The-Next-150-Years Mission Statement: The mission of the Michigan State Medical Society is to improve the lives of physicians so they may best care for the people they serve.

Following the July 2014 session on long-term membership and non-dues revenue trends, the Michigan State Medical Society (MSMS) Board of Directors composed a Task Force on Membership and Sustainability. The members of the MSMS Board determined the accelerated changes in the broader health care environment and significant changes in the physician demographics have made it difficult to engage new generations of physicians in a structure that was built when the vast majority of physicians were in small, independent practices.

Click HERE to view the original presentation at the 2017 MSMS House of Delegates (HOD). Please take some time and review the presentation as linked in this paragraph, and read through the below updates.

Please email your comments to Joan Cramer at jmcramer@sbcglobal.net.

Member comments will be reviewed by the SCMS Board for consideration and submission to the MSMS Board.

The following was presented at the MSMS House of Delegates on April 28, 2018.

I.

BACKGROUND As we have all seen, significant changes in the health care environment in the last several decades have been a challenge for organized medicine at every level. Demographic changes, time pressure and financial constraints on physician practices have also made it more difficult for MSMS and county medical societies to recruit and retain members. Many associations are experiencing similar challenges. The specific factors affecting organized medicine include: 1. Changing physician demographic 2. Declining participation over many years 3. Increased physician identification with specialty societies 4. Declining dues revenue 5. Non-dues revenue, which offset the dues revenue trend for several decades is also declining due to the same demographic changes.

II. EXAMINING THE LONG-TERM TRENDS Several years ago, the MSMS Board looked at 30+ years of data on membership revenue and the number of active members, shown below. As the

III.

TASK FORCE CREATED After discussing these decades-long challenges and recognizing that governance structure had been the focus of many efforts over the years, the MSMS Board of Directors agreed that it was time to take a closer look at the organizational structure, membership model and revenue sources that support the organization. The Task Force on Membership and Sustainability was created, chaired

by Theodore Jones, MD. It was composed of sitting and former board members from a variety of perspectives.

The Task Force was charged with addressing: 1. Who do we serve?

(Independent, PO members, PO leaders, academic physicians, employed) The Task Force determined that MSMS should represent physicians in every professional setting. continued on Page 10 The Bulletin | May 2018 9

continued from Page 9

2.

How are we serving them?

(Organizational principles and priorities, services offered) The Task Force confirmed that MSMS offers a wide array of relevant products and services.

3. How do we sustain the organization?

(Funding, dues models, relationships with other organizations, etc.)

Governance structure, which includes both HOD and the Board of Director governance, can influence the financial stability of the organization both directly and indirectly, and as physicians are less likely to be in small independent practices as they were when the current structure was built, governance can influence the perception of relevance and the responsiveness to physicians in more diverse settings or organized structures. The Task Force determined that having an outside expert that could guide the organization through a more comprehensive review would be appropriate.

This review included reviewing the overall organizational structure focusing on membership criteria, HOD governance and Board governance.

4. What is optimal governance structure for MSMS going forward?

Consultants with the appropriate skills and experience were vetted, and the MSMS Board voted to work with Tecker International, a consulting firm with extensive association

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IV.

PHASES OF THE REMODELING PROJECT Both the research and model creation phases of the remodeling project included direct input from more than 100 physicians, including various specialties, stages of career (training, early practice, mid-career and late career), type of practice (independent, employed, large group/PO), and various levels of involvement with MSMS (HOD members, county leaders, current and past board members, committee members, newer members).

The stages of the project included:

Research (March-December 2016) • Strategic planning session • Member and nonmember survey • Strategic program assessment • Infrastructure analysis • Remodeling summit

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continued from Page 10

Creating Models (October 2016-April 2017) • Remodeling summit produced five models • Consolidation of three models • MSMS Board of Directors review • Task Force discussion During the remodeling work, several themes emerged: a) Adding integrated physicians (POs, PHOs, employed) to MSMS governance b) Creating a smaller, more “nimble” board c) Focusing the HOD on policy and the Board on operations and strategic direction d) Modifying the geographic structure of MSMS membership and governance e) Leveraging relationships with the specialty societies

The remodeling summit produced five potential organizational models, which were narrowed down to three after Task Force review: 1. The “Adjustments Model” – Very similar to current structure, some revision in Board structure 2. The “Care Team Model” – Meant to include team care representation beyond physicians to influence the direction of health care

3.

The “Hybrid Model” – Took features from all five models, focusing on innovation while preserving core of physician focus

In preparation for some initial feedback on the research and some proposed models for discussion, information was shared with HOD members through a variety of mechanisms, including website materials, an on-demand webinar and presentations at various county medical society meetings. Attendees were invited to a special second meeting at the 2017 HOD, and 130 delegates, alternates, Board members and county staff participated in facilitated small group discussions. Feedback forms were submitted by each discussion group, outlining the pros and cons of each proposed model. The purpose was to determine how much and what kind of change HOD members felt would be appropriate given the changes the state and county societies are seeing in the physician community.

The forms were compiled by the consultant and shared with the MSMS Board. a) HOD members view their role as setting overall policy for MSMS. b) Most agree that the geographical representation model needs to be updated, but there are continued on Page 12

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continued from Page 11

concerns over the rural counties having representation. c) Most people do not agree that a smaller board is needed. d) Many understand the importance of the PO, employed group and specialty perspective in MSMS governance, but are concerned about losing the independent physician’s voice. e) There was concern with opening the HOD to all members.

More specific summary comments of the 2017 HOD remodeling session are included in Attachment A. There was not sufficient interest in the Care Team Model, which represents the largest departure from the current structure, so it was eliminated from consideration. The Hybrid Model had the most overall support, but that one and the Adjustments Model were closely ranked. There was not clear consensus around one specific model, which would have allowed more focused discussion to continue to make improvements to one proposal. Despite the lack of clear consensus on a particular model, the earlier phases of the project and the feedback from the 2017 HOD session revealed a variety of areas that MSMS can address.

V. NINE RECOMMENDATIONS FROM THE 2017 HOD INPUT The MSMS Board discussed these recommendations and determined that some preliminary work was needed to develop action plans. This work is in advance of any suggested structural or bylaws change that might be appropriate, and the next phase includes collecting more information, developing more specific proposals for some of the recommendations and doing some experimental pilots. Some of this work can be a collaboration between the MSMS Board and county societies that are interested in partnering on innovations.

A. MEMBERSHIP MODEL Recommendation 1: Physicians can join MSMS through physician organizations (POs) or employed groups.

Recommendation 2: Physicians can join MSMS through specialty societies.

Recommendation 3: Physicians can join MSMS through their county medical society.

Action Approved: Start by collecting information from current members about how they affiliate, and use that data to develop new strategies for dues categories.

Update: The 2019 invoice has been updated to collect data regarding the organization they align most.

Recommendation 4: There is consistency in rate members pay for dues along with the products and services received.

Action Approved: Require counties to provide annual update to the Board about membership recruitment strategies and link dues rate to value provided.

Update: A template for collecting consistent information from counties is being developed.

Additional input needed from HOD and counties.

B. GOVERNANCE Recommendation 5: The MSMS Board should focus on achieving the vision and delivering on the goals of the strategic plan.

Recommendation 6: The board agenda should focus on 1) issues of strategic importance to physician practices; 2) progress and adjustment of the strategic direction; 3) receiving input and recommendations from committees; and 4) routine business.

Action Approved: Reallocate board time to focus on high level strategic issues, eliminate committee rework and do board development work.

Update: MSMS Board shifted to strategic focus at October 2017 meeting. Full board discussion at continued on Page 13

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continued from page 12 each meeting of three high priority issues that impact the largest number of physicians (currently opioids, MOC, prior authorization).

to all members, add opportunities for virtual input throughout the year, and create criteria and a vetting process for resolutions.

Recommendation 7: The MSMS Board should adjust its composition to reflect the broad range of perspectives of its members (include PO/ employed and specialty perspectives).

Update: Additional input needed from HOD and counties.

Recommendation 8: A nominating committee should be charged with identifying attributes, characteristics and perspectives critical to a knowledge-based board.

Action Approved: Develop a proposal for a hybrid model of regional representation and specific perspectives and competencies, and outline nomination criteria and how a nominating committee might function.

Update: Additional input needed from HOD and counties.

Recommendation 9: Explore methods of enhancing the perspectives participating in HOD deliberations.

Action Approved: Focus HOD work on policy instead of operations, open HOD participation

VI. SPECIAL SESSION AT 2018 HOD The nine recommendations allow the MSMS Board to make some changes that do not require a change to the bylaws, and also provide some areas for further study and experimentation, and the work is already underway on some of these areas. However, given that there was not a strong consensus toward either of the two models with more potential than presented last spring, the MSMS Board is very interested in more focused feedback at the upcoming HOD meeting. That feedback can help the Board develop a more structured proposal to encourage further discussion and identification of areas of consensus. The perspectives of the HOD members are very important to completion of the final phase of this remodeling process; a shared vision of bylaws changes that will make MSMS relevant and strong far into the future.

The session will start with a presentation from Rutledge Forney MD, President-Elect of the Medical Association continued on page 14

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continued from page 13 of Georgia, who can put the MSMS work in the context of what their medical society has done over the years and how they evolve based on the continuing change in physician demographics.

Doctor Jones will facilitate feedback from participants about the specific aspects of the recommendations and encourage dialogue between HOD members and their partners on the MSMS Board. This session will build on the insights provided last year, and provide them with important guidance on how to construct a bylaws proposal that reflects the knowledge of the HOD. The Board will then use that information at its July meeting to construct a proposal that can be analyzed and discussed at the local level over the course of several months. Areas of consensus can be presented at the 2019 HOD meeting for discussion and voting.

ATTACHMENT A Inclusion of POs/Employed Physicians: Advantages: There was recognition of the potential to reach larger numbers of physicians and increase membership as a result. The inclusion of POs and PO leaders may offer an important perspective in decisionmaking and may strengthen the MSMS voice in advocacy.

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Disadvantages: There was concern about POs replacing the role of the individual physician in MSMS. The resolution of potential conflicts between POs and between POs and individual physicians was identified as a disadvantage, but may also be a significant challenge.

Most significant challenges to achieving the stated outcome: Balancing perspectives and input between POs of different sizes and between POs and individual physicians was a common challenge identified by the groups. There was also a theme of “competition� with individual physicians, counties and between small and large POs that emerged throughout the summaries.

There was concern that POs would replace an existing voice rather than add to a discussion.

Smaller Board: Advantages: The advantages identified were focused on the efficiencies of operation and practice of the board.

Disadvantages: There was a strong assumption that a decrease in size also decreases perspectives and input along with fewer opportunities to develop leaders.

Most significant challenges to achieving the stated outcome: Practical challenges such as bylaws changes and buy-in from members were identified, along with ensuring a position for all current groups around the board table. The focus was clearly on representing a group rather than bringing a unique perspective to the board.

HOD Focused on Policy: Advantages: There was a common sense that this is the current status of the HOD. Disadvantages: Themes focused on decreasing the participation of some perspectives, time constraints of HOD participation and a fear of smaller groups making decisions.

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The Bulletin | May 2018

Most significant challenges to achieving the stated outcome: There is clearly a sense that the HOD is currently focused on policy. There were some observations from a number of tables that the role and nature of HOD meetings should change to provide ongoing input into the direction of MSMS. Enhanced Role of Specialty Societies: Advantages: Strengthening the MSMS voice and increasing diversity of membership were common themes. It was also viewed as potentially increasing membership.

Disadvantages: As with POs, a concern about the perspectives of some specialties dominating others or individual physicians was common.

continued on Page 15

continued from page 14 Most significant challenges to achieving the stated outcome: Determining which specialties participate at certain levels of leadership, along with changes to current structure were identified.

Geographic Structure: Advantages: There was a clear sense that it would be beneficial to modify the current geographic structure.

Efficiencies of operation and integration into regions were also listed as advantages.

Disadvantages: The loss of a direct connection to local issues, concerns and members were common themes.

Most significant challenges to achieving the stated outcome: Board seat allocation along with concerns of losing regional leadership.

Model Reviews: There was no significant support for the Care Team Model, which would expand membership beyond physicians, and had the most changes from the current governance structure. That model will not be given further consideration due to the lack of interest.

groups selecting the Hybrid Model also connected to participation in the policy-making process with higher levels of engagement from a larger group of members.

This presents the opportunity to connect directly with currently disengaged physicians.

There was uncertainty regarding the implication of changes to the HOD structure and process.

The people participating in this session have made a personal investment in the current governance structure.

They are cautious in recommending dramatic change.

Despite that, there is a sense that there are additional stakeholders who need to become more engaged in the policy making process.

C. Board of Directors Again, there was a nearly even split between the Hybrid Model and the Adjustments Model.

Concerns with disenfranchisement, small groups maintaining control and uncertainty about the geographic structure were common. Groups focused on the structure of the board with very little input regarding function. Any recommended changes will need to clearly define roles and responsibilities between the HOD and Board.

A. Membership The majority of tables (nine) identified the Hybrid Model as most likely to achieve the identified outcomes.

It was recognition that the status quo is unacceptable and leading to a decrease in membership and connection to the organization. Some of the challenges identified focused on a need to bring new voices into the organization while maintaining the focus on MSMS as an organization supporting physicians.

Seven tables identified the Adjustments Model, which is closest to the current structure, as the option most likely to achieve the outcomes. Within the rationale, there is still an understanding that changes do need to be made. There is a recognition that a larger cross section of membership needs to be engaged in setting the direction of the organization. The desire to change is clearly stated, with concerns about how that change is structured and its effect on political control.

B. HOD The groups were evenly split between the Hybrid Model and the Adjustments Model. There was universal concern about non-physician influence over the policy-making body of MSMS and, as a result, a desire to keep the body physician only. Common to all groups was an understanding of the need to bring more members into the discussions and create different methods of ongoing engagement. The responses from

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The Bulletin | May 2018 15

The Annual Meeting of the Saginaw County Medical Society was held on Tuesday, May 15, 2018, at Horizons Conference Center in Saginaw.

The next Membership Meeting will be held on Tuesday, September 18, 2018, at Horizons Conference Center

Julia M. Walter, MD, President of the Saginaw County Medical Society, called the meeting to order at 7:10 p.m. Dr. Walter welcomed Dean George E. Kikano, MD of CMU College of Medicine, CMU faculty and staff and Foundation Essay Contest winners and their families. She also thanked Key Providers in attendance for their ongoing support of SCMS programs: HealthSource Saginaw and St. Mary’s of Michigan Neurosciences.

Dr. Walter welcomed new members in attendance: 1) Kai Anderson, MD – Director, Psychiatry Clerkship of CMU CoM; 2) Mena Khan, MD – Assistant Director of CMU/Covenant Simulation Center (member-in-process); 3) Robert A. Sasso, MD – Director of CMU/Covenant Simulation Center (member-in-process); and 4) Stacey L. Sharp, MD – Ob/Gyn Resident at CMU Health.

Dr. Walter conducted the following business of the SCMS: • The minutes of the April 17, 2018, Membership Meeting were attached to the Agenda and published in the April Bulletin. MOTION: Accept the April 17, 2018, Membership Meeting Minutes as printed. MOTION APPROVED. • Dr. Walter welcomed Sanjay J. Talati, MD, SCMS Secretary, to the podium.

Dr. Talati presented the Slate of Officers for 2018-2019.

May Annual Member

Top (left to right) Drs. Matt Deibel and Iris Marteja with 2018 Essay Contest Winners Drs. Sam Shaheen, George Kikano and Maher Ghanem Drs. Ernie Balcueva, Meena Ramani and Manuel Perea Bottom (left to right) Christine Bergman and Nicole Stewart of St. Mary’s Drs. Mike Slavin, Parminder Jaswal and Larry Kelly

There were no nominations from the floor.

MOTION: Accept the Slate as presented for 20182019. MOTION APPROVED. • A report on the MSMS House of Delegates was presented. Dr. Walter thanked Drs. Allen, Dawis, Dedicatoria, Dhar, Scott, Willy and Zacharek for attending with her, Dr. Tom Veverka as District 8 Director and Joan Cramer. She reported the Suicide Awareness Training Resolution proposed by Joan Cramer and written by CMU medical students and introduced by Dr. Zacharek was approved as amended.

A copy of the resolution was attached to the Agenda.

Finally, Dr. Walter spoke about the MSMS Organizational Remodeling session presented at the House of Delegates. The document will be published in the May Bulletin, and available on the SCMS website.

Members were encouraged to review and contact Joan with their comments prior to the June Board Meeting when it will be reviewed and discussed by the SCMS Board.

• Joan Cramer presented a tribute to William R. Engelman, MD, longtime SCMS member who passed away on Friday, May 11, 2018. Dr. Engelman joined the SCMS in 1971, and served as President in 1977

and 1979, along with serving in various other leadership positions. It was because of Dr. Engelman that SCMS members serve and donate funds to cover the cost of the day’s food twice a year at the East Side Soup Kitchen. It was also because of Dr. Engelman that the SCMS raised funds and helped build a Habitat for Humanity house in 2006. Dr. Engelman attended nearly every SCMS Membership Meeting, and was very active in the Saginaw Surgical Society.

Members offered a moment of silence to honor his memory.

• The SCMS Annual Meeting was adjourned.

Dr. Walter called Matthew D. Deibel, MD, Immediate Past-President of the SCMS Foundation, to the podium.

Dr. Deibel called to order the Annual Meeting of the SCMS Foundation, and conducted the following business: • Reviewed the work of the Foundation which includes: • Provides low interest loans to medical students with ties to Saginaw, with a maximum of $20,000 in loans available during medical school;

continued on page 18

rship Meeting

Top (left to right) Drs. Robert Sasso and Mena Khan Drs. Cathy Baase and Joe Yacisen James Schilling, Jeff Johnson, Patience Schilling, Keri Benkert and Caroline Hogan Scott Taglauer of HealthSource Bottom Right Dr. Sanjay Talati

The Bulletin | May 2018 17

continued from page 17

•

•

•

•

• Forgives loan interest if the loan recipient returns to Saginaw to practice upon completion of their residency; • Forgives 25 percent or a maximum of $5,000 loan principal per year if the recipient returns to Saginaw to practice after completion of their residency and is adues paying member; • Awards scholarships and mentors Saginaw County high school students who are interested in becoming a physician; • Provides research grants and scholarships to medical students through CMU CoM; and • Assists the SCMS Alliance in awarding nursing scholarships.

Reviewed the Annual Report of the Foundation.

He announced the Foundation recently awarded five loans totaling $30,000 to medical students with ties to Saginaw. The Foundation currently has over $222,000 in investments and over $200,000 in outstanding loans, for a total of more than $422,000 in assets.

The 9th Annual SCMS Foundation Golf Outing will be held on Saturday, June 9 at the Saginaw Country Club. Sponsors and golfers are still needed. Funds raised at the annual golf outing fund Foundation initiatives. CMU College of Medicine and CMU Health are Title Sponsors again this year, and we thank them for their support.

At the Foundation Annual Board Meeting earlier in May, Dr. Tom Damuth was elected President, Dr. Iris Marteja was elected Vice President/ Secretary, and Dr. Deibel will serve as Treasurer.

Trustees are Drs. Lowell Butman, Rao Gudipati and George Gugino. Dr. Deibel mentioned the Foundation was in need of two or three more physicians to serve as Trustees, and those interested should contact Joan Cramer.

The SCMS Foundation sponsored its 9th Annual Essay Contest which was open to high school juniors and seniors in Saginaw County who want to become physicians and hopefully stay in Saginaw to practice medicine. Students who entered wrote an essay, “Why I Want to Become a Physician in Saginaw County.”

The following winners were announced: Jade Patel, a junior at Nouvel Catholic Central,

18 The Bulletin | May 2018

won first place. She received a check for $1,000 and a one-day mentorship with a SCMS member physician. Brianna Jones, a senior at Arthur Hill, won second place. She received a check for $600 and a one-day mentorship. Claire Quinlan, a senior at Freeland, won third place and received a check for $400 and a one-day mentorship.

Receiving checks for $100 and a one-day mentorship were Ryan Beyers and Gabriella Wagner, a junior and senior, respectively, at Nouvel; Javohn Dyer-Smith and Rolanda Johnson, seniors at Arthur Hill; Essence Flores and Delyn Owen-Robinson, seniors at SASA; Ryan Sawatzki, a senior at Heritage; Patience Schilling, a senior at Birch Run; and Kaitlyn Williams, a senior at Carrollton.

SCMS physicians are needed to serve as mentors to the essay contestants. Those interested were asked to contact Joan Cramer.

• The SCMS Foundation Annual Meeting was adjourned.

Program • Dr. Walter introduced Dean Kikano who gave an update on the CMU College of Medicine, followed by Q&A from the members.

The next Membership Meeting will be held on Tuesday, September 18, 2018, at Horizons. The program will be “Why Preventative Medicine is Failing: Understanding the Human Nature behind Social Determinants of Health,” an Ethics program designed to fulfill LARA requirements.

There being no further business, the meeting was adjourned at 7:49 p.m.

Respectfully submitted, Joan M. Cramer, Executive Director

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The Bulletin | May 2018 19

Comprehensive Orthopaedic Care Available at Covenant Together with orthopaedic surgeons and physicians, Covenant delivers fully integrated, comprehensive care with a team of highly skilled nurses, therapists and other healthcare professionals who will help patients through the healing process. This continuum of care has made Covenant the most preferred orthopaedic center in the region for over a decade.

What makes Covenant Orthopaedics so extraordinary?

• Covenant is ranked #1 for orthopaedic care in the Great Lakes Bay Region.* • The largest, most comprehensive team of orthopaedic surgeons in the Saginaw area.

• First in the Great Lakes Bay Region to perform MAKO robotic knee replacement surgery, and performing more MAKO procedures than any other area hospital.

Our highly skilled MAKO surgeons perform the highest number of procedures per surgeon in the state.

• Offer minimally invasive and outpatient total joint replacement surgical options.

• Ranked in the top 10 percent of all orthopaedic centers in the nation.* • The most advanced, state-of-the-art technology.

• Offer a comprehensive range of services from surgery to physical therapy and rehabilitation, for all injuries affecting bones, joints, ligaments, tendons, muscles and/ or nerves.

• Orthopaedic trauma team available 24/7.

• Offer podiatry medicine and treat conditions of the foot and ankle, including ankle replacements, fractures, sprains, bunions, hammer toe, Sever’s Disease and ingrown toenails.

Learn more at https://www.covenanthealthcare.com/ch/ orthopaedics. *CareChex 2017 Medical Excellence Award for Orthopaedic Care

Covenant HealthCare Foundation Awards Scholarships Covenant HealthCare Foundation, Covenant Volunteers and Covenant Medical Staff recently awarded 11 scholarships to high school seniors and five scholarships to nurses.

Chloe Brittain and Halle Keim received Covenant HealthCare Foundation scholarships. Chloe attends Breckenridge High School and is headed to Trine University

in the fall, and Halle attends Laker High School and will attend Central Michigan University. Megan Graham and Sophee Robinson received Dr. Robert M. Heavenrich Health Care scholarships. Megan attends Cass City High School and will enroll at Grand Valley State University in the fall, and Sophee attends Reese High School and will head to Ferris State University. Alexis Pearce and Chloe Pestrue received Covenant HealthCare Volunteers’ scholarships. Alexis attends Bay City Western High School and Chloe attends St. Louis High School. Both Alexis and Chloe will enroll at Central Michigan University this fall.

Collin Schultz, Polina Ogboh, Mitchel Christensen and Morgan Ondrajka received Covenant HealthCare Foundation Legal Dependent scholarships. Collin attends Nouvel Catholic Central High School and will enroll at Saginaw Valley State University; Polina attends Brown City High School and will attend Middle Tennessee State University; Mitchel attends Essexville Garber High School and will head to Central Michigan University; and Morgan attends OwendaleGagetown High School and will pursue her education at the University of Michigan, Flint. Payton Wolbert received the Medical Staff scholarship. He attends Essexville Garber High School and will attend Central Michigan University this fall.

Also, five Nursing Scholarships were awarded to current Covenant employees. Recipients of the Covenant Medical Staff scholarships were Megan Schmidt and Jenna Hulse.

Megan attends Saginaw Valley State University and Jenna attends Davenport University. The Nancy Butterfield Memorial Scholarship was awarded to Christina Nimtz who attends SVSU. Adwoa Boachie, who also attends SVSU, received the Amita Mridha Nursing Scholarship. Felisha Costello received the Dr. and Mrs. Firas Alani Nursing scholarship, and attends Saginaw Valley State University.

Covenant HealthCare Foundation is pleased to award the aforementioned scholarships and wishes all the recipients continued success in their academic endeavors.

For more information about scholarships at Covenant HealthCare Foundation, call 989.583.7604.

Dates to Remember: Something for Everyone at Red Carpet 2018 THURSDAY, AUGUST 9, 2018 RED CARPET PAR 3 CHALLENGE Back by popular demand, this event offers 18 chances at winning 18 prizes valued at $5,000 or more! Enjoy a light breakfast and the practice range before a shotgun start and 18 holes. This fun-filled event is open to the first 28 teams who register!

continued on page 21 20 The Bulletin | May 2018

continued from page 20

RED CARPET PREMIERE Enjoy a fun-filled evening of gourmet food and casino-style gaming events. Snappy casual dress for this blockbuster bash of blackjack, slot machines, auctions, raffles, door prizes and more!

CRUMPETS & CROQUET For those who want to be part of the daytime events, but golf is not your cup of tea, join us for a different cup of tea wearing your most festive attire! Women and men will have the chance to enjoy summer refreshments on the lawn, a delicious lunch and a round of croquet.

FRIDAY, AUGUST 10, 2018 PREMIERE GOLF CLASSIC This popular event features a full breakfast and practice range, followed by a shotgun start. Pick up pointers with your team while playing with a PGA golf professional. Dinner and awards banquet following golf.

For information on how to participate in or sponsor any of the Red Carpet events, call 989.583.7604 or visit https://www. covenanthealthcare.com/ch/redcarpetevents.

Calendar of Events Are your patients looking for a support group? Educational opportunity? Perhaps a free screening?

Remember to visit https://www.covenanthealthcare.com/ch/events to view our calendar of events by month.

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The Bulletin | May 2018 21

Ascension Makes Renewed Commitment to Local Michigan Health Systems Following a thorough and prayerful discernment process to determine the best way to ensure a successful future for St. Mary’s of Michigan in Saginaw, including St. Mary’s of Michigan in Standish and St. Joseph Health System in Tawas City, Ascension is making a renewed commitment to the growth and success of these health systems, their leaders and their associates as part of Ascension Michigan.

“During our discernment, we reviewed options including partnering with other organizations in the operation of the three health systems, as well as, transitioning them to different systems,” said Patricia A. Maryland, Dr.PH, Executive Vice President, Ascension, and President and Chief Executive Officer, Ascension Healthcare. “However, we determined that retaining and investing in these health systems will best serve them, their associates and physicians, the communities they serve, and our integrated national health ministry.”

“When I assumed the position of Interim Ministry Market Executive for Ascension Michigan a few weeks ago, I was eager to join this discernment process, and I’m excited to share that as part of our renewed commitment, we are planning an infusion of $50 million in capital spending and resources to ensure these hospitals and related services are equipped to meet the evolving needs of those we are privileged to serve,” said Joseph

Cacchione, MD, FACC, Interim Ministry Market Executive, Ascension Michigan, and President, Ascension Medical Group.

“We also have begun planning for the transition to the unified Ascension identity for both St. Mary’s of Michigan communities and St. Joseph in Tawas as part of our national branding work.”

“I am especially grateful for the continued dedication to providing compassionate, personalized care by our associates and physicians as this process has unfolded,” he said. “They have kept our patients, their families and the community foremost in their minds, and we appreciate their commitment to our shared Mission. We look forward to advancing that Mission with them.”

Betsy Aderholdt, Interim Mid-Michigan Northern Ministries President, who had returned to Ascension from her retirement during the discernment process, has agreed to remain in her position while a national search is conducted for a new leader for the Ascension Mid-Michigan Northern Ministries.

22

The Bulletin | May 2018

About Ascension Michigan In Michigan, Ascension operates 15 hospitals and hundreds of related healthcare facilities that together employ approximately 26,000 associates. Across the state, Ascension provided almost $230 million in community benefit and care of persons living in poverty in FY2017. Serving Michigan for over 140 years, Ascension (www.ascension.org) is a faithbased healthcare organization dedicated to transformation through innovation across the continuum of care. As the largest non-profit health system in the U.S. and the world’s largest Catholic health system, Ascension is committed to delivering compassionate, personalized care to all, with special attention to persons living in poverty and those most vulnerable. In FY2017, Ascension provided more than $1.8 billion in care to persons living in poverty and other community benefit programs. Ascension includes approximately 165,000 associates and 34,000 aligned providers. Ascension’s Healthcare Division operates more than 2,600 sites of care – including 153 hospitals and more than 50 senior living facilities – in 22 states and the District of Columbia, while its Solutions Division provides a variety of services and solutions including physician practice management, venture capital investing, investment management, biomedical engineering, facilities management, clinical care management, information services, risk management and contracting through Ascension’s own group purchasing organization.

St. Mary’s Concussion Clinic Recognized as Leader Nearly a year ago, St. Mary’s of Michigan implemented a new Concussion Clinic program and began performing baseline assessments on A concussion baseline assessment measures student athletes. normal functioning in multiple areas of the Since the program brain commonly affected after a concussion.

Assessments are performed using the TRAZER began, over where simulations mimic active game play 600 baseline and provide detailed data about an athlete’s performance capabilities. The information allows assessments have for a comparison of post-injury state to baseline been performed for accurate diagnosis and proper return to play protocol. and another 100 continued on page 24

St. Joseph

Lung C a ncer Scr eening Progr a m

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

Is it covered by insurance?

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

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

Why is a lung cancer screening important?

• Can detect cancer long before symptoms are present • Identifies the cancer’s stage to help your doctor decide the best course of treatment.

• Early diagnosis can reduce the risk of death by up to 20%

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

What are the benefits of going to St. Mary’s of Michigan and St. Joseph Health System?

• Education about the benefits and risks of a lung cancer screening to help you make an informed decision.

• Noninvasive, painless and only takes a few minutes.

• Low-dose computed tomography with expert radiological interpretation.

Who should get a lung screening?

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

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

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

• Asymptomatic (no signs or symptoms of lung cancer)

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

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

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

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

Where do I go for my screening?

High-risk category 2a:

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

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

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

Call now to learn about your options and to schedule your The Bulletin | April 2018 lung cancer screening. 1-866-246-4673

23

continued from page 22 are scheduled for this spring – all provided at no cost to the athlete thanks to a grant from Field Neurosciences Institute.

Recently, the hospital and the program received recognition as being a top TRAZER site in the country.

“The work St. Mary’s is doing to educate athletes and their families, as well as, athletic trainers and coaches regarding a safe and reliable protocol for concussion and orthopedic injury management is critical in the battle to make concussion awareness a priority,” stated Barry French, Jr., CEO of Traq Global Ltd. The St. Mary’s Concussion T.E.A.M. (Treatment, Education, Awareness, Management) is working closely with Saginaw area schools. Many of them are requiring all their athletes to have a baseline assessment done yearly. They are also working with youth baseball, travel hockey and high school football teams this summer. St. Mary’s Concussion Clinic is the region’s first and only comprehensive concussion care program of its kind focused on treatment and prevention of concussions.

For more information or to refer a patient for a baseline assessment or evaluation at the Concussion Clinic, call 989-497-3118.

St. Mary’s Continues to Move Forward with Robotic Bariatric Surgery The St. Mary’s of Michigan Bariatric Team continues to offer its patients the best surgical options for weight-loss success. Fady Moustarah, MD, associate professor of surgery at Central Michigan University College of Medicine and Medical Director of the St. Mary’s Bariatric Program, is now using the da Vinci robotic surgical system for bariatric surgery.

The robotassisted approach alleviates procedural complexity by giving the surgeon a magnified 3-D view of the surgical site and by improving instrument range of motion within the body. With the robotic arms, a surgeon can perform delicate operations through tiny incisions, contributing to enhanced patient safety and rapid recovery. Robotic surgery offers many advantages including smaller incisions, less post-operative pain, less blood loss, shorter hospital stays, quicker recovery and a faster return to normal daily activities.

24

The Bulletin | May 2018

Dr. Moustarah specializes in advanced minimal access general, metabolic, and bariatric surgery and is one of only a few surgeons who performs the metabolic weight-loss BPD-DS procedure. He also offers other surgical weight loss procedures, as well as, non-surgical, incisionless weight loss options that involve using endoscopy to place FDA approved medical grade balloons, like ReShape® or Orbera®, in the stomach to control appetite and weight.

St. Mary’s of Michigan Bariatric Center offers patients medical experts and a comprehensive program of care from the initial consult to ongoing follow-up and support, nutrition counseling and a variety of support services to help patients with their lifelong weight-loss journey.

The program is accredited as a Comprehensive Center under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP).

For more information on robotic bariatric surgery or to refer a patient to the St. Mary’s Bariatric Center, call 989-907-8716.

Steven T. McLean, MD Receives Award At the recent American Physician Partners Annual Leadership Conference, Dr. Steven McLean received the Michigan-Ohio Region Emergency Medical Director of the Year award. Dr. McLean, Emergency Medicine Department Chairman for St. Mary’s of Michigan, has helped improve patient satisfaction, improve multiple clinical quality metrics and decrease EMS diversion to zero hours for the past six months.

His leadership and hard work continues to be seen daily within the two St. Mary’s of Michigan Emergency Department locations.

Congratulations, Dr. McLean!

St. Mary’s New Trauma Program Medical Director St. Mary’s of Michigan has named Timothy R. Hackett, MD, as their trauma program medical director. St. Mary’s has been a designated Level II Trauma Center since 2008. Dr. Hackett will oversee the trauma program to ensure continued

continued on page 25

continued from page 24 high-quality and safe care that St. Mary’s provides to the greater Mid-Michigan region.

Dr. Hackett is a board-certified surgeon with CMU Health’s Department of Surgery.

He brings many years of experience to the trauma program medical director role. Dr. Hackett received his medical degree from the University of Toledo Health Sciences College of Medicine in Ohio, and completed his surgical residency at The Jewish Hospital in Cincinnati.

As a Level II Trauma Center, St. Mary’s provides 24-hour immediate coverage by highly trained trauma surgeons and physicians specializing in emergency medicine, anesthesiology, neurosurgery, orthopaedic surgery, radiology and critical care, and trauma-trained nurses. In addition, a Level II Trauma Center is committed to trauma prevention, continuing education of the trauma team members and to continued improvement in trauma care through a comprehensive quality assessment/performance improvement program.

Dr. Hackett’s office is located at CMU Health Department of Surgery, 912 South Washington Avenue in Saginaw. The office phone number is (989) 790-1001.

Save the Date Mark your calendar for the 9th Annual Online Charity Auction to be held August 6 through August 17, 2018. Items at every price point include gift certificates, gift baskets, travel packages, tickets to sporting events, jewelry, services and much more.

Contact St. Mary’s Foundation for details at 989-907-8300.

VISIT OUR WEBSITE TODAY! www.SaginawCountyMS.com

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The Bulletin | May 2018 25

Interstate Medical Licensure Compact is a Bad Solution House Bills 4066 and 4067 would set up an “interstate medical licensure compact,” creating one more onerous and unnecessary bureaucratic barrier between Michigan physicians and their patients.

The legislation would create a new licensure process for physicians, and drive up costs on patients. The Bills would create an entirely new bureaucracy between states for physicians that may at some time wish to leave Michigan and practice elsewhere.

Perhaps most concerning, the new system would also require, for the first time, that Michigan physicians participate in costly, unnecessary Maintenance of Certification procedures just to be eligible for licensure.

Ultimately, the Bills would consume physicians’ time and money, taking them away from the exam room and the operating suite, and raise costs while providing absolutely no benefit for patients. It is a bad solution in search of a nonexistent problem, and one that would have a serious negative impact on Michigan patients and their pocketbooks.

Please contact your state Senator today and urge him or her to vote NO on House Bills 4066 and 4067. WRITE YOUR SENATOR TODAY.

Members of MSMS and their office staff may receive the Reimbursement Advocate Alert, which has helped thousands of physicians recover as little as $30 and as much as $50,000. Below are the latest reimbursement news and resources to assist your practice.

More Details about Changes to the BCBSM and BCN Professional Provider Consultant Model: In the March Record, BCBSM indicated there would be more details about upcoming changes to the Blue Cross Blue

Shield of Michigan (BCBSM) and Blue Care Network (BCN) professional provider consultant servicing model in future issues. Here’s an overview of some of what’s changing and how BCBSM and BCN believe these changes will benefit health care providers going forward.

BCN Won’t Accept Late Claims, Effective July 1 BCN has filing limits for submitting claims. In the past, BCN allowed physicians to submit claims after reaching the filing limits. Effective July 1, BCN will no longer accept claims that are received after the filing limit. READ MORE.

June 1 Deadline for New Prescribing: Five Readiness Tips Beginning June 1, key changes in the law are slated to take effect that will impact the prescribing practices of Michigan’s physicians and other prescribers including interaction with the Michigan Automated Prescription System. Here are five tips to make sure physicians and other prescribers are compliant with the upcoming requirements. READ MORE ACTION REQUIRED: Survey on Legislation Mandating ePrescribing MSMS has learned it is very likely Michigan lawmakers will consider legislation to mandate the electronic prescribing (electronic transmittal directly to a pharmacy) of some or all controlled substances. Many pharmacies already have this capacity, but not every physician office currently has the technology required to comply with such a requirement. It would be very helpful to understand the potential impact of such legislation on MSMS members - those who are already using this technology and those who have yet to adopt it.

READ MORE “Be Rx Safe” Campaign Created to Raise Awareness on Prescription Drug Abuse and Misuse BCBSM, the Michigan Health and Hospital Association, Michigan Osteopathic Association, the Michigan Open Prescribing Engagement Network and MSMS teamed up to announce the “Be Rx SAFE” opioid awareness campaign to raise awareness about the dangers of prescription drug abuse and overuse, and encourage prescribers and patients to do their part in addressing the opioid crisis. READ MORE

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continued from page 26 HAP Reduces Authorization Requirements HAP is currently streamlining requirements for eviCore and HAP authorizations, which began on May 1, 2018. The change was made after their careful review of trended data on practice variations in addition to feedback from their provider partners about potential barriers to care due to its authorization process.

Here is some key change information you need to know.

READ MORE

ON-DEMAND WEBINARS Michigan Automated Prescription System (MAPS) Update Presenter: Kim Gaedeke, Director, Bureau of Professional Licensing Cost: Free Duration: 20 minutes Register Now - Free Webinar

MAPS Update & Opportunities Presenter: Kim Gaedeke, Director, Bureau of Professional Licensing Cost: Free Duration: 37 minutes Register Now - Free Webinar AMA Credit Designation Statement: The Michigan State Medical Society designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AMA Credit Designation Statement: The Michigan State Medical Society designates this enduring material for a maximum of .30 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

MSMS is pleased to announce that all MACRA on-demand webinars are being offered at no cost to MSMS members. That’s FREE CME! Visit the MSMS website (MSMS.ORG), click on the Education tab, on-demand webinars, and view the webinars when it’s most convenient for you.

APPLICATIONS FOR MEMBERSHIP Below are Applications for Membership that may be recommended for acceptance at the Tuesday, June 19, 2018, 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 applicant.

Humera (Mena) Khan, MD (CMU College of Medicine-Covenant HealthCare Simulation Center, Assistant Director) Specialty: Academic, no medical license Medical School: Ross University, Dominica, 2011 Additional Training: University of Dundee, Scotland, United Kingdom, Cert. MedEd. Sponsors: Doctors George E. Kikano and Steven J. Vance Per MSMS: Dr. Khan can become a member under academic teaching.

MSMS/SCMS Bylaws 2:30 - “To be eligible for active membership...must hold an unrevoked, permanent license that is not currently under suspension in Michigan, or if unlicensed, must be engaged in academic teaching, research, or administration.”

Robert A. Sasso, MD (CMU College of Medicine-Covenant HealthCare Simulation Center, Director) Specialty: Ob/Gyn, Board Certified, 1988 Medical School: Duke University School of Medicine, Durham, NC, 1982 Internship/Residency: University of Utah Medical Center, Salt Lake City, Utah, Ob/Gyn, 1982-86 Fellowship: Society of Reproductive Surgeons, 1992-93 Prior Practice: Multiple, contact SCMS for a complete list Sponsors: Doctors George E. Kikano and Steven J. Vance

The Bulletin | May 2018 27

IN MEMORY William R. Engelman MD Beloved husband, father and grandfather passed away on Friday, May 11, 2018, at Covenant HealthCare Cooper Campus at the age of 85. He was born on December 20, 1932, to the late Morton and Gladys (Holt) Engelman in Detroit. He married Greta L. Faubert on September 16, 1961.

Dr. Engelman served in the U.S. Army during the Korean War. He graduated from the University of Detroit with BS and DDS Degrees, and Wayne State University with his MD in 1966. He started his medical office in Saginaw in 1971 and retired in 1996. William was a member of Holy Family Catholic Church, American Medical Association, Saginaw County Medical Society and Saginaw Surgical Society. He enjoyed reading, ice skating, ice hockey, coaching hockey and especially spending time with his family.

Surviving besides his wife, Greta, are one daughter and three sons, William T. Engelman, Detroit; Laura and Tim Britain, Kalamazoo; David Engelman, Brooklyn, New York; Matthew and Claudia Engelman, Round Rock, Texas; four grandchildren, Sarah Britain, Ryan Britain, Linda Engelman and Ivan Engelman; his sister Vivian Ben, LaCrescenta, California; and many nieces and nephews.

William was preceded in death by his daughter, Linda Marie Engelman, two brothers and two sisters.

Funeral Liturgy took place on Wednesday, May 16, 2018, at Holy Family Catholic Church. Military Services conducted by V.F.W. Post #1859 took place after the Mass. Honoring Dr. Engelman’s wishes, cremation followed with burial of cremains in Holy Sepulchre Catholic Cemetery in Southfield, Michigan. Those planning an expression of sympathy may wish to consider memorials to Holy Family Catholic Church or the East Side Soup Kitchen.

Dr. Engelman joined the SCMS when he started his practice in Saginaw in 1971, and served as President in 1977 and 1979.

Because he felt medical professionals should give back to the community, he arranged for the SCMS to serve and fund the cost of the day’s meal at the East Side Soup Kitchen several times a year.

Dr. Engelman could always be counted on to volunteer even when his health was declining. It was also Dr. Engelman’s idea the SCMS raise funds to build a house for Habitat for Humanity in 2006, and he served as part of the construction crew.

Dr. Engelman served many roles in the Saginaw Surgical Society, and continued his service up until the time of his death. He fulfilled his promise to his mentor, Dr. William Rice that he would make sure the Saginaw Surgical Society continued after Dr. Rice’s death. If Dr. Engelman made a promise, he kept it. Dr. Engelman not only wanted young surgeons to learn the “art of surgery,” but he also wanted them to be taught how to treat the nurses and staff they worked with.

Dr. Engelman attended nearly every SCMS Membership Meeting.

He was a confidante and mentor to many and will be dearly missed.

Since Dr. Engelman’s mission in life was to always help others, please do a kind deed in his memory for someone less fortunate than you.

Thomas O. Lohr Sr., MD Dr. Thomas Oliver Lohr, Sr., passed away on March 13, 2018, at the age of 92 in Northport, Michigan. Dr. Lohr was born on May 31, 1925, in Saginaw to Dr. Oliver W. Lohr, a pathologist, and Gernith Francis Lohr.

As a boy, Dr. Lohr assisted at his father’s lab, Central Laboratory, which his father owned and operated. In 1943, Dr. Lohr graduated

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The Bulletin | May 2018

from Arthur Hill High School. After graduation, he joined the Army, testing into the Army Specialized Training Program and attended NYU in New York City. In 1949, he graduated from Harvard Medical School and in 1951, enlisted in the Air Force to complete the 21 months of service required by the ASTP. In 1953, Dr. Lohr was discharged at the rank of Captain.

During his residency at Henry Ford Hospital in Detroit, Dr. Lohr met Dawn Nielsen, a nurse at the hospital. They got married and returned to live in Saginaw where Dr. Lohr opened his medical practice. They had four children and divorced after 26 years of marriage.

Dr. Lohr made many contributions to the medical community in Saginaw. He was instrumental in the debut of kidney dialysis care, and the establishment of a coronary care unit at Saginaw General Hospital, where he also served as Chief of Staff. Dr. Lohr was also a member of the Saginaw Club and Rotary International. Giving freely of his time, he was actively involved in many civic and social organizations in the community. After 39 years in medical practice, he retired in 1994.

Dr. Lohr was preceded in death by his former wife, Dawn N. Lohr; his sister Francis E. Lohr; his sons Robert N. Lohr and Thomas O. Lohr, Jr. He is survived by his husband, Roger Roush; his children, Elizabeth Lohr (Tucson, AZ) and James Lohr; and his grandson, Robert J. Lohr (Traverse City).

Those wishing can make contributions to their favorite charity or the Saginaw County Medical Society Foundation www.

SaginawCountyMS.com.

Neill D. Varner, DO Dr. Neill Darwin Varner passed away on April 9, 2018, at the age of 80 under the care of hospice at his home with his family by his side. He was born on September 3, 1937, in Lewistown, Pennsylvania. Dr. Varner lived a life centered around three things: His career as a physician with training in chiropractic, osteopathic and allopathic medicine; his family wife Judy, sons David and John (Jill), daughter Lisa and grandchildren Jacob and Julianna; and his role as a teacher of medical students, interns, residents and other physicians on topics related to environmental medicine.

Working with the CDC on its development of smallpox vaccination strategies, with the US-EPA on several Michigan Superfund Sites, and with the University of Michigan as a liaison to its study of dioxin-exposed populations, Dr. Varner was active in retirement also working as a contract public health physician in Saginaw, and as a per diem plant physician for automotive plants in Michigan.

Moving from Saginaw, Dr. Varner enjoyed life in the resort communities of the Leelanau Peninsula. His hobbies included baking bread and cooking meals for small and large groups. He and his wife developed a bagel business known as PAPADOC Bagels which was sold to a local Traverse City Food Cooperative. His interests in social anthropology kept him busy, reading and learning about world culture. Annoyances of poor health had their impact as his life slowed down toward the end. He tried to live by the words of Gertrude Stein who wrote, “A difference, to BE a difference, must MAKE a difference” and the legacy he left for his family is based on a profound love and respect for each of them, probably never fulfilling the ideal but striving to achieve it.

Memorial contributions in his name may be directed to Munson Hospice and can be sent in care of the Reynolds Jonkhoff Funeral Home, 305 Sixth Street, Traverse City, MI 49684.

HOSTED BY

WALK FOR HOPE 2018 EVENT AGENDA 8:30 AM - Registration/Check in Browse resource tables, art activities and special area for youth. Live entertainment with Robert Reeves & friends 10:00 AM - Welcome & Guest Speakers 10:30 AM - 5K walk/run Untimed and family friendly. Non-walkers and children are welcome. Please join us for special activities, raffles, and much more.

Closing Ceremonies to follow run/walk near Hach.

Only registered services dogs allowed for the safety of participants and your pets In the event of rain, the walk will take place on the indoor track at the Hach Student Center.

Depression & Suicide Awareness 5K Walk/Run Sunday, August 12, 2018 Northwood University | Hach Center 4000 Whiting Dr. | Midland, MI 48640 PRE-REGISTRATION

give.classy.org/walkforhope18 Deadline to register online is August 10th Online registration is easy and lets you connect with your friends and family to support your efforts.

Onsite registration and donations ​accepted however pre-registration is appreciated. Registration is free and all profits will be used in the Great Lakes Bay Region to work towards ZERO SUICIDE.

OTHER WAYS TO PRE-REGISTER:

Contact Barb Smith Phone: 989-781-5260 Email: sosbarb@gmail.com Mail Sponsor Form to: PO Box 6712 Saginaw MI 48608

ORDERING A T-SHIRT:

Pre-Order Online (opportunity to personalize) walkforhope.itemorder.com

ORDER DEADLINE: Sunday July 22nd, 2018 (11:59pm EDT) Online Orders will be handed out at event Limited T-shirts available for sale onsite

28 The Bulletin | May 2018 www.facebook.com/BarbSmithSRRN | Barb.smith@suicideresourceandresponse.net | give.classy.org/walkforhope18

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

10 Aperion Information Tech Ben Hamann 19 Barb Smith SUICIDERESOURCE & Response Network 18 Covenant HealthCare 2 Covenant Wound Healing Center 21 Evergreen Physical Therapy 25 Jan Hauck – Century 21 30 Healthway Compounding Pharmacy 13 Advanced Diagnostic Imaging, P.C.

Horizons Conference Center/Riverview Brownstones Lori Krygier Graphic Designer Norton + Kidd Accounting & Consulting, P.C. Peak Performance PC Services ProAssurance Shields Chiropractic St. Mary’s of Michigan Wolgast Corporation

5580 State St Suite 4 Saginaw, MI 48603

J AN H AUCK & A NDREW H AUCK 989.798.5217 •

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The Bulletin | May 2018

IKNOWSAGINAW . COM

• 989.798.2981

14 7 15 5 7 11 23 12

2018-2019 Saginaw County Medical Society Physician Directory

Attention all Physicians, Group Practices and Medical Partners

The 2018-2019 Physician Directory is produced by the Saginaw County Medical Society

To reserve a page for your company or physician, please call Joan Cramer at 989.790.3590 or email jmcramer@sbcglobal.net Space and Copy Deadline is Monday, July 30, at 5 p.m.

Previous year’s “Premium Position” advertisers have first right to those positions until Monday, July 16 at 5 p.m.

To submit fully finished ads, please provide press quality pdf files with all fonts embedded. All ads submitted should be 300 dpi at 100% for best printing.

All files should be CMYK color.

If you need your ad designed, please provide ad copy in Word or Text format and art and logos as jpeg or eps files.

Promote your company, office and/or group practice with an advertisement in the 2018-2019 Saginaw County Medical Society Physician Directory.

Join the many other medical suppliers and vendors and take advantage of this unique opportunity to promote your practice, group or medical company in this widely used, easy reference resource.

There will be two separate versions of this conveniently sized Directory distributed in the Fall of 2018. The Private Physician version will be distributed to members’ offices, and the Public Directory will be marketed and delivered directly into the hands of the public at the Annual Health Fair, events and expos throughout the year.

A limited number of additional copies will be available at the Saginaw County Medical Society office and available electronically for download at www.SaginawCountyMS.com under the Pictorial Membership Directory tab.

Ad Position Back Page Inside Front/Pg. 2 Page 3 Inside Back Page 4, 5 or 7 Center Spread Full Page Half Page Quarter Page

Full Color $1,800 $1,700 $1,700 $1,700 $1,700 $2,900 $1,600 $905 $490

Actual Size 6.25” wide x 9.62” high 6.25” wide x 9.62” high 6.25” wide x 9.62” high 6.25” wide x 9.62” high 6.25” wide x 9.62” high 2 center pgs - 13” wide x 9.62” high 6.25” wide x 9.62” high 6.25” wide x 4.75” high or 3” wide x 9.625” high 6.25” wide x 2.37” high or 3” wide x 4.75” high

Price includes both Physician and Public versions. All ad design services are at no additional cost.

The Bulletin | May 2018 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

2017-2018 KEY PROVIDERS These Area Businesses Support Saginaw County Medical Society Membership Meetings.

When you have a need for a service, please consider our Key Providers.

Please mark your calendar for the following meetings and events for 2018. You will receive an email meeting notice and reminder each month for SCMS events. Non-SCMS events are listed as a courtesy and you must contact the sponsor directly to register.

Tuesday, June 19, 2018 CMU College of Medicine, 1632 Stone Street – SCMS Board meets at 5:30 p.m.

There are no Membership Meetings in June, July or August.

Tuesday, September 18, 2018 Horizons Conference Center - SCMS Board meets at 5:30 p.m.

Membership Meeting joint with the Saginaw County Osteopathic Society with Social (cash bar) at 6:30 p.m. followed by dinner and program at 7 p.m. Program: “Why Preventative Medicine is Failing: Understanding the Human Nature behind Social Determinants of Health,” an ethics program designed to fulfill LARA requirements.

See page 5 for more details.

Saturday, October 6, 2018 Horizons Conference Center – “Opioid Crisis and Pain Management” sponsored by CMU College of Medicine. Breakfast and registration begin at 7:30 a.m., with program from 9 a.m. to 12 p.m. See page 19 for more details.

Tuesday, October 16, 2018 HealthSource Saginaw - SCMS Board meets at 5:30 p.m.

Membership Meeting with Social at 6:30 p.m. followed by dinner and program at 7 p.m. Program: “Candidates’ Forum.” Spouse/ Significant Other invited. See page 5 for more details.

Thursday, October 18, 2018 Saginaw Country Club – CMU College of Medicine: Meet new physicians who are joining the CMU team in the Great Lakes Bay Region. Tentatively scheduled for 5:30-7:30 p.m.

There are no Membership Meetings in November or December.

Tuesday, November 20, 2018 CMU College of Medicine, 1632 Stone Street – SCMS Board meets at 5:30 p.m.

Monday, December 3, 2018 Saginaw Country Club – 15th Annual SCMS Alliance Jingle Mingle.

There is no Board Meeting in December.

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