SCMS Bulletin-February 2020

The

Bulletin Saginaw County Medical Society

February 2020 | Volume 78 | No 6

CDC Healthcare Personnel Preparedness Checklist For 2019 Novel Coronavirus p. 11

LARA Opioid Awareness Training Requirements Training on pages 24-25 Satisfies Requirements! p. 23

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The

Bulletin Saginaw County Medical Society

2019-2020 OFFICERS AND DIRECTORS President Mildred J. Willy MD President-Elect Anthony M. Zacharek MD Past President Julia M. Walter MD Secretary Caroline G.M. Scott MD Treasurer Miriam T. Schteingart MD Board of Directors Jorge M. Plasencia MD Tiffany K. Kim MD Mark G. Greenwell MD Harvey K. Yee MD Elizabeth A. Paulus MD Furhut R. Janssen DO Bulletin Editor Louis L. Constan, MD Retiree Representative Rustico B. Ortiz, MD Resident Representatives Mary J. McKuen, MD Anushka N. Magal MD MSMS Delegates Elvira M. Dawis MD Julia M. Walter MD Mildred J. Willy MD Anthony M. Zacharek MD Jorge M. Plasencia MD Christopher J. Allen MD Miriam T. Schteingart MD MSMS Alternate Delegates Caroline G.M. Scott MD

contents

11

CDC Healthcare Personnel Preparedness Checklist For 2019 Novel Coronavirus

16-17

January Membership Meeting

20

23

24-25

MiHIA’s “Recognizing and

Responding to Trauma with

Clinical Tools to Promote Resilience”

21

27

4 7

7

7 8 10 10 12

13 14 15

16th Annual Health Fair “The Doctor Is In!”

President’s Letter SCMS Membership Meetings – Save the Dates!

16 22 26

11th Annual SCMS Foundation Golf Outing

Physician Burnout Survey

From the Editor Barb Smith SR&RN Attention Retired Members Key Provider of the Month – Covenant HealthCare Medical Mission Funding Needed Covenant HealthCare

28 29 29 30 30 32 32

LARA Opioid Awareness Training Requirements Training on pages 24-25 Satisfies Requirements!

REGISTER NOW! Free 8-Hour MAT DATA Waiver Training Satisfies LARA Opioid Awareness Requirements!

Violence in Healthcare Friday, March 13, 2020 Ascension St. Mary’s MSMS and Legislative Update CMU College of Medicine CMU Health Nursing Scholarship Applications and Medical Student Loan Applications Applications for Membership New Member March Birthdays Advertiser Index Key Providers Calendar of Events

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

ON THE COVER: Drs. Cathy Baase and Sam Shaheen at the January Membership Meeting

Waheed Akbar MD Mohammad Yahya Khan MD Virginia R. Dedicatoria MD Steven J. Vance MD Joseph P. Contino MD Kristine K. Spence DO Karensa L. Franklin MD

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

Scott E. Cheney MD Michael W. Warren MD Peer Review Ethics Committee Waheed Akbar, MD, Chair Caroline G.M. Scott, MD James R. Hines, MD MSMS Region 7 Director Thomas J. Veverka, MD Executive Director Joan M. Cramer Administrative Assistant Keri Benkert

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

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

The Bulletin is mailed free of charge to SCMS members as part of their membership.

Complimentary copies are sent to various other parties. Others may subscribe at the rate of $50 per year.

The Bulletin | February 2020 3

PRESIDENT’S LETTER

Crowding and Boarding in the ED: A Personal Story

By Mildred J. Willy, MD

I

n thinking about this topic, I have experienced both crowding and boarding as a physician and as a family member of a patient. I have been frustrated on the physician side with feeling as though my patients experience delays in receiving medications and more definitive care, have increased risk of incorrect testing, and experience increased morbidity and mortality because of crowding and boarding. I have apologized many times for the wait to get to a room because I am truly sorry that those in need will have to wait at times to receive the next step in their care.

I more recently experienced this as a family member, terrified for my father, an amputee suffering with hypoxemia, confusion and sepsis who waited for two full days in the ED before getting transported to his room late at night. We had his caregivers go to the hospital to check on him and continue as much of his regular routine as possible, however, he was not allowed out of the bed for the two days he was in the ED. He

normally ambulates for short distances with assistance and transfers on his own regularly. It was more difficult for me to get updates, understandably, as the ED was extremely busy. It was also very difficult to go over all his medications late at night when he was transferred to the floor as it was well past my bedtime as well as his. The increased length of stay in the ED may have also led to his increased length of stay in the hospital, and significant weakness that ensued while he was hospitalized. Overall, he is recovering and very resilient, however, I think there are some key issues that need to be addressed in order to help others, like my father, when they present to the hospital.

I have heard many other physicians and legislators talk about crowding and boarding as if they understand these things to be caused by “people that don’t really need to be in the ED.” I would like to clear up some misperceptions and discuss some solutions to address the issue. First, most of the patients who are in the ED waiting on beds are the sicker patients

who visit the ED, or those waiting for placement for mental health treatment. Those with low acuity problems are typically seen requiring very few resources and do not contribute to crowding and boarding.

It is our patients, often the elderly, those requiring ICU admissions, or those with multiple comorbidities requiring admission that take up most of the resources and rightfully do so.

What is Crowding? What Are the Causes?

Crowding occurs when the identified need for emergency services exceeds available resources for patient care in the ED, hospital or both. The causes of crowding are multifactorial and span the entire health care delivery system. Research has shown continued growth in ED visits, which has outpaced population growth. Current trends show increasing patient acuity, requiring more complex evaluation and treatment plans that increase ED care delivery times, as well as, inpatient lengths of stay. continued on page 5

The increased length of stay in the ED may have also led to his increased length of stay in the hospital, and significant weakness that ensued while he was hospitalized.

4

The Bulletin | February 2020

continued from page 4

What Are Consequences of Crowding?

• Treatment of patients in areas not designated for treatment, such as hallways, resulting in a loss of privacy for patients and families.

• Treatment of boarded patients, including mental health and ICU patients, by ED nurses.

• Increased morbidity and mortality for both boarded and ED patients.

• Increased disability in older patients who are discharged to facilities rather than admitted.

• Increased length of stay for admitted patients.

• Decreased patient satisfaction for hospitalized and ED patients.

• Diminished ED staff satisfaction and employee engagement.

• Significant delay in evaluation and treatment of emergency patients.

• Patients leaving prior to completion of medical treatment.

• Increased ambulance diversion time.

• Increased stress for behavioral health patients due to a lack of facilities or privacy that are a necessary component of emergency psychiatric care.

• Increased costs for care delivery.

• Reputation damage for the entire institution.

What is Boarding?

A “boarded patient” is defined as a patient who remains in the ED after the patient has been admitted or placed into observation status at the facility, but has not been transferred to an inpatient or observation unit because no inpatient beds are available. The primary cause of overcrowding is boarding.

The time at which boarding starts, or the time-zero, is the time at which the decision has been made to admit or place the patient into observation status.

What Are the Problems Associated with It? This practice often results in a number of problems, including ambulance refusals, prolonged patient waiting times, and increased suffering for those who wait, lying on gurneys in ED corridors for hours, and even days, which affects not only their care and comfort but also the primary work of the ED staff taking care of ED patients. When EDs are overwhelmed, their ability to respond to community emergencies and disasters may also be compromised.

Studies have shown that boarding patients in the ED can lead to greater hospital lengths of stay over prompt admissions.

Reducing this time potentially improves access to care specific to the patient condition and increases the capability of facilities to provide additional treatment. (NQF: National Voluntary Consensus Standards for Emergency Care – Phase II: Hospitalbased Emergency Care Measures, June 2008).

Key Problems with Boarding: Increased mortality due to ED crowding. Spirivulis et al1 studied three hospitals in Australia and found that periods of the greatest ED and hospital occupancy (e.g., when hospital occupancy exceeded 99th percentile or when >20% of ED bays were occupied by patients waiting >8 hours for an inpatient bed), were associated with hazard ratios of 1.3, 1.3 and 1.2 for mortality at 2, 7 and 30 days.

Increased mortality for ICU patients boarded in ED more than six hours and associated with ED crowding. Chalfin et al2 evaluated mortality rates for patients admitted to the ICU through the ED in a consortium of 120 hospitals. They found in-hospital mortality of 17.4% for patients held in the ED more than six hours compared to a rate of 12.9% for patients moved to the ICU in less than six hours, with similar demographics and illness severity between the groups, but more sepsis patients in delayed transfer group and more multi-trauma and cardiac patients in non-delayed group. This yields an absolute mortality risk of 4.5% for extended ED boarding of ICU patients, a number needed to cause one death of 22.

Delayed antibiotic administration in ED pneumonia patients. Pines et al3 studied 694 patients admitted for pneumonia from one ED. They found that 69% of patients seen during the lowest quartile of ED crowding received antibiotics within the recommended four-hour time standard, compared to only 28% seen during the highest quartile of ED crowding.

Increased hospital length of stay for admitted patients held in ED. Liew, et al4 compared average hospital length of stay (LOS) for patients in four categories of ED LOS, <4 hours, 4-8 hours, 8-12 hours, and >12 hours. They found that compared to the shortest ED LOS, patients in ED 4-8 hours spent 1.3 more days in the hospital, patients in ED 8-12 hours spent 1.96 more days, and patients in ED >12 hours spent 2.35 more days. Bernstein et al5 reported a similar study in abstract form. They studied hospital LOS for patients admitted during quartiles of ED crowding. Exclusive of the extra ED hours, they found that compared to the lowest quartile of crowding, patients in second quartile had hospital LOS 0.67 days longer, third quartile 0.81 days longer, and fourth quartile 0.85 days longer.

Delays in analgesic administration for patients in pain.

Pines et al6 studied 13,758 patients from one ED with severe pain. Using regression analysis, they found that the odds ratio for not receiving analgesia despite severe pain was 1.03 for each additional waiting room patient.

Impact of ED Crowding on Surge Capacity and Disaster Preparedness. Crowded conditions and over-burdened ED staffs do not provide much capacity to accommodate any surge, especially the large-scale surge of a disaster. continued on page 6

The Bulletin | February 2020 5

continued from page 5

What Solutions Exist to Address Crowding and Boarding?

The American College of Emergency Physicians (ACEP) believes that: • Hospitals bear the responsibility of ensuring the prompt transfer of admitted patients to inpatient units as soon as the disposition decision by the treating emergency physician has been made. Additionally, in the event of ED boarding, hospitals must have established over-capacity contingency plans in place.

• If transfer of admitted patients to inpatient units is delayed, the hospital must provide the supplemental nursing staff necessary to care for the patients boarded in the ED. • The care of patients boarding in the ED should be governed by the principles outlined in the ACEP policy statement Responsibility for Admitted Patients .

• In the event that the number of patients needing evaluation or treatment in an ED is equal to or exceeds the ED’s treatment space capacity, admitted patients should be promptly distributed to inpatient units regardless of inpatient bed availability, for example, to inpatient hallways.

• Hospitals should have staffing plans in place that can mobilize enough health care and support personnel to meet increased patient needs.

• Hospitals should develop appropriate mechanisms to facilitate availability of inpatient beds, nursing staff, and support personnel to meet the increased patient needs in the event of ED boarding.

• Emergency physicians and emergency medicine leadership should be involved in the hospital-wide efforts aimed at monitoring and improving inpatient resource utilization.

• Nurse staffing patterns applicable to other specialized areas/units of the hospital should apply equally to the boarded ED patients to assure there is a consistent standard of care within the organization. These staffing patterns must not degrade the ability of the ED staff to provide emergency care, and must be consistent with established guidelines, such as the Emergency Nurses Association (ENA) position statement Staffing and Productivity in the Emergency Department.

• Hospital diversion, as a temporary solution to ED boarding, should only be instituted if internal resources have been exhausted and outside community facilities have resources available to meet the needs of diverted patients.

Additionally, all mechanisms for diversion must be consistent with ACEP policy on ambulance diversion.

• Hospital regulatory and accrediting bodies should mandate standards for prompt transfer of admitted patients from the ED to inpatient units.

6

The Bulletin | February 2020

• Hospitals should have established protocols and procedures related to the expeditious transfer of boarded patients to in-network facilities with acceptable, available inpatient beds when none are available at the hospital of origin.

References Spririvulis PC, Da Silva JA, Jacobs IG, et al. The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments. Med J Aust. 2006; 184:208-12.

2 Chalfin DB, Trzeciak S, Likourezos A, et al. Impact of delayed transfer of critically ill patients from the emergency department to the intensive care unit.

Crit Care Med. 2007; 35:1477-83.

3 Pines JM, Localio AR, Hollander JE, et al. The impact of emergency department crowding measures on time to antibiotics for patients with communityacquired pneumonia. Ann Emerg Med. 2007; 50:510-6.

4 Liew D, Liew D, Kennedy MP. Emergency department length of stay independently predicts excess inpatient length of stay. Med J Aust. 2003; 179:524-6.

5 Bernstein SL, Aronsky D, Duseja R, et al for the Society for Academic Emergency Medicine, Emergency Department Crowding Task Force. The Effect of Emergency Department Crowding on Clinically Oriented Outcomes. Acad Emerg Med. 2008; 16:1-10.

6 Pines JM, Hollander JE. Emergency department crowding is associated with poor care for patients with severe pain. Ann Emerg Med. 2008; 51:1-5.

1

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SCMS MEMBERSHIP MEETINGS SAVE THE DATES Tuesday, April 21, 2020, Membership Meeting Save the date for our Tuesday, April 21, 2020, Membership Meeting 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.

GOLF OUTING SAVE THE DATE!

Program: “Physician Compassion Fatigue” Speaker: Molly E. Gabriel-Champine, PhD, LP, Director of Behavioral Science, Family Medicine Residency at McLaren Bay Email meeting notices will be sent in early April.

Online reservations are required.

Tuesday, May 19, 2020, Annual SCMS and SCMS Foundation Membership Meetings Save the date for our Tuesday, May 19, 2020, Annual Membership Meetings at Horizons Conference Center. The social with cash bar starts at 6:30 p.m., followed by dinner, meetings and program at 7 p.m.

Program: “Annual Update on CMU College of Medicine” Email meeting notices will be sent in early May. Online reservations are required.

The SCMS Foundation will host its 11th Annual Golf Outing on Saturday, June 6, 2020 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 6, 2020 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!

PHYSICIAN BURNOUT SURVEY

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

Researchers in the Department of Communication at the University of Kentucky are conducting a study to explore how attending physicians experience and talk about burnout. This information will help researchers better understand how communication about burnout experiences may impact social support and overall well-being. Participation involves having a conversation (in person or phone) with the researcher and completing a questionnaire.

To participate, physicians must: • Have completed all training (i.e., medical school, residency, fellowship) • Currently be working in one of the following specialty areas: Emergency Medicine, Family Medicine, OB/GYN, Internal Medicine or Surgery • Have previous or current experience with burnout After completion of the study, participating physicians can choose to receive a $25 Starbucks gift card.

If you are interested in participating, or would like to learn more, please email Alison Buckley at alison.buckley@uky.edu.

The Bulletin | February 2020 7

FROM THE EDITOR

What Mr. Rogers Can Teach Us About Neuroanatomy

By Louis L. Constan, MD

T

he human brain, we are told, is the most complex structure in the known universe (eat your heart out IBM).

For the purposes of this article, though, we’re going to explain it through the eyes of Mr. Rogers, whose insight is that there are essentially three parts to the human brain, and that if you can understand how those three parts work…and interact…you can be successful in this crazy world of ours.

Let’s take brain part number one, the limbic system (remember from anatomy class?) is the seat of our emotions. Mr. Rogers wanted children to be comfortable with themselves, and a big part of that was accepting that our emotions are natural, a normal part of our brains…we are emotional beings. We love, hate, became fearful, sad, angry, sometimes aggressive. Mr. Rogers reassured children that these emotions were all part of being people and that it is OK to have them. Our limbic system is the most primitive part of our brain, consisting of the thalamus, hypothalamus, hippocampus and amygdala. It stores memories of danger and brings these up subconsciously

when it deems necessary; then generates autonomic responses, adrenalin surges, fear, anxiety, anger and aggression.

There is no conscious thought here.

That is why this is sometimes called our primitive brain. It protects us from danger, reflexively. Its function is survival, plain and simple, and it is meant for fight or flight. The memory of the worst-case scenario pops from the hippocampus to the amygdala, sends to the hypothalamus, and fight or flight occurs at the fastest rate possible. No delay for conscious thought. So, why in the world, from Mr. Rogers’ perspective, would anyone chastise a child, or anyone for that matter, for feeling fear, anxiety, sadness, or anger…all natural, primitive, protective emotions?

Brain part number two, the pre-frontal cortex is the rational, logical part of our brain. It is what homo sapiens have that all other animal species lack. We can analyze problems, consider moral dilemmas, think about the future, empathize with others. This part of the brain starts growing when we are born, and isn’t fully developed until the early 20’s. This well-known fact is why our juvenile justice system treats

young criminals differently from adult criminals. Mr. Rogers understood that the pre-frontal cortex was developing in his viewers, and sought to help them develop the capacity of that part of their brain.

Brain part number three, the motor cortex, is the posterior part of the frontal lobe that controls the actions of skeletal muscles. These muscles can be triggered either reflexively by emotional triggers from the primitive, limbic, emotional centers, or by the more logical pre-frontal cortex, after some logical consideration and planning. Mr. Rogers always advocated for the latter.

Consider the little ditty he sang for his kids: What do you do with the mad that you feel When you feel so mad you could bite?

When the whole world seems oh, so wrong…

And nothing you do seems very right?

He ever-so-gently steered his kids from their limbic brains to their pre-frontal cortex, where they could continued on page 9

It seems that public discourse in our age is often two groups of people letting their limbic systems run wild, giving free reign to fear, anxiety, sadness, anger, even aggressive acts that hurt others, with little rational thought.

8

The Bulletin | February 2020

continued from page 8

evaluate their actions, and then where they took actions that did not hurt others: What do you do? Do you punch a bag?

Do you pound some clay or some dough?

Do you round up friends for a game of tag?

Or see how fast you go?

Where the “television Mr. Rogers” speaks to children trying to grow up, perhaps the “movie Mr. Rogers” can speak to grownups who have been, of late, acting like children?

What? It seems that public discourse in our age is often two groups of people letting their limbic systems run wild, giving free reign to fear, anxiety, sadness, anger, even aggressive acts that hurt others, with little rational thought. Mr. Rogers would say that’s not a good thing. He would urge us to acknowledge that our feelings (limbic system) are there, think about how we are going to handle them in constructive ways (pre-frontal cortex), then reach out to our fellow human beings and start to build bridges (motor cortex). There you have it in a nutshell.

Neuroanatomy made simple. And perhaps a start to solving the big problem of our day, the challenge we all face; the Grand Political Stalemate of 2020.

1

“Mr Rogers’ Neighborhood” was a popular children’s television program from 1968 to 2001, and now a blockbuster motion picture.

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The Bulletin | February 2020 9

2019 Training Recap Awareness presentations and assemblies 5,947 individuals attended safeTALK Trainings 1,321 individuals trained ASIST Trainings 357 individuals trained Outreach 1,097 individuals helped

What's Happening at the State Level The Michigan Department of Health and Human Services (MDHHS) received a grant for Suicide Prevention. In partnership with MDHHS public health, behavioral health and children's services agencies, Barb Smith was asked to convene a work group addressing postvention needs for suicide. The group is made up of professionals, advocates and community members with lived experience providing and receiving postvention services. This work group falls under the fifth goal set forth in the grant to enhance postvention services and resources in Michigan.

The group will meet monthly to complete a review of best practice recommendations and resources, and complete a needs assessment for the state of Michigan. Once they have done their assessments, they will make recommendations on how to best incorporate their recommendations into the ongoing work of the state of Michigan. The work group will remain a functioning body through the implementation of their recommendations.

Community Partner Collaboration is in our DNA of the Network. Through community partners, we've been able to reach individuals where they live, work, play and learn. The fact is, if you're reading this, we probably met you through a community partner hosting a training or by them telling you about a training. We just cannot facilitate suicide prevention trainings without collaborative partners. This month we'd like to share with you one of our most active partners, List Psychological.

Throughout 2019, Jacqueline List, COO of List Psychological, jumped all in by becoming an ASIST and safeTALK trainer! In addition, they wrote for funding to host nine ASIST trainings. Their commitment to suicide prevention is evident in their actions and their leadership.

"We realized that when people are having thoughts of suicide, they donâ&#x20AC;&#x2122;t always turn to professionals. Therefore, we think that it is important for not only our staff to be trained, but also members of the communities we serve. We will be offering both ASIST and safeTALK trainings in the near future.

We are honored to team up with Barb and her Network to work together towards a common goal of Zero Suicides." - Jacqueline List We are pleased to share List Psychological will be scheduling trainings in 2020 across their seven counseling offices. The support from List, and the consistent partnership in training, help to provide more trainings for our region and state, leading us closer to suicide safe communities.

To learn more about the various locations or to receive services, please visit List Psychological online.

Shop Amazon and Support the Network!

When shopping on Amazon, please go through AmazonSmile at smile.amazon.com/ch/38-3400293.

For your charity, choose SURVIVORS OF SUICIDE INC and 0.5 percent of eligible purchases will be donated to Survivors of Suicide, Inc. (now known as Barb Smith Suicide Resource & Response Network).

What is AmazonSmile?

AmazonSmile is a simple and automatic way for you to support your favorite charitable organization every time you shop, at no cost to you. When you shop at smile.amazon. com, youâ&#x20AC;&#x2122;ll find the exact same low prices, vast selection and convenient shopping experience as Amazon.com, with the added bonus that Amazon will donate a portion of the purchase price to your favorite charitable organization. You can choose from over one million organizations to support.

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To shop at AmazonSmile, simply go to smile.amazon.com from the web browser on your computer or mobile device.

You may also want to add a bookmark to smile.amazon.com to make it even easier to return and start your shopping at AmazonSmile.

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.

10 The Bulletin | February 2020

Centers for Disease Control and Prevention (CDC) Healthcare Personnel Preparedness Checklist for 2019 Novel Coronavirus (2019-nCoV) Front-line healthcare personnel in the United States should be prepared to evaluate patients for 2019 novel coronavirus (2019-nCoV). The following checklist highlights key steps for healthcare personnel in preparation for transport and arrival of patients potentially infected with 2019-nCoV. • Stay up to date on the latest information about signs and symptoms, diagnostic testing and case definitions for 2019-nCoV disease at https://www.cdc.gov/coronavirus/2019-nCoV/ summary.html.

• Review your infection prevention and control policies, and CDC infection control recommendations for 2019-nCoV at https://www.cdc.gov/coronavirus/2019-nCoV/ infection-control.html for: o Assessment and triage of patients with acute respiratory symptoms o Patient placement

ADVANCED DIAGNOSTIC IMAGING is proud to be part

of mid-Michigan’s well-established medical community. Our highlyexperienced, sub-specialized radiologists are the region’s trusted leaders for professional diagnostic and interventional services.

o Implementation of Standard, Contact and Airborne Precautions, including the use of eye protection o Visitor management and exclusion o Source control measures for patients (e.g., put facemask on suspect patients) o Requirements for performing aerosol generating procedures • Be alert for patients who meet the persons under investigation (PUI). See https://www.cdc.gov/ coronavirus/2019-nCoV/infection-control.html for definition.

• Know how to report a potential 2019-nCoV case or exposure to facility infection control leads and public health officials.

• Know who, when and how to seek evaluation by occupational health following an unprotected exposure (i.e., not wearing recommended PPE) to a suspected or confirmed nCoV patient.

• Remain at home, and notify occupational health services, if you are ill.

• Know how to contact and receive information from your state or local public health agency.

This information is also available online at https://www. cdc.gov/coronavirus/2019-ncov/hcp/hcp-personnelchecklist.html.

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The Bulletin | February 2020 11

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Martin Blank, MD

Anthony de Bari, MD, CWSP

Mark Bullock, DPM

Eric Gaughan, DPM

Khalid Malik, MD

Michael Williams, DO

900 Cooper, Fourth Floor Saginaw, Michigan 48602 989.583.4401 covenanthealthcare.com *https://WWW.NCBI.NLM.NIH.GOV, article PMC6161627 • ©2020 Covenant HealthCare. All rights reserved. PK Rev 1/20 12672

What is hyperbaric oxygen therapy?

Hyperbaric oxygen therapy (HBOT) is the administration of 100% oxygen in a pressurized environment. Diffusing oxygen throughout the body promotes angiogenesis, allowing a chronic wound to get the nutrient and oxygen rich blood it needs to heal.

Specialized wound care - including HBOT - is often necessary for optimal treatment of chronic wounds. HBOT is an effective adjunctive therapy used in conjunction with advanced wound care. Along with proper attention to nutrition and other underlying medical problems, we achieve greater healing results.

HBOT is a proven treatment for: • Chronic refractory osteomyelitis • Lower extremity diabetic ulcers • Radiation cystitis/proctitis • Radiation necrosis • Compromised skin grafts

Medical Mission Funding Needed Cabécar Women and Children in Costa Rica Organized by Jorge M. Plasencia, MD WHY: Young girls of the Cabécar tribe in the mountainous regions of Costa Rica suffer from an alarming rate of maternalinfant mortality, 40 percent by United Nations' estimates.

Women and children must often travel 150 km to receive medical attention. This fund requests your collaboration to maintain a shelter near a major hospital in Turrialba where the girls may stay until they deliver their baby and are able to safely return to their village.

WHO: Girls, women and children of the Cabécar tribe.

Pregnant girls have their needs met, including food and shelter, until they reach 39 weeks of gestation. Pre- and postnatal needs are met. More recently, 10 to 15-year-old girls, victims of incest or abuse and their babies reside here temporarily. About 450 persons are attended to each year at the shelter; in 2019, this included 33 newborns and their mothers. Children with special needs may also be housed at the shelter allowing access to resources in the nearby town.

January 2020 - We continue to make small but meaningful steps towards providing assistance to those in need

Drs. Rita Agayby, Triptpal Sanghera, Jennifer Romeu and Jorge Plasencia

WHERE: Albergue Indigena Cabécar Materno-Infantil (also known as Father Cascante House) located in Turrialba, Costa Rica.

GOAL: We hope to raise $5,000 to continue supporting this mission, and are working towards making the home a selfsustaining endeavor. In fact, two Cabécar women who, for reasons of abuse, cannot return to their village and now reside at the Albergue and help direct the shelter. Their role is expected to increase over time.

All funds received are carefully managed to achieve maximum benefits for these women and children. While volunteer physicians, nurses, medical residents and midwives participate in caring for these most vulnerable people, donations will not be used to pay for their travel expenses. One hundred percent of the donations go directly to satisfy the needs of the girls and infants. Dr. Jorge Plasencia and his wife, Ileana, visit the shelter at least once a year to collaborate with Mrs. Isaura Cordero and her group, assess their needs and ensure good faith use of the funds.

Donate through GoFundMe.com by clicking HERE Cabécar Women and Children in Costa Rica

CMU medical residents have participated in providing care for the women and children. Drs. Karensa Franklin and Katy Van Donselaar were among the volunteers.

We have teamed up with donor, Oscar Rodriguez, to start the process of improvements to the building where the women and children are housed. Paint, screens on windows, flooring and other repairs are needed. On this visit, he brought nearly 100 pairs of shoes and much needed food like rice and beans. Gracias Oscar.

The Bulletin | February 2020 13

Covenant Awarded HFAP Accreditation Covenant HealthCare was awarded accreditation by the Healthcare Facilities Accreditation Program (HFAP), the nation’s original independent accreditation program recognized by the Centers for Medicare and Medicaid Services (CMS). This accreditation confirms that Covenant is providing high quality care as determined by an independent, external process of evaluation.

“Covenant HealthCare clearly demonstrates a commitment to quality and patient safety,” said Meg Gravesmill, CEO of the Accreditation Association for Hospitals/Health Systems (AAHHS), HFAP’s non-profit parent company. “We base our decision on the findings of an extensive and thorough onsite review of the medical center against recognized national standards for patient safety, quality improvement and environmental safety. Covenant has earned the distinction of HFAP accreditation through its performance in successfully meeting those standards.”

A sincere thank you to all who contributed their time and attention to keeping our hospital extraordinarily safe for everyone, every day, everywhere.

“We’re proud to achieve this prestigious accreditation,” said Michael Sullivan MD, Vice President of Performance Improvement and Chief Medical Officer. “Earning HFAP accreditation is a significant achievement that recognizes the commitment of all our employees and caregivers to providing extraordinary care to our patients and our community. Safe, high quality care is at the center of everything that we do.

“We look forward to continuing this great work into 2020 and beyond,” added Beth Charlton, Executive Vice President/ Chief Nursing Officer. “The goal is to make sure these standards are part of Covenant’s culture every minute of every day because safety and quality matter! Let’s all continue in a direction to ensure HFAP standards are part of our culture and our everyday work.”

About HFAP HFAP is a nationally recognized program of AAHHS offering accreditation and specialty certifications to serve a range of 14 The Bulletin | February 2020

healthcare organizations. Originally established in 1945, HFAP is the original healthcare accreditation program in the United States. HFAP holds deeming authority from CMS, and also is recognized by state governments and regulatory bodies, and insurers. HFAP’s mission is to be the valued partner for healthcare organizations committed to improving their quality of care through accreditation/certification standards and continuing education, with a focus on advancing the health and welfare of their communities. For more information, visit www.hfap.org .

Dr. Giger-Mateeva Joins Covenant Neurology Covenant HealthCare welcomes Vessela Giger-Mateeva MD, PhD as a member of the Covenant Medical Group. Dr. Giger-Mateeva joins the Covenant Neurology team of Drs. Beltran, Bishja and Gill, bringing her knowledge in Epilepsy and Multiple Sclerosis to the Great Lakes Bay Region. Her specialties include seizures, Epilepsy, routine EEG, continuous EEG monitoring in the ICU, long term EEG monitoring in the Epilepsy monitoring unit (EMU), multiple sclerosis and related disorders, general neurology, trigger point injections for neck pain related headache, migraine headache, occipital nerve block for occipital neuralgia, migraine headache and Vagus Nerve Stimulation. The office is located at 3350 Shattuck Road in Saginaw, and the team can be reached at 989.401.1040.

Doctors’ Day Celebration 2020 is March 26 All Covenant Medical Staff physicians, nurse practitioners and physician assistants are invited to join us for a breakfast celebration in honor of National Doctors’ Day 2020. The celebration will take place on Thursday, March 26 from 6:3011 a.m. in the CMU Education Building (1632 Stone Street, Saginaw) near the Covenant Cooper Campus. We hope you can join us! For more details contact 989.583.4040.

Spring Chrysalis: A Gala for Covenant Kids Saturday, April 4, 2020 Join us on Saturday, April 4 for the first-ever Spring Chrysalis: A Gala for Covenant Kids at Horizons Conference Center. This elegant black-tie affair will feature an outstanding nine-piece showband performing a vast musical selection, unique fourcourse meal, festivities and fellowship all while raising money for life-saving equipment for our region's tiniest patients.

For more than 40 years, families in the Great Lakes Bay Region and beyond have relied on Covenant HealthCare to provide the highest level of newborn care. Spring Chrysalis: A Gala for Covenant Kids will support the purchase of a stateof-the-art infant isolette transporter for the LifeNet helicopter. continued on page 15

continued from page 14

This equipment will provide the safest method for bringing premature babies and sick infants to Covenant from regional hospitals who rely on the specialized equipment and advanced training Covenant offers.

Tickets for this fundraising event are $200 per person, $1,500 for a table of eight. Contact the Covenant HealthCare Foundation at 989.583.7600 to reserve your spot and support this amazing effort.

Focusing our practice on the needs of our community, we provide the following services for both individuals and businesses:

Caduceus Meeting for Recovering Health Care Professionals Third Thursday of each month at 7 p.m. | Zion Lutheran Church | 454 7th Street, Freeland, Michigan (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.

diabetes SELF MANAGEMENT PROGRAM

n Monthly Accounting n Tax Planning n Financial and Business Consulting Service n Payroll Service n Tax Preparation Service n Retirement Planning Contact us for a complimentary visit at 989-791-1040.

Three convenient locations to serve you in: Saginaw | Vassar | Frankenmuth

“Attention to detail since 1980.”

In the United States, 30.3 MILLION people are living with diabetes – 84 million are living with prediabetes.

Covenant HealthCare is the region’s most experienced diabetes management team. Our program is certified by the Association of Diabetes Care & Education Specialists (ADCES) through the Michigan Department Health and Human Service (MDHHS). We are certified to provide education for patients of all ages and diabetes diagnoses, including pregnant women.

Put your trust in the region’s most experienced diabetes management team – your Patient-Centered Medical Home partner.

We also have a Diabetes Prevention Program to help prevent or delay Type 2 diabetes.

To refer a patient or for more information call:

989.583.5193.

©2020 Covenant HealthCare. All rights reserved. PK 2/20 13001

The Bulletin | February 2020 15

T

January Members

he 30th Annual Joint Membership Meeting with the Saginaw County Dental Society was held on Tuesday, January 21, 2020, at Horizons Conference Center. Mildred J. Willy MD, SCMS President, called the meeting to order at 7:04 p.m. Dr. Willy welcomed Saginaw County Dental Society members and guests and Darnell Kaigler DDS, MS, PhD (speaker).

Dr. Willy thanked the following Key Providers in attendance for their ongoing support of SCMS programs: • Bieri Hearing Specialists – Cathy Bieri-Ryan and Sarah Harris • Covenant Wound Healing Center – Anthony deBari MD, David Gustavison DO and Bethany Thibaut • Healthway Compounding Pharmacy – Mike Collins RPh and Larry Greene • HealthSource Saginaw – Tony Holstine Dr. Willy then conducted the following business of the SCMS: • The Minutes of the October 15, 2019, Membership Meeting were attached to the Agenda and published in the November Bulletin. MOTION: Accept the October 15, 2019, Meeting Minutes as printed. MOTION APPROVED. • Announced a new member approved at tonight’s Board Meeting: 1) Jeffrey D. Osborne MD (Covenant Orthopaedics - Gratiot) – Orthopaedic Surgery and Sports Medicine • Informed members of the following which were attached to the Agenda:

16

The Bulletin | February 2020

o Health Can’t Wait initiative regarding prior authorization o Out-of-Network or “Surprise Billing” o MiHIA’s 11th Annual Conference: The Region’s Health and Health Care System scheduled for Friday, January 24 o Free 8-hour MAT DATA Waiver Training through ASAM hosted by CMU College of Medicine on Saturday, April 25, 2020 o Workplace Violence #STOPEDVIOLENCE • Presented the following announcements: o The 16th Annual SCMS Health Fair “The Doctor Is In!” is scheduled for Saturday, March 14, 2020. SCMS members are needed to staff the SCMS booth.

Vendor registrations are now being accepted.

Dental Society members were encouraged to participate.

ship Meeting Minutes

o The Nominating Committee will be meeting in March to form the Slate of Nominees for 2020 -21.

If you are interested in serving on the Board or know someone who would make a good addition to the Board, please contact Joan. o The 2020 MSMS House of Delegates (HOD) will be held April 25-26, 2020, at The Henry in Dearborn.

If anyone has a concern they would like brought before the HOD, please contact a Delegate or Joan. o The 11th Annual SCMS Foundation Golf Outing will be held on Saturday, June 6, 2020, at the Saginaw Country Club. Proceeds from the Golf Outing fund low interest medical student loans, and medical student and resident grants and awards.

There was no business for the Saginaw County Dental Society.

Dr. Willy welcomed William E. Mason DDS to the podium.

Dr. Mason introduced the evening’s speaker, Darnell

Kaigler DDS, MD, PhD, Department of Periodontics & Oral Medicine, School of Dentistry at the University of Michigan who presented a CME-accredited program on “Oral Health and Overall Health: 2020 and Beyond.” Dr. Kaigler’s program was followed by a question and answer session.

Dr. Willy thanked everyone for attending, and reminded them to sign in at the registration table and complete the online evaluation for CME credit within 60 days.

The next Membership Meeting will be held on Tuesday, April 21, 2020, at Horizons. The topic will be “Physician Compassion/ Fatigue,” presented by Molly E. Gabriel-Champine, PhD, LP, Director of Behavioral Science, Family Medicine Residency at McLaren Bay. There being no further business, the meeting was adjourned at 8:43 p.m.

Respectfully submitted, Joan M. Cramer Executive Director

Above (l-r): Dr. Khalid Malik, Cathy Bieri-Ryan, Dr. Harvey Yee and Sarah Harris of Bieri Hearing Dr. Tony deBari and Tony Holstine of HealthSource Drs. Julia Walter, Jennifer Romeu and Karensa Franklin Drs. Jim Hines, Larry Kelly and Don Passal Dr. Bill Lichon and Mike Collins of Healthway Pharmacy Drs. Darnell Kaigler, Kevin Lawson and George Ascherl

The Bulletin | February 2020 17

Nursing Leadership Announcements Deborah Gough, MSN, RN, is the new Vice President of Nursing/Chief Nursing Officer for Ascension St. Mary’s, Ascension Standish Hospital and Ascension St. Joseph. She has 30 years of nursing experience, including 23 years delivering direct bedside care, and many years of progressive management and leadership experience. Focused on collaborative leadership, successful patient outcomes and high-quality care, Debbie has worked throughout her career to recognize opportunity and implement quality improvements for her team and patients. Debbie will lead the team of nursing directors well into the future, and support initiatives to enhance the nursing field and exceed patient expectations in providing high quality, safe, compassionate care.

Ascension St. Mary’s Hospital proudly introduces Jodie Ihns, MA, RN, as the new Director of Surgical Services. She joins the Ascension St. Mary’s team from Ascension St. John Hospital and Medical Center in Detroit. She has 20 years of nursing experience, including 18 years of surgical experience, with 10 years in the management role of a complex, active and progressive surgical arena. Jodie will oversee the operating rooms, pre-op and post-anesthesia care. She will continue to advance quality improvement initiatives for surgical services, as well as, the oversight and management of operating and capital budgets.

Jodie can be contacted at jodie.ihns@ascension.org or 989907-8251.

(gallbladder procedure) and Dr. Bruck completed two inguinal hernia repairs.

“We are the first in Saginaw County to offer robotic surgery at an outpatient surgical center,” said Bapineedu Maganti MD, Towne Centre Surgery Center’s Medical Director. "Having the ability to perform robotic surgery in an outpatient surgical center is a great option for individuals who may not need a more acute hospital setting. Often, the scheduling time is much quicker, the environment is quieter, more private, and the care is more personalized."

Individuals having outpatient procedures and who may require extended recovery from surgery prior to being discharged home are accommodated in the Ascension St. Mary’s short stay unit for up to 23-hours.

The Towne Centre Surgery Center, located at Ascension St. Mary’s, 4599 Towne Centre Road in Saginaw Township, offers four operating rooms and provides care in a number of specialties including colorectal surgery, gastroenterology, general surgery, gynecology, ophthalmology, oral surgery, orthopedic surgery, otolaryngology, pain management, plastic surgery, podiatry, urology and vascular surgery. Towne Centre Surgery Center also offers the MAKO Robot for partial knee replacement procedures.

A wide-array of additional services are at the Towne Centre location including wound care and hyperbaric clinic, oncology and hematology services and sleep center. Ancillary services include laboratory, x-ray, mammography and advanced imaging (CT, MRI, PET) in addition to a full-service, 24/7 emergency care center.

Ascension St. Mary’s and Towne Center Surgery Center are both accredited by The Joint Commission.

Ascension St. Mary’s Foundation Receives Donation from The Saginaw Spirit

Outpatient Surgery Center Becomes First in Saginaw to Use High-Tech da Vinci Robot On January 27, Ascension St. Mary’s announced that Maher Ghanem MD and Christopher Bruck MD performed the first robotic surgeries at the Towne Centre Surgery Center using the da Vinci Surgical System. Dr. Ghanem performed a robotic cholecystectomy

18

The Bulletin | February 2020

The Saginaw Spirit hockey team presented a check for $5,860 to the Ascension St. Mary’s Foundation and Seton Cancer Institute on January 27. In the 13 years of this partnership, more than $62,625 has been raised and donated to the Ascension St. Mary’s breast care fund, which helps continued on page 20

Ascension Online Care Anywhere, anytime

Ascension Online Care is here for you and your family 24/7.

From anywhere, at any time, talk with a doctor using your smartphone, tablet or laptop.

Get the care you need and start feeling better for only $49 per visit. No insurance required.

Get started at ascension.org/onlinecare or download the mobile app.

See us for a wide variety of symptoms and conditions, including: • Sinus or upper respiratory infections • Eye infections • Allergic reactions/ allergies • Cold/flu • Fever • Urinary tract infections

If you are experiencing a major emergency, go to the ER as soon as possible or call 911. © Ascension 2019. All rights reserved.

The “Android” name, the Android logo, the “Google Play” brand, and other Google trademarks, are property of Google LLC. All rights reserved.

Apple, the Apple logo, iPhone, and iPad are trademarks of Apple Inc. All rights reserved.

The Bulletin | February 2020 19

continued from page 18

“TrueBeam enables us to treat even the most challenging cases with tremendous speed and precision,” said Salam Yanek MD, DABR, Radiation Oncologist at Seton Cancer Institute.

“This system will make it possible for us to offer fast, more targeted treatments for tumors - even those that move when the patient breathes, such as lung tumors.”

“In our radiotherapy practice, patient outcome, safety and comfort are the key,” said Charbel Habib PhD, DABR, Medical Physicist at Seton Cancer Institute and Clinical Assistant Professor at Central Michigan University School of Medicine.

“Our center spared no effort in acquiring all that this new technology can offer to ensure safe, accurate and precise treatment and outstanding patient experience.”

provide mammograms and follow-up ultrasounds for qualified uninsured individuals. Last fall’s Pink Out hockey game honored more than 50 breast cancer survivors by name at a pre-game ceremony on center ice.

Forefront Cancer Treatment Now Operational at Ascension St. Mary’s Open house and blessing on February 27 Ascension St. Mary’s Seton Cancer Institute is advancing their cancer fighting technology with the addition of a new state-of-the-art TrueBeam Radiotherapy System at their Saginaw medical center. The addition is part of Ascension’s $50 million reinvestment in the northern health ministries.

On Tuesday, January 28, the Seton Cancer Institute team treated their first patient with the TrueBeam system, which was engineered to deliver more powerful cancer treatments with pinpoint accuracy and precision. They can select the optimal treatment for every type of cancer, and enable the cancer treatment team to bring a wide spectrum of advanced radiotherapy treatment options to patients. It represents a quantum leap in the ability to help people fight cancer.

Please join us for an open house and blessing on Thursday, February 27 from 3-6 p.m. The dedication will be at 5 p.m. and include a ceremony in the memory of Dr. V. Elayne Arterbery.

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WEDNESDAY, MARCH 18, 2020 | 8AM - 12PM Child trauma and ACEs-related health and social challenges Medical providers are seeking more knowledge of how ACEs-related toxic stress and trauma lead to physical and emotional illness, how to put this science into practice, and/or how to share prevention strategies to help.

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16th Annual FREE Health Fair “The Doctor Is In!” www.SaginawCountyMS.com

Saturday, March 14, 2020 9 a.m. to 12 p.m. | Horizons Conference Center | 6200 State Street, Saginaw 80 Medically Related Booths Physicians to Answer Your Questions at the SCMS Booth Drawings for prizes • AND MUCH MORE! Free Screenings*

Free Health Information*

Balance • Blood Pressure • Body Mass Index Cholesterol • Depression Diabetic Foot Exam • Glaucoma • Glucose Hearing • Lung • Pre-Diabetes Sleep Apnea • Spine • Stroke Skin Cancer (10:30 a.m. to 12 p.m.)

Assisted Living • Bariatric Surgery • Breast Health Breathing Equipment • Cancer • Chiropractic Diabetes • Diabetic Shoes • Domestic Violence Gift of Life • Health Insurance Home Health • Hospice • Long Term Acute Care Mental Health • Nutrition • Nursing Homes Physical Therapy • Sexual Assault • Spine Care Stroke • Suicide Prevention • Women’s Health • Vitamins • AND MUCH MORE!

• AND MUCH MORE!

*tentatively scheduled

MEDICATION TAKE-BACK AT THIS YEAR’S HEALTH FAIR! The Saginaw County Health Dept. and Sheriff’s Dept. will collect your unused and expired medications

Accepting non-perishable food donations for the East Side Soup Kitchen

Do you have a

on your driver’s license?

Planned in cooperation with:

The Bulletin | February 2020

21

MSMS and Legislative Update Michigan patients would be one step closer to the timely care and treatment they need with action from members of the state Senate Health Policy and Human Services Committee, who, on January 30 and February 6, heard testimony from Legislative Update physicians, patients and patient advocates on legislation that reforms prior authorization and step therapy practices - policies insurance companies use to slow, and sometimes deny - life saving health care. Over 130 attended the first hearing in support of Senate Bill 612, the Health Can’t Wait Act. Joan Cramer represented Saginaw County at the first hearing.

Patients, physicians and advocates including S. Bobby Mukkamala, MD, PresidentElect of MSMS, testified in support of Senate Bill 612. The bill is sponsored by Sen. Curt VanderWall, who serves as chairman of the Senate Health Policy and Human Services Committee.

The Health Can’t Wait Act would introduce new transparency, clinical validity and fairness requirements to prior authorization and step therapy practices, empowering physicians to override step therapy protocols when they consider it not to be in a patient’s best interest. The Act would also require insurers to base their prior authorization requirements on clinical, evidence-based criteria established with input from practicing physicians.

The Health Can’t Wait Act would also establish: • Transparency – Insurance company prior authorization requirements would be published on the insurer’s website in detail and in easily understandable language.

• Clinical validity – Adverse determinations and decisions on appeals must be made by a physician in the same specialty as the service being requested. Medical directors of insurance companies must be licensed to practice medicine.

• Fairness for patients – Urgent and non-urgent prior authorization requests must be acted upon by insurers within 24 and 48 hours, respectively.

Please visit http://HealthCantWait.org to write your lawmakers to support Senate Bill 612 and learn more.

22

The Bulletin | February 2020

Federal Activity on Tobacco Sales to Minors and Vaping Restrictions MSMS is pleased with the recent federal activity to raise the minimum age on tobacco sales, but continues to advocate for restrictions on flavored vaping products.

MSMS has been participating in a stakeholders group focused on restoring the temporary ban of flavored nicotine vaping products. In December, the group was supportive of Governor Whitmer asking the Michigan Supreme Court to take immediate action to restore the temporary ban of flavored nicotine vaping products.

In addition to advocacy on vaping, the group also focused on raising the minimum legal sales age for all tobacco products from 18 to 21, and is pleased with the recent federal activity to do so. They created a Frequently Asked Question document about the Age of Sale. However, the group believes that the federal activity for flavor restrictions do not go far enough to protect kids. Stakeholders are being encouraged to continue advocacy for state legislation or comprehensive policies that would strengthen enforcement.

Save the Dates 9th Annual Spring Scientific Meeting Thursday-Friday, May 14-15, 2020 DoubleTree by Hilton, Dearborn More information coming soon 155th Annual Scientific Meeting Wednesday-Saturday, October 21-24, 2020 New Location The Westin Southfield Detroit 24th Annual Conference on Bioethics Saturday, November 14, 2020 DoubleTree by Hilton Ann Arbor North (formerly Holiday Inn near the University of Michigan)

Fulfill Your Board of Medicine Requirements on Your Time MSMS offers numerous on-demand webinars that fulfill the Michigan Department of Licensing and Regulatory Affairs requirements for continuing medical education, including: • A series of 12 covering Pain and Symptom Management • Three on Medical Ethics • Human Trafficking Download and watch at your convenience 24/7. For a complete list and to register click HERE

Opioid Awareness Training for Controlled Substance License Holders The Pharmacy Controlled Substance Administrative Rules were changed last year to require individuals with a controlled substance license complete a one-time training in opioids and other controlled substances awareness that meets the standards under Rule 338.3135. The rule was put in place to help with the opioid epidemic Michigan and the country is currently facing. Now, those applying for a Controlled Substance license are required to certify they have completed the one-time training in opioids and controlled substances awareness as part of the application process.

Current controlled substance licensees will have to certify that they have met the training requirement when they renew at their first full renewal cycle. Meaning if the licensee was part way through their current license cycle when Rule 338.3135 went into effect (January 4, 2019) the licensee would have another full licensure cycle to meet the requirement.

The rules also state that a prescriber or dispenser shall not delegate or order the prescribing, dispensing or administering of a controlled substance as authorized by this act to an advanced practice registered nurse, registered professional nurse or licensed practical nurse unless the nurse complies with the rule.

The standards for the opioid and other controlled substances awareness training, including what topics need to be covered and who can offer the training, are covered in the administrative rules that can be found here.

Should you have any questions, please contact the Licensing Division, Bureau of Professional Licensing at LARA at 517-3350918 or by email at BPLHelp@michigan.gov The free 8-hour MAT DATA Waiver training through ASAM presented by CMU on Saturday, April 25 will satisfy this LARA opioid awareness requirement. See pages 24-25

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Healthway Compounding Pharmacy 2544 McLeod Dr. N. | Saginaw, MI 48604 | 989.791.1691 | www.healthwayrx.com The Bulletin | February 2020 23

REGISTER NOW!

CMU Seeks Clinical Educators and Partnerships in MAT to Treat Opioid Use Disorders CMU Seeks Clinical Educators and Partnerships in MAT to Treat Opioid Use Disorders CMU Seeks Clinical Educators and Partnerships in MAT to Treat Opioid Use Disorders CMU Seeks Clinical Educators and Partnerships in MAT to Treat Opioid Use Disorders

Opioids (including prescription opioids, heroin, and fentanyl) killed more than 47,000 people in 2017, Opioids (including prescription opioids, heroin, and fentanyl) killed more than 47,000 people in 2017, and 40%(including of all opioid overdose opioids, deaths involved a prescription opioid.

Thethan opioid epidemic is hitting close Opioids prescription heroin, and fentanyl) killed more 47,000 people in 2017, and 40%(including of all opioid overdose opioids, deaths involved a prescription opioid.

Thethan opioid epidemic is hitting close Opioids prescription heroin, and fentanyl) killed more 47,000 people in 2017, to home – Michigan has experienced a 21% cumulative increase in drug overdose deaths since 2013. and 40% of all opioid overdose deaths involved a prescription opioid.

The opioid epidemic is hitting close to home – Michigan has experienced 21% cumulative increase in drug overdose deaths since 2013. and 40% –of all opioidhas overdose deathsaainvolved a prescription opioid.

Theoverdose opioid epidemic is hitting to home Michigan experienced 21% cumulative increase in drug deaths since 2013.close to homeMichigan – Michigan has experienced a 21% cumulative in drug overdose deaths medical since 2013.

Central University (CMU), has a goal to combatincrease the opioid epidemic by training and PA Central Michigan University (CMU), has a goal to combat the opioid epidemic by training medical and PA students with 8-hours of mandatory classroom learning using the American Society of Addiction Central University (CMU), has a goal tolearning combatusing the opioid epidemicSociety by training medical and PA studentsMichigan with 8-hours of mandatory classroom the American of Addiction Central Michigan University (CMU), has a goal combatusing the opioid epidemic by training medical and PA Medicine’s (ASAM)-accredited curriculum withtomedication-assisted treatment (MAT) Drug Addiction students with 8-hours of mandatory classroom learning the American Society of Addiction Medicine’s (ASAM)-accredited curriculum with learning medication-assisted treatment (MAT) Drug Addiction students with 8-hours of mandatory classroom using the American Society of Addiction Treatment Act (DATA) waiver training requirements.

Additionally, CMU is seeking partnerships with Medicine’s (ASAM)-accredited curriculum with medication-assisted treatment (MAT) Drug Addiction Treatment Act (DATA) waiver training requirements.

Additionally, CMU is seeking partnerships with Medicine’s (ASAM)-accredited curriculum with medication-assisted treatment (MAT) Drug Addiction clinical educators at certified opioid treatment facilities or primary care offices that offer MAT to host Treatment Act (DATA) waiver opioid trainingtreatment requirements.

Additionally, CMU isoffices seeking partnerships with clinical educators at certified facilities or primary care that offer MAT to host Treatment Act (DATA) waiver training requirements.

Additionally, CMU is seeking partnerships with our students for clinical experience. clinical educators at certified opioid treatment facilities or primary care offices that offer MAT to host our students for clinical experience. clinical educators at certified opioid treatment facilities or primary care offices that offer MAT to host our students for clinical experience. our students for clinical experience.

CMU is offering community educators free 8-hour MAT DATA waiver training through ASAM on: CMU is offering community educators free 8-hour MAT DATA waiver training through ASAM on: CMU is offering community educators free 8-hour MAT DATA waiver training through ASAM on: CMU is offering community educators free 8-hour Saturday, AprilMAT 25th,DATA 2020 waiver training through ASAM on: Saturday, April 25thth, 2020 9:00 am – 5:30 Saturday, April 25thpm , 2020 9:00 am – 5:30 pm Saturday, April 25 , 2020 CMU College of Medicine 9:00 am – 5:30 pm CMU College of Medicine 9:00 am Drive, –of 5:30 pm 2403 1280CMU E. Campus Room College Medicine 1280CMU E. Campus Drive, Room 2403 College of Medicine Mt. Pleasant, MI 48859 1280 E. Campus Drive, Room 2403 Mt. Pleasant, MI 48859 1280 E. Campus Drive, Room 2403 Registration Link: https://elearning.asam.org/p/mtpleasant425 Mt. Pleasant, MI 48859 Registration Link: https://elearning.asam.org/p/mtpleasant425 Mt. Pleasant, MI 48859 Registration Link: https://elearning.asam.org/p/mtpleasant425 Registration Participants will receive a $25 giftLink: card https://elearning.asam.org/p/mtpleasant425 for participating and completing a brief questionnaire along with Participants will receive a $25 gift card for participating and completing a brief questionnaire along with 8 Category 1will CME hours.aLivestreaming willparticipating also be available at the CMUaCollege of Medicine along building in Participants receive $25 gift card for and completing brief questionnaire with 8 Category 1will CME hours.aLivestreaming willparticipating also be available at the CMUaCollege of Medicine along building in Participants receive $25 gift card for and completing brief questionnaire with Saginaw located at 1632 Stone St., Saginaw, MI. For additional information, please contact the project 8Saginaw Category 1 CMEathours.

Livestreaming will also be available at information, the CMU College of contact Medicine building in located 1632 Stone St., Saginaw, MI. For additional please the project 8 Category 1 Alyson CMEathours.

Livestreaming will also atinformation, the CMU of contact Medicine building coordinator, Hill atStone Alyson.hill@cmich.edu oravailable at 989-746-7506 forCollege any questions or ifthe you are in Saginaw located 1632 St., Saginaw, MI. be For project coordinator, Alyson Hill at Alyson.hill@cmich.edu oradditional at 989-746-7506 for anyplease questions or ifthe you are Saginaw located at 1632 Stone St., Saginaw, MI. For additional information, please contact project interested in Alyson hostingHill student(s) to learn about MAT in your practice setting. coordinator, at Alyson.hill@cmich.edu or at 989-746-7506 for any questions or if you are interested in hostingHill student(s) to learn about MAT in your practice setting. coordinator, at Alyson.hill@cmich.edu orin atyour 989-746-7506 for any questions or if you are interested in Alyson hosting student(s) to learn about MAT practice setting.

This training willstudent(s) satisfy LARA opioid interested in hosting to learn aboutawareness MAT in yourrequirements practice setting.referenced on page 23.

CMU’s clinical sites and MAT (M) partnership sites as of 10/2019 CMU’s clinical sites and MAT (M) partnership sites as of 10/2019 CMU’s clinical sites and MAT (M) partnership sites as of 10/2019 CMU’s clinical sites and MAT (M) partnership sites as of 10/2019

24

The Bulletin | February 2020

REGISTER NOW! SEP 16, 2017 8:00 am – 12:00 pm The Pyle Center, UW-Extension 702 Langdon St Saturday, Madison, WI 53706

COST - $199 LOCATION LIVE IN-PERSON

April 25, 2020 | 9:00 am – 5:30 pm SEP 16, 2017 | 8:00 am – 12:00 pm

Central Michigan University College of Medicine Room 2403 1280 East Campus Drive Mt. Pleasant, MI 48859

LIVE STREAM LOCATION

Central Michigan University College of Medicine Educational Building 1632 Stone St. Room 1008 Saginaw, MI 48602

COST FREE

REGISTRATION

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Email: education@ASAM.org Call: 301.656.3920

The ASAM Treatment of Opioid Use Disorder Course covers all evidence-based practices and medications for treating patients with opioid use disorder.

The ASAM Treatment of Opioid Use Disorder Course is designed for: 



Physicians, Nurse Practitioners, Physician Assistants, Certified Nurse Midwives, Certified Registered Nurse Anesthetists, and Clinical Nurse Specialists who wish to obtain a waiver to prescribe buprenorphine in an office-based setting for opioid use disorder.

Clinicians and healthcare team members such as RNs, MA/LPNs, social workers, pharmacists, counselors, clinic administrators/office managers, and others working with providers who prescribe buprenorphine in an office-based setting to treat opioid use disorder.

Course Format: 8 hours live This training satisfies eight hours of education requirements for providers to qualify for a DEA DATA2000 waiver. Upon completion of this course, physicians qualify for the waiver to prescribe buprenorphine in an office-based setting.

NPs and PAs can qualify after completing an additional 16 hours provided by ASAM, the American Association of Nurse Practitioners, and the American Academy of PAs.

Are you an NP or PA? ASAM also provides the additional 16 hours required for NPs and PAs to qualify for a waiver free of charge.

ASAM is an approved provider by CSAT/SAMHSA of DATA 2000 training.

ACCME ACCREDITATION STATEMENT: The American Society of Addiction Medicine (ASAM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA CREDIT DESIGNATION STATEMENT: The American Society of Addiction Medicine designates this live activity for a maximum of 8 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Bulletin | February 2020 25

College of

Medicine CMU Health Patient Safety Comes First A new patient safety training program for CMU Health's medical staff has gone high-tech and incorporates the state-of-the-art medical simulation lab at the CMU College of Medicine's Saginaw campus. The Partners in Patient Safety program's coursework is intended to continually refine the skills of medical staff to keep patients safe and properly cared for at every visit.

The interactive program, led by nurse Leah Rouleau, a professional educator at CMU College of Medicine, brings CMU Health nurses and medical assistants to the simulation center bimonthly to learn a variety of critical topics of everyday patient care, such as proper hand hygiene, patient privacy, medical and environmental clinic emergencies, basic life support, opioid misuse and signs of human trafficking in patients.

Staff will complete their hands-on training sessions with technologically advanced manikins in a simulated medical environment, where it is safe to make mistakes and learn from them. "Not only will these workshops improve safety and communication within our clinics, but they will help our staff continually develop skills as medical professionals," Rouleau said. "The program is designed to empower medical staff to properly and independently deal with clinical issues and boost confidence through learning in a simulated environment."

research with the goal of improved care of critically ill and injured patients. Awards are given annually to critical care practitioners and other health care providers who demonstrate dedication and innovation to the field of critical care.

“This honor is a reflection of Dr. Morrison’s career-long commitment to the foremost international critical care organization, and all of his contributions, accomplishments and expertise in this discipline,” said Dr. Stephanie Duggan, Regional President of Ascension Northern Ministries.

In 2019, Dr. Morrison joined the CMU Health Department of Surgery and serves as an associate professor of surgery at the CMU College of Medicine and at Ascension St. Mary’s Hospital Trauma Center in Saginaw as a trauma and critical care surgeon.

"We are proud to have Dr. Morrison represent CMU to the region,” said Dr. Samuel Shaheen, Executive Director of CMU Medical Education Partners. “Citations of this capacity are reserved for passionate medical professionals who have made extraordinary contributions to their fields. This is a great achievement.”

Dr. Morrison attended medical school at George Washington University School of Medicine and Health Science in Washington, D.C., and completed residencies in general surgery at William Beaumont Army Medical Center in El Paso, Texas and Fitzsimons Army Medical Center in Aurora, Colorado.

He furthered his specialty training with a trauma and critical care fellowship at the University of Maryland R Adams Cowley Shock Trauma Center in Baltimore.

Dr. Chet Morrison Awarded Society of Critical Care Medicine Presidential Citation Chet A. Morrison, MD, FACS, FCCM has been awarded a Presidential Citation by the Society of Critical Care Medicine (SCCM). The SCCM promotes excellence in teaching and

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The Bulletin | February 2020

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Violence in in Healthcare Healthcare Violence

Protecting the the Healthcare Healthcare Workforce: Workforce: Challenges Challenges and and Progress Progress Protecting Friday,March March13, 13,2020 2020 12:30â&#x20AC;&#x201C;3 12:30â&#x20AC;&#x201C;3PM PM Lunch Lunch at at11:45 11:45AM AM Friday, CMUCollege Collegeof ofMedicine, Medicine,1632 1632Stone StoneStreet, Street,Saginaw Saginaw Room Room1008 1008and andLivestream Livestream CMU Thiscourse coursewill willdiscuss discussreasons reasonsfor forincreasing increasingviolence violenceininthe thehealthcare healthcareworkplace, workplace,security securitymeasures measuresand and This pitfalls, legal reforms and legislative efforts, as well as, financial impacts, decreases in staff wellbeing and pitfalls, legal reforms and legislative efforts, as well as, financial impacts, decreases in staff wellbeing and patientcare. care. ItItreviews reviewsrisk riskfactors factorsand andteaches teacheshow howto toidentify identifyand andde-escalate de-escalatepotentially potentiallyviolent violentsituations. situations. patient

WorkplaceViolence ViolenceAgainst AgainstHealthcare HealthcareWorkers: Workers: Challenges Challengesand andProgress Progress Workplace JamesPhillips, Phillips,MD, MD,FACEP FACEPisisan anAssistant AssistantProfessor, Professor,Chief ChiefofofDisaster Disasterand andOperational Operational James Medicine and Director of the Disaster and Operational Medicine Fellowship program the Medicine and Director of the Disaster and Operational Medicine Fellowship program ininthe Department of Emergency Medicine, George Washington University in Washington, DC. Department of Emergency Medicine, George Washington University in Washington, DC. Heisisalso alsoChief ChiefMedical MedicalOfficer Officerfor forSOS SOSInternational, International,Medical MedicalDirector Directoratatthe theCamp CampTaji Taji He military base in Iraq and a Senior Fellow at the Center for Cyber and Homeland Security military base in Iraq and a Senior Fellow at the Center for Cyber and Homeland Security atat AuburnUniversity.

University. Dr. Dr.Phillips Phillipsisisan anexpert experton onworkplace workplaceviolence violenceagainst againsthealthcare healthcare Auburn workers.

He also has expertise in training hospital workers nationwide on active shooter workers. He also has expertise in training hospital workers nationwide on active shooter response, and has served as a Tactical Physician for the Massachusetts State Police response, and has served as a Tactical Physician for the Massachusetts State Police SWATTeam.

Team. He Heisisaagraduate graduateofofthe theCounter CounterNarcotics Narcoticsand andTerrorism TerrorismOperational Operational SWAT Medical Support program and is a nationally registered EMT-Tactical.

Medical Support program and is a nationally registered EMT-Tactical.

Violencein inHealthcare: Healthcare: Protecting Protectingthe theHealthcare HealthcareWorkforce Workforce Violence MichaelJ.J.Peterson, Peterson,MD, MD,PhD, PhD,DFAPA, DFAPA,FACLP FACLPisisan anAssociate AssociateProfessor ProfessorofofPsychiatry Psychiatry Michael at the University of Wisconsin School of Medicine and Public Health.

He is Director at the University of Wisconsin School of Medicine and Public Health. He is Director ofof HospitalPsychiatric PsychiatricServices ServicesatatUniversity UniversityHospital HospitalininMadison Madisonwith withoversight oversightofofthe the Hospital inpatient, emergency, telepsychiatry, electroconvulsive therapy (ECT), and consultationinpatient, emergency, telepsychiatry, electroconvulsive therapy (ECT), and consultationliaisonservices. services. Dr. Dr.Peterson Petersonearned earnedhis hismedical medicaland andgraduate graduatedegrees degreesininthe theMedical Medical liaison Scientist Training Program at the Medical College of Wisconsin in Milwaukee.

He Scientist Training Program at the Medical College of Wisconsin in Milwaukee. He isisaa distinguishedfellow fellowofofthe theAmerican AmericanPsychiatric PsychiatricAssociation, Association,and andaafellow fellowofofthe theAcademy Academy distinguished of Consultation and Liaison Psychiatry.

He understands violent behavior that is frequently of Consultation and Liaison Psychiatry. He understands violent behavior that is frequently experiencedininhospitals, hospitals,nursing nursinghomes homesand andpsychiatric psychiatricinstitutions. institutions. experienced Objectives: *Understand *Understandthe thescope scopeand andincidence incidenceofofthe thedifferent differenttypes typesofofworkplace workplaceviolence violenceininhealthcare healthcare*Understand *Understandrisk risk Objectives: factors *Identify barriers to reporting violence *Present recent state legislation changes *Describe demographic factors related factors *Identify barriers to reporting violence *Present recent state legislation changes *Describe demographic factors related toto patient/familyviolence violence*Identify *Identifybehavioral behavioralintervention interventionstrategies strategiestotoreduce reduceororprevent preventviolence, violence,including includingde-escalation de-escalationmethods methods patient/family TargetAudience: Audience:Physicians, Physicians,Nurses, Nurses, Target Advanced Clinical Practitioners, all Advanced Clinical Practitioners, all membersofofthe theInterprofessional Interprofessionalteam. team. members Disclosure: Speakers Speakersand andplanners plannershave have Disclosure: norelevant relevantfinancial financialrelationships relationshipswith with no commercialinterests. interests. commercial

Accreditation Accreditation CentralMichigan MichiganUniversity UniversityCollege CollegeofofMedicine Medicineisisaccredited accreditedwith withCommendation Commendation Central bythe theAccreditation AccreditationCouncil Councilfor forContinuing ContinuingMedical MedicalEducation Educationtotoprovide provide by continuingmedical medicaleducation educationfor forphysicians. physicians. continuing CentralMichigan MichiganUniversity UniversityCollege CollegeofofMedicine Medicinedesignates designatesthis thislive liveactivity activityfor foraa Central TM. Physicians should claim only maximumofof2.5 2.5AMA AMAPRA PRACategory Category11Credits CreditsTM . Physicians should claim only maximum thecredit creditcommensurate commensuratewith withthe theextent extentofoftheir theirparticipation participationininthe theactivity. activity. the

HERE. Lunchisis is provided.For ForLIVE LIVESTREAM STREAMinformation informationand andregistration, registration,please please RegisterHERE. HERE Lunch provided. and registration, please Register Lunch provided.

For LIVE STREAM information email CMEDCME@cmich.edu or call 989-746-7602 email CMEDCME@cmich.edu call 989-746-7602 email CMED@cmich.edu oror call 989-746-7602 Sponsoredby bythe theContinuing Continuing Sponsored MedicalEducation EducationCommittee Committee Medical

Fundedby byaagrant grantfrom fromthe the Funded Saginaw Community Foundation Saginaw Community Foundation

The Bulletin | February 2020 27

NURSING SCHOLARSHIP APPLICATIONS AVAILABLE

MEDICAL STUDENT LOAN 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.

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 returns 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.

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 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 “Nursing Scholarships” tab. Deadline for applications is March 31, 2020.

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The Bulletin | February 2020

Only applicants enrolled in a United States medical school will be considered.

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 “Medical Student Loans” tab. Deadline for applications is March 31, 2020.

APPLICATIONS FOR MEMBERSHIP FIRST READING: Application for membership that may be recommended for acceptance at the March 17, 2020, Board Meeting: Chet A. Morrison, MD (CMU Health - Surgery) Specialty: Surgery - General, Board Certified 1998 and Critical Care - Board Certified 2001 Medical School: George Washington University School of Medicine and Health Science, 1991 Internship: Fitzsimons Army Medical Center, Aurora, CO, Surgery, 7/91-6/92 Military Requirement Before Residency: Camp Edwards Medical Treatment Facility, Republic of Korea, 7/92-6/93 Residency: Fitzsimons Army Medical Center, Surgery, 7/936/95; and William Beaumont Army Medical Center, Surgery, El Paso, TX, 7/95-6/97; and University of Maryland and R Adams Cowley Shock Trauma Center, Baltimore, MD, 7/99-6/01 Sponsors: Doctors John Blebea and Samuel J. Shaheen SECOND READING: Applications for membership that may be recommended for acceptance at the February 18, 2020, Board Meeting: Gregory A. Bohn, MD (CMU Health - Surgery) Specialty: Surgery – General, Board Certified 1988 and Undersea and Hyperbaric Medicine, Board Certified 2011 Medical School: Wayne State University School of Medicine, 1982 Internship/Residency: Blodgett Memorial Medical Center, Grand Rapids, MI, 7/1/82-6/30/87.

Sponsors: Doctors John Blebea and Samuel J. Shaheen Chelsea P. Houthoofd, MD (Dermatology Associates of Midland) Specialty: Dermatology, Board Certified 2019 Medical School: University of Michigan Medical School, 2015 Internship: Grand Rapids Medical Education Partners, Transitional, 2015-16 Residency: Michigan Medicine, Dermatology, 2016-19 Sponsors: Doctors Thomas E. Damuth and Matthew D. Deibel Kimberly S. Johnson, MD (Advanced Diagnostic Imaging) Specialty: Radiology-Diagnostic, Board Certified 2015 Medical School: Michigan State UniversityCollege of Human Medicine, 2009 Internship/Residency: Beaumont Health Dearborn (f/k/a Oakwood Hospital and Medical Center) Diagnostic Radiology, 2009-14 Fellowship: Henry Ford Health System, Detroit, Breast Imaging, 2014 Sponsors: Doctors Kristi M. Murphy and Kristin M. Nelsen

Cristina M. Nituica, MD (CMU Health - Surgery) Specialty: Surgery – General, Board Certified 2010 Medical School: “Carol Davila” University of Medicine and Pharmaceutics, Bucharest, Romania, 1996 Internship: Drexel University, Philadelphia, PA, General Surgery, 2003-04 Residency: Hahnemann University Hospital, Drexel University, General Surgery, 2004-08 Sponsors: Doctors John Blebea and Samuel J. Shaheen

NEW MEMBER Jeffrey D. Osborne MD Covenant Orthopaedics - Gratiot 5483 Gratiot Road Saginaw, MI 48638-6037 Office (989)-799-5557 | Fax (989)-401-8240 www.covenanthealthcare.com Surgery - Orthopaedic

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The Bulletin | February 2020 29

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

Advanced Diagnostic Imaging, P.C. Ascension St. Mary’s Hospital Barb Smith Suicide Resource & Response Network Covenant HealthCare Covenant Diabetes Self-Management Program Dornbos Printing Impressions Jan Hauck – Century 21 Healthway Compounding Pharmacy Horizons Conference Center/ Founders Building Luxury Apartments Lori Krygier Graphic Designer Norton + Kidd Accounting & Consulting, P.C. Peak Performance PC Services Print Express Shields Chiropractic Wolgast Corporation

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

P 989.755.2116 F 989.755.2120 Let us build a relationship with you. Please call Dornbos for your printing needs!

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The Bulletin | February 2020

MARCH BIRTHDAYS Faith Abbott DO Raghav Dev Acharya Student Robert P. Ainsworth MD

Happy Special Birthday!

Joseph N. Aquilina MD Christopher M. Archangeli MD Edward S. Bernreuter MD Bryan D. Brazeau MD Aditya D. Bulusu MD Louis F. Byrne MD Adriana E. Calderon Student Brenda M. Coughlin MD Ryan T. Davis Student Jonathon P. Deibel MD Stephanie J. Duggan MD Danielle C. Duncan MD Anna Eisenberg Student Jessica H. Ledyard Faris MD Thomas G. Ferreri MD Maher Ghanem MD Timothy R. Hackett MD Laura Saleh M. Hijazi MD Thomas E. Hyland Student Timothy H. Kaufman MD Asif H. Khan MD Siang-Chean Kua Student Andrew M. LaFleur MD James R. LaFleur MD James A. Letson, Jr. MD

Happy Special Birthday!

Albert G. Linden MD Veronica E. Lorenzo MD Omar N. Marar MD Luigi Maresca MD

Michelle M. McLean MD Kurt A. Menapace MD Alec Merlington Student Omer S. Mirza MD James R. Mlejnek II MD Sally T. Nagia Student Nobou Nakagawa MD Matthew C. Newman MD Sajeda Nusrat MD Rustico B. Ortiz MD Kelsey Perry Student Eric A. Pitts DO A. O. Rajagopal MD Joseph A. Reed Student Shelby T.A. Reitzel MD Conchita D. Riparip MD Jennifer R. Schmidt DO Shiraz H. Shariff MD Maxim Shaydakov MD Alexa M. Shepherd MD Alana P. Siwicki Student Michael J. Slavin MD Wael A. Solh MD Oliva Souphis Student Kristine K. Spence DO Jared P. Steinberger MD Dorothy Wong Student Scott C. Woodbury MD Harvey K. Yee MD Yong C. Yoon MD Jea Ho Yu Student Asim Yunus MD Paul E. Zeller Student

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2019-2020 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 the first six months of 2020. 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.

SCMS Membership Meetings are held on the third Tuesday of January, April, May, September and October. The SCMS Board meets on the third Tuesday of every month (except July, August and December) at 5:30 p.m.

Thursday, February 27, 2020 Ascension St. Mary’s Seton Cancer Institute – “Open House and Blessing.” See page 20 for information.

Friday, March 13, 2020 CMU College of Medicine, 1632 Stone Street – “Violence in Healthcare.” See page 27 for information.

Saturday, March 14, 2020 Horizons Conference Center - 16th Annual Health Fair “The Doctor Is In!” from 9 a.m.-12 p.m. See page 21.

Tuesday, March 17, 2020 CMU College of Medicine, 1632 Stone Street – SCMS Board meets at 5:30 p.m.

Wednesday, March 18, 2020 Horizons Conference Center - MiHIA’s “Recognizing and Responding to Trauma with Clinical Tools to Promote Resilience.” See page 20.

Saturday, April 4, 2020 Horizons Conference Center – “Spring Chrysalis: A Gala for Covenant Kids.” See page 14 for information.

Tuesday, April 21, 2020 Horizons Conference Center - SCMS Board meets at 5:30 p.m.

Membership Meeting with Social (cash bar) at 6:30 p.m. followed by dinner and program at 7 p.m. Speaker: Molly E. Gabriel-Champine, PhD, LP, Director of Behavioral Science, Family Medicine Residency at McLaren Bay. Program: “Physician Compassion Fatigue.”

Saturday, April 25, 2020 CMU College of Medicine, Mt. Pleasant, with livestreaming at the Saginaw Campus, 9 a.m. – 5:30 p.m. Free eight-hour MAT DATA waiver training through ASAM. See pages 24-25 for more information and to register.

Saturday-Sunday, April 25-26, 2020 The Henry in Dearborn – 155th Annual MSMS House of Delegates.

Tuesday, May 19, 2020 Horizons Conference Center - SCMS Board meets at 5:30 p.m.

Membership Meeting with Social (cash bar) at 6:30 p.m. followed by dinner and SCMS and SCMS Foundation Annual Meetings at 7 p.m.

Program: “Update on CMU College of Medicine.”

Saturday, June 6, 2020 Saginaw Country Club – 11th Annual SCMS Foundation Golf Outing.

Four-person scramble. 12 p.m. Registration and Lunch, with 1 p.m.

Shotgun Start.

Tuesday, June 16, 2020 CMU College of Medicine, 1632 Stone Street – SCMS Board meets at 5:30 p.m.

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