SCMS BULLETIN - January 2020

The

Bulletin Saginaw County Medical Society

January 2020 | Volume 78 | No 5

SPOTLIGHT!

SCMS Foundation Bylaws Amendment Annual Golf Outing Medical Student Loans Resident/Med Student Support p. 16-19

REGISTER NOW!

Free 8-Hour MAT DATA Waiver Training p. 22-23

HEALTH CAN'T WAIT HEARING p. 7

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The

Bulletin Saginaw County Medical Society

2019-2020 OFFICERS AND DIRECTORS

contents 7

7 President Mildred J. Willy MD

President-Elect Anthony M. Zacharek MD

11

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

13

4 7 8 10 10 12

20 24

REGISTER NOW! January Membership Meeting REGISTER NOW! Health Can’t Wait Senate Hearing

14-15

16-19 SPOTLIGHT!

SCMS Foundation

22-23

REGISTER NOW! 11th Annual Conference: The Region’s Health and Health Care Systems

Advertise in the 2020 Membership Directory!

REGISTER NOW! Free 8-Hour MAT DATA Waiver Training Through ASAM | April 25, 2020

16th Annual Health Fair Vendor Registration

25

President’s Letter

MSMS Surprise Out-of-Network Billing

Application for Membership From the Editor Barb Smith SR&RN Caduceus Meeting Key Provider of the Month – Bieri Hearing Specialists Ascension St. Mary’s

Nursing Scholarship Applications

and Medical Student Loan Applications

26 Covenant HealthCare 27 In Memory – Henry W. Moon, MD 27 Attention Retired Members!

28 February Birthdays 29 THRIVE 30 Advertiser Index 32 Key Providers 32 Calendar of Events

Jorge M. Plasencia MD Christopher J. Allen MD Miriam T. Schteingart MD MSMS Alternate Delegates Caroline G.M. Scott MD

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

ON THE COVER: Drs. Jennifer Romeu and Preeti Gudimella, 2019 CMU College of Medicine grads, enjoying the annual Foundation Golf Outing

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 | January 2020 3

PRESIDENT’S LETTER

Prudent Layperson Standard

By Mildred J. Willy, MD

J

ay Mullen MD MBA FACEP, a Maine Emergency Physician stated the following…

Consider some common complaints that patients have: Chest pain after a heavy meal is just indigestion, except when it is a heart attack. A headache with neck pain is just a strained muscle, except when it is a ruptured brain aneurysm. Leg pain is a strained hamstring, except when it is a ruptured disc with foot drop. Pelvic pain is just an ovarian cyst, except when it is an ectopic pregnancy. These are real-life examples of when friends and family reached out to me to ask if they should seek care for their symptoms or just stay at home. As a board-certified emergency physician, I struggled to help them decide what to do. I knew that their symptoms were most likely due to common non-emergent diagnoses like indigestion, colds, tension headaches, strained hamstrings and ovarian cysts – unless they weren’t. Luckily, I didn’t second guess myself. I told all of them to go to the ER. Only after a thorough evaluation by a healthcare professional did my good friend find out he was having a heart attack, my sister-in-

law had a leaking cerebral aneurysm and I had a ruptured disc. The final diagnosis for all these complaints could have been non-emergent, except they weren’t. If I, a board-certified emergency physician couldn’t be certain about the implications of the presenting symptoms, how can we expect the public to selfdiagnose? Would my friends and family have followed my advice to go to the ER if they were afraid they would incur a large hospital bill if they turned out not to have an emergency?

Understanding Prudent Layperson Standard and Recent Challenges by Insurers For over 20 years, the Prudent Layperson Standard has protected patients from being subjected to Monday morning quarterbacking by insurers.

What is the Prudent Layperson Standard?

Health insurance companies for years denied claims based on final diagnoses instead of recognizing the symptoms that the patients were concerned about and came to the emergency department (ED) for

treatment. In other words, if chest pain brought you to the ED but turned out to be indigestion, the insurance company wouldn’t pay.

The Prudent Layperson Standard language, adopted individually by most states, defines an emergency medical condition as: A medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) such that a prudent layperson, who possesses an average knowledge of health and medicine, could reasonably expect the absence of immediate medical attention to result in (a) placing the patient’s health in serious jeopardy; (b) serious impairment to bodily functions; or (c) serious dysfunction of any bodily organ or part.

The American College of Emergency Physicians (ACEP), fought hard for many years at both the national and state levels to secure passage of legislation aimed at protecting emergency patients from retroactive denials of insurance coverage for ED visits for conditions that turned out not to be emergencies. continued on page 5

Federal law requires that insurance sold on the individual and group markets and group health plans abide by the Prudent Layperson Standard.

4

The Bulletin | January 2020

continued from page 4

In 1997, Congress enacted the Prudent Layperson Standard for Medicare and Medicaid managed care plans.

The Prudent Layperson Standard was extended to all federal employees in 1999. The Affordable Care Act in 2010 also extended the Prudent Layperson Standard even further to individual and small group health plans, and to self-funded employer plans.

1. Does Prudent Layperson Standard affect billing and reimbursement?

According to EMTALA, medical screening examination and/ or stabilizing treatment is not to be delayed in order to inquire about payment status. This does not, however, assure that payers will pay for emergency treatment when treatment is for a condition that does not qualify for emergency payment according to their own unique guidelines. For example, some payers use a diagnosis list to determine payment and if the ED visit is performed for a problem not listed, payment may be denied or paid at an allowable rate for a lower level of service arbitrarily assigned by the payer. Physicians always have an opportunity to appeal a payer’s decision and it is advised they appeal unfair payment decisions when made. Although EMTALA and the Prudent Layperson Standard were not designed as a billing and payment policy per se, they give each patient with an “average knowledge of health and medicine” the right to seek emergency care for problems they deem as “serious.”

2. Do all Payers recognize EMTALA and the Prudent Layperson Standard in their payment policies?

Unfortunately, some payers look at the diagnosis codes assigned to the final diagnosis statement in the record to determine the medical necessity of the visit rather than consider the symptoms that required work-up to determine a final diagnosis. For example, a patient may come to the ED because of chest pain, receive a full chest pain work up (i.e., an EKG, a chest x-ray with interpretations, labs including cardiac enzymes, and PO or IV medication) and receive a discharge diagnosis of costochondritis. Although the discharge diagnosis is not serious, the physician utilized high cognitive resources during the ED visit to determine the final diagnosis. According to Medicare.gov, “medically necessary” is defined as “healthcare services or supplies needed to prevent, diagnose or treat an illness, injury, condition, disease, or its symptoms and that meet accepted standards of medicine.” Thus, the service should be considered appropriate and medically necessary.

3. Is the Prudent Layperson Standard applicable to managed care plans?

Federal law requires that insurance sold on the individual and group markets and group health plans abide by the

Prudent Layperson Standard. According to CFR›Title 29›Subtitle B›Chapter XXV›Subchapter L›Part 2590›Subpart C›Section 2590.715-2719A coverage of emergency services in a group health plan, or a health insurance issuer offering group health insurance coverage, must provide benefits with respect to services in an emergency department of a hospital, and the plan or issuer must cover emergency services; (1) Without the need for any prior authorization determination, even if the emergency services are provided on an out-ofnetwork basis; (2) Without regard to whether the health care provider furnishing the emergency services is a participating network provider with respect to the services; (3) If the emergency services are provided out of network, without imposing any administrative requirement or limitation on coverage that is more restrictive than the requirements or limitations that apply to emergency services received from in-network providers; (4) If the emergency services are provided out of network, by complying with the cost-sharing requirements; and (5) Without regard to any other term or condition of the coverage, other than the exclusion of or coordination of benefits; an affiliation or waiting period permitted under part 7 of ERISA, part A of title XXVII of the PHS Act, or chapter 100 of the Internal Revenue Code; or applicable cost sharing.

Definition of Emergency Medical Condition. Under the statute, “emergency medical condition” means a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) so that a prudent layperson, who possesses an average knowledge of health and medicine, could reasonably expect the absence of immediate medical attention to result in placing the health of the individual or, with respect to a pregnant woman, the health of the woman or her unborn child, in serious jeopardy; serious impairment to bodily functions; and to serious dysfunction of any bodily organ or part.

Applicability date. The provisions of federal law are applicable to group health plans and health insurance issuers for plan years beginning on or after January 1, 2017. Until the applicability date for this regulation, plans and issuers were required to continue to comply with the corresponding sections of 29 CFR part 2590, contained in the 29 CFR, parts 1927 to end, edition revised as of July 1, 2015.

4. How do I assure the medical necessity for treatment in the ED is identified for billing?

Here is where the problem often lies. Payers look for an “emergency” condition to determine medical necessity for continued on page 6

The Bulletin | January 2020 5

continued from page 5

payment, and their definition of “emergency condition” may determine whether the visit is paid in full or even at a lower payment level. Often, the presenting problem looks like an emergency condition but, after a medically necessary work up, the final diagnosis does not appear to support an emergency condition according to the payer policy. Identifying the presenting problem and/or chief complaint on billing forms may better describe the problem that caused the patient to seek emergency treatment. However, according to ICD-10, “codes that describe symptoms and signs, as opposed to diagnoses, are acceptable for reporting purposes when a diagnosis has not been established (confirmed by) the provider.

When a diagnosis is confirmed, it is technically inaccurate to add on the chief complaint, signs and symptoms. There is difficulty in providing “accurate” coding per the ICD-10 rules and identifying the problem when a final diagnosis is made.

In the example above, the patient who arrived with “atypical chest pain” (R07.89) and diagnosed with costochondritis (M94.0) would be coded with ONLY the costochondritis and not the chest pain which provides the medical necessity for the extensive diagnostic treatment to rule out a cardiac event.

It is important to document and code medical necessity for each step in the medical decision-making process, including diagnostic studies and ancillary services. Co-morbidities and risk factors provide additional details to support medical necessity for evaluation and management of the patient.

For those payers who look to the final diagnosis on the claim form to determine the appropriateness of ED care, it may be in the emergency providers best interest to include the codes for signs and symptoms to provide enough information to allow the payer to make appropriate decisions about payment.

Despite all the above, the Prudent Layperson Standard is under attack in some states. Unfortunately, health insurance carriers are not abiding by the Prudent Layperson Standard, thereby compelling emergency physicians across the country to act through the courts and legislation to enforce the standard.

About a year ago, Anthem publicly announced that in Georgia, Indiana, Kentucky, Missouri, New Hampshire and Ohio they would start using final diagnoses to deny claims for visits they felt were non-emergent. In Maine, like many states, the Prudent Layperson Standard statutes were broadly worded, giving insurers room to define for themselves how to determine if a medical condition met the standard.

This spring, Maine ACEP and the Maine Medical Association sought to clarify Maine’s articulation of the Prudent Layperson Standard through L.D. 1155, An Act to Protect Patients and the Prudent Layperson Standard. The bill passed through committee with unanimous support, and was enacted into law in June of 2019.

The new law requires that before denying or reducing coverage for a claim for emergency care, commercial and governmental insurers must utilize a board-certified emergency physician licensed in the state of Maine to review the entire pertinent medical record. It further clarified that insurers cannot require prior authorization for an emergency medical condition regardless of the final diagnosis.

The Maine bill can be used as a model for other state legislatures. In Michigan, we are starting to see some challenges of the Prudent Layperson Standard. Please help us fight these unlawful practices when they occur. Our patients deserve to have the coverage they believe they have when they need it most.

References 1. State-by-State listing of EMC language 2. Prudent Layperson article 3. Cigna Definition of Medically Necessary 4. Private Payer Coverage of Prudent Layperson 5. Federal Prudent Layperson Standard

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The Bulletin | January 2020

SCMS MEMBERSHIP MEETINGS REGISTER NOW!

Tuesday, January 21, 2020, Membership Meeting Register now for our Tuesday, January 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. Joint with the Saginaw County Dental Society.

Topic: "Oral Health and Overall Health: 2020 and Beyond"

1.25 AMA PRA Category 1 CreditsTM available.

Speaker: Darnell Kaigler, Jr., DDS, PhD from the University of Michigan Dental School This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Central Michigan University College of Medicine and the Saginaw County Medical Society. Central Michigan University College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Central Michigan University College of Medicine designates this live activity for a maximum of 1.25 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

REGISTER ONLINE AT https://www.surveymonkey.com/r/SCMS12120 Deadline for reservations 1/15/20 QUESTIONS: SCMS office 790-3590 or keri.benkert@sbcglobal.net

SAVE THE DATE!

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.

Program: “Physician Compassion Fatigue/Burnout” Speaker: Molly E. Gabriel-Champine, PhD, LP, Director of Behavioral Science, Family Medicine Residency at McLaren Bay

Senate Bill 612 is still set to be considered by the Senate Health Policy and Human Services Committee on Thursday, January 30, 2020 at 1 p.m. AND WE NEED YOU THERE! This hearing is monumentally important in our effort to reform prior authorization and step therapy. Our mission to enact real and meaningful change officially starts in this hearing room. We must do everything we can to demonstrate that we are a large, powerful and prepared force on January 30.

Having you in the room WILL make a difference. If you’re able to join us on January 30, please register at the link below to attend the hearing.

The hearing is set to begin at 1 p.m., but we will be serving lunch beforehand and would love if you could join us for that as well. In addition to coalition members, we will also invite lawmakers to attend. It will be a great opportunity to both come together as a coalition and familiarize lawmakers with our cause. Lunch will be served at 11:30 a.m. at the Radisson Hotel in downtown Lansing. Following lunch, shuttle buses will take coalition members from the Radisson to the Senate Office Building for the hearing.

Lastly, the hearing date is subject to change, and we will let you know if it does. But for now, please plan on joining us on January 30th.

CLICK HERE TO REGISTER NOW!

Email meeting notices will be sent in early April. Online reservations are required.

APPLICATION FOR MEMBERSHIP SECOND READING: Application for membership that may be recommended for acceptance at the Tuesday, January 21, 2020, Board Meeting: Jeffrey D. Osborne, MD (Covenant Orthopaedics - Gratiot) Specialty: Surgery – Orthopaedic, Sports Medicine Medical School: Wayne State University School of Medicine, 2013 Internship/Residency: William Beaumont Hospital, Orthopaedic Surgery Residency, Oakland University, Royal Oak, MI 2013-18 Fellowship: Detroit Medical Center, Sports Medicine 2018-19 Sponsors: Doctors James J. Jesko and Michael J. Wolohan The Bulletin | January 2020 7

FROM THE EDITOR

The Best of Times

By Louis L. Constan, MD

W

e’ve all heard: “It was the best of times, it was the worst of times,” from the novel by Charles Dickens about the momentous events in England and France during the French Revolution. Dickens goes on and on about how one can view the same event from two contrasting viewpoints.

Well, you’ve probably noticed that we are living today in troubled times, and I am here to make the case that we should attempt to view these times from an optimistic viewpoint rather than a pessimistic viewpoint. It is “the best of times” rather than “the worst of times.”

And why would we do that? Several reasons.

First, and perhaps foremost, is that these are indeed good times. Good people are making progress all over the world on every one of the world’s problems. Poverty, literacy, religious tolerance, gender equality, hunger. All. Sure, progress is uneven…but it is being made. Just take one area, our field of medicine - we can now actually cure what once was incurable - many forms of cancer, HIV, hepatitis, rheumatoid arthritis, now even genetic diseases!

Lifechanging developments are occurring.

We could easily slip into a “worst of times” mindset when we watch the news or open our mail. But one “best of times” mindset is that the SCMS, MSMS, AMA and our specialty societies are working on issues that concern doctors.

Others are being worked on by private organizations, literally thousands of private organizations, and this is the time of year when these private organizations invite us to join them by contributing financially to their projects. Whether we do so or not…we cannot deny the fact that there is a tremendous local, national and worldwide effort to make the world a better place.

Second, there is a wealth of scientific evidence showing that optimists are healthier and happier than pessimists.

Optimists see a problem as a challenge that can be solved. So they solve the problem. Others see this and are gratified. They all experience happiness.

Pessimists see problems as unsolvable, not worth the bother, expecting failure… and so experience a self-fulfilling prophesy. They fail. Others see this and avoid them. Pessimists become socially isolated, depressed and their health deteriorates.

Third, optimism is a win-win for people, for their social groups, for their

countries and for the human race in general. It powers progress. So we celebrate optimism. When we give thanks for family, country and freedom we are really giving thanks for our predecessors…all optimists… who fought and died so that we could enjoy these great boons. Psychologists often recommend that their depressed (pessimistic) patients spend time each day thinking of and listing what they are thankful for. It elevates their mood without the need for medication.

Perhaps we could elevate the mood of the country if we all spent a minute each day doing this.

Fourth, optimism generates giving, and remembering that this time of year is when we give and receive gifts, we should not forget the aphorism that it is more blessed to give than to receive. So why would giving be so important? I am not certain if there is scientific research here, but my experience of 44 years in Family Medicine tells me that givers spend a lot less time worrying about their health, obsessing about their aches and pains and complaining about the ‘slings and arrows of outrageous fortune.’

They’re too busy getting to their next volunteer activity. They’re too engaged with those around them to worry about continued on page 9

But one “best of times” mindset is that the SCMS, MSMS, AMA and our specialty societies are working on issues that concern doctors.

8

The Bulletin | January 2020

continued from page 8

themselves. And, mysteriously, this focus away from their own health seems to make them healthier. Although a mystery to me, I’ve seen it often enough to believe it is true. Giving may be better than receiving for moral, social or religious reasons, but I believe it is also better for biological and medical reasons.

Giving is truly better than receiving. We can live in the best of times. Optimist trumps pessimism. Happy 2020!

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Board Members Elected for 2020 Officers President: Craig Voorheis Secretary: Joan Ford Directors Joan Cramer

Linda Dorr

Upcoming

Vice President: Greg Dorrien Treasurer: Larry Jacobs Will Smith

Dr. Don Steele

Trainings

Thursday-Friday, January 16-17, 2020 Apple Mountain, 4519 N. River Road, Freeland Registration 8 - 8:15 a.m. | Training 8:30 a.m. - 4:30 p.m.

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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.

10 The Bulletin | January 2020

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FRIDAY, JANUARY 24,s Health 2020and| Health 8:15Care A.M. TO 1:00 P.M. 11th Annual Conference: The Region’ Systems

SAGINAW VALLEY STATE UNIVERSITY Ott Auditorium | Regional Education Center | 7400 Bay Rd, University Center, MI 48710

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* Simulcast at Central Michigan University & Kirtland Health Sciences Center, Grayling

SPEAKERS:

Rishi Manchanda, M.D., MPH; President and CEO, Health Begins BREAKTHROUGH THINKING FOR UPSTREAM IMPACT - The early work of upstream thought leaders in health care focused on improving the transactional dimensions of care. Yet, at its best, upstream work is transformational. A more recent focus strives to transform both the relationships and the social structures that influence health, not only the transactions of care. As this movement matures, institutions, multi-sector collaboratives and entire communities face similar challenges. How do we take a bundle of interventions purporting to address a variety of social needs and shape them into a cohesive investment strategy that can achieve long-term health, social and financial impact? First, use an investment mindset. Second, tackle structural determinants, not just social needs.

Communities Achieving Excellence & Moving Upstream

Brian C. Castrucci, MA, DrPH; President and CEO, de Beaumont Foundation PUBLIC HEALTH PROGRESS THROUGH PARTNERSHIPS: BUILDING SUSTAINABLE COLLABORATIONS Public health has traditionally operated in a silo, but achieving long-term wellbeing for our communities increasingly requires cross-sector collaboration. Policies from “Tobacco 21” to safe rental housing have passed with business buy-in, empowering Americans to live healthier lives. Although cross-sector partnerships have inherent challenges, effective collaboration allows communities can go beyond focusing solely on individual social needs and instead tackle the social SAGINAW VALLEY STATE UNIVERSITY The health of our community’s population continues to be of paramount importance. determinants of health. Case studies of successful, sustainable partnerships can help pave the way for effective future Ott Auditorium | Regional Education | 7400asBay Rd, Center, MI 48710 Across the nation, moving upstream isCenter recognized vital toUniversity health outcomes.

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The January 2020 conference speakers are exceptional pioneers who are providing unprecedented REGISTER TODAY! REGISTER TODAY! leadership and innovation in upstream health efforts, routinely breaking the mold of past approaches.

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SAGINAW VALLEY STATE UNIVERSITY The Bulletin | January 2020 11 Ott Auditorium | Regional Education Center | 7400 Bay Rd, University Center, MI 48710 * Simulcast at Central Michigan University & Kirtland Health Sciences Center, Grayling

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12 The Bulletin | January 2020

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Saginaw • Midland • Clare Bay City • Frankenmuth 1-800-329-1747 www.bierihearing.com

SAGINAW COUNTY MEDICAL SOCIETY  16th Annual Health Fair “The Doctor Is In!” Saturday, March 14, 2020, 9 a.m. – 12 p.m.

Horizons Conference Center  6200 State Street  Saginaw, Michigan 48603 VENDOR REGISTRATION PLEASE NOTE: Registration fee prior to February 15, 2020, is $200. Registration fee after February 15, 2020, is $250. DEADLINE FOR RECEIPT OF ALL BOOTH RESERVATIONS IS MONDAY, MARCH 2, 2020, or until we reach capacity – NO EXCEPTIONS. Vendor booths include one eight-foot skirted table and two chairs. Coffee, water and soft drinks will be provided, along with a continental breakfast. Sales from booths are prohibited, but giveaways are encouraged. If you require two tables, you will be charged for two booths. Booths are available on a first come, first served basis, and space is limited. Participants are asked to staff their booth during the entire Health Fair. Tear down will not be allowed until 12 p.m. Anticipated attendance - 1,000.

If you would like to participate in the 16th Annual Health Fair, please complete and return this form and your check in the amount of $200 per booth (before 2/15/2020) or $250 per booth (after 2/15/2020) BUT NO LATER THAN MONDAY, MARCH 2, 2020, payable to the Saginaw County Medical Society, to 350 St. Andrews Road, Suite 242, Saginaw, Michigan 48638-5988. Please contact the SCMS – Joan at jmcramer@sbcglobal.net or Keri at keri.benkert@sbcglobal.net or 989-790-3590 with any questions (fax 989-790-3640). The Vendor Registration form can also be downloaded from our website at www.SaginawCountyMS.com under the Health Fair tab.

The 16th Annual SCMS Health Fair is a privately sponsored event. The SCMS reserves the right to refuse any vendors, including but not limited to, those who do not fit the mission and scope of the SCMS, physicians and/or businesses owned by physicians who are not members of the SCMS, and hospitals outside of Saginaw County.

PLEASE PRINT Name of Organization Contact Person Address City

State

Office Phone

Cell/Mobile

What is planned for your space?

Zip Code Fax

Email Number of people working your booth

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

Do you require electricity?

Please do not request electricity if you do not need it. Electrical outlets are not available at all booth locations, and booth placement is based partly on electrical needs. If yes, please bring an extension cord.  YES, we need electricity  NO, we do NOT need electricity Each booth has two chairs. If you are performing a screening or have more than two people staffing your booth, please indicate the total number of chairs needed: # of Vendor Chairs Needed ____ # of Testing/Waiting Chairs needed ____ Will you donate an item to be raffled off at the Health Fair? If so, please bring the item the day of the Health Fair and label it with your organization’s name.  YES, we will donate an item for the raffle.

Planned in association with Ascension St. Mary’s Hospital, CMU Health, Covenant HealthCare, Great Lakes Bay Health Centers, Michigan CardioVascular Institute and the Saginaw Valley Osteopathic Society Effective 1/3/2020

SCMS USE ONLY Access Confirmed Paid Amount $______ Check #______ Date Paid ___/___/2020

The Bulletin | January 2020 13

2020 Saginaw County Medical Society Physician Directory

Attention all Physicians, Group Practices and Medical Partners The 2020 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 Friday, January 31, 2020 Previous year’s “Premium Position” advertisers have first right to those positions until Friday, January 10, 2020, 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 2020 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 2020. 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.

14 The Bulletin | January 2020

2020 Saginaw County Medical Society Physician Directory ADVERTISING AGREEMENT Name of Advertiser ________________________________________________________________________ Address ______________________________ City ___________ State _____ Zip ______________________ Contact Name ___________________________________ Phone (_____) ____________________________ Email ___________________________________________

Date Completed/Signed ___/___/_________

Signature of Authorized Representative ______________________________________________________ Please Check Ad Desired *Premium Positions n Outside Back Cover n Inside Front Cover n Inside Back Cover n Pages 3, 4, 5 and 7

n Page Desired ____ n Center Spread Randomly Placed n Full Page n Half Page n Quarter Page

Full Color

Actual Size

$1,800 $1,700 $1,700 $1,700

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

$2,900

2 center pages – 13” wide x 9.62” high

$1,600 $ 905 $ 490

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

*Current “Premium” advertisers have right of first refusal of current space until Friday, January 10, 2020, at 5 p.m.

The above agrees to place and pay for the advertisement(s) listed above in the 2020 edition of the Saginaw County Medical Society Physician Directory (includes both Private and Public versions).

The total price for the advertisement(s) is listed next to the ad dimensions. Publication date is scheduled for March 2020. All billing statements will be sent to advertisers immediately following receipt of this Advertising Agreement, and the total is due and payable by February 1, 2020, or 20 days after receipt of the invoice, whichever is later.

Please return this Advertising Agreement to Joan Cramer at jmcramer@sbcglobal.net, or mail to: Saginaw County Medical Society | 350 St. Andrews Road, Suite 242 Saginaw, MI 48638-5988 | Office (989) 790-3590 | Fax (989) 790-3640 | Mobile (989) 284-8884 The Public Directory will be distributed at the 2020 Health Fair on Saturday, March 14, 2020, and throughout the year at events and physician offices/medical facilities. The Private Directory will be distributed in mid-April to physicians. Advertisers will receive both Directories which will also be available for download at www.SaginawCountyMS.com on the home page and under the Pictorial Membership Directory tab.

Published by the Saginaw County Medical Society

The Bulletin | January 2020 15

SPOTLIGHT: The SCMS Foundation

T

he Saginaw County Medical Society (SCMS) Foundation was founded in 1968 by SCMS members, and is the charitable 501(c)(3) entity of the SCMS. All members of the SCMS are also members of the SCMS Foundation.

MISSION The Foundation: • Provides low interest loans to medical students with ties to Saginaw with a maximum of $20,000 per student; • Forgives loan interest if the recipient returns to Saginaw to practice after completion of their residency; • Forgives 25 percent or a maximum of $5,000 loan principal per year if the recipient returns to Saginaw to practice after completion of their residency and is a dues paying member; • Awards scholarships and mentors Saginaw County high school students who are interested in becoming a physician; • Provides research grants and scholarships to medical students and residents through the CMU College of Medicine; and • Assists the SCMS Alliance in awarding nursing scholarships.

Currently, $50,000 in loans are in the four-year loan forgiveness program, with an estimated $120,000 in loans anticipated to be forgiven in the next seven to 10 years for loan recipients returning to Saginaw to practice!

The annual Golf Outing is successful because of our generous sponsors. The Foundation would like to offer special thanks to the following:

Title Sponsors

16

The Bulletin | January 2020

Lunch Sponsored by

Putting Contest Sponsor

College of

Medicine Beverage Sponsors

Event Sponsor

Longest Drive Sponsors

Covenant Emergency Physicians Group

Award Reception Sponsored by

Merrill Lynch The Provenzano-Bade-Rand Group

Closest to the Pin Sponsors

Panda House | Valley Infectious Disease

Tee/Hole Sponsors Sarosh Anwar, MD Lowell Butman, MD Tom Damuth, MD Danielle Duncan, MD

ANNUAL GOLF OUTING The SCMS Foundation hosted its 10th Annual Golf Outing at the Saginaw Country Club on Saturday, June 8, 2019, and raised nearly $19,000. Over $210,000 has been raised from the annual Golf Outing that was started by past Foundation President and current Trustee, Rao Gudipati, MD. Proceeds from this event are used for the above endeavors and to help assure the future of medicine in Saginaw County.

Chris P. Liakonis, DO Cardiac Surgery AMG St. Mary's Hospital

Oncology/Hematology Associates of Saginaw Valley Millie Willy, MD

Mark your calendar for the 11th Annual SCMS Foundation Golf Outing on Saturday, June 6, 2020!

Team Sponsors Advanced Diagnostic Imaging Ascension Medical Group, Mid-Michigan CMU College of Medicine | CMU Health Covenant Medical Group Matt Deibel, MD Rao Gudipati, MD Healthway Compounding Pharmacy Looby Baumgarten Shane Martin, DO Mid Michigan Vascular Surgery, PC Ron Bays, MD & Ryan Kim, MD Norton+Kidd Accounting & Consulting Pain Consultants of Michigan (two teams) Sunil Pandit, MD Douglas Saylor, MD Tri-Star Trust Bank The SCMS Foundation would like to give special thanks to the Head Golf Professional at the Saginaw Country Club, Chad L. Boyce PGA; Golf Shop Manager, Amy Dreffs; and Sherry Charbonneau for all their help arranging and planning the golf outing.

FOUNDATION BYLAWS In 2019, the Foundation Bylaws were reviewed and revised to not only bring them up-to-date as they were written over 50 years ago, but also to increase the size of the Board of Directors. The proposed Bylaws will be voted on at the Tuesday, May 19, 2020, Annual SCMS Foundation Meeting.

• View the original 1968 Bylaws by clicking HERE. • View the proposed Bylaws by clicking HERE. The Bylaws are available on the SCMS website under the FOUNDATION tab www.SaginawCountyMS.com.

Current Foundation Officers and Trustees are as follows: • Thomas E. Damuth, MD President • Iris A. Marteja, MD Vice President/Secretary • Matthew D. Deibel, MD Treasurer • Lowell A. Butman, MD Trustee • Rao V.C. Gudipati, MD Trustee • George J. Gugino, MD Trustee If you have any questions or concerns about the proposed Bylaws, or if you would like to be considered for a position on the Foundation Board, please contact Joan Cramer at jmcramer@sbcglobal.net.

MEDICAL STUDENT LOANS The Foundation was established in 1968 and is funded through physician donation of earnings from educational and charity work. The Foundation makes low interest loans to medical students with ties to the Saginaw area.

In the past, the amount of each loan has ranged anywhere from $1,000 to $10,000 with some students receiving loans several years in a row. Maximum loans awarded during medical school are $20,000 per student.

The terms of these loans are generous. No interest is charged while the student is in medical school, simple continued on page 18

The Bulletin | January 2020 17

continued from page 17

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 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 their 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.

RESIDENT AND MEDICAL STUDENT FUNDING The Foundation funds awards for the annual CMU College of Medicine Research Symposium. Additionally, the Foundation helps offset lodging and travel expenses of CMU medical students attending the Michigan State Medical Society House of Delegates and AMA Annual and Interim Meetings.

Members of the SCMS also work with the medical students on drafting resolutions to both the MSMS and AMA.

CMU Medical Students who attended the AMA Interim Meeting in San Diego, CA in November (l-r) Lindsay Murphy, Frances Greathouse, Haley Maser, Samuel Borer and Sanjay Das

Winners of the 2019 CMU College of Medicine Research Symposium

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

Medical Student Loan Applications are available on the SCMS website under the MEDICAL STUDENT LOANS tab www.SaginawCountyMS.com or by contacting Joan Cramer at jmcramer@ sbcglobal.net. Loan applications for 2020 will be accepted beginning February 1, 2020, and are due no later than March 31, 2020.

CMU Medical Students who attended the 2019 MSMS HOD (l-r) Brent Oldham, Rebecca Hamburger, Sanjay Das, Aarthi Arab, Kultaj Kaleka, Lindsay Murphy and Eric Kuhn

HIGH SCHOOL ESSAY CONTEST “WHY I WANT TO BECOME A PHYSICIAN IN SAGINAW COUNTY” Each year, the Foundation sponsors an Essay Contest for high school juniors and seniors in Saginaw County who want to become physicians and hopefully stay in Saginaw to practice medicine.

Students submit an essay of 500 words or less on “Why I Want to Become a Physician in Saginaw County,” in addition to completing an application and submitting a current resume.

The Foundation Board chooses ten winners, with the first-place winner receiving a check for $1,000, the secondplace winner receiving a check for $600, and the third-place winner receiving a check for $400. Those in fourth through 10th place receive a check for $100, and continued on page 19

The Saginaw County Medical Society (SCMS) Foundation was founded in 1968 by SCMS members, and is the charitable 501(c)(3) entity of the SCMS. All members of the SCMS are also members of the SCMS Foundation.

18

The Bulletin | January 2020

continued from page 18

all winners and their parents will be invited to attend the Tuesday, May 19, 2020, SCMS Membership meeting at Horizons Conference Center to receive their award. The winning students also have the option of a mentorship with a SCMS physician.

Applications for the 10th Annual Essay Contest are available on the SCMS website under the ESSAY CONTEST tab. SaginawCountyMS. com or by contacting Joan Cramer at jmcramer@sbcglobal.net. Essay Contest applications for 2020 will be accepted beginning February 1, 2020, and are due no later than March 31, 2020.

The Foundation is calling on members to donate now so it can increase assets and 2019 Essay Contest Winners: (l-r) Dr. Tom Damuth-Foundation President, Dr. Anu Gollapudi accepting on behalf of her daughter Nikita, Melanie Beyers accepting on behalf of her son Ryan, Noah Essex, Dr. Lowell Butman-Foundation Trustee, and Ashley Dittmar

continue to provide support!

Please consider contributing to the SCMS Foundation today!

YOUR SUPPORT IS NEEDED! The annual Golf Outing raises approximately $20,000 per year for Foundation initiatives, but the Foundation also relies on donations to continue to increase funding programs in order to assist as many students as possible. With the anticipation of forgiving loans for those who return to Saginaw to practice, the Foundation is calling on members to donate now so it can increase assets and continue to provide support as noted above. ➢ If you would like to honor a colleague who is living or deceased, please make a contribution to the SCMS Foundation ➢ Please remember the SCMS Foundation in your Will *The SCMS Foundation is a 501(C)(3) nonprofit. Gifts have charitable tax benefits so please consult with your tax advisor for specifics.

A tax receipt will be provided.

PLEASE COMPLETE AND RETURN THE FORM BELOW WITH YOUR CHECK (We are unable to accept credit card payments)

!

!

Enclosed is my contribution made payable to the SCMS Foundation (please designate amount): q $1,000

q $500

q $250

q $100

q $50

q Other __________

Donor’s Name _______________________________________________________________________________ Mailing Address ___________________________________ City, State, Zip ______________________________ Daytime Phone (_____) ____________________ Email ______________________________________________ How would you like to receive your receipt? q Email q Postal Mail If you wish to make your gift as a memorial or tribute, please provide the following: My gift is: q in honor of q in memory of Occasion/Person to be honored: _____________________________________________________________ Please send notice of my gift (without specifying amount) to: Name ______________________________________________________________________________________ Mailing Address ___________________________________ City, State, Zip ______________________________ Checks should be made payable to the SCMS Foundation and sent to the SCMS office at 350 St. Andrews Road, Suite 242, Saginaw, Michigan 48638-5988. Thank you!

The Bulletin | January 2020 19

International Peace Prize Awarded to Ascension St. Mary’s Executive Director Gary L. Dunbar, PhD, Executive Director of the Field Neurosciences Institute (FNI), part of Ascension St. Mary’s, was recently presented the Gusi Peace Prize International Award. Dr. Dunbar recently traveled to Manila, Philippines to accept this honor at the Gusi Peace Prize International 20th Annual Awards Night.

The Gusi Peace Prize Award is given by the Gusi Peace Prize Foundation to recognize individuals and organizations who contribute to global peace and progress through a wide variety of fields. Dr. Dunbar was one of 18 international recipients selected for the Award and chosen because of his global contributions in both the educational and research domains of neuroscience. Similarly, his outstanding contributions in research, especially for developing new strategies for treating damage to the nervous system, including transplantation of genetically altered adult stem cells as a potential therapy for injury to the brain and spinal cord, as well as, neurological deficits in Huntington's, Parkinson's and Alzheimer's diseases, has earned international recognition and a prominent leadership role in the American Society for Neural Therapy and Repair.

“I felt both honored and humbled to be selected for the Gusi Peace Prize, especially after meeting and hearing, first-hand, what the other 2019 Gusi Laureates have accomplished in the context of helping others, which was humbling to me,” shared Dr. Dunbar. “The prize is given to those whose efforts have provided significant improvements to the lives of others through education, research, politics, and/or the arts, along with a strong commitment to humanitarian commitments, so I felt deeply honored to be included in this group of people.”

Dr. Dunbar has been the executive director for FNI since 2008.

Martha Ann Joseph, Chair of the FNI Board of Directors, was thrilled to hear that Dr. Dunbar was a recipient of the Gusi Peace Prize International Award. “FNI is blessed to have Dr. Dunbar as our executive director for the past 11 years as he has always

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

20 The Bulletin | January 2020

embraced the mission of the organization, to help others in terms of preventing brain injury and searching for cures for neurological problems emanating from trauma and disease to the nervous system.”

Similarly, E. Malcolm Field, MD, Medical Director of FNI, expressed joy and pride in Dr. Dunbar’s international honor.

“Dr. Dunbar embodies the very premise of the Gusi Award in attaining peace and dignity for fellow humans by his tireless devotion to finding new ways to treat a variety of neurological disorders and for his dedicated efforts in educating the next generation of neuroscientists, physicians and health-care providers at the highest level.”

Presently, Dr. Dunbar holds the John G. Kulhavi Professorship in Neuroscience, as well as, the E. Malcolm Field Endowed Chair in Neuroscience at CMU. He also serves as the executive director of FNI, located at Ascension St. Mary’s in Saginaw.

The Gusi Peace Prize was founded by the Honorable Ambassador Barry Gusi, to honor and continue the work of his late father, Captain Gemeniano Javier Gusi, who fought against Japanese oppression during World War II and later championed human rights in the Philippines. For 20 years, the Gusi Peace Prize Award has been awarded to prominent individuals from all over the world who have made significant contributions to the betterment of humankind.

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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.

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

The Bulletin | January 2020

21

SAVE THE DATE! 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, and 40% of all opioid overdose deaths involved a prescription opioid. The opioid epidemic is hitting close to home – Michigan has experienced a 21% cumulative increase in drug overdose deaths since 2013.

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

CMU is offering community educators free 8-hour MAT DATA waiver training through ASAM on: Saturday, April 25th, 2020 9:00 am – 5:30 pm CMU College of Medicine 1280 E. Campus Drive, Room 2403 Mt. Pleasant, MI 48859 Registration Link: https://elearning.asam.org/p/mtpleasant425 Participants will receive a $25 gift card for participating and completing a brief questionnaire along with 8 Category 1 CME hours. Livestreaming will also be available at the CMU College of Medicine building in Saginaw located at 1632 Stone St., Saginaw, MI. For additional information, please contact the project coordinator, Alyson Hill at Alyson.hill@cmich.edu or at 989-746-7506 for any questions or if you are interested in hosting student(s) to learn about MAT in your practice setting.

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

22

The Bulletin | January 2020

SAVE THE DATE! 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

https://elearning.asam.org/p/mtp leasant425

CONTACT

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 | January 2020 23

NURSING SCHOLARSHIP APPLICATIONS AVAILABLE The SCMS Alliance and SCMS Foundation provide $500 nursing scholarships to Saginaw County residents. Over the years, we have awarded many scholarships to help students continue their nursing education.

Requirements for consideration: • Must be a permanent resident of Saginaw County; AND • Currently enrolled in a nursing program or beginning nursing clinical core courses for award year; AND • Overall college GPA no lower than 2.79.

Application packet MUST be complete for consideration.

Incomplete applications will be denied. All applications must include a one page essay describing your nursing career goals and how this scholarship would help you financially 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.

MEDICAL STUDENT LOAN APPLICATIONS AVAILABLE Do you know of a medical student (with ties to the Saginaw area) in need of a loan?

The SCMS Foundation may be able to help.

The Foundation was formed in 1968 and originally funded through physician donation of earnings from educational and charity work. The Annual Golf Outing and donations now fund the Foundation which makes low interest loans to medical students with ties to the Saginaw area. The intent is to encourage physicians to return to Saginaw County to practice medicine.

The terms of these loans are generous. No interest is charged while the student is in medical school, simple interest is charged at a rate of four percent per annum during a residency program, and interest is charged at a rate of eight percent per annum upon the completion of a residency program.

As of 2012, the Foundation Board voted to forgive all interest if the student returns to Saginaw upon completion of a residency to practice.

Additionally, the Board voted in May 2016 to start a loan forgiveness program. If the loan recipient 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.

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.

An office remodel could prepare your practice for modern challenges for patient flow changes, documentation storage, HIPAA compliance, and succession

800-WOLGAST 24

The Bulletin | January 2020

Design & Construction - Start with Us!

www.wolgast.com/blog/topic/medical-office-construction

SAGINAW COUNTY MEDICAL SOCIETY  16th Annual Health Fair “The Doctor Is In!” Saturday, March 14, 2020, 9 a.m. – 12 p.m.

Horizons Conference Center  6200 State Street  Saginaw, Michigan 48603 VENDOR REGISTRATION PLEASE NOTE: Registration fee prior to February 15, 2020, is $200. Registration fee after February 15, 2020, is $250. DEADLINE FOR RECEIPT OF ALL BOOTH RESERVATIONS IS MONDAY, MARCH 2, 2020, or until we reach capacity – NO EXCEPTIONS. Vendor booths include one eight-foot skirted table and two chairs. Coffee, water and soft drinks will be provided, along with a continental breakfast. Sales from booths are prohibited, but giveaways are encouraged. If you require two tables, you will be charged for two booths. Booths are available on a first come, first served basis, and space is limited. Participants are asked to staff their booth during the entire Health Fair. Tear down will not be allowed until 12 p.m. Anticipated attendance - 1,000.

If you would like to participate in the 16th Annual Health Fair, please complete and return this form and your check in the amount of $200 per booth (before 2/15/2020) or $250 per booth (after 2/15/2020) BUT NO LATER THAN MONDAY, MARCH 2, 2020, payable to the Saginaw County Medical Society, to 350 St. Andrews Road, Suite 242, Saginaw, Michigan 48638-5988. Please contact the SCMS – Joan at jmcramer@sbcglobal.net or Keri at keri.benkert@sbcglobal.net or 989-790-3590 with any questions (fax 989-790-3640). The Vendor Registration form can also be downloaded from our website at www.SaginawCountyMS.com under the Health Fair tab.

The 16th Annual SCMS Health Fair is a privately sponsored event. The SCMS reserves the right to refuse any vendors, including but not limited to, those who do not fit the mission and scope of the SCMS, physicians and/or businesses owned by physicians who are not members of the SCMS, and hospitals outside of Saginaw County.

PLEASE PRINT Name of Organization Contact Person Address City

State

Office Phone

Cell/Mobile

What is planned for your space?

Zip Code Fax

Email Number of people working your booth

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

Do you require electricity?

Please do not request electricity if you do not need it. Electrical outlets are not available at all booth locations, and booth placement is based partly on electrical needs. If yes, please bring an extension cord.  YES, we need electricity  NO, we do NOT need electricity Each booth has two chairs. If you are performing a screening or have more than two people staffing your booth, please indicate the total number of chairs needed: # of Vendor Chairs Needed ____ # of Testing/Waiting Chairs needed ____ Will you donate an item to be raffled off at the Health Fair? If so, please bring the item the day of the Health Fair and label it with your organization’s name.  YES, we will donate an item for the raffle.

Planned in association with Ascension St. Mary’s Hospital, CMU Health, Covenant HealthCare, Great Lakes Bay Health Centers, Michigan CardioVascular Institute and the Saginaw Valley Osteopathic Society Effective 1/3/2020

SCMS USE ONLY Access Confirmed Paid Amount $______ Check #______ Date Paid ___/___/2020

The Bulletin | January 2020 25

Covenant Earns 2019 Top Hospital Award Highlighting its nationally recognized achievements in patient safety and quality, Covenant HealthCare was named a Top Teaching Hospital nationally by The Leapfrog Group.

Announced this past week, the Leapfrog Top Hospital award is widely acknowledged as one of the most competitive honors American hospitals can receive. The Top Hospital designation is awarded by The Leapfrog Group, a national watchdog organization of employers and other purchasers focused on health care safety and quality.

The Top Hospital Award comes following Covenant’s third consecutive “A” Hospital Safety Grade, also from The Leapfrog Group.

“To be one of only five hospitals in the State of Michigan to receive this honor is quite an achievement,” says Dr. Michael Sullivan, Vice President of Performance Improvement/Chief Medical Officer. “At Covenant, the focus is to put patients at the center of everything we do. As part of our organizational culture, safe, quality care is our top priority.”

A total of 120 hospitals out of 2,100 were selected as Top Hospitals, including: • 10 Top Children’s Hospitals • 37 Top General Hospitals • 18 Top Rural Hospitals • 55 Top Teaching Hospitals Performance across many areas of hospital care is considered in establishing the qualifications for the award, including infection rates, practices for safer surgery, maternity care, and the hospital’s capacity to prevent medication errors.

New Year, Healthy Habits: Free Seminars to Quit Smoking Sure, it can be difficult to quit smoking. That’s why Covenant HealthCare is here to help by offering free informational seminars.

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The Bulletin | January 2020

At seminars, attendees will: • Gather information on ways to successfully quit smoking.

• Receive a lung health status check with on-site respiratory screening tools.

• Learn from the Covenant Respiratory Therapy staff the importance of a tobacco-free life.

• Sign up for free Smoking Cessation Classes or a more personal plan.

All seminars are open to the public.

Have a patient who needs support?

Covenant HealthCare hosts informational classes three times each year that are free to the community. Upcoming classes are on Thursday, April 16 and Thursday, September 17 from 6-8 p.m. at Covenant HealthCare, 5400 Mackinaw Road in Saginaw.

Register at 1.866.Covenant (1.866.268.3626).

Mary Free Bed at Covenant Orthotics & Prosthetics + Bionics Covenant HealthCare is excited to announce the joint venture with Mary Free Bed Orthotics & Prosthetics + Bionics. This joint operating agreement will combine Covenant’s strong dedication to patients with an organization that has more than a century of top-rated rehabilitative care. A new ordering process for orthotic items is in place, and on-call clinicians are available 24/7 for questions at 989.583.3040.

Save The Date - The Spring Chrysalis: A Gala for Covenant Kids Join us Saturday, April 4 at Horizons Conference Center for an elegant evening to support Covenant Kids. Tickets will go on sale in early 2020 for this first-time event.

This black-tie event will feature a custom created four-course meal, open bar, live entertainment and more. As the only Level III Neonatal Intensive Care Unit (NICU) in the region, infants in need of specialized care are transferred to Covenant from hospitals as far away as Alpena and Rogers City. Funds raised this year will support a new Nitric Oxide Delivery System, Tecotherm Neo and AirBorne High Frequency Ventilator that will be used in the LifeNet Helicopter to help the distressed babies breathe and stabilize their body temperature during the transfer to Covenant NICU. For more information on how you or your organization can participate in the Gala or our phone banks, please contact the Foundation at 989.583.7600. Tickets for the Gala will be available in early 2020.

IN MEMORY Henry W. Moon, MD

Henry W. Moon, MD passed away on Monday, December 16, 2019, after a battle with pancreatic cancer at the age of 79. A warm and accessible person, Henry helped bring over 5,000 babies into this world, and was deeply committed to conservation and care of our natural resources.

Henry found great joy in living and loved meeting people from all walks of life. An avid traveler and hunter, Henry had the ability to go into a new environment and instantly connect with people, whether they be farmers who owned the land he hunted or the attendant at the corner gas station.

He was also a consummate family man who reveled in spending time with his children and grandchildren. As a father, Henry was supportive and encouraging, allowing his children to find their own paths and relished every new

achievement they experienced. He showed a similar passion for his three grandchildren. He often combined his great love for the outdoors and for his dogs with his love for his children and grandchildren, frequently hunting and fishing with them.

He loved exploring new places and, over the course of his life, traveled to Africa, Europe, South America, the Caribbean and all across North America.

But the center of his world was his best friend and partner in life, Joanne, with whom he shared many adventures and joys over the years. Henry is survived by Joanne, his son and daughter-in-law Hank and Penelope Moon, his daughter and son-in-law Cindy and Aron Drake, his grandchildren Odin, Katie, and Ana, and his siblings, Janet (Garn) and Ed Moon.

Those planning an expression of sympathy are invited to make a donation to a conservation group of their choice.

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.

diabetes Self Management Program

In the United States,

30.3 million

people are living with diabetes – 84 million are living with prediabetes.

We are the region’s most experienced diabetes management team. Our program is certified by the American Association of Diabetes Educators (AADE) through the Michigan Department 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 PatientCentered 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

©2018 Covenant HealthCare. All rights reserved.PK 1/18 10448

The Bulletin | January 2020 27

FEBRUARY BIRTHDAYS Ibrahim H. Abou Daya MD Farhan Ansari MD George F. Ascherl, Jr. MD Anirudha Bhandiwad MD Peter Bistolarides MD Dennis A. Boysen MD Timothy K. Brown MD Scott E. Cheney MD Andrew H. Cohen DPM John F. Collins MD Joseph P. Contino MD Kathleen M. Cowling DO Ashley L. Dean (Student) Fred C. Dunham MD Anu R. Gollapudi MD Angela K. Gregory MD Richard P. Heuschele MD Johnathan Todd Howard DMD Charles E. Jessup DO Jose Mari G. Jurado MD

K.P. Karunakaran MD Lawrence L. LaLonde MD Kevin J. Lawson MD Renato S. Lee MD James C. Lynch MD Jose V.B. Mangune MD Dale L. Moliterno DO Debasish Mridha MD Guillermo A. Obregon (Student) John M. O'Grady MD Meena Ramani MD Minoo K. Rao MD Arup Sarkar MD Biren R. Shah MD Taylor L. Tesoro DPM Donald L. Tuckey MD Carolyn M. Dennis Vert DO David A. Wiersema DO Anthony M. Zacharek MD

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Suicide Prevention

By Louis L. Constan, MD Patient one is visiting his Family Doctor for a routine visit, which begins with some friendly chatting: “What have you been up to Joe?” “Oh, being lazy, just sitting on my front porch looking at the bridge.” “You mean the Zilwaukee Bridge? What are you thinking about when you look at it?” “Oh, I’m going up there to jump off.”

“Joe, we’d better get you to a Psychiatrist.”

Patient two comes to the ER with a fractured ankle. He gets excellent care. His fracture is reduced, casted and he is sent home, where he hangs himself two days later. The fractured ankle happened because the rope broke during the first suicide attempt.

Unlike the Family Doctor above, the ER doctor didn’t ask the right questions, and the results were tragic.

Suicide rates are skyrocketing in our society today. If your friend or family member has not been affected by suicide, it is likely this will happen at some point, and the results can be devastating for all involved.

There are still unknowns about the factors that lead to suicide, but it is becoming clear that thoughts of ending one’s life are more common than we think, and they can occur even in young people.

We do know there are certain risk factors that are red flags, making an individual more prone to suicide. These include, of course, depression, but also any stressor at all, even childbirth.

Included are loss of job, loss of a spouse or other loved one, loss of independence (as for senior citizens), financial setbacks and PTSD. Other triggers are knowing someone who has suicided (even a favorite celebrity), problems in school (including bullying), breakups with a girlfriend or boyfriend or school failure.

There may be no obvious signals. Many, many suicides surprise friends and family, and you can imagine the amount of guilt those friends and family feel that they somehow failed their loved one. The fact is that some suicide victims will not readily admit to their intentions even if asked. It is, therefore, important for friends and loved ones to consider that this is a possibility when a person starts appearing or acting differently in any way. I believe the Family Doctor in the opening paragraph detected a subtle change in his patient’s mood, which is why he pressed the issue of the bridge. So, when we ask someone “How ya doin?” and they say “Fine,” obviously that is not enough. We need to follow-up with “No, seriously,” creating a safe space for the patient to be open and honest.

Suicidality or the merest suspicion of it can be a medical emergency, on the same level as left-sided chest pain or numbness in the arm or leg. A stroke, a heart attack, a suicide; the end results could all end in death.

If you are concerned, there are simple questions you can ask.

Doctors use a general depression screening called the PHQ-2, which has two questions: 1. Have you been bothered by having little interest or pleasure in doing things?

2. Have you been bothered by feeling down, depressed or hopeless?

Depressed people WILL answer these questions. A more direct question would be: Are you thinking of harming yourself?

It may take some courage to look a loved one directly in the face and ask such questions. I have done it…more than once, and I’m glad I did.

Then, and this will take more courage…if you get anything but a clearly negative response, some sort of action is required.

If you believe that your loved one is contemplating suicide, then you must either call a suicide hotline, involve other friends or family, reach out to medical or mental health professionals, or all of the above. Obviously, you would not leave that person alone if you thought there was an imminent risk of suicide, and access to means for it such as firearms or sleeping pills.

THRIVE and others, all around our region, are taking steps to address mental health and well-being, from recruiting more mental health professionals, to educating doctors, teachers and caretakers, but they cannot do it alone. It should be obvious that, with a problem where the signs and symptoms can be so subtle, EVERYONE, including YOU will need to get involved in order to ensure the life and health of your loved ones.

Note: To learn more about suicide awareness training, visit the Barb Smith Suicide Resource & Response Network website https:// www.suicideresourceandresponse.net/. Also, see page 10 in this issue of The Bulletin for more information.

Find Us and Like Us on Facebook!

Visit Us at www.SaginawCountyMS.com

The Bulletin | January 2020 29

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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.

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

Membership Meeting joint with the Saginaw County Dental Society with Social (cash bar) at 6:30 p.m. followed by dinner and program at 7 p.m. Speaker: Darnell Kaigler, Jr., DDS, PhD from the University of Michigan Dental School. Program: "Oral Health and Overall Health: 2020 and Beyond." CME CREDIT AVAILABLE. See page 7 to register.

Friday, January 24, 2020 SVSU Ott Auditorium - 11th Annual Conference: The Region's Health and Health Care Systems. See page 11 to register.

Thursday, January 30, 2020 Lansing - Health Can't Wait Senate Health Policy Hearing. See page 7 for details and to register.

Tuesday, February 18, 2020 CMU College of Medicine, 1632 Stone Street – SCMS Board meets at 5:30 p.m.

Saturday, March 14, 2020 Horizons Conference Center - 16th Annual Health Fair “The Doctor Is In!” from 9 a.m.-12 p.m. See page 13.

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

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/Burnout.”

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 22-23 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