SCMS BULLETIN - May/June 2019

The

Bulletin Saginaw County Medical Society

May/June 2019 | Volume 77 | No 9

Prior Authorization Roundtable Summer 2019 Tell Us Your Stories p. 19

SCMS and SCMS Foundation Annual Membership Meetings p. 16

Michigan Professional Licensing User System MiPLUS Launched p. 22

www.SaginawCountyMS.com

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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

contents 9

10 13 16

Treasurer Miriam T. Schteingart MD

SCMS Foundation News Loan Recipients Graduate Funds CMU Symposium Awards

19

22

MSMS HOD Highlights

MSMS Summer Legislative Roundtable Discussion on Prior Authorization Michigan Professional Licensing User System MiPLUS Launched

April Membership Meeting SCMS and SCMS Foundation Annual Membership Meetings

Board of Directors

4

President’s Letter

Mark G. Greenwell MD

6

From the Editor

Harvey K. Yee MD

7

Jorge M. Plasencia MD Tiffany K. Kim MD

Elizabeth A. Paulus MD

23

24

16th Annual Jingle Mingle Save the Date!

25

AMA – Gender Identity Data Collection & Opioid Guidelines CMU College of Medicine CMU Health In Memory – Gerald A. Sieggreen, MD

8

Barb Smith SR&RN Walk for Hope

Retiree Representative Rustico B. Ortiz, MD

8

CMU OCME Spring 2019 Survey

Resident Representative Mary J. McKuen, MD

12

Office Space for Lease

28

Applications for Membership

MSMS Delegates

14

Covenant HealthCare

28

New Members

Julia M. Walter MD

18

Caduceus Meeting

29 THRIVE

Mildred J. Willy MD

19 MSMS

30

Advertiser Index

Jorge M. Plasencia MD

20

Ascension St. Mary’s

32

Key Providers

Christopher J. Allen MD

22

Attention Retired Members

32

Calendar of Events

Furhut R. Janssen DO Bulletin Editor Louis L. Constan, MD

Elvira M. Dawis MD

Anthony M. Zacharek MD

Miriam T. Schteingart MD MSMS Alternate Delegates

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Birthdays – June, July, August & September

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

Caroline G.M. Scott MD Waheed Akbar MD Mohammad Yahya Khan MD

ON THE COVER: Drs. Millie Willy, Jorge Plasencia, Tom Veverka, Elvira Dawis, Julia Walter and Caroline Scott represent the SCMS at the 154th Annual MSMS House of Delegates

Virginia R. Dedicatoria MD Steven J. Vance MD Joseph P. Contino MD Kristine K. Spence DO Karensa L. Franklin MD Scott E. Cheney MD Michael W. Warren 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

Peer Review Ethics Committee Waheed Akbar, MD, Chair Caroline G.M. Scott, MD James R. Hines, MD MSMS District 8 Director Thomas J. Veverka, MD Executive Director Joan M. Cramer Administrative Assistant Keri Benkert

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

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

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

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

The Bulletin | May/June 2019 3

PRESIDENT’S LETTER

Inaugural Address – May 21, 2019

By Mildred J. Willy, MD

F

irst, I would like to thank Dr. Julia Walter for serving the SCMS as President for the last two years.

Thank you, Julia, for your leadership and for your introduction to physicians experiencing “Second Victim Syndrome,” and your passion regarding developing more robust peer support for our members.

I would also like to thank Joan Cramer, our Executive Director, for her continued hard work, perseverance and unending support. She has worked to make our annual Health Fair extremely successful. This year, we had 80 vendors and 900-1,000 people at no charge attend. Saginaw’s population health scores are low, and I believe the Health Fair is one of the ways the SCMS is addressing health equity in this community.

I would like to share some of my goals for the year…

Goal #1 I would like for all of you to become more familiar with issues affecting emergency medicine in order to help us protect our safety net, as the

current viability of our emergency care system is threatened. This is due to many different reasons, a few of which are “surprise out of network billing, threats to the Prudent Layperson Standard, the aging patient population with multiple comorbidities, closure of some rural EDs and the increased number of patients with mental health disease and substance abuse disorders.

I promise to educate you on the best ways to keep our EDs open 24/7/365 days a year. It is where your patients, family members and friends go when they are acutely ill. It’s the front door to our hospitals. Please assist me in protecting it and our patients.

Goal #2 I would like all of us to focus on improving access to mental health services and substance abuse treatment.

Regarding mental health patients, the average psych patient waits three times as long in the ED for an inpatient psych bed than an average medical patient, often decompensating while they are waiting. We need to continue to focus on increasing

resources for psych patients in the ED and creating more outpatient and inpatient treatment centers. We may need to be creative when doing this, for example, crisis residential opportunities have previously been very useful in Saginaw County. Please ask your lawmakers to co-sponsor and/or support recently introduced federal mental health bills S1334 and HR 2519 which help to address improving access for mental health care when patients present to the ED. We also have an opioid epidemic.

We are losing more people to opioid addiction than car crashes, HIV, and more than military casualties in the Vietnam and Iraq wars combined.

We need to expand access to naloxone as states who have done this have seen a reduction in deaths as high as 34 percent, and those that have instituted safe needle exchanges, have decreased their hepatitis and HIV rates. In developing opioid policies, we need to help address the root cause of addiction and we need expanded ability to treat people with medication assisted treatment (MAT).

I believe that our members can move medicine both by educating our state and federal legislators because they listen to us.

We need to raise awareness about the problems our patients are experiencing.

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The Bulletin | May/June 2019

This is the primary evidenced-based method to treat those with addiction. So, if you haven’t thought about it, please consider getting your MAT waiver training. You can do this through SAMHSA or several local organizations such as CMU. Goal #3 I would like us to stand up for physicians and healthcare workers who are experiencing violence in the workplace from patients and visitors. If you think this isn’t a problem, I would like to share some scary statistics with you. Nearly half of emergency physicians polled reported being physically assaulted, with more than 60 percent saying this occurred in the past year. Seven out of ten say this has increased in the past five years. Now for Michigan statistics… A survey published in Annals of Emergency Medicine showed that despite increased security measures, the problems of violence are getting worse. Research says 72 percent of emergency physicians in Michigan reported experiencing violence in the past year. This occurs even more often for nurses, it scares other patients, and I know it affects all areas of medicine. There are some state and federal efforts for this to be considered a felony with criminal penalties when these events occur.

Michigan House bills 4327 and 4328 and Senate bill 80 address violence against healthcare workers and more specifically, ED personnel.

Goal #4 Continue efforts and programs to address physician wellness and resiliency. I am particularly passionate about how we address the prevention of compassion fatigue in medicine.

Nearly half of Americans believe the U.S. health care system and its providers are not compassionate. We need to address this in order to preserve our empathy, compassion and ability to focus on patient care so that we continue to feel satisfaction and fulfillment in our everyday practice.

Goal #5 I would like us to continue to foster our relationship with CMU College of Medicine and its students. Students are now choosing specialties for public good more than social status.

We have seen their efforts at the Michigan State Medical Society House of Delegates as they grow to become leaders and in their hope to improve the health care system. The SCMS Foundation supports these students in attending the House of Delegates each year, and Michigan has one of the

Family and friends of Dr. Millie Willy celebrate her inauguration as SCMS President largest delegations of students at the AMA House of Delegates every year. Our medical students today are more diverse. We need to change to look more like them. I plan to improve our knowledge on diversity, and why this is important for us to consider and address. It will help our society grow and in turn, improve patient outcomes as we look more like our patients. Students now have increased debt loads. The SCMS Foundation has been a wonderful source of support for our students and residents granting financial awards to research winners, and forgiving principal and interest on Foundation loans they received during medical school to students who come back to practice in Saginaw. We need to continue all these efforts as these students are our future.

So, I have Two Challenges for you…

The first is to use your leadership skills to act as patient advocates. I believe that our members can move medicine both by educating our state and federal legislators because they listen to us. We need to raise awareness about the problems our patients are experiencing. How do I do this you ask? Get and stay more involved with our Medical Society. If you’re daring, step up and take a leadership role. I want all of you to call or email your legislators on important issues like mental health bills, opioid laws and bills to protect healthcare workers against violence.

My second challenge for you is to reach out to another physician and lend them encouragement and support once a month. We need to continue to support each other in order to foster our resiliency. This will continue to be a challenge with future health care changes. We need physicians to keep working and to be healthy and happy. We need physicians to be able to focus on work activities that provide the most meaning.

I know I will only be your president for a short time, however, I hope my contribution and service will make you proud. Thank you.

The Bulletin | May/June 2019 5

FROM THE EDITOR

Don’t Get Caught

By Louis L. Constan, MD

T

rue Story: Husband comes home from work for the last time.

really don’t want to retire, as was the case with myself. I wish this one were available when I was going through the trauma of Him: “Good news Honey, I’m extricating myself from my doctor-ego. retired! Pack your bag, we’re Might have made it easier. Maybe not. taking the motor home down to Florida A few pointers I’ve picked up along the tomorrow to live on that 40 acres I bought in way, often through trial and error: the Everglades. My lifelong dream fulfilled!”

• Social planning and financial Her: “Your dream, not mine! I’m staying here planning for retirement go hand-inwith all my friends. Have a good life.” hand. Just as you start saving money in some sort of retirement vehicle Yes, it’s true, failure to plan is planning early in your career, you need to think to fail. And “retirement,” whatever that is, is about the spending part of the a minefield, meaning something different equation. to everyone, and steeped with emotional • More important than the money content, good and bad. A mystery though, is your life. What could your wrapped in an enigma. life be like in retirement? I’m not Yet in some ways, it shouldn’t be all talking about making very detailed that difficult. There are hundreds of plans here, just thinking a bit about helpful guides. One that was helpful to what you ‘might’ do or be if you had me was “The Couple’s Retirement Puzzle,” the time. To do that you need to ask by psychologists Taylor and Mintzer, with questions that go to the core of who 10 conversations that couples should you are as a person, NOT as a doctor. have before the big day. It would have And that is why it is easier to ask such gone a long way in preventing the ugly questions earlier rather than later scene above. Another I liked was “How in your career, when perhaps you to Retire Happy, Wild, and Free,” by Ernie have forgotten who you were before Zelinski, which takes a more light-hearted you immersed yourself fully in the look at this typically too-serious subject. profession.

More recently, I found “Why We Won’t • I found it helped to ask myself Stop Working, Even if We Can” by Michelle what exactly I GAVE UP to become Silver. This one is geared more towards a doctor. More specifically, what professional people who like their work were those activities that I enjoyed and identify with their job and often really,

or found enjoyable before I shoved them aside because doctoring took up my whole life. In my case, there were two big things. I wanted to read of the great classics of English literature, and I wanted to spend time connecting with my large extended family (I have nine siblings).

• If, along the way, you can’t ever see yourself retiring, then you need to make serious plans to make sure that you get yourself into a practice situation where you can continue to practice half time or quarter time, or whatever. Your spouse will want some input into this as well.

And don’t wait until the retirement party to ask your partners if you can come in Monday and help out part time. I’ve seen that done, and it doesn’t work. Don’t let this happen to you.

• Finally, please do not, ever, let yourself lose touch with all your old colleagues. You owe it to yourself and to them. If you leave town, call the SCMS office and tell us where you are and what you’re doing. If you’re here, come to the SCMS meetings. Come to the Wednesday continued on page 7

And “retirement,” whatever that is, is a minefield, meaning something different to everyone, and steeped with emotional content, good and bad.

A mystery wrapped in an enigma.

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The Bulletin | May/June 2019

continued from page 6

noon retiree luncheons at IHOP on Tittabawassee Road in Saginaw. Come to the hospital Christmas parties or the hospital foundation annual parties. Even if you have to travel to get here. Come. We’ll be glad to see you. And while you’re here, tell us how you’re doing, how you made the transition.

What has worked for you. What hasn’t worked. Share your wisdom. The rest of us could use it.

1

I also enjoy writing, but you can see that since you are one of my readers

The next Bulletin will be published in September.

Have a safe and relaxing Summer!

SAVE THE DATE! 16th Annual Jingle Mingle Now on Saturday!

Saturday, November 23, 2019 10:30 a.m. to 2:30 p.m.

Saginaw Country Club 4465 Gratiot Road | Saginaw, Michigan Vendor Applications Now Being Accepted!

Contact Keri Benkert at keri.benkert@sbcglobal.net or (989) 790-3590

This year’s proceeds benefit: The Pregnancy Care Center of Saginaw

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The Bulletin | May/June 2019 7

The Walk for Hope 5K walk/ run is in its 17th year of bringing awareness to the importance of mental health and suicide prevention. Please join us on Sunday, August 11, 2019, at Saginaw Valley State University Harvey Randall Wickes Stadium for the untimed walk/run, food, activities and entertainment. Registration, volunteer opportunities and t-shirt sales are available online.

Click Walk for Hope 2019 for more information and to get started!

EVENT AGENDA 8:30 a.m. Registration Opens 10 a.m. Welcome Ceremony 10:30 a.m. 5K Walk/Run Closing Ceremonies will follow the Walk WHY WE WALK: We walk for loved ones. We walk for friends.

We walk for co-workers. We walk for people we support.

We walk for our community. We walk for hope.

The Saginaw County Medical Society is a proud sponsor of this year’s Walk for Hope.

College of

Medicine SPRING 2019 CME SURVEY To: All 2019 CME Activity Attendees, Learners and Planners

Team Brush Hawk “The Walk for Hope proved to be a message of hope for our family after losing our son, Ben. Love and support was felt from family & friends along with workers and other participants.”

- Denise, Ben’s Mom

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The Bulletin | May/June 2019

It’s that time of year again when we invite your opinions, preferences and suggestions about the Continuing Medical Education programs and courses you have attended and experienced in 2019. YOU get to tell us what kind of educational activities you envision for yourself and others.

What works best for YOU? What do we need to change and improve to BETTER meet your requirements as a medical professional?

Would you kindly take three minutes to complete our 2019 Spring CME Survey at https://www.surveymonkey.com/r/MCQ72M3?

Your participation is greatly appreciated, and we appreciate your time and feedback! Thank you!

FOUNDATION LOAN RECIPIENTS GRADUATE! The SCMS Foundation is pleased to announce three of our loan recipients graduated from medical school this spring! The Foundation encourages these physicians to return to Saginaw to practice upon completion of their residency. If they do come back to Saginaw to practice, they are eligible to participate in the Foundation’s loan forgiveness program in which all interest and principal (up to $20,000!) may be forgiven.

Jacquelyn G. (Albosta) Small, DO (center) with father-inlaw Roy Small, DO (left) and husband, Roy Small, DO (right) MSU College of Osteopathic Medicine Family Medicine Residency at McLaren Macomb

Bradley A. Demijohn, MD and wife, Sara CMU College of Medicine Psychiatry Residency at Pine Rest Christian Mental Health Services in Grand Rapids

Mariam T. Khan, MD with sister, Angubeen Khan and parents, Drs. Zubeda S. and Mohammad Yahya Khan MSU College of Human Medicine General Surgery Residency at Spectrum Health

FOUNDATION SPONSORS AWARDS FOR 2019 CMU COLLEGE OF MEDICINE RESEARCH SYMPOSIUM Congratulations to the winners of the 2019 Research Symposium sponsored by the CMU College of Medicine and CMU Medical Education Partners that took place on Friday, April 26 in Saginaw. Monetary awards were again funded by the SCMS Foundation. This is the third joint venture celebrating the research accomplishments of CMU’s faculty, residents and students.

Posters: • Bethany Figg, CMU Partners (Medical Education Category) “How to Make it Real - Disparities of Care Experiential Learning Workshop” • Kaitlyn Blanchard, MD, Resident Physician Ob/Gyn (Case Reports Category) - “Not Your Average Ovarian Mass: A Case Report on Meigs Syndrome” • Emily Chan, M3 (Population Health & Quality Improvement Category) - “Rural and Urban Differences in Discharge Diagnoses and Outcomes in Childhood Acute Lymphoblastic Leukemia” • Brian Shear, M2 (Clinical Category) - “Recurrent Epidermoid Tumors: A Case Report, Review andMeta-Analysis of Surgical Outcomes” • Christal Clemens, M2 (Basic & Translational Science Category) “Macrophage Kinetics and Phenotype are Different in Mouse Acute Kidney Injury Models: Ischemia Reperfusion and Rhabdomyolysis-induced Acute Kidney Injury” Oral Presentations: • Joseph Reed, M2 (Basic & Translational Science Category) “Absence of Gasping Breaths and Failure of Respiratory Autoresuscitation in Neonatal Rats Studied Under Ethyl Carbamate (Urethane) Anesthesia” • Michael Megaly, M2 (Clinical Category [tie]) - “Carotid Artery Re-stenosis Multivariable Analysis” • Fares Alghanem, M2 (Clinical Category [tie]) - “ Narrowing Performance Gap Between Rural and Urban Hospitals Following Hospitalizations for Acute Myocardial Infarction” The Foundation received the following notes from two of this year’s winners: I wanted to thank you for funding the awards for the 2019 Research Symposium. As a recipient of one of the awards, I greatly appreciate the Foundation’s generosity. Thanks!

Brian Shear - Medical Student | Class of 2021 I just wanted to thank you for the exciting and unexpected prize for winning the Medical Education category for poster presenters at the CMU Health Research Day on Friday. The Foundation’s generosity is much appreciated!

Thank you for your time.

Bethany Figg, MBA, MLIS, C-TAGME, AHIP

MSMS 154th House of Delegates (HOD) Installs Mohammed A. Arsiwala, MD as President and Elects S. Bobby Mukkamala, MD as President-Elect On May 4-5, 2019, more than 200 Delegates and Alternate Delegates convened for the 154th annual meeting of the MSMS HOD in Kalamazoo to debate and determine the policies, priorities, and direction of MSMS during the ensuing 12 months and beyond. Overall, 83 resolutions were introduced for consideration by the HOD. During the meeting, Mohammed A. Arsiwala, MD, a Livonia internist and founder of Michigan Urgent Care Center and Occupational Health Centers, was inaugurated as president of MSMS. S. Bobby Mukkamala, MD, a Flint otolaryngologist, was voted president-elect.

Representing Saginaw County at the HOD were Drs. Elvira Dawis, Jorge Plasencia, Caroline Scott, Julia Walter and Millie Willy. Additionally, Dr. Tom Veverka, District 8 Director, attended and was elected to his second three-year term. Joan Cramer, SCMS Executive Director, also attended. CMU College of Medicine student members attending were Aarthi Arab, Sanjay Das, Rebecca Hamburger, Kultaj Kaleka, Eric Kuhn, Lindsay Murphy and Brent Oldham. Again this year, the SCMS Foundation paid for the hotel rooms of the CMU College of Medicine students attending the MSMS HOD. Two resolutions written by CMU College of Medicine students were amended and approved: • Reference Committee D – Public Health, Resolution 75-19 Promote Prostate Cancer Screening for Minority Populations in Michigan; and • Reference Committee E – Scientific and Educational Affairs, Resolution 59-19 Opioid Education in Medical Schools.

Some of the timely issues addressed by this year’s resolutions include: • Supporting the implementation of naloxone box stations in high risk areas throughout the state.

• Advocating for legislation to allow minors seeking vaccines to consent to vaccination in the absence of parental consent.

• Calling for studies on the impact of perfluoroalkyl and polyfluoroalkyl chemicals on human health.

• Allowing the sharing of Michigan Automated Prescription System (MAPS) reports with patients, but prohibiting direct access by law enforcement without probable cause.

• Supporting the repeal of prior authorization for medication-assisted treatment in addiction medicine.

• Developing comprehensive telemedicine policy.

• Advocating for pay equity for female physicians.

• Encouraging the use of more neutral terminology such as “allow natural death” over terms that are viewed more negatively when discussing advance care planning and end of life care decisions.

• Supporting AMA policy H-60.906 – “Opposing the Detention of Migrant Children.”

The HOD also overwhelmingly approved the Final MSMS Organizational Remodeling Recommendations; culminating a multi-year effort to assure MSMS remains a strong and viable organization into the future.

Key provisions as passed by the HOD: • Board size remains the same – 34 members.

• Current Board members will be able to serve out their regular terms.

• Nine regions (down from 15 districts but more than the originally proposed six regions) - ensuring geographic representation on the Board is maintained, while eliminating fluctuation with membership changes. continued on page 11

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(Above) Dr. Millie Willy at the Sunday morning session

• Retains current seven officer positions (President-Elect, President, Immediate Past President, Speaker, Vice-Speaker, Secretary and Treasurer) and three section positions (Young Physician, Resident and Student).

• Up to six new designated (non-geographic) seats created with the same three, three-year term limits as geographically elected members.

• Nominating Committee consisting of one representative from each of the nine regions and the Immediate Past President as chair.

• Board review of its composition every three years with a report to the HOD on any recommended adjustments.

Board Seat Allocation • Regional Directors (two/region): 18 • Designated Directors: Up to 6 • Officers Elected by HOD: 7 • Section Representatives: 3 • Total: 34

Designated Directors and Nominating Committee Pursuant to Article IX (1)(e) of the Constitution, the Board of Directors shall include “up to six Directors elected by the House of Delegates representing those constituencies deemed from time to time the most relevant to the current health care marketplace to be designated by the Nominating Committee of the House of Delegates with input from the Board of Directors and the House of Delegates.”

Pursuant to Section 13.80 of the Bylaws, the Nominating Committee shall consist of ten (10) members – the Immediate Past President (chair) and “one member from each Region who shall be elected by the members holding membership in a county located in that Region.” Elected members must be delegates to the HOD with a right to vote and cannot be members of the Board of Directors.

The Nominating Committee will vet candidates for each of the designated seats. The Committee will present the slate of candidates for open positions at the House of Delegates each year. The HOD will have the final vote on the slate of candidates for the designated seats. MSMS will work with the counties in each region as needed to facilitate the process of electing the Regional Director.

Previously, the Board recommended the following six categories it believed were most important in the current environment; however, implementation will be executed by the above-mentioned Nominating Committee and the final determination is made by the House of Delegates: • Physician Organization (PO) Leader • Independent Small Practice • Physician Leader from Health System continued on page 12

Below (l-r) CMU MS Sanjay Das presents testimony on the CMU Opioid resolution; CMU Medical Students (l-r) Brent Oldham, Rebecca Hamburger, Sanjay Das, Aarthi Arab, Kultaj Kaleka, Lindsay Murphy and Eric Kuhn; Dr. Caroline Scott gives her Chair report on Reference Committee C - Internal Affairs and Bylaws

Exhibit A

continued from page 11

120 West Saginaw Street East Lansing, Michigan 48823 (517) 337-1351 msms@msms.org msms.org

Below is the new Regional Map (nine Regions) approved at the 2019 HOD:

9

First Session (l-r) Drs. Jorge Plasencia, Elvira Dawis, Caroline Scott, Tom Veverka and Julia Walter

• Physician Serving in Government/Public Health Role • Designated Institutional Official or Physician Representing GME Training • At Large Physician If you would like additional information regarding reference committee reports, current and past resolutions, etc., please visit www.msms.org/hod.

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6

8 2 5

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12 The Bulletin | May/June 2019

April Membership Meeting The Saginaw County Medical Society met on Tuesday, April 16, 2019, at Horizons Conference Center. Julia M. Walter MD, President, called the meeting to order at 7:12 p.m. Dr. Walter welcomed members, medical students, residents and spouse/ significant others to the meeting.

Dr. Walter thanked the following Key Providers in attendance for their ongoing support of SCMS programs: • Ascension St. Mary’s Seton Cancer Institute and CyberKnife – April McGinnis, Kathi Smith-Nowlin and Nicole Stewart • Bieri Hearing Specialists – Cathy Bieri-Ryan and Jerd Clayton • Covenant Radiation Oncology – James A. Fugazzi MD and Mark A. Zaki MD • Healthway Compounding Pharmacy – Mike Collins and Larry Greene Dr. Walter then conducted the following business: • The Minutes of the January 15, 2019, Membership Meeting were attached to the Agenda and published in the February Bulletin. MOTION: Accept the January 15, 2019, Meeting Minutes as printed. MOTION APPROVED. • Announced new members approved since the last Membership Meeting: 1) Christopher M. Archangeli MD (CMU HealthPsychiatry), Psychiatry – Adult, Child and Adolescent; 2) Onoriode S. Edeh MD (CMU Health-Psychiatry), Psychiatry – Adult, Child and Adolescent; 3) Kevin J. Lawson MD (Ascension St. Mary’s Orthopedics), Surgery – Orthopaedic; 4) Omar N. Marar MD (CMU Health-Surgery), Surgery – General and Colon & Rectal; 5) Najibah K. Rehman MD (CMU Health-Preventive Medicine and Saginaw County Health Department Medical Director), Preventive Medicine and Public Health; 6) Monique S. Turner DO (Women’s Ob-Gyn, PC), Ob/Gyn; and 7) Lisa M. WintonLi MD (CMU Health-Surgery), Surgery – General and Breast.

• Introduced new members in attendance: Drs. Najibah Rehman and Mark Zaki (member in process).

• Referred members to information on Prior Authorization, “Health Can’t Wait,” which was attached.

(l-r) Drs. Kimiko Sugimoto, Tom Veverka, Sussan Bays, Julia Walter, Sam Shaheen and Duane Heilbronn

available on the registration table and on the website www.SaginawCountyMS.com under the “Golf Outing” tab.

Dr. Walter welcomed our speakers for the evening who were presenting TED Talks on “The Human Challenge of Healthcare.”

Drs. Tom Veverka, Kimiko Sugimoto, Sussan Bays, Duane Heilbronn and Sam Shaheen gave moving TED Talks about topics ranging from burnout and putting your marriage and family first; serving in another country; the road to the USA, mentors and obstacles that were overcome; defining moments in their career; and serving the city you work and live in.

The next Membership Meeting will be held on Tuesday, May 21, 2019, at Horizons. Featured will be the Annual Membership Meetings of the SCMS and SCMS Foundation, and an update on the CMU College of Medicine featuring key leaders from CMU. There being no further business, the meeting was adjourned at 8:30 p.m.

Respectfully submitted, Joan M. Cramer Executive Director

ANNOUNCEMENTS: • The 10th Annual SCMS Foundation Golf Outing will be held on Saturday, June 8, 2019, at the Saginaw Country Club. Sponsorship and Team Registration forms were The Bulletin | May/June 2019 13

New MRI Available Covenant MRI can now better accommodate our bariatric population. Covenant has installed a new Wide-Bore MRI at the Cooper campus which can scan patients up to 500 lbs.

The new Wide-Bore MRI is in addition to the existing MRI at the Covenant Cooper campus and the MRI at the Covenant Mackinaw campus, increasing appointment availability. Please note the following hours of operation: Cooper Campus: Monday - Friday: 6 a.m.-11 p.m.

Saturday & Sunday: 7 a.m.-7 p.m. *After hours: On Call Mackinaw Campus: Monday - Friday: 6:30 a.m.-10:30 p.m.

Saturday: 8 a.m.-4:30 p.m.

American Heart Association Awards Covenant Stroke Care Top Honors

(left to right) Kari Latocki, Stroke Data Abstractor; Kathie Thomas, American Heart Association; Melissa Duchene, Stroke Program Coordinator; Dr. Joel Beltran, Medical Director of Stroke Services; Patrice Lanczak, Director of Emergency, Trauma, and Stroke Services; and Dr. Kirsten Guenther, Emergency Care

Covenant HealthCare recently received the American Heart Association (AHA)/American Stroke Association’s Get with The Guidelines®-Stroke Gold Plus and Target Stroke Honor Roll Elite Plus, the highest award AHA gives related to stroke care.

Covenant is one of only 12 hospitals in Michigan to obtain this achievement. Covenant is among an exclusive group of hospitals both in Michigan and nationally that treat at least 75 percent of their acute stroke patients in 60 minutes or less, as well as, at least 50 percent of their acute stroke patients in 45 minutes or less, providing the patient with the opportunity to receive the clot busting drug tPA which has been proven to improve outcomes for the stroke patient if given within a very short period of time after symptom recognition.

Kathie Thomas, DHA, MPH, Senior Director, Quality and Systems Improvement, American Heart Association, presented the award during a Covenant Stroke Survivor and Community Awareness event Tuesday, May 7. She had this to say, “The Get with the Guidelines®-Stroke Gold Plus awards 14

The Bulletin | May/June 2019

are granted to hospitals that treat every eligible patient according to the AHA’s recommended guidelines in at least 85 percent of eligible patients for at least two years, and Covenant HealthCare has most definitely exceeded this time frame. These guidelines include measures such as providing antithrombotics appropriately, putting the patient on an anticoagulant if they have Afib or Aflutter, providing smoking cessation counseling, prescribing a Statin and many more.”

Covenant is a Primary Stroke Center meeting the rigorous standards of, and is accredited by, the Health Facilities Accreditation Program (HFAP) as a Primary Stroke Care Program. To be a HFAP certified Primary Stroke Center, Covenant demonstrates improved treatment, better patient outcomes and reduced costs. Moreover, Primary Stroke centers have the required infrastructure and protocols in place to stabilize and provide rapid and evidence-based care to acute stroke patients Covenant Receives 2019 EAM Hospital Patient Safety Award

Tracie Hopkins, Accreditation & Regulation Administrator; Dr. Michael Sullivan; Bret Jackson, President of EAM; and Ed Bruff, President & CEO

We are honored to be a recipient of the 2019 EAM Hospital Patient Safety Awards, recognizing hospitals in Michigan consistently performing high marks and improvements in patient safety and quality of care from The Economic Alliance for Michigan. From sterile processing to infection prevention, environmental services to medical staff and beyond, thank you to the entire team focused on constantly improving patient safety and quality.

Additional Radiation Technology Now Available for Inoperable Tumors Covenant recently completed the expansion of the Radiation Center, now equipped with two Versa HD by Elekta.

The Covenant Radiation team uses the latest technology to enable sophisticated approaches to traditionally challenging cases. The systems’ patented technology allows precise targeting of the tumor, allowing Covenant Radiation Center clinicians to administer higher doses that can enhance treatment effectiveness, while protecting critical structures continued on page 15

continued from page 14

such as the heart, spine or bladder. The result is highly precise treatments with shorter treatment times, and the ability to offer highly advanced treatments while minimizing side effects and enhancing our patients’ quality of life. Versa HD allows safe and efficient delivery of conventional radiation treatment to treat a broad spectrum of tumors throughout the body. It also allows treatment of highly complex cancers that require extreme targeting precision.

Dr. James Fugazzi, Medical Director of the Covenant Radiation Center, says the second linear accelerator is equipped with BrainLab technology. “This will allow Covenant to offer stereotactic radiosurgery (SRS), the most sophisticated radiation treatments, to patients with small brain tumors,” Dr. Fugazzi states. “This allows us to deliver very high doses of radiation to an extremely small tumor. SRS is very convenient for patients as they only need to come in for a few treatments (often one).”

The new linear accelerator is also equipped with ExacTrac.

This feature allows more precise imaging before and during treatment; adjusting for patient movement and increasing pinpoint targeting of tumors.

Covenant is Michigan’s first and only certified member of MD Anderson Cancer Network®, a program of MD Anderson Cancer Center, a world-renowned leader in cancer care.

Covenant is utilizing MD Anderson’s acclaimed clinical standards and expertise to elevate the quality of care for patients in the region.

Red Carpet 2019 to Support Covenant Breast Health Center and Covenant Hospice THURSDAY, AUGUST 8, 2019 RED CARPET PAR 3 CHALLENGE Back by popular demand, this event offers 18 chances at winning 18 prizes valued at $5,000 or more! Enjoy a light breakfast and the practice range before a shotgun start and 18 holes.

CRUMPETS & CROQUET For those who want to be part of the daytime events, but golf is not your cup of tea, join us for a different cup of tea wearing your most festive attire!

Women and men will have the chance to enjoy summer refreshments on the lawn, a delicious lunch and a round of croquet.

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

FRIDAY, AUGUST 9, 2019 PREMIERE GOLF CLASSIC This popular event features a full breakfast and practice range, followed by a shotgun start. Pick up pointers with your team while playing with a PGA golf professional. Dinner and awards banquet following golf.

For information on how to participate in or sponsor any of the Red Carpet events, call 989.583.7600 or visit www. covenanthealthcarefoundation.com.

PROVIDING NEW

COVENANT REGIONAL WOUND HEALING & HypERbARIC MEDICINE CENTER

900 Cooper, Fourth Floor Saginaw, Michigan 48602 989.583.4401 Tel Hours: Monday – Friday 8 am – 5 pm

www.covenanthealthcare.com

Extraordinary care for every generation.

The Bulletin | May/June 2019 15

The Annual Meetings of the Saginaw County Medical Society and Saginaw County Medical Society Foundation were held on Tuesday, May 21, 2019, at Horizons Conference Center in Saginaw. Julia M. Walter, MD, President of the Saginaw County Medical Society, called the meeting to order at 7:09 p.m.

The next Membership Meeting will be held on Tuesday, September 17, 2019, at Horizons.

Dr. Walter welcomed Dean George E. Kikano, MD of CMU College of Medicine; CMU faculty and staff including Tina Thompson, PhD, Senior Associate Dean of Academic Affairs and Eric Nelson, Director, Marketing and Communications; Sasha P. Savage, MD, Chief Health Officer of THRIVE (Transforming Health Regionally in a Vibrant Economy); Foundation Essay Contest winners and their families; and family and friends of incoming President, Mildred J. Willy, MD. She also thanked Key Providers in attendance for their ongoing support of SCMS programs: Ascension Medical Group/Ascension Stroke & Neurosurgery and HealthSource Saginaw.

Before beginning the Annual Meeting, Dr. Walter notified members of the passing of longtime member, Gerald A. Sieggreen, MD on Monday, May 20 at the age of 80. Dr. Sieggreen joined Women’s Ob-Gyn in 1970, and retired in 2012. He served in various positions on the SCMS Board of Directors, including President in 1993-94. A moment of silence was observed for Dr. Sieggreen.

Dr. Walter announced new members approved at tonight’s Board Meeting: 1) Chris Paul Liakonis, DO (Ascension St. Mary’s – Riverfront Cardiology); and 2) Mark A. Zaki, MD (Covenant Radiation Center).

Dr. Walter welcomed new members in attendance: 1) Kevin J. Lawson, MD (Ascension St. Mary’s Orthopedics); 2) Venkat Maganti, MD (Ascension Medical Group Heritage Family Physicians); 3) Michael W. Warren, MD (Advanced Diagnostic Imaging); and 4) Lisa M. WintonLi, MD (CMU Health-Surgery).

Annual Membership Meeting of t

Top Left to Right: Ascension’s Sara Kelly and Dr. Meena Ramani; HealthSource Saginaw’s Scott Taglauer and Tony Holstine; Dr. Ernie Balcueva, Evan Paulus and Dr. Elizabeth Paulus; Drs. Sasha Savage and Cathy Baase

Dr. Walter also welcomed Jessica WintonLi, MD (CMU Health-Internal Medicine), and encouraged her to join.

Dr. Walter conducted the following business of the SCMS: • The minutes of the April 16, 2019, Membership Meeting were attached to the Agenda. MOTION: Accept the April 16, 2019, Membership Meeting Minutes as printed.

MOTION APPROVED. • The SCMS Board approved a proposed Amendment to the Bylaws giving the Board the ability to appoint more than one resident and medical student representative to the Board in order to get them involved in the SCMS and organized medicine. Residents and medical students appointed to the Board would not have a vote. The proposed Amendment was published in the April Bulletin. MOTION: Approve the Amendment to the Bylaws as presented. MOTION APPROVED. • Dr. Walter directed those attending to the Agenda attachment on Prior Authorizations and “Health Can’t Wait.” Patients and physicians across the state are highlighting the urgent need for a patient-centered approach in health care that puts the needs of patients above bigger profits for insurers. Members were asked to visit the “Health Can’t Wait” website and share their stories and experiences on prior authorization issues. The SCMS plans to host a roundtable this summer with area lawmakers. Those interested in attending were asked to contact Joan for details.

• Dr. Walter installed Mildred J. Willy, MD, as the 116th President of the SCMS, and presented her with the President’s medallion. Dr. Willy then gave her presidential address, including her goals for the upcoming year.

• Dr. Willy then awarded a plaque to Dr. Walter and thanked her for serving in various positions on the SCMS Board, including the past two years as President.

• Dr. Walter, on behalf of the Nominating Committee, presented the Slate of Nominees for Officers, Directors, Delegates, Alternate Delegates and the Peer Review Ethics Committee for 2019-2020. There were no nominations from the floor. MOTION: Accept the Slate as presented by the Nominating Committee for 20192020. MOTION APPROVED. • The SCMS Annual Meeting was adjourned.

Dr. Willy called Thomas E. Damuth, MD, President of the SCMS Foundation, to the podium.

Dr. Damuth called to order the Annual Meeting of the SCMS Foundation at 7:28 p.m., and conducted the following business: • Noted that all SCMS members are also members of the SCMS Foundation.

• Reviewed the work of the Foundation which includes: • Providing low interest loans to medical students with ties to Saginaw, with a maximum of $20,000 in loans available during medical school; continued on page 18

the SCMS and SCMS Foundation

Top Left to Right: Drs. Lisa and Jessica WintonLi; Dr. Millie Willy and John Herek; Renee and Ashley Dittmar; Drs. Millie Willy and Julia Walter

continued from page 17

• Forgiving loan interest if the loan recipient returns to Saginaw to practice upon completion of their residency; • Forgiving 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; • Awarding scholarships and mentoring Saginaw County high school students who are interested in becoming a physician; • Providing research grants and scholarships to medical students through CMU CoM, including funding awards for the annual CMU Research Symposium, and medical student lodging at the annual MSMS House of Delegates; and • Assisting the SCMS Alliance in awarding nursing scholarships.

• Reviewed the Annual Report of the Foundation. He announced the Foundation recently awarded two loans totaling $15,000 to medical students with ties to Saginaw.

The Foundation currently has over $221,000 in investments and over $200,000 in outstanding loans, for a total of over $421,000 in assets.

• There is currently one loan recipient who is practicing in Saginaw and taking advantage of the loan forgiveness program. Additionally, there are two more loan recipients who just completed their residencies in family medicine and dermatology, who are returning to Saginaw to practice this fall, and will also take advantage of the loan forgiveness program. Dr. Damuth noted in the next seven years, the Foundation has the potential to forgive $120,000 in loans for those who are expected to return to Saginaw to practice.

Of that amount, $52,000 are loans to a current CMU medical student and two residents from Saginaw who graduated from CMU. • The 10th Annual SCMS Foundation Golf Outing will be held on Saturday, June 8 at the Saginaw Country Club. Sponsors and golfers are still needed. Funds raised at the annual golf outing fund Foundation initiatives. CMU College of Medicine and CMU Health are Title Sponsors again this year, and we thank them for their support. Approximately $195,000 has been raised the past nine years from the annual Golf Outing started by Dr. Rao Gudipati when he was Foundation President.

• Dr. Damuth mentioned the Foundation is in need of two or three more physicians to serve as Trustees, and those interested should contact a Foundation Board member or Joan Cramer.

• The SCMS Foundation sponsored its 10th Annual Essay Contest which was open to high school juniors and seniors in Saginaw County who want to become physicians and 18 The Bulletin | May/June 2019

Above: Dr. Tom Damuth, Dr. Anu Gollapudi, Melanie Beyers, Noah Essex, Dr. Lowell Butman and Ashley Dittmar Bottom: Todd Essex, Heather Essex, Noah Essex, Melanie Beyers and Dr. Anu Gollapudi

hopefully stay in Saginaw to practice medicine. Students who entered wrote an essay, “Why I Want to Become a Physician in Saginaw County.” Dr. Lowell Butman, longtime Foundation Board Member, assisted Dr. Damuth in awarding certificates and checks to the following winners: Nikita Gollapudi, a senior at Heritage, won first place.

She received a check for $1,000 and was offered a oneday mentorship with a SCMS member. Due to a school conflict, her award was accepted by her mother, Anu R. Gollapudi, MD. Ryan Beyers, a senior at Nouvel, won second place. He received a check for $600 and was offered a one-day mentorship. Again due to a school conflict, his award was accepted by his mother, Melanie Beyers. Madeline Champagne, a senior at Nouvel and Ashley Dittmar, a senior at Birch Run, tied for third place.

Each received a check for $400 and were offered a oneday mentorship. Madeline was unable to attend due to a school conflict; but Ashley was present to receive her award.

Receiving checks for $100 and offered a one-day mentorship were Noah Essex, a junior at Freeland and Jade Patel, a senior at Nouvel. Noah was present to receive his award, however, Jade also had a school conflict.

Caduceus Meeting for Recover

Third Thursday of each month at 7 p.m. | Zion Luth (Behind Pat’s Grocery Store on Caduceus meetings are available to health care industry pr 12-Step programs. Caduceus meetings are “closed” meet but not limited to, nurses, doctors, dentists and pharma may ask questions or share tho

Summer Legislative Roundtable Discussion on Prior Authorization

Above: Dr. Sam Shaheen Bottom: Dean George Kikano

At the request of MSMS, the SCMS is planning a roundtable discussion focusing on prior authorization (PA) this summer. The objective of the roundtable discussion is to educate lawmakers about the pitfalls associated with prior authorization and step therapy, specifically the negative impact it can have on patient care.

The SCMS is working to schedule the roundtable on a Monday evening in July or August. Those who would like to attend are asked to bring a few specific examples of how prior authorization or step therapy has been detrimental to their patients.

If you are interested in participating in the PA roundtable this summer, please contact Joan Cramer at jmcramer@sbcglobal.net to be put on the meeting distribution email. In the meantime, click on the link below and share your stories.

Health Can’t Wait.

Fix Prior Authorization and Step Therapy.

Regulate Network Adequacy to Stop Surprise Medical Bills Any members interested in serving as mentors were asked to contact Joan Cramer.

• The SCMS Foundation Annual Meeting was adjourned at 7:37 p.m.

Program • Dr. Willy introduced Dean Kikano who gave an update on the CMU College of Medicine. During his presentation, Dean Kikano welcomed Drs. Sasha Savage and Cathy Baase to the podium. Dr. Baase introduced Dr. Savage, who then told the members about his journey to medicine and leading the THRIVE initiative. Dr. Sam Shaheen followed Dean Kikano’s presentation with details on the CMU College of Medicine and CMU Health, partnerships, finances, etc.

The next Membership Meeting will be held on Tuesday, September 17, 2019, at Horizons.

There being no further business, the meeting was adjourned at 8:08 p.m.

Respectfully submitted, Joan M. Cramer, Executive Director

ring Health Care Professionals

heran Church | 454 7th Street, Freeland, Michigan n Midland Road in Freeland) rofessionals, and have adopted many of the principles of tings for recovering health care professionals including, acists. We engage in group discussions where members oughts with fellow members.

Policies aimed at addressing unanticipated out-of-network care often called surprise billing - should not put patients in the middle of payment negotiations or reward payers whose inadequate, narrow provider networks are a primary driver of the problem. That was the key message from MSMS President-elect and American Medical Association (AMA) Trustee S. Bobby Mukkamala, MD, at a recent House Ways and Means Health Subcommittee hearing on surprise medical bills.

READ MORE

LEGAL ALERT- Service Animals at the Physician’s Office (member log-in required) The Americans with Disabilities Act (“ADA”) requires places of public accommodation, including physicians’ medical practice offices and health-care facilities (individually referred to in this Legal Alert as a “facility” and collectively as “facilities”), to allow service animals to assist persons with disabilities. The ADA defines a “service animal” as a dog (see exception for miniature horses) that is trained to perform tasks directly related to a person’s disability. By this definition, other animals, including animals which provide only emotional support by their presence, do not qualify as service animals. READ MORE

Michigan Loan Reimbursement and Employment Solution to Open Second Application Window Michigan Health Council (MHC) recently announced that the Michigan Loan Reimbursement and Employment Solution (MiLES) will be accepting applications for a second time this year, from July 1-July 31, 2019. During the first application window of 2019, six MD physician residents and two DO physician residents were awarded a combined $400,000 in tax-free loan reimbursement. READ MORE

The Bulletin | May/June 2019 19

Cerebrovascular/Endovascular Neurosurgeon Joins Ascension Medical Group We are excited to welcome Nnenna Mbabuike MD to the Ascension St. Mary’s neurosurgery team. She joins neurosurgeons E. Malcolm Field MD, Joseph Adel MD, Naman Salibi MD, Eric Bialaski DO and Thomas O’Hara MD at Ascension Medical Group Neurosurgery.

With more than 10 years of experience, Dr. Mbabuike is specialized in cerebrovascular and endovascular neurosurgery for the treatment of stroke, aneurysms, arteriovenous malformations and extracranial/ intracranial occlusive vascular disease.

Dr. Mbabuike earned her undergraduate and medical degrees in an accelerated seven-year dual degree program at the Sophie Davis School of Biomedical Education in City College, New York, in conjunction with New York University School of Medicine. Following medical school, she completed a one-year general surgery internship at NYU School of Medicine and a pre-residency research fellowship in neurosurgery at the University of California, Irvine. Dr. Mbabuike completed a six-year neurosurgery residency at Tulane Ochsner Medical Center in New Orleans where she developed and cultivated an interest in cerebrovascular and endovascular neurosurgery. After residency, she did a two-year endovascular/open vascular fellowship at the Mayo Clinic in Jacksonville, Florida. She trained in advanced endovascular techniques including the treatment of aneurysms, acute stroke intervention, embolization of brain tumors and vascular malformations, and diagnostic procedures for various neurologic and neurosurgical pathologies. Dr. Mbabuike also participated in clinical trials for flow diversion in aneurysm treatment, carotid stenting for carotid stenosis and cerebral venous stenting in the treatment of pseudotumor cerebri.

Dr. Mbabuike joins AMG from the University of Pittsburgh Medical Center in Altoona, Pennsylvania where she

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 | May/June 2019

most recently served as the Director of Cerebrovascular Neurosurgery and Comprehensive Stroke Program.

She is accepting new patients, and referrals can be made by calling 855-298-9888.

New Cardiac Cath Lab A new, state-of-the-art Siemens cath lab at Ascension St. Mary’s which offers the latest technology to support complex cardiac interventions, structural heart procedures such as TAVR and Watchman, and AFib ablations went into service on Wednesday, May 22. The updated cardiac cath lab is one of the many projects that are a part of the $50 million investment into hospital revitalization. A dedication and blessing ceremony was held on May 20 on the cardiac cath unit located on the 2nd floor at the main hospital.

The cath lab features all new equipment including a large monitor to display all necessary images and allow the physicians to customize their views and size of the displays.

The Merge hemodynamic system was also installed, and is the new backbone for documentation of cath lab and interventional radiology procedures.

Welcome New Physician Liaison Sara Kelly joins the Ascension Medical Group having served the past five years as a clinical account executive and physician liaison for McLaren Healthcare. Sara has more than 10 years of experience in corporate writing, marketing management and sales. She is a graduate of the University of MontanaMissoula and received her MBA from Northwood University.

Sara is available to assist with medical practice development, identifying market challenges and opportunities, and reducing barriers to service line access. She can be contacted by phone at 989-450-3871 or email at sara.kelly@ascension.org.

COMPLETE DESIGN SERVICES Letterheads • Business Cards Envelopes • Brochures • Calendars Flyers • Cookbooks • Annual Reports Note Sheets • Newsletters • Mailings Large Format Posters • and much more…

PRINT SERVICES Offset Printing • Die Cutting Foil Stamping • Embossing • Film Output Thermography • Black & White Copies Color Copies • Laminating • Union Bug

Welcome New Physicians Welcome New Physicians Welcome New Physicians

Welcome New Physicians Ascension Medical and Ascension St. Mary’s are pleased Ascension Medical Group andGroup Ascension St. Mary’s are pleased to to Ascension Medical Group and Ascension St. Mary’s are pleased to welcome several new physicians to our employed medical staff . welcome several new physicians to our employed medical staff. welcome several new physicians to our employed medical staff.

• Cardiothoracic Surgery

• Cardiothoracic Surgery Ascension Medical Group and Ascension St. Mary’s are pleased to • Cardiothoracic Surgery Chris Liakonis, DO | (989) 754-3000 welcome several new physicians to our employed medical staff.

ChrisChris Liakonis, DO | (989) 754-3000 Liakonis, DO | (989) 754-3000

Roma Srivastava, MD Chris Liakonis, DO Hematology/Medical Cardiothoracic Roma Srivastava, MDOncology Liakonis, DOSurgery Roma Srivastava, MD Chris Chris Liakonis, DO Hematology/Medical Cardiothoracic Oncology Oncology Cardiothoracic SurgerySurgery Hematology/Medical

• Family Medicine • • Cardiothoracic Surgery • Family Medicine Family Medicine Elizabeth Marshall, MD | Coming Summer 2019 Chris Liakonis, DO | (989) 754-3000

Elizabeth Marshall, | ComingSummer Summer2019 2019 Elizabeth Marshall, MDMD | Coming

• Family Medicine - Sports Medicine • Family Medicine • Family Medicine - Sports Elizabeth Marshall, MD |Bermudez, Coming Summer 2019 Summer 2019 Angel MDMedicine | Medicine Coming • Family Medicine - Sports

Chris Liakonis, DO Cardiothoracic Surgery

Angel Bermudez, MD | Coming Summer 2019

Elizabeth Marshall, MD Iftikhar Khan, MD Primary Care Neurology Elizabeth Marshall, MD Iftikhar Khan, MD Primary Care Elizabeth Marshall, MD NeurologyIftikhar Khan, MD

Angel Bermudez, MD | Coming Summer 2019

• Family Medicine - Sports Medicine • Gastroenterology

Angel Bermudez, MD | Coming 2019 • Gastroenterology The physicians of Summer Ascension Valley Gastroenterology practice throughout the

• Gastroenterology region. of (989) 791-9133 TheGastroenterology team of gastroenterologists includes:Elizabeth The physicians Ascension Valley practice throughout the Marshall, MD Primary Care

region. (989) 791-9133 The team Gastroenterology of gastroenterologists includes: physicians ofMedley Ascension Valley practice throughout the Larkin, DO • The Gastroenterology

region.

(989) 791-9133 The team of gastroenterologists includes: Medley Larkin, DO The physicians of Ascension Valley Gastroenterology practice throughout the Erika DeGayner, DO region. (989)Erika 791-9133 The team of gastroenterologists includes: DeGayner, DO Medley Larkin, DO Ingles, DO Shawn

Harprabhjit Erika DeGayner, DO Singh, MD

Erika DeGayner, DO Singh, MD Harprabhjit

Rajeev Shawn Ingles, DO Tummuru, MD Rajeev Tummuru, MD

Harprabhjit Singh, Harprabhjit MD MD •Singh, Hematology/Medical

Rajeev Tummuru, MD MD Rajeev Tummuru, • Hematology/Medical

Oncology

Primary Care

Neurology

Iftikhar Khan, MD Neurology

Eric Bialaski, DO Angel Bermudez, MD Neurosurgery Orthopedics Eric Bialaski, DO Angel Bermudez, MD Neurosurgery Orthopedics

Medley Larkin, ShawnDO Ingles, DO Shawn Ingles, DO

Roma Srivastava, MD Hematology/Medical Oncology

Angel Bermudez, MD Orthopedics

Eric Bialaski, DO Neurosurgery

Angel Bermudez, MD Eric Bialaski, DO Orthopedics Neurosurgery

Roma Srivastava,Oncology MD | (989) 497-3226 Roma Srivastava, MD | (989) 497-3226

• • Hematology/Medical Oncology Hematology/Medical Oncology

Medley Larkin, DO Gastroenterology Medley Larkin, DO Gastroenterology

• Neurology Roma Srivastava, MD | (989) 497-3226

Roma Srivastava, MD | (989) 497-3226 • Neurology

•

Iftikhar Khan, MD | (989) 799-2640 Iftikhar Khan, MD | (989) 799-2640 Neurology

• Neurology Iftikhar Khan, MD | (989) 799-2640

Medley Larkin, DO Gastroenterology

• Neurosurgery • Neurosurgery Iftikhar Khan,Eric MD | (989) 799-2640 Bialaski, DO

Eric Bialaski, DO Mbabuike, MD • Neurosurgery Nnenna

• Neurosurgery

Nnenna Mbabuike, MD MD Thomas O’Hara,

Erika They join neurosurgeons E. Malcolm Field, MD, Joseph Adel, MD & DeGayner, DO

Eric Bialaski, DO Salibi, MD | (855) 298-9888 Thomas O’Hara, MD They joinNaman neurosurgeons E. Malcolm Field, MD, Joseph Adel, MD &

Gastroenterology

Salibi, MD |MD (855) 298-9888 Mbabuike, TheyNnenna joinNaman neurosurgeons E. Malcolm Field, MD, Joseph Adel, MD & Naman Salibi, MD | (855) 298-9888

• join Orthopedics Kevin Lawson MD | (989) 799-1350 They neurosurgeons E. Malcolm Field, MD, Joseph Adel, MD & Kevin Lawson MD | (989) 799-1350

• Podiatry • Podiatry Laura Reitz, DPM | (989) 790-6719

• • Podiatry Orthopedics Laura Reitz, DPM | (989) 790-6719

Nnenna Mbabuike, MD Neurosurgery

Thomas O’Hara, MD Neurosurgery Thomas O’Hara, MD Neurosurgery

Thomas O’Hara, MD Neurosurgery

Erika DeGayner, DO Gastroenterology

Thomas•O’Hara, MD Orthopedics

• Orthopedics Kevin MD Lawson MD |298-9888 (989) 799-1350 Naman Salibi, | (855)

Nnenna Mbabuike, MD Neurosurgery

Medley Larkin, DO Gastroenterology

Erika DeGayner, DO Gastroenterology Erika DeGayner, DO Gastroenterology

Nnenna MD MD Eric Bialaski, DO Mbabuike, Thomas O’Hara,

Nnenna Mbabuike, MD Neurosurgery Nnenna Mbabuike, MD Neurosurgery

Thomas O’Hara, MD Neurosurgery

Kevin Lawson, MD Shawn Ingles, DO Orthopedics Gastroenterology Kevin Lawson, MD Shawn Ingles, DO Kevin Lawson, MD Orthopedics Shawn Ingles, DO Gastroenterology Gastroenterology

Orthopedics

Laura Reitz, DPM | (989) 790-6719

Kevin Lawson MD | (989) 799-1350

• Podiatry Laura Reitz, DPM | (989) 790-6719

Kevin Lawson, MD Orthopedics

Shawn Ingles, DO Gastroenterology

Harprabhjit Singh, MD Laura Reitz, DPM Gastroenterology Podiatrist/Foot and Ankle Surgery Harprabhjit Singh, MD Laura Reitz, DPM Harprabhjit Singh, MD Laura Reitz, DPM Gastroenterology Podiatrist/Foot and Ankle Surgery Gastroenterology

Podiatrist/Foot and Ankle Surgery

Harprabhjit Singh, MD Gastroenterology Rajeev Tummuru, MD

Laura Reitz, DPM Podiatrist/Foot and Ankle Surgery

Gastroenterology Rajeev Tummuru, MD Rajeev Tummuru, MD Gastroenterology Gastroenterology

The Bulletin | May/June 2019 83293_Ascentions_WelcomePoster.indd 1

83293_Ascentions_WelcomePoster.indd 1

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21 5/2/19 7:47 AM

5/2/19 7:47 AM

5/2/19 7:47 AM

Michigan Professional Licensing User System (MiPLUS) Launched The Bureau of Professional Licensing (BPL) in the Department of Licensing and Regulatory Affairs (LARA) has launched a new licensing platform that will make it easier and more efficient to obtain, renew and modify licenses. The new system – Michigan Professional Licensing User System (MiPLUS) – will enhance accessibility by providing an improved interface for licensees and consumers and reduce delays from mailings.

Included in the licensed professions transferred to MiPLUS on May 6 are Medicine (Doctors), Osteopathic Physicians, Physician Assistants, Midwifery and Podiatry.

To help licensees interact and engage with the new platform, the following resources will be available at www.

Michigan.gov/MiPLUS: • Walk-through videos on registering for an account, applying for your first license, modifying your license and renewing your license.

• Licensing guides for each profession.

Licensees can register for their MiPLUS account and manage their license online by clicking on the appropriate profession to create a user account.

For information and resources on how the launch of MiPLUS will impact the licensing and renewal process, please review the FAQ, visit www.Michigan.gov/MiPLUS, call (517) 2410199 or email BPLHelp@Michigan.gov.

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.

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The Bulletin | May/June 2019

Sexual Orientation and Gender Identity Data Collection The American Medical Association (AMA) represents all of America’s physicians regardless of race, gender, sexual orientation, national origin, color, ethnicity, religion, disability or other characteristics, without discrimination or bias.

Understanding the needs of all physicians means collecting vital demographic data. The AMA House of Delegates adopted a new policy that addresses learning more about the physician population, specifically as it relates to sexual orientation and gender identity. Having this information means the AMA will be better equipped to meet the specific needs - and better reflect the makeup - of the nation’s increasingly diverse physician community.

Please access or create a free account at https://fsso. ama-assn.org/login/account/login and provide your demographic data. Physician responses to the AMA’s request for this personal information are entirely voluntary and will be kept completely confidential. No physician will be required to provide this information.

CDC says Misapplication of Opioid Prescribing Guidelines Have Harmed Patients Three authors of the Centers for Disease Control and Prevention’s (CDC) controversial 2016 guideline on opioid

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prescribing now say their advice has been misused in ways that can harm patients.

These misapplications “include inflexible application of recommended dosage and duration thresholds and policies that encourage hard limits and abrupt tapering of drug dosages, resulting in sudden opioid discontinuation or dismissal of patients from a physician’s practice,” wrote the CDC’s Deborah Dowell, MD, MPH; Tamara Haegerich, PhD; and Roger Chou, MD, in a New England Journal of Medicine essay, “No Shortcuts to Safer Opioid Prescribing.”

Patrice A. Harris, MD, MA, President-elect of the AMA and chair of the AMA Opioid Task Force , noted in response that the CDC guideline recommendations have been “wrongly treated as hard-and-fast rules, leaving physicians unable to offer the best care for their patients.”

The guideline authors’ essay “underscores that patients with acute or chronic pain can benefit from taking prescription opioid analgesics at doses that may be greater than the guidelines or thresholds” outlined by government agencies, payers, pharmacy chains, pharmacy benefit managers (PBM) or other bodies, she added.

The misapplication of the CDC guideline has been so broad, said Dr. Harris, “that it will be hard to undo the damage.” She said the AMA is calling for a “detailed regulatory review of formulary and benefit design by payers and PBMs to ensure that patients have affordable, timely access to medically appropriate treatment, pharmacologic and nonpharmacologic.”

The AMA also will work with the CDC to help ensure that patients get “multidisciplinary, multimodal pain care based on medical science and effective clinical practice,” Dr. Harris said.

The U.S. Agency for Healthcare Research and Quality, with CDC funding, is conducting systematic reviews to gauge the effectiveness of various treatments for acute and chronic pain.

The AMA House of Delegates adopted a new policy that addresses learning more about the physician population, specifically as it relates

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to sexual orientation and gender identity.

Having this information means the AMA will be better equipped to meet the specific needs and better reflect the makeup - of the nation’s increasingly diverse physician community.

Hours: MON-FRI 9 AM to 5 PM The Bulletin | May/June 2019 23

College of

Medicine Mildred J. Willy MD Appointed Dean of Student Affairs Dr. Millie Willy has been appointed as Associate Dean of Student Affairs. Dr. Willy oversees the Office of Student Affairs (OSA) including student services, career advising, wellness and professionalism. She previously served in an interim capacity for OSA. Millie is highly respected as an emergency medicine physician, has been appointed as a Fellow of the American College of Emergency Physicians, and will remain a practicing physician working for Greater Midland Emergency Physicians. Dr. Willy has played an active role in many professional societies, including serving on national and regional education committees. Dr. Willy was installed as the 116th President of the Saginaw County Medical Society on May 21, 2019. Please join us in congratulating Millie in her permanent role leading student affairs!

Dual MD/MBA Degree Program CMU now has a dual MD/MBA degree program. This program allows current MD students to apply for admittance to the CMU MBA program. Two tracks are available: Track I

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Continued Growth in Graduate Medical Education CMU’s residency programs are fully accredited and growing in size and stature. Currently, we have 112 resident positions, which will grow to 120 in July! Because of all of your efforts, and the effort of our faculty and leadership team, we will be supporting additional educational programs in the future. This includes our new Child & Adolescent Psychiatry Fellowship which will be accepting up to three fellows per year (two planned for this year). Furhut Janssen, DO, FACN, is the Fellowship Director and Chris Archangeli, MD, is the Associate Fellowship Director. In addition, the Psychiatry Department has established outpatient clinic relationships with HealthSource Saginaw, Great Lakes Bay Health Centers, Aleda E. Lutz VA Medical Center and Westlund Guidance Clinic. This summer, we will be welcoming back Nicki Roy, MD, (Child and Adolescent Psychiatry) and Zaira Khalid, MD (Geriatric Psychiatry).

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The Bulletin | May/June 2019

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IN MEMORY Gerald A. Sieggreen, MD Beloved husband, father, grandfather and brother passed away on Monday, May 20, 2019, at his daughter’s home with his family at his side at the age of 80.

Gerald Allen Sieggreen was born on July 27, 1938, in Carrollton, Michigan to the late Emil and Anna (Wojcik) Sieggreen. He was raised in Carrollton and attended Arthur Hill High School, Bay City Junior College, and Wayne State University where he received his Doctorate of Medicine in 1963. He married Alice Marie Wolohan on August 19, 1961, at Sacred Heart Catholic Church in Birch Run. Alice passed away on April 20, 2011.

Gerald devoted his life to his family, friends and his medical profession. Gerald joined Women’s OB-GYN in 1970, where he worked until his retirement in 2012. After receiving his medical degree, he served as Captain in the Medical Corps U.S. Army, from 1964-1966, during the Vietnam War as a surgeon in a MASH unit. He was an assistant clinical professor

at Michigan State University, and was also a Fellow of the American College of Obstetricians and Gynecologists. His patients, family, and friends remember his gentle smile, sense of humor and calm nature. He especially enjoyed exercise, golfing and playing cards. Gerald was a member of the SCMS for 49 years, and served as President in 1993-94.

Surviving are his children: John Sieggreen, Anna SieggreenBeins, Angela O’Hare, Mary Alice (Stephen) Dombrowski and his 11 grandchildren: Alicia, Charlotte (Sam) Wells, Henry, Emily, Hunter, Helen, Isabelle, Walter, John, Allison and Marilyn.

Dr. Sieggreen’s funeral was held on May 23, 2019, followed by burial at Mt. Olivet Cemetery with Military honors under the auspices of V.F.W. Post #1859. Those planning an expression of sympathy may wish to consider memorials to Saginaw Valley Rail Trail or the Saginaw County Medical Society.

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The Bulletin | May/June 2019

June, July, August and September BIRTHDAYS June Birthdays Khurshid Ahmad MD Mohamed Y. Aljefri MD Christopher J. Allen MD Edgar L. Allport MD Emmanuel L. Avelino Student Abishek Bala MD Kayla J. Balaj MD Usha K. Bulusu MD William M. Capina MD George A. Carty MD Rachel A. Cleminson Student Sara Dadashzadeh Student Steven G. Fettinger MD Joshua D. Forsyth MD Laura M. Fritsch Student Michael D. Gallo MD Elizabeth L. Godfrey Student Stacy Goldthorpe Student Frances Greathouse Student Rao V.C. Gudipati MD Val Hereza MD James R. Hines MD Christina K. Jung Student Daniel Y. Kalabat Student Tareq Q. Kamal MD Larry S. Kelly MD Zubeda S. Khan MD Asim A. Kichloo MD Tiffany K. Kim MD John A. Kremski MD Eric R. Kuhn Student Aaron M. Lawrence DO Jacob M. Lynn Student Lakshmana R. Madala MD Binu Malhotra MD Albert S.M. Manlapit MD Rama C. Mulpuri MD Angadbir S. Parmar MD Megha Patel Student Manuel M. Perea MD Juliette M. Perzhinsky MD Nasser O. Qadri MD Zhilwan K. Rahim DO Todd G. Richardson MD Chad D. Ringley MD Rebecca L. Russell Student Kyle J. Rutledge DO Raghu Sarvepalli MD Robert A. Sasso MD Keith E. Scharf MD Benjamin R. Schoener MD Nadia R. Sion Student Ryan M. Song Student

Rajeev S. Sudhaker MD Joseph E. Talbot MD William G. Underhill MD Thomas J. Veverka MD Antonio J. Williams, Sr. MD Haritha Yedla DO July Birthdays Mark S. Adams MD Macksood A. Aftab DO Rita M. Agayby Ghobrial MD Firas R. Alani MD Kai Anderson MD Joan M. Cramer Thomas E. Damuth MD Maryam E. Davari MD Christopher R. DeVries MD Sonia S. Dhaliwal MD Almohanad Abdulghani Eidah MD Whitnee J. Essenmacher Student Jerry J. Evans MD Austin G. Friswold DPM Ramakrishnayya Gadam MD Samantha R. Grosteffon MD Ali H. Hachem MD Syed R. Hassan MD Victor L. Hill, Jr. MD Mirza J. Hussain MD Dillion A. Jarbo Student Ronald L. Jenson MD Samuel L. Kalush MD Muhammad Z. Khan MD Jessica A. Lancaster MD Mark Lemanski Student Colleen A. Linehan MD Wynee S. Lou DO Venkat Maganti MD Chandramouli Mandalaparty DO Haley M. Masters Student Therese G. Mead DO Dermot D. O’Brien MD David B. O’Donnell MD Sunil D. Parashar MD Donald B. Passal MD Paul C. Pastolero MD Nadir M. Rehman Student Jamie L. Ross MD Galileo A. Sarmiento MD Gerald R. Schell MD Frank P. Schinco MD Marisha Schwab Student John Sturgis Student Khine Mon Swe MD Andrei M. Tuluca Student Sue C. Tobin DO

David D. Udehn MD Steven J. Vance MD August Birthdays Aarthi Arab Student Salisu A. Aikoye MD Michael J. Argyle MD Ronald C. Barry MD Sussan M. Bays MD Emily M. Chan Student Caleb S. Dean MD Bradley A. Demijohn MD Michael J. Dense DC Shelby T. Falkenhagen Student Michael Fana Student Michael L. Fiore MD Karensa L. Franklin MD Alexandra L. Gamber Student Rebecca Hamburger Student David B. Hansen DO James Haubert Student Nolan Hayden Student Clark J. Headrick DO Mark J. Heinzelmann MD Courtney M. Hollingsworth MD Perlita P. Ilem MD Carly A. Joseph Student Ankita A. Kapoor MD Sharanjit K. Khaira MD Harold B. Lenhart MD Ruth M. Licht DO Miles P. Light MD Robyn M. Lorenzo DO Amita Kakarla Maganti MD Megan L. Martin Student Megan R. Mazzella Student Steve Min DO Charles E. Mueller MD Happy Special Birthday!

Gopi K. Nallani MD Michael Pascoe Student Sujal G. Patel MD Mindy L. Prows DO Brian D. Purchase DO Zakir H. Qureshi MD Ramesh Penumetsa Raju MD Zainab Rasheed Student Morsi S. Rayyan Student Sara K. Robinson Student Manoj Sharma MD Aron M. Slear MD Chander W. Srinivasan MD Happy Special Birthday!

Kimiko D. Sugimoto MD Navya S. Vipparla MD

Tiffany A. Weiss-Feldkamp DO Matthew Wolf MD Claudia C. Zacharek MD Mahmoud Zeidan Student September Birthdays Sliverberg Aryee Student Carmen Avramut Student Umesh A. Badami MD Leroy C. Barry MD Hassan H. Beiz MD Olivia L. Bolen MD Dane A. Brown MD Glenn J. (Jason) Bunn, Jr. MD Radha Cherukuri MD Audrey Coates Student Kristin M. Constantino MD Luke S. DeHart Student Matthew D. Deibel MD Mason E. Geno Student Gregory A. Goshgarian Student Natalie Hamilton Student Parminder S. Jaswal MD Sharanya B. Jayachandran Student Kultaj Kaleka Student Vaishali Kapila Student Daniel B. Kehres DC Adam Kloha Student Palaniandy K. Kogulan MD Bailey Ledy-Urbanek Student John B. Llewelyn MD Ashley M. Lopez MD Sohaib M.H. Mandoorah MD Mary Jean McKuen MD Peter C. Morden MD Karthik Padmanabhan Student Brian F. Perry MD Kaushik Raval MD Jennifer M. Romeu MD Naman A. Salibi MD Rupinder K. Sekhon MD Stacey L. Sharp MD Joginder Singh MD Tory K. Snyder DO Venkataramana Somisetty MD Joseph C. Spadafore MD Ashley Stantz Student Amy M. Tesolin-Gee Student Dennis M. Tibble MD Prabhundha Vanasupa MD Mary Jo Wagner MD James R. Weir MD Lawrence C. Whiting MD

The Bulletin | May/June 2019 27

APPLICATIONS FOR MEMBERSHIP SECOND READING: Applications for membership that may be recommended for acceptance at the Tuesday, June 18, 2019, Board Meeting: Clark J. Headrick, DO (Chief Medical Officer - Ascension St. Mary’s, Standish and St. Joseph; and Chief Medical Information Officer - Ascension Health Mid-Michigan) Specialty: Internal Medicine (Board Certified 1992), Pulmonary Medicine (Board Certified 2014), Critical Care (Board Certified 2005) and Sleep Medicine Medical School: Western University College of Osteopathic Medicine of the Pacific, Pomona, CA, 1988 Internship/Residency: Genesys Regional Medical Center, Internal Medicine, Pulmonary, Critical Care, Grand Blanc, MI, 1988-95 Prior Practice: (1) Genesys Health Systems Sleep Lab, Grand Blanc, Practicing Physician, 1995-04 and Medical Director, 2001-04 and 2009-11; (2) Genesys Health Systems, Medical Director of Clinical Excellence, 2007-10, and Ascension System Office Projects, 2008-present; (3) Reverence (Genesys) Home and Hospice Care Medical Director, 2005-14; (4) St. Mary’s of Michigan-Saginaw, Standish and St. Joseph’s Regional Medical Center (numerous positions), 7/14-8/15; and (5) Genesys Health Systems, Medical Director of Clinical Informatics, 2005-15.

Sponsors: Doctors Waheed Akbar and Stephanie J. Duggan Ganesh D. Kini, MD (Medical Director Covenant Hospital Medicine Program) Specialty: Internal Medicine (Board Certified 2005) Medical School: St. George’s University School of Medicine, Grenada, West Indies, 2002 Internship/Residency: University of Virginia Roanoke-Salem Program, Roanoke, VA, Internal Medicine, 7/02-6/05 Prior Practice: (1) The Moses Cone Hospital System, Greensboro, NC, Hospitalist, 9/05-9/06; (2) James Madison University, Harrisonburg, VA, Adjunct Clinical Assistant Professor, PA Program, 11/06-01/17; (3) Sentara Rockingham Memorial Hospital Medical Center, Harrisonburg, VA, various positions, 3/08-1/17; and (4) Bay Area Hospital, Coos Bay, Oregon, Hospitalist and South West Oregon IPA, Western Oregon Advanced Health, Medical Director, 02/17-04/18.

Sponsors: Doctors Anu R. Gollapudi and Iris A. Marteja

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The Bulletin | May/June 2019

NEW MEMBERS Christopher M. Archangeli, MD CMU Health - Psychiatry Residency Assistant Program Director 1632 Stone Street Saginaw, MI 48602 Office (989)-746-7628 Fax (989)-746-7604 www.cmich.edu/colleges/cmed/ Psychiatry, Psychiatry - Child and Adolescent Onoriode S. Edeh, MD CMU Health - Psychiatry Residency Assistant Program Director 1632 Stone Street Saginaw, MI 48602 Office (989)-746-7629 Fax (989)-746-7604 www.cmich.edu/colleges/cmed/ Psychiatry, Psychiatry - Child and Adolescent Chris Paul Liakonis, DO Ascension Medical Group 1015 S. Washington Saginaw, MI 48601-2556 Office (989)-754-3000 Fax (989)-755-1365 healthcare.ascension.org Surgery - Cardiothoracic Mark A. Zaki, MD Covenant Radiation Center 4141 Tittabawassee Road Saginaw, MI 48604-9413 Office (989)-583-5250 Fax (989)-583-5259 www.covenanthealthcare.com Oncology - Radiation

www.SaginawCountyMS.com

The Good Structure

By Louis L. Constan, MD

The good life we currently enjoy, professionally and personally, did not come about by chance; it is the result of a series of efforts by our forebears, both medical leaders, as well as, community business leaders; and is in danger of slipping away from us. Long-term projections for the economic and physical health of our region show a slow but steady decline.

This is serious. Two organizations co-lead an initiative which gives all of us in our community a path to fixing this, and you will want to understand how it works.

First, Great Lakes Bay Regional Alliance. Visionary business leaders from four counties - Bay, Saginaw, Midland and Isabella - have long been touting the benefits of our region and attempting to entice new businesses to relocate here. Tough job, but they have been doing yeoman’s work.

Their successes have included STEM programs and getting our workforce ready for 21st century jobs. They’ve spent a lot of time assessing the needs of our businesses and inevitably had to come to grips with the fact that health care costs in our region are high and getting higher; employee health is poor and getting poorer; employee productivity is impaired by health issues, and this is getting worse; some employees exhibit dangerous behaviors (i.e. violence) which risk life and health; and all this information is well-known and offputting to businesses who are considering relocating to our area. GLBRA realized that, in order to transform the business community in our region, they needed to focus on improving the health of our communities and vitality of our local economy.

Second, Michigan Health Improvement Alliance (MiHIA).

An organization established in 2007, focused on improving population health, quality of care, cost of care and physician well-being. Their region includes 14-counties, including the Great Lakes Bay Region, with a visionary board of directors including our own Drs. Cathy Baase, George Kikano, Tom Veverka and Brenda Coughlin. MiHIA has coordinated an exceptional health dashboard which is public. They have also specifically championed projects to improve prenatal care, developed a regional opioid strategy, and brought programming to the region to prevent diabetes and obesity.

They have cataloged the myriad health and healthcare challenges that beset our community, patients and physicians.

They have come to some of the same conclusions as GLBRA, but also point out how many great actions in our communities led by a variety of organizations could have much more positive impact with the optimal scale, sustainable funding, integrated and aligned efforts. MiHIA realized that, in order to transform health in our region, we also need to transform the economy.

Two organizations, intersecting needs. One primarily health and one primarily business, but ultimate goals somehow the same. Yet they’re classically conflicting cultures: Town vs.

Gown, East vs. West, Oil vs. Water. Anyway you put it, these groups usually don’t mix, do they? Well, they can and they do.

For the last two years, representatives from GLBRA and MiHIA, along with dozens of community leaders, have combined to form a visionary initiative called THRIVE (Transforming Healthcare In a Vibrant Economy) to spearhead nothing less than a complete re-make (transformation) of our health and economic ecosystems. I’m not kidding. That’s their plan.

They’ll coordinate and help secure hundreds of MILLIONS of dollars (gleaned from multiple local, state and national sources) on 34 projects or interventions that will, over the next two decades, TURN AROUND our region of Michigan into a vibrant growing community, with improving health, enhanced productivity, decreased chronic disease, more people getting treatment for their mental health issues, less risky health behaviors, better education, more and higher paying jobs. This is the sort of thing you’ll read about in business magazines: “Old-rust-belt-economy-in forgotten-area-of-Michigangrowing-like-silicon-valley.” Now that’s a vision I’d like to see.

Some of the 34 action areas directly affecting us include tackling physician burnout, solving the appalling shortage of primary care doctors and reducing revenue-draining patient visits outside our area.

The THRIVE website can be found at http:// thrivegreatlakesbay.org, which advertises the activities as they are happening, including opportunities for all of us to be involved. And, of course, there is a regular column, a “blog” where you will see my regular contributions.

The good life we currently enjoy, professionally and personally, did not come about by chance; it is the result of a series of efforts by our forebears, both medical leaders, as well as, community business leaders; and is in danger of slipping away from us. Long-term projections for the economic and physical health of our region show a slow but steady decline.

The Bulletin | May/June 2019 29

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The Bulletin | May/June 2019

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2018-2019 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 in 2019. 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 and December) at 5:30 p.m.

Tuesday, June 18, 2019 CMU College of Medicine, 1632 Stone Street – SCMS Board meets at 5:30 p.m.

There are no Board or Membership Meetings in July or August.

Tuesday, September 17, 2019 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. Program: TBD.

Tuesday, November 19, 2019 CMU College of Medicine, 1632 Stone Street – SCMS Board meets at 5:30 p.m.

Saturday, November 23, 2019 Saginaw Country Club – 16th Annual Jingle Mingle benefitting the Pregnancy Care Center in Saginaw from 10:30 a.m. to 2:30 p.m. Visit www.SaginawCountyMS.com and click on Jingle Mingle under the Alliance tab.

Tuesday, October 15, 2019 HealthSource Saginaw - SCMS Board meets at 5:30 p.m.

Membership Meeting – SPOUSE/SIGNIFICANT OTHER INVITED with Social at 6:30 p.m. followed by dinner and program at 7 p.m.

Program: TBD.

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