Welcome New Physicians - Huron Valley-Sinai Hospital

1 William Carls DriveCommerce, MI 48382(248) 937-3335Non-ProfitOrganizationU.S. PostagePAIDPermit No. 1606Detroit, MIWelcome New Physicians• AnesthesiologyLisa Jurich, C.R.N.A.Marc Orlewicz, M.D.Lisa Tyson, C.R.N.A.• Emergency MedicineBram Dolcourt, M.D.Heather Lucas Ehmer, D.ODaniel Morrison, M.D.Richard Utarnachitt, M.D.• Family MedicineDoris Coca-Soto, M.D.Jacqueline Friedman, M.D.Deborah Johnson, C.N.P.Jennifer Reiss, P.A.• Internal MedicineAbdul Abou-Samra, M.D.Hanna Al-Makhamreh, M.D.Robert Arellano, P.A.-CKevin Burgess, P.A.-CLary Goldman, M.D.Suhair Gulli, P.A.-CRhonda Johnson, M.D.Arash Kiarash, M.D.Geeta Khanchandani, M.D.Kathleen Korneli-Gradowski, P.A.Lynn Miller, M.D.Gagandeej Randhawa, M.D.Prathyusha Savarapu, M.D.Melissa Stevens, M.D.• Obstetrics & GynecologyRadwan Asaad, M.D.Laura Detti, M.D.Chadi Hadda, D.O.Pooja Mittal, M.D.• OphthalmologyTom Obertynski, M.D.Christopher Singh, M.D.• Orthopaedic SurgeryJoseph Finch, D.O.Alexsey Kheynson, D.P.M.Fernando Quirindongo, D.P.M.Bryan West, D.P.M.• PediatricsYasser Hassane, M.D.Ina Shamraj, M.D.• Physical Medicine& RehabilitationFlora Dean, M.D.Yongmin Liu, M.D.• RadiologySteven Batipps, M.D.• SurgerySamer Alnajjar, M.D.Roc McCarthy, D.O.Clint Semrau, D.O.4 Physician Insights • FA L L 2 0 0 7

PhysicianInsightsFALL 2007 • VOLUME 3 • ISSUE 2Teaching Affiliations ExpandDMC Huron Valley-Sinai Hospital (HVSH)began its American Osteopathic Association(AOA)-accredited teaching programs in 2004.HVSH was the first DMC hospital to offerosteopathic graduate and undergraduatetraining.Currently, Michigan State Universityosteopathic students are offered rotations in21 specialties at DMC Huron Valley-Sinai.Residencies are offered in internal medicine andradiology and a residency in ear, nose andthroat is approved for July 2008. We currentlyhave 13 residents doing their training here andwe welcome them to our campus.This is solid progress in becoming ateaching hospital and there are plans to expandfurther. In conjunction with DMC Sinai-GraceHospital, residency programs are beingdeveloped in eight additional specialties andsub-specialties: internal medicine, neurology,neurosurgery, obstetrics/gynecology,otolaryngology, cardiovascular surgery, andplastic and reconstructive surgery.Gastroenterology is offered as a fellowship.For students, a joint DMC Sinai-Graceand HVSH residency provides the advantageof a broader range of patients and clinicalexperiences – both urban and suburbanresidents, inpatients and outpatients. We willkeep you informed regarding the status of ourapplications for new residency programs.– Marc P. Bocknek, D.O,Vice President/Medical Affairs– Chris Heberer, M.D., Chief of StaffMarc P. Bocknek, D.O.Chris Heberer, M.D.HVSH Reports on Quality MeasuresDMC Huron Valley-Sinai is providingextensive quality and outcomes data that isbeing compiled by the Centers for Medicareand Medicaid Services (CMS) and JCAHO.This data is available on their websites and isintended for the general public and third partypayors to assist in health care decision-making.These core measures and Huron Valley-Sinai’syear-to-date summary results are shown below.Acute myocardial infarction (AMI) –perfect care indicatorThe AMI perfect care indicator is a patientspecificappropriate care measure that requiresa hospital to meet all applicable measuresfor each patient. If one or more of themeasures is not met and the measure was notcontraindicated, the hospital will not receivecredit for any of the measures for that patient.For the year-to-date, the HVSH overall score was.97, compared to a DMC goal of .94.InsideCommunity Acquired Pneumonia (CAP)This is a measure of appropriate care fornon-ICU patients with community acquiredpneumonia. Approved antibiotic regimens mustbe used and blood cultures must be obtainedprior to the start of antibiotic treatment. Thiscare indicator also measures compliance withpneumoccocal/influenza vaccination andsmoking cessation advice. For the year to date,the hospital’s overall score is .87, comparedto the DMC goal of .90.Congestive Heart Failure (CHF)Appropriate care measures for CHF patientsinclude Left Ventricular Ejection Fractionassessment, use of ACEI or ARB with patientswith an EF of 40 percent or less, smokingcessation advise, and discharge instructionsthat include all of the following:• Guidance for what to do if symptoms worsen• Weight management instruction• Discharge medicationsPAGE 2 PAGE 3 PAGE 3• Follow-up appointment date• Diet• ActivityThe HVSH overall result was .91,compared to a DMC goal of .93.Surgical Care Improvement Project (SCIP)SCIP measures infection prevention for abroad scope of surgical procedures. SCIP willalso assess VTE prophylaxis, intra-operativecardiac arrest prevention measures (betablockers prior to surgery), as well as intraoperativenormo-thermia. Historically at HuronValley-Sinai, the primary concern has been thediscontinuation of prophylactic antibiotics within24 hours of surgical cut time, but throughthe collaborative efforts of our surgeons, thePharmacy Department and nursing staff, thishas improved significantly. Small volume casesstill pose compliance challenges. For 2007,HVSH has achieved a score of .96, comparedto the DMC’s goal of .92.• HCAHPS Data• Physicianof the Year• Magnet Team• Vice-ChiefAppointed• UpcomingDepartmentMeetings• GolfFundraiser• ClinicalImprovementAward

HCAHPSData TracksPhysician-PatientCommunicationsThe Centers for Medicare and Medicaid Services(CMS) began compiling patient satisfaction datathis year, including interactions between patientsand their physicians in the hospital. For the first twoquarters of 2007, Huron Valley-Sinai physicians’ratings in the Hospital Consumer Assessment ofHealthcare Providers and Systems (HCAHPS)exceeded the national averages. However, duringthe third quarter, HVSH ratings, while still high,dropped slightly and lagged the national figures.2007 HCAHPS DataPercent ofpatientsreporting thatHVSH physiciansalways:Treatyou withcourtesy/respectListencarefullyto youExplain yourconditionin ways youunderstandQ1 2007 Q2 2007 Q3 200788% 90% 82%82% 82% 75%76% 80% 68%As busy physicians, it is easy to sometimesoverlook the importance of positiveimpressions. These tactics will help toimprove communication with patients:• Maintain eye contact with the patientor family member and introduce yourself.• Speak clearly and calmly to the patient.• Sit while speaking instead of standing.• Verify that the patient understandswhat is being said.• Ask the patient/family if they have anyquestions or concerns.• A consulting physician or any physicianseeing the patient for the first timeshould leave a business card.HVSH PhysiciansAre HonoredBruce Wolf, D.O., AOCR (AmericanOsteopathic College of Radiology), wasnamed the Michigan OsteopathicAssociation’s Alternate Delegate to theAmerican Osteopathic Association.Christina Shanti, M.D., a pediatricsurgeon, received one of two “headliner”awards presented by Wayne State UniversityWomen of Wayne Alumni Association.Neil Belgiano, D.O. Is NamedPhysician of the YearNeil Belgiano, D.O. has been named DMCHuron Valley-Sinai’s Physician of the Year for2007. Dr. Belgiano was honored as HVSHTeacher of the Year – Internal Medicinein 2005 and 2006. He was named overallTeacher of the Year in 2005.“Dr. Belgiano has demonstratedoutstanding care for his patients and hasbeen recognized for his dedication to medicaleducation for our medical students andhouse-staff. He is wellrespectedby his peersNeil Belgiano, D.O.and all of our fellowhealth-care providers,” said Marc Bocknek,D.O., HVSH vice president for medical affairs.Dr. Belgiano is a graduate of thePhiladelphia College of Osteopathic Medicineand completed both his internshipand internal medicine residency at BotsfordHospital.News from the Magnet TeamThis article is the first of a series to communicate and educatethe entire HVSH team about the 14 Forces of Magnetism.We are moving forward along our Journey with the support of ourentire HVSH team. Our Magnet Champion team developed the followingkey message to communicate our mission:Magnet is a collaborative journey towards creating anenvironment of excellence. This journey is important becauseachieving Magnet status will demonstrate the highest standards inpatient care. This will positively impact recruitment and retentionof staff, multidisciplinary relationships and community relations.Success will be sustaining a five-star culture at HVSH.We need your continued support, positive attitude and feedback.I feel fortunate to be facilitating such a fine and talented team ofMagnet Champions, made up of staff nurses and nursing leadership whoserve as ambassadors for the Magnet initiative. The benefits of Magnetinclude positive outcomes for our patients, shorter lengths of stay,lower mortality rates, a more positive working environment for our staff,increased patient satisfaction, positive collaborative relationships,improved recruitment and retention of nurses and physicians, and finallypositive nurse-related outcomes including increased nurse satisfactionand increased productivity.– Surita Dexter, RN, BSN, Program Manager/Magnet recognitionPrior to joining HVSH in January 2007, Dexter was a Six SigmaBlack Belt/Project Manager, where she was responsible for leadingmultiple project teams that improved organizational efficiency.2 Physician Insights • FA L L 2 0 0 7

Vice-Chief Appointedfor Emergency MedicineVinesh Patel, M.D. has been appointedvice-chief for Huron Valley-Sinai’s Departmentof Emergency Medicine. Dr. Patel graduatedfrom the Medical College of Ohio (Toledo)and completed his residency in emergencymedicine at DMC Detroit ReceivingHospital/Wayne State University School ofMedicine in 2003. Since then, he has dividedhis clinical time between Detroit Receivingand Huron Valley-Sinai hospitals.Dr. Patel’s responsibilities will includeFor the fourth consecutive year, DMCHuron Valley-Sinai Hospital received theGovernor’s Award of Excellence for ImprovingPatient Safety and Quality Care. In addition,HVSH was among 18 hospitals receiving thehighest honor – the Governor’s Recognition ofExcellence, for the electronic medical recordsinitiative. These awards are given to Michiganhospitals that embrace evidence-basedmedicine and quality improvement initiatives.New ProcessWill Help ReduceFraudulentPrescriptionsThe DMC has implemented a new processto help reduce fraudulent prescriptions in thecommunity. Prescriptions generated throughEMR now must also include a bar-coded sticker.External pharmacies will not fill them without thissticker. This applies only to computer-generatedprescriptions, not handwritten prescriptions.As always, the prescriber’s signature mustbe included. This change applies to allprescriptions with a special emphasis oncontrolled substances. Any questions can beaddressed to the DMC’s executive director ofPharmacy Services, David S. Bach, PharmD, MPH,FASHP at (313) 745-4151 or dbach@dmc.org.EMS/Prehospital care,Hospital ACLS and CodeVinesh Patel, M.D.Blue Committees, andsome administrative call for the EmergencyDepartment. He will be the contact personfor all medical student, resident and fellowinteractions with the HVSH EmergencyDepartment and also will be involved with theadministration of the MCES professionalpractice group.Michigan Recognizes Huron Valley-Sinai for Clinical Improvements“Collectively, these awards recognize thatHVSH is a ‘top-performer’ among Michiganhospitals – for care of patients with heartattacks and heart failure, pneumonia patients,and patients undergoing surgery. In addition,through our health information technology andelectronic medical record initiatives, overallpatient safety at our hospital is second tonone,” said Robert Yellan, HVSH president.Danny Benjamin, M.D., Golf InvitationalChairman, with HVSH President Robert Yellan.UpcomingDepartmentMeetings:October –December• FAMILY PRACTICENov. 14, 5:45 – 8:30 p.m.Hilton Inn of SouthfieldRegistration/Dinner 5:45 p.m.• MEDICINENov. 28, GF-A7:30 a.m.-9 a.m.Business meeting 7:30-8 a.m.All meetings are CME.• OB/GYNNov. 21, GF-A7:30-8:30 a.m.• ORTHOPAEDICSNov. 20, GF-A8:15-9 a.m.• PEDIATRICSNov. 21, GF-B7:30 a.m.-9 a.m.• SURGERYNov. 20, GF-B7:30 a.m.-8:15 a.m.Golf InvitationalIs a Successful FundraiserThe 2007 HVSH Golf Invitational raised funds for a HUGS security system to provide extrasecurity for infants and their parents. Each year 100 percent of the proceeds from the golf outingare invested in DMC Huron Valley-Sinai Hospital. Now that is golfing for a purpose!Jack Belen, D.O., Daniel Belen, D.O., Paul DePilloof SleepMed, and Michael Hansen, HVSH director ofPharmacy, Ambulatory and Real Estate Services.Physician Insights • FA L L 2 0 0 7 3