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Champions - Detroit Medical Center

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CHAMPIONS<br />

A QUARTERLY PUBLICATION FROM THE DMC OFFICE OF DEVELOPMENT<br />

What’s InSIDe:<br />

Celebrity Wheelchair Basketball a Huge Success! page 3<br />

CinemaVision Makes MRIs More Tolerable for Kids page 5<br />

A Race for Life – Cardio Team One Transforms Heart Attack Care page 7<br />

Fall/WInTer 2008<br />

Flinn Foundation Supports Mental Heath at Sinai-Grace page 8<br />

Huron Valley-Sinai Employees Embrace “Together We Can” Spirit page 9<br />

Telemedicine at the DMC page 10


D ear Friends,<br />

The holidays are a perfect time to reflect and give thanks with our families. Even in times of<br />

economic difficulty, great things can be achieved by working together. With this in mind, I would<br />

like to thank our donors, DMC team members and other supporters who have helped pull off some<br />

impressive accomplishments in 2008. I am happy to share a few of them here.<br />

The Leapfrog Group, the health care arm of the nation’s Fortune 500 companies, released its list of<br />

the 33 hospitals in America with the highest standards of safety and quality. The DMC leads the<br />

country. We are the only system in America to place four hospitals on the 2008 list. In fact, we’re the<br />

only system that has ever placed four hospitals on the list. Harper/Hutzel, Children’s, Sinai-Grace<br />

and <strong>Detroit</strong> Receiving Hospitals earned the honor of being named among the 33 finest hospitals in<br />

the country!<br />

Harper’s Cardio Team One is also making significant progress in improving response time and<br />

quality of care for heart attack patients. In just six months, the Cardio Team One approach has<br />

successfully reduced the critically important “Emergency Room door-to-angioplasty balloon”<br />

treatment time from 90 minutes to 45.<br />

These highlights, and others included in this issue, are the result of your hard work, generosity and<br />

commitment. Please enjoy this special season, and take pride in your role in the DMC’s success.<br />

As always, we can not do it without you.<br />

Mike Duggan<br />

President and CEO<br />

<strong>Detroit</strong> <strong>Medical</strong> <strong>Center</strong><br />

On THe COVer:<br />

Cheryl angelelli, rehabilitation Institute of Michigan Marketing<br />

& Pr Director and Jimmy Moceri, Michigan Thunderbirds<br />

Wheelchair Basketball Team<br />

Mike Duggan<br />

President and CeO<br />

<strong>Detroit</strong> <strong>Medical</strong> <strong>Center</strong>


<strong>Detroit</strong> Jams-- radio Personalities (in black) vs. Motor City rollers Sports/news Personalities (blue) (FYI the <strong>Detroit</strong> Jam Won)<br />

Celebrity Wheelchair Basketball a Huge Success!<br />

More than $80,000 Raised for Rehabilitation Institute of<br />

Michigan’s Wheelchair Sports Program<br />

Through the generous support of community sponsors and<br />

local media and sports personalities, DMC Rehabilitation<br />

Institute of Michigan’s (RIM) 7th Annual Celebrity<br />

Wheelchair Basketball Game raised over $80,000 for RIM’s<br />

wheelchair sports program.<br />

The game, held September 23, at U of D Mercy’s Calihan<br />

Hall, featured alumni players from the <strong>Detroit</strong> Lions,<br />

Pistons, Red Wings and Tigers, as well as local TV and radio<br />

personalities, who played in wheelchairs alongside RIM’s<br />

award winning wheelchair basketball team, the <strong>Detroit</strong><br />

Diehards.<br />

“This year’s event has been the most successful to date.<br />

The funds will be used to help Rehabilitation Institute of<br />

Michigan’s wheelchair basketball team travel to local and<br />

national competitions. In addition, proceeds will be used to<br />

provide persons with disabilities the opportunity to participate<br />

in competitive and recreational sports such as skiing, bowling,<br />

and handcycling,” said Myreo Dixon, RIM’s Adaptive Sports<br />

Coordinator.<br />

Ben Carter, DMC Chief Operating Officer<br />

roger McCarville, Disabilities Today and rIM Board Member<br />

“RIM is appreciative of local sponsors such as CareTech<br />

Solutions, Inc., Compuware Corporation, Golden Dental<br />

Plans, and Michigan Regional Imaging, who helped us<br />

surpass last year’s proceeds by nearly $25,000.”<br />

DMC’s Rehabilitation Institute of Michigan is one of the<br />

nation’s largest hospitals specializing in physical medicine and<br />

rehabilitation. RIM is home to many innovative programs,<br />

including the Southeastern Michigan Traumatic Brain<br />

Injury System (SEMTBIS), which conducts groundbreaking<br />

rehabilitation research, and the <strong>Center</strong> for Spinal Cord Injury<br />

Recovery, a world-class facility designed to implement and<br />

study innovative treatments in spinal cord injury recovery.<br />

The DMC is proud to be the Official Healthcare Services<br />

Provider of the <strong>Detroit</strong> Tigers, <strong>Detroit</strong> Red Wings, <strong>Detroit</strong><br />

Pistons and <strong>Detroit</strong> Shock.<br />

TO GIVe<br />

To support Rehabilitation Institute of Michigan,<br />

please visit www.dmc.org/giving.<br />

Peter nielsen of Peter’s Principles<br />

Dr. Jay Meythaler, Professor and Chairman PM&r, WSU & rIM<br />

3


4<br />

Mike Duggan, DMC president and CeO, kicks off the event. Dr. Brooks F. Bock, M.D., F.a.C.e.P., celebrated his retirement at DMC<br />

Guild’s 16th annual Won from the Heart with Cassie Sobelton (far left),<br />

system executive director of business development; Colby Zemmin and<br />

linda O’Brien, Children’s Hospital of Michigan board member.<br />

DMC Guild’s 16th Annual Won from the Heart, held on<br />

August 28th, saw its largest crowd to date, with more than<br />

275 guests. This year’s event benefitted the DMC Heart<br />

Hospital and honored the service of Brooks F. Bock, M.D.,<br />

F.A.C.E.P., who retired in September.<br />

Dr. Bock, within his 35-year tenure, was instrumental in<br />

revolutionizing the field of Emergency Medicine on both the<br />

academic and clinical levels. His accomplishments include<br />

establishing the Department of Emergency Medicine at<br />

Wayne State University School of Medicine; establishing<br />

<strong>Detroit</strong> Receiving Hospital as <strong>Detroit</strong>’s first Level One<br />

Trauma <strong>Center</strong>; developing Trauma <strong>Center</strong>s at several other<br />

1] Kimmy Horne and her band performed a special<br />

r&B rendition of ”rocky Mountain High” in tribute to<br />

Dr. Bock’s plans to retire in Colorado. 2] DMC Guild<br />

presented Dr. Bock with a bench in his honor supporting<br />

the Greening of Brush Mall project. 3] Dr. Samir Fuleihan<br />

and Mrs. Susan Jennings<br />

4<br />

1<br />

DMC hospitals; and masterminding the DMC 29 Minute<br />

Emergency Room Guarantee. Further testaments to his<br />

skill and energy include his position as <strong>Medical</strong> Director of<br />

the <strong>Detroit</strong> Grand Prix since its inception, his selection as<br />

Specialist-in-Chief of Emergency Medicine at the DMC and<br />

his appointment as President of Harper University Hospital<br />

and Hutzel Women’s Hospital. Dr. Bock, along with Dr.<br />

Larry Stephenson, initiated Won from the Heart 16 years ago<br />

as a way to raise awareness and funds that support clinical<br />

programs at the DMC. Dr. Bock will be greatly missed!<br />

TO learn MOre<br />

To learn more about DMC Guild and its<br />

events, visit www.dmc.org/guild/dmcguild<br />

5<br />

2 3<br />

7<br />

6<br />

4] Dr. Seetha Shankaran, director,<br />

neonatal/perinatal medicine,<br />

Dr. Bock and Dr. ”Jack” Baker,<br />

Children’s Hospital of Michigan<br />

board chair 5] Gloria larkins with<br />

Mistress of Ceremonies, Tonita<br />

Cheatham, Harper/Hutzel marketing<br />

and Pr director and Valerie Gibson,<br />

rn, MSa, Cna, vice president<br />

of patient care services 6] Dr.<br />

Suzanne White, Specialist-in-Chief<br />

emergency Medicine and Jenny<br />

atas, M.D. 7] Venicia Foreman and<br />

James P. Young


C inemaVision’s Music, Movies Make MRIs<br />

More Tolerable for Kids<br />

Lying still in a cramped tube for 45 minutes or more is not an<br />

activity most kids classify as “cool.”<br />

But that’s changing at the Children’s Hospital of Michigan,<br />

where patients can now watch their favorite movies or listen to<br />

music during MRI scans. In late June, the hospital installed<br />

a cutting edge CinemaVision Audio-Visual System to help<br />

entertain children during the often-tedious test.<br />

CinemaVision allows young patients to strap on a high-tech<br />

headset with earphones that deliver symphonic digital sound<br />

and “goggles” that produce a high-resolution digital image<br />

similar to watching a 62-inch screen from less than six feet<br />

away.<br />

“It really is cool,” said J. Michael Zerin, M.D., chief of<br />

pediatric imaging. “This was something we’ve wanted for a<br />

long time. It’s been at the top of our list.”<br />

Magnetic Resonance Imaging (MRI) tests combine a large<br />

magnet, radio frequencies and a computer to produce<br />

detailed images of organs and structures within the body.<br />

Unfortunately, MRIs are extremely sensitive to motion and<br />

require patients to remain still throughout the procedure.<br />

That’s especially challenging for children. In fact, more than<br />

70 percent of the 4,000 kids who undergo MRIs at Children’s<br />

each year need sedation before the procedure.<br />

renya alejandro previously was sedated before undergoing an MrI. now, she can<br />

watch “Hannah Montana” and “The Suite life of Zach and Cody” during scans.<br />

By using CinemaVision instead of administering drugs,<br />

Children’s hopes to save time – perhaps as much as two<br />

hours – for patients and their families, eliminate risks that<br />

accompany sedation, and reduce stress and anxiety for kids.<br />

“We can get kids through faster and make them more<br />

comfortable,” Zerin said.<br />

CinemaVision is fully compatible with MRI technology. It<br />

also allows two-way communication between patients and<br />

technicians and doctors, which is a critical safety feature. The<br />

Sinai Guild, a philanthropic organization that supports health<br />

and medical needs in the <strong>Detroit</strong> area, provided funding for<br />

CinemaVision.<br />

“We absolutely understand the fright of the child and the<br />

worrisome part of sedation,” said Rusty Rosman, president of<br />

The Sinai Guild’s 60-member board. “If we can make it easier<br />

for children to have to deal with a medical procedure, we<br />

want to. We’re pleased to make a difference.”<br />

TO GIVe<br />

To support Children’s Hospital of Michigan,<br />

please visit www.dmc.org/giving.<br />

5


6<br />

“I’m very grateful to God, and to Dr. Schreiber and his outstanding<br />

staff at the DMC. I feel like Lazarus in the Bible! Like Lazarus, I was<br />

brought back from the dead – but it wouldn’t have happened if Cardio<br />

Team One hadn’t already been in place and ready to care for me.”<br />

Six months after the launch of Cardio Team One, a<br />

pioneering new treatment approach designed to significantly<br />

lower mortality rates among patients experiencing heart<br />

attacks, the <strong>Detroit</strong> <strong>Medical</strong> <strong>Center</strong> announced it has<br />

successfully reduced the critically important “Emergency<br />

Room door to angioplasty balloon” treatment time for heart<br />

attack patients by half.<br />

The breakthrough finding,<br />

presented at the annual<br />

meeting of the Transcatheter<br />

Cardiovascular Therapeutics<br />

(TCT) Conference in<br />

Washington – the world’s<br />

largest yearly educational<br />

symposium on interventional<br />

cardiology – by DMC<br />

cardiologist Theodore L.<br />

Schreiber, M.D., F.A.C.C.,<br />

was based on a justcompleted,<br />

six-month study<br />

in which the cutting-edge <strong>Detroit</strong> hospital team measured<br />

treatment times for 99 heart attack patients.<br />

The data showed that the DMC approach – in which a<br />

cardiologist and emergency heart attack treatment team are<br />

stationed at the medical facility around the clock – was able<br />

to cut the life-saving treatment time for ER patients with<br />

suspected heart attacks approximately in half, with the average<br />

treatment time of 45 minutes.<br />

This represents a marked improvement over the national<br />

target of 90 minutes, which only 20 percent of hospitals are<br />

—Kay Spencer, heart-attack survivor<br />

N ew Treatment Paradigm Could Transform Heart Attack Care<br />

“For the first time in cardiac care,<br />

we’re asking the doctors to wait for the<br />

patients to arrive – instead of asking the<br />

heart attack patients to wait for us.”<br />

achieving at present. This is the first time ever that such a<br />

reduction in heart attack treatment times has been studied,<br />

and the results are extremely encouraging. They show that<br />

the Cardio Team One approach to heart attack intervention<br />

does significantly reduce treatment times.<br />

Such an improvement in<br />

treatment time could save the<br />

lives of up to seven hospital<br />

patients out of every 100<br />

who would have previously<br />

died, according to the latest<br />

research on heart attack<br />

mortality.<br />

The unique Cardio Team<br />

One “on-site” approach<br />

permits the specialized<br />

DMC unit to rush cardiac<br />

patients immediately into<br />

interventional care, thus<br />

saving the lives of many patients and greatly improving their<br />

quality of life.<br />

“Cardio Team One is an entirely new paradigm in cardiac<br />

care, and it is going to change the way we treat heart attacks<br />

in this country,” said Michael Duggan, president and chief<br />

executive officer of the <strong>Detroit</strong> <strong>Medical</strong> <strong>Center</strong>. “This<br />

approach will also greatly improve the lives of those who do<br />

survive – by preventing the massive injuries to brain tissue and<br />

other vital organs that often take place during a severe heart<br />

attack. Once again, the DMC is setting the standard for heart<br />

care in the United States.”


A Race for Life<br />

The silver Buick LaCrosse pulled up to the<br />

stoplight. It was two o’clock in the morning,<br />

and the driver waited patiently for the light to<br />

turn green. But the woman in the passenger<br />

seat – 60-year-old Kay Spencer, couldn’t<br />

tolerate the delay. “Run the light, Hayden!”<br />

she told her friend behind the wheel. “I don’t<br />

think I can last much longer. Get me to the<br />

hospital as fast as you can!”<br />

As she collapsed into unconsciousness,<br />

Hayden gunned the engine en route to the<br />

Emergency Department at the DMC’s <strong>Detroit</strong><br />

Receiving Hospital.<br />

Kay Spencer’s life hung in the balance and<br />

every second counted. The ailing grandmother was in the<br />

middle of a massive heart attack triggered by a major blockage<br />

in a coronary artery. That artery was almost completely<br />

closed, and her cardiac blood supply had slowed to a trickle.<br />

Within a matter of minutes, the muscle tissue in Spencer’s<br />

laboring heart would begin to die, never to be replaced.<br />

Unless she received lighting-fast treatment – Spencer would<br />

almost certainly die.<br />

It was now a few minutes after two a.m. At most American<br />

hospitals, the nurses and doctors in the ER would examine<br />

the patient carefully, while monitoring her vital signs and<br />

doing their best to stabilize her. She would in due course<br />

receive an electrocardiogram, which would suggest the strong<br />

possibility that she had experienced a heart attack. Only then<br />

would a message go out to the cardiologist – or heart specialist<br />

– who was “on call” at the hospital that night.<br />

In most cases, the cardiologist “on-call” would still be at<br />

home, and probably sound asleep. By the time he or she<br />

dressed and drove to the hospital and then assembled a team<br />

of nurses and technicians to manage the patient’s heart attack,<br />

nearly an hour, on average, would have run off the clock.<br />

That would not be the case tonight, however. Stationed near<br />

the Emergency Room where Kay Spencer had just arrived, the<br />

doctors, nurses and cardiac technicians of the DMC’s Cardio<br />

Team One were waiting to begin treating her heart attack<br />

instantly.<br />

Spencer was about to gain a major benefit from Cardio Team<br />

One’s unique approach to rapidly treating heart attacks. Their<br />

pioneering breakthrough: keeping a highly trained team of<br />

heart attack specialists on duty 24 hours a day, seven days a<br />

week, in order to greatly speed up the treatment process for all<br />

heart attack victims who show up in Emergency.<br />

Cardio Team One was established at the DMC by Theodore<br />

L. Schreiber, M.D., F.A.C.C., a nationally recognized<br />

cardiovascular physician who also serves as its medical<br />

director. Dr. Schreiber’s goal: To cut the typical “medical<br />

response time” to heart attacks to half the current national<br />

average time of between 90 and 120 minutes.<br />

Kay Spencer, with Dr. Schreiber, experienced first-hand the benefits of having<br />

Cardio Team One on-site – not on-call. Fortunately for the retiree, the innovative<br />

cardiac team was in the middle of a regular 48-hour shift – during which all of<br />

the team members live at the hospital, so that they can be dispatched to the er to<br />

begin treating heart attacks within minutes.<br />

When a heart attack strikes, “Time Is Muscle.” The longer<br />

it takes to open up a patient’s clogged arteries and restore<br />

normal blood flow, the more heart muscle will die.<br />

After conferring with the DMC Receiving Emergency<br />

attending physician, Dr. Schreiber quickly concluded that Kay<br />

Spencer was in the middle of a potentially lethal heart attack.<br />

Five minutes later, she was being wheeled into a hospital<br />

Catheterization Laboratory, to undergo a procedure designed<br />

to pinpoint and remove the arterial blockage that had set off<br />

the attack.<br />

During a complex medical procedure that lasted more than<br />

three hours, the pioneering cardiologist and his team were<br />

able to restart the patient’s heart several times after it failed.<br />

“It was touch and go for a while,” said Dr. Schreiber, “but<br />

the team includes some highly capable physicians and nurses,<br />

along with some of the best-trained X-ray technicians in<br />

America.”<br />

When Kay Spencer returned to consciousness, she had no<br />

memory of anything that had transpired that night. “Dr.<br />

Schreiber was the first person to tell me that I’d had a heart<br />

attack,” she said. “And he went on to explain how they’d been<br />

able to keep my heart going and then fix it because they got<br />

started so quickly.”<br />

“I’m very grateful to God, and also to Dr. Schreiber and his<br />

outstanding staff at the DMC. I feel like Lazarus in the Bible!<br />

Like Lazarus, I was brought back from the dead – but it<br />

wouldn’t have happened if Cardio Team One hadn’t already<br />

been in place and ready to care for me.”<br />

TO GIVe<br />

To support Harper University Hospital<br />

and/or <strong>Detroit</strong> Receiving Hospital,<br />

please visit www.dmc.org/giving.<br />

7


F linn Foundation Supports Mental Health Services<br />

at Sinai-Grace Hospital<br />

8<br />

In October 2008, Sinai-Grace Hospital (SGH) was awarded a $450,000, threeyear<br />

grant from the Ethel and James Flinn Foundation. This gift will support a<br />

new integrated care initiative that will provide on-site, integrated mental health<br />

services within the hospital’s Primary Care <strong>Center</strong>. The SGH Primary Care<br />

<strong>Center</strong> served 3,356 patients last year, the majority of whom were uninsured or<br />

underinsured.<br />

Integration of mental health services in the primary care setting is an important<br />

move for SGH and other health care providers. Mental illnesses exacerbate<br />

medical ones, and can be overlooked in a busy clinic setting, where patients’<br />

physical needs take top priority. Referrals from primary care physicians to off-site<br />

mental health facilities are often not followed by patients, who lack the resources<br />

to navigate care options. The goal of the SGH integrated care initiative is to reach<br />

and treat patients with mental illness who would otherwise not seek treatment. Its<br />

objectives are:<br />

• To provide screening to identify patients with depression, anxiety<br />

disorders, phobias, bi-polar illness, trauma/stress related symptoms, or<br />

other mental illness.<br />

• To provide detailed assessment and treatment on-site for identified patients.<br />

• To develop collaborative relationships between medicine and psychiatry to<br />

make patient treatment more comprehensive and accessible.<br />

The Ethel and James Flinn Foundation is a <strong>Detroit</strong> based private foundation that<br />

offers multiple opportunities and resources in support of its mission to improve<br />

the lives of those with mental illness. Established in 1976 by Ethel “Peggy” Flinn<br />

and her brother James H. Flinn Jr., the Foundation is committed to improving<br />

the scope and quality of services for individuals with mental illness. Since its<br />

inception, over $13 million in grants have been awarded.<br />

TO GIVe<br />

To support Sinai-Grace Hospital,<br />

please visit www.dmc.org/giving.<br />

“It’s a great opportunity for us to provide a needed<br />

service in surroundings familiar to the patient.”<br />

—Ellen Portnoy, Administrative Director Patient Services/<br />

SGH Psychiatry and Education<br />

The Ethel and James Flinn<br />

Foundation was established in<br />

1976 by Ethel “Peggy” W. Flinn to<br />

provide a means for coordinating<br />

family philanthropy that would also<br />

serve to honor her parents Ethel G.<br />

and James H. Flinn and her brother<br />

James H. Flinn, Jr., who was<br />

afflicted with schizophrenia in his<br />

early 20’s.<br />

With her brother, James, they<br />

established a philanthropic<br />

organization that would provide<br />

“for the support of research into<br />

the causes and/or research into the<br />

treatment of nervous and mental<br />

diseases.”<br />

For information on Planned Giving<br />

and opportunities for creating your<br />

own philanthropic legacy, contact<br />

DMC Corporate Development at<br />

313.578.2260.


D MC Huron Valley-Sinai Employees Embrace<br />

“Together We Can” Spirit<br />

First-time visitors to DMC Huron Valley-Sinai Hospital’s<br />

(HVSH) campus are usually surprised and impressed at<br />

its lovely setting next to an apple orchard. Broad expanses<br />

of lawn with extensive<br />

landscaping provide a beautiful<br />

environment for patients,<br />

visitors and staff alike. When<br />

the weather is nice, walkers are<br />

often visible. However, there is<br />

no paved path so their choice is<br />

to walk on the grass or on the<br />

road that winds through the<br />

campus.<br />

A number of employees<br />

recognized that the lack of a<br />

designated path was a safety<br />

hazard and that it probably<br />

discouraged potential walkers<br />

from enjoying the campus.<br />

Fortunately, the annual<br />

Employee Giving Campaign presented an opportunity to<br />

improve this situation. Each year, DMC Huron Valley-Sinai,<br />

along with the other DMC hospitals, organizes an Employee<br />

Giving Campaign, led by an employee committee. Each<br />

committee chooses a project that is meaningful to employees.<br />

After soliciting broad employee input, the 2007 HVSH<br />

Employee Giving Campaign committee recommended that<br />

employee contributions be used to build a paved walking<br />

path. “We want employees to feel rewarded at work,” said<br />

Kelly Szmagaj, co-chair of the 2007 and 2008 campaign,<br />

and supervisor of the HVSH Clinical Division, Ambulatory<br />

Services. The hospital’s leadership agreed that a walking path<br />

was a good idea and last year’s campaign raised $25,000<br />

toward construction of the path, about a quarter of its cost.<br />

Since then, the Employee Activity Committee, the Annual<br />

employee Giving Campaign captains meet for the campaign kick-off.<br />

“This project will not only<br />

improve the health and<br />

safety of HVSH employees<br />

but our community as well.”<br />

Golf Committee, the hospital’s Board of Directors and<br />

physicians have contributed to the project. This year’s goal<br />

is 100 percent employee participation to raise the remaining<br />

$25,000 needed for the<br />

project. Campaign co-chairs<br />

Szmagaj and Jeffrey Young, the<br />

hospital’s manager of Security<br />

Operations, have asked that<br />

each employee contribute $1<br />

per pay period to build the<br />

path.<br />

The campaign theme is<br />

“Together We Can” and<br />

it is organized around five<br />

volunteer captains and<br />

multiple departmental<br />

ambassadors, chosen for their<br />

ability to inspire employee<br />

participation, whether through<br />

payroll deduction, a one-time<br />

contribution or donation of vacation days. Fun activities<br />

have been scheduled during the two week campaign rush to<br />

encourage employees to participate. Employees who choose to<br />

walk the perimeter of the campus receive imprinted shoelaces<br />

with the words, “I walk with DMC HVSH. “ Campaign<br />

participants are eligible for dollar lottery tickets, plane rides,<br />

theatre tickets, gift bags and gas card prizes. The campaign<br />

will formally conclude with a shout out ice cream sundae<br />

party in the hospital’s beautiful courtyard. “This campaign<br />

is great fun and the results will greatly benefit employees.<br />

In addition we will serve our patients, visitors and the<br />

community with a walking path,” said co-chair Young.<br />

—Luanne Robak<br />

TO GIVe<br />

To support Huron Valley-Sinai Hospital,<br />

please visit www.dmc.org/giving.<br />

9


Telemedicine at the DMC<br />

10<br />

Telemedicine has many functions. It can be the delivery of<br />

care to a patient from a doctor at a remote location, or the use<br />

of video conferencing to bring doctors “virtually” together for<br />

continuing medical education and patient evaluation.<br />

For example, pediatric cardiologists at DMC Children’s<br />

Hospital of Michigan have been routinely viewing<br />

echocardiograms of patients at community hospitals up to 30<br />

miles away, in real time, since 1998. They currently review<br />

about a hundred cases a month and have saved countless<br />

hours of unproductive time formerly spent driving to those<br />

distant hospitals to review echos.<br />

DMC hospitals have also been involved for nearly two years<br />

in a program that puts monitoring devices into the homes of<br />

elderly patients discharged from DMC hospitals after inpatient<br />

stays. The devices include personal emergency response<br />

systems, monitors for weight, blood pressure, wandering,<br />

respiratory flow, blood oxygen, glucose level, and heart rate,<br />

and an automated medication dispenser that virtually ensures<br />

medication compliance.<br />

Signals from the devices are monitored, so that if something<br />

happens (the patient falls, or their blood sugar shoots up) or<br />

does not happen (the patient does not take meds on time), a<br />

caregiver or medical professional is instantly notified.<br />

The project has multiple goals, including improved quality of<br />

care through constant monitoring, improved quality of life<br />

through reduction of travel for office and hospital visits, and<br />

reduced discharges to nursing homes — which can mean a<br />

better lifestyle for the patient and a lower cost to the health<br />

system as a whole.<br />

All telemedicine activities are geared toward delivering 21st<br />

century care which is defined as the highest quality care at the<br />

lowest possible cost. The two attributes need not be mutually<br />

exclusive, as a telemedicine pilot study at Sinai-Grace Hospital<br />

showed.<br />

The pilot involved placing monitoring devices in the homes<br />

of frail elderly patients after discharge. The majority of these<br />

patients were poor and alone, lacking the financial and family<br />

support resources to follow doctor’s orders. The inevitable<br />

result in such patients is that they soon end up back in the<br />

emergency room for another long hospital stay, having failed<br />

to take their medications, or suffered a fall with no-one<br />

available to help for hours or days. The cost of those incidents<br />

in terms of reduced quality of life for the patient and unreimbursed<br />

hospital expenses is extremely high.<br />

During the six-month pilot study, 39 patients were monitored<br />

at home. Of the monitored patients, the readmission rate was<br />

These are some of the devices worn or used by patients to periodically<br />

transmit vital health data to physicians via the Internet. The system also<br />

alerts physicians and other caregivers if a reading exceeds desired levels.<br />

5%, compared to a readmission rate of 45% for 71 patients<br />

who did not use the monitoring technology.<br />

The pilot study suggested that the program was feasible<br />

to implement, acceptable to urban low income and<br />

minority patients, and beneficial in terms of fewer hospital<br />

readmissions. Considering that a month in the hospital costs<br />

the healthcare system tens of thousands of dollars, a month<br />

in a nursing home costs about $4,000, and a month of home<br />

medical monitoring costs no more than about $150, the<br />

economic savings of telemedicine is substantial. <strong>Detroit</strong>’s<br />

Medicaid agency, the <strong>Detroit</strong> Area Agency on Aging, has<br />

provided some coverage for select patients to remain in the<br />

program, which continues and has even been expanded to<br />

include other DMC adult hospitals.<br />

If you would like to learn more about this program, please<br />

contact David Ellis, DMC corporate director of planning and<br />

future studies, at dellis3@dmc.org.<br />

TO GIVe<br />

To support the DMC, please visit<br />

www.dmc.org/giving


Golden Years Hutzel Hospital Reunion<br />

Past president and CEO of Hutzel Women’s Hospital,<br />

Frank P. Iacobell’s face lights up and his eyes sparkle as<br />

he recalls a story from his time at Hutzel. A period of<br />

time he fondly refers to as the “Golden Years.”<br />

The “Golden Years” of Hutzel Hospital<br />

were from 1970 through 1995. During<br />

this 25-year period, Hutzel Hospital,<br />

under the leadership of Dr. Robert Mack<br />

and Mr. Frank P. Iacobell, evolved from a<br />

community-based general medical-surgical<br />

hospital with a large obstetrics service, to a<br />

nationally known hospital with programs<br />

in women’s health, orthopaedics and<br />

ophthalmology. In addition to the major<br />

programs, there were many other major<br />

medical accomplishments as well.<br />

To celebrate this special period of time, DMC Guild is<br />

hosting a Hutzel Reunion for employees who were there<br />

TO GIVe<br />

To support the DMC Guild, please visit<br />

www.dmc.org/dmcguild<br />

during the “Golden Years” on Saturday,<br />

May 2, 2009, at 6:00 pm at the <strong>Detroit</strong><br />

Athletic Club (DAC). This event will<br />

benefit the renovation of the Charlotte B.<br />

Failing Boardroom.<br />

So mark your calendar! Details are still<br />

being finalized, and more information<br />

will be posted as it becomes available at:<br />

www.dmc.org/dmcguild or you can call<br />

313.578.2215.<br />

Charlotte Failing was a guiding force in the development<br />

of Hutzel Women’s Hospital for more than 50 years.<br />

Elected to the Board of Trustees in 1936, Charlotte served<br />

as recording secretary until 1946, when she assumed the<br />

reigns of president and chairman until 1979.<br />

For 33 years, Charlotte guided Hutzel into becoming<br />

one of the leading hospitals and teaching facilities in<br />

the nation. Under her leadership, Hutzel grew from a<br />

woman’s center to a large general hospital. She was also<br />

a pioneer in the formation of the <strong>Detroit</strong> <strong>Medical</strong> <strong>Center</strong>.<br />

In 1988, Hutzel’s premier boardroom was named in her<br />

honor. The Charlotte Failing Boardroom is still a high<br />

profile meeting area today. Proceeds from the Hutzel<br />

Reunion will benefit the restoration of the boardroom to<br />

its former prominence.<br />

Charlotte Failing passed away February 4, 2004.<br />

In May of 1980 the Hutzel<br />

Hospital auxiliary<br />

commissioned a painting<br />

of Charlotte Failing by<br />

renowned portrait artist<br />

Patricia Burnett. When the<br />

boardroom was named in<br />

her honor in april of 1988<br />

the picture was placed<br />

there and has remained<br />

ever since.<br />

11


To our friends during this holiday season,<br />

Last week, Bob, who lives in Southfield, came to Sinai-Grace Hospital for what he thought<br />

was a bad case of the flu.<br />

Helen, a <strong>Detroit</strong> resident and a diabetic, was brought by ambulance to <strong>Detroit</strong> Receiving<br />

Hospital with a severe infection on her foot.<br />

And ten year old Katie, who lives with her family in Macomb County, was rushed by her<br />

parents to Children’s Hospital of Michigan suffering from an asthma attack.<br />

All of these patients sought help in the Emergency Departments of our <strong>Detroit</strong> <strong>Medical</strong><br />

<strong>Center</strong> (DMC) hospitals.<br />

Bob and Helen have no insurance and Katie’s family doesn’t have enough. Katie’s family has Medicaid,<br />

but it covers only a small portion of the cost of her care. This past year, Bob was let go from his job after<br />

25 years of service. His healthcare ran out three months ago. Helen works two part-time jobs, but neither<br />

offers health insurance. Their total treatment costs were well above average—their illnesses needlessly severe<br />

because of their inability to receive regular care from a primary care physician.<br />

Over 353,000 people were treated in DMC Emergency Departments (ED’s) in the past year. Besides<br />

Sinai-Grace, <strong>Detroit</strong> Receiving and Children’s Hospital of Michigan, we have ED’s at Harper University<br />

Hospital, Hutzel Women’s Hospital and Huron Valley-Sinai Hospital. Many of our patients with more<br />

severe conditions, such as Helen who has diabetes, were admitted to the hospital. Helen was treated at<br />

<strong>Detroit</strong> Receiving Hospital and then transferred to Rehabilitation Institute of Michigan for physical therapy<br />

to regain the function of her leg. In 2007, the DMC spent more than $205 million on care for patients who<br />

are uninsured or underinsured. With a gloomy economic forecast, we expect that number to grow.<br />

Do you know someone who is unemployed or underinsured? Many of us have a friend or relative in this<br />

situation whose only option is an emergency department for primary and acute care. Alarmingly, the<br />

number of emergency departments in the area has dramatically decreased. Twenty years ago, there were 20<br />

emergency departments in the City of <strong>Detroit</strong>. Today there are seven. Five of these are at DMC hospitals.<br />

The DMC is committed to the metropolitan <strong>Detroit</strong> area: all our patients receive the highest quality of care<br />

and are treated with dignity and respect.<br />

Do you know who helps to pay for the care of these patients? Our very special and appreciated donors<br />

who continue to give each year from their hearts to help us fulfill our mission. And do you know who else?<br />

Our employees.<br />

In the past two years, DMC employees have voluntarily contributed $678,769 to help pay for services and<br />

programs for our patients. We greatly appreciate our employees who not only devote their work hours to<br />

the DMC but also give their own dollars to help our patients in need. But DMC employees alone cannot<br />

cover the costs of the uninsured and underinsured who depend on us for care.<br />

The average donation our employees make is $149. Imagine how many more patients could be helped if<br />

you matched our employees’ average donation? Your gift of $149 can cover a lot, like the medical test that<br />

diagnosed Bob’s ulcer; the antibiotics for Helen’s infection, or the medication that will immediately relieve<br />

Katie’s asthma attack. Your $149 will go a long way to help our patients get better.<br />

Our ability to provide care to uninsured and underinsured patients depends in large part on the generosity<br />

of a caring community. This holiday season please consider a donation to one of our DMC Hospitals.<br />

Whatever amount you can contribute will help people like Bob, Helen or Katie who have been hit hard by<br />

this poor economy. And you will have the satisfaction of knowing that you have reached out and<br />

helped your friends and neighbors, just as we do at the DMC.<br />

Wishing you the best of health this Holiday Season.<br />

Sincerely,<br />

Mike Duggan<br />

President and CEO, <strong>Detroit</strong> <strong>Medical</strong> <strong>Center</strong><br />

and the entire DMC family<br />

Office of Development • 3663 Woodward, 5th Floor • <strong>Detroit</strong>, MI 48201<br />

The Specialty Hospitals of the DMC.<br />

1-888-DMC-2500 • www.dmc.org

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