- WSUPG primary care practice locations earn Patient-Centered Medical Home designation
In Headlines on August 7, 2013Blue Cross Blue Shield of Michigan has designated four Wayne State University Physician Group clinical locations as Patient-Centered Medical Home practices for 2013. The designation period runs from July 1, 2013, through June 30, 2014.
The designation means Wayne State University Physician Group providers are among a select group of primary care physicians in Michigan who are improving health care quality by adopting the PCMH model of care.
The four practice locations that achieved PCMH designation are:
- WSUPG Family Medicine at Crittenton, Rochester
- WSUPG Internal Medicine, General Medicine Ambulatory and Pediatric Practice, Detroit
- WSUPG Internal Medicine, University Health Center, Detroit
- Rosa Parks Geriatric Center of Excellence, Detroit
The PCMH-designated sites were redesigned to increase efficiency of patient flow and provide more comprehensive support by coordinating patient care across hospitals and clinics. Patients were given increased access to care through same-day appointments, group visits and outreach programs.
“The patient-centered medical home is health care centered on the patient,” said Maribeth Mateo, M.D., director of Practice Initiatives for the Wayne State University Physician Group. “We help our patients meet their health goals by strengthening the patient-care team relationship through more comprehensive care and more active patient involvement.”
Doctors at PCMH-designated facilities utilize improved technologies to stay better connected with the medical community and manage care more efficiently while providing a more focused and personal interaction with patients and care teams.
“The concept of a patient-centered medical home is not just focusing on the management of diseases, but on prevention and wellness, including the psychosocial aspect of a patient’s health,” said Neelima Thati, M.D., assistant professor of internal medicine for the Wayne State University School of Medicine and medical director of WSU’s internal medicine residency program.
The designation process took several years of intense work to transform the practice sites.
“This would not have been possible without the involvement of the whole team, including nurses, residents, faculty physicians, clinic managers, behavioral science and other health care providers,” said Dr. Thati, who was integral in achieving the designation for WSUPG’s internal medicine sites in Detroit.
The exposure of the trainees to this new model of care is important as they graduate from medical school and residency programs and begin training in Wayne State University School of Medicine/Internal Medicine Residency Program in this unique urban setting, one of only a handful in the nation training physicians in this new model, Dr. Thati said.
The following WSUPG providers have proved their dedication to this model of care through the PCMH designation process: John Boltri, M.D.; Erin Hendriks, M.D.; Sheala Jafry, M.D.; Tsveti Markova, M.D.; Maribeth Mateo, M.D.; Pierre Morris, M.D.; William Murdoch, M.D.; John Otremba, M.D.; Frederick Rosin, M.D.; Jinping Xu, M.D.; Eric Ayers, M.D.; Robert Burack, M.D.; Kristen Kingzett, M.D.; Diane Levine, M.D.; Renato Roxas Jr., M.D.; Shelley Street, M.D.; Neelima Thati, M.D.; Theresa Vettese, M.D.; Padmaja Akkireddy, M.D.; Anupama Devara, M.D.; Melanie Hanna-Johnson, M.D.; Graciela Rojas, M.D.; Manmeet Singh, M.D.; Elizabeth Arnold, M.D.; Lavoisier Cardozo, M.D.; Bibban Bant Deol, M.D.; Mohammad Kang, M.D.; Pragnesh Patel, M.D.; Joel Steinberg, M.D.; and Gerald Turlo, M.D.
The Blues have designated about 1,240 primary care practices — with more than 3,600 primary care doctors — as PCMH practices. The program is the largest of its kind in the country and has the potential to affect close to 2 million Michigan residents.
With the PCMH model, primary care physicians lead care teams that work with patients to keep them healthy and monitor their care on an ongoing basis. PCMH teams coordinate patients' health care, track patients’ conditions and ensure they receive the care they need. They offer extended access to the care team, coordinate complementary care (such as nutrition counseling) and help patients learn to better manage conditions like asthma and diabetes.
A recent analysis of claims data shows that PCMH-designated doctors are succeeding in more effectively managing patients’ care to keep them healthy and prevent complications.
For more information or to make an appointment at a WSUPG Patient-Centered Medical Home call 1-877-978-3627 or visit www.upgdocs.org.
- White Coat Ceremony welcomes Class of 2017, 290 new students
In Headlines on August 2, 2013
The School of Medicine Class of 2017ís Lukas Kahsay, 28, a native of Ethiopia, earned his bachelorís degree from Wayne State University.
New medical student Rebecca Fisher, 23, attended the White Coat Ceremony with her aunt and mother.
First-year medical students David Boyce, of Hamilton, Ontario, and Steve Nair, of Ann Arbor, Mich., met at orientation.
Assistant Dean of Student Affairs Lisa MacLean, M.D., coats a new student at the White Coat Ceremony on Friday.
New Wayne State University President M. Roy Wilson, M.D., M.S., addresses the audience at the White Coat Ceremony.
For the newest class of Wayne State University School of Medicine students, the traditional White Coat Ceremony held Friday at the Max M. Fisher Music Center’s Orchestra Hall in Detroit is more than a celebration of the journey ahead. The short white coats given Aug. 2 to the Class of 2017 indicate they are students during the time they attend the school, and serve as a nod to more.
“It is very significant of all the hard work coming, not just as a student, but as a future physician,” said Lukas Kahsay, 28.
Kahsay is the first in his family to go to college. He arrived in the United States as an African refugee nine years ago. He grew up in Addis Ababa, Ethiopia, where his family was forced to split up and flee the area following a period of political unrest. He sought refuge in Kenya, and was initially relocated to Texas in 2004. He came to Michigan to attend WSU, earning his bachelor’s degree in biology in 2011.
“Given that opportunity (to attend college), I wanted to take advantage of it,” he said.
Hundreds of friends and family packed the auditorium in support of the 136 women and 154 men who make up the Class of 2017, which includes Kahsay and fellow first-year student Rebecca Fisher.
The 23-year-old grew up in Shelby Township, Mich., and decided during her senior year of high school that she wanted to be a doctor, much to the surprise of her mother, Cindy Fisher, who “blames” her daughter’s chosen profession on stellar science teachers.
“I was just happy she found something she really loved,” Cindy Fisher said.
Rebecca Fisher accepted early admission to WSU last September, the same week she was crowned Miss Wayne County for the Miss America pageant, and has been anticipating the start of her medical school career for nearly a year.
“I’m finally, officially, a student today,” she said.
Together, the Class of 2017 attended 69 different colleges and universities before coming to the medical school. The youngest student is just 20 years old, and the oldest is 38.
“This is the day we wholeheartedly, and without reservation, welcome you into the medical professional,” said 1983 School of Medicine graduate and Vice Dean for Medical Education Maryjean Schenk, M.D., M.P.H., M.S., addressing the students and their families and friends.
The Class of 2017 will be the first to study under the administration of WSU’s new president, M. Roy Wilson, M.D., M.S., who spoke at the ceremony on just his second day in office, less than 24 hours after his swearing in ceremony. Dr. Wilson, an ophthalmologist, comes to WSU from the National Institutes of Health. His advice was simple: Support each other and be good doctors in training.
“Practice good medicine. Think about that. Reflect on it. Congratulations and best wishes on the great career that’s ahead of you,” he said.
Silas Norman, M.D., associate dean of Admissions, Diversity and Inclusion, read each student’s name and undergraduate school and degree as they entered the orchestra stage. Then, Assistant Dean of Student Affairs and Career Development Lisa MacLean, M.D., or a physician parent, mentor or sibling, cloaked them in their own hip-length white coat.
The White Coat Ceremony capped the freshmen medical students’ week-long orientation, which began July 29. Classes begin Monday.
School of Medicine Dean Valerie M. Parisi, M.D., M.P.H., M.B.A., also spoke, reminding the students that they are at the beginning of an arduous and formidable task.
“Your job is to listen, to ask questions and to explore,” she said.
She also shared at least one reason they are students of the WSU School of Medicine. “We provide care here for many of the uninsured and underserved people in our community. You must appreciate these individuals and serve them with kindness and passion in every encounter,” she added.
Location is one of the reasons Steve Nair, 23, applied to WSU. The Ann Arbor native earned his bachelor’s degree in neuroscience from the University of Michigan, but wanted to take advantage of WSU’s reputation for giving students enviable hands-on clinical experience through close partnerships with area hospitals.
“I came here to see Detroit Receiving Hospital and all it has to offer. I’m really excited to give back to the community,” he said.
Nair came to the ceremony with fellow first-year student David Boyce, a 23-year-old Hamilton, Ontario, native who received his undergraduate degree from York University in Toronto.
For him, the white coat is a symbol of hard work and dedication. “I finally achieved my dream,” he said.
He met Nair days earlier at freshmen orientation, and shares his sentiment for WSU and Detroit. “It’s a really unique opportunity. I’m looking forward to getting started right away and trying to improve the quality of life for some people,” he said.
Keynote speaker James Meza, M.D., understands the power, privilege and responsibility that comes with donning a white coat. He earned the Leonard Tow Humanism in Medicine Award from the Class of 2013, voted on by students and fellow School of Medicine faculty.
“It is not an understatement to say the very moment you are cloaked in your white coat, your life will change,” he said.
Dr. Meza is an assistant professor of family medicine and public health sciences, and spoke about the mystery, joy and love of being a doctor, sharing a personal anecdote of sitting at the bedside of a longtime patient for hours, waiting as the 86-year-old man was taken off life support. In years of treating him, he learned the man had no family or friends. “We were his family,” he said. “I held his hand, and he squeezed mine. I did not want him to die alone,” he said.
His speech received a standing ovation from the audience and his colleagues on stage.“Society needs you,” he told the students. “Be the best doctor possible. Welcome to the profession of medicine.”
- Kresge Eye Institute dedicates auditorium in honor of former leader, Dr. Robert Jampel
In Headlines on July 31, 2013
Dr. Jampel and his wife, Joan, cut the ribbon marking the dedication of the auditorium.
Dr. Jampelís family, and the two men who followed him, mark the naming of the auditorium.
Dr. Mark Juzych, left, Dr. Robert Jampel and Dr. Gary Abrams celebrate the dedication of the Robert S. Jampel, M.D., Ph.D., Auditorium at the Kresge Eye Institute.
Robert S. Jampel, M.D., Ph.D., has dedicated his career to ensuring that all people have access to quality eye care. As director of the Kresge Eye Institute for more than two decades, he helped establish the international reputation for excellence the institute now enjoys.“Dr. Jampel is a great doctor, leader and philanthropist,” said Mark Juzych, M.D., M.H.S.A., current director of the Kresge Eye Institute. “We are dedicating this auditorium in his name to recognize his passion for medical education and his leadership during a transformative period in the history of the Kresge Eye Institute.”
The success of the Kresge Eye Institute at Wayne State University is due to Dr. Jampel’s past leadership and to his ongoing philanthropy. In recognition of his accomplishments at the university and his commitment to ophthalmology, the Kresge Eye Institute dedicated its auditorium in his name June 14, during its 58th annual clinical conference.
Presiding over the naming of the auditorium was especially meaningful for Dr. Juzych, a former student of Dr. Jampel. A 1989 graduate of the Wayne State University School of Medicine, as well as an alumnus of Kresge Eye Institute’s residency program, Dr. Juzych described Dr. Jampel as a mentor. “I learned from him the importance of compassion toward patients,” he said.
Dr. Jampel found inspiration for medicine as a young boy growing up in New York. He spent time observing his uncle, who was a physician. “I lived in the Bronx, and travelled to his practice in Brooklyn,” Dr. Jampel said. “It was a poor neighborhood and on Saturdays he would take me along on his house calls. I was fascinated by what he was doing.”
A bright young man, Dr. Jampel went on to earn his bachelor’s degree at Columbia University while training to be a naval officer through the rigorous V-12 college training program. He then received a medical degree from Columbia and completed residencies in ophthalmology and neurology at the University of Michigan. In addition, he obtained a doctoral degree in neuroanatomy. During his training there he met his wife, Joan.
While Dr. Jampel was living in Ann Arbor, the Korean War began and he was recalled to duty by the Navy. Dr. Jampel served as a neurologist and quickly gained responsibility for an entire ward of wounded young men at the Bethesda Naval Hospital. “I learned fast,” he remembered. After the war was over, he returned to Michigan to complete his medical training.
Dr. Jampel began his career in ophthalmology in New York at the Columbia Presbyterian Medical Center. In 1970, Wayne State recruited him to join its faculty. He was appointed chair of the Department of Ophthalmology and director of the Kresge Eye Institute. Throughout his 24 years in that role, Dr. Jampel would lead the institute’s transformation and significant growth.
The Kresge Eye Institute was founded in 1948 to bring together physicians and scientists in a collaborative effort to preserve eyesight. With its combined focus on excellent patient care, rigorous medical education and groundbreaking research, the institute became a leader in the field of ophthalmology. It has been a part of Wayne State’s School of Medicine since 1966.
When Dr. Jampel arrived to lead the institute, Detroit’s hospitals were managing three separate residencies in ophthalmology. Dr. Jampel successfully integrated these residency programs into a single Kresge Eye Institute program under the direction of the chair of ophthalmology. He increased the residents’ clinical exposure, initiated regular clinical conferences and began weekly grand rounds for residents and staff.
To further advance the institute’s mission, Dr. Jampel recruited a distinguished faculty of clinicians and scientists. He developed a clinical practice with those full-time faculty members, forming the first multi-specialty ophthalmic group practice in Detroit. Patient visits to the institute quickly grew from a few hundred in 1972 to 50,000. In 1974, a separate Kresge Eye Institute building, adjacent to Harper Hospital, opened.
By the mid-1980s it was obvious that more space was needed. Dr. Jampel led a fundraising campaign for a new building at Hutzel Hospital. The new building, which is three times larger than the previous structure, officially opened in 1990 and still houses the institute.
In addition to his many administrative duties Dr. Jampel continued to perform research and to teach medical students, something he loves. He said it is greatly satisfying when former students tell him that they remember something he said. “Ophthalmology is important,” Dr. Jampel said. “Eyesight is quality of life.”
In 1994, Dr. Jampel retired from the chairmanship of the department and was succeeded by Gary Abrams, M.D., as director of the Kresge Eye Institute. Under Dr. Abrams’ leadership there were more than 100,000 patient visits and nearly 5,000 surgical procedures annually. In 2012, Dr. Jampel received the appointment of chairman emeritus.
Since 2011, the institute has been led by Dr. Juzych, who continues to pursue the mission of excellence of the Kresge Eye Institute.
- Dr. Gorski named co-director of Michigan Breast Oncology Quality Initiative
In Headlines on July 30, 2013
David Gorski, M.D.David Gorski, M.D., Ph.D., F.A.C.S., associate professor of surgery and chief of the Breast Surgery Section for the Wayne State University School of Medicine, has been appointed the new program co-director of the Michigan Breast Oncology Quality Initiative.
Dr. Gorski, the medical director of the Alexander J. Walt Comprehensive Breast Center at the Barbara Ann Karmanos Cancer Center, brings vast knowledge and experience about breast cancer care to the MiBOQI project. In his new role, he will work with the Samuel Silver, M.D., Ph.D., the MiBOQI program director, as well as assistant dean for Research and professor of internal medicine/hematology-oncology at the University of Michigan Medical School.
Dr. Gorski will be involved in many aspects of the quality initiative. His duties include conducting collaborative-wide MiBOQI meetings and other committee meetings, as well as giving presentations at grand rounds at participating sites; working with the Breast Cancer Advisory Committees and program directors at participating hospitals to identify and implement best practices and fast-track quality improvement efforts; leading and facilitating the design and implementation of collaborative-wide quality improvement studies evaluating treatments and improving patient care; providing for publications in peer-reviewed journals; and helping sites disseminate information on best practices to the quality collaborative.
"I am honored to have been chosen for this position and look forward to working with the MiBOQI collaborative to develop data- and evidence-driven approaches designed to improve the quality of breast cancer care for every woman and man in the state of Michigan,” Dr. Gorski said. “What the MiBOQI collaborative is doing under Dr. Silver's leadership has been highly innovative and I look forward to contributing to that high standard of work."
The MiBOQI was launched in 2006 with financial support from Blue Cross Blue Shield of Michigan and Blue Care Network. In an effort to improve the quality and safety of breast cancer treatment and outcomes, MiBOQI is the first statewide effort to examine practice patterns in surgical, radiation and medical oncology.
The initiative is helping hospitals and associated medical practices compare treatment methods with National Comprehensive Cancer Network treatment guidelines.
There are 25 Michigan-based hospitals participating in the initiative. MiBOQI will continue to expand, recruiting new sites each year.
- Michigan Area Health Education Center names Dr. Tsilimingras co-program director
In Headlines on July 30, 2013
Dennis Tsilimingras, M.D.The Michigan Area Health Education Center has announced that Dennis Tsilimingras, M.D., M.P.H., assistant professor and director of patient safety in the Wayne State University School of Medicine’s Department of Family Medicine and Public Health Sciences, will serve as co-program director. The appointment will be effective Aug. 1.
Dr. Tsilimingras will replace Thomas Roe, M.D., who served as co-program director for two years. Dr. Roe will now devote all his efforts to his duties as the medical student health officer and director of the Medical Student Physical Diagnosis Program and his other responsibilities in medical education at the Wayne State University School of Medicine.
Wayne State University established the Michigan Area Health Education Center in 2010 through a federal grant from the U.S. Health Resources and Services Administration. Its purpose is to increase access to primary care in underserved urban and rural communities through a statewide network of regional centers. Working in partnership with community organizations, health providers and government agencies, MI-AHEC promotes health career opportunities to students and underrepresented minorities, encourages students and health professionals to work in areas with limited primary care providers and enhances the knowledge and skills of a diverse workforce of health professionals throughout Michigan.
Dr. Tsilimingras earned his medical degree at the Wayne State University School of Medicine and a master’s of public health degree in health services research at the Boston University School of Public Health. He is a health services researcher with expertise in patient safety and quality of care. He has held academic positions at the Veterans Affairs Center for Health Quality, Outcomes and Economic Research (Center of Excellence)/Boston University School of Public Health, the Department of Internal Medicine at WSU, and the Department of Family Medicine and Rural Health at Florida State University College of Medicine. Dr. Tsilimingras is the principal investigator of a federal R01 patient safety grant focused on post-discharge adverse events awarded by the Agency for Healthcare Research and Quality. He served as peer reviewer for a patient safety indicators report for hospitalized patients developed by the University of California at San Francisco and Stanford University Evidence Based Practice Center. He serves on the full member reviewer panel for national institutional research training grants at AHRQ.
As director of the Center on Patient Safety and assistant professor in the Department of Family Medicine and Rural Health at Florida State University College of Medicine in Tallahassee, Fla., Dr. Tsilimingras developed a patient safety curriculum for all four years of medical school as chair of the curriculum subcommittee on patient safety education. He also founded and chaired a state committee on patient safety curriculum activities that included nine medical schools in Florida.
For more information, visit http://miahec.wayne.edu.
- Medical student Amy Li treasures time at summer camp for medically-fragile children
In Headlines on July 29, 2013
Class of 2016 medical student Amy Li, left, hangs out with a Trailís Edge camper in the 25-foot high Craig Van Laanen Tree House.
A Trailís Edge Camp participant makes the journey to the tree house.
Amy Li and a camper check out the horses at the Fowler Center for Outdoor Learning.
No matter where she is – in an impoverished Caribbean country or close to home – Amy Li is an equal-opportunity do-gooder, providing medical care and friendship when she can, because she can.
Li is a second-year medical student at the Wayne State University School of Medicine, and blogged for the school in February from a medical mission trip to Haiti with the World Health Student Organization. Most recently, she trekked to the Fowler Center for Outdoor Learning in Mayville, Mich., to volunteer June 1-7 at Trail’s Edge Camp, an annual one-week sleep-away summer camp for 32 children 5 to 18 years old with special medical needs.
“I think this camp, for these kids, is the best week of the year. It is really magical,” Li said. “It is really nice to see them step out of their comfort zone. It’s a chance for them to feel normal. They don’t feel ostracized. No one is particularly doted on than another. By the end of the week, it’s really amazing to see them for their personalities, to see who they really are. All they want is to have fun and have friends.”
Many of the campers have tracheostomies or need ventilator assistance, some are quadriplegic, some partially paralyzed and some ambulatory. A deaf camper attended for the first-time this year, Li said. Their diagnoses prevent them from experiencing a “normal” summer camp. But at Trail’s Edge, they are the norm.
“It really is something precious when a deaf boy hands you his iPod so that you can listen to his music,” she said.
The Detroit resident grew up in Ann Arbor, and received her undergraduate degree from the University of Michigan. It’s there that she first heard of the camp from a fellow pre-medicine student. She has volunteered every year since 2010.
Using adaptive equipment or added support from volunteers, the campers swim, fish, hang out in the soaring Craig Van Laanen Tree House built 25 feet in the air, race in their wheelchairs, participate in scavenger hunts and ride horses. Yes, ride horses, with a back rider to stabilize the camper, and a side walker who holds a portable ventilator if needed.
“There was a camper I know, very small. He was in his teens but small because of brittle bone disease,” Li said, adding that he was worried about getting hurt.
“One year, he decided to be really brave and do the horseback riding. It was amazing to see his happiness,” she added.
The first Trail’s Edge Camp was held in 1990, organized by respiratory therapists at Mott Children’s Hospital in Ann Arbor.
Volunteers include physicians, nurses, nursing students, respiratory therapists, special needs teachers and others. Some, like Li, are medical students. Her role each year is to be a partner to a camper.
“You’re their mom, their dad, their brother, their sister and their best friend for that whole week. You take care of them,” she said. “I’ve been with the same camper for three years. I have seen her grow and mature. And that’s worth all the experiences.”
Camp partners take care of all camper needs for the week, medical or otherwise. Additional volunteers and support staff create and coordinate morning, afternoon and evening meals and activities, and help camp partners when needed. And while the experience can be overwhelming to some she said, for Li, the first week of June is one of her favorite summer memories.
“This is an experience I treasure because this goes deeply,” she said. “I’ve seen these children come out of their shells and be seen as real people. It’s their chance to be a kid. This has made me see people and see life in a different way. It has really made me want to be a better person.”For more information on Trail’s Edge Camp, visit www.facebook.com/TrailsEdgeCamp or email firstname.lastname@example.org