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News from Children’s Hospital of Michigan
April 2010
Dear Colleagues,
W
elcome to a new season of Just for Doctors, your source for news and
information about the Children’s Hospital of Michigan. In 2010, our
quarterly Just for Doctors newsletter will provide you regular updates on
Children’s Hospital staffing, medical breakthroughs, hot topics and events we hope
will be of interest to you.
As reported in the news, we have some exciting information to share about a
partnership that will ensure the long-term sustainability of the Children’s Hospital of
Michigan. More importantly, this new venture will have a substantial impact on the
lives of children and families.
Herman B. Gray, M.D., M.B.A.
President
Inside
• Physician Leader Profiles
Charles J. Barone II, M.D.
Richard A.K. Reynolds, M.D.
Edward Dabrowski, M.D.
Joseph Lelli, Jr., M.D.
• Introducing the Pediatric
Surgery Team
• Innovations in Pediatric
Surgery
• Expanding the Community
Children’s Hospital Pediatric Surgeons
Now in West Bloomfield and Flint
• New Docs on the Block
• Hot Topic
Shapedown® – A Weight-Loss
Program for Kids
The Detroit Medical Center board unanimously voted to sign a letter of intent to make
the Detroit Medical Center part of Vanguard Health Systems, a private hospital company.
This collaboration will provide $850 million in new investments throughout the Detroit
Medical Center over the next five years. It will be the largest private investment in the
history of the city of Detroit. The agreement is expected to be finalized in the coming
months.
Once governance and legal approvals are in place, Vanguard will invest more than $208
million in Children’s, including $33 million to construct the new Specialty Center-Detroit
and $170 million for a new inpatient tower. This new partnership will help solidify our
position as one of the preeminent pediatric health care hospitals in our nation. Vanguard’s
investment will allow the hospital to shift the focus of future fundraising from capital
initiatives to pediatric research, child advocacy, medical education, endowment and other
programs that truly get to the core of providing excellent pediatric health care.
In the months ahead, you will be hearing more from us about this exciting development.
We want to assure you that the support you have already provided has played a crucial role
in our achievements thus far and is vital to strengthening the hospital’s position moving
forward.
In southeast Michigan, across the nation and around the world, families know they can
rely on the Children’s Hospital of Michigan for exceptional pediatric medical and surgical
care. This unique opportunity will enable us to continue to grow and expand our pediatric
programs for the children of our state for generations to come.
Sincerely,
• Newsworthy Notes
• Physician Profile
J. Patrick Quigley, M.D.
• Events and Happenings
• Grand Rounds Schedule
Mary Lu Angelilli, M.D.
Chief of Staff
Herman B. Gray, M.D., M.B.A.
President
Shawn Levitt Charles J. Barone II, M.D. Luanne Thomas Ewald
Vice President/COO
Vice President,
Vice President,
Medical Affairs Business Development
and Strategic Planning
Rhonda Foster
Vice President,
Patient Care Services
Linda Jordan
Vice President,
Ambulatory Services
Pat Kelly
Vice President,
Development
Lori Mouton
Vice President,
Marketing,
Communications and
Community Relations
Tarry Paylor
Vice President,
Human Resource
Operations
Joe Scallen
Vice President,
Finance
Physician Leader Profile: Charles J. Barone II, M.D.
Charles J. Barone II, M.D.
Vice President of Medical Affairs
313-993-2625
EDUCAtION AND trAINING
The George Washington University School
of Medicine, 1977
residency, The Children’s Hospital of
Michigan, Pediatrics, 1977-80
CArEEr
Thirty years of service to Henry Ford
Medical Group, the last nine years as chair
of pediatrics. Since 2005, chief of the
Division of Pediatric Hospitalists Medicine
at the Children’s Hospital of Michigan.
Whether he’s at the Children’s Hospital of
Michigan or Henry Ford Medical Group,
Dr. Charles Barone focuses on clinical
quality and safety above almost everything
else. It’s a trait that serves him well in his
new role as vice president of medical affairs
at Children’s Hospital.
pediatric cases to Children’s Hospital.
That has worked out really well for both
organizations. Our Henry Ford patients
have received very good care at Children’s.
So it just made sense to continue this good
relationship we have. I started rounding
here in 2003 and became the chief of the
Division of Hospitalists in 2005. I’m no
longer chief of that division, but I still
round with the hospitalists at Children’s in
addition to my role as VP of medical affairs.
What does a VP of medical affairs do?
It’s a long list. I’m in charge of utilization
review and length of stay in the hospital.
As you know, those are both important
JCAHO quality measures. We work hard to
make sure we are efficiently utilizing hospital
resources and not keeping kids too long. I
also spend time trouble shooting and trying
to resolve physician and patient complaints
when they occur. Fortunately, that’s not
a big part of the job. But it’s important
because complaints give us an opportunity
to improve and make sure we’re serving
our customers well — both our patient
customers and our referring physician
customers.
A longtime Henry Ford Medical Group
physician, Dr. Barone still serves as chair of
pediatrics at Henry Ford. He also serves as
clinical associate professor of pediatrics at
Wayne State University School of Medicine.
As vice president of medical affairs
at Children’s Hospital, Dr. Barone’s
responsibilities include developing enhanced
practice guidelines and care protocols to
improve clinical quality and other hospitalrelated activities for patients and families.
Just for Doctors recently spoke with Dr.
Barone about his new role.
Isn’t it unusual to work at both Children’s
Hospital and Henry Ford Medical Group?
I know it seems strange to a lot of people.
On the adult side of things, the DMC and
Henry Ford are really competitive. But
in pediatrics, the two organizations work
together in partnership to care for children.
Back in 2002, Henry Ford Hospital
made the difficult decision to close its
inpatient pediatrics unit and send inpatient
2 Just for Doctors – April, 2010
I also have operational responsibilities —
making sure we are getting patients in and
out quickly, getting patients up from the
Er to the floor, making sure transfers from
other hospitals go well. We’re also working
to develop a database that will help us do a
better job of communicating with referring
physicians. We need to make sure we are
providing referring physicians information
about their patients in the way they want
to receive that information. That’s the
challenging part; every physician has his
or her own communication preferences.
But they are our customers and we need to
anticipate their needs and preferences.
What is your top priority?
Quality and safety. That’s where I spend
most of my time because I think it’s
really the most important thing we do.
We’re developing a list of our own quality
indicators we can track to make sure
Children’s Hospital continues to provide
outstanding care to children. Patients,
parents and physicians should always be
confident that the Children’s Hospital of
Michigan will be a leader in clinical quality
and safety.
Children’s Ranked One of America’s Best Hospitals
by U.S.News & World Report
In 2009, the Children’s Hospital
of Michigan, for the second
consecutive year, ranked among the
nation’s top 30 hospitals in the 2009
edition of America’s Best Children’s
Hospitals, published by U.S.News
& World Report. Ten specialities
were ranked, up from six in 2008.
The Children’s Hospital of Michigan
was recognized for cancer, heart
and heart surgery, and is the only
ranked pediatric hospital in the state
for neurology and neurosurgery and
urology.
The basis for the rankings is a blend
of reputation, outcome (where
available) and care-related measures such as
nursing care, advanced technology, credentialing
and other factors as follows:
DETROIT MEDICAL CENTER
Reputation: Represents a
combination of opinions, in a
65-page survey from pediatric
specialists around the country
who were asked about the
hospitals they would recommend
for the sickest children.
Outcome: Based on criteria
such as medical information
about surgical death rates to
whether staff includes pediatric
anesthesiologists and other
sub-specialists.
Care-related measures:
Examples include nurse staffing,
the availability of important technologies and
patient volume.
The Children’s Hospital of Michigan is proud of this
national recognition. It reflects the expertise of our
pediatric specialists, staff and volunteers and the
commitment we have to improving the health and
well-being of children.
Children’s Hospital of Michigan
Getting To Know:
Dr. Charles J. Barone II
Stop by the Mesquite Grill in Utica on a
Thursday night and you might catch a rock
band called Generations. That’s Dr. Charles
Barone up there on bass guitar. The music
is great, but fortunately the vice president of
medical affairs at the Children’s Hospital of
Michigan has no plans of quitting his day
job.
“It’s just something we do for fun a couple
times a month — mostly older, classic rock
tunes,” Dr. Barone said. “I’ve been in bands
for a long time and I really enjoy it.”
Back in the late 1960s and early 1970s,
one of his first bands included a kid named
Herman Gray. Years later, Barone would
know him as a fellow pediatrician and the
president of Children’s Hospital. But back
then he was just Herman, a buddy from
church who played the organ.
“I’ve known Dr. Gray for a long time,”
Barone said. “I keep asking him to join us in
the band. We’ll cart an organ out there for
him and he can make a guest appearance. So
far no luck.”
While they no longer perform onstage
together, Dr. Barone said his old friend is
one of the reasons he decided to become
vice president of medical affairs at Children’s
Hospital — but just one of the reasons.
“Dr. Gray is an old friend and certainly I
wanted to come here and have a chance to
work with him,” Barone said. “But really
there are so many good reasons for me to be
here at Children’s Hospital.”
Those reasons include Barone’s interests in
clinical quality, patient safety and research.
“And I did my training here at Children’s
from 1977 to 1980, so this is sort of my
alma mater. It’s nice to be back.”
Career and Family
Dr. Barone met his wife in the Emergency
Department at Children’s Hospital. He was a
resident and she was a pediatric nurse. They
were married by the hospital chaplain in
1979.
After his training, Dr. Barone went to work
for Henry Ford Medical Group as a staff
pediatrician. During 30 years at Henry Ford,
he held numerous clinical and leadership
positions, including his current role as chair
of the Department of Pediatrics.
In addition to clinical and administrative
duties at Children’s and Henry Ford, he
also serves as a clinical associate professor
of pediatrics at Wayne State University
School of Medicine. Plus, he is a member
of the American Academy of Pediatrics and
currently serves as president of the Michigan
Chapter of the American Academy of
Pediatrics.
Along the way, the Barones raised two
children. Their son is a sophomore at
Michigan State University and their daughter
is a medical student at the University of
Pittsburgh School of Medicine. The couple
now live on Lake St. Clair in Fair Haven,
Michigan.
NIH-funded Research
These days it’s research — not classic rock
— that gets Dr. Barone really jazzed. Just ask
him about his involvement in the upcoming
NIH-funded National Children’s Study. You
can hear the excitement in his voice.
“This is a major, national study and we’re
really pleased to be a part of it,” Barone said.
The National Children’s Study will examine
the effects of environmental influences on
the health and development of 100,000
children across the country from birth to
age 21. The study will be conducted in
Michigan by an alliance of researchers at the
Children’s Hospital of Michigan, Henry Ford
Health System and the medical schools at
the University of Michigan, Michigan State
University and Wayne State University. Dr.
Barone will serve as co-primary investigator
for the pediatric portion of the National
Children’s Study in Michigan, where 5,000
children will be enrolled.
“This is a study of children, but ultimately I
think the NIH is trying to determine adult
diseases,” Barone said. “We want to identify
predictors in childhood and determine what
can be done to prevent adult diseases.”
He compares the study to the Framingham
Heart Study, which began in 1948. Before
Framingham, people thought salt was good
for you. Cigarettes were known to cause lung
disease, but nobody suspected a link to heart
disease. Cholesterol was almost completely
misunderstood.
“By taking the knowledge from the
Framingham study, they significantly
reduced cardiac mortality and significantly
increased lifespan in the United States. We
think this is the same kind of study.”
The study begins in Wayne County this
spring, which means Dr. Barone’s schedule
will be full. But he always has time to talk to
referring physicians, patients and families.
And he still plans to save at least one night a
month for his band.
Children’s Hospital of Michigan
53rd Annual Clinics Days
May 21 & 22, 2010
Westin Book Cadillac Detroit
Topics Include: Abdominal Pains, Autism, Cleft Lip & Cleft
Palate, Short Stature, Constipation, ADHD, Obesity ,
Evaluating a Child with a Limp, Transitioning from Pediatric
to Adult Medical Care.
Keynote Speaker: Abdullah Al Rabeeah, MD, FRCS(C),
Minister of Health, Riyadh, Kingdom of Saudi Arabia
“Separating Conjoined Twins”
For questions call (313) 745-4857. To register or
download the brochure, log on to www.childrensdmc/clinicdays.
Just for Doctors – April, 2010 3
Physician Leader Profile: Richard A.K. Reynolds, M.D.
Richard A. K. Reynolds, M.D., MHCM,
FRCSC, FACS
Surgeon-in-Chief
Chief of Pediatric Orthopedic Surgery
Appointments - (313) 745-5227
Education and Training
University of Saskatchewan College of
Medicine, Canada, 1984; University of
Saskatchewan/Royal University Hospital,
Orthopedic Residency, 1985-1987;
University of British Columbia/Royal
University Hospital, Orthopedic
Residency, 1987-1988;
University of Saskatchewan/Royal
University Hospital, Orthopedic
Residency, 1988-1989; Hospital of Sick
Children, Pediatric Orthopedic Surgery
Fellowship, 1989-1990;
Wellesley Hospital, Reconstructive
Orthopedic Surgery Fellowship,
1990-1991; Harvard School of Public
Health, MHCM, 2006
Certifications
FRCSC Orthopedic Surgery, 1990;
American Board of Orthopedic Surgery,
1994; Fellow, American College of Surgery,
1996
Clinical interests
Pediatric Orthopedic Surgery
Research interests
Fractures
Dr. Richard Reynolds likes a challenge.
Early in his career, he set his sights
on becoming a department chief and,
eventually, a surgeon-in-chief. As a pediatric
orthopedic surgeon, he knew how to
perform complex procedures on the smallest
patients, but the big-picture work of health
care budgeting and strategic planning
remained a mystery.
“In medical school, they don’t teach you
how to do that sort of thing,” he said. “So
I was intrigued by the challenge of it and
started wondering how, as a surgeon, I could
go about it.”
4
After 15 years in pediatric orthopedic
surgery at Children’s Hospital Los Angeles,
he enrolled in the Master’s of Healthcare
Management program at the Harvard
School of Public Health. When he
completed the program in 2006, he began
serving as chief of pediatric orthopedic
surgery at the Children’s Hospital of
Michigan. Just three years later, he was
named surgeon-in-chief of the hospital.
Just for Doctors recently spoke with Dr.
Reynolds about his newest role.
What does the surgeon-in-chief do at
Children’s Hospital?
The main functions of the surgeon-inchief are to set the strategic plan for
the Department of Surgery. Within the
department you have about 11 different
surgical subspecialties — everything from
cardiac surgery, neurosurgery and orthopedic
surgery to plastic surgery, dentistry and
ENT. I serve as a liaison between the various
chiefs of these surgical departments and
hospital administration. So I get involved
in the budget cycle, strategic initiatives,
developing programs — those sort of things.
We’re just about to come forward with
a new strategic plan for the Department
of Surgery that will outline some major
programs for the next five years.
What’s your vision for the Department of
Surgery?
Our goal is to become one of the top 10
surgical departments in the country. The
hospital is already ranked in the top 25, but
I think our surgical department can be in
the top 10. It’s really quite achievable. To
get there, we need to make certain program
developments. There are certain facility
requirements, so we need to put those into
our new building plans. We also need to
continue developing alliances with other
health care systems so we can develop a
more regional strategy. We’re also looking
to expand the department by about 15
surgeons. When you put all that together,
we’ll be in the top 10.
How are you working to enhance clinical
quality?
We’re going to adopt some of the practices
we’ve put in place in the Department of
Orthopedics and expand them throughout
the entire Department of Surgery. In
orthopedics, we started standardization
of surgical procedures, equipment and
Just for Doctors – April, 2010
anesthesia, and we developed protocols
for how we deal with spine surgery. The
results have been tremendous. With these
standardized processes, we were able to
decrease blood loss by 70 percent. And we
haven’t had a single spine infection in the
last four years. These are the kinds of things
we want to do for the entire Department of
Surgery.
We’re also going to be participating in a new
clinical outcomes improvement project.
Some years ago, the American College
of Surgery started a program called the
National Surgery Quality Improvement
Program (NSQIP). Originally this was just
a program for adult surgery, but now they
are doing it for pediatric surgery. Children’s
Hospital will be one of the first 28 hospitals
to participate in this new project. We’re
going to be trendsetters on a national level,
helping to define what good pediatric
surgical outcomes should be for all other
institutions in the country. It’s really very
exciting, and it puts us right up there with
institutions like Children’s Hospital of
Boston and Johns Hopkins.
What do you want physicians to know about
the Department of Surgery?
We really strive to make timely
appointments for patients. If you have
something urgent, we can see your patient
on the same day or maybe the next day. If
you are really concerned about something,
just make a phone call, and we’ll get your
patient in.
Kohl’s Cares for Kids
(KCK) is a national
program of Kohl’s
Department
stores
benefiting
children’s
health and education.
Each quarter, new KCK
special-edition plush
animals and books are
available for purchase at
Kohl’s stores. Proceeds
from the sales of these items fund the Kohl’s
Trauma Related Injury Prevention (TRIP)
Program at the Children’s Hospital of
Michigan. The TRIP Program partners with
local schools, fire, police, EMS and insurance
agencies to offer injury
prevention programs
to children and parents
in southeast Michigan.
Visit a Kohl’s near
you.
Children’s Hospital of Michigan
Physician Leader Profile: Edward Dabrowski, M.D.
Dr. Edward Dabrowski has gone through
boxes of business cards during his 23 years
at the Children’s Hospital of Michigan. His
title keeps changing with the scope of his
work.
In the late 1980s, he served as medical
director of the rehabilitation unit at
Children’s Hospital, which at the time
consisted of just four beds and three
therapists. Later he served as assistant chief
and associate chief of child neurology.
More recently, he was medical director
of rehabilitation services and chief of
the Division of Physical Medicine and
Rehabilitation Services.
In September 2009, he added another
title to his CV: vice president of pediatric
rehabilitation program development.
The new role aligns many of his previous
responsibilities as medical director and
division chief and adds new responsibilities
under a more organized structure. It’s a
big job with accountability for everything
from improving access to services and
enhancing clinical outcomes to adopting
new technologies and expanding research
programs.
Just for Doctors recently spoke with Dr.
Dabrowski about his new role.
What’s your vision for rehabilitation
services?
We’re working to provide one-stop shopping
for children with disabilities. We take care
of a wide range of children — from children
with simple, musculoskeletal complaints
to children with multiple disabilities from
genetic disorders, acquired disorders and
trauma. When they come through the door
at Children’s Hospital — whether that’s at
the main hospital or a location somewhere
in a suburban community — they don’t
need to go anywhere else for rehabilitative
care. It’s all available at Children’s. That’s
very unusual in pediatric rehabilitation.
Also, we plan to continue reaching out
to the community through our suburban
locations. Warren was our first suburban
site, and then we opened locations in Novi,
Westland, Clinton Township and Madison
Heights. We plan to continue increasing
access to our services in this way.
How has rehab services changed during your
23 years here?
When I started in 1987, we had just four
rehab beds, one physician, and a halftime nurse for our clinics. Today we have
multiple locations and about 150 people
working in the department. So it’s grown
dramatically, almost algorithmically. We
have a fantastic Myelomeningocele Care
Center for children with spina bifida, spinal
cord birth defects, spinal cord injuries
and tumors. We’re also working with
Variety the Children’s Charity to provide
free myoelectric prostheses for children
with missing arms and hands due to birth
defects or trauma. We’re the only program
in the country doing this and we have kids
coming to us from all over the country
— Arizona, Texas, New York, St. Louis.
Most other places want to give these kids
mechanical devices, which aren’t as efficient
as myoelectric hands.
We also offer many other innovative
technologies — motion analysis, advanced
augmentative communication and
VitalStim, a technology that provides
electrical stimulation of muscles. It’s very
rare to have this in a pediatric program.
So, you can see we’ve come a long way, but
there are still many other things we want to
Edward Dabrowski, M.D.
Vice President of Pediatric Rehabilitation
Program Development
Chief, Division of Physical Medicine
and Rehabilitation Services
Appointments - (313) 993-2757
Education and Training
Wayne State University School of Medicine,
1980
Residency, Wayne State University, Physical
Medicine and Rehabilitation, 1986
Fellowship, Children’s Hospital of
Michigan, Child Neurology, 1987
do. Every time I start getting impatient, my
wife will say, “Just sit down and think about
where you were then and where you are
now.” She usually has good advice like that.
What’s down the road?
Today we’re focusing more on outcomes
and we’ll continue to do that. We always
want to know that we’re treating the various
disability populations appropriately and we
will always modify our treatments based
on outcomes. Also, we’re focusing more on
research, and we plan to continue that in
the future. We’re a founding member of a
pediatric rehabilitation interest group along
with the University of Zurich in Switzerland
and the University of Munich in Germany.
We want to bring researchers together so
we can share information and data to create
better programs for children.
Just for Doctors – April, 2010 5
Introducing the Pediatric Surgery Team
When Dr. Joseph Lelli succeeded
Dr. Michael D. Klein as chief of the
Department of Pediatric Surgery in 2009,
he sat down with each member of the
department and asked them to identify
their core values.
“I wanted to know about them as
physicians, but also as people,” Dr.
Lelli said. “I wanted to find out if the
department was meeting their personal and
professional needs and supporting their core
values. I think it really brought us together
as a team.”
It turns out they had many core values
in common — clinical excellence,
innovation, integrity, leadership, advocacy
and compassion. Using these values as a
roadmap, Dr. Lelli engineered a strategic
plan for the department.
“We now have a clear vision of becoming
one of the top-tier, national leaders in
pediatric surgical care, education and
training,” Dr. Lelli said. “In five years that’s
what we want people to see when they look
at this department.”
As part of the strategic plan, Dr. Lelli
and his colleagues are enhancing the
department’s research efforts, which will be
led by Dr. Klein. They also plan to refine
the department’s critical care and pediatric
surgery fellowship programs and continue
developing partnerships with community
hospitals.
Ultimately, all this is good for children
in Michigan. By elevating the research
and fellowship programs, the department
will attract the highest caliber of pediatric
surgeons from around the world. By
partnering with community hospitals —
like the recently announced partnerships
with Henry Ford West Bloomfield Hospital
and Hurley Medical Center in Flint — the
department can reach more kids.
Trauma, Burns and Congenital
Anomalies
including two women. I mention this
because a lot of adolescent girls would
rather be seen by a woman.”
Focused on Children…and Parents
Another priority for the department:
customer service. Dr. Lelli sees this as
both a business strategy and a form of
compassion — one of the department’s core
values.
From common procedures like
appendectomies and hernia repairs to more
complex repairs of congenital anomalies,
the department’s board-certified pediatric
surgeons provide surgical care for a broad
range of conditions affecting children.
“When a pediatrician calls and wants a
patient to be seen, we believe they should be
seen within 48 hours and get their surgery
within seven days,” Dr. Lelli said. “When a
child needs surgery, parents usually want it
done right away. We understand.”
The pediatric surgery team specializes
in abdominal and chest surgery as well
as many conditions of the head, neck
and extremities. They remove tumors
and correct congenital anomalies, often
operating on patients weighing less than
one pound.
That’s a good reason to refer patients to the
department, but it’s not the only reason.
“We have the capacity to coordinate
multiple subspecialists who only deal with
children,” Dr. Lelli said. “If you have a child
with a cardiac anomaly, we’ll get a pediatric
cardiologist involved instead of an adult
cardiologist.”
Pediatric surgeons at Children’s Hospital
also direct the extracorporeal membrane
oxygenation (ECMO) team, nutrition
support, IV, burn and trauma teams.
“We cover a lot of ground and the
department is expanding,” Dr. Lelli said.
“We’re bringing in newly trained surgeons,
“Everything at Children’s Hospital is
focused on children. From our nurses and
pre-op care to anesthesia and imaging —
we only deal with children. It’s not that
way at every children’s hospital,” Dr. Lelli
said. “When a patient goes to radiology at
the Children’s Hospital of Michigan, it’s a
free-standing pediatric imaging department.
They don’t need to go over to a main
hospital. The imaging technician doesn’t
need to switch back and forth between
adult patients and children. That makes a
difference.”
For a consultation, contact the Pediatric
Surgery Team at (313) 831-3220
Innovations in Pediatric Surgery
The pediatric surgeons at the Children’s Hospital of Michigan
are taking a new approach to treating children born with
congenital diaphragmatic hernias — and the results have been
remarkable.
At most hospitals, surgeons choose to delay operating on
children born with this anomaly. But thanks to new ventilator
technologies and the use of inhaled nitrous oxide, the
pediatric surgeons at Children’s Hospital now operate early,
usually within the first 24 hours and often within the first six
hours of life.
6
Just for Doctors – April, 2010
“We started operating early, and now we have improved
survival from about 60 percent to 90 percent,” said Dr. Lelli.
“It’s really a remarkable improvement in outcomes.”
Dr. Lelli and his colleagues are currently preparing a
prospective, multi-center, randomized trial of this approach.
They hope to receive an NIH grant to conduct the study.
“We feel we’ve made a major advance in the care of children
with this very complicated congenital problem.”
Children’s Hospital of Michigan
Expanding the Community - Children’s Hospital of Michigan
Now in West Bloomfield and Flint
The Pediatric Surgery Department launched
a similar, once-a-week pediatric surgical
clinic at the new Children’s Hospital
of Michigan Specialty Center – West
Bloomfield and began spending one day
a week in the OR at Henry Ford West
Bloomfield Hospital on March 1.
“Part of our strategic plan for Children’s
Hospital is to take our specialty care into
the communities where our patients live
FARMINGTON
SOUTHFIELD
Eight Mile
Eleven Mile
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Lasher
Orchard Lake
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75
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696
OAK PARK
Hw
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39
275 LIVONIA
Coolidge
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96
BIRMINGHAM
Twelve Mile
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696
Six Mile (McNichols)
75
Ford
Schaefer
5
Greenfield
Southfield Fwy.
Telegraph
Middlebelt
96
Merriman
As part of this strategic plan, the hospital
has opened outpatient sites in Clinton
Township, Canton, Dearborn Heights and
Southfield. But Ewald said partnerships
with existing community hospitals is
the ideal way to expand patient access to
Children’s Hospital specialists.
Maple
West Bloomfield
Specialty Center
WEST
BLOOMFIELD
Farmington
Expert pediatric surgeons from Children’s
Hospital began spending one day a week
in clinic and one day a week in the OR at
Hurley Medical Center in Flint in February.
Children’s Hospital of Michigan
Specialty Center - West Bloomfield
Haggerty
and our referring physicians practice,” said
Luanne M. Thomas Ewald, FACHE, Vice
President of Business Development and
Strategic Planning. “Our goal is to provide
expert pediatric specialty care in multiple
locations throughout Michigan.”
ard
dw
Woo
Thanks to new partnerships with local
community hospitals, pediatric surgeons
from the Children’s Hospital of Michigan
are now seeing patients and performing
outpatient procedures in West Bloomfield
and Flint, Michigan.
DEARBORN HEIGHTS
10
Gra
nd
Riv
er
94
DETROIT
5635 W. Maple Rd.
West Bloomfield, MI 48322
Phone: (248) 626-2803 • Fax: (248) 626-3124
At Children’s Hospital of Michigan, every doctor specializes in kids. As a leader in pediatric medicine,
we are pleased to bring our pediatric specialists to West Bloomfield.
“With these partnerships, we can easily
enter new markets without huge capital
investments and without buildings. So
by establishing relationships with already
existing community hospitals, we’re able to
get into new communities and new markets
relatively quickly.”
Neurology (as of 4/9/2010)
Harry Chugani, MD
Lalitha Sivaswamy, MD
(313) 993-2596 appointments
Hours: 2nd and 4th Tuesday mornings and
Friday afternoons
Pediatric Surgery
Scott Langenburg, MD
Joseph Lelli, Jr., MD
(313) 831-3220 appointments
www.childrensdmc.org
313-745-KIDS
3/29/10/ CHM PhyRel CC
Children’s Hospital Pediatric Surgeons
Joseph L. Lelli, Jr, M.D.
Chief of Pediatric Surgery
Christina M. Shanti, M.D.
Director, Burn Center
Michael D. Klein, M.D., FACS, FAAP
Arvin I. Philippart, M.D. Endowed
Chair of Pediatric Surgical Research
Scott E. Langenberg, M.D.
Director, Trauma Center
Director, Pediatric Surgery
Fellowship Program
Paul T. Stockmann, M.D., FACS
Director, ECMO and Nutritional Support Teams,
Director, Pediatric Surgical Critical Care
Fellowship Program
Just for Doctors – April, 2010 7
Physician Leader Profile: Joseph L. Lelli, Jr., M.D.
Dr. Joseph Lelli took an unusual route to
becoming chief of Pediatric Surgery at the
Children’s Hospital of Michigan. He worked
as an engineer at General Motors for several
years before even considering medical
school.
“My father was the chief engineer at GM
and my brothers are GM engineers too, so
I’m kind of the black sheep of the family,”
he said.
His interest in medicine started on a GM
safety project in the early 1980s. While
modeling injuries to test the safety of GM
products, he found himself more interested
in human anatomy than automotive
engineering. That’s when he enrolled in a
biomedical engineering program at MIT.
“As part of the program, I was doing
research at a hospital and had a lot of
interaction with pediatric surgeons,” he said.
“I saw how they worked with the children
and my interests veered even further away
from engineering and more toward patient
care.”
He soon enrolled in medical school and later
pursued post graduate training in general
surgery and advanced training in pediatric
surgery. In 2002, he joined the Department
of Pediatric Surgery at the Children’s
Hospital of Michigan. He was named chief
of the department in 2009.
Just for Doctors recently spoke with Dr.
Lelli.
What drew you to Children’s Hospital of
Michigan?
Children’s Hospital is a larger, free-standing
children’s hospital that serves a more diverse
and underserved population than we were
seeing at University of Michigan in Ann
Arbor. So that was appealing to me. Also,
I have an interest in minimally invasive
surgery and I knew Dr. Michael Klein was
doing research in robotic surgery here. With
my engineering background, I wanted to get
involved in that research. Plus, I’m a native
of Detroit. When I was growing up this was
always the children’s hospital for the entire
state.
What do you enjoy about serving
underserved populations?
I do a lot of missionary medicine in Central
America and I’ve personally enjoyed
working with populations that might not
otherwise receive quality care. At Children’s
Hospital, we serve a very diverse population.
We have kids that come from the suburbs
as well as kids that come from the city.
I just think it’s very important to make
sure even the poorest in our society have
access to the highest level of care. Whether
these kids were born into wealthy families
or poor families, they should all have the
same opportunity to be healthy. Part of my
personal mission is to share what talents I
have with others who might not otherwise
have access to care.
Why did you choose to specialize in
pediatric surgery?
I like working with the pediatric
population…and with parents. In pediatric
surgery, you often have the opportunity
to help children born with congenital
anomalies. I particularly enjoy newborn
surgery when we can repair these anomalies.
Most of the time when you are doing
surgery on adults, you’re fixing something
the patients have done to themselves
through bad habits. But children are
frequently born with problems they didn’t
create for themselves. It’s very rewarding to
Physician Relations Team
The Children’s Hospital Physician
Relations Team is available to you.
If you would like to hear more
about Children’s Hospital or would
like a physician liaison to visit
your office, contact your Physician
Relations Team member.
8
Chris Bunch
(313) 319-5270
Macomb,
St. Clair Counties
Just for Doctors – April, 2010
Karen Rychlinski
(313) 966-5027
Oakland, Wayne, Washtenaw,
Livingston Counties
Joseph L. Lelli, Jr. M.D.
Chief of Pediatric Surgery
Appointments - (313) 831-3220
Education and Training
Michigan State University, College
of Human Medicine in East Lansing,
Michigan, 1986
Master’s of Science in Administration
from Purdue University in West Lafayette,
Indiana
Residency, St. Joseph Mercy Hospital in
Ann Arbor, Michigan, 1992
Fellowship, Children’s Mercy Hospital in
Kansas City, Missouri, 1994
repair an anomaly and give a child a chance
at a healthy, productive life. And children
heal much more quickly than adults. There’s
a lot of gratification in fixing something
that’s very complicated and seeing a child
recover and get healthy again.
What’s most challenging about pediatric
surgery?
It’s challenging to walk into a room where
a mom or dad is holding a child and try to
convince them they need to give you that
child so you can operate on him. You have
to earn their trust. I enjoy my interaction
with parents tremendously. It’s a whole lot
different than talking to a 30-year-old who
needs to get his gall bladder out. To gain
the trust of parents so they let you operate
on their child — that’s a big interpersonal
challenge for any pediatric surgeon.
Sonya Smith
(313) 549-9903
Flint, Lansing, Northern
Oakland County
Tom Topolski
(248) 890-1397
Imaging Services
and Sleep Lab
Children’s Hospital of Michigan
Newon
Docs
theBlock
Children’s Hospital of Michigan
welcomes the following
new physicians:
Ayesha Ahmad, M.D.
Genetics and Metabolism
Sapan Amin, M.D.
Anesthesiology
Bhawana Arora, M.D.
Emergency Medicine
John Bahling, M.D.
Neonatology
Colleen Buggs, M.D.
Endocrinology
Michael Callaghan, M.D.
Hematology/Oncology
Josef Cortez, M.D.
Neonatology
Cristina Cotronei-Cascardo, M.D.
Allergy/Immunology
Joseph Failla, M.D.
Orthopedics - Hand Surgery
Basil Fathalla, M.D.
Rheumatology
Dennis Frendo, Ph.D.
Behavorial Therapy
Patrick Hines, M.D.
Critical Care
Edward Kaminski, M.D.
Anesthesiology
Larisa Kovacevic, M.D.
Nephrologist in
Urology Deptartment
PANDA Team Now Full Air
and Ground Transport Service
Haney Mekhael, M.D.
Psychiatry
Swati Mody, M.D.
Radiology
Sami Moumneh, M.D.
Emergency Department
Khayti Pandya, M.D.
Neonatology
Athina Pappas, M.D.
Neonatology
Surendranath Veeram Reddy, M.D.
Neonatology
Sheena Saleem, M.D.
Radiology
Ajit Sarnaik, M.D.
Critical Care
Syana Sarnaik, M.D.
Emergency Department
Nishant Shah, M.D.
Cardiology
Ruma Srivastava, M.D.
Pulmonary
Deborah Turner, D.M.D.
Developmental Dentistry
Peter Vajda, M.D.
Emergency Medicine
Kevin Valentine, M.D.
Critical Care
Maxim Yankelvich, M.D.
Hematology/Oncology
Hanaa Zidan, M.D.
Endocrinology
The Children’s Hospital of Michigan
Pediatric and Neonatal Dedicated
Ambulance (PANDA) transport team is
now a full service air and ground transport
service. Children’s PANDA team is now
the only dedicated neonatal pediatric
transport team in Michigan, with a ground
ambulance, rotor (helicopter) for transports
of less than 200 miles and as of March 5, a
fixed-wing Lear jet for transport distances
greater than 200 miles, according to Patient
Services Manager, Lauranne Gosses.
“There was a need for other aspects of
neonatal care for birthing hospitals across
the state. Now we can get somewhere in 20
minutes that might take two hours driving.
We can start critical stabilization then and
there and help the team at the requesting
hospital, making the outcomes so much
better for the neonatal population” said
Gosses.
The new transport meets didactic safety
standards and has clinical approval of the
incubator to be able to travel by air.
“Other transport services in the state don’t
have the specially trained pediatric staff.
Physicians and parents see that and like what
we do,” said Gosses. “Hospitals further away
who used other services because they needed
faster care are now calling us. We did this to
help patients. The market we can serve now
is huge and most importantly, the outcomes
are better.”
Call (313) 966-5343 24 hours a day, seven
days a week to admit your pediatric patient.
Checkoff Children’s
On your 2009 Tax Return
www.checkoffchildrens.org
The Children’s Hospital of Michigan
is one of the charitable organizations
eligible to receive voluntary
contributions from taxpayers who
choose to use the 2009 Michigan
Voluntary Contributions Schedule
(Form 4642) when they file their
2009 Michigan tax return. Simply
choose CHILDREN’S HOSPITAL
OF MICHIGAN FUND on the form
by checking the box next to that
listing. For more information, please
go to www.checkoffchildrens.org.
Just for Doctors – April, 2010 9
Hot Topic:
Shapedown® – A Weight-Loss Program for Kids
New program at Stilson Specialty Center
in Clinton Township battles childhood obesity
We know overweight kids are at risk for
developing typically adult health problems,
including type 2 diabetes, high cholesterol,
and high blood pressure. Plus, unlike their
slimmer peers, they’re much more likely to
develop serious health problems down the
road, such as heart disease. Over the past
three decades, the childhood obesity rate
has more than tripled. We’ve found that
children with a high BMI are more likely
to have enlarged hearts, and overweight
children are more likely to develop
metabolic syndrome.
To help combat childhood obesity,
the Children’s Hospital of Michigan
has introduced a new program,
Shapedown®, which brings the entire
family together to focus on the overall
health and well-being of their child.
Shapedown® is a 10-week program
that helps children learn how to be more
active, have more outside interests and eat
in a healthy pleasurable way. It also helps
parents understand how to support their
child in a positive way, be a good role
model and reduce family tension around a
child’s weight and eating. Shapedown®
supports good communication skills
between family members and encourages
parents to set appropriate limits for their
child.
Families who are eligible for participation
are offered a group program that runs for
nine weekly sessions of about two hours
each. A team that is made up of a registered
dietitian, social worker and exercise
physiologist will do an assessment with the
parents and children (six to 16 years old
with a BMI greater than 95 percent). A
care plan will be developed to identify goals
for the family. After completion, monthly
follow-up sessions are offered on an ongoing basis.
The Shapedown® Program cost is $500.
For more information please call Children’s
Hospital of Michigan Stilson Specialty
Center - Clinton Township
at (586) 532-3401.
The Children’s Hospital of Michigan President
Herman B. Gray, M.D., M.B.A., has been
named one of seventeen members appointed
to the new Medicaid and CHIP Payment and
Access Commission (MACPAC). Selections
were made by Gene L. Dodaro, Acting
Comptroller General of the United States and
head of the U.S. Government Accountability
Office (GAO). The Children’s Health
Insurance Program (CHIP) Reauthorization
Act of 2009 established MACPAC to review
Medicaid and CHIP access and payment
policies and to advise Congress on issues
affecting Medicaid and CHIP. “Many highly
qualified individuals sought to serve on the
Commission,” Dodaro said. “Those selected
bring to MACPAC an impressive range of
professional expertise and experience as well
as geographic diversity, and meet the specific
requirements of the legislation.”
Deepak M. Kamat, M.D., Ph.D., Director,
Pediatric Residency Program, Vice Chair of
Education, Director, Institute of Medical
Education, The Carman and Ann Adams
Department of Pediatrics is editor-in-chief of
the American Adacemy of Pediatrics recently
released Quick Reference Guide to Pediatric
Care. The AAP online bookstore says the book
“delivers the practical, action-oriented clinical
solutions you need right now. It’s the perfect
resource to use during or between patient
encounters.”
Henry L. Walters III, M.D. was among
the first doctors to receive the Congenital
Heart Surgery Certificate and an Accredited
Pediatric Cardiac Surgical Residency
established this year by the American Board
Physician Profile: J. Patrick Quigley, M.D.
Dr. Quigley is a board-certified pediatrician
in practice since 1968. He helped establish
Pediatric Consultants of Troy in 1977.
J. Patrick Quigley, M.D.
Education and Training
Medical degree from Wayne State
University School of Medicine; Pediatrics
residency at St. Joseph Mercy Oakland
Hospital
10
Why did you choose pediatrics as your
profession?
Initially, I was going to be a family doctor.
But as I got into it, I realized you need a
little more training to really understand how
to treat kids. Pediatrics is pretty close to
family medicine, but it’s not just the practice
of medicine for little people. Children’s
diseases, children’s anatomy, children’s states
of mind are different. So I feel strongly that
Just for Doctors – April, 2010
you need specialized training for that. I just
found I was more satisfied with pediatrics
than I was with anything else. And I still
practice today and still love it.
What do you love about it?
I think it’s when we can help to calm down
a first-time mom. They’re often very excited
and upset when a child is ill. So, beyond
treating the child, we have the opportunity
to calm down parents and let them know
things are not as bad as they might think.
That’s very important…and it’s very
rewarding to me.
Children’s Hospital of Michigan
Newsworthy Notes
of Thoracic Surgery (ABTS). The ABTS
certificate was created to recognize that
pediatric cardiac surgery requires more
training beyond the usual Thoracic Surgery
Residency. Established practicing physicians
meeting a critical volume, acceptable
outcomes, critical CME and who passed a
proctored exam could be certified.
Children’s Hospital of Michigan has
been accredited by the Commission on
Accreditation of Rehabilitation Facilities
(CARF) for a period of three years for all of
the programs/services surveyed, including (1)
Inpatient Rehabilitation Programs -- Hospital;
(2) Interdisciplinary Outpatient Medical
Rehabilitation Programs: Brain Injury
Program; (3) Pediatric Specialty Program
(Pediatric Family Centered Care): Inpatient
Rehabilitation Programs -- Hospital; and (4)
Pediatric Specialty Program: Brain Injury
Program. Rehab Services Director, Gretchen
Backer, said, “Children’s demonstrates
exceptional teamwork that enables the
program to provide a seamless rehabilitation
experience from admission to discharge for all
persons served and their families.”
Renato Roxas, Jr., M.D., Program Director,
Combined Internal Medicine/Pediatrics
Residency Program, has been elected to the
Gold Humanism Honor Society, organized
to elevate the values of humanism and
professionalism within the field of medicine.
Through innovative medical education,
the society promotes and affirms more
compassionate medical care and caregivers.
Evening of Hope on March 13 at Laurel
Manor in Livonia.
Director of Neonatal and Perinatal Medicine,
Seetha Shankaran, M.D., has been invited to
serve on the International Editorial Board of
the Journal of Therapeutic Hypothermia.
Ray Novak, Ph.D., professor in the Division
of Pharmacology and Toxicology and
Department of Pediatrics, will serve as the
chair of the Board of Scientific Counselors
for the National Toxicology Program of the
National Institutes of Enviromental Health
Sciences for 2010.
Stephen Knazik, D.O., M.B.A.,
Medical Director and Chief, Pediatric
Emergency Medicine of the Children’s
Hospital of Michigan and Wayne State
University was been appointed by Dr. Patrick
Gallagher, Deputy Director of the Commerce
Department’s National Institute of Standards
and Technology (NIST) to the 2009 Board of
Examiners for the Malcolm Baldrige National
Quality Award. The award, created by public
law in 1987, is the highest level of national
recognition for performance excellence that a
U.S. organization can receive. As an examiner,
Dr. Knazik’s responsibility is to review and
evaluate applications submitted for the award.
The board is composed of approximately
500 leading experts selected from industry,
professional and trade organizations,
education and health care organizations and
government.
Lukemia Research Life honored Pediatric
Oncologist Jeffrey Taub, M.D., at its Annual
President of the Children’s Hospital of
Michigan, Dr. Herman Gray, announced
that on March 1, Srinivanasan Suresh,
M.D., M.B.A., was to become Chief
Do you see yourself as an advocate for the
specialty of pediatrics?
Absolutely. Every child should have the
opportunity to see a pediatrician. Children
— especially infants — need to have
the best possible care. And that sort of
specialized care comes from pediatricians.
should say that. But we really try to put it
into practice every day. Our patients are
always our number one priority. Always.
Over the years we’ve had some doctors join
our practice who didn’t always act that way
and, consequently, they weren’t with us very
long.
How would you describe your practice?
We’re a large, busy practice — probably
one of the busiest in southeast Michigan.
We have seven doctors and two locations.
Our Troy location sees between 90 and
150 patients a day. In Shelby Township,
we see about 35 to 50 patients a day. But
size doesn’t really tell our story. First and
foremost, we’re a patient-centered practice.
That’s not unique to us; every physician
Can you share examples of ways you put
patients first?
If we see a patient on a Tuesday, one of
the doctors might pick up the phone on
Wednesday and call to see how they’re
doing. Of course, our office staff calls with
lab reports. But sometimes a physician
will make the call to answer questions.
And when we refer a patient to a specialist,
very often we’ll call the specialist ourselves
Medical Information Officer (CMIO)
at Children’s Hospital of Michigan. On
staff at Children’s since 1996, Dr. Suresh
is currently an attending physician in the
hospital’s emergency department. Dr. Suresh
completed his pediatric residency and
pediatric emergency medicine fellowhip at
the Children’s Hospital of Michigan and has
served as the director of Pediatric Emergency
Medicine Education. He was also associate
director of the Pediatric Residency Program, a
role he stepped down from to assume his new
responsibilities.
Harry T. Chugani, M.D.,
chief of the Division of
Pediatric Neurology, and
director of the Positron
Emission Tomography
Center for the Wayne
State University School of
Medicine and Children’s
Hospital of Michigan, has been elected
to a four year term as president of the
International Child Neurology Association
(ICNA), a society that helps educate pediatric
neurologists around the world, especially
those in less advanced countries. Dr. Chugani
will be sworn into office in May during the
group’s scientific meeting in Cairo, Egypt.
He has been a member of the ICNA for
15 years and has served on the association’s
executive board for the last four years.“It’s very
gratifying to be elected by one’s peers around
the world,” Dr. Chugani said. The ICNA is
a non-profit association of child neurologists
and allied professionals doing scientific
research in the field of child neurology.
to make sure everything goes well for the
patient.
Why do you refer patients to the Children’s
Hospital of Michigan?
Children’s Hospital is a unique institution
in Michigan. We have a growing number
of pediatric specialists here in Oakland
County, but years ago there weren’t many
out here. So we’d always refer to Children’s
Hospital. Today we still refer to Children’s
for specialty care like pediatric nephrology.
Just for Doctors – April, 2010 11
Events & Happenings
Children’s Hospital of Michigan
Saturday CME Lecture Series
in Pediatric Medicine
Date: Time: Location: Grand Rounds Schedule
April 2
TBD
Bassel Salman, M.D.
Hospitalist, Children’s Hospital of Michigan
April 9
Ancient Chinese Medicine
D. L. Boros, Ph.D
Department of Immunology and
Microbiology, Wayne State University
School of Medicine
April 16
Children’s Hospital of Michigan
Family Centered Care
A Children’s Hospital of Michigan patient
and her mom
April 23
Renal Bone Diseases:
New Concepts
Isidro Salusky, MD
Pediatric Nephrology
UCLA Health System
April 30
Gilbert’s Syndrome: Good, Bad &
Inconsequential
Y. Ravindranath, MBBS Co-Director,
Hematology and Oncology, Children’s
Hospital of Michigan
Visit www.childrensdmc.org/cme for
additional grand rounds offerings.
Get this newsletter via e-mail.
If you would like to receive our Just for Doctors newsletter via e-mail, please
send your e-mail address to Janet Houghan via e-mail at [email protected].
The next edition will be sent to you electronically.
Cost: Saturday, April 24, 2010
8am - 12 noon
Birmingham Conference
Center
Free (preregistration is required)
For additional information visit
www.childrensdmc.org/cme or call Janet Houghan
at (313) 745-5464 or at [email protected]
This activity has been approved for AMA PRA Category 1 Credit(s)™.
Children’s Hospital of Michigan
53rd Annual Clinic Days
Alumni Association Dinner & Awards Presentation
– May 20, 2010
Clinic Days Scientific Program – May 21 & 22, 2010
Topics Include: Abdominal Pains, Autism,
Cleft Lip & Cleft Palate, Short Stature, Constipation,
ADHD, Obesity, Evaluating a Child with a Limp,
Transitioning from Pediatric to Adult Medical Care,
Separating Conjoined Twins
Location: Westin Book Cadillac Detroit
Cost: $50 CHM Alumni Dinner & Awards Presentation
$100 Clinic Days Scientific Program
To download a copy of the brochure or to register
visit www.childrensdmc.org/clinicdays.
For additional information, contact Ivy Barber at
(313) 745-4857
This activity has been approved for AMA PRA Category 1 Credit(s)™.
April 2010
Children’s Hospital of Michigan
3901 Beaubien Boulevard
Detroit, MI 48201-2196
DETROIT MEDICAL CENTER
Where all we know and everything we do is
just for them.
CHILDREN’S HOSPITALS
Recognized by U.S.News & World Report as
one of America’s best children ‘s hospitals for
treatment of cancer, heart, neurological and
neurosurgery and urological conditions.
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