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News
BEAUMONT
For physicians and office managers
Beaumont’s liver transplant program earns
Medicare approval
JULY • AUGUST 2012
IN THIS ISSUE
Beaumont expands bariatric
and weight loss program
Beaumont Lab offers test to
predict patient response to
Clopidogrel drug treatment
Coming soon to a
smartphone near you
Beaumont Children’s Hospital
opens state’s first hospital-based
anti-bullying program
Beaumont Health System’s liver transplantation program received approval from the
Centers for Medicare and Medicaid Services. This approval comes less than two years
after surgeons performed their first liver transplant.
Explains Alan Koffron, M.D., chair of Surgery, Beaumont Health System and director,
Multi-Organ Transplantation, “This is monumental for our institution. Only a handful
of centers have achieved Medicare approval since the mid-1990s. CMS standards are high,
as they have become the benchmark for all other insurance companies when it comes to
reimbursement. This is the final seal of approval.”
Beaumont received initial approval for a liver transplant program in October 2007
from the Michigan Department of Community Health’s Certificate of Need Commission.
In 2008, Beaumont hired and appointed Dr. Koffron to head up Multi-Organ
Transplantation. Dr. Koffron recruited a transplant surgeon from Georgetown University
continued on page 2
News
BEAUMONT
Beaumont’s liver
transplant program
earns Medicare
approval continued from page 1
Hospital, Vandad Raofi, M.D.;
and two liver specialists from the
University of Alabama, Mohamad
Al Sibae, M.D.; and the University
of Arkansas, Wael Refai, M.D. The
team performed its first liver
transplant in August of 2010.
Beaumont expands bariatric and weight loss
program in Rochester Hills
Beaumont Health System opened a second Weight Control Center to provide
medical weight loss and bariatric surgery options for overweight and obese people.
The center is located in the Beaumont Health & Wellness Center at 1555 East
South Blvd. in Rochester Hills.
“Our new location will
provide residents of
north Oakland and
Macomb counties
with medical and
surgical options for
weight loss that is close
to home,” says Wendy
Miller, M.D., director
of Beaumont’s Weight
Control Center in
Royal Oak and
Rochester Hills.
Liver transplants are unique because
the liver is the only organ in the
body that can regenerate itself.
Surgeons can transplant 50 to
60 percent of a donor liver and it
will grow to 70 percent of its size
within two weeks.
One in 10 Americans has been
affected by liver disease. In 2011,
6,342 liver transplants were
performed in the United States, 186
of those in Michigan. Nationwide
about 16,089 Americans are waiting
for a liver transplant. That total
includes 357 Michigan residents.
Beaumont’s Multi-Organ
Transplantation program performed
16 liver and 52 kidney transplants
in 2011.
Beaumont’s Weight
Control Center is led
by a team of medical,
surgical, behavioral, nutrition and exercise experts to provide weight loss solutions,
support, cooking and nutrition classes. The center offers individualized, medically
supervised weight-loss options, as well as a Bariatric Surgery Support Program,
which provides multidisciplinary education and support for surgery patients who
have Lap-Band®, gastric bypass and gastric sleeve procedures at Beaumont
Hospital, Troy.
The new Weight Control Center also features a store
where patients can purchase health suppliments.
“Nearly seven in 10 adults in Michigan are either overweight or obese,” says
Dr. Miller. “It’s important for people to understand that very serious health
conditions, such as type 2 diabetes and heart disease, are linked to obesity and can
be prevented.”
Studies report people who are most successful at losing weight – and keeping it off –
rely on a team of professionals who offer medically supervised weight loss solutions
and help.
If your patients are interested in seeing a complete list of the weight loss or
bariatric seminars in Rochester Hills or Royal Oak, visit classes.beaumont.edu or
call 888-899-4600.
2
Beaumont Lab offers test to predict patient
response to Clopidogrel drug treatment
Heart disease is the leading cause of death
among men and women, with someone in
the United States having a heart attack
every 34 seconds, as reported by the
Centers for Disease Control and
Prevention. With these statistics, Beaumont
Laboratory launched a molecular test to
detect genetic variants of the CYP2C19
gene, which encodes a drug-metabolizing
enzyme. This test determines the patient’s
genotype and the corresponding metabolizer status and allows individualized
therapy for Clopidogrel (Plavix).
Plavix is one of the most commonly
prescribed cardiovascular medications in
the world. Approximately 40 million
patients worldwide are treated with Plavix,
with 3 to 5 million new prescriptions
written yearly.
Plavix at recommended doses exhibit
higher cardiovascular event rates following
acute coronary syndrome (ACS) or
percutaneous coronary intervention (PCI)
than patients with normal CYP2C19
function. Tests are available to identify a
patient’s CYP2C19 genotype and can be
used as an aid in determining therapeutic
strategy. Consider alternative treatment or
treatment strategies in patients identified
as CYP2C19 poor metabolizers.”
According to Domnita Crisan, M.D.,
Ph.D., Beaumont Laboratory medical
director of Molecular Pathology, “The
utility of this test is providing the genomic
information that allows individualization
of the patient’s Clopidogrel therapy, an
important component of patient-centered,
personalized medicine.”
The genotyping test identifies multiple
variants of the CYP2C19 gene and allows
classification of patients as:
• extensive (normal) metabolizers, who
will have the maximum benefit of
standard Clopidogrel therapy
• poor or intermediate metabolizers of
Clopidogrel, who exhibit resistance to
the drug and will require alternative
therapies or higher doses, respectively
• ultra-rapid metabolizers, who have an
enhanced response to Clopidogrel and
increased risk of bleeding
In March 2010, the Food and Drug
Administration issued a box warning:
“Effectiveness of Plavix depends on
activation to active metabolite by cytochrome P450 (CYP) system, principally
CYP2C19. Poor metabolizers treated with
3
“The utility of this test
is providing the genomic
information that allows
individualization of the
patient’s Clopidogrel therapy,
an important component
of patient-centered,
personalized medicine.”
– Domnita Crisan, M.D., Ph.D. News
BEAUMONT
Coming soon to a smartphone near you – pages
Amcom Mobile
Connect enables users
not only to receive
messages, but also
to acknowledge that
messages are received
and to send response
messages back.
If you’re tired of carrying around a Beaumont pager, or would like to be able to receive
pages from Beaumont without using another device, we have some good news for you.
In early August, Beaumont will roll out an application for mobile devices that makes it
possible to receive pages on a smartphone, replacing the pager. Developed and supported
by Beaumont paging vendor Amcom Software, the application will be available for
iPhone, Android and BlackBerry.
Amcom Mobile Connect enables users not only to receive messages, but also to
acknowledge that messages are received and to send response messages back. You
can respond to a message either with a predefined set of answers or free-form
text, so you can respond quickly with your availability and also provide
important information and instruction.
The application securely handles electronic protected health information in
accordance with guidelines from HIPAA and the HITECH Act. This
contrasts with texting (SMS) messages, which cannot be traced or
encrypted. In November 2011, the Joint Commission stated that
texting orders is not acceptable.
As part of the application launch, Beaumont’s IT Communications
department will provide information and support for installing and configuring the
application. Watch your Beaumont email and the Beaumont Doctor Online website for
more information.
Beaumont one of U.S. News & World Report’s “Best Hospitals”
for 18th year in a row
Beaumont Hospital, Royal Oak once again ranks among the
nation’s “Best Hospitals” in the 23rd annual rankings by
U.S. News & World Report. It’s the 18th consecutive year that
Beaumont, Royal Oak has been nationally ranked by USNWR.
Beaumont, Royal Oak earned a “high-performing” ranking in
Cancer and Gynecology – and is ranked #2 in Michigan and #2
in Metro Detroit in the USNWR state and regional rankings.
Beaumont Hospital, Troy earned a “high-performing” ranking
in 11 medical specialties (Cancer, Diabetes & Endocrinology,
Ear, Nose and Throat, Gastroenterology, Geriatrics, Gynecology,
Nephrology, Neurology & Neurosurgery, Orthopedics,
Pulmonology and Urology). It ranked #6 in Michigan and
#5 in Metro Detroit.
Beaumont, Royal Oak is nationally ranked in 10 medical
specialties in the 2012-13 lists released July 17:
Cardiology & Heart Surgery - #38
Diabetes & Endocrinology - #30
Ear, Nose & Throat - #23
Gastroenterology - #36
Geriatrics - #45
Nephrology - #48
Neurology & Neurosurgery - #37
Orthopedics - #19
Pulmonology - #23
Urology - #35
Beaumont Hospital, Grosse Pointe earned a “high-performing”
ranking in six medical specialties (Gastroenterology, Geriatrics,
Nephrology, Neurology & Neurosurgery, Orthopedics and
Pulmonology). It ranked #19 in Michigan and #15 in Metro Detroit.
• 14
Graduate Medical Education program awarded
maximum re-accreditation, commendations
Beaumont received excellent news on the outcome of its
Institutional Review & Site Visit by the Accreditation Council for
Graduate Medical Education. The ACGME is the organization that
accredits all residency and fellowship programs in the United States.
“I am very pleased that we were fully re-accredited for the
maximum five years, with zero citations, and with two
Jeffrey Devries, M.D., commendations,” says Jeffrey Devries, M.D., M.P.H., director of
M.P.H
Graduate Medical Education. According to the ACGME’s letter,
“The Review Committee commended the institution for its demonstrated substantial
compliance with the ACGME’s Institutional Requirements without citations… The
Institutional Review Committee commends the Sponsoring Institution for frequently
exceeding the expectations outlined in the Institutional Requirements.”
While Beaumont’s GME program has consistently earned the maximum five-year
accreditations, receiving zero citations and two commendations is unprecedented for
Beaumont in at least the past 12 years that are listed on the ACGME’s website. “This
outstanding result represents a national level, peer-reviewed validation of the high quality
of our 37 ACGME-accredited residency and fellowship programs,” says Dr. Devries.
“The educational strength and vitality of the institution reflects the substantial value of
each of our programs. This is a victory for everyone who contributes to the high quality
of our educational endeavor.”
Beaumont seeking volunteers for prostate treatment study
Trial to study effectiveness of shortened
radiation therapy technique
Investigators at Beaumont Hospital, Royal Oak are seeking volunteers with prostate cancer
for a research trial that uses state-of-the-art stereotactic radiosurgical techniques to reduce
treatment from eight and a half weeks to two weeks.
“The standard for men with localized prostate cancer is 42 to 44 treatments over two
months,” says Daniel Krauss, M.D., principal investigator and radiation oncologist. “By
shortening the length of the treatment course, we hope to reduce costs and make it more
convenient for patients, without compromising the treatment quality or safety.”
To be eligible for the study, individuals must:
• have biopsy-proven prostate cancer
• be able to have an MRI
For more information regarding the study or eligibility, call 248-551-3576.
5
Welcome to
the Beaumont
medical staff
Grosse Pointe
Hisanori Hasegawa, M.D.
Neurology
Sindhu Koshy, M.D.
Cardiovascular Disease
Royal Oak
Samuel Bauer, M.D.
Maternal Fetal Medicine
Daniel Briskie, D.D.S.
Oral/Maxillofacial-Dentist
Denise Lee, D.O.
Internal Medicine
Alina Stevenson, Psy.D.
Anesthesiologic/Peri-Oper
Christopher Tisdel, M.D.
Orthopaedic Surgery
Troy
Samuel Bauer, M.D.
Maternal Fetal Medicine
Jennifer Caudill, M.D.
Dermatology
Kerry Lee Kole, D.O.
General Surgery
Denise Lee, D.O.
Internal Medicine
Alina Stevenson, Psy.D.
Anesthesiologic/Peri-Oper
News
BEAUMONT
Beaumont Children’s Hospital opens state’s first hospital-based
anti-bullying program
Beaumont Children’s Hospital launched
Michigan’s first hospital-based, antibullying program to raise awareness,
provide supportive counseling and develop
research-based bullying programs.
Based at Beaumont Children’s Hospital,
the No Bullying Live Empowered, or
NoBLE program, offers individual and
group psychoeducational services for
bullying victims, witnesses, perpetrators
and their families, and a bullying crisis
hotline operated by Common Ground.
It serves as a resource and referral center
for schools, health care providers and
individual families throughout the
community.
“Bullying is a growing problem with
significant, long-term mental health
consequences for victims, bullies and
witnesses,” says Marlene Seltzer, M.D.,
medical director of the NoBLE
program. “It crosses all socio-economic
classes, races and age groups. It’s estimated
that about 10 percent of children in the
United States are bullied, with 80 to
90 percent of preadolescents facing ongoing
psychological and physical harassment at
some point in their school lives.”
Bullying may affect physical as well as
mental health, producing symptoms such
as stomachaches, headaches, dizziness,
bed-wetting, depression, anxiety, low
self-esteem, eating disorders and
substance abuse.
A Michigan Department of Education
report indicates that there were more than
34,000 bullying incidents in the state
during the 2010-2011 school year,
including 8,211 in Wayne, Oakland and
Macomb counties. Dr. Seltzer believes
the real numbers are higher because
bullying is underreported due to fear
and social stigma.
6
Through the program, Dr. Seltzer and
social work professionals provide
confidential services for children,
adolescents and young adults who have
been exposed to bullying, and their families
or caregivers.
Program staff members work
collaboratively with schools, educators,
other health providers and local mental
health organizations, such as Common
Ground, on identifying needs and creating
programs to meet those needs.
“Our goal is for NoBLE to become the
safety net that links health care providers,
educators, children and families to
resources at Beaumont and other
organizations for bullying victims,” explains
Dr. Seltzer.
Although many schools have bullying
prevention policies in place, they do not
always have the resources to provide
ongoing support, counseling or
behavioral health services for
students who are bullied or
who bully, or for witnesses.
NoBLE will also create educational
material and develop programs to help
give family members and caregivers the
skills to address and support youth
affected by bullying.
Located in the Medical Office Building at
Beaumont, Royal Oak, you can find out
more about the NoBLE program, or
schedule an appointment, by calling
248-898-9951, or visit www.beaumont.
urnoble.
Bullying victims, witnesses and families
will have 24/7 access to support through a
bullying hotline, operated by Common
Ground, a nonprofit crisis intervention
agency dedicated to helping youths, adults
and families move from crisis to hope.
Through the hotline 855-URNOBLE,
Common Ground offers confidential crisis
intervention, debriefing, information
and referrals.
Help will also be available through
Common Ground’s Online Crisis Chat,
a free, confidential online service. Online
Crisis Chat is available Monday through
Friday, 4 -10 p.m. by visiting www.
commongroundhelps.org and clicking
on the “online chat services” button.
Beaumont achieves gold status for
flu vaccinations
Beaumont Health System was recognized by the Joint Commission
Resources and the Flu Vaccination Challenge Team for achieving the Gold
Level award in the 2011-2012 Flu Vaccination Challenge. The Gold Level
certificate is awarded to organizations that achieved a 95 percent or above
level of compliance with vaccination of their employees and staff.
“This is fantastic recognition
for the Beaumont team,” says
Jeffrey Band, M.D., health
system chair, Epidemiology.
“It shows how dedicated we
are to the safety of our
patients, our family and
ourselves. Vaccinating against
influenza is one of the easiest ways we can help prevent the spread
of this disease.”
Beaumont’s Occupational Health team coordinates the system’s flu shot
initiatives, including vaccination clinics, and is responsible for achieving
this recognition.
Updates from the Physician Liaisons
Practice Administrator Councils
The next Practice Administrator Council meetings will take place in the
fall. Meetings will be set up for each Beaumont hospital, and practice
administrators will be invited based on their physicians’ hospital affiliation.
Be on the lookout for dates, times and locations soon. For more
information, contact your physician liaison or Kate Anderson, manager,
Physician Liaison Program at 248-850-0418.
oneChart EMR
As a part of the American Reinvestment and Recovery Act of 2009,
federal stimulus money is available to physicians who adopt an electronic
medical records system. It’s not too late to go after that money – the
oneChart (Epic) EMR is still available for implementation in your office.
Contact your physician liaison to schedule your overview and demo.
7
News
BEAUMONT
Beaumont Hospital, Royal Oak
3601 West 13 Mile Road
Royal Oak, Michigan 48073-6769
News
BEAUMONT
Family Birth Center renovations complete at Beaumont, Royal Oak
Beaumont Health System completed renovations of 20 labor
and delivery rooms in its Family Birth Center at Beaumont
Hospital, Royal Oak. Expecting parents stay in birthing
rooms complete with cozy furniture, sleeper sofas and
bathrooms with spa-like amenities.
“While we continue to offer the same high-quality
obstetrical care to expecting mothers, each of the labor
and delivery rooms was redesigned and updated to provide
our patients a comfortable environment that is extremely
relaxing and calming,” says Anne Ronk, director of nursing,
Beaumont, Royal Oak.
The private patient birthing rooms include a docking
station for portable media players, flat-screen televisions,
refrigerators and blanket warmers. Renovations include
noise-reducing flooring, warm design finishes, soothing wall
colors and artwork to provide a restful environment.
To support the hospital’s ongoing eco-friendly initiatives,
patient and family waiting areas of the Family Birth Center
used Michigan-made and locally sourced materials.
Beaumont’s comprehensive obstetric offerings span the
pregnancy and childbirth experience from preconception care
to parenting classes, from low-risk to high-risk deliveries.
Offerings include:
• advanced medical care from leading obstetricians, gynecologists,
pediatricians and neonatologists
• pediatric care, special care nursery and neonatal intensive care
unit for premature and critically ill newborns
• prenatal services including a Reproductive Genetics Program,
Comprehensive High Risk Pregnancy Program, ultrasound and
advanced fetal imaging and community classes
• post-natal care, Breastfeeding and Lactation Support Service and
an award-winning Parenting Program