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Winter 2012 - Henry Ford Health System

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<strong>Winter</strong> <strong>2012</strong><br />

Vol. 26, No. 1<br />

For members of the <strong>Henry</strong> <strong>Ford</strong> Medical Association,<br />

<strong>Henry</strong> <strong>Ford</strong> Physicians, Residents and Alumni<br />

Message from the President<br />

Since the doors<br />

opened at <strong>Henry</strong><br />

<strong>Ford</strong> Hospital in<br />

1915, the flagship<br />

hospital has been<br />

an academic center<br />

for education and<br />

research. <strong>Henry</strong><br />

<strong>Ford</strong> is one of the<br />

nation’s largest Lawrence Mitchell, M.D.<br />

non-universitybased<br />

research<br />

centers, receiving more than $50 million<br />

in funding annually from the National<br />

Institutes of <strong>Health</strong> and other sources.<br />

Additionally, as one of the largest medical<br />

education teaching centers in the nation,<br />

<strong>Henry</strong> <strong>Ford</strong> trains more than 1,600<br />

doctors every year. This commitment<br />

to research and education has earned<br />

<strong>Henry</strong> <strong>Ford</strong> Hospital and <strong>Henry</strong> <strong>Ford</strong><br />

Medical Group a national reputation<br />

for excellence. (Read more about <strong>Henry</strong><br />

<strong>Ford</strong>’s Medical Education program on<br />

Page 2.)<br />

Philanthropic support is instrumental<br />

to our ability to stay at the forefront<br />

of medical education and advanced<br />

technology. Through an endowment<br />

fund, the <strong>Henry</strong> <strong>Ford</strong> Medical Association<br />

supports various medical education<br />

endeavors, including the Frank J. Sladen<br />

Library, which serves the information<br />

What’s Inside<br />

Continued on Page 5<br />

Medical Education at <strong>Henry</strong> <strong>Ford</strong> - Page 2<br />

Transradial Cardiac Catheterization - Page 3<br />

In Memoriam – Page 4<br />

HFMG People – Page 5<br />

Innovation Institute - Page 6<br />

HFHS receives Baldrige Award – Page 6<br />

Alumni Notes - Page 8<br />

At every stage – The newly expanded<br />

Women’s <strong>Health</strong> Services<br />

<strong>Henry</strong> <strong>Ford</strong> Department of Women’s<br />

<strong>Health</strong> Services has always had a strong<br />

history of providing high-quality, patientcentered<br />

care designed especially to<br />

meet women’s needs, from puberty to<br />

menopause and beyond.<br />

In recent years, as part of <strong>Henry</strong> <strong>Ford</strong>’s<br />

commitment to provide comprehensive<br />

women’s health services and the most<br />

advanced care, the department has<br />

undergone a major transformation<br />

– expanding to better serve the<br />

community’s needs. This has made it one<br />

of the area’s largest programs.<br />

The obstetrics and gynecology medical<br />

providers at <strong>Henry</strong> <strong>Ford</strong> <strong>Health</strong> <strong>System</strong><br />

offer a comprehensive range of care<br />

– from providing the latest screening<br />

exams and treating the most complex<br />

gynecological disorders to delivering<br />

more than 7,000 babies each year.<br />

“Throughout our health system, we now<br />

have a strong presence of women’s health<br />

services and a large group of excellent<br />

general obstetrics and gynecology<br />

physicians,” says Adnan Munkarah, M.D.,<br />

chair of Women’s <strong>Health</strong> at <strong>Henry</strong> <strong>Ford</strong><br />

<strong>Health</strong> <strong>System</strong>. “In addition, we have<br />

complemented this care with experts<br />

in all of the major subspecialties in<br />

obstetrics and gynecology.”<br />

Women’s <strong>Health</strong> Services has one of the<br />

larger surgical programs in the region<br />

for gynecologic oncology. Along with<br />

Dr. Munkarah, the department has three<br />

surgeons who are trained to provide the<br />

highest-quality care for women with<br />

cancers of the ovary, uterus, cervix or any<br />

other type of gynecologic malignancy.<br />

Collaboration is a key element of the<br />

department, something that is especially<br />

important when it comes to cancer<br />

Continued on Page 7<br />

The Department of Women’s <strong>Health</strong>, led by Adnan Munkarah, M.D., uses advanced<br />

imaging techniques to diagnose and treat women with gynecologic cancers.


Medical Education at <strong>Henry</strong> <strong>Ford</strong><br />

2<br />

As one of the largest medical<br />

education teaching centers in<br />

the nation, <strong>Henry</strong> <strong>Ford</strong> <strong>Health</strong><br />

<strong>System</strong> trains more than 1,600<br />

doctors every year. A Rounds<br />

editor recently sat down with Eric<br />

Scher, M.D., the outgoing director<br />

of <strong>Henry</strong> <strong>Ford</strong> Hospital’s Graduate<br />

Medical Education programs,<br />

to discuss the programs, how<br />

medical education has changed<br />

and where it is headed – as he<br />

transitions to his new role as<br />

chair of Internal Medicine for the<br />

<strong>Henry</strong> <strong>Ford</strong> Medical Group. Since<br />

2007, Dr. Scher has directed all of<br />

the medical education activities<br />

at <strong>Henry</strong> <strong>Ford</strong> Hospital, which<br />

are among the largest in the<br />

nation. He also was responsible<br />

for the education programs in the<br />

suburban hospitals, which together<br />

comprise the largest osteopathic<br />

educational enterprise in the<br />

country. Dr. Scher will continue<br />

in his role as vice president of<br />

Medical Education for <strong>Henry</strong> <strong>Ford</strong><br />

<strong>Health</strong> <strong>System</strong>.<br />

Rounds: What lessons have<br />

you learned during your time<br />

overseeing medical education at<br />

<strong>Henry</strong> <strong>Ford</strong>?<br />

Dr. Scher: I’ve had a long history<br />

with education at <strong>Henry</strong> <strong>Ford</strong><br />

Hospital, beginning with my own<br />

undergraduate medical education<br />

in 1982. What I’ve learned over<br />

the years is that trainees are an<br />

integral part of our health care<br />

workforce. Training the physicians<br />

of the future is a rewarding<br />

endeavor, and creating a climate of<br />

inquiry is one of the best ways for<br />

an institution to stay on the cutting<br />

edge. Our trainees are a valuable<br />

resource and we couldn’t do what<br />

we do without them.<br />

Rounds: How has medical<br />

education changed in the U.S. and<br />

where do you see it going?<br />

Dr. Scher: The system as a whole<br />

has become more process- and<br />

outcome-oriented. Accreditation<br />

agencies, government and society<br />

in general have come to expect<br />

more from the medical education<br />

community. Regulations and<br />

curricular requirements have<br />

become much more burdensome,<br />

something that is likely to<br />

continue. It can be overwhelming<br />

for trainees as well as educators,<br />

and we worry these hassles may<br />

outweigh the reward for some –<br />

which in turn could threaten the<br />

quality of the training.<br />

Personal priorities have also<br />

evolved over time. Students today<br />

are much more interested in worklife<br />

balance and less willing to<br />

work the long hours traditionally<br />

associated with training.<br />

I believe that medical education is<br />

evolving into a competency-based<br />

system and students and residents<br />

will be judged more on training<br />

milestones than time-based factors.<br />

We will see more of a focus on the<br />

individual rather than the program.<br />

So it’s a question of dealing<br />

with these challenges, meeting<br />

expectations and helping students,<br />

residents and society understand<br />

that medicine is a calling that<br />

requires rigorous training and selfsacrifice.<br />

Rounds: How does <strong>Henry</strong> <strong>Ford</strong>’s<br />

program stand up against our<br />

competitors?<br />

Dr. Scher: If you look at quality<br />

metrics, <strong>Henry</strong> <strong>Ford</strong> stands up very<br />

well. The quality of our applicants<br />

is very high, as is the quality of<br />

the 46 residency and fellowship<br />

programs sponsored by <strong>Henry</strong> <strong>Ford</strong><br />

Hospital. We have more than 600<br />

medical students, 500 residents<br />

and 150 fellows each year,<br />

and when you count our allied<br />

health programs, we have several<br />

thousand learners at any one time.<br />

Eric Scher, M.D.<br />

Rounds: What is the relationship<br />

between <strong>Henry</strong> <strong>Ford</strong> Hospital and<br />

Wayne State University Medical<br />

School?<br />

Dr. Scher: It’s a strong<br />

relationship. We have been<br />

working with Wayne State for<br />

about three and a half years,<br />

and one-third of their students<br />

are trained at <strong>Henry</strong> <strong>Ford</strong>. We<br />

work together on curriculum<br />

development for their medical<br />

students, and we collaborate<br />

together on research. I think<br />

it’s important that <strong>Henry</strong> <strong>Ford</strong> is<br />

viewed as a university-affiliated<br />

institution. This will be our legacy<br />

for the next 100 years, and this<br />

relationship will allow us to go to<br />

the next level.<br />

Rounds: What will you miss<br />

most about running the medical<br />

education programs?<br />

Dr. Scher: I’ll definitely miss the<br />

operational, hands-on part of this<br />

and the close interaction with my<br />

colleagues. Medical education will<br />

always be my first love. ●<br />

For more information about<br />

medical education at <strong>Henry</strong> <strong>Ford</strong>,<br />

visit henryford.com/MedEd


Transradial cardiac catheterization technique<br />

shortens recovery time<br />

Interventional cardiologists at <strong>Henry</strong><br />

<strong>Ford</strong> Hospital are using a new<br />

technique for performing cardiac<br />

catheterization that causes less<br />

bleeding and shortens the recovery<br />

time for patients than the traditional<br />

method.<br />

The technique involves using the<br />

radial artery in the wrist to gain<br />

access to the heart. Traditionally,<br />

doctors go through the patient’s<br />

femoral artery in the groin.<br />

While most U.S. doctors use the<br />

femoral artery technique, the radial<br />

artery technique is slowly gaining<br />

acceptance because of its safety and<br />

patient convenience advantages.<br />

<strong>Henry</strong> <strong>Ford</strong> is leading the way in<br />

the metro Detroit area using the<br />

technique called transradial cardiac<br />

catheterization.<br />

“It’s less invasive for patients<br />

and it’s more convenient,” says<br />

Akshay Khandelwal, M.D., an<br />

interventional cardiologist at <strong>Henry</strong><br />

<strong>Ford</strong> who performs 70 percent of his<br />

catheterization procedures through<br />

the wrist.<br />

Dr. Khandelwal says the technique<br />

decreases the risk of bleeding and<br />

recovery is more comfortable.<br />

Afterward, patients sit up immediately<br />

Akshay Khandelwal, M.D. (center) performing transradial cardiac<br />

catheterization at <strong>Henry</strong> <strong>Ford</strong> Hospital.<br />

and rest in an armchair, while<br />

keeping their wrist straight for a<br />

few hours. With the femoral artery,<br />

or transfemoral, technique, patients<br />

often have to lie on their back in<br />

a hospital stretcher for six to eight<br />

hours – an uncomfortable prospect<br />

for patients with back, arthritic and<br />

obesity problems. Transradial cardiac<br />

catheterizations also benefit patients<br />

with peripheral vascular disease or<br />

those with a higher risk of bleeding.<br />

Patients usually go home the same<br />

day and can return to normal<br />

activities within a few days.<br />

“We’ve had very good success with<br />

the transradial technique, and our<br />

patients love it. It’s safer than the<br />

traditional technique and shortens the<br />

recovery time, and that leads to lower<br />

health care costs.”<br />

Dr. Khandelwal says most procedures<br />

that are performed using the<br />

transfemoral technique also can<br />

be performed using the transradial<br />

approach. ●<br />

To refer a patient or to consult with a<br />

physician, call 1-877-434-7470.<br />

Transradial Access Training<br />

Sign up for a free, two-day training course led by Akshay<br />

Khandelwal, M.D., a <strong>Henry</strong> <strong>Ford</strong> Medical Group interventional<br />

cardiologist. Day one includes a didactic presentation and<br />

dinner at Andiamo – Detroit Riverfront. Day two offers<br />

a hands-on procedural training at <strong>Henry</strong> <strong>Ford</strong> Hospital’s<br />

Catheterization Lab. Participants will perform transradial<br />

access and cardiac catheter manipulation under the guidance<br />

of an experienced transradial operator.<br />

Course dates:<br />

Feb. 9-10, <strong>2012</strong><br />

March 8-9, <strong>2012</strong><br />

May 3-4, <strong>2012</strong><br />

For more information or to register, contact Cari Linehan at (917) 549-9288<br />

or via email at cari.linehan@terumomedical.com.<br />

3


Michael F.<br />

Boyle, III,<br />

M.D., recently<br />

retired medical<br />

director of<br />

<strong>Henry</strong> <strong>Ford</strong><br />

<strong>Health</strong> <strong>System</strong>’s<br />

Maplegrove<br />

Center, passed<br />

away Nov. 12, 2011 following<br />

a two-year battle with cancer.<br />

Dr. Boyle was a graduate of the<br />

Philadelphia College of Osteopathic<br />

Medicine, where he finished in the<br />

top 10 in his class. He subsequently<br />

completed his residency in Internal<br />

Medicine at Detroit Osteopathic &<br />

Bi-County Community Hospital,<br />

where he later served as the<br />

hospital’s chair of Internal Medicine<br />

(1973-74); vice chief of staff (1983-<br />

84); associate director of Medical<br />

Education (1984); and director<br />

of Internal Medicine’s primary<br />

care residency training program<br />

(1981-86). In 1984, Dr. Boyle was<br />

recruited to <strong>Henry</strong> <strong>Ford</strong> <strong>Health</strong><br />

<strong>System</strong>, where he served for 27<br />

years as division head and medical<br />

director of Chemical Dependency<br />

Programs at Maplegrove Center<br />

in West Bloomfield. Dr. Boyle<br />

dedicated the majority of his career<br />

to the field of addiction medicine,<br />

chairing numerous committees at<br />

<strong>Henry</strong> <strong>Ford</strong> on impaired physicians<br />

and health care professionals. He<br />

also consulted on the topic for the<br />

National Football League and the<br />

National Basketball Association,<br />

and was director of the employee<br />

assistance program for the Detroit<br />

Tigers. Year after year, he was<br />

recognized as a “Top Doc” in<br />

Addiction Medicine by HOUR<br />

Detroit magazine. Dr. Boyle was<br />

a fellow in the American College<br />

of Osteopathic Internists and the<br />

IN MEMORIAM<br />

American Society of Addiction<br />

Medicine. For 30 years, he served<br />

as clinical associate professor at<br />

Michigan State University’s College<br />

of Osteopathic Medicine. Dr. Boyle<br />

also was active in the clinical<br />

education of medical students,<br />

interns, residents and physicians’<br />

assistants. Dr. Boyle is survived by<br />

his loving wife of 44 years Gail, his<br />

three sons Patrick (Shannon), John<br />

(Angela), and Daniel (Amy), his sister<br />

Johanna Giasi, and by the tens of<br />

thousands of friends and grateful<br />

patients whose lives he touched<br />

and often quite literally saved. His<br />

colleagues in the medical profession<br />

who had the honor and pleasure to<br />

have worked with him, will continue<br />

to be inspired by his constant<br />

reminder that “patients do not care<br />

what you know, until they know that<br />

you care.”<br />

A. Andrzej<br />

(Andrew)<br />

Endelman, M.D.,<br />

a resident with<br />

the Division of<br />

Gastroenterology<br />

at <strong>Henry</strong><br />

<strong>Ford</strong> Hospital<br />

from 1976-<br />

78, passed away April 27, 2011.<br />

After leaving <strong>Henry</strong> <strong>Ford</strong>, he and<br />

his family returned to Vancouver<br />

where he opened his practice. He<br />

was appointed by the U.B.C. Faculty<br />

of Medicine as clinical instructor,<br />

and later on as assistant clinical<br />

professor and then associate clinical<br />

professor. Dr. Endelman retired from<br />

practice and teaching in 1986. He<br />

is survived by wife Kryatyna and<br />

loving daughter Kathy.<br />

John H. Hageman, M.D., a senior<br />

staff member and peripheral<br />

vascular surgery clinical fellow<br />

with the <strong>Henry</strong> <strong>Ford</strong> Division<br />

of Vascular Surgery at <strong>Henry</strong><br />

<strong>Ford</strong> Hospital from 1968-1984,<br />

passed away March 30, 2011<br />

at the age of 76. In 1984, Dr.<br />

Hageman accepted a position at<br />

Medical College of Ohio (now<br />

known as the University of Toledo<br />

College Of Medicine) as chief of<br />

Peripheral Vascular Surgery in<br />

the Department of Surgery. For<br />

the next 14 years, he held various<br />

leadership positions, including<br />

professor of Clinical Vascular<br />

Surgery and maintained many<br />

professional affiliations. In 2003,<br />

Dr. Hageman became a partner<br />

in private practice and continued<br />

to care for patients until his<br />

retirement at age 73. Dr. Hageman<br />

is survived by his wife, Dr. Patricia<br />

Donahue and his four daughters.<br />

Carl E. Shrontz, M.D., a former<br />

resident in the Department of<br />

Internal Medicine at <strong>Henry</strong> <strong>Ford</strong><br />

Hospital, passed away January<br />

23, 2010 at age 56. After leaving<br />

<strong>Henry</strong> <strong>Ford</strong>, Dr. Shrontz completed<br />

a residency in neurosurgery in<br />

1985 and joined the neurosurgical<br />

practice of Refes, Star, Faulk and<br />

Kubala in Beaumont, Texas. He is<br />

survived by his wife Laurel Barron,<br />

and his daughters.<br />

A memorial donation is a special way to remember a friend or colleague. Making a memorial gift in their<br />

honor can be a wonderful tribute to their life, and may be designated to a specific department or program at<br />

<strong>Henry</strong> <strong>Ford</strong>. For more information, call (313) 876-1031 or visit henryford.com/giving<br />

4


HFMG<br />

PEOPLE<br />

Message from the President<br />

(Continued from Front Page)<br />

Manuel Brown, M.D., chair of<br />

the <strong>Henry</strong> <strong>Ford</strong> Department of<br />

Radiology, was recently elected<br />

president of the American College of<br />

Radiology.<br />

Jan Rival, M.D., staff physician<br />

in the <strong>Henry</strong> <strong>Ford</strong> Department of<br />

Internal Medicine, was recently<br />

honored with a Professional<br />

Achievement Award from the<br />

Wayne County Medical Society of<br />

Southeast Michigan. Dr. Rival is a<br />

Master of the American College of<br />

Physicians and past governor of the<br />

Michigan Chapter. He also served<br />

as past president of the <strong>Henry</strong> <strong>Ford</strong><br />

Medical Association.<br />

Emanuel P. Rivers, M.D., M.P.H.,<br />

vice chairman and research director,<br />

Department of Emergency Medicine,<br />

and attending staff, Emergency<br />

Medicine and Surgical Critical<br />

Care, <strong>Henry</strong> <strong>Ford</strong> Hospital, has<br />

been selected as the recipient of the<br />

Society of Critical Care Medicine’s<br />

<strong>2012</strong> Barry A. Shapiro Memorial<br />

Award for Excellence in Critical<br />

Care Management. This award<br />

recognizes an individual who has<br />

made significant contributions to<br />

the design and/or implementation<br />

of evidence-based practice which<br />

has significantly impacted clinical,<br />

operational, or fiscal outcomes<br />

within their area of responsibility.<br />

Michael Sandler, M.D., specialist<br />

in Strategic Initiatives for <strong>Henry</strong><br />

<strong>Ford</strong> <strong>Health</strong> <strong>System</strong> and past senior<br />

staff radiologist, was awarded the<br />

Michigan Radiological Society<br />

(MRS) Gold Medal Award on Oct. 20,<br />

2011 for his many accomplishments<br />

and contributions made to the MRS<br />

and to the radiology profession as<br />

a whole. The MRS board of trustees<br />

awards the Society’s highest honor,<br />

the MRS Gold Medal, to those<br />

chosen for their distinguished<br />

and extraordinary service to the<br />

Michigan Radiological Society and<br />

to the field of radiology.<br />

Eric Scher, M.D., has been appointed<br />

chair of the Department of Internal<br />

Medicine for the <strong>Henry</strong> <strong>Ford</strong> Medical<br />

Group. Dr. Scher also serves as vice<br />

president of Medical Education for<br />

<strong>Henry</strong> <strong>Ford</strong> <strong>Health</strong> <strong>System</strong>.<br />

Abraham Thomas, M.D., M.P.H., FACP,<br />

head of the <strong>Henry</strong> <strong>Ford</strong> Division of<br />

Endocrinology, Diabetes, Bone and<br />

Mineral Disorders, has been appointed<br />

president-elect of the American<br />

Federation of Medical Research,<br />

formerly known as the American<br />

Federation of Clinical Research. Dr.<br />

Thomas will begin his term in April<br />

<strong>2012</strong>.<br />

Eleanor Walker, M.D., division director<br />

of Breast Services in the Department of<br />

Radiation Oncology at <strong>Henry</strong> <strong>Ford</strong>, was<br />

recognized as an Honoree for her efforts<br />

in research and treatment in her field,<br />

and also for her commitment to raise<br />

community awareness about cancer<br />

at Alpha Kappa Alpha Foundation of<br />

Detroit’s event “That Certain Pink Dress<br />

with a Dashing Blue Tie Affair.”<br />

W. Douglas Weaver, M.D., division head<br />

of Cardiology, <strong>Henry</strong> <strong>Ford</strong> Department<br />

of Internal Medicine, has been chosen<br />

to be a member of the Organizing<br />

Committee for the Physician Payment<br />

and Delivery Reform Leadership Group<br />

(which will now be referred to as<br />

the Committee on Innovation) of the<br />

American Heart Association.<br />

Kathleen L. Yaremchuk, M.D., chair<br />

of the <strong>Henry</strong> <strong>Ford</strong> Department of<br />

Otolaryngology – Head and Neck<br />

Surgery, was recently awarded the 2011<br />

Jerome C. Goldstein Public Service<br />

Award by the American Academy<br />

of Otolaryngology – Head and Neck<br />

Surgery. The recognition was given in<br />

honor of her dedication and passion<br />

in elevating public awareness for<br />

otolaryngology issues and its specialty,<br />

as well as being a public advocate and<br />

educator on multiple medical issues<br />

spanning the spectrum of medicine in<br />

the United States.<br />

needs of the hospital medical staff,<br />

employees and students. Located<br />

on the 17th floor of <strong>Henry</strong> <strong>Ford</strong><br />

Hospital, the library has more than<br />

7,000 books and 2,500 journal<br />

subscriptions covering all aspects of<br />

medicine and health care.<br />

Another area supported by the<br />

Medical Association is the Center<br />

for Simulation, Education and<br />

Research at <strong>Henry</strong> <strong>Ford</strong> Hospital,<br />

which allows physicians, residents,<br />

interns, nurses and allied health<br />

professionals to safely practice new<br />

skills on life-like, state-of-the-art<br />

mannequins. This 15,000-squarefoot<br />

training center includes hightech<br />

computers which simulate<br />

hundreds of different medical<br />

conditions in surgery, labor and<br />

delivery, intensive care, emergency<br />

and routine hospital procedures.<br />

Our focus on providing the very<br />

best quality care and service to<br />

our patients has been instrumental<br />

to our success, helping <strong>Henry</strong><br />

<strong>Ford</strong> to become a national rolemodel<br />

organization for quality.<br />

Recently, <strong>Henry</strong> <strong>Ford</strong> <strong>Health</strong> <strong>System</strong><br />

was named one of only four<br />

organizations in the U.S. to receive<br />

the 2011 Malcolm Baldrige National<br />

Quality Award – the nation’s<br />

highest honor for performance<br />

excellence. (See page 6.)<br />

We are proud of these<br />

accomplishments and look forward<br />

to sharing more <strong>Henry</strong> <strong>Ford</strong><br />

news and information with you<br />

throughout the year. Best wishes for<br />

a happy and healthy new year.<br />

Regards,<br />

Lawrence C. Mitchell<br />

President<br />

<strong>Henry</strong> <strong>Ford</strong> Medical Group<br />

5


Innovation Institute at <strong>Henry</strong> <strong>Ford</strong> opens its doors<br />

A $12-million project aimed at<br />

shaping the future of medicine – the<br />

Innovation Institute at <strong>Henry</strong> <strong>Ford</strong> –<br />

officially opened its doors Oct. 10 on<br />

the campus of <strong>Henry</strong> <strong>Ford</strong> Hospital.<br />

The Institute is a think tank that<br />

includes the <strong>Henry</strong> <strong>Ford</strong> Medical<br />

Group, the College for Creative<br />

Studies, the Smart Sensors and<br />

Integrated Microsystems (SSIM)<br />

Program at Wayne State University<br />

and The <strong>Henry</strong> <strong>Ford</strong>.<br />

The Institute provides resources to<br />

foster collaboration, coordination<br />

and communication between<br />

physicians, engineers, designers and<br />

industry. By combining talents, the<br />

Institute will develop, test and market<br />

novel technology-based approaches<br />

in an effort to save resources, time<br />

and, ultimately, patient lives.<br />

“Our vision is to grow a robust new<br />

industry within the region with the<br />

potential to create new jobs. By<br />

doing so, we can improve the health,<br />

economy and living standards of our<br />

community,” says Madhu Prasad,<br />

M.D., director of the Innovation<br />

Institute at <strong>Henry</strong> <strong>Ford</strong>.<br />

Pictured from left in front of the Innovation Institute at <strong>Henry</strong> <strong>Ford</strong> are Gregory W.<br />

Auner, Ph.D. director, Smart Sensors and Integrated Microsystems program, Wayne<br />

State University; Vincenzo Iavicoli, chair of Product Design, College for Creative Studies;<br />

and Madhu Prasad, M.D., director, Innovation Institute at <strong>Henry</strong> <strong>Ford</strong>.<br />

The Institute has already launched<br />

several dozen projects. Among<br />

those currently being developed<br />

between <strong>Henry</strong> <strong>Ford</strong> and SSIM<br />

are virtual breast biopsy, rapid<br />

diagnosis of viruses and cancers,<br />

and surgical probes that can<br />

instantly differentiate malignant<br />

versus normal cells.<br />

“Detroit was the world’s center<br />

of innovation for many decades<br />

with the auto industry leading the<br />

way,” says Bob Riney, president<br />

and chief operating officer at <strong>Henry</strong><br />

<strong>Ford</strong> <strong>Health</strong> <strong>System</strong>. “As a result,<br />

the region attracts and retains the<br />

best engineering and design talent<br />

you will find anywhere. Through the<br />

Innovation Institute, we will combine<br />

those skills with the incredible<br />

clinical and scientific talent of the<br />

<strong>Henry</strong> <strong>Ford</strong> Medical Group and write<br />

the next chapter of our region’s<br />

innovation DNA.” ●<br />

To learn more about the Innovation<br />

Institute at <strong>Henry</strong> <strong>Ford</strong>, visit<br />

henryfordinnovation.com<br />

<strong>Henry</strong> <strong>Ford</strong> receives 2011 Malcolm Baldrige National Quality Award<br />

6<br />

<strong>Henry</strong> <strong>Ford</strong> <strong>Health</strong> <strong>System</strong> has been<br />

named a 2011 Malcolm Baldrige<br />

National Quality Award recipient<br />

– the nation’s highest honor for<br />

performance excellence. <strong>Henry</strong><br />

<strong>Ford</strong> was one of only four 2011<br />

recipients and the only organization<br />

in Michigan.<br />

“The Malcolm Baldrige National<br />

Quality Award is a symbol of the<br />

highest standards of excellence,<br />

and we are extremely proud to<br />

have been selected,” says Nancy M.<br />

Schlichting, CEO, <strong>Henry</strong> <strong>Ford</strong> <strong>Health</strong><br />

<strong>System</strong>. “Participating in the Baldrige<br />

Performance Excellence Program has<br />

prepared <strong>Henry</strong> <strong>Ford</strong> to continue to<br />

serve our community, our state and<br />

our country with vision, innovation<br />

and a relentless focus on achieving<br />

world-class quality and service for<br />

our patients and their families, and<br />

providing the best workplace for<br />

our employees and physicians.”<br />

The Malcolm Baldrige National<br />

Quality Award was established<br />

in 1987 by Congress to promote<br />

quality awareness, to recognize<br />

quality and business achievements<br />

of U.S. organizations, and to<br />

publicize these organizations’<br />

successful performance strategies.<br />

The Award is presented annually to<br />

U.S. organizations by the office of<br />

the President of the United States.<br />

Awards are given to companies<br />

in manufacturing, service, small<br />

business, education, health care, and<br />

nonprofit sectors. In conjunction<br />

with the private sector, the<br />

National Institute of Standards and<br />

Technology manages the award and<br />

the Baldrige Performance Excellence<br />

Program.<br />

To apply for the award, organizations<br />

must submit details showing their<br />

achievements and improvements<br />

in seven key areas: leadership;<br />

strategic planning; customer<br />

focus; measurement; analysis and<br />

knowledge management; workforce<br />

focus; operations focus and results.<br />

“While we have repeatedly been<br />

acknowledged across the country for<br />

our clinical excellence, the Malcolm


Women’s <strong>Health</strong> Services (continued from Front Page)<br />

care. “We have a tumor board that<br />

meets weekly to discuss each case,”<br />

Dr. Munkarah says. “This brings<br />

together experts in gynecologic<br />

oncology, radiation oncology, medical<br />

oncology, pathology and other support<br />

services to make decisions on what<br />

the best treatment approach is for<br />

each patient.” In cases where surgery<br />

is required, <strong>Henry</strong> <strong>Ford</strong>’s surgical<br />

gynecology team offers advanced<br />

surgical treatment for gynecologic<br />

cancers, including minimally invasive<br />

and robotic surgery.<br />

The surgical team also has special<br />

expertise treating complex,<br />

noncancerous conditions – such as<br />

massive uterine fibroids and pelvic<br />

floor disorders – with minimally<br />

invasive techniques. “Today’s<br />

women expect more minimally<br />

invasive options than ever before,”<br />

Dr. Munkarah says. “In addition,<br />

all surgery is moving toward using<br />

this more advanced technology. Our<br />

medical staff are pioneers in these<br />

techniques.”<br />

This approach extends to the<br />

department’s urogynecology program,<br />

which offers minimally invasive<br />

Baldrige Award also validates our<br />

business acumen, our energizing<br />

and focused organizational culture,<br />

and the role that <strong>Henry</strong> <strong>Ford</strong> <strong>Health</strong><br />

<strong>System</strong> plays as a major influence<br />

on the economic and health<br />

transformation of our great city and<br />

state,” says Bob Riney, president and<br />

chief operating officer, <strong>Henry</strong> <strong>Ford</strong><br />

<strong>Health</strong> <strong>System</strong>. ●<br />

For more information about <strong>Henry</strong><br />

<strong>Ford</strong>’s Baldrige journey, visit<br />

henryford.com/baldrige.<br />

therapies for women with urinary<br />

or fecal incontinence, bladder<br />

problems and pelvic floor disorders.<br />

“There has always been a need<br />

in these areas, but with an aging<br />

population, we will see more of<br />

these cases,” Dr. Munkarah says.<br />

“Our patients will need care tailored<br />

to their needs.”<br />

Through the Center for<br />

Reproductive Medicine, the<br />

department offers infertility<br />

treatment for women and couples<br />

experiencing difficulty in becoming<br />

pregnant. This includes initial<br />

infertility assessment by boardcertified<br />

experts, medical and<br />

surgical therapies, and fertility<br />

treatment, including in vitro<br />

fertilization. Furthermore, the<br />

physicians in the center diagnose<br />

and manage the full range of<br />

reproductive endocrine problems<br />

that a woman may face during<br />

her life, from menarche through<br />

menopause.<br />

While the Women’s <strong>Health</strong> Services<br />

department has always offered<br />

quality obstetrics care, in recent<br />

years, it has increased its focus on<br />

high-risk pregnancies, including<br />

a number of experts in maternalfetal<br />

medicine. The addition of<br />

an anesthesia staff with special<br />

training in obstetrical anesthesia<br />

has helped in establishing more<br />

effective protocols for pain control<br />

during labor, as well as with<br />

delivering the safest anesthesia<br />

when needed at time of delivery. A<br />

multidisciplinary team approach,<br />

which includes expert physicians<br />

from multiple departments,<br />

always is used in cases where<br />

there are major medical problems<br />

complicating the pregnancy.<br />

Research has been another area<br />

of expansion in the department.<br />

“Currently, we have a research team<br />

that is focused on gynecologic<br />

cancer, including researchers who<br />

are conducting bench research<br />

in the lab,” Dr. Munkarah said.<br />

“We also have multiple clinical<br />

trials in gynecologic cancer and<br />

a number of clinical research<br />

projects in collaboration with our<br />

colleagues in the department of<br />

Public <strong>Health</strong> Sciences.” There are<br />

many other research initiatives in<br />

the department that are addressing<br />

management of uterine fibroids,<br />

understanding the effects of obesity<br />

in pregnancy, and evaluating the<br />

impact of minimally invasive<br />

surgery on quality of life in women.<br />

While the department is looking<br />

ahead to the future of women’s<br />

health care in many areas, it also is<br />

shining the light on itself.<br />

“We need to be critical of ourselves,”<br />

Dr. Munkarah says. “This is a<br />

program where we are focused on<br />

improving quality.” To this end,<br />

the department formed a quality<br />

committee where a group of peers<br />

reviews cases, analyze outcomes<br />

and identify opportunities for<br />

improvement. By reviewing each<br />

case and developing metrics to<br />

track the quality of care, the<br />

department can change its processes<br />

as necessary to help ensure the best<br />

possible outcomes.<br />

“For example, in past years,<br />

the turnaround time to make a<br />

treatment disposition or schedule<br />

surgery for a gynecologic cancer<br />

patient was measured in weeks,”<br />

Dr. Munkarah says. “It took time to<br />

gather all the information, see the<br />

patient, get the pathology reports<br />

and present cases in tumor board.<br />

Obviously, this was not satisfactory<br />

to the patient or treating physician.<br />

Now we have streamlined the<br />

process so it only takes a few<br />

days.” ●<br />

For more information about <strong>Henry</strong><br />

<strong>Ford</strong> Women’s <strong>Health</strong> Services, visit<br />

henryford.com/Womens<strong>Health</strong>.<br />

7


NON-PROFIT ORG<br />

U.S. POSTAGE<br />

PAID<br />

DETROIT, MI<br />

PERMIT #6785<br />

<strong>Henry</strong> <strong>Ford</strong> Medical Association<br />

1 <strong>Ford</strong> Place, 3B<br />

Detroit, MI 48202<br />

Address Service Requested<br />

HFHS<br />

ALUMNI NOTES<br />

NEWS<br />

Walter Kao, M.D., was an intern<br />

and resident with the <strong>Henry</strong> <strong>Ford</strong><br />

Department of Internal Medicine<br />

from 1984-87, and a cardiology<br />

fellow from 1987-90. He currently<br />

serves as associate professor of<br />

Medicine at the University of<br />

Wisconsin School of Medicine and<br />

Public <strong>Health</strong> in Madison, and is<br />

attending cardiologist for the Heart<br />

Failure and Cardiac Transplant<br />

Program at the University of<br />

Wisconsin Hospital and Clinics.<br />

N. Kevin Krane,<br />

M.D., was a<br />

resident with<br />

the <strong>Henry</strong> <strong>Ford</strong><br />

Department<br />

of Internal<br />

Medicine<br />

from 1978-80<br />

and served as<br />

chief resident from 1980-81. He<br />

also completed a nephrology and<br />

hypertension fellowship from 1982-<br />

1984. Dr. Krane currently serves as<br />

professor of Medicine, vice dean<br />

for Academic Affairs and chief<br />

of Clinical Nephrology at Tulane<br />

University School of Medicine. In<br />

addition to many student/resident<br />

teaching awards, Dr. Krane received<br />

the Julio Figueroa Award for<br />

Service from the National<br />

Kidney Foundation of Lousiana<br />

in 2003, and was recently<br />

honored with the Southern<br />

Group on Educational Affairs<br />

Career Educator Award (AAMC)<br />

in 2010. Dr. Krane writes: “I<br />

was recruited by Tulane directly<br />

from my nephrology fellowship<br />

thanks to my training at <strong>Henry</strong><br />

<strong>Ford</strong>.”<br />

Michael D. Linden, M.D., FCAP,<br />

was a senior staff pathologist at<br />

<strong>Henry</strong> <strong>Ford</strong> Hospital from 1990-<br />

2009. He currently serves as<br />

clinical professor of Pathology<br />

at UCSD School of Medicine and<br />

chief of Anatomic Pathology<br />

at VA San Diego <strong>Health</strong>care<br />

<strong>System</strong>. Dr. Linden writes:<br />

“Moved to San Diego after<br />

many years living in Ann Arbor<br />

and working at <strong>Henry</strong> <strong>Ford</strong><br />

Hospital. Living in La Jolla-<br />

University city area is like Ann<br />

Arbor with nicer weather and<br />

the ocean – it’s great, but I do<br />

miss my friends and colleagues<br />

at HFH.”<br />

Rounds is published by the <strong>Henry</strong> <strong>Ford</strong> Medical<br />

Association for <strong>Henry</strong> <strong>Ford</strong> physicians, residents<br />

and alumni.<br />

<strong>Henry</strong> <strong>Ford</strong> Medical Association<br />

Executive Committee:<br />

Lawrence C. Mitchell, M.D., President<br />

Lisa MacLean, M.D., Vice President<br />

Jan Rival, M.D., Secretary<br />

Dorothy Kahkonen, M.D., Treasurer<br />

Eric Scher, M.D., Ex-Officio<br />

Members at Large:<br />

Mathilda Horst, M.D.<br />

Lynn Miller, M.D.<br />

Melissa Times, M.D.<br />

Managing Editor:<br />

Julie Perez<br />

(313) 874-9406<br />

Jperez1@hfhs.org<br />

Contributor:<br />

Jim TerMarsch<br />

We want to hear from you!<br />

henryford.com/alumni<br />

<br />

The Alumni Notes section of Rounds<br />

is a great way to share a professional<br />

accomplishment, personal news or your<br />

fondest <strong>Henry</strong> <strong>Ford</strong> memory. Send us<br />

your update and your information may<br />

appear in an upcoming issue. To send<br />

your submission, visit henryford.com/<br />

alumni. Updates may also be sent in<br />

writing to:<br />

<strong>Henry</strong> <strong>Ford</strong> Medical Association<br />

Attn: Rounds Editor<br />

1 <strong>Ford</strong> Place, 3B<br />

Detroit, MI 48202-3450

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