Dr. Mahmood Khalid oversees approximately 30 employees in DHM's Radiology department which services around 50,000 patients annually. He has been with DHM since its opening in 2008 after previously working at North Oakland Medical Centers since 1984, where he was Chairman of the Radiology Department from 1989-2008. The Radiology department has approval to purchase a new CT scan and plans to offer 24-hour CT services at its Waterford Emergency Center location within the next year.
Dr. Yatinder Singhal is Chairman of DHM's Behavioral Medicine Department and a board member and investor in DHM. He was instrumental in the opening of DHM and has overseen the expansion of services including the opening of
"'I am proud that MaineCare has been working in partnership with other payers to advance payment reform through greater investment in primary care to both improve outcomes for patients and reduce preventable high cost spending in emergency departments and avoidable inpatient admissions.
– Mary C. Mayhew, Commissioner, Maine Department of Health & Human Services
This slide show provides a summary of Larkin Community Hospital and our plans for Larkin University.
Larkin Community Hospital is one of 12 designated statutory teaching hospitals in Florida. We offer the largest number of training programs for Osteopathic Physicians in the United States (offering training in more than 30 different specialties). We sponsor an allopathic residency program in Psychiatry, an Advanced Education in General Dentistry Residency Program, an American Society of Health System Pharmacists Accredited Pharmacy Residency Program and a Podiatric Medicine and Surgery Residency Program. In addition, our School of Nursing offers a Registered Nurse Associate Degree program and our College of Biomedical Sciences offers a Post-Baccalaureate Biomedical Sciences Degree program.
Our hospital is also the home of:
• The Miami Neuroscience Center at Larkin, a state of the art facility which specializes in Gamma Knife Radiosurgery. This 25 member team, led by world renowned neurosurgeon Dr. Aizik Wolf, has performed over 8000 procedures during the past 20 years. Gamma Knife is a non-invasive state of the art neurological procedure used to treat brain tumors, head and neck cancer, and neurological conditions, such as trigeminal neuralgia and Arteriovenous Malformations.
• The Center for Advanced Orthopedics at Larkin, which specializes in advanced orthopedic surgery using the latest multimodal perioperative pain management modalities and state of art technology and instrumentation with advanced robotic technology. The center, led by world renowned orthopedic surgeon Dr. Carlos Lavernia, includes an outcomes-oriented robust research component with an ongoing prospective surgical registry and a comprehensive rehabilitation department.
Larkin Community Hospital is a 146 Bed Acute Care Teaching Hospital located in South Miami, Florida. This slide show provides a glimpse into this hospital system highlighting graduate medical education.
"'I am proud that MaineCare has been working in partnership with other payers to advance payment reform through greater investment in primary care to both improve outcomes for patients and reduce preventable high cost spending in emergency departments and avoidable inpatient admissions.
– Mary C. Mayhew, Commissioner, Maine Department of Health & Human Services
This slide show provides a summary of Larkin Community Hospital and our plans for Larkin University.
Larkin Community Hospital is one of 12 designated statutory teaching hospitals in Florida. We offer the largest number of training programs for Osteopathic Physicians in the United States (offering training in more than 30 different specialties). We sponsor an allopathic residency program in Psychiatry, an Advanced Education in General Dentistry Residency Program, an American Society of Health System Pharmacists Accredited Pharmacy Residency Program and a Podiatric Medicine and Surgery Residency Program. In addition, our School of Nursing offers a Registered Nurse Associate Degree program and our College of Biomedical Sciences offers a Post-Baccalaureate Biomedical Sciences Degree program.
Our hospital is also the home of:
• The Miami Neuroscience Center at Larkin, a state of the art facility which specializes in Gamma Knife Radiosurgery. This 25 member team, led by world renowned neurosurgeon Dr. Aizik Wolf, has performed over 8000 procedures during the past 20 years. Gamma Knife is a non-invasive state of the art neurological procedure used to treat brain tumors, head and neck cancer, and neurological conditions, such as trigeminal neuralgia and Arteriovenous Malformations.
• The Center for Advanced Orthopedics at Larkin, which specializes in advanced orthopedic surgery using the latest multimodal perioperative pain management modalities and state of art technology and instrumentation with advanced robotic technology. The center, led by world renowned orthopedic surgeon Dr. Carlos Lavernia, includes an outcomes-oriented robust research component with an ongoing prospective surgical registry and a comprehensive rehabilitation department.
Larkin Community Hospital is a 146 Bed Acute Care Teaching Hospital located in South Miami, Florida. This slide show provides a glimpse into this hospital system highlighting graduate medical education.
We’re proud to introduce our pre operational brochure which showcases our purpose, the services and facilities we will be offering as well as the design and construction principles at hand
Stratified pathways of care...from concept to innovationNHS Improvement
NHS Improvement is working in partnership with patients, clinical teams, the Department of Health (DH) and voluntary organisations to improve the effectiveness and quality of service delivery for those living with and beyond cancer. This is a summary report of this year’s work and includes pathways for breast, colorectal and prostate cancer.
ISS Service Innovation Leadership Seminar, 28 March - Mrs Chew Kwee TiangNUS-ISS
ISS Service Innovation Leadership Seminar, 28 March - "Design Thinking and Service Innovation - The Khoo Teck Puat Hospital's Journey" by Mrs Chew Kwee Tiang, CEO, Khoo Tech Puat Hospital
Simplified presentation of 2012 "Sharing a Healthier Future" consultation on reorganisation of hospital services in NW London. This is important and is being generally completely misunderstood, which is why I wrote this simplified version for my GP's patient group. I have tried to give an accurate and dispassionate view of what the consultation document actually says; not what many local agitation groups think, or would like, it to mean. Remember that this was written for my doctor's patient's group and slide 9 is specific to them, although all the principles still apply and all the other slides are non-geography specific.
We’re proud to introduce our pre operational brochure which showcases our purpose, the services and facilities we will be offering as well as the design and construction principles at hand
Stratified pathways of care...from concept to innovationNHS Improvement
NHS Improvement is working in partnership with patients, clinical teams, the Department of Health (DH) and voluntary organisations to improve the effectiveness and quality of service delivery for those living with and beyond cancer. This is a summary report of this year’s work and includes pathways for breast, colorectal and prostate cancer.
ISS Service Innovation Leadership Seminar, 28 March - Mrs Chew Kwee TiangNUS-ISS
ISS Service Innovation Leadership Seminar, 28 March - "Design Thinking and Service Innovation - The Khoo Teck Puat Hospital's Journey" by Mrs Chew Kwee Tiang, CEO, Khoo Tech Puat Hospital
Simplified presentation of 2012 "Sharing a Healthier Future" consultation on reorganisation of hospital services in NW London. This is important and is being generally completely misunderstood, which is why I wrote this simplified version for my GP's patient group. I have tried to give an accurate and dispassionate view of what the consultation document actually says; not what many local agitation groups think, or would like, it to mean. Remember that this was written for my doctor's patient's group and slide 9 is specific to them, although all the principles still apply and all the other slides are non-geography specific.
Humanitarian Informatics Approach for Cooperation between Citizens and Organi...Hemant Purohit
Social networks have empowered citizens to voice their experiences, observations and share information, playing an important role for events related to humanitarian issues. Although a vast amount of data shared on social media may contain valuable information for the decision making, such as response planning in the crisis times, such as situating call for help, and resource availability, the conventional organizational information management face information overload challenge to ingest new information source of citizen-generated data. This paper positions a humanitarian informatics framework to address the information overload problem of organizational actors via a cooperative information system design between citizens and organizations, guided by process knowledge. The framework operationalizes computation into the design process by transforming computationally tractable parts of the design problems into data problems, which meet information needs of organizational actors. This approach can be leveraged for humanitarian problems beyond crisis coordination.
IEEE SocialCom 2015: Intent Classification of Social Media TextHemant Purohit
Social media platforms facilitate the emergence of citizen communities that discuss real-world events, and generate/share content with a variety of intent ranging from social good (e.g., volunteering to help) to commercial interest (e.g., criticizing product features). Hence, mining intent from social data can aid in filtering social media to support organizations, such as an emergency management unit for resource planning. However, effective intent mining is inherently challenging due to ambiguity in interpretation, and sparsity of relevant behaviors in social data. In this research, we address the problem of multiclass classification of intent with a use-case of social data generated during crisis events. Our novel method exploits a hybrid feature representation created by combining top-down processing using knowledge-guided patterns with bottom-up processing using a bag-of-tokens model. We employ pattern-set creation from a variety of knowledge sources including psycholinguistics to tackle the ambiguity challenge, social behavior about conversations to enrich context, and contrast patterns to tackle the sparsity challenge.
Edwina Rogers, executive director of Patient-Centered Primary Care Collaborative, began her presentation by highlighting the movement to advance medical homes.
With the U.S. being the number one in the world for the cost of healthcare and ranked number 37 in the quality category, something needs to change. Rogers discussed the broad stakeholder support and participation for the movement, as well as the incredible volunteer involvement. The four ‘centers’ include: the Center to Promote Public-Payer Implementation, the Center for Multi-Stakeholder Demonstration, the Center for eHealth Information Adoption and Exchange and the Center for Health Benefit Redesign and Implementation. Medical Homes will provide superb access to care, patient engagament in care, clinical information systems, care coordination, team care, patient feedback and publically available information.
Edwards explained that the Obama administration believes the medical homes concept is the best way to approach healthcare reform. The U.S. House of Representatives has showed great support for the movement and is helping develop and allocate funds for a five-year pilot program. She expressed her enthusiasm for the movement and her prediction that the medical home model is certainly the future of health care.
A complete version of Rogers’ presentation on the Patient-Centered Primary Care Collaborative is available online.
August/September 2011 Issue
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Quality Matters offers reports on emerging models and trends in health care quality improvement and interviews
with leaders in the field.
Hospital at Home Program in New Mexico Improves Care Quality and Patient
Satisfaction While Reducing Costs
Summary: An integrated delivery system in Albuquerque, New Mexico, has been able to better meet the needs of its patient
population by offering those who need acute care and meet specific criteria the option of being treated in their homes instead of
the hospital. The program has reduced the average length of stay and cost of care and improved patient satisfaction.
By Vida Foubister
Issue
U.S. hospitals face bed shortages that are expected to intensify as the population ages. To ensure access to care, health care system
leaders have begun to look for creative ways to care for patients. "Hospital at Home," a program designed to provide acute care
services in the homes of patients who might otherwise be hospitalized, has been demonstrated to increase the quality of care
patients receive, improve their satisfaction, and reduce the cost of hospital care by at least 30 percent. [1] Despite its promise,
broader adoption of the model by health systems across the country has been limited by payment policies that restrict
reimbursement to care provided in the hospital setting. This case study profiles the work of one health system that launched a
Hospital at Home program with the support of its health plan.
Organization and Leadership
Presbyterian Healthcare Services (http://www.phs.org/ (http://www.phs.org/)) (PHS) is an integrated delivery system based in
Albuquerque that provides care to more than 750,000 patients throughout New Mexico. Presbyterian's network includes eight
hospitals, a medical group with 34 locations statewide, home care services, and inpatient and outpatient hospice programs. Its
managed care organization, Presbyterian Health Plan, provides commercial health insurance, Medicaid, and Medicare products to
more than 500,000 members.
The Hospital at Home program was developed by leaders of Presbyterian Home Healthcare, the health system's home care and
Hospital at Home Program in New Mexico Improves Care Quality and Pat... http://www.commonwealthfund.org/publications/newsletters/quality-matte...
1 of 5 12/19/2014 10:42 AM
hospice agency, who include Lesley Cryer, R.N., the agency's executive director; Karen Thompson, clinical director of special
programs and Hospital at Home; and Scott Shannon, M.B.A., director of finance. They worked with Bruce Leff, M.D., professor
of medicine at Johns Hopkins University School of Medicine (Johns Hopkins), who developed the Hospital at Home model. The
system's executive and senior vice presidents were also ...
This presentation explains the concept of the patient-centered medical home (PCMH), its function and its intended effects. A brief overview of the history of PCMH is also provided, as well as a discussion of its operational characteristics, its principles and outcomes, and what is expected in the future for the PCMH model.
Michigan Hospital Association Governance meetingMary Beth Bolton
Patient centered medical home activities in MI and Nationally and the opportunity to improve quality outcomes by increased access to primary care doctors who outreach members who are missing preventive and chronic care services.
Key Principles and Approaches to Populaiton Health mManagement - HAS Session 21Health Catalyst
Population Health Management is in its early stages of maturity, suffering from inconsistent definitions and understanding, and is overhyped by vendors and ill-defined by the industry. And yet, many systems are moving forward in innovative pioneering ways to address this growing trend. In this session, you will hear from two very different, successful health systems: a physician-led group and a large integrated delivery system. They will share their best practices, learnings, and different approaches to population health management.
The program was made possible by South Nassau's affiliation with the Mount Sinai Health System, which provided the 30 graduate medical education slots for use at South Nassau.
Patient Centered Medical home talk at WVUPaul Grundy
To employers the cost of healthcare is now a business issue and this talk is about what one large buyer IBM did to drive transformation via broad coalition with other large employers to form the Patient Centered Medical Home movement and the covenant between buyer and provider away from the garbage we now buy episodic uncoordinated disintegrated care. In the change of convenient conversation we have worked with the Primary care providers to give us coordinated, integrated, accessible and compressive care with a set of principles know as the Patient centered medical home.
A Patient Centered Medical Home (PCMH) happens when primary care healers keeping that core healing relationship with their patients step up to become specialists in Family and Community Medicine. The move is to the discipline of leading a team that delivers population health management, patent centered prevention, care that is coordination, comprehensive accessible 24/7 and integrated across a deliver system. PCMH happens when the specialists in Family and Community Medicine wake up every morning and ask the question how will my team improve the health of my community today?
All over the world three huge factors are in play that is driving the concept of Patient Centered Medical Home. They are:
1) Cost and demography
2) Information technology and data (information that is actionable will equal a demand for accountability by the payer or buyer of the care)
3) Consumer demand to engage healthcare differently (at least as well as they can their bank- on line) have a question about lab results why not e-mail?
But at its core it is a move toward integration of a healing relationship in primary care and population management all at the point of care with the tools to do just that.
The Ohio State University State of the Medical Center presentation: Improving People’s Lives through Personalized Health Care as presented by on Jan. 26, 4 p.m. in 160 Meiling Hall.
Hear directly from Steven G. Gabbe, MD, CEO, OSU Medical Center, about our accomplishments and new opportunities to enhance our growth and improve our performance.
1. Mahmood
Khalid, M.D.
– Chairman
of DHM’s De-
partment of
Radiology,
O.P.M.C.
Board Member & Investor
Prior to the opening of
Doctors’ Hospital of Michi-
gan in 2008, Dr. Khalid was
at the former North Oak-
land Medical Centers since
1984. He was Chairman of
NOMC’s Radiology Depart-
ment 1989 – 2008.
Dr. Khalid currently
oversees approximately 30
employees in three DHM
Radiology clinics (Wa-
terford, Clarkston, and
Pontiac). The department
services approximately
50,000 patients annually.
Department Goal: “We
pride ourselves on person-
alized patient-centered
care with fast service and a
short wait-time.”
On the Horizon: Has ap-
proval to buy a new state-of-
the-art CT Scan for the main
campus and Certificate-
of-Need approval for CT
services at WEC, which will
allow CT Scans on a 24-hour
basis within the next year.
Contact: (248) 857-7515
DHM Physician
AUG/SEP 2010 • Volume 18
C
Contents
C
1 • AUG/SEPT 2010 DOCTORS’ HOSPITAL OF MICHIGAN, PONTIAC, MI
onnect
• Family Medicine Center Designated
a Patient-Centered Medical Home | page 2
• FMRP Director Wins AAFP Award | page 3
• Health Psychology Internship | page 4
• Good Works: DHM Around Town | page 5
• Service Lines | page 5
Spotlight on O.P.M.C. Board Members
MISSION
Doctors’ Hospital of Michigan (OPMC) will provide
the highest quality, cost effective, compassionate
care to each patient we serve and WILL be com-
mitted to fulfilling the needs of those in our com-
munity while obtaining financial strength.
Doctors’Hospital of Michigan’s legal name is Oakland Physician’s Medical Center (OPMC) which is
run by five board members. Here is a spotlight on two of the members, Dr. Mahmood Khalid, and Dr.
Yatinder Singhal.
Yatinder
Singhal, MD
Chairman of
Behavioral
Medicine
Department,
O.P.M.C.
Board Member & Investor, &
Chairman of the DHM Advi-
sory Board; Board-certified
Psychiatrist from Punjab
University in India.
After NOMC closed, Dr.
Singhal worked closely with
now-CEO Clarence Sevillian
and other board members
to solidify investors for
starting Doctors’ Hospital
of Michigan. After the
opening of DHM, Dr. Singhal
has been instrumental in
opening the Cardiac Cath
lab, securing two tenants
(Common Ground and Pre-
ferred Care Pharmacy), and
is actively involved in the
day-to-day operations of
the hospital.
Prior to his role with DHM,
Dr. Singhal had been the
Medical Director for POH’s
substance abuse program
and was the Chairman of
their Behavioral Medicine
department. He also ran
an out-patient psychiatric
clinic in southeastern Michi-
gan for 25 years.
Outside of medicine: Dr.
Singhal organized Physi-
cians of India and is Presi-
dent of the India-based
charitable organization,
FOMAPI, which raises funds
to support charitable medi-
cal clinics in the United
States. He is also involved
in the movie entertainment
business in India where he
has produced two movies.
continued on page 4
DR. KHALID DR. SINGHAL
2. DHM’S FAMILY MEDICINE CENTER
DESIGNATED A PATIENT-CENTERED
MEDICAL HOME
PONTIAC – Doctors’ Hospital of Michigan’s Family
Medicine Center has been designated as a Patient
Centered Medical Home (PCMH) practice by Blue Cross
Blue Shield of Michigan. The American Academy of Family
Physicians (AAFP) defines a PCMH as “an approach to pro-
viding comprehensive primary care... that facilitates part-
nerships between individual patients, and their personal
Providers, and when appropriate, the patient’s family.” It
is typically used as a chronic-care model. DHM’s Family
Medicine Center is one of only a handful of designated
PCMHs in southeastern Michigan.
“The Patient-Centered Medical Home is an agreement
between patients and their team of caregivers,” stated
Cynthia Cavanaugh, Director of Operations of DHM’s Fam-
ily Medicine Center. “The patient
literally must sign a Memo of Under-
standing to state they are a willing
team member in the management
of their own health along with the
other team members.” Provid-
ing an example of the PCMH model
for the care of a diabetic patient,
Cavanaugh stated that the team would include an over-
seeing physician, nurse educator, psychologist, resident
physician, the patient, and a family member or loved one,
when appropriate. “We are very proud and excited to be
able to offer this cutting-edge, integrative approach for
our Family Medicine patients,” added Cavanaugh.
Other PCMH benefits are “greater access to services,
more personalized care and a focus on preventative
care,” according Dr. Tracy Juliao, a Health Psycholo-
gist and Director of Behavioral Medicine in DHM’s Family
Medicine Center who was instrumental in obtaining the
designation.
The Family Medicine Center has been participating in
the Mackinac Learning Collaborative (MLC), which con-
sists of several independent primary care practices
in Southeast Michigan who have worked together
over an 18-month period to improve the quality of care
delivery, decrease costs, and improve income within their
respective practices. A primary purpose for the Mackinac
Learning Collaborative, stated Dr. Juliao, has been to
“facilitate the adoption, implementation and maximized
usage of a population-based patient registry that is all-
payer-compatible and supports the establishment of the
PCMH.”
As a part of their collaborative efforts within the MLC,
the Family Medicine Center has been following fifty-five
patients who were early patient team members within the
PCMH model to study their health outcomes. On Septem-
ber 29th, Cavanaugh and Juliao will be presenting patient
outcomes and their experiences obtain-
ing the PCMH designation to Michigan
health care and legislative leaders at
the MLC Outcomes Congress. Based on
research by independent organizations,
some of the proven outcomes of the
PCMH model will include higher vaccina-
tion rates, more preventative screenings, fewer medical
errors and emergency visits, and higher cost-savings.
The Blue Cross designation is a Michigan-only designa-
tion, but the most difficult one to attain, according to
Cavanaugh. “We took nearly two years to get the BCBS
designation. We did this one first because it gives us the
tools to now obtain a national designation from the NCQA
[National Committee for Quality Assurance].”
The Family Medicine Center, located at 461 West Huron
in the Seminole Building of Doctors’ Hospital Michigan, ac-
cepts Medicaid, Medicare, and most insurance.
True Team
2 • AUG/SEPT 2010
For more information on Patient Centered Medical
Home, please visit www.pcpcc.net. For more infor-
mation on the DHM Family Medicine Center, go to
www.dhofm.com/Familymedicinecenter.
“
Based on research, outcomes
of the PCMH model include
fewer medical errors and
emergency visits and higher
cost-savings.
3. DHM PHYSICIAN CONNECT • 3
Family Medicine Residency Director Recognized
by American Academy of Family Physicians
KANSAS CITY - Family Medicine Residency
Program Director Dr. Nikhil Hemady was
awarded the prestigious Program Director
Recognition Award at the annual Program
Directors Conference of the American
Academy of Family Physicians in Kansas
City. He was one of five to receive the award out of
about 450 program directors in the country.
“It’s a true honor,” said Dr. Hemady, who has directed
DHM’s residency program for four years. He is one of
the youngest Program Directors in the country, and also
presented at the conference.
Dr. Hemady, M.D. is a graduate of University of Pune,
India and of the NOMC Family Medicine Residency (Chief
Resident 1998-1999). He was a Fellow at the AAFP in
2003 and at the National Institute for Program Director
Development in 2004.
Welcome First Year
Family Medicine Residents
Suman Bhullar, M.D.,
graduated from
Guru Govind
Singh Medical
College in India.
Arifa Malik, M.D., gradu-
ated from the
Punjab Medical
School in Paki-
stan.
Saminder Singh, M.D.,
native of Bloom-
field, MI, gradu-
ated from the
American Uni-
versity of the
Caribbean in The Nether-
lands Antilles.
Abhishek Patel,
M.D., graduated
from the Medi-
cal University of
Lublin in Poland.
Dominik Chrzan, M.D.,
graduated from
the American
University of
the Caribbean in
The Netherlands
Antilles.
Satoshi Yamamoto, M.D.,
graduated from
Yamaguchi Uni-
versity in Japan.
A new class of Family Medicine Residents began
orientation at DHM during the last week of June. The
residents hail from across the globe as well as from
the local vicinity. A warm welcome to all of our new
Family Medicine doctors!
FYI
New Interim CNO
Sherrie Berg, R.N., has been ap-
pointed as interim CNO, effective
August 1, 2010. Berg is currently
the Manager of Emergency Services
at the main campus and Waterford
Emergency Center. She takes over
from former CNO Gerome Hess.
HOSPITAL NOTES
Important Notice on Incomplete Records
From Charlie M. Robinson, BS, RHIT,
CCS-P, Director, Medical Records and
Patient Access
Second quarter 2010 saw a signifi-
cant increase in the medical record
delinquency rate. The Joint Com-
mission is around the corner and we
need your assistance with completing all outstand-
ing records.
Please sign into iDoc at https://nomcdirect.org to
complete any delinquent and incomplete records.
You may contact Charlie Robinson in the office at
248.857.7149 or by e-mail at crobinson@dhofm.com.
more news at:
www.dhofm.com
4. 4 • AUG/SEPT 2010
Currently, Singhal is orga-
nizing the Jai Ho concert
featuring the Oscar-winning
Indian music director, A.R.
Rahman; the concert will
be held in the Pontiac
Silverdome on September
25th, 2010.
Departmental Success
Model: Since opening the
30-bed Behavioral Medicine
unit on 4-South, it remains
full and profitable. In ad-
dition to cost-controlling
measures, he credits DHM’s
Administration, his Unit
Manager Shawna Carpenter,
and his hard-working Team
with the success of the Be-
havioral Medicine program.
Treatment philosophy:
“Treat the acute men-
tally ill with the minimum
medications that have the
least side affects whenever
possible.”
Long-term Goal as a Phy-
sician: Would eventually
like to start up a residency
program in Psychiatry
Goal as Board Member:
Recruit more Primary Care
Physicians and Specialists to
admit patients to DHM
Contact: ext. 7367
Boardmember: Yatinder Singhal, M.D.
Dr. Singhal credits his team on 4-South for
making the program successful and profitable.
ABOVE: Behavioral Medicine Dept Staff: Linda Harris,
RN; Pauline Mearsino, US; Sharon Winters, LPN; Julie
Koplin, RN; Ron Hathaway, MHT; Siv Crow, MSW; Frances
Keyes, MSW; Fred Hunt, MHT; Shawna Carpenter, RN.
For more information on the Doctors’ Hospital
Board of Directors, visit www.dhofm.com/board.
continued from page 2
Compassionate CareHealth Psychology Intern Program Enhances Integrative Care Model
“It’s a win-win-win situation for everyone,” says Dr.
Dr. Tracy Juliao, Director of Behavioral Medicine at the
Family Medicine Residency Program of Doctors’ Hospital.
She was speaking of the Primary Care Health Psychology
(PCHP) Internship Program that she created last year.
“Residents learn from the interns; the interns learn from
the residents; and the patients benefit as well.”
Dr. Juliao said she came up with the idea last summer
after seeing an increase in mental health issues in pa-
tients at the Family Medicine Center. Since August 2009,
ten experienced doctoral and master’s level psychology
students and graduates have interned at the clinic – doing
everything from “curbside consults” during doctors’ visits,
integrated care visits with the doctor and patient to-
gether, to individual psychotherapy sessions and leading
support groups. In addition, the interns receive didactic
training along with residents on relevant behavioral medi-
cine topics.
The students, who hail from Wayne State University,
Oakland University, University of Michigan-Dearborn, and
University of Phoenix, are receiving valuable training in a
specialized field of health psychology, working as part of
an integrated primary care model.
They must commit nine months to the program and work
as part of the Patient Centered Medical Home (PCMH),
considered the cutting-edge “gold standard for health-
care service delivery.” The Family Medicine Center at
DHM is one of only a few residency programs in the state
to hold this designation.
“One of the areas we’ve seen a lot of benefit for pa-
tients is with diabetes,” explained Dr. Juliao. The interns
are part of a team, with doctors, that supports and tracks
patients in managing their diabetes.
Katrina Saunders, MA, LLPC, NCC, a graduate of
Oakland University, has decided to continue volunteering
in the program because “it’s been such a great learning
experience.” Saunders was part of the initial group of
interns who started last August, and graduated from OU
in December 2009.
In one instance, she helped first-year residents screen a
child for ADHD, but discovered that there was more to be
addressed than just the obvious ADHD symptoms. As a re-
sult, the child received a more integrated approach to his
care. “This model helps the doctors become more aware
5. DHM PHYSICIAN CONNECT • 5
GOOD
WORKS• Doctors’ Hospital of Michigan volunteers gave free health
screenings at one of Pontiac’s largest free community events on July
24 - the Elam Family Block Party at the Phoenix Center. Residents
‘turned out in droves’ according to the Oakland Press. Kudos to Linda
Nikpour and staff (Gina Elam, Nichole Williams, Carol O’Rourke
and Peggy Gibb) for providing over 150 free glucose tests & blood
pressure tests.
• Dr. Surya Nallani presented an informa-
tive talk on memory loss & dementia on Thursday,
July 22 as part of DHM’s free quarterly community
health education series. The AgeWell Series had
about 100 participants over the week of July 19 –
23, 2010, with presentations by Drs Sumit Fogla
& Somil Gupta, Farrukh Moghul, PT, and Paul
Patel, RPh. If you have a suggestion for future
lecture topics, or are interested in presenting, please contact Irma King
at ext. 7225.
• Dr. Somil Gupta, Faculty member of the Family Medicine Center,
and Diabetes Educator Cheryl Wilson, B.S.N., gave a free talk at the
Village of Oakland Woods Senior Center in Pontiac on Friday July 30.
About 25 seniors attended. Peggy Gibb, R.N. provided free glucose
tests.
• Dr. Sumit. Fogla, Faculty member of the Family Medicine Cen-
ter and six residents attended the AAFP Expo for Medical Students in
Kansas City, July 29-31 to represent Michigan and recruit applicants for
the Family Medicine Residency Program.
SERVICE LINES
• 24-Hour Emergency Center - Pontiac & Waterford
• Family Medicine Center - Pontiac
• Clarkston Family Health Center
• Radiology - Pontiac, Waterford, & Clarkston
• Endoscopy - Pontiac & Waterford
• Outpatient Physical Therapy - Pontiac & Waterford
• On-Site Lab & Diagnostics - Pontiac & Waterford
At Main Hospital Only:
• Inpatient Med/Surg Floor, ICU
• General Surgery
• Radiation Oncology
• Behavioral Medicine & Group Therapy
• Cardiac Cath Lab
• Euro-Peds Intensive Pediatric Physical Therapy
• Nutritional Services/Cafeteria
• Family Medicine Center
of all the psycho-social aspects,”
said Saunders, which will make
them better doctors.
Jennifer Vesbit, another OU
student, who started the PCHP this
May, shared “I’m really excited to
find this opportunity. The holistic
model really is the wave of the
future, and I’m fortunate to be
a part of it.” The interns stated
that they hoped to see Primary
Care Health Psychology practices
become more common.
The PCHP presented at Fam-
ily Medicine Research Day XXXIII
on May 20 in Howell, MI, which is
sponsored by Wayne State, UM,
MSU, and the Michigan Academy of
Family Physicians Foundation.
It was well-received as a model of
training and patient care that other
residency programs aspire to incor-
porate into their outpatient offices.
www.dhofm.com
continued from page 4
6. VENTS
461 W. Huron St. | Pontiac, MI 48341
E
AUG/SEPT 2010 • 6
• North Oakland Foundation Charity Golf Classic
The Wyndgate Golf & Country Club
Monday, August 16, 2010
Shotgun Start: 12:30pm
Call 248-857-7096 for more information.
• Quarterly Staff Meeting | Huron Dining Room
Monday, September 20, 2010
Dinner - 6pm | Meeting - 6:30pm
• Dr. Wease, Info Session on GERD Procedure
Tuesday, September 14, 2010
7 - 8pm, Holiday Inn
5353 Gateway Center
Flint, MI 48507
• Internal Medicine Business Meeting
Huron Dining Room
Thursday, September 16, 2010
Dinner - 6pm | Meeting - 6:30pm
Physician Services
Phone Directory
Irma King
Director of Physician Relations:
(248) 857-7357
iking@dhofm.com
Peggy Hagen
Medical Staff Credentialing
and Insurance Enrollment:
(248) 857-7583
phagen@dhofm.com
Charlie Robinson
Director of Patient Access
and Medical Records
(248) 857-7149
crobinson@dhfom.com
Kathleen Beck
Executive Assistant to the President:
(248) 857-7222
Newsletter Story Submissions:
Anne Mancour
Marketing Coordinator
(248) 857-6979
amancour@dhofm.com