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Physician Focus - Winter 2010 

In This Issue

'State of the Medical Staff' Report
Website Exclusively for St. Mary's Docs
Antibiotic Stewardship Focuses on Intra-Abdominal Infections
Medical Imaging Safety Update
Survey Seeks Physician Opinions
In Memoriam: Dr. Ron Rudy
Physician Spotlight: Melissa Stiles, MD
Physicians Invited to Team Up WIth Students
Meriter Rehabilitation Medicine Physicians Available for Consultation
NICU to Benefit from Gala
Honors and Recognitions

Feb. 19 - Annual Medical Staff Dinner/Reception
Feb. 25 - Physician Breakfast, Room 1218
(every fourth Thursday, 7 a.m.)
March 5 - Cardiology Conference
April 6 - 7 a.m., Controversies in Cardiology

Grand Rounds
CME Offerings

What's New From...
Medical Staff
Quality & Safety
UW Family Medicine

'State of the Medical Staff' Report 

“May we live in interesting times.” Clearly, 2009 was a very interesting and very challenging year, and I have every reason to believe that 2010 will be the same. In the face of these challenges, I remain very optimistic for the next year. I believe that the attention to quality, commitment to excellence in patient care and the collaborative approach of our Medical Staff will lead us to great success in these challenging years ahead. This report to you summarizes some of the highlights of 2009 and the plans/opportunities for 2010.

Medical Staff Redesign
In the last newsletter, I provided a description of the significant progress that has been made by our Medical Staff Redesign Steering Committee over the past year. During the past two months, I have visited about 15 groups/departments and received very thoughtful comments and suggestions for modifications to our initial design. The Steering Committee is preparing to present to the Medical Staff a final draft design for your vote. Within the next two months, I will be communicating a job description for the new medical staff leader positions. These will be very exciting and transformative leadership opportunities, and I believe the physicians who commit to these positions will take a key role in leading us through the very challenging times ahead.

Physician Satisfaction Survey Results
151 physicians responded to the physician satisfaction survey in 2009, yielding a few key conclusions:
  1. Physicians remain quite satisfied with the hospital overall and with nursing. Survey responses show a strong willingness to recommend St Mary’s.
  2. Numerous opportunities to improve were identified, and a number of the initiatives that we started in 2009 are directed to these opportunities.
  3. The greatest opportunities for improvement are in developing a focus on quality, improving peer review and improving the care of patients at discharge.

Below is the national percentile ranking for each of these areas identified on the survey.







New Physician Lounge
Because of a generous grant from St. Mary’s Foundation, we are able to construct a new physician lounge complex. An architect has been chosen; design work will begin shortly and construction should be complete before the end of the year. This new space will occupy A-South, will overlook the beautiful new gardens and may include a lounge, kitchen/dining space, a few call rooms, the medical staff office and the medical library. We will need the input and guidance of a group of physicians – please let me know if you are interested in joining a group of docs who will guide the architects. Below is a rendering from the architect of a possible configuration.

Care Coordination
In late 2008, several physicians began an effort on 8 SW to improve interdisciplinary care of patients in order to be more efficient (reduce length of stay), improve patient satisfaction, improve clinical outcomes (for pneumonia, CHF, COPD) and to improve the satisfaction of physicians and nursing staff. After the efficiency of inpatient care was identified as a significant focus for 2009, this care coordination effort expanded to involve the entire hospital. A group of physicians, nurses and case managers were joined by a process improvement expert to design “care coordination” with the stated purpose that “every patient should have an organized, timely, sequenced plan for the hospital stay and for each day; this will result in better clinical outcomes, greater satisfaction and more efficient care delivery.” This has resulted in significant changes in the Patient and Family Services department, and you will be hearing more from them as they assume a central role in care coordination. Early results are very positive, and in 2010 a part-time physician advisor will be hired to bring the Medical Staff perspective.

2010 will be a great year to get more involved in the activities of the Medical Staff.

John Butler, MD
VP/Medical Affairs
Comments? Contact Dr. Butler.

    Website Exclusively for St. Mary's Docs
    St. Mary’s new secure website exclusively for the medical staff is nearly ready for prime time. It was previewed during David Marx’s presentation on “Just Culture” at the annual staff meeting.

    The site also features a brief video overview of the latest on medical staff redesign, a blog for your feedback, current medical staff news and upcoming St. Mary’s events. The site is in the early stages of development, so you’ll want to check back for updates. Here’s how to access it:
    Email Address: smh_medstaff@ssmhc.com
    Password: physician

    Antibiotic Stewardship Focuses on Intra-Abdominal Infections
    Beginning this month, patients identified with “community acquired” intra-abdominal infections (ruptured appendix, ruptured diverticulitis or ruptured viscus) will be followed by the Antibiotic Stewardship Pharmacist and Infectious Disease physicians. Read more.

    Medical Imaging Safety Update
    Recent events and articles have highlighted doses and potential effects of radiation related to medical imaging procedures, in particular CT scanning. Madison Radiologists offer reassurance that CT imaging protocols have been optimized to yield the lowest appropriate doses to patients. Read more.

    Survey Seeks Physician Opinions
    St. Mary’s is conducting a physician satisfaction survey through HealthStream Research Inc. If you received an invitation to participate, please remember to complete the paper questionnaire or use the following link to complete the survey online: http://www.healthstreamsurveys.com. Physician input helps identify strengths and areas for improvement. The survey period ends April 6, 2010. For questions regarding the survey, please contact Sara Sievers at 259-5380.

    In Memoriam: Dr. Ron Rudy
    Retired Dean orthopedic surgeon Dr. Ron Rudy died unexpectedly at home on Saturday, Jan. 30, 2010. Ron was a leader in St. Mary’s orthopedic program and at Dean, and he was active at the Dean Foundation’s BSP Free Clinic, which he helped found. His wife, Petie, who is well-known in the community and medical community, is a long-time board member and chair elect of St. Mary’s Foundation. Funeral arrangements are incomplete at this time. Condolences may be sent to Petie Rudy and her family at 3912 Sumac Circle, Middleton, WI 53562.
    Physician Spotlight: Melissa Stiles, MD
    Dr. Melissa Stiles is a Professor of Family Medicine for the University of Wisconsin’s Department of Family Medicine. She has been a residency based faculty member at UW Health Belleville Clinic since 1992 and was Associate Program Director from 2002 to 2006. She is currently one of the HospiceCare medical directors. Beyond her daily work in medicine, she opens the door for a peek at the rest of her life.

    Special interests:
    I completed a geriatric fellowship at UCLA in 2000 and also have a special interest in palliative care medicine. I have an interest in social justice issues and have been involved with Physicians for Social Responsibility for years and, more recently, Physicians for a National Health Care Program.

    Since 1992, I have volunteered at the Salvation Army MEDiC Clinic, which is one of six medical-student-run free clinics. This one occurs on Tuesday evenings and serves homeless people, mainly women and children. For more information on the MEDiC clinics or to register your interest in volunteering, visit medic.uwmedstudents.com.

    Something needing change:
    I feel that a single-payer system is the only way to achieve universal comprehensive health care coverage and control rising health care costs.

    Someone who influenced you: My father was my biggest influence for choosing family medicine. My work has been enhanced by outstanding colleagues, supportive staff, but most of all my patients who I learn from on a daily basis.

    Awards and recognitions:
    From the UW Department of Family Medicine, I received the Marc Hansen Lectureship Award in 1997 and the Baldwin E. Lloyd Clinical Teacher Award in 2003.

    Best thing about St. Mary’s:
    The people! St Mary’s has the highest quality physicians, nurses and staff around.

    Physicians Invited to Team Up With Students
    Physician volunteers can help educate health professions students while also improving the health of the underserved in the community. The MEDiC Outreach Program provides primary care, but physicians from all specialties are encouraged to volunteer. MEDiC was established in 1990 by medical students at the University of Wisconsin under the guidance of Dr. Theodore Goodfriend. Dr. Melissa Stiles (see profile above) is one of the organization’s long-time volunteers. For more information on the MEDiC clinics and volunteering, visit medic.uwmedstudents.com.

    Meriter Rehabilitation Medicine Physicians Available for Consultations
    St. Mary’s medical staff may use the resource of Meriter Hospital’s Rehabilitation Medicine Service, which provides consults within 24 hours of an order, and often the same day, for the following situations:

    • Patient evaluation for admission to the inpatient rehabilitation unit at Meriter. Meriter is a preferred provider of rehabilitation services for Dean Health Plan, as well as for other payers. Of the 139 consults requested by St Mary’s medical staff in 2009, 62% were approved for admission to Meriter’s inpatient rehabilitation unit.
    • Assistance for the requesting physician regarding general rehabilitation needs of patients, with outpatient therapies provided through the Dean Health System.
    Questions about the consultation process may be directed to Bill Shannon, MD, Medical Director of Rehabilitation Services at Meriter: wshannon@meriter.com.


    NICU to Benefit from Gala
    The most tiny and fragile patients, who come to St. Mary’s neonatal intensive care unit from all over south-central Wisconsin, will benefit from the 4th Annual Merrill Lynch Grand Gala on Friday, May 7, at the Edgewater Hotel in Madison. Single tickets are $100 each and $1,000 sponsorships are available for tables of eight. For more information and registration form, log on to www.stmarysfoundation.org/grandgala.


    Honors and Recognitions
    Congratulations are in order for our colleagues who go above and beyond the duty of their day (or night) jobs. 

    Guardian Angels
    Eight physicians were recently recognized by grateful patients and families for providing exceptional care. Administered by St. Mary’s Foundation, the Guardian Angel program recently added the following to their list of St. Mary’s Guardian Angels:

    Dr. Richard Baker (medical imaging)
    Dr. Timothy Crummy (medical imaging)
    Dr. Michael Frucht (neurology)
    Dr. Charles Miley (neurology)
    Dr. Gregory Motl (internal medicine)
    Dr. Albert Musa (internal medicine)
    Dr. Jane Pearson (cardiology)
    Dr. John Phelan (cardiology)

    Dr. Richard Baker

    Dr. Timothy Crummy

    Dr. Michael Frucht

    Dr. Charles Miley

    Dr. Gregory Motl

    Dr. Albert Musa

    Dr. Jane Pearson

    Dr. John Phelan

    Exhibit Features Women Physicians
     A National Library of Medicine traveling exhibition entitled “Changing the Face of Medicine: Celebrating America’s Women Physicians” will be shown through March 19 at Ebling Library in the University of Wisconsin’s Health Sciences Learning Center (HSLC) at 750 Highland Ave. Madison. Another exhibition in the same building highlights the art of five area women physicians. More information about the series of events can be found here. 



    Physician Focus is produced by St. Mary’s Department of Public Relations and Marketing in collaboration with the Medical Staff Services. Article submissions of interest to the medical staff are welcome at any time. We reserve the right to edit for length and format. Please email short, well-organized information to SMH_MedStaff@ssmhc.com.

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