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Physician Focus Winter 2012 

In This Issue

Medical Connections Website Proves Its Worth
Pediatric Care Strengthened Through Collaboration
Looking Forward to Increased Collaboration
SSM Corporate and Regional Systems Create Umbrella Positions
SMDV Now Sports the Dean Brand
SSM Employees Selected to Innovate
Physician Survey Under Way
New Policy Fosters Communication Among Providers
Important Updates: Pharmacy, Procedural Sedation, Library
Plans in Place for Better Coding of Diseases
Congress Learns About St. Mary’s Magnet Status
Physician Spotlight: Russ Reiss
In Memory
Centennial Events Now Under Way
Honors and Recognitions

CME Grand Rounds
April 5, 7:00 a.m., Bay 1
New Paradigms in the Management of Valvular Heart Disease
Dean Department of Cardiology and Cardiovascular Surgery 

MRSA Update
June 7, 7 a.m., Bay 1
Ammar Nasrallah, MD; Infectious Disease & Pharmacy Panel

"Domestic Violence Effects on Children: What Do We Need to Know?" (Conference)
April 27, 7:30 a.m. - 12:15 p.m.
American Family Conference Center, Madison
Keynote: Betsy McAllister Groves, MSW, LICSW
Download brochure 

2012 Goals
  1. Achieve 100% on all 5 core measures
  2. Restructure our peer review system
  3. Engage medical staff in improving the quality and safety outcomes of our patients
  4. Improve the patient experience
  5. Improve physician satisfaction and engagement
  6. Increase physician input and participation in hospital decision-making

    Medical Connections Website Proves Its Worth  
    Based on the feedback of over 100 physicians, the medical staff website, Medical Connections, has been newly rebuilt. This provides a foundation for ongoing collaboration and discussion through its monthly Medical Director updates and access to valuable resources, such as an UptoDate search window, reference tools, local quality data, and an  “Ask a Librarian” feature.  

    Visit Medical Connections now.

     You may also view a sample of the new site below.

    Click image to enlarge.

    Pediatric Care Strengthened Through Collaboration 
    St. Mary’s pediatrics program has undergone some changes, all in an effort to provide the very best care for patients and their families.

    As of December 31, our most critically ill children have been cared for at American Family Children’s Hospital and their team of nine pediatric intensivists and all major pediatric subspecialists.  St. Mary’s is no longer providing Pediatric Intensive Care for this small group of children (about four per month). 

    Our collaboration with Children’s Hospital of Wisconsin continues in the support of pediatric sedation under the direction of pediatric intensivist Dr. Neil Connor.  We have focused on continued effective support of our surgeons and pediatric specialists in their performance of procedures and diagnostic studies for patients at St. Mary’s. 

    The pediatric hospitalists are expanding their scope of practice to provide intermediate-level care at St. Mary’s.  The emergency pediatric transport service at UW (CHETA) has been very supportive, working with our emergency department physicians, hospitalists, and affiliated hospitals.  A great example of this collaboration occurred last week, when Dr. Mary Ehlenbach, one of our pediatric hospitalists, accepted a child in transport from Lake Mills.  A quote from Mary’s report: “Yesterday I was asked to admit to St. Mary's a 3-week-old bronchiolitic from Lake Mills.  I could not get a good sense from the referring nurse practitioner of how sick the patient actually was -- the vital signs and description of physical exam were not matching up.  CHETA was able to pick the patient up for me (despite the snowstorm!) and, based on their assessment, we determined that the baby was able to be safely cared for at St. Mary's.  The communication was great, and I was very pleased with how the process went.  I am also happy that I was able to keep this patient in the St. Mary’s/Dean system and provide safe and appropriate care.” 

    We continue to work with our physicians, our staff and the leadership of American Family Children’s Hospital to expand the collaboration in pediatric specialty areas where we have a defined need at St. Mary’s.  This is a great opportunity for St. Mary’s to continue its long tradition of providing exceptional care for our patients in a collaborative spirit that benefits our community.

     John Butler MD, VP/Medical Affairs


    Looking Forward to Increased Collaboration

    St. Mary’s President Dr. Frank Byrne (pictured with Dean President/CEO Craig Samitt, left) talks about the future of Dean and St. Mary’s.

    Our St. Mary’s centennial year provides the perfect context for us to begin discussions on how Dean and SSM Health Care can more closely collaborate to create, together, the future of health care. We look forward to the discussions on how we can build on our ongoing joint initiatives to structure ourselves to work even more closely together on behalf of the patients we serve. We are grateful to be so far along the integration path that has resulted in, as Dean President/CEO Craig Samitt often says, “others trying to get where we are.”

    We now are in the very early stages of negotiation. The outcome is unknown, and it will be some time before we reach a conclusion. No matter what the outcome is from these collaboration discussions, one fact remains: We are committed to our partnership, which has served our region well for 100 years.

    We hope to complete the process by the end of this year. We are enthusiastic about the possibilities this new level of collaboration could bring for our patients and for our organizations, and believe it will enable us to deliver even better and more cost-effective care to those who depend on us.

    Frank D. Byrne, MD
    President, St. Mary’s Hospital


      SSM Corporate and Regional Systems Create Umbrella Positions
      SSM Health Care in St. Louis has appointed a senior vice president for physician innovation and integration while SSM Health Care of Wisconsin and Dean Clinic have a new combined position for corporate compliance overseeing Dean and SSM hospitals and nursing homes in Madison, Baraboo and Janesville.

      • Gaurov Dayal, MD, has been named to the newly created position of senior vice president - physician innovation and integration/chief medical officer for SSM Health Care, parent organization of St. Mary’s Hospital. Headquartered in St. Louis, SSM offers health care services in Wisconsin, Oklahoma, Illinois and Missouri. Dr. Dayal will work with physicians to create an integrated health delivery system to better manage the health of defined populations and will develop physician leadership across the SSM system. He will also oversee SSM’s Patient Safety and Quality Center and Clinical Decision Support departments. Both departments provide resources and support to all SSM facilities to assist them in achieving their goals of providing exceptional patient care.

      • Troy Lepien, who oversees corporate compliance for Dean Clinic, has expanded his responsibilities to include SSM Health Care of Wisconsin as the new regional director for corporate compliance for Dean and SSMHC/WI. He will oversee HIPAA compliance and the corporate responsibility program (CRP) at St. Mary’s, St. Clare and St. Mary’s Janesville Hospitals, and for St. Mary’s and St. Clare Meadows Care Centers. Troy has been with Dean for five years, and prior to that was responsible for corporate compliance and internal audit for the Medical College of Wisconsin.

      SMDV Now Sports the Dean Brand
      Twenty medical clinics that had been known for years as St. Mary's Dean Ventures (SMDV) clinics have simplified their name to Dean Clinic.

      These sites provide primary care and specialty services throughout south-central Wisconsin.

      Though the name has changed to better align with Dean and St. Mary’s clinic-based physician services, the ownership has not. These regional clinics continue to be owned and operated by a joint venture between Dean Clinic and St. Mary’s Hospital.

      SSM Employees Selected to Innovate
      The Centers for Medicare and Medicaid Services (CMS) has selected two SSM of Wisconsin employees to play a role nationally in improving patient care and reducing costs.

      They were among 73 of 920 applicants who were awarded $20,000 grants from the Centers for Medicare and Medicaid Services (CMS) to cover the costs of their pilot projects as part of the new Innovation Advisors Program.

      Christine Baker, director of Quality and Safety Systems at St. Mary’s Hospital, will focus on developing and testing care management approaches within the chronic obstructive pulmonary disease (COPD) patient population. Her primary goal is providing better care through reductions in hospital readmissions for COPD patients.

      Dr. Maureen Murphy, director of medical affairs at St. Clare Hospital in Baraboo, will start a palliative care program that could be replicated by other small rural hospitals. The goal of the project will be to have 100 percent of patients who have a diagnosis of congestive heart failure, COPD, pneumonia, stroke or end-stage cancer receive a palliative care consult.

      Physician Survey Under Way

      The annual physician survey period began in early February and goes through the end of March. If you received an invitation letter from Press Ganey, please complete the paper questionnaire or use the link provided to complete your survey online. Administered by a new vendor, this survey is called the Physician Partnership Survey and focuses on satisfaction plus engagement. Questions regarding the survey may be directed to Sara Sievers at 259-5380.


      Measured Quality of Care Reaches Top of Scale
      Kudos to the entire medical staff for achieving the top 10% nationally in all five of the core measure sets. In the last quarter of 2011, four of them reached a perfect 100%: acute myocardial infarction, congestive heart failure, pneumonia and stroke. The fifth, Surgical Care Improvement Project (SCIP) achieved an impressive 99%. View 4 charts (stroke trend will be featured in future editions).

      New Policy Fosters Communication Among Providers
      A new co-management policy goes into effect on March 12, with the end goal of maximizing patient safety, care efficiency and outcomes. The policy facilitates provider-to-provider discussion for all consultation requests, rather than requests coming from other care team members. Read the policy here.

      Important Updates: Pharmacy, Procedural Sedation, Library

      Plans in Place for Better Coding of Diseases
      The International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS) is expected to start Oct. 1, 2013. ICD-10 will replace the 30-year-old system, ICD-9, and physicians are encouraged to review documentation practices starting now. Read more.

      Congress Learns About St. Mary’s Magnet Status
      In a session of the U.S. Congress on Feb. 3, Rep. Tammy Baldwin honored St. Mary’s three-time designation as a Magnet Hospital for nursing excellence.

      With each designation since the first in 2002, the bar rises. Only 42 hospitals in the country have ever received the designation three times, putting St. Mary’s among the top 1% of hospitals nationwide.

      “Mr. Speaker,” she began, “I rise today to honor St. Mary's Hospital in Madison, Wisconsin for attaining their third Magnet recognition from the American Nurses Credentialing Center, ANCC.” Another 338 words were devoted to showcasing St. Mary’s commitment to quality health care and contributions to community.

      The full plaque is displayed in the St. Mary’s Hospital trophy case on Level 1 by the Bistro.


      Physician Spotlight: Russ Reiss
      Dr. Russ Reiss, who last fall joined Dean & St. Mary’s Cardiac Center, is a pioneer among cardiac surgeons nationwide. He has extensive experience in Transcatheter Aortic Valve Replacement (TAVR), which was recently approved by the FDA. St. Mary’s was selected as an initial commercial site to use this technology.

      Dr. Reiss is only the second U.S. cardiac surgeon to complete an innovative clinical pathway that allows him to intervene on all aspects of coronary and structural heart disease through either an open or transcatheter approach. An advanced fellowship at Columbia University in 2010 led to training in all aspects of interventional vascular therapy, including Percutaneous Coronary Intervention (PCI), Endovascular Aortic Aneurysm Repair (EVAR), hybrid cardiac surgery and extensive experience with TAVR through participation in the landmark PARTNER Trial: Placement of AoRTic TraNscathetER Valve Trial.

      Dr. Reiss’ clinical goal is to work in a fully integrated cardiovascular service line where the traditional barriers between cardiac surgeons and cardiologists are not an impediment to progress and innovation and where patient outcomes are the highest priority. Being trained in both specialties, he has a deep understanding of the complex issues involved in caring for the most complicated cardiovascular patients. Recent cardiac surgery outcomes at St. Mary’s rank among the best in the nation, and Dr. Reiss believes that these data, along with outstanding infrastructure and leadership, have Dean & St. Mary’s poised to be the best heart center in Wisconsin.

      Born and raised in Philadelphia as the son of two pediatricians, Dr. Reiss completed his medical training at Hahnemann University. During a decade of surgical training, he completed residencies in both general surgery and cardiothoracic surgery at the University of Utah. During this time, he also completed a research fellowship in the Center for Gene Therapy in Philadelphia, studying the protective effects of mesenchymal stem cells in cardiac transplantation.

      Dr. Reiss remained on staff as a cardiothoracic surgeon at the University of Utah and the George E. Wahlen VA Medical Center in Salt Lake City, where he was awarded national funding by the Merit Review Service to inject adult stem cells into the heart. While in Salt Lake City, he established the Center for Cell Therapy and Regenerative Medicine and was the medical director of the University of Utah Cell Therapy facility.

      Dr. Reiss and his wife, Susan, along with their five children, are outdoor enthusiasts with special affinities for skiing and mountain biking. A lifelong musician, Dr. Reiss also enjoys playing music with friends and family.

      In Memory
      Dr. Tom Geppert, (shown below left) pediatrician with Dean Clinic from 1948 to 1986, died Dec. 31. He was a founder of Dean’s pediatrics department and a former president of Dean Clinic.

      Dr. Karl Rudat, (shown below right) OB/gyn, passed away Dec. 6. He was on the staff of Dean Clinic and St. Mary’s Hospital from 1977 until his death. He held a number of leadership positions, including chairman of the Dean Clinic Board and chairman of the Dean Health Plan Board.


      Centennial Events Now Under Way
      St. Mary’s celebrates its 100th year in 2012. A large-scale Lego model, a commemorative book and an upscale gala are all part of the festivities.

      Kicking off the centennial year, March 1 saw the unveiling of a 4-foot by 2-foot Lego model of the original 1912 St. Mary’s Hospital building. It will be displayed through the rest of this centennial year in the kiosk area adjacent to the cafeteria.

      A book release party is slated for Wednesday, April 25, from 2 to 4 p.m. in the Main Lobby of the hospital. This beautiful, commemorative book celebrates the spirit of St. Mary’s through a series of stories from the decades, accompanied by timelines that illustrate the hospital’s growth in facilities, services, educational opportunities, community outreach and innovative ideas.

      Perhaps the biggest event of the year will happen on Friday, Sept. 21, at Monona Terrace. The St. Mary’s Hospital Centennial Gala will benefit the “Nurses Shaping the Future” Scholarship Endowment Fund. Tables of eight or ten may be purchased for $1,000 and $1,200, respectively. For event and table sponsorship, call 608-258-5600 or email stmarysfoundation@ssmhc.com.

      St. Mary’s archives is interested in receiving or documenting a wide array of historical items, including photographs, from personal collections. If you have something that may be of long-term, institutional interest, please contact Carolyn Hargrove at 608-258-5651.

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

      A Special Thank You to Al Musa St. Mary’s Foundation extends its gratitude and appreciation to Dr. Al Musa for his nine years of service to St. Mary’s Foundation Board of Directors. Dr. Musa was elected to the Board in 2003 and served three full terms. His physician leadership background was an asset to the board and, as a chair for the physician campaign, he contributed substantially to the success of the capital campaign for the expansion of St. Mary’s Hospital. Dr. Musa previously also chaired the Annual Giving Program and served on various committees. Dr. Musa and his wife, Aileen, are members of the St. Mary’s Foundation Family of Friends, which recognizes donors whose cumulative gifts to St. Mary’s total $10,000 or more. St. Mary’s Foundation also sends a very special thank you to Dr. Frank D. Byrne and Dr. David A. Wolff for their continued service on the St. Mary’s Foundation Board of Directors.

      Dr. Frank Byrne earned the American College of Healthcare Executives Regent’s Award, which recognizes senior-level executives who have significantly contributed toward the advancement of healthcare management excellence. Locally, he is receiving the John H. Renner, MD, Wisconsin Idea Award from the University of Wisconsin Department of Family Medicine for his commitment to family medicine and the health needs of Wisconsinites.



      Dr. Byron Crouse (UW Department of Family Medicine) received the 2011 Thomas W. Johnson Award, the highest honor presented the American Academy of Family Physicians for contributions to family-medicine education.

      Dr. Richard Hendricks,  retired vice president for St. Mary’s medical affairs whose career also included an internal medicine practice with Dean Clinic, is the recipient of a Catholic Charities Leadership Award. He is recognized for his leadership in patient care and collaboration in patient safety as well as for his volunteer work for a better community.

      Dr. Brad Meyers (Dean Clinic Family Medicine) was elected president of the Wisconsin Academy of Family Physicians, representing more than 2,500 family physicians, residents and medical students throughout Wisconsin.

      Fr. Pat Norris, a Blessed Sacrament parish priest who serves on St. Mary’s ethics committee, will receive the Fr. Samuel Mazzuchelli Award from Edgewood College in November. The Mazzuchelli Medallion commemorates the spirit and values of the founder of the Sinsinawa Dominicans.

      Dr. Bill Rock was honored during February Grand Rounds for his exceptional ethics leadership at St. Mary’s Hospital. He continues to chair the Ethics Committee, which he has served for more than 30 years.

      St. Mary’s Laboratories at the hospital and at the Sun Prairie Emergency Center earned accreditation from the College of American Pathologists (CAP), based on the results of a recent onsite inspection. Much like a Joint Commission visit, the CAP inspection examines the laboratory's records and quality-control practices, staff qualifications, lab equipment, facilities, safety and overall management of the department.

      Guardian Angels: Eleven physicians were among those honored as Guardian Angels between July 1 and Dec. 31, 2011. The program, sponsored by St. Mary’s Foundation, invites patients and families to make a gift in honor of someone who provided them with exceptional care.

      Nicole Christian, MD

      Doug Cowgill, MD 
      (CV Surgery)

      Kay Heggestad, MD
      (Family Practice)

      Vijay Kantamneni, MD
      (CV Surgery)

      Jeffery Masciopinto, MD

      Greg Matzke, MD

      Joseph Mnuk, MD

      John Phelan, MD

      Alan Singer, MD

      Elizabeth Trinity, MD

      Stephen Vander Sluis, MD





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