P h y s i c i a n Q u a r t e r l yPublished by Kettering Health Network • Q3 2016

Inside

Profiles in mentoring • Introducing Kettering Mobile Care • Preparing for MACRA

Kettering | Grandview | Sycamore | Southview | Greene | Fort Hamilton | Soin | Kettering Behavioral

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On Our CoverPhoebe Carpenter, CNP, consults with family physician David Page, MD, whose practice offers an internship for advanced practice providers (read more on p. 38)

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Email: physicianquarterly@ketteringhealth.org or call (937) 762-1053

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P h y s i c i a n Q u a r t e r l yPublished by Kettering Health Network • Q3 2016

Inside

Profiles in mentoring • Introducing Kettering Mobile Care • Preparing for MACRA

Kettering | Grandview | Sycamore | Southview | Greene | Fort Hamilton | Soin | Kettering Behavioral

Table of Contents

NETWORK4 Network introduces Kettering Mobile Care6 The Future of Cancer Care 8 Kettering Physician Partners9 Strategies for Network Success: Access10 Preparing for MACRA11 Most Wired Hospital12 Changes in observation care12 PHA offers support resources By Troy Tyner, DO13 Road to Happiness By Adam Fershko, MD, FACP14 Our paths to work-life balance By Perry Ramdeo, MD; Nael Saleh, MD; Sylvia Polenakovik, MD; Swati Datla, MD; and Subbaraju Budharaju, MD16 Chaplains in Health Care By Sergio Silva18 Joslin offers medical nutrition therapy19 Hernia Center coordinates care across network20 Shout outs and save-the-dates23 Springboro Health Center opens23 Helping patients get better sleep

KETTERING/SYCAMORE24 Structural Heart Team Performs Transcatheter Mitral Valve Repair25 Kettering & Sycamore honored for stroke care

26 Kettering/Sycamore welcomes new physicians26 Sycamore recognized for patient safety27 Always Say Yes By Jarrod McNaughton

GRANDVIEW/SOUTHVIEW28 Grandview Gateway unveiled29 Grandview/Southview welcomes new physicians 29 Southview celebrates lobby renovation30 Staying Power: Grandview celebrates 90 years in the community

SOIN/GREENE32 Words of Wisdom By David Small, MD33 Joslin expands to Greene County33 Soin recognized for healing environment34 Greene/Soin welcomes new physicians

FORT HAMILTON35 Fort Hamilton welcomes new physicians35 Family Birthplace renovation36 Bundled Payment Initiative

KETTERING PHYSICIAN NETWORK37 Kettering Physician Network welcomes new physicians 37 Genetics of colon cancer By Meghan Lundy, MS, LCGC38 Profilesinmentoring By Gail Askew, MD, and David Page, MD

Physician Quarterly is published by Kettering Health Network to support communications between physicians, residents, fellows, alumni, and hospital administration. Managing Editor: Leigh Hall

Design & Layout: Christie Mildon

Additional Writing: Raechelle English, Lyndsey LaVenture, Michelle Wesney, Leigh Wilkins

Photography: AGI Studios, Lee Ann Yahle

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26 patient transportation vehicles available in Kettering Mobile Care (p. 4)

1/3 of network patients are discharged in observation, nearly twice the national average (p. 12)

1st transcatheter mitral valve repair using MitraClip therapy made in Dayton by structural heart team (p. 24)

90years Grandview has served the Dayton community (p. 30)

Everything we do as a faith-based health system centers around how to best care for the patient. Buckeye Ambulance

shares our passion for exceptional patient care, and we are glad to work side-by-side with them

in serving the residents of southwest Ohio.Fred Manchur, CEO, on Kettering Mobile Care (p. 4)

The great thing about this center is that it eliminates the need for us to send patients outside of the network.

Brian Ondulick, DO, on the success of the network’s Hernia Center (p. 19)

Initially we expect to treat as many as 15 patients with severe MR a year with MitraClip, but what is really exciting about

this procedure is its potential to one day treat moderate-risk patients who today might have an open valve repair.

Raja Nazir, MD, on the possible uses of MitraClip (p. 24)

Grandview is a special place, and it’s the people that have kept it together. Many of us have been working together for 20 or 30 years, and there is a lot of camaraderie and pride in

what we have. I’ve never wanted to work anywhere else.Charles Hanshaw, DO, on celebrating Grandview’s 90th (p. 30)

Teaching and mentoring the next generation of practitioners is part of our Hippocratic oath. I want these practitioners

to be as effective as they can possibly be. After all, they are likely to be the ones caring for us some day.

Gail Askew, MD, on the importance of mentoring (p. 38)

’’’’’’’’’’

Network Medical Staff DinnerTUESDAY, OCTOBER 25, 2016 • 6 p.m.(For KMC/SMC Medical Staff Members: Quarterly Staff Meeting at 5 p.m.)

Keynote Speaker: Thomas H. Lee, MDChief Medical Officer, Press Ganey

Marriott at the University of Dayton 1414 South Patterson Boulevard, Dayton

Bring a guest and enjoy a special evening!RSVP at khnmedstaffdinner.org

For more information email wanda.wilson@ketteringhealth.org or call (937) 558-3472

You'reInvited

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To meet the needs of increased patient volumes, Kettering Health Network is partnering with Buckeye Ambulance to establish Kettering Mobile Care, a medical transportation service whose vehicles are dedicated solely to

transporting patients into and out of the health system’s hospitals, emergency departments, and outpatient facilities.

Kettering Health Network’s fleet of 26 patient transportation vehicles is one of the largest hospital-branded fleets in Ohio. The fleet includes: 17 state-of-the-art ambulances, 5 ambulettes, 2 response vehicles, and 2 mobile intensive care units.

Through this partnership, the network aims to increase access and decrease wait times when patients need to be transported.

“We understand the need for quick and responsive transport services in order to deliver the best outcomes for our patients,” says John Weimer, network executive director of Emergency and Trauma Services. “Working with Buckeye Ambulance allows us to improve the transport experience for both our patients and clinical care staff.”

Each vehicle is equipped with electronic medical record technology so paramedics and EMTs can electronically transfer patient medical records to hospitals and medical facilities while in service. Mobile intensive care units and ambulances are equipped with cardiac monitors that transmit EKGs and other vital signs and medical information to physicians and other medical providers.

The vehicles also are equipped with a GPS tracking system designed to provide real-time locational information of each vehicle. This allows dispatchers to send the closest vehicle to pick up a patient, lowering response time.

“This partnership between Kettering Health Network and Buckeye Ambulance will greatly improve the continuity of care for our patients,” says Fred Manchur, chief executive officer of Kettering Health Network. “Everything we do as a faith-based health system centers around how to best care for the patient. Buckeye Ambulance shares our passion for exceptional patient care, and we are glad to work side-by-side with them in serving the residents of southwest Ohio.”

Vehicles initially will be based at several network facilities, including Greene Memorial Hospital; Fort Hamilton Hospital; the freestanding Emergency Centers in Franklin, Huber Heights, and at the Preble County Medical Center in Eaton; as well as Buckeye Ambulance’s Dayton station. Kettering Mobile Care staff will continually monitor and assess the most beneficial locations for vehicles and adjust accordingly.

Network Creates Medical Transportation Fleet

The network’s Transfer Call Center hotline number remains the same: (937) 762-1900. Buckeye has dedicated a phone number for network access to transports: 1-855-751-7555.

Kettering Mobile Care made its debut appearance at Soin Medical Center on July 6.

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Progress continues on the network’s new comprehensive cancer center, which will offer complete care to patients in a nurturing

environment with dedicated patient-centric amenities and specialized treatments to fight cancer. Designed with input from patients, employees, and physicians, the center will serve as a single touch point for patients, providing them with a wide range of services, including radiation oncology, medical oncology, breast imaging diagnostic center, and the area’s largest private infusion center.

With the cancer center’s first patient day scheduled for December 13, 2016, Kettering Cancer Care is excited to offer a first look inside.

Building the Future of Cancer Care

LOBBY

CAFÉ

INFUSION WAITING

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To learn more about the project, visit ketteringhealth.org/cancercenter

INFUSION WAITINGKETTERING BREAST EVALUATION CENTER

SPA & RETAIL

INFUSION CENTERSave the dateRibbon CuttingDecember 2

Community Open HouseDecember 4

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Since the clinical integration network Kettering Physician Partners launched in January 2016, the organization continues to grow and improve collaboration between physicians, hospitals, and providers working

together to further improve quality of care for patients.

Creating a successful clinical integration network that is focused on population health management improves patients’ quality outcomes, reduces costs, and expands patient engagement strategies. In Kettering Physician Partner’s efforts to accomplish these goals, one key area of focus has been primary care, which includes family practice, internal medicine, obstetrics, and pediatrics. Through one incentive program launched within Kettering Physician Partners, physicians in these specialties are benefiting from improving wellness visits for Kettering Health Network employees and spouses covered through the Kettering Health Network employee health insurance plan.

Beginning April 1, and for the remainder of 2016, Kettering Physician Partners primary care physicians are eligible to receive an additional financial incentive for helping engage our employees and their insured spouses in seeking preventive care through wellness visits.

Similar to what many physicians already provide patients, wellness visits include a review of the patient’s medical and family history. The visits also include a discussion of risk factors and treatment options for consideration, a discussion of any unhealthy habits, personalized health advice, and a screening schedule for appropriate future preventive services.

In 2015 our primary care physicians provided more than 3,000 wellness and preventative visits to Kettering Health Network employees and spouses. This year our goal is to provide even more employees and spouses access to preventive care as we continue to improve the quality of the lives in the communities that we serve.

Kettering Physician Partners New incentive promotes employee, spouse wellness

For more information about becoming part of Kettering Physician Partners, contact Bev Knapp, Vice President of Clinical Integration and Innovation, at (937) 558-3461 or Beverly.Knapp@ketteringhealth.org

Highlights of subcommittee work include:

• Identifying first 17 quality measures to begin working toward measuring, collecting, and improving

• Implementing IT solution Explorys, the first of 5 EMR interfaces to assist physician practices with measuring, collecting, tracking, and tools for patient engagement

• Finalizing contracts with multiple payers for commercial, Medicare Advantage, Medicaid, and bundled payment plans

• Implementing the primary care wellness visit incentive for providers

• Finalizing the post-acute care quality dashboard

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Innovatively and proactively planning for current and future challenges remains a key to success for health systems like Kettering Health

Network. Industry experts agree that Kettering Health Network is focusing on the right strategic priorities to be well-positioned for success in a turbulent health care market. In each upcoming issue of Physician Quarterly, we will highlight a key strategy from those introduced here.

Strategies for Success The network commits to the triple aim of excelling in quality and service while managing costs. To do so, we have identified six strategic priorities:

1. Primary Care Strategy aimed at developing relationships with primary care providers across the region

2. Access Strategy designed to provide consumers with convenient access points that patients are accustomed to receiving

3. Kettering Physician Partners, a Clinically Integrated Network designed to improve quality and value

4. Changes in Payment Strategy to ensure that the network is proactively responding to changes to reimbursement

5. Post-Acute Strategy to coordinate care across providers, settings, and time

6. Medical Staff & Hospitals Strategy to develop and implement network-aligned service line strategies to better serve our patients

Focus on AccessKettering Health Network has a legacy built on patient experience and nationally recognized quality. Once a patient is treated in a network facility, they receive exceptional care.

However, changes in health care demand a consumer-centric focus. Access strategies are designed to address and capitalize on these market dynamics.

The intent of the Access Strategy is to extend the network’s mission by providing consumers and patients with convenient access to care throughout not only Kettering Health Network-owned facilities and employed providers, but across loyal physicians and business partnerships in the community. These entities are part of a greater network and are essential for continuity of care.

Keys to Success in a Changing Healthcare LandscapeAccess Strategy extends network mission throughout community

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Kettering Health Network is sponsoring a free education session for physicians, presented by the Advisory Board, on September 21 at 6 p.m. at the Hilton Garden Inn South Dayton/Austin Landing. To RSVP, visit ketteringhealth.org/pha or call (937) 762-1162.

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) makes several major changes to how Medicare pays providers for their care to Medicare beneficiaries.

Intended to reward providers for better tying payment to value, MACRA replaces the Sustainable Growth Rate (SGR) payment model. The new model stipulates the development of two new payment tracks that bring existing quality reporting programs into one system: Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).

Beginning in January 2017, providers must determine their MACRA strategy— APMs or MIPS—and begin tracking performance for the 2019 payment adjustments.

Alternative Payment Models (APMs) require that physicians meet increasing targets for revenue at risk. For physicians who do not qualify for APMs, the Merit-Based Incentive Payment System (MIPS) gives providers a score based on four categories: Quality, Resource Use, Clinical Practice Improvement, and Electronic Health Record use.

Making the changeKettering Physician Network and Kettering Physician Partners are assessing the network’s readiness and working toward a plan that helps educate and prepare physicians. Through education and readiness training, physicians will be able to learn more about making the changes necessary to ensure they receive the maximum payments.

Preparing for MACRAQuality Payment Program reforms Medicare payment

Providers assigned score of 0-100 based on performance across four categories

Provider score compared to the CMS-set performance threshold (PT)

Providers above the PT receive bonus, while providers scoring below the PT are subject to a penalty

How Does the MIPS Score Determine Payment Adjustment?

1 2 3

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K ettering Health Network has been named one of the nation’s Most Wired Hospitals by the American Hospital Association’s Health

Forum. HealthCare’s Most Wired® survey, conducted between Jan. 15 and March 15, 2016, is published annually by Health & Hospitals Networks (H&HN) magazine. The 2016 Most Wired survey of 680 participants, representing an estimated 2,146 hospitals–more than 34 percent of all hospitals in the U.S.–examines how organizations are leveraging IT to improve performance for value-based health care in the areas of infrastructure, business and administrative management; quality and safety; and clinical integration.

“We are extremely honored to receive this recognition for our IT initiatives,” says Andy Lehman, chief information officer for Kettering Health Network. “We have been deliberate in identifying the most appropriate technology that will assist us in providing exceptional patient care throughout our network. The patient is at the heart of all our technology initiatives.”

One of Kettering Health Network’s most successful “wired” initiatives is the implementation of the Epic electronic health record software, which has been recognized as one of the most comprehensive and integrated electronic medical record systems in the country. It covers most services that a hospital network would need, including patient access to their health records and remote access for physicians. The network also offers Epic to smaller organizations that could not otherwise afford to implement Epic because of their size.

The network offers telehealth services for a number of consultations including neonatal, psychiatric, and stroke. Telehealth allows physicians in another location to perform a virtual physical exam. The network also uses population health management tools and partners with other healthcare providers

to share critical clinical information used in analyzing interventions aimed at key patient groups such as those with diabetes.

“This award recognizes Kettering Health Network’s commitment to using technology as a tool for improving the health care in our community,” says Charles Watson, DO, chief medical information officer for Kettering Health Network. “Technology helps us to improve processes and standardize functionality so that patients can expect to receive the same high-quality standard of care at every one of our locations, every time.”

Kettering Health Network is taking advantage of the versatility of mobile technologies so that physicians have the right tools for sound clinical decision-making wherever they are.

“Physicians have pointed out that the days of trying to find the paper chart on the patient care unit or the where the vital signs sheets are kept are gone,” says Greg Stanton, MSN, RN, chief nursing information officer for Kettering Health Network. “One physician said that if he had to revert to a paper workflow, he would be lost. Now he uses a hand-held tablet to review imaging results directly with the patient at the bedside or in his office. Technology enhances the art of medicine, and patients appreciate being a part of that.”

Network Named a “Most Wired Hospital”Kettering Health Network has been recognized for use of technology

Charles Watson, DO

byTroy Tyner, DO, President, Physician Hospital Alliance

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As a leader in both Physician Hospital Alliance and Kettering Physician Partners, I understand the importance of ensuring that providers are equipped with a toolbox for successful practices.

CMS has recently determined that reimbursement is changing for Medicare patients in the very near future, as outlined on page 10. Given the complexity and impact of this change, I am excited to share that Physician Hospital Alliance has been awarded a CMS grant for providing free support resources to any Physician Hospital Alliance members interested in learning more about:• Reimbursement changes (MIPS 2019)• Meaningful use and PQRS reporting• Electronic health record optimization• Patient-centered population health

• Workflow optimization• Coding

Physicians will have access to customized, one-on-one support from a quality improvement advisor and gain a community of physician practices to learn and network with.

To qualify for grant dollars, physicians must take a readiness assessment (30-60-minute time commitment). Medical Advantage Group (MAG) is required to conduct the assessment and submit reports to CMS no later than end of September 2016.

Changes in Observation CareNew initiative aims to increase patient communication, satisfaction

Across the network, work is being done to improve communication with patients in observation status. Currently, observation status use in

the network is roughly twice the national average. While about a third of patients are discharged in observation, the network aims to reduce this number to 20 percent by the end of 2017.

Pending the release of the CMS’ Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act, the network will begin implementing a process that immediately notifies patients of their status.

“This change in practice will improve patient satisfaction and promote One Best Practice in observation care,” says Rebecca Ramirez, MD, medical director of Hospital Medicine for Kettering

Health Network. “Patients will sign a notice, indicating they understand their observation billing status, and then receive inpatient status as soon as they’re eligible.”

Patients often express dissatisfaction when they remain in observation status for more than 24 hours without being aware of their status. This time does not count toward the three-day minimum for Medicare patients to qualify for benefits toward skilled nursing facility care.

As these changes are implemented, physicians are encouraged to round with observation patients twice daily and communicate when they are assigned observation status or admitted as an inpatient. Patients should feel confident that they will receive the same high-quality care regardless of their billing status.

Rebecca Ramirez, MD

If you have questions regarding patient status, call (937) 762-1850.

PHA Offers Free Support ResourcesCMS grant provides education to help physicians get MACRA-ready

To ensure that you are scheduled for this assessment as quickly as possible contact, Carol Baugh at carol.baugh@ketteringhealth.org or (937) 762-1162.

Grant and support services are provided in collaboration with Medical Advantage Group, the University of Indiana, and The Greater Lakes Transformation Network.

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byAdam Fershko, MD, FACP, Associate Program Director, Internal Medicine Residency Program at Kettering Medical Center

Both of my grandparents were physicians. My grandmother graduated from Loma Linda in 1938, and my grandfather was a physician who

served in the U.S. Navy for 20 years—including at Pearl Harbor on Dec. 7, 1941, and at the Battles of Guadalcanal and Iwo Jima. After leaving the service, he became a radiologist. Medicine was his life, and his career defined him. As a result he hardly knew his own children.

When I decided to become a doctor, I knew I couldn’t sacrifice my personal life the way he did. I was in good company—every single one of my medical school colleagues felt the same way. In fact, we joked about finding the ROAD to happiness after med school, which meant going into Radiology, Ophthalmology, Anesthesiology or Dermatology. These specialties appealed to us because they would provide the time and money to pursue personal interests and fulfilling relationships.

I planned to become an anesthesiologist, but changed my mind soon after arriving at Kettering Medical Center for a one-year transitional internship in internal medicine in 2008. During my subsequent internal medicine residency here, I thought a lot about work-life balance. I knew that once I finished my medical training, I wanted a job where I could work hard and be happy, but also have time for travel, exercise, friends and visiting my family in British Columbia and New Hampshire.

My first job out of training was to round with residents at Kettering Medical Center, and I chose to work only six months out of the year. I did this for two years, and it was great. Then I was asked to serve as associate program director for the Internal Medicine Residency Program, which increased my work commitment to about nine months a year. I also currently help coordinate Grand Rounds for the hospital.

Next year, I’m going to add working as a hospitalist one week a month (without increasing my total

work hours). This will help keep my clinical skills sharp and allow me to interact with patients more regularly.

I feel so fortunate to work for a hospital that supports my career and personal goals. I love the variety in my job, and the regular hours mean I can go for a run after work or get together with friends. Every couple of months, I take a week or two to spend time with my parents or sister or travel with friends.

My grandfather died in 2003, and I am not sure what he would say about what young doctors like me do for a living. But life is too short to get burned out and hate a job you once loved. I don’t think that when anyone is on their deathbed, they say, “Gee, I wish I’d spent more time at the office.”

The Road to Happiness

Last year, Dr. Fershko conquered his fear of heights, at least temporarily, to summit Longs Peak in Colorado (elev. 14,259) with a friend. He travels to New Hampshire as often as possible to spend time with his sister’s kids, including three-year old Hudson.

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Our Paths to Work-Life BalanceFive hospitalists share how they focus on family

Perry Ramdeo, MD, family medicineMarried to: Seema Sharma, MD, OB-GYNChildren: Ages 4, 8

A few years ago my daughter asked me why I had to go to work. Trying to keep my answer simple, I said it was to make money so she could have nice things. She said, “I don’t want that, Daddy. I want you to play with me.” That’s when I knew it was time to find a job where I could find better balance in my life.

When I came to work for the Kettering Physician Network hospitalist group, Rebecca Ramirez, MD, medical director for hospital medicine at Kettering Health Network, and Roy Chew, president of Kettering Health Network, made it very clear that I was joining a family. That has definitely been the case. Everyone in our group works together as a team. If I need to leave early for one of my kids’ soccer games, someone will cover for me. If there is something special happening at school, I can step out for an hour or two and make up the time later that day.

My wife, Seema, has normal clinic hours, plus 24-hour call three times a week. That can be challenging when I’m working seven days in a row at the hospital. When I’m working weekends, she is home with the kids, and vice versa. But our schedules sometimes clash, and in that case we rely on our babysitters to be flexible or her mom to help. During the school year, I take extra shifts occasionally. But when the kids are not in school, I don’t—we like having a lot of family time in the summer.

Raising a family takes a lot of work. We asked five full-time hospitalists how they prioritize raising their children while managing work responsibilities.

Nael Saleh, MD, internal medicineMarried to: Dana SalehChild: Eight months old

Dana and I have been married for five years, and before we had our son it was easy for us to take trips and do other activities together. Now everything revolves around the baby’s schedule. Instead of going on vacation, our outings involve going to the grocery store with the baby. It’s good that he’s so portable!

Working for Acute Care Consultants, my work schedule is extremely flexible. Instead of working seven days on and then having seven days off, I average 15 to 20 shifts a month. One advantage is that it is not difficult to get time off for vacations or family occasions. In fact, I can’t think of a single special event I’ve had to miss in the last seven years.

My wife stays home with the baby, and when I am working we keep in touch by text. When I’m off work, we like to do things together like take walks in the neighborhood with our son, Ali, in the stroller. Finding free time for myself is a challenge, usually limited to when I go get a haircut! I do enjoy listening to music or going to a Barnes & Noble.

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Sylvia Polenakovik, MD, internal medicineMarried to: Hari Polenakovik, MD, infectious disease specialist at Wright State PhysiciansChildren: Ages 6, 19 and 20 Hari and I got married after medical school, and in 1995 moved from Macedonia to Dayton, where Hari matched for his internal medicine residency. We had no family in the United States, so I stayed home with the kids for four years. In 1999, I was able to start my residency because my mom retired and was able to move to the U.S. temporarily to help us. She lived with us while I was doing my residency and Hari was completing his infectious disease fellowship training.

Our world drastically changed when our middle son, then aged nine, was diagnosed with acute lymphoblastic leukemia. It was devastating, and my first instinct was to quit my job—I was a full-time hospitalist in Greenville, Ohio. But I had to keep working, since our health insurance was through my employer. Hari took a year off from work to be there for our son. Luckily, my job was extremely flexible and we were both able to be with him through all his procedures and treatments, which lasted three-and-a-half years. He is now 19 and doing great. He and his older brother are both in the honors science program at Wright State. They live at home, and while they are pretty busy with school, they are great about taking care of their little brother so that Hari and I can go out as a couple once in a while.

The reason I am able to work full time now and still have a good work-life balance is because Kettering Health Network has a wonderful, caring attitude toward its employees. It is the only network I have worked for that cares not only about its patients but also about the happiness and health of its employees.

Swathi Datla, MD, and Subbaraju Budharaju, MD, family medicineChildren: Ages 2, 5

Dr. Datla: When Subbaraju and I joined Kettering Health Network in January 2016, we worked alternating shifts. He worked 12 hours a day for seven days straight while I stayed home, and then we switched for the next seven days. Now we have the same shift, which we absolutely love. It gives us more time as a family, plus we can have lunch together every day when we are both at the hospital.

Dr. Budharaju: We work hard, but on our days off we don’t even have to think about work. Sometimes I feel very tempted to do more professionally, including research, being involved in education or attending conferences. But right now, our priorities are kids and family. There will be time for the other things later.

Dr. Datla: When we were growing up in India, our moms stayed home with us while our dads worked. Sometimes I feel guilty that I don’t do the same thing with our children—especially when I drop them off at daycare and they cry. I might cut back my hours to part time at some point so that I can be with them more. In the meantime, we are trying to make the most of our weeks off. There are always opportunities to moonlight, but we don’t do that right now.

Dr. Budharaju: My advice to young guns is to spend time with your family—have fun and make money, but remember that work-life balance is very, very important. And be sure to work on having a strong marriage—with that, you are really set for life!

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Even in organizations that embrace and promote spiritual care, there are many healthcare professionals who seek to better understand

the chaplain’s role as a spiritual care provider. For some, chaplains are associated with prayer and religious rituals such as communion, baptism, or anointment. While chaplains can and often do perform these rites, they play a larger role in health care.

The more I interact with patients and staff, the more I am convinced that chaplains can help improve quality and patient experience. Chaplains are valuable assets for the healthcare team because they focus on identifying and addressing patients’ non-physical needs that can interfere with the recovery process, and ultimately, with the mission of the organization.

During my first unit of Clinical Pastoral Education at Grandview Medical Center, I saw care providers call chaplains to pray with their patients, reflecting a growing understanding that patients are not merely a collection of distinct and isolated organs. Thoughtful healthcare professionals recognize that patients have physical, emotional, relational, and spiritual needs, and these professionals are broadening the prevalent bio-psychosocial approach to medicine with an advanced and holistic approach that better meets the needs of their patients.

While conclusive evidence on the impact of prayer for healing is lacking, some studies show that intercessory prayer has improved medical treatment outcomes. When requested by the patient, prayer addresses the patient’s initial spiritual concern and alleviates anxiety associated with hospitalization.

Internal Medicine physician Jeffrey Kaufhold, MD, provides an insightful perspective: “I think of hospital chaplains like firefighters: you are at your best when people are having their worst day. There are a lot of families struggling with the illness

The Role of Chaplains in Health Care

of a loved one, and the decisions that they may have to make regarding the care they receive. All we tell them as physicians usually focuses on the medical side, and they need the chaplain to help with the spiritual side. I have seen the chaplain still the turmoil in a family and bring resolve to the family’s decision.”

Without proselytizing, chaplains can stabilize volatile situations, bring clarity to theological and ethical concerns, and facilitate communication between patients, families, and staff. Steven Porto, DO, acknowledges the benefit of having a chaplain present during a trauma event: “Our trauma team believes that the chaplains have played an essential role in keeping families calm and at peace while the trauma physicians carefully, mindfully, and thoroughly evaluate and treat their loved ones.”

Chaplains also provide valuable care for hospital staff. When left unchecked, the stress and demands that caregivers experience can negatively impact their physical health, mental wellness, and relationships, leading to burnout. To help prevent burnout, chaplains provide daily opportunities for staff to express their thoughts and concerns in a supportive environment.

To improve interaction with chaplains, physicians may want to consult with them about spiritual issues that could affect the patient’s treatments. For example, some patients choose to decline particular treatments based on their religious convictions. In these cases, consulting the hospital chaplain can expedite the process of finding a satisfactory solution for the patient without violating those convictions.

Physicians can also help improve the interaction between patients and chaplains. Using Epic, physicians can order spiritual assessment of patients exhibiting signs of spiritual, religious, or ethical concerns about their hospitalization. They can also order a chaplain’s visit for patients

Stephen K. Waterbrook, MD, prays with a patient.

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waiting test results, especially when they anticipate a major health crisis that may include multiple treatments, surgery, or end-of-life issues. This can give patients––and their families––an opportunity to receive professional spiritual care and emotional support, which reduces their anxiety and helps manage stress during hospital stay.

ReferencesGuarneri, M. (2006). The heart speaks: A cardiologist reveals the secret language of healing. New York: Simon & Schuster.

Cha, K. Y., & Wirth, D. P. (2001). Does prayer influence the success of in vitro fertilization-embryo transfer? Report of a masked, randomized trial. J Reprod Med, 46(9), 781-787.

Additional ResourcesVandeCreek, L., & Burton, L. (2001). Professional chaplaincy: Its role and importance in healthcare. The Journal of Pastoral Care, 55(1).

To learn more about spiritual care services available to you and your patients, call Linda Byrd, administrative assistant for Kettering Health Network Spiritual Services, at (937) 395-8640.

You can also contact facility chaplains:

LARRY KOSITSIN, Kettering Health Network director of Spiritual Services: (937) 395-8640

HENRY UY, CPE Supervisor at Kettering Medical Center: (937) 395-8640

RAUL CONCHA, chaplain at Sycamore Medical Center: (937) 384-4878

MARK FELDBUSH, CPE Supervisor (SIT) at Grandview Medical Center: (937) 723-3883

SERGIO SILVA, chaplain at Grandview Medical Center: (937) 723-3878

DARRYL BLAHOVICH, chaplain at Southview Medical Center: (937) 401-6387

RON SWIGER, chaplain at Greene Memorial Hospital: (937) 352-2693

MARIYA MARTON, chaplain at Soin Medical Center: (937) 702-4031

LARRY DAVIS, chaplain at Fort Hamilton Hospital: (937) 867-3306

NESTOR BRUNO, chaplain at Kettering Behavioral Medicine Center: (937) 395-5001

bySergio Silva, PhD (ABD), chaplain at Grandview Medical Center

18 N e t w o r k

Registered dietitians at the Joslin Diabetes and Nutrition Centers offer comprehensive medical nutrition therapy (MNT) for patients

with diabetes, as well as those with other medical conditions. This service has been available through Kettering Health Network for a number of years, but it is now offered exclusively at the network’s six Joslin Diabetes and Nutrition sites. These locations include primary care offices in Beavercreek, Hamilton, and Trotwood, as well as at Greene Memorial Hospital, Southview Medical Center, and Sycamore Medical Center.

A referral for one-on-one MNT appointments with a registered dietitian can be appropriate for patients who are:

• Trying to reduce weight

• Trying to recover weight after cancer treatment, surgery, etc.

• Following a specialized diet, such as low sodium or high protein

• Managing a chronic disease, such as inflammatory bowel syndrome or celiac disease

• Managing multiple chronic diseases, such as chronic obstructive pulmonary disease and hyperlipidemia

• Having difficulty managing their carbohydrate intake while trying to control diabetes

Medical Nutrition Therapy for Your Patients

A newly streamlined process makes it easy for physicians to refer patients for MNT using a paper form (available at ketteringhealth.com/diabetes) or through Epic (Ref50). For clinical information about medical nutrition therapy, please call (937) 384-6812.

“Our dietitians provide evidence-based nutrition counseling and education to help a patient prevent, delay, and manage disease,” says Kristin Flohre, RD, LD, outpatient dietitian. “They do a lot of listening and assessing while working with patients. The goal is to develop a personalized nutrition therapy plan that supports their medical needs and coordinates their nutrition needs related to one or more medical condition or chronic disease.”

The service’s professional nutrition care model ensures optimal outcomes and maximizes the potential for insurance coverage. “Medical nutrition therapy is getting the attention of the Centers for Medicare and Medicaid Services and other organizations because of its potential to help patients prevent disease and manage chronic diseases,” Flohre says. “Coverage is improving, though we always encourage patients to check their benefits and find out exactly what costs the service will be for them through their insurance carrier before making an appointment.”

In addition to providing one-on-one MNT consultations and follow up, dietitians lead a group class for people who have been diagnosed with pre-diabetes. The MNT group weight management program is being upgraded and expanded to meet the needs and expectations of patients and physicians.

Our dietitians ... help a patient prevent, delay, and manage disease.

’’

N e t w o r k 19

Hernia Center Coordinates Care throughout Network

In recent years, patients with complex abdominal wall hernias have had to travel to Cincinnati, Columbus, and beyond for surgery. Responding

to the increasing need for local, high-level treatment, Kettering Health Network launched a hernia center at Soin Medical Center in September 2015.

“The great thing about this center is that it eliminates the need for us to send patients outside of the network for complicated hernia cases,” says co-director Brian Ondulick, DO.

Designed to efficiently assess a patient’s needs, the center’s phone protocols match a patient with a local surgeon for care. “We’ve established a way to grade each case based on complexity and reoccurrence,” explains co-director Chris Schneider, MD. “Based on the grade, we do our best to send each patient to their closest Kettering Health Network hospital.

“For more complex issues, we can work with patients and their primary care physician to coordinate care with our team.”

By ensuring that patients can get the care they need without leaving the region, the Hernia Center is helping to grow volumes at every facility. From January-May, 2016, the number of hernia surgeries increased 16.6 percent throughout the network compared to January-May, 2015.

Brian Ondulick, DO

Chris Schneider, MD

To refer a patient to the Hernia Center, call our nurse navigator at (937) 702-4690.

199217

117 120101

11488

112

2535

74

126

60 50

Kettering Sycamore Grandview Southview Greene Soin

Jan-May 2015 Jan-May 2016

NUMBER OF HERNIA SURGERIES

Fort Hamilton

20 N e t w o r k

Shout Outs

Rick Dodds

Rick Dodds, president of Soin Medical Center, was named a Dayton Business Journal Forty Under 40 winner for 2016. More than 200 leaders from a wide range of industries throughout the region were nominated.

Ervin Gruia has joined the network as director of Business Development for Soin and Greene. He previously served as administrative director of Business Development for Adventist Medical Center.

Ronald Hale, MD

E. Ronald Hale, MD, has been named medical director of radiation oncology for Kettering Health Network. Dr. Hale most recently served as a radiation oncologist with the Greater Dayton Cancer Center and was the medical director of radiation oncology for Care Core National in Bluffton, South

Carolina. He also served with the 88th Medical Group at Wright-Patterson Air Force Base Medical Center. He retired from the Air Force in 2011 with the rank of Lieutenant Colonel.

Paul Hoover

Paul Hoover is now vice president of Strategic Development for Kettering Health Network. He will be responsible for maintaining, promoting, and expanding services in addition to his roles as Business Development Director at Kettering Medical Center System and network executive

sponsor for the Neuroscience Service Line. Before joining Kettering Health Network, Paul led business growth at Florida Hospital, Tampa, as the senior leader of Business Development.

Bev Knapp

Bev Knapp has been promoted to vice president of Clinical Integration and Innovation. She will continue to provide leadership and support for Kettering Physician Partners, Physician Hospital Alliance, Corporate Health and Outreach, Executive Health, Innovation Strategies, Diabetes

and Kettering Specialty Services.

Eric Lunde has joined the network as Executive Director of Neuroscience Service Line. Eric will assume responsibility for Network Neuroscience Strategy and Growth, as well as Kettering and Sycamore Medical Centers Neuroscience Service Line for all operational, budgetary, and planning activities associated with the service Line. With more than 15 years of health care experience and leadership, Eric most recently served as the COO with Manchester Memorial Hospital, in Manchester Kentucky, which is part of Adventist Health System.

Aric Merrill

Aric Merrill has been named Network Service Line Leader for Primary Care. In this role, Aric will be responsible for strategic planning at the network level, with the goal of network alignment and to promote One Best Practice. He most recently served as director of physician

partnerships and integration at Kettering Medical Center, after serving as administrative director at Fort Hamilton Hospital.

N e t w o r k 21

Michael Mewhirter

Michael Mewhirter was promoted to president of Fort Hamilton Hospital. Michael has served Fort Hamilton as vice president of Operations and Finance for the past year, turning strategic initiatives into operational results. He has built alignments with the medical staff and network priorities

while demonstrating a balanced performance in all Key Results Areas. Michael has an MBA from Webster University in Orlando, Florida, and a decade in leadership roles at Florida Hospital prior to joining our network.

Thomas Reid, MD

Thomas Reid, MD, recently performed his 1,000th daVinci procedure. His first daVinci procedure was in August 2006, and he has completed more than 120 in the past 12 months.

Brian Schwartz, MD

Brian Schwartz, MD, has been named medical director for the network Cardiac Service Line. He previously served as the director of Kettering Medical Center’s Interventional Cardiology Fellowship program. He is co-founder of the Structural Heart program, which completed its 100th

TAVR on June 8. Dr. Schwartz is a graduate of Loma Linda University Medical School and completed his Internal Medicine residency at Kettering Medical Center, where he was Chief Resident.

THE KETTERING CARDIOVASCULAR

INSTITUTE PRESENTS

The 17th Annual

Benjamin Schuster, MD Colloquium

Cardiovascular Oncology — Avoiding a Broken Heart

Save the Date

Wednesday, February 22, 2017

Schuster Performing Arts Center

Dayton, OH

To register, visit

ketteringhealth.com/2017colloquium

John Shrader, MD

John Shrader, MD, has been promoted to director of Medical Education for Kettering and Sycamore medical centers. He will continue his duties as transitional year program director. Amy Hoeffel will expand the Graduate Medical Education administrative director role to include Kettering Health Network responsibilities.

Jewell Strawn has been promoted to administrative director of nursing for the emergency departments at Grandview Medical Center, the Huber Health Center, and Preble County Medical Center, as well as the behavioral health departments at Grandview Medical Center.

Amy Hoeffel

22 N e t w o r k

Premier Inc. has recognized Grandview, Southview, and Sycamore medical centers as Finalists for the QUEST® Award for High-

value Healthcare for providing outstanding patient care. Kettering Medical Center and Fort Hamilton Hospital were named Citation of Merit recipients.

Only 14 U.S. hospitals received Finalist recognition for achieving top performance in any five of the six areas measured in Premier’s QUEST collaborative, including cost and efficiency, inpatient and outpatient evidence-based care, mortality, safety, patient experience and appropriate hospital use. Citation of Merit recipients reached top performance in four out of six areas.

“Our hospitals’ achievements in QUEST reinforces our commitment to reliably deliver the best care experience to the communities we serve,” says Teri Sholder, Chief Quality Officer for Kettering Health Network. “We are proud to receive the QUEST Award as we continue down our path of improving patient outcomes and community health.”

Physicians and their families are encouraged to register for the Greater Dayton 5K Heart Walk/Run on September 24 at Fifth Third Field in downtown Dayton. An American Heart Association (AHA) event, the

Heart Walk raises funds to fight heart disease and stroke.

“The Heart Walk is special to me as the mission of the AHA is to raise awareness of cardiovascular disease,” says Kettering Health Network Cardiologist Vijai Tivakaran, DO. “We enjoy 5K races as a family. They give us an opportunity to exercise outside together in a fun environment.

“I’d encourage other physicians to participate in the Heart Walk because it's important for physicians to practice what they preach and serve as role models to our patients. It would be great to see our physicians get out there, get some exercise, have fun, and take a step toward stomping out cardiovascular disease in the Dayton area.”

To join a team or start your own, visit heartwalk.org

Network hospitals recognized for outstanding patient care

Join a Team for Heart Walk

N e t w o r k 23

Kettering Health Network celebrated the completion of the Springboro Health Center with a ribbon-cutting ceremony

and community open house in July. Situated in the heart of Springboro, the center embraces a contemporary approach to patient-centered care.

From a centralized registration location to the open, accommodating office layout, this facility is created with patient care in mind. Springboro Health Center offers a range of medical specialties, including primary care, obstetrics and gynecology, pediatrics, orthopedics, and cardiology housed together. The center also includes an outpatient pharmacy and diagnostic services, all in one easily accessible location.

Sleep disorders are very common, with 50 to 70 million Americans affected by occasional and chronic sleep disorders each

year. “Sleep problems can significantly diminish health, alertness, and safety,” says Kevin Carter, DO, medical director of the Sleep Center at Kettering Medical Center. “Untreated disorders have been linked to hypertension, heart disease, stroke, depression, diabetes, and other chronic diseases. Identifying and treating these disorders ultimately improves our patients’ quality of life and overall health.”

When should you refer a patient to a sleep specialist?Board-certified sleep specialists provide an extensive assessment of sleep complaints to

identify sleep apnea, restless legs syndrome, insomnia, parasomnias, and narcolepsy. Patients who report daytime sleepiness, snore loudly, and pause in breathing during sleep should be referred. Any patient who falls asleep while driving should be referred immediately. Any patient with complaints of difficulty falling or staying sleep with associated daytime impairment should be screened for common medical conditions associated with these symptoms, such as mood, cardiopulmonary, autoimmune, and endocrine disorders. If symptoms persist despite treatment or a normal workup, a referral to a sleep specialist is appropriate.

Hit Snooze on Patients’ Sleep Loss

To refer a patient to a Kettering Health Network Sleep Center location, call 1-855-400-7533.

Network Opens Springboro Health Center

24 K e t t e r i n g | S y c a m o r e

The structural heart team at Kettering Medical Center recently performed Dayton’s first transcatheter mitral valve repair, using

MitraClip therapy. The procedure provided immediate relief for the patient’s severe mitral valve regurgitation (MR), and has the potential to one day be used for people with less serious forms of the disease.

During the mitral valve repair procedure, the interventional cardiologist guides a catheter from the patient’s groin area through the femoral vein to the affected area of the heart. A second catheter containing the small clip is introduced through the first, and the MitraClip device is guided into place. It is attached to the leaflets of the mitral valve, then deployed. MitraClip improves valve closure and reduces regurgitation, and is approved for people with severe and degenerative MR who are at high risk for surgical repair, including those with multiple comorbidities. Left untreated, severe MR can cause heart failure and arrhythmias.

MitraClip is the latest addition to the structural heart team’s armamentarium. The team offers a number of minimally invasive therapies for

patients with diseases of the heart valves, walls, and chambers, including

transcatheter aortic valve replacement (TAVR) and

percutaneous coronary intervention for chronic total occlusion. “MitraClip is a big step forward in

building a comprehensive structural heart program

at Kettering Medical Center,” says Brian Schwartz, MD, the

interventional cardiologist who performed the team’s first MitraClip

procedure. “Our dynamic team of physicians

works well together in evaluating and treating high-risk patients, making it possible for patents to receive care close to home, rather than traveling to Cleveland, Cincinnati or Columbus.”

In addition to Dr. Schwartz, the MitraClip team includes interventional cardiologist Raja Nazir, MD, cardiologist Calvert Busch, MD, and anesthesiologist Ronald Wargacki, MD, as well as nurses and angiography technicians led by Diane Tatman, RN, manager of the cardiac catheterization lab at Kettering Medical Center. Cardiothoracic surgeons Thomas Merle, MD, and Peter Pavlina, MD, evaluate the patients and participate in discussions about patient selection at the multidisciplinary structural heart conference.

“Initially we expect to treat as many as 15 patients with severe MR a year with MitraClip, but what is really exciting about this procedure is its potential to one day treat moderate-risk patients who today might have an open valve repair,” says Dr. Nazir. “This is the same progression we saw with TAVR. Initially, it was approved for patients with severe aortic stenosis, and now we are doing it for patients with intermediate risk. Current studies are evaluating it for low-risk patients. It means better treatment for more people, and has the potential to change the way we practice medicine.”

Future potential options for patients with mitral valve disease include a complete percutaneous valve replacement surgery, Dr. Schwartz adds. “The mitral valve is not easily accessible, and the anatomy is much more variable than the aortic valve’s,” he explains. “However, several companies are working toward a transcatheter implantable valve approach, and we expect that clinical trials could begin in the next year.”

Questions? Contact Dr. Schwartz at Brian.Schwartz@ketteringhealth.org. To have a patient evaluated, call the structural heart clinic coordinator at (937) 395-6023.

First in DaytonStructural heart team performs transcatheter mitral valve repair

K e t t e r i n g | S y c a m o r e 25

Stroke achievement indicators for two or more consecutive 12-month periods and achieved 5 percent or higher compliance with five of eight Get With The Guidelines-Stroke Quality measures.

To receive the Silver Plus Quality Achievement award, hospitals must achieve 85 percent or higher adherence to all Get With The Guidelines-Stroke achievement indicators for at least 12 consecutive months and during the same period achieve 75 percent or higher compliance with five of eight Get With The Guidelines-Stroke Quality measures.

These quality measures are designed to help hospital teams provide the most up-to-date, evidence-based guidelines with the goal of speeding recovery and reducing death and disability for stroke patients.

Kettering and Sycamore Recognized for Stroke Care

Kettering Medical Center has received the American Heart Association/American Stroke Association’s Get With The Guidelines®-

Stroke Gold Plus Quality Achievement Award. Sycamore Medical Center has received the organization’s Get With The Guidelines®-Stroke Silver Plus Quality Achievement Award.

“The American Heart Association/American Stroke Association has recognized our commitment to providing outstanding stroke care to our patients and the community,” says Timothy Schoonover, DO, medical director of Kettering Health Network’s stroke program. “This achievement demonstrates the continued commitment of Kettering Health Network to serve the community at the highest level.”

To receive the Gold Plus Quality Achievement Award, hospitals must achieve 85 percent or higher adherence to all Get With The Guidelines-

Structural Heart Team Performs 100th TAVR The structural heart clinic at Kettering Medical Center celebrated the completion of their 100th Transcatheter Aortic Valve Replacement (TAVR) procedure on Tuesday, June 7.

The first TAVR procedures at Kettering Health Network were performed in November 2014 by Interventional Cardiologists Brian Schwartz, MD, and

Raja Nazir, MD, and Cardiothoracic Surgeons Thomas Merle, MD, and Peter Pavlina, MD.

TAVR was approved by the FDA in 2011. A heart surgery for high-risk patients, TAVR does not require patients to have open heart surgery. Instead a catheter is inserted through the groin or ribs to replace the diseased aortic valve.

Ruth Mahone, the network’s first TAVR patient, and Alfred Gresco, the 100th TAVR patient

26 K e t t e r i n g | S y c a m o r e

ALLERGY & IMMUNOLOGY John Seyerle, MD Allergy & Asthma Care, Inc. (513) 671-6707

ANESTHESIA Emily Sturgill, MD Kettering Anesthesia Assoc., Inc. (937) 293-8228

CRITICAL CARE/HOSPITALIST Derek Sorensen, MD South Dayton Acute Care Consultants, Inc. (937) 433-8990

Welcome Doctors Kettering | Sycamore New Physicians on Medical Staff March-May 2016

DERMATOLOGY Zain Syed, MD Dayton Skin Surgery Center (937) 293-5567

DIAGNOSTIC RADIOLOGY Ann Rivera, MD Kettering Network Radiologists, Inc. (937) 297-6306

EMERGENCY MEDICINE Elizabeth Gannon, DO Leanne Withrow, DO Emergency Medicine Specialists (937) 436-4658

FAMILY MEDICINE Sarah Hussain, MD Miamisburg Family Practice (937) 866-2494

IM HOSPITALIST Abdul-Mannan Masood, MD Mohammed Abdelaziz, MD KHN IP Med (937) 395-6665

Smitha Bearelly, MD Katherine House, DO South Dayton Acute Care Consultants, Inc. (937) 433-8990

Miriam Atira Harewood-Makola, MD Sycamore Primary Care Group (937) 384-6800

Sravya Surapaneni, MD KHN IP Med (937) 395-6665

INTERNAL MEDICINE David Brandt, MD Sameer Qamar, MD South Dayton Acute Care Consultants, Inc. (937) 433-899

NEPHROLOGY Eric Barnes, DO Renal Physicians, Inc. (937) 222-3118

OB/GYN Keira Urschel, MD Obstetrics/Gynecology South (937) 296-0167

ORAL/MAXILLOFACIAL SURGERY Ahmad Millwala, DMD Aspen Dental (937) 705-0527

PEDIATRICS James Cnota, MD Eunice Hahn, MD Ajay Ponkshe, MD Cincinnati Children's Hospital Medical Center (513) 696-1199

PSYCHIATRY David Hart, MD Kettering Behavioral Medicine Center (937) 534-4620

RADIATION ONCOLOGY Kenneth Murdock, MD GMH Radiation Oncology - API (937) 296-1126

Sycamore Earns Top Mark for Patient Safety

In its latest hospital safety score, The Leapfrog Group honored Sycamore Medical Center with an “A” – its top grade in patient safety. “This

is well deserved and a strong testament to the consistent, persistent effort put forth by each and every team member,” says Wally Sackett, president of Sycamore Medical Center.

The Hospital Safety Score is compiled twice a year under the guidance of the nation’s leading experts on patient safety and is administered by The Leapfrog Group, an independent industry watchdog. The score is free to the public and designed to give consumers information they can use to protect themselves and their families when facing a hospital stay.

K e t t e r i n g | S y c a m o r e 27

At Kettering Medical Center, the care we provide to our community is among the best in the nation. Not only are we recognized for

our quality by others—such as Truven Health’s 100 Top Hospitals ranking—but we know it is a part of our DNA, our identity.

As a tertiary care center, we depend on collaboration with physicians throughout the network and our community as we deliver comprehensive care to our patients.

Because the care we provide is at such an exceptional level, our mission must be to always say yes to every transfer request, every patient who turns to us for care, and every physician who needs their patients to be in the best care possible.

Beginning in October, Kettering Medical Center will launch an “Always Say Yes” campaign to

healthcare facilities in our region, inviting them to transfer their patients to us for tertiary level care. We are increasing ease of access by connecting them with a single phone number—the network’s transfer call center.

Your commitment to meeting our community’s needs shines every day in the interactions that you have with one another, our patients, their families, and our staff.

Thank you for continuing to go above and beyond to meet our mission.

Always Say YesEnsuring every patient has access to our tertiary care

byJarrod McNaughton President of Kettering Medical Center

Our Promise:

In Memoriam: The Passing of a PioneerRemembering Richard DeWall, MD

Kettering Health Network celebrates the life of Richard DeWall, MD, who passed away on August 15, leaving a tremendous impact on the

community and throughout the medical profession.

Dr. DeWall was a brilliant cardiovascular surgeon whose reputation and skill revolutionized the way heart care was delivered in Dayton and throughout the world. Virginia Kettering invited Dr. DeWall to join Kettering Medical Center in 1968 and develop the region’s first open heart program. Along with Benjamin Schuster, MD, Dr. DeWall helped develop the cardiology program at Kettering Medical Center, creating the foundation for what has become a world-class heart treatment program.

His invention and use of the DeWall Bubble Oxygenator became a standard of care internationally. A replica of his first oxygenator remains on display at the National Museum of American History at the Smithsonian Institution. Dr. DeWall was passionate about bringing hope and healing to his patients.

The legacy he leaves is thriving, and touches not only those working at Kettering Medical Center and throughout Kettering Health Network, but also the numerous patients who have received life-saving heart care in our community over the past 50-plus years.

Grandview Gateway UnveiledGrandviewdedicatesbeautificationprojectandreceivesthelargestgiftinhospital’shistory

In celebration of its 90th anniversary, Grandview Medical Center unveiled a monument sign and garden at the intersection of Grand Avenue

and Great Miami Boulevard in Dayton. The beautification project is Grandview’s gift to the Grafton Hill and Five Oaks communities, creating an aesthetic entrance to the neighborhood.

Grandview Medical Center celebrated the completion of the “Gateway” project with a dedication ceremony attended by Dayton Mayor Nan Whaley, other elected officials, community leaders, and Kettering Health Network and hospital leadership, who planted the first flowers in the garden to symbolize growth and prosperity in the area.

During the ceremony, Mary and Harold Rieck donated $1 million—the largest gift in Grandview’s history—to name Grandview’s medical education building and library and to support its renovation.

Mary is an advocate for osteopathic medicine, its education, and she has a true love for Grandview. She serves as a Trustee on the Grandview Foundation Board, is a member of its Executive Committee, and is also a member of Grandview Medical Center’s Joint Conference Committee.

“I feel an attachment to Grandview,” she said. “I wanted to share with my hospital and its patients the calming, happy feeling flowers can bring.”

Dayton Mayor Nan Whaley and other elected officials planted the first flowers in the garden.

Kenneth Pugar, DO, (R) accepts the $1 million gift from Mary Rieck (L) on behalf of the Grandview Foundation. 28 G r a n d v i e w | S o u t h v i e w

G r a n d v i e w | S o u t h v i e w 29

Emergency Medicine Elizabeth Gannon, DO(937) 436-4658

Family MedicineJames Chaillet Jr., MDXenia Urgent Care - API(937) 352-2850

Thomas Hirt, MDDouglas Romer, MD PriMed Centerville Family Practice(937) 291-6830

William Randall, MDPriMed Physicians(937) 293-8419

Welcome Doctors Grandview | Southview New Physicians on Medical Staff March-May 2016

Internal Medicine Abdul-Mannan Masood, MDKHN IP Med(937) 395-6665

John Mauer, MDLina Mitchell, MD PriMed Physicians(937) 293-1117

Melissa Schnell, MD Renal Physicians, Inc.(937) 496-5162

Internal Medicine (Cardiology) Christopher Manhart, DOCardiology Specialists of Dayton, Inc.(937) 454-9527

Internal Medicine (Pathology/Aphresis) Natallia Maroz, MDRenal Physicians, Inc.(937) 222-3118

Neuro Psych & PMM (Neurology) Lev Grinman, MD Evokes, LLC(513) 947-8433

Pathology Scott Arnold, MDDaniel Buxton, MD Yvonne Dowdy, MDGeoffrey Hahm, MDPatricia McDowell, MDRichard Pelstring, MDAngela Schutz, MD Kettering Pathology Associates(937) 395-8849

Radiology Ann Rivera, MD Kettering Network Radiologists, Inc. (937) 297-6306

Southview Medical Center celebrated the completion of its Creation Wall and renovated lobby with a dedication and ribbon-cutting

ceremony on July 7, exactly 40 years after the hospital’s groundbreaking.

Reflecting the sacred work of healing that takes place in the hospital every day, the Creation Wall is an eight-part installation that depicts the story of creation and the beginning of time. The installation serves as a source of beauty and as an inspiration for spiritual reflection.

The renovated lobby features a fireplace and comfortable seating that form the central

Southview Medical Center Celebrates MajorLobbyRenovation

gathering place and create a more welcoming environment for patients, their families, and other hospital visitors. Other updates include the relocation of Registration to make room for a new concierge welcome desk, and of the gift shop to a more easily accessible location. A coffee shop, complete with a new lounge area, includes a tech center to meet the mobile needs of patients and visitors.

Southview also hosted a community open house to celebrate the renovation. Members of the community enjoyed a backyard BBQ, a health fair, and kid’s activities.

30 G r a n d v i e w | S o u t h v i e w

Grandview Medical Center’s history reveals a strong commitment to osteopathic medicine, community service, and innovation. But

no timeline or highlight reel can fully express Grandview’s unique character and contributions to the Dayton area. For that, you need to dig a little deeper.

Grandview dates its origins to 1926, when three osteopathic doctors converted a private home on West Second Street in Dayton into a 10-bed hospital. As the physicians’ practices grew and more osteopathic physicians settled in Dayton, it became evident that a larger hospital was needed. Construction began on a lot on Grand Avenue, and in 1947, the new, 65-bed Grandview Hospital opened its doors.

Grandview joined Kettering Health Network in 1999 and remains one of the largest and most respected osteopathic community teaching hospitals in the United States. “Our internships and residencies attract high-quality medical school students and graduates,” says James Laws, DO, a cardiologist and the hospital’s unofficial historian. “More than 20 percent of those who train at Grandview stay after completing their program, and many remain here for their entire careers. They are drawn to the quality of our clinical programs, the academic atmosphere, and the collegiality of our medical staff.”

Staying PowerGrandview Medical Center’s 90th anniversary is a celebration of its people

Dr. Laws, who has been with the hospital since 1971, notes that 50-year service awards are not unheard of at Grandview. What’s more, the hospital has no fewer than 10 “legacy” families, which boast father-son and father-daughter physician combinations.

A family affair One well-known legacy family at Grandview is the Hanshaws—Charlie and his sons Aaron and Brian. Their unique history with the hospital dates to 1978, when Charlie did some of his clinical rotations there while a student at West Virginia College of Osteopathic Medicine. After completing his internal medicine residency at Grandview, he returned home to West Virginia to be near family and work in academic medicine. Two years later, Charlie’s dad died, and Charlie and his wife, Margene, decided to return to the Dayton area with their three sons, Shawn, Aaron, and Brian. “I liked how the doctors at Grandview took care of patients and treated each other,” Charlie says. “Even back then we were doing things here they weren’t doing anywhere else—catheters, stents, angiography. I even had a cell phone—although it looked like it was military issue from World War II.”

During those busy early years, Charlie divided his time between Grandview and his private practice near Dayton Mall. His job soon became a family affair. For as long as anyone can remember, Margene has rounded with Charlie, providing much-needed support with charting, phone calls, and other tasks. When husband and wife needed to be at the hospital, the boys tagged along. “Shawn was old enough to stay home, but looking back, gosh—Brian and I might be there several times a week depending on what was going on,” says Aaron. “While mom and dad worked, we played games in waiting rooms, hung out in the lobby, and got free popsicles from the nurses. Even though we were in a medical facility, it felt like home.”

James Laws, DO

1954 Residents

Original Grandview Hospital

G r a n d v i e w | S o u t h v i e w 31

Early inspiration From an early age, the boys sensed a seriousness about their father’s work. “I knew that when dad walked through certain doors something big was happening,” Brian remembers. “Sometimes, from the hallway, I would see him talking with patients and families, and I could tell that they really trusted him. I always wanted to be like that, to touch people’s lives and be someone they can trust. Even now, when I am in a difficult situation with a patient, I think ‘how would dad do this?’”

As his three sons began to think about their careers, Charlie encouraged them to find something they loved and stick to it. Shawn chose computer electronics, but the younger boys decided to go into medicine. They did some of their clinical rotations at Grandview, then completed the hospital’s family medicine residency program five years apart. Aaron joined his dad’s practice in 2009, and currently serves as chief of staff at Grandview and Southview medical centers. Brian is a captain in the United States Air Force and medical director at Columbus Air Force Base in Mississippi, where he works as a family medicine physician.

Changes and stability These days, Charlie sees patients two days a week at his practice, and spends the rest of his time at Grandview, rounding with Margene and providing internal medicine, gastroenterology, and critical care. After more than three decades at Grandview, he has seen a lot of changes, but some things have remained the same. “Grandview is a special place, and it’s the people that have kept it together,” he says. “Many of us have been working together for 20 or 30 years, and there is a lot of camaraderie and pride in what we have. I’ve never wanted to work anywhere else.”

Even as Brian pursues a career in the military, he feels the pull of one day returning to Dayton to work in the “family business.” Meanwhile, Aaron says he is here to stay. “I get offers all the time, but I don’t even think about pursuing them,” he explains. “Being on staff at Grandview and taking care of patients at our practice is part of our family’s legacy. I am going to keep building it.”

Learn more about Grandview’s past when you read Patients & Patience: Celebrating the History of Grandview Hospital by Geoff Williams (with a foreword by Dr. James Laws). The book is available for purchase in the Grandview Medical Center gift shop.

Brian, Aaron, Charlie, and Shawn Hanshaw

32 S o i n | G r e e n e

David Small, MD, chief medical officer at Soin Medical Center and Greene Memorial Hospital, has been part of Kettering Health Network for 46 years. Here, he shares some of the principles that have guided his life and career, and talks about a few things he wishes he’d done differently.

Set the right priorities Faith has always been an integral part of Dr. Small’s life—in fact, he majored in religious studies at Loma Linda University. Putting God first has involved daily devotions and lots of prayer, including praying with patients before every surgery.

Dr. Small says his next priorities in life have been family, then career—although he has not always lived up to that ideal. “Early in my medical practice, I was like almost every other doctor in that I believed patients always came first,” says Dr. Small, who worked as a general and vascular surgeon until 2006. “I missed a lot of birthday parties and family activities because of it. My wife, Nancy, frequently reminded me of what my priorities should be, and I should have been a better listener. I wish I had prioritized family relationships when my children were young—even if it meant limiting my career activities.”

Build a strong marriage Dr. Small and Nancy met in second grade and married while he was still in pre-medical school. Their long shared history has been a major advantage throughout their marriage, as has their mutual commitment to faith and family. They have weathered conflict and disappointment together, with an emphasis on finding common ground. “Nancy and I don’t always see eye to eye, but over the years we have compromised to maintain family harmony,” he says. “We decided together where to raise our family, where to go to church, and how to spend our money. That has been very important.”

Find good professional advisors Dr. Small’s advice extends to the financial and legal aspects of life. First, get a good financial counselor, who can help manage any debt repayment, minimize tax obligations, provide investment advice and help protect your family with products such as life and disability insurance. Second, find a good lawyer before you really need one. “A good attorney can help you review contracts and draw up a will and power of attorney documents,” Dr. Small says. “And if you are ever sued for malpractice, having an attorney you like and trust is invaluable.”

Cultivate relationships at work In the midst of caring for patients, work relationships often get short shrift. Yet these relationships can be essential for career satisfaction, Dr. Small says. “When I came to work with an attitude of helping my colleagues be successful, rather than thinking about how they could help me, I was much happier,” he explains. “I truly enjoy the people here at Kettering Health Network, and cultivating positive relationship with them has made me a better person.”

Words of Wisdom from a Veteran Physician

Prior to joining Kettering Health Network, Dr. Small served as medical director for a 50-bed mission hospital in Montemorelos, Mexico. On weekends, he traveled by plane to villages in the mountains high above Montemorelos and ran medical clinics with colleagues.

33S o i n | G r e e n e

Greene Memorial Hospital is now home to Joslin Diabetes Center’s newest education site, which will provide comprehensive and

personalized diabetes self-management and education to Greene County residents.

Education is essential for controlling diabetes. Current studies show that hospitalization rates are 34 percent lower for patients who have had at least one diabetes education visit, as compared to patients who had no follow-up education visits.

The Joslin Diabetes Center offers group classes and one-on-one training sessions. The site will offer the following diabetes education programs:

• Diabetes self-management training • Individual diabetes management

appointments

• Diabetes medication injection education• Advanced carbohydrate counting classes• Support groups

The Joslin Diabetes Center at Kettering Health Network offers patients renowned medical care in several convenient locations, now including Greene County. Affiliated with Harvard Medical School, Joslin is a global leader in diabetes treatment, research, and education.

Joslin Diabetes Center Expands to Greene County

To refer a patient to Joslin Diabetes Center call (937) 401-7588 or use the referral form at ketteringhealth.org/diabetes

Soin Medical Center has been named one of the Top 20 Most Beautiful Hospitals in the United States by Soliant Health, an Adecco

Group company that is a leading provider of specialized healthcare staffing services to hospitals and healthcare providers.

Soin was ranked 17th following an 11-month-long nomination process and a month-long voting period open to the public. More than 70 hospitals were nominated.

According to Soliant, Soin rose to its Top 20 list because of its uniquely designed main lobby, intended to fill the building with natural light, complemented with a three-story water wall.

Soin Medical Center, which opened in February 2012, features a design that creates a “healing environment” throughout the hospital. The healing environment concept brings nature indoors for a calming and peaceful effect. It uses wood, natural tile, earth tone colors, soft and indirect lighting, and nature-themed artwork.

“We are delighted to be counted among the most beautiful hospitals in the country,” says Rick Dodds, president of Soin Medical Center and Green Memorial Hospital. “We are privileged to provide compassionate, advanced care to our patients in such a magnificent facility. The look of the hospital was designed with the patient in mind. Our healing environment greatly contributes to a positive experience for our patients.”

Soin Recognized for Healing Environment

© 2012, James Steinkamp, Steinkamp Photography

34 S o i n | G r e e n e

Anesthesiology Emily Sturgill, MD Kettering Anesthesia Assoc., Inc. (937) 293-8228

Cardiovascular DiseaseReginald Sequeira, MD API - Complete Cardiovascular Care LLC (937) 298-8058

John Duchak, MDIrshad Hussain, MDMohamed Khan, MDSyed Najeed, MDKPN Cardiovascular - Dayton Cardiology (937) 223-3053

Critical Care Gnan Thakore, MD Pulmonary Critical Care Consultants, Inc. (937) 461-5815

Welcome Doctors Soin | Greene New Physicians on Medical Staff March-May 2016

Dentistry Betty Huang DDS Centerville Pediatric Dentistry, Kyle R. Jackson, Inc. (937) 586-7729

Emergency Medicine Elizabeth Gannon, DO Leanna Withrow, DOPrestige Billing (937) 436-4658

Endocrinology Paul Glowienka, MD Specialty Medicine Care, LLC (937) 429-0607

Family Medicine Tracie Bolden, MD Beavercreek Primary Care (937) 426-0049

Mark Striebel, DO Beavercreek Urgent Care - API (937) 458-4200

Michael Myers, MD Dayton Chest Medicine (937) 396-1605

Beth Shutte, MD Kettering Medical Group Primary Care - Ollie Davis (937) 531-0132

Hospitalist Smitha Bearelly, MD David Brandt, MD Jevede Harris, MD Samina Irfani, MD Sameer Qamar, MD Naveena Sallapudi, MD South Dayton Acute Care Consultants, Inc. (937) 433-8990

Internal Medicine Ashlee Ames, MD Abdul-Mannan Masood, MD Sravya Surapaneni, MD KHN IP Med (937) 395-6665

Alpa Desai, MD South Dayton Acute Care Consultants, Inc.(937) 433-8990

Nephrology Eric Barnes, DO Renal Physicians, Inc. (937) 222-3118

Neurology Lev Grinman, MD Shanti Thirumalai, MD Evokes, LLC (513) 947-8433

Obstetrics/Gynecology Emily Kimble, MD Oak Creek OB/GYN (937) 848-4850

Radiation Oncology Kenneth Murdock, MD GMH Radiation Oncology - API (937) 352-2146

Radiology Ann Rivera, MD Kettering Network Radiologists, Inc.(937) 297-6306

F o r t H a m i l t o n 35

Welcome Doctors Fort Hamilton New Physicians on Medical StaffMarch-May 2016

Allergy & Immunology John Robert Seyerle, MDAllergy & Asthma Care, Inc.(513) 671-6707

Endocrinology, Diabetes & Metabolism Yassin M. Mustafa, MDJoslin Diabetes Center(513) 273-9220

Hospitalist Mahender Reddy Yellu, MDMedicine Inpatient Group(513) 891-5587

Family Birthplace Renovation Complete

Fort Hamilton Hospital has completed renovation on its Family Birthplace, providing a more nurturing, relaxing, and modern

environment on the hospital’s maternity unit. Each of the 17 rooms have been updated to include a new soothing color scheme, and each bathroom includes a walk-in shower. The updates also include a renovated nurse’s station and a new kitchenette for families. The renovation ensures that even our youngest patients receive top-quality care from the very beginning. Physicians and patients will notice an updated unit that continues to focus on physician efficiency and optimal patient care.

Patients can experience the newly renovated space at Fort Hamilton’s first Baby Fair on October 23.

Providing patients quality, coordinated care for their entire episode of care is the goal of Medicare’s Comprehensive Care for Joint

Replacement (CJR) model. Fort Hamilton Hospital and nearly 800 hospitals among 67 markets nationwide, including Akron, Toledo, and Cincinnati, were selected to participate in the initiative, which took effect April 1, 2016.

Medicare’s first mandatory model, this program aims to support top-quality care for the most common inpatient surgeries for Medicare beneficiaries: hip and knee replacements. Lower extremity joint replacement cost more than $7 billion for hospitalization alone in 2014, according to Medicare, and despite the high volume of these surgeries, the costs and quality of care for these procedures vary greatly across providers throughout the country.

By designTo hold hospitals accountable for the quality of care they deliver to Medicare fee-for-service beneficiaries, this model combines all costs for the surgery and any associated care into a single “bundled” payment. The purpose is to encourage hospitals, physicians, and post-acute care providers to work together to improve the quality and care coordination from hospitalization through recovery.

Fort Hamilton Hospital Participates in Bundled Payment Initiative

“When you hear the debate about volume versus value, this payment method reflects your first big push toward the value model,” says Phillip Boarman, service line director of Orthopedics, Rehab, Sports Medicine, and Neuroscience for Fort Hamilton Hospital. “Bundled payments are the future. This is a transition that has begun and will likely continue to expand.”

Under the initiative, organizations will aim to keep costs below Medicare’s target price, which will be influenced by regional standards. While regional prices will account for only one-third of the target price in April, they will account for two-thirds of the price in two years, and to 100 percent in the fifth and final year of the program.

Communication is keyMaking this payment model successful requires communication in and out of the hospital and across care facilities to coordinate care, reduce unnecessary services, and help patients recover quickly.

“This model affects everyone,” Boarman says. “From a physician perspective, the quality, outcome, and cost information will be more readily accessible to the public. Globally, this will apply at every phase of care for the joint replacement population.

“This is a program that won’t change things on the surface, but will grow and change things deeper down. It really takes years of constant process revision, so it’s something every facility should begin working on now. By improving care coordination, fostering communication across all levels of care, increasing transparency on process opportunities, and being proactive in process revision, each facility can be positioned to succeed in the future.”

36 F o r t H a m i l t o n

K e t t e r i n g P h y s i c i a n N e t w o r k 37

Child/Adult Psychiatry David Hart, MD Kettering Behavioral Medicine Center (937) 534-4651

Welcome Doctors Kettering Physician Network New Physicians October 2015-February 2016

Family Medicine Tracie Bolden, MD Beavercreek Primary Care (937) 426-0049

John Sefton, DO Kettering Physician Network Primary Care Commons (937) 490-0123

Terri Riddiford, MD Kettering Physician Network Primary Care Huber Heights (937) 396-2880

Internal Medicine Yassin Mustafa, MD Joslin Southview (937) 401-7575

Mohammed Abdelaziz, MD Sirisha Gaddipati, MDKettering Physician Network Hospital Medicine (937) 395-6665

Pediatrics Bharati Kamdar, MD Kettering Physician Network Pediatrics Centerville (937) 433-4877

Updated Understanding of the Genetics of Colorectal Cancer

In recent years genetic testing technology has improved dramatically through the advent of next generation sequencing (NGS), a high-throughput technique which allows for millions of strands of DNA to be sequenced simultaneously. This technology allows multiple genes to be sequenced more quickly and in a more cost-effective manner than Sanger sequencing. This has led to the discovery of new genes related to many diseases, including colorectal cancer.

Approximately 10 percent of all colorectal cancer diagnoses are due to hereditary conditions. Of these, the majority of individuals are diagnosed with well-known conditions, such as Lynch syndrome, Familial Adenomatous Polyposis, and MUTYH-Associated Polyposis. However, up to 40 percent of individuals have rarer or more newly described cancer syndromes. NGS testing allows these syndromes to be detected more easily; however, questions regarding clinical utility and medical management remain.

In an effort to provide guidance, the National Comprehensive Cancer Network (NCCN) updated their guidelines for genetic colorectal cancer in June.

The guidelines address risk assessment and cancer screening for the well-known conditions and several newly described genes.

The newer genes which most dramatically affect screening are POLE, POLD1, and GREM1. The POLE and POLD1 genes are both part of the newly described polymerase proofreading-associated polyposis (PPAP) condition. GREM1 has been associated with hereditary mixed polyposis but has only been seen in Ashkenazi Jewish individuals to date. These genes are associated with colorectal cancer before 50, more than 10 colon polyps, or early-onset polyps. NCCN recommends individuals with mutations in these genes begin colonoscopy at 25 and repeat every 2-3 years.

Patients who have previously tested negative for Lynch syndrome or other genes may be appropriate for updated genetic testing. Genetic counselors can help streamline the ordering process by facilitating collection of family history, assessing if criteria are met, verifying insurance coverage, finding a lab which tests the appropriate genes, interpreting genetic test results, and helping patients navigate psychosocial and familial issues which may arise.

byMeghan Lundy, MS, LCGC, genetic counselor, Kettering Health Network Genetic Services

To refer a patient for genetic counseling, referrals can be sent in Epic to KHN Genetic Services or faxed to (937) 522-9970.

38 K e t t e r i n g P h y s i c i a n N e t w o r k

Mentoring is a time-consuming endeavor. But for some Kettering Health Network physicians, the rewards truly outweigh the costs. Here, family physicians Gail Askew, MD, and David Page, MD, talk about their

commitment to training the next generation of health providers.

Dr. Gail Askew, Kettering Physician Network Primary CareI have been mentoring ever since I graduated from my residency program 27 years ago. In the last five years, I’ve focused on nurse practitioner students, particularly those from Cedarville University. Their rotations might involve spending one, two, or three days a week in the office with me, usually for 150-200 hours total.

Teaching and mentoring the next generation of practitioners is part of our Hippocratic oath. I want these practitioners to be as effective as they can possibly be. After all, they are likely to be the ones caring for us some day.

The most time-consuming phase of mentoring is the beginning, when students are just shadowing me. Within a few weeks, they can do patient histories by themselves, then a simple exam. By the end, they are able to handle entire patient visits on their own, and we’ll have their professor observe to see how they progressed.

It’s easy for physicians to get jaded after years of medical practice, especially with the growing emphasis on documentation and productivity. I find that students are a real breath of fresh air, with a lot of enthusiasm and optimism. Mentoring them reminds me why I got into medicine in the first place.

Dr. David Page, Miamisburg Family PracticeAbout three years ago, my practice began offering a six- to 12-month internship for advance practice providers who have recently completed training but want more experience before transitioning into their own practice. Having APPs train with us is a great opportunity to see them interact with patients and grow in their skills.

All three of our APPs participated in this program—two nurse practitioners and one physician assistant. They have brought a lot of energy into our practice, and patients have enjoyed getting to know them, and they trust them. Also, these APPs have really helped our practice improve patient access. Before, we were sending a lot of patients to urgent care. Now, we can offer same-day appointments 90 percent of the time.

Mentoring requires time and effort, but it is very rewarding. I like getting to know the APPs and helping them develop their skills. Physicians recognize that having an encouraging, thoughtful discussion regarding complex patients promotes better patient care and professional growth for all providers.

ProfilesinMentoring

Interested in helping to train the next generation of advanced practice providers? Contact David Doucette, MD, at David.Doucette@ketteringhealth.org

Gail Askew, MD

David Page, MD

K e t t e r i n g P h y s i c i a n N e t w o r k 39

CEDARVILLE UNIVERSITY HONORS GAIL ASKEW, MD

Each year, Cedarville University’s School of Nursing honors one preceptor who has made outstanding contributions to the clinical education of its graduate students. This year’s recipient was Dr. Askew. In announcing the award, the school said, “She is patient with the students and helps them learn the right way to care for patients. Each student she has mentored has remarked at how much they learned and how much they enjoyed their time at her practice.”

Kettering Physician Network Chief Medical Officer David Doucette, MD, notes that like all physician mentors, Dr. Askew adds immeasurable value to the profession. “Mentoring brings young practitioners to their highest level of independent practice, ultimately helping patients experience the best outcomes possible,” he said. “Any time a physician mentors a student or physician in training, it is an investment in our profession and in our community’s health.”

First Name Last Name, Degree Office NameAddress 1Address 2City, State Zip Code

3535 Southern BlvdKettering OH, 45429

NONPROFITORGANIZATIONUS POSTAGE

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