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MCACS THE COUNCIL
Wednesday, 20 . September, 2006
The Conference Room
The Italian Epicure Restaurant
Novi, Michigan
- Call To Order:
The meeting was Called to Order by Michael W. Mulholland, MD, PhD, FACS, President at 7:07 PM, in The Conference Room , The Italian Epicure Restaurant, Novi, Michigan.
Present:
Officers:
Michael W. Mulholland, MD, PhD, FACS President
Mark W. Puls, MD, FACS, President-elect
James G. Tyburski, MD, FACS, Secretary
Councilors:
Donn M Schroder, MD, FACS
Wayne E. VanderKolk, MD, FACS
Governors:
Vern L. Hoshal, Jr., MD, FACS And, MSMS Delegate
Edward J. Rutkowski, MD, FACS
Andrew W. Saxe, MD, FACS
Alt. Governors:
Farouck N. Obeid, MD, FACS, President ’02-’03
State Advocacy Representative/ACS
Young Surgeons:
Amy Marie Kirby, MD, FACS
Kurt A. Kralovich, MD, FACS
Michael T. White, MD, FACS
Cancer Committee ACS Representative
Marianne K. Lange, MD, FACS
Chapter Historian:
Allen Silbergleit, MD, Ph.D, FACS
Also Present:
Dennis A. Boysen, MD, FACS
Larry R. Lloyd, MD, FACS
Michael A. Sandler,,,MD
Member, MSMS Board of Directors
F. B. "Tom" Plasman, Chapter Administrator
Absent:
Officer:
Michael K. McLeod, MD, FACS, Treasure
Councilors:
Gerard M. Doherty, MD, FACS
John C. Eggenberger, MD, FACS
Chapter Webmaster
Brian L. Piazza, MD, FACS And, MSMS Alt. Delegate
Michael H. VanderKolk, MD, FACS
ACS & MCACS Committee Representatives:
Edward D. Lanigan, MD, FADCS
ACS Medicare Representative
Database Manager:
Craig Reickert, MD, FACS
Michigan Comm. On Trauma/ACS
Lawrence N. Diebel, MD, FACS
Joe Harrison "Pat" Patton, MD, FACS
Alt. Governors:
Daniel J. Reddy, MD, FACS, Immediate Past President
Cheryl A. Wesen, MD, FACS, President 2003-2004
Donald J. Scholten, MD, FACS, President 2004-2005
Young Surgeons:
Brian L .Piazza, MD, FACS
Craig Reickert, MD, FACS
Christopher P. Steffes, MD, FACS
Richard Santucci, MD, FACS
Chapter Newsletter Editor:
Frederick E. Ludwig, II, MD, FACS
Resident Representative:
# 1
# 2
- Announcements:
There were no Announcements.
The Brochure, "The Future of Medicine" was distributed.
Special Presentations:
Guest Presentation: Update on "Educate Don’t Legislate"
Mr. Colin Ford explained that existing Michigan law already allows advance practice nurses to prescribe medication with physicians’ supervision and delegation. 40 other states have physician oversight requirements similar to Michigan’s and Michigan Senate Bill 1245 does nothing to improve access to care, quality of care, or cost of care. Mr. Ford pointed out there should be no benefit to Patients from independent nurse prescribing. The MSMS opposition to the legislation is not anti-nursing, rather, it is for the protection of the public’s health. Michigan has the highest quality of care from the physician and nurse team. Under the existing system of collaboration, a physician establishes protocols with a nurse that allow the nurse to write prescriptions , a practice allowed under Michigan Law, even when the physician is not present. This physician-nurse collaboration helps to ensure that the patient receives safe, high quality health care. Mr. Ford also pointed out that physicians have thousands of hours of education and training in pharmacology throughout medical school and residency training, whereas advance practice nurses take some pharmacology classes, but they are not required to have the length and intensity of education, training, and experience as are physicians. Discussion ensued.
It was moved and seconded that the Michigan Society of Thoracic and Cardiovascular Surgeons oppose Michigan Senate Bill 1245 and that the Michigan State Medical Society be permitted to use the MSTCVS LOGO on the "Educate Don’t Legislate" document. This motion received unanimous approval.
Guest Presentation: Governor’s Award of Excellence Program
Dr. James Mitchiner, Medicare Medical Director at MPRO, gave a short presentation of the Governor's Award of Excellence. The Governor's Award is given annually by MPRO, in cooperation with Governor Granholm's office, to hospitals that demonstrate exemplary performance in health care quality improvement, including those hospitals who show success in the Surgical Care Improvement Project (SCIP). The Governor's Award is open to all acute care hospitals in Michigan and is based on the rates of SCIP measures that the hospitals are already reporting to CMS. It is currently endorsed by 34 physician and health care organizations in Michigan. Support of the Award implies acknowledgment of MCACS Endorsement and use of its logo on all Award materials, and there is no cost for this publicity. The 2005 Awards will be given this year at a ceremony in Mt. Pleasant on October 3. After a brief discussion, the MCACS Council voted to pledge its support for MPRO's Governor's Award of Excellence. Dr. Mulholland signed the Governor's Award Supporting Organization Formon behalf of MCACS.
- Secretary’s Report:
The Minutes of the 17. May, 2006 Council Meeting were reviewed. It was moved and seconded that these Minutes be approved. This motion received unanimous approval.
The Minutes of the 18. May, 2006 Chapter Annual Business Meeting were submitted for review only. These Minutes will be considered during the 18. May. 2007, Chapter Annual Business Meeting. It was moved and seconded to receive these minutes. This motion received unanimous approval.
- Financial Report: 2006 2ed Quarterly Report.
Doctor Mulholland reported on behalf of Doctor McLeod regarding the Second Quarter Financial Report for the period ending 30. June, 2006.
Regarding the Balance Sheet, Total Assets were $204,984, in comparison to Total Liabilities of $33,129. The Total Net Assets being $171,855.
Regarding the Chapter’s Statement of Operations for the 6 months ending 30. June, 2005, Total Revenue, Actual to Date, was $138,876, which is above budget by $21,549.
It was pointed out that Membership Dues were in unfavorable balance by $23,875. Efforts must be implemented to secure these memberships..
Total General Expense was $31,821, which is $28,279 below the Annual Budgeted amount, and Total 2006 Annual Meeting Expense is $50,022, which is $5,128 below the budget amount. This produces a Total Expense of $87,261, which is $12,989 below budgeted Expense producing an increase in net assets on $11,858 above the Total Annual Budget which also is included on the Balance Sheet as an addition to Net Assets.
It was moved and seconded to receive this Financial Report for the MCACS Business Year ending 30. June, 2006. This motion received unanimous approval.
Doctor Mulholland then reported regarding the 30. June, 2005 Financial Statement for the ACS Michigan Committee on Trauma.
Regarding the Balance Sheet, Total Assets were $57,295 with Total Liabilities being $8,450, thereby producing Total Net Assets of $48,845.
Regarding the Statement of Operations, Total Revenue was $9,059 with Total Expense being 20,515. These expenses included the Trauma Awards, two at $500, the management fee of $7,450 and the Educational Meeting Expenses of $12,000. producing a decrease in Net Assets of ($11,456).
It was moved and seconded to receive the ACS Michigan Committee On Trauma 30. June, 2006 year end Financial Report. This motion received unanimous approval.
- Committee Reports:
A. Program Committee:
Mark W. Puls, MD, FACS, Chair of the Committee announced the interest of the Committee in involving young surgeons. He will appoint two Resident Surgeons to the Committee. Doctor Puls requested recommendations from the Committee and Council.
Regarding the American College of Surgeons Application for CME Category 1 credits, Doctor Hoshal has volunteered to submit the 2007 Annual Meeting Application.
Doctor Puls initiated review and discussion of the ACS CME Procedure for Chapter Programs.
It again was confirmed to complete all planning for the 17May, 2007
Annual Meeting and Annual Resident Surgeons’ Competition, so that the completed Application for CME Category 1 Credit Hours can be submitted to the American College of surgeons on or before 8. December, 2006.
There was then consideration of the Michigan Committee On Trauma meetings. Doctor Puls advised that he has been contacted by Doctor Lawrence N. Diebel, MD, FACS, Chair, MCOT that the Michigan Committee on Trauma will conduct their meetings on Tuesday evening, 15, May, 2007 and Wednesday, 16. May, 2007. It was agreed that the Trauma papers would be scheduled for presentation as the first papers on Thursday, 17. May, 2007.
It was determined that the: "MO" Henig Trauma Lecture would also be scheduled for presentation on Thursday, 17. May, 2007. Doctor Puls announced information from Doctor Diebel that Frank R. Lewis, Jr., MD, FACS, Executive Director, The American Board of Surgery, Inc would present the 2007 "MO" Henig Trauma Lecture.
There was general discussion regarding the successful initial On-Line process installed for the 2005 and 2006 Resident Surgeons’ Competition. It was noted that several positive suggestions have been received and incorporated into the On-Line Planning for the 2007 Competition.
Doctor Saxe stated he would submit a MSU/FAME Proposal for Modifications to the 2006 On-Line Process at the next meeting. Discussion ensued. It was determined to proceed with the MSU/ FAME with the understanding that the 2007 Competition cost would be approximately the same as the 2006 cost.
The frequency of resident contacts was then discussed. It was determined that the Program Committee Chair would also telephone the Residency Programs Administrative Chair to make known and encourage participation in the 2007 Competition.
In consideration of the 27. January, 2007 AB site Examination date, and the mount of time required for Program Committee Members to score the Abstracts, the Program Committee determined to set the Abstract Due Date to be Friday 2. February, 2007. This will enable scoring time and production time of the Annual Meeting Program to be mailed to all MCACS Members on or about 10. March, 2007.
Doctor Puls advised that the Program Committee has determined to discontinue the production and distribution of a Resident Surgeons’ Competition Poster.
Doctors Eggenberger and Saxe were requested to prepare the On-line Abstract Submittal instructions and the On-Line Program Committee Scoring Procedure with the appropriate documents on the Chapter Website.
B. The Cancer Committee:
Doctor Lange reported the ACS Committee met in May and will again meet during the October 7-11 College meeting. She stated that five treatment sites have been identified for discussion, these being Breast Cancer, Colo-Rectal Cancer, and supportive treatment for Cancer . She stated there is some question pertaining to the quality of reporting data and the data collection process.
C. The Trauma Committee:
This information was reported by Doctor Puls as part of the Program Committee Report .
D. MSMS Delegates Report:
Doctor Hoshal reported that the Meeting materials include the pertinent media articles pertaining to the Michigan Medicaid payment issue, Senate Bill 1245, and the Brochure, "The Future of Medicine". He stated he will be attending the appropriate meetings to maintain awareness of these issues. Doctor Hoshal stated there are several bills in the Michigan Legislature which are being followed. As developments occur, he will report to the Council.
Doctor Mulholland called upon Doctor Kirby to comment regarding her attendance and participation in the ACS Washington DC visit, representing the Michigan Chapter. Doctor Kirby stated that Medicare Reform was the major issue although the chances of reform are minimal. She stated there wilth meetings with the Administrative Assistants for Sen Debbie Stabinaw and Sen. Levin….She stated their positions pertaining to Medicare reimbursement are not consistent with nation-wide political thinking. Discussion ensued.
There was then discussion pertaining to Chapter Representatives for the 2007 Washington D.C. Political Up-Date. Doctor Michael White volunteered to be one of the Chapter Representatives. The Young Surgeons Issues Committee will recommend a second Chapter Representative
E. The Chapter Web Site:
There was no report.
E. The Data Base Management Report:
There was no report.
F. StAR Report:
Doctor Obeid stated there will be StAR meetings during the Coming ACS Meetings in Chicago and he shall bring information to the next meeting of the Council.
G. YSIC Report:
Doctor Kralovich stated the Young Surgeons Issues Committee, as reported earlier, recommended one of two Chapter Representatives for the 2007 Washington D.C. Check-Up program. The YSIC is also seeking additional members and requests recommendations from the Council.
Doctor Kralovich also reported that he shall represent the YSIC for the 2007 Annual Resident Surgeons" Competition and will serve in the Judge position reserved for a young surgeon.
- Governors’ Reports:
Doctors Hoshal, Rutkowski and Saxe reported that considerable information is anticipated from their attendance during the October 8-11 American College of Surgeons meetings in Chicago. There was a recommendation to review the ACS Bulletin article pertaining to the College launching the Diversified Investment Fund for Members. Doctor Lloyd suggested that the Governors seek membership on ACS Committees. Discussion ensued.
- New Business:
Doctor Mulholland call attention to the document being distributed pertaining to the "Doctor Krishna K. & Pamela E. Sawhney Fund For Ethics In Surgery" It was reported that Doctor Sawhney has served as President of MCACS, the Michigan State Medical Society Board of Directors and the MSMS Foundation. He is interested in creating The Sawhney Fund with the MSMS Foundation. The initial donation will be $25,000 and the interest from this Fund is to be made available annually to the MCACS to do the Following:
"Recitals: III. "The Donor(s) has expressed a desire to establish a fund in the Foundation in the nature of a restricted fund to be used to present an annual lecture on Ethics in Surgery and/or an award for resident paper presentation for Ethics in Surgery, as determined by the Michigan Chapter of the American College of Surgeons."
Discussion ensued. It was determined that upon creation of the Sawhney Fund, the Chapter would implement the appropriate arrangements as specified in the 20 September, 2006 Report to the Council pertaining to this fund and attached to these Minutes.
Doctor Mulholland stated he would telephone Doctor Sawhney and advise him of the Chapter Council’s positive response to the establishment of the "Doctor Krishna K. & Pamela E. Sawhney Fund For Ethics In Surgery". This determination of the Chapter Council is to be communicated to the MSMS Foundation.
- Adjournment:
There being no further business to bring before the Council, the meeting was adjourned at 8:17 P. M.
Respectfully Submitted,
James G. Tyburski, MD, FACS, Secretary
Attest:
Michael W. Mulholland, MD, PhD, FACS, President
i, Michigan
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