Minutes The University of Toledo Board of Trustees Clinical Affairs Committee Meeting July 20, 2015 Committee Chair Mr. Gary P. Thieman was present with Committee members Dr. S. Amjad Hussain, and Mr. Joseph H. Zerbey, IV. Student Trustees Ms. Anna L. Crisp and Mr. Daniel D. Arendt were present. Other Trustees attending included Mr. Steven M. Cavanaugh, Mr. Jeffrey C. Cole and Ms. Sharon Speyer. Faculty Representative Ms. Kandace Williams was present. Chair of the Board Speyer appointed all trustees present as voting trustees for this meeting. Others in attendance were Mr. Dan Barbee, Mr. John Barrett, Dr. Changhu Chen, Dr. Christopher Cooper, Ms. Meghan Cunningham, Dr. Sharon Gaber, Mr. Ronald Goedde, Dr. Christopher Ingersoll, Dr. Kristen Keith, Mr. Chuck Lehnert, Dr. Bryan Moloney, Mr. David Morlock, Mr. Peter Papadimos, Dr. Thomas Schwann, Mr. Allen Seifert, Dr. Carl Sirio, and Ms. Joan Stasa. ATTENDANCE The meeting was called to order at 10:30 a.m. by Trustee Thieman at the Driscoll CALL TO ORDER Alumni Center in the Schmakel room. Mr. Thieman requested a motion to waive the reading of the minutes from the June 15, 2015 Committee meeting and approve them as written. A motion for approval was received from Trustee Zerbey, seconded by Trustee Cole, and approved by the Committee. APPROVAL OF MINUTES Committee Chair Thieman welcomed new Student Trustee Ms. Anna Crisp to the meeting, as well as Faculty Representative Dr. Kandace Williams. INTRODUCTION OF NEW MEMBERS Mr. David Morlock, Executive VP Finance and Administration/CEO UTMC, prefaced today’s presentations by saying that they would be updating the Committee on a couple of strategic investments that the Board authorized 18-20 months ago. Overall, he mentioned that both are going well. RADIATION OCOLOGY UPDATE Mr. Allen Seifert, Director of the Dana Cancer Center, was introduced to the Committee. He reminded the Committee that he presented a concept for expansion of radiation oncology a couple years ago. A photo of the Varian Edge radiosurgery machine located at UTMC was displayed for the Committee and the surgery with this machine was described as high-intensity beams of radiation with great precision and accuracy. This treatment can destroy cancer cells within 1-5 treatments and is considered “cancer surgery without a knife.” Mr. Seifert explained that cancer cells die when hit by intense doses of radiation while the surrounding normal cells are spared by precise targeting of just the tumor. The Varian Edge system at UTMC is only one of five systems worldwide and places UTMC on the map with the most advanced technology in the region. This technology is designed to effectively treat a wide range of cancers of the lung, brain and spine and the advanced mobility enables Radiation Oncologists to deliver high-intensity treatments to tumors typically difficult to reach surgically. Treatment time is typically less than 15 minutes and is minimally invasive to a patient’s body and daily life. Volume and revenue for year one, which both exceeded expectations, were reviewed with the Committee. Mr. Seifert introduced Dr. Changhu Chen, Professor and Chair of Radiation Oncology at the Dana Cancer Center, to provide remarks. Dr. Chen stated that this treatment is a unique clinical service in our community and explained Stereotactic Radiosurgery in simple terms. He discussed this radiation therapy for early stage breast cancer, prostate cancer, lung cancer, brain metastases, and spine metastases. Dr. Chen also reviewed academic and clinical research goals to develop a Radiation Oncology Residency Program, develop a Clinical Research Program and become THE Radiosurgery Center in the region. Chairman Thieman thanked Mr. Seifert and Dr. Chen and their staffs for the tremendous work they are doing with this new treatment for cancer. Dr. Bryan Moloney, Assistant Professor and Director Senior Behavioral Director, provided the Committee with reasons for Senior Behavioral Health (SBH) as community service, an increasing need for geriatric behavioral health, and to extend the reach of the UTMC footprint. He reviewed admissions within an 80+ mile radius from June 2014 through May 2015. Program characteristics, patient satisfaction, and patient outcomes (admission to discharge) were discussed with the Committee for the third and fourth quarter 2014, as well as the first quarter of 2015 both for regional and national levels. Dr. Moloney reported that the data is heading in the right direction, but they are not yet where they want to be. Patient outcomes strategies for improvement were identified as well as program challenges. Dr. Moloney reported that a lot of progress is being made in these areas and they are becoming more stabilized. SBH average daily census, patient volume, and financial performance were also reviewed. Dr. Moloney indicated future directions for this program include Electronic Convulsive Therapy (ECT), addition of a Psychiatric Intensive Care Unit (PICU), intensive outpatient programs, and follow-up/rounding in nursing homes. GERIATRIC PSYCHIATRY Trustee Thieman requested a motion to enter Executive Session to discuss privileged information related to the evaluation of medical staff personnel appointments and quality reporting. The motion was received by Trustee Cole, seconded by Trustee Zerbey, and a roll call of the Committee was taken by Ms. Stasa: Mr. Cavanaugh, yes; Mr. Cole, yes; Dr. Hussain, yes; Ms. Speyer, yes; Mr. Thieman, yes; and, Mr. Zerbey, yes. After all discussions were complete, the Committee exited Executive Session. EXECUTIVE SESSION Mr. Thieman requested a motion to approve the Chief of Staff Report and the Adverse Events Report as presented in Executive Session. The Chief of Staff Report included: 5 new medical staff applications; 2 new Allied Health professional staff applications; 1 request for additional privileges; and, 1 medical staff resignation. A motion for approval of both reports was received from Trustee Hussain, seconded by Trustee Speyer and approved by the Committee. CHIEF OF STAFF REPORT With no further business before the Committee, Trustee Thieman adjourned the meeting at 11:50 a.m. ADJOURNMENT CHIEF OF STAFF REPORT July 20, 2015 New Medical Staff Applications Michael Ellis, MD Medicine / Infectious Diseases Internal Medicine and Moderate Sedation privileges Active Staff Status Wissam Hoteit, MD Psychiatry General / Child & Adolescent Psychiatry Privileges Active Staff Status Sean Machanda, MD Family Medicine Family Medicine and Moderate Sedation Privileges Active Staff Status Christopher Phillips, MD Surgery General Surgery / Thoracic Surgery and Moderate Sedation privileges Courtesy Staff Status Karl Luketic, MD Surgery Ophthalmology privileges Courtesy Staff Status New Allied Health Professional Staff Applications Ibsitu Ahmed, PA-C Family Medicine Allied Health Professional Status Physician Assistant privileges Sponsoring Physician: Linda Speer, MD Amber Thomas, NP Family Medicine Allied Health Professional Status Physician Assistant privileges Sponsoring Physician: Linda Speer, MD Radha M. Gokula, MD Request for Additional Privileges Svitlana Zhukivska, MD Family Medicine Emergency Medicine/Urgent Care privileges Medical Staff and Allied Health Professional Staff Resignations Gerald Zelenok, MD Surgery Effective 6/30/2015 Retired