Minutes
The University of Toledo Board of Trustees
Clinical Affairs Committee Meeting
March 6, 2012
Committee Chair Dr. S. Amjad Hussain was present along with Committee
members Ms. Susan E. Gilmore, Mr. William C. Koester, and Mr. Gary P.
Thieman; Ms. Sharon Speyer was absent. Faculty representative Dr. Sanford
Kimmel was in attendance. Trustees Mr. Carroll L. Ashley and Mr. Joseph H.
Zerbey, IV also attended the meeting. Administrative Liaisons Dr. Jeffrey Gold
and Dr. Scott Scarborough were present. Additional attendees included Mr. Dan
Barbee, Dr. John Kane, Mr. Chuck Lehnert, Dr. Carl Sirio and Ms. Joan Stasa.
ATTENDANCE
The meeting was called to order at 7:30 a.m. by Committee Chair Hussain in the
Faculty Club Room at the Toledo Hilton Hotel.
CALL TO ORDER
Dr. Hussain requested a motion to waive the reading of the minutes from the
APPROVAL OF
February 14, 2012 Committee meeting and accept them as written. A motion for MINUTES
approval was received by Trustee Gilmore and seconded by Trustee Koester. The
minutes were approved by the Committee.
Dr. Jeffrey Gold, Chancellor and Executive VP Biosciences and Health
Affairs/Dean of the College of Medicine and Life Sciences, provided the
Committee with information about the future of American health care delivery.
The information he supplied to the Committee at this meeting was meant to
stimulate discussions on the future of UTMC on the regional and national scene
and revisit discussions about membership in the “Club of 100” – an elite group
of the top 100 American Academic Health Science Centers. He reported that
understanding the vision of the “Club of 100” consists of many different pieces - Research, Education, Clinical Translational and Basic Science Research, which
is critical to the future direction of UTMC. These different pieces work together
with the teaching hospital, medical school and sound physicians. Dr. Gold
discussed access, quality, costs and workforce of health care reform. He
reported that there are approximately 3,300 Acute Care Hospitals of which 2,600
of them have less than 200 beds – UTMC is a 200 bed acute care hospital.
Teaching hospitals that fall into this group number 100 of which 17 are under
200 beds, which UTMC is one.
Dr. Gold discussed the culture of the “Club of 100” Health Science Centers and
shared with the Committee the following distinguishing characteristics:
 Shared mission, culture and values of excellence in all education,
translational research and clinical care entities
 Stable economics and ongoing investment in sustaining and growing the
culture of academic and clinical excellence
 Full service and high quality clinical and academic programs, “the choice
made by patients and students with choice”
ACADEMIC
HEALTH CARE:
THE NATIONAL
AND REGIONAL
IMPACT



Strong, synergistic and interlocking governance and senior leadership
team structures with horizontal integration
Tight alignment of university, hospital and physicians all with a strong
regional, national and international distinction
World class physicians and scientists working in highly respected
facilities in an economically thriving community
Dr. Gold reported that America has the world’s best doctors and nurses because
we have the world’s best teaching hospitals. These institutions train almost
every new doctor and nurse in our nation. Teaching hospitals also discover the
cures and provide the critical services that save American lives every day. These
hospitals provide care to all Americans, insured or uninsured. The work of
teaching hospitals is more important than ever as our nation faces a growing
shortage of physicians. By 2015, the shortage will reach 62,900 physicians in all
specialty areas; 91,500 doctors by 2020. The Medicare population is expected to
grow by 36% over the next ten years. One-third of physicians will reach age 60,
and likely retire, in the next ten years. American Academic Medical Centers
provide cutting edge, around-the-clock, onsite, and fully staffed standby services
for critically ill or injured patients. These hospitals receive more than 40% of all
transferred patients.
The quality of care and patient outcomes are significantly higher at the “Club of
100” hospitals than at other hospitals because the specialty and subspecialty
physician diversity and bench strength are greater; the quality of the medical
staff is generally greater and more patient centered; there are more physicians on
duty at all levels at teaching hospitals; residents and students enhance physician
workforce and scholarly programs; there is a constant need to review and
improve patient care quality and safety; there is continuous enhancement of
patient satisfaction and service programs; and, there is emphasis to provide
patients access to the newest medical technology.
The sustainability of the economic model is significantly higher at the “Club of
100” hospitals than at other hospitals because the specialty and subspecialty
referral base is substantially larger; the complexity of patients referred for
diagnosis and care is greater; the size, scale and scope promote enhanced
efficiency of care; there is very little (if any) out-referral and out-migration of
patient care; there is enhanced access to federal and state payers and grant
programs; there is enhanced access to capital due to a stronger rating agency
outlook; there is enhanced attraction and confidence for philanthropists and
foundations; and, the federal, state and corporate sector prefers AHC business
relationships.
A map was displayed showing the economic and employment impact of Ohio’s
academic health care, which indicated a “Club of 100” hospital located in the
northeast, central and southwest areas of Ohio. Dr. Gold explained national and
northwest Ohio regional challenges -- the economy has been particularly
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impacted by the national and regional downturn; health status is generally poor
and overall cost of care is generally high; out-referral and out-migration for
clinical care are common and significant; there is a markedly inadequate regional
pipeline of health care faculty and residents; growth in complexity of care is
needed for both acute and chronic care delivery; there is a need for expanded
modern venues for medical education for all healthcare; and, aging and
inadequate supply of medical and other health professionals worsens.
Dr. Gold supplied a gap analysis chart for the UT “Club of 100” for education,
research and clinical care. He presented faculty and student comparisons, as
well as revenue comparisons, for UT’s College of Medicine benchmarked
against other public medical schools and discussed what UTMC needs to attain
to reach the “Club of 100.” Strategies were reviewed for continued organic
growth of UT-HSC and UTMC in size and scope, as well as focusing on
partnership growth of UT increasing clinical size and scope. The Trustees
agreed that the best strategy would be development of a partnership, and Dr.
Gold discussed the current enhancers and impediments for a partnership.
Dr. Gold summarized the presentation as “a call to understanding and a call to
action” with the following bullet points:
 Understand the strategic decision to persist in the quest for the “Club of 100“
membership status in the Northwest Ohio region
 Appreciate the critical linkage of regional economic prosperity and entrance
into the “Club of 100” status for UT and Northwest Ohio
 Recognize that the components of the “Club of 100” that are in place and are
community assets
 Embrace the concept of organic and partnership growth to enter the “Club of
100”
 Work to facilitate the necessary resources and eliminate hurdles supporting
both the organic and partnership growth needed to enter the “Club of 100” –
Education, Clinical Care, Research
 Reach out to our community leaders and colleagues to help them understand
and embrace the “Club of 100” concept
The members of the Board, Dr. Scarborough, Dr. Gold, Dr. Sirio and others then
discussed the “Club of 100” concept, the call to understanding and call to action
that was presented. There was strong endorsement of the concepts discussed and
a desire to proceed with gaining additional information regarding the
combination of organic and partnership growth that is needed to enter the “Club
of 100.”
Trustee Hussain 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
Gilmore, seconded by Trustee Thieman, and a roll call of the Committee was
taken by Ms. Stasa: Dr. Hussain, yes; Mr. Koester, yes; and Mr. Thieman, yes.
EXECUTIVE
SESSION
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After discussion, the Committee voted to exit Executive Session.
Dr. Hussain requested a motion to approve the Chief of Staff Report –
Attachment 1. A motion was made by Trustee Koester and seconded by Trustee
Thieman. The report was approved by the Committee, which includes Medical
Staff reappointments 2012-2014 effective April 6, 2012, Clinical Privileges
Clinical Nurse Specialist (CNS) and Certified Nurse Practitioner (CNP), and
Clinical Privileges – Dental 2.
CHIEF OF STAFF
REPORT
With no further business before the Committee, Trustee Hussain adjourned the
meeting at 9:00 a.m.
ADJOURNMENT
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CHIEF OF STAFF REPORT
March 6, 2012
New Medical Staff Applicants
Andre U. Aguillon, M.D.
Internal Medicine Service
Provisional Staff Status
Privileges in Internal Medicine
Alice (Payton) Bonnell, M.D.
Urology Service
Provisional Staff Status
Privileges in Urology
Jennifer E. Cummings, M.D.
Internal Medicine Service
Provisional Staff Status
Privileges in Internal Medicine, Cath Lab I & III, and Moderate Sedation
Naser Moiduddin, M.D.
Pediatrics Service
Provisional Staff Status
Privileges in Pediatrics
Lawrence Palmer, D.D.S.
Surgery Service
Provisional Staff Status
Privileges in Dentistry
Medical Staff Reappointments 2012-2014 – Effective 04/06/12
Please see attached log.
Medical Staff Reappointment from Provisional to Full Staff Status
Jeffrey L. Blumer, M.D., Ph.D.
Pediatrics Service
Active Staff Status
Privileges in Pediatrics
Medical Staff Request for Leave of Absence
Alan Kirsner, M.D.
Internal Medicine Service
Effective 04/05/12
Bernardo Martinez, M.D.
Surgery Service
Effective 04/05/12
New Clinical Associate Applicants
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Nicholas Sperling, M.S., C.R.E.
Radiation Oncology Service
Privileges as a Medical Physicist
Sponsoring Physician: John Feldmeier, D.O.
Qin Wang, M.S.N., C.N.P.
Family Medicine Service
Privileges as a Certified Nurse Practitioner
Sponsoring Physician: Murthy Gokula, M.D.
Revised Delineation of Privileges Forms
Clinical Nurse Specialist and Certified Nurse Practitioner (see attached)
Dental (see attached)
Clinical Associate Request for Additional Privileges
Marc Crisenbery, M.S.N., C.N.P.
Urology Service
Additional Privileges as Certified Nurse Practitioner
Resignations
Mark Cockley, M.D.
Internal Medicine Service
Effective 04/05/12
Joan R. Griffith, M.D.
Pediatrics Service
Effective 06/30/12
Harvey A. Popovich, M.D.
Family Medicine Service
Effective 12/16/11
Jamey J. Ruiz, M.D.
Internal Medicine Service
Effective 04/05/12
Raju S. Shah, M.D.
Surgery Service
Effective 04/05/12
Gerry A. Steiner, M.D.
Family Medicine Service
Effective 12/06/11
Oswaldo E. Vilela, M.D.
Obstetrics & Gynecology Service
Effective 04/05/12
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