Vision 2nd Quarter 2012

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Advancing OneVision A Blueprint for Baton Rouge General’s Future One Mission. One Vision. One BR General. A Satellite Campus of Tulane University School of Medicine Physician Matters A Publication for the Medical Staff What’s Inside OneVision 3 Mid City Moving Forward 4-5 MD Spotlight 7 Research 8 www.BRGeneral.org

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Transcript of Vision 2nd Quarter 2012

Page 1: Vision 2nd Quarter 2012

Advancing OneVision A Blueprint for Baton Rouge General’s Future

One Mission. One Vision. One BR General.

A Satellite Campus ofTulane University School of Medicine

Physician MattersA Publication for the Medical Staff

What’s InsideOneVision 3

Mid City Moving Forward 4-5

MD Spotlight 7

Research 8

www.BRGeneral.org

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first Seniors ER. Our robust medical education program at Mid City continues to grow through our partnership with Tulane School of Medicine and our students are performing at the top of their class.

While these are just a few of the highlights of OneVision, we pledge to keep you informed about this initiative and our hospital’s strategic direction as we move forward, and we invite you to visit www.BRGOneVision.org, our microsite outlining the history, features, and timeline of the initiative.

As the healthcare environment continues to change, our vision for Baton Rouge General remains steady. OneVision will drive our responses to the healthcare climate and the needs of our patients and physicians. As members of our medical staff, you are critical to our team and to the future of our hospital. We look forward to your continual collaboration to create visionary solutions that will enhance care and services for the Greater Baton Rouge community.

Thank you for your dedication and service to our hospital and our patients. As always, my door remains open.

Sincerely, Bill

A Message From Bill Holman, President and CEO

In the last issue, we introduced OneVision, Baton Rouge General’s blueprint to continue our mission of improving and strengthening lives in our community by providing exceptional healthcare. Our people are at the heart of OneVision, and we thank you, our medical staff, for working day-in and day-out to provide exceptional care to our patients and for your continual leadership as we embrace a

reinvigorated sense of direction for Baton Rouge General.

OneVision highlights the exciting advances in care that are underway at both Baton Rouge General campuses and is focused on enhancing our facilities and specialized programs, medical education, health information technology and accountable care concepts. Some of the current highlights of OneVision include daVinci, our minimally invasive robotics technology. We are looking forward to our fall groundbreaking of a multimillion dollar physician-guided expansion project on the Bluebonnet campus that will include a state-of-the-art medical office building and new surgical space, equipped with hybrid suite technology. At Mid City, we have expanded our behavioral health program and enhanced care for our senior patients with the addition of the region’s

Join us for Lunch! Grab a bite, and get to know Baton Rouge General’s executive leadership team! Members of our executive leadership team are visiting the physicians’ lounge monthly from noon – 1 p.m. to answer questions or receive feedback on how our team can improve your experience as well as your patients while in our hospital.

Physician Matters – page 2A Satellite Campus of Tulane University School of Medicine

Bluebonnet Physicians Lounge2nd Thursday of each month Noon – 1 p.m.

Mid City Physicians Lounge3rd Wednesday of each monthNoon – 1 p.m.

www.BRGeneral.org

OneVision Website LaunchesAs we continue to move our OneVision initiative forward, the OneVision website is one way that we are keeping our physicians and stakeholders informed about our progress. The site allows you to explore our blueprint for Baton Rouge General’s future in a more in-depth and interactive way. Features include expansion project plans, details about our specialized programs including Pennington Cancer Center, Womack Heart Center, Mid City’s Burn Center, medical education, our growing physician network, new investments in HIT and medical technologies, and more. Visit www.BRGOneVision.org today to learn more about our vision for the future.

One Mission. One Vision. One BR General.

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Not only is Dr. Shaw passionate about his fitness regimen, he carries that passion wherever he lands. Off the pavement, Shaw seems to run a mile a minute – seeing patients with doctors Derek Anderson, Vicki Munson and Vincent Nguyen at their O’Neal Lane Baton Rouge General Physicians clinic, and mentoring Baton Rouge General sports medicine fellows in the clinic and on the field through LSU Athletics as an associate team physician. But his day doesn’t end there. Volunteering his expertise as a family physician for the U.S. Army Reserve 7232nd Installation Medical Support Unit in New Orleans, Shaw oversees physical fitness for the unit. He also serves as a team physician for the East Baton Rouge Parish Sherriff’s Office S.W.A.T. team.

Dr. Shaw’s love of fitness began at an early age. He ran cross country throughout middle and high school and continued as a long distance collegiate runner during his time at Southern University. After medical school, Shaw’s interest in physical medicine was piqued while on rotations with sports medicine physician Dr. Jeffrey Burnham and Dr. Derek Anderson during his BRG family medicine residency, and he went on to complete a Primary Care Sports Medicine Fellowship at LSU HSC in New Orleans.

Recently appointed Director of Baton Rouge General’s Sports Medicine Fellowship program in November 2011, Shaw now has the opportunity to share his passion for wellness and athletics. His staff and colleagues all remark on his boundless energy and zest for life.

“ We are very fortunate to have Dr. Shaw as a member of the Baton Rouge General family. He is an invaluable asset to our hospital system and is always willing to lend a hand to help his colleagues,” remarks Dr. Derek Anderson, Family Medicine physician and partner in O’Neal Family Practice.

“Dr. Shaw is an outstanding mentor and colleague. His dedication to his work is inherent in his positive attitude, excellent clinical skills, and comprehensive knowledge base,” said Dr. Andrew Li, 4th year Family Medicine Resident who begins his Sports Medicine Fellowship in August.

Congrats to Dr. Shaw on his many successes on and off the race course!

To inquire about the General’s Sports Medicine program or to contact Dr. Shaw, email him at [email protected]. n

MD SpotlightVincent Shaw, MD Family and Sports Medicine

Physician Matters – page 7A Satellite Campus of Tulane University School of Medicine

Dr. Vincent Shaw with (from left) Andrew Li-Yung Hing, MD; Brenda Brown, RN and Loretta Pourciau who volunteered medical support for the Louisiana Marathon in downtown Baton Rouge January 16, 2012.

Ever wonder what it takes to wake up before dawn, gear up and hit the pavement for a 13 mile run on a cold January morning? Meet sports medicine specialist Vincent Shaw, MD, who recently ran the LA half-Marathon in under 2:00… and from the finish line, non-chalontly changed into his red, medical team t-shirt, to take over the race’s medical support tent.

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A Satellite Campus of Tulane University School of Medicine

Why HCAHPS is Important for Patient CareCMS measures patient satisfaction with their healthcare experiences through the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), a standardized mail survey whose results will affect hospital reimbursement. Some of the key areas of physician care measured are responsiveness while in the hospital, discharge instructions and discussion about home help following discharge.

We appreciate your leadership and feedback as we continue to raise the bar! We caught up with a few physicians to learn more about why HCAHPS is important for patient care.

“It is essential to ensure that we communicate enough information to our patients such that they better understand what is happening to them and what they need to do after discharge to complete the care begun in the hospital. This remains important not only for patient satisfaction, but for both quality outcomes and patient safety. This is why one of our priorities in the BRG/Tulane Internal Medicine Residency Program is to foster and develop better communication skills among physicians, nurses and other staff members, and patients,” said Dr. Robert Kenney, Medical Director, Quality Care & Patient Safety, and Clinical Assistant Professor of Medicine with Tulane University School of Medicine.

BRG Committed to Continuous Quality Improvement Just ask Dr. Robert Kenney. As Medical Director for Quality Care and Patient Safety, Dr. Kenney provides medical leadership for clinical quality and patient safety initiatives as part of the General’s Quality and Patient Safety Department.

In this role, Dr. Kenney collaborates with interdisciplinary teams including physicians, pharmacists, nurses, other clinical staff and health care organizations in our community to improve quality and patient safety, streamline processes and enhance communication across the continuum of care with the aim of improving outcomes. Current initiatives at the

General include national quality and patient safety projects such as lowering readmissions, improving surgical care (SCIP), preventing CAUTI and CLABSI, addressing patient satisfaction (HCAHPS) and implementing electronic health record systems.

“The General’s level of commitment to quality and patient safety is reflected by the fact that Wanda Hughes, RN, PhD, and I have been selected as Patient Safety Fellows along with just 30 others from across the nation as part of the American Hospital Association’s National Patient Safety Fellowship program,” said Dr. Kenney. “This year-long fellowship provides us with networking and learning opportunities that allow us to bring a national perspective back to our community and enhance the quality and patient safety endeavors being undertaken at the

General. These efforts, though, do not supplant our commitment to the delivery of basic good medical care.”

In addition to quality and patient safety medical director, Dr. Kenney serves as the Director of Medical Education and is a Tulane University School of Medicine satellite campus faculty member for the internal medicine residency program based at BRG Mid City. A Board Certified Nephrologist, Dr. Kenney specialized in kidney disease and practiced in Baton Rouge for 26 years before taking his current position.

Physician Matters – page 6

www.BRGeneral.org

“ As physicians it is important for us to foster a team approach to patient care in the hospital. Working together to increase transparency and communication can help us improve patient safety and provide the highest quality of care for our patients.”

Dr. S. Raju Vatsavai, Internal Medicine Service Chief at Baton Rouge General

“ Our patient satisfaction scores reflect not only our patient outcomes but also provide valuable feedback that helps us understand how well we educate our patients and measure our effectiveness in communicating with our patients about their disease process and care rendered.”

Dr. Louis Minsky, Minsky & Carver Medical Center for Personal Wellness

Congratulations to our physicians and surgeons who achieved 100% on key CMS quality measures for their patients for CY2011!

SCIP Albert D. Sam, MDCarlton H. Sheely, MDR. Bryan Griffith, MDJames A. Froelich, MDWilliam M.Boedefeld, MDWalter L. Bringaze, MD

Heart FailureAngela Kovach, MDCatalina R. Negulescu, MDDarakhshan G. Wahid, MD

AMIV. Antoine Keller, MDLance C. Lamotte, MDEvens Rodney, MDVenkat R. Banda, MDAmir H. Ausef, MD Subhakar Gummadi, MD

“Following evidence-based practice recommendations is important to ensuring the quality and safety of surgical care for our patients,” notes Dr. William M. Boedefeld.

Robert Kenney, MDMedical Director Quality Care and Patient Safety

William Boedefeld, MD

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One Mission. One Vision. One BR General.

Physician Matters – page 3A Satellite Campus of Tulane University School of Medicine

UpdatesGood things are happening at Baton Rouge General, and thanks to our medical staff’s input and guidance, plans are taking shape!

OR Expansion

OR Expansion TimelineFebruary 2012 OR expansion equipment and systems purchased

March 2012 OR expansion construction documents complete; Bidding process begins

April 2012 OR expansion construction begins

October 2012 OR expansion scheduled completion

Hybrid Coming Soon!

Physicians, staff, architects and engineers have invested considerable time and energy into making Baton Rouge General’s hybrid build-out, an innovative component to the OR expansion, a success. Thanks to the medical staff leadership, the hybrid project is proving to be an exciting advancement for our cardiovascular and cardiac anesthesia specialists:

Dr. Stan Bienasz, fellowship-trained in cardiac anesthesia comments, “I’m enthusiastic about the progress in the General’s hybrid OR planning, particularly as it pertains to anesthesia. It has been a pleasure working with the physician steering team to ensure leading edge technology is delivered to patients in our community, with safety, quality and efficiency as our primary focal points.”

Dr. Antoine Keller, BRG Chief of Cardiothoracic Surgery, adds that, “Collaboration has been, and always will be a key element in developing the General’s minimally-invasive surgical program. Of utmost importance is developing a comprehensive, multidisciplinary program that can accommodate all the amazing technology we will soon have access to, so that this community may remain at the leading edge of the treatment of cardiovascular disease for decades to come.”

Dr. Mike Davis, vascular surgeon at CVT, notes, “The hybrid room holds promise for the treatment of patients with thoracic and abdominal aortic aneurysms, particularly as it pertains to stent grafting. Furthermore, future hybrid capabilities in the therapy of carotid and peripheral arterial disease is exciting. As a vascular specialist, the ergonomics of the space is particularly appealing, and we are looking forward to the completion in October when we can begin seeing the fruits of our planning.”

Drs. Floyd Roberts and Andrew Olinde review preconstruction documents with Bill Holman,

President and CEO.

Mike Davis, MD

Stan Bienasz, MD

Antoine Keller, MD

Medical Office Building

The medical office building project is well underway with final design and construction document completion fast approaching. Physicians have begun expressing interest in space, and interest meetings are currently available for scheduling.

Medical Office Building (MOB) TimelineFebruary 2012 90% completion of MOB construction documents

Interior finishes, atrium gallery and retail area in design

Tenant interest meetings underway

Phase 1 – parking lot adjacent Picardy Plaza out for bid

April-May 2012 Phase 1 construction to begin

Year End 2013 MOB construction projected completion

For more details on our Medical Office Building visit www.BRGOneVision.org or contact Dionne Viator, Executive Vice President, at (225) 237-1541.

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Palliative Care Services Enhance

Seniors ER As the baby boomer population in our community continues to age, BRG has expanded programs and services for seniors, including our palliative care program and our new Seniors ER, to enhance the continuum of care for this population.

“Palliative care is an important piece of geriatric care. It gives the patient and family a voice in their care, considering their psychosocial and spiritual needs, their options for symptom management, especially with chronic diseases, with a focus on maintaining quality of life based on the feedback from the patient and family,” said Dr. Charles Mason, Medical Director of Supportive and Palliative Care.

“ It’s important to note that while the palliative care program undoubtedly complements our seniors care model, it can also be helpful for patients of any age experiencing chronic illness, pain or other health conditions.”

Since its opening in December 2011, the Seniors ER, housed in the Mid City Emergency Department, has been a success. We have begun collecting data for patients 65 years of age and older in the Mid City ED to provide insight that will help us continuously enhance the Seniors ER program. Areas of measurement include patient satisfaction, length of stay for

discharged patients, returns within 72 hours, average daily census of medicine patients and the number and profitability of cases in the Emergency Department.

“Mid City is positioned well to focus on the needs of the aging population. And with a revitalized commitment to these patients and their caregivers, we envision becoming the destination of choice for geriatric patients in our community,” notes Dr. John Jones, Medical Director of Baton Rouge General’s Emergency Department.

Physician Matters – page 4A Satellite Campus of Tulane University School of Medicine

Heartfelt thanks to the entire Baton Rouge General/Tulane School of Medicine satellite campus faculty and staff! Because of your commitment and dedication to these exceptional students, we are proud to announce that 5 of our 10 medical students finished in the top 15% of the Tulane class of 180 students on the TOSCE! The Team Observed Structured Clinical Encounter (TOSCE) is a required formative assessment of medical students evaluating clinical skills.

“The performance of our students on this exam is a testament to the quality of their clinical training,” said Dr. Floyd Roberts, Chief Medical Officer and regional dean for the BRG Tulane satellite campus.

Top Talent Green Wave at Baton Rouge General

Mid City Behavioral Health Expands, Enhances ECT ServicesThe Behavioral Health Inpatient Services at Mid City recently expanded from 31 to 50 beds to better serve the community. The new Behavioral Wellness Unit, located on 4NE, is a 19 bed unit focused on treating patients suffering from depression, anxiety and other mood disorders and also offers specialized treatment for dual-diagnosis (psychiatric illness and substance abuse disorders). Behavioral Health Inpatient Services are appropriate for patients with psychiatric diagnoses when there is a reasonable expectation of improvement as a result of treatment in an acute inpatient psychiatric setting. Patient treatments include individual, family and group psychotherapy, recreational therapy, pharmacological management, and diagnostic services provided within a structured therapeutic setting.

The Behavioral Wellness Center on North Boulevard also expanded its outpatient services to include a Partial Hospital Day program designed for patients needing a more intense level of treatment not offered in a standard outpatient setting.

In addition to the facility expansion, BRG’s Behavioral Health Services now include inpatient and outpatient Electroconvulsive Therapy (ECT). ECT is a safe and effective therapy option for psychiatric disorders and is often an effective therapy alternative when other treatments are unsuccessful.

“ECT is the most effective, fastest, and safest acute treatment for major depression with remission occurring in 70-90% of all patients. ECT is ideal for the elderly, pregnant women, and patients who have limited tolerance to some psychiatric medications,” states Dr. Venugopal Vatsavayi, Medical Director for ECT and Psychiatric ER, and Associate Medical Director for the Behavioral Wellness Center.

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Mid City Moving Forward

Pictured left to right, Wendy Wong, Kenneth Perry, Marc Quinlan, Vaughn Alexis, Shai Rosenfeld

John Jones, MD

Charles Mason, MD

Venugopal Vatsavayi, MD

We Love our Seniors!

Seniors ER recently featured in the Advocate’s People Section

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Physician Matters – page 5A Satellite Campus of Tulane University School of Medicine

www.BRGeneral.org

Senator Vitter, Representative Cassidy Visit Mid CityMid City was front and center this winter with Senator David Vitter, Representative Bill Cassidy and his senior health care aide, Courtney Austin, all making visits to the campus in December and January.

Senator Vitter and Ms. Austin toured the hospital with Bill Holman, President and CEO; Dionne Viator, Executive Vice President of Business Development; Dr. Floyd Roberts, Chief Medical Officer and Dean of the Tulane School of Medicine satellite campus, and other Baton Rouge General medical staff leadership.

Representative Cassidy along with Dr. Fred Cerise, LSU System Vice President for Health Affairs and Medical Education and Dr. Evelyn Hayes, Vice Chair of General Health System Board, made a special visit to speak to the BRG/Tulane medical students in late January.

Key stops on Senator Vitter and Ms. Austin’s hospital tours included Mid City’s comprehensive burn center, our medical education offices and the Emergency Department and the new Seniors ER. Both Senator Vitter and Ms. Austin spent considerable time with BRG leadership discussing timely legislative issues that impact our medical staff, as well as some of the unique challenges facing our Mid City hospital and the local health care community.

Discussions included the need to find a long term repair to the Medicare Sustainable Growth Rate (SGR) and sustainable cost solutions for long-term care. The important role that BRG’s partnership with Tulane University School of Medicine plays in enhancing medical education opportunities in Baton Rouge and encouraging these new physicians to practice in our community was another topic of interest.

“I really enjoyed seeing the training program – that is very unique for students to have their own space in the hospital,” said Austin.

Representative Cassidy, Dr. Cerise and Dr. Hayes discussed the importance of physician leadership and involvement in advocacy surrounding evolving health care policies during their presentation to the medical students.

“This was a unique opportunity for us to hear about the different paths Rep. Cassidy, Dr. Cerise and Dr. Hayes took from medical students to their leadership positions and it opened us up to seeing ourselves as future

Pictured above from left: Dr. Floyd Roberts, Senator David Vitter, Dionne Viator and Bill Holman

Pictured art right, Dr. Floyd Roberts, Dionne Viator and Courtney Austin

Three new members were recently appointed to General Health System/Baton Rouge General’s Board of Trustees. The following Board members began their term in January:

They join current members of the Baton Rouge General Board of Trustees: David Pitts, Chairman; Evelyn Hayes, MD, Vice Chairman; Venkat Banda, MD; Peter J. Bostick, MD; Gregory Bowser; Sue Anne Cox; Perry Franklin; Gary Graphia; Leslie Herpin Marx; Margaret Hart; William R. Holman; Roy Kadair, MD; Nanette Noland; Andrew Olinde, MD; Janice Pellar; Charles “Buddy” Roemer; and Ed Starns, CPA.

James L. Llorens, PhDChancellor of Southern University and A&M College

Patricia J. TysonTeacher, East Baton Rouge Parish School System

Rev. Ronnie L. WilliamsFounder and President of Camelot College

physician leaders in our careers,” said Chris Terndrup, 3rd year BRG/Tulane LEAD medical student.

BRG leadership is committed to working with our congressional leaders on continuously improving health care for the patients and communities we serve.

“The Mid City campus continues to be an integral component of Baton Rouge’s healthcare fabric. The new Seniors ER and the growing BRG/Tulane medical education program as well as other enhancements exemplify the General’s commitment to the evolving healthcare needs of the Mid City community,” noted Perry Franklin, General Health System Board Member.

New Members Appointed to Baton Rouge General’s Board of Trustees

Perry Franklin

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A Satellite Campus of Tulane University School of Medicine

Based on direct input from the medical staff, Baton Rouge General is launching a new, more comprehensive clinical trials initiative. We have formalized a relationship with GuideStar Clinical Trials Management, a company solely focused on building and managing hospital research programs. The research structure created will allow physicians new opportunities for conducting independent research with support from Baton Rouge General. The operational support available to physicians is customized based on the physician’s specific needs and interests, thus allowing access among all patient groups, as well as data sharing. Additionally, a pipeline of clinical trials will be built to ensure physicians have access to the types of trials that align with their interests.

These mutually beneficial opportunities are imperative in addressing the growing need for hospital-supportive physician research practices; maintaining accreditation across multiple specialty areas of the hospital; and importantly, providing patients access to leading-edge trials locally.

“We’ve made a commitment to our physicians and our community to introduce opportunities to participate in innovative and cutting edge

investigational therapies,” comments Edgardo Tenreiro, Executive Vice President and Chief Operating Officer. “With that commitment, we wanted to ensure that clinical research activities were top notch and to that end, we engaged the expertise of GuideStar.”

“ GuideStar has helped Tulane reorganize its research program post-Katrina. We are very hopeful that as a result of working with GuideStar we can draw the research activities of the New Orleans and Baton Rouge campuses more closely together,” remarks Dr. Floyd Roberts, Chief Medical Officer.

Physicians interested in learning more about new medical research opportunities and our partnership with GuideStar should contact Diandra Nuno-Salcido, Operations Manager, BRG Clinical Trials Office at (504) 799-4400 at ext. 4408, or email [email protected].

Physician Matters – page 8

BRG Initiates New Research Management Opportunities for Medical Staff

Dr. Albert Sam, BRG Vascular Surgery Chief, to Lead Local Carotid Stent Clinical Trial Albert Sam, MD, Chief of Vascular Surgery at Baton Rouge General and partner of Vascular Specialty Center, was recently named Principal Investigator of the CANOPY® Post Approval Clinical Trial. The CANOPY Trial is designed to assess the performance outcome (death and stroke rate) of the RX Acculink Carotid Stent System with the RX Accunet Embolic Protection System in the treatment of atherosclerotic carotid artery disease in the patients at standard risk for endarterectomy. Vascular Specialty Center is one of 100 study sites throughout the U.S. for the CANOPY trial, which will include 1,200 patients and will take place over a three-year period.

The CANOPY trial is a follow-up to the landmark CREST Clinical Trial, a major nationwide study for people at risk for stroke, led locally at Baton Rouge General by Principal Investigator Dr. Albert Sam, which indicated the overall safety and effectiveness of two medical procedures designed to prevent future strokes. The CREST trial results show that physicians now have more options in tailoring treatments for their patients at risk for stroke.

The CANOPY trial will build upon research from the CREST trial, which found that at approximately 69 years and younger, stenting results were slightly better, with a larger benefit for stenting, the younger the age of the patient. Conversely, for patients older than 70, surgical results were slightly superior to stenting, with larger benefits for surgery, the older the age of the patient. The CANOPY trial aims to enhance these findings by evaluating how younger, healthier patients who are at standard risk of adverse events from carotid endarterectomy, will benefit from this procedure.

Physician Matters Editorial CommitteeDr. Andrew Olinde, Chief of Staff • Dr. Floyd “Flip” Roberts, Chief Medical Officer • George Bell, Sr. Vice President of Physician Relations Michelle Capone, Medical Staff Services • Nicole Kleinpeter, Marketing and Communications Director Maryann Rowland, Communications and Public Relations Specialist

Comments? Story ideas? Email us at [email protected] with questions or to let us know what’s happening in your practice.

Andrew Olinde, MDChief of Staff

John Jones, MDVice Chief of Staff

Son Dang, MDSecretary of Staff

Venkat Banda, MDChairman, Medical Services Division

Jeffrey Littleton, MDChairman, Surgical Services Division

Floyd Roberts, MDChief Medical Officer

Members-at-LargeJames Craven, MDEverett Bonner, MDJohn Lopoo, MDS. Raju Vatsavai, MD*Kenneth Smith, MDLance Lamotte, MDChristopher Thomas, MD*Michael Puyau, MDNiels Linschoten, MDTonya Jagneaux, MDHenry Dixon, MDMelinda Franz, MD

Non-Voting MembersAlbert Alexander, MDTonya Eichelberger, MD*Louis Minsky, MD

* New Member

Albert Sam, MD

2011-2012 Medical Executive Committee