Download Good Catches Result in System Changes

FALL 2012
A GBMC Publication for Physicians
Good Catches Result
in System Changes
from the deskof . . .
Dear Colleagues,
Integrated, high quality care among physicians, as well as between physicians and the
hospital, is the goal of the best healthcare delivery systems. Several articles in this issue of
M.D. Today detail GBMC’s efforts to achieve that type of care for our patients.
As outlined in this issue, Greater Baltimore Health Alliance (GBHA) including GBMC hospital,
was designated as an Accountable Care Organization (ACO) and will participate in Medicare’s
Shared Savings Program. Becoming an ACO has been an important part of the
forward-looking strategy of GBMC’s leadership, regardless of what actually happens politically
to President Obama’s plans. Becoming an ACO requires a large and well integrated primary
care base that provides cost efficient but comprehensive care to meet pre-established high
quality goals. GBMC has formed an alliance among employed and allied primary care
providers and the hospital that is committed to this concept and has committed significant
resources to advances in medical information technologies, integrating these various practices
with the hospital and its specialists. By participating in the Shared Savings Program, which
poses no financial risk to the hospital, being an ACO seems to be a win-win proposition for
GBMC, the physicians and, importantly, the patients.
Developing a strong, integrated primary care base is vital to the future of GBMC, but
developing strong and integrated specialty care is also critical to our reputation. Since its
inception, GBMC has been known for its ENT and Head and Neck Cancer surgeons.
These physicians, working together with the area’s largest group of endocrinologists and our
highly regarded pathologists, have developed a Thyroid Center to better diagnose and
manage both benign and malignant disorders of the thyroid gland. This newly formed center
can greatly aid physicians in the management of patients with these common, but often
perplexing, conditions. A variety of specialists will coordinate their approaches to provide the
best and most up-to-date care for patients with thyroid problems.
Finally, communicating to the medical staff lessons learned about quality and patient safety
issues is always a sensitive and difficult, but essential, task. In this issue of M.D. Today,
we introduce a new feature, highlighting a lesson learned from our Quality and Patient Safety
program. A culture that emphasizes patient safety is actively promoted at GBMC by
promoting the reporting of “good catches” by the staff and publicly reporting those findings
for all to learn from, so patient safety is seen as everyone’s responsibility. Please read the article
on “look alike-sound alike” drugs to see what a “good catch” can mean for a safer GBMC.
Harold J. Tucker, MD
Chief of Staff
[email protected]
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Fall 2012
what’s new
New Technology Modernizes Hand Hygiene Compliance
It’s a well-known fact that
improper hand hygiene is one
of the biggest contributors to
hospital-acquired infections
and the spread of disease
throughout the hospital.
Although GBMC has always
placed great emphasis on hand
hygiene, there’s room for
improvement. Recently, a new
technology was introduced in
the Medical Intensive Care Unit (MICU) to further boost
hand hygiene compliance in one of the hospital’s most
sensitive areas.
GBMC received a free one-year trial of a new hand
hygiene compliance technology from the Sparks,
Maryland-based company, AiRISTA. With this new
technology, physicians and care providers are given a
special badge that hangs behind their hospital IDs (pictured
above). This badge wirelessly communicates with several
sensors to monitor their entry and exit from a patient’s
room, as well as when and if they activate either the
alcohol-based hand sanitizer or soap dispenser.
“With this new equipment, each sanitizer and soap
dispenser is synched up with the clinician’s badge,” says
Stephanie Mayoryk, RN, BSN, CIC, Infection Control
Practitioner. “If a healthcare worker did not activate a
soap dispenser or alcohol hand sanitizer dispenser within
30 seconds of entering or exiting a room, a reminder
feature will activate. After this signal is activated, the
clinician has the chance to perform hand hygiene without
it being counted against them.”
While some staff members are concerned this new
technology will act more like a “Big Brother” tracking
device, rather than just something for monitoring hand
hygiene, supporters of the pilot program stress that’s not
the case.
Chelsea Woodell, RN, BSN, practices effective
hand hygiene before working with a patient.
“The real purpose of this tool is that it will act as a
reminder to our staff to perform hand hygiene,” says
John R. Saunders, Jr., MD, FACS, Chief Medical Officer.
“The device is specifically designed to only monitor hand
hygiene and cannot act as a location tracker.”
The AiRISTA devices were installed in the MICU in
August and were up and running in September. Although
the MICU is currently the only unit planning to pilot
this new technology, Ms. Mayoryk and Dr. Saunders are
optimistic that it will reveal additional insights into hand
hygiene behaviors.
“We’re very excited about the potential impact this system
has on patient safety and hope it helps to take hand hygiene
compliance at GBMC to the next level,” says Ms. Mayoryk. ■
in the news
GBMC Collaborates with Johns Hopkins Home Care Group
GBMC has selected Johns Hopkins Home Care Group as
its preferred provider for home care services through the
entire system. For several years, Johns Hopkins has been the
contracted provider for patients being discharged from
GBMC, in addition to providing home infusion and home
medical equipment for Gilchrist Hospice Care and its
Gilchrist Kids program.
After screening multiple home care providers, a GBMC
committee with representatives from the Hospitalist
Group, Wound Care, ED, Care Management, Nursing,
Pharmacy, GBHA and GBMA unanimously selected
Johns Hopkins to continue to offer the home care support
services that patients often need. These include skilled
nursing; occupational, physical and speech therapies;
infusion; respiratory/medical equipment and supplies
(HME); and home health for both pediatric and adult
patients. Three on-site Johns Hopkins Home Care and
HME liaisons assist GBMC’s Care Managers in arranging
the services for patients in the home. Additionally, they
have on-site equipment such as oxygen, ambulatory aides,
pumps and other items needed to safely transition patients
to the community.
While certain criteria need to be met in order for
Medicare patients to qualify for skilled home health
coverage, Johns Hopkins also owns a private duty home
support agency that patients and families can choose to
fund personal care provided by certified nursing assistants
to help with activities of daily living and other services on
an hourly, shift or live-in basis. For information on
Johns Hopkins Home Care Group services or to refer a
patient, call one of the following numbers. ■
Home Health, Infusion, Private Duty: 443-257-0214
Respiratory/Medical Equipment: 410-288-8150
“GBMC and Johns Hopkins are committed to providing
the highest quality and most cost-effective home-based
services for patients,” says Cathy Hamel, Vice President of
Post Acute Services at GBMC and Executive Director of
Gilchrist Hospice Care. “We’re thrilled to be collaborating
with Johns Hopkins to extend these much-needed
services to those we care for in the Greater Baltimore
community. The collaboration between hospitals and
post-acute providers is crucial to reducing readmissions
and improving patients’ health.” Johns Hopkins has
agreements with most payers and also agreed to provide
“gratis” services for especially needy patients/families
eligible for charity care.
Johns Hopkins Home Care and HME liaisons (L to R): Judy Ledford, RN;
Vickie Spencer, RN; and Joel Fernandez, DME Coordinator
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GBMC Recognized for
“Green” Hospital Efforts
In recognition of the organization’s significant earth-friendly
accomplishments, GBMC HealthCare has been named a
winner of a Practice Greenhealth Environmental Excellence
Partner for Change Award!
GBMC’s Green Team includes representatives from
20 different departments, led by Mike Forthman, Vice
President of Facilities and Support Services. The group
has helped to make significant strides in the hospital’s
commitment to sustainability, including:
Achieving a 13 percent annual reduction in total waste
output via a campus-wide recycling program.
Saving nearly $1 million in gas and electric bills via
various initiatives such as lowering energy usage
during peak load consumption days in the summer,
when demand on the energy grid is at its highest.
Diverting more than 10,000 pounds of food scraps
every month from landfills via a composting program.
Changing office supply vendors to a company that has
less of a carbon footprint, such as a more efficient
delivery system and using environmentally friendly
reusable plastic totes instead of cardboard boxes.
Reducing printer inventory by identifying very low-use
printers and older units that were not energy efficient.
Switching to multi-use condiment pumps from wasteful
single-serve packets.
Introducing paperless meal tickets for employees to cut
out unnecessary paper.
Organizing an annual Earth Day event to promote
environmentally responsible behavior, both at work
and at home.
Joseph Califano Announced as
Medical Director of Dance Center
Joseph A. Califano, III, MD, FACS, has
been named Medical Director of GBMC’s
Milton J. Dance, Jr. Head and Neck Center.
Dr. Califano earned his medical degree
from Harvard University, completed his
residency at Johns Hopkins Hospital and
completed his fellowship at Memorial
Sloan-Kettering Cancer Center. He also
serves as a surgeon with Johns Hopkins
Head and Neck Surgery at GBMC and
as Professor, Otolaryngology-Head and Neck Surgery,
and Head & Neck Research Division at The Johns
Hopkins University. Board-certified in Otolaryngology,
Dr. Califano’s clinical interests include salivary gland
tumors, cancers of the mouth, throat, larynx, sinuses,
thyroid and skull base. In his new role, Dr. Califano
oversees all aspects of the specialized, interdisciplinary
patient care delivered at the Dance Center. “It is truly
an honor and a privilege to have the opportunity to serve
as Medical Director of the Milton J. Dance, Jr. Head
and Neck Center,” says Dr. Califano. “I look forward to
working with a superb staff to provide innovative,
personalized care to our patients.”
Dr. Califano succeeds John R. Saunders, Jr.,
MD, FACS, who acted as the Dance Center’s
Medical Director for 19 years, expanding
it from a staff of five to a team of more
than 35. During his tenure, the practice of
Johns Hopkins Head and Neck Surgery at
GBMC was integrated with the Dance
Center, the Johns Hopkins Voice Center
at GBMC was developed, the Head and
Neck Tumor Board was formed and
collaborative research efforts were standardized. “Under
Dr. Califano’s leadership, I look forward to both further
expansion of the Center’s programs and recognition of
its unique role in the treatment and management of head
and neck diseases,” says Dr. Saunders, who currently serves
on GBMC’s Executive Team as Chief Medical Officer. ■
For more information about GBMC’s Green Team, please visit
the “Green Pages” of the InfoWeb! ■
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feature
^
Good Catches Result in System Changes
Since the launch of Quantros, there has been a significant
rise in reported incidents and increased reporting is now
an organizational goal. While it may seem counterintuitive
to encourage reporting, these good catches and near
misses actually allow patient safety experts to study the
processes of care to prevent similar events in the future.
In an effort to keep staff informed of such incidents and
make them more real, Carolyn Candiello, Vice President of
Quality and Patient Safety, and John R. Saunders, Jr., MD,
FACS, Chief Medical Officer, are sharing the good catch
stories and actual events by presenting them at meetings of
GBMC Leadership, the Board Quality Committee,
Medical Board and Board of Directors.
“The stories are often shared from the patient’s perspective
and include corrective actions and learning. Incidents
viewed as statistics don’t seem real. Hearing about how an
error or a near miss has impacted an individual patient
or their family makes it real,” says Ms. Candiello. To
further spread the word about these stories, they will also
be featured regularly in M.D. Today and in GBMC’s
employee publication, Greater Connections. “Our hope is
that all physicians and staff will learn from these stories and
continue reporting incidents through Quantros so that we
can address systems that are working and those that need
to be changed,” says Dr. Saunders.
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Fall 2012
GBMC has made it a strategic and organizational priority to focus on quality and patient
safety. Providing patients with the safest, highest quality care that we would want for
our own loved ones remains at the core of the organization’s mission. Although
significant strides have been made, until we reach perfection, there will always be room
for improvement. That is why GBMC invested in and implemented a sophisticated
patient safety reporting system called
Quantros within the past year. This tool
allows employees to easily report both actual and near-miss events (also known as
“good catches”) quickly and even anonymously.
Look Alike-Sound Alike Medication Error Prevented
This first story involves one of the most common mistakes,
a “look alike-sound alike” medication error. Earlier this
year, a 48-year-old female patient was scheduled for a hip
arthrogram. The patient was prescribed epinephrine, an
injectable drug typically used in this situation to help the
contrast dye from spreading to other tissues. It’s supplied in
a tiny vial with virtually unreadable text.
The radiology technician noticed that something didn’t
seem right before administering the injection, and pointed
it out to the physician. Upon further examination, it was
discovered that the vial provided to the technician was
labeled ephedrine, not epinephrine. This incident was
considered a good catch or near miss, since it did not
reach the patient. In this instance, the radiology technician’s
questioning attitude helped avoid a medication error.
“We want to ask for physicians’ help as we work to change
the culture of safety here at GBMC,” says Dr. Saunders.
“When physicians and other leaders encourage a
questioning attitude, we foster a culture where safety and
quality can flourish. In fact, it was the physician who
reported this incident.”
Using what was learned from this incident resulted in a
few simple system changes that can help prevent it from
occurring a second time.
These included:
■ Epinephrine and Ephedrine are no longer stored next
to each other in any medication storage areas.
■
Tallman lettering is now used on the labels, allowing the
provider to clearly see the differences: EPINEPHrine
and ePHEDrine.
■
The pharmacy has also field-tested and will implement a
bar code system later this year that allows the medication
vial’s bar code to be scanned when stocking the drawers.
With each good catch that is reported, we learn about
holes in our processes, which allows us to make positive
changes to prevent a similar outcome in the future.
Sharing this story has raised awareness that errors can
happen. “I have had staff stop me in the hall to tell me
how much they appreciated that story and how it has
helped them in their daily practice,” says Ms. Candiello.
To report an actual event or a near miss, go to the InfoWeb
and click on the “Quality and Patient Safety” tab.
To report a GBMC event, click on the “Report a GBMC
Event” button and to report a GBMA event, click on
the “Report a GBMA Event” button. These can be
reported anonymously or by using an employee ID
number. Physicians who have questions are encouraged to
contact Ms. Candiello at [email protected]. ■
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Fall 2012
primary care point of view
Diet and Exercise Still
Rank Among the Most
Effective Prescriptions
By Kimberly Kesler, MD
While obstetrician-gynecologists are technically specialists,
many women do not get regular checkups with a primary
care doctor, so we are left to address a number of routine
health issues. I take advantage of this trend to focus on
what I believe is the most influential medical treatment we
have available – proper fitness and nutrition.
The majority of women’s health issues we deal with are
affected by exercise: breast cancer, pregnancy, urinary
incontinence, osteoporosis and heavy menstrual cycles.
It’s rare to meet patients who understand how much
exercise can reduce their risks of these illnesses.
■
The risk of breast cancer has been shown to be
significantly lower in women of normal BMI and those
who exercise regularly.
■
We see better outcomes for mothers and their babies
when the women are healthier and of an ideal body
weight prior to pregnancy.
■
Evidence has shown that obesity increases the risk of
urinary incontinence. Regular toning and strength
exercises prevent and/or delay the onset of incontinence
and also treat it once present, avoiding unnecessary
medications or surgery.
Primary Care Point of View focuses on the firsthand experiences of
primary care physicians and fosters discussion of topics of concern
or interest to practices.
Share your ideas for future articles by emailing Jessica Schoeffield
at [email protected] or Harold Tucker, MD, Chief of Staff,
at [email protected].
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Fall 2012
■
Exercise stimulates bone growth/strength and improves
flexibility, key factors for preventing osteoporosis.
■
Losing body fat can decrease heavy menstrual flows and
associated pain without the need for medication.
A combination of cardio and weight training is ideal for
most women. I encourage patients to hire a personal
trainer for at least one session to learn proper form and
technique. In terms of proper diet, the amount of
information on the Web makes nutritional information
easy to find, but it can be difficult to discern what is
actually “healthy.” In general, plans aimed at eating real
foods instead of processed, combining protein, complex
carbs and low saturated fats are the way to go. The “Food
is Fuel” adage is only too true!
The excuse I often hear for lack of exercise and poor diet
is “I don’t have time!” Yes, we’re all busy these days, but
most people watch TV or read for a few hours a week.
There’s that missing time! Twenty minutes of high
intensity cardio three days a week and two to three weight
sessions a week are more than enough to keep the immune
system primed and many health issues at bay.
The list of benefits our patients can derive from fitness and
good nutrition extends beyond what can fit onto this page,
but we sometimes overlook them in favor of medications
and surgery. It’s important to step back every so often to
remind ourselves that some of the simplest treatments
available are also the most powerful. ■
spotlight
Treating Thyroid Patients with a Team Approach
GBMC, in conjunction with Bay West Endocrinology
Associates, has developed a comprehensive resource for
patients with thyroid disorders. The Thyroid Center at
GBMC, which opened in September 2012, diagnoses and
treats a full range of thyroid and parathyroid conditions
from hyperthyroidism and hypothyroidism to benign
nodules and thyroid cancer. Patients of the Thyroid Center
have easy access to Bay West’s endocrinologists and, if
necessary, ear, nose and throat/head and neck surgeons and
oncologists from GBMC’s Sandra & Malcolm Berman
Cancer Institute. Its multidisciplinary team works closely
with GBMC’s Departments of Pathology and Radiology
to ensure comprehensive, integrated and coordinated care.
“Thyroid disorders are quite prevalent in the
United States.Though millions are known to
have these disorders, many go undiagnosed,”
explains endocrinologist Francis Lee, MD,
Medical Director of the Thyroid Center
at GBMC. “The disorders are often the culprit of
common medical symptoms such as unexplained weight
loss, obesity, swelling in the neck, changes in heart
rate, depression/mood changes, fatigue and more. Most
common in women, disorders of the thyroid can also cause
disruptions in the menstrual cycle and fertility problems.”
Though most of the thyroid cases seen through the Center
will not need to progress past the endocrinology office,
approximately 10 percent will be referred for further
treatment at GBMC by specialists such as thyroid surgeons
or oncologists.
“The type of care coordination we offer is
beneficial for our patients,” says Brian Kaplan,
MD, FACS, Surgical Director of the Center.
“The endocrinologist acts as the point
person in the patient’s care but facilitates easy
transitions and referrals to other thyroid specialists
as necessary. Patients can feel confident in treatment
provided by the Thyroid Center at GBMC, as our expert
team treats more thyroid cases than any other community
hospital.”
GBMC’s thyroid experts are equipped to diagnose and
treat a full range of thyroid conditions – from the most
common to the rare, including:
Hypothyroidism (such as Hashimoto’s thyroiditis)
Hyperthyroidism (such as Graves’ disease,
toxic adenomas and multinodular Goiter)
■ Thyroid cancer
■ Noncancerous thyroid tumors
■ Nodular or multinodular thyroid disease
■ Subacute thyroiditis
■ Pituitary gland malfunctions
■ Hypoparathyroidism
■ Hyperparathyroidism
■
■
Diagnostic and treatment services for thyroid disorders at
GBMC include: ultrasound, ultrasound-guided fine
needle aspiration, radiologic imaging, expert pathologic
evaluation, evaluation and treatment of parathyroid disease,
medical management of thyroid conditions, and surgical
expert evaluation and treatment for thyroid cancer.
Endocrinologists at Bay West Endocrinology Associates
serve as the starting point for patients seeking treatment
through the Thyroid Center. Patient referrals should be
made by calling 443-THYROID (443-849-7643).
Visit www.gbmc.org/thyroid for more information. ■
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update
Shared Savings Program is an Exciting Opportunity for the Organization
According to Colin Ward, Executive Director of Greater
Baltimore Health Alliance (GBHA), there is an overarching
assumption in healthcare: “No one can continue paying for
healthcare in its current state.” This was a major factor in
GBHA’s decision to participate in the Medicare Shared
Savings Program, which rewards Accountable Care
Organizations (ACOs) for reducing growth in healthcare
costs while meeting performance standards in quality care
and putting patients first.
Officially announced in July 2012, GBHA’s participation
in the program is a significant milestone, as it became
the first ACO in Maryland to have ties to a hospital.
As an ACO, GBHA’s goal is to provide patients the best
access to the highest quality care with the least amount
of duplication and waste. Its participation in the Shared
Savings Program is evidence that the Centers for
Medicare and Medicaid Services (CMS) has recognized
that the organization is on the right track to accomplish
these goals.
“Because it will help serve better care at a lower cost
to patients, we believe healthcare will eventually shift
from a fee-for-service model to a fee-for-health model.
In anticipation of this, we’re building tools to properly
care for our population of patients,” says Mr. Ward.
“We’ve already put a permanent infrastructure in place –
one that utilizes Electronic Medical Records (EMR) and
allows for better care coordination.”
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Fall 2012
Now that it’s part of the program, GBHA is looking ahead
to next steps, which include:
■
Gathering clinical (physician/appointment) and
claims (what payers are actually paying for) data to
identify gaps and opportunities in care. Practices
can use this data to contact at-risk patients and
create condition-specific care plans
■
Negotiating with commercial payers that have
similar systems in place and encouraging them
to align with GBHA
■
Developing an EMR subsidy for specialty providers
GBHA has created a mechanism for community-based
physicians to participate in this program which allows
them to maintain independence in how they run
their practice. It is also developing a program to link
specialty providers to the ACO using a common EMR.
Though GBHA will be eligible for a 50 percent savings
bonus if certain quality metrics set by CMS and a minimum
savings rate are achieved, there is no risk of penalty.
“GBHA applied for the single-sided risk model of the
Shared Savings Program, meaning that if the goals are
not achieved, repayment to CMS will not be required.
Something physicians can be excited about is that if we do
meet the necessary criteria to receive the bonus, much of
it will go straight back to them,” he says. ■
people
Who’s New
Ashleigh M. Hicks, MD, joined GBMC’s
Gilchrist Greater Living practice as a
geriatrician in July 2012. A graduate
of the University of Maryland School
of Medicine, Dr. Hicks completed
her residency in Internal Medicine
at the Johns Hopkins University
Bayview Medical Center. She went on to receive
fellowship training in Geriatric Medicine at Johns Hopkins
University. Prior to joining GBMC, Dr. Hicks was
employed as a physician with Keswick Multi-Care Center
in Baltimore. She is board-certified in Internal Medicine.
Charles Eck, MD, has joined the GBMC
at Hunt Valley practice as a boardcertified Internal Medicine (primary
care) physician. Dr. Eck earned his
medical degree at the University of
Maryland School of Medicine and
completed his Internal Medicine
internship and residency at the University of Nevada.
Before joining GBMC, he served as a staff physician
at Kaiser Permanente in White Marsh, Maryland. Prior
to his work with Kaiser, Dr. Eck was in private practice
for 21 years.
COMP Earns Level 1 Accreditation
In August 2012, GBMC’s Comprehensive Obesity
Management Program (COMP) earned Level 1
accreditation by the American College of Surgeons (ACS)
Bariatric Surgery Center Network.
COMP is a multidisciplinary service that addresses the
entire spectrum of care and needs of bariatric patients from
the pre-hospital phase through the treatment process and
postoperative care. The Level 1 designation means that
the program has effectively demonstrated its ability to
provide complete bariatric surgical care for some of the
most challenging and complex patients.
GBMC was formerly a Bariatric Surgery Center of
Excellence with the American Society for Metabolic
and Bariatric Surgery (ASMBS) from 2008 through
June 2012. ASMBS merged with ACS Bariatric Surgery
Center Network and GBMC underwent a new
accreditation process.
“This accomplishment demonstrates GBMC’s commitment
to quality care and good outcomes,” says Peter Liao, MD, PhD,
FACS, Medical Director of COMP. “Prospective bariatric
surgery patients should feel comfortable knowing we have
reached this high standard of care.”
Accomplishments
Ophthalmologist Alan L. Robin, MD, was
recently honored with the prestigious
Dr. G. Venkataswamy Endowment
Oration Award by the Aravind Eye
Care System in Madurai, India. This
award acknowledges Ophthalmology
and Vision Sciences professionals
who have contributed to global prevention of blindness
through their groundbreaking vision research, patient
care and outreach. Dr. Robin was specifically recognized
for his pioneering research in glaucoma as well as his
significant efforts over the past 25 years to train
ophthalmologists in developing countries, thus enabling
them to detect and treat patients’ glaucoma symptoms
earlier.
Radiation Oncology Department Achieves
ACR-ASTRO Accreditation
The Sandra & Malcolm Berman Cancer Institute’s
Radiation Oncology Department was recently surveyed
by the American College of Radiology/American Society
for Radiation Oncology (ACR-ASTRO) and earned
accreditation through November 2014. This important
recognition serves to acknowledge the facility’s
commitment to high quality and to demonstrate it to
patients, physicians, regulatory agencies and payers.
The survey is conducted on-site by third-party peer
reviewers, who evaluate all aspects of the facility’s radiation
oncology services, from equipment to treatment planning
and record keeping.
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Fall 2012
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M.D. Today is published quarterly by the Marketing and Communications
Department of Greater Baltimore Medical Center, a private, non-profit
healthcare provider.
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Michael P. Hartnett, Director of Marketing & Research
Jessica Schoeffield, Publications Coordinator
Heather Abdel-Salam, Contributing Writer
Gwen Graham, Contributing Writer
Tracey Brown, Contributing Photographer
ShockDesigns, Design & Layout
Schmitz Press, Printing
Save These Dates
Medical Staff Meeting
Tuesday, November 13 at 6:30 p.m.
in the Civiletti Conference Center, Physicians Pavilion East
Reception to follow in the Dining Room.
Twenty-Second Annual Physician Recognition Party
Other Events
Perspectives in Medicine Lectures
Monday, December 3, from 6:00 - 9:00 p.m.
Baltimore Country Club
Roland Park Clubhouse
4712 Club Road
Wednesday, November 7, 2012, 5:45 p.m.
Speaker: Dr. Reginald Davis
Topic: Advancements in Spine Surgery
Please RSVP to Laurie Wagerman at 443-849-3670 or
[email protected].
Continuing Education Conferences
Schwartz Center Rounds at GBMC
Thursday, March 7, 2013, 5:45 p.m.
Wednesday, April 10, 2013, 5:45 p.m.
Speakers: TBD
$20.00 per person/dinner and lecture
Civiletti Conference Center, Physicians Pavilion East
Call 443-849-2773 for information or register online at
http://foundation.gbmc.org/attend.
Wednesday, November 7
Helping a Colleague in Trouble
Wednesday, December 5
Saving Brittany - The Miraculous Recovery of a
Victim of Torture in Baltimore County
Women in Medicine Networking Luncheon
Time: 12:00 – 1:00 p.m.
Lunch served beginning at 11:30 a.m.
Civiletti Conference Center, Physicians Pavilion East
No registration required.
Contact the CME Office at 443-849-3690
for more information.
Thursday, January 24, 2013
12:00 – 1:00 p.m.
Civiletti Conference Center, Physicians Pavilion East
To register or for more information,
contact Mary Ely at 443-849-2435.
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