Munson Orthopedic Institute Brings New Technology and Comprehensive Model of Care

From smart implants that transmit data to keep the clinical team updated on how a patient is healing to robotics, next generation technology is a priority for MOI. They are the first in northern Michigan to offer state-of-the-art Robotic Surgical Assistant (ROSA) knee-replacement surgery that provides a blueprint of a patient’s joint to offer the most precise and highly individualized treatment for patients. ROSA is available now at Munson Medical Center and Munson Healthcare Grayling Hospital.

We invite you to learn more about the future of orthopedic care with MOI.

To make a referral:

• Direct Trust/P2P: OrthopedicInstitute@direct.mhc.net
• Fax: 231-935-3464
• Phone: 231-935-5880

MEET THE MOI TEAM

Matthew Dubiel, MD
Matthew Dubiel, MD, is fellowship trained from the Mayo Clinic in shoulder and elbow surgery. Dr. Dubiel will join the team in September 2022. 

Peter McAndrews, DO, FAOAO
Peter McAndrews, DO, FAOAO, is an orthopedic surgeon fellowship trained in sports medicine and has been practicing medicine for over 20 years. A three-time Ironman finisher and lifelong athlete, Dr. McAndrews understands the importance sports medicine plays.

Learn More

Michael VanWagner, DO
Michael VanWagner, DO, subspecializes in hip and knee replacement with fellowship training from the Mayo Clinic. Born and raised in Traverse City, personal athletic injuries during his NCAA Division-I College Hockey career led to his passion for orthopedics and greatly influenced his career decision.

Learn More

Amy Collins, NP
Amy Collins, NP, is a board certified in Adult-Gerontology Acute Care Nurse Practitioner from Grand Valley State University. She has been a Nurse Practitioner for nearly 20 years.

PROVIDER/PRACTICE UPDATES

• Munson Healthcare Kidney and Hypertension Specialists | Suite A
  Phone: 231-935-0338    Fax: 231-935-3421
• Munson Healthcare Rheumatology | Suite A
  Phone: 231-935-2525    Fax: 231-935-3437
• Munson Healthcare Orthopedic Institute | Suite E
  Phone: 231-935-5880    Fax: 231-935-3464

• Brain and Behavioral Health Clinic | Ste. F
• Grand Traverse Children’s Clinic | Ste. G
• Thirlby Clinic | Ste. I

Provider Moves
The Provider Moves webpage that lists provider moves across the Munson Healthcare system has been updated for July, including new, location changes, retirees, providers no longer on staff (or practicing), and other updates (e.g., name changes, practice moves, new phone and fax numbers).

COVID CORNER

Evusheld Order Process
A reminder that providers are now asked to obtain patient consent when ordering Evusheld treatment.

When ordering Evusheld, providers are asked to complete the MHC Evusheld Provider Order and Patient Consent Form online then print and fax to the chosen site of service. Evusheld is offered in Cadillac, Charlevoix, Frankfort, Gaylord, Grayling, Kalkaska, Manistee, and Traverse City.

NOTE: For those offices that prefer to print the order prior to completion, please use the updated form as it has been redesigned for easier printing.

Patients will be contacted to schedule Evusheld infusion after all required documentation, including consent to treat, is received.

This is a one-time order. A new order is required for subsequent doses (to be given 6 months after previous dose).

For more on the updated Evusheld order process, watch the July 13 Provider Forum with Dr. Nick Torney.

Additional COVID-19 Vaccination Record Cards
Vaccination Record Cards for many recipients of COVID-19 vaccines are now full, especially for those over 50 years of age or immunocompromised individuals seeking additional boosters. When a vaccination record card is full, the CDC recommends:

1. Complete a new card for the patient
2. Staple both cards together
3. Encourage the patient to photograph both cards in case they become separated
4. Bring both cards to future vaccination appointments, travel, employment or any other purpose requiring official, universally recognized documentation.

Please note: Some providers have the option to provide the immunization record from the Michigan Care Improvement Registry (MCIR). The MICR record may not be acceptable for travel, employment, or any other purpose that requires official, universally recognized documentation. It is best practice to use Vaccination Record Cards.

VACCINE HESITANCY

How to Navigate Vaccine Conversations with Parents, Patients

Providers can access the toolkit by clicking on “Request Access” on the login page and submitting their name, email, organization, and title.

COVID-19 Vaccine for Children
A reminder that the CDC now recommends that all children 6 months through 18 years of age should receive a COVID-19 vaccine. A handy At-A-Glance COVID Vaccination Schedules is available on the CDC website.

 MDHHS has also provided resources to support providers in having these conversations with parents.

• Kids COVID Vaccine website
• Questions and Answers for Parents
• Why Vaccinate Your Child
• Reduce Child’s Fear

Four General Principals of Motivational Interviewing
When speaking to parents and children about vaccine hesitancy, providers might find it helpful to employ motivational interviewing techniques. Below is an overview of the four principals of motivational interviewing. Look for more details, including examples, in future issues of Practice Pro.

Express Empathy

• Express empathy through careful listening.
• Explore concerns and benefits of the behavior change through non-judgmental curiosity.
• Focus on guiding the conversation versus being the expert.
• Support the patient’s autonomy and right to choose to accept or reject change.

Develop Discrepancy

• Begin by asking open-ended questions to allow patients to explore their values.
• Then highlight any discrepancy between a patient’s present behavior and their expressed values.
• Change is more likely when the patient can make these connections rather than being informed of them by a clinician.

Roll with Resistance

• Avoid trying to convince the patient of the right thing to do.
• Trust that they are capable of change.
• Use reflective listening when the client expresses resistance.
• Ask permission to provide information and resist the urge to correct or argue with the patient.

Support Self-efficacy

• Remember that patients are the experts in themselves.
• Patients do better when they are encouraged to take an active role in their treatment.
• A clinician’s role is to recognize the patient’s efforts towards change and highlight their existing strengths and resources.

INFORMATION TECHNOLOGY

Physician Web Scheduler: Save Time by Using Online Scheduling

Physician Web Scheduler (PWS) is used by offices to conveniently schedule close-to-home tests for their patients online. Instead of wasting time on hold or faxing orders, PWS allows your staff to immediately schedule at check out to ensure that important tests are on your patient’s calendar, which increases the likelihood of patients following through with their tests.

Recently, James Castillo, a scheduler for Traverse Bay Radiation Oncologists, took the initiative to conduct his own process improvement study that compared using PWS for online scheduling versus calling to schedule.

During the study, James saved an average of 20-30 minutes per patient by using PWS.

• Bone Density
• CT
• EEG
• Fluoroscopy
• Mammography
• Maternity Prepared Stays
• MRI
• Nuclear Medicine
• Rehab Therapy Evaluations
• Respiratory Therapy
• Ultrasound

To learn more about how to implement PWS in your office, please contact Samantha Lang at slang2@mhc.net or visit munsonhealthcare.org/pws to complete the necessary forms.

EDUCATION

CME Relicensure Requirements for Providers
Here are some helpful resources on the CME relicensure requirements for:

• Physicians (MD/DO/DDS/DMD/DPM)
• Advanced Practice Providers (APRN/PA)

A reminder to check out the library of courses available on our On-Demand CME webpage, which include the relicensure topics of pain and symptom management, medical ethics, and human trafficking.

PROVIDER CME & EVENTS