Anesthesia Associates of Ann Arbor Newsletter
October 5, 2021


In April of 2021, A4 began providing staffing services to McLaren Lapeer, supplementing staffing for their current anesthesia provider. A4 is actively working on the transition of services at McLaren Lapeer with A4 assuming services around December 1, 2021. 
A4 has finalized the contracts with both ProMedica Vision (formerly Toledo Vision Center) and the Toledo Clinic Surgery Center and have been providing care at both locations since August of 2021.
We will continue to update you on new opportunities as they become available. Thank you for your continued support.
If anyone is interested in working at any of the new locations, please reach out to Greg Bock, Laura Zanchetta or Brandy Horton.
-Greg Bock


Anesthesia Complications

Please make sure you are reporting any anesthesia complications through either the EMR or the paper QA form. A4 participates with Anesthesia Quality Institute (AQI) and we report our anesthesia complications as an opportunity to benchmark with like organizations.


Providers Joining A4:
Teri Alef, CRNA
Matthew Duer, CAA
Angie Pittman, CAA
Angella Ruley, CRNA
Save the Date - Online Benefits Open Enrollment 2022
We are currently working on the 2022 calendar year benefits renewal. We are anticipating some changes to premiums & plan designs, in addition to looking into adding a new plan offering. The A4/Siromed online open enrollment is scheduled to occur from Monday, November 1, 2021, through Monday, November 15, 2021. Open enrollment is an opportunity for employees to review their benefits, add or remove dependents & elect coverage for 2022. More info is forthcoming. 
Diaper Drive
This is a reminder that the Diaper Drive is still going. Please turn in your diaper donations at the corporate office by no later than the week of October 4. If you cannot make it to the office, we are also accepting cash, Venmo or check donations. Please email Laura Zanchetta at for details. Thank you for your support in helping the community.
Annual Corporate Compliance Training
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It is that time of the year for the A4/Siromed’s Annual Corporate Compliance Program. The annual training will be sent to all required employees and contractors on October 4, 2021, with a deadline of October 18, 2021. We are expecting 100% compliance as in the past year. We are counting on you!
Compliance is everyone’s responsibility. This is a statement you have probably heard before. What does that really mean?  It means:

Being aware of your surroundings and expected standards to help maintain our compliance. Generally, everyone participates in compliance by completing the assigned ongoing compliance education, reviewing the Code of Conduct, and remaining aware of the policies and procedures.
Reporting concerns so they are properly addressed is everyone’s responsibility, regardless of position. If a concern is identified but is not reported, there is a potential for that concern to remain “undetected” and this can place employees, patients, and/or other organizations at risk in several ways.
Being accountable for compliance is different depending on your role within the organization. Sometimes it’s about making sure our organization regains compliance in an area where an issue has been identified (corrective actions). Sometimes it’s about revising or drafting a policy or procedure to make sure we comply with a new or revised regulation, law, or standard. For others it’s about being aware and maintaining licensing requirements and renewals or being aware and accountable for addressing changes to professional practice standards or coding and billing requirements.  
When it comes down to it, we are all accountable to do the jobs we were hired to do and that means we need to remain informed about relevant standards and properly carry out our duties.  
-Karen Knapp, Credentials and Compliance Manager


Laura Zanchetta HR Director
Steve LeiningerSr. HR Generalist – Onboarding, Payroll, Benefits
Karen KnappCredentialing and Compliance Manager
Brandy Tyson Scheduling Coordinator
As always A4 is hiring and is looking to add new talent to the group. If you have someone that is interested in pursuing opportunities with A4, please have them contact Laura Zanchetta at


beneficiary check-in: don't put it off
When was the last time you checked your Retirement account beneficiaries? If you can't remember, or think updating your beneficiary isn’t important, think again!  What is even worse, we have participants in our Retirement Plan that have never designated a Beneficiary.
Life moves fast, and circumstances can change. By keeping your beneficiary information up to date, you can ensure your assets will be distributed the way you want. And that can bring peace of mind.
A good rule of thumb is to check your beneficiaries every time you experience a life event, such as marriage, the birth of a child, divorce, or changes in your work life.
Essentials to keep in mind:
Making informed beneficiary choices, and staying on top of them, can also help your loved ones avoid unnecessary costs and delays. For example:
  • If you don’t designate a beneficiary, your assets may have to be distributed through your estate, which could cause delays and potential probate costs.
  • If you name a minor as a beneficiary, consider this decision. Make sure you understand your state's laws regarding the distribution of assets to minors.
  • In most cases, your spouse can inherit assets without triggering estate taxes, but other heirs may have to pay federal taxes.
  • Beneficiary designations for retirement account (such as your workplace plan) generally override other instructions, including a will.
  • If you are married and want to name someone other than your spouse as your beneficiary, your spouse must sign a waiver.
When naming beneficiaries, you control decisions. For example:
  • You can designate primary as well as secondary beneficiaries. A secondary beneficiary receives your assets only if there are no surviving primary beneficiaries.
  • You can also divide your account among beneficiaries any way you want. For example, you could allocate 30% to one beneficiary and 70% to another.
Updating your account takes just a few minutes and T. Rowe Price has made it even easier. You no longer need your beneficiaries’ Social Security numbers. You can also view your beneficiary through the T. Rowe Price mobile app.
t. rowe price online profile
It important to set up and keep your T. Rowe Price online profile updated. Selecting Profile along the top banner will take you to the screen to update your settings. This is where you can update your beneficiary, set up paperless communication, select email notifications, and setup multifactor authentication and security questions. Multifactor authentication offers additional security, requiring a texted or email code every time you login to verify your identity.
The T. Rowe Price website & app is where you manage your contribution percent/amount, and investment options. The website also allows you to link other external accounts to offer one place to review your overall retirement progress. There are even tools to help you plan and learn. If you have not visited the website or app recently, you should check out the new features.


On Saturday, September 25, A4/Siromed hosted the company picnic at Wiard’s Orchards. Thank you to all that attended! Please be on the lookout for a survey so that we can gather your feedback on how we can enhance the picnic for next year.


Did you know a4 is on facebook & linkedin?


Click below to give us a follow on each!


Compliance Hotline: 734-263-2401