2014, Issue 4 - Ohio State Medical Association

Transcription

Ohio Medicine
2014 – ISSUE 4
Ohio State Medical Association
Inside This Issue
Power of Your OSMA Membership | 12
Dawn of a New Day For Those Addicted to Opioids | 14
OSMA Launches The Daily Dose | 24
Member Profile: In Memory of Mehdi Ali Qamar, MD | 28
Thank You TO ALL
2014 OSMAPAC
DONORS!
page 16
TABLE OF CONTENTS
MESSAGE FROM THE PRESIDENT
On behalf of the Ohio State Medical Association (OSMA) executive officers,
Council and staff, I wish you a very happy holiday season.
Ohio Medicine
2014 – Issue 4
The OSMA is continuing its journey toward achieving our organizational strategic
goals. The Nominating Committee has been meeting regularly during the fall,
vetting and interviewing candidates for the open at-large Council seats to be
elected at the next annual meeting in April 2015. The committee has been
impressed with the experience, credentials and ideas of this year’s group of
candidates. The committee will be able to present the membership with a wellqualified and enthusiastic set of individuals that should make for an intriguing
election for the open Council seats.
Published December 2014
04 Legislative Digest
06 Legal and Regulatory Digest
08 Partners Digest
10 Education & Services Digest
11 Swimming Against the Tide: Increase in Independent Physician Practices
12 Power of OSMA Membership
14 Dawn of a New Day For Those
Addicted To Opioids
16 Cover Story: Thank You 2014
OSMAPAC Donors
24 OSMA Launches The Daily Dose
26 House of Medicine
27 Member Newsmakers
28 Member Profile: In Memory of Mehdi
Ali Qamar, MD
30 Executive Director’s Closing Point
Ohio Medicine Disclaimer
This publication provides general coverage of its subject area. It is
provided to OSMA members with the understanding that the publisher is
not engaged in rendering legal, accounting, or other professional advice
or services. If legal advice or other expert assistance is required, the
services of a competent professional should be sought. The publisher
shall not be responsible for any damages resulting from any error,
inaccuracy or omission contained in this publication. Paid advertisement
may or may not imply OSMA endorsement.
Ohio Medicine Copyright Notice © 2014 by the Ohio State Medical
Association. No part of this publication may be reproduced or
transmitted in any form or by any means, electronic or mechanical,
including photocopying, recording or any information storage and
retrieval system, without express written permission from the publisher.
Publisher:
D. Brent Mulgrew
Editor:
Reginald Fields
The Constitution and Bylaws Committee continues its work in exploring an organizational framework that
will better serve the needs of the OSMA and Ohio physicians today and in the future. William Kose, MD,
has done diligent, thoughtful and careful work considering options for the OSMA. The committee spent a
great deal of time reading about leadership and governance models and investigating what changes have
worked for other state medical organizations. They are certainly taking their duties seriously and each of
them is to be commended for their hard work.
As I traveled to other state medical association meetings in recent months, it has become apparent that
most of the other organizations are going through or have gone through similar governance changes.
Other state medical associations have come to the conclusion that transformation is necessary and
essential for their survival. Testimony at these meetings revealed that younger to middle-aged physicians
are frustrated with the current framework of their state medical associations and seek opportunities to
contribute in more meaningful and efficient ways, such as electronically, to bridge a developing age gap in
some associations.
The confidence in the ability of a House of Delegates (HOD) to govern is being seriously questioned in
some states. For example, a typical age range for HOD members at the Pennsylvania Medical Society is
between 70 and 75. Many of that association’s younger members have begun to doubt the value of an
organization whose decisions are made by physicians who may not currently be in active practice and
are not personally invested in or affected by the process outcomes. These younger members are voting
with their checkbooks by too often simply not joining or declining to renew their memberships. As a
result, most organizations are seeing budgetary restrictions, some severe, as memberships drop. While
our position at the OSMA is not as dire as that of some of our neighbors, we run the risk of becoming
irrelevant or impotent if we cannot nimbly respond to the changing environment.
The Ohio Office of Healthcare Transformation (OHT) is continuing its path toward payment reform in
certain areas of medical care. Recent events have affected the timetable for the changes, mostly driven by
slower activity at the federal level regarding the timing of grants. We are heartened that the OHT continues
its dialogue with the OSMA and the Ohio medical community. Recently Gov. John Kasich tapped Mary
DiOrio, MD, as the state medical director at the Ohio Department of Health (ODH). It is expected that parttime physician advisors to Dr. DiOrio will be selected in early 2015. The OSMA continues to monitor this
process in order to assure continued meaningful physician input to the OHT and ODH.
Finally, we will continue to explore engaging young female physicians in the activities of the OSMA. I have
been in discussions with female leaders in other state medical associations about strategies to optimize
the talents of our female colleagues. Invitations to our annual meeting have been extended to these
leaders.
I want to personally thank all of you for your patience, fortitude, and loyalty as we continue on our path to
OUR OSMA future. May you and yours enjoy a healthy, happy, safe and prosperous holiday season and
New Year. Best wishes to you all.
Respectfully,
Mary J. Wall, MD, JD
OSMA President
John Kulin, D.O.
Manahawkin, NJ
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LEGISLATIVEDIGEST
2015 Legislative Look Ahead
2015 will see a flurry of legislative activity unlike anything
in the past few years. At the top of the list will be the
state fiscal year 2015-2016 budget and the renewal of
Medicaid expansion for Ohio. The current budget and the
state’s Medicaid expansion expires on June 30, 2015.
The Ohio State Medical Association’s (OSMA) government
relations (GR) team will be working on several issues
related to the budget, such as physician payment reform
and Medicaid rate increases. In addition, the GR team will
be working on prior authorization legislation, public health
issues and scope of practice, which typically dominate
during the first few months of the year.
(PA) requirements. Specifically, the proposal will:
Medicaid Expansion and the Budget
nDevelop a single PA form, not to exceed two pages.
It is anticipated that Gov. John Kasich will include funding
for continued expansion of Medicaid coverage in his next
two-year budget proposal. After the Governor releases
his executive budget in Feb. 2015, his proposals will be
vetted by the General Assembly, where members could
elect to not accept federal funding to pay for the costs of
expansion. Senate President Keith Faber has indicated
that it will be difficult for the Senate to pass Medicaid
expansion as part of the budget proposal and said he
thinks it will have to be debated on its own.
Scope of Practice
There is also talk that the Governor’s budget proposal
will likely include increased funding for Medicaid
physician reimbursements. The Department of Medicaid
is considering raising physician payment for primary
care services and the OSMA will advocate for targeted
increases in other preventive, high-need and lowreimbursed areas of the physician fee schedule.
The next two-year budget may also change the way that
direct Medicaid graduate medical education (GME) funds
are paid. This year, Medicaid paid out approximately $100
million in direct GME payments to teaching hospitals.
The current formula used to expend Medicaid direct GME
payments is based upon a hospital’s number of beds
and residents. The Kasich administration is considering
different ways to target these funds toward primary care
training, especially in underserved areas of the state. The
OSMA is involved in a taskforce to discuss this topic with
the Kasich Administration and we will actively talk with
legislators about the Governor’s proposal after its release
in Feb. 2015.
Prior Authorization
The OSMA will be working with state lawmakers to create
new rules for how insurers impose “prior authorization”
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Ohio Medicine |
nEnsure that PA requirements or restrictions are listed
on the health insurer’s website.
nAllow providers and patients to obtain PA authorizations
through a web-based system.
nEnsure that a new or future PA requirement is
disclosed at least 60 days prior to the new
requirement being implemented.
nGuarantee that once a PA has been approved the
insurer will not retroactively deny coverage for the
approved service.
nGuarantee a 48-hour turnaround time on PA requests,
with automatic approval in the event a decision is not
rendered in 48 hours and 24-hour turnaround for
more urgent requests.
Team-Based Approach to Care: Support inter-professional
teams managing patient populations to prevent and manage
illnesses, based on a model that has physicians in the
lead, with care provided by all professionals performing up
to their level of training, at the discretion of the physician
leader.
Provider Credentials: Require all medical professionals,
including physicians, to wear a nametag identifying the
license they hold.
Allied Profession Scope Expansions: We will see
legislation in the following areas:
nAdvanced Practice Nurses looking to expand their
scope of practice
nPharmacist medication management
nPermitting chiropractors to independently manage
youth concussions- The Youth Sports Concussion and
Head Injury Guidelines Committee was established in
September 2014 to review the current return-to-play
guidelines. The committee has been tasked with three
specific goals: diagnosis and treatment of concussions
and head injuries; conditions under which an athlete
may be granted clearance to return to practice/
competition; and minimum education requirements
necessary to qualify a physician or licensed health
care professional to assess and clear an athlete for
return to practice or competition.
The official publication of the Ohio State Medical Association
LEGISLATIVEDIGEST
OSMA’s government relations team will be monitoring
these issues very closely and will be working to ensure
proper physician oversight remains in place on the final
versions of these legislative items.
Public Health
nContinue to work proactively with lawmakers, the
Governor’s Cabinet Opiate Action Team, the State
Medical Board of Ohio, and the Ohio State Board of
Pharmacy to craft laws, rules, and guidelines that
prevent abuse and overdose while empowering
physicians to responsibly prescribe controlled substances.
nPromote OSMA’s Smart Rx online training program on
prescription drug abuse.
nOppose efforts to create exceptions to the state-wide
smoking ban in public places.
nSupport efforts to increase taxes on cigarettes and
other tobacco products, including e-cigarettes.
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5
LEGAL&REGULATORYDIGEST
Three Ohio Regulatory
Agencies Name New
Directors
Governor Appoints New Medical Director for
State Health Department
Mary Seitz DiOrio, MD, MPH, was appointed by Gov.
John Kasich as the state medical director for the Ohio
Department of Health (ODH).
While most recently serving as ODH’s state epidemiologist,
Dr. DiOrio’s strong background in public health policy will
serve her well in her new position and should make her
a champion of Ohio physicians who advocate for their
profession and healthier communities.
Dr. DiOrio earned her medical degree from The Ohio
State University. She has experience as a family practice
physician. She has been employed by the Ohio Department
of Health since 2001 serving various roles in epidemiology.
She is board certified in preventive medicine and
previously certified in family practice.
She replaces Mary Applegate, MD, who had served as
interim state medical director since August. Dr. Applegate
will return to her permanent position as medical director
for the Ohio Department of Medicaid.
Medical Board Names Executive Director
Anthony (A.J.) Groeber has been named Executive Director
of the Medical Board effective Nov. 16, 2014.
The Medical Board announced that, “Mr. Groeber brings
to the Medical Board expertise in strategic planning and
increasing operational process efficiency. He will be a
tremendous asset to the Medical Board as we continue
to strive to increase the level of service we provide our
licensees and the public.”
Groeber comes to the Medical Board from the Ohio Board
of Tax Appeals, where he has served as Executive Director
since March 2013. Groeber holds BS/BA degrees from
Ohio University and earned his MBA from the Fisher
College of Business at The Ohio State University.
The Ohio State Board of Pharmacy Names
Executive Director
The Ohio State Board of Pharmacy announced the selection
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of Steven W. Schierholt, Esq, as its new executive director.
Mr. Schierholt joins the Board with extensive law
enforcement and leadership experience. He previously
served as the Assistant Superintendent of the Bureau of
Criminal Investigation with the Office of Ohio Attorney
General Mike DeWine. Mr. Schierholt has also served
in numerous capacities at the Ohio Attorney General’s
Office, including Executive Director of the Ohio Peace
Officer Training Commission, Assistant Attorney General
and Special Agent. A U.S. Army Veteran, he has also held
positions as an Adjunct Professor of Criminal Justice,
Deputy Sheriff and Assistant County Prosecutor.
Regulatory Reminders
Mandatory OARRS Query Under Specified
Circumstances
Beginning in 2015, prescribers of opioid analgesics and
benzodiazepines will be required to register to use OARRS
and to query the database under certain circumstances.
Registration to use OARRS will be required as part of
medical license initiation and renewal starting Jan. 1,
2015, and OARRS queries will be required starting
April 1, 2015.
Registration Requirements: Registration to use OARRS will
be required for clinicians who write prescriptions for opioid
analgesics and benzodiazepines. Starting Jan. 1, 2015,
physicians and other prescribers will need to certify that
they are registered to use OARRS when initially applying or
reapplying for a medical license.
Query Requirements: Beginning April 1, 2015, physicians
will be required to query OARRS when writing initial
prescriptions for opioid analgesics and benzodiazepines,
and the patient’s record will need to include documentation
that the OARRS report was received and assessed.
Physicians will be required to make periodic OARRS
requests at least every 90 days after the initial report is
requested if a patient’s therapy with an opioid analgesic or
benzodiazepine continues for more than 90 days.
Exemptions: These query and documentation requirements
will be mandatory, except under the following circumstances:
(1) the drug is prescribed or personally furnished for less than
a 7-day supply; (2) the drug is prescribed or personally
furnished for cancer treatment or for another condition
associated with cancer; (3) the drug is prescribed or
personally furnished to a hospice patient in a hospice care
program or to any other terminally ill patient; (4) the drug
is prescribed or personally furnished for administration
Penalties: The regulatory boards are authorized to impose
sanctions on prescribers who fail to comply with the
requirements.
Medical Student Supervision
While the laws regarding the supervision of medical
students have not changed, the OSMA has received a
few inquiries questioning whether medical students are
permitted to assist in the performance of patient history
and physicals.
student may not perform the history and physical that
forms the basis of medical decisions by the physician.
Medical students are not licensed, and there is no
exception in Chapter 4731 of the Ohio Revised Code (ORC),
for them to provide any sort of medical care. Under Section
4731.34, ORC, a person who examines for compensation,
direct or indirect, is practicing medicine without a license.
With the permission of the patient, the medical student
might gather history and perform an examination for
purposes of discussion with the physician. However, the
physician is required to review the history for accuracy and
gather any additional history needed for completeness.
The physician is also required to perform the actual
examination which is noted in the patient chart and upon
which the medical decisions are based.
According to the State Medical Board of Ohio, a medical
LEGAL&REGULATORYDIGEST
in a hospital, nursing home, or residential care facility;
(5) the drug is prescribed or personally furnished to treat
acute pain resulting from a surgery, invasive procedure, or
delivery; (6) OARRS is not available for use.
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2014 | ISSUE 4
7
PARTNERSDIGEST
Communication Is Key to Improving Diabetic Patient
Outcomes and Reducing Liability
Because diabetes has the potential for serious complications and requires immense involvement by patients and
physicians for successful outcomes, healthcare professionals who treat diabetic patients may be at risk for malpractice
lawsuits.
In a study of claims closed from 2007 to 2013, The Doctors Company identified four common allegations made by
patients with diabetes: improper management of treatment (37 percent), failure or delay in diagnosis (31 percent),
failure to treat (9 percent), and improper management of medication regimens (6 percent).
Diabetic patients’ treatment is often managed by a multidisciplinary care team, which may include a primary care
physician, endocrinologist, dietician, ophthalmologist, podiatrist, and dentist. When patients file claims, it’s not
uncommon for them to name the entire care team in the complaint, alleging failure to properly diagnose, supervise,
monitor, and/or treat their disease.
To promote patient safety, the healthcare team should engage the patient in collaborative care planning and problem
solving to produce an individualized care plan as well as team support when problems are encountered. Other ways to
promote patient safety and mitigate the risk of malpractice claims related to diabetes care are:
nCommunicate. Talking openly with diabetic patients about their condition and encouraging them to take an active
role in decision making enhances patient safety.
nOvercome patients’ fears about their disease by taking time to answer questions.
nDiscuss all associated risk factors, including weight gain. The American Medical Association and American Diabetes
Association have resources available to help physicians talk to their patients about weight and diabetes.
nProvide written instructions and information about adverse effects for prescription drugs and complex prescription
drug regimens.
nCommunicate with the patient and prepare written information in the language and at the literacy level that the
patient understands.
nAsk patients to repeat the information shared, not just whether they understand what they have been told.
nEducate. Educate patients about the importance of self-management to help increase their compliance and to
reduce the risk of patients attributing their injuries to substandard care. Diabetic patients should be able to articulate
the importance of lab tests, medication management, diet, and exercise. Barriers to self-management such as
financial issues or lack of social support, healthcare literacy, and patient-caregiver relationships should be assessed.
nDocument. Document any and all patient interactions and discussions regarding the patient’s condition, including
diagnosis, specialist referrals, and treatment options.
nManage care. Implement a program that ensures timely follow-up when a patient fails to schedule an appointment,
misses an appointment, or cancels an appointment and does not reschedule. Failure to follow up and provide
intensive patient management can lead to missed or delayed diagnoses, accelerated disease symptoms, morbidity,
and/or mortality.
Contributed by The Doctors Company. For more patient safety articles and practice tips,
visit www.thedoctors.com/patientsafety.
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Ohio Medicine |
The Affordable Care Act (ACA) has made dramatic changes to the health care system and Ohio physicians may currently
be impacted in two ways. The ACA-mandated plan designs may increase out-of-pocket expenses of plan enrollees
and some physician practices may see their health insurance premiums rise. In response to the ACA’s changes, the
OSMA Insurance Agency is offering a new Health Benefits Plan (HBP) to give Ohio physicians an alternative to the ACA
marketplace. The HBP is a self-funded multiple employer welfare arrangement developed for Ohio physician practices
and is an innovative alternative to the ACA plans.
The OSMA Insurance Agency recognizes that you need to provide the best possible group health care coverage to your
employees, whether you have a group of two or more, our goal is to offer flexible affordable health plans that make
world-class health care attainable for your practice. The HBP is a flexible, self-funded health benefit alternative, which
includes cost effective affordable benefits, traditional benefit designs, HRA and HSA funding options, and more.
PARTNERDIGEST
OSMA Insurance Agency Offers New Health
Benefits Plan
For more information on the Health Benefits Plan, visit www.osmains.com.
OSMA Preferred Partner Updates
The Physician Quality Reporting System (PQRS) reporting period ends on Dec. 31, 2014, at which point, physicians
who do not participate may experience a penalty in 2016. OSMA members have access to a 33 percent discount on
PQRSwizard, an easy-to-use online tool to help physicians and other eligible professionals quickly and easily participate
in PQRS. For more information, visit www.osma.org/pqrswizard.
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2014 | ISSUE 4
9
EDUCATION&SERVICESDIGEST
2015 EDUCATION SYMPOSIUM:
“Work Smarter Not Harder”
Award application will be posted to the OSMA website soon.
Do you know an individual or team who demonstrates
excellence in medical office management and/or has a
strong commitment to improving care in their community?
There are two award categories:
Date & Location
Practice Manager of the Year
This award is presented to an individual recognized
as a dynamic leader, communicator and advocate for
patient-centered, efficient, quality care – one who
exemplifies leadership and inspires others, is an effective
communicator and consistently thinks about their staff and
patients.
April 10, 2015
Columbus Hilton Easton
3900 Chagrin Dr.
Columbus, OH 43219
9:00 am – 3:30 pm
Agenda
The agenda offers something for everyone regardless of
your practice size, specialty or structure. We will start the
morning off with a humorous and energetic presentation
by Steve Bedwell and techniques to recognize emotional
triggers, unhook from frustrating situations and stay
focused, optimistic and productive under pressure so you
and your staff can provide empathic, high-quality patient
care. We will then follow with four breakout sessions that
address the current issues:
nPatient Engagement
nData Management
nRevenue & Reimbursement
nManagement & Hot Topics
To nominate someone for Practice Manager of the Year
contact Mary Whitacre at [email protected].
Innovation Award
This award is presented to an individual, team or practice
that has implemented technology or a marketing strategy,
or developed and implemented a new policy/procedure
within the office or community that has led to improving
the patient experience, saving time and/or money in an
innovative way.
To nominate someone for the Innovation Award contact
Mary Whitacre at [email protected].
7:30 a.m.
Registration, Continental Breakfast and Visit Exhibits
9:00 a.m.
OSMA Welcome and Opening Remarks
9:15 a.m.
Keynote: Solving Problems, Managing Frustration and Taking Action in Chaotic Times
10:15 a.m.
Break and Visit Exhibits
TRACKS
Patient Engagement
Data Management
Revenue &
Reimbursement
Management &
Hot Topics
10:45 a.m.
Social Media Do’s and
Don’ts
Turning Data Into
Actionable Information
Preparing for Shared
Savings and Risk
Transforming Your
Practice through
Strategic Planning
11:40 a.m.
Working Together to
Provide Team-Based
Care
Data Management and
Analytics Driving Revenue Cycle Improvement
Optimizing
Collections at Time of
Service
HIPAA Compliance and
Risk Assessment
12:30 p.m.
Lunch, Awards and Visit Exhibits
1:45 p.m.
Engaging Patients:
Surefire Strategies
Expense and Budget
Development
Payer Contracts and
Negotiations
SmartRX: Prescribing
Controlled Substances
2:40 p.m.
Patient Engagement and
Meaningful Use to Raise
Patient Satisfaction
ADA and New
Reimbursement Models
ICD-10: 173 Days to Go
- Are You Ready?
Human Resources
Preventive Medicine
3:30 p.m.
10
Awards
The Ohio State Medical Association’s (OSMA) Annual
Education Symposium provides physicians, managers
and medical staff with inspiration, strategies and tools
to prepare for tomorrow’s health care environment.
Registration will be open in early 2015.
Ohio Medicine |
OSMA Closing Comments and Door Prizes
Swimming Against the Tide
The Surprising Increase in Independent Physician Practice Establishments
For those in the health care industry who closely followed or
participated in the latest and still ongoing iteration of the decadeslong march to physician employment by hospitals, the recent
observed spike in independent physician practice establishments
may come as a bit of a surprise. If anything, the trend continues
to lean toward greater consolidation and integration of onceindependent practices into larger, hospital-employed, multispecialty groups or networks, and to a lesser degree, independent
multi-specialty groups and clinically integrated networks (e.g.,
independent practice associations [IPAs] and physician-hospital
organizations [PHOs], etc.). So then, how do we explain this
counterintuitive activity?
As so often is the case in the current complexities of the
healthcare environment, the dynamic driving physicians toward
independent practice establishment defies easy categorization
or simple answers. Put another way, the reasons are many and
interrelated. Examined from the widest angle lens, the independent
practice continues to be buffeted by a series of operational
changes and compliance requirements. From the challenges
and opportunities that accompany healthcare reform and the
Affordable Care Act to the need for increasing investments in
technology, expanding regulatory reporting requirements, and
declining reimbursement, physicians in large and small groups
must answer some fundamental questions about how, where, and
on whose behalf they will compete on quality, service, access, and
value in the future. This decision point is at the heart of several
factors impacting new independent practice establishments:
nMany physician groups previously resisted the trend toward
hospital employment (particularly reimbursement advantaged procedural sub-specialists) and now have
partner majorities that have decided it is time to make the
move. Often in this scenario, the physicians who remain
opposed to employment by a third party choose not to make
the transition, preferring to establish a new practice.
nMany physicians surveying the independent practice
landscape have determined that the current practice model
is undesirable. Therefore, they leave their existing practices
(independent group and third-party employment) to pursue
concierge or other non-traditional models or seek ways to
re-engineer their current practices along these lines.
nConversely, some physicians feel they are aligned with and
stand to gain from the evolution toward value-based patient
care and population health and seek independent practice
as a means to ensure the independence to position
themselves and their services favorably. The availability
of payer contracting through IPAs and/or CINs gives them
the security of large group contracting for reimbursement.
nThe agreements associated with the previously mentioned
latest iteration of hospital physician employment are now
coming up for renewal. Many of these agreements are not
performing as anticipated and may be significantly
renegotiated or not renewed at all. Non-renewals are being
driven primarily based on losses generated by the hospital
at the physician practice level rather than quality performance related factors. Physicians formerly employed by hospitals may find themselves in need of practice establishment
assistance.
nBoards and executive leadership teams are increasingly
scrutinizing new employment arrangements from the
standpoint of financial sustainability and community need.
Faced with critical specialty needs and recruitment targets,
hospitals and health systems utilize new practice establishment
assistance as an affiliation and recruitment strategy alternative
to employment.
Taken in the context of the overall factors continuing to impact
both employed and independent physician practice decision
making and strategy, the recent rise in new practice establishment
is perhaps not as surprising as it may at first appear. Many
physicians have elected to take control of their destiny in the
healthcare market. They have embraced the changes and feel
they can excel on their own, rebelling against a loss of strategic
and operational control. Additionally, as the economy continues to
improve, many providers are more open to the risk and opportunity
associated with business ownership. If all factors remain the
same, we should expect to see more physicians seriously consider
independent practice establishment.
Based on our years of practice operations, physician recruitment,
and practice establishment experience, coupled with industryleading, patient-centered medical home and value-based care
model expertise, PYA is well-positioned to assist independent and
health-system-affiliated physician practices seeking to begin a
new practice from a foundation of success.
To learn more about new practice establishment and recruitment
assistance services, contact Allison Wilson, Chris Beckham, or
Nancy McConnell at PYA, (800) 270-9629.
(Permission to Reprint Granted on 9/22/14)
Credit: PYANancy McConnell, CHC, CPC
Chris Beckham
Allison Wilson, PHR, CMPE, PCMH CCE
2014 | ISSUE 4
11
The Power of Your
OSMA Membership
First off, thank you for your OSMA membership! Because of your support the OSMA was able to
accomplish a great deal. Below is a brief recap of our major activities for 2014.
Advocacy
companies to resolve implementation issues
Payer Conferences
Access to Care
Supported the primary care rate increase and produced a study to
understand its impact in access to care
Reimbursement
Worked with Medicaid to revise rule impacting reimbursement for,
which led to a 25 percent increase
Medical Liability
Supported the election of Justices French and Kennedy through
awareness campaigns and fundraising with a goal of creating a
more stable medical liability climate
Hosted five conferences across the state where payers
came together to discuss new policies for 2015, including
health insurance exchange products, programs impacting
reimbursement, and quality/pay-for-performance initiatives
Professional Development
The OSMA offered discounted professional development and
training to physician members and their staff on the following
topics.
nICD-10
Public Health
n Reimbursement
Helped pass new law that restricts sale, possession, and use of
alternative nicotine products – including e-cigarettes by minors
n CPT Coding
Cancer Care
n Prescription Drug Abuse
Played an active role in passing legislation that requires insurance
companies and Medicaid plans that cover traditional intravenous
treatments to either establish comparable coverage for oral
medications or to only charge up to $100 for a 20-day supply of
oral chemotherapy medication
n Patient-centered Care
Payer Issues
Assisted member practices on 391 issues related to audits/
takeback, reimbursement, payer policies, and more
MyCare Ohio
Developed information resources for physicians on the
state’s new approach to managing the dual eligible population
(www.osma.org/mycare) and continue to serve as the liaison with
Ohio Medicine |
Discounts and Savings
You have access to discounts on a number of practice
management services, a few of which are highlighted below. Visit
www.osma.org/partners for a complete list.
Payer Relations
12
n Leadership and Management
Medical Liability Insurance
Medical liability premium savings up to 10.5 percent through the
OSMA’s exclusive partnership with The Doctors Company
PQRS
33 percent off the price of PQRSwizard, an easy-to-use online tool
to help physicians participate in PQRS.
Health IT
your voice is critical in the OSMA impacting change in these areas:
Free EHR contract reviews and IT practice check-ups through the
OSMA’s partnership with Agil IT.
ICD-10
nFinalizing a proposal to increase Medicaid reimbursement in
the 2015-2016 Ohio budget to improve access to care.
Discounted rate for Ready10™, an online portal offering
customized, step-by-step guidance through every phase of the
transition to the new coding set.
nRolling out SmartRx (Safe Medicine and Responsible
Treatment), a unique on-demand series aimed at helping
physicians identify and prevent prescription drug abuse
through patient education and alternative treatments.
Medical Waste Disposal
nCreating an on-demand education series for members that
focus on important practice management topics and issues.
Capped pricing at a maximum of $40 per 30-gallon box for a
period of three full years with Accu Medical Waste Services.
In 2015, the OSMA will focus on improving the financial viability
of practices by providing rigorous educational programming
and relevant resources, arming physicians with tools to curb
prescription drug abuse, and empowering patients to take a
greater role in their health.
OSMA will be working on the following. As a physician member,
For a complete list of member benefits, visit
www.osma.org. Thank you again for your support
in 2014!
By Sarah Gaver
Director, Physician Practice Relations
OSMA
THIS COULD BE YOUR LAST ISSUE OF OHIO MEDICINE !
Renew your OSMA membership by Dec. 31, 2014, to ensure you do not lose
access to benefits of membership, like Ohio Medicine. In addition to supporting
the practice of medicine and Ohio physicians, your 2015 membership is 82
percent tax deductible if received by Dec. 31, 2014.
2014 | ISSUE 4
13
DAWN OF A NEW DAY
FOR THOSE ADDICTED TO OPIOIDS
Physicians have actively engaged in Ohio’s fight against the
epidemic of opioid abuse, misuse, and diversion for a number
of years. Despite the prescribing community’s success in
decreasing the number of prescriptions for opioid medications
and the average strength of these prescriptions, the rate of
unintentional drug poisoning in our state continues to rise. On
average, an Ohioan dies every five hours from an unintentional
drug overdose.
The Substance Abuse and Mental Health Services
Administration’s (SAMHSA’s) 2014 Opioid Overdose Prevention
Toolkit recommends strategies to prevent overdose death,
two of which are encouraging providers and others to learn
about preventing and managing opioid overdose and ensuring
ready access to naloxone. The Ohio State Medical Association
is committed to working on both of these strategies with our
members and the greater prescriber community.
Naloxone – often called a “miracle drug” by those who have seen
it work – has been used by emergency medical professionals for
over 40 years. Naloxone is an opioid-agonist used to resuscitate
individuals who have overdosed on prescription opioids or
herion. The drug is extremely effective at reversing respiratory
depression, which is usually the cause of overdose death. Even
if given at high doses, naloxone has virtually no effect if given
to individuals who are not opioid-intoxicated or opioid-addicted.
14
Ohio Medicine |
Most patients who are given naloxone when overdosing on
opioids respond by returning to spontaneous breathing within
three to five minutes. Naloxone has no potential for abuse, and
it serves a single function: to prevent death by reversing opioid
overdoses.
Naloxone, which is now offered in generic form but is still
frequently referred to by its brand name Narcan®, is FDA
approved for intravenous and intramuscular administration. Joan
Papp, MD, an emergency medicine physician at the MetroHealth
Medical Center in Cleveland, noted that health professionals also
administer intranasal naloxone: “There is very good literature
supporting the drug’s bioavailability when delivered through this
off-label route of administration in a nasal spray.” Earlier this
year, the FDA approved a naloxone auto-injector (brand name
Evizo®) through its fast-track priority review process specifically
to give caregivers and family members an easy way to administer
naloxone.
PROJECT DAWN
Since the mid-1990s, states and localities across the country
have responded to the rise in opioid-related overdose deaths
by implementing overdose education and naloxone distribution
programs (OENDP). These harm-reduction programs provide
training and take-home naloxone to individuals who are at high
risk of an overdose and to those who may witness an overdose.
Most OENDP distribute naloxone with a nasal atomizer so that it
can be given as a nose spray in emergency situations. In 2012,
the Ohio Department of Health began a pilot community-based
ODEPD called Project DAWN (Deaths Avoided With Naloxone) in
Scioto County. As of September 2014, Project DAWN sites could
be found in eight Ohio counties.
Dr. Papp has been the Medical Director at MetroHealth’s Project
DAWN site since it opened in 2013. She said that all Project
DAWN sites provide education to at-risk opioid users before
giving out naloxone. “We educate them about the risk factors for
overdose, teach them to recognize the signs of an opioid overdose,
and we train them to respond to overdoses by calling 911,
administering rescue breathing and nasal naloxone.”
Those who visit Project DAWN sites to receive take-home nasal
naloxone are trained by Overdose Prevention Educators who
assesses the individual’s understanding of the training content
before a prescription is written for two doses of naloxone to be
filled at a local pharmacy. Most Project DAWN locations also
have an on-site physician who can personally furnish a naloxone
kit containing two doses of naloxone, two nasal atomizers, an
instructional DVD, a CPR barrier device and an instructional booklet.
Components of Project Dawn Opioid
Overdose Prevention Training
1
2
3
4
5
6
7
Overdose prevention techniques
number of lives saved is probably even higher because of
underreporting.”
When Dr. Papp’s Project DAWN site first opened, prescribers were
only allowed to issue prescriptions or distribute naloxone to at-risk
individuals. Dr. Papp said, “We were turning away family members
who wanted to have access to the drug for their loved ones. We
also had to turn away drug councilors and sober living facilities
who wanted kits on site in case of accidental overdose.”
Things changed in March of this year when House Bill 170 was
signed into law, giving prescribers the authority to personally
furnish or give a prescription for naloxone to a friend, family
member, or other individual in a position to provide assistance to
those at risk of experiencing an opioid-related overdose. House
Bill 170 also granted immunity from criminal or civil liability to
prescribers who act in good faith when writing for or personally
furnishing the drug, and it also granted immunity to friends and
family members and to law enforcement who provide assistance
by administering the drug. The OSMA supported House Bill 170
when it was vetted by the legislature.
There is evidence that Project DAWN sites save lives and may
even cut down on opioid use. “People often worry that access
to naloxone can increase drug use or encourage people to use
opioids in riskier ways,” Dr. Papp said, “but two studies have
actually reported that the opposite happens, and data from our
Project DAWN site confirms that receiving a dose of naloxone
when overdosing leads to a decrease in self-reported drug use.”
TAKING THE NEXT STEP
Recognizing signs and symptoms of
overdose
Because of Project DAWN and House Bill 170, access to naloxone
has greatly increased in our state. Nevertheless, there are still
barriers to accessing the drug. Dr. Papp noted that Project DAWN
sites have difficulty recruiting physician participation, especially at
new sites, but that “other states have found ways to get around
this problem by allowing physicians to issue standing orders to
overdose educators or pharmacists who can store and personally
furnish naloxone to patients.”
Calling 911
Airway and breathing assessment/
Rescue breathing/ Recovery position
Naloxone storage, carrying, and
administration in an emergency setting
Ohio’s lawmakers are considering legislation modeled on these
states’ standing order policies. Dr. Papp is advocating for this
type of change since it could dramatically increase the amount of
naloxone dispensed. “Studies show that OENDP that operate in
states that have a standing order model reduce death rates in their
communities,” said Dr. Papp. “We would love to see the number of
individuals trained to use naloxone double or triple – think of the
lives we could save.”
Reporting of overdose to Project DAWN
and refill procedures
Post-overdose follow-up care
Dr. Papp has seen incredible results at her Project DAWN site:
“Since we started our program in March of 2013, we have
distributed over 1,000 overdose prevention kits and we have
reports of 81 overdoses that were reversed. We believe that
By Marisa Weisel
Manager, Advocacy & Policy
OSMA
2014 | ISSUE 4
15
Thank You TO ALL
2014 OSMAPAC
DONORS!
The Ohio State Medical Association Political Action Committee (OSMAPAC) raised more than $260,000 in 2014
through donations and physician-hosted fundraising events. With 2014 a crucial year on Ohio’s political front, the
money raised by the OSMAPAC assured Ohio physicians would have a key voice in choosing elected officials.
The PAC this year endorsed the successful campaigns of Gov. John Kasich and Ohio Supreme Court Justices Judith
French and Sharon Kennedy, helping to return each of them to their offices. The PAC also endorsed 12 Ohio House
and Senate candidates, all of whom won their election. In all, the OSMAPAC either endorsed or offered some form of
support to 50 Ohio legislative candidates.
All of these were candidates who had either demonstrated strong backing or pledged support for key policy and
legislative ideas – like tort reform, scope of practice, Medicaid rates, prior authorizations and many others – that will
benefit Ohio physicians.
Gov. Kasich’s backing of physicians was on full display during his first term in office in a variety of ways:
nEnhancing Ohio’s medical liability climate
nAddressing proactively Ohio’s prescription drug abuse issue
nSupporting medical homes for those with multiple chronic conditions
nWorking to improve the health insurance exchange process for Ohioans
nAnd, expanding Medicaid eligibility so that more people have access to doctors
Meanwhile, it is always vitally important that the state’s highest court protect Ohio’s strong tort reform laws and not
legislate from the bench. Both Justices Kennedy and French have proven they are mindful of the needs of physicians
and healthcare and the OSMA is proud to have them as representatives on the Ohio Supreme Court.
OSMA is looking forward to working with all 12 of our endorsed House and Senate physician and patient champions
– including, state Rep. Terry Johnson, DO, Steve Huffman, MD, Robert Cupp, state Rep. Michael Duffey, state Rep.
Nickie Antonio, state Rep. Cheryl Grossman, state Rep. Michael Stinziano, state Rep. Barbara Sears, state Rep.
Anne Gonzales, state Sen. Shannon Jones, state Sen. Charleta Tavares, and state Sen. Scott Oelslager— who won
election.
Johnson and Huffman are both OSMA members and we are excited that they will both be a part of the 131st Ohio
General Assembly beginning in January.
Please continue to help us keep a strong PAC. If you have not already given, return a check to us today in the
envelope provided, or give online at www.osma.org/osmapac or call the OSMA at (800) 766-6762. Your gift will
make a positive difference!
16
Ohio Medicine |
Founders’ Level: $1000
Douglas Chapman Prince, MD
Louis William Ralofsky, MD
Michele Lee Ralofsky, MD
Marvin Horton Rorick, III, MD*
William Charles Sternfeld, MD, FACS
Jeffrey Bruce Studebaker, MD*
Linda Toivonen Swan, MD
Lance Allen Talmage, MD
John Warner Thomas, MD, FAAO
Nancy Morgan Vaughan, MD
Mary Jean Wall, MD, JD
Maureen Yvonne Yablonski, MD
Evangeline Consuelo Andarsio, MD
Craig W. Anderson, MD
Richard Edward Cain, MD*
J Jeffery Cameron, MD
Cathy Anne Dailey, DO
Lisa Bohman Egbert, MD
Carl Joseph Foster, MD*
Michael Riley Heaphy, MD
Mark Eugene Hostettler, MD
Mary Jo Jacobson Kerns, MD
Karen Guss King, MD
Neal James Nesbitt, MD, FACS
Vivien Ruth Newbold, MD
J. Steven Polsley, MD
Presidents’ Level: $500
Carl Joseph Foster, MD
Michael Frank, MD, JD, FACEP
Vincent Mark Gioia, MD
Eric Orval Haaff, MD
Charles Joseph Hickey, MD, FACS
Raymond Louis Horwood, MD
Mark Richard Howard, MD
Monica Hueckel
Roger John Hunter, MD
Mark Edward Jonas, MD
Molly Ann Katz, MD
Richard Harkness Keys, MD
Thomas L. Khoury, MD
Gary Michael Kirsh, MD
Robert Erik Kose, MD, JD
Eric Joseph Kuhn, MD
Deepak Kumar, MD
Julie Christine Lew, MD
Panduranga Rao Lingam, MD
Timothy I. Maglione, JD*
Donald Bruce Marshall, DO
David Charles Miller, MD
James David Moore, MD
Charlotte Marie Agnone, MD, FACS
Sarah Jo Alley, MD
Anthony Joseph Armstrong, MD
Robert Louis Barker, MD
Aaron Lee Bey, MD
Jeffrey Neil Boulter, MD
Karl Bruce Braun, MD
James Allen Bryant, MD*
Phillip Jay Buffington, MD
Kenneth Vern Cahill, MD, FACS
Kevin Giles Campbell, MD
Bradley Don Carman, DO, FACOS
David M. Chaky, MD
Annette Marie Chavez, MD
Christopher Cirulli, MD
Alan Spencer Cordell, MD
James Fredrick Davison, III, MD
Brian Lynn Davison, MD
Mark G. Delworth, MD
Robert Allen Denton, MD, FACP
Shekar Dheenan, MD
Richard Robert Ellison, MD
Douglas Edward Feeney, MD
2014 | ISSUE 4
17
D. Brent Mulgrew, JD
David Miles Novick, MD, FACP
A. Burton Payne, MD
Marc Jeffrey Pliskin, DO
Douglas William Reader, MD
Ricardo Arturo Roa, MD, FACS
Jeffrey John Roberts, MD
David B. Robie, MD
Rebecca Anne Roedersheimer, MD
Robert Howard Rolf, MD*
Michael Blaise Rousseau, MD
John William Schaeffer, MD, FACC
Sushil Mitter Sethi, MD, FACS
James Michael Sudimack, MD, FACEP
Andrew McLean Thomas, MD, MBA
Martin John Walsh, MD
Cynthia Denese Westermann, MD
Michael Jay Wieser, MD
James Douglas Williams, MD
Patrick Michael Wirtz, MD
Dirk Mitchell Wonnell, MD
Bradford Harold Woodall, MD
Lyn Ellen Yakubov, MD, FACS
Jeffrey Warren Zipkin, MD
Chair Level: $350
John Paul Anders, MD
Timothy Joseph Anders, MD
Brian Leroy Bachelder, MD*
Denise Louise Bobovnyik, MD
Christopher Gene Brown, MD, MPH
G. Mark Burton, MD
Daniel James Clemens, MD
Bipin M. Desai, MD
David Olswells Griffith, MD
Stephen Terry House, MD
John Edward Lloyd, MD
Nathan Joel Lowien, DO
John Leslie Lyman, MD, FACEP
Joseph John Moravec, MD, FACS
Samir Bhogilal Patel, MD
S. Baird Pfahl, Jr., MD
Walter Anthony Reiling, III, MD
Chester Ridenour, DO
Harris Slavin Schild, MD
Charles E. Smith, MD
R. Scott Stienecker, MD
Philip Cecil Stiff, Jr., MD
Ronald Michael Taddeo, MD
Mrs. Dee H. Talmage
Carl Sylvester Wehri, MD
Mary Jo Panzone Welker, MD
Andrew Jack Wherley, MD*
Regina Rae Whitfield Kekessi, MD, MPH
David Edward Whitt, DO
Sustaining Level: $250
Herman Irwin Abromowitz, MD
Manu Bala Aggarwal, MD
Kathleen Anne Alter, MD
Joseph Ferrara Amato, MD, FACOG
Roger Gustavo Amigo, DO
James J. Anthony, MD
David Terrence Applegate, II, MD
Michael Thomas Archdeacon, MD
David Brent Argo, MD*
18
Ohio Medicine |
Arthur Thomas Armstrong, Jr., MD, PhD
Maziar David Arya, MD, FACC
Sherif George Awadalla, MD, FACOG*
Vivek Ranjan Awasty, MD
William Joseph Bajorek, DO
Todd Baker*
Richard Gerrit Bakker, MD, PhD
Roger John Balogh, MD
L. Luke Barich, MD
Robert Edward Barnett, MD
John Francis Barrord, MD
John Eric Bartsch, MD*
Stephen Poll Bazeley, MD
Jaye E. Benjamin, MD
George Benzing, III, MD
David Edward Berckmueller, MD
Leonard Paul Berenholz, MD, FACS
David Victor Berkowitz, MD
Diane Marie Bernardi, MD
Banarikammaje N. Bhat, MD
Ravisankar Reddy Bolla, MD, FACC
Samia W. Borchers, MD
Alan Belmont Bradley, MD, FACOG
Thomas Boynton Bralliar, MD
John James Brannan, MD*
Anthony Woodley Brown, MD
David Lee Brown, DO
Rolf Frederik Brunckhorst, MD
Robert Richard Burger, MD*
Tyler Joseph Campbell, MD
Peter Shin Cha, MD*
Robyn Fortner Chatman, MD, MPH, FAAFP
Haleem Nasim Chaudhary, MD*
Pradipta Chaudhuri, MD
Louis Joseph Chorich, III, MD
Tim Imtiaz Chowdhury, MD
Jaideep Chunduri, MD*
Leo J P Clark, MD, FACS
Brett Malcolm Coldiron, MD, FACP
Deborah Louise Cole-Sedivy, DO
Andrew Peter Cook, MD
William Herbert Cotton, MD
Deborah Ream Cowden, MD*
William Randall Cox, MD
Alan Jay Cropp, MD
Trace William Curry, MD
Alice Ann Dachowski, MD, FACS*
Edward Albert Dachowski, Jr., MD
Paul Thackrah Davis, MD
Susan Marie Davy, MD, FACOG
Robert Jeffrey Day, MD
Anthony Joseph Degenhard, DO
Alexander Stephen Donath, MD, FACS
2014 | ISSUE 4
Louise Anne Doyle, DO
Harry John Driedger, MD
Margaret M. Dunn, MD, MBA
G. Patrick Ecklar, MD
Bryan Jon Ellis, DO
Richard Allen Fankhauser, MD
John Alan Fink, MD
Mohab Baher Foad, MD*
Kristin Michelle Foley, MD
Thomas Patrick Forrestal, Jr., MD
David William Foulk, MD
Michael Frand, MD, JD, FACEP
Stewart Jay Friedman, MD, FACOG
Valerie Witmer Fuller, DO
Kristen Ann Fults-Ganey, MD, PhD
Gayle Anne Galan, MD
Paul Michael Gangl, MD
Tarsem C. Garg, MD
James Daniel Geihsler, MD
Rasheed Ghani, MD
Freidoon Ghaze, MD, FACC
Michael Ralph Gigax, MD
Scott Charles Grevey, MD
Kort Matthew Gronbach, MD
Joseph Nihal Gunasekera, MD, FACC
Robert George Gurdak, MD, FCAP
Stephen Christopher Hamilton, MD*
Sai Kumar Hanumanthu, MD, FACC
Mrs. Kathy Harter
Ronald Lee Harter, MD
Jeffrey Allen Harwood, MD, FAAFP
Brian Patrick Hecht, MD
Robert Samuel Heidt, Jr., MD
Douglas Lee Heintzelman, MD, MS
Stephen D. Heis, MD
Scott Keith Henderson, MD
Julia Ann Heng, MD
Mary Lee Hess, MD, MS
Douglas Charles Hingsbergen, MD, FACS
Richard Thomas Hoback, MD
Dale S. Horne, MD, PhD, FACS
Susan Lee Hubbell, MD
Robert Karl Hutchins, MD
Bruce G. Hymon, MD
19
Fredric H. Itzkowitz, DO
Wainwright Anthony Jaggernauth, MD*
A. Patrick Jonas, MD
Michael Justin, MD
Alfred Afif Kafity, DO, FACP, FACG
Anand Dattatraya Kantak, MD
Belagodu N. Kantharaj, MD
Faizuddin Muhammed Khaja, MD
Stephen Michael Knipe, MD
Robert James Knox, MD
Susan Marie Komorowski, MD
Scott David Koncal, MD
Sam Byungo H Koo, MD*
Kenneth Henry Koster, MD
Timothy Edward Kremchek, MD*
Gregory Bernard Krivchenia, II, MD
JoAnn Krivetzky, MD, FACOG, MBA
Joseph Scott Krueger, MD
Ginger Sadler Kubala, MD
Lori Ann Kuehne, MD
Nefertiti Atef Labib, MD
Paul Christopher Laffay, DO
Jeffrey Howard Lautman, MD
John Michael Lepi, MD
Gary Lewis LeRoy, MD
Rosina Piebou Lin, MD
Agnes Alice Lina, MD
Kalyan Lingam, MD
Lana Louise Long, MD
Sara Worcester Lyons, MD, FACOG
Ms. Connie Mahle
Pennie Rapp Marchetti, MD
William Albert Martin, MD, FACC
Michael Edward Martin, MD
Carl Richard Martino, MD
Luis Jorge Martino, MD
Nicholas Paul Mastros, MD
Glen Alan McClung, II, MD*
Sean Thomas McGrath, MD
John Michael McGregor, MD
Donald Lauchlin McNeil, MD
Christopher Michael McPherson, MD
Anthony Lawrence Mehle, MD
Judith Kay Mickelson, MD, FACC
20
Ohio Medicine |
Eleina Mikhaylov, MD
Adam Gregory Miller, MD*
David Gerard Miller, MD
Carl Augustine Minning, Jr., MD*
Mark Glenn Moseley, MD, MHA, FACEP
Adnan Elias Mourany, MD
Paul David Moyer, MD
Elizabeth A L Muennich, MD, PhD
Antoine Said Munther, MD, FACS
Stanley Haig Nahigian, MD, FACS
Richard Norman Nelson, MD, FACEP
Donald Lee Nofziger, MD
Angela Mae Novy, MD
Ruby Nell Nucklos, MD
John William Nurre, II, MD
Thomas George Olbrych, MD
Thomas George Olsen, MD
John O. Olsen, MD
Harsant Singh Padda, MD
Rajiv Ramesh Patel, MD
Arun Patel, MD
Shailesh Ravjibhai Patel, MD, FACC
Sugat Siddharth Patel, MD
Thales Nicholas Pavlatos, MD
William Stoess Pease, MD
Narayanaswamy Peddanna, MD
Nancy Jo Pelc, MD
Arnold Ray Penix, MD
Gerald Melville Penn, MD, PhD
Allison Michael Phelps, MD*
Tiffany Lee Pickup, MD
Ronald L. Pohl, MD
Philip James Poon, MD
Thomas Bernard Poulton, MD
Joel David Pranikoff, MD, FACOG
Brenda Sue Prince, DO
Dirk Thomas Pruis, MD
Yagnesh Ramesh Raval, MD
James Gordon Ravin, MD
Larisa Ravitskiy, MD*
Seid Ali Razavi, MD, FACC
David Craig Reed, MD, FACC
Andrew James Reid, MD
Joseph Michael Restivo, MD, FACC
Timothy Jon Storer, MD
Craig Alan Sukin, MD, FACC
Daniel Michael Sullivan, MD
Jean-Claude M. Tabet, MD
Lance Allen Talmage, Jr., MD
David Eric Taylor, MD
Dogan H. Temizer, MD, FACC
Holly Louise Thacker, MD, FACP
Louis Charles Thibodeaux, MD, FACS
Joseph David Thomas, MD
David Tondow, Jr., MD, FACC
Gerardo Dumlao Trinidad, MD
James Warren Van Hook, MD
Albert Victorio Vargas, MD
Angel Luis Velazquez-Santiago, MD*
Lisa Lynn Vickers, MD
John O. Vlad, MD, FAAP
Steven Scott Walker, MD, FACC
R. Christopher Warren, MD
Ronald Elias Warwar, MD
Richard Ward Watts, MD
Kevin Gerard Wietecha, DO
John Homer Wilson, MD
Marshall Wayne Winner, III, MD
Jerome Geoffrey Wiot, MD
Brooke Sue Wolf, MD
David Lee Woodruff, MD*
Donna Ailport Woodson, MD, FAAFP
Steven Albert Young, MD, MS
Colin Michael Zadikoff, MD
David Paul Zadvinskis, MD
Jamie Lee Zucker, MD
Chester Duane Ridenour, DO
Jennifer Mylius Ridge, MD
John Paul Robinson, DO
Ian Phillip Rodway, MD*
Anna Lyn Roetker, MD
Michael Rohmiller, MD*
Elizabeth Ann Roseberry, MD
Suzanne Josafat Sampang, MD
Jeffrey Steven Sams, MD
Brian Joseph Santin, MD
Carl Ralph Schaub, MD
Gary Michael Schniegenberg, MD
Robert E. Schulz, MD
Teresa June Schutte, MD
David Edward Seals, MD, FACOG
Lewis Seeder, MD
Michael John Seider, MD, PhD
Puvi Seshiah, MD, FACC
Set Shahbabian, MD
Jerry Keith Shell, MD
Jeffrey Scott Silber, MD
Jeffrey Mark P. Siminovitch, MD
Robert Harold Small, MD
Andrew Charles Smith, MD
Denise Renee Smith, MD
William Darrell Smucker, MD
Bethanne Snodgrass, MD
Lawrence Michael Stallings, MD
Mark Stechschulte MD
Sidney Jerome Steinberger, MD, FACS
Henry Albert Stiene, MD*
Melvin Richard Stjernholm, DO
Herbert E Stockard, MD
Other: Up to $249
Scott Cameron Blair, MD
Cassandra Boltja
Avery Elizabeth Braun
Suzanne Frances Brodbeck, MD
Thomas Michael Broderick, MD, FACC
Mark Richard Bruss, MD
John A. Burkhart, MD
Kerry Michael Allen, MD
Sandra Amoils, MD
Susan Marie Arceneaux, MD
Fady Baky
David Michael Barbara, Jr., MD, FACS
David Frederick Bennhoff, MD, FACS
David Alan Bitonte, DO, MBA, MPH
2014 | ISSUE 4
21
Craig Blake Cairns, MD, MPH
Esly Samuel Caldwell, II, MD
Glenn Patrick Carney, MD
Nabil Charles Chehade, MD
John Francis Clement, MD
John Stephen Cohen, MD
Rachael Annette Coleman, MD
Jessica Marie Conn, DO
John Robert Corker
H. Steven Coss, MD
Gregory Joseph Delorenzo, MD
Murlidhar Ramchandra Deshmukh, MD
Ashok Devatha, MD
Namisha Dhillon
Alexander Stephen Donath, MD, FACS
Nikhil Mangaldas Doshi, MD
Nicholas John Dreher, MD
Neil Stanford Dubin, MD
Louito Catherina Edje, MD, FAAFP
Sandra Adams Eisele, MD, FACS, MBA, CPE
Sami Kakir, MD
William Joe Faulkner, MD
Arlene Marie Fedorchak, MD
Daniel Albert Finelli, MD
Larry Fish, MD, PhD
Monte Eugene Fox, DO
Edward Henry Gabelman, MD
Gayle Anne Galan, MD
Daniel Garritano, MD, FACS
Gregory Douglas Gerber, MD
Nicholas Adam Godby, MD
Laura E. Halpin, PhD
Bruce Abbott Hamilton, MD
Jared LaVerne Harwood, MD*
Stephen D. Heis, MD
Dennis Osborn Helmuth, MD, PhD
Stephen Dunn Helper, MD
David M. Henkel
Mark Christophe Horattas, MD
Robert George Houser, MD, FACS
David William Hunter, MD
Amy Ann Imm, MD
Gene E. Ireland, MD, DDS, FACS
Amrita Jagpal
22
Ohio Medicine |
Sonu Abhishek Jain, MD
Melissa Sue Jefferis, MD
Larry Wayne Johnson, MD
Blaise Vincent Jones, MD
Jeffrey R. Kasler
Samuel Kim
Elizabeth Anne Kiracofe, MD
Matthew George Kramer, MD
Jeanie Kupper
Kirsten Grace Lee
Mark Howard Leifer, MD
James Robert Leonard, MD
Alan Bruce Levy, MD
Donya Peay Lewis
John Christopher Linz, MD, FACS
John Luckoski
Francisco M. Magana
Mark K. Mandell-Brown, MD
Andrew David Markiewitz, MD
Allen Lee Markowicz, MD, MBA, FACP
Arun Emmanuel Masih, DO
Rachel Marie Liptak Mast, DO
Charles Gordon Toby Mathias, MD
Jeffrey Benjamin McClure, MD
Blane William McCoy, MD
Mark G. McDonald, MD
James Andrew McHale, MD
Thomas James Mehelas, MD
Anthony Lawrence Mehle, MD
Richard Paul Morin, MD*
Edward Wyman Morriss, MD
James Lloyd Moses, MD, FACS
Seyed Nemat Moussavian, MD
Robert Woollen Mueller, MD
Warren F. Muth, MD, FACS
Poornima Oruganti
Christopher Michael Paprzycki, MD
Manuel Florent Patricio, MD
Carolyn Michelle Payne
Robert Lyal Peets, DO
Peter James Pema, MD, MS
Alexander Mark Pennekamp
Nicholas Tom Peponis, DO
Ralph William Peters, MD
Leonard Karr Smith, MD
Kellie Kay Smith, MD
David Dawson Smith, MD, FACS
Mark Carless Stachel, MD
Michael A. Stauber
Sidney Jerome Steinberger, MD, FACS
Mubin I. Syed, MD
Kathryn J. Tobin
James Anthony Torma, MD
Girolamo Jerry Trotti, MD
Daniel Wigbold Van Heeckeren, MD, FACS
Thomas Martin Vara, MD, FACS
Mrs. Darlene Violet
Thomas Timothy Vogel, MD, PhD, FACS
Karla Volke, DO
Richard Peter Walsh, MD
Richard Ryan Watkins, MD
Barry Warren Webb, MD
Frank Welsh, MD, FACS
Edward Lee Westerheide, MD
Christopher Coggins White, MD, JD
Stephen Patrick Whitlatch, MD
Diana Wieser
Colette Renee Willins, MD
Melinda Joann Woofter, MD
Paul Wing-Cheun Wong, MD
Steven Scott Wunder, MD
Bruce Younger, MD
Hernando Zegarra, MD
Mrs. Janys Ann Zimmerman
Andrew Martin Zurick, MD
Frank Joseph Petrola, MD
Jason Polder
Franco Giovanni Policaro, MD
William James Polzin, MD
Michael Gregory Pordy, MD
Jason Jeremy Porter, MD
Vikram Ramanujam
Francine Rasco, MD
Michael George Rashid, MD, FACS
Walter Anthony Reiling, Jr., MD, FACS
Kevin Eugene Reilly, MD
Alisha Dawn Reiss, MD
Joseph Allen Renusch, MD
Robert Clark Rhoad, MD
Janalee Krick Rissover, MD
Mrs. Ann Marie Roa, BSN
Daniel Francis Robertshaw, MD
Magdalena Rose, MD, FACOG
Andrew Christopher Rudawsky, MD
Linda Schulski Rupert, MD
Mrs. Sarah Sanders
James Joseph Sanitato, MD
Mark David Schmiedl, MD
Jonathan Grant Sefton
Agha Shahid, MD
Ryan Lee Shapiro
Nandini Sharma
Lincoln Shaw
Wagih Mossad Shehata, MD
Marvin Dacosta Shie, III, MD
Michael Siedow
Gregory Walter Siewny, MD
* Donor gave an additional amount within the level
Our OSMA advocacy team of Tim Maglione, JD, Monica Hueckel and
Marisa Weisel are already working on the OSMA legislative agenda for 2015-2016.
For up to date information on our lobbying efforts,
please follow us on Twitter: @OSMA_Lobbyists
2014 | ISSUE 4
23
OSMA Launches the Daily Dose:
an Online Medical Community Fo rum
The Ohio State Medical Association (OSMA) is proud to
announce the launch of the OSMA Daily Dose in January, an
online community forum designed to engage Ohio’s physicians,
residents, medical students and practice managers in
discussions on the business of medicine and hot topics within
the medical community. The Daily Dose will provide OSMA
members with a structured platform to seek ideas and input from
peers and promote community dialogue around key issues.
This new online community forum, which will be available
in January, has been in the works since earlier this spring,
when the OSMA took on the task of revamping all electronic
communications and enhancing the organization’s online
presence. The project started with a complete redesign of the
organization’s website, www.osma.org. The new site, which
launched in July, includes features such as responsive design,
which allows members and the public at-large to access all
functionality on tablets and mobile devices. The OSMA’s website
is now more interactive than ever before with prominent displays
of the association’s social media channels and news articles.
24
Ohio Medicine |
However, the OSMA wanted to take the concept of creating a
conversation online one step further, so in addition to ramping
up social media efforts and redesigning the website, the OSMA
is implementing the Daily Dose, the doctors online sharing and
exchange, as a second phase of the online communication
revitalization project. The Daily Dose will focus directly on
providing a space for members to converse, share and exchange
ideas on everything from advocacy efforts to payment and
reimbursement issues to public health questions. In addition to
interaction with other physicians, residents, medical students
and practice managers, OSMA staff will pose specific questions
on the forum and ask members to respond with constructive
ideas, solutions and comments. In the past, topics have
included legislative and regulatory issues, medical marijuana,
maintenance of licensure, the physician’s role in capital
punishment and prescription drug abuse. Discussions on these
topical forums have helped the OSMA shape the organization’s
advocacy policy agenda, create educational programs for
physicians and their staff, as well as develop partnerships to help
practices save time and money.
HOW IT WORKS
The OSMA Daily Dose will be conveniently located at
www.osma.org/community. To participate, members simply need
to visit the Daily Dose webpage, log in and join the topical groups
of interest. Additional ideas for topics are welcomed and can be
submitted to [email protected].
The Daily Dose will be organized into groups by subject, which
allows members to join the discussions of interest to them.
These topic-driven discussion forums will be intended to spur
conversation and the sharing of professional ideas, as well as keep
conversations on track to each particular topic. Members who join a
group will receive emails to keep them up to date on new topics of
discussion and allow for timely responses and thoughtful dialogue.
In addition to numerous topical discussion groups, networking
groups for students, residents and fellows, OSMA officers and
councilors and the organized medical staff section are also
available. These groups will allow members with similar career
paths to connect. Finally, there will also be groups for various
OSMA governance committees, which members are automatically
placed into, allowing committees to concentrate their thoughts on
important discussions in a more time efficient manner.
Other features of the Daily Dose will include uploading documents
that can be viewed by other members of the same group,
allowing for a centralized location for pertinent records to be
stored. Users can also allow other members of the same group
to edit documents, making the Daily Dose the perfect platform
for document sharing and editing; a great feature and service for
OSMA members. Members can also search groups and threads
for specific keywords, upload personalized avatar pictures and
send private messages between members.
To join the discussion on the OSMA Daily Dose, visit
www.osma.org/community today.
By Tracy Beavers
Marketing Coordinator
OSMA
2014 | ISSUE 4
25
Although contentious issues can drive physicians and their
associations apart, some challenges have the power to unite
our state’s doctors. At least once a year, the Ohio State Medical
Association assembles the House of Medicine (HOM) to address
these types of significant topics that affect all physicians. The
OSMA invites executive directors, physicians, and advocates from
more than 25 medical societies to participate in the HOM, and
the most recent meeting, which took place on Oct. 29, 2014, had
close to 40 attendees.
Prior to gathering in-person in October, physician societies were
asked to share their advocacy and organizational priorities, which
the OSMA compiled into a list of common goals for the meeting’s
discussion. The day’s agenda contained a wide variety of topics,
including physician reimbursement, legislative and regulatory
issues, scope of practice issues, and criminalizing of the practice
of medicine.
The meeting’s most fruitful conversation was about
policymakers’ efforts to dictate standards of care. The group
talked through recently enacted state laws new legislative
proposals requiring physicians to practice medicine in specified
ways. Three noteworthy examples discussed were the written
informed consent requirement when testing for the presence
of Lyme disease (House Bill 483), the written informed consent
requirement when prescribing opioids to minors (House Bill 314),
and the written notice that must be given when mammograms
show dense breast tissue (Senate Bill 54). HOM organizations
considered ways to collectively and proactively approach these
issues with stakeholders, and decided to begin planning joint
advocacy efforts in the near future.
The OSMA also led the group through a robust discussion of the
most appropriate and effective ways to increase Ohio’s Medicaid
physician fee schedule. While each professional society came
at the topic from a slightly different angle, there was great
enthusiasm among the entire group for bringing the physician
community together to work on this important issue.
As a follow-up to the meeting, the OSMA asked each primary
care organization to provide information about the specialty
services to which they have trouble referring Medicaid patients.
Specialty care organizations were asked to provide information
about specialty physician services which might be considered
within the realm of preventive and predictive primary care.
The OSMA will use this information to inform our Medicaid
reimbursement advocacy efforts.
In the ever-increasingly complex world of medicine, it is
exceedingly important to strengthen the relationships between
physicians and physician organizations. This year’s HOM meeting
provided participants with the ability to better understand others’
positions and goals while bolstering the larger group’s ability to
develop flexible, collective solutions. The OSMA looks forward to
leading united efforts on a number of significant issues facing
the House of Medicine.
By Marisa Weisel
Manager, Advocacy & Policy
OSMA
October 2014 House of Medicine Participants
nAmerican Academy of Pediatrics, Ohio Chapter
n American College of Emergency Physicians, Ohio Chapter
n American College of Physicians of Internal Medicine, Ohio Chapter
n American Congress of Obstetricians & Gynecologists, Ohio Section
n Ohio Academy of Family Physicians
n Ohio Dermatological Association
n Ohio Hematology Oncology Society
n Ohio Medical Directors Association
n Ohio Medical Group Management Association
n Ohio Ophthalmological Society
26
Ohio Medicine |
n
n
n
n
n
n
n
n
n
Ohio Osteopathic Association
Ohio Psychiatric Physicians Association
Ohio Society of Anesthesiologists
Ohio State Coroners Association
Ohio State Radiological Society
The Academy of Medicine of Cleveland & Northern Ohio
The American College of Cardiology, Ohio Chapter
The Ohio Orthopaedic Society
OSMAMEMBERNEWSMAKERS
JEFFREY D. BACHTEL, MD
FAMILY PRACTICE
Recipient of the 2014 Ohio Outstanding Team
Physician Award for his service assisting studentathletes for the past three decades at Tallmadge
High School. Dr. Bachtel operates a family practice
in Tallmadge, his hometown. The Outstanding
Team Physician Award was created to promote
the health and safety of thousands of Ohio’s
interscholastic athletes. It is sponsored by the Joint Advisory Committee
on Sports Medicine of the OSMA, the Ohio High School Athletic
Association and the Ohio Athletic Trainers Association.
ROGER A. FRIEDMAN, MD
BUCKEYE ALLERGY & ASTHMA
Received the Alumni Service Award, OSU College
of Medicine. A 1977 graduate of the OSU College
of Medicine, Dr. Friedman has been a contributing
clinical faculty member since 1982 as well as
Clinical Professor of Pediatrics and Allergy at The
OSU COM since 1998. Friedman owns Buckeye
Allergy & Asthma, a private allergy practice,
while remaining highly dedicated to education of medical students and
residents. Roger Friedman, MD, was awarded the Lifetime Achievement
Award by The Ohio State University College of Medicine for his teaching
services.
JAMES D. JOHNS, MD
LITTLE FLOWER FAMILY PRACTICE
Inducted into the Society of St. Luke. Mercy
Medical Center recently inducted Dr. James Johns
into the Society of St. Luke. Honorees must be
of the highest caliber in patient care, research,
medical education and community activities.
Mercy recognizes the compassionate spirit of
medicine through the Society of St. Luke – known
as the “patron saint of physicians.” Johns, a family medicine physician,
serves as chairman of Mercy’s Department of Family Medicine. Dr. Johns
has served as chairman of the Bylaws Committee, co-chair of the Clinical
Transformation Communications Work Group as well as the Medical
Executive Committee. Johns currently is a member of the Medical
Staff Bylaws Committee, EHR Steering Committee and Medical Staff
Performance Improvement Committee.
and serves as chairman of Mercy’s Department of Radiology, in addition
to being a member of the Medical Executive Committee. Murphy has
served as a past president of Mercy’s Medical Staff, chaired the Medical
Staff Bylaws Committee and served on the Medical Quality Review Board.
LORIE A. THOMAS, DO
BLANCHARD VALLEY HOSPITAL WOMEN &
CHILDREN’S CENTER
2014 Professional Woman of the Year. Dr.
Lorie Thomas was recognized by the National
Association of Professional Women as 2014
Professional Woman of the Year for leadership
in healthcare. Thomas, a practicing physician
and Director of the Robotic Gynecologic Surgery
and Pelvic Pain Programs at the Blanchard Valley Hospital Women &
Children’s Center, received her Doctor of Osteopathy degree from the
Ohio University College of Osteopathic Medicine, Athens, Ohio. Since
completing her residency in obstetrics and gynecology, Dr. Thomas has
dedicated herself to providing expert gynecological care to women.
JARED L. HARWOOD, MD
OSU RESIDENCY PROGRAM – ORTHOPAEDIC
SURGERY
National Orthopedic Surgery Residency Review
Committee. Dr. Jared Harwood was recently
selected as the only resident in the entire country
for a two-year term on the national orthopedic
surgery Residency Review Committee. Dr. Harwood
is a member of the OSMA Council as the Chair of
the Resident and Fellows Section (RFS). He also serves as a member of
the OSMA Focused Task Force on State Legislation, the OSMA Bylaws
Committee as well as the RFS Executive Council. Harwood is currently a
resident at The Ohio State University Wexner Medical Center department
of orthopaedic surgery residency program.
BECKER’S HOSPITAL REVIEW
500+ PEOPLE TO KNOW IN HEALTHCARE NAMES OSMA MEMBERS:
Michael R. Anderson, MD, MBA, FAAP – UH Case Medical Center
Delos M. Cosgrove, III, MD – Cleveland Clinic Health System
Thomas L. Stover, MD, MBA – Akron General Medical Center
Andrew M. Thomas, MD, MBA – Ohio State Wexner Medical Center
Bruce T. Vanderhoff, MD, MBA – OhioHealth
WILLIAM D. MURPHY, MD
RADIOLOGY SERVICES OF CANTON, INC.
Inducted into the Society of St. Luke. Dr. William
Murphy was recently inducted into the Society
of St. Luke at Mercy Medical Center. Mercy
recognizes the compassionate spirit of medicine
through the Society of St. Luke – known as the
“patron saint of physicians.” Honorees must be
of the highest caliber in patient care, research,
medical education and community activities. Dr. Murphy is a radiologist
To nominate an OSMA Member for Member
Newsmakers submit information to
[email protected]
2014 | ISSUE 4
27
MEMBERPROFILE
In Memory of
Mehdi Ali Qamar, MD
9.23.1963 - 5.26.2014
During this holiday season, Ohio Medicine wishes to honor an Ohio State Medical Association member
who was fatally shot earlier this year while on a humanitarian mission in his native Pakistan.
To his friends and colleagues, Mehdi Ali Qamar, MD, was known
as a kind-hearted and compassionate cardiologist who cared
deeply for the less fortunate. It was that gentle nature that often
led Dr. Qamar back to his native Pakistan for humanitarian visits
to provide state-of-the-art cardiology services for people with no
access to proper medical care.
But with each visit, Dr. Qamar knew his religious beliefs would
make him a target in a country that did not recognize the
Ahmadiyya Muslim faith. In May, just before Memorial Day, Dr.
Qamar was gunned down in the Pakistani town of Chanab Nagar
by two gunmen riding motorcycles. Dr. Qamar’s wife and twoyear-old son were not harmed. Dr. Qamar was 50 years old.
The Qamar family had arrived in Pakistan only two days earlier
and he had planned to volunteer his time treating patients at the
Tahir Heart Institute in Rabwah, Pakistan. Dr. Qamar’s brother,
Hadi Ali Chaudhary, a cardiologist in Canada, told The Canadian
Press in May that the government of Pakistan has a law against
the Ahmadiyya community, declining to recognize them as
Muslims and making them potential targets of violence.
Despite the dangers, Dr. Qamar would make annual summer
visits to treat patients. Dr. Qamar lived in Pickerington, Ohio and
ran a thriving cardiology practice in Lancaster affiliated with the
Fairfield Medical Center. Following news of Dr. Qamar’s death,
tributes poured out from his friends and colleagues. In June,
Fairfield Medical Center dedicated a 10-page staff newsletter
in Dr. Qamar’s memory with eulogies from the interim CEO,
chief medical officer, physician colleagues, nurses, and various
program managers and coordinators.
“All he wanted to do was heal the hearts of those who could not
find or afford the level of expertise he offered,” wrote Abdus S.
Malik, MD. “We will all deeply miss Dr. Qamar. But we should
take comfort that in his final journey he was fulfilling his mission
in life just as he had done for so many years and he would not
have had it any other way.”
We will all deeply miss Dr. Qamar. But we should take
comfort that in his final journey he was fulfilling his mission
in life just as he had done for so many years and he would
not have had it any other way.
28
Ohio Medicine |
“Dr. Qamar’s tragic death brings to light how little we know each
other while we’re busy with our everyday lives,” wrote Steven
D. Cox, MD, chief medical officer at Fairfield. “How many of us
knew of his dedication to his religion and his homeland through
his mission work? How many of us knew that Dr. Qamar was
a talented artist who had a brilliant exhibit of paintings at the
Lancaster festival last year? Dr. Qamar should be remembered as
a man with many gifts in addition to being an excellent physician.”
Dr. Qamar moved to Ohio in 2004 and had been an OSMA member
for the past decade. He is survived by his wife and three sons.
2014 | ISSUE 4
29
EXECUTIVE DIRECTOR’S
CLOSING POINT
Want to Live in Better Health? Do Something About It
The United Health Foundation in December released its annual
report card on healthcare across the country and the results were
not good – again – for Ohio. The report – entitled ‘America’s
Health Rankings’ – offers a state-by-state, side-by-side analysis of
critical lifestyle measures, such as smoking, binge drinking, drug
overdoses, obesity and overall general physical activity or good ol’
fashioned exercise.
So, of our 50 states, guess where the Buckeye State ranked? A
dismal 40th, same as we were in 2013. Considering the wonderful
physicians, seven fine medical schools and sought after state-ofthe-art healthcare systems that crisscross Ohio, such low regard
in a national ranking system seems unfathomable, unacceptable,
and completely unnecessary.
Upon closer review of this annual report, these dismal rankings
for Ohio have little to do with the quality of doctors and healthcare
that is actually available to Ohioans on a daily basis. Instead, this
report shines a glaring light on the poor state of self-preservation
of this great state’s citizens. Talk to any physician in Ohio –
whether working in a small, independent practice in a small town
or employed by a large health system with hundreds of doctors
under one roof – and they will tell you that a lack of patient
compliance and responsibility are major deterrents to successful
medical outcomes.
What does that mean? Well, again, focus on the key measures of
the United Health Foundation’s report. What is being evaluated is
whether we eat too much, smoke too much, drink too much and
exercise too little. Unfortunately, if each of those statements were
put in the form of a question the answers would be a resounding
yes.
The number of adult smokers in Ohio held steady at about
23 percent in 2014, about what it was the year before. No
improvement. The rate of obesity registered at about 30 percent,
again, no change from the previous year and higher than the
national average.
30
Ohio Medicine |
And there are other factors that are negatively impacting Ohio’s
ranking in this annual review. Believe it or not, given the high
quality of healthcare that is available, Ohio ranks in the bottom
five of our country’s 50 states for infant mortality, childhood
immunization, and air pollution.
We also rank in the bottom five in one other area: public funding.
The Ohio State Medical Association (OSMA) last year urged and
supported Gov. John Kasich’s decision to expand Medicaid under
the Affordable Care Act for this very reason. We saw this as
opportunity to draw down more federal funds to bolster already
thin state resources to make high quality healthcare available
to more than 200,000 Ohio men, women and children who
previously had little or no access to medical care.
Now that we have yet another resounding alarm bell in the form
of this report, it is imperative for Ohio’s healthcare leaders and
organizations to continue to work together to help improve Ohio’s
healthcare outcomes. In December, the OSMA was pleased to
support the Ohio Hospital Association and other organizations,
including state agencies, with presenting a summit on infant
mortality in Ohio. We also saw effective collaboration this past fall
when the threat of the Ebola virus was present in Ohio. Under the
leadership of the Ohio Department of Health, Ohio’s healthcare
community was prepared to meet this daunting challenge.
Ohio’s medical leaders are prepared to lead. Now, it is up to us,
the citizens of our great state to accept a greater role in personal
preservation and take better care of our bodies and improve
our lives. Let’s see if we can help move the needle in a positive
direction with more exercise and indulging less this holiday
season.
D. Brent Mulgrew
Executive Director
OSMA connects with Columbus Organization to
Address Disparities in Cardiovascular Disease
Free poster available for OSMA members
in January 2015 at OSMA.org!
The Ohio State Medical Association has recently
partnered with Close the Gap Columbus to
bring increased awareness of disparities in
cardiovascular disease (CVD) as well as initiatives
and solutions designed to reduce the problem. As
a local initiative of a national movement, Close
the Gap Columbus has developed partnerships
with the area hospital systems, government and
community groups to find real solutions to the issue
of cardiovascular-related disparities in care.
Racial and gender disparities in healthcare are
prevalent. Nowhere are these disparities more
dangerous than in cardiovascular disease, the
number one killer of Americans. Despite the
sobering statistics, your patients may not know that
cardiovascular disease kills more Americans than
all cancer deaths combined. Nationally, women,
African Americans and Latinos experience and
die of cardiovascular related diseases at a higher
rate than Caucasian men. Many of your patients
may struggle with socioeconomic challenges or
barriers in communication, which may factor into
their cultural competency. As a healthcare service
organization and those that deliver care, we have
a responsibility to evolve our practices to insure
inclusive care that transcends the boundaries
patients may present.
1. Hoyert D, Jiaquan X. Deaths: Preliminary data for 2011. National Vital Statistics Reports. 2012;61(6).
Close the Gap is Boston Scientific’s health equity initiative, which aims to eliminate health care disparities, helping to
ensure all patients receive optimal health care regardless of age, gender, race, ethnicity or primary language.
© 2013 by Boston Scientific Corporation or its affiliates. All rights reserved. IC-269510-AA SEP2014
Scan QR code or visit
www.HeartRiskQuiz.com
to take a heart disease
risk quiz
Plan to order this professional high gloss poster to educate your
patients and help them self identify their risk factors.
Parity of care is not only the right thing to do,
but it also is in line with best practices. As part
of the OSMA commitment to identify resources
that ensure continued improvement in patient
outcomes, our new partnership will seek to
give our members a number of tools from Close
the Gap Columbus. In the next few months,
resources will be available to encourage and
engage patients and health care professionals
to THINK AGAIN about the risk factors and
symptoms associated with CVD, particularly as it
relates to gender, ethnicity and language. More
information on how to obtain the THINK AGAIN
material will be available in January of 2015.
3401 Mill Run Drive
•
Hilliard, OH 43026
As the nation’s largest physician-owned medical malpractice insurer, with 75,000 members, we constantly
monitor emerging trends and quickly respond with innovative solutions. And our long-standing relationships
with the state’s leading attorneys and expert witnesses provide unsurpassed protection to our over 4,800 Ohio
members. When these members face claims, they get unmatched litigation training tailored to the Ohio legal
environment, so they enter the courtroom ready to fight—and win.
Join your colleagues—become a member of The Doctors Company.
CALL OUR COLUMBUS OFFICE AT 800.666.6442 OR VISIT WWW.OSMAINS.COM
UNCOMPROMISING
IN OHIO, WE PROTECT OUR MEMBERS WITH THE BEST
OF BOTH WORLDS: NATIONAL RESOURCES AND LOCAL CLOUT
PROTECTION
A4874_Ohio Medicne_UPU_4Q2014_fr2.indd 1
11/12/14 2:19 PM

2014, Issue 4 - Ohio State Medical Association

Transcription

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