Happy July 4th - Dade County Medical Association

Transcription

July 2012
The Official Publication of the Dade County Medical Association
Happy July 4
th
See what’s inside...
Message from the Executive Vice President
Time Flies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Questions from Our Electronic Mailbox . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Importing Medications from Foreign Countries . . . . . . . . . . . . . . . . . . . . . . . . . 7
The Doctors Company: CyberGuard®. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
The Doctors Company: MediGuard® Plus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Physicians Giving Immunizations
Take-Note . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
A FREE DCMA MEMBER BENEFIT
Mobilize your
practice with
DocBookMD
New app allows for HIPAA-compliant texting
Few people need to be convinced
of the advantages of texting. It may
be the fastest and most efficient way
of sending information in a given
situation. Reports show that texting
among physicians is widespread
and that they are texting clinical
information — whether it is legal to
do so or not. Physicians who text
each other clinical information risk
exposing themselves to privacy
and security violations of the
Health Insurance Portability and
Accountability Act (HIPAA.)
But a new smartphone app is
changing all that.
wounds and x-rays. And all of this is sent
securely and in a way that meets HIPAA
requirements,” says Dr. Tim Gueramy.
DocBookMD was created by physician
husband and wife team, Dr. Tim Gueramy
and Dr. Tracey Haas, of Austin, Texas.
HIPAA-compliant text messaging
Message content can include patient
information, such as diagnosis, test results,
or medical history. Physicians can also
add a high-resolution image of an EKG, an
x-ray, lab report, or anything that can be
photographed with a smartphone to the
message.
DocBookMD is a physicians-only smartphone app that allows physicians to:
• sendHIPAA-complianttextmessages
and photos;
• assignanurgencysettingtooutgoing
text messages;
• searchalocalpharmacydirectory;and
• searchalocalcountymedicalsociety
directory (including email addresses
and photos).
Messages can be sent using the app’s
messaging priority system. Physicians
can assign each message a 5-minute,
30-minute, or normal response time. “If the
recipient does not answer the message
within 5 minutes or if the message does
not get to the doctor, you will then get
a message back stating that it did not
make it,” says Dr. Gueramy. “You can see
thatthemessageyoureceiveisdifferent
from any other text.” All messages
sent using DocBookMD meet HIPAA’s
requirements for encryption and the
security of protected health information.
This is accomplished through technology
that keeps everything encrypted on the
DocBookMD server. Messages are not
downloaded to the phone, but are viewed
from the phone.
“DocBookMD allows you to look up
another doctor at the point of care. You
can then either call the physician or send
a text message with room numbers,
medical record numbers, even pictures of
Additionally, DocBookMD is a closed
network and only physicians have access
to the app. Physicians are also required
to sign a HIPAA agreement before using
DocBookMD.
Physician members of the Dade County
Medical Association in Miami-Dade
County now have the option to text each
other patient information in a secure,
HIPAA-compliant manner, thanks to a
FREE app called DocBookMD.
2
173952_MiamiMED_July12.indd 2
DocBookMD is available as
a free member benefit to
members of the Dade County
Medical Association.
To register, go directly to the
iTunes App Store or Google Play
on your device and download
DocBookMD, then complete the
registration process. You will need
your DCMA member ID# ready.
If you do not know it, call Ana
Silvera at DCMA on 305 324-8717.
for more information on
DocBookMD, please visit:
www.docbookmd.com.
Physicians who would like to
use DocBookMD, but live in
counties that do not currently
participate, are urged to
contact DocBookMD by email:
[email protected].
F o r i P H O N E / i PA D / A N D R O I D
DocBookMD.com
MIAMI MEDICINE ✚ July 2012
6/20/12 12:55 PM
Message from your
EXECUTIVE Vice President:
by Patricia C. Handler
Time Flies
Patricia C. Handler
Executive Vice President, Dade County Medical Association
D
octor Beny Rub’s year as your president was over on June 16, 2012,
when Doctor Elizabeth Etkin-Kramer took over as the President of
the Dade County Medical Association.
a combination of all of the above – and more. Each president is unique
and brings a unique perspective to the presidency and how to do what is
best for the medical profession and patients.
What impels a physician to be President of the DCMA?
This year went by very quickly. It was an exciting year, and a lot was
accomplished – most notably the interaction with hospital medical staffs.
Doctor Rub and others on the DCMA Board and Executive Committee
attended every hospital medical staff meeting that welcomed DCMA
leadership to address physicians. Doctor Etkin-Kramer’s goal is to do the
same. The DCMA wants to keep you educated, informed and engaged.
If given the opportunity, I hope you will thank Doctor Rub for all he has
done, and will continue to do; and thank Doctor Etkin-Kramer for her
commitment to work hard on your behalf over the next year.
Is it faith that what you are doing is right, and that right always wins out
in the long run? Is it the belief that the actions taken during your
presidency will benefit physicians and patients alike? Perhaps it is the
loyalty and love of the profession of medicine and your patients? Or is it
all of these . . . and more?
Not sure what Doctors, Etkin-Kramer, Rub and other past presidents
feel impelled them to be DCMA President, but from my perspective it is
The best way to predict the
future is to create it yourself!
That means you need to do
your part.
First off, please be sure to read Miami Medicine
every month; DCMA is one of a handful of medical
associations still publishing a monthly magazine.
The contents are carefully chosen with you in mind.
Next, please read the emails sent to you. Again,
they are chosen with you and your practice in mind.
They also educate and keep you informed. Less
frequently, faxes are sent to you. But those are
important also. Everyone likes a different form of
communication and the DCMA goal is to give you a
little of each. Some DCMA communications advise
on seminars and events designed to educate your
staff, pass those along to your office manager.
Go to the DCMA website – www.miamimed.com
– the site contains a myriad of information about the
DCMA, benefits, events, vendors of choice, etc.
Many vendors provide significant savings for you in
your practice.
Last, but not least, how about you getting involved
in the DCMA? Voice your opinions and ideas, and
speak out on behalf of organized medicine and your
patients; make a commitment to serve on a DCMA
committee. Encourage your colleagues to join.
and formulate legislative issues of concern to
physicians in Miami-Dade County. Meet as a
group 2-3 times a year.
The effectiveness of the DCMA in meeting your
needs depends, to a great extent, on membership
and committees.
Political Action Committee - This is an
independent, autonomous organization. The 25
member Board of Directors is appointed by the
DCMA Board of Directors. The DCMA PAC Board
meets as needed, most often during election years.
Candidates running for a Florida legislative seat
from Miami-Dade County are interviewed by the
DCMA PAC Board, and the PAC Board determines
financial campaign contributions and voting
recommendations to the membership.
Committees include:
Continuing Medical Education Committee - This
committee is responsible for joint sponsoring/
accrediting quality continuing medical education
programs with outside entities such as hospitals,
medical facilities, specialty societies, etc. Most work
is done at your own office or home. The committee
meets on an as needed basis.
Key Contact Physicians/Legislative Committee This committee has 2 components. Key Contact
Physicians are physicians who are knowledgeable
about the DCMA/FMA legislative agenda and are
assigned to meet with a specific legislator(s) during
the year and during the Florida legislative session.
Generally these physicians are known to the
legislator, or establish a relationship with the
legislator such that the legislator has an open mind/
ear to listen to the concerns of organized medicine.
The Legislative Committee is an extension of the Key
Contact Physicians and these physicians help identify
Membership Recruitment and Retention Committee
- This committee is the heart and soul of the DCMA.
Meets every other month (more or less meetings can
be held as deemed appropriate by the committee) to
enhance the DCMA Vendors of Choice program and
to develop strategies to increase/retain membership
in the DCMA.
DCMA Delegates to FMA - Meet twice a year
and attend the 2-3 day Annual Meeting/House of
Delegates Sessions of the Florida Medical
Association. This is the policy making body of the
FMA and gives Miami-Dade County a voice at the
FMA level.
I am interested in serving on the _____________________________________________Committee.
Name_____________________________________________ Phone ________________________ Fax ________________________ Email _____________________________
Email your interest to serve on a committee to [email protected], fax to 305 325-1316 or mail to 1501 N.W. North River Drive Miami, Florida 33125.
Some things are worth fighting for; to protect and defend the practice of medicine and the patients you serve. Renew your commitment to your profession
and your patients. Join a committee; maintain your membership in the DCMA; encourage your colleagues to join the DCMA. If not you, then who?
3
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continuing transformations in healthcare. We assist physicians in navigating the ever-changing
maze of federal, state and local regulations that now defines nearly every aspect of practice. We
monitor, and assist clients in adapting to, these legal and regulatory changes – beat by beat.
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TOLL FREE TELEPHONE HOTLINE – (800) 445-0954
EMAIL – [email protected]
FIRM WEBSITE - www.DrLaw.com
Robert J. Conroy, Esquire
Admitted to the bar in Florida, New York, New Jersey, Pennsylvania, California and the District of Columbia
Professional Discipline • Litigation and Arbitration • Contracts and Business Transactions • White Collar Crime Regulatory
Compliance • Practice Formation • Mergers and Acquisitions • Asset Protection and Estate Planning
Medical Financial Audits
Questions from Our Electronic Mailbox
By: Robert J. Conroy, Esq1. & Denise Sanders, Esq2
Every day we are asked a number of questions. We thought we would
address some of the more recent and interest ones in this article. The
selection is admittedly somewhat eclectic. If you have a question, you
would like to see addressed in a future article please email me at conroy@
drlaw.com.
HIPAA Notice of Privacy Practices
Question: I have been told that it is not sufficient to simply advise the patient
that our office has a HIPAA Notice of Privacy Practices. When must I provide the
HIPAA Notice of Privacy Practices to my patients?
Answer: As you may be aware, under HIPAA, patients have the right to adequate
notice of the uses and disclosures of their Protected Health Information (“PHI”), as
well as their rights and the provider’s legal duties with respect to protecting their
PHI.3 A covered health care provider who has a direct treatment relationship with
patients must provide a written HIPAA Notice of Privacy Practices (“Notice”) to each
patient, no later than the date of the first service delivered. In an event of emergency
treatment, the provider must provide the Notice as soon as reasonably practicable
after rendering treatment. If the first service delivered was via electronic means, then
the provider must provide electronic Notice automatically and contemporaneously in
response to the individual’s first request for service.
When Notice is first provided to a patient, a good faith effort must be made to
obtain the patient’s acknowledgment of receipt of the Notice. Usually, a provider will
request that the patient sign an acknowledgment that the Notice was provided to
them. The provider should also keep records of all acknowledgments and Notices
issued. If acknowledgment is not obtained, and good faith efforts were made, such
should be documented, as well as the reason why acknowledgement was not obtained.
If a provider maintains an office where medical services are delivered, then the Notice
must be posted in a clear and prominent location where it is reasonable to expect that
the patients will be able to read it. The office should also keep extra copies of the Notice,
in case a patient at any time requests a copy of the current Notice.
If the provider maintains a website, then the Notice must be posted on the website
and be made electronically available to patients through the website. A provider
may provide the Notice by e-mail if the patient agreed to receive the Notice by e-mail.
However, if the provider knows that the e-mail transmission failed, then a paper copy
of the Notice must be provided to the patient. Anyone who received an electronic
Notice has the right to request a paper copy upon request.
Finally, because the Notice requirement has been in effect since 2003, some
physicians and practices have become complacent about its importance to HIPAA
compliance. You and your staff should be familiar with the content of your Notice,
as you are obligated to comply with it at all times.
“Board Eligible”
Question: I have yet to obtain Board Certification in my specialty and my
specialty board has not set any timeframe for obtaining certification. Can I use the
term “Board Eligible” indefinitely?
Answer: Not for long. The American Board of Medical Specialties (ABMS) has
never defined the term “Board Eligible,” although the term has been widely adopted
by the physician community. Some specialty boards have had established time limits
for obtaining certification but many had not done so until now. The ABMS adopted
a policy, effective January 1, 2012, that rejects the concept of unrestricted Board
Eligible status and determined that all of its 24 Member Boards must limit the time
that physicians can undergo board certification after completing their residency.
Each Member Board is to establish a transition plan for candidates who have
completed residency but not obtained certification as of the policy’s effective date.
Under the plan, candidates will have at least until January 1, 2015, but not later than
January 1, 2019, to achieve Board Certification.
According to the ABMS, physicians who do not obtain certification within their
Q:
&
A:
Board’s set timeframe will have to cease and desist from
making any representations of Board Eligibility. In
addition, the physician will no longer be eligible for
certification in that specialty without first completing
all requirements for re-entry into the certification
process established by the applicable Member Board.
These restrictions will be of importance, not only to affected
physicians, but to their employers and other affiliated entities.
The ABMS press release, along with links to the ABMS Board Eligibility Fact Sheet,
Board Eligibility Policy, and Board Eligibility Chart can be found at this ABMS
webpage: http://www.abms.org/News_and_Events/Media_Newsroom/Releases/
release_BoardEligibilityLimits_05302012.aspx.
Student Loan Defaults
Question: Is there any risk with Medicare if I am in default on my health
education student loans?
Answer: Yes. Generally, student loans such as Health Education Assistance
Loans (HEAL) may not be discharged and there is no statute of limitation. The U.S.
Department of Health & Human Services’ Office of Inspector General has
discretionary authority to exclude a physician for defaulting on health education loan
or scholarship obligations. Excluded physicians may not bill directly for providing
services to Medicare or Medicaid beneficiaries nor may their services to those patients
be billed indirectly through their employer or group practice.
While the government does have to provide adequate notice to the provider and
provide opportunities to remedy the default, that patience only goes so far. You
should not just ignore default notices and other correspondence from the government
related to a default. Recently, a U.S. Attorney announced a settlement with a
provider relating to a defaulted HEAL loan. The promissory note was signed in 1995
but, according to the U.S. Attorney’s office, payments were never made on the loan,
which went into default in 2007. Eventually, in 2011, the provider responded to a
notice of exclusion from all federal health care programs and, in 2012, settled with
the government for an amount nearly double the amount of the initial loan,
including interest, penalties and fees.
Federal Prosecution of Fraud involving Commercial Carriers
Question: Our practice has intentionally avoided treating Medicare or Medicaid
patients. I don’t think we are doing anything fraudulent, but am I correct that we
don’t have to worry about Federal investigations since we have a “non-government”
practice?
Answer: There is no “safe harbor” in not taking Medicare or Medicaid patients.
Under the Federal health care fraud statute, it is a federal crime to defraud any health
care benefit program. The scope of that statute is not limited to Federal health care
programs like Medicare. Fraud involving a private health insurer falls within the
statute’s reach. A conviction under the statute can lead to financial penalties as well
as a prison term.
State insurance fraud statutes cover fraud against private insurers, as well. And
private insurers have their own investigators who work with the state and federal
agencies. The best way to protect yourself and your practice is to implement an
effective compliance program and train your physicians and staff on the importance
of medical necessity, good documentation, and compliant referral relationships,
regardless of payor.
This article is intended for informational purposes only. It is not intended to constitute
legal or other professional advice.
Kern Augustine Conroy & Schoppmann, P.C., Attorneys to Health Professionals. For
more than 30 years the firm’s practice has been solely devoted to the representation of health
care professionals. The authors may be contacted at 800‐445‐0954 or via email – conroy@
drlaw.com. For more information log on to www.DrLaw.com
1 Mr.
Conroy is a member of the bar in Florida, New York, New Jersey, Pennsylvania, California and the District of Columbia.
Sanders is a member of the bar in New Jersey and Pennsylvania.
3 HIPAA Regulation set forth the elements that are required in the written notice.
2 Ms.
5
Did you receive money back on your premium last year?
Many doctors have through the Dade County Medical Association Workers’ Compensation Program.
The rates for all physicians throughout the state are set by the State of Florida. Your practice will pay the same price no matter where you choose to secure
coverage. However, under the OptaComp program, you may be eligible for a potential dividend of up to 24.8%:
• $10K premium has returned an average dividend of 20%, or $2,000.
• $5K premium has returned an average dividend of $1,000.
• $2K premium has returned an average dividend of $400.
Your membership with the Dade County Medical Association (DCMA) can provide savings that can be paid back in dividends. OptaComp has returned a
dividend for 11 straight years, with over $3 million over the past five years to Florida medical societies’ members: $325,000 of that went to DCMA members.
The OptaComp (rated “A” by A.M. Best) program is endorsed by the DCMA and is offered by Danna-Gracey, Inc.
For more information on the workers’ compensation insurance program through OptaComp,
fax your information below or contact Tom Murphy or Bill Gompers at 800.966.2120.
Please fax back to 888.235.5008
6
Importing Medications from
Foreign Countries
By: Cliff Rapp, LHRM, Vice President, Risk Management, The Doctors Company/FPIC
A
struggling economy, an absence of health insurance, and the rising
cost of medications are common reasons for individuals to seek
more affordable options when it comes to prescription medications. It
should be emphasized to all patients, however, that since medications
imported from foreign countries are not subject to the Food and Drug
Administration (FDA) oversight and monitoring, they may lack the
quality controls that ensure drug safety. In response to recent cases of
drug shortage, the FDA has approved re-importation of select
oncology medications. Physicians are cautioned against participating
in patients’ endeavors to obtain medications from foreign countries,
despite claims of potential monetary savings.
Safety Concerns
The FDA cannot ensure the safety of drugs purchased from foreign
sources. Medications may lack quality controls in all
aspects⎯manufacturing, packaging and labeling, handling, dispensing,
and monitoring outcome. Imported medications may not even contain
the same ingredients as products approved by the FDA. They may be
manufactured, packaged, and stored in unsanitary conditions. Drugs
may not be labeled properly, may contain harmful ingredients, may
not be tamper-resistant or tamper-evident, and may contain different
dosing than the FDA-approved counterparts. All of these aspects create
the potential for adverse reactions to imported medications and may
make it difficult for physicians to safely manage the medication
regime.
Potential Problems
• Dangerous drug interactions or side effects due to drug
contamination.
• Inadequate treatment due to counterfeit, sub-potent or superpotent products, or inert ingredients.
• Some products may not contain any medicine at all.
• Some imported medicines may be addictive.
• Lack of information may make it difficult to monitor the
patient’s response to medication and/or treat adverse
reactions.
•Treatment could be delayed or made more difficult unless
there is sufficient information available about the product.
• No recourse in the event of adverse reaction⎯the seller is
beyond the consumer’s reach or the seller may have required
release of liability prior to selling⎯since the product is not
under FDA jurisdiction.
Legal Issues
• It is illegal under the Federal Food, Drug, and Cosmetic Act
to import into the United States any unapproved,
misbranded, adulterated, or foreign versions of medications
approved in the United States.
• It is illegal for anyone other than a drug’s manufacturer to
re-import a prescription drug originally manufactured in the
United States.
• Medications imported from other countries may trigger
coverage exclusions in many medical professional liability
policies.
Risk Management Guidelines
• Obtain and update each patient’s medication history and
determine whether the patient is taking imported
medications.
• Encourage patients to use one pharmacist as a means to help
prevent drug interactions when combining medications. One
pharmacist will maintain a current medication profile listing
all medications prescribed from any and all prescribers, thus
increasing detection and prevention of potential problems.
• Inform patients of the risks of obtaining drugs from foreign
sources.
• Pursue financial considerations and alternatives when
prescribing medications. Many pharmaceutical companies
offer drug assistance programs. Some pharmacy chain
programs offer generic prescriptions at a cost of $4 each.
Florida’s Response
Florida Board of Medicine: Although there is no specific law or ruling on
the matter, the Florida Board of Medicine is opposed to physicians
assisting patients to obtain medications from Canada or other foreign
sources. The board does not believe that it is the best practice of
medicine. Consequently, the potential for disciplinary action could arise.
Florida Medical Association (FMA): The FMA Legal Department has
issued the following statement regarding prescriptions written by a
Florida physician to be filled in Canada:
“Canadian law does not allow a Canadian pharmacist to fill a
prescription written by a physician licensed only in the United States.
A Canadian physician must issue the prescription (in fact, the
Canadian province may require that the physician be licensed in that
province.) Some Canadian physicians have been signing off en masse
on U.S.-issued prescriptions that are being brought into Canada to be
filled, but Canadian medical authorities have started investigating the
Canadian physicians who are doing this without an adequate
examination of the patient. While it is not illegal for a Florida
physician to write a prescription that the patient is going to have filled
in Canada, Florida physicians should refrain from giving any advice
on the matter to their patients.”
Florida Statutes: FS 465.0197(2) requires that an Internet pharmacy must
obtain a permit in order to dispense medications to persons in Florida.
Florida Board of Pharmacy: The Florida Board of Pharmacy’s opinion
is that it is unlawful for any business enterprise in Florida to offer
services to the public by which members of the public may be induced
to use the services of a non-registered, non-Florida resident pharmacy,
and it will subject the persons and entities involved to criminal and
civil penalties. (Florida Administrative Code 456.0156)
Although patients may be desperate to obtain medications from
cheaper sources, physicians should be alert to the potential risks and
problems associated with imported medications-and the resulting
increased exposure to malpractice claims.
7
Xxxxxx?
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8
©2012 J8551C 1/12
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9
©2012 J8552C 1/12
GRAPHIC INTERVENTION:
25 YEARS OF AIDS
Image: AIDS_The death of David Kirby. 1992. Tiboe Kalman, Oliviero Toscani, Italy.
AWARENESS POSTERS
ON VIEW MAY 11–SEPTEMBER 9
10th St & Washington Ave/Miami Beach
www.wolfsonian.org
Discounted admission of $5.00 for DCMA members who bring this ad to the museum.
Some Pathways are Treacherous.
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10
Invest in the future of your practice
and your patients
The Dade County Medical Association Political Action Committee (DCMA/PAC) is a non-partisan, political action committee created
by the Dade County Medical Association to elect pro-medicine candidates to state legislative offices. The membership of DCMA/PAC
includes physicians, physicians spouses, medical students and residents, association staff and others who take an active role in the
health care community.
DCMA/PAC is a political action committee that solicits voluntary contributions from physicians, their spouses and others interested in
effective health care legislation. Funds raised are used to research, select and support the election of candidates who are supportive
of medicine’s concerns. DCMA/PAC serves its members by providing political education to physicians through workshops, publications
and other activities designed to educate members on important issues regarding campaigns and current legislation.
Please, open your checkbook today -- join the DCMA/PAC – and make a difference. Membership is $100 per year.
IMPORTANT REASONS TO JOIN DCMA/PAC
DCMA/PAC, the Dade County Medical Association Political Action Committee, interviews and supports candidates for the
Florida State legislature who support the medical profession and our efforts to advocate for patients. If elected officials are going to
decide how medicine will be practiced, then organized medicine needs to help decide who gets elected!
DCMA/PAC candidates WIN. So you can be sure your funds are spent in a meaningful and judicious fashion.
Medicine’s adversaries raise enormous sums of money to keep pro-physician/pro-patient candidates out of office. Medicine’s
friends, through DCMA/PAC, must dig deeper to raise equivalent or greater amounts of money.
Each election cycle brings new candidates and new challenges. DCMA/PAC support can make the difference between victory
and defeat for candidates.
For 28 cents a day ($100 a year) as an individual member there is no better investment you can make to protect your
profession and your patients.
A STRONG PAC. . .
•helps elect candidates who support medicine to public office
•ensures that your voice will be heard by elected officials
•brings our profession political clout and respect
•is a key element of an effective legislative and public
relations program.
DADE COUNTY MEDICAL ASSOCIATION
YOUR CONTRIBUTION. . .
•goes to candidate support activities on behalf of legislative
friends of medicine
•increases the collective voice of medicine
•assists the legislative goals of medicine
•ensures that medicine speaks with a strong, united voice for
the goal of quality, affordable healthcare.
POLITICAL ACTION COMMITTEE
Yes, I want to make a difference in Tallahassee
Name:
Address:
Phone:
Fax:
Email:
DCMA/PAC can do without your time, but not without your money!
Physician $100
Spouses $100
Resident/Medical Students $5.00
Please make your check payable and mail to:
DCMA Political Action Committee • 1501 N.W. North River Drive, Miami, Florida 33125
If you are interested in serving on the DCMA Political Action Committee Board of Directors, please contact DCMA/PAC
President Frank Maderal, M.D., or DCMA/PAC Executive Director Patricia C. Handler at 305 324-8736.
11
Physicians Giving
Immunizations
Take-Note
Thousands of
Relieved patients
Pain Free
Rick Scott
Governor
Lillian Rivera, RN, MSN, PhD, Administrator
with innovative TMD treatment!
“I enjoy many challenging patients in my practice but
I don’t enjoy TMD patients. So it has been a pleasure
having Dr. Ordonez as a source that not only can I
refer these patients to but who can also provide my
patients with relief from their suffering.”
Dr. Raymond Kimsey
Dr. Alvaro Ordonez’s level of training
in TMD makes him the best choice for
referring patients with a complex TMJ,
head and neck pain condition
Steven L. Harris, M.D., M.Sc.
Interim State Surgeon General
Helpful Hints Completing a
Florida Certification of
Immunization DH 680 Correctly
DO’S
Part A should be marked complete only when all kindergarten or
seventh grade requirements are met.
Part A (DOE Code 1 on the hard copy DH 680 or K-12 Requirements,
Excluding 7th Grade in Florida Shots) of the DH 680 should be checked
for all children entering kindergarten if they have completed their
kindergarten required vaccines.
Part A (DOE Code 8 on the hard copy DH 680 or 7th Grade
Requirements Only in Florida Shots) of the DH 680 should be checked
for all children entering 7th grade if the Tdap vaccine is complete.
•7
th grade students must have all of the kindergarten required
vaccines as well.
Part B Temporary Medical Exemptions should only be checked on the
DH 680 when a child is missing any of the required vaccines for
kindergarten.
Part B Temporary Medical Exemptions should only be checked on the
DH 680 when a child is missing any of the required vaccines for 7th
grade.
Expiration dates for Part B Temporary Medical Exemptions should only
be issued 15 days after the child’s next scheduled school required
vaccines immunization appointment.
DON’TS
Do not leave Part A blank when a child has received all required
vaccines for kindergarten and/or 7th grade.
Dr. Ordonez is a graduate of
the Orofacial Pain/TMD Clinic at
Tufts University School of Dental
Medicine in Boston, Massachusets.
Excellence in
TMD treatment
305.666.3824
Part B Temporary Medical Exemptions should NOT be marked on the
DH 680 if a child entering kindergarten or 7th grade is missing a
dose of any recommended vaccine. Examples of recommended
vaccines are:
• Hepatitis A
• HPV
Part B Temporary Medical Exemptions should NOT be used as a
reminder for a kindergarten child to come back for their 7th grade
Tdap.
Part B Temporary Medical Exemptions should NOT be used for well
child visits when school required vaccines will not be administered
during the visit.
1550 S Dixie Hway, Suite 203
Coral Gables, Florida 33146
www.alvaroordonezdds.com
12
Reynald Jean, MD, MPH, Acting Director
Epidemiology, Disease Control and Immunization Services
Miami-Dade County Health Department
8600 N.W. 17th Street, Suite 200, Miami, Florida 33126
Tel (305) 470 5660 • Fax (305) 470 5533
Website: www.dadehealth.org. Email: [email protected]
DCMA Welcomes New Members
David N. Agorvor, MD
Obstetric and Gynecology
1190 N.W. 95th Street
Miami, FL 33150
Jorge L. Alsina, MD
Pediatric
Hialeah Hospital Medical Staff
4980 West 10th Avenue
Suite #204
Hialeah, FL 33012
Wilfredo J. Alvarez, MD
9000 S.W. 87th Court
Suite #114
Miami, FL 33176
Nelson Alvarez-Reyes, MD
Obstetrics and Gynecology
777 East 25th Street
Suite #306
Hialeah, FL 33012
Leda A. Alzugaray, MD
Family Practice
11501 SW 40th Street
Miami, FL 33165
Ramon F. Arguelles, MD
Radiation Oncology
78 S.W. 13th Avenue
Miami, FL 331 35
Stacey E. Baker, MD
Infectious Disease
Infectious Disease Physicians, PA
7800 S.W. 87th Avenue
Suite #B260
Miami, FL 33173
Carmel Barrau, MD
Internal Medicine
North Shore Medical Center
Suite #401
Miami, FL 33150
Jose S. Bendayan, MD
4308 Alton Road
Suite #790
Miami Beach, FL 33140
Jefry L. Biehler, MD
Pediatrics - Emergency Medicine
3100 S.W. 62nd Avenue
Miami, FL 33155
Bohdan E. Bodlak, MD
Pediatrics North Shore Medical
Center
Suite #204
Miami, FL 33150
Felipe A. Caballero, MD
Pediatric
210 Poinciana Drive
Sunny Isles, FL 33160
Ignacio J. Calvo, MD
Orthopedics
Suite #808
Hialeah, FL 33013
Jorge A. Caridad, MD
General Surgery
1372 West 47th Street
Hialeah, FL 33012
Mark N. Goldberg, MD
Neurology
Hialeah Hospital
296 N.E. 99th Street
Miami Shores, FL 33138
Celestino P. Castellon, MD
Suite #507
Hialeah, FL 33013
Fred Grynberg, MD
Internal Medicine/Pulmonary
Suite #304
Miami, FL 33125
Jean-Baptiste Charlot, MD
8260 N.E. 2nd Avenue
Miami, FL 33138
Eugenio M. Guevara, MD
Pain Medicine/Neurology
Suite #306
Hialeah, FL 33013
Edouard Coupet, MD
Hialeah, FL 33013
Pedro U. De La Rosa Costa,
MD
Internal Medicine
8525 S.W. 92nd Street
Suite #D-15
Miami, FL 33156
Thomas C Deer, MD
Emergency Medicine
Hialeah, FL 33013
Pablo E. Delgado, MD
10700 North Kendall Drive
Suite #200
Miami, FL 33176
Kansky J. Delisma, MD
Internal Medicine
3550 Biscayne Boulevard
Suite #600
Miami, FL 33137
Misha Denham, DO
Endocrinology
4302 Alton Road
Suite #660
Leon Egozi, MD
Surgery - General Surgery
4308alton Road
Suite #410
Mark Firestone, MD
21110 Biscayne Boulevard
Suite #312
Aventura, FL 33180
Ramon M. Garcia-Septien, MD
Family Practice
Hialeah Hospital
1435 West 49th Place
Suite #504
Hialeah, FL 33012
Richard Henrys, MD
Surgery - Orthopaedic Surgery
Suite #305
Miami, FL 33150
Vivian Hernandez-Popp, MD
Anesthesiology - Pain
Management
Victory Pain Center
8740 North Kendall Drive
Suite #114
Miami, FL 33176
Ausberto B. Hidalgo, MD
Pediatrics/Urgernt Care
Suite #100
Hialeah, FL 33016
Brian J. Kiedrowski, MD
Internal Medicine
Mount Sinai Medical Center
Miami, FL 33137
Patricia L. Litts, MD
Suite #306
Miami, FL 33150
Ramiro Marrero, MD
Internal Medicine/Nephrology
Suite #504
Hialeah, FL 33012
Hamidreza Moghaddam,
MD
Internal Medicine
Hialeah Hospital
Suite #117
Miami Shores, FL 33138
Eric O. Pantaleon, MD
Pediatrics
Miami Lakes, FL 33016
Mariangela Pena-Gonzalez, MD
Infectious Disease
Infectious Disease Physicians, PA
Suite #B260
Miami, FL 33173
Gerardo M. Perez, MD
Ophthalmology
Suite #414
Hialeah, FL 33013
Rachel M.Pevsner Crum
DO
Pediatric Radiology
Miami Children’s Hospital
3100 S.W. 62nd Avenue
Miami, FL 33155
Carlos Selema, MD
Gastroenterology
747 Ponce De Leon
Suite #510
Coral Gables, FL 33134
John A. Puglisi, MD
Ophthalmology
16800 N.W. 2nd Avenue
Suite #303
North Miami Beach, FL 33169
Mark R. Spence, MD
Suite #306
Miami, FL 33150
Jean L. Renelien, MD
Internal Medicine
4320 W. Broward Blvd.
Plantaion, FL 33317
Joel Stern, MD
Emergency Medicine
16445 Collins Avenue
Suite #2428
Sunny Isles Beach, FL 33160
Martha I. Rivas, MD
Generalist/Infectious Disease
8600 NW 17 Street
Suite #200 Miami, FL 33126
Aaron B. Tuckler, MD
Family Medicne
Suite #C-204
Miami, FL 33176
Venus R. Rivera, MD
Orthopedics
3641 South Miami Avenue Suite
#331
Miami, FL 33133
Leopoldo Rodriguez, MD
Anesthesiology
Surgery Center of Aventura
20601 East Dixie Highway
Suite #400
Aventura, FL 33180
Lynn Seto, MD
Cardiothoracic Surgery
21097 NE 27 Court
Suite #480 Aventura
FL 33180
Francisco G. Tudela Jr., MD
Hialeah, FL 33013
Maria Del Carmen Valdes,
MD
General Practice
9774 Coral Way
Miami, FL 33165
Miguel I. Rodriguez-May, MD
Cardiology
3970 West Flagler Street
Suite #204
Miami, FL 33134
Carlos A. Vargas, MD
Gastroenterology
11440 N. Kendall Drive
Suite #212
Miami, FL 33176
Ralphie Rosario, MD
Internal Medicine
Suite #501
Hialeah, FL 33013
Christopher G. Vendryes, MD
Anesthesiology - Pain
Management
Miami, FL 33150
Mario Rub, MD
Pediatric Pulmonary
Pediatric Pulmonary & Asthmas
Specialists
20776 W. Dixie Highway
Aventura, FL 33180
Silvia M. Villagas Van der
Linde, MD
Pediatric
Suitre #209
Hialeah, FL 33013
Olga Rudela, MD
Suite #106
Hialeah, FL 33013
Margareth Saldanha, MD
Neurology/Sleep Medicine
Miami, FL 33150
Michael J. Schou, MD
Pain Management
4925 Sheridian Street
Hollywood, FL 33021
Frederick N. Wittlin, MD
Oncology/Hematology
20801 Biscayne Blvd.
Suite #200
Aventura, FL 33180
Daniel Wolf, MD
Dermatology
Mount Sinai Medical Center
2925 Aventura Boulevard
Suite #205
Aventura, FL 33180
13
Board of Directors
President
Elizabeth Etkin-Kramer, M.D.
Tel.: (305) 674-8038
President-Elect
Eleonor Pimentel, M.D.
Tel.: (305) 445-0700
Vice President
Thomas Mesko, M.D.
Tel.: (305) 674-2397
Secretary
Andrew Nullman, M.D.
Tel.: (305) 534-4404
Treasurer
Eduardo G. Martinez, M.D.
Tel.: (305) 835-9090
Immediate Past President
District One
Beny Rub, M.D.
Tel.: Tel.: (305) 932-1007
Audina M. Berrocal, M.D.
Tel.: (305) 326-6045
Term Expires May 2014
Eugene Fu, M.D.
Tel.: (305) 585-6970
District Two
Oscar Loret De Mola, M.D.
Tel.: (305) 274-8243
C M E O P P O R T U N I T I E S T H R O U G H
B A P T I S T H E A L T H S O U T H F L O R I D A
Baptist Health offers many other CME conferences at no charge. To obtain information about upcoming
conferences, go to http://baptisthealth.net/cme. To request monthly mailings and symposium announcements,
call Julie Zimmett, Medical Education, 786 596-2398 or e-mail [email protected].
Thirty-first Annual
Echocardiography Symposium
Friday – Saturday, October 19 & 20, 2012
Doral Marriott Resort, Miami, Florida
Credits TBD
Twelfth Annual Emergency Radiology
Symposium: What You Need to Know to Get
You Through the Night
Sunday – Wednesday, November 11 – 14, 2012
Eden Roc Hotel, Miami Beach, Florida
Credits TBD
Fourth Annual Coronary CTA in the
Emergency Department:
A Hands-on Workshop
Saturday – Sunday, November 10 & 11, 2012
Eden Roc Hotel, Miami Beach, Florida
Credits TBD
Miami Neuro Symposium
Friday – Saturday, December 7 & 8, 2012
Biltmore Hotel, Coral Gables, Florida
Credits TBD
Cardiovascular Disease Prevention:
Eleventh Annual International Comprehensive Symposium
Thursday – Sunday, February 14 – 17, 2013
Fontainebleau Hotel, Miami Beach, Florida
Credits TBD
James A. Voglino, M.D.
Tel.: (305) 596-3707
District Three
Jeffrey Horstmyer, M.D.
Tel.: 305 856-8942
Term Expires, May 2014
Raul Ravelo, M.D.
Tel.: (305) 285-2195
District Four
Alan Ackermann, D.O.
Tel.: (305) 935-5101
Charles P. Shenker, M.D.
Tel.: (305) 705-0501
District Five
Barbara Montford, M.D.
Tel.: (305) 696-0806
Jorge Mordujovich, M.D.
Tel.: (305) 835-7045
At Large
Mark Avila, M.D.
Tel.: (305) 822-5086
Alberto Dominguez-Bali, M.D.
Tel.: (305) 693-3535
Advisory Board Members
Cheryl L. Holder, M.D., FIU
Vacant, UM
Fellows-Residents
Vacant
Medical Students
Michael Hann, FIU
Patricio Lau, FIU
Paul Tenzel, UM
Executive Vice President
Patricia C. Handler
Tel.: (305) 324-8717
Alliance President
Sandi Chamyan
Tel.: (305) 720-9488
Legal Counsel
DCMA Staff
Administrative Assistants
Managing Editor
14
Ziskind & Arvin, P.A.
Ana Silvera
Ericka Carlson
Claudia Montiel
Patricia C. Handler
Online Course
Medical Errors Prevention
January 24-26, 2013
Neurology Update and Stroke Intensive 2013
Mayfair Hotel, Miami, FL
February 22-23, 2013
Hepatobiliary Disease in Clinical Practice: Update XX
Ritz-Carlton, Coconut Grove, Miami, FL
March 7-9, 2013
8th Annual Perioperative Medicine Summit 2013
Eden Roc Hotel, Miami Beach, FL
March 14-15, 2013
3rd Annual Therapeutic Hypothermia and
Temperature Management: Present & Future
Mayfair Hotel, Miami, FL
April 5, 2013
2 AMA PRA Category 1 Credits™
Meets Florida Board of Medicine requirements
http://cme.med.miami.edu/documents/medicalerrors.pdf
CME Calendar
Collaborative Institutional Training
Initiative (CITI) Courses
(visit www.citiprogram.org for more information)
Basic Course in the Protection of Human Research Subjects
Credit available through June 30, 2013
Continuing Education Course (Refresher)
Good Clinical Practices Course
Florida Ethics: Debates, Decisions, Solutions
Health Information Privacy and Security Course
April 20-21, 2013
1.5 AMA PRA Category 1 Credits™
Biscayne Bay Marriott, Miami, FL
Dermatology “Close Up”: Melanoma and Other
Neoplasms of the Skin
The Alexander Hotel, Miami Beach, FL
To obtain information or to register for upcoming
conferences, go to www.cme.med.miami.edu and click on
“Conferences” or call University of Miami Miller School of
Medicine, Division of Continuing Medical Education at
305- 243-6716 or email [email protected].
Miami Medicine is the official publication of the Dade County Medical Association (DCMA).
Advertising in Miami Medicine does not imply approval or endorsement by the DCMA. Any ads stating
approval by the DCMA have been declared by the DCMA as worthy of consideration by its members;
however, the DCMA shall have no liability in the event the user is dissatisfied.
The DCMA maintains a sponsorship program which endorses select vendors and organizations whose
products and services may be beneficial to the membership and/or from which the DCMA may receive
financial support.
Miami Medicine assumes no responsibility for statements made by its contributors. Opinions expressed
by authors are their own, and not necessarily those of Miami Medicine or the DCMA. Miami Medicine
reserves the right to edit all contributions for clarity and length, as well as to reject any material submitted.
Subscription:
$53.50 annually; single issue $5.35
Better benefits can help
protect your practice
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ong Term Care
Insurance
DCMA Members receive up to a
25% Discount
Your Endorsed Agent! We Specialize In:
Life Insurance • Long Term Care
Disability Insurance • Group Health Insurance
Serving South Florida Since 1978
Please give us a call and let us help you
make the right choice of carrier and product.
Jeff D. Hackmeier
& Associates, Inc.
12000 Biscayne Boulevard, Suite 407, North Miami
As the leading provider of disability insurance in the U.S.
for more than 30 years, Unum can help protect your
employees financially should injury or illness keep them
from work. We provide deep expertise and caring service
when your employees need them most.
• Plan designs that feature flexible options
• Caring, responsive service at claim time
• Clear, effective benefits education
To learn more, contact:
Jeff D. Hackmeier & Associates Inc.
12000 Biscayne Blvd., Suite 407 ° North Miami, FL.
Phone: 305-893-4488 ° Fax: 305-893-1020
[email protected]
Endorsed by the DCMA
305-893-4488
Dade County Medical Association Authorized Broker • National Association of Health Underwriters
American Association for Long Term Care • Miami Association of Insurance and Financial Advisors
DISABILITY INSURANCE
CLAIMS AND DISPUTES
John Jacob Spiegel, Esq., AV rated with 25 + years
experience, is available to assist claimants and their families
who seek disability benefits in all types of disability policies;
individual, group, ERISA, and others. Disability claims are
often complex and contested. Early legal representation is
highly recommended.
• Policy review and analysis
• Pre-claim consultation
• Claim assistance, including ghost writing
• Claim monitoring
• Claim dispute resolution
• ERISA mandated presuit “appeals”
• Trial, Litigation and Appeals
John J. Spiegel, P.A.
Concord Building, 9th Floor, 66 West Flagler Street, Miami, FL 33130
Phone: (305)539-0700; Fax: (305)539-1894
E-Mail: [email protected]
© 2011 Unum Group. All rights reserved. Unum is a registered trademark and marketing brand of Unum Group
and its insuring subsidiaries. Insurance products are underwritten by the subsidiaries of Unum Group. NS11-009.
MIAMI MEDICINE
PRSRT STD
U.S. Postage
PAID
Miami, FL
Permit #140
Dade County Medical Association
1501 N.W. North River Drive
Miami, Florida 33125
I: www.miamimed.com
E: [email protected]
T: (305) 324-8717
F: (305) 325-1316
Address Service Requested
Dade CMS - 8.75x8.25 - color - monthly - Miami Medicine
We fight frivolous claims. We smash shady
litigants. We over-prepare, and our lawyers
do, too. We defend your good name. We
face every claim like it’s the heavyweight
championship. We don’t give up. We are not
just your insurer. We are your legal defense
army. We are The Doctors Company.
Robert D. Francis
Chief Operating Officer, The Doctors Company
The Doctors Company built its reputation on the aggressive defense of our member physicians’ good names and livelihoods.
And we do it well: Over 82 percent of all malpractice cases against our members are won without a settlement or trial, and we
win 87 percent of the cases that do go to court. So what do you get for your money? More than a fighting chance, for starters.
The Doctors Company is exclusively endorsed by the Dade County Medical Association. To learn more about our benefits for
DCMA members, call our Jacksonville office at (800) 741-3742 or visit www.thedoctors.com/fpic.
Exclusively Endorsed by
www.thedoctors.com

Happy July 4th - Dade County Medical Association

Transcription

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