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July 2009
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Volume 3, Issue 12
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InforMed Society
Offical E-Newsletter of the Medical Society
Keeping you InforMed about the latest health care news!
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| From the President |
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Brian R. Riveland, MD
Factors
Affecting the Cost of Health Care An Internists Perspective
The cost of health care in the US is a daily news item. It is the major focus of the Obama
administration. Recently "providers" got
together and promised to cut health care costs; however, missing in this
extensive coverage is a step-by-step outline of just how are we going to do
this?
Let me get this straight right from the beginning. I have no idea how to fix the problem. However, I do have opinions as to where, as a
practicing internist, I see that health care dollars are wasted. This certainly
is not an all inclusive list and each item could be an article in itself.
- Improper incentives. Nothing new here, but it is very clear the
system rewards procedures, testing, short office visits, and subspecialty
utilization. The examples are endless
and here are but a few. I can spend 5
minutes discussing the pros and cons of PSA testing with my patient, or
indicate he needs to have a PSA test done and order the test in 5 seconds. This during the same office visit I should be
discussing living will, medical power of attorney, lifestyle changes to manage
his hypertension, diabetes and heart disease, weight loss efforts, smoking
cessation, immunizations, preventative health measures in addition to doing a
full history and physical exam and addressing all of his concerns that he has
learned on the TV through direct-to-patient marketing by the pharmaceutical
companies. I will not get paid any more
for doing any of the counseling or advising once a certain level of visit is
obtained. I also do not believe that
negative incentive models are the answer either (i.e. capitation); however, the
system does not recognize cognitive services for our patients. As in a previous article, I also believe the
current and worsening supply of primary care physicians will do nothing but
make this worse.
Read more...
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| There is no better exercise for
your heart than reaching down and helping
to lift someone up.
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Featured Business

Round-up Magazine has been a monthly source of socio-economic information for physicians for over 50 years. A $36 value, it is free with membership.For more information, please visit the MCMS website. |
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ACT Kids Health Fair - VOLUNTEER!
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Thousands
of underprivileged kids are given a better chance at life through the ACT Head
Start Health Fair. The Medical Society
along with a variety of other agencies will hold the one-day health
screening at the Phoenix University School
(previously Phoenix
Preparatory Academy)
on Saturday - September 12, 2009.
The
Society needs 50 physicians, physician assistant and nurse practitioner volunteers;
20-30 medical volunteers and 35-45 non-medical volunteers to help with
this very worthwhile project. Three
shifts are available to physicians, physician assistants and nurse
practitioners - 7:00 am to 12:00 pm,
11:45 am to 3:30 pm, and an all day shift. Others are required to serve for the
entire event (7:00 am - 3:30 pm),
due to the training involved. All volunteers
will be asked to stay for their entire shift.
A free lunch will be included.
Portions
of the exam can only be performed under the supervision of a physician,
physician assistant or nurse practitioner.
Each are assigned an exam booth and an assistant. All the paperwork and releases are collected
beforehand by the Head Start staff so that you can concentrate on what you do
best - treating the patient. It
is not necessary to be a primary care physician or a pediatrician. The examinations are general in nature and
most subspecialties qualify to perform them.
We also
encourage you to involve your staff (age
18 or older) in this
event. Nurses and medical students are
assigned to a booth to assist the examiners or to take blood pressures.
Non-medical volunteers will help with heights and weights, assist with traffic,
entertainment and child supervision. We are especially in need of bilingual
(Spanish, English and Asian) volunteers, as well as those experienced in
administering Hearing Exams and Cleanings.
More than
40,000 children have received medical screenings at this event. We expect over 2,000 kids to attend this
year, which means we will likely perform
800 exams in our area. Many of these
three to five year olds have never seen a physician and about 10% will need
follow-up care.
Please
donate a few hours of your time to this worthy cause. Not only will you make it possible for the
children to enter the Head Start program, you will allow them to get the
medical care they need. Your time can make a difference for these
preschoolers.
To
register:Non Physician FormPhysician FormFor questions, contact Lisa Silva
at 602-252-2015. Please register by August
14, 2009. Thank you for volunteering
your time and we look forward seeing you there! |
Alcoholic Patients with Special
Needs
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Do you have an alcoholic patient, newly sober or with
long-term sobriety, who has special needs affecting their ability to access
Alcoholics Anonymous materials, meetings or fellowship support? Perhaps they
have a long term or permanent disability, or are recovering from surgery or an
illness, making it difficult or impossible to attend A.A. meetings. The Special
Needs Accessibility Committee of Alcoholics Anonymous (SNAC) in Maricopa County has resources available to
alcoholics with special needs. Resources include: - A.A. meeting tapes and
CDs and A.A. literature in Braille or large print for the blind and/or visually
impaired
- Meetings and videos of the Big Book of A.A. in American Sign
Language for the deaf or hard of hearing
- Illustrated materials for the
developmentally disabled who are disabled from alcoholism or other causes.
SNAC
can also provide telephonic or in-person support for chronically ill, or
home/facility bound individuals, including bringing A.A. meetings to these
individuals in their home or residential
facility.
If you have an alcoholic patient with special needs,
please contact A.A.'s Special Needs Accessibility Committee at aa.specialneeds08az@gmail.com, or call Cynthia K., the
Committee Coordinator, at 480-946-1384. In the alternative, please feel free to
share this contact information directly with your patients and their families or
caretakers.
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Got an idea??
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Please join us in October for the Society's annual meeting! We are currently canvassing different venues in the Valley, and would love to elicit fun/creative ideas from our members! If you have suggestions, please email Claudia Bair at cbair@mcmsonline.com.
Thanks!
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AMA meeting: AMA reaffirms stance in health system reform debate
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Addressing what has become the hottest flashpoint in
this year's health system reform debate, the American Medical
Association House of Delegates at its Annual Meeting in June renewed
its existing reform policies rather than declare a position on whether
lawmakers should establish a new national federal health insurance plan
that would compete with private insurers.
Delegates agreed that the AMA should "support health system reform
alternatives that are consistent with AMA principles of pluralism,
freedom of choice, freedom of practice and universal access for
patients." Both supporters and opponents of the public plan concept
wanted the Association to take a definitive stand on the issue. But
after AMA Immediate Past President Nancy H. Nielsen, MD, PhD, warned
that such a move could handicap the organization as it tries to
influence the health reform debate, delegates backed away from those
resolutions.
Dr. Nielsen said the resolution that ultimately passed would allow her
and AMA President J. James Rohack, MD, to keep the AMA engaged in the
debate without restriction but with a clear directive to advocate for
choice for both physicians and patients.
Read more...
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First draft of EHR "meaningful use" definition unveiled
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President Obama's point man on health care information
technology has asked a key working group to revise its recommendations
on what constitutes "meaningful use" of electronic health records, a
pivotal term that will decide which physicians can obtain billions in
federal EHR money.
David Blumenthal, MD, national coordinator for health information
technology, declined to specify why he asked the Health IT Policy
Committee's meaningful use working group to amend the recommendations
it released June 16. The panel is tasked with advising the government
on a policy framework for the development and adoption of a nationwide
health IT infrastructure.
"We had a lively discussion, and it was decided after considerable
input on the topic of meaningful use that we would take it back to
discussion to work on it a little bit longer," Dr. Blumenthal said. He
said the committee expects to unveil revised recommendations by July
16, the date of its next scheduled meeting.
More information... |
New guidelines issued for Asthma assessment
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The American Thoracic Society (ATS) and the European Respiratory
Society (ERS) have released official standards regarding asthma
evaluation for clinical trials and practice. The joint statement
containing the new recommendations and underlying evidence base was
approved by the ATS Board of Directors on March 13, 2009, and by the
ERS Executive Committee on November 27, 2008, and it is published in
the July 1 issue of the American Journal of Respiratory and Critical Care Medicine.
"In the past, there has been no standard way of assessing asthma,"
Helen K. Reddel, MB, PhD, from the Woolcock Institute of Medical
Research in Camperdown, Australia, and cochair of the ATS/ERS Task
Force on Asthma Control and Exacerbations, said in a news release.
"This has led to a lot of confusion for doctors who are managing
asthma, and in research, it was difficult to compare the results of
different studies."
Although evaluation and monitoring of asthma control are crucial to
determining treatment response both in individual patients and in
clinical trials, there have been a variety of definitions and
assessments for asthma control, severity, and exacerbations. The
ATS/ERS therefore convened a task force of 24 asthma experts from North
America, Europe, South Africa, Australia, and New Zealand. Read complete article... |
US CDC to reinstate booster shots of HiB vaccine
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The U.S. Centers for Disease Control and Prevention said on Thursday
it plans to reinstate booster shots of the Haemophilus influenzae type
b (HiB) vaccine.
The CDC said in a
statement it believes manufacturers will have enough supply of the
vaccine to resume giving a booster shot to children aged 12 to 15
months.
Merck & Co Inc in 2007 recalled
its HiB vaccines because production equipment may not have been
properly sterilized. The CDC said HiB vaccine made by Sanofi Pasteur,
the vaccines division of Sanofi-Aventis, will increase enough starting
in July to allow reinstatement of the HiB booster for children aged 12
to 15 months.
Short supplies of the vaccine will not allow a mass recall of older children who missed their booster, CDC said. |
FDA panel votes to eliminate Vicodin, Percocet
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Government experts say prescription drugs like
Vicodin and Percocet that combine a popular painkiller with stronger
narcotics should be eliminated because of their role in deadly
overdoses. A Food and Drug Administration
panel on Tuesday voted 20-17 that prescription drugs that combine
acetaminophen with other painkilling ingredients should be pulled off
the market. The FDA has assembled a group
of experts to vote on ways to reduce liver damage associated with
acetaminophen, one of the most widely used drugs in the U.S. Despite
years of educational campaigns and other federal actions, acetaminophen
remains the leading cause of liver failure in the U.S., according to
the FDA. Panelists cited FDA data
indicating 60 percent of acetaminophen-related deaths are related to
prescription products. Acetaminophen is also found in popular
over-the-counter medications like Tylenol and Excedrin. "We're
here because there are inadvertent overdoses with this drug that are
fatal and this is the one opportunity we have to do something that will
have a big impact," said Dr. Judith Kramer of Duke University Medical
Center. Read complete article...
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Phoenix gets a new med-student program
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A new educational partnership at St. Joseph's Hospital and Medical Center could increase the number of medical students who ultimately decide to work as doctors in Arizona.
A partnership with Creighton University School of Medicine, based in
Omaha, Neb., will bring 42 Creighton students a year to St. Joseph's in
Phoenix for their third and fourth years of training beginning in 2012.
The new program adds another element to a growing central Phoenix presence for health care, research and training.
In 2007, 24 students started classes at the University of Arizona's
downtown Phoenix medical school. In 2008, 48 students started the
four-year-program, and a third class of 48 will start soon.
Creighton is a Catholic Jesuit institution with 4,000 undergraduate
and 2,900 graduate students. Its medical school already sends about six
students a month for rotations at St. Joseph's. When the medical school
wanted to expand its enrollment, officials wanted to partner with a
Catholic hospital for their training. St. Joseph's is Arizona's largest
hospital and is owned by Catholic Healthcare West.
More information... |
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Serving medicine, serving the community
since
1892...
InforMed
Society is published by the Maricopa County
Medical Society. Copyright
© 2009 Questions
or Comments, please email us at: InforMed@mcmsonline.com |
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