July 2009
Volume 3, Issue 13
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InforMed Society

Offical E-Newsletter of the Medical Society

Keeping you InforMed about the latest health care news!
Taking the temperature of the membership on health care reform

As part of our ongoing efforts to reach out to the membership and promote participation, the Medical Society is presenting this poll to engage in and respond to the biggest issue facing medicine in years - health care reform. While we recognize that this poll is not intended to be statistically significant nor in the proper format to imply statistic validation, it is the intent to get a general sense of the Medical Society memberships' feelings on the subject and to elicit responses from those individuals that health care reform impacts most - the physician.

The rules are simple. The poll will close on July 31st, 2009. All responses including names will be confidential and only utilized for entry into the prize drawing. The first 25 respondents will receive two (2) free movie passes and all entrants will be entered into a drawing for a $100 gift card to Durant's Restaurant in downtown Phoenix. The drawing will take place on Monday, August 3rd. The winner of the $100 gift card will be notified by email, phone or contact information provided.

To participate, click here

ER malpractice standard raised

Patients who want to sue their emergency-room doctors due to medical errors now will have a higher hurdle to clear.

A bill signed by Arizona Gov. Jan Brewer means emergency-room patients must prove there is "clear and convincing" evidence that medical errors by emergency health-care workers led to injury.

Read more...
In This Issue
Health care reform survey
ER malpractice standard raised
Annual Meeting Ideas
ACT Kids Health Fair - VOLUNTEER!
States eligible to receive $350 Million for H1N1
Obama nominates Regina Benjamin for Surgeon General
Part B drug proposal would curtail Medicare pay cuts after 2010
Reminder program boosts mammography rates
The only medicine for suffering, crime, and all the other woes of mankind, is wisdom.
 
Thomas Huxley

Featured Business

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For more information, please visit ezcas.com

Got an idea??

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!
ACT Kids Health Fair - VOLUNTEER!


WE NEED VOLUNTEERS!!

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 Form
Physician Form

Visit  http://www.actkidshealthfair.org/ for more information!

For 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! 
States eligible to receive $350 Million for H1N1, seasonal flu preparedness efforts

One day after hosting a summit on the 2009 novel H1N1 flu with representatives from state, tribal, territorial and local governments from across the country, HHS Secretary Kathleen Sebelius today announced the availability of $350 million in grants to help states and territories prepare for the 2009 novel H1N1 flu virus and the fall flu season. The grants were funded by the recent supplemental appropriations bill that was passed by Congress and signed into law by President Barack Obama on June 24, 2009.

"With flu season around the corner, we must remain vigilant and do all we can to prepare our nation and protect public health," said Secretary Sebelius. "These grants will give states valuable resources to step up their flu preparedness efforts."

A total of $260 million in Public Health Emergency Response Grants and $90 million in Hospital Preparedness grants will be distributed nationwide.

Public Health Emergency Response grants help state public health departments perform a variety of functions, including preparing for potential vaccination campaigns, implementing strategies to reduce people's exposure to the 2009 novel H1N1 flu and improving influenza surveillance and investigations.

Hospital Preparedness grants enhance the ability of hospitals and health care systems to prepare for and respond to public health emergencies. Local outbreaks of the novel H1N1 virus have produced a surge of patients at hospitals, and these grants will help ensure hospitals are ready for future outbreaks that may impact their community.

In addition to the grants released today, the Obama Administration has taken a series of steps to help prepare and protect the American people from the novel H1N1 flu. In May of this year, HHS distributed 11 million treatment courses of antivirals to states, territories and tribes to fight the H1N1 influenza outbreak.  Also in May, HHS invested more than $1 billion to produce bulk supplies of key vaccine ingredients as part of the process to develop and test a potential H1N1 vaccine.

The Administration has upgraded and expanded www.flu.gov, which includes guidance that community leaders and the American people need to prepare for, prevent, and respond to the H1N1 flu virus.

The Obama Administration has also launched a new public service announcement competition. Any American can record and submit his or her own public service announcement regarding H1N1 flu preparedness by visiting www.flu.gov. The entries will be judged by experts and the winner will receive a $2,500 prize and the opportunity to have his or her announcement aired on television across the country.

A list of funding by state is included here:
Obama nominates Regina Benjamin for Surgeon General

President Barack Obama announced today that he would nominate Regina Benjamin, MD, a family physician in the fishing village of Bayou La Batre, Alabama, to be the next US surgeon general. The appointment requires confirmation by the US Senate.

In one sense, the former community organizer in Chicago turned US senator and then US president chose someone very much in his mold. Dr. Benjamin's service in the poor Gulf Coast community of 2500 - devastated by Hurricane Katrina in 2005 and Hurricane Georges in 1998 - has been a springboard to medical leadership on a national scale. Dr. Benjamin has served on the board of trustees of the American Medical Association (AMA), for example. And she's the immediate past chair of the Federation of State Medical Boards of the United States.

Appearing with President Obama when he announced the nomination, Dr. Benjamin said she wanted to ensure "that no one - no one - falls through the cracks as we improve our healthcare system." Fueling her motivation, she explained, was the medical history of her own family.

"My father died with diabetes and hypertension," said Dr. Benjamin. "My older brother, and only sibling, died at age 44 of HIV-related illness. My mother died of lung cancer, because as a young girl, she wanted to smoke just like her twin brother could. My Uncle Buddy, my mother's twin, who's one of the few surviving black World War II prisoners of war, is at home right now, on oxygen, struggling for each breath because of the years of smoking."

Read complete article...
Part B drug proposal would curtail Medicare pay cuts after 2010

The typically bleak outlook that marks the proposed Medicare fee schedule for the upcoming year was significantly brighter this time around for physicians looking for relief from impending pay cuts.

In a major policy reversal from the previous administration, the Centers for Medicare & Medicaid Services has proposed removing physician-administered drugs from the calculation of the Medicare physician payment formula. Doctor pay is reduced across the board when spending on all physician services -- a category that includes Part B drugs -- exceeds annual targets. Removing the costs of the drugs would lessen the extent to which spending would exceed targets and trigger cuts.

The CMS proposal, announced July 1, would not reduce next year's planned 21.5% across-the-board cut. But it would reduce the number of years after 2010 that physicians face reductions under the payment formula, and it also would decrease the size of the cuts that remain.

Over the next five years, projected doctor pay updates of between -6.3% and -5.4% would be replaced with updates of between -3.1% and 1.4%, said Jonathan Blum, director of the CMS Center for Medicare Management. This means Medicare would pay physicians $45.4 billion more over those five years than it would if the physician-administered drugs remained part of the pay formula.

More information
Reminder program boosts mammography rates
A multimodal reminder system can be both effectively implemented and maintained in a large health system and increase mammography rates, according to the results of a study reported online July 14 in the American Journal of Preventive Medicine.

"We know mammograms are effective, but too many women put them off, even when they have health insurance," lead author Adrianne C. Feldstein, MD, from Kaiser Permanente's Center for Health Research in Portland, Oregon, said in a news release. "This study is the first to show that these reminder programs can be effective in such a large group of women. If we could improve the country's mammography rate by the same amount, we could detect as many as 25,000 additional cases of breast cancer each year."

Using electronic medical record data, the investigators compared compliance with mammography during a pre-reminder phase (2004), a post-reminder implementation phase (2006), and a post-reminder maintenance phase (January 1 - July 1, 2007). The study sample consisted of 35,104 women aged 42 years or older who were 20 months past their last mammogram (index date) and who were members of the Kaiser Permanente Northwest health maintenance organization.

Read more...
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