July 2009
Volume 3, Issue 14
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InforMed Society

Offical E-Newsletter of the Medical Society

Keeping you InforMed about the latest health care news!
From the President

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 Brian R. Riveland, MD
I'll Skip the Sausage

It is unavoidable.  We are inundated with it every day; one cannot view a news program, listen to the radio, read a paper or magazine without it showing up.  No, I am not talking about Michael Jackson, I am talking about health care reform and health cost containment.   Even with all of the news stories, I am really having trouble figuring out what Congress is doing.  Congress is in the midst of making blood sausage, I can't bear to look.   One thing is certain, this has been a boon for health care lobbyists. 

One can listen to the talk shows and all of the "talking heads" about what needs to be done.  I was interested to hear that a particular expert on NPR indicated the solution is to have all physicians be salaried employees.  I am guessing it would then be illegal for physicians to own their own business.   Shall we do the same with trial lawyers? 

Read more...
FTC Delays 'Red Flag' Rule

The Federal Trade Commission has delayed enforcement of the "Red Flags" rule until Nov. 1, 2009. The rule requires many businesses, including health care organizations, to take specific steps to minimize identity theft. Following is the FTC's announcement on July 29, with a specific reference to health care in the last paragraph:

To assist small businesses and other entities, the Federal Trade Commission staff will redouble its efforts to educate them about compliance with the "Red Flags" Rule and ease compliance by providing additional resources and guidance to clarify whether businesses are covered by the Rule and what they must do to comply. To give creditors and financial institutions more time to review this guidance and develop and implement written Identity Theft Prevention Programs, the FTC will further delay enforcement of the Rule until November 1, 2009.

For more information....
In This Issue
From the President
Article Headline
Healthcare Reform Survey
ACT Kids Health Fair - VOLUNTEER!
New health idea puts emphasis on quality care
Cardiothoracic surgeon shortage likely by 2020
New insights into novel H1N1
Number of retail clinics shrinking
Obama calls food safety bill a 'major step'
"The achievements of an organization are the results of the combined effort of each individual."
 
Vince Lombardi

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LAST DAY!!  Healthcare Reform Survey

Today is the final day to be a part of the healthcare reform survey.  It is important to have each member engage in and respond to the biggest issue facing medicine in years. 
 
A $100 Durant's gift card drawing will take place Monday, August 3rd.  Please take few minutes to participate.
ACT Kids Health Fair - VOLUNTEER!

WE ARE IN SERIOUS NEED OF VOLUNTEERS!  PLEASE TAKE TIME OUT OF YOUR BUSY SCHEDULES TO HELP!

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.
 
Visit www.actkidshealthfair.org to sign up!!

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! 
New health idea puts emphasis on quality care
Imagine a health-care system that rewards doctors for quality over quantity.
Such an experiment is taking place in Arizona thanks to the efforts of IBM, which wants
more bang for its health-care buck.

The computer giant persuaded a health insurer, UnitedHealth Group, to test a new
system in Arizona that pays doctors based on keeping patients healthy. That represents
a departure from the fee-for-service model that pays doctors based on the number of
patients they see and procedures they perform.

Local participants say the "medical home" system merits attention because it
coordinates the major stakeholders in health care - employers, insurers, doctors and
patients.

The idea is that if doctors and their patients are encouraged to better manage chronic
health conditions such as diabetes or high cholesterol, patients are less likely to land in a
hospital emergency room - the most expensive place to provide health care.

Read more...
Cardiothoracic surgeon shortage likely by 2020, study predicts

The United States faces a severe shortage of cardiothoracic surgeons within 10 years if entry into the profession keeps declining while the patient population ages, a study predicts. [1] By 2025, even if CABG procedures are no longer performed--an extreme scenario--the US will lack at least 1500 cardiothoracic surgeons, the research estimates.

The study highlights the need for more surgeons despite the drop in CABG procedures and the rise in interventions such as angioplasty, senior author Dr Irving Kron (University of Virginia, Charlottesville) told heartwire.

"It turns out that even though angioplasty is a perfectly good therapy for a lot of people, many people have recurrence, and a significant number of patients still need coronary bypass and certainly other cardiac surgical operations," he said.  "We need to start to do a better job of recruiting individuals into our specialty, or I think patients are going to suffer," Kron cautioned.

The study is published online July 27 in Circulation.

Read complete article...
New insights into novel H1N1

This spring, a new influenza, or flu, virus began causing illness in people around the world. Originally called "swine flu" because it's a descendant of viruses that have long infected pigs, the virus is now called "novel H1N1." Several new studies have revealed where the virus came from and given insight into how dangerous it might become.

Influenza viruses have 8 genes, 2 of which-hemagglutinin (H) and neuraminidase (N)-code for proteins on the virus surface that allow the virus to enter and spread from cell to cell. There are 16 H subtypes and 9 N subtypes, making 144 possible HN combinations. Subtle variations in these 2 proteins affect how easily the viruses infect people and whether the immune system can recognize them.

Several research groups funded by NIH's National Institute of Allergy and Infectious Diseases (NIAID) and National Institute of General Medical Sciences (NIGMS) have recently put together a picture of where the novel H1N1 virus came from and how it evolved. They discovered that the novel H1N1 virus is a descendent not only of swine viruses but also of the H1N1 virus that caused the 1918 pandemic, which killed 40-50 million people worldwide.

Complete article...
Number of retail clinics shrinking; growth slows as partnerships sought with hospitals

Projections that showed there would be 2,500 retail clinics operating by 2010 are coming up short as the industry has seen more clinic closings than openings in recent months.

MinuteClinic, the first and largest retail clinic chain, now owned by CVS, closed 100 of its clinics for the summer, leaving 452. In two years, the number of clinics housed in Wal-Mart dropped from almost 80 to 30. The retail giant recently acknowledged it would not reach the goal it set in 2007: having 400 retail clinics in operation by 2010.

Despite high satisfaction among patients who use retail clinics, investors have found the industry is slow to turn a profit. Many clinics were forced to close when they ran out of cash and were unable to shoulder the financial losses.

Analysts say the current dip doesn't mean the demise of the industry. But it may indicate it's time to change strategy.  Many analysts believe the key to sustainability will be clinics partnering with hospitals that are better prepared to shoulder the initial losses. Clinics also can build on hospital name recognition to attract more patients.

Read complete article...
Obama calls food safety bill a 'major step'

The U.S. House of Representatives has passed a far-reaching food safety bill requiring more government inspections and imposing new penalties on those who violate the law, reacting strongly to an outbreak of salmonella in peanuts that killed at least nine people.

The legislation would require greater oversight of food manufacturers and give the U.S. Food and Drug Administration new authority to order recalls. It also would require the FDA to develop a system for better tracing food-borne illnesses. Food companies would be required to create detailed food safety plans.

President Barack Obama praised the bill soon after it was passed, calling it "a major step forward in modernizing our food safety system."

More information...
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