December 2009
Volume 3, Issue 22
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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
Dr. Riveland
Brian R. Riveland, MD
 
"HIPAACMSOSHAPQRICCHITHEDISCOBRAICD10CL
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Ok, I know what you are thinking.  This is Riveland's last article he had his 3-year-old granddaughter do it for him.  I wish I was that smart.  Maybe we would get more wisdom and insight from her than from me.  But alas you are stuck with me for this last month...

Complete article...
In This Issue
From the President
Update from Dr. Bob England
H1N1 & Seasonal Flu Shot Locator
PACeHR appoints Executive Director to lead Arizona EHR Initiative
CDC warns of increasing pneumococcal disease associated with H1N1 Flu
Liability premiums stay stable, but insurers warn this might not last
The Comeback of AIDS Activism
RX for Business
2010 Seminars/Conferences
"It is not enough to take steps which may some day lead to a goal; each step must be itself a goal and a step likewise."
 
Johann Wolfgang von Goethe

Update from Dr. Bob England
Dear Colleagues,
 
This is the 8th update from me to providers who've enrolled to administer the novel H1N1 vaccine.  To see all the previous updates, go to: http://www.maricopa.gov/Public_Health/HotTopics/h1n1flu/health.aspx
 
Current situation
While we appear to be on the downside of the 2nd wave of the epidemic, some of our indicators (e.g., school absenteeism for influenza-like illness) rebounded a little after an earlier decline.  So I think it may be a long and bumpy road down.
 
More importantly, we must anticipate a 3rd wave of the epidemic.  It might come as early as our regular flu season, perhaps in January, or it might come months later.  To mitigate it, our strategy is to build enough herd immunity in children to decrease transmission to all of us.  You can read the explanation in more detail in my November 13 update at the above link.

Click here for more information.
H1N1 & Seasonal Flu Shot Locator - Where to get the shot!
For physicians to direct their patients to get the H1N1 vaccine or the regular seasonal flu shot, the Arizona Department of Public Health has an excellent shot locator at http://www.azdhs.gov/flu/flushotlocator.htm

Just type in the city or zip code and it will give you locations that provide the regular seasonal, H1N1 or both types of shots.
PACeHR appoints Executive Director to lead Arizona EHR Initiative
PACeHR (Purchasing & Assistance Collaborative for Electronic Health Records), a nonprofit corporation committed to fostering Electronic Health Record (EHR) adoption, successful use, and information sharing, today announced that Kristin Raffaelle has been selected as the Executive Director.

"Kristin Raffaelle is the ideal person to lead this initiative", said Roger Hughes PACeHR Board President and Executive Director of St. Luke's Health Initiatives, a public foundation in Phoenix. "Kristin has demonstrated leadership success within the technology and healthcare IT fields and is versed at developing innovative solutions targeted towards the physician office. Her experience will position PACeHR as the trusted partner to the broad community of interest."

During her 18 years in high technology and healthcare markets, Raffaelle has lead efforts resulting in the successful launch and adoption of new solutions to new and existing markets. Her prior corporate experience spans iMedica's Vice President of Marketing; GE Healthcare's Centricity Healthcare Information Technology division, and Lucent Technologies, where she led a global group of marketing and sales support for the Convergence Solutions. Kristin holds a degree in Industrial Technology and Engineering from Arizona State University.

Complete press release here
CDC warns of increasing pneumococcal disease associated with H1N1 Flu
Rates of serious pneumococcal infections associated with H1N1 influenza are increasing around the country, the Centers for Disease Control and Prevention (CDC) announced.

Anne Schuchat, MD, director of the CDC's National Center for Immunization and Respiratory Diseases, led a press briefing.  According to Dr. Schuchat, in the Denver metropolitan area, 1 of 10 active bacterial core surveillance sites where investigation into this issue is ongoing, the number of cases of invasive pneumococcal disease has tripled compared with the 5-year average for the month of October.

"Most of that increase has been in adults under the age of 60," Dr. Schuchat noted. "The findings in Denver probably reflect findings that are occurring in other parts of the country where the surveillance hasn't been as intensive," she added.

The findings highlight the fact that "pandemics put us at risk for not just flu problems but also bacterial pneumonia problems," and they also point to the need for prevention efforts, Dr. Schuchat said.  Only about 25% of high-risk adults younger than 65 years have received the vaccine that protects against pneumococcal disease, she said.

Complete Article...
Liability premiums stay stable, but insurers warn this might not last

For the fourth straight year, medical liability insurance premiums have eased nationwide.
That's according to the annual Medical Liability Monitor survey, which showed 94% of premiums holding steady or dropping in 2009. Fifty-eight percent of premiums had no change, up from 50% in 2008. Another 36% of premiums fell, down from 43% last year.

While those figures are encouraging, physicians and insurance executives say premiums still must shrink from sky-high levels. Insurers expect improvements to continue into next year but are cautious of some potentially unfavorable trends suggesting that results could be short-lived.

"It does ease the pain, but the pain is still there because rates are still dramatically higher" than they were before rising in the early 2000s, said Robert D. Francis, chief operating officer of The Doctors Company, a Napa, Calif., physician-owned liability insurer that participated in the survey.

Meanwhile, jury awards are climbing steadily, counteracting the major premium reductions needed to get back to more reasonable pre-2000 levels, he said. "So we're getting to the end of the point where rates are going to keep coming down," Francis said.

Complete Article...
The Comeback of AIDS Activism
After the first case was reported in 1981, America soon found itself in the middle of an AIDS crisis. For the next several years, the country was on high alert: men and women were dying quickly and painfully. Activists groups like ACT UP made headlines with disruptive and shocking protests demanding better care. TV shows devoted very special episodes to safe sex, and the global health community seemed united in its effort to eradicate AIDS.

But 28 years is a long time to be in crisis mode. And thanks to the 1996 development of the antiviral cocktail, a combination of drugs that largely stemmed the fatal and fast-moving elements of the disease while eliminating many of its highly visible indicators, the feeling of immediate danger that spurred so many people to action is now gone.

"When I was diagnosed, I was told I had a year left and I would have done anything if I thought it would've saved my life," says Regan Hofmann, the editor in chief of POZ magazine, who received her diagnosis in 1996. "But then three months later they said, 'You're going to be OK, you might even have a normal life span'. . . I was no less adamant about wanting to fight HIV/AIDS, but the urgency was gone."

Since that time, free condoms have largely disappeared from bars; red ribbons, once so ubiquitous at awards ceremonies, are rarely seen, and other health issues-from obesity to cancer-have taken up space in the public consciousness.

Complete Article...
RX for Business Seminar

Saturday, January 23, 2010
9:00 - 2:00 PM
320 N. 44th St. in Phoenix (Doubletree Guest Suites Phoenix)
Presenters:  Ann Couch, CPA & Sara Eversden, CPA
$175 per person (breakfast/lunch will be served)
Register here or for more information, call 602-955-5952

The Institute for Healthcare Business Education was formed in 2009 to provide quality business instruction to physicians and other health care providers in Arizona.   Rx for Business, its first course, is a 5-hour class designed to educate physician residents who will soon be establishing their own small business - a private medical practice. The course is intended to teach physicians the essential knowledge they must have to make wise business choices and informed decisions as they build their medical practice.  The course is led by two local certified public accountants with 40+ years combined experience serving physician practices and other health care organizations. 

The course topics will include:
-  Choice of business entity
-  Financing options for starting a physician practice
-  Filing and registration mechanics of getting a medical practice started
-  Debt, leases and financial statement metrics
-  Accounting topics
-  Requirements of operating a business and more!!

2010 Seminars/Conferences

Attention Members!!

We need your help!  The Society would love to be a part of seminar or conference for 2010.  We would like to represent the Society and attempt to garner more members.  All we need from you is the conference name, dates and any other information you can provide us regarding those seminars or conferences.  We would like to compile a list of them as soon as possible and even ones that you get solicited for but do not attend, please let us know.
 
You can email Claudia Bair at cbair@mcmsonline.com, fax the info (602-256-2749) or send us the information/flyer or brochure by mail (to Claudia's attention) that you receive regarding a potential opportunity for us. 

Thanks in advance!
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