The official e-newsletter of the Maricopa County Medical Society  

Volume 9  |  Issue 21  |  December 1, 2015  


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In This Issue
Don't Let Your MCMS Membership Lapse
2015 Diabetes Summit: Asian Community Implications
State Inspectors Find Issues at Theranos Labs in AZ
Theranos Rival Offering Lab Tests in Arizona Safeway Stores
Keep Contact Information Curent with the Arizona Medical Board
Physicians Discuss Medical Errors
IRS Launches ACA Resource Center for Employers
How Residents Are Beating Burnout
AZMB Needs Volunteers
Meritus to Close Shop December 31st
Medicare Quality Reporting Programs: 2016 Physician Fee Schedule Call - Register Now

Curso Intensivo de Diabetes, Endocrinología y Enfermedades Metabólicas
MEDICAL OFFICE SUITE AVAILABLE TEMPE-MESA AREA
For lease in beautiful garden office complex. Includes covered doctor parking. Excellent location with easy access to 101 & 60 freeways and close to Desert Samaritan & Tempe St. Luke's Hospitals.

Contact 602-625-6298

Collaborative Care in Chronic Disease 

Viral Hepatitis Summit Materials Available
A Little Something Different for Our Readers...
Dr. Ian Grant-Whyte, MCMS member since 1978, recently emailed the MCMS staff a shortbread recipe. This is not our usual content for InforMED, but as we read through the ingredients and the preparation steps it looked so good and easy we had to share with our membership.

The story on how this came about from Dr. Grant-Whyte:

One Christmas, many years ago, a patient brought a box of delicious shortbread to my office, made from her mother's recipe. I was their Family Doctor. I telephoned this patient (we had not spoken or seen each other in over thirty years) to get her permission to share with you her mother's recipe. She said I was more than welcome. Please follow the recipe instructions carefully.

Mrs. Tyne Alcorn's (1887-1985) Family Secret shortbread recipe
 
Batter:
  • 1 pound very soft butter
  • 3-3-1/2 cups flour (more if needed)
Heat oven to 300 degrees. Slowly mix the flour with the butter until it forms a soft but not sticky dough. On a flour board, pat the dough until it is 1/2 inch thick (or slightly less). Using a round cutter (1-1/2 inch in diameter), cut the cookies and place them on a cookie sheet. Bake for 25 to 30 minutes, or until slightly golden. Remove and cool. Since there is no sugar in the cookies, they can be frosted and topped with red or green candied cherries.
 
Icing:
  • 1/4 cup butter
  • 2-1/2 cup icing sugar
  • 3-4 tablespoons of milk or cream
Mix cream butter and gradually add icing sugar and cream to make spreading consistency. Add more sugar or cream, as necessary. Spread icing on cookies and top with pieces of cherry. Enjoy! 
UA, Cox Communications Team Up for Family-Friendly Event
Whistle-blower Worries: Hospitals Likely to See More False Claims Suits Tied to Doctor Compensation
Tis' the Season to Help Others
Don't Let Your MCMS Membership Lapse!
Please Remit Your 2016 Dues by December 31, 2015
Please take the time to renew your Maricopa County Medical Society membership. You can do so by using the online portal (member ID# is required) or calling the MCMS membership office at 602-252-2015 and select option zero ("0"). Thank you!

2015 Diabetes Summit:
Asian Community Implications

December 8, 2015, 11 am - 1 pm 
Hear from health experts on Type 2 diabetes prevalence among Asian Americans in comparison to other racial and ethnic groups in the U.S., and join in discussions on strategies to address it.

Lunch will be provided. This is a FREE EVENT. For session topics, speakers and to register, click here >>
State Inspectors Find Issues at Theranos Labs in Arizona

By Patrick O'Grady, Phoenix Business Journal
Originally posted Nov. 30, 2015

Silicon Valley company Theranos may be dealing with issues with its lab tests nationally, but it also had Arizona inspectors looking at potential issues.

The company's lab in Arizona was found to have some deficiencies during an April 2nd review, but those were corrected and were considered routine by the company, according to a story in the Arizona Republic.

Arizona Department of Health Services officials were assigned to inspect the lab for the Centers for Medicare and Medicaid Services. The lab is expected to examine more than 1 million samples per year. Theranos has drawn flak in recent weeks after claims that its tests using a minimal amount of blood were found to work on only one test. The company has developed a large presence in Arizona that includes a deal with Walgreens for more than 40 locations.

Theranos CEO Elizabeth Holmes has been defending the company's quality assurances in public and on the company's website.

That expansion was halted as Walgreens officials sought more data on Theranos' tests.

Theranos' Scottsdale lab uses only tests other labs do, and it does not rely on the small blood draws that have been scrutinized by federal regulators.
Theranos Rival Offering Lab Tests in Arizona Safeway Stores

By Cromwell Schubarth
, Silicon Valley Business Journal
Originally posted Nov 30, 2015
A pair of new medical testing centers have sprung up inside Safeway stores in Arizona, operated by a rival of Palo Alto-based Theranos.

The news comes a couple of weeks after The Wall Street Journal reported that a potential $350 million deal in which Theranos was going to offer its blood testing services in the grocery giant's stores had fizzled.

That story followed other reports by the Journal that questioned whether the company led by CEO Elizabeth Holmes had exaggerated how widely its finger-prick blood test technology was being used. The company said the Journal's stories were wrong and that it had only reduced the number of tests done using its technology to one for herpes while it worked with federal regulators on others.

Sonora Quest Laboratories announced its Safeway clinics last week in a press release that apparently got little notice in the days before Thanksgiving. The company is a joint venture of Banner Health and Quest Diagnostics.

The Arizona Republic and Business Insider picked up on the announcement Monday.

The Republic reported that Sonora Quest is the dominant lab company in metro Phoenix, operating 70 testing centers where Arizona consumers can get doctor-ordered tests. It began offering direct-to-consumer tests after Arizona Legislators passed a Theranos-backed bill in the spring to allow people to get tests without a doctor's orders.

Theranos operates testing clinics in 40 Walgreens stores in Arizona and at Arizona State University clinics in Phoenix and Scottsdale.

The paper said Theranos issued the following statement when asked to comment on Safeway's decision to partner with Sonora Quest: "Theranos has defined the accessible lab testing model in Arizona, as the first to create retail-based wellness centers and as the only lab that championed historic legislation that now allows direct access to that lab testing. We are confident in the strength of our provider and retail partnerships and look forward to continued expansion in Arizona and elsewhere."
Arizona Medical Board Update Reminds Physicians to Keep Contact Information Current
Medicine This Week
Originally published Nov. 20, 2015

The Arizona Medical Board (Board) sent the following reminder as an email to Arizona physicians about keeping contact information current. The email was "sent as a reminder of your statutory obligation to maintain your contact information with the Arizona Medical Board. As your licensing agency, there are times when we need to contact you and/or send you reminders regarding the status of your license. For example, the Board does send an email reminder regarding your renewal deadline. It is imperative that we have up-to-date information which will allow us to communicate directly with you."

In order to facilitate communication between you and the Board, please take a moment to click on this link  https://azdo.glsuite.us/glsuiteweb/clients/azbom/Private/changeaddress/login.aspx to access your profile and update your contact information. Please see the statute below that requires you to report a change of address and allows for a penalty if this information is not maintained with the Board.

32-1435. Change of address; costs; penalties

A. Each active licensee shall promptly and in writing inform the board of the licensee's current residence address, office address and telephone number and of each change in residence address, office address or telephone number that may later occur.

B. The board may assess the costs incurred by the board in locating a licensee and in addition a penalty of not to exceed one hundred dollars against a licensee who fails to comply with subsection a within thirty days from the date of change. Notwithstanding any law to the contrary, monies collected pursuant to this subsection shall be deposited in the Arizona medical board fund."  

Physicians Discuss Medical Errors
By Lyndra Vassar, AMA Wire
Originally posted Oct. 22, 2015

What helps physicians after committing a serious medical error? Researchers recently asked 61 physicians the same question and distilled their words of wisdom into a must-have list of recommendations for physician training programs to consider. Here's how experienced physicians have learned to cope with medical errors and to grow professionally despite challenging experiences in practice.

Authors of a recent study published in Academic Medicine found that although "healthcare institutions are increasingly recognizing the physician as the 'second victim' of medical error, more attention needs to be placed on reframing the error into a positive post-learning event, rather than a 'coping' or 'surviving' framework."

This propelled professors at University of Virginia School of Medicine, University of Florida and Harvard Medical School to investigate factors that may help physicians gain wisdom and inform educational programs to support physicians after harmful errors occur.

Authors of the study spent three years conducting interviews with physicians who volunteered to discuss their most serious self-reported medical errors. Using their interview responses, study authors identified key themes that reflect what helped physicians cope with medical errors and advance in their careers. Among the themes they identified as beneficial to physicians learning and healing after committing medical errors were seven steps.

Read more >>

IRS Launches Affordable Care Act Resource Center for Employers
The Internal Revenue Service recently launched a new online Affordable Care Act (ACA) resource center for employers. The ACA Information Reporting Center for Applicable Large Employers (ALEs), provides information on the employer mandate and reporting requirements. The Web page specifically discusses:
  • How to determine if you are an ALE;
  • Resources for ALEs; and
  • Outreach materials.
Although geared toward large employers, the IRS did state it will provide information and resources for employers of all sizes.

Read more >>


How Residents are Beating Burnout with Help From the Theatre

By Lyndra Vassar, AMA Wire
Originally posted Nov. 11, 2015

Residents want work-life balance, but finding time to preserve your own wellness while successfully caring for your patients requires self-awareness and boundaries, two things many residents struggle to establish amid pressures in training. That's why one physician created a play as a wellness solution that helps residents tackle tough conversations about balancing family, personal identity and practice.

When Bill Thomas, MD, sat down to pen the first scene of his play, a blaring trumpet is all that came to mind. He planned to start the play with a brassy trill but didn't know what would come next. He imagined how one horn would help him capture the physician who hasn't spoken to his spouse in days, the resident who stopped playing cello or the intern dreaming of a full night's sleep. He knew he wanted to write an honest play that followed familiar physician stories and a theatrical format any medical team could perform.

After a year of rewrites, what started as a looping sound boomed into "Play What's Not There," a one-act play exploring honest life challenges physicians confront while juggling practice, self-fulfillment and family.

Read more >>

Arizona Medical Board Needs Volunteers - Sign-up to Serve as a Medical Consultant
Physicians invest years of study in medical school and post graduate training in addition to spending countless hours refining their skills. The Arizona Medical Board (Board) is offering physicians an opportunity to share that experience, obtain continuing medical education credits and a small, per case stipend by becoming a Medical Consultant.

It is the Board's Mission to protect the public safety through the judicious licensing, regulation and education of Arizona's physicians and physician assistants. Medical Consultants are the backbone of the Board's regulatory power. Consulting is convenient to your busy schedule because you can work from home at hours that coincide with your schedule. Plus, you can conveniently and securely review and submit your professional opinions online.

For more information, please visit the website at www.azmd.gov or email omc@azmd.gov.
Arizona Health Insurance Co-op Meritus to Close Shop December 31, 2015
The Associated Press
Originally posted Nov. 24, 2015

Executives with Arizona's non-profit health insurance co-op said Tuesday that they have failed to come up with additional financial backing and the insurer plans to shut down all operations Dec. 31st.

The announcement by Meritus Health Partners means 59,000 Arizonans it now covers need to find a new insurer by Dec. 15th, if they want coverage on Jan. 1st.

The decision comes nearly a month after the Department of Insurance suspended its right to sell new policies or renew current ones and placed it under formal supervision. Federal officials also pulled its policies from the health insurance marketplace website late last month.

Read more >>

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