MSDC stripped
eNewsline

February 11, 2013
Vol. 20, No. 3  
DC Council Considers Legislation to Mandate Nurse Staffing Ratios

DC Council logo     Last Tuesday, two related pieces of legislation addressing hospital nurse staffing were introduced in the DC Council. The "Patient Protection Act of 2013," sponsored by a nine-member majority including Chairman Phil Mendelsohn and Committee on Health Chair Yvette Alexander,  would require hospitals to maintain a strict nurse-to-patient ratio within four years, ranging from 1:1 in the operating room to 1:6 in psychiatric units. Councilmember Mary Cheh introduced the "Nurse Safe Staffing Act of 2013," which does not specify nursing ratios but requires hospitals to establish a hospital-wide nurse staffing plan developed by a nurse staffing committee, comprised of at least 55% registered nurses. 

    The use of mandatory staff ratios to improve patient care, part of the "Patient Protection Act of 2013," is not new. California implemented such measures ten years ago. However, California's experience has not shown improvement in quality and safety measures, according to a fact sheet from the District of Columbia Hospital Association. Since California implemented these mandates 10 years ago the practice has been considered and rejected by 48 states. 

    District hospitals all must comply with quality and safety standards set by the Joint Commission, the Centers for Medicare & Medicaid Services and the D.C. Department of Health, but differ in how they determine their specific staffing needs. For example, at least one District hospital uses a multidisciplinary committee of nurses and physicians to make staffing recommendations to hospital administration. This corresponds with AMA policy on nurse staffing in hospitals that encourages medical and nursing staffs to work together and with hospital administrators on allocation of resources to address patient care, but provides flexibility on the composition of the advisory group.  

     The bills have been referred to the Committee on Health for a public hearing, but a date for the hearing has not yet been set. While MSDC has identified a number of provisions in the Patient Protection Act of 2013 that are troublesome, it is still evaluating both pieces of legislation to determine its position. 
What Do You Think?
Do you support DC legislation proposing that hospitals be staffed according to mandated nursing ratios?    Take our poll and let us know!
In This Issue
Final Reminder: Renew Your DC LIcense
AMA Supports GME Funding
Requirement for ER/LA Opioid Analgesic Prescribers
From CMS: Preventing Hear Disease
From ACP: Adult Immunization Partnership with CDC
GW MFA Adds Carly Fiorina to Board
CareFirst Taps Linda Cropp

MSDC Events

MSDC

 

BOARD OF DIRECTORS MEETING ... Join us!
Monday, February 25
6:30 pm
1250 23rd Street NW Washington, DC 20037


Current members  requesting an invitation in advance are welcome to attend. For details, email Pia Duryea.     

 

Young Physicians' 

Networking Event/ Capitals Game 

 Thursday, February 26

  Saturday, March 9

 

More details will follow, but save the date! Email Pia Duryea to express interest. 

Other Events

AMPAC Candidate Workshop   
February 15-17
Pentagon City, VA

  

This workshop is for AMA members and their spouses who are considering a run for public office. Click here for more information or to apply. 


Athenahealth
Dinner Program -
Finding the Dollars:

Thriving Through Health Care Payment Reform    
Thursday, March 14
6:00 - 9:00  pm
Four Seasons Hotel
2800 Pennsylvania Ave,
Washington, DC

6:00 pm -Registration & Cocktails
6:30 pm -Dinner & Program
7:30 - Questions & Networking

This is an informational dinner. No cost to attend. Read more here

CME CREDIT EVENTS  

Cannabis in Medicine: A Primer for Healthcare Professionals   

Friday, February 22
2:00-6:00 pm
Mayflower Renaissance   Hotel
1127 Connecticut Ave NW Washington, DC 20036 

 

2.75 AMA PRA Category 1 Credits. See brochure for more information.  

 

The Business of Medicine - 2nd Annual Summit 

February 23-24
Thomas Jefferson University Campus
 Philadelphia, PA 

 

Up to 15 CME credits are available . Click here for price and conference information. MSDC members pay the early bird rate with password "MedSoc" 

 

Annual Regional Ethics Committee Conference
Friday, March 29
9:00 AM -5:30 p.m. 
Washington Hospital Center

Up to 6 CME units are available for this program.  For details on conference, view the brochure.
Corporate Partners

ProAssurance  

 

 IC System 75 year logo   

 

Atlantic Health Partners 

 

 

Transfirst-conversion logo   

Athenahealth 

  Pfizer New Logo

 

  CBeyond logo

 

2012-13 Board of Directors

 

Catherine S. May, MD
Chair of the Board; At-Large

Daniel I. Perlin, MD
President

 

Laura L. Tosi,, MD

President-Elect

 

James C. Cobey, MD

Immediate Past President; At-Large 

 

Joseph Gutierrez, MD

Treasurer; AMA Delegation Chair

 

Reginald Robinson,MD

Secretary; At-Large

  

Peter E. Lavine, MD

AMA Delegate

 

Laura L. Tosi, MD

AMA Alternate Delegate

 

Julian R. Craig, MD

At-Large  

 

John W. Larsen, MD

At-Large 

 

Barry Lewis, MD, MBA

At-Large

 

Joan B. Loveland, MD

At-Large 

 

Carla Sandy, MD

At-Large

  

Stuart F. Seides, MD

At-Large

 

K. Edward Shanbacker

Executive Vice President

MSDC eNewsline
Editor
Pia R. Duryea
202-355-9414 (direct)
duryea@msdc.org

MSDC Offices
1250 23rd Street, NW
Suite 270
Washington, DC 20037
202-466-1800 (phone)
202-452-1542 (fax)
www.msdc.org 
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Two Weeks Left to Renew Your License!  
Final Renewal Deadline is 2 Weeks Away

   The 2012 renewal period for physician licensure is coming to a close. The renewal deadline was extended to February 28, 2013, to allow sufficient time for licensees to undergo the required criminal back ground check (CBC) and be finger-printed. If you have not already made your appointment, visit https://dc.ibtfingerprint.com/ or call 1-877-783-4187  

   If you submitted your renewal application and completed the CBC and fingerprinting and have still not received your license, you can check on the status by calling the Board of Medicine at (877) 672-2174. If you have concerns, you may call the Medical Society at (202) 466-1800.

AMA's "SaveGME.org" Targets Capitol Hill on Critical Funding Issue
AMA Aims to Preserve GME Investments
American Medical Association

   "Residency training gives new physicians hands-on experience and provides high-quality care to patients," AMA President Jeremy A. Lazarus, MD, said in a news release. "Limiting the slots available to train physicians as they leave medical school creates a bottleneck in the system and prevents the physician workforce from growing to meet the needs of our nation's patients.

   The AMA's action-oriented campaign website will house in-depth policy analysis as well as grassroots talking points and online calls to action for activists to call/email members of Congress. Learn more at www.SaveGME.org.  

FDA Requirement for Prescribers of Opioid Analgesics
Risk Evaluation and Mitigation Strategy (REMS) Requirement for Some Opioid Analgesics

   A Risk Evaluation and Mitigation Strategy (REMS) is a strategy to manage known or potential serious risks associated with a drug product and is required by the FDA to ensure that the benefits of a drug outweigh its risks.

    Extended-release and Long-acting (ER/LA) opioid analgesics companies have worked with the FDA to develop materials for the REMS program to educate and inform healthcare professionals on the safe prescribing ER/LA opioid analgesics. In addition, CE providers are developing independent CE-accredited educational activities that focus on the safe prescribing of ER/LA opioid analgesics.

   Under the conditions specified in this REMS, prescribers of ER/LA opioid analgesics are strongly encouraged to do all of the following:

  • Train (Educate Yourself) - Complete a REMS-compliant education program offered by an accredited provider of continuing education (CE) for your discipline
  • Counsel Your Patients - Discuss the safe use, serious risks, storage, and disposal of ER/LA opioid analgesics with patients and/or their caregivers every time you prescribe these medicines. Click here for the Patient Counseling Document (PCD) 
  • Emphasize Patient and Caregiver Understanding of the Medication Guide - Stress to patients and their caregivers the importance of reading the Medication Guide that they will receive from their pharmacist every time an ER/LA opioid is dispensed to them
  • Consider Using Other Tools - In addition to the PCD, there are other publicly available tools to improve patient, household and community safety, as well as compliance with conditions of treatment, including Patient-Prescriber Agreement (PPA) and risk assessment instruments

 

For additional information about the ER/LA Opioid REMS Program, call 800-503-0784.

February is American Heart Month
CMS logo
Preventing Heart Disease and Increasing Awareness of its Affects
      February is American Heart Month, a time to draw attention to cardiovascular disease and educate people on what we can do to live heart-healthy lives. Cardiovascular disease-including heart disease and stroke-is the leading cause of death for men and women in the United States. The good news is that risk factors such as hypertension, high cholesterol, smoking, and obesity are preventable and controllable.    However, many people don't know they are at risk for cardiovascular disease and are therefore unaware that lifestyle changes such as weight control, blood pressure and cholesterol control, and smoking cessation could reduce their risk or prevent a heart attack or stroke. Making lifestyle changes-whether trying to reduce, prevent, or manage disease is not easy. Medicare provides the following benefits for Medicare patients that meet certain eligibility criteria that can help identify risk factors and provide your Medicare patients with tools to help them make heart-healthy lifestyle changes:
  • Initial Preventive Physical Exam (IPPE, also known as the "Welcome to Medicare" Preventive Visit)
  • Annual Wellness Visit providing Personalized Prevention Plan Services
  • Cardiovascular Disease Screening Blood Tests (total cholesterol, high-density lipoproteins, and triglycerides tests)
  • Diabetes Screening
  • Intensive Behavioral Therapy for Cardiovascular Disease
  • Intensive Behavioral Therapy for Obesity
  • Tobacco-use Cessation Counseling Services

What Can You Do?

  • Help seniors and others with Medicare identify and better understand their risk factors for heart disease and stroke.
  • Talk with your patients about lifestyle changes they can make to reduce, eliminate, or control their cardiovascular disease risk factors.
  • Encourage the appropriate use of Medicare preventive benefits that can help your patients reach their goals.
  • Learn more about, and take advantage of information provided by campaigns like American Heart Month and Million Hearts™, a national initiative to prevent 1 million heart attacks and strokes by 2017.
AMA's Prescription for a Healthy Practice in January & February
Check-up Series Covers Claims Revenue Cycle & Overpayment Recovery
American Medical Association  January's prescription to help physician practices stay healthy focused on the claims revenue cycle, while
February's prescription focuses on overpayment recovery.
   By performing check-ups on these areas, physician
practices can ensure their everyday administrative processes are healthy. These check-ups are a part of the AMA Practice Management Center's monthly "Prescription for a healthier practice" series which you can learn about by subscribing to Practice Management Alerts e-mails at www.ama-assn.org/go/pmalerts.
ACP Adult Immunization Program & Updated Dinner Information

Local Physician Chapter Partners with CDC to Launch New Adult Immunization Program 

   The DC Chapter of the American College of Physicians (ACP) is pleased to announce its partnership with the national ACP and CDC to launch a new adult immunization education and quality improvement initiative. This free opportunity for physicians and members of their health care team will provide new information about recommended vaccines, strategies for increasing vaccination among your patients, and access to performance measurement tools, other educational and QI tools including ACP's Medical Home BuilderŪ, Maintenance of Certification practice improvement credit, HIPAA compliant professional networking and communications tools, and hands-on support for your practice or program at no cost.

ACP Dinner: March 21, 2013, 6:30 - 9:00 pm (Date Correction)
    The initiative will be launched at a regional dinner program on March 21, 2013 from 6:30 to 9:00 PM at Mayflower Hotel, 1127 Connecticut Ave NW. Robert Hopkins, MD, a national expert in adult immunization will lead the presentation, followed by a discussion with local leaders in immunization. There will be ample time for answering your questions along with facilitated discussion during the program.

   To learn more about this initiative and sign up, please contact Yodit Beru at yberu@acponline.org. Space is limited, so interested participants are encouraged to respond as soon as possible.  

GW MFA's Board Includes Technology & Banking Leadership
GWU MFA

GW MFA Adds Carly Fiorina and Others to Board
  The George Washington University Medical Faculty Associates (MFA) has restructured its board of directors. The board now is comprised chiefly of highly-regarded technology, banking, government and community leaders, who are independent of the GW campus. This news caps the MFA's 12-year rise from its origin as a relatively small university-run physician group to be the largest and fastest growing independent physician group in the Washington, D.C. area with annual revenues in excess of $350 million.

    The restructured board is comprised of eight unaffiliated trustees and four physicians who are professors and chairmen of departments of Medicine, Surgery, Radiology and Urology. Jeffrey S. Akman, MD, Vice President for Health Affairs and Dean of the George Washington University School of Medicine & Health Sciences and MFA CEO Stephen L. Badger also serve as ex officio trustees.The unaffiliated trustees are:
  • Brian Conroy, head of Capital One's $40 billion securities investment portfolio
  • Carly Fiorina, former Chairman & CEO of Hewlett-Packard and the first woman to lead a fortune 20 company   
  • Leslie V. Norwalk, Strategic Counsel to Epstein Becker Green, EBG Advisors and National Health Advisors
  • Edwin Phelps, Founder of ESI International
  • Harvey Pitt, Chief Executive Officer of the global business consulting firm, Kalorama Partners, LLC
  • Morris Reid, Managing Director of BGR Group
  • Gerry Sigal, Founder and CEO of Sigal Construction
  • Blair Watters, equity partner at The Madison Group, a bi-partisan government relations and consulting firm 
For more information, read here.  
CareFirst appoints Linda Cropp Chairwoman
Former DC Council Chair Heads CareFirst Board
     Linda Cropp was elected Chairwoman of the CareFirst, Inc. Board effective January 2013. She previously served on CareFirst's Board of Group Hospitalization and Medical Services, Inc. from December 2006 to December 2011.

     Linda Washington Cropp served as a public servant for three decades. After receiving her bachelor's and master's degrees from Howard University, Cropp began her career with D.C. public schools, first as a teacher and then as a guidance counselor. In 1980, she was elected to the D.C. Board of Education, serving as the Board's vice president and president.

     Read more here.
Classified Ads 
Medical Office For Sale 
    Suitable for one or two physicians or healthcare professionals. Prime location for concierge practice in desirable area across from GW Hospital and Metro. Fully furnished, 1100 square feet, in excellent condition. Parking space available. 
    Call (202) 669-3657 or email paulspeigler@hotmail.com.  
Strengthen Your Practice's Immunization Performance

    Primary Care Physicians are in the best position to improve adolescent and Atlantic Health Partners adult vaccination rates. Immunization for Flu, Pneumococcal, Shingles, and Tdap vaccines continue to fall short of the U.S Department of Health and Human Services objectives.

    Fortunately, the Medical Society of DC has a strong partner in providing our members the resources and support to cost-effectively improve immunization rates, and in turn, strengthen your practice. Atlantic Health Partners, the nation's leading vaccine buying group, offers you the lowest vaccine prices and finest customer service to improve the performance of your immunization initiatives. Atlantic even has a program that enables you to provide vaccines like Zostavax (Shingles) and Adacel (Tdap) to Medicare Part D patients.

   MSDC members that currently participate with Atlantic are very satisfied with the savings and support. We encourage you to contact Atlantic at 800-741-2044 or info@atlantichealthpartners.com to better determine how they can benefit your practice.    

From MSDC: Up to 75% Off Prescription Drugs Using DC RxCard
     As a physician in Washington, DC, you and your patients have access to a FREE Prescription Drug Card program.  The Medical Society is pleased to offer the DCRx CARD. Your patients can save up to 75% on prescriptions, selected eye-wear, vitamins and other products. The card is accepted in pharmacies in the District, Maryland and Virginia.
     The Medical Society of DC has new cards available and any Society member who requests it may receive a supply of 250 cards. Please email Pia Duryea at duryea@msdc.org and ask for cards for your patients.