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IPMANEWSLETTER
August 2015
The 100th Annual Meeting is less than 2 months away! Register today!
The more open relationship with Cuba and the United States has me enthusiastic in several different avenues. Being a gourmet cook and aficionado of Cuban cuisine motivates me to be able to discover different angles and experiences of Cuban food at all levels. A possibility of being able to explore and appreciate
Cuban cigars is extremely exciting.
The most motivating aspect is to be able to pursue Cuban medical and technological exposure to the treatment of diabetes and the plethora of complica-tions that accompany the disease. Cuban medicine has many new and technological treatments of this disease that we have no access to or experience with. I can only hope that our exposure will be open and available to these treatment modalities.
From the EditorIn this IssueKirk M. Contento DPM
Letter From the PresidentBrent Parry DPM
Snapshots in TimeMichael Hriljac DPM, JD
REMINDER: Local Coverage Determination Nerve Con-duction Studies and Electromyograph (L33386)Jeffery Crowhurst DPM
Fee ScheduleJeffery Crowhurst DPM
Medical Review Denial ToolJeffery Crowhurst DPM
Insurance AdvisorJondelle Jenkins DPM
Public Relations Committee ReportHelena Reid DPM, Amanda Brazis DPM, Sarah Dickey DPM
The Centennial Committee is Pleased to Announce the 100th Anniversary Gala!
Affiliated Associations to Present at the Annual Meeting
Past Presidents of the IPMA Come Together to Reflect
The ABCs of Buying Life InsurancePeggy Goddeau
Secrets of Success: Telling (alone) is not TeachingLynn Homisak
Meet the Candidates
Classified Ads
HELLPPPetition
Illinois Podiatric Medical Association ∞ www.ipma.net
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FROM THE PRESIDENT
Illinois Podiatric Medical Association ∞ www.ipma.net
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It’s hard to believe that’s it been nine months since I became President of IPMA, time flies when you’re having fun.
The IPMA and our lobbyist continue to monitor the ongo-ing budget battle in Springfield, ready to represent our membership if the need arises. Members of the IPMA have been very active in attending a variety of political events to keep our profession visible. We will stay atop of the situation and keep you all informed.
The IPMA continues to work hard to establish the neces-sary relationships with other professional organizations to help us in our efforts. We have made some progress on that front and we will continue to do so. As I reflected on the upcoming celebration of our one hundred years of association, I was amazed at the prog-ress that the IPMA was able to achieve for our profession. The benefits and privileges that our profession enjoy now are because of the hard work, professionalism and the te-nacity of those before us. We still face levels of difficulty and bias based upon our degree, but they fight us only because we are the best. I think that the best way to help honor those who paved the way and those who con-tinue to pave the way is by making sure that you attend the Gala celebration coming up at the Annual Meeting in October.
The event planning is coming along nicely with a won-derful evening planned for all attendees. This will be an event worthy of a hundred years of celebration. So, mark your calendars for Friday, October 9th, it will be an awe-some time.
The IPMA is a well tuned machine that runs very well, however, that would not be possible without some amazing staff members, so my thanks to Mike, Glenn, Anne Marie, Jessica, Mary Jo and Karen for all the hard work, time and effort you put into making the IPMA what it is. I really appreciate it and I know the membership does as well.
Thanks to the members of the IPMA who continue to provide the best foot and ankle care in Illinois. Remember to plan for the Annual Meeting and the Gala in October. It will be great and we will see you there.
Brent Parry DPM, MS President
REMINDERMembership dues for 2015 -2016
Must be PAID IN FULLBy August 30, 2015
Young Physicians Institute
The IPMA has agreed to sponsor two young members for the Young Physicians Institute co-
sponsored by PICA Insurance and APMA to be held at PICA Headquarters in Franklin, TN September
25-26.
Congratulations to Dr. Catherine Feuerstein and Dr. Sarah Park!
Doctors in the News:Local Podiatrist “steps up” to aid Fairdale
tornado victims.
Dr. Katherine Bailey and her office manager Dawn Burke reached out to Dr. Comfort to help neigh-
boring Fairdale victims after a devastating tornado destroyed their town.
Dr. Comfort graciously donated 97 pairs of shoes that were distributed to the grateful folks in Fairdale.
Many, many thanks to Dr. Bailey, Dawn Burke, Donna Tastad and to Carmen Butschlick, who is their Dr. Comfort representative for their efforts.
And... a special THANK YOU to Dr. Comfort for their generous donation.
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3. Improving the disparity of Medicaid and Medicare reimbursement for podiatry.
4. Gaining staff privileges at main line hospitals.5. Addressing the new Prospective Payment System
(PPS) for hospitals and the Resource Based Relative Value System (RBRVS) for physicians. These forever changed the way medical care was reimbursed.
In 2001-2002 Dr. Kirk Contento, President, Dr. Jondelle Jenkins, President-Elect, Dr. Michael Hollander Vice-President, Dr. John Ruff, Treasurer and Dr. Laura Pickard, Secretary addressed:1. Medicare with their fiscal intermediary Wisconsin
Physician Services putting arbitrary restriction on amputations.
2. Blue Cross Blue Shield’s attempts to collect refunds for previously approved orthotics.
3. Recognition of the profession by the public and other health care providers.
In this the 2014-2015 year we are blessed with an active and capable Executive Council; Dr. Brent Parry, President; Dr. Carlos Smith, President-Elect; Dr. Helena Reid, Vice-President; Dr. Douglas Pacaccio, Treasurer; Dr. Eric Riley, Secretary; and Dr. Frank Rottier, Immediate Past Presi-dent.
1. Today we face a new payment systems based on outcomes and costs
2. Electronic Health Records3. ICD-10. 4. Medicaid and Medicare cut backs 5. Residency shortages, and 6. Board Certification issues
We have survived adversity before and will again. We have achieved a greater acceptance by the medical commu-nity than ever before. Many podiatrists now work in multi-specialty clinics, orthopedic groups and on university medical staffs. Scholl College is now part of an allopathic medical university and podiatry students train side by side with medical students, physician assistant students, physical therapy students and pharmacy students. Three year residency positions are now required with additional fellowships available.
We will survive and continue to gain recognition of our skills. There will be some pain, as there will be in the al-lopathic and osteopathic community. Together we will prevail.
Snapshots in TimeIn preparation for the upcoming centennial, celebra-tion we have been researching the archives at IPMA. The result: some things never change!
Predictions of Doom and Gloom continue to surface in Podiatry. However, we have prevailed and prospered despite an onslaught of legislation and change.
In 1982, we see this thread continue in the goals and comments expressed by the Executive Council. Mem-bers of this Executive Council were Dr. Donald Hugar, President; Dr. Vince Perns, President-Elect; Dr. Max Rexrote, 1st VP; Dr. Phil Morreale, 2nd VP; Dr. Carl Cor-tese, Treasurer; Dr. Ed Giese, Secretary; and Dr. Dale Smith, Immediate Past President.
Some of their goals:1. Continue to work to remove barriers to hospital staff
membership.2. Work to improve the community and professional
image of the podiatric profession.3. Expand Podiatric Residency positions.4. Fair compensation for podiatry
Some comments noted:1. Membership in your state society and national as-
sociation is more vital now than any other time in the last 20 years. Everything that organized podiatry has accomplished can come to a screeching scary halt.
2. Federal cutbacks are affecting Medicaid through-out the land. Medicare cutbacks are on the horizon. Health Maintenance Organizations will affect every podiatrist not affiliated with an established HMO. Private insurance companies are considering foot care by anyone to be an option. Select unions have eliminated podiatric care.
3. The podiatric profession has provided us with more opportunities, both financial and social than ever perceived. We owe our profession and society more than just paying dues.
When I assumed the role of President in 1991, we faced new and continuing problems. Joining me on the Ex-ecutive Council were Dr. Lila Mancini, President-Elect; Dr. Jeffery Crowhurst, 1st VP; Dr. Gregory Amarantos, 2nd VP; Dr. William Wood, Treasurer; Dr. Lewis Carrozza, Sec-retary and Dr. Larry Erlander, Immediate Past President.
Some of our goals:1. Improving the image of Podiatric Physicians.2. Addressing residency shortages.
Illinois Podiatric Medical Association ∞ www.ipma.net
This article addressed issues and the reoccurring climate faced by our profession. Through the years we see a thread of hope and hard work in the face of issues af-fecting every aspect of podiatry. Every IPMA board has worked hard to improve our position, but it is the respon-sibility of all podiatrists to do more than pay dues.
We must continue to support legislative issues that help our members and fight to oppose those that do not. To prevail, we must increase our membership. If you know podiatrists that are not members, encourage them to join. We must increase our legislative support though our IPMA PAC dollars.
Established Podiatrists have an important role to play in strengthening our profession. They must encourage and mentor young podiatric physicians to be involved in their profession. Help them to find ways to actively give back through joining committees, volunteering for health fairs and presentations. My podiatric mentor, Dr Jack Stern,
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Illinois Podiatric Medical Association ∞ www.ipma.net
a past president and an individual with a great ethical compass led me by example, and with some prodding, to get involved with the profession clinically and politi-cally. There are new young practitioners who will be our beacons of the future. As we enter our Centennial Year, we can look forward to new growth in our profession standing solidly on our history knowing that we always rise to the challenge to advocate positive change!
Michael Hriljac DPM, JDExecutive Director, IPMA
Why do YOU need the IPMAPAC?
Access to State Senators and Representatives are critical to the success of podiatry in Illinois.
“The only way to predict the future is to have power to shape the future.” – Eric Hoffer Support the IPMAPAC
To donate, simply login in at IPMA.net. In the upper left navigation
column, hover over the “Member Only Area” and click on “IPMA PAC & Stoller Donation” tab.
Illinois Podiatric Medical Association ∞ www.ipma.net
REMINDER: Local Coverage Determination Nerve Conduction Studies and Electromyograph (L33386)
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A recent review of claim submissions and redetermina-tions by National Government Services indicates provid-ers are not following the coverage criteria in the Nerve Conduction Studies and Electromyography (L33386) LCD.
The electrodiagnostic evaluation is an extension of the neurologic portion of the physical examination. Both require a detailed knowledge of a patient and his/her disease. Training in the performance of electrodiagnos-tic procedures in isolation of knowledge about clinical diagnostic and management aspects of neuromuscular diseases, may not be adequate for proper performance of an electrodiagnostic evaluation and correct interpretation of electrodiagnostic test results. Without awareness of the patterns of abnormality expected in different diseases and knowledge that the results of nerve conduction stud-ies (NCS) and electromyography (EMG) may be similar in different diseases, diagnosis solely by EMG-NCS findings may be both inadequate and ultimately be detrimental to the patient. NCS are used to measure action potentials resulting from peripheral nerve stimulation which are recordable over the nerve or from an innervated muscle. With this technique, responses are measured between two sites of stimulation, or between a stimulus and a recording site.
Both EMG and NCS are required for a clinical diagnosis of peripheral nervous system disorders. EMG results reflect on the integrity of the functioning connection between a nerve and its innervated muscle and also on the integrity of a muscle itself. Performance of one does not eliminate the need for the other. The intensity and extent of test-ing with EMG and NCS are matters of clinical judgment developed after the initial pre-test evaluation, and later modified during the testing procedure. Common disor-ders where an EMG in tandem with properly conducted NCS, is helpful in diagnosis includes nerve compression syndromes, including carpal tunnel syndrome and other focal compressions.
As per our LCD, Nerve conduction studies performed in-dependent of needle electromyography (EMG) may only provide a portion of the information needed to diagnose muscle, nerve root, and most nerve disorders. When the nerve conduction study (NCS) is used on its own without integrating needle EMG findings or when an individual relies solely on a review of NCS data, the results can be misleading, and important diagnoses may be missed.In most instances, both NCS and usually EMG are neces-sary to perform diagnostic testing. While a provider may choose to perform just a NCS, when performed alone it is
usually considered be a screening exam. The only excep-tion to this is a situation when a provider may consider it appropriate to perform a NCS without doing an EMG for the diagnosis of carpal tunnel syndrome with a high pre-test probability.
Providers who perform these services should be aware of the provisions in the LCD, including covered indications for nerve conduction and electromyography, creden-tialing requirements for providers of these tests, clini-cal necessity for performing both types of tests, correct reporting of units of service for the tests, coverage related to Current Perception Threshold/Sensory Nerve Conduc-tion Threshold Test (sNCT), hand held devices, computer-generated reports, and coverage for neuromuscular junction testing.
It is important to review the LCD L33386 for all CPT codes, coverage criteria and covered diagnoses codes listed for appropriate billing.
Our LCDs are located in the Medical Policy Section of our website and can be accessed via this link LCD for Nerve Conduction Studies and Electromyography (L33386).
If you experience claim denials you have the right to appeal the decision. For more information on how to submit an appeal and the necessary documentation, visit the About Appeals section on our website.
These types of appeals must include additional medical necessity documentation and must be submitted using the Part B Appeals Request Form: Redetermination: First Level of Appeal or via our provider portal, www.ngscon-nex.com.
Jeffrey Crowhurst DPMCAC Representative
More Medicare information on Page 6.
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Illinois Podiatric Medical Association ∞ www.ipma.net
Medicare Fee Schedule• January 1, 2015 – June 30, 2015 0% update (currently
in place).• Sets an update at 0.5% for July 1, 2015 to December
31, 2015.• Sets the same update for 2016, 2017, 2018 and 2019• Sets a 0% update for 2020 through 2025.Note: The current 2% sequestration of payments remains in effect until March 31, 2016.
Therapy CapsExtends the physician work geographic practice cost index (GPCI) floor of 1.0, and the therapy cap exceptions process, through December 2017.* $1940 Physical Therapy and Speech Language Com-bined. * $1940 Occupational Therapy • MACRA extended the therapy caps exceptions process through December 31, 2017 and modified the requirement for manual medical review for services over the $3,700 therapy thresholds.
You asked and we delivered. We have expanded our Medical Review Denial Tool to include new comparative billing functionality. We are excited about this expansion and hope you find this new feature valuable. Check it out and click yes the next time the ForeSee survey pops up and tell us how you like it. Your feedback is a catalyst for change.
You can now compare your denial rate to that of your peers for similar claims. The expansion includes: • The ability to compare your organization’s past 90
day and days 91-180 denial rate for claims in the same policy group compared to your peers.
Medical Review Denial Tool
PQRSEligible professionals who do not satisfactorily report data on quality measures for covered professional services will be subject to a payment adjustment under PQRS begin-ning in 2015 ( 2013 claims used as a database ) - 1.5% less than the MPFS amount for that service - 2.0% adjustment in 2016 and subsequent years.
Meaningful Use Payment adjustments will be applied beginning January 1, 2015, if you have not successfully demonstrated mean-ingful use.
The adjustment is determined by the reporting period in the previous year:• 2015: 99% of MPFS covered amount• 2016: 98% of MPFS covered amount• 2017 97% of MPFS covered amount• 2018 96% of MPFS covered amount
• Claim denial explanation breakdowns showing your total number of denials for this reason compared to the average of your peers for the past 90 days. (Note: This feature will only show your breakdown count for claims dating back 90 days.)
• Snap shot of your top five overall denial reasons along with your peers for the specific policy group (See below for an example).
To add a user-friendly touch, you can now click on the color-coded graph and it will automatically direct you to the related local coverage determination (LCD) or policy article for that denial reason.
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Insurance AdvisorBlue Cross/Blue Shield of Illinois has been reprocess-ing paid claims. This process can go back 18 months on claims that are already paid. Many cases have been reported where the providers have significant amount of monies to refund to Blue Cross before recoupment of funds will begin on future payments. If it is a significantly large amount of money, you can ask for a payment plan. Please contact the IPMA Office for further information.
Public Aid Announces Payment FreezeThe state of Illinois failed to pass a budget for the fiscal year that began on July 1st. Accordingly, Public Aid an-nounced that it can not pay for any claims with dates of service on or after July 1st until a budget is passed. Claims with dates of service in June and earlier will continue to be paid.
Public Aid stated that providers can continue to file new claims and that they will be paid retroactively once a bud-get is approved. Replacement and managed care plans are continue paying claims through July and August, but will have to freeze payments starting in September unless a new budget is approved.
Medicare Announces Plan to Ease ICD-10 TransitionUnder pressure from the AMA, CMS recently announced a new plan to ease the ICD-10 transition and prevent significant payment disruptions. The main component of the new plan is that CMS will establish a one year period during which it will not deny claims solely for lack of specificity in the ICD-10 diagnosis, so long as the diagno-sis provided is in the correct family.
For example, under this new rule, Medicare should allow S92.309A (Metatarsal Fracture, unspecified bone, un-specified foot, initial encounter), even though a correct, specific code would be one such as S92.332A (Displaced fracture, 3rd metatarsal, left foot, initial encounter).
Medicare also announced that they will make advanced payments available to providers if ICD-10 causes, signifi-cant internal delays in claim processing that are no fault of the provider. Medicare will release details on how to obtain payment at a later time if necessary.
August 2015
While this new transition period should help limit deni-als due to ICD-10 coding difficulties, it is only scheduled to last for 12 months. Providers should continue to study ICD-10 coding in order to understand the full level of specificity necessary for documentation and correct selec-tion.
Jondelle B. Jenkins DPMChair, Insurance Committee
Illinois Podiatric Medical Association ∞ www.ipma.net
REMINDERMembership dues for 2015 -2016
Must be PAID IN FULLBy August 30, 2015
Avon 39 Walk for Breast CancerDr. Kathleen Daly and Karen Keathley PMAC
Illinois Podiatric Medical Association ∞ www.ipma.net
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Public Relations Committee ReportIPMA Comcast commercial successful in generating public interest in our profession!
In light of the positive feedback received from the Com-cast commercials that aired in April, we are looking to repeat this effort in another multimedia campaign this coming November. With November being National Dia-betes Awareness Month as our focus.
We will again run three print ads in the Chicago Athlete magazine in conjunction with the Chicago Marathon. The ads were based on our billboard campaign in Octo-ber 2014 that were created to educate the public on the scope of podiatric medicine and the services our profes-sion provides.
Public Relations Committee Co-Chairs
Helena Reid DPM
Amanda Brazis DPM
Sarah Dickey DPM
The Centennial Committee is Pleased to Announce the 100th Anniversary Gala!The Centennial Gala will take place on Friday, October 9 at 7:00 pm in Salon G at the Lincolnshire Marriott Resort. This event will be hosted in conjunction with the 100th IPMA Annual Meeting. Make plans to join us at this commemorative event, as we reflect on one hundred years of podiatry in Illinois, with familiar faces and new friends. Formal attire is admired, but not required at the Gala, and be sure to wear your dancing shoes! The Cen-tennial Committee has selected Chicago-based “Eupho-ny” to provide entertainment for the evening. This group of musicians and vocalists will provide a variety of music to excite your senses, and keep the dance floor moving. A three course dinner, beverages and dessert are all in-cluded in the ticket price of $125.00 for IPMA members. Better yet, tables of 10 can be purchased for $1,200, so that you can invite spouses, friends, and colleagues!
The Continuing Education Committee has invited affili-ated associations to collaborate on the Annual Meeting program. The American Academy of Podiatric Sports Medicine (AAPSM) is slated to present a two hour track of lectures on Thursday covering topics from hip to ankle. On Friday, the American College of Foot & Ankle Ortho-pedics & Medicine (ACFAOM) will conduct an engaging roundtable discussion on biomechanics. Finally, the American Academy of Podiatric Practice Management (AAPPM) will help us close out the Annual Meeting on Saturday with two hours of speed lectures that are sure to peak your interest!
The Town Hall meeting, which has grown in popularity in recent years, will be hosted on Thursday, October 8th. Members are encouraged to submit their questions and concerns prior to the event. Submissions can be sent anonymously to: [email protected] or to the atten-tion of AnneMarie Drufke. Attendees who register for the 100th IPMA Annual Meeting will earn twenty one hours of continuing education.
Affiliated Associations to Present at the Annual Meeting
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Illinois Podiatric Medical Association ∞ www.ipma.net
On Wednesday, July 15th, the IPMA invited Past Presi-dents of the association to visit the IPMA office in Burr Ridge. Twenty Past Presidents came together to reflect on the achievements, such as forming alliances with hospital boards; and set-backs – who can forget the fraudulent crime committed against our association in 1976? Together, with the IPMA staff, they identified old photos and perused archived documents in order to produce a timeline highlighting historical events of our esteemed profession. Familiar faces, including Drs. Lila Mancini, James Nuzzo and Dale Smith, shared their memories (and card tricks!) with colleagues they had not seen for some time. Everyone who attended agreed that an event like this was past due and something we should consider making an annual event. It solidified the buzz surrounding the Centennial Gala in October, with many confirming that they would be there. Be sure to look for the finished product at the Centennial Gala!
Past Presidents of the IPMA Come Together to Reflect
Drs. Michael Hriljac, Mike Wessels and Joel Feder look through archived photos for the Centennial Timeline.
Drs. Joel Feder and James Nuzzo reflect on their time as President of the IPMA over lunch.
IPMA Past Presidents Dale Smith DPM, Donald Hugar DPM, Matthew Garoufalis DPM, and Joel Feder DPM identify
familiar faces in old photos from the IPMA archives.
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Illinois Podiatric Medical Association ∞ www.ipma.net
Shopping for life insurance is seldom very high on most people’s “to do” lists. Still, when it comes to protecting themselves and their families, it is important. So how do you determine how much – and what kind – of life insur-ance is right for you?
You may want to consider the following four steps:
The ABCs of Buying Life InsurancePresented by: Peggy Goddeau, Financial Advisor for The Heartland Financial Group [email protected]
Step number oneAssess your immediate needs. Before you can decide how much life insurance to buy, you have to deter-mine precisely which needs you are hoping to meet. For example: Will you use the policy’s death benefit to pay for funeral expenses only? Or are you hoping to provide funds to help your family cover ongoing monthly expenses such as housing, car payments, and food? What about a side fund – do you want to have money set aside to meet emergencies or opportunities? Your answers to these questions will help you determine how much coverage you need.
Step number twoConsider your future needs. Will you use your policy as part of your overall financial plan? Some policies allow you to accumulate money on a tax-deferred basis* to meet unexpected emergencies, help pay college expenses, or supplement retirement income. Once you’ve determined both your immediate and longer-term objectives, you should have a fairly good idea of how much insurance is right for you.
Peggy Goddeau
Not sure where to begin? It might be helpful to discuss your needs with a financial professional who can recommend an appropriate strat-egy designed specifically for you. Peggy Goddeau is with the Heartland Group, which specializes in helping
its personal and business clients develop protection, as-set accumulation, retirement and estate planning strate-gies. She can be reached at [email protected].
Prepared by the Penn Mutual Life Insurance Company. This material is for educational purposes only and should not be viewed as tax or legal advice applicable to each individual. Please consult with a qualified advisor regard-ing your individual circumstances.
© 2011 The Penn Mutual Life Insurance Company, Phila-delphia, PA 1917203/14 A4YK-0313-01E2
Step number threeDetermine how much you can afford to pay. Regard-less of how much coverage you need, it makes no sense to buy a policy you cannot afford. Once you know how much you can set aside – comfortably – each month, find a policy that fits your budget. “Term” insurance, for example, provides the largest amount of coverage for the lowest monthly cost, but it doesn’t build cash values. What’s more, coverage ceases (or becomes much more expensive) at the end of the “term period” – regardless of whether you still need the protection. Permanent insurance, on
Step number fourWhen you’ve determined how much insurance is enough, how much you can afford and what kind of policy to buy, you want to find a reputable agent who represents a high quality company. And re-member - while it may not be high on your “to do” list, your family – and your future financial security – could depend on it.
the other hand, costs a little more, but it builds cash value** which you can access to meet planned or unplanned financial needs. (Keep in mind, however, that policy loans will reduce the death benefit and cash values.)
* As long as premiums are paid and the policy doesn’t lapse. Assumes contract is not a modified endowment contract under IRC §7702A.
** Accessing cash values may result in surrender fees and charges, may require additional premium payment to maintain coverage, and will reduce the death benefit and policy values.
www.picagroup.com • (800) 251-5727
Contact PICA for more information and to request a quote.
A ProAssurance Company
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PICA has been specializing in medical professional liability insurance for podiatric physicians for over 35 years–guided by the principles of offering the most comprehensive coverage for the lowest responsible premium. Ask us what this means for you!
WE EXISTTO PROTECT PODIATRIC PHYSICIANS.
NO OTHER COMPANY CAN SAY IT PROTECTS THE PODIATRIC PROFESSION AND THE UNIQUE CHALLENGES FACING PODIATRIC PHYSICIANS THE WAY WE CAN.
Illinois Podiatric Medical Association ∞ www.ipma.net
Q: I am not having much luck training my staff. I tell them how I want things done and still end up doing them myself because they are just not catching on. I simply do not have the time nor the patience to repeat things over and over. What is the solution?
A: If it is your intent to have a well-trained, competent staff, never depend on “luck”. And if you haven’t yet discovered, “telling” staff how to do something is not a substitute for “teaching” them. Proper training involves a number of specific steps; none of which include short-cuts. I like the old saying, “Tell me, I forget. Show me, I’ll remember. Involve me, I will understand”; however, because everyone learns differently (some through auditory learning, some through visual and still oth-ers through kinesthesia, or touch), the greatest impact can be achieved by using all three components. Start by demonstrating what you are trying to teach (Visual) and explain to them WHY doing it this way is important (Auditory). When clarifying your preferred technique, do not assume your staff knows what you mean. They are not mind-readers. Spell things out for them and insist they take notes for their own future reference and to help them remember. Then encourage their questions. If they don’t have any questions, you ask some and listen for the accuracy of their response. Provide staff with hands on
Secrets of Success: Telling (alone) is not Teachingby: Lynn Homisak, SOS Healthcare & Management Solutions, LLC - www.soshms.com
trial time (Kinesthetic) under your direct guidance, while also having them speak the procedural steps aloud to as-sure that they understand. If you’re not satisfied with their performance, they need to repeat it. Only when you are satisfied should they be permitted to participate in patient care. This reliable training approach gives your staff the opportunity to succeed; and you the confidence that they are truly qualified to care for your patients.
Of course, finding the time (to train) is one of the biggest concerns I hear. It may require starting patients an hour later or coming in early to do so until they are ready. Just do it. Proper training has its rewards. It may not seem so at first, but just recall all the times you had to undo their mistakes and start all over again. You clearly stand to waste even more of the time you said you never had in the first place. Not only does this equate to a signifi-cant cost and time savings, well-trained personnel make excellent physician extenders in the practice, increasing efficiency and revenue. In addition, patients see them as a professional representative of the practice, increasing their trust and satisfaction.
Regardless of what position they were hired for, insist that new staff shadow you for a week or two to learn your specific protocols, what kinds of questions your
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Illinois Podiatric Medical Association ∞ www.ipma.net
patients ask, how you respond to those questions, what instruments you reach for, what products you recom-mend, how to review patient instructions, etc. These “live” observations give them a better understanding of how you want the practice to function. If you have a “key” as-sistant, utilize his/her skills and experience along with (not in place of) the time you spend with them. Keep in mind that while these established staffers are very proficient at what they do, they may not be the best teachers. After your initial training sessions for new employees, develop (and participate in) a monthly, ongoing in-house train-ing program. Typically, doctors do not follow their staff around to see how well they perform their duties. For this reason, offering the occasional refresher course allows you to see them in action and assure that their technique is still satisfactory.
It is critical that you understand cutting back on training time will NOT increase productivity (although it will likely increase your frustration). By not training your employees properly right from the start, you are setting them up for failure. They want and NEED to know what your expecta-tions are. Without personal guidance and direction, they will end up doing things the way they think they should be done…not the way you expect them to be done. As a result, you wind up with less than adequate service – from the handling of equipment to the handling of your patients.
Ms. Homisak, President of SOS Health-care Management Solutions, has a Certificate in Human Resource Stud-ies from Cornell University School of Industry and Labor Relations. She is the 2010 recipient of Podiatry Manage-ment’s Lifetime Achievement Award and the sixth non-podiatrist to be inducted into the PM Hall of Fame. Lynn is also an Editorial Advisor for Podiatry Manage-ment Magazine and recognized nation-wide as a speaker, writer and expert in staff and human resource management & training.
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There are many supportive learning tools to introduce into your training program; for example, manuals, videos or power point presentations, educational seminars, etc. However, none are replacements for your valuable, one-on-one time with them.
A final word. Remember that praise goes a long way! Given that most trained employees do close to 100% of their tasks correctly, how difficult would it be to praise them just for doing their daily routine tasks? It’s so easy for an employer to point out what employees didn’t do; to how about catching them doing something right for a change…and telling them?! Remember, genuine praise for good behavior encourages repeat good behavior. The ball’s in your court.
Why do YOU need the IPMAPAC?
Access to State Senators and Representatives are critical to the success of podiatry in Illinois.
“The only way to predict the future is to have power to shape the future.” – Eric Hoffer Support the IPMAPAC
To donate, simply login in at IPMA.net. In the upper left navigation
column, hover over the “Member Only Area” and click on “IPMA PAC & Stoller Donation” tab.
Illinois Podiatric Medical Association ∞ www.ipma.net
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Meet the CandidatesDear Members – The IPMA Nominating Committee presents to the mem-bers the following candidates for the Board of Directors of the Illinois Podiatric Medical Association.
The nominees are recommended by the Board of Direc-tors who urge the members to support these individuals at the meeting of the members on October 9, 2015.
Respectfully submitted,Carlos Smith DPMNominating Committee ChairNominating Committee Members: Lewis Carrozza DPM, Joel Feder DPM, John Ruff DPM, David Yeager DPM
Dr. Helena ReidPresident-ElectIt is with great humility and honor that I would like to run as your President-Elect for the IPMA for 2015-2016. Tis will be a very exciting year as it will be the 100th Anniversary of the IPMA. It is the time not only to pay tribute to our
past, but also to work hard for the continued success of our profession.
I will work tirelessly to promote both our professional and our membership to the public allied health professionals in the medical community, as well as legislative leaders who are in a position to affect our profession.
I have worked for Cervetti & Associates in Moline, Illinois for the past 17 years and am very proud of our profession.
There are not only many challenges which we face in the coming years, but there are also many opportunities to advance our profession. I give you my commitment, my unwavering passion for our profession, and a pledge to do everything I can to promote and advance our profes-sion.
Thank you for your support.
Dr. Douglas Pacaccio Vice-PresidentMy name is Douglas Pacaccio. I have served vigilantly as a Director At Large on the IPMA Board of Directors, and am now seeking to serve the membership as Treasurer on the Executive Council. I am a 2003 Scholl College graduate and an alumnus of the Northern Virginia
Residency Program. I am currently in private practice with my wife, Jennifer, and I serve on several of my local hospital committees. I feel my experience in managing a private practice and my commitment to advancing po-diatry make me a good candidate for this position. I look forward to your support in October.
Slate of CandidatesOfficers and Board Positions
2015-2016
Executive Council
Dr. Carlos Smith – PresidentDr. Helena Reid – President-Elect
Dr. Douglas Pacaccio – Vice-PresidentDr. Eric Riley – Treasurer
Dr. Sarah Dickey – SecretaryDr. Brent Parry – Immediate
Past President
Directors At Large
Dr. Jeffery AlexanderDr. Amanda BrazisDr. Kathleen Daly
Dr. Patrick McEneaneyDr. Ronald Sage
APMA Delegate
Dr. Matt GaroufalisDr. Brent Parry
Dr. David Yeager
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Illinois Podiatric Medical Association ∞ www.ipma.net
Dr. Sarah DickeySecretaryI, Dr. Sarah E. Dickey, would like to be considered for Secretary position within the Illinois Podiatric Medical As-sociation. During the last term, I was Co-Chair of the Public Relations Com-
mittee, alongside Drs. Amanda Brazis and Helena Reid. Together we launched a statewide PR campaign. This campaign was kicked off with “Did You Know” billboard marketing, which educated the public on Podiatrist scope of practice. The second tier of our campaign included Comcast ads that aired during prime TV throughout foot health awareness month. These ads educated the public regarding ailments Podiatrist treat and promoted Podiat-ric care. The PR committee has made strides to improve awareness about the Podiatric profession and promote the Illinois Podiatric Medical Association as a source for knowledge and discussion of pertinent topics within Il-linois. I believe I have played an integral role serving on both the Public Relations and Finance Committees during the 2014-2015 year. I currently hold a faculty position at Loyola University Medical Center and am a consultant at Edward Hines, Jr. Veterans Hospital.
I have remained active in the community volunteering at Navy Pier Diabetes Expo, St. Vincent’s Church in Lincoln Park, and annually at the Chicago Marathon medical tent. On behalf of the Illinois Podiatric Medical Association, I have been featured on CAN (Chicago Access Network) TV, as well as given community lectures on foot and ankle care. My dedication to Podiatry, community service, en-hancing education, as well as my interest in politics is un-wavering. As Secretary, I would be honored to represent the Illinois Podiatric Medical Association and its members, promoting longevity and greatness within our profession.
Dr. Eric Riley TreasurerIt was with great enthusiasm and tre-mendous pride in our profession that I pursued becoming a leader within our profession. During my limited career thus far, I have had many unique op-portunities to serve our profession.
As young members’ we have a unique opportunity and yes, responsibility to evoke change. The challenges that we face and subsequent actions to such challenges is our chance to propel this profession forward. I have pledged to advance the APMA for the benefit of its members and the profession and believe that great strides have been accomplished with the help of the rest of the Young Members’ Committee during my tenure there. While my
residency came to close, another chapter begun in start-ing practice back in my beloved home state of Illinois, and I would like to continue my service to this rewarding profession.
Therefore, it is with great confidence and enthusiasm that I ask for your consideration to appoint me to theIPMA Board. I am confident that I possess the necessary attributes to best meet the needs and interests of the IPMA Board of Directors. Additionally I would ask that you consider my nomination for treasurer of the IPMA.
I have always welcomed the opportunity to be highly involved and challenged. During my experiences, I have learned the importance of objectivity, teamwork, dedica-tion and perseverance. I am loyal, hard-working and a champion of the podiatry profession.
If given the opportunity, I would prove my steadfast com-mitment and dedication to my responsibilities on the IPMA and will not neglect my other personal or profes-sional responsibilities.
Should you have any questions or wish to discuss my qualifications further, please do not hesitate to contact me or my enclosed references. Thank you in advance for your time and consideration. I look forward to hear-ing from you and to continued service to our proud and noble profession.
Dr. Jeffery AlexanderDirector At LargeIt has been an honor and a pleasure to represent the IPMA as a member of the IPMA Board of Directors for the last several years. During that time, I have gained knowledge and experience with regard to the issues affecting our pro-
fession. This is a very important time for us as Podiatric Physicians, one that will shape our profession for years to come. With Title XIX and the threat of our services be-ing cut from federal and state programs, it is paramount that we have strong leadership that will fight for our rights and fight to preserve our profession. We already know that we are the most capable providers of foot and ankle care. We already know that we provide this care most cost effectively. We already know that we are key mem-bers of the limb salvage team. But our job also includes informing those who decide our fate of these facts. I am honored to have served Illinois’ delegation thus far and look forward to continuing my hard work in the future. I appreciate your support and look forward to serving the IPMA for years to come.
Illinois Podiatric Medical Association ∞ www.ipma.net
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Dr. Amanda BraxisDirector At LargeI have had the great privilege of work-ing as a Director at Large the last two years. I am proud to represent Southern Illinois this year, and give the members of Southern Illinois a voice within our Association.
I have been a co-chair of the Public Relations Committee for the last year, and we have made great progress with both, the membership and public awareness, of all the great things IPMA and Podiatry have to offer. It would be an honor to continue to represent our state.
Dr. Patrick McEneaneyDirector At LargeI would like to provide my time and services to help advance the mission of the IPMA.
Dr. Ronald SageDirector At LargeI am seeking re-election as a Director at Large of the Illinois Podiatric Medi-cal Association. My podiatric experi-ence that qualifies me for this position includes several years of private prac-tice early in my career. I practiced and taught podiatric medicine and surgery
at Loyola University Medical Center for over thirty years. During that time, I founded and directed a well regarded three-year residency in podiatric medicine and surgery, which continues to attract top students from Scholl Col-lege and other podiaric institutions. My administrative experience includes growing the division of podiatry at Loyola from a small part-time staff to one part-time and five full time podiatric physicians who make up an inte-gral part of the Department of Orthopaedic Surgery and Rehabilitation. I continue to practice part-time at Edward Hines Jr. VA Hospital.
I have had the opportunity to serve on various profes-sional committees and boards, as well as conduct many continuing medical education programs. I believe all of this experience has prepared me well to continue to serve our profession in the capacity of a Board Member of the IPMA.
Thank you for your consideration.
Dr. Matthew GaroufalisAPMA Delegate I am running for the position of APMA Delegate so that I can further the inter-ests of the IPMA and its members within the APMA and the APMA House of Delegates. As an APMA Past President, I am uniquely suited to assist the IPMA and its membership in being recognized
as an important force within the House of Delegates and the profession. I believe that Illinois should always play a very strong role in what happens to our profession on a national level, and being active within the House of Del-egates is crucial to that involvement. I believe that I can best do this by being a member of the Illinois Delegation to the APMA House of Delegates and the IPMA Board. I am perfectly willing to step aside, as new leaders move forward, and let their voices be heard. Thank you for vote and your trust in me.
Dr. Brent ParryAPMA Delegate I have enjoyed serving the membership as a Board member, Executive Council member and as an alternate delegate to the APMA HOD. As an alternate del-egate, I have been able to see how the APMA HOD functions, the importance of the HOD and understand the politics
of the HOD. A good understanding of the process is vital to maintain our level of participation and as an alternate for three years, I feel that I have that understanding. I will continue to represent our membership to the fullest extent possible at the national level and continue to push our profession to the forefront. Thank you for your sup-port.
REMINDERMembership dues for 2015 -2016
Must be PAID IN FULLBy August 30, 2015
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Illinois Podiatric Medical Association ∞ www.ipma.net
Dr. David YeagerAPMA DelegateIPMA Delegate StatementI am honored and privileged to run again for the position of IPMA Delegate. I am humbled by the great strides our profession has made in such a short time. I am fully aware of the com-mitment needed to serve you and our
profession for our great state. We have come so far, so fast, but yet have so much yet to accomplish. I believe through hard work, determination, and knowledge we can achieve any goal. Individually we are strong, together we are even stronger.
My state involvement has included serving as Illinois board member from 2003 to present. During this time, I have held every elected position on our board and I am currently an active House of Delegates delegate from our state where I have served as Delegate or Alternate delegate for over eight years. I have also been our state’s APMAPAC coordinator since 2006 and state Medicaid chair since this time as well. In addition, I was chosen as the Scholl College mentor of the year in 2007; an honor I hold very deeply in my heart.
Understanding the residency crisis in front of us, I an-swered the call by starting the KSB Residency Program in 2012. As I sit in the Residency Director’s position, I am proud of my residents and of our students that rotate through our program every month. I am very optimistic
about our profession’s future. We truly are dealing with the best and the brightest of our profession and each and every day they never cease to amaze me. They are the future of our profession and I am proud to teach them and be involved with them.
Locally, I chaired our local United Way donation cam-paign where we raised over $487,000 for our community. In addition, I have been providing a Crippled Children’s Clinic sponsored by our Local Elks Chapter since 2005 and was awarded the Elks Distinguished Citizen award in 2007. I also have been in involved in the American Heart Association Heartwalk and served as Chairman from 2005-2007 and as a member of Board of Directors at Sauk Valley Bank since 2012.
As many of you know, I am also extremely blessed with my fantastic wife Jennifer, and my two beautiful girls Jacqueline and Josephine who I have seen grow with our IPMA. Without their support and guidance, this endeavor would never have been started. I also enjoy coaching Jacqueline’s travel soccer team and softball teams and watching the wickedly talented Josephine sing, dance, and act. It truly is a joy to watch them mature as beautiful people; inside and out.
Thank you for giving me the opportunity to serve you as your IPMA delegate. I look forward to this year’s 100th election and I look forward to being a part of our awe-some state for the next one hundred years. I thank you in advance for your support.
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Illinois Podiatric Medical Association ∞ www.ipma.net
Classified AdsSeeking PodiatristBusy central Illinois podiatry practice with two offices is seeking a honest, hardworking, personable individual to join our practice as an employed physician with an option to purchase. Practice has been established for over 30 years. Podiatrist must be skilled in basic podiatry services (i.e., routine foot care, wart treatments, ingrown nails, bio-mechanics and orthotics) as well as podiatric surgery.
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Associate WantedPart time - Hospital based practice in Northwest Chicago Area. Please call 773-594-9700.
Mobile Foot Doctors and Illinois Institute Foot and Ankle are looking for a motivated podiatrist to work in Chicagoland seeing patients at home. Flexible hours, Full or Part-Time, Benefits package and percentage or salary between $120,000 - $150,000 plus annual performance bonus. Must be a team player and dependable with a great bed side manner. Future clinic opportunities are available. Please contact us via email at [email protected] and include your CV/Resume or call us at the office (312) 255-8030 and ask for Peter.
House Call OpportunityChicago-America’s Disabled, a not for profit medical group, is looking for a podiatrist. You decide when you want to work and we will prepare your schedule. Com-petitive compensation ($500-$1000 a day).Please send your CV to [email protected] or call the office at (773) 774-7300.
Part-Time Associate WantedSeeking part-time associate to work in three-office podia-try in Chicago with on-site Joint Commission accredited office-based surgical facility. Must be hardworking, personable and self-motivated. Prefer board-certified or qualified with surgical residency with excellent references. Spanish speaking a plus. Please forward CV via email to [email protected].
PRACTICE FOR SALE - Kenosha, Wisconsin15 year established part-time, 3 days a week, conservative care practice for sale. Doctor received job opportunity and would like to sell practice. Only serious inquiries con-tact: [email protected]
Associate Position Chicago & Central IllinoisMAKE LESS MONEY! Associate Position throughout Il-linois & Midwestern states (May 2015)Yes, another opportunity to work in long term care! But, we’re different. No slant back “I&D’s”; No “partial nails”; No diabetic shoe gear self-referrals; No routine dop-plers. Sleep well. Full & Part-time opportunity to provide podiatric care to residents in long-term care throughout Illinois, N.W. Indiana, S.E. Wisconsin and the St. Louis area. Full-time position includes health, disability, 401k, auto/ travel expenses. Ideal full-time candidate would be willing to travel specified times during the month, or be located in central, downstate IL or in the St. Louis area. Part-time opportunity offers very flexible scheduling. We have a 30 year history of providing exceptional care and service with appropriate reimbursement. Join our great team. Please email queries or resumes to [email protected].
We the undersigned citizens/voters living in _____________ strongly believe that, as patients, we should have the right to choose the doctor we want to see for our medical care. Podiatrists (doctors of podiatric medicine or DPMs) are already defined as physicians in Medicare. When we have foot or ankle problems we want access to the best trained, best educated, and most cost effective providers of foot and ankle medical and surgical care, the podiatrist.
We think that it is wrong that Medicaid may deny patient access to the doctor of choice because DPMs are considered “optional” providers and are not recognized as physicians as they are in Medicare.
We hereby petition our elected members of Congress to cosponsor and support the passage of the bipartisan HELLPP Act (HR 1221 / S 626)
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