July/August 2014

July/ August

2014

Volume 3Issue 7

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PhysicianIN

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E Vincent Mason, MD: 2014-2015 SMCMA

President

Dirk Baumann, MD: Distinguished Service

Award Recipient

The SMCMA Annual Meeting of Members Featuring ZDoggMD

Let us help find the right Long-Term Care insurance plan for you, so you can spend time on things that matter the most.

People are living longer these days, but as life expectancies increase, so does

the risk of serious health problems that could require long-term care. In fact,

at retirement age, 70% of Americans will need long-term care and 35% will

enter a nursing home.1 And with the average cost for nursing home care in a

private room equating to more than $87,600 per year, that could literally cost

most or all of your life’s savings.2

Long-Term Care insurance may not be for everyone. But with soaring health

care costs, insurance restrictions and the need to stretch retirement savings

through more years . . . it’s a good idea to seriously consider this valuable

coverage while receiving a member premium discount.

To learn more about how SMCMA members can help protect their assets from the rising cost of long-term care, call us or go online today.

Call 800.616.8759 or visit www.myltcplan.com/smcma.

Long-Term CareResourcesSMCMA is pleased to announce that members now have access to an interactive and educational Long-Term Care evaluation tool to help you make the best decisions for your specific situation. To learn more, visit: www.myltcplan.com/smcma.

We work to protect it.You create a brighter future.

1Department of Health and Human Services, www.longtermcare.gov/the-basics/how-much-care-will-you-need/, viewed April 1, 2014.2Genworth 2013 Cost of Care Survey, March 2013, https://www.genworth.com/corporate/about-genworth/industry-expertise/cost-of-care.htmlThe Long-Term Care Resources Network is only available for residents of the United States. Coverage may vary or may not be available in all states.

65604 (7/14) Copyright 2014 Mercer LLC. All rights reserved. 777 South Figueroa Street, Los Angeles, CA 90017800-842-3761 • [email protected] • www.CountyCMAMemberInsurance.com

CA Ins. Lic. #0G39709 • Mercer Health & Benefits Insurance Services LLC

Sponsored by:

Physician

Let us help find the right Long-Term Care insurance plan for you, so you can spend time on things that matter the most.

People are living longer these days, but as life expectancies increase, so does

the risk of serious health problems that could require long-term care. In fact,

at retirement age, 70% of Americans will need long-term care and 35% will

enter a nursing home.1 And with the average cost for nursing home care in a

private room equating to more than $87,600 per year, that could literally cost

most or all of your life’s savings.2

Long-Term Care insurance may not be for everyone. But with soaring health

care costs, insurance restrictions and the need to stretch retirement savings

through more years . . . it’s a good idea to seriously consider this valuable

coverage while receiving a member premium discount.

To learn more about how SMCMA members can help protect their assets from the rising cost of long-term care, call us or go online today.

Call 800.616.8759 or visit www.myltcplan.com/smcma.

Long-Term CareResourcesSMCMA is pleased to announce that members now have access to an interactive and educational Long-Term Care evaluation tool to help you make the best decisions for your specific situation. To learn more, visit: www.myltcplan.com/smcma.

We work to protect it.You create a brighter future.

1Department of Health and Human Services, www.longtermcare.gov/the-basics/how-much-care-will-you-need/, viewed April 1, 2014.2Genworth 2013 Cost of Care Survey, March 2013, https://www.genworth.com/corporate/about-genworth/industry-expertise/cost-of-care.htmlThe Long-Term Care Resources Network is only available for residents of the United States. Coverage may vary or may not be available in all states.

65604 (7/14) Copyright 2014 Mercer LLC. All rights reserved. 777 South Figueroa Street, Los Angeles, CA 90017800-842-3761 • [email protected] • www.CountyCMAMemberInsurance.com

CA Ins. Lic. #0G39709 • Mercer Health & Benefits Insurance Services LLC

Sponsored by:

Editorial CommitteeRuss Granich, MD, ChairSharon Clark, MD Edward Morhauser, MDGurpreet Padam, MD Sue U. Malone, Executive Director Shannon Goecke, Managing Editor

SMCMA Leadership

Vincent Mason, MD, President; Michael Norris, MD, President-Elect; Russ Granich, MD; Secretary- Treasurer; Amita Saxena, MD, Immediate Past President

Alexander Ding, MD; Manjul Dixit, MD; Toby Frescholtz, MD; Edward Koo, MD; Alex Lakowsky, MD; Susan Nguyen, MD; Michael O’Holleran, MD; Kristen Willison, MD; Douglas Zuckermann, MD; David Goldschmid, MD, CMA Trustee; Scott A. Morrow, MD, Health Officer, County of San Mateo; Dirk Baumann, MD, AMA Alternate Delegate

Editorial/Advertising Inquiries

San Mateo County Physician is published ten times per year by the San Mateo County Medical Association. Opinions expressed by authors are their own and not necessarily those of the SMCMA. San Mateo County Physician reserves the right to edit contributions for clarity and length, as well as to reject any material submitted.

Acceptance and publication of advertising does not constitute approval or endorsement by the San Mateo County Medical Association of products or services advertised.

For more information, contact the managing editor at (650) 312-1663 or [email protected].

Visit our website at smcma.org, like us at facebook.com/smcma, and follow us at twitter.com/SMCMedAssoc.

© 2014 San Mateo County Medical Association

July/August 2014 / Volume 3, Issue 7

Columns

S a n M a t e o C o u n t y

PhysicianPresident’s Message: Maintaining the relevance of physicians in medicine ......................................................................4Vincent Mason, MD

Executive Report: Vote NO on Proposition 46 ..................................6Sue U. Malone

Feature Articles

Vincent Mason, MD President of the San Mateo County Medical Association ................7SMCMA Staff

The SMCMA Annual Meeting .............................................................8SMCMA Staff

Dirk Baumann, MD Recipient of the SMCMA Distinguished Service Award .................11SMCMA Staff

Member Updates, Index of Advertisers ........................................ 14

Of Interest

4 SAN MATEO COUNTY PHYSICIAN | JULY/AUGUST 2014

I remember the first time I bought a calculator. It was the Fall of 1976. I was a freshman at Howard University in Washington,

DC. Unfortunately my ownership of that calculator was short-lived as some high school kids stole it from me on the eve of my first general chemistry exam. I was shocked,

physically unharmed and more worried about how I would do my calculations for general chemistry the next day. Once I was back in my dorm room, and my friends from Chicago, Manhattan and Philadelphia reassured me that a “routine mugging” was part of the norm for freshmen, I began to review notes for my final and realized that I had to use an instrument my father had given me in high school: A Slide Ruler.

Because I had just purchased my calculator, I thought the slide ruler had lost its relevance.

President’s Message by Vincent Mason, MD

Maintaining the relevance of physicians in medicineOn March 12, 1856, the Medical Society of the State of California held its first meeting at Pioneer Hall in what is now Old Town Sacramento. This group of 75 physicians dedicated their organization to “promote the science and art of medicine, protection of public health, and the betterment of the medical profession.”

In the 1850s a deadly cholera epidemic struck the Sacramento area. The physicians remained committed to the care of their patients even though 5,000 people died at that time and many more fled the Sacramento area. Out of this Society many programs originated:

• Started the state public health department in the 1870s;

• Made immunizations compulsory for school children in the 1880s;

• Began looking at ways to fund health care for the poor in the 1930s;

• Performed some of the first cornea transplants, and set up some of the first organ transplant guidelines in the country; and

• Started California’s first medical schools, which later became Stanford and the University of California.

Physicians were intimately involved in the policymaking, care and management of their patients and their profession.

In 2014, the relevance of my stolen calculator and use of the slide

“

“The ACA became law on March 23, 2010 and continues and it’s implementation to be completed by 2015. ICD 10 and SGR are “on hold” for another year, electronic health records are here to stay

and physicians are now graded, scored and ranked based on their patients’ satisfaction. We may ask: are we still relevant as physicians?

JULY/AUGUST 2014 | SAN MATEO COUNTY PHYSICIAN 5

rule for my first chemistry class in college is buried under the avalanche of change in medicine in the 21st century. As physicians we are as diverse as ever. Taking care of patients as individual practitioners, as part of small-large medical groups, managed Medicare, county hospitals, HMOs and academic settings throughout the Peninsula. The technology of medicine as well as practice is developing at a rapid pace: The ACA became law on March 23, 2010 and and its implementation to be completed by 2015. ICD-10 and SGR are “on hold” for another year, electronic health records are here to stay and physicians are now graded, scored and ranked based on their patients’ satisfaction. We may ask: are we still relevant as physicians?

Fortunately, we are. Despite the demands of patient care, policymaking, the sea change of medicine, there is still a lot “we” as physicians can do. Most of us volunteer our time and efforts along with attending meetings and classes and maintaining credentials to continue to practice. And we balance this with family and community.

I have often thought about the relevance of medical associations/societies and after reading the history of the CMA, and it’s effort to effect change in the state of California and the nation. I am more optimistic about the relevance of our county medical association.

As the president of this organization, I am asking that you, our members, tell us how we maintain relevance in 2014. I would encourage you to go to our website and see the myriad of services offered for all our members. Growing our numbers helps us to have a voice within the CMA/AMA, the state of California and in Congress. If you are not able to volunteer your time, then donate to this amazing organization by becoming a member.

Also, don’t forget to mark your calendar for the annual SMCMA family picnic at Huddart Park on August 24, 2014. ■

LET US BE AN EXTENSION OF YOUR PRACTICEBrightStar Care® of San Mateo can be an extension of your practice to help your patients safely and effectively manage their chronic diseases at home and avoid negative outcomes – from the moment of discharge from the hospital.

THE BRIGHTSTAR CARE EVIDENCE-BASED APPROACH TO REDUCING READMISSIONS:

> RN Clinical Coordinator as patient advocate and coach> Individualized, condition-specific plan of care> Professional Caregivers trained in treating specific conditions

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includes stop at pharmacy and home safety check> Schedule and attend follow-up doctor appointments> Empower patient to embrace potential lifestyle changes and

remain compliant> Open communication between physician and BrightStar Care RNIndependently

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The battle to protect MICRA (the Medical Injury Compensation Reform Act), California’s landmark tort reform law, is heating up. In May, sponsors of the initiative to overturn MICRA’s protections gathered enough signatures to qualify for the November ballot. The initiative

was recently assigned it proposition number, 46, and the campaigning will intensify over the coming weeks and continue until voters go to the polls on November 4.

MICRA was enacted in 1975, when out-of-control malpractice insurance premiums, caused in part by excessive jury awards, were driving some doctors out of state.

Signed into law by Governor Jerry Brown, MICRA provides for unlimited recovery for all economic or out-of-pocket costs, including:

Executive Report by Sue U. Malone

Vote NO on Proposition 46

• unlimited recovery for all past and future medical costs;

• unlimited recovery for any past and future lost wages;

• unlimited recovery for punitive damages (a court-awarded sum that is considerably higher than the measurable value of the injury);

• up to $250,000 for non-economic damages (damages sought for pain and suffering, mental anguish, or a loss of enjoyment in life); and

• lawyers are paid on a sliding scale, so more money goes to the patient, rather than the lawyers.

MICRA has been instrumental in keeping medical malpractice rates low in California. According to 2012 figures for San Mateo County, physician savings are an average of $99,481. By helping healthcare providers remain financially solvent, MICRA lowers the cost and increases the availability of quality medical care.

But Proposition 46 seeks to turn back the clock and overturn one of MICRA’s key provisions, the cap on non-economic damages. Proposition 46 has three key provisions:

• Drug and alcohol testing for physicians: (1) Random testing,

administered by hospitals; and (2) testing after an “adverse event” at a hospital;

• Mandatory use of the CURES prescription drug database; and

• Increases MICRA’s non-economic damages cap from $250,000 to $1.1 million, with annual increases going forward.

Proposition 46 is being touted by its trial lawyers sponsors as a measure that will protect patient safety. These safety provisions are merely “sweeteners” designed to appeal to voters and mask the real intent: to change MICRA, resulting in more lawsuits against healthcare providers and jeopardizing patients’ access to quality medical care.

As November quickly approaches, it is imperative the physicians understand why MICRA in its current form is so critical to the practice of medicine, and help educate their patients and colleagues, about the importance of preserving it. The California Medical Association has created informational materials to help in these discussions. Contact the SMCMA to learn more and request copies.

Stay tuned during the coming months as the campaign continues to heat up. ■

San Mateo pediatrician Vincent Mason, MD, stepped up to his new role as President of the San Mateo County Medical Association in late June, following prior service as President-Elect and Secretary-Treasurer.

Dr. Mason was born in Alabama and graduated from Central High School in Phenix City, where he earned excellent marks, served on the student council, and was voted “Most Talented” during his senior year. He then earned a Bachelor of Science in zoology from Howard University in Washington, DC, before returning to Birmingham to study medicine at the University of Alabama.

After finishing medical school, Dr. Mason completed a pediatric internship and residency at Children’s Hospital Medical Center at the University Of Cincinnati School Of Medicine. It was during residency that he faced a choice: specialize in neonatology or adolescent medicine? Caring for delicate newborns in the NICU, or children and teens with an entirely different set of challenges?

He chose the latter, and with the decision came another relocation, this time the west coast. He completed research fellowships in adolescent medicine at the University of California at San Diego and the University of Washington, which fed

his love for academic research and reaffirmed that he had made the right choice.

Dr. Mason spent the next several years at different posts in southern California, including Medical Director at San Bernardino County Juvenile Hall, Clinical Director of the UCSD School of Medicine Adolescent/Teen OB Clinic, and Director of Family Planning and Adolescent Health at San Diego’s Comprehensive Health Center. In 1997, he relocated to Monterey County to join the Clinica de Salud del Valle de Salinas, which provides healthcare to families with an emphasis on farm worker families and the agricultural community. He specialized in adolescent medicine, pediatrics, and family planning for adolescents.

During these years, his focus was on key issues impacting adolescent health, including sexuality and family planning. He understood, though, that every teenager in his care had a different story—different family dynamics, cultural influences, religious pressures, and so on. Without judging, without suggesting he had all the answers, Dr. Mason learned how to ask his patients the right questions, and to listen to their responses. He put their stories into a larger context (such as the fact

Vincent Mason, MD

President of the San Mateo County Medical Association

Vincent R. Mason, MD

Recent ExperiencePalo Alto Medical Foundation-PMC2010-present

Bay Area Pediatrics Medical Group, Inc.2002-2010

EducationHoward UniversityBachelor of Science, Zoology

University of Alabama School of MedicineMedical Doctor

University of Cincinnati School of Medicine Children’s Hospital Medical CenterInternship and Residency

Recent ActivitiesHealth Commissioner, Health Plan of San Mateo2014-present

Member, Quality Improvement Committee, Peninsula Medical Clinics2012-present

Member, Peer Review Committee and Physician Advisor Group, Health Plan of San Mateo2008-present

Delegate, District VII Delegation 2013-present

Research Interests

Risk-taking behavior in adolescents, teen pregnancy prevention, community health related to adolescent health and behaviorCONTINUED ON PAGE 12


The San Mateo County Medical Association held its 2014 Annual Meeting of Members on June 19 at San Mateo’s Peninsula Golf & Country Club.

The evening’s keynote speaker was Zubin Damania, MD, aka ZDoggMD. He gave a provocative and at times side-splitting talk about how he went from being a burned-out hospitalist, to an internet celebrity, to the CEO of a unique medical clinic in Las Vegas that aims to reinvent primary care.

The SMCMA Distinguished Service Award was presented to Dirk Baumann, MD, a vascular surgeon at PAMF-PMC, in part for his tireless work on behalf of San Mateo Hep B Free. Beverly Sarver, MD, was also honored for her 30 years of SMCMA membership.

The 2014-2014 Officers and Directors were installed. Outgoing SMCMA president Niki Saxena, MD, a pediatrician in Redwood City, graciously passed the proverbial torch onto incoming president Vincent Mason, a pediatrician at PAMF-PMC.

SMCMA Annual Meeting

T his page, clockwise f rom top lef t :Sandra Baumann, BSN, RN; Carly Baumann; and Dirk Baumann, MD

Niki Saxena, MD, and Beverly Sarver, MD

Maryam Aboian, MD, and Edoard Aboian, MD.

Niki Saxena, MD, and Zubin Damania, MD.

Sonia Khan and Manjul Dixit, MD.

Opposite page, clockwise f rom top lef t :Nicole Moayeri, MD; Gregory Lukaszewicz, MD; and John Skerry, MD.

Mary Tatomer and William Tatomer, MD.

Zubin Damania, MD, and Sara Whitehead, MD.

Niki Saxena, MD, and Vincent Mason, MD.

Todd Osinki, MD, and Andrea Hartzark, MD.


Gilead Sciences

Sequoia Hospital

First Republic Bank

Health Diagnostics

360 Payment Solutions

Kaiser Permanente Redwood City

Platinum Sponsor

EVENT SPONSORS

Gold Sponsors

Silver Sponsors

NORCAL Mutual Insurance Company

Kaiser Permanente South San Francisco

Mercer

Stanford Hospital & Clinics

Mills-Peninsula Health Services

Palo Alto Medical Foundation

June 19, 2014


SMCMA Family Picnic

Mouth-watering Barbecue! Fun & Games for Kids of All Ages!

SUNDAY, AUGUST 24, 201411:30 a.m. - 3:00 p.m.

HUDDART COUNTY PARK Werder Picnic Shelter

1100 King’s Mountain Road, Woodside

This event is free to SMCMA members and their families. There is a small parking lot adjacent to our picnic shelter. SMCMA will provide you with a pass to enter the park for free. Please RSVP in advance so that we can provide you with your entrance pass via email or fax. You can register online at www.smcma.org/calendar, call (650) 312-1663, fax (650) 312-1664, or email [email protected]. Be sure to include your contact information, the names of all your guests, and the ages of any children in your party. Thank you!

PAMF-PMC vascular surgeon Dirk Baumann, MD, probably didn’t know what he was getting into that fateful day early in 2008, when he was president-elect of the San Mateo County Medical Association. He traveled to Sacramento, with other SMCMA leaders, to attend the California Medical Association’s 2008 Legislative Day. This annual event gives physicians the opportunity to meet with key legislators on important health care issues.

During the event, Dr. Baumann met with Fiona Ma, at the time a member of the California State Assembly. (District 12). Assemblymember Ma had been one of the co-founders, in 2007, of San Francisco Hep B Free, an unprecedented campaign to make San Francisco the first hepatitis B-free city in the nation. People of Asian and Pacific Islander heritage are up to 100 times more likely to suffer from chronic hepatitis B infection and four times more likely to die from liver cancer compared with the general population. Ma, who suffers from chronic hepatitis B infection herself, was eager to see the program expanded into San Mateo County.

Six years later, San Mateo Hep B free has provided free hepatitis screening and vaccination to more than 1,000 at-risk individuals in San Mateo County. During all that time, Dr. Baumann has served as chairperson of the program, providing leadership,

volunteering at screenings, answering patient questions, and ensuring that every patient who tests positive has access to medical care, regardless of their insurance or ability to pay. The leadership of the San Mateo County Medical Association was delighted to present Dr. Baumann with the association’s 2014 Distinguished Service Award, which recognizes a physician who makes a significant contribution to improving public health in our county.

Dr. Baumann earned his undergraduate degree, from Rice University, in chemical engineering, and he might have had a career in the oil industry if he hadn’t found it “too easy.” Instead, he relocated to St. Louis and earned an M.D. from Washington University. The degree was followed by an internship and research fellowship in surgery at Barnes Hospital/Washington University. He was senior assistant resident and chief resident in surgery before completing a fellowship in vascular surgery, which has been his primary specialty ever since.

It was at Barnes Hospital that Dr. Baumann met his wife, Sandra, now a surgical nurse in a successful Burlingame plastic surgery practice. Struggling with a patient who insisted on pulling out his arterial line, Sandra was aided by medical student Baumann. They were married in 1988, and relocated to San Mateo

Dirk Baumann, MD

Recipient of the SMCMA Distinguished Service Award

Dirk S. Baumann, MD

Recent ExperiencePalo Alto Medical Foundation-PMC2011-present

Peninsula Surgery Specialists 1995-2011

EducationRice UniversityBachelor of Science, Chemical Engineering Washington University School of Medicine Medical Doctor

Barnes Hospital at Washington University School of Medicine Internship and Residency

Recent ActivitiesChair, Quality Improvement Committee, Peninsula Medical Clinics2011-present

Member, Peninsula Medical Clinics Board of Directors 2008-present

Director, Mills-Peninsula Heart and Vascular Institute 2012-present

Member, District VII Delegation to the CMA House of Delegates 2007-present (including serving as chair from 2011 through 2013)

Alternate Delegate, American Medical Association 2012-present

Chair, San Mateo Hep B Free Committee 2009-present

CONTINUED ON PAGE 12


that, statistically, there tends to be a significant age difference between the girls and the young men who father their children) but never lost sight of the unique individual before him. Ultimately, his goal was not simply to deal with the medical issue at hand, but to get at why it happened in the first place, to help empower his patients to see things differently, understand their potential, and make healthier choices.

Eight years later, Dr. Mason finally made it to San Mateo County, where he spent another eight years in a private pediatric practice before joining PAMF-PMC in 2010. Currently, he sees patients from infancy through adulthood. As always, his goal is to form a long-term partnership focused on the patient’s life-long wellness. He gets to know the patient and his or her family, the medical history as well as the individual circumstances, to understand and better advocate for the whole person. He is immensely popular with both his patients and their parents. One parent recently raved, “Dr. Mason is one of the most caring, thoughtful, respectful, knowledgeable, cool, fun doctors there is. He has a wonderful bedside manner and what is most important, is that my daughter loves her. He genuinely cares about children...he cares about people.”

His patients might also be excited to learn that he has been collecting superhero comic books since he was nine years old. He also loves to travel and cook in his spare time. Deeply spiritual, he has been an active member of San Francisco’s Glide Memorial Church for many years, including singing in the Glide Ensemble (to learn more, visit www.glide.org/ensemble). ■

Vincent Mason, MD2014-15 President of the San Mateo County Medical Association

(continued from page 7)

County in 1995. Dr. Baumann practiced vascular, general and thoracic surgery at Peninsula Surgical Specialists for 16 years before joining PAMF-PMC in 2011. He enjoys advancing quality, cost-effective medical care as Chair of the Quality Committee at PAMF-PMC, has written many vascular surgery-related journal articles and two textbooks, and participates in several clinical research trials.

The Baumann family now resides in Foster City. Daughter Stephanie, 34, is an event planner, chef, and wine bar owner in the Napa area; Alyssa, 22, is attending San Francisco State University and working as a child care provider; and Carly, 18, recently graduated from Notre Dame High School and is bound for Virginia Tech to study biological systems engineering and veterinary medicine.

In addition to providing leadership for San Mateo Hep B Free, Dr. Baumann generously volunteers his time to a number of initiatives. In addition to serving on several boards and committees within the PAMF system, he is active on SMCMA committees and is currently chair of the Medical Review and Advisory Committee. He has been a CMA Delegate since 2007 and served as District VII Delegation Chair from 2011 through 2013, and he has served as an AMA Alternate Delegate since 2012. He has volunteered with Operation Access, providing donated outpatient surgical care for the uninsured and underserved.

Despite his list of contributions and achievements, Dr. Baumann is gracious and quick to credit the efforts of others. In speaking of the success of San Mateo Hep B Free, he wanted to acknowledge San Francisco Hep B Free co-founders Fiona Ma, Janet Zola, and Ted Fang; Dr. Mark Tsuchiyose and Dr. Mark Rosenberg; Francine Serafin-Dixin of the Hospital Consortium of San Mateo County; Whitney Wood, former Hep B Free staff liaison; Alice Georgitso, the current staff liaison; and SMCMA Executive Director Sue Malone. ■

Dirk Baumann, MDRecipient of the San Mateo County Medical Association Distinguished Service Award

(continued from page 11)


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• New labor and delivery unit with all private rooms for mom and baby

• Advanced neuroscience center

• Spacious Emergency Department with private treatment rooms

• 6 state-of-the-art operating rooms

• Healing garden


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BrightStar Care of San Mateo ......................................................... 5

Kaiser Permanente Redwood City Medical Offices ...........13

The Magnolia of Millbrae ............................. Inside Back Cover

Mercer ....................................................................Inside Front Cover

NORCAL ............................................................. Outside Back Cover

Tracy Zweig Associates ...................................................................14

Francis Andreasen, MDJune 6, 2014

Robert Pavy, MDJune 28, 2014

In Memoriam

N E W S m C m a m E m B E RClement Kim, MDIM, PD Redwood City

San Mateo Co. Medical Association07-07-14

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Documents

July/August 2014