Embed Size (px)
Citation preview
St. Clair County Medical Society & Madison County Medical Society
NEWSLETTERMedicalSociety
PAGE 2 NationalWearRedDayFebruary2,2018
TheRegulationsforCollaboratingwithPAsHaveChanged
PAGE 3 WhatDocumentsShouldYouCollectWhenHiringAPRNsorPAs?
PAGE 4WhatNewLawsPertainingtoMedicineKickedinonJanuary1?
PAGE 5FebruaryisAmericanHeartMonth
PAGE 6ImportantItemstoConsiderWhenCreatingaStudentLoanRepaymentStrategy
PAGE 7InMemoryofPhysician,DianeA.Megahy,M.D.
InMemoryofPhysician,GregorioSierra,M.D
INSIDETHISISSUE
FEBRUARY 2018
2 SCCMS/MCMSFEBRUARY2018
NationalWearRedDayFebruary2,2018
TheRegulationsforCollaboratingwithPAsHaveChanged
ISMS Annual Meeting and House of Delegates
The2017AnnualHouseofDelegatesmeetingwilltakeplaceFridayApril21–SundayApril232017attheHiltonOakBrookHillsResort&ConferenceCenter3500MidwestRoadOakBrook,Illinoisforhotelinformationandreservationsgotowww.isms.org.
SCCMSandMCMSinvitememberstosubmitresolutions.Takeadvantageoftheopportunitytovoiceyourconcernsandhopesbyproposingaresolution(s)toISMS.Youreffortsmakeadifference.
Anymembermayauthoraresolution,but,itmustbesubmittedbyadelegate.Forguidanceindevelopingaresolutionpleasecontactthesocietyofficeoracountysocietydelegate.
Resolutionscanbesenttothesocietyofficeviae-mailatstclairmed96@gmail.comorbymailto6400WestMainStreetSuite3-LBelleville,IL.62223.ResolutionsmustbesubmittedtoISMSbeforeTuesdayMarch7,2017.
SCCMS,MCMS,ISMSandtheAMAaredemocraticentities.Theactivitiesofallfourorganizationsaredirectedbypoliciesthatbeginasindividualmembers’ideas.Theseideas,whenpresentedasresolutions,arereviewedandacteduponbythepolicy-makingbodiesofeachassociationinmuchthesamewayasCongressconsiderslegislation.
HOD Questions? Contact [email protected] or call 312.853.4745 or 800.782.4767 ext. 4745.
National Wear Red Day takes place on February 02, 2018.National
WearRedDayisadayinFebruary
whenmanypeoplewearredto
showtheirsupportforthe
awarenessofheartdisease.Itoccurs
inAmericaonthefirstFridayin
Februaryeachyear,wherepeople
wearred.Designedtowarnwomen
oftheirnumberonehealththreat,
“TheHeartTruth”campaigncreated
andintroducedtheRedDressasthe
nationalsymbolforwomenand
heartdiseaseawarenessin2002to
deliveranurgentwakeupcallto
Americanwomen.
Recentlyenactedlegislation(PA
100-453)changedregulatory
requirementspertainingtophysician
assistants(PAs).
Tolearnmore,accessISMS’medical
legalguidelineatwww.isms.orgon
PhysicianAssistants’Authorityto
DiagnoseandPrescribe.The
resourcecoversphysician
responsibilitiesrelatedtoPAs;
writtencollaborativeagreements,
withsamplesincluded;scopeof
practiceforPAsandmuchmore!
PleasenotethatISMScannot
providelegaladvice,andprivate
legalmattersshouldbereferredto
yourpracticeattorney.If you have questions, please contact the ISMS Legal Department at 800.782.4767 ext. 6485.
*This ISMS medical legal guideline is a member benefit and is password protected.
If you need to request a username and password, contact online support at 888.476.7776 or [email protected] between 8:30 a.m. and 4:45 p.m. After-hours requests are answered promptly the next business day. You may also register online or retrieve your username or password.
Source: ISMS Physician Advocate
3 SCCMS/MCMSFEBRUARY2018
TheNewsletterfortheSt.ClairCountyMedicalSocietyandtheMadisonCountyMedicalSocietyispublishedmonthlyexceptduringJulyandAugust.Thesocietydoesnotassumeresponsibilityforstatements,contentoropinionsofauthors,andtheopinionsexpressedarenotnecessarilythoseoftheSt.ClairCountyMedicalSocietyortheMadisonCountyMedicalSociety,theeditor,editorboard,BoardofDirectorsorstaff.Anyarticlecontainingmedicalorlegalinformationprinteddoesnotconstitutemedicalorlegaladvice.Readersshouldconsultwiththeirphysicianorattorneyformedicalorlegaladvice.
AdvertisementsandArticlesareacceptedatthesocietyoffice.Alladvertisingcopyandsubmissionsmustbereceivedbythe10thofthemonthpriorthepublicationmonth–e.g.FEBRUARY10thfortheFebruarypublication.To reserve space contact Elaine Hoffmann at 618.397.5315.
HIDEG
PHARMACY INC.Since 1961
SURGICAL SUPPLIESDon Johnston, RPhKris Johnson, RPhMike Day, Pharm D
FREE DELIVERYn OSTOMY n INCONTENENT n DIABETICn WOUND CARE SUPPLIES & BANDAGESn MASTECTOMY PROTHESIS n STOCKINGSn WHEELCHAIRS n CHAIRS n WALKERSn BATHROOM AIDS n ORTHOPEDIC SUPPORTSn MEDICARE, TRICARE, MEDICAID ACCEPTED
618-398-4400Monday-Friday 9-7 • Saturday 9-2
8601 W. Main St. • Belleville
WhatDocumentsShouldYouCollectWhenHiringAPRNsorPAs?Ifyourmedicalofficeispreparingto
hireanAdvancedPractice
RegisteredNurse(APRN)ora
PhysicianAssistant(PA),checkout
ISMS’handylicensurechecklist.
Theresourcecoverswhat
documentsyouwillneedto
collectwhenhiringAPRNsorPAs,
orwhenyourphysicianplansto
signawrittencollaborative
agreementwithanyofthese
healthcareprofessionals.
DownloadtheAPRN&PALicensure
Checklisttodayatwww.isms@org.
Any questions? As a practice management professional of an ISMS member, you may contact the ISMS Legal Department with questions at 800.782.4767 ext. 6485.Please note: ISMS cannot provide legal advice, and private legal matters should be referred to your practice attorney.
This checklist is an ISMS member benefit and is password protected. If you wish to access this resource and need to request a username and password as a practice management professional of an ISMS member, please contact Felicia Robinson at [email protected].
Source: ISMS off the Charts
4 SCCMS/MCMSFEBRUARY2018
Inbetweenthenegotiationstoend
Illinois’longestbudgetimpasseinhistory,
lawmakersmanagedtopassabout200
lawsthattookeffectonJanuary1.
Amongthem,cornisnowtheofficial
grainofIllinois,bikeridingistheofficial
exerciseandpetownerscancreate
partialorjointcustodyforpetsaspartof
adivorceagreement!
Highlights of new laws as they pertain to medicine:
Opioid crisis, drug abuse prevention
+PublicAct100-0564requiresanyone
possessinganIllinoiscontrolled
substancelicensetoregisterwithIllinois’
PrescriptionMonitoringProgram(PMP).
Thereisalsoanewrequirementfor
prescriberstoaccessthePMPbefore
writinganinitialprescriptionfora
ScheduleIInarcotic,suchasanopioid
(someexceptionsapply).
+PublicAct100-0368makeschangesto
theIllinoisControlledSubstancesActto
prohibitsyntheticdrugslikebathsalts.*
+PublicAct100-0404createsan
imprisonmenttermforapersonwho
unlawfullydeliversacontrolled
substancetoanotherperson,andthat
otherperson’sdeathiscausedbyany
amountofthatcontrolledsubstance.
Health IT
+PublicAct100-0385removesthe
requirementthatapsychiatristbeinthe
sameroomasaMedicaidpatientwhen
providingservices,thusallowing
treatmentviateleconference.
+PublicAct100-0317createsthe
TelehealthActandamendsthedefinition
of“telemedicine”toincludetreatmentof
apatientinIllinoisbyapersonina
differentlocationthanthepatient.
Telemedicinedoesnotincludehealth
careservicesprovidedtoanexisting
patientwhiletheIllinoisphysicianor
patientistraveling.
Medical Service
+PublicAct100-0041allowsdriver’s
licenseoridentificationcardapplicants
whoare16yearsoldorolder(ratherthan
18)theopportunitytobeincludedinthe
FirstPersonConsentOrganandTissue
DonorRegistry.
+PublicAct100-0280allowsemergency
medicalservicespersonneltoadminister
ScheduleII,III,IVorVcontrolled
substancestoapersoninthescopeof
theiremploymentwithoutawritten,
electronicororalprescription.
+PublicAct100-0099requireshospitals
andhealthcareprovidersthatreceive
fundsfromtheStatetoonlyrefer
patientstoagenciesthatareproperly
licensedundertheHomeHealth,Home
Services,andHomeNursingAgency
LicensureAct.
+PublicAct100-0342requiresthe
DepartmentofPublicHealthtodevelop
aninformationalbrochureabout
meningococcaldiseaseandrequires
institutionsofhighereducationto
providethebrochuretostudents.
+PublicAct100-0247requirestheIllinois
LawEnforcementTrainingStandards
Boardtocreateacourseonmental
healthawarenessincludingrecognizing
mentalcrisesthatrequireanimmediate
response.
+PublicAct100-0306prohibits
hospitalsfrommaintainingalistof
individualswhocannotbeadmittedfor
treatment.
+PublicAct100-0050amendsthe
MentalHealthandDevelopmental
DisabilitiesAdministrativeActtoexpand
thelistofentitiesinwhichauthorized
directcarestaffcanadminister
medicationstopeoplewith
developmentaldisabilities.
+PublicAct100-0395requires
insurancetocovercomprehensive
ultrasoundscreeningandMRIifa
mammogramdemonstratesdensebreast
tissue,whenmedicallynecessaryas
determinedbyaphysician.
Medical Legal
+PublicAct100-0549expandsthelistof
goodsorservicescoveredbythePrompt
PaymentActtoincludeprevention,
intervention,ortreatmentservicesand
supportsforyouth.(Thelistalready
includescoveredhealthcareprovidedto
eligibleadultsandtheircovered
dependents.)
+PublicAct100-0386barshealth
insurancecompaniesfromdenying
coveragetoIllinoisanswithpre‐existing
conditions.
+PublicAct100-0513renewstheNurse
PracticeActwithmodificationsto
provideadvancedpracticeregistered
nursespracticemoreindependenceand
prescribingrights.ISMSsuccessfully
reeledbacktheAPRNagendaand
initiatedlegislationthatkeepsinplace
manyimportantpatientsafeguards,
whileallowingsomeadditionalauthority
foradvancedpracticeregisterednurses
whopursuefurthereducationand
clinicaltraining.
+PublicAct100-0286requiresthe
DepartmentofFinancialandProfessional
Regulationtoconsidermitigatingfactors
whenconsideringapplicantswith
criminalconvictionsforcertainlicenses,
certificatesandregistrations.
*As it is widely believed that most bath salts are made with methylenedioxypyrovalerone (MDPV), the ISMS House of Delegates adopted policy in 2011 to ban MDPV because it was being sold as bath salts. Later, ISMS-supported legislation was signed into law adding MDPV to the list of Schedule I Controlled Substances, making it illegal to possess MDPV in Illinois. Source:ISMS.org
WhatNewLawsPertainingtoMedicineKickedinonJanuary1?
5 SCCMS/MCMSFEBRUARY2018
Thegoodnews?Heartdisease
canoftenbepreventedwhen
peoplemakehealthychoicesand
managetheirhealthconditions.
Communities,healthprofessionals,
andfamiliescanworktogetherto
createopportunitiesforpeopleto
makehealthierchoices.
Makeadifferenceinyour
community:Spreadtheword
aboutstrategiesforpreventing
heartdiseaseandencourage
peopletolivehearthealthylives.
How can American Heart Month make a difference?
Wecanusethismonthto
raiseawarenessaboutheart
diseaseandhowpeoplecan
preventit–bothathomeand
inthecommunity.Herearejust
afewideas:
+Encouragefamiliestomakesmall
changes,likeusingspicesto
seasontheirfoodinsteadofsalt.
+Motivateteachersand
administratorstomakephysical
activityapartoftheschool
day.Thiscanhelpstudents
startgoodhabitsearly.
+Askdoctorsandnursestobe
leadersintheircommunitiesby
speakingoutaboutwaysto
preventheartdisease.
How can I help spread the word?
We’vemadeiteasierforyouto
makeadifference.Thistoolkitis
fullofideastohelpyoutake
actiontoday.Forexample:
+Addinformationaboutliving
ahearthealthylifestyleto
yournewsletter.
+TweetaboutAmerican
HeartMonth.
+Hostacommunityevent
wherefamiliescanbeactive
whilelearningaboutlocal
healthresources.
+Takeaction:Bethecure!
JointheAmericanHeart
Association’snational
movementinsupportof
healthiercommunitiesand
healthierlives.
Source:http://www.heart.org/HEARTORG/
FebruaryisAmericanHeartMonthHeartdiseaseistheleadingcauseofdeathformenand
womenintheUnitedStates.Everyyear,1in4deaths
arecausedbyheartdisease.
MISSIONSTATEMENTSMadison County Medical SocietyThemissionoftheMadisonCountyMedicalSocietyistobeanadvocateforthephysiciansofMadisonCountyandforthehealthandwell-beingofthepatientsweserve.
St. Clair County Medical SocietyTheSt.ClairCountyMedicalSocietyactsasaliaisonbetweenorganizedmedicineandthecommunity,representingitsmembersbeforecounty,cityandstateofficials.SCCMSpromotesqualitymedicalserviceforthecitizensofSt.ClairCounty.
Thepurposeofthissocietyshallbetopromotethescienceandtheartofmedicineandthebettermentofpublichealth.
St. Clair/Madison County Medical Society6400WestMainStreetSuite3-LBelleville,Illinois62223Telephone:618.397.5315Email:[email protected]:stclairmed.com
IMPORTANTPHONENUMBERSSt. Clair County Medical Society 618.397.5315
Illinois State Medical Society 800.782.4767
ISMIE Mutual Insurance Company800.782.4767
Department of Financial Professional RegulationsSpringfieldIllinois217.785.0880Chicago312.814.4500
6 SCCMS/MCMSFEBRUARY2018
SCCMS 2018 Officers GregoryHoldener,MDPresident
MathewHageman,MDSecretary/Treasurer
StephenKappel,MDNewsletterEditor
2018 Board of DirectorsEnricoFarinas,M.D.EldonTrame,M.DStephenRaben,M.D.
2019 Board of Directors ThomasBayer,MDDeborahMcDermott,M.D.DennisStanczyk,MD
ISMS Delegates DeborahMcDermott,M.D.EldonTrame,M.D.
ISMS Alternate Delegate StephenRaben,M.D.
Past President. StephenRaben,M.D.
ISMS 8th District Trustee SamStokes,M.D.–Carbondale
MCMS 2018 OfficersBrettGrebing,M.D.President
DeborahBross,MDSecretary/Treasurer
Past President. RyanDiederich,M.D.
ISMS Delegate EdwardRagsdale,MD
ISMS Alternate Delegate SadiqMohyuddin,MD
ISMS 6th District Trustee RonaldJohnson,M.D.
ISMS Member OutreachTimStewart,Director1.800.782.4767
CoryMcGee–MadisonCounty312.853.6525Ext.6526
LindseyKrassel–St.ClairCounty312.580.6493
Statisticsshowthattoday’s
physiciansareleavingtheirprograms
havingaccumulatedanaveragedebt
ofjustunder$200,000plusan
additional$25,000in
undergraduatestudentloandebt
theycarriedoverfromprevious
programs.Findingastrategyfor
repayingthisdebtinthemost
efficientmanneriscritically
importanttomanyphysicians’
long-termfinancialsuccess.
Whenevaluatingdifferent
repaymentstrategies,hereare
somethingstoconsider:
Willyoubepracticingatafor-profit
ornon-profitorganization?Public
ServiceLoanForgivenessisworth
consideringforphysicianswith
substantialstudentloandebt.Many
physicianscompletetheir
residenciesandfellowshipsatnon-
profithospitals.Iftheywerepaying
theirloansduringthattime,they
mayalreadybe5-7yearsintothe
10-yearloanforgivenessprocess.
Arethereloanrepaymentassistance
programsavailabletoyou?The
NationalInstitutesofHealth(NIH)
repaysupto$35,000peryearof
studentloansifyouagreeto
conductmedicalresearchinneeded
fields.TheNationalHealthService
Corps(NHSC)offerstax-freeloan
repaymentassistanceofupto
$50,000fora2-yearcommitment
toqualifiedhealthcareproviders
whochoosetotaketheirskillsto
geographicareaswithinadequate
medicalcare.Additionally,most
individualstateshaveloanrepayment
assistanceprogramsforphysicians
whopracticeintheirstatefacilities.
Isrefinancingaviableoption?Ifyou
practicemedicineatafor-profit
company,likemanyprivatepractices
are,refinancingisworthexploring.
Refinancingcandramaticallyreduce
yourinterestratesandmonthly
payments.Thelowerinterestrate
mayresultinpayinglessoverthe
lifetimeoftheloan.Refinancingmay
alsofreeupenoughmonthlyfunds
thatcanbeusedtosaveother
importantfinancialgoals.
Everyone’ssituationisunique,and
manyfactorsinfluencewhich
repaymentstrategyisbest.Consult
yourfinancialprofessionaltodetermine
whichstudentloanrepaymentstrategy
fitsyourneedsbest.
Jeff Witz, CFP® and David Zemon welcome readers’ questions. They can be reached at 800.883.8555 or at [email protected] or [email protected] Debt Manager (Association of American Medical Colleges, Washington D.C., 2016), Page 5.
ImportantItemstoConsiderWhenCreatingaStudentLoanRepaymentStrategy
JeffWitz,CFP®|DavidZemon|MEDIQUSAssetAdvisors,Inc.
“Results.Oneclientatatime.”(sm)
7 SCCMS/MCMSFEBRUARY2018
InMemoryofPhysician,DianeA.Megahy,M.D.
InMemoryofPhysician,GregorioSierra,M.D
AlmightyGod,inHisinfinitewisdom,haswithdrawnfromourmidstDr.DianeMegahy.ShedepartedthislifeonWednesday,December6,2017atBarnes-JewishHospitalinSt.Louis,Missouri.
Dr.MegahyreceivedhermedicaleducationandtrainingattheUniversityofAlexandriainAlexandria,EgyptandcompletedherhospitalinternshipatSIUFamilyPracticeinBelleville.
Dr.MegahywasamemberoftheSt.ClairCountyMedicalSocietysince1987.SheservedontheBoardofDirectors,severalcommitteesandasPresidentin2007.ShewasamemberoftheIllinoisStateMedicalSociety,AmericanMedical
SocietyandtheDaughtersoftheAmericanRevolution.
Dr.Megahyissurvivedbyherhusband,Dr.MohamedMegahy;children,Hassan(Laure)Megahy,HalaMegahy,HebaMegahy;grandchildren,AlexMegahy,DelilahMegahy,andJackMegahy;sister,GigiRaygor;nephew,RichHammond;nieces,GigiRichmond,TrudyPierogandCamileKrumweideandacousin,JoyPeterson.
FellowmembersoftheSt.ClairCountyMedicalSociety,theIllinoisStateMedicalSocietyherebyacknowledgetheyhavelostadedicatedcolleagueinDr.Megahy,aphysicianwhoworkedtirelesslyforthepublicgoodandtheinterestsofmedicine.
Letus,theSt.ClairCountyMedicalSociety,resolvethatthedeathofDr.DianeA.Megahybeexpressedagreatlosstoallofus,andthatweextendourheartfeltsympathytothebereavedfamily.
LetusresolvethatacopyofthisresolutionofcondolencebeenteredintoourminutesandappearinthenewsletteroftheSt.ClairCountyMedicalSociety.
Finally,letusresolvethatthistestimonialofcondolencesignedandsealed,beofferedtothefamilyofourdepartedfriendandsisterphysicianasourexpressionofdeepestsympathy.
St.ClairCountyMedicalSociety
AlmightyGod,inHisinfinitewisdom,haswithdrawnfromourmidstDr.GregorioSierra.HedepartedthislifeonThursday,January4,2018athomepeacefullysurroundedbyhisfamily.
Dr.SierrastartedhislifeinasmallruraltowninCuba.Heexcelledathisstudiesheldinaoneroomschoolhouse,andgraduatedfromtheUniversityofHavanaMedicalSchool.Hemarriedhiswife,Anita,onJune30,1954,andonJuly14ofthatyeartheyarrivedinSt.LouiswherehebeganhisresidencyatSt.Mary’sHospitalinEastSt.Louis.Hewasaboard-certifiedpathologistandheadedSt.ClairMedicalLaboratoryforthreedecades.
Dr.Sierralovedhisfamilyandfriends,hischurch,theSt.LouisCardinalsandFoxNews.Heenjoyedgolfing,playingbridge,fishing,history,travelingandlifeingeneral.Hewasveryproudofhischildrenandobtainedgreatprideandjoyinsupportingtheir
educationalachievementsandvariousaccomplishments.HewasinvolvedinhiscommunitythroughouthislifeandwasamemberofBlessedSacramentChurch,theSerraClub,TheRotaryClubofSt.ClairCounty(West),IllinoisStateMedicalSociety,St.ClairCountyMedicalSociety,theSalvationArmy,SignalHillNeighborhoodAssociationandaboarddirectoroflocalbanks.HewasanEmeritusFellowoftheCollegeofAmericanPathologists.
Dr.Sierranevermetastranger,livedhislifewithanopenhandandheartanddeepfaith.Thosewhosepathshecrossedneverforgothimnorhethem.
Dr.SierraissurvivedbyhisAnita,hiswifeof63years,hischildren,AnaMariaSierra,MadelynSierra,VivianSierra,Gregory(Sara)Sierra,Alicia(MichaelCullipher)Sierraandtengrandchildren,Madelyn,August,Alexander,Leo,Joaquin,Isabel,Sofia,Chloe,ClaudiaandGregory.
FellowmembersoftheSt.ClairCountyMedicalSociety,theIllinoisStateMedicalSocietyherebyacknowledgetheyhavelostadedicatedcolleagueinDr.Sierra,amanwhoworkedtirelesslyforthepublicgoodandtheinterestsofmedicine.
Letus,theSt.ClairCountyMedicalSociety,resolvethatthedeathofDr.GregorioSierrabeexpressedagreatlosstoallofus,andthatweextendourheartfeltsympathytothebereavedfamily.
LetusresolvethatacopyofthisresolutionofcondolencebeenteredintoourminutesandappearinthenewsletteroftheSt.ClairCountyMedicalSociety.
Finally,letusresolvethatthistestimonialofcondolencesignedandsealed,beofferedtothefamilyofourdepartedfriendandbrotherphysicianasourexpressionofdeepestsympathy.
St.ClairCountyMedicalSociety
8 SCCMS/MCMSFEBRUARY2018
While you’re caringfor your community,
Who’s caring for you?
Our passion protects yours
20 N. Michigan Avenue, Suite 700, Chicago IL 60602 | 800-782-4767 | [email protected]
For more than 40 years, physicians have trusted ISMIE to protect them. From proprietary Risk Management programs to physician-led claims management, ISMIE’s unique services offer quality, protection, service and value. Learn more at ismie.com/growth.
© 2017 ISMIE Mutual Insurance Company
