Oklahoma DO April 2013 by Oklahoma Osteopathic Association

The Journal

of the

Oklahoma Osteopathic Association

Oklahoma D.O. April 2013

Volume 77, No. 10

113th Annual Convention

In this Issue: • 113th OOA Annual Convention Schedule • tribute to layne e. subera, do, ooa president • Tribute to Larry Derryberry, JD-OEFOM board member

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Oklahoma D.O. | April 2013

The Journal

of the

Oklahoma Osteopathic Association

Oklahoma D.O.

May/June 2012 January 2012 April 2013 November 2012

Volume 77, No. 10

Lynette C. McLain, Editor

OOA Officers: Layne E. Subera, DO, FACOFP, President (Tulsa District) Bret S. Langerman, DO, President-Elect (South Central District) Michael K. Cooper, DO, FACOFP, Vice President (Northeastern District) LeRoy E. Young, DO, FAOCOPM, Immediate Past President (South Central District)

OOA Trustees: Kenneth E. Calabrese, DO, FACOI (Tulsa District) Dale Derby, DO (Tulsa District) C. Michael Ogle, DO (Northwest District) Gabriel M. Pitman, DO (South Central District) Richard W. Schafer, DO, FACOFP (Tulsa District) Christopher A. Shearer, DO, FACOI (Northwest District) Kayse M. Shrum, DO, FACOP (Tulsa District) Ronald S. Stevens, DO (Eastern District) OOA Central Office Staff: Lynette C. McLain, Executive Director Lany Milner, Director of Operations and Education Allison Rathgeber, Director of Member Services & Foundation Administrator

The Oklahoma D.O. is published monthly from the Oklahoma Osteopathic Association Central Office: 4848 N. Lincoln Blvd., Oklahoma City, OK 73105-3335. Lany Milner, Graphic Designer and Associate Editor Copy deadline is the 10th of the month preceding publication. Advertising copy deadline is the 15th of the month preceding publication. For more information: 405.528.4848 or 800.522.8379 Fax: 405.528.6102 E-mail: ooa@okosteo.org

The President’s Message Layne E. Subera, DO, FACOFP, President

7 113th OOA Annual Convention Program 6... A Tribute To Layne E. Subera, DO, FACOFP 8-9 . . . . . . . . OOA Annual Business Meeting Agenda 9 . . . . . . . . . .Congratulations OOA Life Members 2013 9 . . . . . . . . . .In Memoriam 10 . . . . . . . . .National Visitors - Welcome to Oklahoma! 13 . . . . . . . . .Helpful Convention Information 14-18. . . . . . Convention Schedule 20-26 . . . . . .Welcome Convention Speakers and Special Guests 26 . . . . . . . . .Welcome OMT Coordinators 28 . . . . . . . . .Welcome Convention Exhibitors 29-30 . . . . . .Convention Entertainment 33 . . . . . . . . .Welcome Advocates to the OOA 33. . . . . . . . . Congratulations ROGME Winners! 34 . . . . . . . . .OOA Golf Classic Registration 35. . . . . . . . . SeekingSitters Registration Form 36 . . . . . . . . .Convention REGISTRATION 38

OEFOM Update

OSU Medical Center Update

Doctor of the Day Schedule

OOPAC Form

Advocates to the OOA Update by Walli Daniel, 2012-2013 AOOA President

Assessment of Dabigatran Use at an Academic Medical Center

What DOs Need to Know

Student Scoop Jeremy Ransdell, OMS-II

Health for the Whole Family: “A Revealing Look at RSV” Provided by the American Osteopathic Association

Bureau News

Classified Ads/Calendar of Events

The OOA Website is located at www.okosteo.org

Oklahoma D.O. | April 2013

President’s Message by Layne E. Subera, DO, FACOFP, 2012 - 2013 OOA President

In the year since I gave my inaugural speech at the banquet at the 2012 OOA Annual Convention, the Association and the Board of Trustees has dealt with several issues of importance to the membership. I can assure you as president that the trustees have remained focused on our member’s professional needs and the best interests of our patients during this time. In my view, they have served with distinction and I am proud to have served with and been associated with them.

Dr. Stowers giving his inaugural speeech during the 2012 AOA House of Delegates meeting

has served with distinction while addressing many difficult issues involving osteopathic residency training and physician certification.

Dr. Subera taking the Oath of Office

The year began on a positive note. During our first week post-convention, I was interviewed by Mr. Green, writer for the Tulsa World, to clarify the Association’s position on the proposal to create a rural residency program to help produce more primary care physicians for the state. He then published an article indicating the association’s strong support which helped in the ultimate passage of HB 3058 and SB 1280, the two bills that created and funded the Oklahoma Rural Residency program.

October saw us in San Diego, CA. for the celebration of the AOA Convention where several of our members enjoyed the scientific expo and then retreated to Desert Springs for a few more days of continuing education, golf and relaxation. Immediately after the convention and post trip, we returned home and learned of the AOA’s post-convention decision to join the ACGME in a common certification process for medical residency

In July, the Association sent a large delegation to the AOA House of Delegates where Ray E. Stowers, DO, FACOFP dist, who practiced osteopathic medicine in Medford, Oklahoma for 25 years, was inaugurated as President of the American Osteopathic Association. Dr. Stowers is the first Oklahoman to serve as AOA president in over 56 years. During the course of the year, he 4

Oklahoma D.O. | April 2013

training programs. Those negotiations are still ongoing. We also started our preparatory work for the upcoming legislation in October. Realizing that the 5 year appropriation for OSU Medical Center would be running out and that the hospital would need additional support in the 2013 legislature, we began our policy of direct meetings with stakeholders involved in osteopathic medical education in our state. These meetings helped the board strengthen the association’s relationships with the key players in our state. In November, the board sent a delegation to Stillwater to meet with OSU’s President Hargis and several of the OSU Regents for Higher Education about renewing their relationship with the OSU Advisory Council and discussing several other issues relating to osteopathic medical education. During the meeting, we reviewed the statutory nature of the Council and arranged for ongoing meetings that would guarantee the professions voice in osteopathic medical education issues going forward. We also agreed that splitting the OSU-CHS campus classrooms was not in the best interest of the students. January brought in the new legislative session at the capitol. Several issues immediately became apparent. There was a need for coordinated efforts on behalf of OSU Medical Center. The workers compensation system was to again be revisited for improvement. Physical therapists were asking for legislative expansion of their practice rights again to include diagnosis and prescriptive authority of physical therapy treatments. There was, also, increasing legislative interest in pain management. To help support osteopathic education in the state, the Association has hired the services of Karen Wicker, Founder and CEO of Candor Public Relations, to help manage our awareness effort on behalf of the hospital in the public and at the legislature. With her help, the Association has launched the DO it! campaign to garner support for the $18.3 million state appropriation ask that will enable the hospital to stay in business, serve Oklahomans and train osteopathic residents. The campaign is currently progressing well. Of course, the session is still in progress and the ultimate outcomes of these measures are not known. However, we are confident that the hospital will be preserved.

reimbursement parity within the work comp system. This year’s physical therapy expansion bill has already been defeated in committee which eliminates one issue. However, the pain management issue is still active and under consideration. Specific recommendations are not known at the time of this writing.

March was a busy month, we launched the DO it! campaign. We held a fund raiser for the OSUMC effort on March 5 and it turned out to be one of our most successful fundraisers ever. Then, March 6th was DO Day at the state capitol where we had one of the best physician turn outs in recent memory. We blanketed the capitol with information about how osteopathic physicians and our training programs contribute to healthcare delivery in Oklahoma. We felt the event was hugely successful. On March 16, OOA President Elect Bret S. Langerman, DO, OOA Executive Director Lynette C. McLain, myself and 50 other Oklahoma DOs and OSU-CHS students attended the DO Day in Washington, DC. Collectively, our group met with all of the Oklahoma Congressmen and Senators. We discussed our support for fixing the Medicare payment methodology, expansion of primary care residency slots and other workforce issues. This April, we have continued to focus on issues affecting the profession in Oklahoma The legislative effort is going well. The Association is sound and we are looking forward to another successful year under the leadership okDO of Dr. Langerman and the OOA Board of Trustees.

In other areas, the association and its Legislative Bureau chaired by Leroy E. Young, DO continues to advocate Oklahoma D.O. | April 2013

A Tribute to LAYNE E. SUBERA, DO, FACOFP, OOA President 2012-2013

Innovative methods and the pursuit of bringing the membership closer together in spirit, thoughtfulness, and camaraderie resulted in a synergy strengthening communications from the OOA Board of Trustees with leaders at the OSU Board of Regents; the revered OSU Medical Center, and the OSU Center for Health Sciences College of Osteopathic Medicine. His priority to see the District Societies revived caused the members to realize a greater appreciation for their professional Association. For the many hours of volunteer and dedicated service we applaud you Mr. President for your leadership to all osteopathic physicians and osteopathic medical students and advocates. 2012 - 2013 Board of Trustees Oklahoma Osteopathic Association

Oklahoma D.O. | April 2013

OOA Officers: Layne E. Subera, DO, FACOFP, President Bret S. Langerman, DO, President-Elect Michael K. Cooper, DO, FACOFP, Vice President LeRoy E. Young, DO, FAOCOPM, Immediate Past President OOA Trustees: Kenneth E. Calabrese, DO, FACOI (Tulsa District) Dale Derby, DO (Tulsa District) C. Michael Ogle, DO (Northwest District) Gabriel M. Pitman, DO (South Central District) Richard W. Schafer, DO, FACOFP (Tulsa District) Christopher A. Shearer, DO, FACOI (Northwest District) Kayse M. Shrum, DO, FACOP (Tulsa District) Ronald S. Stevens, DO (Eastern District)

OOA Convention Staff: Bret S. Langerman, DO General Convention Chair Michael K. Cooper, DO Convention Program Chair Lynette C. McLain - Convention Manager Lany Milner - On-Site Convention Director & Exhibits Manager Allison Rathgeber - Registration Manager

Oklahoma Osteopathic Association 113th Annual Convention Embassy Suites Norman - Hotel and Conference Center

Convention Program 8-9 . . . . . . . . .

OOA Annual Business Meeting Agenda

9...........

Congratulations OOA Life Members 2011

9 . . . . . . . . . . .

In Memoriam

10 . . . . . . . . . . .

National Visitors - Welcome to Oklahoma!

13 . . . . . . . . . . . Helpful Convention Information 14-18. . . . . . . . .

Convention Schedule

20-26 . . . . . . . . . Welcome Convention Speakers and Special Guests 26 . . . . . . . . . . . . Welcome OMT Coordinators 28 . . . . . . . . .

Welcome Convention Exhibitors

29-30 . . . . . . . . . Convention Entertainment 33 . . . . . . . . . . . . Welcome Advocates to the OOA 33. . . . . . . . . . . . Congratulations ROGME Winners! 34 . . . . . . . . . . . . OOA Golf Classic Registration 35. . . . . . . . . . . . SeekingSitters Registration Form 36 . . . . . . . . . . . . Convention REGISTRATION

Oklahoma D.O. | April 2013

Annual Business agenda 4.18.13

meeting

1. Call to order – Layne E. Subera, DO, FACOFP 2. Invocation – 3. Pledge of Allegiance – Dr. Subera 4. Appointment of Special Committees – Dr. Subera

Committee on Credentials (3)

Committee on Resolutions (3)

Tellers (3+)

Sergeant-At-Arms (1)

5. Introduction of National Dignitaries – Dr. Subera 6. Remarks from the President of the Advocates to the OOA – Walli Daniel 7. Remarks from the President of the Advocates for the AOA – Nancy Granowicz 8. Memorial Service – Dr. Subera 9. Presentation of Life Memberships – Dr. Subera 10. Presentation of 2012 Annual Audit – Bret S. Langerman, Peter Terranova, CPA and Barbara Henry, CPA 11. Presentation of 2012 Annual Business Meeting Minutes – Dr. Subera 12. Reports from Bureaus & Committees:

Department of Professional Affairs Bret S. Langerman, DO, chief

Department of Public Affairs

Department of Business Affairs

Michael K. Cooper, DO, chief

LeRoy E. Young, DO, chief

Bureau on Awards Trudy J. Milner, DO, chair

Bureau on Information Technology Christopher A. Shearer, DO, chair

Bureau on Finance Bret S. Langerman, DO, chair

Bureau on Membership Ronald S. Stevens, DO, chair

Bureau on Legislation LeRoy E. Young, DO, chair Gary C. Bastin, OOA lobbyist & Mark Snyder, OOA lobbyist

Bureau on Member Services Kenneth E. Calabrese, DO, chair

Bureau on Physician Grievance Richard W. Schafer, DO, chair Physicians Health & Recovery Committee Bret S. Langerman, DO, chair Bureau on Continuing Medical Education Kayse M. Shrum, DO, chair

Bureau on Public Awareness C. Michael Ogle, DO, chair Health Policy Task Force Michael K. Cooper, DO, chair

Bureau on Convention Bret S. Langerman, DO, chair Bureau on Professional Liability Insurance Michael K. Cooper, DO, Chair Bureau on Managed Care & Physician Reimbursement Gabriel M. Pitman, DO, chair

Bureau on Constitution & Bylaws Gabriel M. Pitman, DO, chair

District Presidents’ Council Ronald S. Stevens, DO, chair

Bureau on Postgraduate Education C. Michael Ogle, DO, chair

Past Presidents’ Council Scott S. Cyrus, DO, chair

Bureau of New Physicians Christopher A. Shearer, DO, chair 13. Supplemental Reports

OEFOM Report: Mary Shaw, President

OOPAC Committee: LeRoy E. Young, DO, chair

OSU-CHS COM Report: Kayse M. Shrum, DO, Provost & Dean of OSU-COM

OOA Executive Director’s Report: Lynette C. McLain, executive director

Oklahoma Osteopathic Board of Examiners: Deborah J. Bruce, JD, executive director

Reports from members serving as elected government, federal or statewide positions

14. Presentation of the Nominating Committee Report – Thomas H. Conklin Jr., DO 15. Election of Officers – Dr. Subera 16. Old Business 17. New Business

Oklahoma D.O. | April 2013

memorium

Roy D. Guthrie, DO (March 29, 2012) John D. Corpolongo, DO (March 31, 2012) Naomi M. Fast, DO (April 15, 2012) Armen Marouk, DO (July 27, 2012) Jeffrey D. Smith, DO (August 17, 2012) Maurice W. Payne, DO (September 29, 2012) Jeffrey A. Nelms, DO (January 2, 2013)

2013 OOAâ&#x20AC;&#x2122;s

Recommendations for consideration by the Membership of the Oklahoma Osteopathic Association: 2013 Vacancies To Be Filled:

Michael K. Cooper, DO

Vice President (One-Year Term): Trustee (One-Year Term ending 2014):

C. Michael Ogle, DO

Trustee (One-Year Term ending 2014): Trustee (Three-Year Term ending 2016): Trustee (Three-Year Term ending 2016):

Timothy J. Moser, DO

Oklahoma D.O. | April 2013

Melissa A. Gastorf, DO

Ronald S. Stevens, DO Dale Derby, DO

Members Thomas H. Conklin, Jr., DO Herbert R. Littleton, DO Jerry D. Patton, DO David L. Bradshaw, DO John D. DeWitt, DO A. John Geiger, DO Edward A. Huber, DO David S. Krug, DO

nominating Committee Report

Members from the OOA Nominating Committe and their respective Districts met Thursday, January 3, 2013 at the OOA Central Office to make nominations to fill vacancies on the OOA Board of Trustees, Delegates, and Alternate Delegates of the American Osteopathic Association (AOA) House of Delegates. Members in attendance were: Thomas H. Conklin Jr., DO-Eastern District; James I. Graham, DO-North Central; Chad Owens, DO-Northwestern; Bret S. Langerman, DOSouth Central; Kenneth E. Calabrese, DO-Tulsa; Trudy J. Milner, DO-President 2007-2008; Gilbert M. Rogers, DO-President 2008-2009; Duane G. Koehler, DOPresident 2009-2010-Northeastern; Scott S. Cyrus, DO-President 2010-2011; LeRoy E. Young, DO-President 2011-2012.

President-Elect (Becomes President):

life

2013 AOA House of Delegates (Delegates) To Be Elected: 1. Bret S. Langerman, DO, Chairman of Delegation 2. Michael K. Cooper, DO, Vice Chairman of the Delegation 3. David F. Hitzeman, DO 4. Joseph R. Schlecht, DO 5. Scott S. Cyrus, DO 6. Stanley E. Grogg, DO 7. Layne E. Subera, DO 8. LeRoy E. Young, DO 9. Duane G. Koehler, DO 10. Kayse M. Shrum, DO 11. C. Michael Ogle, DO 12. Gabriel M. Pitman, DO 13. Christopher A. Shearer, DO 14. Ronald S. Stevens, DO 15. Trudy J. Milner, DO 16. Thomas J. Carlile, DO 17. Student Delegate 2013 AOA House of Delegates (Alternates) To Be Elected: 1. Melissa Gastorf, DO 2. Timothy J. Moser, DO 3. William J. Pettit, DO 4. Bobby N. Daniels, DO 5. Dennis J. Carter, DO 6. Justin S. Sparkes, DO 7. James P. Riemer, DO 8. Gordon P. Laird, DO 9. H. Zane DeLaughter, DO 10. Gregory H. Gray, DO 11. Gilbert F. Rogers, DO 12. John F. Rice, DO 13. Terence E. Grewe, DO 14. Jeffrey Jones, DO 15. Tammie L. Koehler, DO 16. Ray E. Stowers, DO 17. Student Alternate Delegate

WELCOME national guests

RAY E. STOWERS, DO, FACOFP dist. President of the American Osteopathic Association

AOA installed Ray E. Stowers, DO, an AOA board-certified family physician from Harrogate, Tenn., as its 116th president during its annual business meeting in Chicago during July 2012. Although Dr. Stowers has been helping to groom future generations of DOs as the vice president for health sciences and founding dean of the Lincoln Memorial University- DeBusk College of Osteopathic Medicine (LMU-DCOM) in Harrogate since it was established in 2005, prior to joining LMU-DCOM, Dr. Stowers was an associate professor of family medicine and director of the Division of Rural Health at the Oklahoma State University Center for Health Sciences College of Osteopathic Medicine in Tulsa. He then served as the founding director of the Oklahoma Rural Health Policy and Research Center. A longstanding member of the AOA, Dr. Stowers has served on the Board of Trustees since 2000. In addition, he has been involved with several other osteopathic medical organizations. He is a past president of the Oklahoma Osteopathic Association, which also honored him with the A.T. Still Award of Excellence in 2008, and a Board member of the Tennessee Osteopathic Medical Association (TOMA). In 2006, he was named Family Physician of the Year by the American College of Osteopathic Family Physicians. In 2011, TOMA honored Dr. Stowers with the Paul Grayson Smith, Sr., Physician of the Year Award. Advocating for the osteopathic medical profession at the national level, Dr. Stowers advised Congress on health care issues through his appointments to the Medicare Payment Advisory Commission, better known as MedPAC, and the Physician Payment Review Commission. He was also a policy board member of the National Rural Health Association and still serves as a member of the Rural Health Works National Advisory Council.

NORMAN E. VINN, DO, FACOFP President-elect of the American Osteopathic Association

Norman E. Vinn, DO, is an osteopathic family physician from San Clemente, Calif., A long-time member of the AOA Board of Trustees, Dr. Vinn has served the Board in many capacities, including chair of the Bureau of Public Health, Quality and Research; chair of the Department of Educational Affairs; and chair of the Strategic Planning Committee. Dr. Vinn is founder and chief medical officer of Housecall Doctors Medical Group, Inc., a housecall network that provides on-site clinical services to high-risk and homebound elderly in Orange County, Calif. He also is president of The Residentialist Group, Inc., of Laguna Hills, Calif., a management group specializing in the development and operation of housecall programs. In addition to his involvement with the AOA, Dr. Vinn is a past president of the Osteopathic Physicians and Surgeons of California and a founding member of the American Osteopathic Academy of Medical Informatics. A fellow of the American College of Osteopathic Family Physicians, Dr. Vinn received the Orange County Senior Care Humanitarian Award in 2011 and the Lifetime Achievement Award from the Osteopathic Physicians and Surgeons of California in 2008. In 2008, Dr. Vinn was recognized for his work in fulfilling the health care needs of senior citizens by being honored at the South County Senior Services’ 8th Annual Captain’s Ball Gala. Each year the Captain’s Ball honors individuals and corporations who exemplify outstanding service and commitment to seniors in the local community. Dr. Vinn was chosen for this honor for the collaborative clinical model he created to coordinate care of homebound patients with other members of the health care delivery team. Dr. Vinn earned his osteopathic medical degree from the Philadelphia College of Osteopathic Medicine. He completed his postdoctoral medical training at what is now Botsford General Hospital in Farmington Hills, Mich.

Oklahoma D.O. | April 2013

JEFFREY S. GROVE, DO, FACOFP ACOFP President Jeffrey S. Grove, DO, FACOFP, of Largo, Florida, is a graduate of Florida Southern College and earned his osteopathic degree from the NOVA Southeastern University College of Osteopathic Medicine (SECOM) in 1990. He served both his internship and residency at the Sun Coast Hospital in Largo, and then joined Suncoast Family Medical Associates, where he currently practices. Dr. Grove is board certified in family medicine with an added certification in geriatrics. Dr. Grove also holds a subspecialty certification from the American Institute for Healthcare Quality in Case Management, Managed Care and Risk Management. He became a Fellow of the ACOFP in 2002, and will receive his Distinguished Fellow designation this year. With the ACOFP, he has served as a member of the Board of Governors, as Chair of the Florida Society Delegation to the ACOFP Congress of Delegates, Chair of the Marketing and Public Relations Committee, Chair of the Young Physicians Committee, Vice Chair of the Membership Committee and a member of the Board of Governors. Dr. Grove also held the presidency of the Florida Society of ACOFP and the Pinellas County Osteopathic Medical Society. He served as president of the Florida Osteopathic Medical Association in 2011-2012. He also holds the position of Florida delegate to the American Osteopathic Association (AOA) House of Delegates, has served on the AOA Bureau of State Government Affairs and is currently Chair of the AOA Council on Continuing Medical Education. A dedicated educator, Dr. Grove is currently a Clinical Associate Professor in Family Medicine at Nova Southeastern University/COM and also serves as Adjunct Clinical Associate Professor of Family Practice/Geriatrics at LECOM Bradenton College of Osteopathic Medicine. He also holds an appointment as Clinical Instructor in Family Medicine at Kirksville College of Osteopathic Medicine. In addition, Dr. Grove serves as chairman of the AOA Council on Continuing Medical Education. Dr. Grove received the Physician of the Year Award for Pinellas County in 2002 and the Distinguished Service Award in 2007. Des Moines University College of Osteopathic Medicine presented him with the 2003-2004 Regional Clinical Faculty Award for Excellence in Clinical Teaching. The Florida Society of ACOFP named him Physician of the Year for the State of Florida in 2003.

Oklahoma D.O. | April 2013

Nancy Granowicz President of the AAOA Nancy Granowicz has been active in the AAOA ever since she joined the osteopathic family, fifty years ago. She has served in many positions at the local level. She has been president of the Advocates for the Michigan Osteopathic Association three times, serving as legislative chair for the past five years. As the first vice president, Nancy was the chairperson of the Golf Committee organizing the AAOAâ&#x20AC;&#x2122;s annual and only major fundraising event. She served a two-year term as director on the AAOA board, Secretary/Treasurer, and First Vice President. Nancy has served on several committees and recently chaired the Membership Committee. Nancy and her husband Vince have been married for over 50 years and have five children. She is the proud grandmother of eight grandchildren and two step grandchildren. Nancy lives in Michigan.

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Oklahoma D.O. | April 2013

Helpful Convention Information ... CONVENTION REGISTRATION - For your convenience, registration prior to April 11, 2013 is available at a lesser fee than at-the-door registration. Requests for refunds must be received on or before April 11, 2013; however, a service fee of $45 will be charged and no refunds will be available after April 11, 2013. HOTEL RESERVATIONS - For hotel accommodations, please contact Embassy Suites Norman - Hotel and Conference Center at 405253-3547. Standard Suite is $154.00 a night. Check in: 3 p.m.; Check out: Noon. To avoid cancellation charges, reservations should be cancelled by 3 p.m. the day prior to arrival. Room Amenities include: Two 32” televisions, Two phone lines with voicemail and data ports, Wireless Internet access, Hospitality center with microwave, refrigerator, and coffee maker. MEALS & SOCIAL EVENTS - Tickets are required at all OOA-sponsored meals and functions. DO Registration and the Meal Package Registration include all meal and social functions and tickets must be presented at each event. Individual meal tickets and Social Packages are also available for purchase in advance or at the OOA Registration Desk. EXHIBIT HALL & DRAWINGS - The Exhibit Hall will be located in the Oklahoma Ballrooms A - F. Admission to the Exhibit Hall is reserved for registered attendees and their registered guests. We are expecting 77 professional, scientific, and technical vendors exhibiting Thursday, April 18 and Friday, April 19. Three exhibit drawings for physicians and exhibitors will be held during the two days of exhibits: Thursday, Noon - 2:00 pm and 4:00 pm-6:00 pm; and Friday, 5:00 pm-6:00 pm. On Thursday, a ticketed buffet lunch will be served in the Exhibit Hall for convention attendees. OOA GOLF CLASSIC - Wednesday, April 17, the Oklahoma Osteopathic Association will host the OOA Golf Classic at Willow Creek Country Club in Oklahoma City, OK. The entry fee is $150 per golfer and includes: lunch, green fees, cart, tee prizes, on course refreshments, lunch, and awards. There will be teams of four and a 1:00 pm tee off. Checks or credit card payments are accepted. AOOA ACTIVITIES - The AOOA’s Silent Auction items will be displayed at the Advocates Booth and bidding will continue Friday evening. Participants will have a last chance to bid on the Silent Auction items and the highest bidder winners will be announced throughout the evening. Place your bets and test your luck during the “Let the Chips Fall-Casino Night” family fun night. See page 33 for more Advocates information. DRESSING TIPS Dress for the convention is business casual. Wednesday-Friday evening events are casual. Saturday evening is texas tuxedo attire! Men are welcome to wear their jeans with a tuxedo top and cocktail to semi-formal for the ladies.

Boots are encouraged!

If a texas tuxedo is not your style, men are encouraged to wear a suit and women are asked to wear cocktail to semi-formal. CHILDCARE - OOA will be providing complimentary childcare through SeekingSitters. More information is available on page 35. Sign your children up TODAY!

Oklahoma D.O. | April 2013

Sp ur

k ac Tr

n the Spec w o ial D g ty n i r

113th OOA Annual Convention Individualizing a Program for Your Specialty Needs Saddle up April 18-21, 2013

Program Granted 24 Category 1A Credits from the AOA Program REQUESTED 17.5 Prescribed Credits from the AAFP WEDNESDAY, April 17, 2013 11:00 am

Golf Classic Registration Willow Creek Golf Club

11:30 am

Golf Classic Lunch

1:00 pm

Tee Off-Golf Classic

Noon – 5:00 pm 9:00 – 11:00 pm

Registration – Conference Center President’s Reception Honoring OOA President Layne E. Subera, DO & First Lady Amy Subera

THURSDAY, April 18, 2013 7:00 am–5:00 pm 8:00-9:00 am

Registration – Conference Center

9:30 am

“AOOA Annual Business Meeting” Presiding: Walli Daniel, AOOA President (Bixby, OK) Special Guest: Nancy Granowicz, AAOA President (Waterford, MI)

9:00 -10:00 am

“Stage 1 and 2 Meaningful Use” Lindsey P. Mongold (Oklahoma City, OK) www.ofmq.com

“Medicare Program” David B. Vaughan (Vice President & JH Project Manager Novitas Solutions, Inc) www.novitas-solutions.com

10:00-10:30 am

“Medical Apps” Layne E. Subera, DO, FACOFP (certified family practice, Tulsa, OK) http://mobihealthnews.com/19206/apples-top-80-apps-for- doctors-nurses-patients/

10:30 am-12:00 pm 12:00-2:00 pm

“Opening Session: Rescue of the Chilean Miners” J.D. Polk, DO, MS, MMM, CPE, FACOEP (certified emergency medicine, Haymarket, Virginia)

12:00-3:00 pm

OMT Treatment Clinic-Exhibit Hall Coordinator: Robin R. Dyer, DO (certified OMM, Tulsa, OK) and JoAnn G. Ryan, DO (certified family practice, Tulsa, OK)

2:00 – 3:30 pm “OOA ANNUAL BUSINESS MEETING” Presiding: Layne E. Subera, DO, FACOFP, OOA President (certified family practice, Tulsa, OK) www.okosteo.org 3:30 – 4:30 pm “ACOFP UPDATE” Presiding: Bobby N. Daniel, DO, President, Oklahoma Society ACOFP (certified family practice, Tulsa, OK) Special Guest: Jeffrey S. Grove, DO, FACOFP, ACOFP President (certified family practice, Largo, FL) 4:30 – 5:30 pm AOA House of Delegate Meeting” Presiding: Bret S. Langerman, DO, Chairman of Delegation (certified emergency medicine, Oklahoma City, OK) www.okosteo.org 4:00 – 6:00 PM

Physician Luncheon with Exhibitors with i-Pad Mini Drawings for Physicians

Cocktail Hour with Exhibits with i-Pad Mini Drawings for Physicians

Oklahoma D.O. | April 2013

SPURRING THE 113TH ANNUAL CONVENTION

LAYNE E. SUBERA, DO, FACOFP

BRET S. LANGERMAN, DO

MICHAEL K. COOPER, DO, FACOFP

OOA President

OOA President-Elect General Convention Chair

OOA Vice President Professional Program Chair

national guests

RAY E. STOWERS, DO, FACOFP dist. President of the American Osteopathic Association

JEFFREY S. GROVE, DO, FACOFP ACOFP President

Oklahoma D.O. | April 2013

NORMAN E. VINN, DO, FACOFP President-elect of the American Osteopathic Association

Nancy Granowicz President of the AAOA

FRIDAY, April 19, 2013 7:00 am–5:00 pm

Registration – Conference Center

8:30 – 10:00 am

OOA Past Presidents’ Breakfast

8:00-9:00 am

“Treating the WHOLE Patient with Trauma Osteopathically-Part I” Ronnie B. Martin, DO, FACOFP, dist (certified family practice, Blacksburg, VA) Amanda D. Martin, DO (orthopedic surgery, Birmingham, AL) Natasha Martin-Bray, DO (certified internal medicine, Fort Lauderdale, FL)

9:00 am-Noon

Visit Exhibitors-Exhibit Hall

SPECIALTY TRACK PROGRAMS

EMERGENCY SPECIALTY TRACK

OMT SPECIALTY TRACK

9:00-10:00 am

“Current Sepsis Management in the Emergency Department ” Chelsea D. Gilbertson, DO (emergency medicine, Oklahoma City, OK) www.news-medical.net/health/Toxicology-What-is-Toxicology.aspx

9:00-10:00 am

“Easy OMT Techniques to Incorporate into Your Practice” Robin R. Dyer, DO (certified family practice & OMM, Tulsa, OK)

10:00-11:00am

“Patient Care-Toxicology Care in the ER” Kristopher K. Hart, DO (certified emergency medicine, Oklahoma City, OK) www.medscape.org/viewarticle/587247

10:00 am - NOON

“OMT Treatment Workshop” Robin R. Dyer, DO (certified family practice & OMM, Tulsa, OK)

11:00 am -12:00 pm “Patient Care-Cardiology Care in the ER” Daniel P. Kite, DO (emergency medicine, Norman City, OK) www.medscape.org/viewarticle/587247 Noon – 2:00 pm “ONE Leadership Luncheon” Presiding: Layne E. Subera, DO, FACOFP, OOA President (certified family practice, Tulsa, OK) Special Guests: Norman E. Vinn, DO, FACOFP,MBA, AOA President-Elect (certified family medicine, San Clemente, CA) Jeffrey S. Grove, DO, FACOFP, ACOFP President (certified family practice, Largo, FL) Nancy Granowicz, AAOA President (Waterford, MI) Walli Daniel, AOOA President (Bixby, OK) Bobby N. Daniel, DO, President, Oklahoma Society ACOFP (certified family practice, Tulsa, OK) www.osteopathic.org 2:00-3:00 pm

“Hollistic Leadership” J.D. Polk, DO, MS, MMM, CPE, FACOEP (certified emergency medicine, Haymarket, Virginia) www.valuesbasedleadershipjournal.com/issues/vol4issue1/holistic _leadership.php

2:00-6:00 pm

OMT Treatment Clinic-Exhibit Hall Coordinator:James W. Hogin, DO (certified internal medicine, OMM Oklahoma City, OK)

2:00-6:00 pm

Visit Exhibitors-Exhibit Hall

3:00-4:00 pm 4:00-5:00 pm 5:00-6:00 PM 6:00 – 11:00 pm

SPECIALTY TRACK PROGRAMS OBGYN SPECIALTY TRACK

Evidenced-Based Treatment Strategies for the Menopausal Patient” 3:00-4:00 pm Guy W. Sneed, DO, FACOOG (certified obstetric & gynecological surgery, Owasso, OK) www.womenshealth.gov/publications/our-publications/ fact-sheet/menopause-treatment.cfm 4:00-5:00 pm “Abnormal Pap Smear Results” Tammie L. Koehler, DO (certified obstetric & gynecological surgery, Miami, OK) http://americanpregnancy.org/womenshealth/

ANESTESIOLOGY SPECIALTY TRACK “Postoperative Cognitive Dysfunction (POCD)” Dale Derby, DO (certified anestesiology, Owasso, OK) http://www.trialsjournal.com/content/12/1/170 “Pre-op Evaluation of Patients by Primary Providers, What We Really Need to Know” John B. Hill, DO (certified anestesiology, Norman, OK) http://journals.lww.com/anesthesiology/fulltext/2011/03000/ practice_guidelines_for_preoperative_fasting_and.13.aspx

Visit Exhibits with Drawings for Physicians & Exhibitors Let the Chips Fall-Casino Night

Oklahoma D.O. | April 2013

SATURDAY, April 20, 2013 7:00 am – 5:00 pm

Registration – Conference Center

7:30 – 8:30 am

AOOA Past Presidents’ Breakfast

8:00 am-4:30 pm

DOT Program

7:30-8:30 am

“Treating the WHOLE Patient with Trauma Osteopathically-Part 2” Ronnie B. Martin, DO, FACOFP, dist (certified family practice, Blacksburg, VA) Amanda D. Martin, DO (orthopedic surgery, Birmingham, AL) Natasha Martin-Bray, DO (certified internal medicine, Fort Lauderdale, FL)

SPECIALTY TRACK PROGRAMS RADIOLOGY SPECIALTY TRACK

8:30-9:30 am

SPORTS MEDICINE SPECIALTY TRACK

“Proton Therapy” Robert C. Gaston, DO (certified Radiation Oncology, Norman, OK) www.procure.com/ProtonTherapy/WhatIsProtonTherapy.aspx?

8:30-9:30 am

“Pre-participation Screening for the Prevention of Sudden Cardiac Death in Young Athletes” Thomas W. Allen, DO (certified sports medicine, Tulsa, OK) www.ncbi.nlm.nih.gov/pubmed/22324860

9:30-10:30 am “RADIOSURGERY-Shorter is Better:How We Can Go From 9:30-10:30 am “Sports Injuries in the Female Athlete from Peewee to 44-Treatments to 5-Treatments” Boomeritis”” Diane M. Heaton, MD (certified radiation oncologist, Tulsa, OK) Amanda D. Martin, DO (orthopedic surgery, Birmingham, AL) www.oklahomack.com/?gclid=CPSovL6Qr7UCFad_QgodmX http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2213798/ QA1w 10:30 -11:00 am 11:00-11:30 am

“Patient Satisfaction Scores and Physician Prescribing Practices”-ROGME 1ST Place Kelly Koenig, DO (Oklahoma City, OK) www.okosteo.org

“Clinical Cues for Mortality in Early Sepsis”-ROGME 1st Place Jarrod Mueggenborg, DO (Oklahoma City, OK) www.okosteo.org

11:30 am-Noon

“Posterior Reversible Encephalopathy Syndrome (PRES) in Pregnancy: A Difficult Diagnosis” -ROGME 2nd Place Brandon Wilson, DO (Tulsa, OK) www.okosteo.org

Noon – 1:30 pm Alumni Update Luncheon Presiding: Bret S. Langerman, DO, OOA President-Elect (Oklahoma City, OK) www.okosteo.org 1:30 – 2:00 pm

Alumni Meetings www.okosteo.org

1:30 – 2:00 pm

OSU-COM Alumni Meeting www.okstate.edu

SPECIALTY TRACK PROGRAMS PSYCHIATRY SPECIALTY TRACK

INTERNAL MEDICINE SPECIALTY TRACK

2:00-3:00 pm

“VIBRANT: To Heal and Be Whole” R. Murali Krishna, MD (certified psychiatry, Oklahoma City, OK) http://integrisok.com/mental-health/art-of-happy-living

3:00-4:00 pm

“Influence of Social Media” Brent D. Bell, DO (psychiatry, Oklahoma City, OK) 3:00-4:00 pm “Glycemic Control in the Critically Ill Patient” http://health.howstuffworks.com/mental-health/depression/ques Natasha Martin-Bray, DO, FACOI (certified internal medicine, tions/social-media-depression.htm Fort Lauderdale, FL)

4:00-5:00 pm

“Addressing the Need for Rural Psychiatry” Vincel R. Cordry, Jr., DO (certified psychiatry, Oklahoma City, OK) www.apa.org/about/gr/education/rural-need.aspx

6:00 – 7:00 pm

“Silver Buckle” Reception

7:00 – 9:00 pm

“Silver Buckle Banquet” Music by I.J. Ganem Band

Oklahoma D.O. | April 2013

2:00-3:00 pm

“COPD: The Old and the New” James S. Seebass, DO, FACOI (certified pulmonary medicine & internal medicine, Tulsa, OK) www.touchrespiratory.com/articles/myths-and-misconceptions- about-copd-new-look-old-disease

www.ncbi.nlm.nih.gov/pubmed/14559958

4:00-5:00 pm

“Coordinating Care From the VA to a Private Practice” Thomas D. Schneider, DO, FACOI, MPH (certified internal

SUNDAY, April 21, 2013 7:00 – 11:00 am

Registration – Conference Center

8:00 – 9:00 am

“Risk Evaluation and Mitigation Strategies (REMS) – Enhancing Patient Safety: An Introduction for Prescribers ” Mukesh Mehta, DPh, MBA, RPh., (VP, Clinical & Regulatory Solutions PDR Network, Montvale, NJ) www.pdrnetwork.com

9:00 -10:00 am

“Opioid Abuse/Withdrawal...The Missed Diagnosis” Melinda R. Allen, DO, FACOI (certified internal medicine, Blackwell, OK) www.emedicinehealth.com/narcotic_abuse/article_em.htm

10:00 am– 12:00 pm

“Risk Management and the Use of Social Media in Your Practice” Sponsored by Medical Protective-Sign-In Required for Credit Melanie Osley, RN, MBA, CPHRM, CPHQ, ARM, DFASHRM Senior Clinical Risk Management Consultant www.medpro.com

DOT TRAINING WORKSHOP PROGRAM DOT FMCSA NRCME PROGRAM CORE CURRICULUM SYLLABUS This program has been approved for 8.5 Category 1-A AOA CME Credits. This program will be in conjunction to the OOA Annual Convention on Saturday, April 20, 2013. This is a full day program and seperate registration is required

Faculty:

Dan Callan, DO, MPH, FAOCOPM Elizabeth P. Clark, DO, MPH&TM, FAOCOPM Scott C. Jones, DO, MPH, FAOCOPM Bret Holland, DO, FAOCOPM Earl Miller, DO, FAOCOPM Lance Walker, DO, MPH Charles Werntz, DO, MPH, FAOCOPM

SATURDAY, April 20, 2013 8:00 - 10:00 am 10:00 am – 12:30 pm 12:30 - 1:30 pm 1:30 - 4:00 pm 4:00 - 4:30 pm

An Introduction to the Medical Program Update Clinical Medical Standards, by Body System; Medical Examination; Performing & Documenting FMCSA Overview Clinical Medical Standards, by Body System; Medical Examination; Performing & Documenting Panel Discussion, Questions

AOCOPM, as a training organization, will stay current with FMCSA’s regulations & guidelines and provide timely, up-to-date continuous safety education and training

Oklahoma D.O. | April 2013

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Oklahoma D.O. | April 2013

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Welcome Convention Speakers & Special Guests ... David Vaughan is Vice President, Operations, for Novitas, the Medicare A & B contractor for all services in Jurisdiction 12 and Jurisdiction H. In this capacity, he is responsible for Claims Processing, Inbound Mail, EDI Services, Appeals, Enrollment, and the Provider Contact Center. His current accountability is serving as the Jurisdiction H Project Manager. Mr. Vaughan has 35 years experience in Medicare operations and systems. From 1995 to 1997, he served as Project Director at Highmark Medicare Services and supported the Medicare Division responsible for system initiatives, special projects, and oversight of centralized support staff performing system maintenance, training, operations support functions, and development and documentation of policies and procedures. Prior to joining Highmark, he was employed by TrailBlazer Health Enterprises and served as the Director, Maryland Medicare Part B Operations where he organized and oversaw the transition of the Part B contract from Blue Cross Blue Shield of Maryland. Mr. Vaughan is a Fellow in the Academy of Healthcare Management and is certified by the Quality Improvement Management College. He also earned the American Management Association’s Certificate in Advanced Project Management. Mr. Vaughan will presenting “Medicare Program” on Thursday, April 18, 2013 from 8:00-9:00 am. Lindsey Mongold, MHA, BS (Oklahoma City, OK) is a Health Information Technology Practice Advisor. As part of OFMQ’s Regional Extension Center (REC) for Health Information Technology, Lindsey works with healthcare providers and hospitals to advance the use of electronic health records (EHR) to improve patient care and health outcomes. She consults with physician practices and hospitals to successfully implement and meaningfully use EHRs, including assistance associated with vendor products, hardware, software and system configuration and troubleshooting, staffing considerations, workflow analysis, EHR utilization, security and privacy, and quality data reporting from EHR systems. Lindsey has been pivotal in the development and creation of many of OFMQHIT tools and resources for the REC and for commercial service line offerings. Prior to OFMQ, Lindsey’s experience includes hospital administration and clinical software implementation. She has trained more than 2,500 nurses across the nation on HIT software and hardware and has managed multiple hospital implementations during her tenure. In that role, she also developed training tools for both internal staff and external clients and interfaced with development and system integration engineers to troubleshoot and solve customer related issues. She received her undergraduate and graduate degrees from the University of Oklahoma. Ms. Mongold will be presenting “Stage1 and 2 Meaningful Use” on Thursday, April 18, 2013 from 9:00-10:00 am.

David B. Vaughan Vice President & Jurisdiction H Project Manager

David Vaughan is Vice President, Operations, for Novitas, the Medicare A & B contractor for all services in Jurisdiction 12 (Pennsylvania, Maryland, DC, New Jersey, and Delaware) and Nancy Granowicz (Royal Oak, Michigan) has been active in New the AAOA ever since she joined the osteopathic family, fifty years ago. She has served in many Jurisdiction H (Arkansas, Colorado, Louisiana, Mississippi, Mexico, Oklahoma and Texas). positions at the local level. She has been president of the Advocates for the Michigan Osteopathic Association three times, serving as legislative chair for In this capacity,thehepast is five responsible for Claims Processing, Inbound Mail, EDI Services, Appeals, years. As the first vice president, Nancy was the chairperson of the Golf Committee organizing the AAOA’s annual and only major fundraising Enrollment, andevent. the Provider Contact Center. Presently, over 280 million claimsandare She served a two-year term as director on the AAOA board, Secretary/Treasurer, Firstprocessed Vice President. Nancy has served on several committees annually in the and tworecently jurisdictions. chaired the Membership Committee. Nancy and her husband Vince have been married for over 50 years and have five children. She is the proud grandmother of eight grandchildren and two step grandchildren.

Nancy will be is a special guest the AOOA Annual Business Meeting on Thursday, April 18, 2013 at 9:30 am. His current accountability serving asatthe Jurisdiction H Project Manager.

Mr. Vaughan has 35 years experience in Medicare operations and systems. From 1995 to 1997, he served as Project Director at Highmark Medicare Services and supported the Medicare Division responsible for system initiatives, special projects, and oversight of centralized support performing system maintenance, training, operations functions, Layne staff E. Subera, DO, FACOFP (certified family practice, Tulsa, OK) received his Doctorsupport of Osteopathic Medicine degree from the Oklahoma State University Center for documentation Health Sciences College of Osteopathic in 1995. He completed his one year traditional rotating internship in 1996 and his Family Medicine and development and of policies andMedicine procedures.

residency at the Oklahoma State University Center for Health Sciences in Tulsa, Oklahoma in 1998. Dr. Subera is board certified in Family Practice and Osteo-

Manipulative Treatment by the America Osteopathic Board of Family Physicians. and Dr. Subera has been in private practice in rural Skiatook, Oklahoma Prior to joining pathic Highmark, he was employed by TrailBlazer Health Enterprises served as the for the past 15 years. He is currently serving as Chief of Staff Elect for Bailey Medical Center and as a Director for the Bailey Education Foundation in Owasso, Director, Maryland Medicare Part B Operations where he organized and oversaw the transition Oklahoma. He is a member of the American Osteopathic Association (AOA), the American College of Osteopathic Family Physicians (ACOFP), the Oklahoma of the Part B contract from Blue Cross Blue Shield of Maryland. Mr. Vaughan began Osteopathic Association (OOA) and the American Academy of Professional Coders. Currently, he his is the President of theOklahoma Osteopathic Association. Medicare career The working Richmond before to the Home Dr.with Subera willTravelers be presenting “Medical in Apps” on Thursday, April transferring 18, 2013 from 10:00-10:30 am. Office in Hartford, Connecticut. While in Hartford, he was responsible for Shared Maintainer functions for the HCFA Part B Standard System as well as significant oversight of four Part B contracts and the Railroad Retirement Board contract.

J.D. Polk, DO, MS, MMM, CPE, FACOEP (certified emergency medicine, Haymarket, Virginia) is the Principal Deputy Assistant Secretary for Health Affairs and

Chief Medical of the Department of Homeland Security (DHS). He is began serving in position in November of 2011. Prior to his work at DHS, Mr. Vaughan isDeputy a Fellow in the Officer Academy of Healthcare Management and certified bythis the Dr. Polk was the Deputy Chief Medical Officer of Space Medicine for the National Aeronautics and Space Administration’s (NASA) Johnson Space Quality Improvement Management College. He and alsoChief earned the American Management Center and aninAssistant Professor in the Departments of Preventive Medicine and Emergency Medicine at the University of Texas Medical Branch. He is the Association’s Certificate Advanced Project Management.

former State Emergency Medical Services Medical Director for the State of Ohio, and former Chief of Metro Life Flight in Cleveland, Ohio. He was previously a member of the State Trauma Committee for the State of Ohio. He has been active in the local, state, and federal emergency services and preparedness planMr. Vaughan isning a 1983 graduate ofInthe University of Richmond earning his MBA Degree with on Osteopathic College Accreditation, a Fellow throughout his career. addition, he is a member of the American Osteopathic Association’s Commission concentration inof Finance Marketing. HeEmergency also earned a B.S. Degree inFellow Commerce at theMedicine Association. Dr. Polk received his degree the Americanand College of Osteopathic Physicians, and an Associate of the Aerospace in Osteopathic Medicine from the A.T. Still University in Kirksville, Missouri. He completed his residency in emergency medicine with the Mt. Sinai hospitals University of Virginia. and the Ohio University system and is board certified in emergency medicine. Dr. Polk holds a Master’s in Science in Space Studies with a concentration in human factors from the American Military University, and a Masters in Medical Management from the University of Southern California’s Marshall School of Business. Dr. Polk has published extensively in the areas of emergency medicine, austere medicine, disaster response, air transport, aerospace medicine and medical management. He is an attending emergency physician as well as a Clinical Associate Professor of Emergency Medicine at the Edward Via College of Osteopathic Medicine. He is also an Affiliate Associate Professor and Senior Fellow in the School of Public Policy at the George Mason University. He has received numerous awards and commendations including citations from the Federal Bureau of Investigations, White House Medical Unit, Association of Air Medical Services, U.S. Air Force, and has received the NASA Center Director’s Commendation, the NASA Exceptional Service Medal, the National Security and International Affairs Medal and the NASA Exceptional Achievement Medal. Dr. Polk will be presenting the Opening Session: “Rescue of the Chilean Miners” on Thursday, April 18, 2013 from 10:30 am-12:00 pm and “Holistic Leadership” on Friday, April 19, 2013 from 2:00-3:00 pm

Oklahoma D.O. | April 2013

Bobby N. Daniel, DO, FACOFP (certified in family medicine, Tulsa, Oklahoma) earned his osteopathic degree from KCUMB-COM. Dr. Daniel currently has a private practice in Tulsa, Oklahoma. He is a member of the Oklahoma Osteopathic Association and serves on several bureaus. He is currently the President of the ACOFP-Oklahoma Society Chapter. Dr. Daniel will preside over the “ACOFP Update” on Thursday, April 18, 2013 from 3:30-4:30 pm.

Jeffrey S. Grove, DO, FACOFP (certified in family medicine with an added certification in geriatrics, Largo, Florida) is a graduate of Florida Southern College and earned his osteopathic degree from the NOVA Southeastern University College of Osteopathic Medicine (SECOM) in 1990. He served both his internship and residency at the Sun Coast Hospital in Largo, and then joined Suncoast Family Medical Associates, where he currently practices. Dr. Grove also holds a sub-specialty certification from the American Institute for Healthcare Quality in Case Management, Managed Care and Risk Management. He became a Fellow of the ACOFP in 2002, and will receive his Distinguished Fellow designation this year. Dr. Grove has served on the AOA Bureau of State Government Affairs and is currently Chair of the AOA Council on Continuing Medical Education. A dedicated educator, Dr. Grove is currently a Clinical Associate Professor in Family Medicine at Nova Southeastern University/COM and also serves as Adjunct Clinical Associate Professor of Family Practice/Geriatrics at LECOM Bradenton College of Osteopathic Medicine. Dr. Grove will be the special guest at the “ACOFP Update” on Thursday, April 18, 2013 from 3:30-4:30 pm.

Ronnie B. Martin, DO, FACOFP dist., (certified family practice, Christianburg, VA) earned his medical degree at Oklahoma State University Center for Health Sciences College of Osteopathic Medicine in Tulsa, Oklahoma. He completed his postgraduate training through the Rural Consortium of Enid Regional Hospital and the OSU Medical Center. After 19 years in family practice in Oklahoma, Dr. Martin became chair of the Department of Family Medicine at Des Moines University College of Osteopathic Medicine in Des Moines, Iowa. Prior to his move to Colorado, Dr. Martin was Associate Dean for Medical Education at Nova Southeastern University College of Osteopathic Medicine in Ft. Lauderdale, Fl. Dr. Martin is an OOA and ACOFP Past President. For the past two years, Dr. Martin has served as Vice Dean of Post Graduate Affairs at Edward Via Virginia College of Osteopathic Medicine in Blacksburg and has recently been named the new Dean of Liberty College of Osteopathic Medicine in Liberty, Virginia. Dr. Martin will present “Treating the WHOLE Patient with Trauma Osteopathically-Part I” on Friday, April 19, 2013 from 8:00-9:00 am and “Treating the WHOLE Patient with Trauma Osteopathically-Part II” on Saturday, April 20, 2013 from 7:30-8:30 am.

Amanda D. Martin, DO (orthopedic surgery, Birmingham, AL) specializes in arthroscopy of the hip, knee, shoulder and ankle, as well as the management of complex fractures. She is fellowship trained in Orthopedic Sports Medicine by the American Sports Medicine Institute under the leadership of Dr. Lawrence Lemak. Dr. Martin has also completed her AO Trauma fellowship at The University of Cape Town in South Africa. She completed her Doctor of Osteopathic Medicine at Oklahoma State University Center for Health Sciences in May 2005. While in medical school, Dr. Martin served on the Board of the American Osteopathic Association and was active on many national boards and committees with emphasis in health policy. Dr. Martin completed her internship and residency at the University of Medicine & Dentistry of New Jersey, School of Osteopathic Medicine where she served as chief resident and president of the National Residents Council for Orthopaedics. Presently, she is the team physician for Miles College, and was the assistant team physician for the Camden Riversharks professional baseball team and New Jersey area high schools. Dr. Martin will present “Treating the WHOLE Patient with Trauma Osteopathically-Part I” on Friday, April 19, 2013 from 8:00-9:00 am and “Treating the WHOLE Patient with Trauma Osteopathically-Part II” on Saturday, April 20, 2013 from 7:30-8:30 am and “Sports Injuries in the Female Athlete from Peewee to Boomeritis” on Saturday, April 20, 2013 from 9:30-10:30 am. Natasha Martin-Bray, DO, FACOI (certified internal medicine, Fort Lauderdale, FL) earned her osteopathic degree from OSU-COM. Dr. Bray went onto the Philadelphia College of Osteopathic Medicine and completed her internship as the Chief Intern Physician and completed her residency at Cambridge Health Alliance/Harvard Affiliated Hospital. Dr. Bray is currently the Vice President, Designated Institutional Official, Director of Graduate Medicine Education and the Program Director of the Internal Medicine Residency at North Broward Hospital District in Fort Lauderdale, Florida. She is also a clinical assistant professor at Nova Southern University College of Osteopathic Medicine and an adjunct assistant professor at FIU Herbert Wertheim College of Medicine. Dr. Bray serves on several national committees and has been recognized numerous times for her accolades and service to the profession. Dr. Bray will present “Treating the WHOLE Patient with Trauma Osteopathically-Part I” on Friday, April 19, 2013 from 8:00-9:00 am and “Treating the WHOLE Patient with Trauma Osteopathically-Part II” on Saturday, April 20, 2013 from 7:30-8:30 am and “Glycemis Control in the Critically Ill Patient” on Saturday, April 20, 2013 from 3:00-4:00 pm.

Robin R. Dyer, DO (certified family practice & OMM, Tulsa, OK) earned her osteopathic medical degree from Oklahoma State University College of Osteopathic Medicine (OSU-COM) in 1992. She is currently a professor and the Chair of the Department of Osteopathic Manipulative Medicine at OSU-COM. Dr. Dryer was awarded the OOA’s Rookie Physician of the Year award in 1994. OSU-COM awarded Dr. Dryer with the Outstanding Clinical Professor of the Year in 2002 and 2004 as well as the Clinical Faculty Member of the Year in 2002 and 2012. She has served as an OOA Student Mentor since 2004 and is the current PresidentElect for the Oklahoma Educational Foundation for Osteopathic Medicine. Dr. Dyer will present “Easy OMT Techniques to Incorporate into your Practice” on Friday, April 18, 2013 from 9:00-10:00 am

Oklahoma D.O. | April 2013

Chelsea D. Gilbertson, DO (emergency medicine, Oklahoma City, OK) received a Masters in Business Administration from the University of Tennessee in Knoxville, TN and earned her osteopathic degree from OSU-COM in Tulsa, OK. Currently, Dr. Gilbertson is the Emergency Medicine Ultrasound Director at Integris Southwest Medical Center in Oklahoma City and an EM physician at TeamHealth Mid-America. Dr. Gilbertson is a member of several national professional societies. Dr. Gilbertson will be presenting “Current Sepsis Management in the Emergency Department” on Friday, April 19, 2013 from 9:00-10:00 am.

Kristopher K. Hart, DO (certified emergency medicine, Oklahoma City, OK) an Oklahoma native, Dr. Hart is a 2004 graduate of Oklahoma State University Center for Health Sciences. He completed his residency training at Integris Southwest Medical Center emergency medicine residency program in 2008. Since graduation, he has served as an attending faculty member at Integris Southwest Medical Center and is an adjunct professor of family medicine at OSU-CHS. He was named 2010 OOA Rookie Physician of the Year. In 2011, he served as assistant program director and is now the program director at Integris Southwest Medical Center emergency medicine residency program. Dr. Hart also served as the 2011-2012 President of the Oklahoma Educational Foundation for Osteopahtic Medicine (OEFOM). Dr. Hart will present “Patient Care-Toxicology Care in the ER” on Friday, April 19, 2013 from 10:00-11:00 am.

Daniel P. Kite, DO (emergency medicine, Norman City, OK) is currently an attending physician at Morningstar Emergency Physicians of TeamHealth. Dr. Kite received his Doctor of Osteopathic Medicine from OSU-COM in 2005 and completed his internship and residency at Parkland Health and Hospital System/Dallas County Hospital in Dallas, Texas. Dr. Kite is a member of several professional societies and is actively involved in community service. Dr. Kite will present “Patient Care-Cardiology Care in the ER” on Friday, April 19, 2013 from 11:00 am-Noon.

Norman E. Vinn, DO (certified family medicine, Sam Clemente, CA) is an osteopathic family physician from San Clemente, Calif., A long-time member of the AOA Board of Trustees, Dr. Vinn has served the Board in many capacities, including chair of the Bureau of Public Health, Quality and Research; chair of the Department of Educational Affairs; and chair of the Strategic Planning Committee. Dr. Vinn is founder and chief medical officer of Housecall Doctors Medical Group, Inc., a housecall network that provides on-site clinical services to high-risk and homebound elderly in Orange County, Calif. He also is president of The Residentialist Group, Inc., of Laguna Hills, Calif., a management group specializing in the development and operation of housecall programs. In addition to his involvement with the AOA, Dr. Vinn is a past president of the Osteopathic Physicians and Surgeons of California and a founding member of the American Osteopathic Academy of Medical Informatics. A fellow of the American College of Osteopathic Family Physicians, Dr. Vinn received the Orange County Senior Care Humanitarian Award in 2011 and the Lifetime Achievement Award from the Osteopathic Physicians and Surgeons of California in 2008. Dr. Vinn earned his osteopathic medical degree from the Philadelphia College of Osteopathic Medicine. He completed his postdoctoral medical training at what is now Botsford General Hospital in Farmington Hills, Mich. Dr. Vinn will be the special guest at the ONE Leadership Luncheon on Friday, April 19, 2013 from noon - 2:00 pm. Guy W. Sneed, DO, FACOOG (certified obstetric & gynecological surgery, Owasso, OK) graduated from Oklahoma State University with a B.S in Biomedical Biology and Chemistry in 1990. He obtained his Doctor of Osteopathy degree from Oklahoma State University College of Osteopathic Medicine in 1994 and completed a rotating internship at The University of Alabama, Birmingham in 1995. He received his MBA from Meinder’s School of Business, Oklahoma City University in 1998 and completed his OB/GYN Surgery residency at Oklahoma State University Center for Health Sciences, OSU Medical Center in Tulsa in 2002. He received the Oklahoma Osteopathic Association’s Rookie Physician of the Year Award in 2004. He is a board certified Obstetrician/Gynecological Surgeon and serves as the Division Director for Women’s Health Services for St. John Physicians, Inc in Tulsa Oklahoma. He is also the Medical Director for the Center for Women’s Health, St. John Owasso. He has spent 23 years in the Army Reserves as an Infantry Field Surgeon and has served in combat roles in both Iraq and Afghanistan. Among his many awards and citations he has been awarded the Combat Medical Badge, Combat Action Badge, and the Bronze Star. He holds the rank of Full Colonel. Dr. Sneed will be presenting “Evidence-Based Treatment Strategies for the Menopausal Patient” on Friday, April 19, 2013 from 3:00-4:00 pm.

Tammie L. Koehler, DO (certified obstetric & gynecological surgery, Miami, OK) is currently the President and Owner of the Miami Women’s Clinic, Inc in Miami, Oklahoma. Dr. Koehler is also the Chair of the OB/GYN Department at Integris Baptist Regional Medical Center and is an Adjunct Faculty at OSU-Center for Health Sciences College of Osteopathic Medicine Tulsa, OK. She is also the Community Hospital Clerkship Coordinator for Miami, OK Integris Baptist Regional. Dr. Koehler received her Doctor of Osteopathic Medicine from OSU-COM in Tulsa. Dr. Koehler will be presenting “Abnormal Pap Smear Results” on Friday, April 19, 2013 from 4:00-5:00 pm.

Oklahoma D.O. | April 2013

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www.INSURICA.com/healthcare Oklahoma D.O. | April 2013

Dale Derby, DO (certified anestesiology, Owasso, OK) received his osteopathic degree from KCUMB-COM and currently employed with EMCARE. Prior to joining EMCARE, Dr. Derby was with BMC Anesthesia, PC. Dr. Derby is a member of several professioanl societies and is actively involved within his community. Dr. Derby is a member of the OOA Board of Trustees and a past president of Tulsa Osteopathic Medical Society. Dr. Derby will be presenting “Postoperative Cognitive Dysfunction (POCD)” on Friday, April 19, 2013 from 3:00-4:00 pm.

John B. Hill, DO (certified anestesiology, Norman, OK) is a partner at Norman Anesthesia Provides in Norman, OK. Dr. Hill received his osteopathic degree from OSU-COM in Tulsa, Oklahoma and completed his residency in Anesthesiology from the University of Oklahoma Health and Science Center in Oklahoma City, Oklahoma. Dr. Hill is a past president of the OSU-COM Alumni Association. Dr. Hill will present “Pre-op Evaluation of Patients by Primary Providers, What We Really Need to Know” on Friday, April 19, 2013 from 4:00-5:00 pm.

Robert C. Gaston, DO (certified Radiation Oncology, Norman, OK) completed his undergraduate degee from the University of Arizona in Tucson, Arizona. Dr. Gaston received his osteopathic degree from OSU-COM in Tulsa, Oklahoma and completed his residency in Radiation Oncology from the University of Oklahoma Health Sciences Center in Oklahoma City, Oklahoma. He also completed a fellowship in Radiation Oncology from the University of Oklahoma Health Sciences Center Oklahoma City, Oklahoma. Dr. Gaston will present “Proton Therapy” on Saturday, April 20, 2013 from 8:30-9:30 am.

“As physicians, we have so many unknowns coming our way... One thing I am certain about is my malpractice protection.” Medicine is feeling the eﬀects of regulatory and legislative changes, increasing risk, and profitability demands—all contributing to uncertainty and lack of control. What we do control as physicians: our choice of a liability partner. I selected ProAssurance because they stand behind my good medicine. In spite of the maelstrom, I am protected, respected, and heard. I believe in fair treatment—and I get it.

Professional Liability Insurance & Risk Management Services ProAssurance Group is rated A (Excellent) by A.M. Best. ProAssurance.com • 800.492.7212

Oklahoma D.O. | April 2013

Diane M. Heaton, MD (certified radiation oncologist, Tulsa, OK) has been treating patients in the Tulsa area for nearly 20 years. She has a wealth of clinical knowledge and experience in stereotactic radiosurgery and stereotactic body radiation therapy treatments. She was the first physician to perform stereotactic radiosurgery in the state of Oklahoma. Dr. Heaton is also a nationally recognized expert in the treatment of trigeminal neuralgia, a neuropathic disorder that causes intense pain in the face, forehead and jaw. A member of the American Society of Radiation Oncology and several other medical and oncology associations, Dr. Heaton has been the recipient of many awards for her clinical excellence and commitment to clinically-focused protocols. Dr. Heaton will present “Radiosurgery-Shorter is Better: How We Can Go From 44-Treatments to 5-Treatments” on Saturday, April 20, 2013 from 9:30-10:30 am.

Thomas W. Allen, DO (certified sports medicine, Tulsa, OK) is a Clinical Professor in the Center for Exercise and Sports Medicine and Director of the Human Performance Laboratory at the University of Oklahoma School of Community Medicine, Tulsa where he also holds a faculty appointments as Adjunct Professor of Biostatistics/Epidemiology and as Adjunct Professor of Emergency Medicine. A graduate of Ottawa (KS) University with a B.A. in Biology, Dr. Allen received his Doctor of Osteopathic Medicine degree from Midwestern University Chicago College of Osteopathic Medicine, where he completed a residency in Internal Medicine. He also completed a fellowship in Pulmonary Medicine at Northwestern University Medical School in Chicago, Illinois, where he was a Research Associate in the pulmonary disease section at the Veterans Administration Lakeside Hospital. An academic physician for his entire career, Dr. Allen has held faculty appointments at five medical schools and served as Dean at two. Dr. Allen was the founding director of the sports medicine residency at Oklahoma State University and has served as the physician for the Oklahoma State University wrestling team for the past fifteen ten years. He is a consultant to the National Football League Committee on Cardiovascular Health and is a former Colonel in the United States Army Reserve. Dr. Allen will present “Pre-Participation Screening for the Prevention of Sudden Cardiac Death in Young Athletes” on Saturday, April 20, 2013 from 8:30-9:30 am. R. Murali Krishna, MD (certified psychiatry, Oklahoma City, OK) is president and chief operating officer of INTEGRIS Mental Health and co-founder and president of the James L. Hall, Jr. Center for Mind, Body and Spirit, an educational organization. Dr. Krishna still manages to find enough hours in a day to serve on many professional and civic organizations’ boards and committees. He currently serves as president of the Oklahoma State Board of Heath and founding president/president emeritus of the Health Alliance for the Uninsured (HAU). He is a Clinical Professor of Psychiatry at the University of Oklahoma Health Sciences Center, Department of Psychiatry and Behavioral Sciences; Dr. Krishna is committed to improving the health of the people in our communities. Dr. Krishna is a motivating and engaging speaker on mental health and mind, body, spirit medicine topics and is often interviewed by television and print news organizations for his expert opinion on mental and emotional health issues. Dr. Krishna will present “VIBRANT: To Heal and Be Whole” on Saturday, April 20, 2013 from 2:00-3:00 pm. Following his presentation, Dr. Krishna will be in the lobby siging his book““VIBRANT: To Heal and Be Whole From India to Oklahoma City”

Brent D. Bell, DO (psychiatry, Oklahoma City, OK) is currently the Medical Director St. Anthony Hospital - Acute Adolescent Psychiatric Services and Positive Outcomes Program Senior Medical Consultant – Oklahoma HealthCare Authority. Dr. Bell also serves as the Chairman of the Department of Psychiatry, St. Anthony Hospital, Oklahoma City, Oklahoma and is a Clinical Assistant Professor of Psychiatry, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma. Dr. Bell received his Doctor of Osteopathic Medicine degree from OSU-COM in Tulsa, OK. Dr. Bell completed his residency at Griffin Memorial Hospital in Norman, Oklahoma. Dr. Bell is a member of several state and national societies. Dr. Bell will present “Influence of Social Media” on Saturday, April 20, 2013 from 3:00-4:00 pm.

Vincel R. Cordry, Jr., DO (certified psychiatry, Oklahoma City, OK) is a Hennessey native who established his practice with OU Physicians. He has also been named an associate professor with the University of Oklahoma College of Medicine. Dr. Cordry has practiced psychiatry in several Oklahoma cities, including Oklahoma City, Tulsa, Enid, Lawton, Woodward and others. He has worked with the Oklahoma Department of Mental Health and Substance Abuse Services and served as psychiatry department chairman at Oklahoma State University College of Osteopathic Medicine in Tulsa. Dr. Cordry completed his residency at the University of Kansas School of Medicine, Wichita. He earned his doctor of osteopathic medicine from the Kansas City College of Osteopathic Medicine, Kansas City and earned his bachelor’s degree at Phillips University in Enid. Cordry is a member of the American Osteopathic Association, Oklahoma Osteopathic Association, American Psychiatric Association, Oklahoma Psychiatric Physicians Association and the American College of Osteopathic Neurologists and Psychiatrists. Dr. Cordy will be presenting “Addressing the Need for Rural Psychiatry” on Saturday, April 20, 2013 from 4:00-5:00 pm.

James S. Seebass, DO, FACOI (certified pulmonary medicine & internal medicine, Tulsa, OK) is a pulmonologist with 35 years of private practice and academic experience. He received his pulmonary training at the National Jewish Hospital and Research Center in Denver, which is rated the number one lung center in the U.S. For years, he practiced pulmonary medicine in a large specialty group, then was recruited as the Chair of Internal Medicine at Oklahoma State University. Over this time, he received almost yearly awards for his teaching and bedside care from students, interns, and residents. He has published numerous articles and most recently was co-editor and author, with his mentor Dr. Thomas L. Petty, of a book on Pulmonary Disorders of the Elderly published by the American College of Physicians. Dr. Seebass will present “COPD: The Old and the New” on Saturday, April 20, 2013 from 2:00-3:00 pm.

Oklahoma D.O. | April 2013

Thomas D. Schneider, DO, FACOI (certified internal medicine, Muskogee, OK) was appointed to the position of Chief of Staff at the Jack C. Montgomery VA Medical Center (JCMVAMC) on August 26, 2012. Since June 2008, Dr. Schneider has served as the Chief of Medical Service, charged with day-to-day operations of all inpatient and outpatient internal medicine and medical specialty services, geriatrics/extended care, and hospice/palliative care. He has been instrumental in leading the effort to establish and expand the facility’s affiliation with Oklahoma State University and the medical and surgical residency programs. Prior to joining the JCMVAMC, Dr. Schneider served as Chief of Staff (1996-2003) and Assistant Chief of Staff/Chief of Ambulatory Care (1993-1996) at W.W. Hastings IHS Hospital in Tahlequah, OK. Dr. Schneider joined JCMVAMC in 2003 as the Associate Chief of Staff/Primary Care. Dr. Schneider received his medical degree from the Oklahoma State University College of Osteopathic Medicine in 1990 and completed his residency at Tulsa Regional Medical Center in 1993. He has previously been active as a National VA Coach for Advanced Clinic Access. In 2003, Dr. Schneider was appointed to the VISN 16 Pharmacy Benefits Management Committee and continues to actively serve in this role. Dr. Schneider will present “Coordinating Care From the VA to a Private Practice” on Saturday, April 20, 2013 from 4:00-5:00 pm. Mukesh Mehta, DPh, MBA, RPh, Vice President, Clinical & Regulatory Solutions for PDR Network LLC, Publishers of the Physicians' Desk Reference® (PDR®) With more than thirty years of bio/pharmaceutical and healthcare information experience, Dr. Mehta leverages an in-depth working knowledge of the industry to counsel bio/pharmaceutical leaders in developing regulatory, commercial and patient safety programs to meet core business objectives. In his current position with PDR Network, Dr. Mehta has worked to develop end-to-end REMS and compliance solutions for the bio/pharmaceutical industry. Dr. Mehta was recognized for his contribution towards Structured Product Labeling (SPL) implementation with the FDA Commissioner's Special Citation. He was selected by the European Medicines Agency (EMA) to be a member of a High Level Advisory Group for Eudrapharm and was appointed to the U.S. Department of Health and Human Services Steering Committee for the Collaborative Development of a Long-Range Action Plan for the Provision of Useful Prescription Medicine information. Dr. Mehta will present “Risk Evaluation and Mitigation Strategies (REMS)-Enhancing Patient Safety: An Introduction for Prescribers” on Sunday, April 21, 2013 from 8:00-9:00 am

Melinda R. Allen, DO (certified internal medicine, Blackwell, OK) graduated from OSU-COM Tulsa in 1999 and completed a 3 year internal medicine residency at OSU MC. Dr. Allen practices as a general internist/hospitalist in Ponca City and Blackwell. Dr. Allen serves in an area that focuses on treating addiction in young adults. Dr. Allen will present the Proper Prescribing Course: “Opioid Abuse/Withdrawal...The Missed Diagnosis” on Sunday, April 21, 2013 from 9:00-10:00 am.

Melanie Osley, RN, MBA, CPHRM, CPHQ, ARM, DFASHRM, is a Senior Clinical Risk Management Consultant. She provides risk management services for Medical Protective insureds in the Northeast region of the United States, ranging from Maine to Maryland. Melanie has worked in healthcare for over 25 years, with 20 of those years dedicated to healthcare professional liability. Her experience includes work with self-insured hospitals, off-shore insurance captives, and physician insurance carriers. Melanie is a frequent speaker for healthcare and insurance organizations on topics that include quality initiatives, patient safety, insurance models, and risk management. Melanie holds a BS in law enforcement from the University of Evansville (IN) and a BSN from the University of Maryland. She completed an MBA in healthcare administration at City University (WA), is a certified paralegal, and holds a current Connecticut insurance adjuster's license. She is certified in both healthcare quality (CPHQ) and risk management (CPHRM), and has designations as a Distinguished Fellow of the American Society of Healthcare Risk Management in New England (DFASHRM), and an Associate in Risk Management (ARM) from the Insurance Institute of America. Ms. Osley will present “Risk Management and the Use of Social Media in Your Practice” on Sunday, April 21, 2013 from 10:00 am-12:00 pm.

Welcome OMT Coordinators

James W. Hogin, DO

certified internal medicine & OMM

Oklahoma City, OK

Robin R. Dyer, DO certified family practice & OMM Tulsa, OK

JoAnn G. Ryan, DO certified family practice Tulsa, OK

OMT Treatment Clinics will be held in Ballrooms A-F during the following times: Thursday - APRIL 18, 2013 Noon - 3:00 PM Friday - APRIL 19, 2013 2:00 - 6:00 PM 26

Oklahoma D.O. | April 2013

stability matters. If there is one thing to learn from the recent financial turmoil, knowing who to trust is paramount. Medical Protective, a proud member of Warren Buffett’s Berkshire Hathaway, has always believed that to provide our healthcare providers the best defense in the nation, our financial stability needs to be rock-solid, stronger than any other company. Stability even in the worst of times. Medical Protective is the only medical professional liability insurance company to protect their healthcare providers through all the business and economic cycles of the last 110 years, including the tough economic times of the Great Depression. We are also proud to have provided unmatched defense and stability during all the medmal crises.

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All products are underwritten by either The Medical Protective Company® or National Fire and Marine Insurance Company,® both Berkshire Hathaway businesses. Product availability varies based upon business and regulatory approval and may be offered on an admitted or non-admitted basis. ©2011 The Medical Protective Company.® All Rights Reserved.

OK_OsteoSoc_full_1c_7'375x9'75.indd Oklahoma D.O. | April 2013

3/28/11 11:05 AM

Welcome Convention Exhibitors

The 113TH OOA Annual Convention Exhibitor Hall

Exhibit Hall Schedule Oklahoma Ballroom A-F

Thursday - April 18, 2013 Noon - 2:00 pm Lunch with Exhibitors & Drawings for Physicians & Exhibitors

4:00 - 5:00 pm Visit Exhibits with Drawings

Friday - April 19, 2013 9:00 am - Noon 11:00 am - Noon Visit Exhibits with Drawings

2:00 - 6:00 pm Visit Exhibits

5:00 - 6:00 pm Visit Exhibits with Drawings

APRIL 18-19, 2013 The Exhibit Hall is located in Oklahoma Ballrooms A-F at the Norman Embassy Suites & Conference Center. Please note the hours listed below, along with the hours for drawings & special events for physicians & exhibitors.

113TH Convention Exhibitors Xymogen 101 Rich & Cartmill Inc. 102 Merck 103 Cancer Treatment Centers of America 104 OCOM Imaging 201 Ideal Protein 202 MyHealth Access Network 203 Liberty Mutual Insurance 204 Novartis Vaccines & Diagnostics 205 John Hancock Insurance 206 OOC Locum Tenens & Permanent Placement 207 Amgen 208 OMT 209 Sunovion Pharmaceuticals 210 ProAssurance 301 Procure Proton Therapy Center 302 Roger Hicks and Associates Group Insurance, Inc. 303 PLICO 304 Diagnostic Laboratory of Oklahoma 305 Oklahoma Health Care Authority 306 Regional Medical Laboratory 307 Chickasaw Nation Division Of Health 308 e-MDs 401 OSU Medical Center 402 Astra Zeneca 403 American Express Open 404 Mylan Specialty LP (Dey Pharma, LP) 405 Oklahoma Beef Council 406 NE tribal health system 412 Mercy Physician Recruitment 501 OSU College of Osteopathic Medicine-Alumni Association 502 JD McCarty Center 503

Advanced Ultrasound Electronics, LLC 504 AXIS Practice Solutions - Management 505 Oklahoma CyberKnife 506 Health Diagnostic Laboratory, Inc. 601 Innovative Healthcare Systems 602 Physician Manpower Training Commission 603 Integris Health Physician Recruitment 604 Pfizer 605 OFMQ 606 A+ Computer Solutions 701 Revert 702 TEVA Pharmaceuticals 703 MC - Imaging 704 Novo Nordisk 705 HealthChoice 706 Janssen Pharmaceuticals 707 Insurica 708 Choctaw Nation Health Services Authority 709 Blue Cross Blue Shield of Oklahoma 710 All Star X-Ray, Inc. 801 US Morningstar, LLC 802 Cook Children's Health Care System 803 Community Health Systems 804 Sooner Relief 805 The Apothecary Shoppe 806 Novitas Solutions 807 Grifols 808 Travel Leaders - Bentley Hedges Travel 809 Advocates to the OOA 810 Eli Lilly USA 811 SAA/IRAA 812 Boston Heart Diagnostics 814

Oklahoma D.O. | April 2013

EVENING activities COCKTAIL HOUR WITH EXHIBITORS

drinks are on the OOA in the exhibit hall during happy hour

LET THE CHIPS FALL CASINO NIGHT

Test your luck friday evening during the casino night

SILVER BUCKLE BANQUET featuring IJ GANEM BAND

Join us Saturday evening for a night filled with celebration and dancing

Oklahoma D.O. | April 2013

annual convention activities Enter to win an iPad mini! Within the exhibit hall are hidden silver buckle drawing cards that will enter you into the drawing for the iPad mini’s. Participants are able to enter more than once into the drawing.

HOW DO YOU GET A SILVER BUCKLE DRAWING CARD???

giveaway

5-Daily clues will be distributed Thursday and Friday morning. Clues can be found in the lecture hall/ OOA social media sites/ OOA website/and at each exhibit booth Clue example: Our Mission is to promote the welfare of the university by cultivating a mutually beneficial relationship between OSU-CHS and its growing community of alumni. Answer: OSU-COM Alumni Association Read the clues closely and they will direct you to the exhibitor that has a silver buckle drawing card. Once you have a buckle fill out the back of the card and place it in the drawing box at the front desk. Drawings will take place on: • Thursday, April 18 from 12:00-2:00 pm and 4:00-6:00 pm • Friday, April 19 from 5:00-6:00 pm BEWARE: The 5-Exhibitors are only given a certain amount of drawing cards to distribute. Once they are out, you will have to find another hidden exhibitor. Physicians who begin to build a professional relationships with exhibitors will have the opportunity to receive a Silver Buckle as well! HOTEL RESERVATIONS For hotel accommodations, please contact Sandie at Embassy Suites Norman - Hotel and Conference Center at 405-253-3547. Standard Suite is $154.00 a night. Check in: 3:00 pm/ Check out: 12 Noon. To avoid cancellation charges, reservations should be cancelled by 3:00 pm Room Cut-off is April 1, 2013 Room Amenities include: Two 32” televisions , Two phone lines with voicemail and data ports, Wireless Internet access, Hospitality center with microwave, refrigerator, and coffee maker.

TAKE ME OUT TO THE BALLGAME on thursday, april 18th $15 per ticket-seating at the Devon Deck. (food not included in this price) The ballgame begins at 7:05 pm at the Chickasaw Bricktown Ballpark

Don’t forget to mention you are with the OOA! 30

Oklahoma D.O. | April 2013

NURTURING A HEALTHIER OKLAHOMA The Oklahoma State University College of Osteopathic Medicine Alumni Association salutes our stateâ&#x20AC;&#x2122;s osteopathic health care excellence. Approximately half of our graduates practice right here in Oklahoma. Our future physicians mentor young learners, conduct special events and volunteer in the community to promote health and wellness. The OSU-COM Alumni Association is proud of the ongoing efforts of our students, faculty, staff and alumni, as well at the Oklahoma Osteopathic Association, in supporting a healthier Oklahoma.

CME Spring Fling, May 17-18 Presented by OSU-COM Alumni Association 16 AOA Category 1A CME Credits Tulsa Downtown DoubleTree To register, call Renee Williams at 918-561-1103 or 800-677-1972 www.healthsciences.okstate.edu/alumni/springfling.php

Summer Golf Classic, May 19 Cherokee Hills Golf Club Hard Rock Casino To register, call Bria Taylor at 918-561-1219 or 800-677-1972 www.healthsciences.okstate.edu/alumni/golf.php

Oklahoma D.O. | April 2013

John Hancock Life Insurance Company (U.S.A.) (John Hancock)

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To learn more about how to obtain this LTC insurance benefit, please contact: Stephen Clark at (405) 478-7700 or sclark@jhnetwork.com

The long-term care insurance policy describes coverages under the policy, exclusions and limitations, what you must do to keep your policy in-force, and what would cause your policy to be discontinued. Please contact the licensed agent or John Hancock for more information, costs, and complete details on coverage. This is an insurance solicitation. An insurance agent may contact you. Long-term care insurance is underwritten by John Hancock Life Insurance Company (U.S.A.), Boston, MA 02117. ICC11-LTC-6365 7/11

Long-Term Care Policy Form: ICC10-LTC-11

Long-Term Care Insurance Oklahoma D.O. | April 2013

Welcome

Advocates to the OOA

Walli Daniel President of the AOOA

Nancy Granowicz President of the AAOA

Thursday, April 18, 2013 9:30 am AOOA Business Meeting 10:30 am Installation Ceremony 11:30 am “Surviving Medical School Twice” presented by: Tammie Koehler, DO 12:00 pm Honoring Distinguished Advocates Orpha Harnish, AAOA Past President Friday, April 20, 2013 6:00 - 11:00 pm Family Fun Night-”Let the Chips Fall-Casino Night” Dinner, conclusion of the Silent Auction & Raffle!

Congratulations ROGME Winners! Fifth Annual ROGME (Research in Osteopathic Graduate Medical Education) Poster Symposium The two-1st and 2nd place winners will present their posters during the OOA Convention. This takes place on Saturday, April 20 from 10:30 am-Noon.

1st place: Kelly Koenig, DO “Patient Satisfaction Scores and Physician Prescribing Practices”

Oklahoma D.O. | April 2013

1st place: Jarrod Mueggenborg, DO “Clinical Cues for Mortality in Early Sepsis”

2nd place: Brandon Wilson, DO “Posterior Reversible Encephalopathy Syndrome (PRES) in Pregnancy: A Difficult Diagnosis”

Oklahoma Osteopathic Willow Creek Country Club Association 6501 S. Country Club Dr.

Golf Tournament Golf Chair: Paul F. Benien, JR, DO

Oklahoma City, OK 73159

Wednesday, April 17, 2013

Registration includes Goodie Bag, All course fees, Range Balls, Golf Cart, Lunch, Beverage Cart Service, and Full Service Bag Drop

11:00 am............Check-in 11:30 am................Lunch 1:00 pm......Shotgun Start Awards at End of Play

Shirts Sponsored by:

Sponsorship Opportunities

Hole-in-One Sponsor- $2000

Includes: Team of 4, custom sign at 1st hole, listed on marketing material

Birdie Sponsor- $1000

Includes: 2 player registrations, custom sign placed at a hole, listed on marketing material

Hole Sponsor- $500

Tee Sponsor- $100

Includes: 1 player registration, custom sign placed at a hole, listed on marketing material

D L O S Sign me up!

Lunch Sponsor- $500

Includes: Custom sign placed at a hole, listed on marketing material

We will place a sign with your logo out during the player lunch

Beverage Cart- $500

A sign with your logo will be placed on the beverage cart servicing all players

Payment Information

Sponsors

NAME:

Sign my team up! ONE: TWO:

Hole-in-One Sponsor- $2000 Birdie Sponsor- $1000 Hole Sponsor- $500 Tee Sponsor- $100 Lunch Sponsor- $500 Beverage Cart- $500

THREE: FOUR:

Players

One Player- $150 Two Players- $300 Three Players- $450 Four Players- $600 2 Mulligans- $30 One set per player

Total: Credit Card Number

Expiration Date

Shirts will be available for all players who register before March 20, 2013 Shirt Size: Shirt Size: Shirt Size: Shirt Size:

I think Iâ&#x20AC;&#x2122;ll need mulligans. 2 Mulligans- $30 One set per player

Signature

Contact information! Address: City, State, Zip: Phone Number: E-Mail: Oklahoma D.O. | April 2013

SeekingSitters

HAIIG

will be at convention!!!

Hours of operation

Activities include:

Thursday, April 18 8am til’ 9:30 pm

finger painting, bracelet making, tape-it projects, board games, scavenger hunts, sidewalk art, kite flying, face painting, and so much more!

Friday, April 19 8am til’ 1 1pm

SeekingSitters will provide licensed life guards to take some children to the pool area. Please specify on the registration form if your child is able to participate in this activity. Please provide proper swimming equipement for your child’s safety.

Saturday, April 20 8am til’ midnight Sunday, April 21 8:00 am - Noon FREE SERVICE

Registration Form

Please fill out the following information and send to the OOA

Child Name Age

Can I participate in swimming activities?

In Case of an Emergency....

Please Contact:____________________________________Relationship to the child:___________________ Phone Number (s):__________________________________ ___________________________________

Oklahoma D.O. | April 2013

Oklahoma Osteopathic Associationâ&#x20AC;&#x2122;s 113th Annual Convention April 18-21, 2013 Embassy Suites Norman - Hotel and Conference Center 2501 Conference Drive, Norman, OK 73069 Full name: _____________________________________________________________________________________________________________________ Preferred Name / first name for name badge: __________________________________________________________________________________________ Office address: _________________________________________________________________________________________________________________ City: ____________________________________________________________________ State: ____________________ Zip: _____________________ E-Mail: _______________________________________________________ Phone: ________________________________________________________ CONVENTION SYLLABUS: q I wish to receive my professional program syllabus in print. Note: all presentations will be available on the convention module. OTHER NAME BADGES NEEDED FOR: Spouse: ______________________________________________________________________________ Guest(s): _____________________________________________________________________________

Children/Teens : q_______________________________________________(age)__________________

check the box, if you

plan to register this child in SeekingSitters

(age)

NOTE: All convention registrants, Teens, Children, and Guests MUST wear an OOA name badge to enter the exhibit hall. We suggest listing all of your guests above to save you time during the registration process.

On/Before April 11, 2013 q DO Member Registration (or other AOA divisional society member) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $540 (Includes Sundayâ&#x20AC;&#x2122;s Proper Prescribing Lecture and Risk Management Program) q Retired DO Member Registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $300 q DO Nonmember Registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,090 q Spouse/Guest/Exhibitor Events Registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $220 q MD and Non-Physician Clinicians Registration* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $540 q Osteopathic Medical Student: q OMS-I q OMS-II q OMS-III q OMS-IV . . . . . . . . . . . . . . . . . . . . .$0 q Intern q Resident q Fellow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $0

After April 11, 2013

$565

$325 $1,115 $245 $565 $0 $0

Registration is complimentary for osteopathic students and physicians in postgraduate training. They are welcome to attend all programs and convention functions at no charge. Please make event ticket requests at the OOA Registration desk. Badge required.

q q q

DO Member Registration for Proper Prescribing & MedPro Program (Sunday Program Only**) . . . . . . . . . . . . $195 DO Nonmember Registration for Proper Prescribing & MedPro Program (Sunday Program Only**) . . . . . . . . $745 MD and Non-Physician Clinician Registration for Proper Prescribing & MedPro Program (Sunday Program Only**) $195

Non-registered OOA Members may purchase Banquet tickets. q I would like to purchase ________ Banquet ticket(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $75 each q DOT FMCSA NRCME PROGRAM (OOA/AOCOPM Member Rate). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$450 each q DOT FMCSA NRCME PROGRAM (OOA/AOCOPM Non-Member Rate). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$550 each this is a seperate registration fee TOTAL AMOUNT DUE:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $______________

$220 $770 $220 $100 each $450 each $550 each $______________

Registration includes name badges(s), registration gift and all meals and social events unless otherwise noted. *Registration includes name badge, certificate, and registration gift. **Registration DOES NOT include registration gift or meal tickets. q

Charge my VISA, MASTERCARD, AMEX, DISCOVER:

Card #: ________________________________________________________________________________________________ Exp. Date______________ CID # (3 digit number on back of card or 4 digit number on front of AMEX card) _______________ Zip code for cardholder: ____________________________ q

My check in the amount of $______________ is enclosed and made payable to the Oklahoma Osteopathic Association.

Mail this form and payment to: Oklahoma Osteopathic Association: 4848 N. Lincoln Blvd., Oklahoma City, OK 73105-3335 or FAX: 405.528.6102 NOTE: All DO attendees must be members in good standing with their respective state association in order to attend at the announced fees. Otherwise, a DO may attend the convention by paying an additional $550, which may be applied towards OOA membership dues with completed application. Students, interns, residents, and fellows are not required to pay a registration fee and are welcomed to attend all convention functions at no charge. Requests for refunds must be received before April 11, 2013, and a $45 service fee will be charged. NO REFUNDS AFTER APRIL 11, 2013.

Oklahoma D.O. | April 2013

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Foundation Update ... As part of a continuing series from the OEFOM highlighting the achievements of members of the board, we would like to focus our article this month on Larry Derryberry, J.D. Mr. Derryberry is a local attorney and founding partner of the Derryberry & Naifeh law firm in Oklahoma City where he is engaged in the practice of litigation and administrative law. He represents clients in insurance, healthcare, and taxation along with other related areas. Mr. Derryberry received his BA from the University of Oklahoma in 1961 followed with his Juris Doctorate from the University of Oklahoma College of Law in 1963. During his time at law school he was an editor of the Oklahoma Law Review, a student published paper featuring articles from scholars and practitioners as well as notes from students. While in law school Mr. Derryberry was elected to the Oklahoma House of Representatives. During his time with the Oklahoma legislature he served as Assistant Majority Floor Leader and Speaker pro tempore. After his time serving in the Oklahoma House of Representatives, Mr. Derryberry was elected as the youngest Attorney General of Oklahoma in state history in 1970. He was re-elected in 1974 and served for four more years. His time serving as Attorney General was marked by his leadership in issues concerning law enforcement, openness in government and enforcing integrity in government agencies. His law firm, Derryberry & Naifeh is rated as an AV Preeminent law firm by the Martindale-Hubbell scale and is recognized as excelling in legal ability and ethical

n OEFOM Memorials n 38

Contributing

Mr. Derryberry has been serving on the OEFOM Board of Trustees since 2000 and is currently in his third 5-year term.

practices. It is also the only law firm in Oklahoma that is a member of the State Capitol Group, a network of over 145 of the most preeminent independent law firms in the world. They were recognized by the Oklahoma City University School of Law in 2012 with the â&#x20AC;&#x153;Law Firm Mark of Distinction Award,â&#x20AC;? for their professional and ethical excellence in law practice as well as public service. Mr. Derryberry has been serving on the OEFOM Board of Trustees since 2000 and is currently in his third 5-year term. During his time on the board he has proved to be an advocate for osteopathic education and a proponent for the OSU College of Osteopathic Medicine in Tulsa. We extend our sincerest gratitude to him for all the volunteer hours he gives to the osteopathic profession. He is a true friend and advocate providing wise and valued counsel to the OEFOM Board of Trustees. okDO

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Oklahoma D.O. | April 2013

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Oklahoma D.O. | April 2013

An Update from Oklahoma State University Medical Center Providing quality residency programs to train osteopathic physicians in Oklahoma is a high priority for OSU Center for Health Sciences and Oklahoma State University Medical Center. OSU maintains the largest osteopathic residency program in the country and plans to expand and create new residency partnerships across the state.

There are currently 154 OSU residents and 185 OSU thirdand fourth-year medical students learning and working at OSU Medical Center. OSU Medical Center handles 45,000 emergency room visits, 7,000 inpatient visits and 23,000 outpatient visits annually, more than double the patient volume in 2009.

“There are more students graduating from medical school than there are existing residency programs to complete medical training,” said Howard Barnett, president of OSU-Tulsa and OSU Center for Health Sciences. “Creating new residencies for our graduating physicians ensures they will be able to smoothly transition to the next phase of their education.”

OSU Center for Health Sciences also maintains residency training programs in Tulsa, Oklahoma City, Durant, Enid, McAlester, Muskogee, Tahlequah and Talihina in Oklahoma, as well as Joplin, Mo., and Pine Bluff, Ark. Yet, the core of the residency programs resides at OSU Medical Center.

In 2012, the OSU College of Osteopathic Medicine increased its class size to 115 to help combat the growing physician shortfall in Oklahoma. The medical school class size has grown by 30 percent since 2009. As the university increases the number of medical school graduates, a corresponding increase of in-state residency slots is necessary to keep graduating physicians in Oklahoma.

“The partnership between OSU Center for Health Sciences and OSU Medical Center creates a natural pipeline for training physicians in our state and provides vital health care services to underserved populations,” said Barnett. “This mutually beneficial arrangement is helping to create a healthier okDO future for all of Oklahoma.”

“More than 80 percent of the OSU College of Osteopathic Medicine students who finish residency programs in Oklahoma establish their medical practices near the area where they complete their training,” said Dr. Kayse Shrum, OSU-CHS provost and dean of the College of Osteopathic Medicine. “Data shows that physicians typically stay within 100 miles of the community where they completed their residency program.” A key factor in recruiting students to OSU Center for Health Sciences is OSU Medical Center, the largest osteopathic teaching hospital in the nation. The primary teaching hospital for the OSU College of Osteopathic Medicine, OSU Medical Center offers 11 residency programs and eight fellowship programs, training more than 150 osteopathic physicians each year. “The residency programs at OSU Medical Center help keep our faculty and students on the cutting edge of medical research and patient care,” said Shrum. “Our physicians and residents are challenged on a daily basis to take innovative approaches to medical issues that provide the best outcomes for the patients we serve.” 40

OSU College of Osteopathic Medicine students and faculty visit the Oklahoma House of Representatives on March 6 for Osteopathic Medicine Day at the State Capitol. During the event, students met with legislators to discuss the importance of providing funding for the OSU Medical Center and residency training programs.

Oklahoma D.O. | April 2013

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Never one to give up, the osteopathic profession joined forces to create one unified voice this legislative session to help save our medical training facility. Tirelessly, the Tulsa doctors and professionals have rallied together to make their presence known. As a result, The DO IT! campaign was created and over $14,000 has been raised for this campaign. Thank you to all who have donated.

Robert Baker, DO Howard Barnett B. Eric Blackwell, DO Stephen Bovasso, DO Janice Bratzler Steven Buck, DO Mindi Bull, DO Kenneth Calabrese, DO Kathy Cook, DO Lora Cotton, DO John Dennis, DO Larry Dullye, DO Perry Evans, DO Brooke Evans, DO Dean Fullingim, DO Lindell Gardner Terry Gerard, DO Terence Grewe, DO William Hanner, DO John Hervert, DO Gregory Hill, DO David Hitzeman, DO Jeff Hunt, DO David James, DO

Jeremy Jones, DO Richard Loerke, DO Beverly Mathis, DO Andrea McEachern, DO Ryan Morgan, DO Karen Muse, DO Paul Rock, DO Michael Shaw, DO Kayse Shrum, DO Lawrie Simmons, DO Joan Stewart, DO W.W. Stoever, DO Layne Subera, DO Christopher Thurman, DO Melvin Van Boven, DO Chris Vassiliou, DO Brad White, DO Rudolph Wolf, DO Joseph Wolf, DO Rebecca Wright, DO

If you would like to donate to this campaign, please fill ouy the following form on page 43.

Oklahoma D.O. | April 2013

Plan to Take the OOPAC Challenge in 2013! A P

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Please mail to: OOPAC, 4848 N. Lincoln Blvd., Oklahoma City, OK 73105-3335. This personal contribution is not deductible as a donation or business expense.

Oklahoma D.O. | April 2013

Purpose and Fun! Provided by Walli Daniel, RN, 2012-2013 AOOA President I would never have dreamed as a young charge nurse working at Oklahoma Osteopathic Hospital the life before me when I met a young intern who became my husband of 35 years, Bobby N. Daniel, DO. It was at that same hospital I delivered our son, Jeremy Daniel. I managed Bob’s office for many years, supported his overseas ministry, and raised our son. It was a great time in life then came the “empty-nest.” I was available for the first time to explore new horizons and was asked to serve on the AOOA Board. What a fantastic opportunity to give back to the profession so near and dear to my heart. It had changed my entire life – even my health and that of my family. I came to serve even though initially I didn’t know what I could contribute, but gladly offered any gifts or talents I had. When I took the oath of office I knew it was “for such a time as this.” It was an opportunity to believe the scripture that says, “Whatever we put our hands to will prosper!” I can truthfully say I did my very best and so did the board that served with me. I am proud to list the many changes and new ideas we have developed and implemented. But first, I must thank Dr. Layne Subera for his unwavering support of me personally, the AOOA Board and his commitment to the Advocacy. In the midst of all of his other responsibilities, his leadership provided the encouragement and advice I needed to be bold. We cannot thank him and Amy enough for their friendship. Next, thank you Dr. Young for empowering us to go without restrictions and do whatever we thought worthy of this profession along with an admonition to never forget the students. I thank the many friends who have been behind the scenes cheering us on and celebrating our efforts. They are Past Presidents and leaders from our state and beyond, who called, consulted, committed their time and inspired us to keep up the good work. A special thanks to Lynette McLain and her staff at the OOA for all the work, friendship, support and for advice at crucial times that strengthened me. We could not have done it without you. This year is not about an individual but a superb team. We met monthly and rotated locations between OSU – COM, Osteopathic Founders, OSU Medical Center, Enid, and the OOA without any complaint, but to fulfill our commitment to encourage unity, be inclusive and advocate for all of our profession. I thought I would travel alone or with one or two at the most when we went out of town. Instead, they caught the vision, packed up and went with enthusiasm! These are true advocates who willingly traveled where duty called in Oklahoma and also attended HOD in Chicago, Summer 44

CME, Winter CME, State Convention and National Convention! The state can look forward to many prosperous years ahead under the leadership of: Vicki Stevens, our upcoming 2013 President; Donna Cannon, VP; Andy Ting, Treasurer; Maghin Abernathy, Rec. Secretary; Apryl Pritchett, Corr. Secretary; Orpha Harnish, Parliamentarian and AAOA Past Pres.; Jill Grewe, Committee Chairman and AOOA Past Pres., and Ryan and Bavette Miller, Consultants to the AOOA. These are the superstars who worked hard this year. Please take a moment to thank them when you see them – they gave one hundred percent to every initiative and are planning to do it again next year!! I knew time would pass quickly and that from the beginning I must “Lead to Leave” and prepare others to continue to build upon what we did this year and to enjoy every minute of it! This year’s theme, “Supporting the Osteopathic Profession – Out where the people are!” was and will always be the heart of the Advocacy. The emphasis on valuing every member and their families, staffs and those who have invested their lives in this profession has guided all of our decisions. We updated our mission statement. We coined phrases, “Advocates in Action!” and highlighted random acts of service. “Live to Give,” “Advocacy – Fun with a Purpose!” and ultimately, “Leading to Leave.” I gave a copy of John Maxwell’s Leadership Devotional to each CEO and to the board at our first meeting to set the tone for the year that we all begin to consider a time tested leadership method. He’s an expert on “Servant Leadership,” or the concept of the “greatest shall be least,” being a positive role model, character, integrity, respect, unity, friendship, – those are the ideals we strive for in the Advocacy and the Osteopathic profession. In short, “Principled Leadership” is the standard and far more important than ambition. When implemented, success is sure to follow. In reviewing the list of accomplishments, we have a lot to celebrate! Changes in Daily Operations New address - AOOA P.O. Box, AOOA Credit Card for purchases, System for accepting Credit Card payments, Seeking Sitter Account, Accounts with a florist and bakery to purchase cookies and flowers for memorials, updated membership forms, new membership policies, new professionally designed graphics for stationary, business cards, and AOOA notecards. A beautiful new logo! AOOA lapel pins for all members, AOOA officer brooches and special President Pins, Official 2012-13 Board Photograph, an AOOA Banner for Oklahoma D.O. | April 2013

marketing purposes, an Osteopathic Medicine Banner also for marketing, and custom water bottles with our new logo for distributing at events. Database with 1,988 Physician Contact Information A primary goal of the year was for every physician in the state to have been contacted by the those that advocate for them. We need the email addresses of the spouses –next year’s challenge. We mailed Christmas Cards to boards around the state, also Christmas and Valentine Ecards were sent online to every physician and OOA member! Our first hardcopy to AOOA members and online newsletter went out a month ago and are scheduled quarterly online. We have sent out multiple email blasts advertising AOOA/”Manvocate” Events designed to include the entire state and promote membership and friendship. Lines of communication are now open! Our Own Website and Facebook Page This week alone the Advocates for the Oklahoma Osteopathic Association Facebook page received 342 viewings. Our website is still a work in progress, fully functioning and targeted for completion by Summer. We have a paypal account set up online for receiving membership dues and many options in the future. We are ready for business! New Programs “Manvocates” an initiative gender neutral but designed to promote activities to attract and increase male spouse participation and membership. Broad Based Scholarship Gift Distribution We donated a gift to every student at OSU-COM instead of only three or four. It was a highlight of the year and each student felt special –they are!! We also contributed to “A Stately Affair” to support merit scholarships. Oklahoma was awarded financial support from the AAOA “Special Projects” fund for SAA, IRAA and “Manvocate” projects. We also recruited the first SAA “Manvocate” leaders to develop a special program for male student spouses. Activities this Year Baseball Game at Driller’s Stadium Suite for the “Manvocate” kick-off, TU Homecoming Football Game and Tailgating, Darryl Starbird’s Monster Truck and Hot rod Show, OK City Thunder Game SOLD OUT in 2 hours!, Jewelry Making Party with Flo Conklin and a Mobile Devices Course, DO Appreciation Day at OSU Medical Center, Outreach to the Northwest District and Luncheon with Steve Whitfill, Lori Shearer and advocate members, SAA Thanksgiving Dinner, SAA High English Tea and Etiquette Course, supervised the SAA Wine Pull/Manvocate Cigar Pull, Greeted and handed out cold water bottles as families arrived at Summer CME. We invested in the SAA/IRAA by: installing officers, I provided Maxwell devotionals to officers, mentoring, particiOklahoma D.O. | April 2013

pating in meetings including a four hour strategic planning meeting, being guest speakers, our AOOA liaison attended their meetings to coordinate activities that included them in as many of our functions as possible. We also support them financially with convention expenses in Oklahoma and at Nationals. We supported our districts and attended as a board the ATOMS luncheon that featured our own, Donna Cannon, as she prepared an Italian feast. Community Service Bell ringing at the Salvation Army was a highlight of the year. We plan to expand statewide next year and include SAA. Bylaws They hadn’t been assessed since 2005 and needed updating. We opened the door to new advocates for service and membership. We are proud to have added long time advocate and physician friend, Tammie Koehler, DO to the board as Chairman of the Bureau of Speakers. We also invited an SAA and IRAA member to serve on our board. Also, two non-physician spouses, but great osteopathic friends, came to serve on the board as consultants. Times have changed and now is the time to embrace new opportunities! Therefore, we will be presenting 23 amendments to our membership at the annual business meeting in April for a vote. Join us at State Convention in April as we welcome our National AAOA President, Nancy Granowicz, Oklahoma’s own Sherri Martin, Immediate Past AAOA President, and Linda Adams, Past AAOA President. Along with other Oklahoma leaders I invite you to join us for a special time together as we feature Tammie Koehler, DO sharing her personal story of surviving medical school twice! And hear Orpha Harnish, Past AAOA President as she recounts her journey when she challenged the legislature and her significant contribution to osteopathic medicine. Join us Thursday, April 18th for our business meeting and speakers and Friday, 19th for a full day of exciting activities and fun! In closing, thank you for the privilege of serving as your 2012-13 AOOA President. God bless you and God bless the AOOA Walli Daniel

okDO

CENTER FOR HEALTH SCIENCES David F. Hitzeman, DO, FACOI, Editor Professor of Medicine Department of Internal Medicine

Assessment of Dabigatran Use at an Academic Medical Center J. Bryan Harris, DO Cardiology Fellow OSU Medical Center Brent Reeves, DO Internal Medicine Resident OSU Medical Center Jeffrey Stroup, PharmD, BCPS Associate Professor of Medicine OSU Center for Health Sciences John Bury, PharmD, BCPS Clinical Pharmacist OSU Medical Center D. Matt Wilkett, DO Attending Cardiologist OSU Center for Health Sciences

Background Atrial fibrillation (AF) is the most common arrhythmia encountered in the adult population (1). Approximately 2.5 million patients have a diagnosis of AF in the United States (2). AF consists of rapid, irregular generated impulses from the left atria with varying conduction to the ventricles based on the AV node and the His-Purkinje system. The identification of AF on an electrocardiogram (EKG) is by the absence of P waves and an irregular R-R interval. Risk factors for AF include hypertension, advanced age, valvular heart disease, pulmonary disease, coronary artery disease, hyperthyroidism, and alcohol use (3). AF manifests symptomatically in many different ways, including but not limited to, shortness of breath, chest pain, palpitations and dizziness. 46

Oklahoma State University Center for Health Sciences College of Osteopathic Medicine 1111 West 17th Street Tulsa, Oklahoma 74107-1998

Many patients may be asymptomatic and the diagnosis may be difficult to establish due to intermittent and infrequent symptoms. Sadly, the initial and most devastating presentation may be the sequelae of embolic phenomenon including a cerebral vascular accident (CVA). Risk stratification for embolic strokes in atrial fibrillation is evaluated with a CHADS-2 score (4). The CHADS-2 score is comprised of: Congestive heart failure, Hypertension, Age greater than 75 years, Diabetes, and prior Stroke or transient ischemic attack (4). For many years, warfarin has been the only drug shown to reduce the risk of stroke in patients with atrial fibrillation. Warfarin is an oral vitamin K antagonist that is utilized for the prophylaxis and treatment of thrombosis such as pulmonary emboli and deep venous thrombosis (5). Mechanistically, it inhibits the enzyme epoxide reductase in the liver, thus inhibiting coagulation through the vitamin K clotting factors. Warfarin activity has to be monitored by frequent blood testing utilizing the international normalized ratio (INR). The INR is a ratio of a patient’s prothrombin time over a normal prothrombin time. In patients with atrial fibrillation, the target INR with warfarin treatment is 2.5 with a range of 2.0 to 3.0 (6,7). This narrow therapeutic window can be difficult to maintain due to the numerous drug and food interactions found with warfarin therapy. (5,6). Given this narrow therapeutic range, the multiple food and drug interactions, and the frequent monitoring required of warfarin, it is important that the risks involved with anticoagulation (bleeding) be weighed against the risk of not anticoagulating

(stroke risk). Dabigatran (Pradaxa®, Boehringer Ingelheim), a direct thrombin inhibitor, is FDA indicated to reduce the risk of stroke and systemic embolus in patients with non-valvular AF (8). The approval for dabigatran by the FDA came after reviewing the data from the RE-LY study (Randomized Evaluation of LongTerm Anticoagulation Therapy) (9). The RE-LY study compared warfarin versus dabigatran in an open-label design (9). Over 18,000 patients were studied and dabigatran significantly reduced the risk of stroke and systemic embolism as compared to dose-adjusted warfarin (9). The approved dosage of dabigatran is 150 mg twice a day in patients with a creatinine clearance > 30mL/min and 75 mg twice a day for those patients with a creatinine clearance of 15-30 mL/min. The dosage of 75mg twice daily was not evaluated in the RE-LY study, but was approved by the FDA based on pharmacokinetic studies (13). Currently, atrial fibrillation is the only approved indication for dabigatran use in the US by the FDA. An interesting trait of the new oral anticoagulants is that the INR does not have to be monitored. However, obtaining an INR while on dabigatran can yield an elevated result that does not directly correlate to a level of anticoagulation. (10). At our institution dabigatran is on formulary status as “open-label.” This indicates that any provider can prescribe the drug and there are no restrictions or defined order sets. Our goal of this study was to evaluate the appropriate use of dabigatran at our institution in an “open-label” status and to determine if changes could Oklahoma D.O. | April 2013

be implemented to improved prescribing practices. Methods: We performed a retrospective analysis of the use of dabigatran at OSU Medical Center. Patient charts were reviewed from October 2010 to July 2012 for either dabigatran use on admission, addition of dabigatran during the course of the patientâ&#x20AC;&#x2122;s admission, and discharge from the hospital on dabigatran. Patient demographic data was collected along with: indication for therapy, dosage of dabigatran utilized, concomitant interacting medications, proton pump inhibitor use, ordering provider service, complications, and patient disposition. Results: We reviewed 80 patients (44 males and 36 females) who met the criteria defined in the methods. The average patient age was 67.4 years old with an average creatinine clearance of 117 mL/min. Seventysix patients were noted to have a documented diagnosis of non-valvular atrial fibrillation. The average CHADSâ&#x20AC;&#x201C;2 score for these patients was 2.4. There were 14 patients with a score of 0-1 and 28 patients with a score of 3-5. Cardiology was involved in the management of 55% of the patients in this analysis. Seventy-three patients received the 150 mg BID dosing of dabigatran. Interestingly, of the seven patients on the 75mg bid dosing only two had a creatinine clearance <30mL/min. Twenty-one patients were on concurrent proton pump inhibitor therapy to prevent GI bleeding. A history of previous GI bleeding was documented on 14% of patients. Twenty-two patients were on medication therapies known to interact with dabigatran (three on dronedarone). One patient expired while on dabigatran, but their death was unrelated to dabigatran use. Discussion: The only current FDA approved indication for the use of dabigatran is the prevention of stroke in non-valvular atrial fibrillation. In our population, the average Oklahoma D.O. | April 2013

CHADS-2 score was 2.4 with the majority of patients (greater than 80%) having a score greater than 2. Several studies have been performed that have evaluated the use of dabigatran for venous thromboembolism treatment and prevention (11). Ninety-five percent of patients in this analysis were utilizing this drug onlabel. The patients that were found to not be utilizing the drug for atrial fibrillation had no documented indication. Although drugs can be utilized off-label by prescribers, anticoagulants can pose a higher risk with off-label use because of the propensity to cause bleeding. Therefore, it would be pertinent to identify the indication for off-label use to prevent adverse events and to ensure appropriate dosing is utilized for the use of dabigatran. Over 90% of patients in this analysis were on the appropriate FDA labeled dosing of 150 mg BID. Five of the seven patients on the dosage of 75 mg BID all had creatinine clearances of > 30 mL/min. Whether this was an error, an unlabeled use of the drug, or a concern in utilizing the full dose of the therapy is unknown. The primary concern is that these patients were not fully anticoagulated. In the setting of a CHADS-2 score of 2.4 that places them at an adjusted annual stroke rate of 4.05.9% (12). In the RE-LY trial, patients with a creatining clearance of <30 mL/ min were excluded from the trial (9). The dosing of 75mg twice daily was derived from pharmacokinetic modeling studies (13). There is limited evidence (clinical) to support safety or efficacy outcomes in patients on dabigatran with severe renal impairment (13). Drug interactions are common with warfarin therapy and the newer anticoagulants tend to have less drug interactions. Important drug interactions still exist with dabigatran however, and include: verapamil, dronedarone, amiodarone, and quinidine. Approximately 30% of patients were documented as being on a medication that interacted with dabigatran with amiodarone being the most commonly prescribed interacting medication. Dronedarone use was also found

in three patients. If these therapies need to be utilized together, a dosage reduction with dabigatran should be considered and adverse effect monitoring should be undertaken (14,15). No documentation of drug interaction awareness or monitoring was found in the medical chart review. An adverse effect encountered with dabigatran that should be monitored is GI bleeding. In our population of patients studied, approximately 14% had a prior history of GI bleeding. In our overall population approximately 26% of patients were on concurrent PPI therapy to prevent GI bleeding. As compared to dose-adjusted warfarin, dabigatran carries an approximate 30% increase in major GI bleeds (16). This higher rate has been proposed to be due to the increased vigilance in monitoring for GI bleeds due to the higher rates of dyspepsia related to dabigatran (16). Severe GI bleeds can be challenging to manage with dabigatran. The cases of fatal bleeding with dabigatran have been varied. One case occurred after a single dose of therapy, whereas other cases were related to renal insufficiency and accumulation of the drug (1719). Dabigatran currently has no antidote available. Supportive measures with fresh frozen plasma, recombinant factor VIIa, and prothrombin complex concentrate can be attempted (8,15). Dabigatran can be dialyzed off in severe cases of active bleeding in patients with renal insufficiency (8,15). Conclusions: Overall the use of dabigatran at our institution was within the FDA approved guidelines. There were some gaps in therapy that need to be addressed. Being classified as a high-risk medication, it would be appropriate to define and implement a use criteria order set that would document indication, creatinine clearance, dosage, history of GI bleeding, and concomitant drug interactions. This set would ensure that patients receive optimal dosing of dabigatran and decrease the risk of adverse effects. okDO

References: 1.) De Caterina R, Hylek EM. Stroke prevention in atrial fibrillation: cur - rent status and near-future directions. Am JMed. 2011; 124: 793-9.

9.) Connolly S, Ezekowitz M, Yusuf S, et al. Dabigatran versus warfarin in patients with atrial fibrillation. N Engl J Med. 2009; 361: 1139-1151.

2.) Go AS, Hylek EM, Phillips KA, et al. Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. JAMA. 2001; 285: 2370-5.

10.) Dager WE, Gosselin RC, Kitchen S, Dwyre D. Dabigatran effects on the international normalized ratio, activated partial thromboplastin time, thrombin time, and fibrinogen: A multicenter, in vitro study (December).Ann Pharmacother. 2012 Dec 11. [Epub ahead of print]

3.) Falk RH. Atrial fibrillation. N Engl J Med. 2001; 344: 1067-1078.

11.) Blommel ML, Blommel AL. Dabigatran etexilate: a novel oral direct thrombin inhibitor. Am J Health-Syst Pharm. 2011; 68: 1506-1519.

4.) Gage BF, Waterman AD, Shannon W, et al. Validation of clinical classification schemes for predicting stroke: results from the National Registry of Atrial Fibrillation. JAMA. 2001; 285: 2864-70.

12.) Maegdefessel L, Spin JM, Azuma J, Tsao PS. New options with dabigatran etexilate in anticoagulant therapy. Vasc Health Risk Manag. 2010; 6: 339-49.

5.) Ageno W, Gallus AS, Wittkowsky A, et al.; American College of Chest Physicians. Oral anticoagulant therapy: Antithrombotic Therapy and Prevention of Thrombosis, 9thed: American College of Chest Physi- cians Evidence-Based Clinical Practice Guidelines. Chest. 2012; 141(2 Suppl):e44S-88S.

13.) Mack DR, Kim JJ. Pharmacokinetic and clinical implications of dabigatran use in severe renal impairment for stroke prevention in nonvalvular atrial fibrillation. Ann Pharmacother. 2012; 46(7-8):1105-10.

14.) Sanford M, Plosker GL. Dabigatran etexilate. Drugs. 2008; 68: 1699- 1709.

15.) Nagarakanti R, Ellis CR. Dabigatran in clinical practice. ClinTher. 2012; 34: 2051-2060.

16.) Coleman CI, Sobieraj DM, Winkler S, et al. Effect of pharmacological therapies for stroke prevention on major gastrointestinal bleeding in patients with atrial fibrillation. Int J Clin Pract. 2012; 66: 53-63.

17.) Kernan L, Ito S, Shirazi F, Boesen K. Fatal gastrointestinal hemorrhage after a single dose of dabigatran. Clin Toxicol (Phila). 2012; 50: 571-573.

18.) Fellows SE, Rosini JM, Curtis JA, Volz EG. Hemorrhagic gastritis with dabigatran in a patient with renal insufficiency. J Emerg Me. 2012 May 15 [Epub ahead of print].

19.) Wychowski MK, Kouides PA. Dabigatran-induced gastrointestinal bleed ing in an elderly patient with moderate renal impairment. Ann Pharma cother. 2012; 46: e 10.

6.) You JJ, Singer DE, Howard PA, et al.; American College of Chest Physicians. Antithrombotic therapy for atrial fibrillation:Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012; 141(2 Suppl):e531S-75S.

7.) Fuster V, Ryden LE, Cannon DS, et al. ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation-executive summary A report of the American College of Cardiology/American Heart Associa- tion task force on practice guidelines and the European Society of Cardiology Committee for practice guidelines (writing committee to revise the 2001 guidelines for the management of patients with atrial fibrillation): developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society. Circulation. 2006; 114: 700-752.

8.) Baumann Kreuziger LM, Morton CT, Dries DJ. New anticoagulants: A concise review. J Trauma Acute Care Surg. 2012; 73: 983-92.

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What DO’s Need To

KNOW

National Provider Call: Video Slideshow Presentation from January 31 Call on the CMS National Partnership to Improve Dementia Care in Nursing Homes Now Available CMS has released a YouTube video slideshow presentation from the January 31 National Provider Call on the CMS National Partnership to Improve Dementia Care in Nursing Homes. The call presentation is now available on the CMS YouTube Channel as a video slideshow that includes the call audio. Visit the January 31 call web page for access to all of the related call materials, including the slide presentation, complete audio recording, and written transcript.

Are you ready for DMEPOS Competitive Bidding? Are you a Medicare enrolled provider, physician, treating practitioner, discharge planner, social worker, pharmacist, or other health professional who may prescribe or refer beneficiaries for DMEPOS items in a competitive bidding area? Round 2 of the DMEPOS Competitive Bidding Program is targeted to go into effect in 91 Metropolitan Statistical Areas on July 1, 2013. Medicare also will implement a national mail-order program for diabetic testing supplies on July 1, 2013. When the program becomes effective in a competitive bidding area, beneficiaries with Original Medicare who obtain competitively bid items in the area must obtain these items from a contract supplier in order for Medicare to pay, unless an exception applies. Are you ready to help beneficiaries when the program starts? Where are the Round 2 areas? What if a beneficiary travels? What do you need to know before prescribing a DMEPOS item or referring the beneficiary to a DMEPOS supplier? Want more information on the national mail-order program for diabetic testing supplies? For answers to these questions and more, sign up for the CMS DME Referral Agent Electronic Mailing List. Several New and Updated EHR FAQs Added to CMS Database CMS has recently added three new and three updated FAQs related to the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. We encourage you to stay informed by taking a few minutes to review the new information. To search and access more FAQs related to the EHR Incentive Programs, please use the CMS FAQ System. New FAQs: 1. If an eligible professional (EP) practices at an outpatient location, a location other than an inpatient (place of service 21) or emergency department (place of service 23), and that location is only equipped with Certified EHR Technology to the criteria applicable to an inpatient setting, must the EP include that location in their meaningful use calculations? 2. If an EP practices at an outpatient location that has not implemented all the functionalities necessary to meet meaningful use, is that location considered equipped with Certified EHR Technology? Must that location be included in the EP’s meaningful use calculations? Does it matter if the location possesses ambulatory Certified EHR Technology covering the relevant meaningful use objectives, but does not implement them? 3. When combining meaningful use data from multiple locations equipped with Certified EHR Technology, is it required to have a full meaningful use report from each location or is it acceptable to only collect denominator information from one or more loca tions? Updated FAQs: 1. How and when will incentive payments for the Medicare EHR Incentive Programs be made? Read the answer here. 2. If multiple EPs or eligible hospitals contribute information to a shared portal or to a patient’s online personal health record (PHR), how is it counted for meaningful use when the patient accesses the information on the portal or PHR? 3. If I participated in the Medicaid EHR Incentive Program last year, am I required to participate in the following year? Want more information about the EHR Incentive Programs? Make sure to visit the Medicare and Medicaid EHR Incentive Programs website for the latest news and updates on the EHR Incentive Programs.

Oklahoma D.O. | April 2013

CDC and CMS Sound Alarm on “Nightmare” Bacteria The Centers for Disease Control and Prevention (CDC) and CMS are asking your assistance in tackling what may be one of the most pressing patient safety threats of our time—carbapenem-resistant Enterobacteriaceae (CRE). CDC recently released a report on the presence of CRE in U.S. inpatient medical facilities, demonstrating that action is needed now to halt the spread of these deadly bacteria. We are asking for rapid action from healthcare leaders to ensure that infection prevention measures are aggressively implemented in your facilities and those around you. Enterobacteriaceae are a family of more than 70 bacteria, including Klebsiella pneumoniae and E. coli, that normally live in the digestive system. Over time, some of these bacteria have become resistant to a group of antibiotics known as carbapenems, often referred to as last-resort antibiotics. During the last decade, CDC has tracked one type of CRE from a single healthcare facility to facilities in at least 42 states. In some healthcare facilities, these bacteria already pose a routine threat to patients. CDC has released a concise, practical CRE prevention toolkit with recommendations for controlling CRE transmission in hospitals, long-term acute care facilities, nursing homes, and health departments. Key recommendations follow CDC’s “Detect and Protect” strategy, including: • Enforcing use of infection control precautions (standard and contact precautions). • Grouping patients with CRE together. • Dedicating rooms, staff, and equipment to the care of patients with CRE whenever possible. • Having facilities alert each other when patients with CRE transfer back and forth. • Asking patients whether they have recently received care somewhere else (including another country). • Using antibiotics wisely. When fully implemented, CDC recommendations have been proven to work. Medical facilities in several states have reduced CRE infection rates by following CDC’s prevention guidelines. The United States is at a critical point in our ability to stop the spread of CRE. If we do not act quickly, we will miss our window of opportunity and CRE could become widespread across the country. HHS Announces 2013 Agenda to Bring Down Costs and Improve Quality of Care Through Implementation of Health Information Technology On March 6, CMS Acting Administrator Marilyn Tavenner and the National Coordinator for Health Information Technology Farzad Mostashari, M.D. announced HHS’s plan to accelerate health information exchange (HIE) and build a seamless and secure flow of information essential to transforming the health care system. This year, HHS will: • Set aggressive goals for 2013: HHS is setting the goal of 50 percent of physician offices using electronic health records (EHR) and 80 percent of eligible hospitals receiving meaningful use incentive payments by the end of 2013. • Increase the emphasis on interoperability: HHS will increase its emphasis on ensuring electronic exchange across providers. It will start that effort by issuing today a request for information (RFI) seeking public input about a variety of policies that will strengthen the business case for electronic exchange across providers to ensure patients’ health information will follow them seam- lessly and securely wherever they access care. • Enhance the effective use of electronic health records through initiatives like the Blue Button initiative. Medicare beneficiaries can access their full Medicare records online today. HHS is working with the Veterans Administration and more than 450 different organizations to make health care information available to patients and health plan members. HHS is also encouraging Medicare Advantage plans to expand the use of Blue Button to provide beneficiaries with one-click secure access to their health information. • Implement Meaningful Use Stage 2: HHS is implementing rules that define what data must be able to be exchanged between Health IT systems, including how data will be structured and coded so that providers will have one uniform way to format and securely send data. • Underscoring program integrity: HHS is taking new steps to ensure the integrity of the program is sound and technology is not being used to game the system. For example, it is conducting extensive medical reviews and issuing Comparative Billing reports that identify providers. The goals build on the significant progress HHS and its partners have already made on expanding health information technology use. EHR adoption has tripled since 2010, increasing to 44 percent in 2012 and computerized physician order entry has more than doubled (increased 168 percent) since 2008. In addition to seeking public input, the RFI also discusses several potential new policies and ideas to accelerate interoperability and exchange of a patient’s health information across care settings so that they can deliver better and more affordable care to their patients. The deadline for comments on the RFI is April 21, 2013. Recovery Auditors Shall Not Issue Any “Failure to Respond” Denials to esMD Providers The Electronic Submission of Medical Documentation (esMD) system has recently experienced exponential growth. Unfortunately, this increased volume has led to the frequent gateway outages. Some providers have expressed concern that because the esMD gateway is down when they try to submit, they will receive denials from Recovery Audit Contractors (RACs) due to “failure to respond timely.” Effective immediately, the Recovery Auditors shall look to the date a provider submits documentation to their Health Information Handler (HIH) to determine whether a provider has submitted timely. The RACs will not issue any “failure to respond” denials to esMD providers who were timely in submitting the documentation to their HIH. This change will be in effect until May 1, 2013.

Oklahoma D.O. | April 2013

Student Scoop Provided by Jeremy Ransdell, OMS-II OSU-COM Student Government Association President

Once again, the end of the semester is in sight. The first year students are eager to enjoy the summer while the second year students are becoming more steadfast in their determination to perform well on the Step 1 board exam. Furthermore, the fourth year students have learned of their residency destinations and are finishing their last rotations as student physicians. Graduation for the class of 2013 will be held next month on May 17. We wish them the best of luck in their future endeavors as they continue on to represent OSU as practicing physicians. OSU-CHS would like say a special thank you to the OOA for sponsoring the Osteopathic Medicine Day which was held on March 6th. We want to thank the OOA for the lunch that fed the more than fifty students who attended the event and for the well-organized leadership they provided that day. Also, the guidance and information that was provided by the OOA and AOA on the March 14th DO Day on the Hill in Washington, DC was greatly appreciated by the 34 students who presented their white coats at that event. This month, our Pediatrics club organized our yearly “Mini-Med School,” inviting students over to OSU from Eugene Field Elementary School. Located just a few blocks south of our campus, the elementary students walked to OSU for an afternoon out of their classroom to learn what it’s like to be a medical student. The kids had a great time taking medical school “classes” to teach them about anatomy, nutrition, and exercise. Turning, for a moment, from the subject of kiddo’s aspiring to

last article submission as SGA President, and I would like to take this opportunity to highlight the excellent mentorship within the profession of Osteopathic medicine. I personally feel that it is a strong suit amongst Oklahoma Osteopathic physicians and a quality worth recognition. A class of expertly trained medical students will be graduating in a month or so and those soon-tobe doctors will continue on to set the standard of expert patient care. The great success of the Osteopathic physicians born out of OSU-CHS would not be a reality without the dedication and willingness of the mentors who invest in medical students and residents. To those doctors and staff that might be reading this article, I would like to offer my greatest thanks and the appreciation of all the OSU medical students that I represent! Please continue to devote your time and wisdom to students as you already have because I am convinced that it is the distinction of OSU’s mentor to mentee relationships that maintain the merit of Osteopathic medicine in Oklahoma. Thank you. okDO

From the American Osteopathic Association Communications Department

HEALTH FOR THE WHOLE FAMILY

DOs and other members of the profession consider the American Osteopathic Association’s “Health for the Whole Family” series a great way to promote the profession and educate patients about a variety of health topics.

be future physicians to the graduating medical students striving to become the best doctors in the country, I would like to quickly express the heartfelt gratitude felt by every medical student toward the physicians that train us along the way. This marks my 52

To use this month’s article, you have permission to simply make copies of the article (see page 53).

Oklahoma D.O. | April 2013

A Revealing Look at RSV The combination of a fever, cough and shortness of breath typically conjures thoughts of the flu. However, these could also be symptoms of a lesser known, three-letter virus – RSV, or respiratory syncytial virus. RSV, a major cause of respiratory illness and lung infections in children, is one of the most common reasons for hospital visits among infants and children. While most people recover from an RSV infection within one to two weeks, infection can be severe in older adults, premature babies and children with weak immune systems. This viral infection can lead to croup, ear infections, bronchiolitis, lung failure, pneumonia and, in severe infant cases, death. James E. Foy, DO, an osteopathic pediatrician from Vallejo, Calif., tells us the signs of an RSV infection and provides tips to prevent the spread of the virus in our households. What are the common symptoms? RSV can infect the lungs and breathing passages of infants, children, adolescents and adults. According to Dr. Foy, symptoms vary with age and differ in severity, from mild cold-like symptoms in older children and adults to severe complications in premature babies and kids with pre-existing diseases that affect the lungs, heart or immune system. Dr. Foy recommends that parents monitor their children closely for these RSV symptoms: • Bluish skin or nail color due to a lack of oxygen • Labored or rapid breathing • Coughing or wheezing • Fever or irritability • Refusal to feed, or persistent vomiting

Strained breathing, high fever, thick nasal discharge, and a worsening cough that produces yellow, green, or gray mucus are all signs of a worsening or severe illness. “RSV symptoms can lead to more serious illnesses, such as pneumonia and bronchiolitis. Call your doctor immediately if symptoms escalate,” advises Dr. Foy. In an infant, an RSV infection can be more serious and may require hospitalization; in severe cases RSV infection can cause death. “Parents of newborns will need to be astute observers,” Dr. Foy says. “Keep an eye on your baby’s behavior, watch for changes in breathing patterns, unusual irritability or reduced activity, or a sudden refusal to breastfeed or bottle-feed. Consulting a physician in the early stages of the illness is the key to preventing serious complications.” RSV Diagnosis and Treatment “When you visit your physician with any of these symptoms, he or she will evaluate your child by reviewing your child’s medical history, performing a physical exam, and by doing blood tests, nasal secretion tests or a chest x-ray if needed,” explains Dr. Foy. “Respiratory illness caused by RSV typically lasts about a week or several weeks in some cases. Sometimes medication may be given to help open airways; however, most of the time the only treatment required for mild cases is fluids and rest,” he points out. For parents of children diagnosed with an RSV infection, Dr. Foy prescribes the following treatment: • Provide plenty of fluids. For babies, offer fluids in small amounts at more frequent intervals. • Use a nasal aspirator (or bulb syringe) to remove sticky nasal fluids in infants if they are having problems taking fluids. • Treat fever using a non-aspirin fever medicine like acetaminophen. Aspirin should not be used in children with viral illnesses. How to Prevent the Spread of RSV Almost all kids are infected with RSV at least once by the time they are two years old. The virus can live on hands for around a half an hour and on clothing and surfaces for a couple hours. Due to the contagious nature of this virus, droplets containing the virus can be spread with a touch, cough or sneeze. RSV often spreads rapidly through schools, day care centers, and, oftentimes, older kids infect their younger siblings when they carry the virus home from school. To avoid mini-outbreaks and transmission of the virus, Dr. Foy stresses washing your hands immediately after being in contact with someone who has cold symptoms. He also advises parents to keep sick, school-age children away from younger siblings, particularly infants, until their symptoms pass. “The best way to stop a viral infection in its tracks is to wash your hands, cover your mouth when coughing or sneezing, and, most of all, stay home if you’re sick,” says Dr. Foy. To reduce the risk for infants, he recommends telling people to wash or sanitize their hands before handling them. “Even though they might be offended, this precaution can keep your baby healthy.”

Preventive medicine is just one aspect of care osteopathic physicians (DOs) provide. DOs are fully licensed to prescribe medicine and practice in all specialty areas, including surgery. DOs are trained to consider the health of the whole person and use their hands to help diagnose and treat their patients. Oklahoma D.O. | April 2013

OOA’s Bureau News Calendar of Events 2013 Proposed OOA Bylaw

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The proposed Bylaws will be voted on during the Association’s annual business meeting at 2:00 pm, Thursday, April 18, 2013 at the Norman Embassy Suites. During the December 6, 2012 meeting, the OOA Board of Trustees approved the following dissolution clause to be added to the OOA Bylaws and Constitution. According to the OOA Bylaws, Article IX. Amendments, the Bylaws may be amended by this Association at any annual session by a two-thirds vote of the accredited voting members in attendance at such session...

113th OOA Annual Convention Individualizing a Program for Your Specialty Needs Saddle up April 18-21, 2013

“Upon dissolution or other termination, all remaining assets, after payment in full of all its debts, obligations, and necessary final expenses, or after the making of adequate provision therefore, shall be distributed to such tax exempt organizations with purposes similar to those of the organization as shall be chosen by the then existing Board of Directors.”

May 2, 2013 OOA Bureau & Board of Trustee Meeting

June 6, 2013 OOA Bureau & Board of Trustee Meeting

2013-2014 Bureau Appointments Available

It is the responsibility of the OOA President to appoint members to various bureaus in the Oklahoma Osteopathic Association. The President recommends these appointments to the Board of Trustees for approval. Doctors on these bureaus do the necessary work of our Association and recommend policies and positions to the OOA Board of Trustees.

June 13, 2013 June Proper Prescribing Program

August 9-11, 2013 2013 Summer CME Seminar: Sports Medicine Sheraton Midwest City Hotel at the Reed Conference Center

If you would like to serve in the Association’s organizational structure, we encourage your participation and want you to know you are needed! The typical meeting day is the first Thursday of the month, in the morning. Most bureaus meet only a few times each year. We invite students, interns and residents to volunteer for committees and bureaus and encourage your continued involvement throughout your training experience. Appointment forms are available at www.okosteo.org

Oklahoma D.O. | April 2013

Classified Advertising MEDICAL OFFICE FOR RENT: 7300 S Western, OKC. Excellent area with high traffic count. Established location. Utilities are paid. Completely remodeled, very nice. Easy access from all areas of town. $1250 per month. Please call Dr. Buddy Shadid 405.833.4684 or 405.843.1709.

IMMEDIATE NEED: for FP & ER (and more) Physicians, PAs and NPs: PT, FT and temp jobs. Bimonthly pay. Pd Malpractice and expenses. Call Sonja @ 877-377-3627 and send CV to sgentry@oklahomaoncall.com

OFFICE BUILDING FOR SALE: 6501 S. Western, OKC, OK 73139. Over 1 1/2 acres total size, 10,000 sq ft building divided into 3 doctors offices. 1200 sq foot private office upstairs with private bathroom and shower. 2 double sided fireplaces, over a dozen chandeliers, rough wood cathedral ceilings. Alarm and phone system in place, double glass doors in entrance, back patio with separate storage building. Larger office is fully equipped with exam tables, Pap table, chairs, medical instruments, QBC (CBC) machine, autoclave, medical supplies, and much more. For information contact: Captain David Simpson at (405) 820-5360.

FULL or PART-TIME OPPORTUNITY / TREATMENT OF OPIATE DEPENDENCE WITH SUBOXONE: I have been practicing addiction medicine for three years and have reached the 100-patient limit for treating opiate dependent patients with SUBOXONE. I have a waiting list of interested persons and adjoining office space is available for lease in the CITYPLEX Towers near ORU at 81st Street and S. Lewis Avenue. Whether you want to begin prescribing SUBOXONE or plan to continue treating current patients with SUBOXONE, I am interested in sharing the waiting room, office staff, phone/fax/Internet, and billing services. Contact: Constance Honeycutt, DO 918-779-5907 or e-mail suboxone-rocks@hotmail.com

CLINIC FOR SALE: by owner. Fully equipped: LAB, XRAY, EKG. Well established clinic, near Integris Southwest Medical Center is available for sale. Clinic is well equipped and is ideal for one or more physician practice as well as a variety of specialties. Clinic has: waiting room with refrigerated water cooler, wheelchair accessible restroom, reception and staff work stations, Nurses station, 5 - 7 exam rooms with sinks and running water, large multipurpose procedure room, 3 private offices with built-in bookcases, (One Office with 3/4 Bath), additional staff and patient restrooms, large upstairs (currently used for storage) and variety of other medical equipment. Misys Medical Software. Large Parking Lot. “Must See Inside” the all steel building located at 2716 S.W. 44th St. in OKC to appreciate the effort placed upon providing convenient and up to date medical care. Price: $425,000-PRICE IS NEGOTIABLE. Doctor prefers to sell, but would consider leasing. If interested, please call: Evelyn Francis at (405) 249-6945.

OFFICE FOR LEASE: Great Location - Central to Norman Reg. Hospital & Healthplex! 2121 W. Main. Approx. 1700 s.f. available, incl. 5 rooms & 3 restrooms. Gas, Elec. & Water paid. Call (405) 321-1497 or email adoverstr@yahoo.com. Also for Sale: 2 Hamilton Exam tables. Call (405)321-1497 or email adoverstr@yahoo.com.

DOCTORS WANTED: to perform physical exams for Social Security Disability. DO’s, MD’s, residents and retired. Set your own days and hours. Quality Medical Clinic-OKC, in business for 16 years. Call Jim or JoAnne at 405-632-5151.

PHYSICIAN NEEDED: The practice of Terry L. Nickels, DO is currently seeking a part-time Family Physician with OMT Skills to help cover the office. If interested please contact Dr. Terry Nickels at (405) 301-6813. Oklahoma D.O. | April 2013

IMMEDIATE OKLAHOMA OPPORTUNITY with largest family medicine clinic in Muskogee, Ok. Excellent opportunity to assume a practice that is up and running. Senior physician of four physician group leaving to pursue new career opportunities. 2,000 active patients need a physician. Two physicians currently practice OB. Surgical OB experience a plus. On site x-ray and CLIA certified lab. Nursing and support staff in place. Income guarantee. Be your own boss, work hard and practice family medicine in its historical tradition with respect and loyalty of small town patients. Contact Evan Cole, DO, 918-869-2456, ecoledo@yahoo.com, Brad McIntosh, MD, 918-869-7356, drbamc@ yahoo.com Jason Dansby, MD, 918-869-7387, jasonddansby@yahoo. com or Judy Oliver, RN, practice administrator, 918-869-7357. (leave a message if temporarily unavailable) Find us on the web at www.mfpclinic.com.

JOB AVAILABILITY: A growing convenient care provider has parttime openings for licensed physicians (Family, internal, general, physical medicine & rehab, sports medicine, occupational, etc.) in our Tulsa and Oklahoma City area location. We provide primary care/immediate care medicine. Patients can drop in (no appointment necessary) to our locations and see a doctor for a wide range of primary care and family health needs, including diagnosis and treatment of common illnesses and injuries, in-house, diagnostic testing, occupational therapy, and physicals. We provide quality health care for patients who have been injured on the job or may have some illness. Providing flexibility in scheduling to meet your lifestyle and income needs. Benefits: We are offering very competitive salaries. If interested please contact Arnita (405) 6815800 or email her at: 2149okc@gmail.com

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OKLAHOMA OSTEOPATHIC ASSOCIATION 4848 N. Lincoln Blvd. Oklahoma City, Oklahoma 73105-3335

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SPRINGFIELD, MO Oklahoma D.O. | April 2013