Oklahoma DO - December 2012 Issue by Oklahoma Osteopathic Association

The Journal

of the

Oklahoma Osteopathic Association

Oklahoma D.O. Volume 77, No. 6

December 2012

Mary Shaw

Oklahoma Educational Foundation for Osteopathic Medicine 2012-2013 President

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Oklahoma D.O. | December 2012

The Journal

of the

Oklahoma Osteopathic Association

Oklahoma D.O. May/June 2012 January 2012 December 2012

Volume 77, No. 6

November 2012

Lynette C. McLain, Editor Lany Milner, Associate 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

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

OSU-COM Survey

Foundation Update provided by Lynette C. McLain, secretary/treasurer

OEFOM Officers & Trustees

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)

OEFOM Contributors & Memorials

OOPAC Challenge

2012 OOPAC Contributors List

“Student Scoop” provided by Jeremy Ransdell, OMS-II

OOA Directory Order Form

“An Update From Oklahoma State University Medical Center”

OOA Central Office Staff: Lynette C. McLain, Executive Director Lany Milner, Director of Operations and Education Rachel Prince, Director of Communications Allison Rathgeber, Director of Member Services & Foundation Administrator

“Technology Corner: Sneak Preview-Upcoming OOA Tech Improvements” provided by the OOA Bureau on Information Technology

“The OHIET, Vouchers and Electronic Data Exchange” provided by Val Schott, MPH, Chief Executive Offiver

“The Digital Divide: How Connected Are Rural Communities in Oklahoma?” provided by Jeff Hackler, JD, MBA & Denna Wheeler, PhD

Winter CME Seminar Program: Ravages of Obesity APPROVED FOR 18 1-A AOA CREDITS

Winter CME Seminar Registration Form

What DO’s Need To Know

“D.O. Washington Update” provided by the AOA Washington Headquarters

“Advocates to the OOA Recap” provided by Walli Daniel, 2012-2013 AOOA President

By the Way

Health for the Whole Family: “The Skinny on Colon Cleansing Diets” Provided by the American Osteopathic Association

Classifieds & Calendar of Events

Central District)

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 OOA Website is located at www.okosteo.org Oklahoma D.O. | December 2012

President’s Message: The Role of OSU Advisory Council by Layne E. Subera, DO, FACOFP, 2012 - 2013 OOA President

As a profession, we are in many ways married to OSU through our college. Though both sides are probably guilty of shenanigans from time to time, I think both sides of the relationship are pretty happy with their in-laws. However, like any marriage, things can get pretty interesting around the Holidays. Or is that the legislative session that causes so much excitement? These past few weeks have provided an opportunity for the board, the college and the university to revisit our history together; revive some good memories; and hopefully, has positioned us to work together more effectively for our patients, members and students in the coming session. So, in celebration of our coming 25th anniversary together, we have taken something old and made it new. April 18, 1988, is an important day in the history of the osteopathic profession in Oklahoma. That was the day that the Oklahoma legislature signed House Bill 1801 into law and transferred the Oklahoma College of Osteopathic Medicine and Surgery to Oklahoma State University. It was a time when the future of the college was very much in doubt. Students who were then in their third year of osteopathic medical school were legitimately concerned that their college might not exist when it came time to graduate a year later. Since then, OSU has provided excellent fiscal leadership and the college has gone on to stable finances and enhanced academic success. The Oklahoma State University Center for Health Science-College of Osteopathic Medicine is not only the only medical school in Oklahoma to have held a national ranking, it is our profession’s most cherished asset. So naturally as DO's, we are grateful for what OSU has done for our school and proud of what our graduates have been able to do for the state because of the college’s mission and stability. The second part of House Bill 1801 created an advisory council for the college of osteopathic medicine. It was the intent of the legislature and the deal sealing part of the agreement with the profession that the regents who had governed the Oklahoma College of Osteopathic Medicine and Surgery would be replaced with an advisory council that would guarantee an osteopathic professional voice in the stewardship and future development of the college. The bill stated, “It is the intent of the Legislature that said advisory council advise the President of the college, the administrative officers of the University and the Board of Regents for the Oklahoma Agricultural and Mechanical Colleges regarding the professional preparation of 4

doctors of osteopathic medicine in the field of general practice and regarding the general development and improvement of the College Osteopathic Medicine as an agency and an integral part of Oklahoma State University.” This past November 20, 2012, I was privileged to be part of a delegation from the Oklahoma Osteopathic Association and the OSU Advisory Council that met with Oklahoma State University President Burns Hargis, OSU-Tulsa President Howard Barnett, the OSU CHS-College Osteopathic Medicine Dean Kayse M. Shrum, DO and several of the OSU Regents for higher education regarding the future role of the OSU Advisory Council. The delegation was headed by OSU Advisory Council Vice Chair, Leroy E. Young, DO (Occupational Medicine, Oklahoma City). He was accompanied by OSU Advisory Council member Dennis J. Carter, DO (Family Medicine, Poteau), OOA Board of Trustee and Patients First Coalition Chair, Gabriel M. Pitman, DO (Neurology, Oklahoma City), OOA Executive Director Lynette C. McLain and myself. The goal of the delegation was to raise awareness about important issues facing the profession and to enhance the role of the OSU Advisory Council in the college planning process. We discussed many issues including the structure of the profession’s synergistic relationship with Oklahoma State University and both organizations commitment to serve the rural and underserved residents of our state. During our meeting, we mutually agreed that the OSU Advisory Council plays, and should play, an important statutory role in the relationship between the profession, the college and the university. We revived the traditional relationships and meetings between the OSU Advisory Council, the OSU Administration, the College of Osteopathic Medicine and the Oklahoma State University Regents for Higher Education. Finally, we created new ways to communicate more effectively to facilitate these plans and make both of our organizations more effective as advocates for our people. To more effectively represent the profession's viewpoint, an Advisory Council member will regularly attend the OSU Regents meetings, especially when issues affecting the college will be on the agenda. The structure of the OSU Advisory Councils meetings was enhanced. In addition to the regular reports from the college, the OOA Board will begin making regular formal reports to the OSU Advisory Council to create a narrative in December. To promote communication, an Advisory Council meeting summary will be distributed to OOA and Oklahoma D.O. | December 2012

OSU leadership to enhance each other’s understanding. Finally, all parties have volunteered to make themselves individually available to the OSU Advisory Council members should need arise in the future. In closing, I’m really excited about our strengthened relationships going into the session this year. Though the relationship was not bad to start, both organizations are now expressing an understanding and appreciation for the value and professional concerns of the other that I have not seen in my 10 years as a board member. We know what we need to do to be effective and we have a plan going forward that should enhance the practice of osteopathic medicine and the value osteopathic medical education in Oklahoma for decades to come. Let’s get okDO to work.

Sp ur

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rin

own the Specia D lt g

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

Saddle up April 18-21, 2013 Bret S. Langerman, DO

SPLITTING OSU-COM CAMPUS-

NOT AN ISSUE The Oklahoma Osteopathic Association (OOA) has diligently been working to stop the expansion of splitting the OSU-COM into two separate campuses. It was during the October OOA Board of Trustees meeting, that the board first heard about the proposal and immediately took action. The following motion was made and presented to Howard Barnett, President of OSU Tulsa. “The OOA opposes moving the classrooms of OSU-CHS from our current campus to the OSU-Tulsa Campus. We feel this will detract from the academic experience and the cohesiveness of campus life. We support building additional classroom facilities at the existing location and we oppose using OSU-CHS funds for the purpose of building classrooms elsewhere.” During the November Board of Trustees meeting, President Barnett was invited to present the propsed plan to split the campus. After this meeting, the OOA went directly to the ones affected by this change-the OSU-COM students. The results were astounding and concerning. Many were not aware of this plan and expressed great distress of this decision. The results from the OSU-COM student poll can be found on page 6 & 7. The efforts of the OOA paid off and during a meeting with President V. Burns Hargis it was stated that the plan to split the OSU-COM campus was off the table. Thank you to all the students who participated in the poll. Your voices have been heard. The OOA will continue to fight the issues that affect the future of osteopathic medicine. Together we can make a DO difference.

General Convention chair

Michael K. Cooper, DO, FACOFP Convention Program Chair

Norman Embassy Suites Hotel & Conference Center 2501 Conference Drive Norman, OK 73069

Oklahoma D.O. | December 2012

The Oklahoma Osteopathic Association exists to advocate and ensure the osteopathic profession’s best interests are protected and maintained. The OOA values every osteopathic opinion. The following survey was sent to the OSU-COM first - third year osteopathic medical students*. The results are as follows:

Were you previously aware of the current plans of splitting up OSU-CHS by building a new facility on OSU-Tulsa’s campus?

NO 87.3% OMS-I NO 68.3% OMS-II NO 80.0% OMS-III

How would this decision affect your learning OMS-I . environment at OSU-CHS? Split would hinder the current aThe supportive & family atmosphere of

“

The close knit family atmosphere is what sets OSU-CHS apart. Separating the campuses would break this central tenet of OSU-COM as well as present issues with commuting time and schedule conflicts. -OSU-COM OMS-I

”

OMS-II

92.7% Agree 87.8% Agree

OSU-CHS The new commute would consume valu- 81.8% Agree 73.2% Agree able study/break time

a split would not affect my current learnaThe 3.6% Agree ing enviroment

9.8% Agree

How close do you currently .live to OSU-CHS?

The average OSU-COM OMS-I & II live 6 - 10 minutes away from OSU-CHS

S 5

H Would this decision affect your current commute/

.transportation to OSU-CHS?

OMS-II’s:

YES

“

OMS-I’s:

I moved to my current living location based on how close it was to OSU-CHS and do NOT want extra commute time OR have to commute back and forth between campuses. Classes at a different campus would waste valuable productive study time in traffic as well as hinder the efficiency that is needed for success in medical school.

”

-OSU-COM OMS-I

Oklahoma D.O. | December 2012

Would you support OSU-CHS leadership in the decision of looking into construction options available on the current campus?

8 2 #6 OMS-I

OMS-I

81% 92.7%

17% 7.3%

OMS-II

Would a split campus affect your decision to attend OSU I am the student ambassador or another medical school? coordinator and a main perk . OMS-I - III

OMS-I - III

25.9% 34.1% 40.0%

YES

56.4% 46.3% 60.0%

“

{

in our tours given to prospective students is that we have all of our classes right here in one class. This is something that nearly every prospective student loves to hear. I feel that it would affect my decision, and from speaking to prospective students on a daily basis, I know that it would affect others as well.

}

”

-OSU-COM OMS-II

What affects did last year’s OSU-CHS construction . have on the student body?

split hindered the learning aThe environment of OSU-CHS split did not have any aThe negative affects

OMS-II

OMS-III

97.5% 100% 2.5% 0.0%

Prior to this survey did you feel like you were . consulted regarding these plans?

NO NO NO 100%

98.2% 92.7% OMS-I

OMS-II

OMS-III

Oklahoma D.O. | December 2012

you for asking for our “Thank opinion. This decision would

be horrible for the school as a whole. I don't know if I could even recommend this school to future students if this decision took effect.

”

-OSU-COM OMS-II

(*This survey reflects the opinions of 55 OMS-I’s, 41 OMS-II’s and 15 OMS-III’s as of 11/13/12. OMS-III’s received a motified survey that contained only the questions that pertained to them.)

Foundation Update ... Provided by Lynette C. McLain, Secretary/Treasurer of the OEFOM The December issue of the Oklahoma DO has traditionally been dedicated to highlighting the Oklahoma Educational Foundation for Osteopathic Medicine (OEFOM). It is my pleasure to recognize an individual who has dedicated much of her time and energy to the success of this organization and the osteopathic profession as a whole. The Oklahoma Osteopathic Association (OOA) and the OEFOM has had the privilege of partnering with Mary Shaw for over 32 years. Her service to the OEFOM is evident as she has worked on the Board for 15 years and is currently in her second term as President of the Foundation. Her philanthropic efforts go beyond just our osteopathic community as shown in her dedication to the arts, education and the underprivileged.

Fundraising Professionals recognized her with the 2012 Outstanding Volunteer Fundraiser of the Year award. Ms. Shaw and her husband, B. Frank Shaw, DO, have been dedicated mentors to the students of OSU-COM even prior to the OOA’s inception of the Mentor Program. We know countless students have been fortunate to know Dr. and Mrs. Shaw and receive their personal attention. As her time on the OEFOM Board is coming to a close the OOA and OEFOM will be eternally grateful for Ms. Shaw’s dedication to promoting the education of students in osteopathic medicine and improving the practice of osteopathic medicine in the state of Oklahoma. We know she will continue her positive impact on the community and represent the osteopathic family at its best. okDO

Through her passion for the arts she has served the Guild of Tulsa Opera as the chairman of the original “Special Occasions” committee. From here she was elected to serve on the Board of Directors of the Tulsa Opera and as Vice President of Special Events. Her commitment to service continued as an active member of the March of Dimes Board of Directors where she and her husband, B. Frank Shaw, DO, chaired two Gourmet Galas. With her love for education, Ms. Shaw has served on the American Indian Resource Committee for Tulsa City/County Libraries for the past decade. In addition, she served the Tulsa Community College Foundation where she chaired the Vision Award Dinner, honoring Governor Brad Henry, setting a new record in monies raised. Through these events she had the opportunity to chair the inaugural OSU-Tulsa Icon Awards Banquet. Boone Pickens served as Honorary Chair and the event raised $680,000 to be shared between OSUTulsa and OSU Center for Health Sciences. Ms. Shaw was honored to serve as a member of the Tulsa Advisory Board of Directors of the Salvation Army. Through her efforts as Christmas Committee Chair, the Angel Tree Program raised over 42,000 in two years. As a breast cancer survivor, Ms. Shaw was delighted to co-chair the Tulsa/Oklahoma Project Woman. The program raised money to support uninsured and underserved women with the cost of their breast health, including mammograms and surgery. Ms. Shaw has been recognized with such awards as the Ruth Evans Service Award for distinguished service to the Advocates of the OOA, the Humana Award for her fundraising efforts on behalf of the Opera Guild’s International, the Tulsa Chapter of March of Dimes Great Spirit Award for her outstanding contributions, the Salvation Army Volunteer of the Year Award and Board Member of the Year and just recently the Eastern Oklahoma Chapter of Association

Oklahoma D.O. | December 2012

2012-2013 OEFOM Officers & Trustees Mary Shaw President Representing the Advocates to the OOA Term Expiring 2013 Broken Arrow, OK

Robin R. Dyer, DO President-Elect Board Certified Family Physician & Neuromusculoskeletal Medicine Term Expiring 2014 Tulsa, OK

William Andrew Lay Member Representing the Northwest Oklahoma Osteopathic Foundation Term Expiring 2017 Enid, OK

Dennis J. Carter, DO, FACOFP Board Certified Family Physician/ Geriatrics Term Expiring 2013 Poteau, OK

Kristopher K. Hart, DO Emergency Medicine Term Expiring 2016 Oklahoma City, OK

Gary McClanahan Lay Member Term Expiring 2013 Edmond, OK

Jeffrey L. Shipman, DO Emergency Medicine Term Expiring 2017 Oklahoma City, OK

Sherri L. Wise Representing the Osteopathic Founders Foundation Term Expiring 2014 Tulsa, OK

Lynette C. McLain Secretary/Treasurer OOA Executive Director Oklahoma City, OK

Layne E. Subera, DO, FACOFP OOA President Board Certified Family Physician Skiatook, OK

Bret S. Langerman, DO OOA President-Elect Emergency Medicine Oklahoma City, OK

Michael K. Cooper, DO, FACOFP OOA Vice President Board Certified Family Physician Claremore, OK

Larry Derryberry, JD Vice President Lay Member Term Expiring 2015 Oklahoma City, OK

Gore Gaines, JD Lay Member Term Expiring 2016 Edmond, OK

Trudy J. Milner, DO Board Certified Family Physician Representing the OSU-COM Alumni Association Term Expiring 2013 Tulsa, OK

Stephen W. Woodson, DO Family Physician Term Expiring 2015 Stigler, OK

2012-2013 OEFOM Committees

Executive/Finance Committee Mary Shaw Robin R. Dyer, DO Larry Derryberry, JD Lynette C. McLain

Oklahoma D.O. | December 2012

Scholarship Committee Gary McClanahan-Chair Michael K. Cooper, DO Jeffrey L. Shipman, DO Kristopher K. Hart, DO

Planned Giving Committee William Andrew Dennis J. Carter, DO Sherri L. Wise

Bylaws Committee Gore Gaines-Chair Bret S. Langerman, DO Stephen W. Woodson, DO Trudy J. Milner, DO Layne E. Subera, DO Lynette C. McLain

Thank you OEFOM Contributors!

The following osteopathic physicians, college faculty and staff, hospitals, clinics, friends, pharmaceutical companies, businesses, associations, and organizations have made contributions during the past fiscal year to the Oklahoma Educational Foundation for Osteopathic Medicine (OEFOM). These donations are comprised of quarterly donations, purchases of The Difference a D.O. Makes, memorial tributes, scholarship fund contributions, Heritage Fund gifts, and participation and/or sponsorship of the 20th Annual OEFOM Golf Classic.

Each gift, donation, or contribution is equally important and ensures the continued success of our missionâ&#x20AC;Śto promote better health care for all Oklahomans, to designate funds to support student scholarships annually, to enrich the Oklahoma State University Center for Health Sciences College of Osteopathic Medicine in Tulsa, Okla., and to maintain the Oklahoma Osteopathic Educational Center. Thank you for making this possible through your continued support. Every effort has been made to provide an accurate report of our benefactors and we apologize if your name has been omitted. ACOFP, Oklahoma State Society Advanced Dermatology, Inc. Angie Tu Anne Winsjansen, DO Arthur G. Wallace, DO Benjamin A. Kamp, DO Boyd D. Burns, DO Brendan E. Bird Bret S. Langerman, DO Brian K. Lepley, DO Brian Noack Bryan Simms, DO C. Clinton Smith, Jr., DO Charles P.W. Crowell, III, DO Classic Printing Clell W. Pond, DO Dale Derby, DO Daniel R. Atwood, DO David Papish David S. James, DO Dennis Antigha Derek L. West, DO Dorothea Rosdahl Dr. Christopher and Lori Shearer Dr. David and Rita Hitzeman Dr. Dennis and Sheri Carter Dr. Frank and Mary Shaw Dr. Joseph and Judy Schlecht Dr. Neal and Carla Templeton Dr. Scott and Janell Cyrus

Dr. Stanley and Barbara Grogg Dr. Thomas and Flo Conklin Dr. Thomas and Glenda Carlile Drs. David and Julie White Drs. Tony and Sharon Little Duncan Harvey E. Lee Foster Edward H. Yob, DO Erick C. DeRocher, DO Family Medical Clinic of Western Oklahoma G. Davin Haraway, DO Gary D. Fine, DO Gary K. Augter, DO George E. Erbacher, DO Gerald G. Reed, DO Geron W. Meeks, DO Gilbert M. Rogers, DO Glenn L. Smith, DO Gregory Bohuslav Harvey A. Drapkin, DO Harvey Drapkin, DO Hugh D. Tidler James M. Rebik, DO James P. Riemer, DO James R. Campbell, DO Jason C. Emerson, DO Jason M. Crouch, DO Jason W. Sims, DO Jay K. Johnson, DO Jeffrey L. Shipman, DO

Jeffrey R. Jones, DO Jim G. Melton, DO Joan E. Stewart, DO Jochen Granja Joe D. Sagely, DO John A. Saurino, DO John C. Jackson, DO John F. Rice, DO Kathy Johnson, DO Keith P. Sutton, DO Keith W. Russell, DO Kenny M. Grider, DO Keri S. Campbell, DO Kristopher K. Hart, DO Larry Derryberry, JD Laura L. Arrowsmith, DO Lee Vander Lugt, DO Logan Blunk Lonette A. Bebensee, DO Loretta G. Gonzalez Lorri J. Dobbins, DO Lynette and Don McLain M. Adele King, DO Mark L. Mathers, DO Mary K. Mills, DO Matan Rabinowitz Matthews Book Company Matthew T. Rogers, DO Medical Protective Melvin Parasram

Oklahoma D.O. | December 2012

Meridian Family Practice Michael A. Lee, DO Michael F. Stratton, DO Michael K. Cooper, DO Morningstar Emergency Physicians Noel W. Emerson, DO NW Oklahoma Osteopathic Foundation Oklahoma Osteopathic Association Olesya Petrenko One Source OSU-COM Alumni Assoication R. Kelly McMurry, DO Ralph B. Coffman, DO Randy Hunt, DO Ray E. Stowers, DO

Rebecca Lewis, DO Richard E. Mills, DO Richard G. Cooper, DO Richard L. Myers, DO Richard W. Schafer, DO RJ Langerman, DO Robert D. Holsey, DO Robert T. Means, DO Robin R. Dyer, DO Ronald Fried, DO Sammy J. Worrall, DO Shanna E. Hampton, DO Sherri L. Martin Stanley K. Rogers, DO Stephen W. Woodson, DO

Steven C. Buck, DO Ted and Mary Jane Carrigan Thomas H. Nulf, DO Thomas H. Osborn, Jr., DO Thomas W. Essex, DO Timothy H. Sanford, DO Tracy Sanford, DO Trudy J. Milner, DO Tulsa Osteopathic Medical Society Victor Arballo Victoria E. Pardue, DO Wallace J. Champlain, DO Walter F. Kempe, DO William J. Pettit, DO William King

n OEFOM Memorials n Contributing

Dr. Thomas and Flo Conklin Dr. Joseph and Judy Schlecht Dr. Thomas and Glenda Carlile

In Memory of

Wilburn Lee Hoover Richard Staab, DO Kathy Hullett

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Oklahoma D.O. | December 2012

Plan to Take the OOPAC Challenge in 2013! Give Back to OOPAC...

A P

Political Ac t i o n

Osteopathic

Oklahoma

Committee

Pledge annually and pay monthly with the OOPAC automatic credit card plan!

Take the OOPAC Challenge in 2013 and you will be helping with legislative efforts to preserve the osteopathic profession in Oklahoma! _____ OOPAC AUTOMATIC CREDIT CARD PLAN:

I choose to pledge annually & pay monthly with my credit card.

Please charge my contribution monthly to my:

o Visa

o $504 ($42 per month) o $1,008 ($84 per month)

o MasterCard

o American Express

o Discover o $1,200 ($100 per month)

_____ My personal check made payable to â&#x20AC;&#x153;OOPACâ&#x20AC;? is enclosed.

o $100

o $250-$500 (PAC Partner)

o $1,001-$2,499 (Executive PAC Partner)

o $501-$1,000 (Premier PAC Partner) o $2,500 + (Platinum PAC Partner)

______ Please charge my contribution of $________ to my: o Visa

o MasterCard

Account Number __________________________________ Exp. Date __________________

Name as it appears on Card ___________________________________ CID# ____________

Address_____________________________________________________________________

City, State, Zip _______________________________________________________________

Signature ___________________________________________________________________

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. | December 2012

Thank You to the many OOPAC Contributors of 2012 for helping to preserve the osteopathic profession in Oklahoma!

A P

Political Ac t i o n

Osteopathic

Oklahoma

Committee

Executive PAC Partner - $1,001 - $2,500

American College of Osteopathic Family Physicians â&#x20AC;&#x201C; Oklahoma Chapter Dennis J. Carter, DO Thomas H. Conklin Jr., DO Scott S. Cyrus, DO Bobby N. Daniel, DO Stanley E. Grogg, DO H. Dwight Hardy III, DO David F. Hitzeman, DO R. Randy Hunt, DO Trudy J. Milner, DO Gabriel M. Pitman, DO John F. Rice, DO B. Frank Shaw, DO Ronald S. Stevens, DO LeRoy E. Young, DO

Premier PAC Partner - $501 - $1,000 Stephen R. Barnes, DO Paul E. Battles, DO Jim Campbell, DO Thomas J. Carlile, DO Michael K. Cooper, DO H. Zane DeLaughter, DO John C. Loose, DO James P. Riemer, DO Glenn L. Smith, DO Layne E. Subera, DO Bret S. Langerman, DO

PAC Partner - $250 - $500 Latricia G. Arnold, DO Paul F. Benien, Jr., DO Rick G. Crenshaw, DO Kyle Hrdlicka, DO Rod F. Linzman, DO Lynette C. McLain William J. Pettit, DO Michael F. Stratton, DO R. Jeff Wright, DO

Oklahoma D.O. | December 2012

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

With the start of December bringing the Christmas holidays close to our hearts and the anxiousness of finals week even closer to our minds, the OSU-CHS campus enters the last month of the year buzzing with excitement. In the days to come, OSU student doctors plan on ending the semester with quite the show as celebrations will be held for a successful semester, as well as, for faculty who contributed to the lives of so many aspiring students. Aiding the transition into such thrilling days was an incredibly busy and eventful November! In the weeks leading up to December, students from OSU traveled across the nation, succeeded in innovative changes on campus, and brought in multiple speakers reporting from the front lines of our changing medical field. November came to a close, the impressive results of the ACOEP Conference for emergency physicians in Denver, CO. arrived at the OSU-CHS campus. This year, two OSU medical students, Kenneth Argo and Todd Thomas, were elected to national positions on the ACOEP student association. In addition to our new arrivals in the ACOEP organization, OSU-CHS took 1st place in the ACOEP medical school video contest securing a cash scholarship to benefit the OSU-CHS campus ER club. Congratulations to OMS-II student John Cloud and his team for their winning video showcasing our Center for Health Sciences! With the newly formed ACGME changes announced in November, our OSU SOMA chapter was able to host a luncheon with guest speaker and President of the AOA Ray E. Stowers, DO. President Stowers has a long history with Oklahoma and was able to give a firsthand explanation as to how the ACGME merge will affect medical students across the country and in Oklahoma. The end of November appropriately signified a month of thanksgiving and community spirit for the student functions on campus. Together, OSU Tulsa and OSU-CHS raised over $57,000 for the Tulsa United Way organization. This tremendous achievement was followed by some family time put together by the OSUCHS Student Advocates Association that included a Founder’s Hall Thanksgiving feast decorated with fall reminders of everything that we, as a medical field family, have to be thankful for. Even with such a remarkable month, November has quickly ushered us into a December to remember. Although the month of December often tends to be consumed with thoughts of semester finals for most medical students, at OSU-CHS it also marks a month for celebration of new achievements. Our Student Government Association has worked tirelessly to improve the functions of student led organizations and set the tone for more proficient interactions between the administration and students. December encompasses groundbreaking class-wide Senate meetings where the Student Constitution is being revised in order to better serve classes in the future. In addition to our Senate meetings, the gathering of the brand new Student Finance Committee keeps both administration and student leaders up-to-date on how to utilize student funds most efficiently. Teamwork has been the theme through14

CENTER FOR HEALTH SCIENCES out the semester, and December is no exception with the Student Government Association continuing to work with class officers and SOMA officers like never before. As we bolster that forward momentum while simultaneously keeping finals and Christmas fresh on our minds, the students and faculty at OSU-CHS can’t help but take a moment to recognize someone in particular who has played a major part in getting us to where we are now. Kirby Jarolim, Ph.D finishes his last semester at OSU Center for Health Sciences in December of this year. Dr. Jarolim has been teaching at the school for over thirty years including its inception year in 1972. His presence on campus, in the anatomy labs, and in the classroom has been one of expertise and inspiration and has affected the lives of countless Osteopathic physicians. Earlier in the semester, Dr. Jarolim received a standing ovation from the current class of 2016 along with members of classes stretching back to the founding of the school. He also received an “anatomy textbook” cake complete with a pen and magnifying glass to signify his endless desire to learn and impart new information about human anatomy to his eager medical students. It is only fitting that such a devoted researcher and professor, who has given the gift of knowledge to so many of the country’s best physicians, hang up his lab coat for the last time during a month when gift giving is most prevalent. As students of medicine, the entirety of the OSU-CHS family cannot thank him enough for all that he has imparted to us. Finally, the Classes of 2015 and 2016 are gearing up to celebrate the end of some tough semesters with the annual holiday ball. With Christmas around the corner, the holiday ball brings the year to an end with slide shows depicting campus events past, a Christmas meal to celebrate the relief found in the present, and enough music and dancing to ring joy into the semesters of the future. December may be filled to the brim with activity for the OSU-CHS campus but I think that is just how A.T. Still would want it – as long as we continue to keep our mission close to our hearts. okDO

“Anatomy textbook” cake presented to Dr. Jarolim (photo provided by Blake Stepanovich, OMS-I.)

Oklahoma D.O. | December 2012

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Oklahoma D.O. | December 2012

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Oklahoma D.O. | December 2012

An Update from Oklahoma State University Medical Center Oklahoma State University Medical Center is moving forward into a new phase of its developmental process to continue the mission to train future physicians and provide excellent health care. In 2009, a public trust of the City of Tulsa was created to support the teaching and training of physicians and providing health care services to all patients. The trust enlisted St. John Health System to manage the medical center. Considerable achievements were made like hiring physicians, updating equipment, renovations and new construction. Recently, the OSU Medical Center Trust and St. John Health Systems mutually decided to end their management agreement due to the OSUMC’s more stable position than when the agreement with St. John was necessary. They were of tremendous help but because the two hospitals are in the same marketplace, there were conflict-of-interest issues. Current plans are in place to guide the medical center into a stronger future. The trust has turned to an expert in the medical consulting field to guide the medical center in developing the structure necessary to continue this positive growth curve. The firm of Alvarez and Marsal was retained because of their experience in helping academic centers and privately associated hospitals develop comprehensive strategic direction to better position themselves for future success. In October, OSU Medical Center was fortunate to gain the services of Diane Rafferty as Interim Chief Executive Officer to help navigate the next stage of growth at the hospital. Ms. Rafferty has a rich background in health care management and efficiencies. Most recently, she comes to us from her role as CEO at University Physicians Hospital, in Tucson, AZ. Ms. Rafferty has worked in health care for 35 years and has extensive expertise in hospital operations, finance, quality and compliance, productivity improvement and reorganization.

Ms. Rafferty earned a bachelor of science in nursing from the University of New York and a master’s degree in healthcare administration from the University of La Verne in California. She is an energetic, enthusiastic administrator with many innovative ideas and a willingness to tackle opportunities head on. She is pleased to be in Tulsa to assist the medical center in achieving excellence with efficiency. Ms. Rafferty has several key areas of focus in her quest to accomplish these goals. Some of those are: • Development of a Medical Staff Plan • Marketing and Business Development Plan • Operational Improvements • Staffing Efficiencies Gains • Reviewing Current Contracted Services • Reviewing New and Current Service Lines Ms. Rafferty is also focused on physician recruitment – a life blood of any active growing institution. Certainly the most important goal is to strengthen the relationship between OSU Center for Health Sciences and Oklahoma State University Medical Center. Along with Ms. Rafferty, Ethan Norris, also from Alvarez & Marsal, has been named Interim Chief Financial Officer. Ms. Rafferty and Mr. Norris have a team of experts who will come in intermittently with innovative ideas and solutions. OSU Medical Center welcomes Diane Rafferty as CEO and Ethan Norris as CFO and invites the readers of “Oklahoma D.O. Magazine” to visit the medical center in downtown Tulsa. If you haven’t in a while, there’s much to see. Many improvements are completed and more are in progress. Come okDO visit and see the new OSUMC.

“OSU Medical Center is a wonderful place. I have been extended a very warm welcome here. The physicians and employees are dedicated and hard working. Our plans will strengthen the Medical Center and position it for growth. I believe we can work together and be even more proud of this institution.” Diane G. Rafferty, MHA Chief Executive Officer, OSU Medical Center

Oklahoma D.O. | December 2012

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Oklahoma D.O. | December 2012

TECHNOLOGY CORNER: Sneak Preview upcoming OOA tech improvements Provided by the OOA Bureau on Information Technology

The Oklahoma Osteopathic Association is currently undergoing renovations to our website and creating the OOA’s first ever “convention module” micro site! We’re very excited about these upcoming changes and wanted to provide a quick preview on what you can expect in the coming months. The new website design will be user-friendly and display a more modern look. Users will be able to quickly login to member portals to view earned CME hours, renew membership and view upcoming events. The redesign includes upgrading the webpage to operate on HTML5, feature video support and making the site responsive. The responsive feature will allow the website to recognize what type of device is viewing the page (i.e. tablet, Smartphone or desktop) and the site will resize according to your device’s screen. This feature will keep the website organized and as easy to read as possible. (see image) The OOA is introducing the association’s first ever convention module. Currently, physicians are able to register for OOA seminars and conventions online as well as view the schedule for the CME. The new module will allow for users to have an interactive experience with the event. The micro site will be linked to the OOA’s current webpage and will be completely dedicated to the Annual Convention. Visitors to the site will be able to view each speaker’s biography as well as download their presentations. This will eliminate the hundreds of pages attendees had to carry from presentation to presentation. In addition, visitors to the site will be able to quickly see the program schedule based on day, specialty track or case study. It is our hope that this feature will allow attendees to quickly find where they need to be and download the presentation immediately.

The OOA is honored to recognize the Award Recipients at every Annual Convention. Nominated by their peers, the OOA Award Recipients will be featured on the convention module along with a photo and short biography. In addition, members can read about the current OOA President and what they have done for the Association over the past year. Members will also be introduced to the PresidentElect and learn what plans they have for the osteopathic profession in the coming year. The OOA recognizes the need to provide members and seminar attendees a convenient and worthwhile experience not only in their day to day interactions on our webpage but also at our events. It is our hope that these exciting changes will help make the overall experience a positive one. The Bureau on Information Technology has been vital in ensuring these new changes are implemented smoothly and all necessary improvements have been made. If you have any suggestions on what you would like to see featured on the new webpage or convention module please contact Rachel Prince, CommuniokDO cations Director, at Rachel@okosteo.org.

Preview of the new OOA website & responsive design

Another exciting feature is the virtual exhibit hall. Visitors will be able to hover their mouse over the booths to see what exhibitors will be present, their contact information and a link to their website. The exhibit hall feature will bring in new exhibitors as well as provide physicians the ability to learn more about these valued companies prior to the convention. In an effort to make registration as quick and easy as possible, attendees will be able to select their registration option, purchase meal tickets and even register for the golf classic all in one area. This one stop shop will help create a smooth registration process for all attendees.

Oklahoma D.O. | December 2012

The OHIET, Vouchers and Electronic Data Exchange Provided by Val Schott, MPH, Chief Executive Officer Oklahoma Health Information Exchange Trust

OHIET is offering a voucher program for eligible providers and eligible hospitals. This effort is the result of a bipartisan effort to improve health outcomes and decrease costs in our health care system. In his State of the Union message in 2004, President George W. Bush called for every American to have access to his or her own electronic health record by the year 2014. He increased funding for mostly demonstration grants from $50m to $100m and established the Office of the National Coordinator for Health Information Technology (ONC) in the Department of Health and Human Services. President Bush made the office a subcabinet appointment that required Senate confirmation. His commitment to electronic health records and electronic data exchange included a vision that all patients would carry information about their health and would be able to authorize any provider to have full and complete access to their health record. He believed this would result in ‘… a dramatically changed system’1 In remarks delivered to the American Association of Community Colleges, President Bush said “Within ten years, every American must have a personal electronic medical record…’2 President Bush saw this as a system where at a minimum, standards would be set for electronic data exchange for electronically transmitting radiological studies, lab results reporting and electronic prescriptions. He called for a system that would protect patient privacy and security while facilitating electronic data transfer. One of the benefits he foresaw was the use of data to ‘… alert public health to possible disease outbreaks or bioterror attacks.’3 President Barack Obama continued with the commitment President Bush had made. Before he took office, President Obama said in a speech to George Mason University on January 8, 2009, that ‘…the government will push for electronic health records for all Americans within five years in order to save both dollars and lives. We will improve the quality of our health care while lowering its cost, we will make the immediate investments necessary to ensure that, within five years, all of America’s medical records are computerized.’ ‘This will cut waste, eliminate red tape and reduce the need to repeat expensive medical tests. But it just won’t save billions of dollars and thousands of jobs; it will save lives by reducing the deadly but preventable medical errors that pervade our healthcare system.’4 President Obama included this commitment in the American Recovery and Reinvestment Act making $20B available to fully implement the vision established by President Bush. According to a Reuter’s blog, the ARRA funding resulted in almost doubling the number of office-based physicians using electronic health records (EHR) to 34% with over 41,000 physicians receiving more than $575m in incentive payments to implement EHRs.5 The point of all this is to demonstrate the truly bipartisan nature of this effort with the goal of improving health care outcomes, making critical information much more available to physicians and lowering costs. Making critical information does not supplant the judgment of the physician; rather it simply provides more relevant information for the physician to consider in making important care decisions. Just as we have improved information available to the physician by a host of advances in radiological imaging, electronic data exchange will improve decision making by providing more timely information about the patient. We will save money and reduce costs by eliminating the need to repeat test and by reducing prescription overuse and abuse. The availability of elec-

tronic health records also gives the physician another tool in enlisting the patient in improving his or her own health. This process occurs in two distinct phases. The first is the ability to collect and capture appropriate data into a format that allows the practitioner to recall that information quickly and to view the data comparatively. Did the patient’s weight increase or decrease. Did the patient’s lab work change or did the patient’s blood pressure change and over what period of time. What other factors have changed and what about the patient’s activity level? These are all simple examples of information the physician would consider in evaluating his or her patient and determining a treatment care plan. The medical profession has used this data for years in this manner. The EHR simply makes that process easier and quicker. How many of us still maintain a hand written ledger to pay our bills. I would guess not many. We use the technology available to us to improve our process making it more effective and efficient. How many of us always carry cash to use to fill up our car with fuel rather than use a credit or debit card. Again, not many I would guess. We use the technology available to improve the process gaining efficiency. That is the same with the EHR. We are changing what we do; we are simply doing it using different technology. Many physicians will talk about the time and effort they expended to convert from the paper chart to and EHR. And there is certainly a cost in this conversion process. Most physicians will also say that the EHR allows them to quickly review and update themselves about their patient immediately before seeing their patient for a follow up visit. Many physicians have also remarked that when they finally get to go home for the evening, their job is more or less completed. There are not more charts to dictate and no more billing to be done. The electronic process has already accomplished these tasks. While these are certainly benefits gained from the application of technology, the greatest advantage may well be the increased access to data about the patient that contributes to better diagnosis and better treatment plans resulting in better outcomes for the patient. The second phase of this process is the sharing of data electronically. This data transfer has been an issue for every physician every time you refer your patient to a specialist. It becomes more critical when your patient is away from your practice site and needs care in an emergency setting. The electronic record saves precious time in the Emergency Department. The converse of that is that you have the benefit of that emergency visit or that visit to a specialist delivered back to your electronic record for your analysis and consideration. How do we make this happen? The first step is in obtaining an EHR system that is certified by the Office of the National Coordinator for Health Information Technology (ONC). This just assures you that the system you purchased has the capacity to communicate to other systems. The next task is to connect to other providers. We do this by using a Health Information Exchange such as the ones certified by OHIET. In Oklahoma, we are a network-of-networks. This simply means that OHIET facilitates this data exchange through a Health Information Organization (HIO). OHIET certifies HIOs to insure that they safeguard the privacy and security of patient information, provide a governance structure that Oklahoma D.O. | December 2012

insures providers and patients have appropriate control over their data, and are willing to exchange data with other HIOs. This last issue insures that a provider can rely on the data supplied concerning his or her patient in order to make clinical judgments regarding the patient’s care. OHIET offers vouchers that are simply like coupons to reduce the initial cost of sharing data electronically. To qualify for a voucher a provider must have or be in the process of obtaining an ONC approved electronic health record, qualify or be in the process of qualifying for Meaningful Use of that EHR, be eligible for incentive payments from the Centers for Medicare and Medicaid Services for Meaningful Use, and be a part of the current focus of OHIET. Our initial focus includes physicians (doctors of osteopathic medicine and medical doctors), nurse practitioners, and physician assistants (PAs) that are employed in a PA directed FQHC clinic. In addition, the practitioner must have a site of practice located in an Oklahoma rural county, defined as any Oklahoma county other than Oklahoma, Cleveland, Tulsa or Comanche counties. OHIET recognizes there are other providers that provide invaluable service to the people of rural Oklahoma. However, this is the current focus of our voucher program. OHIET hopes to expand the current focus at a later date. The Eligible Provider Voucher is issued at two levels. The Level 1 has a value of $692 and the Level 2 has a value of $1,614. In addition, OHIET offers a connection for a unique EHR database of up to $3,000. This connection is allowed once for a unique connection. For instance, two providers in the same location even though they do not share practice but do use the same electric health record, there would be only one connection fee allowed. There are certain requirements for each level and to move from Level 1 to Level 2. The following tables shows the milestones that must be met in each level and what is required to move from Level 1 to Level 2.6 Remember, our goal is interoperability, defined as the ability to send and receive information regarding your patient to improve the quality of care provided and the outcomes for that patient as a result of better-coordinated care. Additionally, this process has the great potential to reduce testing, better coordinate prescriptive drugs included in the treatment plan and the reduction of the cost of care coupled with improvement in patient outcomes. Provider Voucher Level 1 Milestones • Provider credentialed and had Active Account • Provider has looked at a patient record in the HIO • Provider has sent and received a secure message via the Certified HIO’s secure messaging system. Provider Voucher Level 2 Milestones • Provider has a live data feed established and in use with an OHIET Certified HIO • Provider’s EHR is passing structured clinical data to the HIE in standardized form (CCD’s, Labs, Medications, Vital signs, etc.) on a routine (at least daily) basis • Live data feed has sent structured clinical data of CCD’s or other structured clinical data compliant with ONC accepted interoperability standards. How can you apply for an Eligible Provider Voucher? That is the simple part of this process. An application for these vouchers is online at OHIET.org. There you can review the requirements for the voucher program. Go to the ‘Eligible Provider Voucher’ listing under the Main Menu. That takes you directly to the on-line application. Fill out the information requested and press enter. It is just that simple!

Oklahoma D.O. | December 2012

Once you are approved, you will receive your Voucher number emailed to the address in your application. You should then review the information provided by all the certified HIOs. There are currently three in Oklahoma. They are MyHealth, NPHO, and SMRTNET. All three HIOs are required to work interoperatively with the other OHIET certified HIOs. All three HIOs work all across the state. It is important that you contact all three HIOs and discuss their products with them to determine which organization will work best with your practice. While we anticipate that each HIO will offer very similar services, the exact services and the exact time duration of those services will be determined by the contact you make with your chosen HIO. We anticipate that all will offer about a year of access. All will be able to offer connectivity that is covered by the one time connection fee with a maximum of $3,000. There is also a small-non federal match required with these vouchers. Your chosen HIO will help you determine the amount of the match required and identifying the source of your match. This should be less of a process of spending more but rather a process of documenting what you have already spent to obtain your EHR system and the training costs for both you and your staff preparing for this implementation. With your Voucher Letter of Award, you will be asked to attest to a simple statement that shows that you meet the basic qualifications for a voucher as listed above. Specifically that you have or are in the process of obtaining an ONC certified EHR, that you have met or are in the process of qualifying for Meaningful Use, that you have received or are eligible to receive incentive payments from CMS, that your site of practice is in a rural Oklahoma county, i.e., not Oklahoma, Cleveland, Tulsa or Comanche counties, and that you are within the OHIET focus as defined above. The reason for this attestation letter is that some times, a clinic administrator or assistant may actually fill out the application form for the eligible provider. We urge you to apply as soon as possible. You will have sixty days from the time you sign a contract with your chosen HIO to meet the milestones in Level 1. We will also grant an extension of an additional sixty days should that be necessary. The time frame for the level 2 Voucher will not start until you have completed Level 1 and you and your chosen HIO agree you are ready for Level 2. This time period is also sixty days with the possibility of another sixty-day extension. The grant that funds these vouchers is slated to expire on September 31, 2013. In order to provide as much service as possible, OHIET’s goal is to have those funds obligated before that date. We want you to benefit from this grant opportunity. The only way you can do so is to make application. OHIET will provide ‘Road Shows’ conducted by the Rural Extension Center of the Oklahoma Foundation for Medical Quality, during which we provide additional information including details about services provided by all of the OHIET-certified HIOs in Oklahoma. Look for a Road Show near you. Our first will be November 30 in Weatherford, OK. More information and future dates will be available at OHIET.org. We hope you will take advantage of this unique opportunity. okDO Reference:

1. ‘President Bush continues HER push, sets national goals’ Healthcare IT News, April 26, 2004, www.healthcareitnews.com 2. HITSP, Government Representatives and Policy Makers, HITSP, www.hisp.org/government. aspx, April, 2004 3. ibid, Healthcare IT News 4. ‘Obama wants E-Health Records in Five Years’ Information Week Healthcare, January 12, 2009,www.informationweek.com 5. ‘The Great Debate, An unsung victory in healthcare’, Ezekiel Emanuel, Reuters, Reuters blog, March 6, 2012, www.blogs.reuters.com 6. Eligible Hospital and Eligible Providers, Voucher Funding Announcement No. 2012-02, Okla homa Health Information Exchange Trust (OHIET)

The Digital Divide: How Connected Are Rural Communities in Oklahoma? CENTER FOR HEALTH SCIENCES

Provided by Jeff Hackler, J.D., M.B.A. and Denna Wheeler, Ph.D. The past several years have seen a sharp increase in the need for broadband availability in health care settings. There have been significant efforts to adopt electronic health records in physician offices and hospitals, and there have been impressive advancements in telehealth technology that can bring specialty care into rural communities where specialists are not physically present. The question persists, however, regarding how prepared the rural areas of our state are for these technologies in terms of access to and the speed of the broadband service in their communities. The “digital divide” that exists between wired broadband availability in rural areas compared to urban areas has been slowly closing over the past several years. Since 2003, the availability of broadband in Oklahoma’s rural areas has increased significantly. Today, the availability of broadband in rural areas and urban areas in Oklahoma is nearly equal according to many experts.1 While the digital divide has closed in terms of the availability of broadband in rural and urban areas in Oklahoma, it still exists to some degree when it comes to rates of adoption. In 2009, 59% of urban households in the state had adopted broadband compared to 50% of rural households. It is unclear how closely these adoption rates translate into adoption rates for businesses or physician offices, but access clearly does not equal adoption. To learn more about broadband service in health care settings in rural Oklahoma, the OSU Center for Rural Health conducted a survey of 89 hospitals located in rural Oklahoma as part of a Gap Analysis for the Oklahoma Health Information Exchange Trust in early 2012. The OSU Center for Rural Health distributed its survey to critical access hospitals (CAH), other small rural hospitals with under 50 beds, and larger rural hospitals with 50 beds or more. Forty-four (44) of these surveys were completed and returned to OSU, representing a response rate of 49% (see Table 1). Response rates were relatively consistent between CAHs and hospitals with fewer than 50 beds, while hospitals with 50 beds or more responded slightly less.

Table 1: Survey Response Status by Hospital Type Hospital Type

Completed

No Response

Total

Response Rate

CAH

53%

<50 Beds

56%

>50 Beds

40%

One of the questions we asked in this survey sought to determine how much bandwidth hospitals actually received from their broadband service. To make this determination, we asked survey respondents to measure their Internet speed using an Internet speed test.2 The results reported by hospitals surprised us. The responses indicated that upload and download speeds varied significantly by hospital type, with smaller hospitals experiencing slower speeds (see Table 2 and Figures 1 and 2). Generally speaking, the size of a hospital correlates with the size of the community in which it is located. Download speeds were 4.7 megabits per second (Mbps) slower in CAHs than in rural hospitals with fewer than 50 beds, and download speeds in CAHs were 8.9 Mbps slower than in rural hospitals with 50 beds or more. Upload speeds showed a similar disparity. Upload speeds were 2.2 Mbps slower in CAHs than in rural hospitals with fewer than 50 beds, and upload speeds in CAHs were 11.4 Mbps slower than in rural hospitals with 50 beds or more. 3

Table 2: Self-Measured Internet Upload & Download Speed Hospital Type

Download Mbps

Upload Mbps

CAH

4.4

4.0

3.5

3.6

<50 Beds

9.7

13.4

5.7

6.7

>50 Beds

13.3

7.6

14.9

12.2

TOTAL

8.4

9.3

7.1

8.7

Various analytical techniques that measure spatial distributions show no clustering among the hospitals that reported Internet download and upload speed data. However, the subset of hospitals that reported the slowest upload and download speeds (1 – 5 Mbps) were more spatially clustered than those hospitals reporting faster download and upload speeds. This preliminary analysis indicates that perhaps the digital divide is not as narrow as many studies conclude. Access to and adoption of broadband service is a gap that is closing; quality/speed of broadband service, on the other hand, remains a divide that appears to persist. Health care delivery is becoming increasing reliant on technology. To ensure that rural health care providers have the tools they need to provide the same quality of care as their urban counterparts, we need to ensure that they have the broadband infrastructure necessary to do so.

REFERENCE: 1 Choices: The Magazine of Food, Farm and Resources Issues. (2010). Rural Broadband Availability and Adoption in Oklahoma. Agricultural & Applied Economics Association. 2 Survey respondents were referred to http://bandwidth.com/tools/speedTest/ to take this test and report their results. 3 These responses were taken at one moment in time and may not accurately reflect customary broadband speeds, but the sample sizes, means, and standards deviations are such that disparities do appear to exist and more study is warranted.

Oklahoma D.O. | December 2012

Figure 1: Internet Download Speeds of Surveyed Hospitals

Figure 2: Internet Upload Speeds of Surveyed Hospitals

Oklahoma D.O. | December 2012

Hard Rock Hotel & Casino Catoosa, OK Kenneth E. Calabrese, DO, Program Chair Melinda R. Allen, DO, Program Co-Chair Program Approved for 18 Category 1A Credits from the AOA Program granted for 16 Prescribed Credits from the AAFP

12:00 – 6:00 pm

Registration

2:00 – 6:00 pm

Exhibits Open

*1:00 – 2:00 pm

“Oklahoma and Obesity: The Health of Our State Address” Teri Bourdeau, PhD (Tulsa, OK) www.ok.gov/strongandhealthy/Obesity/index.html

*2:00 – 3:00 pm

“The Spread of Obesity” Duane G. Koehler, DO, FACOFP (certified family practice, Tulsa, OK) www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004552

*3:00 – 4:00 pm

“Childhood Obesity” Colony S. Fugate, DO, ACOP (certified pediatrician, Tulsa, OK) www.cdc.gov/obesity/childhood/

*4:00 – 5:00 pm

“Metabolic Syndrome and Cardiovascular Risk” Sharolyn D. Cook, DO (cardiology, Tulsa, OK) www.nhlbi.nih.gov/health/health-topics/topics/ms/

*5:00 – 6:00 pm

“Endocrinopathies and Obesity” Sean R. Hamlett, DO, FACOI (certified internal medicine, Joplin, MO) www.yourhormones.info/endocrine_conditions/obesity.aspx

6:00 –7:00 pm

OOA Past Presidents & District Presidents Meeting

6:00 – 7:00 pm

OOA New Physicians Meeting

7:00 – 8:00 pm

AOA House of Delegates Meeting

Saturday, January 19, 2013 7:00 am

Registration

7:00 am

Continental Breakfast

8:00 – 9:30 am

Bureau on CME Meeting

8:00 am – Noon

Exhibits Open

*8:00 – 9:00 am

“GI Consequences of Obesity” Jeffrey M. Hunt, DO (certified internal medicine, Tulsa, OK) http://jn.nutrition.org/content/130/2/280S.full

*9:00 – 10:00 am

“Obesity Related Hypoventilation Syndrome & Sleep Apnea” Kendal L. Mitchell, DO (internal medicine, Tulsa, OK) www.nlm.nih.gov/medlineplus/ency/article/000085.htm

*10:00 – 11:00 am

“Choosing Change From Over 500 Pounds-A Personal Journey” Sean Anderson (Ponca City, OK) www.transformationroad.com

*11:00 am – Noon

“Gastric Bypass for Obesity: Personal Reflection” Randall S. Reust, DO, FACOI (certified internal medicine, Tulsa, OK) www.ncbi.nlm.nih.gov/pmc/articles/PMC1421184/

*Noon – 2:00 pm “Shape Your Future”-Physician Luncheon Julie Cox-Kain, Deputy Commissioner of Disease & Prevention Services bing Prescri www.ok.gov/health/ Properre - Sign - dInit! tu c Le ed for cre Requir *2:00 – 3:00 pm “Improper Prescribing- You Can’t Afford It” Proper Prescribing Lecture – Sign-In Required for Credit Sean D. Boone, DO (family practice, Hugo, OK) www.ok.gov/osboe/

Friday, January 18, 2013

*3:00 – 5:00 pm

“Risk Concerns & Strategies in Treating the Obese Patient” Risk Management Course – Sign-In Required for Credit Gail Harris, Sr. Risk Consultant (Las Vegas, NV) Risk Management Program Sponsored by a Ri Medical Protective L sk Re ectu Man www.medpro.com qu re a

5:00 – 6:30 pm

President’s Mentor/Mentee Reception Hosted by President Layne E. Subera, DO & First Lady Amy Subera

ire - S gem d f ig en or n - t cre In dit !

Sunday, January 20, 2013 7:00 am

Registration & Continental Breakfast – Sequoyah Foyer

*8:00 – 9:00 am “Physicians Prescription for Nutrition (Rx)” Michele L. Neil, DO, ACOI (certified internal medicine, Tulsa, OK) www.mayoclinic.com/health/obesity/DS00314/ DSECTION=treatments-and-drugs *9:00 – 10:00 am “Drugs in the Treatment of Obesity” Lora D. Cotton, DO (certified family practice, Tulsa, OK) www.emedicinehealth.com/medication_in_the_treatment_ of_obesity/article_em.htm *10:00 – 11:00 am

“Bariatric Surgery: What the Primary Care Physician Needs to Know” Kevin T. Fisher, DO, FACOS (certified surgeon, Tulsa, OK) www.nlm.nih.gov/medlineplus/weightlosssurgery.html

*11:00 am – Noon

“An Internist’s Perspective” Melinda R. Allen, DO, ACOI (certified internal medicine, Blackwell, OK) www.webmd.com/cholesterol-management/obesity-health-risks

Oklahoma D.O. | December 2012

OOA Winter CME Seminar “Ravages of Obesity” q *DO Member Registration q DO Registration for Saturday afternoon “Proper Prescribing” & “Risk Management” Courses only (3 Credit Hours) q*Retired DO Member Registration q*DO Nonmember Registration q Nonmember Saturday Only Registration q *MD/Non-Physician Clinician Registration q Student, Intern, Resident, Spouse, Guest Registration

On or Before 1/11/13 $340 $180 $80 $840 $680 $340 $0

After 1/11/13 $365

$205 $105 $865 $705 $365 $0

Mail Registration Form & Payment to: OOA, 4848 North Lincoln Boulevard, Oklahoma City, OK 73105-3335 or Fax to 405.528.6102.

Payment: q Check Enclosed q VISA/MASTERCARD q DISCOVER

q AMERICAN EXPRESS (card holder’s zip code: ___________________)

Credit Card No.: _____________________________________ Card Exp. Date: ________ 3 Digit CID Number: ___________ Signature: _______________________________________________________________________________________________ Name (as it appears on card - please print): ____________________________________________________________________ DO Name (please print): ____________________________________________________________________________________ Other Professional/Guest: ___________________________________________________________________________________ Resident/Intern: ___________________________________________________________________________________________ Student: _________________________________________________________________________________________________ q OMS-I q OMS-II q OMS-III q OMS-IV Spouse: __________________________________________________________________________________________________ Office Address: ___________________________________________________________________________________________ City: _______________________________________________ State: _____________ Zip: ____________________________ Office Telephone: (_______)_____________________________ E-Mail address: _____________________________________ Please indicate:

q Printed syllabus OR

q DVD syllabus

*Includes: Proper Prescribing Course, 2 Continental Breakfasts, Saturday Luncheon, & Evening Reception.

Requests for Refunds Must Be Received Before January 11, 2013 and a $25 Service Fee Will Be Charged.

SEMINAR LOCATION:

Hard Rock Hotel & Casino- 777 West Cherokee, Catoosa, OK 74015 For room reservations, please go online to www.hardrockcasinotulsa.com or call 1.800.760.6700. Be sure to mention you are with the OOA. Room Rate: $134 a night. Cut-off date: December 28, 2012. Hard Rock Hotel & Casino features:Hard Rock Store; Variety of dining options including Toby Keith’s “I Love This Bar & Grill”; Vegas style buffet; bistro-style grills; & 24-hour casino with 2,300 slot machines. All Hard Rock Hotel Rooms include:iPod docking stations; refrigerators; complimentary wired & wireless high-speed internet; complimentary airport transportation; complimentary covered & uncovered self-parking; complimentary fitness center; and complimentary USA Today.

Oklahoma D.O. | December 2012

What DO’s Need To

KNOW

Seasonal Influenza Educational Resources for Providers

It’s influenza season again and CMS needs your help to promote awareness regarding the vaccination of Medicare and Medicaid beneficiaries and you and your staff against the influenza virus. Annually, there are over 200,000 hospitalizations for influenza and 36,000 deaths related to influenza and its complications. Most affected are people 65 years of age and over. Medicare and Medicaid pay for the influenza vaccine and its administration. CMS has developed educational materials such as the CMS Immunization Guide (a Question and Answer guide on administration and billing for influenza and pneumonia) and documents to promote the benefits of vaccination for your educational outreach efforts. The materials are also available in Spanish. These CMS influenza educational materials are available for download at http://www.cms.gov/Medicare/Prevention/Immunizations/index.html?redirect=/Immunizations/ on the CMS Immunizations web page. It’s important that each of us (and our families) get vaccinated annually. Not only does it help keep us healthy, it helps prevent the spread of the influenza virus to others.

Data Collection Period for the Hospice Quality Reporting Program to Transition to Calendar Year Beginning January 2013

CMS has posted information about the transition of the Hospice Quality Reporting Program (HQRP) data collection period for the FY 2015 Annual Payment Update. Beginning January 2013, the data collection period for the HQRP will move to a calendar year. This means that in January 2013, hospices will be doing two things: submitting data collected for the FY2014 payment determination and collecting data for FY2015 payment determination. Hospices will continue to collect data for both the Structural/QAPI measure and the NQF #0209 measure. Hospices can access additional details about this transition on the Spotlight & Announcement web page of the Hospice Quality Reporting website.

CMS Releases Stage 2 Meaningful Use Specification Sheets with Details on Each Measure

CMS has added Stage 2 meaningful use specification sheets for both eligible professionals (EPs) and for eligible hospitals and critical access hospitals (CAHs) to help them participate in Stage 2 of meaningful use in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. The new specification sheets can be found on the Stage 2 page of the EHR website. Each specification sheet includes the objective, measure, and exclusion for each core and menu objective, as well as a definition of terms, attestation requirements, additional information, and the corresponding standards and certification criteria. You can view the specification sheets in two ways: • Use the Stage 2 Specification Sheet Table of Contents — The Table of Contents lists all the core and menu objectives, with direct links to each individual measure specification sheet. The page contains a Table of Contents for both EPs and for eligible hospitals and CAHs.

• Download ALL Stage 2 Specification Sheets — Zip files containing PDFs of all of the core and menu objectives for EPs and for eligible hospitals and CAHs are available for download on the page.

Reminder: The earliest that the Stage 2 criteria will be effective is in fiscal year 2014 for eligible hospitals and CAHs or calendar year 2014 for EPs. All providers must achieve meaningful use under the Stage 1 criteria before moving to Stage 2. 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. 26

Oklahoma D.O. | December 2012

ONC Request for Comments on Stage 3 Recommendations

On November 16, the Office of the National Coordinator for Health Information Technology (ONC) HIT Policy Committee released its request for comments (RFC) on preliminary recommendations for Stage 3 meaningful use. Recommendation highlights include:

• Computerized Provider Order Entry (CPOE) - 60% of medication, laboratory, and radiology orders. • Electronic Prescribing (eRx) - 50% of prescriptions written by the eligible professional (EP) are compared to at least one drug formulary and transmitted electronically. • Lab Tests - 80% of all clinical lab test results ordered by the EP. • Clinical Decision Support (CDS) - Implement 15 CDS interventions related to five or more clinical quality measures. These comments will provide input for final Stage 3 recommendations developed by the HIT Policy Committee in 2013. The deadline for submission of comments is January 14. Complete information is available at: http://www.healthit.gov/buzz-blog/meaningful-use/set-stagemeaningful-stage-3/

Look at the CMS 2014 CQM Page and New CQM Resources

CMS announced the release of the 2014 clinical quality measures (CQMs) for providers in the Electronic Health Record (EHR) Incentive Programs. Along with posting the specific measures on the 2014 CQMs web page, CMS has created additional resources to help providers understand the 2014 CQMs, as well as the specifications for electronic reporting. Resources include: • Recommended Core Set web page— provides recommended core sets of 2014 CQMs, including PDFs for adults and children with details on each core measure • eSpecifications for 2014 eCQMs for Eligible Professionals— .zip file contains the electronic specifications in a machine readable (xml) and human readable (html) format for the 2014 eCQMs for eligible professionals • eSpecifications Navigator 2014 eCQMs for Eligible Hospitals— provides access to the electronic specifications in a machine readable (xml) and human readable (html) format for the 2014 eCQMs for eligible hospitals • Clinical Quality Measures through 2013 web page— explains CQM reporting requirements before 2014 A full list of all of the available CQM web pages and resources is available in the 2014 Clinical Quality Measures (CQMS) & eCQM Resources document. Questions about CQMs? The CMS FAQ system provides helpful questions and answers on many topics in the EHR Incentive Programs. There are several existing CQM FAQs that may help answer your questions. 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.

Communicating with Your Payers About ICD-10

As you prepare for ICD-10, check with your payers to be sure they are moving forward with ICD-10 planning. You will want to work together to ensure you meet the ICD-10 deadline – October 1, 2014. Here are some questions to ask your payers: • Are you prepared to meet the ICD-10 deadline of October 1, 2014? Where is your organization in the transition process? • Who will be my primary contact at your organization for the ICD-10 transition? • Can we set up regular check-in meetings to keep our progress on track? • When will you be ready to accept test transactions from my practice? • What will we need to test with you? • Do you anticipate any changes in policies or delays in payments to result from the switch to ICD-10? Keep Up to Date on ICD-10 Visit the CMS ICD-10 website for the latest news and resources to help you prepare.

AOA & OOA Continue to Work with the AMA-SOPP The Oklahoma Osteopathic Association and the American Osteopathic Association (AOA) continue to work with the American Medical Association (AMA) to assure appropriate supervision for non-physician clinicians and promote the physician-led team model of care. This collaboration, the Scope of Practice Partnership (SOPP), approved funding in 2012 to support AMA activities related to the opposition of Federal Trade Commission (FTC) interference in state osteopathic medical and medical board activities. Over the past several years, the FTC has weighed in on state proposals and decisions relating to increased scope of practice for non-physician clinicians, including independent practice. Oklahoma D.O. | December 2012

Gov. Fallin: Oklahoma Will Not Pursue a State-Based Exchange or Medicaid Expansion Governor Mary Fallin released the following statement announcing that Oklahoma will not pursue the creation of a state-based exchange or participate in the Medicaid expansion in the Patient Protection and Affordable Care Act (PPACA): “For the past few months, my staff and I have worked with other lawmakers, Oklahoma stakeholders and health care experts across the country to determine the best course of action for Oklahoma in regards to both the creation of a health insurance exchange and the expansion of Medicaid under the Affordable Care Act. Our priority has been to ascertain what can be done to increase quality and access to health care, contain costs, and do so without placing an undue burden on taxpayers or the state. As I have stated many times before, it is my firm belief that PPACA fails to further these goals, and will in fact decrease the quality of health care across the United States while contributing to the nation’s growing deficit crisis. “Despite my ongoing opposition to the federal health care law, the state of Oklahoma is legally obligated to either build an exchange that is PPACA compliant and approved by the Obama Administration, or to default to an exchange run by the federal government. This choice has been forced on the people of Oklahoma by the Obama Administration in spite of the fact that voters have overwhelmingly expressed their opposition to the federal health care law through their support of State Question 756, a constitutional amendment prohibiting the implementation of key components of PPACA. “After careful consideration, I have informed U.S. Secretary of Health, Kathleen Sebelius, that Oklahoma will not pursue the creation of its own health insurance exchange. Any exchange that is PPACA compliant will necessarily be ‘state-run’ in name only and would require Oklahoma resources, staff and tax dollars to implement. It does not benefit Oklahoma taxpayers to actively support and fund a new government program that will ultimately be under the control of the federal government, that is opposed by a clear majority of Oklahomans, and that will further the implementation of a law that threatens to erode both the quality of American health care and the fiscal stability of the nation. “Furthermore, I have also decided that Oklahoma will not be participating in the Obama Administration’s proposed expansion of Medicaid. Such an expansion would be unaffordable, costing the state of Oklahoma up to $475 million between now and 2020, with escalating annual expenses in subsequent years. It would also further Oklahoma’s reliance on federal money that may or may not be available in the future given the dire fiscal problems facing the federal government. On a state level, massive new costs associated with Medicaid expansion would require cuts to important government priorities such as education and public safety. Furthermore, the proposed Medicaid expansion offers no meaningful reform to a massive entitlement program already contributing to the out-of-control spending of the federal government. “Moving forward, the state of Oklahoma will pursue two actions simultaneously. The first will be to continue our support for Oklahoma Attorney General Scott Pruitt’s ongoing legal challenge of PPACA. General Pruitt’s lawsuit raises different Constitutional questions than previous legal challenges, and both he and I remain optimistic that Oklahoma’s challenge can succeed. “Our second and equally important task will be to pursue state-based solutions that improve health outcomes and contain costs for Oklahoma families. Serious reform, for instance, should be pursued in the area of Medicaid and public health, where effective chronic disease prevention and management programs could address the trend of skyrocketing medical bills linked to avoidable hospital and emergency room visits. I look forward to working with legislative leaders and lawmakers in both parties to pursue Oklahoma health care solutions for Oklahoma families.”

Oklahoma D.O. | December 2012

March 2013 Doctor of the Day Month at the State Capitol The Oklahoma Osteopathic Association (OOA) will sponsor the Doctor of the Day Program during the month of March 2013 at the Oklahoma State Capitol. This is the 39th year osteopathic physicians have provided this service at the State Capitolâ&#x20AC;&#x2122;s First Aid Station during the legislative session. Physicians are supported by a nurse and a medical student from the Oklahoma State University Center for Health Sciences College of Osteopathic Medicine. The Doctor of the Day program gives DOs an opportunity to bring osteopathic medicine to policy makers and to see their House and Senate members at work. Physicians are needed to serve as Doctor of the Day during March on Mondays, Tuesdays and Wednesdays from 8:30 am-4:00 pm; and on Thursdays from 8:30 am-noon. Each doctor can expect to see approximately 15-20 patients. OOA.eps

If you are interested in volunteering for this program, please contact Rachel Prince at the OOA Central Office or complete the form below and fax it to the OOA at 405.528.6102 no later than February 15, 2013. We will notify your state senator and house member that you will be serving and you will be introduced in both the Senate and House chambers. We thank you in advance for helping make this program a success! OOA.jpg

Yes! I want to participate in the Oklahoma Osteopathic Association Doctor of the Day Program! OOA.png

Name:____________________________________________________________________________________ Office Telephone:____________________________________ Email:_________________________________ Home Address:_____________________________________________________________________________ City, State, Zip:_____________________________________________________________________________ State Senator:_______________________________________________ District #:_______________________ House Member:______________________________________________District #:_______________________ I prefer to serve on

Monday

Tuesday

Wednesday

Thursday

does not matter

Please fax this form to the Oklahoma Osteopathic Association Central Office at: 405.528.6102 no later than February 15, 2013. Oklahoma D.O. | December 2012

D.O. Washington Update Provided by the AOA Washington Headquarters

2013 Medicare Physician Fee Schedule Final Rule

On November 1, the Centers for Medicare and Medicaid Services (CMS) released the final rule for the 2013 Medicare Physician Fee Schedule, effective January 1. The 2013 Medicare Conversion Factor for physicians is $25.0008. For CY 2013, CMS proposed to create a new code to describe post-discharge transitional care management (TCM) services. Based on comments, including the AOA’s, CMS has decided to adopt the AMA’s new CPT transitional care management codes. CMS will pay for the new CPT TCM codes 99495 (Transitional care management services - medical decision-making of moderate complexity) and 99496 (Transitional care management services - medical decision-making of high complexity) with some modifications to the code descriptions. The requirements of the CPT codes are: 99495, TCM: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within two business days of discharge; Medical decision-making of at least moderate complexity during the service period; face to face visit within 14 calendar days of discharge. 99496, TCM: Communication (direct contact, telephone, electronic) with patient and/or caregiver within two business days of discharge; Medical decision-making of high complexity during the service period, face to face visit within seven calendar days of discharge. For more information on the 2013 Medicare Physician Fee Schedule final rule, go to: http://www.cms.gov/apps/media/press_releases.asp

Medicaid Payments for Primary Care Physicians

The Centers for Medicare and Medicaid Services (CMS) finalized its rule to implement Medicaid payment for primary care services furnished by certain physicians in 2013 and 2014. The payment will be not less than the Medicare rates in effect in those years, or if greater, the payment rates that would be applicable in those years using the 2009 Medicare physician fee schedule conversion factor. Effective January 1, 2013, physicians with a specialty designation of family medicine, general internal medicine, or pediatric medicine and subspecialists related to those specialty categories as recognized by the American Board of Medical Specialties, American Osteopathic Association, and the American Board of Physician Specialties are eligible. In the proposed rule, CMS neglected to include the AOA. The change for the final rule resulted from AOA’s comment letter and letters from affiliates. The primary care services include CPT Codes 99201-99499. For more information, go to: http://www.cms.gov/apps/media/press_releases.asp

CDC Meningitis Information

The Centers for Disease Control and Prevention (CDC) has established a Clinicians Consultation Network of experts in fungal disease treatment and management to assist physicians who are directly treating patients associated with the fungal meningitis outbreak and other infections. Physicians treating patients will be able to consult with infectious disease medical experts. Physicians can call 1-800-CDC - INFO (800-232-4636). An agency call agent will verify each physician’s role in direct patient management. After verification, the physician will be referred to the Network; there is no charge for the consultation. CDC has advised clinicians treating these patients consult with an infectious disease medical specialist because of diagnostic and clinical challenges of these fungal infections. Additionally, CDC has recently become aware of reports of epidural abscess and arachnoiditis among a number of patients undergoing treatment for fungal meningitis associated with injections of contaminated steroid. Spinal epidural abscesses are characterized by inflammation and a collection of pus around the spine, sometimes resulting in swelling of the infected area. Arachnoiditis is caused by inflammation of the arachnoid, one of the membranes that surround and protect the nerves of the spinal cord. Both conditions are normally rare but serious disorders that require prompt medical attention. Early reports have been for patients in Michigan and Tennessee. CDC is working with clinicians and public health officials to obtain more information and refine its clinical guidance as necessary. Clinician guidance is available at: http://www.cdc.gov/hai/outbreaks/clinicians/index.html. 30

Oklahoma D.O. | December 2012

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OK_OsteoSoc_full_1c_7'375x9'75.indd 1 Oklahoma D.O. | December 2012

3/28/11 11:05 AM

Advocates to the OOA RECAP Provided by Walli Daniel, RN, 2012-2013 AOOA President

The Holidays are almost upon us, and the AOOA is remaining active. The week after hosting the first Manvocate/Osteopathic Family Outreach Event at a TU football game, the Advocates were back in Action! The AOOA headed to the OSU Medical Center to host a DO Appreciation Reception and the AOOA new Banner made its debut! During this event, the AOOA served Fall foods including: Hot cider, popcorn, hot baked cookies and sliced apples with caramel. Our purpose was simply to say, "Thank you for all you do!" It was a huge success and again, a lot of fun! To our surprise, we signed up 20 new members! Once again "Advocates in Action!" The following week was our formal distribution of scholarships for the OSU-COM first and second year students. The board voted to award every student a gift using a broad based approach instead of awarding gifts to a select few. Anyone who is in medical school has already distinguished themselves and deserves recognition. They are all worthy and special. The AOOA advocates for every Osteopathic Physician in the state, not just a select few. We are proud of them all! The advocates hosted a lovely reception serving homemade chocolate chip cookies and our own AOOA labeled water and distributed to each first and second year student a Maxwell Quick Medical Reference Pocket Book. The feedback has been overwhelmingly positive and we plan to continue this new approach. The third and fourth year students will also be receiving their gifts soon. This was a pleasure for our officers to provide tangible support to the students. Another example of "Advocates in Action!" And last, but not least, the AOOA Board traveled in a 12 passenger van to Enid, OK to meet with the current Northwest District President and Past AOOA President, Lori Shearer. This was the first Regional Outreach to our active membership. Several officers attended the luncheon hosted by Lori Shearer and Steve Whitfill, executive director of the Northwest Oklahoma Osteopathic Foundation. We made "meaningful connections" by extending the hand of friendship, support and by demonstrating our desire to be a united organization. They responded with kind remarks and embraced our efforts.

Walli Daniel & Apryl Pritchett pose with medical student tions. We want to know and assist our members. The time has come to put action to our words and reach out! There is great strength in coming together as a community. Once again, your "Advocates in Action!" Wishing everyone a Merry Christmas and Prosperous New Year. okDO

(l-r) Ryan Miller, Vicki Stevens, Lori Shearer, Walli Daniel, Bavette Miller, Orpha Harnish & Steve Whitfill at the NW District Luncheon

Our goal is to have an outreach to the members in each active district, and renew relationships with our State Associa32

Oklahoma D.O. | December 2012

BY THE WAY... Bureau on Membership

The OOA Board of Trustees welcomes the following new members to the OOA family!

Nicole Willis, DO Pediatrics Norman, OK

Physician Receives Distinguished Alumni Award James T. Cail, DO (Edmond) was honored during the Oklahoma Christian University’s annual alumni banquet. Dr. Cail received the Distinguished Alumni Award.

Nathaniel Rapp, DO

Obstetrics and Gynecology Tulsa, OK

Tyson Trimble, DO Orthopedic Surgery Oklahoma City, OK

Kevin Anderson, DO Family Practice Chickasha, OK

Monica M. Woodall, DO Family Practice Durant, OK

Kevin O’Neal, DO

AACOM Names Luke H. Mortensen, PhD, FAHA, Vice President for Medical Education The American Association of Colleges of Osteopathic Medicine (AACOM) is pleased to welcome Luke H. Mortensen, PhD, FAHA, as its new Vice President for Medical Education, effective November 26, 2012. As Vice President for Medical Education, Dr. Mortensen will focus on promoting excellence in osteopathic medical education through expansive collaboration and work with AACOM’s member colleges. His oversight of AACOM’s Office of Medical Education will ensure the effective delivery of services and support to the colleges and will facilitate the development of new resources for osteopathic medical educators.

Internal Medicine Oklahoma City, OK

Fifth Annual ROGME Poster Symposium (Research in Osteopathic Graduate Medical Education) Cash Prizes! $1,500 - First Place $1,000 - Second Place $500 - Third Place Abstracts Due - January 14, 2013 Posters Due - February 7, 2013 For more information, please contact Rachel Prince at Rachel@okosteo.org or visit the Student & Residents tab www.okosteo.org for complete details

Oklahoma D.O. | December 2012

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. To use this month’s article, you have permission to simply make copies of the article (see page 34). Please copy & share page 34 to keep your patients informed.

The Skinny on Colon Cleansing Diets Every year there is a fad diet that promises quick results. Colon cleansing has become the new 'it' diet for some people seeking to lose pounds fast. Several colon-cleansing products claim to eliminate toxins from the body and speed up weight loss, but do they really work? Amy Foxx-Orenstein, DO, an osteopathic gastroenterologist specializing in motility disorders from Scottsdale, Ariz., explains the legitimacy of these claims and provides tips on enhancing colon health. There are two main colon cleansing methods: one with powdered or liquid supplements (e.g. laxatives, herbal teas, enzymes, and magnesium); and another with colon irrigation (high colonics), a process which flushes several gallons of water through a small tube inserted into the rectum. "From colonics to cleansing diets such as the ‘master cleanse’ of lemon juice, water, maple syrup, and cayenne pepper, colon cleansers should not be used regularly to detox the body," Dr. Foxx-Orenstein advises. Common Side Effects "Extended use of colon cleansing can cause uncomfortable side effects, such as cramping, bloating, nausea and vomiting," Dr. Foxx-Orenstein explains. Other severe effects include: • Increased risk of dehydration • Bowel perforations • Increased risk of infection • Changes in electrolytes "Colon cleansing is not recommended for detoxification; it is typically prescribed as preparation for medical procedures such as a colonoscopy," says Dr. Foxx-Orenstein. However, if you do choose to try colon cleansing, these precautions are advised: • Check with your primary health provider first, especially if you take any medications or have any health problems. • Verify that your colon-cleansing practitioner uses clean and disposable equipment. • Attain a list of specific herbal ingredients in your colon-cleansing product and discuss them with your doctor; some herbal supplements can cause health problems. • Stay well hydrated by drinking lots of fluids while undergoing colon cleansing to prevent dehydration. • Do not use laxatives or colon irrigations long-term. They can irritate or upset the balance of your colon's good bacteria and interfere with normal bowel function. Are the Claims True? Proponents of colon cleansers believe that toxins from your gastrointestinal tract can cause a variety of health problems, such as allergies and asthma, fatigue, headaches, low energy and weight gain. They have claimed that colonic irrigation improves health by removing toxins, promoting healthy intestinal bacteria, boosting energy and enhancing the immune system. “Colon cleanses are not quick fixes and long-term use can potentially damage your health. There is no science to support these claims. In fact, there is no real need for these cleansers because your digestive system and bowel naturally eliminate waste material and bacteria; the colon cleanses itself,” Dr. Foxx-Orenstein points out.

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. | December 2012

Classified Advertising

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. 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.

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. 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

December 24, 2012 Christmas Eve-OOA Central Office Close

December 25, 2012 Christmas Day-OOA Central Office Closed January 1, 2013 New Years Day-OOA Central Office Closed January 18-20, 2013 Winter CME Seminar: "Ravages of Obesity" Hard Rock Hotel & Casino, Catoosa, Oklahoma March 6, 2013 Medicine Day at the State Capitol March 14, 2013 DO Day on the Hill Washington, DC

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own the Specia D lt g

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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.

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

Sp ur

OFFICE FOR RENT: Excellent area with high traffic count. Established location. Utilities are paid. Completely remodeled, very nice. Easy access from all areas of town, 7300 S Western, OKC. $1500 per month. Please call Dr. Buddy Shadid 405.833.4684 or 405.843.1709.

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

GOING OUT OF BUSINESS SALE: Quitting practice at year’s end! Great deals on exam tables, Universal X-ray unit with table, wall bucky and accessories, Hope processor, darkroom equipment, and general office equipment, etc. Also braces and other supplies. Please call 918-4530023 if you are interested. Oklahoma D.O. | December 2012

Prsrt Std US Postage Paid Okla City OK Permit #209

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

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