Oklahoma DO February 2015 by Oklahoma Osteopathic Association

The Journal of the Oklahoma OsteopathicAssociation

OKLAHOMA D.O. May/June 2013 February 2015

Volume 79, No. 8

WE KNOW OKLAHOMA HEALTHCARE AT PLICO, WE ARE HONORED TO

“THROUGH THE PLICO BIOMEDICAL ETHICS FUND,

INVEST IN OSTEOPATHIC EDUCATION

PLICO PROVIDES A WONDERFUL RESOURCE

AND COMMITTED TO PROTECTING

FOR OUR COLLEGE OF OSTEOPATHIC MEDICINE.

YOU THROUGHOUT YOUR CAREER

YOUR CONTINUED SUPPORT ALLOWS FOR THE

IN MEDICINE.

APPOINTMENT OF AN ADJUNCT PROFESSOR TO

CALL US TODAY AND BEGIN

THE MANY ETHICAL ISSUES SURROUNDING THE

EXPERIENCING THE DIFFERENCE

PRACTICE OF MEDICINE AND MEDICAL RESEARCH.”

DIRECT INSTRUCTIONAL ACTIVITIES RELATED TO

THAT COMES WITH LOCAL SERVICE

— KIRK JEWELL, PRESIDENT, OKLAHOMA STATE

AND TRUSTED EXPERTISE.

UNIVERSITY FOUNDATION

405.815.4800 | PLICO.COM FINANCIAL STABILIT Y RATING ® OF A, EXCEPTIONAL

OKLAHOMA OSTEOPATHIC ASSOCIATION

OFFICERS

TRUSTEES

STAFF

Michael K. Cooper, DO, FACOFP, President (Northeastern District) C. Michael Ogle, DO, President-Elect (Northwest District) Gabriel M. Pitman, DO, Vice President (South Central District) Bret S. Langerman, DO, Past President (South Central District)

Kenneth E. Calabrese, DO, FACOI (Tulsa District) Dale Derby, DO (Tulsa District) Melissa A. Gastorf, DO, FACOFP (Southeastern District) Timothy J. Moser, DO, FACOFP (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)

Lynette C. McLain, Executive Director Matt Harney, MBA, Director of Advocacy and Legislation Marie Kadavy, Director of Communications and Membership Jessica Hansen, Special Projects Coordinator Lisa Creson, Administrative Assistant

The Oklahoma D.O. is published monthly from the Oklahoma Osteopathic Association Central Office: 4848 N Lincoln Blvd, Oklahoma City, OK 73105-3335.

Oklahoma D.O. | February 2015

PAGE 3

For more information: 405-528-4848 or 800-522-8379 Fax: 405-528-6102 Email: ooa@okosteo.org www.okosteo.org

Oklahoma D.O.

Copy deadline is the 10th of the month preceding publication. Advertising copy deadline is the 15th of the month preceding publication.

OKLAHOMA

115th ANNUAL CONVENTION

Join us April 30-May 3 for the 115th Annual Convention “Celebrating Our Shangri-La in Norman: Embracing the Past and Building a Future” at the Embassy Suites Norman Hotel & Conference Center.

22 OSU-CHS, Walgreens celebrate opening of downtown Tulsa pharmacy

Oklahoma D.O. PAGE 4

Oklahoma State University Center for Health Sciences and Walgreens hosted a grand opening ceremony on Jan. 13 for the new pharmacy located on the first floor of OSU-CHS’ Houston Center, 717 S. Houston Ave, in downtown Tulsa.

34 WHAT DOs NEED TO KNOW

Oklahoma D.O. | February 2015

FEBRUARY 2015

TABLE of CONTENTS Lynette C. McLain Editor

Marie Kadavy Associate Editor

HEALTH CARE TIPS FOR THE DAY CARE

Searching for the right day care center for your child is a difficult task. Keeping them healthy is an even tougher one. Unfortunately, with the return to day care, inevitably comes the spread of germs that can cause an array of health issues such as ear infections, colds, coughs, sore throats, runny noses, fever, vomiting and diarrhea.

DEPARTMENTS

Presidentâ&#x20AC;&#x2122;s Message

Student Scoop

Legislative Report

2015 OOPAC Contribution Form

Doctor of the Day

OOA Bureau News

February Birthdays

Classifieds

Calendar of Events

Oklahoma D.O.

PAGE 5

Oklahoma D.O. | February 2015

michael k. cooper, DO, FACOFP President 2014 â&#x20AC;&#x201C; 2015 oklahoma osteopathic association

Feb. 2 marked the opening of the Oklahoma legislative ses-

spent not only visiting with our legislators on important bills

sion. We expect another big year ahead of us. The issues will

but also a chance to help mentor students in the political pro-

essentially remain the same even though bill numbers and

cess. So come and help show the legislature that you are will-

titles change. Your association is working hard to navigate

ing to advocate to improve the health care of all Oklahomans.

through this legislative session and monitor bills which affect the way in which we take care of our patients. It is never too

The 115th Annual Convention is coming soon. It will again

late to contact your legislator. Let him or her know who you

be held at the Embassy Suites in Norman, Okla. C. Michael

are and that you are willing to be a resource of information

Ogle, DO, and Gabriel M. Pitman, DO, have a fantastic pro-

on medical matters that come before the legislature. It is im-

gram planned. The lecture format will be similar to the one

portant that your legislators know how a piece of legislation

enjoyed last year. There will be multiple tracks from which to

can affect their constituents. I urge you to get involved in this

choose. Dr. Ogle and Dr. Pitman have also promised a fun

process and help the Oklahoma Osteopathic Association to

weekend. I hope to see you and your family there.

advocate for you and your patients. The Oklahoma Osteopathic Political Action Committee (OOPAC) is an important tool that we use to help open doors and gain access to legislators. The money that you donate to

Oklahoma D.O. PAGE 6

OOPAC allows our opinions and views to be heard at the state capitol. While we may not get every vote to go our way, our opinion is always heard. Please consider a donation to OOPAC so that the association can continue to work for you and your patients. The Oklahoma Osteopathic Association Osteopathic Medicine Day at the State Capitol will be April 1. I urge you to take time out of your practice and join us. It will be a day well Oklahoma D.O. | February 2015

Oklahoma D.O. PAGE 8

Oklahoma D.O. | February 2015

R SHANGRI�LA U O

CE L

G N I T

g BUILDING

AN RM NO

EB RA

•

EMBRACING the past

a future

OOA 115th ANNUAL CONVENTION APRIL 30 May 3

Oklahoma D.O. PAGE 9

Oklahoma D.O. | February 2015

Anesthesiology

Thursday, April 30

8 am

MORNING SESSIO

9 am

10 am

Registration: 7 am - 5 pm CME Lectures: 8 am - 12 pm & 2 pm - 6 pm Exhibit Hours: 12 pm - 6 pm

11 am

Lunch in the Exhibit Hall

Visit with exhibitors in the Exhibit Hall and learn about the latest products and services to improve your practice. Guest Tickets: Adults $30 & Kids $20 Time: 12 pm – 2 pm | Attire: Business Casual

12 pm

OOA Annual Business Meeting

Honor new OOA Life Members and remember those who have passed. Hear the presentation of the audit and reports from bureaus & committees, as well as OEFOM, OOPAC, OSU-COM and OSBOE. Elect officers of the OOA. Time: 2 pm – 3 pm | Attire: Business Casual

ACOFP Update

Oklahoma D.O. PAGE 10

Featuring Special Guest American College of Osteopathic Family Physicians President Kevin de Regnier, DO, FACOFP dist. Time: 3 pm – 4 pm | Attire: Business Casual

2 pm

LUNCH PROG

3 pm

4 pm

5 pm

Oklahoma D.O. | February 2015

Emergency Medicine

Internal Medicine

Neurology/ Psychiatry

OMT

Surgery

Treating the Whole Patient with Trauma Osteopathically Opening Session

ON:

Lunch in the Exhibit Hall

GRAM:

OOA Annual Business Meeting

AOA Update & MOL/OCC

Robert S. Juhasz, DO (certified internal medicine, Warrensville Heights, OH)

ACOFP Update

Oklahoma D.O. PAGE 11

Oklahoma D.O. | February 2015

Anesthesiology

114th Annual

8 am

ks ule tracFriday, sched May 1

MORNING SESSIO

9 am

10 am

Registration: 7 am - 5 pm CME Lectures: 8 am - 1 pm & 3 pm - 6 pm Exhibit Hours: 9 am - 5 pm

11 am

12 pm

Lunch in the Exhibit Hall

Visit with exhibitors in the Exhibit Hall and learn about the latest products and services to improve your practice. Guest Tickets: Adults $30 & Kids $20 Time: 1 pm â&#x20AC;&#x201C; 3 pm | Attire: Business Casual

1 pm

LUNCH PROG

Oklahoma D.O. PAGE 12

3 pm

5 pm

Past Presidents Reception Time: 6 pm - 7 pm | Attire: Business Casual

Family Fun Night

Guest Tickets: Adults $60 & Kids $25 Time: 7 pm - 11 pm | Attire: Your Best Toga or Casual More details on page 18!

6 pm

7 pm Oklahoma D.O. | February 2015

Emergency Medicine

Internal Medicine

Neurology/ Psychiatry

OMT

Surgery

Ronnie B. Martin, DO, FACOFP, dist (certified family practice, Blacksburg, VA); Amanda D. Martin, DO (orthopedic surgery, Birmingham, AL); and Natasha Martin-Bray, DO (certified internal medicine, Fort Lauderdale, FL) Ronnie B. Martin, DO, FACOFP, dist (certified family practice, Blacksburg, VA); Amanda D. Martin, DO (orthopedic surgery, Birmingham, AL); and Natasha Martin-Bray, DO (certified internal medicine, Fort Lauderdale, FL)

Treating the Whole Patient with Trauma Osteopathically ROGME Poster Symposium Presentations

ON:

Proper Prescribing

Proper Prescrib ing Lecture Sign-in require d for credit!

ď Ą

"Introduction to the Prescription Monitoring Program" Alina Istrate (PMP Educator, Oklahoma Bureau of Narcotics & Danger Drug Control, Oklahoma City, OK)

AOA Update & MOL/OCC

Robert S. Juhasz, DO (certified internal medicine, Warrensville Heights, OH)

MedPro Risk Management Course

Risk Managem ent Course Sign-in require d for credit!

Oklahoma D.O.

Past Presidents Reception

ď Ą

GRAM:

DO (certified internal medicine, Warrensville Heights, OH) Lunch in Robert theS. Juhasz, Exhibit Hall

PAGE 13

Family Fun Night Oklahoma D.O. | February 2015

Anesthesiology

114th 114th Annual Annual

8 am

ackesdule trSaturday, May 2 sch

MORNING SESSIO

9 am

10 am

Registration: 7 am - 5 pm CME Lectures: 8 am - 6 pm Alumni & Awards Luncheon

Featuring Special Guest American Osteopathic Association President-Elect John W. Becher, DO Recognize the 2015 OEFOM Scholarship winners and Awards of Appreciation recipients. Honor the Rookie Physicians of the Year and A.T. Still Award of Excellence recipient. Guest Tickets: Adults $30 & Kids $20 Time: 12 pm â&#x20AC;&#x201C; 1:30 pm | Attire: Business Casual

Alumni Meetings

11 am

12 pm

1:30 pm

Whether an OSU-COM alumnus or graduate of another College of Osteopathic Medicine, this is an opportunity to reconnect with alumni from your respective school. Time: 1:30 pm â&#x20AC;&#x201C; 2 pm | Attire: Business Casual

LUNCH PROG

Oklahoma D.O. PAGE 14

3 pm

5 pm

The Tahitian Terrace Cocktail Reception Time: 6 pm - 7 pm | Attire: Black Tie

6 pm

The Golden Eagle Banquet

Featuring the Inaugural Address of C. Michael Ogle, DO Honor the 2015 Doctor of the Year and Outstanding and Distinguished Service Award recipient. Guest Tickets: $100 on or before April 23 & $125 after April 23 Time: 7 pm | Attire: Black Tie More details on page 19!

7 pm Oklahoma D.O. | February 2015

Emergency Medicine

Internal Medicine

Neurology/ Psychiatry

OMT

Surgery

Treating the Whole Patient with Trauma Osteopathically

ON:

Alumni & Awards Luncheon

GRAM:

S. Juhasz, DO (certified internal medicine, Warrensville Heights, OH) AlumniRobertMeetings

AOA Update & MOL/OCC

Robert S. Juhasz, DO (certified internal medicine, Warrensville Heights, OH)

Oklahoma D.O.

The Tahitian Terrace Cocktail Reception

PAGE 15

The Golden Eagle Banquet Oklahoma D.O. | February 2015

Anesthesiology

114th 114th Annual Annual

8 am

cksdule traSunday, May 3 sche

MORNING SESSIO

9 am

10 am

Registration: 7 am - 11 am CME Lectures: 8 am - 12 pm

Continuing Medical Education

Oklahoma D.O. PAGE 16

The CME program, chaired by Gabriel M. Pitman, DO, will feature six simultaneous specialty tracks: anesthesiology & pain management, emergency medicine, internal medicine, neurology & psychiatry, OMT and surgery. The Oklahoma Osteopathic Association is accredited by the American Osteopathic Association as a Category 1 CME Sponsor.

Requesting approval for 28 AOA Category 1-A credits, including Proper Prescribing Application for CME credit will be filed with the American Academy of Family Physicians. Determination of credit is pending.

11 am

SeekingSitters

Complimentary child care is available with handson activities for kids of all ages. Pre-registration is greatly appreciated!

Oklahoma D.O. | February 2015

Emergency Medicine

Internal Medicine

Neurology/ Psychiatry

OMT

Surgery

Treating the Whole Patient with Trauma Osteopathically

ON:

Hotel Reservations

Registration

Robert S. Juhasz, DO (certified internal medicine, Warrensville Heights, OH)

For hotel accommodations at Embassy Suites Norman Hotel and Conference Center, please call 1-866-5771273. Reserve your room by April 15, 2015. To avoid cancellation charges, reservations should be cancelled by 3:00 pm.

Room amenities include two 32” televisions, two phone lines with voicemail and data ports, wireless Internet access, and hospitality center with microwave, refrigerator, and coffee maker.

Oklahoma D.O. | February 2015

• To register by fax, complete the registration form on page 20 and fax to 405-528-6102.

PAGE 17

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

• To register by phone, call 405-528-4848 or toll free 1-800-522-8379.

Oklahoma D.O.

Standard Suite $149.00 a night Check in: 3 pm Check out: 12 pm

• Register online at www.okosteo.org.

family fun night Friday, May 1, 2015 7 pm - 11 pm

Join us in your finest TOGA for dinner and fun! Carnival Games DJ & Dancing Face painting Talent Show

To sign up for the all-ages talent show, call 405-528-4848 or email marie@okosteo.org.

Dunk Tank

Oklahoma D.O. PAGE 18

benefiting the Oklahoma Osteopathic Political Action Committee

Blackjack & Texas Hold â&#x20AC;&#x2DC;Em

benefiting the Student Advocate Association for OSU College of Osteopathic Medicine

Silent Auction

benefiting the Oklahoma Educational Foundation for Osteopathic Medicine Student Activity Fund

Guest Tickets: Adults $60 & Kids $25 | Attire: Your Best Toga or Casual Guest tickets available at the door or when registering for the 115th Annual Convention. Oklahoma D.O. | February 2015

The Golden Eagle Banquet Saturday, May 2, 2015 7 oâ&#x20AC;&#x2122;clock in the evening

with Master of Ceremonies Jeffrey R. Jones, DO

HONORING

the 2015 Doctor of the Year & Oustanding and Distinguished Service Award Recipient

the Inaugural Address of C. Michael Ogle, DO

with Comedian Diana Jordan as seen on HBO, Showtime & Comedy Central Oklahoma D.O. | February 2015

PAGE 19

FOLLOWED BY LAUGHS

Oklahoma D.O.

FEATURING

Oklahoma Osteopathic Association’s 115th Annual Convention April 30-May 3, 2015 Embassy Suites Norman - Hotel and Conference Center 2501 Conference Drive, Norman, OK 73069 Full name: _____________________________________________________________________________________________________________________ Preferred Name / first name for name badge: __________________________________________________________________________________________ Office address: _________________________________________________________________________________________________________________ City: ____________________________________________________________________ State: ____________________ Zip: _____________________ Email: _______________________________________________________ Phone: ________________________________________________________ OTHER NAME BADGES NEEDED FOR:

check the box, if you plan to register this child in SeekingSitters

Spouse: ___________________________________________________________________________________ Guest(s): __________________________________________________________________________________ Children/Teens : 

(age)



(age)



(age)

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

On/Before April 23, 2015

DO Member Registration (or other AOA divisional society member) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $560 (Includes Friday’s Proper Prescribing Lecture and Risk Management Program) Retired DO Member Registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $320 DO Nonmember Registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,110 Spouse/Guest/Exhibitor Events Registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $220 MD and Non-Physician Clinicians Registration* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $560 Osteopathic Medical Student:  OMS-I  OMS-II  OMS-III  OMS-IV . . . . . . . . . . . . . . . . . . . . . $0 Intern  Resident  Fellow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $0

After April 23, 2015

$585

$345 $1,135 $245 $585 $0 $0

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

  

DO Member Registration for Friday Proper Prescribing and Risk Management Only** . . . . . . . . . . . . . . . . . . . . $220 DO Nonmember Registration for Friday Proper Prescribing and Risk Management Only** . . . . . . . . . . . . . . . . $770 MD and Non-Physician Clinician Registration for Friday Proper Prescribing and Risk Management Only** . . . . $220

$245 $795 $245



Non-registered OOA Members may purchase Banquet tickets. I would like to purchase ________ Banquet ticket(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $100 each

$125 each

TOTAL AMOUNT DUE:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $______________

Oklahoma D.O. PAGE 20

Registration includes name badges(s), registration gift and all meals and social events unless otherwise noted. *Registration includes name badge, certificate, and registration gift. **Registration includes Proper Prescribing Program, Risk Management Course and Friday exhibit hall lunch only. 

Charge my VISA, MASTERCARD, AMEX, DISCOVER:

$______________

Card #: ________________________________________________________________________________________________ Exp. Date:______________ Name (as it appears on card): _______________________________________________________________________________________________________ Billing Address: __________________________________________________________________________________________________________________ City: _______________________________________________________________ State: ___________________________ Zip: _______________________ 

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

Mail this form and payment to: Oklahoma Osteopathic Association, 4848 N Lincoln Blvd, Oklahoma City, OK 73105-3335 or FAX: 405-528-6102 NOTE: Due to the number of specialty tracks, a printed syllabus will not be offered. A digital syllabus will be sent to registrants in advance for those wishing to print their own. All DO attendees must be members in good standing with their respective state association in order to attend at the announced fees. Otherwise, a DO may attend the convention by paying membership dues at the appropriate rate with completed application. Students, interns, residents and fellows are not required to pay a registration fee and are welcome to attend all convention functions at no charge. Requests for refunds must be received before April 23, 2015, and a $45 service fee will be charged. NO REFUNDS AFTER APRIL 23, 2015. Oklahoma D.O. | February 2015

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Oklahoma D.O.

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PAGE 21

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3/28/11 11:05 AM

OSU-CHS, Walgreens

celebrate opening of downtown Tulsa pharmacy provided by Sean Kennedy, Communications Manager, OSU-Tulsa and OSU Center for Health Sciences Oklahoma State University Center for Health Sciences and

the on-staff pharmacy team. Construction on the Walgreens

Walgreens hosted a grand opening ceremony on Jan. 13 for

pharmacy began in November and was completed during the

the new pharmacy located on the first floor of OSU-CHS’

holiday break.

Houston Center, 717 S. Houston Ave, in downtown Tulsa. “Walgreens will provide a vital service for the citizens of The Walgreens location, the only public, walk-in pharmacy

downtown Tulsa and will be another great service we offer our

in downtown Tulsa, is a full-service pharmacy offering phar-

patients through OSU Physicians Clinics and the OSU Medi-

macists specially trained to provide one-on-one consultations

cal Center,” said Eric Polak, vice president for administration

with patients managing common and complex conditions.

and finance at OSU-CHS. “We are proud to partner with Walgreens in the continued revitalization of downtown and

“This location delivers a new level of convenience for patients,

look forward to the new services we will be able to provide

staff and the Tulsa community,” said Paul Blankenship, market

the community.”

vice president for Walgreens. “Our expansion into the OSU Physicians Clinics is a testament to the great relationship we’ve

OSU Center for Health Sciences has several clinics in the

built with OSU Center for Health Sciences. We’re proud to

Houston Center, including pediatrics, obstetrics and gynecol-

complement the medical care that the OSU medical school

ogy, internal medicine, internal medicine specialty services

provides with pharmacy services personalized and tailored to

and cardiology.

meet the needs of the community.” The pharmacy opened to the public on Jan. 14 with store Visitors were able to tour the remodeled facility and meet with

hours running 8 a.m. to 5 p.m. Monday through Friday. To

Oklahoma D.O. PAGE 22

contact the new Walgreens, call 918-585-1957.

Paul Blankenship, marketing vice president for Walgreens, left, Eric Polak, vice president for administration and finance at OSU-CHS and Pharmacy Manager Luke Haley, Pharm.D., stand in the new Walgreens pharmacy at OSU-CHS’ Houston Center.

Oklahoma D.O. | February 2015

STUDENT

SCOOP

provided by: Brittany Cross, OMS II, Student Government Association President

Though it seemed long at the time, the fall semester flew by,

was to give minority undergraduate students an opportunity

and it is hard to believe that it is second semester already. First

to learn about the Oklahoma State University College of Os-

year students successfully made it through the first semester of

teopathic Medicine and the process of applying to medical

medical school, while second years are now looking forward

school. The undergraduates who attended were able to talk

to finishing their last semester of classes and are beginning to

with medical students, faculty and admissions staff, as well as

get excited about upcoming rotations. The end of the semester

take a tour of the campus and participate in mock interviews.

celebrations kicked off with the annual Holiday Ball, a formal

The event seemed to be a big success, and, hopefully, this will

event for the OMS I and II classes. Holiday Ball was coordi-

grow to be an annual event in the future.

nated by Christen Baker, OMS II, and was held in downtown Tulsa at the Mayo Hotel this year. Dining, dancing, and fun with peers filled the evening and allowed a night of relaxation after finals. After a much needed Christmas break, students are hopefully refreshed as they begin both a new year as well as a new semester of medical school. Something exciting that happened lege students who are members of the Minority Association of Pre-Medical Students (MAPS). The purpose of the conference

Oklahoma D.O.

recently on campus was an open house for undergraduate col-

PAGE 23

Oklahoma D.O. | February 2015

LEGISLATIVE

REPORT Provided by: Matt W. Harney, MBA, Director of Advocacy and Legislation

2,000+ BILLS FILED, OOA TRACKING OVER 200

The deadline to file bills to be heard for the 2015 legislative session was Jan. 22. The House filed 1,219 bills and 26 joint resolutions. The Senate filed 815 bills and 32 joint resolutions, bringing the tally to 2,092 proposed pieces of legislation for 2015. The Senate saw a decrease in the number of bills submitted of more than 26%, almost entirely attributed to the chamber’s rejection of shell bills. Shell bills are essentially empty, lacking substantive language but can be used later in session as a legislative vehicle. The full Senate voted at Organizational Day in early January to ban shell bills for the upcoming session. Regarding the change, Senate Majority Floor Leader Mike Schulz, R-Altus, stated “Everything that we do is to try to bring more transparency to the process. I believe that rule change in itself brings a lot of transparency to the process.” There were also new rules passed that would allow the chamber to introduce bills after the filing deadline. The floor leader is tasked with assigning the proposed bill to a committee, at which time the full committee becomes the legislative author. The committee chair will then determine who shall present the bill on the floor. The deadline to hear bills from the house of origin shall stand, however. Therefore, all bills originated in the Senate must be heard by March 12 in order

Oklahoma D.O. PAGE 24

to proceed forward for consideration in the House. The elimination of shell bills in the Senate has only somewhat reduced the number of bills the Oklahoma Osteopathic Association tracks on behalf of its membership, as health care has become an increasingly controversial topic. More than 200 bills are being tracked by your association and its lobbyists. A comprehensive list of bills can be found here: http:// jrlr-prod.legislativereport.com/lr/tracks/951 Several, however, stand out from the rest. The bills of greatest significance include:

Oklahoma D.O. | February 2015

• HB 1948 by Rep. Doug Cox, MD, R-Grove-mandating Prescription Monitoring Program (PMP) checks • SB 253 by Sen. Eddie Fields, R-Wynona-adding osteopathic physicians to the Board of Mental Health & Substance Abuse Services • HB 1018 by Rep. George Faught, R-Muskogee-extending the sunset for the Oklahoma State Board of Osteopathic Examiners to 2022 (current sunset date is July 1, 2015) • SB 279 by Sen. A.J. Griffin, R-Guthrie-creating a new, consolidated board for physician licensure • HB 1715 by Rep. Doug Cox, MD, R-Grove-modifying the Physician Assistant Act • SB 727 by Sen. Corey Brooks, R-Washington-allowing nurse practitioners to order, select, obtain and administer all scheduled drugs • HB 1716 by Rep. Doug Cox, MD, R-Grove-enacting the Interstate Medical Licensure Compact

LICENSURE BOARD CONSOLIDATION, OKLAHOMA STATE BOARD OF OSTEOPATHIC EXAMINERS SUNSET EXTENSION BILLS AUTHORED This session, the legislature will be determining the fate of your licensure board—the Oklahoma State Board of Osteopathic Examiners (OSBOE). Sen. A.J. Griffin, R-Guthrie, authored a piece of legislation, SB 279, doing away with the OSBOE, as well as the Oklahoma Medical Licensure Board & Supervision, while creating a new board for osteopathic, allopathic and surgical practices. The bill is called the “Oklahoma Medical and Surgical Licensure Supervision Act.” Some have speculated this is a testy political payback for last year’s failed Prescription Monitoring Program (PMP) mandate, a bill Sen. Griffin co-authored. The bill has been referred to the Senate Health and Human Services Committee but has yet to be heard by the committee. Meanwhile the OSBOE faces a sunset on July 1, 2015. Rep. George Faught, R-Muskogee, is the author of HB 1018 which extends the sunset another seven years. The bill passed its initial hurdle by passing in the Administrative Rules Committee 5-0 (and 3 absences). OSBOE Executive Director Deborah Bruce, JD, spoke on behalf of the osteopathic licensure board. Dozens of Oklahoma departments, agencies, commissions and boards are subject to legislative approval for their continued existence.

PMP MANDATE CHAMPIONED BY GOVERNOR, HEALTH AGENCY LEADERS

details regarding Prescription Monitoring Program (PMP) legislation. The author of the bill (HB 1948), Rep. Doug Cox, MD, R-Grove, was not in attendance. The governor was seeking direct communication with the physician associations in an effort to negotiate the PMP mandate she’s sought for more than a year.

Oklahoma D.O. | February 2015

PAGE 25

The OOA took a strong stand against any unfunded mandates on physicians. The current mandate requires physicians

Oklahoma D.O.

On Jan. 27, Gov. Mary Fallin hosted the OOA and Oklahoma State Medical Association (OSMA) leadership to discuss

to check the PMP before writing a prescription for methadone. The governor was seeking mandatory checks on all patient visits and voiced support for limiting the checks to only the top 10 drugs associated with prescription overdose deaths. However, Rep. Cox is seeking a broader mandate on required drugs that include opiates, synthetic opiates, semisynthetic opioids, benzodiazepines and carisoprodol. Rep. Cox’s bill requires checks on all new patients and every 180 days before writing a script for any of the drug classes listed above. The bill also includes several negotiated components, including the transfer of PMP enforcement to the licensure boards, allows office or medical staff to check the PMP on behalf of the prescriber, and requires the Oklahoma Bureau of Narcotics and Dangerous Drugs Control (OBNDDC) to provide adequate means and procedures to allow PMP access for registrants lacking direct computer access (such as a 1-800 number). The bill allows the licensing entities for all prescribers to gain access to PMP data and guarantees enforcement thereof, including the Oklahoma State Board of Osteopathic Examiners, State Board of Medical Licensure and Supervision, State Board of Podiatric Examiners, State Board of Dentistry, and the

Oklahoma D.O. PAGE 26

State Board of Examiners in Optometry.

“ “

The OOA and OSMA had worked hand-in-hand over the past two years to improve the bill, while continuing efforts to reduce the frequency and required check mandate. However, the OSMA unexpectedly released the following statement on Feb. 3, from its President Todd Brockman, MD: While we do not like the idea of placing another new unfunded mandate on health care providers, we do understand the problem facing our state with prescription drug abuse and we want to be a part of the solution. To that end, we support HB 1948 in its current form as the least burdensome of the PMP legislation that has been proposed. We applaud Dr. Cox for bringing this bill forward after nearly two years of hard work and negotiation. This decision on behalf of the OSMA Board represented a sudden break from the shared physician path to oppose and reduce unfunded physician mandates. While legislative approval appears solid, the OOA unilaterally pressed for a reduction in the number of drugs which require checks. On Feb. 5, the OOA Board of Trustees voted to release the following statement regarding PMP legislation: The Oklahoma Osteopathic Association supports the proper care of patients who require controlled substances. We believe the Prescription Monitoring Program is important in the care of patients. In addition, we appreciate the efforts of the governor’s office and legislature on this issue. It is important to understand the OSMA did not inform the OOA of its decision to support this PMP bill and failed to inform the OOA before issuing the statement of support before its release. At the time of this publication, the bill unanimously passed the Alcohol, Tobacco, and Controlled Substances Committee in the House 7-0 and then passed the full House 64-30. Data provided by the OBNDDC shows prescribed drugs are already trending downward and voluntary PMP checks are skyrocketing without mandates. The following statistics are based on dosage and are all in the top 10 most prescribed drugs in Oklahoma: Oklahoma D.O. | February 2015

” ”

• Carisoprodol (SOMA) is down 33.4% since 2012 • Hydrocodone is down 7.8% since 2013 • Alprazolam is down 5.3% since 2012 • Diazepam is down 1.2% since 2012 • Hits on the PMP have increased 342% from the first quarter of 2011 to the last quarter of 2014 • There were over 668,000 unique hits to the PMP system last quarter (4th quarter of 2014) The Oklahoma State Board of Osteopathic Examiners already requires a one-hour proper prescribing continuing medical education course every other year to maintain licensure. It’s important to remember all of these prescription reductions have occurred without any new mandate. It’s all the more impressive when you consider these dosage decreases coincide with Oklahoma’s population growth over the past few years.

OOA PUSHES BILL ADDING OSTEOPATHIC PHYSICIANS TO BOARD OF MENTAL HEALTH AND SUBSTANCE ABUSE At the Nov. 5, 2014, OOA Bureau on Legislation meeting, the bureau discussed the possibility of adding a DO position to the Board of Mental Health & Substance Abuse Services (DMHSAS). Further, the outspokenness of Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) Commissioner Terri White regarding physician issues underscores the crucial need and positive impact an osteopathic physician would add to the ODMHSAS Board. The Bureau on Legislation unanimously passed a motion asking OOA lobbyists to work with a legislator to propose this legislation. Currently, the Oklahoma State Medical Association (OSMA) has the statutory authority to recommend three psychiatrists to the governor (from which one will be selected) for appointment to this ODMHSAS Board. The Board of Governors of the Oklahoma Bar Association as well as the Oklahoma State Psychological Association have authority to submit nominees to the governor for approval. The board also has three members, qualified by education and experience in the area of substance abuse recovery, who shall be appointed from a list of not less than 10 names to the governor by a state association of substance abuse recovery programs or organizations. The board also has four public members.

NURSE PRACTITIONERS SEEK FULL PRESCRIPTIVE AUTHORITY

and administer legend drugs and Schedules II through V controlled substances. The legislation strikes the portion of the Oklahoma Nursing Practice Act requiring NPs to provide care within the scope of practice of the Certified Nurse Practitioner and to prescribe drugs subject to the medical direction of a supervising physician.

First Coalition. Nurse practitioners obtain 2-4 years of graduate-level education and do not require residency or fellowship training for licensure beyond 500-720 patient care hours. The bill has been referred to the Senate Health and Human Oklahoma D.O. | February 2015

PAGE 27

The Association of Oklahoma Nurse Practitioners has not attempted to present its proposed legislation before the Patients

Oklahoma D.O.

Cory Brooks, R-Washington, authored a bill, SB 727, granting nurse practitioners (NPs) the ability to order, select, obtain

Services Committee but has not been placed on the agenda as of the publication of this journal.

PAs SEEK STATUTE CHANGES The Oklahoma Academy of Physician Assistants (OAPA) is seeking a modification of the statute outlining their scope of practice through SB 1715. The following objectives were provided to the OOA by OAPA President Daniel L. McNeill, PhD, PA, on behalf of his association: Objectives for the 2015 revision of the Oklahoma PA Practice Act Title 59 O.S., Sections 519 – 524 The PA Practice Act underwent its last major revision in 1992. The objective of the 1992 revision was to pattern PA practice after newly enacted federal laws related to rural health clinics. Since that time, PA utilization and the federal approach to PAs in rural medicine have changed dramatically. The following revision to the PA Practice Act, summarized below in bullet point format, is a direct result of these changes. In addition, the revision is designed to resolve the frequent questions to the Oklahoma State Board of Medical Licensure & Supervision (OSBMLS) that arise from ambiguous language in the existing Act. 1. The revision removes a substantial amount of language that serves no real purpose as to how PAs practice medicine with physician supervision. 2. The revision removes the requirement that a supervising physician be physically present on site 4 hours per week (519.6.B.d.). Note that this requirement has already been removed from federal regulation of FQHCs and other federallysupported entities. In its place, a requirement is inserted stating that the supervising physician reviews a sample of outpatient medical records at the practice site or via telecommunication. This brings Oklahoma in line with federal regulations and provides flexibility for the supervising physician in how they provide supervision. Per Federal Register: ‘Accordingly, as discussed in further detail below and after consideration of the public comments received, we will similarly revise § 485.631(b)(1)(v) to require that a sample of outpatient records be reviewed “periodically.” We believe that removing the specified 2-week requirements at §§ 485.631(b)(1)(v) and 485.631(b)(2), and at §491.8(b) (2), will provide CAHs, RHCs, and FQHCs with the flexibility to manage patient care activities in such a way as to maxi-

Oklahoma D.O. PAGE 28

mize staff time to provide patient access to quality care in rural and remote areas.’ 3. The revision removes the requirement that hospital orders be countersigned within 24 hours, or at the physician’s next scheduled visit. Countersignature of hospital orders is a routine component of hospital bylaws. We favor how an institution handles this requirement is best left up to the institution. 4. At the time of the last revision, PAs were just beginning to acquire the ability to transmit prescriptions. Since then, minor revisions to the PA Act have granted PAs prescriptive authority including Schedules III-V drugs and a restricted ability for Schedule II drugs. The formulary for PAs has not changed in several years and there is no current benefit, nor has there historically been any benefit to having the Board of Pharmacy consulted prior to a formulary change. In addition, since

Oklahoma D.O. | February 2015

the PA formulary is static, there is no obvious rationale to maintaining a designee from the Board of Pharmacy on the PA Committee of the OSBMLS. Thus, the revision seeks to replace the pharmacist member with a third PA (519.3.A.). Note that majority membership on the PA Committee is still held by the physician community. 5. The revision clearly defines how and when a PA is to contact a supervising physician in patients with newly diagnosed complex conditions (519.6.C.). In short, it is the physician who decides how and when this is to be accomplished. This section of law as it is currently written has been a consistent source of confusion to physicians, PAs and administrators. The revision not only resolves the confusion, but removes “chronic” conditions from the equation. This too, has been a source of consternation given the high incidence of chronic, but stable conditions among Oklahomans. 6. The revision removes the requirement that a new graduate is unable to practice in a “remote patient care setting”. This is a confusing section of law in that “remote patient care setting” is specifically described in the definitions as a governmentsupported entity (519.2.7. and 519.6.F.). By removing this provision, the supervising physician and ultimately the OSBMLS have flexibility and can determine what is or is not an appropriate setting for a new graduate. 7. PAs currently are not permitted to dispense medications (other than samples). This has been a significant problem, particularly in rural areas where the PA provides evening and weekend coverage. The following language was inserted in the revision to allow dispensing on a limited basis and only under the direction of the supervising physician, “A supervising physician with the authority to dispense may delegate to the physician assistant the ability to dispense drugs in the event that pharmacy services are not immediately available, when it is in the best interest of the patient or when it is an emergency.” (519.6.D.2.) 8. The revision equates the penalty of using the title PA or functioning as a PA without licensure by the OSBMLS with practicing medicine without a license (519.10.). In addition, the revision prohibits an unlicensed physician from using the PA title. 9. The revision includes a brief statement that waives the need for licensure and other requirements of the PA Act for students enrolled in a PA educational program (519.11.D.). Note that two key elements of PA practice remain unchanged. First and foremost, the supervisory relationship between the physician and PA remains solidly intact. Second, the supervising physician maintains responsibility for the PAs scope of

GOV. FALLIN RELEASES EXECUTIVE BUDGET

Gov. Mary Fallin has submitted her Executive Budget for Fiscal Year 2016. This serves as a recommendation to the legislacut for the Oklahoma State Univeristy Medical Authority (OSUMA), bringing the FY 2016 appropriation to $11.5 million

Oklahoma D.O. | February 2015

PAGE 29

ture regarding the state budget and will serve as the foundation of budget negotiations. The governor is proposing a 6.25%

Oklahoma D.O.

practice with continued oversight and regulation by the OSBMLS.

down from last year’s $12.27 million if no changes occur between now and May. It’s also proposed the Physician Manpower Training Commission (PMTC) shall receive a 6.25% cut, to $3.87 million down from $4.13 million. This 6.25% cut is in line with many other state agencies. Notably, the governor is proposing a 1.48% budget increase for the Department of Mental Health totaling an appropriation of $343,691,562.00. Officials from OSUMA were called before budget committees in the House and Senate for their performance review. Performance reviews are required of all agencies to discuss their operations, details surrounding the allocation of state funding, and the impact of potential budget cuts, among many other items. Other noteworthy agency appropriations from the executive budget include: • Oklahoma Health Care Authority-$973.1 million (2.1% increase) • Department of Health-$60.6 million (flat) • University Hospitals Authority-$39.4 million (6.25% decrease) • Oklahoma Bureau of Narcotics and Dangerous Drugs Control-$3.5 million (6.25% decrease) The FY 2016 state budget totals nearly $7.2 billion, an increase of more than $48 million from last year. A full version of Gov. Fallin’s Executive Budget for FY 2016 can be found here: http://www.ok.gov/OSF/documents/bud16.pdf

INTERSTATE MEDICAL LICENSURE COMPACT PROPOSED

Oklahoma is one of 12 states where Interstate Medical Licensure Compact legislation has been introduced. The author of HB 1716 is Rep. Doug Cox, MD, R-Grove. The language creating the compact must be uniform in every state, creating an up-or-down vote (without amendments) by each state legislature. Oklahoma joins Iowa, Maryland, Minnesota, Montana, Nebraska, South Dakota, Texas, Utah, Vermont, West Virginia and Wyoming in proposing the compact in 2015. The Oklahoma State Board of Osteopathic Examiners voted to support the addition of osteopathic physicians to the legislation at its December 2014 meeting. The intent of the compact is to create ease of licensure with other compact states. Your state of principal license will serve as the entry point for those physicians who are compact-eligible. In order to be eligible for licensure through the compact,

Oklahoma D.O. PAGE 30

physicians must: • Have passed each component of COMLEX-USA (or USMLE) within three attempts • Possess a full and unrestricted license • Have never held a license authorizing the practice of medicine subjected to discipline by a licensing agency in any state, federal, or foreign jurisdiction, excluding any action related to non-payment of fees related to a license • Have never had his or her DEA license suspended or revoked • Not be under an active investigation by a licensing agency or law enforcement authority The compact will become effective once seven states grant its passage, thus creating the Interstate Medical Licensure Compact Commission, which shall govern the collective action of compact states moving forward. The bill has been assigned to the Public Health Committee in the House. Oklahoma D.O. | February 2015

OHCA DRUG SCREEN UPDATE The following represents the current drug screen allowances provided by the Oklahoma Health Care Authority (OHCA) for Medicaid patients: • All point of care testing is limited to one per day and should be billed with G0434 or G0431 depending on the complexity of the test performed. • All confirmatory testing should be done using HCPCS code G6058. This is limited to 10 units per day and 40 units annually. • Consistent with CMS recommendations, OHCA is not recognizing the new CPT codes listed as “Presumptive Drug Class Screening” and “Definitive Drug Testing”. • OHCA is recognizing the use of HCPCS codes G6030 through G6057 when quantitative drug testing is medically indicated. Although providers have been using these codes for confirmatory testing, we believe this is inappropriate. For example, these codes would be used in an emergency department in a comatose or obtunded patient. We do have annual limits on these codes ranging from 4 per year up to 16 per year depending on the drug being tested. Likewise, CPT Therapeutic Drug Assay codes 80150 through 80299, are performed to monitor clinical response to a known, prescribed medication and should not be used for drug confirmation or screening. We have similar limits placed on these codes as well. • Specimen validity testing (urine pH, creatinine, etc.) are not reimbursable per the NCCI edit manual.

MORE THAN 100,000 OKLAHOMANS ENROLL FOR HEALTH INSURANCE COVERAGE VIA HEALTHCARE.GOV According to a report released Feb. 9 by the U.S. Department of Health and Human Services (HHS), nearly 7.5 million Americans enrolled for health insurance coverage via the online marketplace in the first month of the open enrollment period—more than 105,000 of those were Oklahomans. The open period was Nov. 15, 2014-Feb. 15, 2015. This tally represents a 52% increase from last year for Oklahoma enrollees. According to the HHS, 79% of Oklahomans selected a health plan using an advance premium tax credit (APTC). Oklahoma enrollees received a 69% reduction in monthly premium cost after accounting for the APTC. This assistance is available to those between 138% and 400% of the federal poverty level, which translates to household incomes of $32,900-$95,400 for a family of four.1 The full research brief from HHS’ Assistant Secretary for Planning and Evaluation can be found here:

HHS Secretary Sylvia M. Burwell issued the following statement regarding the new enrollment figures, “With just six days left before the February 15 deadline and the end of this year’s Open Enrollment, millions of Americans already are counting on the financial assistance the Affordable Care Act provides to put quality, affordable health insurance coverage within reach. Consumers who sign up in states using healthcare.gov are saving $268 a month on their premiums on average, and able Care Act is working for the middle class.” 1

http://aspe.hhs.gov/poverty/index.cfm

Oklahoma D.O. | February 2015

PAGE 31

nearly eight in 10 could select a plan with a premium of $100 or less with tax credits. This is further proof that the Afford-

Oklahoma D.O.

http://aspe.hhs.gov/health/reports/2015/MarketPlaceEnrollment/APTC/ib_APTC.pdf

Support OOPAC in 2015! DO your part To protect and promote osteopathic medicine in Oklahoma. 2015 OOPAC Contribution Levels  Platinum PAC Partner $2,500+  Premier PAC Partner $501-$1,000

 Executive PAC Partner $1,001-$2,499  PAC Partner $500 or less

2015 OOPAC Investment _____My personal check made payable to “OOPAC” is enclosed in the amount of $______________ _____I would like to make a one-time contribution. Please charge my credit card $__________ _____I commit to monthly contributions to OOPAC. Please charge my credit card:

 $2,508 ($209 per month)  $1,008 ($84 per month)  Visa

 MasterCard

 $1,200 ($100 per month)  $504 ($42 per month)  American Express

 Discover

Account number: ____________________________________________ Expiration date: _______ Name as it appears on card: _______________________________________ CID: ______________ Address: __________________________________________________________________________________ City, State, Zip: ___________________________________________________________________________

Oklahoma D.O. PAGE 32

Occupation: __________________________________ Employer: _______________________________ Signature: ________________________________________________________________________________ I declare that this contribution is freely and voluntarily given from my personal property. I have not directly or indirectly been compensated or reimbursed for the contribution. This personal contribution is not deductible as a donation or business expense.

please mail to: OOPAC, 4848 N Lincoln Blvd, Oklahoma City, OK 73105-3335

Oklahoma D.O. | February 2015

Doctor of the Day at the State Capitol

The Oklahoma Osteopathic Association (OOA) will sponsor the Doctor of the Day Program during the month of March 2015 at the Oklahoma State Capitol. This is the 41st year osteopathic physicians have provided this service at the State Capitol’s First Aid Station during the legislative session. The Doctor of the Day program provides a great opportunity to serve others and learn about the legislative process at the same time. Physicians are needed to serve in March on Mondays, Tuesdays and Wednesdays from 8:30 a.m.-4:30 p.m. Each doctor can expect to see a handful of patients. If you are interested in volunteering, please contact Matt Harney at the OOA (405-528-4848 or matt@ okosteo.org) or complete and fax the form below to 405-528-6102. We'll ensure you're introduced in both the House and Senate chambers. Your service as Doctor of the Day is crucial to advancing osteopathic medicine in Oklahoma!

Yes! I want to participate in the Oklahoma Osteopathic Association Doctor of the Day Program! Name:________________________________________________________________________________ Cell phone:____________________________________ Email:_____________________________ Home Address:_________________________________________________________________________ City, State, Zip:_________________________________________________________________________ House Member:______________________________________________District #:___________________ State Senator:_______________________________________________ District #:___________________  Tuesday, March 31

Please fax this form to the Oklahoma Osteopathic Association Central Office at 405-528-6102. Oklahoma D.O. | February 2015

PAGE 33

I prefer to serve from 8:30 a.m.-4:30 p.m. on:  Monday, March 23  Monday, March 30

Oklahoma D.O.

internal use

OKLAHOMA OSTEOPATHIC ASSOCIATION

WHAT DOs NEED TO KNOW Medicare EHR Incentive Program deadline Feb. 28

If you are an eligible professional participating in the Medicare EHR Incentive Program, you have until Feb. 28, 2015, to attest to demonstrating meaningful use of the data collected during your EHR reporting period for the 2014 calendar year. If you are participating in the Medicaid EHR Incentive Program, please refer to your stateâ&#x20AC;&#x2122;s deadlines for attestation information. The CMS Attestation System is open and fully operational, and includes the 2014 Certified EHR Technology (CEHRT) Flexibility Rule options. Medicare eligible professionals can attest any time to 2014 data until 11:59 p.m. ET on Feb. 28, 2015.

Oklahoma D.O. PAGE 34

Reminder: You must attest to demonstrating meaningful use every year to receive an incentive and avoid a Medicare payment adjustment. Payment Adjustments Payment adjustments were applied beginning Jan. 1, 2015, for Medicare eligible professionals that did not successfully demonstrate meaningful use in 2013 (or 2014 for first-time participants) and did not receive a 2015 hardship exception. Medicare eligible professionals that did not successfully demonstrate meaningful use in 2014 and do not receive a 2016 hardship exception will have payment adjustments applied beginning Jan. 1, 2016. The application period opened in early January 2015. For more information, please review the payment adjustment tipsheet: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/PaymentAdj_HardshipExcepTipSheetforEP.pdf If you are eligible to participate in both the Medicare and Medicaid EHR Incentive Programs, you must demonstrate meaningful use to avoid the payment adjustments. You may demonstrate meaningful use under either Medicare or Medicaid.If you are only eligible to particiOklahoma D.O. | February 2015

pate in the Medicaid EHR Incentive Program, you are not subject to these payment adjustments.

CMS announces special enrollment period for tax season Eligible consumers have from March 15 through April 30 to enroll in coverage The Centers for Medicare & Medicaid Services (CMS) announced today a special enrollment period (SEP) for individuals and families who did not have health coverage in 2014 and are subject to the fee or “shared responsibility payment” when they file their 2014 taxes in states which use the Federally-facilitated Marketplaces (FFM). This special enrollment period will allow those individuals and families who were unaware or didn’t understand the implications of this new requirement to enroll in 2015 health insurance coverage through the FFM. For those who were unaware or didn’t understand the implications of the fee for not enrolling in coverage, CMS will provide consumers with an opportunity to purchase health insurance coverage from March 15 to April 30. If consumers do not purchase coverage for 2015 during this special enrollment period, they may have to pay a fee when they file their 2015 income taxes. Those eligible for this special enrollment period live in states with a Federally-facilitated Marketplace and: • Currently are not enrolled in coverage through the FFM for 2015, • Attest that when they filed their 2014 tax return they paid the fee for not having health coverage in 2014, and • Attest that they first became aware of, or understood the implications of, the Shared Responsibility Payment after the end of open enrollment (Feb. 15, 2015) in connection with preparing their 2014 taxes. The special enrollment period announced today will begin on March 15, 2015, and end at 11:59 p.m. EST on April 30, 2015. If a consumer enrolls in coverage before the 15th of the month, coverage will be effective on the first day of the following month. This year’s tax season is the first time individuals and families will be asked to provide basic information regarding their health coverage on their tax returns. Individuals who could not afford coverage or met other conditions may be eligible to receive an exemption for 2014. To help consumers who did not have insurance last year determine if they qualify for an exemption, CMS also launched a health coverage tax exemption tool on HealthCare.gov and CuidadodeSalud.gov. “We recognize that this is the first tax filing season where consumers may have to pay a fee or claim an exemption for not having health insurance coverage,” said CMS Administrator Marilyn Tavenner. “Our priority is to make sure consumers understand the new requirement to enroll in health coverage and to provide those who were not aware or did not understand the requirement with an opportunity to enroll in affordable coverage this year.” Most taxpayers, about three quarters, will only need to check a box when they file their taxes to indicate that they had health coverage in 2014 through their employer, Medicare, Medicaid, veterans care or other qualified health coverage that qualifies as “minimum essential uninsured for all or part of 2014 will qualify for an exemption from the requirement to have coverage. A much smaller fraction of taxpayers, an estimated 2 to 4 percent, will pay a fee because they made a choice to not obtain coverage and are not eligible for an exemption. Americans who do not qualify for an exemption and went without health coverage in 2014 will have to pay a fee – $95 per adult or 1 2015. Individuals taking advantage of this special enrollment period will still owe a fee for the months they were uninsured and did not receive an exemption in 2014 and 2015. This special enrollment period is designed to allow such individuals the opportunity to get covered for the remainder of the year and avoid additional fees for 2015. Oklahoma D.O. | February 2015

PAGE 35

percent of their income, whichever is greater – when they file their taxes this year. The fee increases to $325 per adult or 2% of income for

Oklahoma D.O.

coverage.” The remaining taxpayers - about one-quarter - will take different steps. It is expected that 10 to 20 percent of taxpayers who were

OOA

Bureau News

Bureau on Membership The OOA Board of Trustees welcomes the following new members to the OOA family! Dustin R. Beck, DO Family Practice Tahlequah

George Scott Stenger, DO Family Practice Okeene

Lisa M. Hayes, DO Radiology Tulsa

Linzi L. Stewart, DO OB/GYN Oklahoma City

Justin K. Parschauer, DO Ophthalmology Tulsa

Kevin F. Tulipana, DO Family Practice Tulsa

Roger K. Pfeiffer, DO OB/GYN Owasso

2015-2016 bureau appointments available

It is the responsibility of the OOA president to appoint members to various bureaus in the Oklahoma Osteopathic Association. The president recommends these appointments to the Board of Trustees for approval. Physicians on these bureaus do the necessary work of our association and recommend policies and positions to the OOA Board of Trustees. If you would like to serve in the associationâ&#x20AC;&#x2122;s organizational structure, we encourage your participation and want you to know you are needed! The typical meeting day is the first Thursday of the month, in the morning. Most bureaus meet only a few times each year. We invite students, interns and residents to volunteer for committees and bureaus and encourage your continued involvement throughout your training experience and beyond. Please complete the form on page 37 and return to the OOA.

Oklahoma D.O. PAGE 36

When you need it. Medical professional liability insurance specialists providing a single-source solution

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Oklahoma D.O. | February 2015

OOA Bureau Appointments for 2015-2016 Please indicate which bureaus you wish to serve in the OOAâ&#x20AC;&#x2122;s organizational structure. Your participation is most appreciated and needed. Please fax this completed form to 405-528-6102 or email marie@okosteo.org. Thank you!

Your Preference

Bureau Name Physician Grievance Physicians Health & Recovery Committee Continuing Medical Education Postgraduate Education Managed Care & Physician Reimbursement Legislation Public Awareness Member Services New Physicians, Residents & Students Professional Liability Insurance Information Technology

Anticipated Times to Meet 1-2 as needed 2 Summer & Winter Seminars 2-3 2 7 Wednesday Evenings 2-3 1-2 2-3 1-2 2-3

Awards (consists of the five immediate past presidents) Convention (The OOA president-elect serves as the general convention chair and the vice president as convention program chair) Constitution & Bylaws (comprised of members of the OOA Board of Trustees) District Presidents (Consists of all district presidents and the OOA president names the chairman) Finance (This bureau is comprised of the OOA executive committee and a board member at large.) Membership (Comprised of members of the OOA Board of Trustees) Past Presidents (This bureau is comprised of OOA past presidents and is chaired by the second removed president)

Address Phone

Fax

Oklahoma D.O.

Name

PAGE 37

Oklahoma D.O. | February 2015

American Osteopathic Association Health For the Whole Family

Health care tips for the day care Searching for the right day care center for your child is a dif-

Hunt. The ideal day care center should require staff to wash

ficult task. Keeping them healthy is an even tougher one. Un-

their hands often and in between touching every child. “If

fortunately, with the return to day care, inevitably comes the

the day care does not have a sink in every room, check for

spread of germs that can cause an array of health issues such

bottles of hand sanitizer,” he adds. Children attending day

as ear infections, colds, coughs, sore throats, runny noses,

care centers are at a higher risk of getting hepatitis A, a virus

fever, vomiting and diarrhea. If your child is currently at-

which causes irritation and swelling of the liver. The virus can

tending day care, how can you keep them from getting sick?

easily spread to children through food prepared by day care

Stopping the spread of germs may seem like a daunting task,

staff, who fail to thoroughly hand wash after going to the

but there are a number of simple steps parents, caregivers and

bathroom or changing a diaper. To help prevent the spread

day care staff can take to promote good health. Michael G.

of this virus, in addition to good hand washing, Dr. Hunt

Hunt, DO, an osteopathic pediatrician from St. Louis dis-

recommends day care staff and children get the hepatitis vac-

cusses common health issues found in child care settings and

cine.

provides strategies to help maintain your child’s wellbeing.

Oklahoma D.O. PAGE 38

Stay up to date on standard health practices How to stop the spread of infections

Your child’s day care center should have policies to help pre-

Vaccinations are the best point of defense. “Make sure to

vent the spread of germs, infections and common ailments

keep your child up-to-date with routine shots, including a flu

such as scabies and lice. “Before your child starts attending

shot every year after age six months to prevent both common

day care, ask to see these policies and find out if staff has been

and serious infections,” says Dr. Hunt. He also recommends

properly trained,” says Dr. Hunt. Day care staff should know

teaching children basic hygiene techniques to help avoid

policies for:

passing germs to their classmates. His tips include teaching

• Preparing food and changing diapers in different areas

children to use a tissue to cover their sneezes and coughs or

• Cleaning and sanitizing supplies, especially toys since a

their sleeve if tissue is not available. He also encourages par-

majority of children easily become sick after placing dirty

ents to make hand washing a priority. “Teach your children

toys in their mouth. Ideally, day care staff should clean

to wash their hands well before eating and after using the toi-

and sanitize toys at least once a day and set aside toys that

let; and get them in the routine of using hand sanitizer if soap

children place in their mouths.

and water is not available,” he says. Properly washing hands

• Taking care of different skin conditions

can go a long way in reducing germs and avoiding serious

• Recognizing when a chronic medical problem is getting

complications for both children and day care workers. Along

worse and when to contact a child’s physician

with children, day care staff should also make frequent hand

• Administering medicines for conditions such as asthma

washing a habit. “Don’t be afraid to ask the day care director

Parents of asthma sufferers can help day care staff by creating

for a copy of their written rules regarding hygiene,” says Dr.

an action plan, which includes written instructions, permisOklahoma D.O. | February 2015

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.

sion for giving medication and the contact information for

care. He also urges parents when they initially register their

the child’s physician. “Also, make sure your child knows how

child for day care, to provide the day care director with the

to describe his or her asthma, so that day care staff can act as

numbers of emergency contacts, along with information on

quickly as possible at the first sign of an attack,” stresses Dr.

the child’s physician, hospital of choice, and child’s medical

Hunt.

history, including their immunization record.

Plan ahead for sick days

Head start on good health

“Your best chance at helping your child and others stay

It’s important for parents to carefully review and discuss the

healthy is to keep them home when they are sick,” says Dr.

day care’s policies on sanitation, hygiene, and sick leave. Dr.

Hunt. He stresses keeping sick children, especially those with

Hunt encourages parents to work together with day care staff

diarrhea, fever, cough or breathing problems home, until a

to create a safe environment for their child. “Be open about

physician confirms they are well enough to return to the day

changes to your child’s health and discuss hygiene concerns

care center. “The best way to prepare for those unavoidable

with the day care staff,” says Dr. Hunt. “And also keep in

sick days is to plan ahead,” says Dr. Hunt. He encourages

mind that knowledge, awareness and cooperation are the

parents to make provisions for alternate dependable care in

building blocks for creating a safe and sound space for ev-

case their child needs to be picked up early from the day

eryone.”

Oklahoma D.O. PAGE 39

Oklahoma D.O. | February 2015

1st

February birthdays

Matthew E. Brown, DO Andrew S. Crawford, DO Ryan S. Mandell, DO Sarah L. Shepherd, DO Jason W. Sims, DO Timothy W. Teske, DO

2nd

Brian A. Allee, DO Harold L. Battenfield, DO Jerry J. Castleberry, DO Christopher S. DeLoache, DO Richard Drake, DO Monty J. Grugan, DO Michael D. McLaughlin, DO David W. Morris, DO Michael B. Shaw, DO LaToya T. Smith, DO Donald F. Swanson, DO

3rd

Jason W. Beaman, DO Brandon Drabek, DO Mary Elias, DO Derrick V. Freeman, DO David F. Grider, DO Gary W. Lambert, DO Paula K. McQueen, DO Karlis I. Sloka, DO Erica R. Sun, DO

4th

Oklahoma D.O. PAGE 40

Joseph A. Braden, DO Kevin C. Conatser, DO Christopher C. Conger, DO Kimberly Ann Dabbs, DO Tommy D. Foreman, DO John C. Jackson, DO Gary J. Lang, DO James S. Walker, DO

5th

Robert Ellis Baker, DO William W. Davito, DO Angela M. McGuire, DO Francis E. Peluso, DO

Oklahoma D.O. | February 2015

6th

Marc L. Abel, DO Kristin F. Earley, DO Guy L. Peterson, DO Daniel M. Studdard, DO E. Randal Williams, DO

7th

Arlen R. Foulks, DO Richard S. Harris, DO Stephen K. Martin, DO Deborah L. Nilson, DO, MPH Michael C. West, DO

8th

James Allen, DO Mark R. Damon II, DO Kenneth E. Phillips, DO Moira A. RedCorn, DO Richard W. Schafer, DO

9th

Elizabeth A. Brewer, DO Rod A. Kernes, DO Athena C. Mason, DO Rachel B. Ray, DO Johnny R. Rodriguez, DO Matthew D. Tucker, DO Dennis R. Whitehouse, DO

10th

Elizabeth K. Dolin, DO Guy W. Sneed, DO

11th

Robert C. Cobb, DO Hal H. Robbins, DO David A. Tilles, DO

13th

Stephanie Aldret, DO George D. Andrews, DO Elizabeth M. Bader, DO Robert L. Chance, DO Best Chen, DO Bennett Troxler Gardner, DO Kacey L. Wallace, DO L. Wade Warren, DO

14th

Sergio G. DeMier, DO Terrell R. Phillips, DO Max D. Yancy, DO

15th

John C. Brand, DO Violet L. Cohen, DO Chris E. Manschreck, DO Saundra S. Spruiell, DO Susan C. Willard, DO

16th

Kayci D. Lewis, DO Sean C. Ludlow, DO Tait D. Olaveson, DO Michelle D. Oâ&#x20AC;&#x2122;Meara, DO S. Lynn Phillips, DO

17th

Paul F. Benien Jr., DO Laurie A. Kukas, DO John W. Seagraves, DO Oliver Seitz, DO

18th

Corey S. Schoenewe, DO

19th

Jason C. Emerson, DO Kathryn A. Hall, DO Tenia L. Skinner, DO

20th

Tabitha D. Danley, DO Edward D. Glinski, DO, MBA Valerie B. Manning, DO Jesse M. Niederklein, DO Michael S. Reed Jr., DO Zita Tripathy, DO Steven K. Watkins, DO

21st

J. Martin Beal, DO Michael J. Boger, DO Stanley E. Grogg, DO John P. Harris, DO Michael A. Kayser, DO John C. Ogle, DO

22nd

Ronnie B. Martin, DO Lisa Neff, DO Jay P. Reynolds, DO Thomas A. Schooley, DO

23rd

Angela D. Christy, DO Sean R. Hamlett, DO Jennifer C. Scoufos, DO Douglas W. Stewart, DO Lana D. Stout-Myers, DO Robert A. Wieck, DO

26th

Arthur Douglas Beacham III, DO Deborah J. DeJarnett, DO J. Bryan Harris, DO

27th

Gayle D. Bounds, DO Robert L. Goodmon, DO Ronald J. Leckie, DO Joy A. Manning-Plain, DO Larry D. McKenzie, DO Lesley V. Vines, DO

28th

David R. Anderson, DO Robin R. Dyer, DO Beth L. Leader, DO Temitayo B. Oyekan, DO Clell W. Pond, DO Paul M. Reed, DO

29th

Larry H. Lane, DO

24th

Gary A. Boyer, DO Michael B. Earls, DO Adam Mathew Karpman, DO Barbara A. Rygiel, DO Aaron S. Sizelove, DO Stephen K. Sparks, DO, MBA Thomas N. Truong, DO Kinion E. Whittington, DO

25th

Richard C. Melin, DO Charles R. Mettry, DO John T. Romano, DO Robert A. Woodruff, DO

Oklahoma D.O.

Victoria W. Bjornson, DO Larry A. Burns, DO Jerry W. Freed, DO John W. Goulart, DO Simeon Jaggernauth, DO Robert S. Lawson, DO Melissa Barnes Myers, DO Richard L. Myers, DO Marvin D. Rodgers, DO Jayna Shepherd, DO David A. Trent, DO Henry K. Upchurch Jr., DO Thomas J. Whalen, DO

12th

PAGE 41

Oklahoma D.O. | February 2015

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STAFF PHYSICIAN NEEDED: The Oklahoma Department of

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tion with respect and loyalty of small town patients. Contact Evan

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Becky Raines

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Oklahoma D.O. PAGE 42

further information or inquiries.

Oklahoma D.O. | February 2015

SAVE THE DATE

Calendar of Events March 4, 2015 OOA Bureau on Legislation Dinner & Meeting Oklahoma City, OK

April 1, 2015 Osteopathic Medicine Day at the State Capitol Oklahoma City, OK

Oklahoma D.O. | February 2015

PAGE 43

April 2, 2015 OOA Bureaus & Board of Trustees Meetings OSU-COM Advisory Council Meeting Oklahoma City, OK

Aug. 13-16, 2015 2015 Summer CME Seminar Chateau on the Lake 415 N State Hwy 265 Branson, MO 65616

Oklahoma D.O.

March 5, 2015 OOA Bureaus & Board of Trustees Meetings OEFOM Board of Trustees Meeting Oklahoma City, OK

April 30-May 3, 2015 115th Annual Convention “Celebrating Our Shangri-La in Norman” Embassy Suites Norman Hotel & Conference Center 2501 Conference Dr Norman, OK 73069

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