The Journal of the Oklahoma OsteopathicAssociation
OKLAHOMA D.O. May/June 2013 November 2014
Volume 79, No. 5
Oklahoma D.O. PAGE 1
Oklahoma D.O. | November 2014
OKLAHOMA
do
09
14
26
09 IN MEMORIAM
Timothy “Tim� Alan Soult, DO, 51, passed from this life on Nov. 2, 2014 in a tragic accident while hunting. After graduating from the Oklahoma State University College of Osteopathic Medicine in 1989, Dr. Soult completed an osteopathic internship at Hillcrest Health Center in Oklahoma City followed by an emergency medicine residency at OU Health Sciences Center.
Oklahoma D.O. PAGE 2
FEATURED ARTICLES
14
HOW ARE RURAL COMMUNITY MEMBERS INFORMED OF COMMUNITY EVENTS?
Many organizations including businesses, nonprofits, clubs, or social networks are interested in informing community members about upcoming events. However, confusion exists about the best way to reach these constituents.
26
WHAT DO'S NEED TO KNOW
CMS reopened the submission period for submitting Meaningful Use hardship exemption applications following protests from numerous physician advocacy organizations regarding the original hardship exception deadline of April 1, 2014, for eligible hospitals and July 1, 2014, for eligible professionals. The new deadline for submitting a hardship exemption is Nov. 30, 2014. Oklahoma D.O. | November 2014
NOVEMBER 2014
TABLE of CONTENTS Lynette C. McLain Editor
34
Marie Kadavy Associate Editor
34
A CLOSER LOOK AT ALS
Do you know someone who participated in the ALS Ice Bucket Challenge? With countless videos flooding the internet, chances are the answer is yes. After the challenge has come and gone, will you know more about ALS?
DEPARTMENTS
10
2015 Winter CME Seminar Program
12
2015 Winter CME Seminar Registration Form
19
Student Scoop
20
Legislative Report
28
OOA Bureau News
29
OOA Awards Nomination Form
30
OEFOM Scholarship Criteria & Application
32
Sixth Annual ROGME Poster Symposium
33
Annual Directory Order Form
36
November Birthdays
38
Classifieds
39
Calendar of Events
Oklahoma D.O. | November 2014
PAGE 3
President’s Message
Oklahoma D.O.
6
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 Lany Milner, Director of Operations and Education Matt Harney, MBA, Director of Advocacy and Legislation Marie Kadavy, Director of Communications and Membership Jessica Hansen, Special Projects Coordinator Lisa Creson, Administrative Assistant
Oklahoma D.O. PAGE 4
The Oklahoma D.O. is published monthly from the Oklahoma Osteopathic Association Central Office: 4848 N. Lincoln Blvd., Oklahoma City, OK 73105-3335. 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 www.okosteo.org
Oklahoma D.O. | November 2014
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PAGE 5
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Oklahoma D.O.
THAT COMES WITH LOCAL SERVICE
michael k. cooper, DO, FACOFP President 2014 – 2015 oklahoma osteopathic association
A few weeks ago my wife and I were finishing lunch at a local
don’t even ask if we are board certified. They only care that we
restaurant when I heard the unmistakable letters “DO” from
care about them and care for them. Our patients need to know
the next booth. My ears were drawn to a conversation that was
who we are and what we do. They need to know that they are
centered on finding a new physician with whom to establish
receiving quality medical care from an osteopathic physician,
care. I heard statements like “I thought they only did bones”
no matter in what specialty you practice. We need to make
and “Do they see kids?” The final decision was that DO’s were
the public aware of our brand of care and how it is different.
generalist physicians and not specialists. It was okay to see a
Always be prepared to discuss the differences between health
DO for a common cold and other simple complaints. This is
care providers and especially our differences. It is only through
2014, and we are still hiding in plain sight.
patient understanding of osteopathic medicine that our profession will remain relevant regardless of changes in Medicare
It is true that some of our patients come to see us because we
rules or in postgraduate training accreditation. Even if you
are DO’s. More than a few of our patients are assigned to us
remove a physician from osteopathic training, you should not
through an insurance panel. Unfortunately, most of our pa-
be able to remove the osteopathic training from the physician.
Oklahoma D.O. PAGE 6
tients either don’t know or don’t care that we are DO’s. They
Oklahoma D.O. | November 2014
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Oklahoma D.O.
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3/28/11 11:05 AM
Memoriam in
Timothy A. Soult, DO Timothy “Tim” Alan Soult, DO, 51, passed from this life on Nov. 2, 2014 in a tragic accident while hunting. He was born to William and Laura Lee (Butcher) Soult on Oct. 20, 1963. He earned his bachelor’s degree from the University of Oklahoma where he was recruited as an athletic trainer. After graduating from the Oklahoma State University College of Osteopathic Medicine in 1989, Dr. Soult completed an osteopathic internship at Hillcrest Health Center in Oklahoma City followed by an emergency medicine residency at OU Health Sciences Center. After completing his residency, he began working with his mentor and friend Dale C. Askins, DO, in the Morningstar Emergency Physicians group at Hillcrest Hospital. Dr. Soult joined the OOA as a practicing member in 1994 and served as president of the South Central District early in his career. At the time of his death, he was practicing medicine as an ER physician with TeamHealth at INTEGRIS Southwest Medical Center. He had an impact on countless physicians through his work in medical education, working as medical student director and clinical faculty for the Emergency Medicine Residency Program at INTEGRIS Southwest Medical Center. Dr. Soult spent hours planning lectures for the residents and took pride in helping them to become the best ER doctors possible. He spoke frequently as an outstanding lecturer at many OOA continuing medical education programs, always eagerly volunteering to provide insight from his personal experiences in the ER. In November of 1985, he attended a watch party for the Bedlam “Ice Bowl” game where he met his soul mate, Cheryl Hastings, and the two were wed on July 11, 1987. In 1991, they welcomed daughter, Rachel, into this world and their son, Robert, in 1994. He was preceded in death by his parents, and his little brother Matthew Soult, whose passing was his inspiration for becoming a doctor. He leaves behind his wife, Cheryl; daughter, Rachel; son, Robert; sister, Pam Soult & her son, Brendan Oglesby; Cheryl’s parents, Robert & Sandra Hastings; her siblings, Michele & Craig Cooper; Brian & Sherri Hastings; Scott &
Oklahoma D.O. | November 2014
PAGE 9
n OEFOM Memorials n
Contributing In Memory of Dr. Robert and Christy Holsey Jolyna Abernathy Dr. James and Darlene Short Nancy Baylor Dr. James and Darlene Short Henry W. Harnish, DO Dr. Neal and Carla Templeton Henry W. Harnish, DO Dr. Walter and Betty Wilson Henry W. Harnish, DO Dr. Gary and Donna Cannon Joseph A. Keuchel, DO Dr. Harvey and Barbara Drapkin Joseph A. Keuchel, DO Dr. James and Darlene Short Joseph A. Keuchel, DO Dr. Walter and Betty Wilson Joseph A. Keuchel, DO Don and Lynette McLain Timothy A. Soult, DO Dr. Terry and Connie Nickels Timothy A. Soult, DO Oklahoma Osteopathic Association Timothy A. Soult, DO Dorothy Prophet Timothy A. Soult, DO Dr. James and Darlene Short Jacke Wolfe, DO
Oklahoma D.O.
Terri Hastings; Noelle & Shon Manasco; two nieces, seven nephews, and countless other family members and friends.
Friday – January 30, 2015 Noon – 6:00 pm Registration 2:00 – 6:00 pm
Exhibits Open
*2:00 – 3:00 pm “Venomous Snakebites in Oklahoma & Their Management” Boyd D. Burns, DO, FACEP, FAAEM (certified emergency medicine, Tulsa, OK) http://integrisok.com/pediatrics-snake-bites
HARD ROCK
Hotel & Casino Jan. 30-Feb. 1, 2015
*3:00 – 4:00 pm “Inhalational Insults” Daniel A. Nader, DO, FACCP (certified internal medi- cine, pulmonary medicine & critical care medicine, Tulsa, OK) www.cdc.gov/tb/ *4:00 – 5:00 pm “Sepsis Update” Billy R. Bryan, DO, FACOEP, FACEP (certified emer- gency medicine, Oklahoma City, OK) www.mayoclinic.org/diseases-conditions/sepsis/ba- sics/definition/con-20031900 *5:00 – 6:00 pm “Vaccine Voodoo…. Just Get it Done” Stanley E. Grogg, DO, FACOP (certified pediatrician, Tulsa, OK) www.cdc.gov/vaccines/
program chair
6:00 – 6:45 pm Combined Past Presidents’ Council, District Presidents’ Council and Oklahoma Delegation Meeting 6:00 – 7:00 pm OOA New Physicians Meeting 6:45 pm
Oklahoma D.O. PAGE 10
Program approvED for 17 1A AOA Credits Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.
Bureau on Legislation Meeting
Saturday – January 31, 2015 :00 am Registration & Continental Breakfast 7
8:00 – 9:30 am
Bureau on CME Meeting
8:00 am – Noon
Exhibits Open
*8:00 – 9:00 am “Update on Sexually Transmitted Infections” Bryan C. Roehl, DO, FACOOG (certified obstetrics & gynecology, Ada, OK) www.cdc.gov/std/ *9:00 – 10:00 am “Regional Response to a Bioterrorism Event in Oklahoma” Justin W. Fairless, DO, NRP, FACEP, FAAEM (certi- fied emergency medicine, Tulsa, OK) www.occhd.org/community/emergency-response- program/bioterrorism
Oklahoma D.O. | November 2014
*10:00 – 11:00 am “Got FEVER? Woes of International Travel” Arthur G. Wallace Jr., DO (certified emergency medicine, Tulsa, OK) http://wwwnc.cdc.gov/travel *11:00 am – Noon “Radiation Events - What You Need to Know” David E. Hogan, DO (certified emergency medicine, Oklahoma City, OK) http://www.bt.cdc.gov/radiation/ *Noon – 2:00 pm “Legislative Update” Matt W. Harney, MBA, Director of Advocacy & Legis- lation (Oklahoma City, OK) www.okosteo.org *2:00 – 3:00 pm Proper Prescribing Lecture *3:00 – 5:00 pm “Could It Happen Here? RM Emergencies” Risk Management Course Brenda Wehrle, BS, LHRM, CPHRM (Senior Risk Management Consultant, Brentwood, TN) http://www.medpro.com/ 5:00 – 6:30 pm
Mentor Mentee Reception
Sunday – February 1, 2015 7:00 am Registration & Continental Breakfast *8:00 – 9:00 am “The Hypertensive Thugs of Pregnancy” Joseph R. Johnson, DO, FACOOG (certified obstet- ric & gynecological surgery, Tulsa, OK) http://emedicine.medscape.com/article/261435- overview *9:00 – 10:00 am “Stuck on You...Tick Born Disease” Shelly R. Zimmerman, DO (certified emergency medicine, Oklahoma City, OK) www.cdc.gov/ticks/diseases/
*Websites indicate needs assessment for each lecture. Oklahoma D.O. | November 2014
- Then click Group Reservation at the top of the page and enter the Attendee Code: OOAJAN2015
• Group attendees may use the URL below:
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Type in the Attendee Code: OOAJAN2015
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PAGE 11
*11:00 am – Noon “Orthopedic Evaluation of Bone and Joint Infections and Treatment” M. Sean O’Brien, DO (certified orthopedic surgery, Oklahoma City, OK) www.nlm.nih.gov/medlineplus/ency/article/000437. htm
• Visit www.HardRockCasinoTulsa.com - Click Online Reservations located on the left side of the page
Oklahoma D.O.
*10:00 – 11:00 am “Bioterrorism in the 21st Century: A Brief History and Lessons Learned From Armed Forces Around the World” Guy W. Sneed, DO, FACOOG, Colonel, Medical Corps, Oklahoma Army National Guard (certified obstetric & gynecological surgery, Tulsa, OK) www.mayoclinicproceedings.org/article/S0025- 6196(11)61694-7/fulltext
For Room Reservations:
• Individuals may call toll free number: 1-800-760-6700 Don’t forget to mention: OOA to receive the special group rate
OOA 2015 WINTER SEMINAR Bioterrorism: Bugs, Drugs & Thugs
On or Before 1/23/15 After 1/23/15 q DO Member Registration* $340 $365 q DO Member Saturday Proper Prescribing & Risk Management Registration $180 $205 q Retired DO Member Registration* $80 $105 q DO Nonmember Registration* $840 $865 q Nonmember Saturday Only Registration $680 $705 q MD/Non-Physician Clinician Registration* $340 $365 q Student, Intern, Resident, Spouse, Guest Registration free free *Includes: Proper Prescribing Course, 2 Continental Breakfasts & Saturday Luncheon
REGISTRATION INFORMATION Registrant Name (please print): ____________________________________________________________________________ please indicate: qPhysician qIntern qResident qOMS-I q OMS-II q OMS-III q OMS-IV Preferred First Name for Name Badge: _______________________________________________________________________ Other Professional/Guest: _________________________________________________________________________________
PAYMENT INFORMATION
q Check Enclosed
q VISA/MASTERCARD
q DISCOVER
q AMERICAN EXPRESS
Credit Card No.: _____________________________________ Card Exp. Date: ________ 3 Digit CID Number: ___________ Billing Address: __________________________________________________________________________________________
City: _______________________________________________ State: _____________ Zip: ___________________________
Oklahoma D.O. PAGE 12
Preferred Telephone: (_______)_____________________________ Email address: ____________________________________ Signature: _______________________________________________________________________________________________ Name (as it appears on card - please print): ____________________________________________________________________
ONLY an electronic syllabus is available for this meeting. Please bring appropriate viewing device. Requests for Refunds Must Be Received Before January 23, 2015, and a $25 Service Fee Will Be Charged. Mail Registration Form & Payment to: OOA at 4848 North Lincoln Boulevard, Oklahoma City, OK 73105-3335 or Fax to 405-528-6102. Oklahoma D.O. | November 2014
Oklahoma D.O. PAGE 31 13
Oklahoma D.O. | October November 2014 2014
HOW ARE RURAL
COMMUNITY MEMBERS INFORMED OF COMMUNITY EVENTS? provided by: OSU Center for Rural Health Lara Brooks, MS, Extension Associate Grant Irby, Graduate Student, Health Promotions Brian Whitacre, PhD, Associate Professor and Extension Economist Corie Kaiser, MS, Director, Oklahoma Office of Rural Health
Introduction
process consists of four community meetings and six deliverables.
Many organizations including businesses, nonprofits, clubs, or social
One particularly important deliverable is the distribution of a com-
networks are interested in informing community members about up-
munity survey. The survey gauges current healthcare usage, potential
coming events. However, confusion exists about the best way to reach
gaps in service, and identifies possible additional health services to of-
these constituents. Newspaper? Email? Social media? Website? Many
fer. In addition, questions are included to determine how community
organizations have limited marketing funds. Therefore, for budget
members are currently informed of community events, and how they
and time reasons, it is vital to identify the source that reaches the
prefer to be informed. The 21 question survey is offered in two for-
largest share of the targeted audience. The question remains, “Which
mats: hard-copy and online . Respondents have 4 weeks to complete
outlet do I choose?”
the survey. Communities are encouraged to gather a comprehensive cross section of responses that are representative of the community
Since 2004, there has been a notable increase in online media, while
both economically and demographically.
offline media such as newspapers experienced sizable declines, especially after 2006 (Bergemann and Bonatti, 2011)
Survey Methodology
Oklahoma D.O. PAGE 14
Surveys were completed in twelve rural Oklahoma communities To answer these questions, we turn to a survey distributed as part
(Figure 1) from March 2013 to June 2014. Hard-copy surveys were
of the Community Health Needs Assessment (CHNA) program in
distributed at the first community meeting in each community. A
Oklahoma. CHNAs allow communities to gather valuable informa-
total of 100 hard-copy surveys were delivered in each community,
tion about their community and needs of their residents. CHNA is a
and attendees were urged to take extra copies with them to help dis-
new requirement for non-profit 501(c)(3) hospitals that submit IRS
tribute within the community. The survey link for the online version
Schedule H Form 990 – implying that all non-profit hospitals must
was also made available at the first meeting. Community members
complete the process every three years. Most of the facilities that par-
who signed in to the meeting received an email following the meet-
ticipate are critical access hospitals, who by definition, are small facili-
ing with a copy of the link to distribute through their local contact
ties located in rural communities.
lists. A total of 1,863 surveys were collected for an average of 155 per community. Of those responses, 52.8% were derived from the
The CHNA process is collaboration between the Oklahoma Office
electronic survey offering, and 47.2% were collected from the hard-
of Rural Health and Oklahoma Cooperative Extension Service. The
copy paper survey. Oklahoma D.O. | November 2014
FIGURE 1. COMMUNITY SURVEY LOCATIONS
Tables 1 and 2 display demographic and racial statistics for the 12
statewide). Of the twelve communities surveyed, only two had higher
communities that participated in the CHNA process. Due to space
county–level per capita income than the state average. When exam-
limitations on the survey instrument, questions were not included
ining racial trends (Table 2), half of the communities included had
to gauge demographic or income characteristics of the survey tak-
a Native American population that was larger than the state average
ers. Therefore, demographic and income data are derived from the
(8.2%). In particular, 35.3% of the residents in the Anadarko service
Census and Bureau of Economic Analysis, respectively. Table 1 also
area were categorized as Native American. Three communities had a
includes service area statistics that are an aggregate of the zip codes
larger Hispanic Origin population than the state rate of 8.9%. Spe-
that comprise the medical service area of the hospital facility. Ev-
cifically, 23.8% of the residents of the Frederick service area were of
ery community had a higher percentage of over 65 population than
Hispanic origin.
the state, and in some areas the over 65 population accounted for as much as 20% of the service area (compared to the 13.5% seen TABLE 1. CHNA COMMUNITY SUMMARY STATISTICS
While the primary focus of the survey was on health care in the local community, survey questions were included to determine (1) how community members are events, and (2) how they prefer to be informed. Survey respondents had checkbox options to select all current modes of information that dia, website, and email); many selected multiple options (average of 1.7 responses per survey).
Oklahoma D.O. | November 2014
PAGE 15
they used (newspaper, social me-
Oklahoma D.O.
currently informed of community
TABLE 2. PRIMARY MEDICAL SERVICE AREA POPULATION BY RACE AND HISPANIC ORIGIN
The high rate of newspaper readership among CHNA respondents may be due in part to the “small town” atmosphere that rural communities cultivate. The local newspaper is often viewed as the source to learn about local issues such as deaths, births, and how the high school football team’s season is progressing. Local newspaper
writers have the ability to report in ways that illustrate they are also a part of the community, which may contribute to the sense of trust in the local newspaper (Fleming and Schwartz, 2014). Figure 3 analyzes respondents’ current source of
Survey Results: Current Source of Information on Community Events Survey results (Figure 2) indicate that the newspaper (42%) is the most widely selected medium for respondents’ current source of information, more than doubling the next most selected option, social media (20%). While newspaper readership has been in decline, a 2010 survey for the National Newspaper Association still showed that 73% of respondents read a local newspaper every week (Fleming and Steffens, 2011). This popularity is particularly
information in relation to their method of submitting their survey (either paper (hard-copy), or electronic (web survey)). Regardless of survey submission method, survey respondents overwhelmingly indicated they receive information about community events via the newspaper. Even among those who submitted the survey electronically (and may have a preference for online information), the preference for the newspaper was nearly 2 to 1. FIGURE 3. cURRENT SOURCE OF INFORMATION IN RELATION TO SUBMISSION METHOD
true for small communities throughout the United States. Research by Fleming and Schwartz (2014) revealed that in areas where the circulation size of the local newspaper was 15,000 or less that over two-thirds of residents read their local newspaper. Of respondents, 42% from these small communities said their primary source of information was the “newspaper” and “newspaper’s website”, which is identical to CHNA respondents from the twelve communities surveyed across Oklahoma.
Oklahoma D.O. PAGE 16
FIGURE 2. CURRENT SOURCE OF INFORMATION
Figure 3 demonstrates that respondents who submitted paper surveys were more likely to gain information from traditional outlets, such as the newspaper (46% vs. 38.5%) or radio, than those who chose to submit online. Similarly, respondents who submitted their surveys online were more likely to select options such as email (17.4% vs. 11.9%), social media (20.7% vs. 19.0%), or websites (10.6% vs. 6.5%) than those who submitted paper copies. The CHNA survey did not distinguish between traditional, hard-copy newspapers and more recent online versions of those newspapers. Oklahoma D.O. | November 2014
However, some research has suggested that online versions, while not
the least selected options, accounting for 9% and 8%, respectively.
dominant, are still utilized by a minority of community residents.
The 43% of the respondents who preferred the newspaper as their
Survey results of the small communities from Fleming and Schwartz
source of information closely mirrors the national study by Fleming
(2014) showed that 49% of online users chose the local newspaper’s
and Schwartz (2014) that found 47% prefer their paper.
website for local information. Of the twelve communities presented with the CHNA survey, only four (Anadarko, Shattuck, Frederick,
The vast preference for the newspaper may be due in part to demo-
Carnegie) do not provide online offerings of their newspaper. Of the
graphic factors, such as age. As previously noted, the communities
eight communities with online offerings, two communities provide
that completed CHNA surveys have a large over 65 population when
free online newspaper viewing and six communities charge an online
compared to the state. The Newspaper Association of America has
subscription to access online content. Fleming and Schwartz (2014)
reported that adults over 55 have the highest audience readership
note that 14% of users paid to view online newspaper content, which
percentages among age categories, including weekly newspapers that
rose from 6% in 2012. This suggests that local communities still find
are often characteristic of small communities (Scarborough Research,
value in their community newspaper despite many implementing
2013). In fact, over 72% of adults over 55 read the weekly paper
paid-content formats. Additionally, electronic survey respondents
compared to only 49% of adults between the ages of 18-34 (Scarbor-
may be more likely to access their local news online.
ough Research, 2013). The three most important areas of content for
Survey Results: Preferred Source of Community Event Information As previously noted, survey respondents were also asked how they
this age group are community information, obituaries, and information about ordinary people (Fleming and Schwartz, 2014). FIGURE 5. Preferred source of information in relation to submission method
prefer to be informed of community events. Survey respondents ranked (1=most favorable and 5=least favorable) their preferences of newspaper, radio, email, website, and social media. Survey respondents’ number one choices were aggregated to determine the preferred source of information (Figure 4). FIGURE 4. pREFERRED SOURCE OF INFORMATION
Figure 5 analyzes respondents’ preferred source of information in relation to their method of survey submission. Similar to the survey results for current sources (Figure 3), survey respondents overwhelmingly indicated they prefer to receive information about community events via the newspaper regardless of survey submission method media was the next most commonly selected preference for both paper and electronic submissions, with 18% and 25%, respectively. Email accounted for the third highest preference with 17% of paper submissions and 19% of electronic submissions. Radio and website were the least selected options, accounting for 10% or less each.
spondents indicated that their preferred source of information was the newspaper (43%). Social media (21%) and email (19%) were the
Again, individuals who completed their survey via hard copy showed
next most commonly selected preferences. Radio and website were
a preference for newspapers or radio, while those completing online
Oklahoma D.O. | November 2014
PAGE 17
Similar to the results of current sources of information, survey re-
Oklahoma D.O.
(48% of paper submissions; 41% of electronic submissions). Social
surveys were more likely to select radio, email or website.
References
Bergemann, D. and A. Bonatti. 2011. Targeting in Advertis- ing Markets: Implications for Offline Versus Online Me- dia. The RAND Journal of Economics. 42(3): 417-443.
Conclusions Rural community members in Oklahoma value the information they obtain through their local newspapers. Even when provided the opportunity to select preferences, the local newspaper is still the most preferred source. Utilizing the availability and scope of the local newspaper seems to be the most effective way to reach rural audiences to make them aware of events in their community. It should be noted, however, that social media was the second most preferred source of information by both electronic and paper respondents, with email communication a close third. Thus, a marketing plan that includes both traditional and electronic media may
Fleming, K. and B. Steffens. 2011. Annual report of readership: Small-town residents read, trust and pay for their local newspapers. Reynolds Journalism Institute University of Missouri. February 27, 2014. Fleming, K. and S. Schwartz. 2014. National Newspaper Asso- ciation Survey: Small town residents depend on their community paper. Reynolds Journalism In- stitute, University of Missouri. February 27, 2014. Scarborough Research. 2013. Newspaper media audience 2012 by gender & age group. Newspaper Association of America. March 2013.
be the most effective way to distribute information regarding local events to rural communities.
Oklahoma D.O. PAGE 18
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Oklahoma D.O. | November 2014
STUDENT
SCOOP
provided by: Brittany Cross, OMS II, Student Government Association President
Students at OSU-COM are now back into full swing with
The purpose of Volunteer Day was for participants to learn
classes, club events and studying. One of the latest events
more about agencies in the local community and the types of
many students participated in was the annual Student Osteo-
volunteer opportunities that each organization offered.
pathic Medical Association (SOMA) Rural Health Fair. This year the Rural Health Fair was held in Dewey, Okla. First and
The OSU-COM Stress Management Program finished up re-
second year students teamed up to represent the school, hand
cently as well. This is a seven-week program led by OMS II
out medical information, promote osteopathic medicine and
students for the incoming OMS I students as they begin their
practice some of the skills they have learned such as OMM.
first semester in medical school. Michael H. Pollak, PhD, and
Numerous stations—including OMM, ENT exams, ophthal-
Susan K. Redwood, PhD, the professors who started the pro-
mology exams, blood pressure, and anatomy organ demon-
gram, hold training sessions for the OMS II students selected
strations of the heart and lungs—were set up for the public to
to lead the small groups. Starting the second week of school,
participate in.
OMS I students meet with their small groups led by OMS II students over lunch once a week to discuss the challenges they face in medical school. Attendance is not mandatory, but
Multiple organizations from the local Tulsa area came to the
almost all first years attend the sessions as it is a good time to
school to set up booths and had representatives available to
take a break from studying, spend time with classmates and
talk with students, faculty and staff about their organization.
learn ways to handle the demands of medical school.
Volunteer Day Fair Organizations American Therapeutic Riding Center Big Brothers Big Sisters of Oklahoma Catholic Charities The Center for Individuals with Physical Challenges Community Action Project Food Bank of Eastern Oklahoma Eugene Field Elementary School Global Gardens
Oklahoma D.O. | November 2014
• • • • • • • •
Habitat for Humanity – Tulsa Hospitality House of Tulsa Junior Achievement LIFE Senior Services Little Light House Meals on Wheels of Metro Tulsa New Hope Oklahoma OSU Medical Center
• • • • • • • •
Reading Partners Red Cross of Eastern Oklahoma River Parks Authority Special Olympics Oklahoma Tulsa Regional Chamber Tulsa Habitat for Humanity Tulsa SPCA YWCA
PAGE 19
• • • • • • • •
Oklahoma D.O.
On Sept. 17, OSU-COM held its first Volunteer Day Fair.
legislative
REPORT Provided by: Matt W. Harney, MBA, Director of Advocacy and Legislation
MEDICAID EXPERIENCES INCREASING ENROLLMENT, REDUCED FUNDING The Medicaid program in Oklahoma is experiencing an agency version of the adage “more work, less pay.” The state’s Medicaid enrollment continues to grow, increasing by more than 16,000 so far in 2014. However, Gov. Mary Fallin and the state legislature have opted to not accept federal dollars to expand the program, placing an ever-increasing burden on agency funding. Therefore, the Oklahoma Health Care Authority (that manages the Medicaid system) is tasked with providing health care for more individuals with fewer resources. Currently, there appears to be little appetite at the state capitol to accept federal dollars. Therefore, some members of the legislature are spearheading an effort to explore new ideas to sustain and protect the state’s Medicaid program. Several health organizations and Medicaid stakeholders met recently with Rep. Doug Cox, MD, R-Grove, Sen. Rob Standridge, R-Norman, and Sen. Brian Crain, R-Tulsa, to discuss possible Medicaid reforms and funding potential. Organizations including the Oklahoma Health Care Authority, Oklahoma Hospital Association, Oklahoma State Medical Association, American Cancer Society, OSU Center for Health Sciences, OU Health Sciences Center and the American Heart Association, among others, joined the conversation. Nico Gomez, CEO of the Oklahoma Health Care Authority, began the meeting by announcing that the FMAP (Fed-
Oklahoma D.O. PAGE 20
eral Medical Assistance Percentage) rate will decrease 1.21% for fiscal year 2016—to 60.99%. Oklahoma had already absorbed a decrease of about 1.7% last year. Only Nebraska had a larger decrease than Oklahoma this past year. A state’s FMAP rate is based on a state’s per capita income, calculated on a three-year rolling average. This rate determines the amount of federal matching funds a state will receive. The current FMAP represents incomes from 2011-2013. This rate decrease amounts to about a $45 million loss in federal funds. Additionally, one-time carryover funds were used for the current fiscal year and must be replaced, which amounts to another $60 million. Combine this with the costs associated with the thousands of new Medicaid enrollees and total OHCA shortfall is about $160 million just to maintain the current reduced-rate system we have today.
Oklahoma D.O. | November 2014
The size of the program is immense. Gomez also mentioned many of the adults in the system are in chronic pain, which typically increases cost on the system. Rep. Cox stated there appear to be a few
• The OHCA pays for 65% of all prenatal care in Oklahoma.
issues of concern within the legislature.
• More than 500,000 kids are in the program.
Some legislators ask, “Why is average
• 64% of Medicaid enrollees are children
income increasing (leading to reduced federal money), yet there are more Medicaid enrollees?” One possible explanation is an influx of higher wage jobs, which increases the state’s average income but does not impact Oklahoma’s poor. According to the US Census Bureau, the number of Oklahomans below the poverty level increased by about 120,000 from 2000 to 2009, or 2.4%.1 So far, the trend appears to be continuing this decade. Rep. Cox stated that some legislators believe Oklahoma’s Medicaid program provides care a rate higher than other states. Lastly, Rep. Cox mentioned the legislature is bombarded by managed care companies seeking to do business in the state. Sen. Standridge mentioned he has traveled the country to review different Medicaid programs. He mentioned that funding mechanisms and general management of Medicaid programs vary greatly by state. Scott Atkins, a lobbyist and a former Republican state legislator, stated that for a majority of the conservative legislature, there were no facts and figures that could be utilized that shift them off their ideological views in support of privatization. Simply, some legislators do not appreciate the details of health policy. However, the provider community in attendance was essentially unanimous in their opposition to privatization. Sen. Standridge will continue to lead the effort to consider Medicaid options with all stakeholders, as this topic will undoubtedly be on the 2015 legislative agenda. 1
https://www.census.gov/compendia/statab/2012/tables/12s0709.pdf
OOA HOSTS OSMA, OHCA TO FIND A SOLUTION ON DRUG SCREEN LIMITS FOR MEDICAID PATIENTS patients. On July 24, the Oklahoma Health Care Authority (OHCA) released a memo to providers stating it has identified potentially abusive patterns for urine drug screening that exceed the recommended allowances based on clinical evidence and standards of care.
ported with HCPCS codes G0431 and/or G0434. Use of G0434 is for urine dipsticks or multiple drug cup devices, whereas G0431 comprises those chemical analyzers that are designed for high complexity office-based testing.” Oklahoma D.O. | November 2014
PAGE 21
The memo mentioned, “Qualitative drug screen testing (point of care) is only eligible for separate reimbursement when re-
Oklahoma D.O.
The Oklahoma Osteopathic Association recently hosted a meeting to discuss best practices for drug screening Medicaid
It went on to note, “For patients in chronic opioid treatment, the recommended testing frequency is at the initiation of opioid treatment, compliance monitoring within one to three month later, and random monitoring every six to 12 months.” The point of contention in the memo was the announcement that beginning Aug. 1, 2014, the OHCA was limiting reimbursement to four point-of-care tests every 12 months. OOA and OSMA lobbyists and staff led the charge to get this new ruling delayed and met with OHCA officials to reach an agreement on drug screen limitations that doesn’t interfere with the physician’s ability to practice medicine as effectively as possible. C. Scott Anthony, DO, a certified pain management physician from Tulsa, represented the OOA. Ervin Yen, MD, represented the OSMA. OHCA officials included Chief Medical Officer Sylvia Lopez, MD; Senior Medical Director Michael W. Herndon, DO; and Medical Director Kautilya Mehta, MD. Dr. Herndon provided the meeting introduction regarding the memo issued by the OHCA limiting drug screens to four per year. Dr. Herndon mentioned receiving response from several providers regarding this announcement and the importance of reaching a viable solution. Dr. Herndon reported the OHCA spent $3.6 million for urine screen testing reimbursements in 2011. So far this year, the OHCA is on track to spend $30 million. Generally, the issue is not with point-of-care testing but rather confirmatory testing in laboratories. He stated the authority needs to determine whether or not it’s medically necessary to do a $1,000 confirmatory test. Dr. Herndon referred to certain instances where labs were testing for six benzodiazepines, underscoring the excessive nature of certain laboratories. Dr. Herndon reported all evidence-based national associations point to a limit of four tests per year. The code for screens and the follow-up test is the same code, causing this usage limit to be reached sooner. It was agreed by all that if a patient admits to testing positive for a drug for which they were not prescribed, confirmatory tests are not needed. For reference, it was reported that dipstick test reimbursements are about $18. Dr. Herndon mentioned that if you send a dipstick test out, they’ll be reimbursed at about $31. The confirmatory tests reimburse at $15 for every drug tested (so a test for 5 drugs is $75). The same code is used for drug screens as well as point of care tests (G0431/G0434). A point-of-care test can be a dipstick,
Oklahoma D.O. PAGE 22
card, etc. This method could also be used for a follow-up test. After discussion, the following was agreed to effective Jan. 1, 2015:
• Point-of-care testing limits: 8 per patient, per year • Confirmatory testing limits: 40 drugs per patient, per year (such as testing for 5 drugs at a time, 8 times per year) with the appropriate code. Medical necessity for all tests were underscored.
Oklahoma D.O. | November 2014
The OOA Executive Committee reported its approval to the OHCA of these suggested limits as determined at the drug screen committee meeting. As of the publishing deadline, the OSMA had yet to approve the limits. OHCA officials planned to release an updated memo by Oct. 24 stating the reimbursements will continue through the end of the year just as they started, with the new rules taking effect Jan. 1, 2015.
INTERIM STUDIES TAKE CENTER STAGE, PROVIDE INSIGHT FOR 2015 LEGISLATIVE SESSIONS While many elected officials were out on the campaign trail in hopes of being re-elected, several continued with business as usual. Dozens of interim studies have taken place at the state capitol from corrections reform to adoption policy and everywhere in between. Committee member attendance can be sparse, but it does provide an opportunity for one or both sides of a particular issue to delve more deeply into policy than the hectic legislative session allows. House and Senate leadership approved a total of 119 interim studies. While some studies never materialized, others were hotly debated. On Sept. 30, the House Public Health Committee met to discuss and review a couple interim studies. Interim study 14022 by Rep. William Fourkiller, D-Stillwell, reviewed requirements for surgical technologists in Oklahoma. Rep. Fourkiller began the study by mentioning his assumption that all medical professionals in an operating room were certified. However, this is not the case for surgical technologists, or “scrub techs.” Rep. Fourkiller authored legislation each of the last two years seeking certification for surgical technologists, who are charged with keeping operating rooms sterile and anticipating threats of infection. Joining Rep. Fourkiller was Kim Shannon of Moore Norman Technology Center. Shannon has trained more than 300 surgical technologists now in the workforce. Shannon mentioned surgical technologists are the only member of the operating team without educational and certification requirements. She reported the legislation authored by Rep. Fourkiller would not cost the state money and would not cost anyone their job, as the bill comes with a “grandfather” clause. She suggested the bill would likely save individuals money as a safer operating room would likely lead to lower infection rates. Opponents of the legislation allege that this law could endanger free enterprise. It’s very likely Rep. Fourkiller will author this legislation again for the upcoming session.
Also reviewed by the House Public Health Committee was 14-073 by Rep. Charles Ortega, R-Altus. It focused on the Oklahoma Board of Nursing and its process for investigating and disciplining nurses. The study included a Nursing Board official, as well as an opposing nurse who was disciplined by the board. Julie Jones, a practicing nurse, was hurt on the job. Jones received medical treatment and an MRI during an emergency room visit. Afterwards, she went home and took pain medication. After becoming emotional at work the following day,
she was asked by a supervisor to undergo a drug test. As she admitted to using painkillers, she was asked to self-report to her board. Jones testified she did not hear from the board for nine months. Then, a year after self-reporting, her license was taken away. Mike Barber, an attorney and registered nurse, suggested the Nursing Board has been overzealous in disciplining nurses in recent years and stated he cannot find clear guidelines for violations and corresponding punishment by the board. He also stated the Nursing Board was too quick to discipline rather than prioritizing education. Ultimately, Jones simply wants to do her job and plans to work another 25 years in the profession. Kim Glazier, executive director of the Board of Nursing, started by informing the committee of the board’s statutory mandate to protect the public. Glazier reported a significant increase in the number of licensees regulated. In fiscal year 2014, there were 1,371 complaints received. Of those, 62% received cases (846), and 329 nurses received an administrative penalty and paid a total of $264,850. Rep. Arthur Hulbert, R-Fort Gibson, a physical therapist, asked why there was a delay in Jones’ case. Glazier replied there may be several open cases at a time and cases are prioritized. Typically, any complaint based on impaired behavior at work will be a top priority for investigators. However, the process also depends on how quickly nurses reply to subpoenas and accommodate the investigation. Rep. Pat Ownbey, R-Ardmore, expressed his surprise that there’s not a current rule requiring nurses to inform their supervising physician of their use of narcotics. Glazier replied this is the nurse’s responsibility. Rep. Ortega concluded the interim study by underscoring the significance of the duties performed by the Nursing Board and the importance of a system of checks and balances. According to the Oklahoma Board of Nursing 2013 Annual Report, there are slightly fewer than 50,000 registered nurses and just under 20,000 licensed practical nurses in Oklahoma. These numbers represent a dramatic increase over the past decade. In 2003, there were 32,485 registered nurses and 16,629 licensed practical nurses. The Board of Nursing employs 27 staffers, according to its website.
On Oct. 9, the Senate Health and Human Services Committee reviewed a study requested by outgoing Sen. Al McAffrey, D-Oklahoma City. Interim study 14-17 discussed the full recognition of the American Board of Physician Specialties (ABPS) by physician licensure boards in Oklahoma. Specifically, ABPS is seeking authority for the physicians it certifies to advertise that board certification on lab coats, business cards, and clinic doors, etc. Currently, the state licensure boards recognize physician certification from the American Board of Medical Specialties (ABMS) as well as the American Osteopathic Association Bureau of Osteopathic Specialists (AOABOS). Linda Gray Murphy, speaking on behalf of the ABPS, said the organization is much smaller than the ABMS and that every
member of the Medical Licensure and Supervision Board is a member of the of the American Board of Medical Specialists. Gray said their only request is for ABPS-certified physicians to be treated in the same way as the ABMS-certified physicians. The Oklahoma State Medical Association (OSMA) sent a letter to committee members expressing concern about the ABPS proposal and its potential to challenge the authority of the Oklahoma Board of Medical Licensure and Supervision. There are 70 state medical boards in the United States. Some provide oversight for osteopathic physicians alone, some for only medical doctors, and others are combined. The Oklahoma State Board of Osteopathic Examiners as well as the Oklahoma State Board of Medical Licensure and Supervision recognize ABPS certification, but state law doesn’t allow those physicians to advertise as being certified. A total of 20 state boards in the U.S. have restrictions on advertising. According to the American Board of Physician Specialties website, the American Association of Physician Specialists (AAPS) was founded by surgeons in 1950 and incorporated in 1952 as the American Academy of Osteopathic Surgeons. The AAPS physician certifying body is ABPS. While no agreement was reached during the interim study, Sen. Brian Crain concluded the meeting by asking all sides to work together to find a solution. It’s also important to note, as of the publishing of this report, the House interim study examining possible Prescription Monitoring Program (PMP) legislation has not been scheduled. It was requested by Rep. Doug Cox, R-Grove, and Rep. David Derby, R-Owasso. This article includes contributions from committee meetings provided by Journal Record Legislative Report.
OKLAHOMA OSTEOPATHIC ASSOCIATION
WHAT DO'S NEED TO KNOW File Meaningful Use hardship exemption – deadline: Nov. 30, 2014
CMS reopened the submission period for submitting hardship exemption applications following protests from numerous physician advocacy organizations regarding the original hardship exception deadline of April 1, 2014, for eligible hospitals and July 1, 2014, for eligible professionals. The new deadline for submitting a hardship exemption is Nov. 30, 2014. This reopened hardship exception application submission period is for eligible professionals and eligible hospitals that: • Have been unable to fully implement 2014 Edition CEHRT due to delays in 2014 Edition CEHRT availability; AND • Eligible professionals who were unable to attest by Oct. 1, 2014 and eligible hospitals that were unable to attest by July 1, 2014 using the flexibility options provided in the CMS 2014 CEHRT Flexibility Rule. View the CMS hardship exemption tip sheet for additional information or to access the hardship extension application. For additional
Oklahoma D.O. PAGE 26
information on Meaningful Use visit www.osteopathic.org/meaningfuluse.
HHS Secretary announces $840 million initiative to improve patient care and lower costs New initiative will support networks that help doctors access information and improve health outcomes Health and Human Services Secretary Sylvia M. Burwell announced an initiative that will fund successful applicants who work directly with medical providers to rethink and redesign their practices, moving from systems driven by quantity of care to ones focused on patients’ health outcomes, and coordinated health care systems. These applicants could include group practices, health care systems, medical provider associations and others. This effort will help clinicians develop strategies to share, adapt and further improve the quality of care they provide, while holding down costs. Strategies could include: • Giving doctors better access to patient information, such as information on prescription use to help patients take their drugs properly; Oklahoma D.O. | November 2014
• Expanding the number of ways patients are able to communicate with the team of clinicians taking care of them; • Improving the coordination of patient care by primary care providers, specialists, and the broader medical community; and • Using electronic health records on a daily basis to examine data on quality and efficiency. “The administration is partnering with clinicians to find better ways to deliver care, pay providers and distribute information to improve the quality of care we receive and spend our nation’s dollars more wisely,” said Secretary Burwell. “We all have a stake in achieving these goals and delivering for patients, providers and taxpayers alike.” Through the Transforming Clinical Practice Initiative, HHS will invest $840 million over the next four years to support 150,000 clinicians. With a combination of incentives, tools, and information, the initiative will encourage doctors to team with their peers and others to move from volume-driven systems to value-based, patient-centered, and coordinated health care services. Successful applicants will demonstrate the ability to achieve progress toward measurable goals, such as improving clinical outcomes, reducing unnecessary testing, achieving cost savings and avoiding unnecessary hospitalizations. The initiative is one part of a strategy advanced by the Affordable Care Act to strengthen the quality of patient care and spend health care dollars more wisely. For example, the Affordable Care Act has helped reduce hospital readmissions in Medicare by nearly 10 percent between 2007 and 2013—translating into 150,000 fewer readmissions—and quality improvements have resulted in saving 15,000 lives and $4 billion in health spending during 2011 and 2012. Building upon successful models and programs, such as the Quality Improvement Organization Program, Partnership for Patients with Hospital Engagement Networks, and Accountable Care Organizations, the initiative provides opportunities for participating clinicians to collaborate and disseminate information. Through a multi-pronged approach to technical assistance, it will identify existing health care delivery models that work and rapidly spread these models to other health care providers and clinicians. Practice Transformation Networks. CMS will award cooperative agreements to group practices, health care systems, and others that join together to serve as trusted partners in providing clinician practices with quality improvement expertise, best practices, coaching and assistance. These practices have successfully achieved measurable improvements in care by implementing electronic health records, coordinating among patients and their families, and performing timely monitoring and interventions of high-risk patients to prevent unnecessary hospitalization and readmissions. Practice Transformation Networks will work with a diverse range of practices, including those in rural communities and those that provide care for the medically underserved. Support and Alignment Networks. CMS will award cooperative agreements to networks formed by medical professional associations and others who would align their memberships, communication channels, continuing medical education credits and other work to support help identify evidence-based practices and policies and disseminate them nationwide, in a scalable, sustainable approach to improved care delivery. By participating in the initiative, practices will be able to receive the technical assistance and peer-level support they need to deliver care in care delivery system. Participating clinicians will thus be better positioned for success in the health care market of the future—one that rewards value and outcomes rather than volume. HHS encourages all interested clinicians to participate in this initiative. For more information on the Transforming Clinical Practice Initiative, please visit: http://innovation.cms.gov/initiatives/Transforming-Clinical-Practices/. Oklahoma D.O. | November 2014
PAGE 27
a patient-centric and efficient manner, which is increasingly being demanded by health care payers and purchasers as part of a transformed
Oklahoma D.O.
the Practice Transformation Networks and clinician practices. These Support and Alignment Networks would create an infrastructure to
OOA
Bureau News: Bureau on Membership The OOA Board of Trustees welcomes the following new members to the OOA family! Elizabeth A. Brewer, DO Family Practice Coweta Emma B. Harp, DO Family Practice Tahlequah Dustin O’Leath Hayes, DO General Practice Tulsa
AWARD NOMINATIONS The Oklahoma Osteopathic Association’s Bureau on Awards will meet Thursday, Feb. 5, 2015, to determine award recipients to be honored during the OOA’s 115th Annual Convention. These awards represent the highest honor the OOA can bestow in recognition of outstanding service and contribution to the osteopathic profession in Oklahoma. Only OOA members can submit an OOA Awards Nomination Form and all forms must be received in the OOA Central Office by Dec. 29, 2014. Please complete the form on page 29 by printing clearly or typing the name along with supporting information on why you are nominating this individual. Be sure to return the completed form to the OOA office by Dec. 29, 2014, for consideration by the OOA’s Bureau on Awards.
Joshuan N. Hicks, DO General Practice Ottumwa, Iowa BUREAU ON POSTGRADUATE EDUCATION
Oklahoma D.O. PAGE 28
OOA DISTRICT MEETINGS Now is the time to become active within your district. Join your fellow colleagues during the upcoming district meetings:
Northwest District Meeting Tuesday, Nov. 18, 2014
North Central District Meeting Tuesday, Dec. 9, 2014
Residents, showcase your research and win up to $1,500 at the Sixth Annual Research in Osteopathic Graduate Medical Education Poster Symposium! Read more on page 32.
Southwestern District Holiday Dinner Thursday, Dec. 11, 2014
Oklahoma D.O. | November 2014
OOA Awards Nomination Form The Oklahoma Osteopathic Association’s Bureau on Awards will meet Thursday, Feb. 5, 2015, to determine award recipients to be presented during the OOA’s 115th Annual Convention. These awards represent the highest honor the OOA can bestow in recognition of outstanding service and contribution to the osteopathic profession in Oklahoma. Only OOA members can submit an OOA Awards Nomination Form and all forms must be received in the OOA Central Office by Dec. 29, 2014. Please complete this form by printing clearly or typing the name along with supporting information on why you are nominating this individual. Be sure to return the completed form to the OOA office by Dec. 29, 2014, for consideration by the OOA’s Bureau on Awards.
DOCTOR OF THE YEAR AWARD The OOA Doctor of the Year Award is the most prestigious honor within the OOA. A nominee must: • Have been in practice for at least 10 years • Provide his/her community with compassionate, comprehensive and caring medical service on a continuing basis • Be directly and effectively involved in community affairs • Support his/her state and professional associations and humanitarian programs Nominee Name: Supporting Information:
OUTSTANDING & DISTINGUISHED SERVICE AWARD Honors a physician who has significantly contributed to improving the community and promoting osteopathic medicine Nominee Name: Supporting Information:
A.T. STILL AWARD OF EXCELLENCE Honors a physician who has contributed significantly to the advancement of osteopathic medical education in Oklahoma Nominee Name: Supporting Information:
ROOKIE PHYSICIAN OF THE YEAR AWARD Honors a physician in his/her second year of practice who has exemplified significant contributions and service to his/her school, community and Association Nominee Name: Supporting Information:
AWARD OF APPRECIATION Honors an OOA Member or friend of the osteopathic profession in Oklahoma who has donated his/her time and efforts to improve mankind Nominee Name:________________________________________________ Supporting Information:
OOA Member Name:___________________________________________________ Date:_________ Please return this form to the OOA Office by Dec. 29, 2014, by mail: 4848 North Lincoln Boulevard, Oklahoma City, OK 73105-3335 or by fax: (405) 528-6102
OEFOM Endowed Scholarship Criteria & Application
"Assisting Students in Achieving Their Dream of Becoming Osteopathic Physicians"
Application Requirements:
1. Candidates must submit a completed application form and a typed letter detailing qualifications for the scholarship award. 2. Typed letter indicating any specific financial criteria or factors that you believe will impede your commitment to Osteopathic education without scholarship support, along with your anticipated postgraduate practice plans. 3. Letters of support from one Osteopathic medical college faculty member, one Doctor of Osteopathic Medicine and one community leader must accompany the application. These letters will assist the selection committee in affirming standing with the college, professional demeanor, character, and ability and willingness to participate in community activities.
$7,000
was awarded to last year’s recipients
Eligibility Criteria:
Scholarship applicants must be lawful residents of the United States and meet one of the following requirements:
1. Non-independent students must have at least one parent, stepparent or court-appointed guardian who is an Oklahoma resident and who has claimed the applicant as a dependent on his/her federal income tax return for the previous year. 2. Independent students must have lived in Oklahoma in some capacity other than as a full-time student at a post-secondary institution for a period of at least 12 consecutive months prior to matriculation to medical school. Candidates must be able to demonstrate good standing at their college regarding academics, finances and conduct.
Other Considerations:
1. Preference will be shown to applicants who have completed two years of Osteopathic medical education and who indicate a desire to practice in Oklahoma. 2. Class standing and cumulative grade point averages will be a major determining factor in granting scholarship awards.
Other Information:
Oklahoma D.O. PAGE 30
Finalists may be interviewed by a designated Scholarship Committee Member comprised of members of the OEFOM and/or their designees. Scholarship awards will be deposited with the Office of the Bursar of the College and credited for tuition, books, fees and other applicable educational expenses. Funds will not be payable directly to the student. Scholarship awards may be “stacked” with other scholarship awards or financial aid. However, the total of these awards, excluding loans, may not exceed the educational costs for the scholarship year. OEFOM will make available the minimum amount of scholarship funds allocated by September 1, annually. Applications are due by February 6, and awards will be announced at the OOA’s 115th Annual Convention. Certain “named” scholarship funds may place additional restrictions on awards.
Oklahoma D.O. | November 2014 Candidates will be formally informed of amount and source of awarded scholarships.
OEFOM Endowed Scholarship Application
Please Complete the Following: Name: ________________________________________________________________________________ Permanent Address: ____________________________________________________________________ City: ______________________________________
ST: __________
Zip: ____________
Present Address: ____________________________________________________________________ City: ______________________________________ Phone Number: ______________________________
ST: __________
Zip: ____________
Email: _____________________________
Date of Birth: ________________________________ Hometown: _____________________________ (month/day/year) Marital Status (circle one): Married
Single
Divorced
Widowed
Parent's Name: ________________________________________________________________________ Parent’s Address: ____________________________________________________________________ City: ______________________________________
ST: __________
Zip: ____________
How long have you lived in Oklahoma?: __________________________________________________ High School, Community, Year of Graduation: _____________________________________________ Pre-Med College(s): ____________________________________________________________________ Dates of attendance Degree Name of Osteopathic Medical College: ___________________________________________________ (Attach transcript indicating cumulative GPA and class rank)
Classification: __________OMS-I
__________ OMS-II
__________OMS-III
Letters of Support
Each application must be accompanied by 3-letters of support, please indicate that information below:
_________________________________________________________________ Name (faculty member)
_________________________________________________________________ Name (Osteopathic physician)
_________________________________________________________________
check list
p 1 Application
p 1 Typed Letter of Qualifications p 1 Send to the OEFOM Oklahoma D.O. | November 2014 due
February 6, 2015
OEFOM 4848 North Lincoln Boulevard Oklahoma City, OK 73105-3335 or email: jessica@okosteo.org For more information: (800) 522-8379 (405) 528-4848 fax: (405) 528-6102 email: jessica@okosteo.org
PAGE 31
p 1 3 Letters of Support
Please send applications to:
Oklahoma D.O.
Name (community leader)
Oklahoma D.O. PAGE 32
Sponsored by Oklahoma Osteopathic Association Bureau on Postgraduate Education Kristopher K. Hart, DO, Bureau & Symposium Chair Timothy J. Moser, DO, Bureau Vice Chair Cash Prizes! $1,500 – First Place $1,000 – Second Place $500 – Third Place
Submission Guidelines www.okosteo.org
Abstracts due – January 23, 2015 Posters due – February 6, 2015 Symposium held during the OOA 115th Annual Convention April 30 – May 3, 2015 in Norman, Oklahoma Oklahoma D.O. | November 2014
2014-2015 Directory Order Form I would liked to order______ copies of the 2015 directory @ $55 per directory. Shipping and Handling is not included in the price, please call for pricing (405) 528-4848 or (800) 522-8379
PAYMENT INFORMATION: 1 I have enclosed a check in amount of $__________. 1 Please bill my credit card
Check card type: ______VISA ______MC ______AMX ______ DSC_____
Card Number:_____________________________________________
Name on Credit Card: _______________ _______________________
Signature: ___________________________Exp. Date____________
BILLING INFORMATION:
Company: __________________________________________________________
Contact Person: _____________________________________________________
Address: ___________________________________________________________
City: _____________________________________ State: _______ Zip: _________
Phone: ________________________________ Email: _______________________
Please return form by mail or fax
Mail: 4848 N. Lincoln Blvd. Oklahoma City, OK 73105-3335
FAX TO: (405) 528-6102
American Osteopathic Association Health For the Whole Family
A Closer Look at ALS Do you know someone who participated in the ALS Ice
help your doctor in their diagnosis,” says Dr. Lynch. These
Bucket Challenge? With countless videos flooding the inter-
signs include:
net, chances are the answer is yes. After the challenge has
•
Cramps
come and gone, will you know more about ALS? If your an-
•
Tight and stiff muscles
swer is no, you’re not alone. While the ALS initiative has
•
Muscle weakness affecting an arm or a leg
raised the profile of the disease, real awareness of this dis-
•
Slurred and nasal speech
ease still remains a challenge. John K. Lynch, DO, MPH,
•
Difficulty chewing or swallowing.
a board-certified neurologist from Bethesda, Md., provides
“Commonly, individuals first see the effects of the disease in
key information to help increase your understanding of this
the legs, hand or arm; and simple tasks such as buttoning a
life-altering disease.
shirt, writing, turning a key in a lock, walking or running become difficult,” says Dr. Lynch. “As the disease progress-
What is ALS?
es, problems with moving, swallowing, and forming words
According to Dr. Lynch, amyotrophic lateral sclerosis (ALS),
develops along with worsening muscle weakness and break-
also known as Lou Gehrig’s disease, is a rapidly progressive
down,” he continues. “Although the sequence of emerging
and fatal neurological disease that attacks the nerve cells re-
symptoms and the rate of disease progression vary from per-
sponsible for controlling the voluntary muscles in the arms,
son to person, eventually individuals won’t be able to stand
legs, and face. “Normally, nerve cells located in the brain,
or walk, get in or out of bed on their own, or use their hands
brain stem, and spinal cord serve as controlling units and
and arms,” he explains. “And, unfortunately, in the later stag-
vital communication links between the nervous system and
es of the disease, individuals will lose the ability to breathe
the voluntary muscles of the body,” explains Dr. Lynch. “For
on their own and depend on ventilator support for survival.”
Oklahoma D.O. PAGE 34
people with ALS, these nerve cells die and stop sending messages to muscles,” he continues. “Unable to function, the
Diagnosis
muscles gradually weaken and waste away, eventually elimi-
No single test can provide a definitive diagnosis of ALS. “Typ-
nating the ability of the brain to start and control voluntary
ically, a physician will base their diagnosis on an individual’s
muscle movement,” he adds. “With voluntary muscle action
medical history, observed symptoms, a series of tests to rule
progressively affected, patients in the later stages of the dis-
out other diseases, and a neurologic examination at regular
ease may become totally paralyzed.”
intervals to assess whether symptoms such as muscle weakness and breakdown are getting progressively worse,” explains
What are the Signs?
Dr. Lynch. Because of the prognosis carried by this diagnosis
“The onset of ALS may be so subtle that the symptoms are
and the variety of diseases or disorders that can resemble ALS
overlooked; however, there is a combination of signs that can
in the early stages, Dr. Lynch recommends patients obtain a
Oklahoma D.O. | November 2014
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.
second neurological opinion for confirmation of the disease.
respiratory failure, usually within three to five years from the onset of symptoms. “However, there is hope,” says Dr.
Treatment Options
Lynch. “Approximately 10% of those with ALS survive for
Unfortunately, there is no cure for ALS. “However, a physi-
10 or more years.”
cian who specializes in the disease can prescribe a treatment plan, including exercise and prescription drugs to help re-
Developing an ALS Plan of Action
lieve symptoms and improve quality of life,” says Dr. Lynch.
For people diagnosed with ALS, regularly consulting a phy-
“They may also recommend gentle stretching exercises and
sician who specializes in the disease is the best plan of ac-
low-impact aerobic exercise such as walking, swimming, and
tion. “They can explain the course of the disease and available
stationary bicycling to help strengthen unaffected muscles
treatment options so that you can make an informed deci-
and improve cardiovascular health. A sleep ventilation device
sion,” says Dr. Lynch.
may help sufferers who experience difficulty breathing during sleep,” he adds. Generally, most people with ALS die from
Oklahoma D.O. PAGE 35
Oklahoma D.O. | November 2014
r e b m e v o N days h t r bi
1st
Terry L. Nickels, DO Mallory C. Spoor-Baker, DO Tye W. Ward, DO Susan B. Young, DO
2nd
Melissa Ann Buessing, DO Jonelle G. Dutton-Gaddis, DO Pamela L. Wilson, DO
3rd
Brian S. McDowell, DO Timothy L. Moore, DO
4th
Frank L. Hubbard, DO Rodney O. McCrory, DO E. Robin Western, DO Rachel L. Whitehouse, DO
5th
Alexander Cunningham, DO Matthew C. Headrick, DO G. Douglas Menz, DO Trung H. Pham, DO Carl A. Thompson, DO
Oklahoma D.O. PAGE 36
6th
Walter F. Kempe, DO Nathan E. Myatt, DO Michael T. Ray, DO Judy H. Trent, DO
7th
Travis D. Campbell, DO Robin D. Hill, DO Roman H. Keller, DO Melinda L. Steelmon, DO
Oklahoma D.O. | November 2014
8th
Jason K. Benn, DO Ryan K. Hakimi, DO Donna M. Lukasek, DO Beverly J. Mathis, DO Steven L. Nussbaum, DO Jennifer W. Snow, DO
9th
Carol A. Hanson, DO Robert E. Kotch, DO Mark L. Mathers, DO Debra L. Montgomery, DO, MPH James Pham, DO Steven E. Watson, DO
10th
Jay D. Cunningham, DO Erica D. Dearman, DO Richard A. Felmlee, DO Kimberly D. Felten, DO Charles E. Henley, DO Edward A. Huber, DO Susan V. Mathew, DO Frank B. Parks, DO David W. Seitsinger, DO
11th
Fredrick W. Boling, DO Gina M. Caravaglia, DO Matthew D. Davis, DO Frank L. Frederick, DO
12th
Peter Baik, DO Kelley J. Joy, DO Tom F. Russell, DO Rita B. Sanders, DO Garrick L. Shreck, DO Adam B. Smith, DO David L. Smith, DO Stanley J. Smith, DO Brian M. Zimmer, DO
14th
Dee Duane Baughman, DO Kenny D. Bowlware, DO George M. Jennings, DO Sang H. Lee, DO Kristy J. Wingerter, DO
15th
Brian K. Berryman, DO Stephanie P. Christner, DO Kenneth W. Gibson, DO Randy J. Grellner, DO J. Matthew Roberts, DO Elsa S. Vadakekut, DO
16th
Michele Neil, DO Karen L. Schafer, DO
17th
Janet L. Garvin, DO Raji M. Gill, DO Mary Sue Kendrick, DO Duane G. Koehler, DO Michael H. Mowdy, DO Nelson C. Onaro, DO Thomas Salyer, DO
18th
Oklahoma D.O. | November 2014
25th
20th
26th
Whitney L. Cline, DO William A. Cooper, DO Margie D. Ott, DO Gerald D. Wootan, DO, MEd William P. Wylie, DO Boyd D. Burns, DO Darryl W. Jackson, DO
21st
Reza J. Azadi, DO Joy I. Ekpo, DO Joshua A. Gentges, DO Trenton F. Horst, DO Cynthia L. Nydick, DO Keith S. Patterson, DO William B. VanBurkleo, DO
22nd
Patrick F. Kelly, DO Larry T. Lovelace, DO Rachael L. McCracken, DO Randall S. Reust, DO James P. Sisk II, DO
23rd
J. Bradley, DO Sharolyn D. Cook, DO Brian T. Crotty, DO Matthew S. Dowell, DO Robert D. Holsey, DO Fred Wallace, DO
24th
Kevin W. Anderson, DO Bruce D. Cornett, DO Gregory W. Fairlie, DO John V. Kirk, DO Thomas H. Nulf, DO
Brian A. Coder, DO Scott J. Fowler, DO Zachary A. Fowler, DO Kala J. Omstead, DO Clayton Royder, DO Douglas R. Banning, DO Wayland R. Billings, DO Patrick P. Lo, DO G. Barry Robbins Jr., DO Brenda R. Stutzman, DO
27th
H. Zane DeLaughter, DO Leslie D. Holinsworth, DO Elliott R. Schwartz, DO
28th
Russell W. Anderson, DO Catherine G. Cudnoski, DO Diana L. DeFelice, DO Noel W. Emerson, DO Pamela R. Garner-Knickerbocker, DO Beth E. Hites, DO H. Diana O’Connor, DO
29th
William P. Becker, DO Henry S. Hewes, DO David M. Lovelace, DO
30th
Stephanie Forbes, DO Jeannie Owens, DO Bart A. Rider, DO Susan K. Steele, DO
PAGE 37
Michele M. Fowler, DO Dean R. Fullingim, DO Wyatt A. Pickering, DO Jeff S. Reid, DO
19th
Oklahoma D.O.
Adam J. Henson, DO Derek G. Howard, DO C. Shane Hume, DO Jeanie L. Klabzuba, DO Nathaniel D. Rapp, DO
13th
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and travel expenses. Call Rachelle at 877-377-3627 or send CV to
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Oklahoma D.O. | November 2014
SAVE THE DATE
Calendar of Events Nov. 18, 2014 Northwest District Meeting 6:30 p.m. Senior Life Network Community Room 4125 W Garriott Rd Enid, OK 73703 Dec. 4, 2014 OOA Bureaus & Board of Trustees Meetings OSU-COM Advisory Council Meeting OEFOM Board of Trustees Meeting Oklahoma City, OK
Oklahoma D.O. | November 2014
Feb. 5, 2015 OOA Bureaus & Board of Trustees Meetings OSU-COM Advisory Council Meeting Oklahoma City, OK
PAGE 39
Dec. 11, 2014 Southwestern District Meeting 6:30 p.m. Mike’s Sports Grille 517 E Gore Blvd Lawton, OK 73501
Jan. 30-Feb. 1, 2015 Winter CME Seminar “Bioterrorism: Bugs, Drugs & Thugs” Hard Rock Hotel & Casino 777 W Cherokee St Catoosa, OK 74015
Oklahoma D.O.
Dec. 9, 2014 North Central District Meeting 6:30 p.m. Hideaway 230 S Knoblock St Stillwater, OK 74074
Jan. 8, 2015 OOA Bureaus & Board of Trustees Meetings Oklahoma City, OK
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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SPRINGFIELD, MO Oklahoma D.O. | November 2014