The Journal of the Oklahoma OsteopathicAssociation
OKLAHOMA D.O. May/June 2013 October 2014
Volume 79, No. 4
Oklahoma D.O. PAGE 1
Oklahoma D.O. | October 2014
OKLAHOMA
do
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08 CENTERS FOR MEDICARE AND MEDICAID SERVICES In calendar year (CY) 2016, Medicare will apply the Value-Based Payment Modifier (Value Modifier) under section 1848(p) of the Social Security Act (the Act) to physician payments under the Medicare Physician Fee Schedule for physicians in groups with 10 or more eligible professionals (EPs).
FEATURED ARTICLES
Oklahoma D.O. PAGE 2
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AMERICAN INDIANS IN MEDICINE AND SCIENCE At OSU-CHS, a new office—Office for the Advancement of American Indians in Medicine and Science (OAAIMS)—has been created to increase the percentages pursuing higher education. Ultimately, the OAAIMS plans to work with the 39 federally recognized tribes in Oklahoma to encourage S.T.E.M. and health careers for their citizens and address their health and wellness needs.
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WHAT DO'S NEED TO KNOW On Aug. 22, the Drug Enforcement Agency (DEA) announced hydrocodone would be classified as a Schedule II prescription drug. This is a change from Schedule III and is effective Oct. 6, 2014 Oklahoma D.O. | October 2014
OCTOBER 2014
TABLE of CONTENTS Lynette C. McLain Editor
38
Lany Milner Associate Editor
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DETECTING THE SIGNS OF LYME DISEASE That bug bite from your last camping trip might not be as harmless as you think. Specifically, if you were bitten by a blacklegged tick carrying Borrelia burgdorferi, the bacterium that causes Lyme disease, that one bite can lead to years of trauma, from temporary muscle paralysis to memory problems and even meningitis.
DEPARTMENTS
7
2014 Post Trip Information
12
TMF To Lead Regional Health Care Improvement Initiatives
16
September Birthdays
18
October Birthdays
20
Legislative Report
28
Student Scoop
30
OEFOM News
36
OOA Bureau News
37
OOA Awards Nomination Form
40
2015 Winter CME Seminar Program
42
2015 Winter CME Seminar Registration Form
43
Classifieds
44
OSU Medical Center News
46
Obituaries
PAGE 3
President’s Message
Oklahoma D.O.
Oklahoma D.O. | October 2014
6
OKLAHOMA OSTEOPATHIC ASSOCIATION
OFFICERS
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)
TRUSTEES
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)
STAFF
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 The OOA Website is located at www.okosteo.org
Oklahoma D.O. | October 2014
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
— KIRK JEWELL, PRESIDENT, OKLAHOMA STATE
AND TRUSTED EXPERTISE.
UNIVERSITY FOUNDATION
FINANCIAL STABILIT Y RATING ® OF A, EXCEPTIONAL
Oklahoma D.O. | October 2014
PAGE 5
405.815.4800 | PLICO.COM
Oklahoma D.O.
THAT COMES WITH LOCAL SERVICE
michael k. cooper, DO, FACOFP President 2014 – 2015 oklahoma osteopathic association
Ah, the joys of fall—the kids are back in school, football has started and it is time to pay your 2014-2015 OOA dues. We appreciate your continued membership and investment in the future of osteopathic medicine in Oklahoma. Because of your membership and commitment, osteopathic medicine will always be an important part of health care in Oklahoma. The association has been busy with projects that will enhance the status of osteopathic medicine in Oklahoma. In July, the Oklahoma delegation was in the middle of the discussion to combine osteopathic and allopathic Graduate Medical Education (GME). Our concerns were heard at the House of Delegates. It is of major importance to our delegation that we keep our osteopathic graduate medical education programs open in Oklahoma. However, the merger was approved, and negotiations are moving forward. We were also able to provide white lab coats to 115 new osteopathic medical students at OSU. Also, with the help of the OEFOM, we were able to provide each first year student with a new Littman stethoscope. I would like to thank each of you for mentoring a first-year medical student. Your mentorship will go a long way in keeping osteopathic medicine relevant. I would like to personally thank Past President and Legislative Bureau Chair Leroy E. Young, DO; Past President Layne E. Subera, DO; President-Elect C. Michael Ogle, DO; and Vice President Gabriel M. Pitman, DO, for continuing to advocate on our behalf. They have been in countless meetings since the end of the last legislative session in an attempt to decrease government intrusion into the practice of medicine by either legislation or by rule change. We could also use your
Oklahoma D.O. PAGE 6
help with the proposed legislation/rule changes that may be coming with the next legislative session. I hope that you will consider participating in the Bureau on Legislation for this coming legislative session. The Pew Charitable Trust recently reported that osteopathic medicine is just what this country needs to meet its health care needs. It seems that the terms “patient-centered medical home” and “meaningful use” are just different terms for osteopathic medicine. It seems that now everyone wants to be like us. Let's use this opportunity to show the public what osteopathic medicine is all about.
Oklahoma D.O. | October 2014
Oklahoma Osteopathic Association Post OMED Convention Trip
TUCSOn Tanque Verde Ranch Oct. 29 - Nov. 1, 2014
Join Dr. Michael and Diane Cooper on a four-day post OMED convention getaway Oct. 29-Nov. 1, 2014, at Tucson, Ariz. Tanque Verde Ranch. The ranch stables approximately 180 horses and features activities that run the spectrum of outdoor excitement. You can enjoy riding on a walking trail, loping trail or on a breakfast trail ride. If horses are not your preference, you can partake in mountain biking, hiking, nature walks, fishing, tennis or just relaxing poolside. The resort offers indoor and outdoor pools, five tennis courts, an exercise room, large indoor and outdoor whirlpool spas, and basketball or fishing equipment. For an additional fee, championship golf is nearby or a soothing massage and/or body treatment may be scheduled at the La Sonora Spa. You will enjoy a buffet lunch on Wednesday, Oct. 29, at the resort and dinner at the highly popular Cowboy Cookout with live western entertainment in the Cottonwood Grove. The dinner offers grilled steak and chicken with all the assorted side dishes.
Enjoy a breakfast ride on Thursday or other activities such as golf or spa. Breakfast is served 7:00 a.m. to 9:30 a.m. A buffet lunch will be served on Thursday and Friday from 12:00 p.m. to 1:30 p.m. Dinner will be served at the resort from 5:30 p.m. to 8:00 p.m. Trip Price Includes: • Three nights accommodations at Tanque Verde Ranch, including hotel taxes and three meals daily, including the Cowboy Cookout and Thursday breakfast trail ride. • 3 hours of CME available • Access to any and all regularly scheduled ranch activities • Wi-Fi available in all guest rooms and throughout the resort • Coordination by Travel Leaders/Bentley Hedges Travel Not Included: Alcoholic beverages / Individualized airfare to Seattle and return from Tucson or roundtrip to Tucson / Roundtrip Transfers from Tucson airport to Resort / Harmony with Horses, Sunset Trail Rides (available upon request)
Visit tanqueverderanch.com to learn more about the resort’s activities and accommodations. • • •
• •
Terms and Conditions A valid photo ID is required for travel. Names on air ticket and birth date must be the same as on the passenger identification.
All payments are non-refundable. **Optional Trip Protection Insurance is available. Trip Cancellation, Trip Interruption, Missed Connection $250, Trip Delay up to $750, Medical Expense $25,000, Emergency Medical Transportation $250,000; Baggage and Personal Effects $1,000, Baggage Delay $250, Accidental Death and Dismemberment $25,000. Cancellation must be for a covered reason for insurance to be in effect. Details for purchase will be provided with receipt of deposit. Oklahoma D.O. | October 2014
PAGE 7
Air travel arrangements can be made from your home city to Seattle and return from Tucson to your home city. A flight from Seattle to Tucson is approximately $160. For those attending the Post Trip only, air arrangements on flights of your choice can be made to Tucson to meet with other participants. Bentley Hedges Travel will waive customary $30 fee per airline ticket for this event and will coordinate arrival and departure needs for airport transportation to the Ranch.
Oklahoma D.O.
Three night package: $950 - per person, double occupancy $1,325 - single occupancy $525 - per child (3 to 11 yrs) sharing with 2 adults Four night package: $1,225 - per person, double occupancy $700 - per child (3 to 11 yrs) sharing with 2 adults
CENTERS FOR MEDICARE AND MEDICAID SERVICES
center for
MEDICARE Action to Take for Groups with 10 or More Eligible Professionals In Order To Avoid the Automatic CY 2016 ValueBased Payment Modifier Downward Payment Adjustment
In calendar year (CY) 2016, Medicare will apply the Value-Based Payment Modifier (Value Modifier) under section 1848(p) of the Social Security Act (the Act) to physician payments under the Medicare Physician Fee Schedule for physicians in groups with 10 or more eligible professionals (EPs). EPs consist of physicians, practitioners, physical or occupational therapists, qualified speech-language pathologists, and qualified audiologists. A group of physicians is defined by its Medicare-enrolled Taxpayer
Oklahoma D.O. PAGE 8
Identification Number (TIN). CY 2014 is the performance period for the Value Modifier that will be applied in CY 2016. In order to avoid an automatic negative two percent (“-2.0%�) Value Modifier payment adjustment in CY 2016, EPs in groups of 10 or more must participate in and satisfy the Physician Quality Reporting System (PQRS) requirements as a group or as individuals in CY 2014, as described below. We note that quality-tiering is mandatory for groups subject to the Value Modifier in CY 2016. Additional information about quality-tiering is provided below. Medicare will not apply the CY 2016 Value Modifier to a group of physicians if one or more physicians in the group participates in the Medicare Shared Savings Program, the Pioneer ACO Model, or the Comprehensive Primary Care Initiative in CY 2014. Oklahoma D.O. | October 2014
For purposes of the Value Modifier, a group with 10 or more EPs can participate in the PQRS in CY 2014 by choosing one of the two following options:
OPTION 1: PARTICIPATE IN THE PQRS AS A GROUP PRACTICE Groups of 10 or more EPs can avoid the automatic “-2.0%” Value Modifier payment adjustment in CY 2016 by participating in the PQRS Group Practice Reporting Option (GPRO) in CY 2014 and meets the satisfactory reporting criteria to avoid the “-2.0%” CY 2016 PQRS payment adjustment. Groups can participate in the 2014 PQRS GPRO by selecting one of the GPRO reporting mechanisms:
•
Qualified PQRS Registry
•
Electronic Health Record (EHR)
•
Web Interface (for groups with 25 or more EPs only)
•
Consumer Assessment of Health Providers and Systems (CAHPS) Survey via a CMS-certified Survey Vendor (as a supplement to another GPRO reporting mechanism; groups can elect whether to include
the results of the CAHPS survey in the calculation of their CY 2016 Value Modifier; the survey is
available for groups with 25 or more EPs only and the cost of administration is covered by CMS for
2014) Groups can register to participate in the 2014 PQRS GPRO via the Physician Value-Physician Quality Reporting System (PV-PQRS) Registration System. The Registration System allows authorized representatives of a group to register to parportal.cms.gov using an Individuals Authorized Access to the CMS Computer Services (IACS) account. Please see the instructions provided on page 11 on how to obtain an IACS account.
Oklahoma D.O. | October 2014
PAGE 9
ticipate in the 2014 PQRS GPRO until Sept. 30, 2014, 11:59 p.m. EDT. Please access the Registration System at https://
Oklahoma D.O.
If groups choose Option 1, then an authorized representative from each group must get an IACS account and register each group to participate in the 2014 PQRS GPRO in the Registration System as soon as possible and prior to the Sept. 30, 2014, registration deadline. A quick reference guide for registering for the 2014 PQRS GPRO is available in the “Downloads” section of CMS’ Registration website located at: http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/Self-Nomination-Registration.html. As noted above, groups with 10 or more EPs must meet the satisfactory reporting criteria through the PQRS GPRO to avoid the “-2.0%” CY 2016 PQRS payment adjustment in order to also avoid the automatic “-2.0%” Value Modifier payment adjustment in CY 2016. More information about the CY 2016 PQRS payment adjustment is located at: http://www. cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/Payment-Adjustment-Information.html.
OPTION 2: PARTICIPATE IN THE PQRS AS INDIVIDUALS Groups with 10 or more EPs can avoid the automatic “-2.0%” Value Modifier payment adjustment in CY 2016, if the EPs in each group participate in the PQRS as individuals in CY 2014 and at least 50% of the EPs in each group meet the satisfactory reporting criteria as individuals (or in lieu of satisfactory reporting, satisfactorily participate in a Qualified Clinical Data Registry) to avoid the “-2.0%” CY 2016 PQRS payment adjustment. EPs can participate in the PQRS as individuals in CY 2014 via one of the following four reporting mechanisms:
•
Medicare Part B Claims
•
Qualified PQRS Registry
•
Electronic Health Record (EHR)
•
Qualified Clinical Data Registry
No registration is necessary for a group if the EPs in the group participate in the PQRS as individuals. However, each group must ensure that at least 50% of the EPs in the group meet the criteria to avoid the “-2.0%” CY 2016 PQRS pay-
Oklahoma D.O. PAGE 10
ment adjustment in order for the group to avoid the automatic “-2.0%” Value Modifier payment adjustment in CY 2016. Please note that under this option, only the EPs in the group that satisfactorily report (or satisfactorily participate) under the PQRS as individuals in CY 2014 will avoid the CY 2016 PQRS payment adjustment, while the remaining EPs will be subject to the PQRS payment adjustment. For more information about the CY 2016 PQRS payment adjustment, please see the website listed above. Please note that group practices and EPs participating in the PQRS through another CMS program (such as the Medicare Shared Savings Program, the Pioneer ACO Model, or the Comprehensive Primary Care Initiative) should check the program’s requirements for information on how to take part in the PQRS. Oklahoma D.O. | October 2014
A GROUP’S PERFORMANCE ON QUALITY AND COST MEASURES IN CY 2014 CAN MAKE A DIFFERENCE IN ITS CY 2016 PAYMENTS Quality-tiering is the methodology that is used to evaluate a group’s performance on cost and quality measures for the Value Modifier. For the CY 2016 Value Modifier, quality-tiering is mandatory for groups with 10 or more EPs based on group size in CY 2014. Groups with 10 or more EPs that avoid the automatic “-2.0%” Value Modifier payment adjustment in CY 2016 by meeting the criteria to avoid the CY 2016 PQRS payment adjustment as a group or as individuals in CY 2014, as described under Options 1 and 2 above, will be subject to quality-tiering. This means that: (1) groups of 100 or more EPs could receive an upward, neutral (meaning no adjustment), or downward Value Modifier adjustment to Medicare PFS physician payments for CY 2016 based on their performance on quality and cost measures in CY 2014; and (2) groups with between 10 and 99 EPs could receive an upward or neutral adjustment for CY 2016 and are held harmless from any downward adjustment derived under the quality-tiering methodology. The maximum downward adjustment for groups of 100 or more EPs is “-2.0%” (if classified as low quality/high cost). Groups with 10 or more EPs may qualify for an upward adjustment of up to +2.0 times a specified adjustment factor that will be determined after the end of CY 2014.
OBTAINING AN IACS ACCOUNT IS REQUIRED (if Choosing Option 1) To access the Registration System in order to register for a 2014 PQRS GPRO, an authorized representative of the group must have an IACS account with a “PV-PQRS Group Security Official” role. If the group does not yet have an authorized representative with an IACS account, then one person representing the group must sign up for an IACS account with the primary “PV-PQRS Group Security Official” role. If the group has a representative with an existing IACS account, but not one with the primary “PV-PQRS Group Security Official” role, then please check with the QualityNet Help Desk that the account is still active and add this role to that person’s existing IACS account. Group representatives can sign up for a new IACS account or modify an existing account at https://applications.cms.hhs.gov. Please
Additional Resources
delays in obtaining an IACS account. Also,
More information about the Value Modifier program is available at:
please note that it takes approximately 24
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/Physi-
hours for CMS to process an IACS account
cianFeedbackProgram/index.html
request; therefore, an IACS account must be obtained in advance so that the group’s
More information about the PQRS program is available at:
registration can be submitted by Sept. 30,
http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-In-
2014. A guide with step-by-step instruc-
struments/PQRS/index.html
account is available in the “Downloads”
For questions about the Value Modifier, the IACS sign up process, or partici-
section of CMS’ Registration website listed
pating in the 2014 PQRS as a group or individual, please contact the Quali-
above.
tyNet Help Desk at 1-866-288-8912 or via email at qnetsupport@hcqis.org.
Oklahoma D.O. | October 2014
PAGE 11
tions for obtaining an appropriate IACS
Oklahoma D.O.
complete this step to avoid any last minute
TMF TO LEAD REGIONAL HEALTH CARE
Oklahoma D.O. PAGE 12
improvement
INITIATIVES
Oklahoma D.O. | October 2014
TMF Health Quality Institute has been designated the Quality Innovation Network Quality Improvement Organization (QIN-QIO) by the Centers for Medicare and Medicaid Services for Arkansas, Missouri, Oklahoma, Puerto Rico and Texas.
TMF has built a strong quality improvement team throughout the
• Reducing harm in nursing homes
multi-state region to form the TMF QIN-QIO. Developing and
• Assisting physicians and hospitals with quality reporting
maintaining strong partnerships with providers, state associations,
• Helping communities improve the coordination of health care
and other state and local stakeholder organizations will be important
for patients to help reduce unnecessary hospital readmissions
to achieving our joint goals of improving the quality of health care and achieving vibrant and successful health care communities. We are
The TMF QIN-QIO will engage health care providers and stakehold-
excited by the opportunity to work with providers and stakeholders
ers in the improvement initiatives through numerous Learning and
on CMS state and regional initiatives. The QIN-QIO role is to act as
Action Networks (LAN). The networks are Web-based opportunities
facilitators, conveners and quality improvement technical experts to
for participants to engage and share best practices through online
support and enhance your quality improvement efforts, spread qual-
forums, as well as recorded and live webinars. The LANs also offer
ity improvement knowledge and expertise, and create an all-share,
useful tools, resources and the latest health care news. All interested
all-teach learning environment. Our goals are to achieve significant
providers and stakeholders are encouraged to create an account and
improvements in health care quality, to be a trusted partner in your
take advantage of the wealth of information and educational events
efforts to provide the highest quality and most efficient care to your
that will be available to support your organization’s quality improve-
patients, and to assist you in becoming a successful partner in value-
ment efforts. The TMF QIN-QIO will offer targeted technical as-
based purchasing.
sistance to providers participating in the projects. We will be actively reaching out and recruiting physicians, nursing homes, home health
The five-year contract directs specific health care improvement initia-
agencies and hospitals to participate over the next several months, but
tives to accomplish better care, better health for people and commu-
feel free to contact us if you would like more information or want to
nities, and affordable care through improvements.
identify your opportunities to participate. There is contact informa-
Initiatives include:
can submit a question to the QIN-QIO team online.
• Improving cardiac health and reducing cardiac health care disparities
To join the networks and learn more about each of the projects visit http://www.tmfqin.org/ and create an account. The TMF QIN-QIO
• Improving prevention efforts through Meaningful Use of
has more than 40 years’ experience successfully helping health care
health information technology • Reducing infections in hospitals Oklahoma D.O. | October 2014
practitioners improve care for their patients.
PAGE 13
• Reducing disparities in diabetes care
Oklahoma D.O.
tion on each network page to reach the team for the project, or you
OSU-Center for Health Sciences
AMERICAN INDIANS IN
MEDICINE AND SCIENCE provided by: Kent Smith, Ph.D., Associate Dean, Office for the Advancement of American Indians in Medicine and Science and Associate Professor Department of Anatomy and Cell Biology
At OSU-CHS, a new office—Office for the Advancement of Ameri-
Medicine and Science, OSU-CHS is reaching out to tribal lead-
can Indians in Medicine and Science (OAAIMS)—has been created
ers across the state to develop partnerships and showcase programs
to increase the percentages pursuing higher education. Currently,
available to American Indians at OSU-CHS. The Native Explor-
the American Indian population in Oklahoma is about 9% or about
ers program is the cornerstone of this new office. This program is
480,000 individuals.5 Ultimately, the OAAIMS plans to work with
for American Indians 18 and older; draws from the disciplines of
the 39 federally recognized tribes in Oklahoma to encourage Science,
anatomy, paleontology and medicine; and weaves Native culture and
Technology, Engineering, and Mathematic (S.T.E.M.) and health ca-
tradition into the curriculum. Since 2010, physicians and scientists
reers for their citizens and address their health and wellness needs.
from OSU-CHS, including Robin R. Dyer, DO, and Kent Smith,
Oklahoma D.O. PAGE 14
Ph.D., and scientists from the Sam Noble Oklahoma Museum of President Kayse M. Shrum, DO, was instrumental in establishing
Natural History, including Nicholas Czaplewski, Ph.D., numerous
the Office for the Advancement of American Indians in Medicine
OSU-CHS medical students, and educational and cultural leaders
and Science at OSU-CHS. Her commitment to train physicians for
of the Chickasaw Nation, including Danny Wells, Chris Kates, Lisa
rural and underserved areas of Oklahoma complements the primary
Gore, Lisa John and Lori Hamilton, have mentored nearly 50 Ameri-
goals of the OAAIMS. The new office will work to provide training
can Indian undergraduate and graduate students through scientific
in the medical field for Oklahoma’s tribal Nations and collaborate
expeditions.
with them, as they partner with OSU-CHS in the establishment of additional training sites in Oklahoma.
Other projects include creating the Native STARS program and partnering with Operation Orange to recruit American Indian high
Through the Office for the Advancement of American Indians in
school students for careers in science and medicine. Ashley Milton,
REFERENCES:1. http://www2.census.gov/acs2012_5yr/summaryfile/ACS_2008-2012_SF_Tech_Doc.pdf 2. http://www.nsf.gov/statistics/wmpd/2013/pdf/tab9-12_updated_2013_11.pdf 3. http://www.usnews.com/education/high-schools/articles/2013/06/06/graduation-rates-dropping-among-native-american-students 4. http://www.nsf.gov/statistics/seind14/index.cfm/chapter-2/c2h.htm 5. http://quickfacts.census.gov/qfd/states/40000.html
Oklahoma D.O. | October 2014
special projects coordinator, reported over 24% of the 2014 Operation Orange participants were American Indian. With the help of three American Indian medical students, four new S.T.E.M./mini med camps were presented in the Durant area to underserved youth
(pictured above from left to right) OSU-Center for Health Sciences medical students Linsea Howard, Cherokee; Rafe Coker, Choctaw; and Colby Degiacomo, Choctaw, presenting S.T.E.M. and mini med workshop to the Choctaw Nation Youth Advisory Board in Durant, Okla.
(grades 1-4) and the Choctaw Nation Youth Advisory Board (grades 11-12). These innovative programs were sponsored by the Choctaw Nation. Interim Senior Associate Dean of Academic Affairs and Associate Dean of Rural Health William J. Pettit, DO, and Associate Dean for
According to the 2010 U.S. Census Bureau, the population of
Rural Tribal Medical Education,
American Indian or Alaska Native in the United States is about
Douglas C. Nolan, DO, are guiding efforts to address training in
0.7%; whereas, in Oklahoma the population is about 9%.1 In
the medical field for tribal nations. The Office for the Advancement
the United States, only 0.24% of the S.T.E.M. (science, tech-
of American Indians in Medicine and Science will be a resource for
nology, engineering, and mathematics) and health doctorate
tribes in providing much needed health care to our state’s citizens.
holders employed as administrators, faculty, or staff (including
References:
Oklahoma D.O.
adjunct and research faculty, teaching assistants, and postdoc positions) at universities and four-year colleges are American
Medicine and Science will coordinate efforts to increase the number
Indian or Alaska Native.2 In 2010, 51% of American Indian
of American Indians applying and accepted to the College of Os-
students earned a high school diploma, which is 4.0% less than
teopathic Medicine and graduate programs in health care adminis-
graduated high school in 2008.3 Of those who graduate high
tration, biomedical sciences and forensic sciences at OSU-CHS. An
school and pursue a higher education, less than 2.5% choose to
increase in American Indians in these career fields will have positive
enter the S.T.E.M. fields.4
impacts on American Indian tribes and all Oklahomans. Oklahoma D.O. | October 2014
PAGE 15
Ultimately, the Office for the Advancement of American Indians in
r e b m e t p s e y a S hd t r i b
1st
Michael A. Baxter, DO Ross E. Pope, DO Bruce E. Baugher, DO Erich H. Muckala, DO Tammie L. Koehler, DO Thelma L. Peery, DO Paul M. Dichter, DO Jana N. Baker, DO Stacey Thao Phan, DO
2nd
Debra A. Crawford, DO James D. McKay, DO Timothy E. King, DO Gary L. Patzkowsky, DO Robert R. Merwick, DO Gary Gramolini, DO
3rd
David C. Jennings, DO Michael J. Pace Jr., DO Dawn M. Lovins, DO Peter P. Chan, DO J. William Anthamatten, DO Harry Whetstone, DO
4th Oklahoma D.O. PAGE 16
Susanne P. Thompson, DO John T. Main, DO
5th
Michael E. Lenhart, DO Kevin G. Baker, DO Madhuri J. Lad, DO Andrea S. Hakimi, DO David W. Dillow, DO Uyen Nguyen, DO
6th
Rodger C. Mattson, DO Steven D. King, DO Oklahoma D.O. | October 2014
John D. Wells, DO Christy J. Mareshie, DO Andrew R. Briggeman, DO Kendall W. Southern, DO Jim Davis, DO Victoria Mills, DO
7th
Megan A. Meyer Hanner, DO William B. Price Jr., DO Ruth E. Moore, DO Lawrence E. Vark, DO Arthur G. Wallace Jr., DO James R. Beymer, DO
8th
Brendon D. McCollom, DO Jeffrey M. Williams, DO Douglas M. Vaughn, DO John P. Weddle, DO John R. Zanovich, DO
9th
Dale B. Smith, DO G. Davin Haraway, DO Carolyn J. Pimsler, DO Rajendra K. Motwani, DO Todd L. Mapes, DO Paul S. Ruble, DO David S. Krug, DO
10th
11th
12th
Scott A. Cordray, DO D. Brent Rotton, DO Oklahoma D.O. | October 2014
13th
20th
Joy C. Wethern, DO John C. Stepanek, DO A. Carson Todd, DO Ronnie L. Keith, DO Donald M. Dushay, DO Tyson R. Trimble, DO Thomas W. Allen, DO, MPH
Scott A. Williams, DO John C. Mannahan, DO Sarah L. Oberste, DO Patrick B. O’Hayre, DO Carole C. Howard, DO Randel D. Estep, DO Dale K. Williams III, DO Ronnie L. Carr, DO
21st
25th
Elizabeth A. Nettles, DO L. Faye Buchanan, DO Caryn J. Roelofs, DO Kenneth Jerome Hamby, DO Manuel O. Crespo, DO Dale Derby, DO
26th
Elizabeth D. Dunlap, DO Frederick H. Northrop, DO Mitchell L. Earley, DO Michael W. Griffin, DO Afsar Emery, DO
15th
Christopher C. Schmidt, DO Brian D. Pratt, DO Patrick J. O’Neill, DO Gregory J. Zeiders, DO Thomas L. Harrison, DO Jeffrey L. Shipman, DO Jim R. Herndon, DO
28th
16th
Richard D. Brock, DO Samuel J. Pangburn, DO Lydia J. Dennis, DO Tammi M. Lahr, DO Erin Powers Kinney, DO Joe A. Witten, DO Lance E. Rosson, DO Arthur G. Coder, DO Philip J. Traino Jr., DO Pamela Jo Hyde, DO Frances M. Horn, DO Michael P. Souter, DO David W. Behm, DO
29th
14th
Tony A. Little, DO Robert L. Winter, DO Michele M. Coulter, DO Eric W. Mix, DO Jay C. Belt, DO Peter C. Lafon, DO Alfred C. Husen, DO Thomas V. Nunn, DO Jim Blunk, DO Duane A. Lukasek, DO James A. Coder III, DO Judy L. Magnusson, DO Stuart W. Schrader, DO
17th
Hal D. Martin, DO R. Gene Moult, DO Michael R. Schiesel, DO
18th
Michael A. Lee, DO Kevin D. Dare, DO Ryan W. Oden, DO
27th
22nd
Gary K. Goforth, DO Robert L. Shepler, DO Steve P. Sanders, DO, MBA Melinda S. Powers, DO JoeBob Kirk, DO
23rd
Harvey A. Drapkin, DO Chad D. Willis, DO Michael H. Whitworth, DO Dustin O’Leath Hayes, DO Kris Parchuri, DO
24th
John B. Hughes, DO Kathy D. Johnson, DO John D. DeWitt, DO Ashley N. Estep, DO Melinda Dandridge, DO
Martin D. McBee, DO William H. A. Martin, DO Eric S. Mills, DO Robert V. Hensley, DO
30th
Jeremy D. Bearden, DO Kellie D. Van Tuyl, DO William H. Chesser, DO Bob J. Thompson, DO Kathleen Murray, DO
PAGE 17
Jerry M. Quiring, DO Stephen R. Barnes, DO G. Raymond Denny, DO
19th
Oklahoma D.O.
Colin A. Marouk, DO Cynthia K. Bruns, DO Sarah L. Carter-Layman, DO Laren W. Hightower, DO
Dawna L. McCreight, DO John S. Dennis, DO Samuel W. Price, DO Micheal Durham, DO
r e b o t c s o y a d h t r i b 1st Myra A. Gregory, DO Jonathan A. Bryan, DO Gregory D. Pickett, DO Jenny J. Alexopulos, DO Gerald R. Hale, DO
2nd Oliver A. Cerqueira, DO Amanda G. Foster, DO Jessica K. Cunningham, DO Kim S. Young, DO 3rd Shannon N. Boughner, DO Lois S. Beard, DO
Oklahoma D.O. PAGE 18
4th Douglas A. Powell, DO Renee M. Frenier, DO Ryan P. Conley, DO Tracey Way Childers, DO Billy Edwards, DO 5th Paul A. Reel, DO Wayne A. Huey, DO Dawn A. Mayberry, DO James H. Anderson, DO Sheila J. Stanek, DO David L. Thompson, DO Christopher R. Blevins, DO 6th H. Keith Boren, DO Lisa L. Crawford, DO Amy L. Gregory, DO Zoobia Mirza, DO
7th Lee A. Kirsch, DO Emery L. Suderman, DO Klaus P. Appel, DO
8th Lauren Cathleen Hopkins, DO Jerry D. Scholz, DO Glenn L. Smith, DO Thomas W. McCulloh, DO 9th Christopher A. Shearer, DO Kim K. Hunter, DO Marshall L. Rea, DO Tiffany Rae Ferguson, DO 10th Layne E. Subera, DO Jarrod J. Mueggenborg, DO Kelly L. Shuler, DO Binh T. Phung, DO Dale W. Bratzler, DO, MPH Mark W. Newey, DO 11th Ryan C. Johnson, DO Wendell L. Richards, DO Robert M. Wakefield, DO 12th Debbie A. Gladd, DO Carl B. Pettigrew, DO Louise E. Price, DO K. Eric Markert, DO John F. Rice, DO Monica M. Woodall, DO Grace R. Kennedy, DO
Oklahoma D.O. | October 2014
Ronald S. LaButti, DO Timothy T. McCay, DO Jess T. Roy, DO 13th Robert B. Lawson, DO Kyle C. Wooderson, DO Michael F. Stratton, DO Billy G. Henderson, DO Courtney L. Swartz, DO Jeffrey M. Calava, DO Derek M. Matheson, DO M. Todd Reilly, DO 14th Bradley C. Taylor, DO Christine Calabrese Wilson, DO 15th Curtis A. Phillips, DO Rick A. Gigante, DO Evan D. Cole, DO Edward H. Yob, DO Jimmie Sue Hill, DO 16th Bruce A. Stafford, DO John L. Cherry, DO Ruth M. Bennett, DO J. Michael Ritze, DO Neal S. Templeton, DO 17th Christopher A. Edge, DO Ian D. Bushyhead, DO Richard E. Mills, DO Colm P. McCauley, DO D. Paul Campbell, DO Donald R. Klinger, DO
Oklahoma D.O. | October 2014
21st Gregory B. Vanzant, DO John D. Conley, DO Fred J. Crapse Jr., DO Jillian R. Riggs, DO 22nd Sheldon C. Berger, DO Dale D. Reinschmiedt, DO Christopher J. DeLong, DO Christopher M. Lee, DO 23rd Scott A. Ghere, DO John J. Harrison, DO Wesley M. Ingram, DO Thomas W. Britt, DO 24th Johnny D. Duncan, DO Thomas M. Auxter, DO Garrett R. Zelkind, DO Lee Vander Lugt, DO 25th Gregory A. Rogers, DO Ryan A. Pitts, DO Vincel Ray Cordry Jr., DO 26th Angela I. Carrick, DO Barclay J. Sappington, DO Sharon K. Little, DO Rheydene Suzanne Ferguson, DO
28th Ruth A. Miller, DO Anastasia C. Fisher, DO James E. Magnusson, DO Steven S. Sands, DO Brandon Rhinehart, DO 29th James E. Forrestal, DO Timothy F. Rathbun, DO Dixie L. Grant-Collins, DO Kenneth R. Watson Jr., DO R. Griffith, DO Kathryn Trusell, DO 30th Felino A. Pascual, DO J. Douglas Duke II, DO Scott M. Koch, DO Jack Michael Shearer, DO David R. White, DO Larry T. Shepherd, DO 31st Tracy A. Hoos II, DO Jayson D. Henry, DO R. David Hill, DO Nicholas J. Bentley, DO Leslie J. Rebtoy, DO G. Kirk Gastineau, DO
PAGE 19
19th Chris B. Slater, DO Steven D. Hinshaw, DO
20th Timothy A. Soult, DO Paul E. Battles, DO Julie H. Dudley, DO Jawaun M. Lewis, DO W. Richard Loerke, DO
27th Cheryl B. Kroeker, DO Keri D. Smith, DO Christopher L. Cole, DO Kayse M. Shrum, DO Jason M. Taylor, DO
Oklahoma D.O.
18th Scott A. Mitchell, DO Steven E. Cox, DO Danny L. Resser, DO Mark L. Wellington, DO John T. Galdamez, DO Keely W. Wheeler, DO
Shon D. Kendall, DO Stephen G. Bovasso, DO Stephen G. Jaskowiak, DO Clint J. Basener, DO Daniel K. Wooster, DO Jefferey L. Davis, DO Hooby P. Yoon, DO Gregory P. DiSalvatore, DO William Herron, DO
legislative
REPORT Provided by: Matt W. Harney, MBA, Director of Advocacy and Legislation
LEGISLATIVE LEADERS APPROVE SEVERAL INTERIM STUDIES REVIEWING HEALTH CARE The Oklahoma House of Representatives requested 93 interim studies to be heard in advance of the 2015 legislative session. Speaker of the House Jeff Hickman, R-Fairview, approved 61 studies and assigned them to a committee. Several were consolidated with other requests, and 10 more were simply declined. An interim study of special interest is 14-028, which will review the prescription monitoring program. Both Rep. Doug Cox, MD, R-Grove, and Rep. David Derby, R-Owasso, requested a study and they were combined into one. The study was assigned to the Public Health Committee, which is chaired by Rep. Derby. Other approved interim studies of interest include: 14-022 by Rep. Will Fourkiller, D-Stilwell: studies the entry to practice requirements for surgical technologists in Oklahoma. Testimony may be provided by the Oklahoma State Assembly of the Association of Surgical Technologists and the Oklahoma Hospital Association. 14-031 by Reps. Marty Quinn, R-Claremore; Dennis Brumbaugh, R-Broken Arrow; Glen Mulready, R-Tulsa (combined with a request from Rep. Lewis Moore, R-Arcadia): reviews overall cost, increased allowance, and possible solu-
Oklahoma D.O. PAGE 20
tions for reducing the rising costs associated with flex benefits. 14-042 by Rep. Dan Kirby, R-Tulsa: discusses the health and economic benefit of establishing smoke-free laws. 14-043 by Rep. Dan Kirby, R-Tulsa: discusses the benefits of athletic trainers at youth sports. 14-053 by Reps. David Dank, R-Oklahoma City and Richard Morrissette, D-Oklahoma City: examines many aspects of nursing homes, including direct care staffing levels, role and prevalence of resident councils and family councils, required emergency medical equipment, disclosure of nursing home ownership, Dept. of Health investigation protocols, restrictions and requirements of physical and chemical restraints, and nursing homes for veterans among other items. Oklahoma D.O. | October 2014
14-061 by Rep. Jon Echols, R-Oklahoma City: reviews the certification of home care and hospice administrators. 14-063 by Rep. Jon Echols, R-Oklahoma City (combined with a request from Rep. Joe Dorman, D-Rush Springs): reviews allowing medical trials for the use of non-intoxicating CBD (cannabidiol) oil for severe seizure disorders in children. 14-073 by Rep. Charles Ortega, R-Altus: studies the impact of rule requirements to maintain an active nursing license. 14-079 by Rep. Emily Virgin, D-Norman (combined with a request from Reps. Joe Dorman, D-Rush Springs and Chuck Hoskin, D-Vinita): reviews the options for providing health coverage to Oklahomans who remain uninsured. All were assigned to the House Public Health Committee except 14-053 (Long-term Care), 14-061 (Long-term Care), and 14-079 (Appropriations and Budget). The Senate President Pro Tempore Brian Bingman has also approved interim requests. Fifty-eight were approved in all. Those related to health care are below: 14-11 by Sen. Patrick Anderson, R-Enid: studies the classification of home health care workers by the Oklahoma Health Care Authority. 14-16 by Sen. Patrick Anderson, R-Enid: studies the use of cannabinoid extract for the treatment of epilepsy and diabetes. 14-17 by Sen. Al McAffrey, D-Oklahoma City: studies physician advertisement of board certification in Oklahoma. 14-20 by Sen. Susan Paddack, D-Ada: studies the effects resulting from treatments of the cervical spine. 14-21 by Sen. Susan Paddack, D-Ada: studies the effects of indoor tanning on minors. 14-42 by Sen. Connie Johnson, D-Oklahoma City: studies Oklahoma’s nursing home industry and its oversight agencies. 14-44 by Sen. Brian Crain, R-Tulsa: studies nursing home oversight in Oklahoma. 14-45 by Sen. Brian Crain, R-Tulsa: studies the Office of Juvenile Affairs policies and procedures for children in custody. 14-46 by Sen. A.J. Griffin, R-Guthrie: studies the inclusion of juvenile competency hearings in Oklahoma’s juvenile justice system. 14-47 by Sen. A.J. Griffin, R-Guthrie: reviews the long-term impact of HB 2388 and its impact on welfare-to-work pro-
Many of these interim studies have yet to be announced, however committee chairs and interim study authors should be releasing details in the coming weeks. Oklahoma D.O. | October 2014
PAGE 21
grams in Oklahoma.
Oklahoma D.O.
Campaign Season Heats Up
Candidates file next-to-last financial report before general election
In the race for Governor, Democratic challenger Joe Dorman outpaced incumbent Gov. Mary Fallin in fundraising during the June 10-Aug. 11 filing period.
SAVE the DATE
JOE DORMAN
$239,677
OCT. 10: NOV. 4: VOTING: EARLY
Oklahoma D.O. PAGE 22
GOV. FALLIN
$267,000
Gov. Fallin has spent more as of Aug. 11 $600,000+
less than $200,000 JOE DORMAN
As of Aug. 11, Dorman has fundraised more than Gov. Fallin
HOWEVER
strong
GOV. FALLIN
okie
The last day to register to vote and be eligible to cast a ballot in the general election. General Election Occurs at all county election boards for three days leading up to Election Day. Thursday, Oct. 30 8a.m.-6p.m. Friday, Oct. 31 8a.m.-6p.m. Saturday, Nov. 1 9a.m.-2p.m. Oklahoma D.O. | October 2014
A mid-July survey via SoonerPoll shows Gov. Fallin’s popularity had dropped
lli
n’s Po pu
lar it y
7
73%
Go v. F a
The drop has been largely attributed to her decision to block Medicaid expansion for low-income Oklahomans, a malleable position on Common Core education standards, and her opposition to dedicated revenue for storm shelters in schools.
52%
In a race initially anticipated by many to be a yawner, 2 polls have shown Gov. Fallin's lead to be in the single digits, with Gov. Fallin falling short of 50% in both.
ONE MILLION ONE HUNDRED THIRTEEN THOUSAND Is the amount of money Gov. Fallin currently has in the bank, giving her a huge fundraising advantage.
Of the nearly 44,000 NEW registrants in 2014:
I I I I II I
41%
registered as Republicans
$142k Is the amount of money Dorman has on hand.
Oklahoma D.O.
II I I registered as I II Independents II II I 29%
TWO MILLION is the number of registered voters in Oklahoma
registered as Democrats
Oklahoma D.O. | October 2014
Oklahoma voter registration totals as of 9/18/2014 Democrats: 882,338 Republicans: 876,213 Independents: 253,015
PAGE 23
30%
201
E
F
AC
4
E R NO R GOV R
q&a
The Oklahoma Osteopathic Association recently asked gubernatorial contenders Gov. Mary Fallin and her Democratic challenger Rep. Joe Dorman questions of interest to physicians.
Gov. Fallin did not respond to our request for answers to the following questions impacting the osteopathic profession. Therefore, Gov. Fallin’s relevant actions and words have been included below.
This past legislative session, a bill that would have dramatically increased mandates for PMP checks came close to becoming law. Would you support or oppose additional Prescription Monitoring Program (PMP) mandates on physicians? If so, what prescription drugs and how often? Do you feel physicians should be fined if the PMP is not checked?
Rep. Joe Dorman: “Oklahoma has one of the best Prescription Monitoring Programs in the nation, thanks to a collaborative effort by the Oklahoma Bureau of Narcotics and the Oklahoma Osteopathic Associa- tion. However, Mary Fallin decided to place an undue burden on physicians across the state with new reforms enacted by her administration. Despite efforts by the OOA and the Oklahoma State Medical Association to come to a consensus on reform, Mary Fallin has refused to work with the industry experts to find real solutions. I believe providing 1-2 checks per year on the top 10 most prescribed narcotics will be sufficient to mon- itor the use of prescription narcotics and allowing staff to process the requests will ensure the PMP is completed as necessary. Fines to physicians are unnecessary unless multiple cases of abuse occur.”
Gov. Mary Fallin: During the 2014 legislation session, Gov. Fallin aggressively pushed for required PMP checks on all Schedule II and III drugs. The governor also sought required PMP checks for every prescription and every refill. Gov. Fallin supported penalties being determined by the licensure boards.
Oklahoma D.O. PAGE 24
Do you support expanding the Medicaid program in Oklahoma? If so, would you expand Medicaid through executive action? If not, why? Rep. Joe Dorman: “Expanding Medicaid in Oklahoma will be my first Executive Order in office as your Governor.”
Gov. Mary Fallin: Twenty-seven states have expanded Medicaid programs under a provision of the ACA. Oklahoma has yet to do so. Therefore, an estimated 180,000 poor Oklahomas fall into a health care coverage crater, as they earn too much to qualify for traditional Medicaid and too little for premium sub- sidy on the exchange.
“I’m looking forward to continuing our work with private insurers, our healthcare industry and businesses to transform our ‘sick care system’—one that only helps people after they’ve fallen ill—into one that truly improves health outcomes by emphasizing preventative care and healthy living. We also need to continue to encourage access to appropriate levels of care. Far too many people with non-critical health Oklahoma D.O. | October 2014
problems are receiving expensive, unnecessary treatment in emergency rooms. Expanding Medicaid, as President Obama has proposed, does not solve this problem. In fact, it makes it worse. The cost of Med- icaid growth and expansion is astronomical: an estimated $850 million for the state of Oklahoma over a number of years, and over $1.3 trillion for the nation. The president’s plan is unworkable and unafford- able. We cannot plunge this nation further into debt, or place Oklahoma on a fiscally unsound path, by expanding Medicaid. Both the president’s plan and alternative proposals that rely on federal dollars in the Affordable Care Act amount to the same thing: a dramatic growth in unsustainable government spend- ing.” (State of the State speech, February 3, 2014)
Over the last several years, countless scope of practice bills have been heard by the state legislature. These bills pose a danger to public health by granting access and prescriptive rights beyond the provider’s education and training. Do you believe the physician should serve as the leader in a team approach to medicine? Would you support additional scope of practice rights for APRNs, PAs, and other providers?
Rep. Joe Dorman: “It all comes down to proper training and education. Any medical provider, from a paramedic to APRN, PA, MD, or DO must have the proper education before administering care, with the excep tion of emergency situations. Physicians must always lead the medical team and we must protect patients by ensuring medical professionals provide care within the confines of their education and training.”
Gov. Mary Fallin: In 2014, Gov. Fallin signed HB 1020, the bill granting direct access to physical thera- pists. The OOA opposed HB 1020. Also, the governor signed SB 1789, which guaranteed the ability of
optometrists to write prescriptions for hydrocodone.
INTEGRIS Northwest Family Medicine Residency Program Seeking FM Residency Program Director / Northwest Family Medicine Residency - Enid, OK The INTEGRIS Northwest Family Medicine Residency Program in Enid, Oklahoma is seeking an excellent Residency Program Director. Opened since 2009, the residency program at INTEGRIS Bass Baptist Health Center, part of INTEGRIS Health Inc., Oklahoma’s largest health system, is a community partnership with health care facilities centrally located in Enid, OK. This three year program is uniquely designed to train resident physicians to provide quality patient care in the context of rural family and community health care. Residents are trained to advance their skills in both the hospital and ambulatory care settings.
Please Contact
Oklahoma D.O. | October 2014
PAGE 25
INTEGRIS Physician Recruitment at IHRecruitment@integrisok.com Phone: 866-348-3737
Oklahoma D.O.
The community of Enid presents a unique opportunity—mixing a relaxed lifestyle with medical sophistication. INTEGRIS Bass Baptist provides extensive specialty support, a highly functioning ED, and an abundance of primary care support. This opportunity provides an exemplary income potential, comprehensive benefits and excellent retirement options.
DR. YEN WINS REPUBLICAN NOMINATION FOR STATE SENATE, SEVERAL LEGISLATORS ELECTED Ervin Yen, MD, handily won the Republican nomination over pastor Steve Kern in the runoff election for Senate District 40 on Aug. 26. The runoff election featured more than a dozen statewide or state legislative races. Dr. Yen received more than 65% of the vote and advances to the general election to face Democratic candidate John Handy Edwards. Kern is the husband of Republican firebrand Rep. Sally Kern. Senate District 40 includes Nichols Hills as well as portions of Warr Acres, Bethany and northwestern Oklahoma City. The seat is currently held by term-limited Republican Cliff Branan. If elected, Dr. Yen would be the third physician serving in the state legislature. Several other candidates were effectively elected to the state legislature in winner-take-all races. In House District 38, Republican John Pfeiffer won with 63% of the vote over Harold LeValley. No Democrat or Independent filed for the seat being vacated by term-limited Republican Rep. Dale DeWitt. Pfeiffer is a farmer in Orlando. In House District 61, Republican Casey Murdock received nearly 60% of the vote against Kenny Bob Tapp. Murdock is a farmer and rancher who lives in Felt. Murdock serves on the school board for the Felt School District and replaces Rep. Gus Blackwell, a term-limited Republican. HD 61 takes in far northwestern Oklahoma and includes the panhandle. In House District 89, Democrat Shane Stone defeated Mary Sosa 395-256 in southwestern Oklahoma City. HD 89 is traditionally the district with the lowest voter turnout in the state. Stone is 21 years old and works in the construction industry. He replaces the term-limited Democratic Rep. Rebecca Hamilton. Republican Chuck Strohm defeated Melissa Abdo by just over 100 votes in House District 69, which encompasses Jenks, Bixby, and far southern portions of Tulsa. Strohm overcame a fundraising disadvantage and emerged victorious after finishing second in the primary election in June. Strohm is a strong supporter of the osteopathic profession as his father was a DO. Strohm replaces Republican Fred Jordan, who ran for District Attorney in Tulsa County but fell short in the Aug. 26 runoff. In House District 88, Democrat Jason Dunnington prevailed
Oklahoma D.O. PAGE 26
in a tight race against retired cop Paula Sophia. The final vote Several state legislative candidates advanced to the general
was 990-968. This was a rare case where House Democratic
election in November following runoff results:
leadership got involved in the primary. House Democratic
•
Democrat Selina Jayne-Dornan-Senate District 8
Leader Scott Inman and Assistant Minority Floor Leader Em-
•
Democrat George E. Young-House District 99
ily Virgin supported Dunnington, a former Nazarene pastor
•
Republican James Leewright-House District 29
and professor who initially filed in Senate District 40. Had
•
Republican John Paul Jordan-House District 43
Paula Sophia emerged victorious, she would’ve been the first
•
Republican Scooter Park-House District 65
transgender person elected to the state legislature in the United States. Dunnington replaces Democratic Rep. Kay Floyd, who was elected to the State Senate in June.
Oklahoma D.O. | October 2014
In the only winner-take-all race in the Senate, Republican Stephanie Bice bested Mark Thomas in District 22. According to her website, Bice is a digital media consultant from Edmond. Bice garnered 53% of the vote in the race to replace the outgoing Republican Sen. Rob Johnson, who decided not to seek re-election. In the race for the Democratic nomination for U.S. Senate, outgoing State Sen. Connie Johnson defeated perennial candidate Jim Rogers. Johnson will face off against Republican James Lankford in the general election. Former State Sen. Steve Russell trounced Corporation Commissioner Patrice Douglas in the Republican runoff to replace Congressman Lankford. Russell will challenge outgoing Democratic State Sen. Al McAffrey in November. In the race for State Superintendent of Public Instruction, Democratic candidate John Cox coasted to a 63%-37% win over Frieda Deskin. Cox is the superintendent at Peggs School District in Cherokee County and will contend against Republican Joy Hofmeister in the general election.
OHCA LIMITS DRUG SCREENS, BACKTRACKS On July 24, the Oklahoma Health Care Authority 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. The memo, signed by Oklahoma Medicaid Director Garth L. Splinter, MD, states OHCA will reimburse for medically necessary laboratory services as indicated in OAC 317:30-5-20. The memo mentioned, “Qualitative drug screen testing (point of care) is only eligible for separate reimbursement when reported 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.” 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 months later, and random monitoring every six to twelve months.” Ultimately, 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.
causing an uproar within the physician community, especially pain management doctors. OOA and OSMA lobbyists and staff led the charge to get this new ruling delayed. As of Sept. 15, OHCA officials plan meantime, the physician community will meet with OHCA officials to discuss the problematic issues and possible longterm solutions.
Oklahoma D.O. | October 2014
PAGE 27
to release an updated memo in the next couple weeks stating the reimbursements will continue until Jan. 1, 2015. In the
Oklahoma D.O.
This change was not brought before the full OHCA Board for open discussion and was the result of an internal rule change,
STUDENT
SCOOP
provided by: Brittany Cross, OMS II, Student Government Association President
OSU-COM students participated in many activities this
experience volunteering at the Bedlam Clinic. They provided
summer. Around 15 second-year medical students went on
assistance to the medical staff, worked with patients and per-
a medical trip at the end of May to Uganda, Africa, with an
formed other administrative duties.
organization called Pros for Africa. While there, they stayed at St. Monica’s, a Catholic school for girls, and worked at a
In early August, the class of 2018 began orientation for their
medical clinic on the school grounds. The students worked
first year of medical school. They also participated in Dr. Pete’s
with Ugandan doctors and nurses as well as other health care
Big Event, an annual OSU-COM volunteer event, in the lo-
professionals who accompanied them on the trip.
cal Tulsa community. This year volunteer locations included the Eastern Oklahoma Food Bank, Eugene Fields Elementary
Operation Orange is a traveling medical summer camp run by
School, The Center for Individuals with Physical Challenges,
OSU medical students. The medical students went to school
Clarehouse Hospice and Life Senior Services. Second-year
campuses across Oklahoma in Durant, Weatherford, Tahle-
medical students helped plan the event and led the volunteer
quah, Edmond and Stillwater. The purpose of the camp was to
groups to each of the service sites.
Oklahoma D.O. PAGE 28
get high school students interested and excited about a career in medicine. The high school students rotated through differ-
On Aug. 2, OSU-COM held the 16th Annual White Coat
ent stations taught by second-year medical students in anat-
Ceremony. The event was at the Performing Arts Center in
omy, intubation, suturing, heart and lung sounds, and CPR.
Broken Arrow. The new first-year medical students received their white coats and gave the Osteopathic Medicine Oath
A handful of second-year medical students were able to do
of Commitment marking their entry into the medical profes-
a summer rural externship at various locations across Okla-
sion.
homa. The externship counts as an elective and is designed to reinforce interest in rural practice, as well as prepare students for clerkships in rural areas. Other second-year students who remained in Tulsa over the summer were able to gain clinical Oklahoma D.O. | October 2014
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Oklahoma D.O.
Contact Scott Selman at Rich & Cartmill, Inc. today for a medmal insurance checkup and a FREE, no-obligation quote. Call: 800-725-8811
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Oklahoma D.O. | October 2014
OK_OsteoSoc_full_1c_7'375x9'75.indd 1
PAGE 29
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3/28/11 11:05 AM
OEFOM
NEWS
provided by: B. Gore Gaines, JD, OEFOM President
For those who do not know me, I am a practicing attorney in Oklahoma City. I first became involved in the osteopathic community when my wife, Julie Gaines, served on the Oklahoma Osteopathic Association staff beginning in the mid-1990s. My family and I have always enjoyed our association with the osteopathic family, and have treasured the friendships we have developed with you over the years. Now, I have the privilege of serving as President of the Oklahoma Educational Foundation for Osteopathic Medicine for the second time. OEFOM advances osteopathic medicine in a variety of ways. Most commonly, we use money donated to our organization to fund scholarships for medical students. Donations that are made by physicians, their families and others are set aside in restricted asset accounts for scholarship funding. We also use revenues that are generated through book sales, rental income and charitable events to support other educational endeavors, such as sponsorship of medical student activities. Thank you for the donations and other support that you have given over the years for those purposes. As always, I and the other members of the OEFOM Board would like to encourage you to continue remembering the foundation in the future. The OEFOM Board would like to thank C. Michael Ogle, DO, for his efforts in helping us streamline our board structure. Over the last several months, the board has adopted bylaw changes to reduce the number of board members and limit the number of consecutive terms served by board members. It is our intent to have a nimble board that is able to act and respond quickly to advance our educational agenda. We also hope to bring in new people with new ideas and a fresh approach on a more frequent basis. Thank you for the opportunity to continue serving the osteopathic family. I look forward to the 2014-2015
Oklahoma D.O. PAGE 30
fiscal year with OEFOM.
n OEFOM Memorials n
Contributing
Don and Lynette McLain Dr. Thomas and Glenda Carlile Dr. Thomas and Glenda Carlile Don and Lynette McLain Dr. Terry and Connie Nickels Dr. David and Rita Hitzeman Dr. David and Rita Hitzeman Oklahoma Osteopathic Association Lynette and Don McLain Oklahoma Osteopathic Association Lynette and Don McLain Lynette and Don McLain
In Memory of
Jimmie Lou Morgan Nicewander Jerry Mitchell Laura Bruner Sandra Gillispie Sandra Gillispie Thomas M. Lace Nancy Ann Baylor Henry W. Harnish, DO Henry W. Harnish, DO Joseph A. Keuchel, DO Joseph A. Keuchel, DO Anne Simpson-Voyles
Contributing In Honor of Lynette and Don McLain Retirement of Steve Whitfill, Executive Director of the Northwest Oklahoma Osteopathic Foundation
Oklahoma D.O. | October 2014
Oklahoma D.O. PAGE 31
Oklahoma D.O. | October 2014
OKLAHOMA OSTEOPATHIC ASSOCIATION
WHAT DO'S NEED TO KNOW
"The CMS Physician Quality Reporting System (PQRS) Program: What Medicare Eligible Professionals Need to Know in 2014” Web-Based Training Course — Released The “The CMS Physician Quality Reporting System (PQRS) Program: What Medicare Eligible Professionals Need to Know in 2014” Web-Based Training (WBT) Course was released and is now available. This WBT is designed to provide an overview of the requirements of the Medicare PQRS program, so that all eligible pro-
Oklahoma D.O. PAGE 32
fessionals can participate to earn the incentives that are available in 2014 for successfully participating in the program, as well as to avoid the payment adjustment in 2016 for not reporting this year. This presentation educates healthcare professionals on a variety of topics that are essential to the CMS PQRS program. Continuing education credits are available to learners who successfully complete this course. See course description for more information. To access the WBTs, go to MLN Products and click on “Web-Based Training Courses” under “Related Links” at the bottom of the web page.
Oklahoma D.O. | October 2014
“The CMS Value-Based Payment Modifier: What Medicare Eligible Professionals Need to Know in 2014” Web-Based Training Course — Released The “The CMS Value-Based Payment Modifier: What Medicare Eligible Professionals Need to Know in 2014” Web-Based Training (WBT) Course was released and is now available. This WBT is designed to provide an overview of the value-based payment modifier, and how it relates to the Physician Quality Reporting System (PQRS) program, so that all Medicare physicians will understand how the value modifier can effect Medicare reimbursement starting in 2015. This presentation educates healthcare professionals on a variety of topics that are essential to the value-based payment modifier.Continuing education credits are available to learners who successfully complete this course. See course description for more information. To access the WBTs, go to MLN Products and click on “Web-Based Training Courses” under “Related Links” at the bottom of the web page. “The Medicare and Medicaid EHR Incentive Programs: What Medicare and Medicaid Providers Need to Know in 2014” Web-Based Training Course — Released The “The Medicare and Medicaid EHR Incentive Programs: What Medicare and Medicaid Providers Need to Know in 2014” Web-Based Training (WBT) Course was released and is now available. This WBT is designed to provide an overview of the requirements of the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs, so that providers can participate to earn the incentives that are available in 2014 for successfully attesting the meaningful use objectives and clinical quality measures, as well as to avoid the payment adjustment in 2016 for not reporting this year. This presentation educates healthcare professionals on a variety of topics that are essential to the EHR Incentive Programs. Continuing education credits are available to learners who successfully complete this course. See course description for more information. To access the WBTs, go to MLN Products and click on “Web-Based Training Courses” under “Related Links” at the bottom of the web page. Hydrocodone Now a Schedule II Drug On Aug. 22, the Drug Enforcement Agency (DEA) announced hydrocodone would be classified as a Schedule II prescription drug. This is a change from Schedule III and is effective Oct. 6, 2014. The DEA finalized this ruling after requesting a scientific and medical evaluation from the U.S. Department of Health and Human Services. A public advisory committee met to solicit advice and recommendations. A majority Schedule II, as 52% of the comments received by the DEA supported the reclassification. The following link directs you to the final rule in the Federal Register: http://www.gpo.gov/fdsys/pkg/FR-201408-22/pdf/2014-19922.pdf
this re-scheduling of hydrocodone: Oklahoma D.O. | October 2014
PAGE 33
The following memo was issued by the Oklahoma State Board of Osteopathic Examiners on Aug. 28 regarding
Oklahoma D.O.
of the Drug Safety and Risk Management Advisory Committee voted in favor of transitioning hydrocodone to a
Oklahoma D.O. PAGE 34
Oklahoma D.O. | October 2014
Oklahoma D.O. PAGE 35
Oklahoma D.O. | October 2014
OOA
Bureau News: 2014-2015 OOA DUES STATEMENTS Thank you to the 304 members who have already renewed their membership for 2014-2015. We truly appreciate your membership and would be honored to serve you another year. Beginning in September, you should have received renewal notices at your home and office addresses. To receive uninterrupted member benefits and continue your support of the only organization in Oklahoma that lobbies at the Capitol on behalf of osteopathic physicians and students, renew by Nov. 1, 2014. As always, life members, retired physicians, residents and students receive free membership. If you have any questions, please call Marie Kadavy, director of communications and membership, at 405-528-4848 or 800-522-8379.
OOA DISTRICT MEETINGS
Oklahoma D.O. PAGE 36
Now is the time to become active within your district. Join your fellow colleagues during the upcoming district meetings: Southern District Meeting Thursday, Oct. 9, 2014
Northwest District Meeting Tuesday, Nov. 18, 2014
North Central District Meeting Tuesday, Dec. 9, 2014
Southwestern District Holiday Dinner Thursday, Dec. 11, 2014
Bureau on Membership The OOA Board of Trustees welcomes the following new member to the OOA family!
Peter Baik, DO Thoracic/Cardiovascular Surgery Tulsa
AWARD NOMINATIONS The Oklahoma Osteopathic Association’s Bureau on Awards will meet Thursday, Dec. 4, 2014, 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 Nov. 28, 2014. Please complete the form on page 37 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 Nov. 28, 2014, for consideration by the OOA’s Bureau on Awards.
OOA LIFE MEMBER RECEIVES RECOGNITION OOA Life Member and LMU-DCOM Dean, Ray E. Stowers, DO, FACOFP dist., received the Greater Knoxville Business Journal's Health Care Heroes Lifetime Achievement Award. He was acknowledged for his medical discipline that’s gone from being considered out-of-the-mainstream to key in creating more access and better outcomes for patients.
Oklahoma D.O. | October 2014
OOA Awards Nomination Form The Oklahoma Osteopathic Association’s Bureau on Awards will meet Thursday, Dec. 4, 2014, 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 Nov. 28, 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 Nov. 28, 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 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:
Oklahoma D.O. | October 2014
PAGE 37
OOA Member Name:___________________________________________________ Date:_________ Please return this form to the OOA Office by Nov. 28, 2014, by mail: 4848 North Lincoln Boulevard, Oklahoma City, OK 73105-3335 or by fax: (405) 528-6102
Oklahoma D.O.
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
American Osteopathic Association Health For the Whole Family
“Detecting the Signs of Lyme Disease” That bug bite from your last camping trip might not be as
and joint swelling, which can develop within days or weeks
harmless as you think. Specifically, if you were bitten by a
of infection, should ring warning bells,” says Dr. Henwood.
blacklegged tick carrying Borrelia burgdorferi, the bacterium
She advises contacting your health care provider if you notice
that causes Lyme disease, that one bite can lead to years of
any of the following signs:
trauma, from temporary muscle paralysis to memory prob-
• Body-wide itching
lems and even meningitis. While antibiotics can cure most
• Chills
cases of Lyme disease, it is imperative to get a proper diagno-
• Fever
sis in the early stages of the disease; the sooner the treatment
• Headache
begins, the quicker the recovery. Carol L. Henwood, DO,
• Light-headedness
an osteopathic family physician from Pottstown, Pa., tells us
• Muscle pain or stiff neck
how to recognize the signs of Lyme disease and provides tips
• Decreased concentration or memory
on how to avoid being bitten in tick-infested areas.
problems
• Numbness or paralysis of the face muscles
Most people who are bitten by a tick do not get Lyme disease,
• Sleep disorders
but for the ones who are bitten by an infected tick and expe-
• Vision problems
rience symptoms of the disease, early diagnosis is the key to avoiding complications.
“Your health care provider can diagnose Lyme disease by re-
Oklahoma D.O. PAGE 38
viewing these clinical signs and utilizing a blood test to check
What Are The Common Symptoms of Lyme Disease?
for Lyme antibodies in the blood. In extreme cases where the
“If you discover that you’ve been bitten by a tick, the first
use an electrocardiogram to look at the heart, or perform a
sign of Lyme disease will appear in the shape of a red circular
spinal tap,” explains Dr. Henwood. Lyme disease can usually
‘bull’s eye’ skin rash, often with a clear area in the center,”
be treated successfully with standard antibiotics. “However, if
explains Dr. Henwood. “Usually, several weeks after the bite,
left untreated, the disease can spread to the brain, heart and
this rash can expand, but will subside after a week or two,”
joints causing encephalitis, meningitis, muscle pain, loss of
she adds.
memory, and in rare cases, death,” she points out.
Lyme disease is easy to treat if it is caught in the first few weeks; however, according to Dr. Henwood, the disease is
How Can You Protect Yourself Against Tick Bites?
often misdiagnosed, as the symptoms are similar to a range of
The risk of tick bites and, therefore, Lyme disease increases
common illnesses, such as the flu and arthritis. “Subsequent
with exposure to wooded, brushy or overgrown, grassy areas.
symptoms such as high temperature, tiredness, muscle pain
In most cases, a tick carrying the Lyme disease bacterium
infection has spread, they might take an MRI of the brain,
Oklahoma D.O. | October 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.
must be attached to your body for 24-36 hours to spread the
bacteria to your blood. “Ticks are very small and can easily be overlooked, so it is important to check regularly for attached
• Wear long-sleeved shirts and long trousers
ticks on the skin and remove attached ones with care using tweezers, grasping it close to the skin,” advises Dr. Henwood.
grassy areas. tucked into socks. • Bathe the skin and scalp, and wash clothing
upon returning home from a tick-infested area.
She urges outdoor enthusiasts to: • Avoid wooded or bushy areas with high grass and
leaf litter.
Last Words on Lyme Disease Dr. Henwood urges people to take precautions to reduce
• Walk in the center of trails.
their risk of contracting Lyme disease. “Being active outdoors
• Inspect the skin frequently and carefully
is great for our health, but taking some simple precautions
during and after walks or hikes.
can help keep you and your family safe from tick bites and
• Spray all exposed skin and clothing with insect
reduce the risk of Lyme disease. Staying aware of bug bites
repellant when walking or hiking in wooded or
and changes to your skin can make all the difference to your long-term health.”
When you need it. ProAssurance.com
Oklahoma D.O.
Medical professional liability insurance specialists providing a single-source solution
PAGE 39
Oklahoma D.O. | October 2014
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/ 6:00 –7:00 pm OOA Past Presidents and District Presidents Meeting
program chair
6:00 – 7:00 pm
OOA New Physicians Meeting
7:00 – 8:00 pm
AOA Delegates Meeting
Saturday – January 31, 2015 :00 am Registration & Continental Breakfast 7
Oklahoma D.O. PAGE 40
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.
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 *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 Oklahoma D.O. | October 2014
*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 “K2 and Bath Salts” Timothy A. Soult, DO, FACEP (certified emergency medicine, Oklahoma City, OK) Proper Prescribing Lecture www.whitehouse.gov/ondcp/ondcp-fact-sheets/syn theticdrugs-k2-spice-bath-salts *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. | October 2014
- Then click Group Reservation at the top of the page and enter the Attendee Code: OOAJAN2015
• Group attendees may use the URL below:
https://reservations.ihotelier.com/crs/g_login. cfm?hotelID=13572
Type in the Attendee Code: OOAJAN2015
Hard Rock Hotel & Casino Features:: Hard Rock Store; Variety of dining options including Toby Keith’s “I Love This Bar & Grill”; Vegas style buffet; bistrostyle grills; & 24-hour casino with 2,300 slot machines.
All Hard Rock Hotel Rooms Include: iPod docking stations; refrigerators; complimentary wired & wireless high-speed internet; complimentary airport transportation; complimentary covered & uncovered self-parking; complimentary fitness center; and complimentary USA Today.
Room Rate: $$$134 a night Cut-off date: January 8, 2015
PAGE 41
*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 42
Preferred Telephone: (_______)_____________________________ Email address: ____________________________________ Signature: _______________________________________________________________________________________________ Name (as it appears on card - please print): ____________________________________________________________________
ONLY 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. | October 2014
Classified Advertising IMMEDIATE OKLAHOMA OPPORTUNITY with largest family
PHYSICIAN NEEDED: The practice of Terry L. Nickels, DO is
medicine clinic in Muskogee, Ok. Excellent opportunity to assume
currently seeking a part-time Family Physician with OMT Skills to
a practice that is up and running. Senior physician of four physi-
help cover the office. If interested please contact Dr. Terry Nickels at
cian group leaving to pursue new career opportunities. 2,000 active
(405) 301-6813.
patients need a physician. Two physicians currently practice OB. Surgical OB experience a plus. On site x-ray and CLIA certified lab. Nursing and support staff in place. Income guarantee. Be your own
FAMILY, URGENT
CARE, AND EMERGENCY PRACTI-
boss, work hard and practice family medicine in its historical tradi-
TIONERS – IMMEDIATE OPPORTUNITIES for FT/PT and
tion with respect and loyalty of small town patients. Contact Evan
temp positions. Oklahoma physician owned placement company is
Cole, DO, 918-869-2456, ecoledo@yahoo.com, Brad McIntosh,
hiring now. Offering top wage, flexible schedules, paid malpractice
MD, 918-869-7356, drbamc@yahoo.com Jason Dansby, MD, 918-
and travel expenses. Call Rachelle at 877-377-3627 or send CV to
869-7387, jasonddansby@yahoo.com or Judy Oliver, RN, practice
rwindholz@oklahomaoncall.com
administrator, 918-869-7357. (leave a message if temporarily unavailable) Find us on the web at www.mfpclinic.com.
DOCTORS WANTED: to perform physical exams for Social Security Disability. DO’s, MD’s, residents and retired. Set your own days and hours. Quality Medical Clinic-OKC, in business for 16 years. Call Jim or JoAnne at 405-632-5151.
STAFF PHYSICIAN NEEDED: The Oklahoma Department of Corrections is seeking applicants for Staff Physician at our correctional facilities statewide. The state of Oklahoma offers a competitive salary and benefits package which includes health, dental, life and disability insurance, vision care, retirement plan, paid vacation, sick days, holidays and malpractice insurance coverage. For more infor2901 N. Classen Blvd., Suite 200 Oklahoma City, OK 73106-5438 (405) 962-6185 FAX (405) 962-6170
Oklahoma D.O. | October 2014
PAGE 43
e-mail: braines@doc.state.ok.us
Becky Raines
Oklahoma D.O.
mation and a complete application packet contact:
OSU MEDICAL CENTER
NEWS
provided by: Jamie Calkins, Marketing/Media Coordinator OSU Medical Center Managed by Mercy
Mercy announced the appointment of Sara Bradley as chief financial officer (CFO) and Rhett Stover as interim chief executive officer (CEO) for the Oklahoma State University (OSU) Medical Center in Tulsa. Mercy began managing the downtown Tulsa hospital in May. “As a leader at Mercy since 2010, Sara brings exceptional skills and experience to the Tulsa area,” said Di Smalley, regional president of Mercy in Oklahoma. “Sara’s addition to the Mercy team at OSU Medical Center reinforces our commitment to the Tulsa area and our partnership with OSU.” Prior to coming to OSU Medical Center, Bradley worked for Mercy as vice president of finance in Hot Springs, Ark. Bradley’s previous job experience includes vice president of network finance for the Lutheran Healthcare network of hospitals and clinics in Brooklyn, N.Y., and a few finance positions in Tennessee. She earned her degree in accounting from Ouachita Baptist University in Arkadelphia, Ark. “Sara and Rhett come to our facility with high accolades and will be major assets as Mercy brings its administrative leadership to the hospital,” said Jerry Hudson, OSU Medical Authority president.
Oklahoma D.O. PAGE 44
Stover currently serves as Mercy’s regional vice president of payor relations and contracting, but will transition to the new interim CEO position over the next few weeks while Mercy continues the search for a permanent CEO. Stover’s strong leadership in payor relations and contracting led to the formation of Mercy’s managed care office in Oklahoma, the development of a unified contracting presence for Mercy’s network of hospitals and clinics, and the strengthening of Mercy’s commercial revenue position in the Oklahoma market. The OSU Medical Authority entered into an agreement with Mercy to manage OSU Medical Center in May. Hudson said the medical center is in the midst of a transformational period of progressive improvement led by Mercy leaders.
Oklahoma D.O. | October 2014
“The addition of a new Mercy CFO and interim CEO at OSU Medical Center is yet another indication that OSU Medical Center, OSU Medicine and Mercy are forging a long-lasting partnership of patient care and medical student education,” said Kayse M. Shrum, DO, president and provost of OSU Center for Health Sciences. “As our relationship develops, we are constantly exploring new ways OSU Medicine and Mercy can partner to better the health of Tulsa and the entire state.” Bradley and Stover began their new positions in September.
Mercy is the fifth largest Catholic health care system in the U.S. and serves millions annually. Mercy includes 33 acute care hospitals, four heart hospitals, two children’s hospitals, three rehab hospitals and one orthopedic hospital, nearly 700 Missouri and Oklahoma. Mercy also has outreach ministries in Louisiana, Mississippi and Texas.
Oklahoma D.O.
clinic and outpatient facilities, 40,000 co-workers and more than 2,000 Mercy Clinic physicians in Arkansas, Kansas,
PAGE 45
Oklahoma D.O. | October 2014
Memoriam in
Henry “Hank” W. Harnish, DO Dr. Harnish, 85, passed away Sept. 25, 2014, in Enid. In 1959, he earned his osteopathic medicine degree at Des Moines University College of Osteopathic Medicine in Des Moines, Iowa. He completed a general practice and anesthesiology internship and postdoctoral training in 1960 at what is now OSU Medical Center in Tulsa. He practiced anesthesia and had a private practice in Tulsa until 1974 and then moved to Enid where he practiced anesthesia at INTEGRIS Bass Baptist, St. Mary's Regional and the Surgery Center. In 1981, he was elected as president of the Oklahoma Foundation for Peer Review Board of Directors. Also in 1981, an attending anesthesiologist at Enid Memorial Hospital, he served as vice president of the Board of Directors at Enid Memorial Hospital and chair of the Hospital's Intern/Extern Committee and Medical Records Committee. He served on numerous committees and bureaus within the Oklahoma Osteopathic Association (OOA) leading up to his presidency of the organization in 1984-1985. In 1995, he received the OOA's prestigious "Doctor of the Year" award. He was involved as a member of the Medical Advisory Board to BlueCross BlueShield of Oklahoma and was an adjunct faculty member at OSU College of Osteopathic Medicine. In 1999, he received the OOA Life Member designation, and he is also a Life Member of the American Osteopathic Association. Dr. Harnish is survived by his wife, Lorene; his daughters, Jill Lawrence and husband, Tim, of Anchorage, Alaska, Toni (Payne) Klein and husband, Jamie, of Denver, Colo.; son, Chris Payne of Fox Fire Village, N.C.; two grandchildren, Morgan and Ryan Klein; and numerous nieces and nephews.
Joseph A. Keuchel , DO, FACOOG dist. Dr. Keuchel, 81, passed away Sept. 22, 2014. He graduated from the Kansas City College of Osteopathic Medicine and Surgery in 1958 and completed a rotating internship and preceptor training at the Oklahoma Osteopathic Hospital. Dr. Keuchel prac-
Oklahoma D.O. PAGE 46
ticed obstetrics and gynecology for many years at Tulsa’s Benien Clinic and OSU Physicians Brookside. He was chairman of the Department of Obstetrics and Gynecology at the Oklahoma Osteopathic Hospital from 1970-1978 and served on the hospital’s Board of Trustees. He was a member of the American Osteopathic Association and Oklahoma Osteopathic Association and chairman emeritus and professor emeritus of OSU College of Osteopathic Medicine. He was honored with the Outstanding Physician Award by the Tulsa Regional Medical Center Osteopathic Profession and Community in 1991 and the A.T. Still Award for Excellence in Teaching by the OOA in 1997. Dr. Keuchel is survived by his wife, Pat; children: Dennis Keuchel, his wife, Teresa, Linda Nelson, David M. Keuchel, DO, his wife, Terri, Pam Ziegler, her fiancé, Craig Randall, Judy Wilson; 12 grandchildren, including Mark A. Keuchel, DO; and 5 great grandchildren.
Oklahoma D.O. | October 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
Oklahoma D.O. | October 2014
FAX TO: (405) 528-6102
PAGE 47
MAIL: 4848 N. Lincoln Blvd. Oklahoma City, OK 73105-3335
Oklahoma D.O.
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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Oklahoma D.O. PAGE 48
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