2022 Installation Edition: Los Angeles Medicine Magazine

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A NIGHT TO REMEMBER AT THE 2022 INSTALLATON OF PRESIDENT & OFFICERS

OFFICIAL PUBLICATION OF THE LOS ANGELES COUNTY MEDICAL ASSOCIATION

LACMA WELCOMES NEW PRESIDENT

Dr. Omer Deen

AUGUST 2022


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PUBLISHER Gustavo Friederichsen | gustavo@lacmanet.org EDITOR Sheri Carr | sheri@researchgroupllc.com HEADQUARTERS LOS ANGELES COUNTY MEDICAL ASSOCIATION 801 S. Grand Ave, Suite 425, Los Angeles, CA 90017 Tel 213.683.9900 | Fax 213.226.0350 ladocs.org | lacmainteractive.com

2022 INSTALLATION EDITION

LACMA OFFICERS President | Omer Deen, MD, FACG, AGAF President-elect | Jerry Abraham, MD, MPH, CMQ Treasurer | Po-Yin Samuel Huang, MD Secretary | Heather Silverman, MD Immediate Past-President | Jeffery Lee, MD

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LACMA BOARD OF DIRECTORS COUNCILORS-AT-LARGE Robert Bitonte, MD, JD | 1 Samuel Fink, MD | 6 Sion Roy, MD | 5 Richard Seidman, MD | 1 Stacey Ludwig, MD | 1 COUNCILORS C Freeman, MD, MBA, FAPA | D1 Michael Cao, MD | D2 Stephanie Booth, MD | D3 Marc Mendes, MD | D6 Kambiz Kosari, MD | D7 Steven Sawelson, MD | D9 Sharon Jakus-Waldman, MD | D10 Stephanie Booth, MD | D10 Diego Caivano, MD | D14 Nancy Ellerbroek, MD | D17 Lisa Firestone, MD | SCPMG Roxana Yoonessi, MD, JD | SCPMG Troy Elander, MD | SSGPF Cristian Rico, MD | AltaMed Hector Flores, MD | 1, EPC Chair Anna Yap, MD | Resident Councilor Cecilia Leggett, MD | Alt. Resident Councilor Aileen Arevalo | Student Councilor, UCLA

PRESIDENT’S LETTER Omer Deen, MD FACG, AGAF

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A MESSAGE FROM LACMA CEO Gustavo Friederichsen

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2022 Installation of Officers & 151st President Dr. Omer Deen

TRUSTEES & CHAIR DELEGATION Jerry Abraham, MD | CMA Trustee Valencia Walker, MD | Chair of the LACMA Delegation Sion Roy, MD | CMA Trustee Resa Caivano, MD | CMA Trustee

LACMA’s Board of Directors consists of a group of dedicated physicians working hard to uphold your rights and the rights of your patients. They always welcome hearing your comments and concerns. You can contact them by emailing or calling Lisa Le, VP of Operations and Strategic Initiatives, at lisa@lacmanet.org or 213-226-0304. SUBSCRIPTIONS Members of the Los Angeles County Medical Association: Los Angeles Medicine is a benefit of your membership. Additional copies and back issues: $3 each. Nonmember subscriptions: $39 per year. Single copies: $5. To order or renew a subscription, make your check payable to Los Angeles Medicine, 10755 Scripps Poway Parkway, Suite 615 | San Diego, CA 92131. To inform us of a delivery problem, email editors@physiciansnewsnetwork.com. Acceptance of advertising in Los Angeles Medicine in no way constitutes approval or endorsement by LACMA Services Inc. The Los Angeles County Medical Association reserves the right to reject any advertising. Opinions expressed by authors are their own and not necessarily those of Los Angeles Medicine, LACMA Services Inc. or the Los Angeles County Medical Association. Los Angeles Medicine reserves the right to edit all contributions for clarity and length, as well as to reject any material submitted. Los Angeles Medicine is not responsible for unsolicited manuscripts.

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LACMA’s Practice Makeover Initiative Impacting Physicians Across the County

Los Angeles Medicine (ISSN 1533-9254) is published quarterly by LACMA Services Inc. (a subsidiary of the Los Angeles County Medical Association) at 801 S. Grand Ave, Suite 425, Los Angeles, CA 90017. Periodicals Postage Paid at Los Angeles, California, and at additional mailing offices. Copyright ©2021 by LACMA Services Inc. All rights reserved. Reproduction in whole or in part without written permission is prohibited. POSTMASTER: Send address changes to Los Angeles Medicine, 801 S. Grand Ave, Suite 425, Los Angeles, CA 90017. Advertising rates and information sent upon request.

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LACMA PRESIDENT

O M E R D E E N , M D, FA C G , A G A F

The word that always comes to mind permanent solution. when talking about medicine and To give a real-time example of LACMA’s impact on the physician and overreach, the Los Angeles City Council patient experience is “change.” To most, minimum wage hike ordinance to $25 the word means “to make or become per hour for certain workers at private different.” I subscribe to a different hospitals, medical practices, hospital-based definition: “to move from one to facilities, and dialysis clinics completely another.” For too long, change has been excludes workers who do the exact same brought to us as physicians, delivered by job at other facilities such as nursing policymakers, regulators, and those with homes, medical centers, and more. little or no knowledge or appreciation Gun-related injuries and death are the for what we do, whom we care for, and leading cause of death in children. Buffalo, the impact we make on communities Uvalde, and Highland Park continue to every day. My fundamental goal is to haunt us all, but as I wrote this, more continue the great work of the many shootings occurred in Indiana, Alabama, presidents before me, in lockstep with and Dallas. It is exciting that LACMA is our staff and leadership, to respond to the working nationally and locally to be part of rapidly-changing medical marketplace and the solution as we continue to see how gun solve real problems. violence exacerbates One of the moral injury and constant problems is physician health. We For too long, change how physicians are will highlight these has been thrust upon us overlooked when it significant issues at comes to real, fair, and the first ever Southern as physicians, delivered equitable payment California Physician by... those with little reform. Medi-Cal rates Well Being Symposium are abysmal, and as in February 2023! The or no knowledge or practice costs escalate recent Supreme Court appreciation for what tied to increases in decision to overturn we do, whom we care labor, supplies, office Roe vs. Wade and space, technology, reproductive rights for, and the impact malpractice insurance, and impacts on we make on our and administrative patients and physicians costs (not to mention communities every day. will continue to be at inflation factors), the forefront of my physicians will take tenure as we address the hit, so many will health equity, access to leave medicine, change locations, or care, and implicit bias in medicine. adjust their patient care missions at the Finally, another key issue we will look detriment of the underserved. Therefore, to impact is member retention and new I am excited to join Dr. Hector Flores and member recruitment. The good news his leadership on this issue. Hector, Dr. is that LACMA’s member retention is Kenneth Sim with Allied Pacific IPA, and over 90%. The challenge is attracting our CEO Gustavo Friederichsen are part nonmembers amid an uncertain economy. of the LA Safety Net Coalition, led by LA We will do more to make our case to them, Care CEO John Baackes, as they tackle the to listen and engage them as never before. Medi-Cal payment problem. The coalition To younger physicians, social issues such as is delving into the unpredictable and aging the aforementioned gun violence, climate workforce, constant regulatory burdens change, health equity, and leadership and unfunded mandates, and increasing development resonate. To older, more social needs of Medi-Cal patients as the established physicians, we need to hear Medi-Cal fee for service schedule has not their angst when it comes to market changed since 1969, which is untenable. disruption, bad policy, and payer issues. While Proposition 56 was a win for patients I look forward to working with each of and providers, the augmented payments you, learning from you, hearing you, and do not keep with inflation, and tobacco jointly taking LACMA where it needs to be, tax revenue is dwindling, so we need a the most trusted partner for all physicians. 2 L O S A N G E L E S M E D I C I N E | I N S TA L L AT I O N 2 0 2 2


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LACMA CEO

G U S TAV O F R I E D E R I C H S E N After celebrating 151 years supporting physicians, LACMA is at a crossroads. Imagine arriving at a place in our history where there is clarity. That clarity stems from a new president, Dr. Omer Deen, who redefines humility, has a disdain for ego, and is the consummate selfless leader, a true partner, colleague, and friend. For the first time in some time, LACMA is in the midst of a youth movement, a sort of renaissance, but before older members inundate my inbox with angry emails, consider this: the future of the organization, its very life, value, and growth, lies with our younger doctors who understand the power of politics and advocacy, but embrace collaboration, transparency, and innovation as key drivers for change. At the same time, it’s our veteran members who provide invaluable wisdom so we don’t repeat the mistakes of the past. As I conclude my sixth year as CEO, I’ve worked with some of the finest physician leaders anywhere, and I routinely ask our resident historians such as Robert Bitonte, MD; Sam Fink, MD; David Aizuss, MD; Pedram Salimpour, MD; C Freeman, MD; Troy Elander, MD; Vito Imbasciani, MD; Hector Flores, MD; Peter Richman, MD; advice and counsel. I often don’t hear what I want to hear, but what I need to hear and improve as a leader. Dr. Deen consistently, to a fault, brings a global view (both literally and figuratively), and combines it with a passion for helping all physicians, particularly those in private practice and even more so those helping the underserved. There is a universal consensus that he wants to solve the crisis that plagues physicians and consequently their patients; from inexplicable funding for Medi-Cal payment and reimbursement models, to categorically unfair and complex documentation and regulatory processes which are not sustainable, to politicians amnesia when it comes to social determinants of health, the need to constantly educate nonmembers about key LACMA benefits or the MICRA issue resulting in Assembly Bill 35, its impacts on physicians, coverage and premiums. With Dr. Deen, there is never a hidden agenda. No economic or political aspirations. No desire for limelight. No media interviews. No fanfare. No credit or attention. He is in it to help physicians and their patients.

More recently, we have frequent discussions around gun violence, mass shootings, and the impact on children, parents, communities, physicians and first responders. It’s why we’ve initiated substantive conversations with California Attorney General Rob Bonta, New York Attorney General Leticia James, public health experts and like-minded medical societies such as Chicago Medical Society in addition to Dallas, Houston, and Bexar County (Texas) medical associations. We are exploring the development of a readily accessible digital platform that features resources and information, starting with Chicago’s “See, Hear and Speak Up” program to fight gun violence developed by Robert Bernat, MD, JD, Chicago Medical Society board member. Ironically, Dr. Bernat is a resident of Highland Park, Illinois, and witnessed firsthand the shootings on July 4th, 2022. The Ukrainian war and the humanitarian crisis that has ravaged a country has also connected me with the Ukrainian Medical Association of North America based in Chicago and two local Ukrainian American physicians, Dr. Marta Vakulenko and Dr. Jerry Maryniuk. We spoke with the Ukrainian Consul General Dmytro Kushneruk to find ways to help physicians serving in Kyiv, and as of this writing, there is potential for prosthetics and medical supply help. We will be unveiling a brand-new member experience featuring over 100+ solutions, an increase from 30, to help solve physician, practice, and group problems. We are tackling physician well-being with a firstof-its-kind Southern California well-being symposium in February 2023. We remain committed to educating our members on universal access to care via the successful town hall series led by Dr. Deen and Dr. Flores. In addition, we will be extending the Medical Practice Makeover initiative into 2023 as well. Finally, I wanted to extend a debt of gratitude to the unsung heroes that make LACMA a national leader: Lisa Le, Sheri Carr, Henry Rogers, Brooke Nicholas, Stephanie Mares, Noemi Corona, and our finance team of Leah, Angelica, and Deena. I look forward to a year filled with milestones, none of which would be possible without the incredible work of these dedicated professionals. Thank you, team, and welcome, Dr. Deen!

“After celebrating 151 years supporting physicians, LACMA is at a crossroads.”

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Members and guests of the Los Angeles County Medical Association gathered at the Petersen Automotive Museum on July 14 to celebrate Dr. Omer Deen as its 151st president

On July 14, members and guests of the Los Angeles County Medical Association gathered at the Petersen Automotive Museum to install new officers for the 2022-2023 year and welcome Dr. Omer Deen as its 151st president. Upon arrival, guests were able to tour “Bond in Motion: Official Collection of Original James Bond Vehicles ” before heading up to the mesmerizing outdoor space atop the museum for the welcome reception. After the tours and toasts, dinner service was opened, with guests enjoying more of the spectacular view. Dr. Jeffery Lee opened the ceremony, warmly welcoming attendees, thanking LACMA Board members, special guests, and other legislators and leaders in attendance and recognizing the valued event sponsors. “It has been three years since we convened in person to honor the incoming President and Officers. So we are grateful for your presence and excited to see our members here. And to have it here at such a sophisticated location is an added bonus. This museum displays the innovation and history of automobiles, so it is fitting that LACMA showcase the innovation and history of organized medicine in LA County in this venue. Plus, one thing you should know about Dr. Omer Deen who we are here to honor this evening, he loves cars!” After sharing thoughts on his term as president and announcing the extension of his Practice Makeover Initiative for 2023, Dr. Lee thanked his Executive Committee and LACMA staff before concluding his remarks: “...[A] new year is beginning. I am confident that LACMA will be in good hands under the leadership of Dr. Omer Deen. Again, thank you for allowing me to serve the physicians of Los Angeles.” The inspiring invocation was then led by Imam Jihad Turk before

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LEFT | Dr. Omer Deen with his first remarks as LACMA’s 151st President. BELOW | Dr. Troy Elander installs new LACMA officers (left to right), Dr. Jerry Abraham, PresidentElect; Dr. Po-Yin Samuel Huang, Treasurer; and Dr. Heather Silverman as Secretary. Guests enjoy sunset views from the museum rooftop while watching a video from Lifetime Achievement Award Recipient, Dr. Maria Lyberis.

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a break in the ceremonies as guests enjoyed dinner. highest ideals. It is possible that you, Omer, will find Following dinner, LACMA’s 149th president Dr. this both challenging and rewarding.” Diana Shiba took the stage to honor the 2022 Lifetime After reciting the President’s Oath of Office, event Achievement Award winner, Dr. Maria Lymberis. A attendees were treated to a video introducing Dr. 40-year member of LACMA, Dr. Lymberis was unable Deen. The video included touching stories and words to attend the event, but she of gratitude from co-workers, shared an emotional video colleagues, patients, and Dr. message with her beloved Deen’s family. “Why do we do any of healthcare “family” and Before sharing his vision this? Because it is our job, for the year ahead, Dr. Deen honored the memory of as physicians, to advocate her husband, partner, and thanked LACMA staff, leadership, protector of more than 60 and “colleagues, friends…family, for the health of our years, Pedro. and a special thank you to my patients. And it is the job Dr. Shiba then introduced friends who are joining us from a video reflecting on Dr. Lee’s Torrance Memorial today. It of the Los Angeles County impact as president. means a lot to me that you’re Medical Association to Former LACMA president here! Thank you to my family, Dr. advocate for physicians.” and chair of the Patient Care Sara Deen, my daughter Zara, Foundation, Dr. Troy Elander my son Musa, and of course, then came to the podium to Mommy and Daddy. I wouldn’t perform the official installation of the Officers before be anywhere without your support, your sacrifice, and officially swearing in Dr. Deen as president. your love.” “The honor of serving as the president of LACMA is “This is an honor of a lifetime,” Dr. Deen Continued. one of the highest that can be bestowed upon you by “Thank you all for your trust and your support! your colleagues. It is a demanding post that requires “As physicians, we advocate for the health and your clearest thinking, your deepest caring, and your wellness of our patients. Today we face new challenges 8 L O S A N G E L E S M E D I C I N E | I N S TA L L AT I O N 2 0 2 2


PHOTOS PAGE 8 TOP ROW | Guests entering the museum were greated with a large screen welcome message from LACMA and event sponsors. Dr Omer Deen enjoying the celebration with his wife, Dr. Sara Deen. Dr. Deen with his wife and children, Zara and Musa. MIDDLE ROW | Dr. Jeffery Lee presents Dr. Omer Deen with his official gavel. Dr. Deen with colleagues and friends. Dr. Deen with his proud parents. BOTTOM ROW | Guests enjoy the museum’s James Bond car exhibit. PHOTOS PAGE 9 TOP ROW | LACMA Past Presidents (left to right) Dr. David Aizuss, Dr. Troy Elander, Dr. Sam Fink, Dr. Diana Shiba, Dr. Pedram Salimpour, Dr. Jeffery Lee and Dr. William Averill

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to the health of our patients. So in typical LACMA fashion, as we have before, we now pivot and deploy energy and resources where necessary. “A few challenges we face today include health impacts of gun violence, reproductive health, health equity and access to care. We are faced with legislative and procedural challenges that impact the physician-patient relationship. Paper burden, documentation, prior authorizations & step therapy, to name just a few. “I could go on listing all the ways LACMA works for physicians...legal assistance, contract negotiations, grants and assistance with starting practice, medical school grants, and collaborative projects for medical students to get involved in advocacy in Sacramento as well as research to advance their careers. “Why do we do any of this? Because it is our job, as physicians, to advocate for the health of our patients. “And it is the job of the Los Angeles County Medical Association to advocate for physicians. “For those of you who are here today and are not current members of the Los Angeles Medical Association, please join us so we can continue fighting for that ever sacred physicianpatient relationship. “Again, thank you all so much for being here with us to celebrate all of us!” n

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On behalf of LACMA staff, leadership, and physician members, we heartily thank Dr. Lee for his leadership, and we welcome Dr. Deen and look forward to working together in support of all LA County physicians.


LACPAC Holds Successful Fundraising Event for California AG Rob Bonta LACPAC, the political action committee of LACMA, held a fundraiser for California Attorney General Rob Bonta on July 12th at Señor Fish in DTLA. Designed as an intimate gathering, attendees heard the AG’s perspective on reproductive rights post-Roe v Wade, gun violence, access to quality care and health equity, and much more. Special thanks to attendees, CALPAC, and Allied Pacific IPA for cochairing the event, particularly CEO Dr. Kenneth Sim. “This was a fantastic event as we hosted AG Bonta, exceeded our fundraising goal by 78%, and built new friendships and coalitions,” said LACPAC Chair, George Fouras, MD. “We will continue to engage membership to support our PAC efforts to ensure LACMA plays a vital role in shaping state healthcare policy as one-third of the California Legislature resides in Los Angeles County.”

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Allied Pacific IPA CEO Dr. Kenneth Sim, LACPAC Chair Dr. George Fouras, California Attorney General Rob Bonta and Mike Steenburgh, Vice President, Centers for Membership, Marketing and Component Relations for the California Medical Association enjoying the event at Señor Fish in downtown Los Angeles.

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LACMA 2021-2022 President Dr. Jeffery Lee joined LACMA staff as they presented Practice Makeover Recipients with checks, supplies and resources.

LACMA’s Medical Practice Makeover Initiative is more than a slogan. It’s a promise to small, independent medical practices that meet certain criteria, that help is on the way. So far this year, fifteen practices have received the $5,000 grant along with robust resources, PPE supplies, consultation services and staff support. An additional 6 practices have been given Practice transformation consultancy free of charge. But we’re not done yet! Use the QR code on the opposite page or visit LACMAinteractive.com to APPLY before the Sept. 15 deadline for quarter 4! In 2022, a total of: ​ • 20 small practices will receive $5,000 grant + practice transformation assessment, guidance and resources (5 practices in each season of 2022, Winter, Spring, Summer, Fall) • 8 additional practices will receive practice free transformation assessment, guidance and resources

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QUARTER 1 RECIPIENTS Dr. Lourdes Bahamonde Dr. Payman Joseph Dr. Amit Paliwal Dr. Cheryl Powell Dr. Sharon Yegiaian QUARTER 2 RECIPIENTS Dr. Jeffrey Huang Dr. Augustine Iluore Dr. Maryam Seddigh Tonekaboni Dr. Donald Stevenson Dr. Paul Wallace QUARTER 3 RECIPIENTS Dr. Vicki Anakwenze Dr. Cesar Chavarria Dr. C Freeman Dr. William King Dr. Behrooz Yagoobian


Use the QR code or visit LACMAinteractive.com to APPLY TODAY!

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