Iowa Medicine Spring 2017

Spring 2017 Vol. 107/2

TORT REFORM PASSES!

ALSO INSIDE: Recap of the IMS Annual Conference The 2017 IMS Award Winners New IMS President and Elected Leaders

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IOWA

EDICINE Journal of the Iowa Medical Society

Spring 2017

Vol. 107/2

CONTENTS IN THIS ISSUE

CONTACT US Iowa Medicine 515 East Locust Street, Suite 400 Des Moines, IA 50309 Phone: (515) 223-1401 or (800) 747-3070 IMS President Joyce Vista-Wayne, MD, DFAPA Executive Editor Clare M. Kelly Managing Editor Bobbie Russie To Advertise Contact Michelle Dekker Phone: (515) 421-4778 Email: mdekker@iowamedical.org Subscriptions Annual Subscription $45 Iowa Medicine, Journal of the Iowa Medical Society (ISSN 0746-8709), is published quarterly by the Iowa Medical Society, 515 East Locust Street, Suite 400, Des Moines, IA 50309.

Periodicals postage paid at Des Moines, Iowa and at additional mailing offices.

Postmaster: Send address changes to Iowa Medicine, Attention: Crystal Swanson, 515 East Locust Street, Suite 400, Des Moines, IA 50309.

Editorial content: The Society is unable to assume responsibility for the accuracy of submitted material.

Editorial inquiries should be directed to the Editor, Iowa Medicine, 515 East Locust Street, Suite 400, Des Moines, IA 50309.

Copyright 2017 Iowa Medical Society. Opinions expressed by authors do not necessarily represent the official policy of the Iowa Medical Society. Iowa Medicine does not assume responsibility for those opinions. Products and services advertised in Iowa Medicine are neither endorsed nor guaranteed by the Iowa Medical Society unless specifically noted.

Get Connected Stay up-to-date with IMS on Facebook, Twitter, LinkedIn, and YouTube.

30 LEGISLATIVE SESSION ENDS WITH HISTORIC WIN!

On May 5, 2017, Governor Branstad signed SF 465 into law — the IMS-crafted tort reform legislation. This new law marks the culmination of decades of work by countless physicians throughout our state. In this edition of Iowa Medicine, we review the results of the 2017 Legislative Session on page 30.

MARK YOUR CALENDARS! DOCS ‘N’ POPS is July 3, 2017. Join us for the third annual celebration. We’ll enjoy hors d’oeuvres, beverages, live music, and fireworks, at IMS headquarters in Des Moines.

IMS CORE PURPOSE To assure the highest quality health care in Iowa through our role as physician and patient advocate.

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The first IMS CANDOR CONFERENCE will be held September 22, 2017. Plan to attend this informative conference concerning Iowa’s early disclosure Candor law, to be held at the Kelley Conference Center at Iowa Methodist Medical Center in Des Moines. See page 32.

Upcoming Events MAY May 26 Des Moines University College of Osteopathic Medicine Commencement, Des Moines JULY July 3 IMPAC’S Docs ‘n’ Pops, Des Moines

16 IMS 2017 AWARD WINNERS Paul Mulhausen, MD, MHS, FACP, AGSF, Immediate Past President of IMS, presented the 2017 Iowa Medical Society Awards at the Annual Conference: Renewing Passion and Purpose in Practice (story on page 12). Read about these award recipients on page 16.

AUGUST August 24 IMS CME Provider Quarterly Call Webinar SEPTEMBER September 21 IMS Board Meeting and Policy Forum, Iowa City September 22 IMS Candor Conference

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ALSO INSIDE Michael Flesher Named New CEO.......................................... 4 President’s Corner ................................................................. 6 IMS Elected Leaders............................................................... 8

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2017 Physician Day on the Hill.............................................. 10 Recap of the 2017 Annual Conference................................... 12 2017 IMS Award Winners.................................................... 16 Policy Forum 17-1 Results....................................................... 20 Members in the News........................................................... 24 New Members..................................................................... 28 Legislative Update................................................................ 30 Legalese............................................................................. 32 UI Update........................................................................... 35

As of May 1, 2017, we have 81 Members, Supporters, and Friends of Medicine.

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Iowa Medicine Spring Winter 2017 2015

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FROMTHECEO

MICHAEL FLESHER NAMED NEW EXECUTIVE VICE PRESIDENT & CEO

MICHAEL FLESHER Mr. Flesher is executive vice president and CEO of IMS.

In early April, the IMS Board of Directors announced Michael Flesher as the Society’s next executive vice president and CEO, replacing Clare Kelly, who announced her departure in November 2016 and steps down May 25, 2017.

Mr. Flesher has a wealth of nonprofit, for-profit, and political experience. He began his career in the Iowa political campaigns of the late 1980s, worked for the Small Business Administration and the Organization for Economic Cooperation and Development before joining the American Medical Association (AMA), where he led resident and fellow services and created the Professional House Staff Associations.

“We are excited to welcome Mike Flesher as the new executive vice president and CEO of the Iowa Medical Society. Mike brings a wealth of experience working with medical associations and healthcare organizations worldwide, and we are confident his experience will help IMS continue to grow and prosper in the future,” said IMS board chair and chair of the search committee, Mike Romano, MD. “Filling the

“I’m honored to be joining the Iowa Medical Society. The society has a long history, a stellar reputation and a strong commitment to representing the needs of physicians and the patients they serve.”

For the past 14 years, he has been with Pfizer Medical, building partnerships and collaborations with state and national medical societies to foster advocacy, research, and education, as well as to strengthen patient-physician relationships.

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shoes of Clare Kelly, who guided IMS the last five years, will not be easy for any successor. But we are confident that Mike’s expertise, experience and enthusiasm make him an excellent fit for the Society as we move forward with our

plans for growth and service to our members.”

A graduate of Iowa State University, Flesher is well known in the nonprofit and medical society community. With seven years at the AMA and 14 with Pfizer, Mr. Flesher has been a proven leader in the healthcare arena for more than 20 years.

Throughout his tenure at Pfizer, he developed and led interactions with medical societies, and he helped develop Pfizer’s public health partnership.

“I’m honored to be joining the Iowa Medical Society. The Society has a long history, a stellar reputation and a strong commitment to representing the needs of physicians and the patients they serve,” said Flesher. “Thanks to the leadership and dedication of the IMS Board, the current CEO and staff, the organization is well positioned to meet the impending challenges facing the healthcare community in Iowa.

“I’m excited to be returning to Iowa and look forward to sharing with my family the rich heritage and warm hospitality that this great state has to offer.”

The Iowa Medical Society is Proud of its Business Affiliates Together, we help Iowa’s physicians connect with the services and support they need to deliver the highestquality health care to their communities. The IMS Business Affiliate program is part of an ongoing effort to build and strengthen alliances between Iowa’s physicians and the organizations that support them in their mission. Contact Michelle Dekker (mdekker@iowamedical.org) at (515) 421-4778, to learn more.

(855) 332-2440 www.amerihealthcaritasia.com

(515) 274-1450 www.brickgentrylaw.com

(515) 440-0478 www.bluopal.com

www.centralbankonline.com

(402) 438-7600 www.callcopic.com

(515) 288-2500 www.davisbrownlaw.com

(844) 437-1103 www.fostergrp.com/ims/

(952) 883-6000 www.healthpartners.com

www.iowadot.gov

515-237-3974 www.bills4docs.com

(800) 463-3776 www.medpro.com

(319) 366-5287 www.paramounthealthoptions.com

(800) 764-7641 www.pmimedbill.com

(866) 900-6132 www.sheakley.com

(800) 383-2856 www.telligen.com

(402) 861-7000 www.hakco.com

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PRESIDENT’SCORNER

A PURPOSEFUL JOURNEY TO LEADERSHIP AND SERVICE

By Joyce Vista-Wayne, MD, DFAPA

JOYCE VISTA-WAYNE, MD, DFAPA Dr. Vista-Wayne is a child and adolescent psychiatrist practicing in Des Moines.

She is the president of IMS.

Joyce Vista-Wayne, MD, was installed as IMS’ 168th president on April 28, 2017. The ceremony was part of the IMS Annual Conference, which was themed Renewing Passion and Purpose in Practice. The following are remarks she made at the event.

I was born in a small Philippine naval base hospital in a sleepy town north of Manilla. A sickly child, some of my earliest childhood memories are of hospitals with physicians in long white lab coats and nurses wearing stiff hats and striped apron dresses.

That early exposure to medicine ­— to caregivers who served our community and made me a stronger, healthier child — galvanized my interest in medicine and launched a journey that led me halfway around the world to California, then to Iowa, and now as the 168th President of the Iowa Medical Society.

I was raised, nurtured and educated in a culture of service. While my father was gone for months at a time serving as an officer in the Philippine Navy, my mother raised my sister and me and still found time for volunteer service with the Philippine Red Cross and other charities.

Mother taught me to look at challenges as nothing more than a unique opportunity to develop strength of character. The Augustinian Recollect Order of Nuns who educated me in

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my formative years set an example of dedication to a mission of generosity and service to the community. In each stage of my life, the call to serve was strong, and it eventually became my purpose and passion — as a nurse, a surgical resident, and as a child and adolescent psychiatrist.

It was the desire to serve, driven by purpose and passion, that led this foreign medical graduate from the Philippines through the arduous and onerous qualifying exams to gain entrance in to the exclusive house of medicine; proudly and confidently I stood shoulder to shoulder with my U.S.-educated and trained colleagues, having fairly and ethically earned the privilege of providing the highest quality medical care to those who seek it.

And so in the summer of 1998, together with my family, I moved to Ottumwa from Southern California to start my pediatric psychiatry practice.

Astronaut Mike Massimo said of the Challenger crew, “They taught me that you only have one life. You have to spend it doing something that matters.” That should be life’s purpose — doing something that matters.

Passion is the fuel that allows us to achieve our goals — our purpose. The core purpose of the Iowa Medical Society is to assure the highest quality health care in Iowa through our role as physician and patient advocate.

The Society holds the distinct honor of representing the owners of the House of Medicine in this state; the owners who spent years of interminable days and nights in classrooms and laboratories learning the art and science of medicine from accredited medical educational institutions.

The owners who refused to settle for shortcuts because they knew they had the talent, ability, strength of character, fortitude, perseverance, resilience, and endurance to succeed.

The owners who thought education — not legislation — earned them the privilege to serve in the noble profession of medicine.

Passion and purpose kindled my pilgrimage of service and leadership from a small town naval base in the Philippines to the heartland of the United States and these vast fields of opportunity called Iowa.

Energized and driven by passion and purpose, I begin my year-long service as your president. I am humbled by your trust. I will devote my time and energy to making our Iowa Medical Society an even more vibrant, stronger, and relevant representative body of the physicians of Iowa.

PRESIDENT’SCORNER

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Extraordinary Care, Every Day Iowa Medicine Spring Winter 2017 2015

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IMS ELECTED LEADERS EXECUTIVE COMMITTEE

President Joyce Vista-Wayne, MD, DFAPA Clive Psychiatry/Child & Adolescent Psychiatry Medical School: Cebu Doctors College of Medicine, Philippines – 1983 Residency: University of California, Irvine/ Harbor UCLA Medical Center

Past-President Paul Mulhausen, MD, MHS, FACP, AGSF

Swisher Internal Medicine/Geriatrics Medical School: University of Minnesota – 1987 Residency: Duke University Medical Center, Durham

Iowa City Nephrology Medical School: Grigore T. Popa School of Medicine, University of Medicine & Pharmacy, Romania – 1992 Residency: Carol Davila School of Medicine, Romania

Cynthia Hoque, DO

Des Moines Family Medicine Medical School: Des Moines University – 2014 Residency: Iowa Lutheran Family Medicine

Michael McCoy, MD

Chair Marygrace Elson, MD, MME

Tiffani Milless, MD

Secretary/Treasurer Brian Privett, MD

Kelly Reed, DO

Iowa City Obstetrics and Gynecology Medical School: University of Illinois, Rockford – 1982 Residency: University of Wisconsin Hospitals & Clinics, Madison

Cedar Rapids Ophthalmology Medical School: University of Missouri – 2007 Residency: University of Iowa

Iowa Medicine Spring 2017

Mony Fraer, MD

President-Elect Michael Romano, MD

Council Bluffs Family Medicine Medical School: Creighton University – 1983 Residency: Creighton University, Omaha

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BOARD OF DIRECTORS At-Large Directors

West Burlington Obstetrics and Gynecology Medical School: Creighton University – 1986 Residency: University of Iowa

Des Moines Pathology and Dermatopathology Medical School: Medical College of Ohio at Toledo – 2008 Residency: Yale-New Haven Medical Center, Connecticut

Urbandale Family Medicine Medical School: Des Moines University – 1992 Residency: Broadlawns Medical Center Family Practice

Douglas Steenblock, MD

Marshalltown Psychiatry Medical School: Creighton University – 1990 Residency: University of Colorado, Denver

Medical Student Director Nicole Westergaard, M3

Medical School: University of Iowa Carver College of Medicine

Sharmini Suriar, MD

Humboldt Pediatrics Medical School: St. George’s University School of Medicine, Grenada West Indies – 1994 Residency: Bridgeport, CT Hospital combined Internal Medicine/Pediatrics

Scott Truhlar, MD

Coralville Diagnostic Radiology Medical School: University of Kansas – 1998 Residency: University of Iowa

William John Yost, MD, FACP

Des Moines Internal Medicine Medical School: University of Iowa – 1988 Residency: Walter Reed Army Medical Center, Washington, D.C.

EX-OFFICIO DIRECTORS

AMA Delegation Designate Mike Kitchell, MD

Ames Neurology Medical School: University of Iowa – 1975 Residency: University of Iowa

Policy Forum Speaker Janice Kirsch, MD

Mason City Internal Medicine Medical School: University of Iowa – 1989 Residency: Blodgett/St. Mary’s Hospital, Grand Rapids, Mich.

Resident Director Christine Gill, MD

Iowa City Neurology Medical School: University of Iowa – 2014 Residency: University of Iowa Hospitals & Clinics – Neurology Residency

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2017 PHYSICIAN DAY ON THE HILL

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Iowa Medicine Spring 2017

On March 15, IMS member physicians, residents, and medical students from across the state traveled to the Capitol to take part in Physician Day on the Hill (PDOTH) to advocate for tort reform.

Thank you to everyone who took the time to attend PDOTH this year! Your involvement was critical to ensuring legislators understand that the issues under discussion at the capitol are important to their local physicians.

2017 PDOTH ATTENDEES Avanthi Ajjarapu Matthew Alexander, MD Thaddeus L. Anderson, MD, FACOG Tom Benzoni, DO Michael S Brooks, MD Gabrielle Bui David Carlyle, MD Lastascia Coleman, CNM Sandi Conlin Adrian A. Cordovi, MD Marygrace Elson, MD, MME Jerome F. Greenfield, MD Jordan Harbaugh-Williams James Hart, MBA Michael Larson Haugsdal, MD Lynne Himmelreich, CNM Cynthia Hoque, DO Kathryn J. Huber-Keener, MD Janice Kirsch, MD Robert A. Lee, MD Shannon Lee Schauer Leveridge, MD Susan E. Lipinski, MD Karen Loihl Margaret Mahaffa Carole Marie McClanahan, MD Kaci McCleary Leenu Mishra, MD Paul L. Mulhausen, MD, FACP, AGSF Paula Noonan Stephen L Piercy, MD Emily Piper Ashley Burlage Priaulx, DO Brian Privett, MD Kelly L. Reed, DO Peter J. Reiter, MD Bruce W. Ricker, DO Ruth Riedl Victoria Sharp, MD Garrett Skinner Keith Smith Douglas F. Steenblock, MD Jon Van Der Veer, DO Joyce A. Vista-Wayne, MD, DFAPA Susan Dale Wall, MD Kenneth S. Wayne, MD Nicole Westergaard Heather M. Winn, MD Iowa Medicine Spring 2017

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ANNUALCONFERENCE

2017 ANNUAL CONFERENCE: RENEWING PASSION AND PURPOSE IN PRACTICE

By Brian Privett, MD

BRIAN PRIVETT, MD Dr. Privett is board certified in Ophthalmology and practices with Iowa Eye Center in Cedar Rapids. He serves IMS as chair of the Program Committee and as Secretary/Treasurer on the Board of Directors.

legislature for IMS, highlighted by an historic passage of comprehensive medical liability reform legislation.

The transition of Iowa’s Medicaid program from feefor-service to a privately run, managed care system over the last year has been fraught with challenges, so IMS assembled a panel of representatives from the managed care organizations — UnitedHealthcare, Amerigroup, and AmeriHealth Caritas Iowa — to answer questions from attendees.

The 167th Iowa Medical Society Annual Conference, Renewing Passion and Purpose in Practice, was held April 28-29 at the Des Moines Marriott Downtown.

Physicians, clinic administrators, residents, and students took part in this two-day educational event designed to provide a collegial atmosphere in which to reconnect with the joy of practicing medicine.

The first day of the conference featured five general sessions designed for both physicians and clinic administrators. Participants started the day with credentialing and insurance tips and tricks from IMS Business Affiliate, Paramount Health Options.

Attendees were then treated to a full report on the 2017 state legislative session by Dennis Tibben, IMS Director of State Government Affairs and Sandra Conlin, IMS contract lobbyist. It was a banner year at the

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Following the MCO Panel, IMS Business Affiliate, BluOpal Consulting, led the attendees in a lively, interactive working session about how to improve team communication.

• Washington Freeman Peck Award: Kiwanis Miracle League at Principal Park, Des Moines • John F. Sanford Award: Clare Kelly, Des Moines • Physician Community Service Award: Richard Deming, MD, Des Moines

From electronic health records to insurance company bureaucracy and government regulations, the demands on physicians and the administrators who run their clinics is leading to greater levels of professional burnout. Diane Shannon, MD, made an encore appearance at the IMS Annual Conference (she also presented in 2015) to share research and insights from her newly released book, Preventing Physician Burnout: Curing the Chaos and Returning Joy to the Practice of Medicine.

Following the awards, Joyce Vista-Wayne, MD, DFAPA, was installed as the 168th President of the Iowa Medical Society. In her installation address, which is featured in part on page 6, Dr. Vista-Wayne shared her remarkable journey from her home country of the Philippines, to residency in California and practicing pediatric and adolescent psychiatry in Ottumwa and Des Moines, to her election as IMS President.

“Fellowship with other physicians was extremely valuable.”

– Conference Attendee

After a full day of education, it was time for attendees and guests to unwind and celebrate at the President’s Reception. Guests enjoyed food stations, beverages and networking, while capturing fun memories in the group size photo booth. The President’s Reception program included presentation of the 2017 IMS awards: • Merit Award: Hamed Tewfik, MD, Iowa City

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The second and final day of the conference kicked off with the Foster Group Breakfast Session presented

by Foster Group Chief Investment Officer, Kent Kramer. While physicians were treated to high quality investing advice, nine medical students presented research posters to the judges and other attendees.

Poster award winners were later announced at the networking luncheon, with the results as follows: • First Place: Siwei Dong, Des Moines University Inhibition of BMP2-inducible kinase (BMP2K) reduces hypoxia/reoxygenation injury and decreases autophagic flux in H9c2 cells • Second Place: Sebastian Sciegienka, UI Carver College of Medicine Enhancing neuroendocrine (NET) cancer therapy responses via disruption of peroxide balance • Third Place: Peter Kim, UI Carver College of Medicine Does Liposuction Cause Lymphatic Injury When Performed to Treat Lymphedema?

“Speakers were phenomenal and engaging!”

– Conference Attendee

In his State of the Society address, Immediate Past President, Paul Mulhausen, MD, FACP, AGSF, discussed the many factors that divide the profession and the issues that are driving more physicians toward professional burnout. Despite these challenges, however, Dr. Mulhausen expressed tremendous optimism for the profession, identifying the Iowa Medical Society as a body that serves to unify Iowa’s physicians.

Following Dr. Mulhausen’s address, Brad Nieder, MD, took the stage for the opening keynote address.

Dr. Nieder, aka “The Healthy Humorist,” kicked off Saturday morning with a laugh — several of them in fact! Attendees enjoyed Dr. Nieder’s lighthearted approach to medicine and his humorous tips for living a happy, healthy life. Each attendee left the session with their own prescription from Dr. Nieder, a little reminder that laughter really may be the best medicine (well okay, 4th or 5th best).

Following the opening session, attendees spent their day in educational sessions focused on four topics: Physician Wellness, Leadership Development, Practice Transformation, and Chronic Pain Management.

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A BIG Thank You to our Sponsors!

Attendees were incredibly engaged in learning and discussion, taking away valuable insights that could be put to work in their practices and personal lives.

In addition, attendees enjoyed a networking lunch, visiting with exhibitors, announcement of poster presentation winners, and door prize winners.

The conference wrapped up on Saturday afternoon at the Student and Resident Networking Reception along with the Closing Keynote Happy Hour and speaker Matt Jones. Matt is a three-time cancer conqueror whose story of learning to walk again, and how physicians and the healthcare team can truly make a difference in the lives of patients, was the perfect inspirational way to end the weekend.

Thank you to all the attendees, guests, sponsors, and exhibitors for joining the Iowa Medical Society at the 2017 Annual Conference. Please mark your calendars for the 2018 conference, April 27-28 at the Des Moines Marriott Downtown.

A BIG Thank You to our Exhibitors!

Alexion Amerigroup Iowa AmeriHealth Caritas Iowa Assurex Brick Gentry Central Bank COPIC Medical Billing Services

MedPro Group Paramount Health Options Pfizer ProAssurance The Harry A. Koch Company UnitedHealthcare University of Iowa Health Care U.S. Army Medical Recruiting

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2017 AWARD WINNERS

By Paul Mulhausen, MD, MHS, FACP, AGSF

PAUL MULHAUSEN, MD, MHS, FACP, AGSF Dr. Mulhausen is board certified in Internal Medicine and Geriatrics and serves as the chief medical officer of Telligen in West Des Moines.

He is the Immediate Past President of IMS.

In the moments before bestowing the IMS presidential medal to Joyce VistaWayne, MD, I had the distinct honor of presenting the 2017 Iowa Medical Society awards to this year’s recipients during the gala reception at our annual conference on April 28. Four recipients were honored for their contributions to IMS, health care, the community, and the public’s health. continue today at Iowa City Cancer Treatment Center.

The IMS Executive Committee selected Dr. Tewfik to receive the Merit Award for his dedication to advancing the practice of medicine in Iowa, his loyal and valued service to IMS as a former member of the board of directors, and his commitment to the core purpose of the Iowa Medical Society — to assure the highest quality health care in Iowa through our role as physician and patient advocate.

MERIT AWARD: HAMED TEWFIK, MD

Dr. Tewfik, a radiation oncologist from Iowa City, was chosen to receive the Merit Award, which is reserved for a physician who has made outstanding contributions to the medical profession and IMS. It is among the highest awards IMS presents to an Iowa physician.

Dr. Tewfik and his wife, Ferial, also a radiation oncologist, are natives of Egypt. After arriving in the United States in the early 1970s, they practiced for many years at the University of Iowa before entering private practice, which they

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Throughout his long and distinguished career in medicine and as a former member and chair of the Iowa Board of Medicine, Dr. Tewfik has been an unwavering champion of professionalism and adherence to the highest of ethical standards. The physicians of Iowa are fortunate to count Dr. Hamed Tewfik as our own.

Past recipients: Lauris Kaldjian, MD, PhD, 2016; Michael McCoy, MD, 2015; David Thomas, MD, 2014; Robert Gitchell, MD, 2013; Michael Kitchell, MD, 2012; Jean Robillard, MD, 2011; José Angel, MD, 2010; John Olds, MD, 2009; Siroos Shirazi, MD, 2008;

Charles Helms, MD, Iowa City, 2007; Thomas Evans, MD, 2006; Frank Zlatnik, MD, 2005; Sterling Laaveg, MD, 2004; R. Bruce Trimble, MD, and Donald C. Young, MD, 2003; Herman Hein, MD, 2002; John Brinkman, MD, 2001; Robert Kelch, MD, 2000; Robert Anderson, MD, David Carlyle, MD, James Hubbard, MD, Richard Nelson, MD, Rizwan Shah, MD, Julianne Thomas, MD, 1999; Kevin Cunningham, MD, 1998; Thomas Foley, MD, 1997; John Anderson, MD, 1996; Laverne Wintermeyer, MD 1995; Jackson VerSteeg, MD, 1994; John Tyrrell, MD, 1993; Emmett Mathiasen, MD, 1992; Dennis Walter, MD, 1991; Lawrence Goodman, MD, 1990; Enfred E. Linder, MD, 1989; Arthur Downing, MD, 1988; Hormoz Rassekh, MD, 1987; Pablo R. Recinos, MD, and Warren V. Wulfekuhler, MD, 1986; William R. Bliss, MD, and Craig D. Ellyson, MD, 1985; John W. Eckstein, MD, 1984; Clarence H. Denser, Jr., MD, 1983; Cecil W. Siebert, MD, 1982; Leslie W. Swanson, MD, and Ralph L. Wicks, MD, 1981; and Aloysius J. Havlik, MD, 1980.

WASHINGTON FREEMAN PECK AWARD: KIWANIS MIRACLE LEAGUE AT PRINCIPAL PARK

Kiwanis Miracle League at Principal Park, a Des Moines organization that provides a place for children with special needs to play baseball, is the 2017 recipient of the Washington Freeman Peck Award. This award is presented annually to an organization that makes significant contributions to the public health. Dr. Peck was a surgeon and medical educator, and he is attributed with being the principal agent behind the establishment of

what is now the University of Iowa Carver College of Medicine.

Established in 2008, Kiwanis Miracle League at Principal Park provides a place for children with special needs to enjoy our nation’s pastime, but it is truly so much more than that.

It is a place for families to come together and enjoy the great outdoors and the spirit of competition. At Kiwanis Miracle League, everyone bats, everyone scores, and every game ends in a tie.

Among the numerous nominees for this award, Kiwanis Miracle League stood out for several reasons, but primary among them was the beautiful way it touches the lives of all who participate — players and coaches, buddy volunteers, parents, friends, and spectators. With every high five — each swing of a bat and toss of a ball — and every hug given in celebration of achievement, our community — our state — is made better.

Camp Hertko Hollow, 2012; Iowa Legal Aid Health and Law Project, 2011; American Red Cross, 2010; Volunteers for Free Clinics of Iowa, 2009; March of Dimes, 2008; Iowa Lions Eye Bank, 2007; Kiwanis International, 2006; Lighten Up Iowa, 2005; House of Mercy, 2004; Iowa Games, 2003; Goodwill Industries, 2002; Hy-Vee, 2001; Salvation Army, 2000; Lt. Governor’s Violence Against Women Coordinating Council, 1998; Governor’s Office & Attorney General’s Office, 1997; Blue Cross Blue Shield, 1996; Iowa Medical Society Alliance, 1995; American Lung Association of Iowa, 1992; Iowa Association of Area Agencies on Aging, 1990; Iowa Hospice Organization, 1988; Iowa State Historical Society, 1986; Iowa Hospital Association, 1984; University of Iowa Foundation, 1983; Camp Sunnyside/Easter Seals of Iowa, 1982; National Kidney Foundation of Iowa, 1981; and Kinney Lindstrom Foundation, 1980.

Accepting the award was Jan Burch, president of the 17-member Kiwanis Miracle League board of directors — and Bob Mitchell, Treasurer and Immediate Past President.

Past recipients: Courage League Sports, 2016; UI Dance Marathon, 2015; CVS Pharmacy, 2104; Des Moines Area Religious Council Food Bank, 2013;

JOHN F. SANFORD AWARD: CLARE KELLY

Over the course of Clare Kelly’s tenure as Executive Vice President and CEO of IMS, the organization faced many unique, unanticipated, and harsh challenges to our mission. This was especially true in 2016, when there were times when the IMS leadership team was forced to contemplate a future without IMS.

IMS was forced to streamline staffing and realign the budget with new financial realities. Clare helped navigate the organization through these troubled times. It was painful, hard, and full of personal loss. Through it all, Clare faced the hard choices and difficult decisions that resulted in the sleepless nights many know so well — nights of worry and concern.

Despite it all, she never let IMS lose sight of the mission and the value IMS brings to the physicians of Iowa. The physicians of Iowa have benefited greatly from Clare’s personal sacrifice and her commitment to the essential role our IMS plays in its advocacy for our patients.

Past recipients: Mike Stoll, Dubuque, 2016; Paul Drey, JD, Des Moines, 2015; Jeanine Freeman, JD, Des Moines, 2014; Mike Abrams, Johnston, 2013; Roma Taylor, RN, Davenport, 2012; Tom Newton, Des Moines, 2011; Rick Shupbach, Grundy Center, 2010; Barb Savage, Des Moines, and Tess Young, Polk City, 2009; The Honorable Michael Gronstal, Council Bluffs, 2008; Mary Mincer Hansen, Des Moines, 2007; Keith Luchtel, Des Moines, 2006; Governor Terry E. Branstad, Des Moines, 2005; Senator Charles Grassley, 2004; Sally Pederson, 2003; Sandy Nichols, Des Moines, 2002; Christie Vilsack, Des Moines, 2001; Lou Crist, Iowa City, 2000; Christopher Atchison, Des Moines, 1999; Walter Tomenga, Des Moines, 1998; Senator Elaine Szymoniak, 1997; David Lyons, Des Moines, 1996; James Koch, Davenport, 1995; Don Neumann, Des Moines and Tina Preftakes, Des Moines, 1994; Diane Kutzko, JD, 1992; Roger Tracy, Iowa City, 1991; J. Locke Macomber, Des Moines, 1989; Michael Reagan, Des Moines, 1987; Eldon E. Huston, Des Moines, 1983; Lee Couch, Des Moines, 1982; Governor Robert D. Ray, Des Moines, 1981; and William Recknor, Des Moines, 1980.

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PHYSICIAN COMMUNITY SERVICE AWARD: RICHARD DEMING, MD

The Physician Community Service Award recognizes the outstanding service of an Iowa physician to his or her community. This year’s recipient, Richard Deming, MD, is a Des Moines oncologist who has enriched the lives of thousands through his commitment to the principles of human dignity, social justice and compassion. Through his work and personal example, he inspires all to live life to the fullest.

Dr. Richard Deming is the medical director of Mercy Cancer Center and

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Iowa Medicine Spring 2017

founder and chair of the nonprofit Above + Beyond Cancer. Above + Beyond Cancer is dedicated to elevating the lives of those touched by cancer to create a healthier world.

Among other initiatives, it engages cancer survivors in transformative journeys such as climbing to the top of Mt. Kilimanjaro and to Mt. Everest Base Camp, and a race across America — inspiring survivors and the public to devote themselves to a “life of advocacy and leading an example for healthy living and cancer prevention in their communities.”

Dr. Deming’s greatest ambition is to encourage others to pursue lives of meaning, purpose, passion, and compassion. His kindness, compassion, and clinical expertise are known and deeply respected not just in Des Moines, not just in Iowa, but throughout the United States.

Dr. Deming is involved in many national, state, and community organizations and is the recipient of numerous awards. He was awarded the Lane Adams Award by the American Cancer Society for excellence and

compassion in patient care. He is the recipient of “the one hundred” Award

by Massachusetts General Hospital for his work with cancer survivors, and he was awarded the Iowa Cancer Champion Award for his tireless efforts in the field of advocacy.

Past recipients: Christopher T. Buresh, MD, PhD, 2016; William Scott, MD, 2015); Medical Student Sections at Des Moines University and University of Iowa, 2014; Michael Giudici, MD, 2013; Neil Mandsager, MD, 2011; Percy Harris, MD, 2010; William Durbin, MD, 2009; Thomas McIntosh, MD, 2008; Albert Kollasch, MD, 2007; Stephen Eckstat, DO, 2006; Thomas Gellhaus, MD , 2005; Edward Hertko, MD, 2004; John F. Murphy, MD, 2003; Larry Severidt, MD, 2002; Thomas Becker, MD, 2001; James Kimball, MD, 2000; Michael Abrams, MD 1999; James Blessman, MD, 1998; Dennis Boatman, MD. 1997; Paul Ferguson, MD, 1996; Paul Laube, MD, 1995; and Peter Wallace, MD, 1994.



SAVE THE DATE! MONDAY



 JULY 3  2017

3RD ANNUAL

CELEBRATION FEATURING

Live Music Fireworks Beverages Hors D’oeuvres 8:00 p.m. at the IMS Headquarters in Des Moines





#DOCSNPOPS



POLICY FORUM 17-1 RESULTS

PHASES CALL FOR ACTION The official “Call for Action” period begins seven weeks prior to each scheduled Policy Forum and lasts for two weeks. During this time, members are invited to submit Policy Request Statements (PRSs): brief descriptions of an issue or concern that you are experiencing in your medical practice, and request that IMS take some action to help resolve the issue.

PRSs may request IMS establish or amend policy, take an official position, seek legislative remedy, or work within respective organizations to bring relief.

Members submit a PRS and staff assist with formatting the desired action plan to be considered by the Policy Forum.

Members may submit PRSs to forum@iowamedical.org or by mail to Iowa Medical Society, 515 E. Locust Street, Suite 400, Des Moines, IA 50309, Attn: Policy Request. PRSs can be submitted at any time during the year; however, they will only be discussed at a Policy Forum.

TESTIMONY FORUM The second phase is the Testimony Forum. PRSs received during the Call for Action period are published online, signaling the opening of the Testimony Forum.

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Iowa Medicine Spring 2017

Members have two weeks from the opening of the Testimony Forum phase to contribute testimony via members-only discussions on the IMS website or submit feedback privately to forum@iowamedical.org.

POLICY FORUM The final phase is the Policy Forum meeting. At the meeting, all PRSs and accompanying Testimony Forum comments are addressed by the Policy Forum and either accepted, amended, rejected, tabled, or sent to an ad hoc committee for further discussion.

All members are invited to attend the Policy Forum to engage in discussion and offer their testimony in support of or in opposition to PRSs under consideration. While Policy Forums must be held at least once a year, they are regularly scheduled to be held once in the spring in concert with the annual conference and again in the fall.

In addition, special sessions of the Policy Forum may be called as needed.

POLICY FORUM 17-1 RESULTS PF 17-1 was held at 1:00 p.m. on April 28 in Des Moines. The following represents the Policy Request Statements considered and the actions taken with regard to each.

PRS 17-1-01 Maintenance of Certification Submitted by: Tiffani Milless, MD, Des Moines POLICY REQUEST IMS shall pursue legislation to prohibit the imposition of a requirement that a physician secure a Maintenance of Certification (MOC) as a condition of licensure, hospital privileges, and reimbursement from third party payers.

ACTION TAKEN Reaffirmed existing IMS policy; PRS rejected.

PRS 17-1-02 Hospital Medical Staff – Autonomy, Self-Governance Submitted by: Craig Clark, MS, MD, JD, FCLM, Cedar Rapids POLICY REQUEST The Iowa Medical Society should adopt the following policy position concerning the self-governance and autonomy of organized medical staff: The Iowa Medical Society supports the principle that the organized medical staff of a hospital is an autonomous, self-governing legal entity with the authority to sue on its behalf and on behalf of its individual members in order to enforce medical staff bylaws.

And, the Iowa Medical Society should submit a resolution to the American Medical Association House of Delegates urging it

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SCHEDULE FOR NEXT FORUM CALL FOR ACTION

August 3 – August 16 • PRSs must be received

by August 16 to be considered during PF 17-2.

• PRSs received after August 16 will be considered during PF 18-1.

TESTIMONY FORUM

August 17 – August 30 • PRSs under consideration during PF 17-2 will be posted online and members will be encouraged to offer virtual testimony during this time.

POLICY FORUM 17-2

September 21 • PF 17-2 is scheduled to be held on September 21 at 12:30 p.m. at the Medical Education Research Facility at University of Iowa’s Carver College of Medicine.

to formally adopt as policy the same principle.

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POLICY REQUEST An amendment to the IMS bylaws is requested to change the position of Speaker of the Policy Forum from an elected to an appointed position. When the bylaws were amended in 2014 and the House of Delegates was closed, the ex-officio board seat of Speaker of the House of Delegates was changed to Speaker of the Policy Forum.

This year was the first time since the bylaws were amended in 2014 that the Nominating Committee was responsible for slating candidates to run for this position. The Nominating Committee struggled to garner interest from the membership, and thus the position was left uncontested. The Nominating Committee believes the Board of Directors is better positioned to understand the particular skills required of this position, and thus seeks the following change to the IMS bylaws:

ACTION TAKEN Adopted Amended PRS: The Iowa Medical Society supports the principle that the organized medical staff of a hospital is an autonomous, self-governing legal entity with the authority to sue on its behalf and on behalf of its individual members in order to enforce medical staff bylaws. Reaffirmed Existing AMA Policy H-235-974.

Chapter V, Section 6. SPEAKER: The Speaker shall preside over all sessions of the Policy Forum and shall perform such other duties as custom and parliamentary usage may require. The Speaker may address the Policy Forum at the opening of any meeting, limiting the address to matters of conduct and procedure. The Speaker shall also serve as a voting member of the Board of Directors.

PRS 17-1-03 Bylaws Amendment: Speaker of the Policy Forum Submitted by: Joyce Vista-Wayne, MD, Chair, IMS Nominating Committee, Clive

Chapter V, Section 8. The Speaker of the Policy Forum shall be [APPOINTED] by the Board of Directors for a term of three (3) years. A person is not eligible to serve more than two (2)

Iowa Medicine Spring 2017

consecutive terms as Speaker.

Chapter V, Section 9. Any vacancy in the office of Speaker of the Policy Forum, At-Large Director, Resident Director, Medical Student Director, AMA Delegate or AMA Alternate Delegate shall be filled by the Board of Directors for the unexpired portion of the term of such office.

ACTION TAKEN Tabled PRS pending outcome of Policy Forum ad hoc review committee.

PRS 17-1-04 Protection for Epinephrine Prescribing Submitted by: Tom Benzoni, DO, Urbandale POLICY REQUEST 1a. The Iowa Medical Society shall pursue legislation establishing a gross negligence standard of proof if a physician writes a prescription for self-injection epinephrine to treat an allergic reaction, regardless of injection method.

1b. The Iowa Medical Society shall submit a resolution to the American Medical Association House of Delegates that it advocate for statutory protections for prescribing injectable epinephrine without the auto-injector (e.g. vial/syringe).

ACTION TAKEN Referred PRS to Committee on Medical Services.

PRS 17-1-05 Recommended Action on IMS Policies Last Acted Upon in 2007 Submitted by: IMS Policy Committee POLICY REQUEST • Retain H-15.010 – Accident Prevention: Motor Vehicles, Media Reporting of Accidents.

Policy still relevant.

• Rescind H-60.009 – Children and Youth, Tdap Booster Prior to Middle School. The administrative rules to implement this requirement became effective January 13, 2013, and implementation began with the 2013-2014 school year.

• Amend and Retain H-160.013 – Health Care Delivery, Interventional Pain Medicine Procedures, Practice of Medicine.

This retains the intent of H-160.014 while allowing that advocacyspecific policy to be rescinded.

• Rescind H-160.014 – Health Care Delivery, Interventional Pain Medicine Policy Statement. IBM rule 653 IAC 13.9 governing interventional pain medicine became effective August 4, 2010, however the 2013 Iowa Supreme Court decision on ARNP supervision of fluoroscopy undermines its effectiveness. See recommended amendment to H-160.013.

• Retain H-285.026 – Managed Care, Retroactive Billing for Services Provided during Credentials Process.

Policy still relevant.

• Retain H-315.003 – Medical Records and Patient Privacy, Physician Prescribing Data. Policy still relevant.

• Retain H-315.004 – Medical Records and Patient Privacy, AMA Physician Data Restriction Program “Opt-Out” Policy. Policy still relevant.

• Retain H-440.010 – Public Health, Utilize IRIS. Policy still relevant.

• Retain H-440.011 – Public Health, IDPH Needs to Provide Interfaces to IRIS. Policy still relevant.

• Retain H-490.010 – Tobacco Use, Prevention and Cessation, Ban Smoking in All Public Places. Policy still relevant.

PRS 17-1-06 Requiring Physician Disclosure of Investigations and Complaints Submitted by: Joseph Cookman, DO, Fort Dodge/West Des Moines

that a complaint was filed against him/her if the investigation into the complaint resulted in a finding that it was unfounded and ultimately dismissed.

POLICY REQUEST The Iowa Medical Society does not support requiring a physician to disclose, for purposes of credentialing and privileging,

ACTION TAKEN Referred PRS to Committee on Medical Services.

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ACTION TAKEN Adopted PRS. 3200 GRAND AVENUE • DES MOINES • 515-271-1700 • WWW.DMUCLINIC.ORG

Iowa Medicine Spring 2017

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MEMBERS IN THE NEWS MEMBERS IN THE NEWS (December 2016 to March 2017)

IN MEMORIAM

Jean Robillard, MD, Nephrology/Pediatrics, Iowa City, was featured in the Corridor Business Journal article “Value-based Care Improving Health Care and Costs” published on December 22, 2016.

William Bailey, MD, 67, Family Medicine, Omaha, passed away on March 17, 2017.

Vincent Reid, MD, FACS, General Surgery, Cedar Rapids, was featured in the Cedar Rapids Gazette article, “Upcoming Event at Mercy Warns of Dangers of Pre-Prom Indoor Tanning” published on January 29, 2017.

Jerry Jochims, MD, Orthopedic Surgery, West Burlington, (retired), featured in The Hawk Eye article, “Tuba Player Turns Physician” published on February 20, 2017.

Alan Whitters, MD, Psychiatry, Cedar Rapids, featured in KCRG-TV9 story, “Mercy Doctor Says State Mental Health System is Broken” broadcast on March 15, 2017.

Alexander Zhu, DO’19, Des Moines University Medical Student, Des Moines, earned Student Researcher of the Year Honorable Mention from the American Association of Colleges of Osteopathic Medicine (AACOM).

L. Shane Hopkins, MD, Radiation Oncology; Cari Low, MD, Internal Medicine; Larry Otteman, MD, Hematology; and Curtis Waite, DO, Ames, were recognized by Mary Greeley Medical Center Foundation as “Beyond Expectations Honorees.”

Lisa Menzies, MD, Pediatrics, Des Moines, named 2017 Central Iowa Hero of the Heartland by American Red Cross.

Chad Carlson, MD, West Des Moines, and Merderic Hall, MD, Iowa City, elected to leadership roles within the American Medical Society for Sports Medicine and will assume their roles in May of 2017.

Roger Ceilley, MD, West Des Moines, and Hillary Johnson-Jahangir, MD, PhD, were featured in the Daily Iowan article, “The Skinny on the Cost of that Tan” published on March 31, 2017.

Congratulations to the Des Moines University College of Osteopathic Medicine Class of 2017. All of these students attained residency program matches.

One hundred thirty-four University of Iowa Carver College of Medicine students obtained residency appointments, with 38 staying in Iowa to train.

MEMBERS ON THE MOVE • Kasey Strosahl, MD, Psychiatry, joined the practice of James Trahan, MD, PLC, Ames.

• Brian Waggoner, MD, Pediatrics, opened Waggoner Pediatrics of Central Iowa, Clive.

• Sunita Penmatcha, MD, Internal Medicine, joined Rheumatology Associates, PC, Bettendorf.

• Francis Kane, MD, Family Medicine, joined Family Care Partners of the Quad Cities, PC, Bettendorf.

• Patricia Fasbender, DO, Family Medicine, joined Clarion Clinic.

• Anthony Lazar, MD, Cardiovascular Disease, joined Great River Cardiology, West Burlington.

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Iowa Medicine Spring 2017

Edward Fisher, MD, 60, Orthopedic Surgery, Harlan, passed away on December 15, 2016.

Percy Harris, MD, 89, Family Medicine, Cedar Rapids, passed away on January 24, 2017.

PAST PRESIDENT PAUL SEEBOHM, MD, PASSES AWAY AT 100 Paul Seebohm, MD, Allergy and Immunology, Iowa City, passed away on January 8, 2017. Below is an excerpt from the eulogy delivered by Francois Abboud, MD, during Dr. Seebohm’s funeral on January 12, 2017.

“Now before we say good-bye and adieu to you, Paul, let me one more time say why we love you. Without fanfare, you have taught us loyalty and equanimity.

Your loyalty is ‘marble-constant’ and your fidelity unfailing. Your equanimity during controversy has taught us self-confidence and tolerance.

From you, we learned never to compromise on professional ethics and yet avoid self-righteousness. We learned how to make just and difficult decisions and yet retain humaneness and sensitivity.

In sum, you have taught us the greatness of the human potential. Throughout all of this, silence more than speech characterizes your genius. I would like to end with a quote from [Kahlil] Gibran on silence as a concluding statement in your honor and your memory: ‘Great truth that transcends nature does not pass from one being to another by way of human speech. Truth chooses silence to convey her meaning to loving souls. There is something greater and purer than what the mouth utters. Silence illuminates our souls, whispers to our hearts and brings them together.’

Paul, you have illuminated our souls, you have whispered to our hearts, and you have brought us together.”

Scott County Medical Society Announces 2017 Executive Committee and Board Congratulations to the IMS members elected to serve on the Scott County Medical Society Executive Committee in 2017.

OFFICERS President – John Wright, MD, Neurology, Davenport President-Elect – Humphrey Wong, MD, Pulmonary Disease, Davenport Secretary – Susan Perry, MD, Dermatology, Bettendorf Treasurer – Jennifer Prather, MD, Pathology, Davenport

MEMBERS-AT-LARGE Candyce Ackland, MD, Family Medicine, Davenport Nicole Brokloff, MD, Family Medicine Resident, Davenport Pam Davis, MD, Orthopedic Surgery, Bettendorf Elliott Galey, MD, Family Medicine Resident, Davenport Barbara Harre, MD, Pediatrics, Davenport Ann O'Donnell, DO, Internal Medicine, Bettendorf Alta Price, MD, Pathology, Davenport Siv Brit Saetre, MD, Ophthalmology, Davenport Cheryl True, MD, Family Medicine, Davenport

PAST PRESIDENTS Joseph Brooks, DO, Physical Medicine & Rehabilitation, Bettendorf Camilla Frederick, MD, Family Medicine, Davenport

Johnson County Medical Society Announces Executive Committee

The Johnson County Medical Society announced election of its 2017 Executive Committee.

• President – Michael Haugsdal, MD, fourth-year resident in Obstetrics and Gynecology, Iowa City • President-Elect – Daniel Terveen, MD, first-year resident in Ophthalmology, Iowa City • Secretary/Treasurer – Victoria Linares, MD, Chief Family Medicine Resident, Iowa City • Past President – Elizabeth Loeb, MD, Family Medicine, Iowa City

HAVE NEWS TO SHARE? IMS welcomes news related to our members.

Please send information to Kara Bylund

Surgeons in Top 10% Mercy Iowa City and Steindler Orthopedic Clinic surgeons were recognized as top 10 percent in the U.S. for orthopedic surgery and joint replacement care by Healthgrades.

Steindler Orthopedic Clinic IMS members include: Cory Christiansen, MD Frederick Dery, Jr., MD Thomas Ebinger, MD Daniel Jones, MD John Langland, MD Benjamin MacLennan, MD Peter Maurus, MD Mark Mysnyk, MD Brent Overton, MD Christopher Scott, MD David Steinbronn, MD Brent Whited, MD Brian Wills, MD

UnityPoint Health – Prairie Parkway Opens UnityPoint Health – Waterloo announced the opening of a new facility with a full range of services to enhance coordinated care. The following clinics and IMS members have moved to this new facility, located at 5100 Prairie Parkway in Cedar Falls: • UnityPoint Clinic Family Medicine – Cedar Falls : Khushman Dodd, MD • UnityPoint Clinic Family Medicine – Cedarloo: Dan Glascock, MD and Cindy Huwe, MD • UnityPoint Clinic Family Medicine – Greenhill • UnityPoint Clinic OB/GYN – Cedar Falls

(kbylund@iowamedical.org) at IMS.

Iowa Medicine Spring 2017

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THANK YOU! A SPECIAL THANK YOU TO OUR MEMBERS WHO ARE “ALL IN” IN 2017 100 percent of physicians in the following groups have joined the Iowa Medical Society in 2017.

We appreciate your support and commitment!

LARGE GROUPS Associated Anesthesiologists, PC McFarland Clinic Blank Children’s Hospital Medical Associates of Clinton Covenant Clinic Medical Center Anesthesiologists, PC Grand River Medical Group Radiology Consultants of Iowa Iowa Heart Center The Iowa Clinic University of Iowa Physicians

SMALL GROUPS Amana Family Practice Clinic Avera Medical Group – Spirit Lake Medical Center Burgess Family Clinic – Mapleton Burlington Area Family Practice Center, West Burlington Burlington ENT Clinic, West Burlington Burlington Pediatric Association, PC, West Burlington Cedar Valley Medical Specialists, PC – Eye Care, Waterloo Charles City Family Health Center Cherokee Regional Clinics ChildServe, Johnston Cornerstone Family Practice, Guttenberg Cresco Medical Clinic Dermatology & Dermatologic Surgery Center, PC, Clive Des Moines Eye Surgeons, West Des Moines Doran Clinic for Women, Ames Dubuque Anesthesia Services, PC Dubuque Obstetrics & Gynecology, PC

Dubuque Surgery, PC ENT Medical Services, PC, Iowa City Family Health Care of Siouxland – Indian Hills Clinic, Sioux City Family Health Care of Siouxland – Morningside Clinic, Sioux City Family Health Care of Siouxland – Northside Clinic, Sioux City Family Health Care of Siouxland – South Sioux Clinic, Sioux City Family Medicine, LLP, Grinnell Family Practice Clinic, Emmetsburg Fox Eye Laser & Cosmetic Institute, PC, Cedar Rapids Franklin Medical Center, Hampton Fuerste Eye Clinic, Dubuque Genesis Pulmonary Associates, Davenport Great River Family Practice Clinic, West Burlington Great River Urology, West Burlington Great River Women’s Health, West Burlington Gundersen Behavioral Health, Decorah Gundersen Palmer Lutheran Hospital and Clinic, West Union

Guthrie Family Medicine Center, Guthrie Center Hall Radiation Center, Cedar Rapids Heartland Dermatology, Clive Heartland Oncology Hematology, Council Bluffs Iowa Cancer Specialists, PC, Davenport Iowa City Dermatology Iowa Eye Center, Cedar Rapids Iowa Retina Consultants, West Des Moines James Trahan, MD, PLC, Ames Jones Eye Clinic, Sioux City June E. Nylen Cancer Center, Sioux City Katzmann Breast Center, Clive Kossuth Regional Health Center Clinic, Algona Mahaska Health Partnership – General Surgery, Oskaloosa Marshalltown OB/GYN Medical Clinic, PC, Hamburg Medix Occupational Health Services, Ankeny Mercy Clinics Family Medicine, Johnston Mercy Clinics Family Medicine Prairie Trail, Ankeny Mercy Clinics Family Medicine, Urbandale Mercy Clinics North Iowa Administration, Mason City Mercy Diabetes Center – North Iowa, Mason City Mercy East Pediatric Clinic – Pleasant Hill Mercy Family Clinic – Forest City Mercy Family Clinic – Forest Park Mercy Family Clinic – Regency, Mason City Mercy Family Clinic – Rockford Mercy Family Medicine Residency Faculty – North Iowa Mercy Kidney Center, Mason City Mercy Medical Clinic – Centerville Mercy Medical Services – Breast Care, Dakota Dunes, SD Mercy Obstetrics & Gynecology – North Iowa, Mason City Mercy Pediatric & Adolescent Clinic – Clear Lake Mercy Pediatric & Adolescent Clinic – North Iowa, Mason City Mercy Pediatric Clinic, Cedar Rapids Mercy Plastic Surgery, Des Moines Mercy Ruan Neurology Clinic, Des Moines Mercy Surgical Affiliates, Des Moines Mercy Transplant Center, Des Moines Mercy Urgent Care, Mason City Mercy Weight Loss & Nutrition Center, Clive Mercy Women’s Health Center – Mason City

MercyCare Center Point Mid Iowa Fertility, PC, Clive Midwest Radiology & Imaging, Spencer Mitchell County Regional Health Center – Osage Clinic Myrtue Medical Center – Harlan Clinic Neurosurgery of North Iowa, PC, Mason City Northeast Iowa Family Practice Center, Waterloo North Iowa Eye Clinic, PC, Mason City NW Iowa Bone Joint & Sports Surgeons, Spencer NW Surgery, Orange City OB/GYN Associates, PC, Cedar Rapids Orthopaedic Specialists, PC, Davenport Ottumwa OB/GYN Physicians, LLC Ottumwa Regional Primary Care Pathology Associates, Dubuque Pediatric Associates Ottumwa Pediatric Cardiology, PC, Des Moines Physicians’ Clinic of Iowa – Oncology/Hematology, Cedar Rapids Physicians Lab of Northwest Iowa, Spencer Prairie Pediatrics & Adolescent Clinic, PC, Sioux City Radiologic Medical Services, PC, Coralville Rheumatology Associates, PC, Bettendorf River Hills Pediatric Clinic, Ottumwa SE Iowa Neurological Associates, PC, Fairfield Siouxland Medical Education Foundation Faculty, Sioux City Siouxland OB/GYN, PC, Sioux City Siouxland Urology Associates, PC, Dakota Dunes Siouxland Women’s Health Care, Sioux City Steindler Orthopedic Clinic, PLC, Iowa City The Group – OB/GYN Specialists, PC, Davenport UnityPoint Clinic Family Medicine – Huxley UnityPoint Clinic Family Medicine – Ingersoll, Des Moines UnityPoint Clinic Family Medicine – Mulberry, Muscatine UnityPoint Clinic Family Medicine – Northwest, Windsor Heights UnityPoint Clinic Family Medicine – Physical Therapy, Altoona UnityPoint Clinic Family Medicine – Sac City UnityPoint Clinic Family Medicine – Sergeant Bluff UnityPoint Clinic Internal Medicine – Ankeny Prairie Trail UnityPoint Clinic Surgery – Bettendorf UnityPoint Health Waterloo – Center for Urology, Waterloo Waterford Family Medicine, Davenport Wolfe Clinic, PC, Cedar Rapids

IOWA MEDICAL SOCIETY Large Groups consist of 20 or more physicians, Small Groups consist of 2-19 physicians. Current as of March 31, 2017

WELCOME NEW IMS MEMBERS (January 1 to March 31, 2017) Jon Ahrendsen, MD, Family Medicine, Clarion Clinic, Clarion Eric Askeland, MD*, Urology UnityPoint Health Waterloo – Center for Urology, Waterloo Shauna Basener, DO, Internal Medicine, McFarland Clinic, PC – Adult Medicine, Ames Kandace Bass, MD, Pediatrics Mercy Clinics Pediatrics, Indianola J. Patrick Bertroche, DO, Child & Adolescent Psychiatry, Bertroche & Associates, Des Moines Craig Bottke, MD, Hand Surgery Great River Orthopaedic Specialists, West Burlington Leah Brandon, DO, Pediatrics Mercy Clinics Pediatric Central, Des Moines Paul Butler, MD, Orthopedic Surgery, Des Moines Orthopaedic Surgeons, PC, Des Moines Byron Carlson, MD, Family Medicine, Mercy Family Clinic, Forest City Jeanne Chan, MD, OB/GYN, Eastern Iowa Health Center, Cedar Rapids Michele Cooley, MD, Pathology Weland Clinical Laboratories, PC, Cedar Rapids Jared Daniel, MD*, Orthopedic Surgery, Des Moines Orthopaedic Surgeons, PC, West Des Moines Brooke Dismukes, MD, Pediatrics McFarland Clinic, PC – Pediatrics Ames Michael Doarn, MD, Hand Surgery Tri–State Specialists, LLP, Sioux City Samuel Dvorak, MD**, Family Medicine, McFarland Clinic, PC, Carroll Allen Eckhoff, MD, Anesthesiology/ Pain Management, Medical Center Anesthesiologists, PC, Des Moines Patricia Endress, DO, Family Medicine, Mercy Medical Center – North Iowa, Mason City Chasity Epperly, MD, Family Medicine, Mercy Family Clinic, New Hampton John Epperly, MD, Family Medicine, Mercy Family Clinic, New Hampton 28

Iowa Medicine Spring 2017

Bryan Feyen, DO, Gastroenterology McFarland Clinic, PC – Gastroenterology, Ames

Stephanie Koos, DO, Family Medicine, The Iowa Clinic West Des Moines Campus, West Des Moines

L. Nathan Gause, MD, Orthopedic Surgery, Great River Orthopaedic Specialists, West Burlington

Anthony Kopp, DO, Physical Medicine & Rehabilitation, Mercy Physical Medicine & Rehabilitation, Des Moines

Molly Gross, MD, General Surgery The Iowa Clinic Surgery, Des Moines

Jason Kruse, DO, Internal Medicine, Broadlawns Medical Center – Internal Medicine, Des Moines

Maria Guevara Hernandez, MD, Internal Medicine, Mercy Des Moines Hospitalists, Des Moines Scott Hanson, DO, Family Medicine, Mercy Clinics Geriatric Services, Des Moines John Hardie, MD, Radiation Oncology, McFarland Clinic, PC – Oncology & Hematology, Ames Chad Harswick, MD, Emergency Medicine, McFarland Clinic, PC – Family Medicine North Ames

Daniel Lee, MD, Urology, UnityPoint Health Waterloo – Center for Urology, Waterloo Phillip Lee, MD, Otolaryngology Mason City Clinic – ENT & Allergy, Mason City Lori Lindstrom, MD, Family Medicine, Lindstrom Family Practice, Mason City Michael Lindstrom, DO, Family Medicine, Mercy Family Clinic, Rockford

John Hembry, DO, Family Medicine UnityPoint Clinic Family Medicine, Waukee

Jessica Lorenz, MD Anesthesiology, Medical Center Anesthesiologists, PC, Des Moines

Scott Hoffman, DO, Family Medicine, Mercy Clinics Family Medicine, Indianola

Joi Lucas, MD, Pediatric Pulmonology, Blank Children's Pulmonology Clinic, Des Moines

Jimmie Horton, MD*, Family Medicine, Mercy Clinics Family Medicine East Village, Des Moines

Tavi Madden-Le Duc, DO Emergency Medicine, Mercy Medical Center – North Iowa, Mason City

Javeria Iqbal, DO*, Family Medicine, Mercy Medical Center – North Iowa, Mason City

Samantha Mallory, MD, Pediatrics Blank Children’s Cancer & Blood Disorders Center, Des Moines

Sarah Jackson, MD, Pediatrics, Mercy Clinics Pediatrics, Waukee

Ginger Massey, MD, Anesthesiology Linn County Anesthesiologists, PC, Hiawatha

Theron Jameson, DO, Orthopedic Surgery, Great River Orthopaedic Specialists, West Burlington Bradley Johnson, DO*, Family Medicine, Genesis Family Medical Center, Blue Grass Todd Johnston, MD, FAAOS, Orthopedic Surgery, Cedar Valley Medical Specialists, PC – United Medical Park, Waterloo Howard Kim, MD, Occupational Medicine, Mercy HealthWorks, Mason City Daniel Koos, MD, Family Medicine The Iowa Clinic West Des Moines Campus, West Des Moines

Dustin McCann, DO*, Pulmonary Diseases, The Iowa Clinic West Des Moines Campus, West Des Moines D. Paul McQuillen, DO, Family Medicine, Mercy Family Clinic, New Hampton Courtney Messerly, MD, Obstetrics Regional Family Health, Manchester Michael Messingham, MD Dermatology, Accredited Dermatology Associates, PC, Davenport Jason Meyers, MD, Cardiovascular Disease, Iowa Heart Center, PC West Des Moines Corey Mineck, MD, Otolaryngology Mercy Ear, Nose and Throat, Clive

Tracy Mixdorf, DO, Family Medicine, Mercy Family Clinic, Clear Lake

Ryan Pokorney, DO, Orthopedic Surgery, Orthopaedic Specialists, PC, Davenport

Medicine, Indianola

Priscilla Putzier, DO*, Pediatrics Blank Children's Pediatric Emergency, Des Moines

NEUROSURGEON Robert Moran, DO, Family WANTED Medicine, Mercy Clinics Family Mercy Clinics is seeking Daniel Moyse, MD, Anesthesiology Neurosurgeon to join Medical Center Anesthesiologists, PC, thriving practice in Des Moines Denville Myrie, MD, General Des Moines.

Surgery, Mercy Trauma Services, Des Moines Competitive

HOSPITALIST WANTED

Mercy Clinics is seeking Veena Ramachandran, MD Pediatrics, Blank Children’s Infectious Hospitalist physician to Diseases Clinic, Des Moines join thriving hospitalCatherine Rook-Roth, DO, Family basedMercy practice Medicine, Clinicsin Family DesEast Moines.

Medicine Village, Des Moines

Mary Russell, DO, Physical Medicine Mark Newton, MD*, Urology compensation compensation & Rehabilitation, Mercy Physical UnityPoint Health Waterloo – Center Competitive structure with paid Medicine & Rehabilitation, for Urology, Waterloo structure with paidDes Moines malpractice, CME. Amir Sajadian, MD*, Hospice & Michael Nguyen, MD, MHSR* malpractice, CME. Palliative Medicine, Mercy North Iowa – Family Medicine, CNOS, PC, Send resume to: Palliative Mason City North Sioux City SendCare, resume to Sarah Schreurs William Schupp, MD, Christopher Nicholas, MD Melissa DelaneyFamily Mercy Medical Medicine, The Iowa Clinic, Waukee Vascular Surgery,Center Medical Associates Mercy Medical Center of Clinton, Clinton Ted Schwarm, MD, Family 1111 6th PLC, Avenue 1111 Mercy 6th Avenue Medicine, Medical Center – Angela Olerich, DO, Family Des Moines, IA 50314.

Des IACity 50314 NorthMoines, Iowa, Mason Medicine, McFarland Clinic, PC, Webster City

Lindsay Orris, DO*, Rheumatology Rheumatology Associates, PC, Bettendorf Stacey Parker-Brueggemann, MD, Hematology/Oncology, Heartland Oncology Hematology, Council Bluffs Jean Paul, DO, Family Medicine Mercy Clinics Family Medicine North Ankeny, Ankeny Sunita Penmatcha, MD, Internal Medicine, Rheumatology Associates PC, Bettendorf Daniel Pennington, MD Pulmonary Diseases, Mercy Internal Medicine Clinic, Mason City Erin Peterson, DO, Physical Medicine & Rehabilitation, Mercy Physical Rehabilitation & Pain Services, Mason City Todd Peterson, DO, Orthopedic Surgery, Capital Orthopaedics & Sports Medicine, Clive Ai Huong Phu, DO, Physical Medicine & Rehabilitation, Mercy Physical Medicine & Rehabilitation, Des Moines Charles Pigneri, DO, Family Medicine, CHI Health Clinic Family Medicine, Oakland

PEDIATRIC GI WANTED Mercy Clinics is seeking a Pediatric GI to join a thriving practice in Des Moines, Iowa.

Competitive compensation structure with paid malpractice and CME. Send resume to Sarah Schreurs Mercy Medical Center, 1111 6th Ave, Des Moines, IA 50314

Cody Silker, DO, Pediatrics Blank Children’s Hospital – Hospitalists, Des Moines Joginder Singh, MD, Oncology Mercy Cancer Center, Mason City Rajendra Singh, MD, Emergency Medicine, Mercy Medical Center – North Iowa, Mason City Jeffrey Smit, MD, Otolaryngology Mercy Ear, Nose and Throat, Clive

Brian Wilson, DO, Gynecology NW Iowa Surgeons, PC, Spencer

Jolene Smith, DO, Anesthesiology & Pain Medicine, Medical Center Anesthesiologists, PC, Des Moines

Michael Woods, MD, FACOG, OB/GYN, Women’s Health Center, Shenandoah

Keith Smith, DO*, Emergency Medicine, LifeServe Blood Center, Des Moines

Thomas Woodward, MD, Family Medicine, Student Health and Wellness, Iowa City

Candice Smith, MD, Family Medicine, Mercy Clinics Family Medicine, Indianola

Alireza Yarahmadi, MD, Neurology Mercy Neurology Clinic, Mason City

Umashankar Subramaniam MD, Mercy – North Iowa Pediatric Hospitalist, Mason City

Jacqueline Young Cooper, MD, FACOG, OB/GYN, Eastern Iowa Health Center, Cedar Rapids

Ryan Tomlinson, MD, Internal Medicine & Pediatrics, The Iowa Clinic Methodist Medical Center – Plaza II, Des Moines

Jessica Zuzga-Reed, DO, Pediatrics Mercy Children's Hospital & Clinics – Pediatrics ICU-PICU, Des Moines

Lacey Wheat-Hitchings, MD, MPH, Occupational Medicine, McFarland Clinic, PC – Occupational Medicine, Ames

**Former Student Member

* Former Resident Member

Iowa Medicine Spring 2017

29

LEGISLATIVEUPDATE

2017 LEGISLATIVE SESSION ENDS WITH HISTORIC IMS WIN

By Dennis Tibben

DENNIS TIBBEN Mr. Tibben is the director of state government affairs for IMS. He serves as the staff liaison for the Committee on Legislation and for the IMPAC Board of Directors.

By the time this edition of Iowa Medicine lands in your mailbox, the General Assembly will have adjourned for the year. It has been another busy, productive session for the house of medicine with the biggest news being the historic passage of comprehensive medical liability reform. Tort reform was not the only legislative victory for IMS this year. We also saw success in enacting a series of policy measures intended to help address Iowa’s opioid abuse problems and reduce insurance barriers to care. For more information on these issues, as well as the full 2017 Legislative Scorecard, please visit the IMS website.

Medical Liability Reform On May 5, 2017, Governor Branstad signed SF 465 into law. The most significant reforms to Iowa’s medical liability system in more than a generation, the legislation enacts four primary reforms: a $250,000 cap on noneconomic damages with some exceptions, strengthened expert witness standards, a Certificate of Merit in all medical liability suits, and expansion of the Candor protections IMS successfully passed in 2015.

This legislation was decades in the making, with IMS working since the 1970s to educate legislators on some of the reforms included in this year’s legislation.

Despite Republican control of both legislative chambers and the executive branch for the first time since 1998, passage of SF 465 was far from a foregone conclusion. The Iowa Bar Association and the Iowa Association

for Justice, the membership organization for plaintiff attorneys, vehemently opposed these reforms.

In conjunction with their legislative allies, they were relentless in working to halt or significantly diminish the scope of the bill. Iowa physicians, residents, students, and clinic administrators should be commended for their overwhelming grassroots response to our calls to action.

While the IMS Government Affairs team was spearheading efforts inside the Capitol, these external legislative contacts helped validate our message and put a local face on the issue. In more than one instance, undecided or wavering legislators cited contacts from their constituents as the reason for their ultimate support of the bill.

SF 465, which takes effect July 1, 2017, is expected to significantly reduce medical liability insurance premiums.

States that have passed medical liability reforms similar to those in the new Iowa statute have experienced increases in physician workforce; increased access to care, especially in rural communities; and decreases in overall healthcare costs.

Opioid Abuse Prior to the 2017 session, IMS-crafted comprehensive opioid abuse legislation, which included reforms intended to improve informed prescribing, reduce overall opioid supply, and increase access to treatment.

This comprehensive legislation failed to clear the necessary procedural

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Iowa Medicine Spring 2017

To help address this, IMS worked as part of an expansive coalition of provider and patient advocacy organizations to pass legislation, which would create a prescriberinitiated step therapy override process for commercial insurers.

This override process will help reduce instances where an insurer requires a patient to first try and fail other medications before they will cover the originally prescribed medication.

deadlines for consideration this session due to stringent opposition primarily from the insurance industry.

Despite this early-session set back, IMS was successful in securing passage of nearly every policy measure as part of other bills. These include the following:

Informed Prescribing

HF 524 Grants authority for the Iowa

Board of Pharmacy (IBP) to enter into interstate agreements to connect the Iowa Prescription Monitoring Program (PMP) with all 48 otherstate PMPs. Doing so will allow physicians to have a more comprehensive picture of patients’ medications prior to issuing a new prescription. This legislation will ensure access to the records for any prescriptions patients receive while out of the state. Currently, the PMP is only connected to states that border Iowa plus Kansas.

Supply Reduction

SF 484 Grants authority for the IBP to implement a number of programmatic changes. Of interest to the medical community, the bill removes the current statutory cap on the board’s use of licensure fees to fund local controlledsubstance disposal programs.

In 2016, the IBP received more than 100 applications for participation in this program, however, the state cap

only allowed them to fund programs at half of these locations. After IMS alerted the Governor’s Office to this issue, they were able to find funds elsewhere in the state budget to cover the shortfall.

Without this cap the IBP now has greater flexibility to fund programs to remove excess opioids, at risk of being diverted and abused, from circulation.

The original IMS-crafted legislation included a provision to allow for patient-initiated partial fills of opioid prescriptions, with pharmacist notification to the prescriber.

The override process may be initiated in any of the following situations: if the step medication is contraindicated, if the step medication is expected to be ineffective, if the patient has previously tried and failed the step medication or a therapeuticallyequivalent medication, or if the patient is currently stable on the prescribed medication.

Work is already underway to develop the 2018 IMS Legislative Agenda. If you have thoughts on a state policy change that IMS should pursue, we want to hear from you! Please contact me at dtibben@iowamedical.org.

This legislation prompted a discussion with the IBP regarding their ability to promulgate administrative rules to implement this new patient-choice option under authority of the recently enacted federal CARE Act. The IBP is in the process of drafting rules under this authority to allow for patient-initiated partial fills for all Schedule II controlled substances.

Administrative Burden One of the contributing factors to physician burnout is burdensome insurance regulations that are forcing physicians to spend more time dealing with paperwork and insurance call centers, and less time caring for their patients.

Iowa Medicine Spring 2017

31

EXPANDING THE CANDOR PROGRAM LEGALEASE

By Kate Strickler, JD, LLM

KATE STRICKLER, JD, LLM Ms. Strickler is the general counsel for IMS, and serves as the lead at IMS for the Candor program.

How to implement a Candor program and the mechanics of successful discussions will be the focus of a Candor conference in Des Moines this fall.

handle adverse outcomes. He will be joined by a patient who experienced an adverse outcome and participated in a Candor discussion, and by that patient’s primary care physician. The three will discuss what happened in the case, the process of initiating a Candor discussion, how that discussion went and what made it successful. Each party will give his perspective and will answer questions from attendees.

Tim McDonald, MD, JD, will introduce the early-disclosure model and share its successes in other states and institutions. Dr. McDonald has served as the Chief Safety and Risk Officer for Health Affairs at the University of Illinois Medical Center at Chicago.

In that role, he implemented a program for responding to patient safety incidents that resulted in nearly 200 system improvements.

Dr. McDonald is currently engaged in implementing early disclosure programs in more than 100 hospitals in nine states.

Candor (Communication and Optimal Resolution) is an open, honest, and confidential discussion between a patient and a physician following an adverse outcome. The physicianinitiated discussion occurs shortly after the incident, and none of the discussion is admissible in court.

Using Candor gives patients honest and frank answers about the circumstances surrounding an adverse outcome, and provides the opportunity to participate in implementing procedures to prevent a future incident. The process is much

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Iowa Medicine Spring 2017

shorter than traditional lawsuits, so patients with legitimate claims receive faster resolutions.

A one-day Candor conference, scheduled for Friday, September 22, in Des Moines, will feature national speakers from successful early disclosure programs as well as individuals from the pilot Candor program in eastern Iowa.

The chief medical officer of the pilot program in eastern Iowa will speak about how Candor discussions have affected his clinic and the way they

Michelle Mello, JD, PhD, Professor of Law at Stanford University, will provide data from programs across the country and what those statistics mean for Iowa programs. Dr. Mello has written extensively on topics related to medical malpractice systems and medical errors and patient safety.

Her presentation will include the latest data from one of the first early disclosure programs in the country.

A panel of attorneys includes Karen Lorenzen, JD, a plaintiff’s attorney who represented a patient through a successful Candor discussion at the pilot site in eastern Iowa.

Plan Now to Attend

Candor COM MU N I CATIO N AN D O PTI M AL RESO LUTIO N

IOWA MEDICAL SOCIETY

CONFERENCE

Friday, September 22, 2017 Kelley Conference Center at Iowa Methodist Medical Center 1200 Pleasant Street Des Moines, Iowa 9:00 a.m. to 3:30 p.m.

Free to IMS members This day-long conference is tailored to physicians, risk managers, hospital and clinic leaders, and other members of healthcare teams involved in patient safety. This conference focuses on Candor – Communication and Optimal Resolution, the Iowa law that allows physicians and patients to meet and openly discuss an adverse outcome, providing patients and physicians with closure and avoiding litigation. National medical and legal experts will discuss early disclosure programs across the country, and the successful pilot program established in Iowa.

Don’t miss this valuable educational opportunity!

Presented by the Iowa Medical Society and the COPIC Medical Foundation

IOWA MEDICAL SOCIETY

Connie Alt, JD, who represented the pilot site clinic through that discussion, will serve on the panel as well. Stacie Codr, JD, a malpractice defense attorney based out of Des Moines, will also join the panel to discuss the effect the Candor law will have on future litigation. The attorneys will give their perspectives on Candor and conference attendees will have the opportunity to ask questions.

The conference will offer seperate breakout sessions for attendees from larger systems and from independent clinics. Employees of larger systems will be invited to hear a panel of risk managers from the pilot site in eastern Iowa. Panelists will discuss barriers they faced to implementation, how they overcame those barriers, and what they have learned since the pilot program began.

Employees of independent clinics will be invited to a panel of representatives from several malpractice carriers discussing their perspectives on early disclosure programs. The representatives will provide insight into how early disclosure programs benefit malpractice carriers in addition to providers and patients.

After championing passage of the Candor law through the 2015 Legislature, IMS co-sponsored a national conference in Stanford, California, in winter 2016. That conference brought together professionals from across the country to discuss the merits of early disclosure programs and to learn practical methods of implementation.

Members of the pilot site in eastern Iowa attended the Stanford conference

and developed a plan to establish Candor within their clinic. Since implementation, the pilot site’s Candor program has led to several successful resolutions of cases, as well as system improvements to provide superior health care.

The conference is sponsored by COPIC Medical Foundation and will be held at the Kelley Conference Center at UnityPoint. It is free to IMS members and lunch is provided.

All professionals involved in patient safety, including physicians, risk managers, and attorneys, are encouraged to attend. CME and CLE credit will be available.

For questions about the conference, please contact Kate Strickler at kstrickler@iowamedical.org.

THIS SHOULD BE YOUR ADVERTISEMENT.

MAKE IT SO. CONTACT IMS. | MICHELLE DEKKER, MDEKKER@IOWAMEDICAL.ORG | 800-223-1401

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Iowa Medicine Spring 2017

UI UPDATE

NEW IOWA NEUROSCIENCE INSTITUTE TO DEVELOP NOVEL RESEARCH PROGRAMS

By Jean Robillard, MD

BY JEAN ROBILLARD, MD Dr. Robillard is Vice President for Medical Affairs and Dean of the Roy J. and Lucille A. Carver College of Medicine at the University of Iowa.

This is an exciting time for research at the University of Iowa Roy J. and Lucille A. Carver College of Medicine. The launch of the Iowa Neuroscience Institute, increased external funding, and a new strategic plan position us well to continue our leadership role in biomedical discovery for Iowa and the world.

With reports that neuropsychiatric, neurodevelopment, and neurological disorders now account for nearly one-fifth of all disability in the world leading to ill health or early death, we recognized that the Carver College of Medicine had a tremendous opportunity to contribute to discovery of the causes of — and preventions, treatments, and cures for — the many diseases that affect the brain and nervous system.

Initially, researchers will focus on four disease/problem areas: epilepsy; mood and anxiety disorders; neurodegenerative diseases such as Alzheimer’s, Parkinson’s, and Huntington’s; and brain and nervous system trauma.

Dr. Abel will also build on existing strengths at Iowa in physiology, genetics, and translational neuroscience to recruit and retain outstanding faculty, develop common research facilities, and create innovative educational programs.

We believed we could lead the way in creating a neuroscience institute — a campus-wide neuroscience community that could make revolutionary discoveries in fundamental neuroscience and translate them into clinical treatments for brain disorders.

Through the auspices of the Iowa Neuroscience Institute, we intend to establish the University of Iowa as a leading center for excellence in neuroscience.

Earlier this year, we dedicated the Iowa Neuroscience Institute and welcomed its first director, Ted Abel, PhD, a nationally-respected neuroscientist from the University of Pennsylvania.

Dr. Abel’s vision is to maximize UI’s highly collaborative spirt and strengths in basic and clinical neuroscience research to develop novel interdisciplinary research programs.

Among the funding sources for the new institute was a transformative $45 million grant from the Roy J. Carver Charitable Trust. The Trust and the Carver family have provided many years of vision and significant support to the UI Carver College of Medicine, which has allowed us to continue our leadership role in biomedical discovery and contributions to the

understanding of some of society’s most devastating diseases.

Outside of philanthropic gifts, we saw an overall 2.46 percent increase in external funding for Fiscal Year 2016, with the college receiving more than $229.4 million. Contributing significantly to that increase was a 13.5 percent increase ($13.6 million) in grants from the National Institutes of Health, for a total of $117.1 million in NIH funding for FY 2016.

In addition, UI Health Care is also investing in the academic success of the Carver College of Medicine, by committing a total of $100 million ($20 million a year for five years) to recruit new faculty, support needed resources toward successful NIH grants, and fund pilot grants.

Since launching the initiative in late 2015, we have already recruited seven new research faculty members, all of whom come to the Carver College of Medicine with significant NIHfunded grants.

Such increased funding can spur significant progress in our five major

Iowa Medicine Spring 2017

35

UI UPDATE

translational pillars, selected for their promise in synergizing bench to bedside discovery. The pillars are: 1) neuroscience; 2) diabetes, metabolism, and obesity; 3) cancer; 4) heart and lung; and 5) immunity, inflammation, and infection.

Working in each of these areas are interdisciplinary teams of scientists and clinicians using outstanding research facilities, and the newest scientific approaches to answer transformative questions.

Among the breakthrough discoveries that have been made in these areas are a better understanding of human genetic mutation vital to cystic fibrosis discoveries; critical advances for sudden death in epilepsy; the discovery of new biomarkers for identifying young patients at risk for diabetes; and new insights into muscular dystrophy.

Our researchers are pursuing strategies to bring new genetic discoveries to patient care as rapidly as possible, such as the creation of transplantable retinal tissues from patient-derived stem cells and other gene-directed therapies to treat inherited eye diseases. Tremendous strides have also been made in cardiology, pulmonology, and cancer among other areas.

Finally, our research vision and mission have been re-invigorated by a strategic planning process and resulting plan that will focus on initiatives that bring innovation and imagination in biomedical research to the world.

Our strategic-planning efforts ensured that we explored many possible futures that may unfold and that we considered how our path forward might change — or not

Keeping the game fair...

change — in response. We explored how the landscape of academic medicine might evolve over the next decade, and we considered how global economic growth, consumerism, personalized medicine, and the emergence of big data and other technologies will permeate all aspects of what we do.

The whirlwind pace of change in science and medicine is the common thread that requires us to build capacity to manage that change and enable us to be more responsive and flexible than ever before.

Through these efforts, and through the creative thinking of some of our most talented people, we have developed robust-yet-flexible research goals that are an integral part of reinforcing and advancing the tripartite mission of UI Health Care — patient care, education, and research.

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Iowa Medicine Spring 2017

VECTORS & VIEWPOINTS

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