APRIL EDITION, VOLUME 2019, NO. 4
RSVP FOR UPCOMING CAPITAL MEDICAL SOCIETY SEMINARS!
April 16, 2019 CMS Membership Meeting & Seminar Physicians as Effective Advocates Many physicians have experienced the personal and professional benefit of engaging in the advocacy arena. This dynamic presentation will provide physicians with resources and tools to elevate their influence and raise their community profile. Our speakers will provide tips and tricks for effective physician advocates and why physician involvement is critically important to finding solutions to the health care challenges facing modern society. Attendees will learn how to translate a little effort into an influence multiplier. The program will also explore the role of County Medical Societies in developing leaders and a strong grassroots network that can lead to legislative success.
Speakers: Fraser Cobbe, President, Cobbe Consulting & Management, Land O’Lakes, FL and Toni Large, Lobbyist, Uhlfelder & Associates, Tallahassee, FL Time: 6:00 pm Location: Maguire Center for Lifelong Learning at Westminster Oaks Also invited: Leon County Dental Association Members
May 21, 2019 CMS Membership Meeting & Seminar Word From On High: “Your Mattress is Not a Financial Plan, and Your Dog Can’t Be Your Executor” You may have heard friends talking about financial and estate planning seminars that they attended, or seen a flyer in the mail or newspaper and thought to yourself: “That sounds like a good idea, but is it really worth it?”
initiatives -- including service to you through seminars such as the Estate Planning program scheduled for May 21. Estate planning is an imperative for all -- especially for individuals such as each of you. Therefore, I cordially invite you to attend the May session. It will be wonderful to see you there and I hope we will have time for some personal visits both before and after the formal presentations.” –– Paula S. Fortunas, TMH Foundation President & CEO and TMH Vice President, Retired
YES!
Moderator and Panelists include: • Stan Barnes - Managing Director, Barnes Capital Group • Ben Bowersox - Wealth Advisor, Capital City Trust Company • J. Alan Cox - J. Alan Cox Attorney-At-Law and CMS Foundation Board Director; MODERATOR • Paula S. Fortunas - TMH Foundation President & CEO and TMH Vice President, Retired and CMS Foundation Board Director • Charles Hopkins - V.P., SunTrust Private Wealth Management • Rich Heitmeyer, CPA - Carroll and Co., CPA’s
Education and information are the first steps to putting together a timely plan. Procrastination is the number one reason people do not have plans in place. They either procrastinate because the issues are difficult to deal with, such as death, disability, taxes, and investment strategies, or because they do not know where to start and what questions to ask. By attending this seminar, you will be able to listen to a panel of experienced, local professionals address the topics of legal matters, accounting and tax reporting, trusts, fiduciaries, and insurance products. In addition to the panelists, there will also be the opportunity to confer with local financial institution and advisor representatives to arm yourself with the knowledge to make informed decisions in your financial and estate-planning. No matter whether you are single, just married, married with children, approaching retirement, or have parents or adult children who need your help, you will benefit by attending. “Since my retirement from Tallahassee Memorial HealthCare, it has been my pleasure to serve on the Capital Medical Society Foundation Board of Directors. The reason I joined the Foundation Board is because I wholeheartedly embrace the Capital Medical Society’s mission, goals and objectives and agree that the Foundation’s supporting role is essential to accomplishing those vital health
~ RSVP by April 9 to Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org. ~ ** Please note: This is a non-CME seminar. **
Time: 6:00 pm Location: Maguire Center for Lifelong Learning at Westminster Oaks Also invited: CMS Member Spouses and Leon County Dental Association Members and Spouses ~ RSVP by May 15 to Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org. ~ ** Please note: This is a non-CME seminar. **
CAPITAL MEDICAL SOCIETY 2019 MEETINGS CALENDAR - PAGE 3
BOARD OF GOVERNORS Maribel U. Lockwood, M.D., President Ken Whithaus, M.D., President-Elect Rohan Joseph, M.D., Secretary/Treasurer David Dixon, D.O., Immediate Past President Christie Alexander, M.D. Todd Hewitt, M.D. Marc Inglese, M.D. Melissa Inglese, CMS Alliance Sarah Ko, M.D. Matt Lee, M.D. Paresh Patel, M.D. Helen Paulson, M.D. Cody VanLandingham, M.D. Julia Weeks, M.D. Pam Irwin, Executive Director, Capital Medical Society
I N T H I S I SS U E :
MISSION: TO PROMOTE THE PRACTICE OF MEDICINE FOR THE ULTIMATE BENEFIT OF THE PATIENT. (850) 877-9018 Fax: (850) 878-0218 www.capmed.org
CMS 2019 Meetings Calendar.................................3 CMS Connect the Docs Happy Hour.....................5 Professional Notes.....................................................6 CMS Lunch and Learn...............................................7 Viewpoint.....................................................................9 Physician Wellness.................................................. 10 CMS Doctor/Son Event........................................... 12 Medical/Legal........................................................... 14 CMS Foundation....................................................... 17 CMS Foundation: We Care Network................... 18
HAPPY BIRTHDAY! {APRIL BIRTHDAYS}
Dermatology Residents Samantha Marrone, M.D./Shalini Thareja, M.D.
Amy Reimer Neal, M.D. – 3rd
Christopher Myrtil, M.D. – 15th
Amanda Shearer, M.D. – 3rd
Stephanie Lee, M.D. – 18th
Family Medicine Residents Tristan Brooks, D.O./Alex Vanderby, M.D.
Duncan Postma, M.D. – 4th
Wendy Somerset, M.D. – 18th
Michael Ford, M.D. – 5th
Luba Muaddi, M.D. – 19th
General Surgery Residents Shlermine Aupont, M.D./Blake Davis, M.D.
Maria Andrews, M.D. – 7th
Lisa Cook, M.D. – 20th
Randy Reese, M.D. – 7th
William Placilla, M.D. – 20th
Internal Medicine Residents Joshua Hickman, D.O./Luba Muaddi, M.D.
Barbara Jaeger, M.D. – 8th
R. James Mabry, M.D. – 21st
Jana Cua, M.D. – 9th
Jana Bures-Forsthoefel, M.D. – 24th
PUBLICATION
Jesse Judelle, M.D. – 9th
Kenneth DeLay, M.D. – 24th
Vikki McKinnie, M.D. – 10th
James Davenport, M.D. – 25th
Israel A. Oloye, M.D. – 10th
Mary Swain, M.D. – 25th
Gillian Richmond, M.D. – 10th
Whitney Whitfield, M.D. – 25th
Adanna Amanze, M.D. – 12th
Clifton Bailey, M.D. – 27th
Mansukhlal Padalia, M.D. – 12th
Farhat Khairallah, M.D. – 29th
Charles Cooper, M.D. – 13th
Julian Hurt, M.D. – 30th
Briana Thompson, M.D. – 13th
Jennifer Sanderson-Smith, M.D. – 30th
EDITOR Frank Skilling, M.D.
MANAGING EDITOR Shannon Boyle
GRAPHIC DESIGN Gandy Printers
EDITOR EMERITUS Charles E. Moore, M.D.
ARE YOU INTERESTED IN WRITING AN ARTICLE FOR CAP SCAN?
Please contact Shannon Boyle at sboyle@capmed.org. All articles submitted will be reviewed by your peers prior to publishing.
Cap Scan is published during the first week of each month and is the official publication of the Capital Medical Society. Advertising in Cap Scan does not imply approval or endorsement by the Capital Medical Society. The opinions expressed are those of the individual authors and do not necessarily reflect the official policies of the Capital Medical Society. 2
Louis St. Petery, M.D. – 14th Edward Forster, M.D. – 15th
HAPPY BIRTHDAY! WE ARE SO GLAD YOU WERE BORN!
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
DID WE MISS YOUR BIRTHDAY? IF SO, PLEASE EMAIL ROSALIE CARLIN AT RCARLIN@CAPMED.ORG!
CMS 2019 MEETINGS CALENDAR
CAPITAL MEDICAL SOCIETY 2019 MEETINGS CALENDAR April 16, 2019 CMS Membership Meeting & Seminar Physicians as Effective Advocates Speakers: Fraser Cobbe, President, Cobbe Consulting & Management, Land O’Lakes, FL and Toni Large, Lobbyist, Uhlfelder & Associates, Tallahassee, FL 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks Also invited: Leon County Dental Association Members April 25, 2019 Connect the Docs Happy Hour sponsored by Capital City Bank 6:00 pm – 8:00 pm The Wine House on Market Street (1355 Market Street, A1) May 21, 2019 CMS Membership Meeting & Seminar Word From On High: “Your Mattress is Not a Financial Plan, and Your Dog Can’t Be Your Executor” Moderator and Panelists include: Stan Barnes - Managing Director, Barnes Capital Group Ben Bowersox - Wealth Advisor, Capital City Trust Company J. Alan Cox - J. Alan Cox Attorney-AtLaw and CMS Foundation Board Director; MODERATOR Paula S. Fortunas - TMH Foundation President & CEO and TMH Vice President, Retired and CMS Foundation Board Director Charles Hopkins - V.P., SunTrust Private Wealth Management Rich Heitmeyer, CPA - Carroll and Co., CPA’s 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks Also invited: CMS Member Spouses and Leon County Dental Association Members and Spouses
June 6, 2019 CMS Doctor/Son Event 6:00 pm Northside Community Center (8005 Oak Grove Road) August 24, 2019 Connect the Docs CMS/CMSA Family Picnic 11:00 am – 2:00 pm Maclay Gardens ($6 entrance fee) September 17, 2019 CMS Membership & CME Meeting Disaster Planning Speaker: Joe Mazziotta, M.D. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks October 15, 2019 CMS Membership & CME Meeting Prevention of Medical Errors Speakers: Julia Weeks, M.D. and Jesse Suber, Esq. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks November 12, 2019 CMS Membership & CME Meeting Women are from Venus; Men are from Mars: Sexual Dysfunction in both Planets Speakers: Andrea Friall, M.D. and Kenneth DeLay, M.D. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks December 5, 2019 CMS Foundation Holiday Auction 6:30 pm FSU University Center Club
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 3
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
2810 CLINE STREET
CMS CONNECT THE DOCS HAPPY HOUR
JOIN YOUR COLLEAGUES FOR A
HAPPY HOUR THURSDAY, APRIL 25, 2019 6:00 PM – 8:00 PM THE WINE HOUSE ON MARKET STREET (1355 MARKET STREET, A1) HORS D’OEUVRES AND BEVERAGES PROVIDED BY OUR SPONSOR:
PLEASE RSVP BY APRIL 18TH TO ROSALIE CARLIN AT (850) 877-9018 OR RCARLIN@CAPMED.ORG.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
5
PROFESSIONAL NOTES
PROFESSIONAL NOTES
The Commemorative Air Force Red Tail Squadron, in partnership with Dr. A.J. Brickler, III of North Florida Women’s Care, brought the “Rise Above: Red Tail Traveling Exhibit” and P-51C Mustang to Tallahassee in February. This immersive experience for young and old spanned five days at the Flightline hangar, near Tallahassee International Airport. The traveling theater exhibit is a panoramic movie theater with a dynamic 16-degree screen. The film tells the story of World War II’s Tuskegee Airmen, America’s first black military pilots and their support personnel. One of the only airworthy P-51C Mustangs was also on view at the hangar. The exhibit was an inspiration on how to rise above our own challenges. Thank you, Dr. Brickler!
CMS Members: If you receive accolades, please let us know, so we can include you in this section! Email the details to Shannon Boyle at sboyle@capmed.org.
GI MEDICAL SPECIALISTS Please contact us for expeditious and personalized care of your patients. Dr. Kishor Muniyappa is a board-certified gastroenterologist. He did his residency in internal medicine, in Chicago, and was later selected for a competitive fellowship in Gastroenterology at Virginia Commonwealth University in Richmond, Virginia.
Dr. Kishor Muniyappa
His practice offers treatment for the entire spectrum of gastrointestinal and liver diseases including irritable bowel syndrome, inflammatory bowel diseases (Crohn’s disease and Ulcerative colitis), nutrition, liver diseases, Hepatitis B and C treatment, endoscopic management of gastrointestinal cancers, pancreatic diseases (pancreas cysts, pancreas cancer, pancreatitis, and pseudocysts), bile duct stone and strictures and endoscopic removal of large polyps and early cancers.
2626 Care Drive, Suite 101, Tallahassee, FL 32308 Office hours: M - F: 1pm to 5 pm • Ph: (850) 297-0351 • Fax: (850) 297-0352 6
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS LUNCH AND LEARN
CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS - SPRING 2019 On February 20th, M. Michelle Bono, APR, CPRC gave an excellent program on patient satisfaction in the medical practice
We thank the TMH Federal Credit Union for sponsoring the February 20th Lunch and Learn. Liz Thiele and Harry Burn attended as representatives from the TMH Federal Credit Union.
Be sure to register for the upcoming Lunch and Learn Seminars: April 17, 2019 Prepare, Respond, and Recover-Disaster Planning We can’t prevent disasters, but the ability to plan and recover swiftly can help prevent another disaster in the aftermath. Learn how to prepare for “what’s next,” and when losses do occur, mitigate the loss, document and quantify income loss, and quick-start the resumptions of operations. Prepare, respond, and recover—the hallmarks of a resilient organization. Speaker: Greg Jaap, CIC, Executive Vice President, Brown and Brown of Florida, Inc. and Frank Russo, Procor Solutions and Consulting Sponsor: Brown and Brown of Florida, Inc.
May 15, 2019 Health Care Reform as of 2019 and Legislative Updates Representatives from the Government Relations team at Florida Blue will provide updates on how recent activity at the federal and state levels will impact health care policy. Speaker: Kelly James, Florida Blue Center for Health Policy Sponsor: CAMPUS USA Credit Union
Seminars are held at the Capital Health Plan on Governors Square Blvd. – and we thank them for providing this venue to us.
For more information or to RSVP, please contact Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org.
Time: 12 Noon to 1:30 PM (Seminars start at 12:30 PM) Place: CHP Auditorium, 2nd Floor, 1491 Governors Square Blvd. Cost: $10 per person, per seminar
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 7
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Scott Tetreault, MD
VIEWPOINT
A BARE-FOOTED KID MIGHT BE WATCHING By Charles D. “Pedro” Williams, M.D., FACR, FAAP There were a lot of big days in South Georgia in the 1940’s. One of the biggest was the arrival of Dr. James R. Paulk, a new young specialist. He knew everything about eyes, ears, noses and throats. He settled in and was not only well thought of but was respected. He purchased a farm on the Claude Bennett Road to raise cotton. There were also cows, chickens, and a pecan orchard. He selected my Aunt Pearlie and Uncle Willie to be his tenant farmers. We lived just a short piece down the dirt road. He would come late in the afternoon to check on thangs and get eggs. At the age of five I quickly figured out his pattern and would come running bare-footed with a dirty face behind his new black shiny car. I would remind him that I was doing a good job keeping that egg-suckin’ dog out of the hen house. He would pat me on the head and say, “Pedro, you’re a good boy.” I believed him. He was the second person who had told me that. Mama was the other one. I never got to know Dr. Paulk the man very well but the image he projected to me served as a powerful guiding force to an impressionable kid in need of heroes and a sense of direction.
I was doing a femoral arteriogram and was gloved and gowned. They led him into the room. He had aged and his vision was now poor. He placed his face about six inches from mine in order to see Pedro again and he again grabbed me and held me for about two minutes. For a second I thought I felt something on my cheek. As he was leaving I was thinking I never told him what he meant to me and the influence he had on me. He never knew at the time and neither did I. Will the cycle be completed? Is there a young person out there that I may influence and not know it at the time? Perhaps I should be careful and do better. An impressionable bare-footed kid in need of direction might be watching. Reprinted with author permission from More Simpler Times, Tales of a Southern Boy.
Dr. Williams’ book, More Simpler Times, can be purchased from the Capital Medical Society. All proceeds from the book are donated to the We Care Network program.
Time passed. Pedro went off to medical school and even graduated. Dr. Paulk had not realized that Pedro and Dr. Williams were the same person. I visited Dr. Paulk after graduation in 1966 and told him I was Pedro, guardian of the hen house. This brought back memories. He grabbed me and hugged me for two minutes. For a second I thought I saw a tear on his cheek. Again time passed. In the 1980s Dr. Paulk’s wife had a coronary arteriogram at Tallahassee Memorial Hospital by Dr. Allee and Dr. Jawde did a coronary artery bypass. Dr. Paulk came down to the Department of Radiology to visit. At the time CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 9
PHYSICIAN WELLNESS
PHYSICIAN WELLNESS BURNOUT INVENTORY This is an adapted version of the Oldenburg Burnout Inventory, one of several such validated instruments used to assess the presence of burnout in many occupations. Each of these instruments, including this one, has its own unique advantages and limitations. This sample is provided not as a definitive measure of the presence or absence of burnout, but merely as one potential piece of data for you to consider as you explore issues related to physician wellness and resilience. By answering the questions and tallying your score, you will be able to determine your score. Scores range from 16-64. Scores above 35 have been correlated with higher rates of burnout. 1. I always find new and interesting aspects in my work. Strongly Agree (+1) Agree (+2) Disagree (+3) Strongly Disagree (+4)
4. After work, I tend to need more time than in the past in order to relax and feel better. Strongly Agree (+4) Agree (+3) Disagree (+2) Strongly Disagree (+1)
2. There are days when I feel tired before I arrive at work. Strongly Agree (+4) Agree (+3) Disagree (+2) Strongly Disagree (+1)
5. I can tolerate the pressure of my work well. Strongly Agree (+1) Agree (+2) Disagree (+3) Strongly Disagree (+4)
3. It happens more and more often that I talk about my work in a negative way. Strongly Agree (+4) Agree (+3) Disagree (+2) Strongly Disagree (+1)
10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
6. Lately, I tend to think less at work and do my job almost mechanically. Strongly Agree (+4) Agree (+3) Disagree (+2) Strongly Disagree (+1)
PHYSICIAN WELLNESS
7. I find my work to be a positive challenge. Strongly Agree (+1) Agree (+2) Disagree (+3) Strongly Disagree (+4) 8. During my work, I often feel emotionally drained. Strongly Agree (+4) Agree (+3) Disagree (+2) Strongly Disagree (+1) 9. Over time, one can become disconnected from this type of work. Strongly Agree (+4) Agree (+3) Disagree (+2) Strongly Disagree (+1)
12. After my work, I usually feel worn out and weary. Strongly agree (+4) Agree (+3) Disagree (+2) Strongly Disagree (+1) 13. This is the only type of work that I can imagine myself doing. Strongly Agree (+1) Agree (+2) Disagree (+3) Strongly Disagree (+4) 14. Usually, I can manage the amount of my work well. Strongly agree (+1) Agree (+2) Disagree (+3) Strongly Disagree (+4)
10. After working, I have enough energy for my leisure activities. Strongly agree (+1) Agree (+2) Disagree (+3) Strongly Disagree (+4)
15. I feel more and more engaged in my work. Strongly Agree (+1) Agree (+2) Disagree (+3) Strongly Disagree (+4)
11. Sometimes I feel sickened by my work tasks. Strongly agree (+4) Agree (+3) Disagree (+2) Strongly Disagree (+1)
16. When I work, I usually feel energized. Strongly Agree (+1) Agree (+2) Disagree (+3) Strongly Disagree (+4)
CALCULATE YOUR SCORE HERE:
If you are an Active or Associate member of the Capital Medical Society and would like to seek free wellness coaching services, please visit https://capmed.org/members-only/physician-wellness/. If you need help with your CMS login information, please email rcarlin@capmed.org. CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 11
CMS DOCTOR/SON EVENT
CAPITAL MEDICAL SOCIETY
DOCTOR/SON EVENT THURSDAY, JUNE 6, 2019 6:00 PM NORTHSIDE COMMUNITY CENTER 8005 OAK GROVE ROAD CMS MEMBERS: BRING YOUR SONS AND/OR GRANDSONS OF ANY AGE OUT FOR A FUN-FILLED EVENING! OUR SOCIAL EVENTS COMMITTEE IS HARD AT WORK SECURING SPONSORS AND ACTIVITIES. STAY TUNED FOR MORE INFORMATION!
12 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
13
MEDICAL/LEGAL
WEARABLE MEDICAL DEVICES GIVE ABUNDANT DATA—AND RISKS By Miranda Felde, MHA, CPHRM, Vice President, Patient Safety and Risk Management, The Doctors Company Since 2013, the number of US consumers tracking their health data with wearables has doubled.i And that number continues to rise: During the third quarter of 2018, the wearables market saw a nearly 60 percent increase in earnings over the prior year.ii Wearables are electronic devices worn on the body, often like a watch. Wearables can track patient data like heart rate, blood pressure, or blood glucose. They can also track activity level, e.g., counting steps. Promoters of wearables say that they could provide physicians with abundant data when caring for patients with chronic health issues. They also predict that combining wearables and gamification—e.g., competing with family members to see who can “score” the most steps in a day— may lead to improved health and better health outcomes. However, skeptics question whether gamification will really lead to healthier behaviors long-term. And questions abound about what to do with wearables’ data and how to protect it. Wearables bring promise, but also real risks for patient safety and physician liability. Benefits of Wearables Promoters of wearables believe wearables will drive the transition to intelligent care, whereby physicians have access to more data—in which they can identify actionable components. Florence Comite, MD, a New York endocrinologist who describes wearables as “almost like magic,” uses data from wearables to tailor her interventions for patients with chronic conditions.iii Wearables can help patients take action, too. In one recent study, diabetes patients using a wearable app showed randomized controlled trial results comparable or superior to patients taking diabetes medications.iv Promoters of such digital strategies hope that they will encourage healthy behaviors while requiring fewer office visits purely for monitoring purposes, thereby reducing healthcare costs while improving patient experience and engagement. For instance, David Rhew, MD, chief medical officer for Samsung, hopes that wearables can help patients move to the highest level of patient activation, Level 4:v
14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
The Four Levels of Patient Activation • Level 1: Predisposed to be passive. “My doctor is in charge of my health.” • Level 2: Building knowledge and confidence. “I could be doing more.” • Level 3: Taking action. “I’m part of my healthcare team.” • Level 4: Maintaining behaviors, pushing further. “I’m my own advocate.” Some apps promote healthy behaviors with gamification. vi For instance, a user might compete with family or friends to take the most steps each day, either informally or through an organized group. Harvard professor Ichiro Kawachi, PhD, wrote in JAMA Internal Medicine that this is “an opportunity for clinicians to turn health promotion into an engaging, fulfilling and fun activity.”vii Sponsors hope that such groups can promote accountability, responsibility, and mindfulness about activity and health conditions.
Source: The Doctors Company
Skepticism about Wearables It is too soon to say whether wearables will increase healthy behaviors and/or reduce office visits, thus lowering healthcare costs. Some studies have found that wearable devices have no advantage over other forms of goal tracking or social support in helping people meet their health and fitness goals.viii A 2016 study from the University of Pittsburgh, for instance, found that “young adults who used fitness trackers in the study lost less weight than those in a control group who self-reported their exercise and diet.”ix Risks of Wearables Though each device has its pros and cons, all wearables generate concerns for physicians, including: • Poor data quality: Data from wearables may or may not be reliable enough for medical use. x
MEDICAL/LEGAL
• Data fixation: Patients may fixate on one number— steps per day, for instance—at the expense of other health variables, such as their diet, sleep habits, etc. • Lack of interoperability with electronic health records (EHRs): If a patient’s wearable cannot stream data to the patient’s EHR, then how can the physician’s practice securely acquire the data? • Data saturation: Physicians receiving patient data from wearables risk being soaked by a data fire hose. xi Physicians need a plan and a process to determine what measurements are relevant to a given patient. • Unclear physician responsibilities for collecting, monitoring, and protecting data: HIPAA applies to patient data collected by physicians, xii but differing state laws mean that a physician’s specific responsibilities for monitoring and protecting patient data vary by location. • Lack of data security—and liability for physicians: Wearables are subject to cyberattack. In addition to presenting obvious risks to patient safety, this may also present liability risks to physicians—who may be expected to notify patients of recalls issued for their wearables. xiii Next Steps As more and more physicians are accepting—or requesting—their patients’ data from wearables, questions include: How can we tell when data from wearables is accurate? When it’s actionable? When it’s secure? Certainly, physicians interacting with data from wearables should independently confirm that data before changing a patient’s care, and should store data from wearables securely. For help implementing remote patient monitoring in your practice, see the American Medical Association’s (AMA’s) Digital Health Implementation Playbook. ___________________________________________
Conference on System Sciences. 2017 Jan 4-6; Waikoloa, HI. https:// pdfs.semanticscholar.org/dacd/744f57cf9551fe012884697e735a2a9cd 3a8.pdf. Accessed November 28, 2018. vii Berg S. “To boost physical activity in patients, make a game of it.” American Medical Association. February 27, 2018. https://www.amaassn.org/delivering-care/public-health/boost-physical-activity-patientsmake-game-it. Accessed November 20, 2018. viii Ross E. Weight loss on your wrist? Fitness trackers may not help. National Public Radio. September 20, 2016. https://www.npr.org/ sections/health-shots/2016/09/20/494631423/weight-loss-on-yourwrist-fitness-trackers-may-not-help. Accessed November 28, 2018. ix O’Neill S. As insurers offer discounts for fitness trackers, wearers should step with caution. National Public Radio. November 19, 2018. https://www.npr.org/sections/health-shots/2018/11/19/668266197/ as-insurers-offer-discounts-for-fitness-trackers-wearers-should-step-withcaution. Accessed November 28, 2018. x Piwek L, Ellis DA, Andrews S, Joinson A. The rise of consumer health wearables: Promises and barriers. PLOS medicine. February 2, 2016. https://journals.plos.org/plosmedicine/article?id=10.1371/journal. pmed.1001953. Accessed November 28, 2018. xi Donovan F. How does HIPAA apply to wearable health technology? Health IT Security. July 24, 2018. https://healthitsecurity.com/news/ how-does-hipaa-apply-to-wearable-health-technology. Accessed November 28, 2018. xii Ibid. xiii Carman SL, Umhofer RH. Wearable medical devices can raise issues for healthcare professionals. Healthcare Analytics News. October 30, 2018. https://www.hcanews.com/news/wearable-medical-devices-canraise-issues-for-healthcare-professionals. Accessed November 28, 2018.
_________________________________________________ The guidelines suggested here are not rules, do not constitute legal advice, and do not ensure a successful outcome. The ultimate decision regarding the appropriateness of any treatment must be made by each healthcare provider in light of all circumstances prevailing in the individual situation and in accordance with the laws of the jurisdiction in which the care is rendered. -------------------Contributed by The Doctors Company (thedoctors.com)
Donovan F. Despite patient privacy risks, more people use wearables for health. Health IT Security. October 1, 2018. https://healthitsecurity.com/ news/despite-patient-privacy-risks-more-people-use-wearables-for-health. Accessed November 28, 2018. ii Zaninello L. The wearables market is booming: Fitbit scares Apple and Google. Android Pit. November 26, 2018. https://www.androidpit. com/wearable-market-growth-fitbit-scares-apple-and-google. Accessed November 28, 2018. iii Eramo L. Do doctors care about your wearable data? Future Health Index. October 18, 2017. https://www.futurehealthindex. com/2017/10/18/doctors-care-wearable-data/. Accessed November 29, 2018. iv Rhew D, panel moderator. Disruptive digital health technology. A4M MMI World Congress 2017. Dec 14; Las Vegas, NV. v Ibid. vi Spil T, Sunyaev A, Thiebes S, van Baalen R. The adoption of wearables for a healthy lifestyle: Can gamification help? 50th Hawaii International i
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 15
IN 2017, HOSPITALS RECEIVED PAYMENT OF 87 CENTS FOR EVERY DOLLAR THEY SPENT CARING FOR MEDICARE AND MEDICAID PATIENTS, ACCORDING TO THE AHA.
SOURCE: BECKER’S HOSPITAL REVIEW, 1/4/2019
Tallahassee chart-topping numbers! SOLD HOMES 2018 Total Production
850 567 3455
Ekk Realty
Tallahassee
Avg. Days on Market
Avg. Days on Market
48
102
62 families and sold 95 units
Tallahassee Market increase in number of homes sold since 2017. More homes for sale than in 2017: 2017 Avg Home Price
$208K
2018 Avg Home Price
$225K
Statistics are provided by the Tallahassee Board of Realtors MLS.
Our Why? We pride ourselves on delivering concierge level service while providing results and solutions when buying or selling real estate. We believe in dedicating our committed commissions to make a difference in our local community.
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS FOUNDATION
The Impact of Private Support:
Donate to the CMS Foundation We Thank Our Donors We thank the following individual donors/ organizations who made a donation to the CMS Foundation this past month: Capital Medical Society Foundation – Area of Greatest Need AmazonSmile We Care Network Steve and Teresa Sarbeck Fund – Through Their Donor-Advised Fund St. Elizabeth Ann Seton Catholic Church – for Medical Assistance
The Capital Medical Society Foundation’s community of donors strategically help fulfill its mission “to support the charitable efforts of physicians and others, increase access to healthcare, promote education and serve the community’s health needs through innovative projects that are exemplary, affordable and dignified.” ➢ Access to healthcare is increased through gifts to the We Care Network and the We Care Network Endowment Fund. More than $98 million in donated specialty medical and dental care has been provided to low-income, uninsured patients since the program was created in 1992. In fiscal year 2017-18, which ended June 30, 2018, more than $8 million in health care was donated. Gifts support the operational expenses of the program including salaries and benefits of the case management team who coordinate the donated care. ➢ To provide incentives to keep medical students trained at the FSU College of Medicine in the Big Bend after completion of their residencies and help meet the growing demand for physicians in Florida, gifts to the Scholarship Fund provide scholarships to FSU College of Medicine students who have expressed an interest in returning to the Big Bend to practice after completion of their residencies. $42,000 was awarded in 2018. ➢ Gifts to the Capital Medical Society Foundation help provide operational resources for the Capital Medical Society Foundation. In addition, modest grants are awarded to area non-profits whose programs improve access to healthcare for the underserved. In 2018, the CMSF awarded a total of $10,000 in grants to Elder Care Services for their In-Home Services Program, the Alzheimer’s Project for caregiver support resources, and the Lighthouse of the Big Bend to provide clients who have vision loss with the aids needed to manage their health and medical care independently. Gifts to Honor and In Memoriam: You can make a donation to the CMS Foundation in memory of someone who has passed away or in honor of someone, such as a fellow physician, you hold in high esteem or has taken care of you or your family. The CMS Foundation will send an acknowledgement letter to those you memorialize and honor. How to Give: Through the generosity of donors, funds have been created in order to establish financial stability to meet our mission. You can donate at any time to one of the CMS Foundation’s current funds: 1) Capital Medical Society Foundation-area of greatest need 2) The Capital Medical Society Foundation Endowment 3) We Care Network 4) We Care Network Endowment 5) Scholarship Fund 6) The Ronald G. Pickett Endowment 7) Physician Wellness Fund Checks should be made payable to the CMS Foundation and indicate on the memo line of your check to which designation you would like to donate. Bring your check to the CMS Office or mail it: Capital Medical Society Foundation ~ 1204 Miccosukee Road ~ Tallahassee, FL 32308. Donations may be made by credit card from the CMS website.
Your gifts to the Capital Medical Society Foundation transform lives in the Big Bend.
If you would like to discuss a gift of appreciated securities, an insurance policy, designation of retirement plan assets, estate gift, or multi-year pledge, please contact: Pam Irwin Executive Director pirwin@capmed.org or (850) 877-9018 or after hours at (850) 559-8611 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
17
CMS FOUNDATION: WE CARE NETWORK
FOUNDATION
We Care Network
THANK YOU To our CMS members and We Care partners who saw new patients for the We Care Network in February 2019. Your generosity and support of the We Care Network makes a difference.
Physicians Gregg Alexander, M.D. Emily Ashmore, M.D. Arvind Bakhru, M.D. Marie Becker, M.D. Tim Broeseker, M.D. Viet Bui, M.D. David Burns, M.D. Joseph Camps, M.D. Michael Cavallaro, M.D. Gilbert Chandler, M.D. George Cohen, M.D. David Durden, M.D. Margarett Ellison, M.D. Mark Fahey, M.D. Alexander Franz, M.D. Akash Ghai, M.D. Gian-Carlo Giove, M.D. W. Harris Green, M.D. Amy Haddock, M.D. Muhanad Hasan, M.D. Marc Inglese, M.D. Okanta Jackson, M.D. Barbara Jaeger, M.D. Amit Jain, M.D. Beverly Johnson, M.D. Arjun Kaji, M.D. Farhat Khairallah, M.D. James Killius, M.D. Amulya Konda, M.D. Carey Linker, M.D. Maribel Lockwood, M.D. Deanna Louie, M.D. Gordon Low, M.D. Kurt Luhmann, M.D. Ovidiu Marina, M.D. Laura Martin, M.D. Jonathan Melquist, M.D. Jayan Nair, M.D. Thomas Noel, M.D. Michael Pentaleri, M.D. Jorge Perez de Armas, M.D. Adrian Roberts, M.D. Tim Ruark, M.D. Gadi Silberman, M.D. David Smith, M.D. Kris Stowers, M.D. Mary Swain, M.D.
Christopher Sundstrom, M.D. Timothy Sweeney, M.D. David Tedrick, M.D. William Thompson, M.D. Jean-Paul Tran, M.D. Andrea Venturini, M.D. David Vermess, M.D. Graham Whitaker, M.D. Samuel Yu, M.D. Dentists Briano Allen, D.D.S. Kala Balan, D.M.D. William Baldock, D.D.S. Joseph Barnett, D.M.D. Brian Beck, D.M.D. Labon Bontrager, D.M.D. Walter Colón, D.M.D. John Dozier, D.M.D. Michael Hartley, D.M.D. Ashok Manocha, D.D.S. Viraj Manocha, D.M.D. William McFatter, D.D.S. Ralph Montalvo, D.M.D. Lawrence Pijut, D.M.D. Frank Swerdzewski, D.D.S. Barrett Tolley, D.D.S. Lawrence Weaver, D.D.S. Facilities Advanced Dental Care Advanced Urology Institute Anesthesiology Associates Apalachee Primary Care Beachton Denture Clinic Bond Community Health Center Bristol Dental Clinic Capital Periodontal Associates Care Point Health & Wellness Center CESC Dental Clinic Chichetti, Torgerson, & Hartley Dermatology Associates Desloge Home Oxygen Digestive Disease Clinic Eye Associates of Tallahassee Florida Cancer Specialists and Research Institute Frank Swerdzewski, DDS Gadsden County Health Department Jessie Furlow Medical Center Ketchum, Wood, & Burgert Pathology Associates Lawrence J Pijut, DDS Lawrence Weaver, DDS Madison Medical Center Manocha, McSoley, Balan, and Manocha Dentistry Neighborhood Medical Center Neuro-Ophthalmology & The Balance Disorders Clinic North Florida Women’s Care North Monroe Medical Center
18 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Periodontal Associates Radiology Associates of Tallahassee Red Hills Endodontics Smiles by Beck Southeastern Plastic Surgery Southern Medical Group, P.A. Southern Vitreoretinal Associates Tallahassee Diagnostic Imaging Tallahassee Ear, Nose, & Throat Tallahassee Memorial HealthCare TMH Family Medicine Residency Program TMH Physician Partners Cancer & Hematology TMH Physician Partners Cardiology and Internal Medicine TMH Physician Partners Clinical Genetics Center TMH Physician Partners Gynecologic Oncology Specialists TMH Physician Partners Pulmonary, Critical Care, and Sleep Specialists TMH Physician Partners Radiation Oncology Specialists TMH Physician Partners Surgical Specialists TMH Physician Partners Quincy TMH Transition Center Tallahassee Orthopedic Clinic Tallahassee Plastic Surgery Clinic Tallahassee VA Clinic Wakulla County Health Department Wakulla Medical Center Women’s Imaging Center
Please contact Diana Bixler at dbixler@ capmed.org or 201-0130 if you are a We Care volunteer and you provided volunteer specialty care in the month of February 2019 and your name is omitted.
The We Care Network strongly encourages our volunteer physicians and dentists to send their value of donated services to us. The value of donated services is important for us to share with our funders and the community. Also, up to five hours, per biennium, of CE credit may be fulfilled by performing pro bono medical and dental services to We Care Network patients, if we have received documentation of value of services. You can send your value of donated services via fax to Diana Bixler at (850) 2010085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you!
CMS FOUNDATION: WE CARE NETWORK
We thank our referring providers from February 2019:
Gregg Alexander, M.D.
Gian-Carlo Giove, M.D.
Lisa Perkins, ARNP
Ebonie Allen, ARNP
Judy Griffin, ARNP
Stephen Quintero, M.D.
Anne Ananga, ARNP
Larry Harper, M.D.
Alexander Ramirez
Mary Jane Bailey, ARNP
Muhanad Hasan, M.D.
Arvind Bakhru, M.D.
Hantz Hercule, M.D.
Charlie Richardson, M.D.
Karen Bartley, M.D.
Sarah Hinson, ARNP
Adrian Roberts, M.D.
Marie Becker, M.D.
Amit Jain, M.D.
Tim Ruark, M.D.
Dhananjay Bendre, M.D.
Beverly Johnson, M.D.
Karen Russell, M.D.
Kenara Blocker, ARNP
Lawrence Kaelin, M.D.
David Saint, M.D.
Jonna Bradley, ARNP
Farhat Khairallah, M.D.
Lucilita Salvador, P.A.
Sherry Bramblett, ARNP
Ben Kirbo, M.D.
Philip Sharp, M.D.
Daniel Breivogel, ARNP
Stefanie Kreamer, M.D.
Gadi Silberman, M.D.
Fran Bridges, ARNP
Elaine Larkins, ARNP
Abisoye Somorin, ARNP
Tim Broeseker, M.D.
Charles Maitland, M.D.
Anthony Speights, M.D.
Viet Bui, M.D.
Ovidiu Marina, M.D.
Alanna Steaple, ARNP
Frances Carney, ARNP
Joseph Mazziotta, M.D.
Christopher Sundstrom, M.D.
Lysmar Carrion-Dinguis, M.D.
Damon McMillan, M.D.
Scott Tetreault, M.D.
Jordan Cherkinsky, D.D.S.
Yvette Mignon, M.D.
Lacie Thompson, ARNP
Deborah Congdon, ARNP
Kelley Miller, ARNP
Robert Thornberry, M.D.
Marilyn Cox, M.D.
Marcia Morris, ARNP
Faye Tinson, ARNP
Ray Dolly, M.D.
Jayan Nair, M.D.
Marianne Towler, ARNP
Margarett Ellison, M.D.
Thomas Noel, M.D.
Andrea Venturini, M.D.
Cynthia Evans, ARNP
Chukwuma Okoroji, M.D.
Ramona Vossler, R.D.H.
Klive Forde, M.D.
Rose Origa, ARNP
Jeffrey Wasserman, D.O.
Sharron Foster, M.D.
Alfredo Paredes, M.D.
Lucas Watkins, M.D.
Anneka Gaffney, ARNP
Paresh Patel, M.D.
Eula Weaver, ARNP
Spencer Gilleon, M.D.
Mitchell Peabody, D.O.
Dianna Willis, ARNP
Charmaine Gilmore, ARNP
Jorge Perez de Armas, M.D.
Valderrama, M.D.
DURING THE MONTH OF FEBRUARY, THE WE CARE NETWORK: RECEIVED 254 REFERRALS, WITH 143 PATIENTS NEW TO THE PROGRAM
SCHEDULED 213 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS
$304,891.38 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 19
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