JUNE EDITION, VOLUME 2017, NO. 6
FLORIDA LEGISLATIVE SESSION ENDS WITH MOST MAJOR HEALTH POLICY ISSUES FAILING The 2017 Legislative Session came to a dramatic conclusion on May 5 with many health policy issues remaining undecided and failing to advance. After several months of hearings and debate, the failure to act means it is status quo for most of our priority issues. Below is a quick summary of those bills that CMS was monitoring that either passed or failed.
Supreme Court rulings that addressed attorney fees and duration of benefits. The FMA is championing decreased litigation through increased access to care and patient choice of treating physician and ancillary services. Our efforts to increase access to care include prior authorization reform and increases in physician expert witness fees and the physician fee schedule. Outcome: Different versions of the bill were passed by both chambers. They could not agree on final language. The bill was withdrawn from consideration.
2017 Legislative Session Final Report Support Bills: Ambulatory Surgery Centers – (SB 222 & HB 145) Summary: Bill extends length of stay in an ASC to 24 hours from the start of the procedure. Creates licensure and regulations for Recovery Care Centers that enable patients to stay up to 72 hours. Outcome: Bill passed the House but passed only one committee in the Senate. Was withdrawn from consideration. Retroactive Denials – (SB 102 and HB 579) Summary: Bill prohibits insurance carriers from denying claims for patient ineligibility if they have provided a treatment authorization to the physician. Outcome: Passed the Senate. Passed only one committee in the House. Withdrawn from consideration. Workers Compensation – (SB 1582 and HB 7085) Summary: The Legislature is being asked to address the 14.5% increase in workers compensation premiums that took effect last fall based on two
Maintenance of Certification – (SB 1354 and HB 723) Summary: This legislation will prohibit hospitals from requiring physicians to participate in MOC in order to maintain staff privileges. The bill also prohibits insurance companies from requiring MOC in order to participate in their networks. The bill differentiates between original Board Certification and MOC, so hospitals and insurers can still require initial certification. Outcome: Passed one committee in both chambers. Withdrawn from consideration. Right Medicine, Right Time – Fail First – (SB 530 & HB 877) Summary: This legislation will provide pathways for physicians to bypass fail first protocols implemented by insurance carriers under certain circumstances. The bill also requires more transparency and advanced notification from insurance carriers that want to implement such protocols. CONTINUED ON PAGE 3
CAPITAL MEDICAL SOCIETY 2017 MEETINGS CALENDAR June 12, 2017 Connect the Docs Craft Beer Tasting and Tour sponsored by Brett Thompson-Financial Group of Raymond James & Associates 5:30 – 7:30 pm GrassLands Brewing Company (603 W Gaines Street, #7)
August 26, 2017 Connect the Docs Family Picnic 11:00 am – 2:00 pm Maclay Gardens ($6 entrance fee)
September 19, 2017 CMS Membership & CME Meeting Genomic Medicine Michael Stone, M.D., Stone Medical, PC 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
BOARD OF GOVERNORS Tracey Hellgren, M.D., President
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
2017 Legislative Session …
1
Connect the Docs Craft Beer Tasting and Tour …
4
Connect the Docs Happy Hour …
5
CMS Lunch and Learn …
9
2017 CMS Meetings Calendar …
10
CE Broker …
12
Viewpoint …
14
CMS Membership Meeting Minutes …
16
In Memoriam …
18
Alliance Corner …
19
Dean’s Corner …
20
David Dixon, D.O., President-Elect
CMS Foundation …
22
Maribel Lockwood, M.D., Secretary/Treasurer
CMS Foundation: We Care Network …
23
J. Daniell Rackley, M.D., Immediate Past President Christie Alexander, M.D. Rohan Joseph, M.D. Narayanan Krishnamoorthy, M.D.
HAPPY BIRTHDAY!
Paresh Patel, M.D. Gregory Perry, M.D.
{JUNE BIRTHDAYS}
Laurence Rosenberg, M.D. Ida Thompson, President, CMS Alliance Ernesto Umaña, M.D. Julia Weeks, M.D.
Melissa Martin, M.D. – 1st
Scottie Whiddon, M.D. – 15th
Kenneth Whithaus, M.D.
Scott Asher, M.D. – 2nd
Carlos Zapata, M.D. – 17th
Pam Irwin, Executive Director, Capital Medical Society
Connie Speer, M.D. – 2nd
Deanna Louie, M.D. – 18th
Family Medicine Residents Todd Hewitt, M.D./Meredith Maxwell, M.D.
Christopher Sundstrom, M.D. – 2nd
Whit Oliver, M.D. – 18th
A. Lane Janney, M.D. – 3rd
Barbara Williams, M.D. – 19th
Internal Medicine Residents Vishal Dahya, M.D./Rachel Russell, M.D.
James Killius, M.D. – 3rd
William Yaakob, M.D. – 19th
General Surgery Residents Emanuela Alvarenga, M.D./Paul Clark, M.D.
Kirk Mauro, M.D. – 3rd
Gary Hansen, M.D. – 20th
Hiren Joshi, M.D. – 4th
Jitendra Padalia, M.D. – 20th
Winston Ortiz, M.D. – 5th
Frederic Vroom, M.D. – 20th
Robert Ashmore, M.D. – 8th
Kristin Harmon, M.D. – 23rd
PUBLICATION
Shane Rignanese, M.D. – 8th
Jose Mendoza, M.D. – 23rd
EDITOR Frank Skilling, M.D.
MANAGING EDITOR Shannon Boyle
Okanta Jackson, M.D. – 10th
Sam Moorer, M.D. – 23rd
Suzanne Morgan, M.D. – 10th
Joseph Mazziotta, M.D. – 24th
GRAPHIC DESIGN Gandy Printers
EDITOR EMERITUS Charles E. Moore, M.D.
Alexander Ramirez, M.D. – 11th
Myrle Grate, Jr., M.D. – 25th
David Saint, M.D. – 11th
Kishor Muniyappa, M.D. – 25th
Scott Sellinger, M.D. – 11th
Madhuri Sankuratri, M.D. – 25th
Timothy Bolek, M.D. – 12th
Ronald Saff, M.D. – 27th
Leonard Leichus, M.D. – 13th
Leslie Emhof, M.D. – 28th
Earl McKenzie, III, M.D. – 13th
Russell Cole, M.D. – 29th
Donald Willis, M.D. – 13th
Amit Jain, M.D. – 29th
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
Nancy Loeffler, M.D. – 14th
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!
2017 LEGISLATIVE SESSION
Outcome: Passed all committees in the Senate. Passed one committee in the House. Withdrawn from consideration. HMO Accountability – (SB 262 & HB 675) Summary: This legislation will eliminate immunity of HMOs for being sued for medical negligence. Currently HMOs are protected from liability when making decisions on medical necessity. Developments: The bill failed to pass all of its committees of reference. Direct Primary Care – (SB 240 & HB 161) Summary: The bill clarifies that a subscription style relationship between a patient and physician for the provision of a menu of primary care services each month is not an Insurance Policy and therefore not subject to insurance regulations. Developments: Passed both the House and Senate but Laid on the Table. No final action taken. Patient Protection from Formulary Changes – (SB 182 & HB 95) Summary: The bill prohibits an insurance company from changing the drug formulary in the middle of a patient’s contract year. Developments: The bill passed the Senate but was not taken up by the House. Withdrawn from consideration. Controlled Substance Prescribing – (SB 840 and HB 557) Summary: revises requirements for reporting dispensing of controlled substances; limits exception to reporting requirements for certain facilities dispensing controlled substances; authorizes certain employees of U.S. Department of Veterans Affairs to access certain information in program’s database; specifies when revised reporting requirement takes effect. Outcome: Passed both Chambers and Sent to the Governor. Oppose Bills: PIP Repeal – (SB 156 & HB 1063) Summary: Legislation has been filed to eliminate PIP which is the automobile no-fault insurance coverage that provides $10K in benefit regardless of who is
at fault in an accident. The House bill filed does not replace PIP with any other form of mandated MedPay to cover emergency care. The only Mandated Coverage would be Bodily Injury that covers the cost of injuries you do to others when your fault is established. Motorists will have the option to purchase Med Pay and Uninsured Motorist coverage. The Senate Bill does create Mandatory Emergency MedPay. We support the Senate version of the bill since it does mandate MedPay. Outcome: The bill passed the House but only passed one committee in the Senate. Withdrawn from consideration. Telehealth and Independent Practice for Advanced Registered Nurse Practitioners and Physician Assistants – (HB 7011) Summary: The bill establishes a regulatory and oversight process for Telehealth services. The bill expands the independent scope of practice for ARNPs and PAs. Outcome: Passed the House but never taken up in the Senate. Withdrawn from consideration. Optometry Scope of Practice – (HB 1037 and SB 1168) Summary: Allows optometrists to perform laser surgery. Outcome: Passed one committee in the House. Withdrawn from consideration. Pharmacy Scope of Practice Expansion – (SB 1180 and HB 7011) Summary: Expanded scope of practice to include ordering and interpreting clinical labs. Outcome: Passed several committees in the House. Did not move in Senate. Withdrawn from consideration. Bills we are Monitoring: Patient Shared Savings – (SB 528 & HB 449) Summary: The bill requires insurance companies to provide web access to contracted rates for certain “shoppable procedures and services” for their various providers in the community as well as the average price paid for those same services as noted in the CONTINUED ON PAGE 6
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 3
CONNECT THE DOCS CRAFT BEER TASTING AND TOUR
Join your colleagues and friends for a
Craft Beer Tasting and Tour Monday, June 12, 2017 • 5:30 pm – 7:30 pm GrassLands Brewing Company 603 W. Gaines Street, #7 Sponsored by: Spouse or guest welcome! Please encourage non-CMS member physician colleagues to join us too! Please RSVP by June 7 to Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org. This event is limited to 50 people. Be sure to RSVP today to reserve your spot!
Reliable, comprehensive care for your patients with kidney disease and hypertension. Serving Tallahassee and surrounding counties since 1975. 1609 Physicians Drive, Tallahassee, FL 32308 • (850) 878-1171 • (850) 942-1291 fax • nfnephrology.com
Avon Doll, Jr., MD 4
Hari Kolli, MD
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Kaushal Patel, MD
Sayeed Khalillullah, MD
CONNECT THE DOCS HAPPY HOUR
CMS hosted another great Connect the Docs Happy Hour on May 8th at a new location, The Wine House on Market Street. Guests enjoyed delicious hors d’oeuvres, refreshing beverages, and connecting with their friends and colleagues!
A special thank you to our sponsor for this event:
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
5
2017 LEGISLATIVE SESSION
all claims database the state is creating. The bill requires insurance carriers to share 50% of the savings achieved if a patient receives any of these shoppable services from a lower cost provider. The bill enables the patient to have access to the same incentives for utilizing out of network providers. Developments: The bill failed to pass either chamber and was withdrawn from consideration. Medical Marijuana – (HB 1397 and SB 406) Summary: The legislation would implement the constitutional amendment passed by the voters in the fall 2016. Outcome: Versions of the bill passed both chambers but they could not agree on final language. The bill was withdrawn from consideration. 2017 Session Summary of All Health Care Bills That Passed Drug Overdoses HB 239 creates a central database for opioid overdoses via the Emstar System. The legislation permits EMS to data share with law enforcement regional information to help target high drug areas of a community. The bill also requires any hospital with an emergency room to produce best practice policies to help in lowering the number of drug overdoses in the state. Controlled Substances HB 477 adds fentanyl and its derivatives to Florida’s drug trafficking statute and gives law enforcement and state prosecutors the tools they need to investigate and prosecute drug traffickers selling the deadly substances. The legislation also adds U-47700 to the list of Schedule 1 controlled substances. In September last year, Attorney General Bondi signed an emergency rule outlawing the synthetic drug after it was identified in multiple deaths throughout the state. This emergency action temporarily outlawed the dangerous drug and the legislation passed this Session will ban the deadly substance permanently. Control Substances Prescribing HB 557 shortens the timeframe in which a dispenser of a controlled substance (typically the pharmacy) 6
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
must report dispensing from seven days to the end of the next business day. It also requires the dispenser to submit required reporting information via an electronic system approved by the Department of Health. In addition, the bill expands access to the PDMP database now to healthcare employees of the U.S. Veterans’ Administration to assist with their patient’s treatment. The bill was amended to exclude a requirement for any doctor with a DEA number to complete an additional two-hour CME course. Prescription Drug Price Transparency HB 589 increases the number of prescription drugs that must be posted to MyFloridaRx, from 100 to 300. Additionally, the bill codifies the current practice by which prescription drug pricing information is reported to AHCA, from quarterly to monthly. As a result, patients who query MyFloridaRx will have access to more timely pricing information for more prescription drugs. Stroke Centers HB 785 directs AHCA to include hospitals meeting criteria for acute stroke ready centers on list of stroke centers. The legislation also authorizes DOH to contract with private entity to establish & maintain a statewide stroke registry. Medication Synchronization SB 800 prohibits health insurers from denying patients the ability to receive a partial refill of a prescription if they choose to enroll in a medication synchronization program through their pharmacy. This will allow more patients to synchronize their prescription plan and lead to better health outcomes. Currently, many patients, especially those with chronic conditions who may have been prescribed medications from different specialized physicians, face numerous refill dates and multiple trips to the pharmacy each in order to maintain their prescribed treatment plan. This lack of alignment, or synchronization, in prescription fill dates has been identified as a major contributor to medication nonadherence, which results in poor health outcomes for patients and an estimated annual impact of $300 billion a year in avoidable costs to the U.S. health care system.
2017 LEGISLATIVE SESSION
Human Trafficking SB 852 creates in statute the term “commercial sexual exploitation.” The bill also requires the multidisciplinary staffing to develop a service plan for any child victims and the plan must include the victim’s needs and local services. Victims must be followed up with by DCF or local sheriff within six months. Lastly, the bill requires nurses to complete a two-hour course on human trafficking as part of the CME currently required. Substance Abuse Service Providers SB 807 takes a comprehensive approach to the problem of fraudulent patient brokering and deceptive marketing practices in the business of substance use addiction services, particularly related to the economic relationship between service providers and “recovery residences.” The bill requires entities providing substance abuse marketing services to be licensed by the Department of Agriculture and Consumer Services under the Florida Telemarketing Act. The bill strengthens the Department of Children and Families’ (DCF) substance abuse treatment provider licensure program and improves the regulation of service providers, including requiring DCF to draft rules on minimum licensure standards and require that certain providers be accredited. The bill creates new and amends existing criminal offenses (prohibited acts) related to patient brokering and marketing practices that create or increase fines and potential prison sentences. The bill provides assistance to law enforcement and prosecutors by: • Extending the jurisdiction of the Office of the Statewide Prosecutor to investigate and prosecute patient brokering offenses; • Adding patient brokering to the list of predicate offenses that may be prosecuted as RICO offenses which could result in higher penalties; and • Adopting federal law with regard to the timing of law enforcement giving notice to a patient regarding obtaining the patient’s records pursuant to a court order. Rights & Responsibility of Patients HB 1253 adds to the Patient’s Bill of Rights and Responsibilities, to allow a patient to bring any person of his or her choosing to patient-accessible areas of a
health care facility or a health care provider’s office to accompany the patient while the patient is receiving inpatient or outpatient treatment or is consulting with his or her health care provider. The bill allows the facility or provider to prohibit patients from exercising this right if doing so would risk the safety or health of the patient, other patients, or staff of the facility or office or cannot be reasonably accommodated. Prescription Drug Monitoring Data Base HB 5203 permits the use of state funds appropriated in the General Appropriations Act to administer the prescription drug monitoring program (PDMP). Removes requirement relating to implementation of the PDMP being contingent on receipt of nonstate funding. Regulation of Health Care Practitioners HB 543, Department of Health Agency bill makes numerous technical changes to statute. New to statute is the requires an ARNP to maintain a copy of his or her protocol at the location the ARNP practices and if the ARNP works with multiple supervising physicians in a group practice, the ARNP has to enter into a protocol with at least one physician vs all the physicians. The bill expands the pain management clinic registration requirement to include those that are exempt from registration under current law. However, these entities will be exempt from registration and inspection fees and other regulatory requirements. Registration of all pain management clinics will assist DOH with its regulation of pain clinics that are not registered and operating in violation of state law. HB 229 also was a Department of Health bill mainly making changes to the Impaired Practitioner Program. In addition to the PPP, the bill authorizes DOH to issue or renew licenses of individuals who were convicted of or entered a plea of guilty or nolo contendere to a disqualifying offense before July 1, 2009, when the licensure disqualification law was enacted. The bill authorizes DOH to issue or renew the license of an individual who is convicted of or enters a plea of guilty or nolo contendere to a disqualifying felony if the applicant successfully completes a pretrial diversion program and the plea has been withdrawn or the charges have been dismissed.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 7
e e s s a h a l l Ta s it All Ha
Great schools, lovely weather, big-time college sports, and Southern Charm. You can add world class cancer care to the list. Florida Cancer Specialists is the largest private Medical Oncology practice in the country with over 100 cancer centers in Florida, and two cancer centers here in Tallahassee. We offer patients every single FDA approved cancer treatment every single day. Every one. Immunotherapy, vaccine therapy, chemotherapy, monoclonal antibodies, along with personalized molecular profiling and, of course, clinical trials of novel agents. So your patients can get the care they need in the town they love.
Scott Tetreault, M.D. v Viral Bhanderi, M.D. v Paresh Patel, M.D. 2626 Care Dr Suite 200 Tallahassee 32308 v 1600 Phillips Dr Suite300 Tallahassee 32308 v (850) 219-5830 Fax (850) 671-1251 8
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS LUNCH AND LEARN
CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS On April 19th, Gary Pickel with Brown & Brown Insurance gave an excellent program titled “ACA Updates”. We thank Mr. Pickel and Lauren Wallace with Brown & Brown Insurance for sponsoring this Lunch and Learn.
Seminars are held at the Capital Health Plan on Governors Square Blvd – and we thank them for providing this venue to us. Mark Your Calendars for the Fall 2017 Lunch and Learn Seminars: September 20, 2017 – Legislative Updates October 18, 2017 – Employment Law Updates November 15, 2017 – Patient Collections Workshop - Bringing Home the Bacon We will send out more information about these seminars as they get closer.
Welcome
obaeda HarfousH, md Services: » Allergies and Asthma » Chronic Obstructive Pulmonary Disease/ Emphysema
» Early Diagnosis of Lung Cancer » Lung Cancer » Lung Nodules » Bronchiectasis
» » » »
Sarcoidosis Chronic Bronchitis Shortness of Breath Interventional Pulmonology
2770 Capital Medical Blvd., Suite 200 Hours: Mon.-Fri., 8 a.m.-5 p.m.
Obaeda Harfoush, MD Board Certified Pulmonary Medicine
Accepting New Patients Now! We Accept CHP & Most Insurances
(850) 877-0910 • CapitalRegionalPA.com Our Capital Regional Physician Network-of-Care Includes: Cardiology | Family Medicine | General Surgery Heart & Lung Surgery | Internal Medicine | Ob/Gyn | Pediatrics | Vascular Surgery To learn more visit CapitalRegionalMedicalCenter.com.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 9
2017 CMS MEETINGS CALENDAR
CAPITAL MEDICAL SOCIETY 2017 MEETINGS CALENDAR (continued from page 1)
October 17, 2017 CMS Membership & CME Meeting Prevention of Medical Errors (2-Hour CME) Scott Sellinger, M.D. and Jesse Suber, Esq. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
November 7, 2017 CMS Membership & CME Meeting Adverse Health Effects of Electronic Devices Alice Pomidor, M.D., FSU College of Medicine 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
December 7, 2017 CMS Foundation Holiday Auction 6:30 pm FSU University Center Club
Dennis A. Fried, M.D., J.D. Dennis A. Fried, M.D., J.D.
9 of 10
Licensing, Discipline & PeerReview ReviewDefense Defense Licensing, Discipline & Peer Dennis A. Fried, M.D., J.D. forfor AllAllMedical Florida Medical Professionals ininFlorida Dennis A. Fried, Licensing, M.D., J.D.Professionals Discipline & Peer Review Defense Dennis A.Initial Fried, M.D., J.D. All Medical Professionals Licensing, Discipline & Peerfor Review Defense Free Consultation Free Initial Consultation in Florida Licensing, Discipline Peer ReviewP.A. Defense Blanchard, Merriam,& Adel &&Kirkland, Blanchard, Merriam, Adel Kirkland, P.A. for All Medical Professionals Florida Dennis A. for AllinMedical Professionals in Florida 4 S.E. Broadway Street, 4 S.E.Initial Broadway Street, Free Consultation
F
Ocala, FL FL 34471 Ocala, 34471 Licensing, Blanchard, Merriam, Adel & Kirkland, P.A.Disciplin Free Consultation Free Initial Consultation 4 S.E.Initial Broadway Street, 352-732-7218 forwww.bmaklaw.com All Medical P Blanchard, Merriam, Adel & Kirkland, P.A. 352-732-7218 www.bmaklaw.com Ocala, FL 34471 Blanchard, Merriam, Adel & Kirkland, P.A. 4 S.E. Broadway Street, 4 S.E. Broadway Street, Ocala, FL 34471 352-732-7218 www.bmaklaw.com Free Init
Physicians say theyĘźre satisfied with their career 352-732-7218 choice.
Ocala, FL 34471 352-732-7218
Source: American Medical Association survey of 1,200 medical students, residents and physicians with less than 10 years of practice 10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Blanchard, Merria www.bmaklaw.com 4 S.E. B www.bmaklaw.com Ocal 352-732-7218
Tallahassee Pulmonary Clinic Tallahassee Pulmonary Clinic welcomes welcomes
Chien-Yi Ruby Williams, MD Chien-Yi Ruby Williams, MD University of Florida University of Florida Pulmonary, Critical Care and Pulmonary, Critical Care and Sleep Medicine Sleep Medicine University of Miami University of Miami Resident Physician Resident Physician
Dr. Williams will begin seeing patients July 17, 2017. Dr. Williamsanwill begin seeing patients July 17, 2017. To schedule appointment, please call (850) 878-8714. Patients To appointment, please call (850) an 878-8714. Patients do schedule not needan a physician referral to schedule appointment. do not need a physician referral to schedule an appointment. Most Insurance Plans Accepted. Most Insurance Plans Accepted.
PULMONARY • CRITICAL CARE • SLEEP MEDICINE PULMONARY • CRITICAL CARE • SLEEP MEDICINE
1401 Centerville Road • Suite G2 • Tallahassee, FL 32308 1401 Centerville Road • Suite G2 • Tallahassee, FL 32308 (850) 878-8714 • www.tpcmed.com (850) 878-8714 • www.tpcmed.com CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 11
CE BROKER
CE BROKER PROFESSIONAL ACCOUNT…IT’S A NO BRAINER! CE Broker is the official continuing education tracking and management system for the Florida Department of Health. As a member of Capital Medical Society, you receive the benefit of a discounted rate for the Professional CE Broker Account, if you sign up for it through Capital Medical Society. The Professional Account cost is $29.00 ordinarily, but through your CMS membership, you only pay $12.00 for a plethora of services not included in the free Basic Limited Access CE Broker Account. You may compare the difference in account services below. Beginning in June 2017, Capital Medical Society will be sending 2017/18 CMS Dues invoices with a CE Broker invoice for $12 by email to all current CMS Members. Please make your payment for dues and CE Broker by July 7, 2017 to ensure that your CE Broker account does not become inactive. Capital Medical Society reports paid-active CE Broker accounts on the 9th of each month. Unpaid accounts will be suspended until payment is received. Those who were not enrolled in CE Broker’s Professional Account in 2016/17 through their Capital Medical Society membership will be given the opportunity of adding this benefit when they renew their membership dues for 2017/18.
Don’t miss out on this important Capital Medical Society benefit! If you have any questions, contact Pam Irwin at pirwin@capmed.org.
12
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CE BROKER
CE BROKER PROFESSIONAL ACCOUNT EASILY MANAGE YOUR CE $12 ANNUALLY FOR CAPITAL MEDICAL SOCIETY MEMBERS
MAKING LICENSE RENEWAL SIMPLE • See your renewal requirements in detail. • Quickly report missing CE. • Check your compliance status anytime. • Know when your requirements are fully met. • Receive important notifications from your regulating agency.
STAY ORGANIZED WITH SECURE STORAGE • Permanently back up your reported documents. • Store heart cards & multiple licenses.
GO PAPERLESS & GO ANYWHERE • Access your account through our FREE apps. • Review all past course info in your Course History. • Digitally Store all your certificates.
CE BROKER BASIC ACCOUNT LIMITED ACCESS NO COST
• Report hours manually. • Confirm course completions.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 13
VIEWPOINT
STRIVING FOR IMPERTURBABILITY By H. Timothy Paulk, M.D.
I grew up in several small towns in north Florida (Malone, Madison, Blountstown). My high school teachers in Blountstown scared me into practicing good study habits with stories about how difficult college could be. Insecurity is a great motivator, and it powered me through my undergraduate years at the University of Florida and into the UF College of Medicine where annual tuition was $600. Four years later in 1973, I arrived in Baltimore as an intern on the Osler medical service at Johns Hopkins Hospital. Times were different then. Medical interns were on call to admit new patients two days out of three. Intern duties often included starting IV’s, drawing blood, transporting patients to radiology when the situation was urgent and there was no time for hospital employees to complete the tasks. Sleep deprivation sometimes led to humorous incidents. An ER patient, who complained that his headache medicine was not working, produced a bottle of pills labeled “placebo.” Another patient charged into the medical ER demanding, “I want my heart cut out.” He was promptly triaged to surgery. My intern roommate would leave spinal fluid in the refrigerator next to the milk. However, he did believe in going the extra mile for his patients. When a family called to say one of his patients had died, my roommate volunteered to pick the body up and
deliver it to the hospital. The family accepted. He placed the body in the back of his pickup truck, covered it with a blanket, and delivered it to the hospital. Allegedly, he made only a brief stop at the grocery store on the way. I stayed at Johns Hopkins Hospital for five years: three years of internal medicine internship and residency, then two years of GI fellowship. Long hours of exposure to much sickness and death in the company of high quality house officers and mentors made me a better doctor. I am forever grateful to the patients who put up with us as young doctors and taught us so much. My next stop was at the Medical University of South Carolina in Charleston where I was an assistant professor. My clinical and teaching skills were good. My research skills were not. After one and a half years, I bailed out of South Carolina and headed to Tallahassee where my parents had lived since 1972. My father was the University of Florida agricultural extension director and my mother was a retired elementary school teacher (after 30 years). Dr. Stockwell and Dr. Reisman were in need of a new associate, so I started at the Digestive Disease Clinic on February 1, 1980. I have practiced there continuously since then. I would like to finish by leaving you with a few clinical pearls learned over my 43 years as a physician. I mostly learned these concepts the hard way by making mistakes.
14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
(1) Convince the patient that you are doing a good job. The patient’s perception of health care quality is important. Too often we doctors deliver excellent care, but the patient doesn’t see it that way. Spend some extra time listening to what the patient has to say, showing compassion, explaining the evaluation, diagnoses, and treatment plan. Such communication will go a long way towards promoting patient satisfaction and a sense of being on the same team. (2) When evaluating a patient, listen to the history and come up with the most likely diagnosis. However, also consider the less likely but worst possible alternative diagnosis that is treatable and could make you feel stupid and your patient feel dead. Noncardiac chest pain may be a dissecting aneurysm. Vomiting may be due to an intracranial mass. A distended abdomen may be an imminent cecal perforation. I have seen all of the above. (3) We doctors need to spend less. Medical care costs can consume only so much of the GNP. When I was an intern, lab expenses were studied and the interns generally thought to be the best diagnosticians spent the least. So often a marginally indicated serum CEA returns elevated and leads to much additional and unhelpful testing. We need better history taking and fewer lab tests and CT scans. William Osler said, “Listen to your patient, he is telling you the diagnosis.” CONTINUED ON PAGE 20
A WAY T O M A K E M E D I CI N E E V E N M O R E O F A M I S S I O N.
There are opportunities for physicians to gain extraordinary experience serving part-time in America’s Navy Reserve. And all while maintaining a civilian practice. You can work in any of more than 30 specialty/subspecialty areas – from General Practice to Neurosurgery. Enjoy excellent pay and benefits – including the potential for additional specialty pay of up to $75,000.* And be part of a network that’s both patient-focused and world-class.
*Contact a Navy Reserve Medical Recruiter for details. ©2012. Paid for by the U.S. Navy. All rights reserved.
1003DADRMO11
WANT TO LEARN MORE? CONTACT YOUR NAVY RESERVE MEDICAL RECRUITER TODAY. XXX-XXX-XXXX JOBS_districtnametogohere@navy.mil (800) 342-8123 | jobs_NRD_jacksonville@navy.mil
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 15
CMS MEMBERSHIP MEETING MINUTES
MINUTES CMS MEMBERSHIP MEETING April 18, 2017 The mission of the Capital Medical Society is to promote the practice of medicine for the ultimate benefit of the patient. I. Business Meeting A.
Welcome – Dr. Tracey Hellgren, President, called the meeting to order at 6:30 pm. Dr. Hellgren thanked Westminster Oaks for use of their incredible facility.
B. Dr. Hellgren welcomed and thanked our sponsors/displayers for the evening: Presenting Sponsors Capital Regional Medical Center – Steve Gordon, Jenni Henderson, Dr. Obaeda Harfoush, and Dr. Jeffery Snyder Trulieve – Mason Davis and Travis Widick Displayers Novo Nordisk – Stephanie Ellis and Michelle Glazier Sanofi – Gavin Boone and Paige Grodecki C. New Members a. Dr. Hellgren announced new members approved since the last membership meeting: Adanna Amanze, M.D., Tallahassee Perinatal Consultants Aisha Donine Bailey, D.O., Capital Pediatrics, TPCA Bruno Dipasquale, M.D., IRL PS, LL Robert A. Kickish, M.D., North Florida Pediatrics Deanna M. Louie, M.D., Eye Associates of Tallahassee Jennifer Swisher Lynes, D.O., Big Bend Hospice David Miller, M.D., Rehab Engineering, LLC Abby Hunter Peters, M.D., Tallahassee Pediatrics (TPCA) 16
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Justin “Mac” Vining, M.D., Wolfson Children’s Specialty Services, in agreement with Tallahassee Primary Care Associates b. Dr. Hellgren introduced a new CMS Member in attendance: Jennifer Swisher Lynes, D.O. – Big Bend Hospice D. Mark Your Calendars Dr. Hellgren announced the upcoming meetings/events: Monday, May 8 - 5:30 - 7:30 pm Rescheduled Connect the Docs Happy Hour has been moved to The Wine House 1355 Market Street Sponsored by Capital City Bank Tuesday, May 16 – 6:00 pm CME/Membership Meeting Maguire Center for Lifelong Learning Topic: “Updates in Cancer-To the Moon and Back” Speaker: Viralkumar Bhanderi, M.D.
Wednesday, May 24 – 5:00 - 8:00 pm Doctor-Family Event FSU Champions Club Doctors and their families are invited for a funfilled evening with this FSU Football themed event. The Social Events Committee under the leadership of Dr. Greg Perry has worked hard to put together a truly fun event that will be fun for all ages.
Monday, June 12 – 5:30 - 7:30 pm Connect the Docs Grasslands Brewery Craft Beer Tasting and Tour - Sponsored by Brett Thompson - Financial Group of Raymond James & Associates Grasslands Brewery - 603 W. Gaines St.
CMS MEMBERSHIP MEETING MINUTES
Saturday, August 26 – 11:00 am - 2:00 pm CMS Family Picnic Maclay Gardens ($6.00 entrance fee per car)
Our speaker for the evening, Dr. Ken Brummel-Smith with our CMS President, Dr. Tracey Hellgren.
II. Tonight’s Program Topic: Medical Cannabis: Seeing Through the Smoke Speaker: Ken Brummel-Smith, M.D. Dr. Brummel-Smith gave an excellent and informative program on medical cannabis.
Tonight’s program was for educational purposes only, so there is no CME Evaluation Form to complete. However, please complete the Evaluation Forms on your table for the benefit of our speaker and the CME Committee. We hope you found the program helpful.
Presenting Sponsor, Capital Regional Medical Center: (l-r) Steve Gordon, Jenni Henderson, and Dr. Obaeda Harfoush (not pictured, Jeffery Snyder, M.D.)
III. Adjourn – Dr. Hellgren adjourned the meeting at 7:55 pm. Please Thank Our Sponsors/Displayers for the April 18th CMS Membership Meeting Presenting Sponsors
Presenting Sponsor, Trulieve: (l-r) Mason Davis and Travis Widick.
Displayer, Sanofi: (l-r) Gavin Boone and Paige Grodecki.
Displayers Novo Nordisk Sanofi Displayer, Novo Nordisk: (l-r) Stephanie Ellis and Michelle Glazier. CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
17
IN MEMORIAM
PASSING OF A LEGEND: M.T. MUSTIAN By Charles D. Williams, M.D., FACR, FAAP M.T. Mustian, TMH’s CEO from 1964 until 1989, passed away on May 3, 2017. He was 96. He is survived by his wife of 61 years, Jackie Mustian, his children Mark (Greta Sliger), Perry (Mary), and Janet (Scott), and his six grandchildren. Pat and I have known M.T. and Jackie for 43 years and one cannot have more loyal and dedicated friends. It is difficult to cover his greatness in an article. All you have to do is say M.T. and everybody knows who you are talking about. He came here 50 years ago and no one has had a greater influence on this community than M.T.
community at all times seeking and usually finding a balance that resulted in a fair and just resolution. When he came to Tallahassee 50 years ago, this hospital was not doing well and on the verge of going under. M.T. knew what was important and what was not and he knew how to get the important things done. He made TMH one of the finest hospitals in the nation.
M.T. was a true gentleman, a giant, an icon, legend, leader, visionary, a wonderful loving husband, father and grandfather, and one of the best men I have ever known. His name will be forever linked with the hospital’s new, M.T. Mustian 5-story surgery and adult intensive care facility. The project is expected to be one of the most expensive in Tallahassee history. M.T. was respected, admired and loved because of his fine character, his integrity, his sense of fairness, his brilliance and his contributions to this hospital, this community and society at large. His word and handshake were better than any contract. M.T. was a wise, insightful, fair, compassionate and understanding human being. His sense of fairness, justice and his concept of what constituted professional behavior and unprofessional behavior were respected by all. M.T. had the ability to carefully consider and weigh the respective interests of the hospital, the doctors, the patients we serve, and the 18
He made TMH financially sound. He, with Brian Robinson, brought CT to this town and we were the first hospital in Florida to have a CT scanner. This hospital, TMH, was the fifth place in the nation to have a CT scanner. We got ours at the same time as the Mayo Clinic in Minnesota. He was in support of Bill Hutchinson starting the Family Practice Residency Program, which supplied this community with additional medical care. Dr. Cognetta said that it was M.T.’s stroke of genius. We trained people like Alma Littles, a star. On her first day of practice in Quincy, he visited her office to offer his assistance. Dr. Cognetta stated, “M.T.’s administrative style was to walk through the hospital and shake hands with all of the employees he ran into
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
and look them straight in the eyes and listen to whatever was on their mind which was usually about jobs and patient care giving M.T. a direct pulse on the hospital, his patients and employees. He was a master listener.” He took on several building projects and the hospital expanded. He expanded the Heart Surgery program. He was one of the original founders of VHA (Voluntary Hospital Association) and obtained national prominence. He served on the Board of Blue Cross Blue Shield of Florida. He oversaw TMH’s integration with Florida A&M University hospital working with Dr. Brickler and Dr. Anderson. He established the Golden Gala and raised funds to build a neo-natal intensive care unit. He obtained the land in back of Goodwood for future expansion where the Cancer Center is now located. Dr. Al McCully said that M.T. always put patients first. When Richard Zorn arrived here in 1978, he said that M.T. was the face of medicine in this town. Some of his proudest moments were the hospital administrators’ intern program where he served as a mentor and role model for interns to become future CEO’s of major hospitals. M.T. appointed Dr. I.B. Harrison as the first Medical Director at TMH. M.T.’s list of achievements goes on and on and there is not enough time to list all of them. M.T. was a medic in World War II and received the Purple Heart. He went from Gainesville, Florida to Houston, Texas and eventually here. He met and married Jackie in Louisiana and she has always been by his side and CONTINUED ON NEXT PAGE
ALLIANCE CORNER
The Capital Medical Society Alliance was happy to be a part of the 2017 Doctors’ Day Celebration. Thank you to our Doctors’ Day committee of Tami Frankland, Val Draper, Jane Snyder, and Carol Winchester for adding a touch of beauty to the event. In April, our meeting showcased the Tallahassee Memorial Animal Therapy Program. Members got to meet the newest TMH Animal Therapy (AT) Dog, Brody; Stephanie Perkins, Director; Heather Gainey, Assistant Director and her AT Dog, Katy. Everyone enjoyed learning about the program that reaches beyond TMH to the Courtrooms in Leon County/Florida and the Classrooms in Leon County Schools. In the Fall, we will have our Annual Past Presidents’ Luncheon on Wednesday, September 27; and a meeting at the FSU College of Medicine Tallahassee Regional Campus, where we will present our donation of $1,000 to the FSU COM and meet current students on Wednesday, October 25. Keep an eye out for e-mails this summer about the Fall Wine Tasting, and an event at the new J. McLaughlin on Tuesday, September 26, where for the entire day 15% of the proceeds of sales that day will go to the CMSA. Please join us!
Capital Capital Nephrology Nephrology Clinic, Clinic, P.A. P.A.
Ida Thompson CMSA President CONTINUED FROM PREVIOUS PAGE
supported M.T. and has been his biggest cheerleader. They were a perfect team. They have such a wonderful loving family, Mark who is an author and prior City Commissioner, Perry who is President of Archbold Hospital, and Janet is a retired CPA. It has been said, “What counts in life is not the mere fact that we have lived, it’s what differences we have made to the lives of others that will determine the significance of the life we lead.” M.T. certainly has made a difference to lives not only those who know him personally but to those who have benefited from his myriad contributions to this hospital and this community. Memories are our treasures here on earth. M.T. has certainly given us special memories. M.T., thank you from the bottom of our hearts for the precious memories and all of your contributions.
Center Center for for Kidney Kidney Care Care & Hypertension Hypertension & Hiren Hiren J. J. Joshi, Joshi, M.D. M.D. Now Accepting New Patients Services • Chronic Kidney Disease • Hypertension • Dialysis Care • Kidney transplant care • Proteinuria • Hematuria
1641 Mahan Center Blvd, Suite #2 • Tallahassee, FL 32308 Phone (850) 999-2328 • Fax (850) 320-6114 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 19
DEAN’S CORNER
CLINICAL EXPANSION AT FSU COLLEGE OF MEDICINE By John Fogarty, M.D., Dean, and Daniel Van Durme, M.D., MPH, Associate Dean for Clinical & Community Affairs, FSU College of Medicine The FSU College of Medicine is actively exploring the potential for an interdisciplinary primary-care health center on an FSU-owned parcel of land at 2908 Ridgeway Street in Tallahassee. This is across the street from Sabal Palm Elementary School, and is in a diverse and medically underserved community approximately three miles southwest of the College of Medicine’s central campus. At this juncture, we are considering all possibilities on this property, including refurbishing existing space or developing a new facility on adjacent land. This health center will be the home of a new clinical service line called FSU Primary Health, which joins the existing FSU Senior Health, our four-year old geriatrics consultation practice. We are also piloting FSU TeleHealth in Perry for geriatric consultations in conjunction with Doctors’ Memorial Hospital. An essential piece of the mission of the Florida State University College of Medicine is, “to be CONTINUED FROM PAGE 14
(4) Zip your lip when you are tired or stressed. When you have been up all night on call, a harsh word or look can poison relationships with patients, families, coworkers. Much time may be required to repair the damage. (5) Be calm under fire. This is an acquired skill for warriors like
responsive to community needs, especially through service to elder, rural, minority and underserved populations.” That interest extends to the central focus of our medical education program – to produce more physicians who will work in Florida’s medically underserved communities. This is not something that happens by chance, as patterns in growth of the physician workforce have clearly illustrated for several decades now.
Our current plan includes:
The next step, for us, is to develop a clinical facility where students across all four years have the opportunity for regular and longitudinal exposure to patients whose health-care needs are not being met elsewhere. We are planning a center that will provide integrated primary and behavioral health care with a small group of five or six primary-care clinicians and mental health workers. This will also serve as a teaching center for our students and a clinical home for our faculty. Our business plan is that it will break even and is not designed to be a revenue stream for other College of Medicine functions.
• Ongoing dialogue with other interested FSU colleges to discuss inter-professional care and teaching to provide the optimal scope of services to future patients. • Starting engineering studies and assess land-use issues to determine costs/feasibility of size and scope of potential clinical operations.
Navy SEALS, and doctors need it, too. William Osler, the first Chief of Medicine at Johns Hopkins Hospital, wrote an essay entitled “Aequanimitas.” A copy of this essay is given to the new medical interns at Johns Hopkins each year. The word means imperturbability and has to do with clear thinking in times of great danger, and good judgment when a life hangs in the balance. None of us was born with
this trait, but we can all pursue it. The long hours of house staff training and the following years of subsequent clinical experience provide us the opportunity to become imperturbable.
20 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
• Community meetings and dialogue with the residents of the neighborhood to learn of their needs and perspectives. • Meetings with local organizations and agencies to discuss potential partnerships and shared opportunities for community engagement.
We welcome input from the local medical community. Contact Daniel.vandurme@med.fsu.edu.
In closing, I like to think I am calmer in the trenches now than I used to be. I am still working on zipping my lip.
Tirelessly defending the practice of
GOOD MEDICINE. We’re taking the mal out of malpractice insurance. By constantly looking ahead, we help our members anticipate issues before they can become problems. And should frivolous claims ever threaten their good name, we fight to win—both in and out of the courtroom. It’s a strategy made for your success that delivers malpractice insurance without the mal. See how at thedoctors.com
6282_FL_CCMS_PD_Jun2017.indd 1
5/10/17 10:30 AM21 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS FOUNDATION
The Impact of Private Support: 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 We Care Network and the We Care Network Endowment Fund. More than $80 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 2015-16, which ended June 30, 2016, more than $7 million in health care was donated. Gifts support the salaries and benefits of the case management team who coordinate donated care. • To provide incentives to keep medical students trained at 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. $47,000 was distributed to eight medical students in 2016.
Your gifts to Capital Medical Society Foundation transform lives in the Big Bend
• Gifts to Capital Medical Society Foundation help provide operation resources for Capital Medical Society Foundation. In 2015-16, funds were used for a roof repair, purchase of a computer firewall upgrade, rental unit maintenance, exterior painting, and office renovations to accommodate additional staff. In addition, modest grants to area non-profits whose programs improve access to health care for the underserved. In 2016, CMSF awarded $10,000 in grants to Elder Care for their In-Home Services Program and to Lighthouse of the Big Bend to provide tools to the visually impaired to improve their access to health care. 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. 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 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 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 ~ 1204 Miccosukee Road ~ Tallahassee, FL 32308. 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
22 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS FOUNDATION: WE CARE NETWORK
Duncan Postma, M.D. J. Daniell Rackley, M.D. Adrian Roberts, M.D. Garrison Rolle, M.D. Tim Ruark, M.D. FOUNDATION
We Care Network
THANK YOU
David Saint, M.D. Joshua Somerset, M.D. Bhavik Soni, M.D.
To our CMS members and We Care partners who saw new patients for the We Care Network in April 2017.
Timothy Sweeney, M.D.
Your generosity and support of the We Care Network makes a difference.
Robert Thornberry, M.D.
Physicians
Samuel Yu, M.D.
Scott Tetreault, M.D. John Thabes, M.D. William Thompson, M.D. Graham Whitaker, M.D. William Yaakob, M.D.
Aaron Appiah, M.D.
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 Rosemary Evans at (850) 201-0085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you! Please contact Rosemary Evans at revans@capmed.org or 201-0130 if you are a We Care volunteer and you provided volunteer specialty care in the month of April 2017 and your name was omitted.
We thank our referring providers from April 2017:
Marie Becker, M.D.
Dentists
Eboni Allen, ARNP
Phillip Langdon, PA
David Bellamy, M.D.
Eric Amundson, D.D.S.
Anne Ananga, ARNP
Elaine Larkins, ARNP
Raj Bendre, M.D.
Steven Bryan, D.M.D.
Viral Bhanderi, M.D.
Walter Colón, D.M.D.
Jonna Bradley, ARNP
Esaias Lee, M.D.
Tim Broeseker, M.D.
William McFatter, D.D.S.
Sherry Bramblett, ARNP
Ashok Manocha, B.D.S.
Viet Bui, M.D.
Barrett Tolley, D.D.S.
Daniel Breivogel, ARNP
Ovidiu Marina, M.D.
Alexander Brickler, II, M.D.
Damon McMillan, M.D.
Acquinonette Bryant, M.D.
Kelley Miller, ARNP
Viet Bui, M.D.
Marcia Morris, ARNP
Lysmar Carrion-Dinguis, M.D.
Jayan Nair, M.D.
Jordan Cherkinsky, D.D.S.
Mark Newberry, M.D.
Susan Dunbar, ARNP
Kyara Paulk, ARNP
Shirley English, ARNP
Andrea Plagge, D.O.
Sharron Foster, M.D.
Stephen Quintero, M.D.
Anneka Gaffney, ARNP
Marlaine Registe, ARNP
Lisa Gardner, ARNP
Charlie Richardson, M.D.
Judy Griffin, ARNP
Lucilita Salvador, ARNP
Hantz Hercule, M.D.
Abisoye Somorin, ARNP
Amit Jain, M.D.
Alanna Steaple, ARNP
Anneka Johnson, ARNP
Faye Tinson, ARNP
John Katopodis, M.D.
Jeffrey Wasserman, D.O.
Howard Kessler, M.D.
Richard Zorn, M.D.
Armand Cognetta, M.D. Jeffrey Crooms, M.D.
Facilities
David Dixon, D.O.
Affordable Dentures
William Dixon, IV, M.D.
Anesthesiology Associates
Alberto Fernandez, M.D.
Beachton Denture Clinic
Michael Ford, M.D.
Capital Regional Medical Center
Akash Ghai, M.D.
Desloge Home Oxygen
Gian-Carlo Giove, M.D.
Leon County Dental Clinic
Celeste Hart, M.D.
Neighborhood Medical Center
Gregory Hartlage, M.D.
Dental Clinics
Muhanad Hasan, M.D.
Pathology Associates
James Hunt, D.O.
Radiology Associates
Iman Imanirad, M.D.
Seven Hills Surgery Center
Simha Jagadeesh, M.D.
Smile Connection at Bond
Amit Jain, M.D.
Community Health Center
Farhat Khairallah, M.D.
Southeastern Surgery Center
Sayeed Khalillullah, M.D.
Tallahassee Diagnostic Imaging
James Killius, M.D.
Tallahassee Endoscopy Center
John Mahoney, M.D.
Tallahassee Memorial HealthCare
Mitchell Massie, M.D.
Tallahassee Outpatient
Jayan Nair, M.D. Jason Oberste, M.D. Rodolfo Oviedo, M.D. Kaushal Patel, M.D.
Surgery Center TMH Family Medicine Residency Program Women’s Imaging Center
Michael Pentaleri, M.D.
DURING THE MONTH OF APRIL, THE WE CARE NETWORK: RECEIVED 164 REFERRALS, WITH 108 PATIENTS NEW TO THE PROGRAM
SCHEDULED 131 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS
$320,072 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 23
Prsrt. Std. U.S. Postage
PAID Tallahassee, FL Permit 801
Cap Scan Newsletter 1204 Miccosukee Road Tallahassee, FL 32308 Return Service Requested
8020 Lanternlight Road
$945,000 | 5BR 3 FULL/2HALF BA | 4,522 sq ft
• Traditional lakefront home on 3 acres • Soaring ceilings and floor-to-ceiling windows allow for tons of light & lake views. • Oversized Master Suite with fireplace. • Expansive deck, fire pit and Jacuzzi make this house an entertainers dream!
260 Rosehill Drive N
2820 Asbury Hill
$525,000 | 4BR 3.5BA | 3,483 sq ft
Call Us Today for Your Private Showing or for a Free Market Evaluation of Your Home!
• Traditional brick home with rocking chair front porch on private street near the heart of Tallahassee’s Midtown. • Functional floor plan features eat-in kitchen, high ceilings, multiple living spaces & custom millwork. • Beautiful screened-in porch and oversized bedrooms. Downstairs guest bedroom/bath.
$1,075,000 | 5BR 4.5BA | 6,177 sq ft Hettie Spooner Lindsay Elliott Calynne Hill
(850)509-4337 (850)545-2463 (850)545-6140
2001 Thomasville Road Tallahassee, Florida 32308
• Exquisite Rosehill home with stunning curb appeal and pool. • Gorgeous open floor plan features custom archways, millwork, built-ins & coffered ceilings. • Multiple, oversized living areas include an office/billiard room, bonus room, art studio, and media room.
HILLSPOONER.COM