JUNE EDITION, VOLUME 2019, NO. 6
“PAM, YOU HAVE A SWIMMING POOL IN YOUR BASEMENT” By Pam Irwin, CMS Executive Director January 2, 2019 was just supposed to be the first day back to work after the holidays. We’d scheduled a handyman to come by that morning to change out some fluorescent bulbs that are stored in the basement, which is affectionately referred to as “the Abyss.” One hour into Work Year 2019, Keith Greer from KMN Services, Inc., trudged back up the stairs to say, “Pam, you have a swimming pool in your basement.” Now, many of you probably didn’t know that Capital Medical Society has a basement. Some might even wonder why on earth anyone in Florida would EVER have a basement. My thoughts, exactly! Be that as it may, we have one. Before my tenure at CMS, a sump pump was installed to help keep water from flooding the basement during Florida’s many rainstorms. When properly working and power in operation, the sump pump evacuates the water from the basement outside of the building before it exceeds the depth of the sump pump well.
On January 2, the most wonderful Keith Greer strapped on his waders and installed a new sump pump for us. We allowed 36 hours for the water to be pumped elsewhere. Ok, that wasn’t too bad. And then, I had to enter the basement to take a little look around. Since time began and Tallahassee was first placed on the map, it appears as if the basement has been used as the place to store everything you’re not quite sure you are ready to get rid of or might come in handy if the world as we know it comes to an end. All of that debris was now coated in mold. The doors were damaged up to the water mark, and the walls had a glossy wet look since we’d basically created a terrarium in our basement. There was also a faint hint of mold coming through the AC vents upstairs.
Disaster Planning 101 Pre-planning is EVERYTHING. There has been some history of the sump pump not operating if the power goes out, but, thankfully, that has not caused a substantial issue in the past. However, I, for one, never contemplated an outright sump pump motor failure over our 2018 Winter Break when the holidays were filled with precipitation. Had I thought of that possibility, I might have run the idea by the CMSF Board of Directors to install a warning system that would send a text message to my iPhone if the sump pump stopped working for any reason. This little system could have prompted a phone call to the aforementioned handyman to come replace the dead sump pump before we needed a canoe to get to it.
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CAPITAL MEDICAL SOCIETY 2019 MEETINGS CALENDAR 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)
CONTINUED ON 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 Dermatology Residents Samantha Marrone, M.D./Shalini Thareja, M.D. Family Medicine Residents Tristan Brooks, D.O./Mary Claire Smallwood, M.D. General Surgery Residents Shlermine Aupont, M.D./Blake Davis, M.D. Internal Medicine Residents Joshua Hickman, D.O./Luba Muaddi, M.D.
PUBLICATION
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
Disaster Planning........................................................1 CMS Connect the Docs Happy Hour....................5 Announcements........................................................6 New Member Benefit...............................................8 Practice Management..............................................9 Viewpoint................................................................... 11 CMS Membership Meeting Minutes.................... 12 Alliance Corner........................................................ 14 CMS Foundation...................................................... 15 Access to Healthcare.............................................. 17 CMS Foundation: We Care Network.................. 18
HAPPY BIRTHDAY! {JUNE BIRTHDAYS}
Melissa Martin, M.D. – 1st
Scottie Whiddon, M.D. – 15th
Scott Asher, M.D. – 2nd
Carlos Zapata, M.D. – 17th
Connie Speer, M.D. – 2nd
Deanna Louie, M.D. – 18th
Christopher Sundstrom, M.D. – 2nd
Whit Oliver, M.D. – 18th
A. Lane Janney, M.D. – 3rd
Barbara Williams, M.D. – 19th
James Killius, M.D. – 3rd
William Yaakob, M.D. – 19th
Hiren Joshi, M.D. – 4th
Jitendra Padalia, M.D. – 20th
Irina Hillman, M.D. – 5th
Frederic Vroom, M.D. – 20th
Winston Ortiz, M.D. – 5th
Jose Mendoza, M.D. – 23rd
Robert Glickenberger, M.D. – 6th
Sam Moorer, M.D. – 23rd
Robert Ashmore, M.D. – 8th
Joseph Mazziotta, M.D. – 24th
EDITOR Frank Skilling, M.D.
MANAGING EDITOR Shannon Boyle
Shane Rignanese, M.D. – 8th
Myrle Grate, Jr., M.D. – 25th
Okanta Jackson, M.D. – 10th
Kishor Muniyappa, M.D. – 25th
GRAPHIC DESIGN Gandy Printers
EDITOR EMERITUS Charles E. Moore, M.D.
Suzanne Morgan, M.D. – 10th
Madhuri Sankuratri, M.D. – 25th
Neelima Ravi, M.D. – 11th
Ryan Curran, M.D. – 27th
David Saint, M.D. – 11th
Ronald Saff, M.D. – 27th
Scott Sellinger, M.D. – 11th
Leslie Emhof, M.D. – 28th
Alexander Ramirez Valderrama, M.D. – 11th
Russell Cole, M.D. – 29th
Timothy Bolek, M.D. – 12th
Margarett Conklin Ellison, M.D. – 29th
Leonard Leichus, M.D. – 13th
Amit Jain, M.D. – 29th
Earl McKenzie, III, M.D. – 13th
Alexandra Nevett-Fernandez, M.D. – 30th
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.
Nancy Loeffler, M.D. – 14th 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
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!
DISASTER PLANNING
CONTINUED FROM COVER
And so it began. Learn from my experience. Dr. Joseph Mazziotta will be presenting a CME on Disaster Planning in September. Plan to attend because no plan is not a plan. First, check your insurance policy. I don’t mean the deck sheet. I mean the policy. Know what your policy covers and doesn’t cover. Thankfully, ours, by some miracle, covered sump pump failure. Most policies do not. Then, check your mold remediation coverage. This is the MOST expensive part of a water damage claim. You may not have a sump pump, but you do have water pipes. They can leak. Sometimes, it’s behind the walls, and you find the damage when you decide to freshen up your wallpaper. Our coverage limit was $15,000. We exceeded our limit. Be sure to discuss this limit when you renew your policy. The next step for us was to contact our insurance company and have a mold inspector come inspect our premises. They take air samples throughout the premises and then set out the plan you must follow explicitly to complete the remediation and be cleared from the exposure. Our HVAC unit is housed in the basement, so the HVAC had to be turned off until the entire mold remediation had been concluded and approved. We were fortunate that this occurred in January, but we still had to secure space heaters for the cold weather and portable AC units when outside temperatures hit the 80s to prevent our server from overheating. We worked with one vendor, Southern Restoration Technologies, who did almost all of the remediation coordination. If you have an older
building, you may have asbestos insulation. We did. This required an asbestos mitigation and removal before any cleanup could begin. Are you picturing the HAZMAT suits? We are through the remediation process and to the point of finishing up final details like replacement of the damaged doors. Our basement is pristine and empty. There was quite a bit of time spent negotiating the claim, finding storage space for items that had to be relocated after being professionally cleaned, and tracking of out of pocket expenses to turn in for reimbursement. This will be an event not easily forgotten. However, it was a huge motivator to actually start getting a written comprehensive disaster plan in place. Had this been a Hurricane Michael-type event in Panama City, we would have been woefully unprepared, impacting our business continuity and the patients we serve through the We Care Network. Knowing that we have the coverages we need, the power sources we need to remain operational, and the vendors in place to mitigate any damage is critical. We have taken the time to consolidate staff contact information, succession plans, and most critical duties and communication methods in the event of a disaster. I’m sure we won’t have thought of everything, but like most plans, it will be a work in progress. June 1 is the beginning of hurricane season. Are you ready?
CAPITAL MEDICAL SOCIETY 2019 MEETINGS CALENDAR CONT. FROM COVER
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
CMS CONNECT THE DOCS HAPPY HOUR
OUR HAPPY H H T APRIL 25 SE ON U O H E THE WIN STREET T E K MAR
A Good Time Was Enjoyed By All! A SPECIAL THANK YOU TO OUR SPONSOR FOR THIS EVENT:
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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ANNOUNCEMENTS
PROFESSIONAL NOTES Dr. Alma Littles will receive the American Medical Women’s Association’s Elizabeth Blackwell Award in July 2019. The award, established in 1949, is given annually to the woman physician who has made the most outstanding contribution to the cause of women in the field of medicine. Dr. Colby Scott Redfield ran his first Boston Marathon with bib number 27465. He worked over the past year or so, bettering himself, losing weight, and training mentally and physically for this marathon. Congratulations, Dr. Redfield!
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.
Dr. Joan Meek became the Dean of the FSU College of Medicine’s Orlando Regional Campus on May 20, 2019.
Dr. Scott Tetreault co-authored an important new study that was integral in gaining FDA approval for a new treatment for indolent (slow-growing) non-Hodgkin lymphoma (iNHL). The study, ‘DYNAMO: A Phase II Study of Duvelisib (IPI-145) in Patients With Refractory Indolent Non-Hodgkin Lymphoma,’ was published in the April 10 issue of the Journal of Clinical Oncology. The efficacy and manageable safety profile of duvelisib, which was demonstrated in the DYNAMO study, support its potential as a novel therapy for patients with refractory iNHL.
THE CAPITAL MEDICAL SOCIETY BOARD OF GOVERNORS WELCOMES NEW RESIDENT BOARD MEMBER MARY CLAIRE SMALLWOOD, M.D., FAMILY MEDICINE Born and raised just across the Georgia line in Bainbridge, Mary Claire is excited to be back close to home in Tallahassee. She grew up playing competitive tennis and ended up choosing to attend Erskine College in Due West, South Carolina where she studied Biology and played Division II college tennis for 2 years. After this time, she moved to the great city of Athens, Georgia where she graduated from the University of Georgia (Go Dawgs!) with a Bachelor of Science degree in Biology. She received her medical degree from the Medical College of Georgia in Augusta. Here she met her husband Evan, who is a fellow TMH Family Medicine Resident. She fell in love with Family Medicine because it gives her the opportunity to combine preventative medicine, women's health, and pediatrics all in one practice. She is thrilled to be joining the wonderful team that makes up the TMH Family Medicine Residency. In her free time, Mary Claire enjoys gardening, yoga, cycling, kayaking, cooking and traveling with her husband Evan. She also loves spending time with her dog, Maizy, and 2 cats, Emmett and Bailey. 6
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
ANNOUNCEMENTS
CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS On April 17th, Greg Jaap, CIC, Executive Vice President with Brown and Brown of Florida, Inc., and Frank Russo, Founder and Principal with Procor Solutions and Consulting gave an excellent program on disaster planning. We also thank Brown and Brown of Florida, Inc. for sponsoring the April 17th Lunch and Learn.
MARK YOUR CALENDARS FOR THE FALL 2019 LUNCH AND LEARN SEMINARS:
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
Seminars are held at the Capital Health Plan on Governors Square Blvd. – and we thank them for providing this venue to us.
September 18, 2019 – Patient Dismissals October 16, 2019 – Improving Patient Communication Within the Medical Community November 13, 2019 – Technology Roundtable
We will send out more information about these seminars as they get closer.
PHYSICIANS AS EFFECTIVE ADVOCATES OPPORTUNITY: RESOLUTIONS NEEDED! Submit your resolutions today to help set statewide policy for tomorrow! Resolutions for the 2019 FMA Annual Meeting (being held August 9-11) are being accepted via email: pirwin@capmed.org. Submitting resolutions is your opportunity to assist in setting county, state, and national policy that affects your profession and quality of patient care. It is an exceptional way to use the insight of our membership to change national and state policy, and your delegation would be most appreciative of your active input. The CMS Delegation and Executive Committee will review all proposed resolutions. All approved resolutions will then be submitted to the Florida Medical Association House of Delegates for consideration during the FMA Annual Meeting.
When submitting your resolution, please provide: • Sufficient information to stand alone in terms of what policy or action it intends for the FMA to implement • Any background/research documentation you have to support your resolution • Your name and email address (or the best way to contact you) in case of any questions Deadlines for submission to Capital Medical Society for review: • Prior to June 7 to meet FMA’s 1st deadline of June 14 for publication in the Delegate Handbook • Prior to June 20 to meet the 2nd deadline of June 28 for publication in the Handbook Addendum If you would like to review a sample resolution, please contact Pam Irwin at the CMS office (850.877-9018). We welcome and look forward to your input and participation. CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 7
NEW MEMBER BENEFIT
ANNOUNCING NEW MEMBER BENEFIT MY GREEN DOCTOR: A FREE MONEY-SAVING BENEFIT FOR CMS MEMBERS The Capital Medical Society is pleased to announce a new membership benefit: My Green Doctor. This free program shows how to add environmental sustainability to your offices. It requires you or your office manager to add only five minutes of Green Team business to each regular staff meeting. You will save money -- as much as $2000 per doctor per year -- as you adopt wise environmental practices. In addition, there are free brochures, posters, and other tools for teaching the office staff, patients and families. My Green Doctor helps us to prepare our patients for the health effects of climate change. We recommend that you register at My Green Doctor and ask your office colleagues to register at well. Registration is free, safe, and takes under two minutes: https://www.MyGreenDoctor.org. The site is for all
healthcare professionals, not only physicians. Your office will receive a free certificate for the waiting room just for registering. Your office manager will learn how to start a Green Team that meets for five minutes as part of each regular staff meeting. Every meeting is scripted in the “Meetingby-Meeting Guide” so that there is nothing for your manager to study in advance. The office will read the “Ten Reasons to Go Green” and use the “Meeting-byMeeting Guide” to make gradual improvements. You can qualify for the Green Doctor Office Certificate in just six weeks! The $250 certificate is free to you as a member of the Capital Medical Society. My Green Doctor is a practice management tool that is designed by Florida doctors, is science-based, and is comprehensive. It is used by hundreds of offices in 50 countries because it really works. Check out this new, free CMS member benefit!
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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PRACTICE MANAGEMENT
“GOING GREEN AND SAVING MONEY” - MY GREEN DOCTOR IS A NEW FREE BENEFIT FOR CMS MEMBERS By Ronald H. Saff, M.D. and Todd L. Sack, M.D., FACP “This year our office will save money and help the environment.” How many times have you said or thought this? How many times has this been a goal at a staff meeting but not accomplished? The Capital Medical Society now offers to its members a new, free service, My Green Doctor, that makes this easy. My Green Doctor is located on the web at www.MyGreenDoctor.org. This practice management tool was created by and is owned by the Florida Medical Association, which makes no money from it. The service is proven to save offices money as they adopt environmental sustainability and share sensible ideas with their patients. One large primary care group in Florida began saving in its first month and continues to save more than $2000 per doctor annually. My Green Doctor is a complete, simple-to-follow program used by the office staff. Hundreds of healthcare offices around the world use it currently. It requires adding just five minutes of “Green Team” business to each regular office staff meeting. Led by the office manager, the office follows a simple script that explains how to make gradual changes to become healthier and more efficient. By sharing ideas with your patients with free brochures, posters and other teaching tools, the Green Team becomes another way in which your practice improves community health outcomes. Saving energy, climate change, and healthy foods are among the dozens of topics in My Green Doctor. Your office will receive an attractive waiting room certificate just for registering at www.MyGreenDoctor.org. You can qualify for the Green Doctor Office Certificate from the Capital Medical Society in as little as six weeks! Why Go Green? “Going Green” means to become an office that has achieved established benchmarks in managing its environmental impact. The benchmarks concern the use of energy, water, paper products, and other resources. It can include how office staff members and patients travel to the office since transportation decisions have an environmental impact. It includes the foods we choose to have in the office, what chemicals we use, and how we teach patients to prepare for the health effects of climate change. The benefits are nearly immediate. Your office is likely to save electricity and water, which is real money. For example, a five-office practice in Pensacola, Florida is saving more than $14,000 each year on its electric bill! In addition, office
staff members truly enjoy contributing to making their workplace safer, cleaner and healthier. This builds office morale and a team approach to problem solving. Your patients will see recycling bins in your waiting room, brochures or posters for them to read, a Green Doctor office certificate on your wall, and likely other measures that will tell them that yours is a modern, progressive office with a broad interest in their health. Here’s what one physician recently told My Green Doctor: “Just to let you know, we are now on week four of your fiveminute process. We do it at our staff meetings and it is good for morale - my staff really care about this stuff.” My Green Doctor requires no investment other than a few minutes of staff time each month. The program is unique in that it is designed for healthcare offices, managed by physicians, non-partisan, science-based, and is written in language that can be understood by anyone working in a medical office. The website is safe to use and confidential, with no advertising or pop-ups.
WWW.MYGREENDOCTOR.ORG IS PROVIDED FOR FREE TO MEMBERS OF THE CAPITAL MEDICAL SOCIETY
Getting Started Start by asking your office manager and others to register at www.MyGreenDoctor.org. My Green Doctor is for everyone who works in a healthcare office, not just for the physicians. Registration takes just two minutes, and no passwords are needed. Once registered, they will read about how to start the Green Team process in just a few minutes by looking at the “Quick Start, Now!” page. They will move next to the “Meeting-by-Meeting Guide” that tells your office manager or other Green Team leader what to say and do at each meeting. Everything is provided so that no prior environmental knowledge is needed, there are no experts to consult, and no outside consultants to hire. Next, ask your practice leadership—the practice manager, managing physicians, owners or Board of Directors—to adopt environmental sustainability as a core value for your company and to choose My Green Doctor to guide the CONTINUED ON NEXT PAGE
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 9
PRACTICE MANAGEMENT
CONTINUED FROM PREVIOUS PAGE
process. If you wish, My Green Doctor provides a sample environmental sustainability policy and a ten-minute PowerPoint talk to introduce these ideas. A large practice with several offices might want to create an Environmental Sustainability Committee to coordinate your program. Your Green Team’s First Meeting You will need just five minutes at each regular office staff meeting to conduct Green Team business. For your first meeting, the “Meeting-by-Meeting Guide” asks your office manager or other Team Leader to explain the Green Team process, to read a list of “Ten Reasons to Go Green,” to answer any questions that the staff may have, and to announce the date for the next meeting. The “Green Team Notes” form makes it easy to record minutes from the meeting. Your Next Meetings Your second meeting will turn to energy efficiency: ways to save money and decrease air pollution by taking simple steps to use electricity and gas wisely. Again, the “Meetingby-Meeting Guide” advises what to say and decide at each meeting. My Green Doctor includes seven comprehensive Workbooks with more than 120 Action Steps for the office, but most offices simply follow the Guide’s simple instructions and never consult the Workbooks. Your nine subsequent Green Team meetings will be on the topics of solid waste & recycling, patient education, drug disposal & chemicals, healthy foods, and more. Little by little, you will be “Going Green!” Education Steps: Your Greatest Impact Meeting six will be devoted to teaching. Your Green Team will be more effective if you inform those around you. My Green Doctor provides dozens of free brochures, posters and the teaching tools, all of these evidence-based and created by health professionals. In addition, My Green Doctor has done the work of gathering together the best educational materials from other websites so that everything that you might need can be found under the “Resources” tab at My Green Doctor. There is even a free “Tip of the Month” program if your office wishes to adopt a new theme to share with your patient’s each month. People in the community look to their doctors and other health professionals as role models. When we manage our energy use, recycle, choose healthy foods, bicycle to work, or drive energy-efficient cars, our patients and neighbors pay attention. Your office colleagues will take ideas home to their families and neighbors. Moreover, the exchange of information is a two-way street, with office staff bringing “green” ideas to the office that they learn from their children and spouses. The office will play a real role in improving the health of your entire community.
10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Green Doctor Office Recognition If your office staff meetings are weekly, you can qualify for the Green Doctor Office Recognition certificate within six weeks. The “Green Team Guide” tab at www.MyGreenDoctor.org describes how to record your Green Team Notes and how to submit your documentation. The Recognition certificate is free for the Capital Medical Society members but costs $250 for practices that do not have a member in one of My Green Doctor’s partnering health professional societies. You will want to display your certificate in your patient waiting room and staff lunch room, to talk about your “green” efforts, and perhaps even to brag a bit! Going Green, For Good Businesses large and small have been “going green” for decades. Their motivations are as diverse as their business plans and profit margins. Like healthcare offices, most businesses start Green Teams to save money, and most accomplish that. But many businesses report that the non-monetary advantages are the most rewarding and are gained when businesses not only “go green” but also stay green. These offices have used the greening process to foster a culture of teamwork, resources conservation, and mutual respect. The Capital Medical Society is proud to offer My Green Doctor to its members without a fee and urges you to register your office today at www.MyGreenDoctor.org.
ABOUT THE AUTHORS: Dr. Ronald H. Saff is a board-certified allergist and immunologist, and is Assistant Clinical Professor of Medicine at the Florida State University College of Medicine in Tallahassee. He is a member of the Capital Medical Society.
Dr. Todd L. Sack is a Jacksonville gastroenterologist and edits My Green Doctor for the Capital Medical Society and the Florida Medical Association. You can contact Dr. Sack at tsack8@gmail.com.
VIEWPOINT
MY DAD By Charles D. “Pedro” Williams, M.D., FACR, FAAP My Dad is proud of me. I know he is. I saw it in his tears when I graduated from high school. He would have been just as proud of me, if I had stayed in Moultrie and farmed. There are times I wished I had stayed and taken my place with the home folks. I know now it wouldn’t be the same, if I went back. Now Pedro has different shingles on his roof. To me Dad was a giant, but he was the tallest when he was on his knees. I saw a side of Daddy that most folks couldn’t see. Six days out of seven he was up before dawn. He was a simple hard working country man trying to make a living, but he was at his best when his hands were in the soil. He had started from scratch and he kept scratchin’. One time Dad told Pedro to watch where he scratched in public. Dad was one of seven kids, including Millard, Dillard, and Willard. Grandpa died of the swine flue and we lost the farm. Grandma then moved on to somebody’s else’s rundown farm to try sharecropping (tenant farming) with her seven kids. Grandma was gettin’ the farm lookin’ halfway decent when a friend from the Baptist church dropped by and said, “You, your young’uns, and the good Lord shore got this place lookin’ good.” Dad replied, “You should have seen it when the good Lord had it by Himself.” Dad tried to teach Pedro right from wrong. He didn’t know big words or hard words, but he seemed to know what was important and what was not. He was smart enough to know when it was too wet to plow. He knew that you couldn’t chase two rabbits at the same time and he knew you shouldn’t step over a log that you couldn’t see the other side of. He also knew that a person didn’t have to hang from a tree to be a nut. Dad taught Pedro a whole lot. He taught Pedro to wash up before supper, to eat his green beans,
to thump watermelons, that BB guns could put your eyes out, and never to sass Mama. One time Dad told Pedro not to speak when grownups were talkin’. Pedro replied, “I’ve tried that already and it don’t work.” Dad didn’t have no schoolin’, but he did help Pedro to grow up. He raised Pedro right and he raised Pedro happy. Pedro got grown and found out that he was also raised poor, and found out he wudn’t supposed to have been that happy. Dad also taught Pedro to stay between the ditches and out of other people’s hen houses. One time a neighbor had been messing around in someone else’s hen house and he got shot. The doctor said that he had been shot between the hepatic flexure and the diaphragm, but Pedro said he had been shot between the hog pen and the barn. Grandma said that we were both right. Dad hardly ever left Moultrie, but he did leave when he went to war to defend our country, when he went to see Hank Williams sing in Nashville, and when he went to see Pedro at Baylor in Houston. All big events. Even though he didn’t travel much and even though he never got formally educated, he did learn to say “thank you” and “yes, ma’am” and “please.” He also learned to give a dollar’s worth of work for a dollar’s worth of pay. My Dad never gave a great speech and never learned to conjugate a verb. However, I’m proud of my Dad. I think he knows it. I think he saw it in my tears when he got sick. Father’s Day is soon, I think I’ll tell him. Footnote: Dr. Williams’ dad passed away shortly after this story was written. 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. CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 11
CMS MEMBERSHIP MEETING MINUTES
MINUTES: CMS MEMBERSHIP MEETING APRIL 16, 2019 The mission of the Capital Medical Society is to promote the practice of medicine for the ultimate benefit of the patient.
I. Business Meeting – Capital Medical Society A. Welcome – Dr. Maribel Lockwood, President, called the meeting to order at 6:30 pm. Dr. Lockwood thanked Westminster Oaks for use of their incredible facility. B. Dr. Lockwood welcomed and thanked our supporters for the evening: Presenting Sponsor PhRMA – Courtney Cox Displayers Novo Nordisk, Inc. – Stephanie Ellis Sanofi – Gavin Boone C. Dr. Lockwood announced the upcoming meetings/events: May 21, 2019 Membership Meeting/Seminar Message from On High: Your Mattress is Not a Financial Plan, and Your Dog Can’t Be Your Executor” Presenters: Stan Barnes, Barnes Capital Group; Ben Bowersox, Capital City Trust Company; Paula S. Fortunas, Retired, TMH Foundation President; Charles Hopkins, SunTrust Private Wealth Management; Rich Heitmeyer, Carroll and Co., CPAs Moderator and Panelist: J. Alan Cox, Attorney and CMS Foundation Board Director Maguire Center for Lifelong Learning at Westminster Oaks 6:00 pm
June 6, 2019 Doctor/Son Event Northside Community Center (8005 Oak Grove Road) 6:00 pm – 8:30 pm II. Tonight’s Program Topic: Physicians as Effective Advocates Speakers: Fraser Cobbe, President, Cobbe Consulting & Management, Land O’Lakes, FL, and Toni Large, Lobbyist, Uhlfelder & Associates, Tallahassee, FL Mr. Cobbe and Ms. Large gave an informative and engaging program on why advocacy matters, the role of local medical societies, tips and tricks for effective physician advocates, and magnifying the influence. III. Adjourn – Dr. Lockwood adjourned the meeting at 8:00 pm.
Please Thank Our Supporters for the April 16th CMS Membership Meeting Presenting Sponsor
Displayers Novo Nordisk, Inc. Sanofi
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CMS MEMBERSHIP MEETING MINUTES
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Captions for photos: 1 – Displayer, Novo Nordisk, Inc.: Stephanie Ellis. 2 – Displayer, Sanofi: Gavin Boone. 3 – (L-r) Toni Large, speaker for the evening; Maribel U. Lockwood, M.D., CMS President; Andrew Wong, M.D., CMS Member and Past President of the Florida Orthopedic Society; and Fraser Cobbe, speaker for the evening.
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ALLIANCE CORNER
ALLIANCE CORNER The Alliance has had several enjoyable events this Spring!
In April, we put on our Walk for Wellness in partnership with the FMAA.
Also in April, we heard from the Dean of the FAMU School of Nursing, along with a young man who was thrilled to receive our scholarship to further his nursing studies.
We wish you all a wonderful summer. Need a good beach read? Consider the novel “Chasing Ordinary” by Prissy Elrod. We plan to meet socially in July to catch up and discuss the book. Watch for our electronic newsletter for details! Prissy will be our guest speaker at the Past Presidents Luncheon in September. We will plan to see everyone at the CMS/CMSA Family Picnic on August 24th. Upcoming meetings for the fall are listed here: September 4, 2019 Fall Kickoff Social Welcoming New Members Location: Home of Melissa Inglese Time: 11:00 am (Lunch sponsored by Diana Cureton with Hancock Whitney)
September 25, 2019 Past Presidents Luncheon Location: TBD Time: 11:00 am - 1:00 pm Speaker: Prissy Elrod
October 23, 2019 General Membership Meeting Location: Home of Suzanne Cognetta Time: 10:00 am
Sincerely, Melissa Inglese CMSA President
SAVE THE DATE Capital Medical Society and Capital Medical Society Alliance
Family Picnic Saturday, August 24, 2019 11am – 2pm Maclay Gardens State Park ($6.00 entrance fee) Food Truck, Games, and Lots of Fun! Invitations will be emailed in late July. We hope to see you there! 14 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 who made a donation to the CMS Foundation this past month: We Care Network Anonymous – In Honor of Dr. Avon Doll and Louie Doll – “I donated because as the United Way has shifted its priorities and abandoned the We Care Network, even though their own ‘impact foci’ suggest they should NOT do this, and has made it impossible to give to We Care via the United Way, a directed gift just made sense for this program that I and my colleagues have spent years supporting and directing. It is a lifeline to our most vulnerable patients that is entirely driven by doctors and dentists wanting to help those in need in a way that maximizes their donated care.” Susan M. Cross, M.D. – “I donated because I think it is short sighted of United Way to cut We Care, an established program with documented results and extremely low overhead/service ratio.” Dr. and Mrs. Spencer Gilleon J. Ocie Harris, M.D. – “I donated because I believe this is a very needed program in our community and appreciate all the doctors and dentists that give of their time to help those in need.” The Meredith and Elsa L. McKinney Family Fund Daniel and Patricia Van Durme – “I donated because United Way dropped its support.” From the Sales of More Simpler Times – To Benefit the We Care Network Dr. and Mrs. Charles Williams – In Honor of Sergio Ginaldi, M.D. Dr. and Mrs. Charles Williams – In Memory of Raymond Doumar, Father of Suzanne Cognetta
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 15
Advancing the practice of good medicine.
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ACCESS TO HEALTHCARE
ACCESS TO HEALTHCARE STILL A CHALLENGE By Pam Irwin, CMS Executive Director Access to healthcare is not a right. It is a need. Those never experiencing obstacles in access to their own healthcare, oftentimes, do not have a real-life perspective of the impact of those obstacles but are likely to be in the position to make decisions that jeopardize the access of those more vulnerable. They may be legislators, funding partners, grantors’ board members, or insurance companies. Having at one period of my life had children who qualified for Medicaid, I believe I’ve “walked the walk.” Socioeconomic status, physical barriers, lack of affordable health insurance, and services can all be barriers to accessing health services. The result is unmet health needs, delays in receiving often life-saving care, financial burdens, and preventable hospitalizations and trips to the ER. According to the United Way’s Alice Report, the expense most impacting the survival budget of the “working poor” in Florida was the 80% increase between 2010 and 2016 in healthcare costs. “This increase is due to a 39% increase in out-of-pocket costs as well as the addition of the Affordable Care Act shared responsibility penalty for not purchasing health insurance.” 1 Given Florida’s decision not to expand the Medicaid program beyond its current thresholds, Leon County residents who are not eligible for Medicaid but with incomes less than 100% Federal Poverty Level (FPL) fall into the “coverage gap.” They exceed the eligibility threshold for Medicaid and exceed the income level to be eligible for subsidies through the Marketplace.
offer options for low premium health insurance, but with those come high out-of-pocket deductibles and copays. If you would have a $5,000 deductible, and you earn $18,735, would you opt to “be insured?” Many do not. That is where “safety net” programs like the Capital Medical Society Foundation’s We Care Network step in to coordinate donated specialty medical and dental care to those with incomes at or below 150% FPL, so that the most vulnerable in the community continue to have access to specialty healthcare. If you earned $18,735 annually and are uninsured and are diagnosed with cancer, what would you do? A single catastrophic health event can wipe out limited savings overnight, create financial instability, and saddle a patient with overwhelming debt for decades. The We Care Network coordinated over $8 million in donated specialty medical and dental care in 2017-18. The program is grant and donorfunded. We thank our City and Leon County for their ongoing recognition of the critical importance of funding to ensure access to healthcare in Leon County and our donating specialty medical and specialty dental providers for making access to healthcare a priority.
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https://www.dropbox.com/s/x03dik49thmrz6r/18UW_ ALICE_Report_FL_Refresh-11.14.18_Final_Lowres. pdf ?dl=0
The access to healthcare gap goes beyond the coverage gap. For the “working poor” earning more than 100% FPL and up to 150% FPL, it is complicated. If you are a single household at the 150% FPL, your income is $18,735 or $1,561 per month. You have expenses for housing, food, transportation, and utilities. The Marketplace may CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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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 April 2019. Your generosity and support of the We Care Network makes a difference. Physicians Gregg Alexander, M.D. Emily Ashmore, M.D. Vankata Bavikati, M.D. Marie Becker, M.D. Robert Bradford, M.D. Tim Broeseker, M.D. Tony Bryant, M.D. Viet Bui, M.D. David Burns, M.D. Joseph Camps, M.D. Stephen Carr, M.D. Michael Cavallaro, M.D. Gilbert Chandler, M.D. Kenneth DeLay, M.D. Chris DeRosier, M.D. William Dixon IV, M.D. David Durden, M.D. Margarett Ellison, M.D. Gian-Carlo Giove, M.D. Frank Gredler, M.D. Aaron Guyer, M.D. Todd Hewitt, M.D. Marc Inglese, M.D. Barbara Jaeger, M.D. Floyd Jaggears, M.D. Amit Jain, M.D. Beverly Johnson, M.D. Arjun Kaji, M.D. John Katopodis, M.D. Farhat Khairallah, M.D. James Killius, M.D. Fang Sarah Ko, M.D. Carey Linker, M.D. Deanna Louie, M.D. Michael Mangan, M.D. Ovidiu Marina, M.D. Jayan Nair, M.D. Thomas Noel, M.D. Chukwuma Okoroji, M.D. Michael Pentaleri, M.D. Jorge Perez de Armas, M.D. Cybelle Pfeifer, M.D. William Placilla, M.D. Duncan Postma, M.D. Andres Rodriguez, M.D. Garrison Rolle, M.D. Karen Russell, M.D.
Gadi Silberman, M.D. Hardeep Singh, M.D. Joshua Somerset, M.D. Timothy Sweeney, M.D. David Tedrick, M.D. William Thompson, M.D. Jean-Paul Tran, M.D. David Vermess, M.D. Samuel Warren, M.D. Tony Weaver, M.D. Graham Whitaker, M.D. Kenneth Whithaus, M.D. Chien-Yi Williams, M.D. William Yaakob, M.D. Daniel Yang, M.D. Samuel Yu, M.D. Dentists Briano Allen, D.D.S. Labon Bontrager, D.M.D. Joseph Barnett, D.M.D. Ransey Boyd, D.M.D. Walter Colón, D.M.D. John Dozier, D.M.D. Makeba Earst, D.D.S. William McFatter, D.D.S. Jim McSoley, D.M.D. Ralph Montalvo, D.M.D. Camilla Savardi, D.M.D. Lawrence Weaver, D.D.S. Facilities Advanced Dental Care Advanced Urology Institute Anesthesiology Associates Apalachee Primary Care – Gadsden County Aspros, Badger, & Boyd Dental Associates Beachton Denture Clinic Bristol Dental Clinic Bond Community Health Center Camilla Savardi DMD Family and Cosmetic Dentistry Capital Regional Cancer Center Capital Regional Surgical Associates Care Point Health & Wellness Center CESC Dental Clinic Dermatology Associates Desloge Home Oxygen Digestive Disease Clinic Eye Associates of Tallahassee Florida Cancer Specialists and Research Institute Gadsden County Health Department Gynecology & Obstetrics Associates Jessie Furlow Medical Center Ketchum, Wood, & Burgert Pathology Associates Lawrence Weaver DDS Leon County Health Department Molar Express Dental Clinic
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Madison Medical Center Manocha, McSoley, Balan, and Manocha Dentistry Neighborhood Medical Center North Florida Nephrology Associates North Florida Women’s Care North Monroe Medical Center Periodontal Associates of North Florida Radiology Associates of Tallahassee Red Hills Endodontics Southeastern Plastic Surgery Southern Medical Group, P.A. Southern Vitreoretinal Associates Tallahassee Dental Associates PLLC Tallahassee Diagnostic Imaging Tallahassee Ear, Nose, & Throat Tallahassee Memorial HealthCare TMH Family Medicine Residency Program TMH Family Medicine - Wakulla 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 TMH Wound Healing Center Tallahassee Neurological Clinic, P.A. Tallahassee Orthopedic Clinic Tallahassee Surgical Associates Tallahassee VA Clinic 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 April 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 April 2019: Gregg Alexander, M.D.
Elizabeth Fajer, M.D.
Jorge Perez de Armas, M.D.
Ebonie Allen, ARNP
Klive Forde, M.D.
Lisa Perkins, ARNP
Anne Ananga, ARNP
Michael Forsthoefel, M.D.
Cybelle Pfeifer, M.D.
Ricardo Ayala, M.D.
Sharron Foster, M.D.
Duncan Postma, M.D.
Clifton Bailey, M.D.
Anneka Gaffney, ARNP
Stephen Quintero, M.D.
Mary Jane Bailey, ARNP
Judy Griffin, ARNP
Brandi Richardson, ARNP
Karen Bartley, M.D.
Aaron Guyer, M.D.
Charlie Richardson, M.D.
Glenn Beck, D.M.D.
Michael Hartley, D.M.D.
Tim Ruark, M.D.
Dhananjay Bendre, M.D.
Hantz Hercule, M.D.
Karen Russell, M.D.
Viralkumar Bhanderi, M.D.
Todd Hewitt, M.D.
Lucilita Salvador, P.A.
Shelby Blank, M.D.
Amit Jain, M.D.
Eliot Sieloff, M.D.
Kenara Blocker, ARNP
Beverly Johnson, M.D.
Francis Skilling, M.D.
Timothy Bolek, M.D.
Farhat Khairallah, M.D.
Joshua Somerset, M.D.
Jonna Bradley, ARNP
Fang Sarah Ko, M.D.
Abisoye Somorin, ARNP
Daniel Breivogel, ARNP
Stefanie Kreamer, M.D.
Anthony Speights, M.D.
Alexander J. Brickler III, M.D.
Elaine Larkins, ARNP
Alanna Steaple, ARNP
Tim Broeseker, M.D.
Matthew Lee, M.D.
Scott Tetreault, M.D.
Tony Bryant, M.D.
Deanna Louie, M.D.
Lacie Thompson, ARNP
Viet Bui, M.D.
Michael Mangan, M.D.
William Thompson, M.D.
Joseph Camps, M.D.
Ashok Manocha, D.D.S.
Faye Tinson, ARNP
Frances Carney, ARNP
Ovidiu Marina, M.D.
Marianne Towler, ARNP
Lysmar Carrion-Dinguis, M.D.
Damon McMillan, M.D.
Mary Tucker, M.D.
Jordan Cherkinsky, D.D.S.
Jonathan Melquist, M.D.
Ernesto Umana, M.D.
Deborah Congdon, ARNP
Kelley Miller, ARNP
Ramona Vossler, R.D.H.
Kenneth DeLay, M.D.
Ralph Montalvo, D.M.D.
Jeffrey Wasserman, D.O.
William Dixon IV, M.D.
Marcia Morris, ARNP
Lucas Watkins, M.D.
Ray Dolly, M.D.
Jayan Nair, M.D.
Eula Weaver, ARNP
Louisa Dowling, ARNP
Thomas Noel, M.D.
Dorothy White, M.D.
Margarett Ellison, M.D.
Chukwuma Okoroji, M.D.
Brian Zirgibel, M.D.
Vicari Erwin-Wilson, M.D.
Rose Origa, ARNP
Cynthia Evans, ARNP
Mitchell Peabody, D.O.
DURING THE MONTH OF APRIL, THE WE CARE NETWORK: RECEIVED 262 REFERRALS, WITH 151 PATIENTS NEW TO THE PROGRAM
SCHEDULED 238 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS
$323,609.67 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS
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