AUGUST EDITION, VOLUME 2017, NO. 8
HAPPY 25TH ANNIVERSARY, WE CARE NETWORK! By Rosemary Farrell, Jean McCully We Care Network Program Coordinator Congratulations to We Care Network on all of its monumental accomplishments over the past 25 years! It is impressive how our community has pulled together to help its most vulnerable citizens. To date, We Care Network volunteer physicians, dentists, hospitals, and ancillary partners have donated almost $88 million in care, with more than $8.3 million in the past fiscal year. We Care Network has evolved from its beginning in 1992 with 30 physicians and 1 employee. We now count 315 specialist physicians, 45 dentists, 2 hospitals, 4 surgery centers, and 12 other healthcare partners among our volunteers, in addition to a 6 member staff. All of our patients must qualify for our services through a financial screening process that evaluates the income and expenses of the patient’s household. All eligible patients must live at or below 150% of the Federal Poverty Level, and their income must reconcile with their expenses. We require documentation of their financial situation to ensure as best we can that the patient has accurately depicted their situation. For a one-person household, this means the household income must be less than $18,090 in 2017. In 1992, We Care Network used 100% of the Federal Poverty Level as its income limit, which was $6,810 per year for a one-person household.
Once the patient has qualified, all of the care they receive is donated by the physicians, dentists, hospitals, and ancillary medical providers at no cost to the patient. Program participants can, if needed, receive help paying for medications, transportation, durable medical equipment, and dental prosthetics through our patient assistance fund. Case managers assist the patients in applying for prescription assistance programs through pharmaceutical companies when that is an option. The case managers coordinate all of the patients’ care from start to finish. The screening for eligibility, including assistance applying for alternative programs, the scheduling of appointments, and the help purchasing medications is all done by the case managers. There is no other program like the We Care Network that allows low-income, uninsured adults access to physicians, dentists, hospitals, ancillary medical providers, and social workers. We are the only program serving this population in this way. During my years at We Care Network, I have seen first-hand the life-altering impact our volunteers have had on our patients. From cancer patients who go into remission, to cardiac patients who receive critical surgeries, and to dental patients who receive dentures and smile confidently for the first time in many years, our volunteers give of their time, talents, and expertise to generously care for our patients. CONTINUED ON PAGE 4
CAPITAL MEDICAL SOCIETY 2017 MEETINGS CALENDAR 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
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 CONTINUED ON PAGE 15
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
We Care Network Celebrates 25 Year Anniversary................1 Announcements.............................................................................3 New Resident CMS Board Members..........................................6 CMS Connect the Docs Family Picnic.......................................7 CMS Lunch and Learn...................................................................9 Resource Guide for Clinicians: Zika Virus..............................10 CMS 2017 Meetings Calendar................................................... 15 Medical/Legal............................................................................... 16 Check Presentation to the We Care Network....................... 18 Thank You from the We Care Network................................... 19
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. Paresh Patel, M.D.
HAPPY BIRTHDAY!
Gregory Perry, M.D. Laurence Rosenberg, M.D.
{AUGUST BIRTHDAYS}
Ida Thompson, President, CMS Alliance Ernesto Umaña, M.D. Julia Weeks, M.D. Kenneth Whithaus, M.D.
Cielo Rose, D.O. – 1st
Gadi Silberman, M.D. – 17th
Pam Irwin, Executive Director, Capital Medical Society
Michael Douso, M.D. – 2nd
Joshua Fuhrmeister, M.D. – 18th
Family Medicine Residents
Christopher Rumana, M.D. – 3rd
Joan Meek, M.D. – 18th
Meredith Maxwell, M.D./Alex Vanderby, M.D.
Ronald Ray, M.D. – 4th
Dung Nguyen, M.D. – 18th
Stacia Groll, M.D. – 5th
Terence Reisman, M.D. – 18th
William Paul Sawyer, M.D. – 5th
Rachel Vanderby, M.D. – 19th
Tahir Motiwala, M.D./Cristin Sampson, M.D.
Bob Soni, M.D. – 6th
Marie Becker, M.D. – 20th
General Surgery Residents
Emily Ashmore, M.D. – 7th
William Morse, M.D. – 20th
Aaron Hayson, M.D./Justin Lee, M.D.
T. Adam Oliver, M.D. – 7th
Frank Walker, M.D. – 20th
John L. Williams, Jr., M.D. – 7th
Eric Bouchard, M.D. – 22nd
T. Dean Dalrymple, M.D. – 8th
Michael Forsthoefel, M.D. – 22nd
Lisa Flannagan, M.D. – 8th
Shayla Gray, M.D. – 22nd
Stanley Gwock, M.D. – 8th
Claras Ellis, M.D. – 23rd
David Pascoe, M.D. – 8th
Tracy Graham, M.D. – 25th
Nancy VanVessem, M.D. – 8th
P.S. Krishnamurthy, M.D. – 25th
Akash Ghai, M.D. – 9th
James Thomas, M.D. – 26th
Marc Inglese, M.D. – 11th
Richard Dozier, M.D. – 27th
Rick Damron, M.D. – 12th
Jeffrey Ferraro, M.D. – 27th
Sergio Ginaldi, M.D. – 13th
Stan Whitney, M.D. – 28th
Alice Pomidor, M.D. – 13th
Camille Blake, D.O. – 29th
David Craig, M.D. – 15th
Ashton Byington, M.D. – 30th
Internal Medicine Residents
PUBLICATION EDITOR Frank Skilling, M.D.
MANAGING EDITOR Shannon Boyle
GRAPHIC DESIGN Gandy Printers
EDITOR EMERITUS Charles E. Moore, M.D.
ARE YOU INTERESTED IN WRITING AN ARTICLE FOR CAP SCAN?
Please contact Shannon Boyle at sboyle@capmed.org. All articles submitted will be reviewed by your peers prior to publishing. Cap Scan is published during the first week of each month and is the official publication of the Capital Medical Society. Advertising in Cap Scan does not imply approval or endorsement by the Capital Medical Society. The opinions expressed are those of the individual authors and do not necessarily reflect the official policies of the Capital Medical Society. 2
Stephen Sgan, M.D. – 15th
HAPPY BIRTHDAY! WE ARE SO GLAD YOU WERE BORN!
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
DID WE MISS YOUR BIRTHDAY? IF SO, PLEASE EMAIL ROSALIE CARLIN AT RCARLIN@CAPMED.ORG!
ANNOUNCEMENTS
NEW BABIES
Dr. W. Brad Stephens and his wife, Andrea welcomed Henry Samuel on June 2, 2017. Henry weighed 7 pounds and measured 19.5 inches long. Henry joins big sister, Abigail and big brother, Bradford. Congratulations to the Stephens family! Dr. John Katopodis and his wife, Evi welcomed Nonda George on May 5, 2017. Nonda weighed 6 pounds 12 ounces and measured 19.5 inches long. Nonda joins big brother, Niko. Congratulations to the Katopodis family!
CMS MEETS INCOMING RESIDENTS
Dr. Tracey Hellgren, CMS President (fourth from the left), welcomed new residents from the Family Medicine, Internal Medicine, and General Surgery Residency Programs during an orientation luncheon at TMH on June 21, 2017. CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 3
WE CARE NETWORK CELEBRATES 25 YEAR ANNIVERSARY
CONTINUED FROM COVER
Thank you to the physicians and dentists who have put their faith in our team to carry out their goal of access to care. We truly enjoy the work we do at We Care Network and are continually humbled by the overwhelming generosity of the medical community. Our patients may not say “thank you” often enough, and we may not say it often enough, but we truly thank you for the work you do. We are lucky to live in a community that values giving back as much as you.
Capital Medical Society Foundation’s We Care Network was honored to receive a Proclamation from Commissioner Kristin Dozier and the Board of County Commissioners of Leon County on July 11, 2017, recognizing the We Care Network for its 25 years of service to the community. Pictured l-r: Abby Edwards, Robin Satchell, Rosemary Farrell, Diana Sheppard, Commissioner Kristin Dozier, Roshanda Dorsey, Dr. Avon Doll, and Pam Irwin.
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
WE CARE NETWORK CELEBRATES 25 YEAR ANNIVERSARY
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
5
NEW RESIDENT CMS BOARD MEMBERS
THE CAPITAL MEDICAL SOCIETY BOARD OF GOVERNORS WELCOMES THE NEW RESIDENT BOARD MEMBERS Alex Vanderby, M.D., Family Medicine
Tahir Motiwala, M.D., Internal Medicine
Dr. Alex Vanderby grew up in Melbourne, Florida and is extremely proud to be from the Space Coast. He graduated from Florida State with a degree in Biology with an emphasis on evolution and ecology. After graduation, he spent several years traveling and working in environmental restoration and trail building for the National Park Service and the U.S. Forestry Service. He then decided to pursue his lifelong dream of becoming a physician at the American University of the Caribbean on St. Maarten. There he met his wife Rachel and they were able to travel and study alongside each other in London, Miami, and New York City. Dr. Vanderby was fortunate enough to complete his Family Medicine rotation at TMH where he felt incredibly supported and at home. He and Rachel were able to couples match into residency here in Tallahassee. When not in the hospital or clinic, Alex likes to spend his free time filling his passport, running, spending time outside, hiking, fishing, scalloping, cycling, grilling, and hanging out with friends.
Born and raised in Spartanburg, SC, I am very happy to be from the southeast and have enjoyed my time in the area. I attended Wofford College and graduated summa cum laude with a BA in computer science and BS in biology. I went on to attend the Medical University of South Carolina where I fostered my desire to practice medicine. Since undergrad, I have worked on various research projects including bioinformatics regarding congenital heart defects, neural network simulations, and causal genes implicated in mitral valve prolapse. Since completion of medical college, it has been a pleasure to work in the sunny state of Florida at TMH, and now entering my final year of internal medicine as one of the co-chiefs. Post residency, I will be fortunate enough to return to South Carolina to start a hospitalist position. In my free time, I enjoy fishing and spending time on lakes and the ocean whenever possible. My dream is to go fishing in many of the beautiful lakes and coastal lines across the USA.
Cristin Sampson, M.D., Internal Medicine I was born and raised in Fort Myers, Florida. I spent my childhood riding horses and enjoying boating on the river and relaxing on the beach. I graduated Valedictorian of my high school and attended college full time my senior year. I then attended University of Florida where I received my bachelor’s degree in Food Science and Human Nutrition. Health care was always an interest to me and I decided to pursue nursing. I received my bachelor’s in nursing at Florida Gulf Coast University. I worked as a nurse in Medical ICU before deciding I wanted to pursue medicine further and applied to medical school. I attended Ross University School of Medicine where I graduated with High Honors. During my time at Ross, I served on EMS as a supervisor for the local clinic. I completed all of my clinical rotations in Miami, Florida. I am now in my third year of residency in Internal Medicine at TMH and serve as co-chief for the program. I have a husband, 3 year old little girl, cat and dog that I enjoy spending time with. I plan to become a hospitalist back in Fort Myers when I complete my training to be closer to family and the river.
FOUNDATION
6
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION We Care Network
CMS CONNECT THE DOCS FAMILY PICNIC
FOUNDATION
invites youWe and family to the Careyour Network
Family Picnic Saturday, August 26, 2017 11am - 2pm Maclay Gardens State Park 3540 Thomasville Road ($6.00 entrance fee)
“Stella” the Food Truck and Street Chefs will serve delicious food plus we’ll have lots of family fun activities! Come on out and enjoy the day with your colleagues and their families! Please RSVP by August 18 to Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org. Food and drinks provided by:
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 7
Big loans for big dreams. PHYSICIAN MORTGAGE PROGRAM Let us help you purchase a dream home that reflects the life you are building. At Capital City Bank, our physician mortgage program offers simple lending solutions at an affordable rate.
PROGRAM ADVANTAGES X Up to 100% loan-to-value X No down payment needed* X No private mortgage insurance (PMI) required
Designed for physicians, our expert guidance and concierge
X Long- and short-term, fixed-rate options offered
style of service makes a complex buying process easy.
X 15- and 30-year financing available Applicants must have a deposit relationship with Capital City Bank prior to closing.
William Smith Private Banker
402.8136 smith.william@ccbg.com NMLS # 454424
Subject to credit approval and property approval, if applicable. The Physician Loan Program is for licensed and practicing physicians (MD, DO, DDS, DPM and DMD). Restricted to primary, owner-occupied residences only. Program terms and conditions subject to change without notice. Product is not available in all markets. Other restrictions and limitations may apply. *Down payment of 5% is required on loan amounts greater than $800,000.
8
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS LUNCH AND LEARN
CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS MARK YOUR CALENDAR September 27, 2017 – UPDATED DATE!
November 15, 2017
The Evolving Health Care Landscape
Patient Collections Workshop Bringing Home the Bacon
Beyond the crystal ball to discuss the impact of state legislative changes, relevant changes to the federal health care system and MACRA on the practice of medicine. Speaker: Jarrod Fowler, MHA, Florida Medical Association Sponsor: Strategic Benefits Group, LLC
October 18, 2017 Maybe It Is Rocket Science After All Employment Law Update: The 2017 Masters Edition With record litigation and a dramatic increase in governmental audits impacting local business, come join us for a fun interactive look at the areas that are most likely to create costly legal exposure at your company. Topics to be covered will include key points of risk throughout the employment life cycle, common mistakes involving employee leave, and preparing for coming changes to federal wage and hour laws. This is a cannot miss for small business owners, human resource professionals, and Chief Executive Officers alike! Speaker: Bill Krizner, The Krizner Group Sponsor: Solutionreach
During this seminar, you will learn best practices to: • Deal with rising patient-owed balances • Make it easier for patients to pay • Develop a strategy for collecting past due balances • Automate to collect more money more efficiently • Improve overall financial communication Speaker: Kayleen Homewood, Professional Office Services, Inc. Sponsor: Electronet
Time: 12 Noon to 1:30 PM (Seminars start at 12:30 PM) Place: CHP Auditorium, 2nd Floor, 1491 Governors Square Blvd. Cost: $10 per person, per seminar
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 9
10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION This tool can be used to help patients learn more about Zika, why they might be at risk, and how to protect themselves and others. https://www.cdc.gov/zika/pregnancy/index.html This webpage outlines special precautions and testing recommendations for pregnant women who live in or frequently travel to areas with risk of Zika virus. https://www.cdc.gov/zika/pregnancy/protect-yourself.html
Know Your Zika Risk Web App
Information and Materials for Pregnant Women
CS279786-A
June 9, 2017
Zika Screening Tool for Pregnant Women
Zika Pregnancy Testing Algorithm & Zika Pregnancy Testing Interactive Tool
Pretest Counseling Webpage
Pretest Counseling Materials
This webpage includes information about current travel guidance. https://www.cdc.gov/zika/hc-providers/pregnant-woman.html
Healthcare Providers Caring for Pregnant Women
Pretest Counseling Script (<2 wks): https://www.cdc.gov/zika/pdfs/pretestingcounselingscript_past2wks.pdf Pretest Counseling Script (2-12 wks): https://www.cdc.gov/zika/pdfs/pretestingcounselingscript_2to12.pdf Pretest Counseling Script (CDC Zika Travel Notice): https://www.cdc.gov/zika/pdfs/pretestingcounselingscript_livingin.pdf
CDC recommends that pregnant women be asked at each prenatal care appointment if they may have been exposed to Zika. This material can help providers screen their patients and identify if Zika virus testing is indicated. https://www.cdc.gov/zika/pdfs/zikapreg_screeningtool.pdf
• Zika Pregnancy Testing Algorithm: https://www.cdc.gov/zika/pdfs/testing_algorithm.pdf • Zika Pregnancy Testing Interactive Tool: http://www.cdc.gov/zika/widget
These materials are intended to help healthcare providers apply the updated recommendations for Zika virus testing during clinical practice, assist with interpretation of results, and inform clinical management for a pregnant woman with possible exposure to Zika virus.
These materials assist providers with counseling pregnant women about Zika virus testing and informing them of what they might expect. https://www.cdc.gov/zika/hc-providers/pregnant-women/patient-counseling.html
>>
• For Pregnant Women with Exposure to Areas with a CDC Zika Travel Notice: https://www.cdc.gov/zika/pdfs/living_in.pdf
>>
• For Pregnant Women Who May Have Been Exposed to Zika 2-12 Weeks Ago: https://www.cdc.gov/zika/pdfs/igm.pdf
>>
• For Pregnant Women Who May Have Been Exposed to Zika within the Past Two Weeks: https://www.cdc.gov/zika/pdfs/pcr.pdf
The following factsheets apply to different testing scenarios: presenting for care 1) within two weeks of possible exposure, 2) two to twelve weeks after possible exposure, or 3) for those with exposure to areas with a CDC Zika Travel Notice.
This toolkit includes resources to assist obstetricians with identification, diagnosis, and reporting of Zika virus infection in pregnant women. https://www.cdc.gov/zika/pdfs/uszpr_toolkit_ob.pdf
Healthcare Provider Toolkit for Health Departments
MATERIALS FOR CARE OF PREGNANT WOMEN
CDC has developed many tools to assist and inform providers who care for pregnant women, women of reproductive age, or infants. These tools are intended to equip healthcare providers with information they need to identify, counsel, report, and follow potential cases.
RESOURCE GUIDE FOR CLINICIANS: ZIKA VIRUS
RESOURCE GUIDE FOR CLINICIANS: ZIKA VIRUS
This webpage gives a summary of recommended testing and clinical management for infants with possible Zika virus exposure. The page also includes links for infant follow-up care, information on congenital Zika Syndrome and other birth defects, and guidance for infant evaluation. https://www.cdc.gov/zika/hc-providers/infants-children.html This tool organizes CDC recommendations for evaluating infants with possible congenital Zika exposure by maternal Zika virus exposure status and maternal laboratory test results. https://www.cdc.gov/zika/pdfs/placental-testing-guidance.pdf This resource is intended to educate healthcare providers about how to measure an infant’s head circumference in a consistent and accurate way. https://www.cdc.gov/zika/pdfs/microcephaly_measuring.pdf This video demonstrates how to correctly measure an infant’s head circumference. https://www.youtube.com/watch?v=HWV1JdAhsSo
This page includes an overview of microcephaly and congenital Zika syndrome. https://www.cdc.gov/zika/healtheffects/birth_defects.html This tool outlines CDC recommendations for the initial evaluation and outpatient management during the first 12 months of life for infants with possible congenital Zika virus infection. Within this pocket guide is an evaluation algorithm and an outpatient management checklist. https://www.cdc.gov/zika/pdfs/pediatric-evaluation-follow-up-tool.pdf This toolkit includes resources to assist pediatricians with identification, diagnosis, and reporting of Zika virus infection in infants. https://www.cdc.gov/zika/pdfs/uszpr_toolkit_peds.pdf
Healthcare Providers Caring for Infants and Children
Implementing CDC Guidance for Infant Neuroimaging and Infant and Placental Zika Virus Testing
Measuring Head Circumference Factsheet
Measuring Head Circumference Video
Microcephaly and Other Birth Defects
Pediatric Evaluation & Outpatient Management for First 12 Months (pocket guide)
USZPR Healthcare Provider Toolkit for Health Departments
Zika-Related Birth Defects Surveillance
What to Know
This series of webcast recordings presents discussions on clinical evaluation and management considered by CDC when interim guidance for health care providers was developed. https://www.cdc.gov/zika/hc-providers/webcast-clinicalevalution.html
Clinical Evaluation and Management of Infants with Congenital Zika Infection
This webpage includes information on tracking birth defects, data collection, and data use. https://www.cdc.gov/zika/reporting/birth-defects.html
https://www.cdc.gov/zika/pdfs/whattoknow-affected-by-zika-no-related-conditions.pdf
• What to Know: If Your Baby May Have Been Affected by Zika but Has No Related Health Conditions at Birth:
https://www.cdc.gov/zika/pdfs/whattoknow-congenital-zika-syndrome.pdf
• What to Know: If Your Baby was Born with Congenital Zika Syndrome:
https://www.cdc.gov/zika/pdfs/whattoknow-doctor-suspects-microcephaly.pdf
• What to Know: If Your Doctor Suspects Microcephaly during Pregnancy:
The following materials are designed to assist pediatricians in having conversations with parents about birth defects and tracking infant development.
This material is intended to assist clinicians conducting hearing assessments on infants testing positive for Zika virus infection. It includes an algorithm with testing and result interpretation recommendations. https://www.cdc.gov/zika/pdfs/hearing-test-algorithm-infants.pdf
Assessment of Infant Hearing
MATERIALS FOR CARE OF INFANTS
RESOURCE GUIDE FOR CLINICIANS: ZIKA VIRUS
CONTINUED ON NEXT PAGE
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 11
12
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION This page covers information about types of reversible, emergency, and permanent contraceptive methods. https://www.cdc.gov/zika/pregnancy/preventing-pregnancy.html
This webpage includes information on preconception care, preventing pregnancy, and tools to help providers implement contraceptive guidance. https://www.cdc.gov/zika/hc-providers/reproductive-age/reproductive-planning.html This guide provides recommendations for providers counseling women and men of reproductive age who are considering travel to areas with risk of Zika. This material includes recommendations from CDC’s interim guidance and talking points to cover while discussing recommendations. https://www.cdc.gov/zika/pdfs/travelcounceling-fs.pdf This webpage includes travel guidance by geographical location and recommendations for women and men who live in or frequently travel to an area with risk of Zika. https://www.cdc.gov/zika/pregnancy/women-and-their-partners.html This factsheet gives recommendations for women to protect themselves from getting Zika virus from mosquito bites and sexual transmission. https://www.cdc.gov/zika/pdfs/zika-plan-your-pregnancy.pdf
Preventing Unintended Pregnancy During the Zika Virus Outbreak
Reproductive Planning Resources for Physicians
Travel Counseling Guide
Women and their Partners Trying to Become Pregnant
Women Thinking About Having a Baby
Zika Virus & Pregnancy Grand Rounds Toolkit
Zika Virus & Infants Grand Rounds Toolkit
This guide gives recommendations for counseling women and men living in or frequently traveling to areas with a CDC Zika travel notice. Recommendations include key questions to ask patients and sample scripts to guide discussion between the provider and patient. https://www.cdc.gov/zika/pdfs/preconception-counseling.pdf
Preconception Counseling Tool
https://www.cdc.gov/zika/pdfs/facilitationguidefaqs_pregnancy.pdf
• Facilitated Discussion Guide & FAQ: This guide outlines sample language for the presenter and responses to frequently asked questions.
This presentation is intended to inform obstetricians of updated guidance regarding Zika virus and pregnancy including diagnosing, testing, and prevention, as well as standard precautions in the healthcare environment. https://www.cdc.gov/zika/pdfs/zikagrandrounds_pregnancy.pdf
https://www.cdc.gov/zika/pdfs/facilitationguidefaqs_pediatricians.pdf
• Facilitated Discussion Guide & FAQ: This guide outlines sample language for the presenter and responses to frequently asked questions.
This presentation is intended to inform pediatricians and other providers about updated guidance regarding Zika virus and infants including an overview of Zika virus, clinical management of infants with possible Zika virus infection, and tips for families and caregivers of infants with possible Zika virus infection. https://www.cdc.gov/zika/pdfs/zika-grand-rounds_peds.pdf
SAMPLE PRESENTATIONS
This webpage has a summary of recommendations for women and men who are planning to conceive in the near future. It also includes links to more information about Zika exposure, testing, risks, patient counseling, and reproductive planning. https://www.cdc.gov/zika/hc-providers/women-reproductive-age.html
Caring for Reproductive-Age Women
MATERIALS FOR CARE OF WOMEN OF REPRODUCTIVE AGE
RESOURCE GUIDE FOR CLINICIANS: ZIKA VIRUS
Customizable communication products for state, tribal, local and territorial public health agencies. https://www.cdc.gov/stltpublichealth/collab-space/index.html This material, meant for low literacy audiences, is intended to inform pregnant women about Zika transmission and prevention. https://www.cdc.gov/zika/pdfs/low-lit-pregnancy-protection.pdf This newly developed roadmap is designed as a guide to help parents of babies with birth defects related to congenital Zika infection navigate the series of screenings and tests recommended during their baby’s first year of life. https://www.cdc.gov/zika/pdfs/roadmap-for-parents.pdf This roadmap is meant to help parents whose babies were infected with Zika before birth and appear healthy with navigating the series of screenings and tests recommended during their baby’s first year of life. https://www.cdc.gov/zika/pdfs/roadmap-for-parents-babies-infected-before-birth.pdf This material, meant for low literacy audiences, is intended to inform men and women about prevention of sexual transmission of Zika virus. https://www.cdc.gov/zika/pdfs/low-lit_condom.pdf
OSTLTS Communication Resource Center
Protect Your Pregnancy from Zika
Roadmap for Parents of Babies with Congenital Zika Syndrome
Roadmap for Parents of Babies Infected with Zika Before Birth Who Appear Healthy
Zika Can Pass Through Sex
June 9, 2017
This toolkit includes resources to assist obstetricians with identification, diagnosis, and reporting of Zika virus infection in pregnant women. https://www.cdc.gov/zika/pdfs/uszpr_toolkit_ob.pdf
Healthcare Provider Toolkit for Health Departments
CS279786-A
Current communication tools and resources, including videos, fact sheets, and posters, for use and distribution. https://www.cdc.gov/zika/comm-resources/index.html
Communication Resources
OTHER RESOURCES
RESOURCE GUIDE FOR CLINICIANS: ZIKA VIRUS
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 13
A WAY T O M A K E MEDICINE 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.
14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
1003DADRMO11
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CMS 2017 MEETINGS CALENDAR
CAPITAL MEDICAL SOCIETY 2017 MEETINGS CALENDAR CONT. FROM COVER
October 23, 2017 Connect the Docs Happy Hour Sponsored by Capital City Bank 6:00 pm – 8:00 pm The Wine House (1355 Market Street, A1)
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
51%
of Millennials plan to permanently settle down in a city by ages 30-35. Source: Mayflower survey of 581 Millennials
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 15
MEDICAL/LEGAL
CYBERSECURITY MUST BE PART OF EVERY HEALTHCARE PROFESSIONAL’S JOB By Craig Musgrave, CIO, The Doctors Company On May 12, 2017, the world’s biggest ransomware attack nearly crippled Britain’s public health system and forced doctors to turn patients away. The WannaCry worm, which experts believe to have come from U.S. National Security Agency (NSA) hacking tools released by Wikileaks, spread quickly to companies and critical infrastructure worldwide. A White House homeland security adviser said that more than 300,000 computers across 150 countries were hit. One cyber risk modeling firm put the total economic damage at $8 billion. Since the attack occurred, security researchers have already identified a new strain of malware that could be much more dangerous. We will see more cyberattacks like WannaCry in the months and years to come. They are increasing in frequency and sophistication. But theyare also preventable. Typically, healthcare organizations use sophisticated encrypted software to manage and protect patient data. Does the existence of these more sophisticated platforms mean that there is no risk to the medical practice or to the hospital? The answer, unfortunately, is no. For decades, security experts have been saying that one of the best ways to protect yourself from a malware infection or security breach is to keep your software up to date. Running outdated versions compromises your system. Microsoft released a patch in March 2017 that addressed the NSA exploits. But many organizations forgot or overlooked the patch and were left vulnerable. While few healthcare organizations in the U.S. are known to have been impacted by WannaCry, many remain vulnerable to this type of attack. The industry generally uses older hardware and outdated software, which makes healthcare organizations extremely vulnerable to this type of attack. According to the Verizon 2017 Data Breach Investigations Report, ransomware accounted for 72 percent of the malware attacks on the healthcare industry. And a 2016 study from IBM and Ponemon Institute noted that 16
breaches in the U.S. healthcare field cost $6.2 billion each year and approximately 90 percent of hospitals have reported a breach in the past two years. Just this year, The New Jersey Diamond Institute for Fertility and Menopause reported that a breach exposed the health information of 14,633 patients. Harrisburg Gastroenterology breach revealed 93,323 patient records. The cancer center Singh and Arora Oncology Hemotology notified 22,000 patients of a breach. It doesn’t end there, as experts project that healthcare will be the most targeted sector, with new sophisticated attacks emerging. Every organization, and especially healthcare organizations, need to make cybersecurity a fundamental part of their business. But how do they do that? Here are my top five tips for hospitals and medical practices: Update your software. Make it a regular habit. Turn on auto-updaters—both Microsoft and Apple provide this option. If you haven’t updated your software, now is the time. Provide employee awareness training. According to cybersecurity research firm Mandiant, phishing e-mails, which trick people into clicking on a link, account for 95 percent of successful breaches and have a 90 percent success rate. Institute a training program for staff at all levels and go over the basics such as don’t open e-mails from senders you don’t know and don’t run unknown USBs. Leverage IT application whitelisting and layer your security. Healthcare systems are fragmented in their management of systems and data. Their ability to patch legacy systems and employ cybersecurity staff varies enormously. Therefore, application whitelisting is essential. Rather than blacklisting known malicious software, an application whitelist prevents the launching of any executable program (known or unknown) that does not have explicit authorization. This, in combination with strong firewalls and
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
network segmentation tools like microsegmentation, provides stronger security. Get cyber insurance. According to Beazley, an insurer offering cyber policies, healthcare accounts for 55 percent of the incidents they have handled in 2017. With healthcare data breaches on the rise, cyber liability insurance can help you recover faster in terms of financial coverage and remediation. If you have cyber insurance, check your liability limits to determine if you need to increase your coverage. In 2015, U.S. healthcare data breaches cost companies an average of $363 per record, the highest of any industry, according to the Ponemon Institute. A HIPAA violation of a breach of unencrypted personal health data can run into the millions of dollars. Backup your data. Make sure you are backing up your data regularly, either to servers or to the cloud, and that you can restore it easily. WannaCry malware threatened to delete crucial files unless ransoms were paid. If files were backed up, losing the data wouldn’t have been a concern to those who were attacked. Recent cyberattacks have been devastating. They’ve cost billions of dollars, angered and potentially endangered patients, eroded the reputation of healthcare organizations, and left institutions and individual physicians exposed to HIPAA violations. Cybersecurity is no longer just an IT issue. Every employee and every organization needs do their part. It is imperative that we all make cybersecurity part of our job. Because now, it is. The guidelines suggested here are not rules, do not constitute legal advice, and do not ensure a successful outcome. The ultimate decision regarding the appropriateness of any treatment must be made by each healthcare provider in light of all circumstances prevailing in the individual situation and in accordance with the laws of the jurisdiction in which the care is rendered. Contributed by The Doctors Company (thedoctors.com)
Welcome Brett Howard, MD Medical School: Florida State University College of Medicine, Tallahassee, FL Residency: Mercer School of Medicine/Medical Center of Navicent Health, Macon, GA
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
17
CHECK PRESENTATION TO THE WE CARE NETWORK
CHECK PRESENTATION TO THE WE CARE NETWORK
(L-r) Jerry Coleman, Brett Allen, Dr. Al McCully, Tom Pennekamp, Rosemary Farrell, and Pam Irwin. Representatives from SunTrust’s Medical Specialty Group-Private Wealth Management, Jerry Coleman, Brett Allen, and Tom Pennekamp, presented a $5,000 check from SunTrust Foundation to Dr. Al McCully, Vice President, Capital Medical Society Foundation Board, Rosemary Farrell, Jean McCully We Care Network Program Coordinator, and Pam Irwin, Executive Director in honor of We Care Network’s 25th Anniversary. Over $80 million in donated specialty medical and dental care has been coordinated since the program’s inception.
18
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
THANK YOU FROM THE WE CARE NETWORK
FOUNDATION
We Care Network
Thank You! We Care Network is deeply grateful to its donating physicians, dentists, ancillary partners, and grantors for their commitment to improving access to health care in this community.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 19
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
20 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
WE CARE NETWORK,
bridging the HEALTH CARE GAP
for 25 years
Capital Medical Society Foundation, Inc.’s We Care Network is celebrating its 25th Anniversary in the community. Over $80 million in donated specialty medical and dental care has been coordinated by We Care Network. Thank you to the medical and dental providers, hospitals, and ancillary partners who have improved access to health care for twenty-five years.
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21
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
Donate to the CMS Foundation We Thank Our Donors We thank the following people/organizations who made a donation to the CMS Foundation this past month: For Capital Medical Society Foundation Dr. and Mrs. Charles Williams – In Honor of Tony Weaver, M.D. For We Care Network SunTrust Foundation Along with their annual dues payment Paul Arons, M.D. David Miles, M.D. Celeste Paquette, M.D. Terence Reisman, M.D.
Care Network Endowment Fund. More than $88 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 2016-17, which ended June 30, 2017, more than $8.3 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. ➢ 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 2017, CMSF awarded $10,000 in grants to Elder Care for their In-Home Services Program and to CMSF’s Physician Wellness Program set to launch in FY 2017-18. 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.
Your gifts to 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
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CMS FOUNDATION: WE CARE NETWORK
Your generosity and support of the We Care Network makes a difference.
Tim Ruark, M.D. Ronald Saff, M.D. David Saint, M.D. Philip Sharp, M.D. Gadi Silberman, M.D. Justin Simonds, M.D. David Smith, M.D. Robert Snider, M.D. Joshua Somerset, M.D. Timothy Sweeney, M.D. David Tedrick, M.D. Jean-Paul Tran, M.D. Ernesto Umana, M.D. David Vermess, M.D. Graham Whitaker, M.D. Kenneth Whithaus, M.D. William Yaakob, M.D. Daniel Yang, M.D.
Physicians
Dentists
Greg Albright, D.O. Arvind Bakhru, M.D. Marie Becker, M.D. Raj Bendre, M.D. Shelby Blank, M.D. Robert Bradford, M.D. Tim Broeseker, M.D. Acquinonette Bryant, M.D. Jana Bures-Forsthoefel, M.D. Stephen Carr, M.D. George Cohen, M.D. Raymond Cottrell, M.D. William Dixon, IV, M.D. David Durden, M.D. Akash Ghai, M.D. Gian-Carlo Giove, M.D. Joseph Gray, M.D. Aaron Guyer, M.D. Celeste Hart, M.D. David Huang, M.D. Julian Hurt, M.D. Iman Imanirad, M.D. Barbara Jaeger, M.D. Amit Jain, M.D. John Katopodis, M.D. James Killius, M.D. Carey Linker, M.D. Gordon Low, M.D. Kurt Luhmann, M.D. Charles Maitland, M.D. Ovidiu Marina, M.D. Jayan Nair, M.D. Thomas Noel, M.D. Duncan Postma, M.D. Christopher Price, M.D. Alexander Ramirez, M.D. Andres Rodriguez, M.D.
Eric Amundson, D.D.S. William Baldock, D.D.S. Brian Beck, D.M.D. Walter Colón, D.M.D. John Dozier, D.M.D. Nathan Kupperman, D.M.D. William McFatter, D.D.S. Ralph Montalvo, D.M.D. Lawrence Pijut, D.M.D. Frank Swerdzewski, D.D.S.
FOUNDATION
We Care Network
THANK YOU To our CMS members and We Care partners who saw new patients for the We Care Network in June 2017.
Facilities Affordable Dentures Anesthesiology Associates Beachton Denture Clinic Capital Regional Medical Center Desloge Home Oxygen Leon County Dental Clinic Neighborhood Medical Center Dental Clinics Pathology Associates Radiology Associates Seven Hills Surgery Center Smile Connection at Bond Community Health Center Southeastern Surgery Center Tallahassee Diagnostic Imaging Tallahassee Endoscopy Center Tallahassee Memorial HealthCare Tallahassee Outpatient Surgery Center TMH Family Medicine Residency Program Women’s Imaging Center
Please contact Rosemary Farrell at rfarrell@capmed.org or 2010130 if you are a We Care volunteer and you provided volunteer specialty care in the month of June 2017 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 Rosemary Farrell at (850) 201-0085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you!
We thank our referring providers from June 2017: Ebonie Allen, ARNP Anne Ananga, ARNP Arvind Bakhru, M.D. Karen Bartley, M.D. Cosette Bell, ARNP Raj Bendre, M.D. Timothy Bolek, M.D. Jonna Bradley, ARNP Daniel Breivogel, ARNP Alexander J. Brickler, III, M.D. Tim Broeseker, M.D. Jana Bures-Forsthoefel, M.D. Lysmar Carrion-Dinguis, M.D. Gilbert Chandler, M.D. Jordan Cherkinsky, D.D.S. Christie Chiu, M.D. Paula DiBenedetto, ARNP John Dozier, D.M.D. Susan Dunbar, ARNP Shirley English, ARNP Cynthia Evans, ARNP Elizabeth Fajer, M.D. Roy Forman, M.D. Anneka Gaffney, ARNP Akash Ghai, M.D. Lisa Gardner, ARNP Judy Griffin, ARNP Hantz Hercule, M.D. Dwight Hooper, M.D. David Huang, M.D. Iman Imanirad, M.D. Simha Jagadeesh, M.D. Amit Jain, M.D. Lawrence Kaelin, M.D. Howard Kessler, M.D. Marjorie Kirsch, M.D. Narayanan Krishnamoorthy, M.D. Phillip Langdon, PA
Elaine Larkins, ARNP Esaias Lee, M.D. Ashok Manocha, B.D.S. Ovidiu Marina, M.D. Damon McMillan, M.D. Jonathan Melquist, M.D. Kelley Miller, ARNP Marcia Morris, ARNP Jayan Nair, M.D. Rose Origa, ARNP Rodolfo Oviedo, M.D. Kyara Paulk, ARNP Lisa Perkins, ARNP Andrea Plagge, D.O. Stephen Quintero, M.D. Alexander Ramirez, M.D. Charlie Richardson, M.D. Adrian Roberts, M.D. Andres Rodriguez, M.D. Karen Russell, M.D. Lucilita Salvador, PA Philip Sharp, M.D. Gadi Silberman, M.D. David Smith, M.D. Abisoye Somorin, ARNP Alanna Steaple, ARNP Christopher Sundstrom, M.D. Scott Tetreault, M.D. John Thabes, M.D. Lacie Thompson, ARNP Faye Tinson, ARNP Marianne Towler, ARNP Ernesto Umana, M.D. Jeffrey Wasserman, D.O. Franklin Watson, D.D.S.
DURING THE MONTH OF JUNE, THE WE CARE NETWORK: RECEIVED 300 REFERRALS, WITH 208 PATIENTS NEW TO THE PROGRAM
SCHEDULED 130 $221,077 IN DONATED CARE APPOINTMENTS WITH WAS REPORTED BY WE CARE VOLUNTEER PHYSICIANS AND VOLUNTEERS DENTISTS CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 23
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