VOLUME 43, NO. 6

Upcoming Events

December 10, 2013 Hancock Bank Creighton Rd., 5:30 General Membership Meeting 2 AMA PRA Category 1 Credit™


Medical Errors Speaker

Sponsor: Hancock Bank

January 25, 2014 Hilton Pensacola Beach Gulf Front ECMS Inaugural Ball President-Elect Susan Laenger, M.D.

Founded in 1873

It is hard to believe I am writing my last newsletter article for 2013. While this year has gone by quickly, we have accomplished a great deal and continued to grow as a society. We have continued to think forwardly about meeting topics, locations speakers and membership. We want to thank all of our active members for being involved with organized medicine. You help to make the society a success. Just a short time ago I went to my first ECMS dinner meeting, and then I was asked to join the board. We have succeeded in collaborating with each other as physicians and becoming a more well-rounded medical society. We support medical students through the Redmond Scholarship Fund and we also have representatives from 3rd and 4th year medical students and residents on our board as non-voting members. We believe in educating our young physicians early so they learn the importance of organized medicine from the beginning of their medical careers. These last four years have gone by quickly and I have enjoyed being involved in the society. Throughout my time on the ECMS board I have been able to learn more about leadership opportunities within the FMA. This past year I graduated from the FMA Leadership Academy and this coming year I will serve on the board the FMA Council on Healthy Floridians. I look forward to being further involved in organized medicine and helping continue to grow our society. Some of our high points for 2013 include our published resolution in the 2013 FMA handbook. ECMS’s very own Dr. David Turner, OB/GYN, approached our board back in May about an issue he had with a patient he hadn’t seen in seven years. With the assistance from FMA staff and our Executive Director Erica Huffman the resolution was published in the 2013 FMA Delegate Handbook as Resolution 13-313 and statewide delegates voted yes for this resolution. We wrote in detail about Resolution 13-313:

Limits of Provider Responsibility in the July/August Newsletter. Through changes in meeting locations, always striving to provide state Wendy Osban, D.O. mandated CME credit, innovative topics, dynamic speakers and a little more fun at our General Membership Meetings, we saw a 60% increase in overall meeting attendance. ECMS has brought in dynamic speakers to talk about engaging topics in 2013. Ginger Kelly, VP of Risk Management for the Florida Doctors Insurance Company, led off the year in February at a standing room only presentation on Risk Management. We then tried something new for Doctors Day in March, offering a “Wine around the World with ECMS.” This event included beer, wine and food pairings which drew both new and existing members. April saw our, Domestic Violence CME at Jackson’s Steakhouse. Between the engaging topic and the meeting location attendees poured into the hallway. In May the annual ECMS Mini Health Vendor Fair and Digital Medicine Update was very well received by our members and very relevant. Attendance among area hospitals initiated conversation regarding integration of electronic medical records. In July we hosted the first ever Young Physicians Section meeting per the direction of ECMS Vice President Chris Burton, M.D. at Cactus Flower. Fred Mixon, M.D. spoke about physician burnout prevention; Dr. John Katapodis spoke about local and state organized medicine and representatives from North Florida Financial spoke about debt management. We also took eight delegates to the FMA Annual Meeting in Orlando in the continued on page 5...

E.C.M.S. Bulletin

The Bulletin is a publication for and by the members of the Escambia County Medical Society. The Bulletin publishes six times a year: Jan/Feb, Mar/Apr, May/ Jun, Jul/Aug, Sept/Oct, Nov/Dec. We will consider for publication articles relating to medical science, photos, book reviews, memorials, medical/legal articles, and practice management.

Vision for the Bulletin:

· Appeal to the family of medicine in Escambia and Santa Rosa County and to the world beyond. · A powerful instrument to attract and induct members to organized medicine. Views and opinions expressed in the Bulletin are those of the authors and are not necessarily those of the directors, staff or advertisers. Editors: Brian Kirby, M.D. Erica Huffman, Executive Director

Ad placement Contact Erica Huffman at 478-0706 Ad rates 1/2 page: $300 · 1/4 page: $150 · 1/8 page: $100

2013 ECMS officers President - Wendy Osban, D.O. President-Elect - Susan Laenger, M.D. Vice President - Christopher Burton, M.D. Secretary/Treasure - Brian Kirby, M.D.

Contents Page 3 - New Members/ Retirement/In Memoriam, Women in Medicine Brunch Page 4 - Vested Vendors 2013 Page 5 - President’s Letter cont. Page 6 - ECMS Ball Invitation Page 8 - Dealing with an Angry Patient Page 9 - Deaf Patients, the ADA, and Misconceptions That Lead to Trouble Page 10 - In the Community

Membership New Members Stephanie Duggan, M.D. Chief Medical Officer/Emergency Medicine Sacred Heart Hospital 5151 North 9th Avenue Pensacola, Florida 32504 (P) 850-416-4815 (F) 850-416-6125


2013 ECMS Annual Women in Medicine Brunch


Cheryl Jeffries, M.D. Internal Medicine Baptist Medical Group 1717 North E Street, Suite 222 Pensacola, Florida 32501 (P) 850-437-8637 (F) 850-437-8629 Taylor Mader, M.D. Rheumatology Baptist Medical Group 1717 North E Street, Suite 425 Pensacola, Florida 32501 (P) 850-437-8640 (F) 850-437-8649

Hemingway’s Bimini Bar | 9-29-2013

Retirement Dr. Harry Cramer has retired.

In Memoriam Dr. Ricardo Samala passed away on Monday, October 28th. He was an active ECMS member for 47 years and became a life member in 2002. We will miss seeing Dr. Samala at our general membership meetings, he rarely missed a meeting.

DOCTOR’S OFFICE FOR RENT Gulf Breeze on Highway 98 FURNISHED Available now 1/2 or Full Day any day except Wednesday Contact: John Garner, M.D. 516-3274/3273


Announcements Vested Vendors 2013


We thank each one of you for being such an important part of the Escambia County Medical Society. Thank you for your support of organized medicine

Business Name: Catalyst CRE

Business Name: Sacred Heart Health System

Contact Name: Brandon McFarren, Director of Real Estate Services Big Successor of 2013: As of this year Catalyst CRE is leasing and managing over 1, 200,000 square feet of medical offices and professional offices. Properties that span from New Orleans, La or Tallahassee, Fl and providing facility management services to several of these buildings.

Contact Name: Henry Stovall, President, Sacred Heart Hospital Pensacola Big Successes of 2013: Construction on Sacred Heart’s new five-story Bayou Tower is progressing on schedule and will open summer 2014. The tower will provide 112 all-private patient rooms, including much-needed critical care beds. (http://www. With InQuicker, patients visiting Sacred Heart’s Emergency Department now can wait at home instead of in the ED waiting room. (www.sacred-heart/org/inquicker) Sacred Heart’s new Gamma Knife Center now offers noninvasive, painless brain surgery. ( gammaknifecenter/)

Business Name: Fisher Brown Bottrell Insurance, Inc. Contact Name: Rob Remig, Business and Malpractice Insurance Consultant Big Successor of 2013: Increased customer base

Business Name: Danna-Gracey Insurance Contact Name: Julie Danna, Medical Malpractice Insurance Specialist Big Successor of 2013: Danna Gracey has opened its 5th office located in Pace with the intention of servicing the Panhandle. Julie Danna and her assistant Arlene Gardner are heading up this office.

Business Name: Safe Harbor Tax Adivsory LLC

Business Name: Baptist Health Care

Business Name: Servis1st Bank

Business Name: Dyken Wealth Strategies

Business Name: Twelve Oaks Recovery Center

Contact Name: Jason Dyken, MD, MBA, President / Owner Big Successor of 2013: In 2013, Dyken Wealth Strategies continued to pursue relationships to make doctors lives better by establishing an affiliation partnership with Caduceus Consulting in Jacksonville, Florida. After initially toying with the idea of changing brand names to Caduceus Consulting, Dyken Wealth Strategies decided to continue to use the Dyken Wealth Strategies name that is familiar in the Florida panhandle. We will continue to grow and establish further strategic relationships to better serve our doctor clientele. The local Gulf Shores office works to serve the comprehensive wealth planning needs of doctors exclusively and specializes in helping doctors C.U.R.E. their wealth management issues.

Business Name: The Doctors Company Business Name: Financial Design Associates Business Name: MAG Mutual Insurance Business Name: Professional Interpreting Services for the Deaf Business Name: Regions Bank

Contact Name: Virginia Shelby, CPA Certified Tax Coach Big Successor of 2013: Don Moore wrote a book “Your Retirement Roadmap” for those nearing retirement or planning on retiring. Virginia Shelby earned designation of Certified Tax Coach – one of just over 200 in the entire United States.

Business Name: Underwood Anderson & Associates, Inc. Contact Name: Dawn Grace, Agent Big Successor of 2013: Dawn Grace of Underwood Anderson and Associates, Inc. would like to “Thank” You for making 2013 a great year to expand our Medical Practice Insurance Programs! We are truly a “one-stop” agency for all of your medical practices’ insurance needs. Let me help your practice with the most cost-effective and comprehensive programs for Professional Liability, Property, General Liability, Workers’ Compensation, and/or your Employee Benefits.




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month of July. In August ECMS partnered with People’s Home Health to offer a session on Fall Risk and Fall Prevention with Dr. Slobodian. We had a very successful and well attended Woman in Medicine Brunch in September where our female physicians enjoyed the scenery at the Bimini Beach Bar below Hemingway’s on Pensacola Beach. The October meeting was on Asset Protection and Wealth Management at a new venue for ECMS, the Pensacola Yacht Club. Jason Dyken, M.D. and his team started the program with the FMA… Most recently ECMS partnered with the Pensacola Chamber for the second time for their annual Strategic Health Intelligence Summit at the Crowne Plaza. The topic for the dinner meeting was a 1.5 hour CME on Tort Reform, led by William Large. Mr. Large the President of Florida Justice Reform led Jeb Bush’s fight to reform Medical Malpractice rules. Our year will close at Hancock Bank with a two hour CME lecture on Prevention of Medical Errors. We have a lot to look forward to in 2014. In October we surveyed our members and we will be making big changes to our events calendar. One thing we are particularly excited about is our two half day Saturday summits including state mandated CME courses. ECMS continually strives to better our society. We are currently working on a new and improved way

to RSVP for our meetings which will be revealed at the 2014 Inaugural Ball. The New Year will bring an expected increase in membership. Executive director Erica Huffman met with upper level administration and office managers to renew contracts and sign on over 45 West Florida (HCAP) physicians. We are continually appreciative of the participation we see from representatives with area hospitals. They have been more involved in meetings and have brought new, innovative and progressive ideas to the table. We will continue to strive to provide our community with resources and education about the leaders in the healthcare community through our ECMS referrals source on our website. In the winter we will use our ECMS website as a job posting board available to all physician offices in our county. This will be a cost efficient way to post jobs within our medical community. Make sure to stay tuned for more details. We appreciate any feedback you have to give. If you have suggestions for speakers, topics or venues please contact us. If you are interested in becoming more involved in organized medicine we can provide you with more information about how to do so.



Don’t Miss the Boat! President-Elect Susan Laenger, MD, FACP Cordially invites you to join us

2014 ECMS Inaugural Ball Port of Call: Hilton Pensacola Beach Gulf Front Arrival: Saturday, January 25, 2014 Ticket Fare: $65/pp Cocktails on Deck: 6:00 PM

Captains Dinner: 7:00 PM




by Lizabeth F. Brott, J.D., Regional Vice President of Risk Management, ProAssurance

Angry patients don’t just elevate stress levels throughout your office. They consume huge amounts of staff time and will vent their frustration by telling others not to use your services. Instead of a “react-and-defend” approach, customer service experts suggest you “investigate-and-mend” with some of these strategies: • Rehearse—Plan and practice what to say before talking to an angry patient (role-playing with a risk manager or representative from your professional liability insurer if possible). • Breathe in—If you’re caught off guard, take a deep breath and say nothing initially. This will let the patient get the problem off their chest and give you time to decide how to respond. • Communicate—Patients want 1) an apology or an acknowledgement of the problem; 2) a correction of the problem so it won’t happen again; and 3) to understand why the problem occurred. • Make it personal—Start with the patient’s name. Dale Carnegie once said that “a person’s name is, to them, the sweetest sound in any language.” Patients want a relaxed, friendly, two-way encounter.

• But don’t take it personally—Some patients can’t be satisfied and won’t be swayed. • Don’t dismiss—Be sure to sit down with the patient, listen attentively, avoid interrupting, and respond to questions. Make a point to follow-up with the patient or family member in a few days, and to return calls promptly. • Educate—To make sure patients understand your explanation, consider the patient’s background and speak in terms they understand. Consider providing patients with preprinted educational material from professional medical society organizations. This article is not intended to provide legal advice and no attempt is made to suggest more or less appropriate medical conduct. Copyright © 2012 ProAssurance Corporation ProAssurance is a national provider of medical professional liability insurance and risk management services. For more information about the company, visit



Deaf Patients, The ADA, and Misconceptions That Can Lead to Trouble A potential Deaf patient contacts your office (typically through a Video Relay Service, in this day and age) and requests to set up an appointment. They ALSO state that they will need an interpreter for the appointment. Right about here is where a break-down usually occurs within a doctor’s office, particularly either with doctors that have never dealt with the Deaf, or newly hired staff that have the same issue and are charged with answering the phone. WHAT DO YOU DO? WHAT IS THE CORRECT PROTOCOL? WHAT ARE YOUR OPTIONS IN THIS SITUATION? This article presents a brief Q&A session that can give some guidance to properly handling the situation described above: Question: When are Interpreters needed? Answer: Sign Language Interpreters are needed in ANY situation in which the information to be exchanged requires effective communication. This will include (but is not necessarily limited to): taking a patient’s medical history, giving diagnoses, performing medical procedures, explaining treatment planning, explaining medicine prescription and regimen, providing patient education counseling, describing discharge and follow-up plans, and admitting patients to emergency departments or urgent care facilities. Question: What is the role of the Sign Language Interpreter? Answer: Interpreters are members of the healthcare team. Their role on the healthcare team is to facilitate linguistic and cultural communication. Interpreters adhere to a Code of Professional Conduct of which confidentiality is a fundamental tenet. Some health care facilities request that Interpreters have a signed HIPAA business agreement on file. Like other members of the healthcare team, Interpreters are mindful about their safety, security and self-care. Question: Why not use friends, family members, or healthcare staff to serve as Interpreters? Answer: Someone who has only a rudimentary familiarity with Sign Language or finger-spelling or who does not possess the training and ability to interpret is NOT a


by Stacy Lawrence, BSW, RID-CI/CT Professional Interpreting Services for the Deaf, Inc.

qualified Sign Language Interpreter. Family members, friends, and healthcare staff are not bound by the Code of Professional Conduct, and there is no assurance the interpretation will be complete and reliable or privacy issues will not be compromised. Sources 1) Americans with Disabilities Act (ADA) Business Brief: Communicating with People Who Are Deaf or Hard of Hearing in Hospital Settings; U.S. Department of Justice, Civil Rights Division, Disability Rights Section. 2) Position Statement on Healthcare Access for Deaf Patients; National Association of the Deaf, NAD Civil Rights Committee, Medical Access Subcommittee.



In the Community

Baptist Hospital Baptist Medical Group celebrates four years of growth: Baptist Medical Group recently celebrated its 4th anniversary as Baptist Health Care’s multi-specialty physician network. Created in 2009, Baptist Medical Group has grown to more than 120 caring physicians and nearly 550 total staff members. Together, BMG serves more than 306,000 patients annually with multiple locations throughout northwest Florida and south Alabama with continued growth planned in the future. For details and available practice opportunities, please visit Baptist Heart Rhythm Center team welcomes 4th physician: Baptist Heart Rhythm Center continues to offer the region’s largest, most comprehensive team of heart rhythm specialists with the addition of their 4th cardiac electrophysiologist, Evaldas “Evan” Giedrimas, M.D., of Cardiology Consultants. Dr. Giedrimas joins electrophysiologists Thabet Alsheikh, M.D., Sumit Verma, M.D., and Ian Weisberg, M.D., in welcoming patients at the Baptist Heart Rhythm Center, located at 1717 North E St., Suite 434, in Pensacola, Fla. To learn more, visit or call 850.484.6500. Patients Have a New Way to Connect With Their Baptist Health Care Physician: Patients of Cardiology Consultants and Baptist Medical Group practices can now connect and communicate with their doctors’ offices through a new Patient Portal. The portal, powered by NextGen, is a secure, confidential and easy-to-use tool that gives patients and their families 24-hour access to medical information and an array of tools to enhance their health care experience, including: making appointments, receiving appointment reminders, requesting a refill, asking a non-urgent question and more.

In addition to numerous patient benefits, physicians and office staff will enjoy increased workflow efficiency, reduced call volume, reduced data-entry time and effectively meeting Meaningful Use requirements. The Patient Portal is currently in a select group of practices with plans to expand the availability to all employed practices in the future. To learn more, visit or call 850.437.8600. Baptist Hospital Receives American Heart Association’s Mission: Lifeline Silver Quality Achievement Award for Heart Attack Care Baptist Hospital has received the American Heart Association’s Mission: Lifeline® Silver Receiving Quality Achievement Award. The award recognizes Baptist Hospital’s commitment and success in implementing an exceptional standard of care for heart attack patients. Hospitals involved in Mission: Lifeline are part of a system that ensures STEMI patients get the right care they need, as quickly as possible. Mission: Lifeline focuses on improving the system of care for these patients and, at the same time, improving care for all heart attack patients. “Baptist Hospital is dedicated to making our cardiac unit among the best in the country, and the American Heart Association’s Mission: Lifeline program is helping us accomplish that by making it easier for our professionals to improve the outcomes of our cardiac patients,” said Ramon Aycock, M.D., FACC, vice president of Baptist Health Care heart and vascular services and interventional cardiologist with Cardiology Consultants. “We are pleased to be recognized for our dedication and achievements in cardiac care, and I am very proud of our team.”

In the Community



Sacred Heart Hospital ED Patients Now Can Reduce Time in the Waiting Room Patients visiting Sacred Heart’s Emergency Departments and Urgent Care Center now can wait at home instead of in a crowded waiting room, thanks to newly launched InQuicker, an online waiting service. InQuicker enables patients with non-lifethreatening conditions to select a projected treatment time online and then wait more comfortably at home, reducing time spent in the waiting room. In addition to increasing patient satisfaction, InQuicker will help smooth operational efficiencies and ease waiting room crowding. (www.sacred-heart/org/inquicker) Sacred Heart Offers Patients Interest-Free Payment Plans Sacred Heart Health System is now offering its patients an interest-free loan program called ClearBalance®, giving patients an affordable option to pay their out-of-pocket hospital expenses throughout an extended payment period. Benefits of the ClearBalance plan include low monthly payments with flexible terms and no interest or late fees. ( clearbalance) Bayou Tower Exterior Completed Construction on Sacred Heart’s new five-story Bayou Tower is progressing on schedule and will open summer 2014. The tower will provide 112 all-private patient rooms, including muchneeded critical care beds. See interior, exterior and aerial photo updates, as well as video and interviews courtesy WEAR TV at

8880 University Pkwy., Suite B Pensacola, FL 32514 Ph: 850-478-0706 Fx: 850-474-9783 Email: Executive Director: Erica Huffman


MECOP Reminder 13th Annual Best Clinical Practice Symposium Saturday, January 18, 2014 Sacred Heart Hospital Dudley Greenhut Auditorium 7:30 a.m. to 4:30 p.m. 8 AMA PRA Category 1 Credits TM The best evidence-based practices for practitioners treating adult and aging patients.

Member Benefit: The Health Care Attorney On Call Hotline (561) 306-5699 View and opinions expressed in the Bulletin are those of the authors and are not necessarily those of the board of directors, staff or advertisers. The editorial staff reserves the right to edit or reject any submission.

Final nov dec 11 14  
Final nov dec 11 14