pG
5
RESoLuTion SuBMiSSionS
pG
8
LEARninG SESSionS
pG
9
SoCiAL EVEnTS
VirGinia mediCal neWs
Live Better. Practice Better. Feel Better. 2016 nEwSLETTER
Live Better. Practice Better. Feel Better. This is the theme of this year’s Medical Society of Virginia (MSV) Annual Meeting, which will be held at the Hotel Roanoke and Conference Center from Oct. 13 to 16. As always, the Annual Meeting will provide opportunities for you to network and share the future of health care in the Commonwealth . . . so please mark your calendar now!
Sponsorship opportunities MSV is currently seeking sponsors for the Annual Meeting and Physicians’ Gala. If your organization wants to reach our members, please consider booking a premier sponsorship to promote your resources to physicians from across the state and from multiple specialties. Our sponsorship packages vary in offerings but all
provide added visibility. Contact Lynne Hughes at 804 | 377-1047 or lhughes@msv.org for additional information. Look out for additional information on our Annual Meeting in coming months. We look forward to seeing you in October!
2924 Emerywood Parkway, Suite 300 Richmond, VA 23294 Phone: (804) 353-2721 Fax: (804) 355-6189 www.msv.org
AUGUST
MSV Leadership
Officers, Board Members and AMA Delegates Medical Society of Virginia
2924 Emerywood Parkway, Suite 300, Richmond, VA 23294 800 | 746-6768 • www.msv.org
President
Edward G. Koch, M.D., FACOG
President-Elect Bhushan H. Pandya, M.D.
Immediate Former President
Speaker of the House
Secretary-Treasurer
Vice Speaker
William C. Reha, M.D., M.B.A.
Alan L. Wagner, M.D., FACS
Directors Michael S. Amster, M.D. Joel T. Bundy, M.D., FACP, FASN John F. Butterworth IV, M.D. Sandy L. Chung, M.D., FAAP, FACHE Clifford L. Deal III, M.D., FACS Ehsan Dowlati
James R. Dudley, M.D., M.B.A. Jacqueline M. Fogarty, M.D. Stuart F. Mackler, M.D., FACS Ibe O. Mbanu, M.D., M.B.A., M.P.H. Mohit Nanda, M.D. Patricia A. Pletke, M.D. William S. Prominski, M.D. Jonathan T. Schaaf, M.D. John D. Ward, M.D.
Kurtis S. Elward, M.D., M.P.H., FAAFP
Arthur J. Vayer Jr., M.D.
Alan H. Wynn, M.D., FACP Associate Directors Teresa W. Babineau, M.D. Samuel D. Caughron, M.D. James J. Gooding, M.D. Joshua Lesko, M.D. Michael S. Martin, M.D. Monica Melmer Larry G. Mitchell, M.D.
Edilberto O. Pelausa, M.D., FACS, FRCSC Pradeep Pradhan, M.D. Timothy L. Raines, M.D. Richard A. Szucs, M.D. Chi Young, M.D.
AMA delegation Chair Randolph J. Gould, M.D. Vice Chair Claudette E. Dalton, M.D.
2 www.msv.org
Delegates David A. Ellington, M.D. Edward G. Koch, M.D., FACOG Hazle S. Konerding, M.D. Mitchell B. Miller, M.D. Lawrence K. Monahan, M.D.
Alternate Delegates Clifford L. Deal III, M.D. Thomas W. Eppes Jr., M.D. Russell C. Libby, M.D. Bhushan H. Pandya, M.D. Sterling N. Ransone Jr., M.D.
William C. Reha, M.D., M.B.A. Cynthia C. Romero, M.D., FAAFP
Who better to help you? Each day thousands of physicians treat their patients with confidence in knowing that MSVIA is their insurance partner. Building on the Medical Society of Virginia’s legacy of caring about Virginia physicians, our team stands ready to support you with unbiased guidance and exceptional service. Request a quote at www.msvia.org/RequestQuote.
August 2016 3
2016 Medical Society of Virginia Annual Meeting
BY SUZANNE WELSH-AGNEW MEETING AND PROJECT SPECIALIST
It’s time to start planning for the Medical Society of Virginia’s (MSV) Annual Meeting at the Hotel Roanoke and Conference Center from Oct. 13 to 16. Register online by Oct. 7 in order to participate. Room reservations are available at a discounted rate through Sept. 20. Hotel and meeting registrations are available online at www.msv.org/annualmeeting
THURSDAY, OCTOBER 13 Registration open MSV Board of Directors meeting
- MSV Board of Directors meetings are open to Board members and invited guests.
MSV Board of Directors reception and dinner - this event is by invitation only.
FRIDAY, OCTOBER 14 Breakfast Registration and exhibits open New delegate orientation Credentials Tellers Committee meeting Rules Committee meeting House of Delegates-First Session Keynote speaker Lunch Reference Committee training lunch Reference Committees - Committees will run sequentially Break Reference Committee executive sessions Speed mentoring Casual dinner MSVPAC fundraising event 4 www.msv.org
SATURDAY, OCTOBER 15
Breakfast Registration and exhibits open Virginia Delegation to the AMA Meeting Specialty Society Caucuses MSV Physician Assistants section meeting Educational Session #1 Educational Session #2 Open Forum with MSV President and Executive Vice President Break Lunch MSVPAC Board of Directors lunch meeting - MSVPAC Board of Directors meetings are open to Board members and invited guests
MSV Foundation Board of Directors lunch meeting
- MSV Foundation Board of Directors Meetings are open to Board members and invited guests
MSV Nominating Committee meeting MSV Residents and Medical Students section meeting Inaugural Ceremony President’s & Physicians’ Reception MSVF Physicians’ Gala
SUNDAY, OCTOBER 16
Registration open District Caucuses Credentials House of Delegates - Second Session New MSV Board of Directors briefing MSV Executive Committee lunch meeting
Did You Know? Built in 1882, the Tudor-style Hotel Roanoke is listed on the National Register of Historic Places. The Hotel Roanoke and Conference Center has 330 luxuriously appointed guestrooms and a 63,000- square-foot, high-tech conference center. The Hotel Roanoke has had a number of famous guests, including: Dwight Eisenhower,Richard Nixon, Gerald Ford, Jimmy Carter, Ronald Reagan, and George H. W. Bush.
Create MSV policy – Submit a resolution BY LAUREN BATES- ROWE, SENIOR DIRECTOR OF HEALTH POLICY
important deadlines and key dates
AUG. 30 Resolution submission deadline SEP. 14 Availability for online discussions regarding resolutions by ALL members. Commenting will open on Sep. 14 and will close Oct. 7 The Medical Society of Virginia (MSV) House of Delegates (HOD) serves as the organization’s policy-making body. MSV policy can make a difference in developing legislative and policy priorities. To shape our position on key issues, the HOD considers resolutions during the Annual Meeting. The resolution process gives you the opportunity to be heard. Participation in this process is critical to ensuring that MSV continues to play an important role in advocating for the profession—and helps MSV stay relevant and effective for members.
Resolutions are due to MSV by Aug. 30. WHO CAN SUBMIT A RESOLUTION? The following individuals and organizations may propose a resolution: • any member of MSV • any MSV district, MSV committee, MSV board • any component society, specialty society, or hospital medical staff section How do I submit a resolution? Resolutions should be submitted using the online submission form at www.msv.org/annualmeetingresolutions by Aug. 30. Receipt of resolutions will be confirmed by return e-mail message. If you do not receive a confirmation, your resolution has not been received. If you are new to the resolution process, resources can be found on the MSV Annual Meeting Web site or please contact MSV policy staff at healthpolicy@msv.org.
SEP. 16 Committee nominations – reference, rules, tellers and credentials deadline Informational reports submission deadline SEP. 20 Hotel reservation cutoff date for discounted rooms SEP. 30
- Inaugural ceremony participation confirmation deadline - Delegate/alternate name submission deadline - Resolutions, informational reports and delegate handbook posted on the Web site
after Aug. 30 is allowed seven days after the close of such meeting to OCT. 7 submit any Meeting and events registration deadline resolution. Please notify MSV staff immediately if this is the case for your organization. I can’t attend the Annual Meeting—can I still participate in the dialogue? Members who are unable to attend the annual meeting can still participate. MSV will post resolutions to the Annual Meeting web page at www.msv.org/annualmeeting for virtual comment. The comment area will be open after theresolution submission deadline on Sept. 14 and will close on Oct. 7.
What happens if I miss the resolution deadline? Resolutions received after Aug. 30 will be late resolutions. Late resolutions will be reviewed by the rules committee to determine if the resolution will be brought to the MSV HOD. A component or specialty society whose meeting occurs
August 2016 5
Some ideas are better than others for keeping your practice safe. Professionals Advocate offers comprehensive protection for your practice and professional reputation. You would need 360° vision to see all the possible perils of the current health care and legal environments. In particular, even for good Doctors, claims can strike at any time from any direction. So, if you want to wrap your practice in a blanket of protection the best idea is to look to Professionals Advocate, the company created to protect and serve you. Since 1991, we’ve successfully defended Virginia medical professionals from the unexpected and given them the peace of mind they need to practice quality medicine.
6 Moorefield www.msv.org 804 Park Drive, Suite 105 | Richmond, VA 23236 804-320-6790 | 888-411-0444 | proad.com
Everything you need to know about the MSV Annual Meeting
BY SUZANNE WELSH-AGNEW, MEETING AND PROJECT SPECIALIST
About the Hotel Roanoke and Conference Center
Built in 1882, the Tudor-style Hotel Roanoke is listed on the National Register of Historic Places, has been inducted into the Historic Hotels of AmericaTM organization, and is a member of the International Association of Conference Centers.
Hotel bookings
Attendees can make reservations at http://group.curiocollection.com/MedicalSocietyofVirginia or by calling 866 | 594-4722. Ask for the Medical Society of Virginia negotiated room block. Room cancellations or changes must be completed one day prior to arrival to avoid cancellation penalties.
Activities
Within a short distance of the hotel indulge in Virginia history, culture, shopping and especially the endless outdoor fun. Please visit www.visitroanokeva.com for more information.
Location
The Hotel Roanoke and Conference Center is located in the Gainsboro neighborhood of Roanoke, Virginia. From meetings, bridge parties, dances, teas and luncheons from the old days to the present, they turned the Hotel into Roanoke’s social and cultural center. It is a joint project of Hotel Roanoke LLC, the City of Roanoke and Virginia Tech.
On-site dining
Hotel dining options include: - Regency Dining Room - The Pine Room Pub
Area dining
A variety of dining options are available in the nearby area. Please visit www.visitroanokeva.com for more information.
Parking
Self-parking fees will be $4 per night. Valet parking is available for $13.
GENERAL MEETING INFORMATION Resolution online commenting: Availability for online discussions regarding resolutions by ALL members. Commenting will open on Sept. 14 and will close Oct. 7
Exhibit hall hours: • Friday: 7:30 a.m. – 4:30 p.m. • Saturday: 7:45 a.m. – 1:30 p.m.
Breakfast: Served in the exhibitor area both Friday and Saturday for all attendees • Friday: 8:00 a.m. – 9:30 a.m. • Saturday: 6:45 a.m. – 8:15 a.m.
Meeting attire: Business casual Online delegate handbook: MSV is going green – Digital delegate handbooks available. As you prepare to attend this year’s Medical Society of Virginia (MSV) Annual Meeting, please note that we will continue our green efforts this year by not printing hard copies of the delegate handbooks. All of the information included in the delegate handbook will be available on www.msv.org/annualmeeting prior to the meeting.
Lunch: Served in the exhibitor area both Friday and Saturday for all attendees • Friday: 11:30 a.m. – 1:00 p.m. • Saturday: 12:00 p.m. – 1:30 p.m.
Wireless access Wireless internet access will be available in all sleeping rooms and meeting space and common spaces. This service is intended to provide meeting attendees with access to the MSV Web site to download materials, including reference committee reports. Please use this service only for reasons related to MSV-HOD business. We encourage all attendees to download materials in advance to avoid any potential access problems.
August 2016 7
Opportunities to learn at Annual Meeting BY LAUREN BATES- ROWE, SENIOR DIRECTOR OF HEALTH POLICY
During the Medical Society of Virginia’s (MSV) Annual Meeting we are pleased to offer two exciting educational opportunities on Sat., Oct. 15. The first offering is an exciting partnership with MSV and the Virginia Academy of Family Physicians (VAFP) - The Critical Thinking for Quality Improvement in Clinical Care is intended to help physicians improve their clinical critical thinking and quality improvement skills. This class will also allow members an avenue to receive Part IV credit that is both meaningful and relevant. MSV Speaker Kurt Elward, M.D., M.P.H. will lead this educational session. The second offering is in partnership with the Virginia Department of Health (VDH) and the Department of Medical Assistance Services (DMAS) on addiction treatment. The educational offering will provide four hours buprenorphine training that is intended to expand the number of physicians able to treat addiction. The program is being designed by MSV member and Deputy Commissioner of Health S. Hughes Melton, M.D., M.B.A., FAAFP, FABAM.
Are you Looking to Join an Innovative Healthcare System in a Vibrant Region? Look No Further than Sentara Medical Group. Quality. Transformation. Innovation. Sentara Medical Group brings together more than 800 primary care and specialty providers to care for patients across Virginia and Northeastern North Carolina – a beautiful and temperate region of Atlantic Ocean and Chesapeake Bay beaches, rivers and historical areas. We are a division of Sentara Healthcare, one of the most progressive integrated health care organizations in the nation. Additional benefits include: Competitive Compensation & Benefits Administrative Support Reduced Individual Risks Access to Innovative Tools & Technologies The Support and Resources of a Broad-Based, Fiscally-Sound, Nationally Recognized System
We are looking for: Outpatient Primary Care and Specialty Physicians: Internal Medicine Family Medicine Urgent Care Dermatology Pediatrics Hospital Medicine
Neurosurgery Vascular Surgery Pulmonary/Critical Care Neurology Cardiology Orthopedics Physical Medicine and Rehab
Can you see yourself here? We do. Your future is waiting. Contact Us Today. Holli McConnell, Manager of Physician Recruitment hdmcconn@sentara.com | (757) 252-3350
www.sentara.com/smgrecruiting EOE M/F/D/V • A Drug Free / Tobacco Free Workplace
MSV ALSO OFFERS EDUCATIONAL COURSES YEAR ROUND! Are you taking advantage of all of the benefits and services that the Medical Society of Virginia (MSV) offers you, its members? More than anything, MSV wants to help you succeed in the business side of medicine. We offer you pertinent classes, audits and resources so you can get the tools and answers you need to succeed in practicing medicine and providing quality care. Visit www.msv.org/classes for more information.
8 www.msv.org
Scan the QR Code to Learn More About Sentara Medical Group
Social events BY HEDI CHO, COMMUNICATIONS MANAGER
Karaoke is back! Love politics? Love to sing with silly props? Do we have an event for you! Back by popular demand, plan to attend the 3rd Annual MSVPAC Karaoke Reception the evening of Oct. 14 in conjunction with this year’s MSV Annual Meeting in Roanoke. Please join us and come ready to sing your heart out. During the event, you can make a small donation (starting at $1) to MSVPAC to sing or not sing, have someone else sing—you will even have the chance to stop a poor performance! All funds raised will benefit MSVPAC. At this event, MSVPAC will take a moment to thank contributors who donated at the PAC365 level or above in 2016, recognizing everyone for their support. We look forward to your performance!
Also at the Annual Meeting, MSVPAC will also announce the winner of the Clarence A. Holland Award which is presented annually to a Virginia physician for outstanding contributions promoting the art and science of medicine and the advancement of public health through political service. Nominations for the Holland Award are still being accepted at www.msv.org/hollandaward until Sept. 15.
TOP 5 KARAOKE SONGS
OF
ALL TIME
Don’t Stop Believin’ - Journey Livin’ on a Prayer - Bon Jovi Bohemian Rhapsody - Queen I Love Rock ‘n’ Roll - Joan Jett Love Shack - B-52s
What else can I expect? Medical student session speed mentoring Back my popular demand, MSV will host another medical student session speed mentoring event so that physician leaders can share their medical school and professional stories and experiences. With more than 60 medical students in attendance last year, this is sure to be another successful event to help them see their influence and leadership potential. Family-friendly dinner Attendees who make it out to the casual family-friendly dinner on Fri., Oct. 14 will have the chance to enjoy a live musical performance by Low Voltage, an acoustic duo musical group that plays venues throughout Virginia, playing classic favorites from the 60s, 70s and more! Inaugural ceremony: Welcome MSV’s new leader Bhushan H. Pandya, M.D. of Danville will be inaugurated as the new MSV president on Sat., Oct. 15 at 5:30 p.m. Join us in welcoming Dr. Pandya, who currently serves as MSV president-elect. President’s and physicians’ reception Join your colleagues for a reception on Saturday evening, following the inauguration of Bhushan H. Pandya, M.D. as president. This year’s reception will include an assortment of appetizers and beverages.
MSVF gala: Bollywood Bash Our Bollywood Bash will be a colorful, energetic, and enchanting time! Kenneth D. Tuck, M.D., serves as this year’s Honorary Gala Chair for this upbeat bash that will feature great food, dancing docs and entertainment. We’ll also present our 2016 Salute to Service awards to recognize members of the physician community for their exceptional commitment to care. Make plans to attend this year’s Medical Society of Virginia Foundation (MSVF) Physicians’ Gala on Sat., Oct. 15 from 7:00 p.m. to 11:00 p.m. in Roanoke. Tickets are $150 per person. Register today at http://foundation.msv.org. Help us honor your exceptional colleagues! Nominate someone today! Help the Medical Society of Virginia Foundation (MSVF) honor exceptional colleagues who have impact on the profession at our annual Salute to Service Awards. For more than 10 years, we’ve recognized individuals who provide extraordinary patient care in Virginia and abroad and represent our profession so well. Nominations are still being accepted online at http://foundation.msv.org.
August 2016 9
Save the Date! 14th Annual Physicians Gala
Saturday, October 15, 2016 7 to 11 pm Hotel Roanoke | Roanoke, Virginia Honorary Chair, Kenneth Tuck, MD
2016
Presented by
Featuring the 2016 Salute to Service Awards Tickets are $150 per person.
Call the MSV Foundation at 804 | 377-1053
10 www.msv.org
The options for independent physicians BY DAVE ROTHENBERG, PRIVIA HEALTH
The current health care climate is undoubtedly changing. With the Affordable Care Act, the shift to value-based reimbursements and increasing health care costs, physicians are finding themselves in a very different environment than even a decade ago. In this changing landscape, independent practices are finding they have four options, and they need to decide which option is best for their practice.
1
STAY COMPLETELY INDEPENDENT
2
SINGLE SPECIALTY & FEE-FOR-SERVICE ORIENTED GROUPS
The benefits of staying completely independent are obvious: doctors remain in control of many decisions in their practice – whether and which EMR to use, billing approaches, hiring, productivity, etc. Over the last 100 years, most physician practices in the U.S. have been completely independent. But times are changing. Accenture found that while 57 percent of physicians in the United States were independent in 2000, by 2012 the number drastically dipped to 39 percent . The economic model for small and medium size practices is becoming increasingly difficult. Costs are increasing while reimbursements are not. Moreover, the shift to value-based pay requires investments in technology, care teams, analytics and workflow that are taxing on practices (not to mention administrative burdens).
Another option for physicians is joining a group that can help improve their fee-for-service reimbursement rates. These are often single specialty groups, where doctors come together to use their size to negotiate higher rates and lower costs. Most super-groups in Maryland are of this variety. The challenge for these groups is the massive shift in the industry to value-based pay. Many of these groups are new to population health and do not have the technology, teams, resources and expertise needed to thrive in these arrangements. Many also lack a big primary care base that is important to managing care across the continuum. These groups can provide benefit in the short term; what’s not known is how they’ll adapt to changing reimbursement models.
HEALTH FOCUSED 3 POPULATION MEDICAL GROUPS
4
Population health focused medical groups are designed specifically to help independent practices get into and succeed in performance and risk based arrangements. Across the country, physicians in these groups have the biggest opportunity to increase their income- so long as the group is successful in taking unnecessary costs out of the system. These groups tend to be mostly primary care physicians, with medical specialists that manage chronic patients, and fewer proceduralists. The key to success of these groups revolves around sophisticated strategic partnerships with payers and infrastructure, expertise, and support to help bend the cost curve. Many of the most successful of these groups are on the West coast, but they exist throughout the country. (Privia Medical Group falls within this category). The challenge for these groups is attracting the right type of physicians who share the big goals, and execution around driving costs out of the system (facility steerage, quality benchmarking, engaging high utilizers, PCP access, medication management, acute event management and avoidance, etc.)
Selling your practice to a hospital or health system is often an option for physicians. This is attractive for many reasons: improved reimbursement rates, reducing the burden of running your own practice and aligning with an entity that has the resources to invest in population health. Health systems in Maryland have been particularly acquisitive. The challenges are well known too: independent-minded doctors sometimes chafe at productivity targets, cuts in salary can happen after the initial term ends, and pressure to steer to certain facilities or specialists can conflict with population health goals.
HEALTH SYSTEM EMPLOYMENT
Whichever option you choose, the key is to do your homework. Understand short-term economics and long-term vision. Spend time understanding the big trends within payment models that will affect physicians for the next decade. Speak to doctors in the groups to learn what they like and dislike. Some of these options are easily reversible, others are more difficult. For better or worse, we’re moving into a new paradigm for reimbursement, and there will be a lot of opportunity for physicians to capture more of the value they create. It is up to you to choose your own adventure. August 2016 11
MSV News
12 www.msv.org
MSV News
Advocacy champion spotlight: MSV student section BY LINDSAY LARKIN, GOVERNMENT AFFAIRS AND POLITICAL ADVOCACY MANAGER
Without a doubt, the MSV student section has become a force of its own. They are always ready and willing when they are called on to testify at a committee hearing, contact their legislators directly or be the party-starters at MSVPAC’s annual karaoke event. The students have become an integral part of every facet of MSV. Their involvement and dedication speaks to their passion for medicine and the profession of patient care.
I think that patient and physician advocacy through activities like White Coats on Call and speaking at subcommittee meetings should be an integral part of physicianhood and zealously advocating for one’s patients. No matter the ability or empathy of a physician, he or she can only do so much good within a broken system. It is only by working at the macro level, in addition to the micro level, that patient care can be truly optimized.” —Austin Sim, UVA MD/JD candidate
Advocacy is an important aspect of MSV and as medical students it is essential we get involved, especially regarding policies affecting our patients and practice as future physicians.” —Matt Wallace, VCU M4
As a first-year medical student, I’m excited to respond to legislative action alerts and to demonstrate my opinion at the VA General Assembly because I consider it a vital part of my medical education as an aspiring physician leader. My involvement now helps me feel assured that I’ll be prepared to advocate for my patients and for the future direction of the health care system as I grow as a physician leader.” — Emily Schutzenhofer, UVA M2
The MSV Government Affairs team and MSVPAC extend their gratitude to the MSV student section for its efforts and encourage you to follow their lead. Consider making a contribution to MSVPAC today by visiting www.msvpac.org or sending a check, payable to MSVPAC, to 2924 Emerywood Pkwy, Suite 300, Richmond, VA 23294.
Legislative Committee meets to work on 2017 legislative agenda BY SARA ROSE WELLS, ASSISTANT DIRECTOR OF GOVERNMENT AFFAIRS
The Medical Society of Virginia (MSV) Legislative Committee, co-chaired by MSV President Edward Koch, M.D. and MSV President-Elect Bhushan Pandya, M.D., met on June 22 to review the 22 proposals received at the previously held Legislative Summit. The issues discussed included certificate of public need, Medicaid reimbursement, associate physician licensure, opioid prescribing,
and many more. The committee worked diligently for three hours until they had decided on recommendations for each proposal. Their recommendations will now be delivered to the MSV Board of Directors for their consideration. Thank you to all who submitted proposals, attended the Legislative Summit, and participated in the Legislative Committee! August 2016 13
Being HIPAA compliant is part of how physicians get paid BY JONATHAN KRASNER, DIRECTOR OF BUSINESS DEVELOPMENT AT HIPPA! SECURE NOW
On April 27, the Center for Medicare and Medicaid Services (CMS) came out with a proposed rule on how physicians will get paid under MACRA (the Medicare Access and CHIP Reauthorization Act). This regulation changes the fundamental Fee-For-Service (FFS) system that CMS has used since Medicare’s enactment in 1966. The new system is premised on tying physician payments to quality and value, and is directly related to the Triple Aim of providing better care, lower costs, and improved health.
OPEN FOR COMMENTS
Like all proposed rules, there is a 60 day comment period, and we fully expect an army of criticism from lobbyists, vendors and a whole host of other interested parties. Based on the comments, a final rule will be published, most probably in the fall. The final rule will be imperfect and controversial. It will be despised by many. But don’t expect MACRA to be repealed, according to Anne Phelps of Deloitte & Touche, “MACRA is the rare health care law that was passed with overwhelming bipartisan support and continues to enjoy strong support from Republicans and Democrats in Congress,” she said. “This all but ensures its continued implementation, regardless of the outcome of the November elections.” Who can blame Congress, with health care costs spiraling out of control, something has to be done. So once it comes out, all affected parties should remember the saying “if you can’t beat’em, join’em”.
HIPAA IS NOT OPTIONAL IN MACRA
We are not here to give you the complete lowdown on MACRA. There are lots of other resources for that. However, we do want to emphasize one very important point: the role of HIPAA compliance. As indicated above, MACRA changes the way physicians will be paid. No longer will they be paid for just providing services (FFS). Rather, there is a very complicated formula called the MIPS Composite Performance Score (CPS) that will be used to determine adjustments to a physician’s Medicare payment. These adjustments can be as high as +-9% by 2022. (By the way, in order to amplify the effect of MACRA, CMS is explicitly encouraging private payers (PDF) to implement similar programs). In order to receive a substantial portion of the MIPS CPS and maximize revenue opportunity, each provider will have to have performed a HIPAA Security Risk Analysis (SRA) within
14 www.msv.org
their practice. It is important to understand that since the SRA is for the practice, it can be used for all physicians within the practice. Here is a quote from the MACRA Rule:
We would require the MIPS eligible clinician to meet the requirement to protect patient health information created or maintained by certified EHR technology to earn any score within the advancing care information performance category; failure to do so would result in a base score of zero, a performance score of zero, and an advancing care information performance category score of zero.” Furthermore, the document also states:
As privacy and security is of paramount importance and applicable across all objectives, the Protect Patient Health Information objective and measure would be an overarching requirement for the base score.” MAXIMIZE PAYMENTS
Clearly there is some MACRA/MIPS specific language in those quotes. Don’t get hung up on these terms. What is important is the role of HIPAA compliance: perform a HIPAA Security Risk Analysis and you are in position to maximize your MIPS CPS and your revenue. Don’t perform the Risk Analysis, and be prepared to take a hit on your payments.
MSV + Privia Health = Partnership. Growth. Transformation BY HEDI CHO, COMMUNICATIONS MANAGER
The Medical Society of Virginia (MSV) is excited to announce its latest partnership venture with Privia Health, a unique physician practice management and population health technology company that partners with top physicians to keep people healthy, prevent disease and better manage preventative care. Privia is currently exploding in growth because of its ability to leverage the trusted role of a personal physician and integrate that important role to oversee wellness interventions and increase patients’ engagement in their own health and wellbeing – while also finding ways for physician practices to lower costs and capture savings. Encompassing highperformance physician groups and clinically integrated provider networks while using technology, team-based care and unique wellness programs, Privia is leading transformative change within the health care industry as it helps to equip physicians to manage the health of their populations. Privia’s vision and its methodologies merge perfectly with MSV’s own mission of helping physicians move forward in their ability to influence, practice medicine and advance health care in Virginia. Both organizations will work together to further expand their reach and influence to Virginia physicians, providing extra value and savings for physicians as well as increasing brand awareness and adoption. In order to leverage and combine the services and products of both organizations, MSV plans to work alongside Privia Health to help strengthen its position within the Commonwealth and further enhance its growth with promotional and partnership opportunities.
sessions, use of the MSV Marketplace preferred vendor program and other business solutions, an ancillary employee benefit program through MSVIA and promotional efforts through MSV events and publications. Both Privia and MSV are poised for incredible growth and expansion in the coming years. That growth will be accelerated through a partnership between two innovative organizations focused on elevating the value of physicians and empowering them to lead and succeed in Virginia’s rapidly evolving health care landscape.
We’re thrilled to have MSV and Privia partner and are excited by the endless possibilities we foresee when all our physicians are a part of a collective voice of Virginia physicians of all specialties and practice settings...We’re committed to building on the strengths of both organizations to deliver industry leading solutions for physicians.” TIFFANY KEATON Vice President of Strategic Positioning and Relationships
With the partnership, Privia physicians will get to enjoy MSV’s health care legislation and policy benefits as well as education
August 2016 15
Leadership. Teamwork. Collaboration. BY AMY SWIERCZEWSKI, PROGRAM MANAGER
Leadership. Teamwork. Collaboration. Dig into any flourishing business and you will inevitably stumble on these terms as the keys to their success. But how do you not only learn but effectively apply these skills in your environment? The partnership of Medical Society of Virginia Foundation (MSVF), Virginia Hospital & Healthcare Association (VHHA) and Virginia Nurses Foundation (VNF) has an innovative answer—SYNC. SYNC is leading-edge learning institute edicated to transforming healthcare leadership in Virginia through team-based learning AND action in the “real-world” setting. Continuing on the success of its inaugural class, the program will be offered again from September 2016 to March 2017 for five one-day sessions to a limited number of teams of up to five clinical leaders (to include a physician and registered nurse).
The trust is certainly there. The four of us talk more. We work on quality together. We function together. It helped us build that trust.” —Chief Medical Officer participant
While we were a relatively close group, we bonded even more, which allows us to more easily move issues forward, as well as upward as a cohesive voice when necessary. We now have this gang of four that can sit down and look at what we are doing, (ask) how we can improve it, and what do we need to do to get it done.” —Pharmacist participant
AS PART OF THE PROGRAM, SYNC PARTICIPANTS WILL: Learn about the changing landscape of 21st century health care and the implications for health care leadership and strategy Strengthen personal leadership fundamentals as a starting point for effective collaboration Develop knowledge and skills for working in interprofessional teams to address critical challenges in healthcare Learn and apply design thinking as an important new tool for collaborative problem solving and improvement in health care Apply all learnings in a SYNC Capstone Project selected by the team to address a practical challenge facing their organization or community. Teams will have access to research and consultation support from the SYNC Support Team to guide them in their project.
Team enrollment is limited. Tuition is $7,150 per team of five which includes an outstanding array of speakers, materials, continuing education credits, food/beverages, consulting support and an online learning portal. SYNC is a non-profit venture. All classes will take place in Richmond, Virginia. Program fee assistance may be available to qualifying teams. Support for the program has been provided by The Physicians Foundation and Robert Wood Johnson Foundation. Please visit www.syncva.org or contact Amy Swierczewski at aswierczewski@msv.org or 804 | 377-1053 to learn more.
16 www.msv.org
Virginia Medical Student Selection models leadership at AMA BY JENNY YOUNG, ENGAGEMENT MANAGER
Thirteen medical students representing four of Virginia’s medical schools attended the American Medical Association (AMA) Medical Student Section (MSS) Annual Meeting from June 9-11 in Chicago, IL. During the meeting, students participated in policy making meetings, regional meetings, advocacy training and breakout sessions. They also had the opportunity to caucus and interact with the MSV physician AMA delegation. The Virginia student delegation achieved great success in multiple aspects of the meeting. Lee Ouyang, EVMS, was elected as AMA MSS Vice Chair. Throughout the next year, he will serve as the liaison to the student representatives on AMA Councils and Committees and will assist the Chair with management of the MSS. Lee noted that, “attending the AMA Annual Meeting was a phenomenal experience thanks to the support of MSV’s physicians and staff. With their mentorship, Virginia’s student section stands as a model that other states strive to replicate. I’m honored to be a part of such a wonderful organization, and would like to help continue Virginia’s tradition of leadership within the AMA.” Nicole McCann, UVA, was elected as the AMA MSS Region 6 membership chair. Region 6 is comprised of all medical schools located in Delaware, District of Columbia, New Jersey, Maryland, Pennsylvania and Virginia. Nicole noted that the AMA Annual Meeting is one of her favorite meetings of the year,
Omar Salman, VTC, was elected as the AMA MSS Region 6 community service chair. Omar shared reflections from his AMA experience:
“Regardless of the many specialties we end up pursuing, the service of others is at the core of our careers as health care providers. I am excited to serve as community service chair for our region to keep the spirit of service alive not only as medical students but eventually as key contributors to the communities we serve as physicians. Being a part of AMA at the Annual Meeting was a reminder that medicine is greater than any one of us, and that we as future physicians owe it to our future patients not only serve as doctors but also as advocates on their behalf, providing care at the personal level and lobbying for improvements at a national level.”
— Omar Salman, VTC
The opportunity to attend national organized medicine conferences as a state delegation not only strengthens the MSV student section but it helps to create lasting personal commitments to organized medicine.
“I love getting together with students from across the country to work towards making healthcare better for all. When I leave this meeting I’m ready to bring all that I’ve learned back to Virginia and get other students as excited and engaged as I am!” —Nicole McCann, UVA
August 2016 17
Are you resilient? BY LYNNE B. HUGHES, MSVF DIRECTOR OF DEVELOPMENT
Resilience is defined as the ability of a substance or object to spring back into shape; elasticity or the capacity to recover quickly from difficulties; toughness. How quickly do you “spring back” from adversity? Here are the characteristics of resilient people:
ROLE MODELS
Faith/Spirituality
Alruistic
Mentally tough
FIND PURPOSE AND MEANING OPTIMISTIC STRONG RELATIONSHIPS Humor Everyone has the ability to improve their resilience. Through intentional acts, our “resiliency muscles” can be strengthened. The more resilient we are, the less likely we are to experience burnout. Here are some quick tips:
Reward yourself asking taking risks
Implement small positive habits
DO SOMETHING YOU’VE ALWAYS WANTED TO DO
TAKE RISKS Eyes up Be present in today Volunteer Tap into what inspires you ASK FOR AND ACCEPT HELP
18 www.msv.org
MEMBER RESOURCES Get the most out of your involvement with MSV by taking advantage of our many valuable resources, publications, educational opportunities, professional services and practice management tools. Most of these services are available to only MSV members so please join today to enjoy these exclusive benefits.
FREE RESOURCES
INFORMATION
DISCOUNTED
• Practice Services helpline 800 | 746-6768, EXT 1060
• Grassroots action center www.msv.org/grassrootstoolkit
• Coding webinars and classes www.msv.org/classes
• Member information center 800 | 746-6768, EXT. 1050 for questions regarding membership
• MSV Legislative Updates, MSV E-News, Virginia Medical News, Practice Services Updates www.msv.org/publications
• Local consultation
• Relationship staff
ADDITIONAL SERVICES
• Issue backgrounders
• Property & casualty insurance • Life & health insurance
• Physician Directory
• Knowledgebase www.msv.org/knowledgebase
• DOC Rx Relief
• Health plan hassles www.msv.org/hasslefactor
EVENTS
MSV MARKETPLACE
• JobBoard www.msv.org/jobboard
LEADERSHIP
• White Coats on Call lobby days
• Committees and task forces
• Advocacy boot camps
• House of Delegates and Board of Directors
• Medical student section events
• State leadership opportunities
• MSV Annual Meeting
EDUCATION • evolve™ • SYNC
• LendKey • VA Drug Card • Total Merchant Services • HIPAA Secure Now • iMedicor • 1st Healthcare Compliance • Digital Benefit Advisors • 1752 Financial • MSVIA
The Virginia Medical News Fall Issue, August 2016 (ISSN 1532-8058) is published four times a year by the Medical Society of Virginia, 2924 Emerywood Pkwy., Ste. 300, Richmond, VA 23294 for members of the Medical Society of Virginia, a non-profit organization with membership devoted to the advancement of the medical profession in Virginia. Periodicals postage paid at Richmond, VA and at additional mailing addresses. POSTMASTER: Send address changes to Virginia Medical News, 2924 Emerywood Pkwy., Ste. 300, Richmond, Virginia 23294 This association is not responsible for the authenticity of opinion or statements made by authors or advertisers, or in communications submitted to Virginia Medical News. Advertisers must conform to the policies and regulations established by the Medical Society of Virginia. The Virginia Medical News is a member subscription and payment is included in annual dues. Copyright 2016. Medical Society of Virginia.
August 2016 19
Now announcing your 2017 White Coats on Call Days! BY LINDSAY LARKIN, GOVERNMENT AFFAIRS AND POLITICAL ADVOCACY MANAGER
Join your colleagues for a day at the Capitol. Professionals from all specialties and regions will come together for an eventful day of unified advocacy during the General Assembly session. Tuesday, January 24 – All Call Day* Monday, January 30 – All Call Day* Monday, February 6 – Physician Assistant Day
SO WHAT’S NEW? The White Coats on Call program continues to grow in popularity and we have made some exciting changes to maximize MSV’s influence at the legislature. The days have been condensed to encourage increased participation and cross-specialty collaboration. We will have two “All Call” days for physicians, with some specialties highlighted on each day. There will also be a dedicated Physician Assistant day for all professional PAs and students. MSV will provide a robust program with guided bill updates, guest speakers, updates on MSV opportunities, and more. MSV, specialty society lobbyists, and staff will be on hand as resources throughout the day. And as always, a filling breakfast and lunch will be provided. *All Call days are open to all members, though there will be some highlighted specialties on each day
20 www.msv.org