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February 2016 • Volume XXIX, Number 11


Features Chronic disease spending in Minnesota  Analyzing the All Payer Claims Database


By Edward Ehlinger, MD, MSPH

Change management  Anticipation vs. reaction By Todd Archbold, LSW, MBA




10 Research 





Health care economics Stefan Gildemeister Minnesota Department of Health

The VA medical system By Hanna E. Bloomfield, MD, MPH

Practice Management 

Electronic health record systems By Timothy A. Johnson, JD, and Julia C. Marotte, JD



Medical Innovation vs. Medical Economics When payment policies limit quality of life

Special Focus: Allied Providers Direct access to physical therapy  By Craig Johnson, PT, MBA


Advanced practice nursing in Minnesota 22 By Julie Sabo, PhD(c), APRN, CNS

Speech and language development  By Mark DeRuiter, PhD; Linda Hinderscheit, MA; and Marilyn Fairchild, MA

Thursday, April 21, 2016 • 1:00-4:00 PM

Acupuncture, pain, and integrative care 26 By Karen Lawson, MD, ABIHM, and John Blaska, DAOM

Professional Update: Emergency Medicine Dying from prescription heroin  By Chris Johnson, MD

Downtown Minneapolis Hilton and Towers



Publisher Mike Starnes | Editor Lisa McGowan | Associate Editor Richard Ericson | Art Director Joe Pfahl | Office Administrator Amanda Marlow | Advertising Stacey Bush | Advertising Linda Nervick |

Background and Focus: The pace of innovation in medical science is rapidly escalating. From more accurate diagnostic equipment, to the use of genomic data, to better surgical techniques and medical devices, to new and more efficacious pharmaceuticals, breakthroughs occur nearly every day. These advances face many challenges when incorporated into medical practice. Several significant factors limit this adoption, including the economic models around how patient use of new science will be utilized. Twentieth century health insurance, medical risk management, and reimbursement models are controlling 21st century medical care and patients are the losers. Objectives: We will review examples of recent scientific advances and the difficulties they face when becoming part of best medical practice, despite their clear superiority over existing norms. We will look at prevailing thinking behind economic models that govern how health care is paid for today. Our panel of industry experts will explore potential solutions to these problems. We will look at ways to create balance between payment models, new technology, and increased quality of life. Please send me tickets at $95.00 per ticket. Tickets may be ordered by phone at (612) 728-8600, by fax at (612) 728-8601, on our website (mppub. com), or by mail. Make checks payable to Minnesota Physician Publishing. Mail orders to MPP, 2812 East 26th Street, Mpls, MN 55406. Please note: tickets are non-refundable. Name Company Address City, State, ZIP Telephone/FAX Card #

Minnesota Physician is published once a month by Minnesota Physician Publishing, Inc. Our address is 2812 East 26th Street, Minneapolis, MN 55406; phone 612.728.8600; fax 612.728.8601; email mpp@ We welcome the submission of manuscripts and letters for possible publication. All views and opinions expressed by authors of published articles are solely those of the authors and do not necessarily represent or express the views of Minnesota Physician Publishing, Inc. or this publication. The contents herein are believed accurate but are not intended to replace medical, legal, tax, business, or other professional advice and counsel. No part of the publication may be reprinted or reproduced without written permission of the publisher. Annual subscriptions (12 copies) are $48.00/ Individual copies are $5.00.

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February 2016 Minnesota Physician


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MN Physician Feb 2016  

Chronic disease spending in MN: Analyzing the MN APCD By Edward Ehlinger MD | Change mgmt: Anticipation vs reaction By Todd Archbold LSW | I...

MN Physician Feb 2016  

Chronic disease spending in MN: Analyzing the MN APCD By Edward Ehlinger MD | Change mgmt: Anticipation vs reaction By Todd Archbold LSW | I...

Profile for mppub