September/October 2013 • USA $1.95
The stories she can tell Debra Reilly, M.D.
ALSO INSIDE MOMS New Executive Director - Carol Wang A desire to help others
New NMA President - Kevin Nohner, M.D. No one makes a difference by being quiet A Publication of the Metro Omaha Medical Society • www.OmahaMedical.com
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This Issue September/October 2013
features
departments
16
COVER: Debra Reilly, M.D.
8
Editor’s Desk
The stories she can tell
10
NMA Message
12
Legal Update
13
Young Physician
14
Clinical Update
2 4
MOMS Events
2 5
MOMS Coming Events
27
Member News
31
Campus Update
33
New Member Update
21
MOMS New Executive Director - Carol Wang A desire to help others
2 2
New NMA President - Kevin Nohner, M.D.
No one makes a difference by being quiet
4 Physicians Bulletin September/October 2013
Worth taking a second look Change is in the air
Surrounded by technology Patient privacy and social media
spend time with them.
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Securities offered through Securities America, Inc., member FINRA/SIPC. Jerome P. Bonnett, Jr., CFP®, ChFC®, Registered Representative. Advisory services offered through BWM Advisors, LLC. Jerome P. Bonnett, Jr., Investment Advisor Representative. BWM Advisors, LLC (dba Bonnett Wealth Management) and Securities America companies are unaffiliated.
2013 VOLUME 35, NUMBER 5 A Publication of the
Metro Omaha Medical Society 7906 Davenport St. • Omaha, NE 68114 (402)393-1415 • www.omahamedical.com Officers President | Marvin J. Bittner, M.D. President-Elect | Debra L. Esser, M.D. Secretary-Treasurer | David D. Ingvoldstad, M.D. Past President | Pierre J. Lavedan, M.D. Executive Director | Carol Wang EXECUTIVE BOARD Marvin Bittner, M.D. Debra Esser, M.D. David Ingvoldstad, M.D. Pierre Lavedan, M.D. Mohammad Al-Turk, M.D. Jane Bailey, M.D. Lori Brunner-Buck, M.D. David Filipi, M.D. Harris Frankel, M.D. Michelle Knolla, M.D. Jason Lambrecht, M.D. William Orr, M.D. Laurel Prestridge, M.D. William Shiffermiller, M.D. Gamini Soori, M.D. Jeffry Strohmyer, M.D.
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Physicians Bulletin is published bi-monthly by Omaha Magazine, LTD, P.O. Box 461208, Omaha NE 68046-1208. © 2013. No whole or part of contents herein may be reproduced without prior permission of Omaha Magazine or the Metro Omaha Medical Society, excepting individually copyrighted articles and photographs. Unsolicited manuscripts are accepted, however, no responsibility will be assumed for such solicitations. Omaha Magazine and the Metro Omaha Medical Society
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6 Physicians Bulletin September/October 2013
in no way endorse any opinions or statements in this publication except those accurately reflecting official MOMS actions.
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editor’s desk
Worth Taking a Second Look Marvin Bittner, M.D. President Metro Omaha Medical Society
W
alk into the MOMS offices. Look
around. While the employees are hard at work, most days their due diligence will come up with nothing. I hope that – every day – their work is a complete waste. Let me explain. They work as part of Nebraska Credentials Verification Organization, or NCVO. NCVO operates under the auspices of MOMS. NCVO employees review applications of physicians for appointment (and reappointment) to medical staffs, verifying statements on those applications. NCVO has never, to my knowledge, uncovered a serial killer. It’s a rare day, indeed, when NCVO finds out that a self-proclaimed neurosurgeon doesn’t know which end of a scalpel to grab. But thanks to NCVO, there have been doctors identified who shouldn’t be here and that’s why NCVO exists. That comment about serial killers is not just a facetious one. Among the inmates of the “supermax” prison in Florence, Colo., is a physician, Dr. Joseph Michael Swango. He is indeed a serial killer. He bounced around from one residency to the other, lying about his past and leaving behind a trail of dead patients. His career triggered the strict regulations for credentials verification. By managing a credentials verification organization such as NCVO, MOMS can benefit physicians in a number of ways. We can keep the process reasonable. Some years ago, one of my colleagues was promoted to a position that required a background investigation. As a result, I was interviewed by an agent. I recall some of the questions. One of them concerned
foreign travel. Well, I recalled, he did go to a medical meeting last year in Canada. “Canada,” the agent replied gravely as he noted my answer. Had my colleague been compromised by a foreign agent from the frozen north? MOMS and NCVO do, as a physician-run organization, steer clear of interrogating applicants and their references about issues as irrelevant as Canadian travel. Another benefit is the opportunity to encourage as many of our medical staffs as possible to use NCVO. By centralizing credentialing for the entire medical community, we can reduce duplication. I have some experience on panels that receive reports of credentials committees. I know that – overwhelmingly – physicians have “clean” credentials. The statements made on their applications are verified. There are no problems. The work of credentials verification organizations, such as NCVO, is added peace of mind. I hope that Omaha physicians will – without exception – provide accurate information on their applications. I hope that their applications will reveal no problems. That’s why I hope that the work of NCVO will be a “complete waste.” I’m excited about what our new executive director, Carol Wang, has contributed to NCVO in just a few weeks on the job. She is new to MOMS. She brings a fresh perspective. She has identified ways to make NCVO more resilient and, using more information technology, even more responsive to our clients. NCVO is getting a new look. Are you on a medical staff? Has your staff taken a fresh look at the new look for NCVO?
“But thanks to ncvo, there have been doctors identified who shouldn’t be here and that’s why ncvo exists.”
8 Physicians Bulletin September/October 2013
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July/August2013 Physicians • Omaha, NE 8111 Professional Building • 8111 Dodge Street, Suite 363 68114Bulletin 9
nma message
Dale Mahlman Executive Vice President
Change is in the Air
Nebraska Medical Association
“T
hings turn out best for people who make
the best out of the way things turn out” is a favorite quote of mine attributed to basketball legend John Wooden. I have this quote in front of me every day on my desk and never has it seemed more appropriate than during our present times. I keep this quote in my head when dealing with my family, friends, co-workers, physicians and, yes, even legislators. In most cases, this quote could actually go hand-in-hand with the old Yogi Berra line, “It ain’t over ’til it’s over.” During the summer months, we review the previous legislative session and begin to prepare for the coming session, which is set to commence Jan. 8. Work continues during the interim on several bills of interest to the NMA, including Medicaid expansion and scope of practice initiatives by mid-level providers. Meetings on Medicaid, public health issues, public safety issues, practice-related issues all were on our list of things to do during the summer months. We continue to monitor what does or doesn’t happen at the national level and often compare notes with our colleagues in other states who have or are dealing with many of the same issues we are faced with at this time. Rarely do we find an issue that just occurs in Nebraska, so the additional panel of experts is an invaluable resource. Our summer months also mean a time when we are finalizing our 2013 NMA Annual Meeting and the change of leadership within our organization. We have been fortunate to be represented the past 12 months by a real advocate for the health of all Nebraskans, Dan Noble, M.D., now serving active duty with his Nebraska National Guard detail in an undisclosed location. Whether he’s representing his colleagues, his patients or his country, we could always expect to get everything he has to offer. We have greatly enjoyed our time working with and for him.
10 Physicians Bulletin September/October 2013
Our recently concluded NMA annual session focusing on the “Transformation of the Healthcare Model” and the installation of Kevin Nohner, M.D., of Omaha as our NMA president shows how change can be accomplished smoothly within an organization and a practice environment. Our guest presenters challenged our physicians in attendance to consider what their future in medicine might look like for them and their patients and the one constant throughout will be change. We will withhold judgment as to whether that is good or not, but for certain, it will occur. On Nov. 8, the NMA, along with many other sponsors including health systems and insurers, will present a one-day symposium on value-based health-care delivery. This symposium will bring thought leaders from across the state, including physicians, health system administrators, insurance representatives, consumers, agents, employers and others together to discuss case studies generating spirited discussions from the group on what our “future” health-care delivery system might want to look like to be successful. More information will be coming, and we are grateful to our sponsors and contributors for their participation. Finally, October means 2014 dues statements are mailed to physicians throughout the state, allowing them to support the vision of the Nebraska Medical Association so that the NMA may be the pre-eminent unifying physician medical organization in the state. Founded in 1867, with the support of Nebraska physicians, we’ve been dealing with change on a regular basis while serving as an advocate for Nebraska physicians, for their profession, their patients and the health of all Nebraskans. Please continue to support your Nebraska Medical Association. You remain our most important asset and resource.
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September/October 2013 Physicians Bulletin 11
Legal update
Tom Kelley Partner McGrath North Mullin & Kratz, PC LLO
O
n Jan. 25, 2013, the Department of
Health and Human Services (HHS) issued the final “omnibus” Health Insurance Portability and Accountability Act (HIPAA) rule that made changes to the HIPAA Security Rule, Breach Notification Rule and certain provisions of the Privacy Rule. The omnibus rule implements changes under the Health Information Technology for Economic and Clinical Health Act (HITECH) and affects nearly every business in the health-care industry as well as those businesses providing services to such businesses in the health-care industry. Recall that in general, a “covered entity” under HIPAA is a health-care provider that transmits any health information in electronic form, a health plan or a health-care clearinghouse. A “business associate” under HIPAA, in turn, is generally a person who: (1) on behalf of a covered entity (other than as an employee of such covered entity) creates, receives, maintains or transmits protected health information (“PHI”) for a function or activity regulated by HIPAA; or (2) provides (other than as an employee of such covered entity) legal, actuarial, accounting, consulting, data aggregation, management, administrative, accreditation or financial services to or for such covered entity, where the provision of the service involves the disclosure of PHI from such covered entity or from another business associate of such covered entity, to the person. Put simply, the omnibus rule now formally extends the application of the HIPAA Security Rule, Breach Notification Rule and certain provisions of the Privacy Rule (previously only imposed on covered entities) directly to business associates, including their subcontractors (or “downstream” business associates), with the
HIPAA Omnibus Rule Compliance Deadline for Business Associates Passes potential for enforcement by HHS now directly against the business associate. For example, the HIPAA Security Rule provisions now applicable to business associates generally include: (1) the implementation of administrative, physical, and technical safeguards to protect PHI; (2) the implementation of policies and procedures to comply with HIPAA; and (3) the maintenance of documentation of this compliance. In addition, HIPAA Privacy Rule obligations include: (1) limiting uses or disclosures of PHI to only those provided for within a business associate agreement (“BAA”) or permitted or required under HIPAA; (2) limiting permissible disclosures or requests for disclosures of PHI to the minimum necessary; (3) providing PHI to HHS to demonstrate compliance during investigations; and (4) entering into business associate agreements with subcontractors that comply with the provisions governing business associate agreements between covered entities and business associates. The omnibus rule also incorporates the increased and tiered civil money penalty structure provided by HITECH, with penalties based on the level of negligence and with a maximum penalty of $1.5 million per violation. The omnibus rule became effective on March 26 with enforcement of the omnibus rule changes beginning on Sept. 23. One significant exception to the Sept. 23 enforcement date is that HHS has indicated that “grandfathered” BAAs do not need to be updated to reflect the changes in the omnibus rule until Sept. 23, 2014. Grandfathered BAAs are those BAAs in place before Jan. 25, 2013, and not otherwise amended after March 25, 2013. Entities acting as business associates of covered entities and/or subcontractors of business
12 Physicians Bulletin September/October 2013
associates should consider taking the following steps to address the changes implemented by the omnibus rule. • Investigate/confirm status as a business associate of a covered entity, or a subcontractor business associate of a business associate. • Conduct a HIPAA Security Rule risk assessment. • Draft/update appropriate HIPAA Security Rule, Breach Notification Rule and Privacy Rule policies and procedures. • Enter into, or amend, as appropriate, business associate agreements to reflect the omnibus rule changes. • Educate subcontractor business associates about their responsibility (and the responsibility of their subcontractors) to safeguard PHI so as to mitigate the chance of agents causing upstream liability. • Conduct HIPAA training on the updated policies. In addition, covered entities utilizing business associates should consider taking steps to insure that their business associates and downstream business associate subcontractors are both aware of, and in compliance with, the changes implemented by the omnibus rule. Editor’s Note: This article has been provided for informational purposes only and is not intended and should not be construed to constitute legal advice. Please consult your regular counsel in connection with any fact-specific situation under federal law and the applicable state or local laws that may impose additional obligations on you and/or your organization.
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ecall that experience, when you forgot
your password or lost your smartphone. The pain and suffering you went through until you found it. The world of a physician is now shrinking into a smartphone and it is hard for us to imagine a day go by without it. We are surrounded by technology in the medical field. From large MRI machines, to handheld devices, our lives are constantly intertwined with different gadgets. The new electronic health records system has helped us establish a one-point source for all patient data needed for the management of patients. Patients from the rural areas, where it was hard to find specialist providers, can now be connected to their mental health specialists through tele-psychiatry. Laboratory and imaging results are available at the click of a button. The benefits of these are remarkable. One of the most revolutionary devices is the smartphone, which has millions of apps. As they say “Anything you think you need to work, there’s an app for that.” This article reviews a few applications that might be useful to a psychiatrist during the process of patient care and could change the way psychiatry is practiced. Start your day in the morning with an alarm on your phone or personalized radio stations on Pandora. Look up your schedule. Look up your emails and calendars in the morning. Communicate with staff and colleagues via email on your phone or text message.
Complete dictations on the go with Dragon dictation app and upload it for transcription on Dragon software on your computer. You can now look up articles of interest and reading material on your smartphone itself in different apps such as Medscape. Learn about new topics and medications in no time or look for drug-drug interactions on Epocrates. Get CME credits for studying on your smartphone on Medscape, QuantiaMD or UpToDate. Never, ever carry a book with you. Carry hundreds of them in a single device when you read books on iBooks. Read, highlight and annotate your pdf documents with the Adobe Reader. Connect with physician colleagues through LinkedIn and Doximity. Even send an encrypted fax to this device. Attend meetings on Go To Meeting app. Applications like Genius Scan are a scanner in your phone that can be used at any time. Just get the picture and email it as a pdf.. Get online free courses from different universities at iTunesU. And above all search on the Google app (“Dr. Google”) about anything and everything. The sky is the limit. The DSM-V application is available from the App Store for smartphones. This is the technological advancement of the 21st century and it is here to stay. Fight it or join it with open arms. The choice is yours.
September/October 2013 Physicians Bulletin 13
clinical update
Dan Rosenquist, M.D., COPIC’s Patient Safety and
Patient Privacy and Social Media
Risk Management Department
D
uring the past several years, social
media has become more prevalent in our personal and professional lives. For health-care professionals, posting information on Facebook, Twitter and other platforms requires caution because of the impact it can have on reputations and the risk of violating patient privacy regulations. According to a recent survey of state medical boards published in the Annals of Internal Medicine1, the biggest areas of concern (based on the percent of those surveyed who said these actions may lead to an investigation) include: • Citing misleading information about clinical outcomes (81 percent). • Using patient images without consent (79 percent). • Misrepresenting credentials (77 percent). • Inappropriately contacting patients (77 percent). Patient privacy was a key issue that was highlighted in the survey with posting patient images to a website without their consent and inappropriate online interactions with patients being cited as examples of situations that caused investigations. Guidelines for social media use by health care professionals were posted by the Federation of State Medical Boards (http://www.fsmb.org/pdf/ pub-social-media-guidelines.pdf). Some topics covered in this resource include: • Interacting with Patients: Physicians are discouraged from interacting with current or past patients on personal
•
social networking sites, such as Facebook. Physicians should only have online interaction with patients when discussing the patient’s medical treatment within the physician-patient relationship, and these interactions should never occur on personal social networking or social media websites. In addition, physicians need to be mindful that while advanced technologies may facilitate the physicianpatient relationship, they can also be a distracter that may lessen the quality of the interactions they have with patients. Such distractions should be minimized whenever possible. Privacy/Confidentiality: Just as in the hospital or ambulatory setting, patient privacy and confidentiality must be protected at all times, especially on social media and social networking websites. These sites have the potential to be viewed by many people and any breaches in confidentiality could be harmful to the patient and in violation of federal privacy laws, such as HIPAA. While physicians may discuss their experiences in nonclinical settings, they should never provide any information that could be used to identify patients. Physicians should never mention patients’ room numbers, refer to them by code names or post their picture. If pictures of patients were to be viewed by others, such an occurrence may constitute a serious HIPAA violation.
14 Physicians Bulletin September/October 2013
•
Posting Content: Physicians should
be aware that any information they post on a social networking site may be disseminated (whether intended or not) to a larger audience, and that what they say may be taken out of context or remain publicly available online in perpetuity. When posting content online, they should always remember that they are representing the medical community. Physicians should always act professionally and take caution not to post information that is ambiguous or that could be misconstrued or taken out of context. Physician employees of health-care institutions should be aware that employers may reserve the right to edit, modify, delete, or review Internet communications. Physician writers assume all risks related to the security, privacy and confidentiality of their posts. When moderating any website, physicians should delete inaccurate information or other’s posts that violate the privacy and confidentiality of patients or that are of an unprofessional nature. Outlining the possible consequences for specific violations is still something that has not been clearly defined, according to the researchers who wrote the article. “Physicians should be aware of the potential consequences for online behaviors... and apply the same high ethical and professional standards in their online actions as they would in their actions offline,” the researchers noted. 1 Ann Intern Med. 2013;158(2):124-130.
(720) 858-6000 • (800) 421-1834 July/August2013 Physicians Bulletin 15
Cover Feature: Debra Reilly, M.D.
The Reilly File Hometown: New York City, Houston, then Buffalo, N.Y. Bachelor’s Degree: Duke University in Durham, N.C., in music and zoology Medical Degree: University of Texas Medical Branch at Galveston Residency: University of Texas Houston in general surgery and University of Texas Medical Branch at Galveston in plastic surgery Specialty: Reconstructive plastic surgery and acute and chronic burn care Location: University of Nebraska Medical Center
The Stories She Can Tell
Family: Husband, Bob Culver Jr. Hobbies: Needlepoint Why I Joined MOMS: “I am a very social person. I wanted to meet more physicians outside of the academic arena. And, I wanted to be able to attend Medical MESS and the women’s group.”
S
he calls it serendipity.
Debra Reilly, M.D. needed a guest speaker to address a group of women plastic surgeons who were attending a conference. Two German plastic surgeons were looking to create awareness about their fledging project to bring female plastic surgeons from throughout the world together for medical missions to Third World countries. “I thought, ‘OK, I’ll give them their 10 minutes of fame.’” And more. Six years later, Dr. Reilly has made medical
16 Physicians Bulletin September/October 2013
missions with a variety of groups to a variety of countries, including India, Bolivia and Kenya. She plans to make more. She helped found Women for Women International, and now serves as its president. “I fell completely in love with the idea of what they wanted to do: Women operating on women.” Women for Women’s mission is to provide care for women in countries such as India where they are often discounted. “We operate on women who have suffered
Cover feature
scarring injuries from trauma, war, burns, dowry – whatever the situation may be,” Dr. Reilly said. “Women don’t speak up for themselves in some countries as well as we do in the United States. They would present their husband or their sons for surgery before they would ever show you what’s underneath their sari that needs to be operated on as well.” A communication gap almost hijacked her first medical mission to India. After several weeks of back-and-forth emails that were lost in translation between sender and recipient, Dr. Reilly was told to be ready to leave the airport in Delhi at 1:10 p.m. on a coming Saturday. Trouble is Delhi has two airports, and Dr. Reilly didn’t know exactly where her flight was headed. Somewhere deeper into India, she surmised. She found a flight to a northwest Indian community and showed up at the smaller airport, which handles domestic flights. She found
her group – and was off on an adventure, as they say, of a lifetime. As the current president of Women for Women by IPRAS (International Society for Plastic Reconstructive and Aesthetic Surgery ), Dr. Reilly is working to set the organization’s travel agenda for the coming year. Medical missions typically are scheduled from September through December. The safety of its members is of prime concern, she said. A recent trip to Bangladesh, for example, was cancelled. “We just didn’t feel it was safe for our team.” Dr. Reilly encourages her peers to consider participating in a medical mission, but quickly warns they aren’t for everyone. Be prepared to be taken out of your comfort zone, she said, but also be prepared to have a life-changing experience. She discussed what her peers should consider before deciding to come along. These are her words: Making time: Dr. Reilly finds she likely has more leeway with her personal and professional schedule than many of her peers. She’s married – “with an understanding husband” – and doesn’t have children of her own. Because she’s not in residency, she’s able to adjust her schedule. “I just try to plan in advance and batch my clinics and surgeries. I work very hard when I’m here so I can take a week or so off. I take lots of calls when I’m home.” She sees patients the day she leaves on a medical mission and is back on call the day she returns. Concerns about safety: “I was very nervous the first time I went to India.” She made sure she had arranged for a return trip home. Women for Women always works with an in-country physician on its mission trips – “Someone who speaks the language. Knows the culture” – to ensure continuity. Health concerns: Dr. Reilly carries insurance and recommends anyone participating in a medical mission carry air-ambulance insurance. “So you can be flown home – to your home hospital.” Talk to someone in infectious disease to arrange for the correct immunizations. “Do you need to take antibiotics or other medications?” Most critical is being sensible: she brings protein bars, chocolate bars and Gatorade, along with her own bag of medicine on her trips. “But it’s all part of a leap of faith. If you’re going to be that worried, then going on a complicated mission is not for you. Maybe you need to go to a place a little more ‘civilized.’” Personal comfort: Be prepared for anything. She’s stayed in hotels with no water, let alone hot water. “You just hope they boiled the water for your tea.” Their group has sometimes changed hotels when they found the current accommodations too lacking. “Knock on wood, I haven’t had terrible experiences. I’ve had interesting ones to talk about.”
September/October 2013 Physicians Bulletin 17
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Malpractice: “That’s something we’re starting to worry about.” Ask these questions: “What are the ethics for where you’re going and the patients you’re leaving behind? Do they have follow-up? Do they have a physician to look after them? Are you just flying in and flying out? These patients don’t deserve just to be left.” As medical tourism becomes more prevalent, countries are investigating the need for incoming physicians to have malpractice insurance. Some companies now offer malpractice for physicians who perform income-earning procedures away from their home country. Women for Women pays for the hospital space its volunteers use. Just because the organization pays for space to
provide care doesn’t mean Women for Women volunteers operate under ideal conditions. “I could show you a picture of one of my operating rooms where the side table the anesthesiologist used was an empty tea crate. It had the name of the tea company stamped on it.” Expectations: “I have every kind of luxury here in the United States when I operate, but I’ve operated by flashlight in some of the places we’ve gone. …You have to consider resources and supplies.” With conditions that are not optimal, the procedures must be simple and do no harm to the patient. “Do simple surgeries with little complications that still benefit the patient. The
whole point of us being there is to show them (local physicians) a tiny bit better way of doing it. But we have to be willing to say ‘no, I can’t do that.’” She recalled a hospital that sterilized equipment in Lysol. “They had a sterilizer but it didn’t work. They threw their instruments in Lysol each night instead.” Unsafe conditions sometimes force the volunteers to cancel a procedure. “Maybe it’s not safe for me to operate on the next patient.” The patient suffers. “They will have walked three or four days to get to you. They will have spent their last bit of money to get to you. That makes it hard to say no, but you have to.” Costs of participating: It depends on the group. Donations allow Women for Women to cover the cost of airfare for its volunteers. Hotels may be covered by the host or by the volunteers. They stay in reasonably priced hotels that often include a meal in the room rate. The host hospital or physician often will provide a meal. Women for Women brings as many of its own supplies as possible, and buys the rest locally. “The financial burden is time away from practice.” Her travels leave Dr. Reilly with stories to tell.
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Looking for a better way to manage risk?
Get on board. This is one about a woman in southern India: “She came and she had significant burn scars on her hands and elbows, and on her feet. She couldn’t walk. She walked on her heels. She couldn’t get her feet down they were so scarred up. Her feet didn’t make it to the pavement. We paid 15 cents and sent a rickshaw to bring her to clinic. After two years of operating on her – her hands, feet – she’s now employed as the secretary for the plastic surgeon we work with. She can walk to work. We released the scars on her hands and feet. She has her own job. That was her goal to provide income for herself – she didn’t want to be a financial burden on her family. She has a job and the plastic surgeon we work with has hired her to help run the clinic. So she can show other burn victims that there is a chance for success.” Participating in medical missions brings Dr. Reilly satisfaction on two levels: • She works with local surgeons, elbow to elbow. The local connection means her patients have continuity of care. • She works with female counterparts from throughout the world. They learn from one another as they help others. She talks about a photo she has with two German plastic surgeons and her host in Nairobi. “What a cool picture to be in with all these different women” As volunteer groups become more prevalent and more countries have improved medical care, the need for medical missions may lessen, Dr. Reilly said. “The places that do need our help may be too dangerous for us to go to. We need to work for world peace so we can go in and operate.” To learn more about Women for Women, visit its website at www.womenforwomen.org or watch its video at youtube.com by searching for Women for Women by IPRAS.
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20 Physicians Bulletin September/October 2013
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Carol Wang: MOMS New Executive Director A desire to help others
T
he opportunity to serve as executive
director for the Metro Omaha Medical Society meant Carol Wang could feed one of her passions. “Omaha is a vibrant philanthropy community,” she said. “They (Omaha’s nonprofits) have great stories to tell.” Wang, who began her duties at MOMS in July, said the opportunity to work with the MOMS Foundation grabbed her attention. “I always wanted to be a part of an organization that gives money away – to help others.” She also was interested in leading an organization that impacts the medical profession and the Omaha community. At several points in her journalism career, she’s worked as a medical reporter, covering breakthroughs in medical research as well as public health issues. Wang said she first considered broadcast journalism as a career at her mother’s suggestion.
The family consumed news, she recalled, with a newspaper and television news broadcasts a regular part of the household. Her mother’s words: “‘I’m surprised you never wanted to do that. It’s right up your alley.’” Wang said she realized her mother was correct: She loved to write, she loved to talk to people and she loved to tell stories. “It never occurred to me that I could do all that.” So she did – foregoing her plan to pursue a career in ballet. The pursuit took her to Boston University, where she graduated with a degree in broadcast journalism. A master’s degree at Northwestern University, also in broadcast journalism, would follow. From there, she worked in Topeka, Kan.; Wichita, Kan.; and Dallas, before arriving at KMTV in Omaha, where she served as the station’s main broadcast anchor from 2007-2012. Most recently, Wang has worked as a special projects reporter and anchor for KETV in Omaha. Wang also has established herself in the Omaha nonprofit arena, serving in volunteer leadership roles for the Nebraska AIDS Project and Junior League of Omaha. She also coordinated media support for the U.S. Figure Skating Championships in 2012. MOMS board president, Marvin Bittner, M.D., said Wang brings a strong combination of skills to her new leadership role. “For the physicians who make up the membership of MOMS, this era of health-care reform is a time of both challenge and opportunity,” he said. “The same is true for MOMS itself. MOMS is fortunate to find Carol Wang at this time. She brings to MOMS a fresh outlook along with a great deal of energy, creativity and communication talent. These strengths are just what we need to face our challenges and take advantage of our opportunities.” Wang said if MOMS’ member physicians catch her in the office, she isn’t doing her job. One of her priorities, she said, is to reconnect with the MOMS membership base. She said she plans to find out what members want from their medical society – by asking them. She said she also wants to promote crosstraining among the Nebraska Credentials Verification Organization staff to “create a strong flow of effort.” She also wants NCVO to become a paperless organization. Finally, she said, she will look for opportunities for MOMS and its members to collaborate in their community. “First we must ask: ‘What are our physicians doing in the community?’ and ‘how can we accentuate that?’”
September/October 2013 Physicians Bulletin 21
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Kevin Nohner, M.D.: New NMA President No one makes a difference being quiet
The Nohner File Hometown: Melrose, Minnesota Bachelor’s Degree: Attended St. John’s University in Collegeville, Minn.; graduated from Creighton University in biology. Master’s Degree: University of Nebraska-Lincoln/ Gallup University, MBA in executive leadership. Medical Degree: Creighton University School of Medicine Residency: Creighton in Family Medicine Specialty: Family Medicine Location: Alegent Creighton Health Clinic 8141 West Center Road Family: Spouse, Mary; children, Joe, Emily, Nick and Mitch Why MOMS: “I joined MOMS because I felt it was my professional responsibility to be involved with my community.”
K
evin Nohner, M.D., doesn’t have to be asked twice.
In the late 1990s, he agreed – with little prompting – to take a leadership role in the Metro Omaha Medical Society, serving as president in 1999. In the 2000s, he served first as an alternate delegate, then a delegate to AMA House of Delegates. Most recently, he agreed to serve as president of the Nebraska Medical Association, and began his one-year term in September. “I didn’t think about it,” he said. “I said ‘yes.’ Again and again.” Dr. Nohner said his desire to serve drives him to lend a hand and his expertise. “Volunteerism is kind of the way we’re wired,” he said. “We’re in a service profession. It’s part of what we should be doing.” As a young physician, Dr. Nohner recalled, he became involved with the Young Physicians’ Commission with encouragement from Drs. Al Dvorak and Bud Roffman. “They took me under their wing. I became more interested in getting involved. I’ve never been real big on positions. I enjoy taking on battles to make things better.” As president of MOMS, Dr. Nohner found himself in the middle of one of those battles. “Patients were having problems accessing mental health services. There was a bottleneck for mental health patients due to lack of access at the regional centers.” A task force brought law enforcement, social services, mental health providers, hospital officials, representatives
22 Physicians Bulletin September/October 2013
from Region VI, and Douglas County Health officials together to address the issue. “We tried to come up with solutions that state government would work on.” Funding sources, including cigarette taxes, were available. “The governor was sympathetic, but vetoed our proposal. We worked with legislators to override his veto and reevaluate care at regional health centers.” The challenge, Dr. Nohner explained, was that hospital patients with a psychiatric diagnosis were waiting to be admitted to a regional health center. “There were no beds. And the hospitals keeping them were not getting paid.” The problem still exists, Dr. Nohner said. “It’s a chronic problem. It keeps coming back. Financing in difficult times is not easy.” Dr. Nohner already has decided where to focus his attention during his one-year term as president of the NMA: Helping Nebraska physicians transform their practices to fit the new health-care model. “How medicine is practiced is going to be different in five years, even more so in 10 years. It may be uncomfortable for some physicians because the ways of doing things will be different.” The premise behind the new approach to medical practice, Dr. Nohner said, “is getting paid for doing better, not doing more.” As a start, the NMA focused on health-care transformation at its annual session in September. Presenters were
feature a representative from the National Rural Health Association, representatives from the South East Rural Physician Alliance, and a faculty member from the University of Minnesota’s Department of Family Medicine and Community Health who specializes in public health, health policy and patient-centered care. The focus on the session was to: • Discuss the various innovations in healthcare payment and delivery systems that are evolving to improve outcomes and quality through care coordination while reducing health-care spending in the private and public sector within the state. • Review the opportunities and challenges for physician practices surrounding the health-care payment and delivery systems, and the skills and resources needed to overcome such barriers. • Relate the supply of primary care to health-care costs, quality and outcomes. • Describe trends and current composition of the U.S. primary care workforce and identify policies, positions and practices that support primary care growth and development. Besides seeing patients at the Alegent Creighton Health Clinic near 81st Street and West Center Road, Dr. Nohner serves as an associate medical director for UniNet, a not-for-profit Physician Hospital Organization (PHO) that provides managed care services to health-care organizations and physicians in the Midwest. “UniNet wants to help physicians survive the pending transformations and support both employed and independent physicians in the process. You have to prepare for the change. When it comes to collecting data and reporting performance metrics, it’s what patients, large corporations and insurance companies will be expecting from us.” All this keeps Dr. Nohner busy. He shared his philosophy for the choices he has made: “It’s mostly about the fact that I enjoy what I am doing. I like to read, go to movies and go fishing, but it’s all about being a professional. If we see things that could be better, we try to help it. “I could probably have had a greater income if I wasn’t so involved. I didn’t go into medicine to make tons of money, but to make changes in people’s lives. You make time. Knowing you had an impact on someone you treated or improved the process so the system could provide better care is a reward in itself. If we keep pitching in, we’ll make a difference. No one makes a difference by being quiet.”
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moms events MOMS OPEN HOUSE
1
MOMS physician members received a closeup look at the society’s recently renovated office space. The society’s strategic partners and NCVO clients also were invited. The new space includes a relocated and renovated conference room, and a workspace that promotes collaborations between MOMS and NCVO staff. 1.
Drs. Rowen Zetterman and Laurel Prestridge were among the attendees.
2. MOMS president, Dr. Marvin Bittner (right), explains the benefits of the new office space configuration to Drs. Faiz Qadri (left) and John Donaldson. 3.
Drs. Alan Thorson (left) and Dr. Gamini Soori reminisce with former MOMS executive director Diane Parsons.
4.
The former MOMS board room and west office is now the NCVO credentialing and MOMS membership director’s offices.
5.
The new reception area at MOMS.
2
4
24 Physicians Bulletin September/October 2013
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5
moms events
Coming Events Community Internship Program Oct. 23 – Welcome Reception Oct. 24 – Shadowing and Banquet Dinner The Metro Omaha Medical Society’s intent is to provide an opportunity for community leaders to gain a greater understanding of patient care by spending time with individual physicians in direct clinical situations. This is an excellent opportunity to showcase the health-care facilities in our community, demonstrate how we deliver care to our patients and focus on some of the challenges physicians currently face. Since its inception, the Community Internship Program has provided this life-changing experience to 178 interns including lawmakers, members of the media, and community and business leaders. Call (402) 393-1415 for more information or if you are interested in getting involved.
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medical/office building for lease MOMS CPT Coding Seminar Wednesday, Dec. 11, 8 a.m. – noon ITT Technical Institute Campus, Theory Rooms 3 and 4, 1120 N 103 Plaza, Ste. 200 The presenter will be Cynthia A. Swanson, RN, senior manager for health-care consulting at Seim Johnson.
MOMS Inaugural Dinner Jan. 7 – Happy Hollow Country Club
17055
Recap of society activities during the past year and incoming president, Deb Esser, M.D. will be inaugurated. MOMS will also recognize outgoing board members and MOMS Foundation grant recipients.
Call 402-393-1415 for more information or to make reservations for any of the MOMS events.
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September/October 2013 Physicians Bulletin 25
Member news
Dr. Fayad
Dr. Herbek
has key role in stroke study
is incoming CAP President
P
G
ierre Fayad, M.D., is serving as one of the principal investigators in
a novel study using adult stem cells as a treatment for stroke patients. UNMC is one of 11 participating institutions. The treatment – called MultiStem – uses a collection of stem cells derived from a bone marrow aspirate taken from a single adult donor. Using special technology, the cells have been multiplied to allow for easy availability and immediate usage. Fayad, the Reynolds Professor of the UNMC Department of Neurological Sciences and director of The Nebraska Medical Center Stroke Center, will serve as principal investigator for UNMC’s portion of the study. “Stroke is a leading cause of death and disability in adults with very limited treatment options,” Dr. Fayad said. “We’re excited to be selected as one of the centers for this study. It will allow us to offer our patients a completely new approach to treating stroke.” The study, which is seeking a total of 140 stroke patients, is being conducted nationwide through leading stroke centers across the country. UNMC will be responsible for enrolling between 6-10 patients over approximately the next 18 months, Dr. Fayad said. The study is a double blind, placebo controlled Phase II clinical trial. The purpose of the Phase II study will be to determine the safety and tolerability of MultiStem. In tests on rodents that have undergone an experimentally induced stroke, one treatment of MultiStem produced significant improvement in motor skills and reduced inflammatory damage in the brain without causing any serious side effects. Dr. Fayad joined UNMC in 2001 as department chairman after serving on the Yale University School of Medicine faculty for 12 years. He served as department chairman for nearly 10 years before stepping down at the end of 2010. Under Dr. Fayad’s direction, some of the major accomplishments in the department included: • Establishing a stroke center at The Nebraska Medical Center that became the first nationally certified primary stroke center in Nebraska and the region; • Garnering a ranking among the top 50 U.S. hospitals in 2008 for neurology and neurosurgery for The Nebraska Medical Center; • Developing clinical and academic regional neurology subspecialty programs, for stroke, movement disorders, peripheral nerve and neuromuscular diseases, multiple sclerosis, epilepsy, dementia and memory disorders, many of which received the highest levels of certification nationally and regional recognition.
26 Physicians Bulletin September/October 2013
ene Herbek, M.D., who has practiced anatomic and clinical
pathology at Methodist Hospital since 2004, will take office in October as president of the College of American Pathologists (CAP). “As CAP president, I hope to make pathologists better known to patients, medical colleagues, hospital administrators and policy makers by educating them on our role in patient care,” says Dr. Herbek. Dr. Herbek has been involved in CAP throughout his professional career. He has served as chairman of the Finance Committee and Audit Subcommittee. He has served as a member of the College’s Compensation Committee, Executive Committee, Governance Committee, and Investment Subcommittee. He also served as chair of the CAP Political Action Committee, the CAP Council on Membership and Public Affairs, and as vice-chair of the CAP Council on Scientific Affairs. At the CAP annual meeting in 2005, Dr. Herbek received the CAP Outstanding Communicator Award established in honor of William H. Kuehn, Ph.D., for his efforts to raise public awareness about the role that pathologists play in both determining the cause of illness and in the preventive health care available to patients. He was also awarded the CAP President’s Honors Award in 2001 and 2004. In addition, Dr. Herbek was recognized at the College’s annual meeting in 2004 for his outstanding efforts, dedication, vision, and support of the CAP Foundation’s Humanitarian Grant Program. He is a past recipient of the CAP Foundation’s Lansky Award. As CAP President, Dr. Herbek, who will serve a two-year term, plans to “focus on improving the CAP Laboratory Improvement Program with CAP members and staff.” His other goals include supporting CAP members in their various practice settings by promoting practice enhancement skills beyond the traditional pathologist skills while maintaining the support of traditional pathologist roles. “I plan to work to form solid relationships with other pathology and medical organizations to advocate for patients and pathologists in a changing health care environment at local and national levels,” he said.
Member news
William Hunter, M.D
Dr. Paulman involved in study aimed at reducing Medicare costs
A
udrey Paulman, M.D., a UNMC family medicine
physician, was involved recently in a statewide effort aimed at lowering costs in Medicare patients by reducing hospitalizations and re-hospitalizations. Dr. Paulman serves as principal clinical coordinator for CIMRO of Nebraska, the Medicare Quality Improvement Organization (QIO) for the state of Nebraska. CIMRO works with health-care organizations to assure that services delivered are appropriate, safe and high quality and that consumers are educated about their rights and what can be done to ensure they receive the right care, at the right time, every time. In her position with CIMRO, Dr. Paulman was involved in a study that appeared in the Jan. 23 issue of the Journal of the American Medical Association. The study determined that hospitalizations and rehospitalizations among Medicare patients declined nearly twice as much in communities where QIOs coordinated interventions with communities. The study showed how state-based QIOs, funded by the Medicare program, systematically coordinated community-based efforts to improve the quality of care transitions and avoid costly readmissions. CIMRO of Nebraska is one of the 14 state-based QIOs that received funding from the Centers for Medicare & Medicaid Services (CMS) to participate in the project.
Subhash Paknikar, M.D
Drs. Hunter, Paknikar part of $3.5 Million to study fat around the heart
I
t’s no secret that a diet high in fat and sugar can lead to extra fat around the waistline. But it’s what the diet will do to a specific type of fat around the heart that caught the attention of a group of Creighton researchers. The National Institutes of Health (NIH) awarded Creighton University researchers, a fiveyear, $3.5 million grant to study epicardial fat and its role in the development and recurrence of atherosclerosis in the arteries of the heart. This narrowing and hardening of the arteries can result in coronary artery disease, the number one killer of Americans. William Hunter, M.D. and Subhash Paknikar, M.D. are joining lead investigator Devendra K. Agrawal, Ph.D. , professor of biomedical sciences, internal medicine and medical microbiology and immunology and senior associate dean for clinical and translational research and Michael Del Core, M.D., in the study. “The need for answers is urgent,” Dr. Agrawal said. “The incidence of both obesity and the insulin resistance resulting in type 2 diabetes–both of which are strong risk factors for inducing and accelerating inflammation in the vessels of the heart–is rising at an alarming rate in North America. In order to reduce heart diseases, enhance quality of life and improve longevity, we need to better understand the biology behind these processes and then identify new methods of treatment.” In this biologic battle-of-the-bulge, the four Creighton researchers have set their sights on epicardial fat, the fat tissue that covers approximately 80 percent of the heart’s surface and is in especially close proximity to the coronary arteries. Healthy hearts use this fat as an energy source, but in the presence of a high-fat diet or in obese patients, the nature of the fat changes. Instead of fueling the heart, the epicardial fat releases mediators which can accelerate inflammation in the coronary arteries. This inflammation decreases dilation of the arteries and enhances the growth of cells that can ultimately block the flow of blood to and from the heart. They believe this change may be involved in the initial development of atherosclerosis as well as the reason some patients experience a re-narrowing of the artery even after a coronary intervention such as angioplasty or stenting. Dr. Hunter is a board-certified anatomic/clinical pathologist and professor of pathology, specializing in electron microscopy, renal and cardiovascular pathology, transfusion medicine and anatomic and clinical pathology. He received his medical degree from Creighton University and completed a pathology residency at University of Kansas Medical Center. Dr. Pakinar is an assistant professor of radiology and director of nuclear medicine. He received his medical training at Osmania Medical College and Hospital in Hyderabad, India, and completed an internship and residency at Osmania General Hospital. He also completed residencies at University of Nebraska Medical Center, University of Arkansas for Medical Sciences and Methodist Hospital in Memphis, as well as a fellowship at University of Missouri at Columbia.
September/October 2013 Physicians Bulletin 27
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Midwest Gastrointestinal Associates’ dedicated endoscopy centers perform thousands of procedures annually. This allows our team of GI professionals to provide the highest quality of care at the lowest cost in the region. To learn more about screening colonoscopy and other GI issues, visit our website at midwestgi.com. Tyron A. Alli, MD Alexander B. Bernal, MD Douglas E. Brouillette, MD Erin C. Bundren, MD John J. Cannella III, MD
Jason J. Cisler, MD Rebecca A. Ehlers, MD Joshua T. Evans Sr., MD John J. Ferry, MD Kimberly S. Harmon, MD
Michael B. Jones, MD William C. Livingston, DO Thomas R. McGinn, MD Matthew M. McMahon, MD John C. Mitchell II, MD
midwestgi.com 28 Physicians Bulletin September/October 2013
Trevor J. Pearson, MD Edwin C. Schafer, MD Michael E. Schafer, MD Marc A. Scheer, DO Bradley J. Schroeder, MD
8901 Indian Hills Drive Suite 200 Omaha, NE 68114 402.397.7057 or 402.504.3880
Brian W. Ward, MD Steven D. Wilkening, MD
17001 Lakeside Hills Plaza Suite 200 Omaha, NE 68130 402.885.8700
Member news
Metro maha Medical Society STRATEGIC PARTNERS Urology Cancer Center,
T
Dr. Nordquist lauded he Urology Cancer Center and GU Research Network, under
the direction of Luke Nordquist, M.D., medical director and CEO, has been recognized by the Quality Oncology Practice Initiative (QOPI) Certification program. The program, an affiliate of the American Society of Clinical Oncology (ASCO), provides a three-year certification for outpatient hematology-oncology practices that meet the highest standards for quality cancer care. “We’re extremely proud to receive this certification from ASCO and QOPI, which underscores our commitment to excellence for our patients,” Dr. Nordquist said. QOPI is a voluntary self-assessment and improvement program launched by ASCO in 2006 to help hematology-oncology and medical oncology practices assess the quality of the care they provide to patients. Through the QOPI program, practices abstract data from patients’ records up to twice each year and enter this information into a secure database. More than 850 oncology practices have registered in the QOPI program. The QOPI Certification Program was launched in 2010 with more than 180 practices already certified. This certification for outpatient oncology practices is the first program of its kind for oncology in the United States. Dr. Nordquist received degrees in pharmacy and medicine from Creighton University. He completed his residency in internal medicine at the University of South Florida/H. Lee Moffitt Cancer Center in Tampa, FL. In 2004, Dr. Nordquist completed a fellowship in medical oncology/hematology at Memorial Sloan Kettering Cancer Center and Joan & Sanford I. Weill Medical College of Cornell University in New York City with a focus in the treatment and research of urologic cancers. In 2010, Dr. Nordquist founded the Urology Cancer Center and the nationally recognized GU Research Network. In 2013, the center was 1 of 7 cancer centers awarded the 2013 ASCO Clinical Trials Award for excellence in cancer research. He is the co-founder and CEO of CancerOpinions.com, a team of leading cancer specialists from across the United States, who provide expert second opinions for any cancer patient domestically and abroad without the patient having to travel. Dr. Nordquist is the host of “CancerOpinions with Dr. Luke” a weekly radio show that airs in the Midwest on 1110AM KFAB and on the web at www.iheartradio.com . He is a member of the American Society of Clinical Oncology’s (ASCO) Government Relations Committee and has served on the Medical Executive Committee for Alegent Creighton Health Lakeside Hospital since 2008 and as chief of the medical staff from 2012-2014.
The Metro Omaha Medical Society Strategic Partners offer products and services that are of value to our member physicians. Many of our member events and membership benefits are made possible by these partner organizations. We encourage you to talk with our Strategic Partners when making decisions for yourself or your practice.
PLATINUM PARTNERS www.FosterGrp.com
www.CallCopic.com
www.GoNines.com
GOLD PARTNER www.YourFutureCounts.com
SILVER PARTNERS www.KoleyJessen.com
www.SeimJohnson.com
BRONZE PARTNERS www.LutzCPA.com
www.NebMed.org
www.NebraskaSpineHospital.com
www.Tsys.com/tms
For more information on our Strategic Partners, visit www.omahamedical.com September/October 2013 Physicians Bulletin 29
Member news
Dr. Garvin
Dr. Berg
makes it all three
named director of maternal-fetal medicine
K
evin Garvin, M.D., professor and chair
of the Department of Orthopaedic Surgery and Rehabilitation, was elected into membership of the International Hip Society. Dr. Garvin is the first and only orthopaedic surgeon from Nebraska to be a member of the International Hip Society, The Hip Society, and The Knee Society, three of the most pre-eminent groups in the field of orthopaedic surgery.
In memoriam Paul Hodgson, M.D. Dec. 14, 1921 - Aug. 28, 2013
T
eresa Berg, M.D., has been named the
director for the division of maternal-fetal medicine in the department of obstetrics and gynecology. She takes over for Paul Tomich, M.D., who held the position for 11 years. “The division of maternal and fetal medicine is fortunate to have Dr. Berg as its new director,” said Carl Smith, M.D., professor and chair of the department of obstetrics and gynecology and president of UNMC Physicians. “She brings knowledge, experience, professionalism and drive that will enable the division to build on the strong work of Dr. Tomich. “We are thankful for Dr. Tomich’s leadership over the past decade and look forward to his continuation as a full member of the division of MFM.” Dr. Berg earned her medical degree from the University of South Dakota, serving her residency at UNMC. She completed a fellowship in maternal-fetal medicine at the Medical College of Georgia and was the 2010 recipient of the College of Medicine’s Dean’s Excellence in Clinical Practice Award. She was residency program director of the department from 2002 to 2012. Dr. Tomich will remain a member of the obstetrics and gynecology faculty.
Leland Olson, M.D. oct. 3, 1920 – July 6, 2013 Larry Roffman, M.D. Feb. 22, 1931 – June 14, 2013
30 Physicians Bulletin September/October 2013
Dr. KosokoLasaki recognized by board of physician specialties
S
ade Kosoko-Lasaki, M.D., associate
vice president for Health Sciences Multicultural and Community Affairs at Creighton University School of Medicine, was awarded the American Board of Physician Specialties (ABPS) Advocate Award at the organization’s 61st House of Delegates and Annual Scientific Meeting in San Juan, Puerto Rico. The honor recognizes her extraordinary leadership in the organization. ABPS is the third largest multi-specialty physician/surgeon certifying entity. It provides board certification to both allopathic and osteopathic physicians in 17 specialties. Dr. Kosoko-Lasaki, an ophthalmologist by trade and professor of surgery in Creighton’s Department of Surgery Division of Ophthalmology, serves as vice president of the American Academy of Specialists in Surgery (AASS), an ABPS-affiliated Academy of Medicine. At Creighton, Dr. Kosoko-Lasaki helped create the fee-driven pre-medical and pre-dental post baccalaureate programs, the first glaucoma screening and prevent blindness initiative in the Midwest. She is the co-founder of The Center for Promoting Health and Health Equality (CPHHE), a community-university collaboration to improve health outcomes in Omaha and the region. Along with her appointment in the Department of Surgery, Dr. Kosoko-Lasaki is also professor of preventive medicine and public health, and senior physician and investigator with public health and ophthalmology training.
Campus update
$1.44 million grant award for bench-to-bedside asthma research
W
hat started as basic cancer research
at Creighton University has yielded promising results for diagnosing and treating asthma – and the National Institutes of Health (NIH) agrees, investing nearly $1.5 million in Creighton to find out more. In a previous prostate cancer study, Yaping Tu, Ph.D., a cancer biologist and associate professor of pharmacology at Creighton University School of Medicine, studied a mouse model that was missing a specific gene, called RGS2. He believed the deleted gene would lead to prostate cancer in the animals. Though the tumors failed to develop,
T
Surgical Simulation Suite is dedicated he Dr. Wayne and Eileen Ryan Surgi-
cal Simulation Suite, dedicated earlier this summer and modeled after the simulation center at the Mayo Clinic, will be the most technologically advanced in the country and will allow UNMC to become a regional training and testing site for medical students. Only one-third of all medical schools in the United States have a simulation center. The suite was made possible by a $1 million gift from Wayne Ryan, Ph.D. and his late wife, Eileen. Dr. Ryan, the chairman, CEO and founder of Streck Labs is a former biochemistry and research associate professor of obstetrics and gynecology in the UNMC College of Medicine. He’s a longtime benefactor and friend of the UNMC College of Medicine and this project touched on his three passions of education, research and clinical care. “What we have to stress is that surgery has become so incredibly complicated and so technologically dependent that it’s a little bit like trying
Dr. Tu noticed the mice had trouble breathing and were less active, similar to asthma patients. With the help of Creighton’s renowned allergy and asthma researcher Thomas Casale, M.D., professor of medicine and microbiology and immunology and chief of the Division of Allergy and Immunology, Dr. Tu soon determined the animals suffered from airway hyperresponsiveness, or a twitchiness of the airways – a cardinal feature of asthma. “This finding piqued our interest and made us wonder if there was a connection to human patients with asthma,” Dr. Tu said. “In a small study, we were able to confirm that RGS2 is downregulated in a high percentage of patients with asthma, confirming the possibility that this may be a target for a novel gene therapy in asthma patients.” Now with a $1.44 million, four-year NIH grant, Tu and collaborators Casale and Peter Abel, Ph.D., professor of pharmacology at Creighton University School of Medicine, will take a bench-to-bedside approach to explore how the gene works in the development of airway hyperresponsiveness and whether it can be used as a diagnostic marker for asthma. Finally, the collaborators will work to
develop a therapeutic approach to restore gene function, with the hope of one day applying the research to human trials.
to fly a 747,” said Dmitry Oleynikov, M.D., the Joseph and Richard Still Endowed Professor of Surgery at UNMC. The new facility, located on the first floor of the Sorrell Center, simulates what happens in a modern operating room, he said.
$12.2 million multi-center randomized placebocontrolled clinical trial of medical management of aortic aneurysm disease. The management would be via a pill, which some scientists believe could significantly slow aneurysm growth. The study is being conducted under the auspices of a grant from the National Institutes of Health.
$12.2 million study to look at abdominal aortic aneurysms
W
hen diagnosed with an abdominal
aortic aneurysm, all most people can do is worry, watch and wait. Timothy Baxter, M.D., professor of surgery, has compared it to being forced to live with the ticking of a time bomb. It can take years before an aneurysm is recommended for repair – when it finally grows large enough (about 5.5 cm) that the risk of rupture outweighs the risk of surgery. “This approach is very unsettling to patients,” Dr. Baxter said. “Some people, every day they wake up worrying about it,” agreed UNMC’s Jason MacTaggart, M.D., “because even though most abdominal aortic aneurysms rupture at a size greater than about 5 and a half centimeters (2 inches), they can sometimes be unpredictable and cause problems even when small.” Most would rather do something, anything. Now, at least a few of them can. UNMC is the clinical coordinating center for a
International organizations recognizes Dr. Casale
T
he World Allergy Organization (WAO)
honored Thomas Casale, M.D., professor of medicine and microbiology and immunology and chief of the Division of Allergy and Immunology at Creighton University School of Medicine, with a WAO Special Recognition Award at its annual World Allergy and Asthma Congress. The WAO, an international federation of allergy, asthma and clinical immunology societies, recognized Dr. Casale for his, “outstanding contributions in the field of allergy and immunology toward wider recognition of allergy and related diseases as global health issues.” Dr. Casale has been an active member of the WAO throughout his career, serving as head of its 60th anniversary Congress in 2011 as well as on the organization’s board of directors and editorial board. He has also co-authored several WAO publications.
Trial to test unique therapy for Parkinson’s disease
T
he Nebraska Neuroscience Alliance
(NNA) at UNMC is embarking on a translational clinical trial to determine if an approved drug, Leukine, used to boost the immune system in cancer patients, has any benefits as an immune therapy in people with Parkinson’s disease. The NNA, formed in 2011, unites three of UNMC’s top neuroscience programs – the departments of neurological sciences and pharmacology and experimental neuroscience as well as the Munroe-Meyer Institute. Parkinson’s disease is caused by the loss of neurons that produce dopamine, a nerve signaling chemical which controls movement and balance. Degeneration and loss of these dopamineproducing neurons typically occur after age 60, and it is estimated that one person in 20 over the age of 80 has Parkinson’s.
September/October 2013 Physicians Bulletin 31
Application for Membership This application serves as my request for membership in the Metro Omaha Medical Society (MOMS) and the Nebraska Medical Association (NMA). I hereby consent and authorize MOMS to use my application information that has been provided to the MOMS credentialing program, referred to as the Nebraska Credentials Verification Organization (NCVO), in order to complete the MOMS membership process.
Personal Information Last Name: _____________________________ First Name: _______________________ Middle Initial: ______ Birthdate: _________________________________________________ Gender: Male or Female Clinic/Group: __________________________________________________________________________________ Office Address: ________________________________________________________________ Zip: __________ Office Phone: ____________________ Office Fax: ___________________ Email: _________________________ Office Manager: _______________________________________ Office Mgr. Email: ________________________ Home Address: ____________________________________________________ Zip: ________________________ Home Phone: __________________________________________ Name of Spouse: ________________________ Preferred Mailing Address: Annual Dues Invoice: Event Notices & Bulletin Magazine:
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Home Other: __________________________________
Educational and Professional Information Medical School Graduated From: __________________________________________________________________ Medical School Graduation Date: ____________________ Official Medical Degree: (MD, DO, MBBS, etc.) _______ Residency Location: _____________________________________________ Inclusive Dates: _________________ Fellowship Location: _____________________________________________ Inclusive Dates: _________________ Primary Specialty: ______________________________________________________________________________
Membership Eligibility Questions YES
NO
(If you answer “Yes” to any of these questions, please attach a letter giving full details for each.)
Have you ever been convicted of a fraud or felony?
Have you ever been the subject of any disciplinary action by any medical society, hospital medical staff or a State Board of Medical Examiners? Has any action, in any jurisdiction, ever been taken regarding your license to practice medicine? (Including revocation, suspension, limitation, probation or any other imposed sanctions or conditions.) Have judgments been made or settlements required in professional liability cases against you?
I certify that the information provided in this application is accurate and complete to the best of my knowledge.
_____________________________________
Signature
___________ Date
B
Fax Application to: 402-393-3216
Mail Application to: Metro Omaha Medical Society 7906 Davenport Street Omaha, NE 68114
32 Physicians Bulletin September/October 2013
Apply Online: www.omahamedical.com
new member update
member benefits
Did you Know? Do your part – help shape the health care of tomorrow. Members of the Metropolitan Omaha Medical Society and Nebraska Medical Association have a powerful voice in shaping the future of medicine – locally, statewide and nationally. Is your voice being heard? Who will shape the health care of tomorrow? Physicians like yourself? Or will you allow others to make those decisions for you? If you are a member – we encourage you to get involved. MOMS offers a variety of opportunities for member physicians to make a difference, including serving on the following boards and committees:
• • • • • • • •
Gerard Stanley Jr., M.D.
Jason Lambrecht, M.D., Pharm.D.
Medical School: Creighton University School of Medicine
Medical School: University of Nebraska Medical Center
Residency: Northern Colorado Medical Center in family medicine
Residency: Creighton University Medical Center in internal medicine
Fellowship: National Society of Cosmetic Physicians (Rotational Fellowship)
Specialty: Internal Medicine/Hospitalist Location: Alegent Creighton Health Bergan Mercy Medical Center
Specialty: Cosmetic Surgery Location: SCULPT: Contemporary Cosmetic Surgery
Dr. Stanley spends much of his free time enjoying his two sons and coaching their athletic teams. When he is not being “dad,” he enjoys cooking and entertaining. He says that despite how terrible his golf game is, he loves to play whenever he can.
Editorial Board Legislative Membership Public Health Public Relations Retired Physicians Women in Medicine Young Physicians
Dr. Lambrecht recently completed his residency and joined Alegent Creighton Clinic as a hospitalist at Bergan Mercy Medical Center. He became involved with MOMS as a resident, serving on the MOMS Editorial Board and writing an article for the Bulletin Magazine Young Physician Column. He was recently appointed chairman of the MOMS Young Physicians group. In his spare time, Dr. Lambrecht enjoys spending time with his family, riding motorcycles and practicing Tae Kwon Do. He loves music, playing both the drums and guitar. He also likes doing research and scholarly activities.
You owe it to yourself to make your voice heard. Get more out of your member-
NEW MEMBERS
Interested in becoming a MOMS Member?
ship by getting involved. Call (402)393-1415 or email laura@ omahamedical.com if you are interested in getting more involved. It’s that simple. It’s that important.
Mindy Lacey, M.D. Obstetrics & Gynecology
Wesley Meyer, D.O. Pediatrics
Call 402-393-1415, apply online at www.OmahaMedical.com or complete the application on page 32.
September/October 2013 Physicians Bulletin 33
Your home...your builder.
Exceptional.
Selecting a builder is as much an expression of taste as it is a statement of confidence. No one understands this better than Curt Hofer & Associates. As one of the area’s most respected custom homebuilders, we provide a one-of-a-kind experience in creating your once-in-a-lifetime home. Your wants, your needs, your style, your preferences – everything we do at Curt Hofer & Associates is advanced with the thought of you in mind. That means spending time with you, from the very beginning and at every step along the way. From individual rooms, to how these rooms come together to create a home, to the landscape and exteriors that immediately bid you welcome, the team at Curt Hofer & Associates knows how to bring the best ideas to life – yours. The result? Your home...your builder. Exceptional.
CURT
HOFER
& ASSOCIATES
Your home...your builder. Exceptional.
2332 Bob Boozer Drive Omaha, NE 68130 Phone: 402.758.0440 n
www.cur thofer.com
34 Physicians Bulletin July/August 2013
NEW 3D MAMMOGRAM TECHNOLOGY. GIVING YOUR PATIENTS THE CLEAREST PICTURE OF WHAT HEALTHY LOOKS LIKE. At Alegent Creighton Health, we’ve expanded our services to include the most accurate imaging you’ll find in the Omaha metro area – 3D mammography. The perfect complement to traditional digital imaging, 3D mammography offers improved accuracy to patients with a family history of breast cancer or a past diagnosis. 3D imaging, in combination with traditional digital imaging, results in a significant decrease of false positive rates and better detects more invasive cancers. This leads to 40% fewer patient callbacks. When it comes to keeping your patients healthy, we are never standing still. If you have a patient who is a candidate for 3D mammography, call 402-717-2222 to schedule an appointment. Learn more at AlegentCreighton.com/3Dmammo.
Metropolitan Omaha Medical Society 7906 Davenport Street Omaha, NE 68114
PRSRT STD U.S. POSTAGE
PAID
PERMIT NO. 838 OMaha, NE
ADDRESS SERVICE REQUESTED
Heart Transplantation? Yes. Your 24-hour link to comprehensive cardiac diagnostics and treatments, physician-to-physician consults, referrals, admissions and transport service.
Physicians’ Priority Line: 1.855.850.KIDS (5437) childrensomaha.org
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