6090036 ioa winter 2017 hoosier do

50 Volume 56

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Winter 2017

Published by The Indiana Association of Osteopathic Physicians and Surgeons, Inc.

The Indiana Graduate Medical Education (GME) Board continues to meet at least every other month and has been charged to increase the number of primary care residencies in the state of Indiana. Those include family medicine, outpatient-based community pediatrics, Mark S. Cantieri, D.O. emergency medicine, IOA President OBGYN, general surgery, outpatient-based internal medicine, and psychiatry.

It is hoped that with consistent state funding over the next 10 years more than 350 new positions can be created and medically underserved populations in Indiana will be better served.

The goal is for the state to help finance the launch of new programs and for the programs to receive federal dollars once they have graduated their first class. The Indiana Commission of Higher Education (Commission) created a scoring rubric for applicants and solicited programs that wish to expand or create new programs near the end of 2016. In January of 2017 we presented the first grants of $45,000 per resident per year. Those receiving grants included Fort Wayne Medical Education Program for $270,000 to support two family medicine residents for each of the next three years; Reid Hospital and Medical Services in Richmond, IN for $270,000 to support two family medicine residents for each of the next three years; Indiana University School of Medicine for $855,000 to support five residents in obstetrics (one position), gynecology (one position), psychiatry (one position), pediatrics (one position) and emergency medicine (two positions). Up to $75,000 is available to programs desiring to do a feasibility study for the creation of GME. If you are aware of any programs or facilities that may want more information about expanding or creating new programs contact the Commission at (317) 464-4400. Mr. Eugene Johnson can assist you.

I attended the Indiana (continued on page 13)

PRESIDENT’S MESSAGE

35TH ANNUAL WINTER UPDATE

Larry W. Anderson, D.O., FACOFP, dist., president of the American College of Family Physicians (ACOFP) was our guest at lunch on Friday and reported on behalf of the ACOFP Board of Governors.

At lunch on Saturday, Mark A. Baker, D.O., president-elect of the American Osteopathic Association (AOA) installed our new trustees and reported on behalf of the AOA. Between the silent auction and raffle throughout the weekend, the Advocates to the IOA (AIOA) were able to raise over $12,000. The money raised will go the Motyka Dannin Osteopathic Educational Foundation (Motyka Dannin Foundation) to support the study of osteopathic medicine. Thank you to members of the AIOA who organized and helped with these very important giving opportunities.

See page 4 for highlights from other annual winter update activities.

IN THIS THIS ISSUE IN ISSUE New Members…………………………………………….3 Members Concerns………………………………………3 Editor Tips Hat To……………………………………….3 WMD Update……………………………………………..4 Annual Spring Update…………………………………...5 Tips From Our Consultant………………………………8 Motyka Dannin Foundation……………………………14 Dean’s Update…………………………………………..18 Coming Events………………………………………….19 Practice Opportunities………………………………….20

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Winter 2017

IOA WELCOMES NEW MEMBERS ACTIVE MEMBERS Sarah A. Beeson, D.O. Sean D. Beeson, D.O. Gregory J. Esslinger, D.O. Paul A. Frascella, D.O. Travis K. Haldeman, D.O. Barbara A. Matakevich, D.O. Michael J. Messina, D.O. Jeffrey W. Miller, D.O. Lori L. Munsie, D.O. Austin R. Schlie, D.O. RESIDENT MEMBERS John P. Carney, D.O. Bryan S. Cross, D.O. Dharma Rose, D.O. INTERN MEMBERS Christopher Basom, D.O. Joshua Brandon, D.O. David Furman, D.O. Anna K. Menze, D.O. Cindy Nguyen, D.O. Jaymin Patel, D.O. Eric Shoemaker, D.O. Khyati Soni, D.O. Justin Weirich, D.O. Lily Yang, D.O. STUDENT MEMBERS Lauren Boyd, MSII Brice Brookshire, MSIII Jon Carnahan, MSIII Christopher Lesh, MSII Meghane Masquelin, MSIII Jeffrey Rickert, MSIII Nicholas W. Salupo, MSIV

MEMBER CONCERNS REMEMBER IN PRAYER David L. Coil, D.O., of Nappanee, on the death of his father-in-law, William Stambaugh, on November 3, 2016.

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IN MEMORIAM The IOA has learned that Wallace W. Sherritt, D.O., of Valparaiso, died in September 5, 2016.

Memorial contributions may be made to the Motyka Dannin Foundation. Go to www.inosteo.org and click on Donate Online under the Foundation tab. You also may download a form at www.inosteo,org by clicking on Donation Form under the Foundation tab.

EDITOR TIPS HAT TO John T. Hinton, D.O., of Indianapolis, who was promoted to Medical Operations Director of Anthem. In his new role, Dr. Hinton will provide physician oversight for daily operations of care management activities.

Additionally, he will support implementation of cost of care projects, case management programs, and serve as a liaison to the provider community.

Rachel A. Shockley, D.O., of Indianapolis, who was elected to the Board of Trustees of Marian University.

NEW LIFE MEMBERS HONORED Congratulations to Allan M. Arkush, D.O., of Indianapolis, James M. Williams, D.O., of Indianapolis, and Richard N. Halstead, D.O., of Mooresville, on their achievement of life membership in the IOA. They were honored during a luncheon on Saturday at the 35th Annual Winter Update.

IOA ELECTS NEW TRUSTEES At the Annual Meeting of Members, December 2, 2016, new trustees were elected. Serving new three year terms as trustees are David L. Coil, D.O., of Nappanee, and Stephanie M. Overmars, D.O., of Indianapolis.

Serving a new one year term as a trustee is Abhinav R. Katti, MSII, of Indianapolis. Dan C. Galloway, D.O., of Crown Point, and Susan M. Moore Riesbeck, D.O., of Granger, will serve new three year terms as delegates to the American Osteopathic Association (AOA) House of Delegates. Mary Burden, D.O., of Indianapolis, will serve a new three year term as an alternate delegate.

Adrian L. Carter, D.O., of Evansville, will serve a one year term as an alternate delegate.

Winter 2017

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WMD UPDATE

By: Colonel Charles A. Holt, D.O. Pets often freak out, like their owners, in natural disasters and often end up missing. For advice on what to do, see: www.cdc.gov/disasters/petprotect. As suggested before, go to MESHintel@meshcoalition.org and sign up for their daily EP briefs. A little HX quiz: last time Sarin gas used as a WMD? Damascus, Syria on 20 August 2012. What caused 1/2 of all OCT/NOV 2012 Hurricane Sandy deaths? People who drowned in their homes. Last ricin assassination by injection? Bulgarian critic of communist government, Georgi Markov, in Sofia, in 1978 (poison tipped umbrella). In the LEGAL arena, several articles have been written about the need for: more HAZMAT training for emergency responders (ERs)/streamlined property value reappraisals and building codes and common sense dispensing of amounts of meds by pharmacies post-disasters/streamlining out-of-state volunteers pre-disasters. As well, simplify "presumptive death certificates" when chances of finding remaines area slim, such as after the 9/11/2001 WTC bombing.

The AHRQ (Agency for Healthcare Research and Quality) has a website with many recommendations for improving healthcare including sepsis prevention.

Chemical weapons: the US had 10X the amount that Syria had. Alzheimer's disease in the US costs >$200B per year affecting >5M persons. Cognitive impairment is 7X more likely to cause you to be institutionalized than heart disease or cancer. We are down to 1,550 strategic nuclear warheads in the US inventory. Scary testimony before Congress: since 9/11/2001, most of the money spent/increase in knowledge gained/training/capability to respond to a large Chem/Bio attack has evaporated. Just try to remember the last training you were exposed (pun intended) to!

The war on drugs in Afghanistan: as of 2013, the US reportedly had spent $10B to curb the production of opium. Yet, when it sells for up to $200 per kilo versus $1 per kilo of wheat...you do the math! Afghan remains the numero uno producer ($1B crop) and the amount grown continues to go up; as does the number of Afghan addicts.

The Taliban, despite banning its local consumption, uses its profits to fund itself. Many Afghanis get hooked while performing menial jobs in neighboring countries and bring back chemicals to process the opium. Some sources have stated that Iran is the major conduit to Europe. Myanmar (Burma) is reportedly the second biggest producer. The opium production goes hand in hand with corruption; some sources rank Afghanistan as the 3rd most corrupt; only behind Somalia and North Korea. We can only hope and pray and work toward a better world in 2017.

35TH ANNUAL WINTER UPDATE The Continuing Medical Education (CME) Committee once again built on previous success by assembling a well-received and well-attended program offered during the IOA’s 35th Annual Winter Update held Friday through Sunday, December 2 – 4, 2016, at the

Sheraton Hotel at Keystone Crossing, in Indianapolis. On Thursday, December 1, a highly successful preconference OMT workshop was offered.

Without exhibitors, grantors, and other in kind supporters, the CME Committee would not be able to offer the variety and quality of topics they do.

The CME Committee and the Board of Trustees of the Indiana Osteopathic Association (IOA) urges all members to let representatives of the following companies know that you appreciate their support.

EXHIBITORS AbbVie Activate Healthcare Advanced Ortho Pro Amgen AstraZeneca BioTE Medical

Boehringer Ingelheim Boston Heart Diagnostics Butler University Physician Assistance Program Center for Diagnostic Imaging Community Health Network Creed Medical Eli Lilly Endo Flexible Footwear Janssen Johnson Memorial Hospital Wound Healing Center Medicine Plus Marian University College of Osteopathic Medicine Miller Care Group Motyka Dannin Osteopathic Educational Foundation Novo Nordisk Precision Compounding Pharmacy ProAssurance Purdue Pharma Ranac Corporation Sanofi GRANTORS Osteopathic Medical Foundation of Michiana IN KIND SUPPORTERS Advanced OrthoPro American College of Osteopathic Family Physicians American Osteopathic Association BioTE Medical Boston Heart Diagnostics Creed Medical Indiana Professional Licensing Agency Johnson Memorial Hospital Wound Healing Center Marian University College of Osteopathic Medicine Newby Consulting Plews Shadley Racher & Braun Precision Compounding Pharmacy

Winter 2017

120TH ANNUAL SPRING UPDATE DOCTORS SAID LAST YEAR...

“Have been here four times—very good program.”

“Will return in the future given the overall quality of the program.”

“Excellent program.”

“Excellent speakers.”

“Hope to see more programs available throughout the upcoming year and years to come.”

“Well done. Keep up the good work.”

“Have been to prior programs—very well done.”

“Well organized and good utilization of the MUCOM faculty, especially for the OMT workshops.”

“Thank you!”

PRECONFERENCE OMT WORKSHOP On Thursday, the Indiana Osteopathic Association (IOA) is offering an optional preconference OMT workshop for an additional fee.

OSTEOPATHIC EDUCATIONAL SERVICE An Osteopathic Educational Service will be offered by the Students of the American Academy of Osteopathy (SAAO) of the Marian University College of Osteopathic Medicine (MUCOM) on Friday and Saturday.

MOTYKA DANNIN OSTEOPATHIC EDUCATIONAL FOUNDATION Your support of the Advocates’ fundraising efforts by buying raffle tickets during our CME program is greatly appreciated. The money raised will go to the Motyka Dannin Osteopathic Educational Foundation (Motyka Dannin Foundation) to support the study of osteopathic medicine.

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ENTERTAINMENT Downtown Indianapolis offers numerous opportunities for family and grown-up fun. You can enjoy first rate theater, concerts, shopping and dining.

The Indiana Repertory Theater provides a large and ample bill of plays for its audiences to enjoy. For tickets, go to www.irtlive.com or call (317) 635-5252 Monday through Friday, 11:00 am to 6:00 pm.

Founded in 1930, the Indianapolis Symphony Orchestra quickly blossomed into one of the nation’s most renowned orchestras. Go to www.indianapolissymphony.org or call (317) 639-4300 or (800) 366-8457 outside Central Indiana Monday through Friday, 10:00 am until 5:00 pm, for tickets.

Comfortable shoes are a must! With 65 acres at the Indianapolis Zoo and an additional 3 acres at White River Gardens, you’ll be on your feet most of the day.

For tickets, go to www.indianapoliszoo.com or call (317) 630-2001, Wednesday through Sunday, 9:00 am until 4:00 pm.

Explore the world’s biggest and best children’s museum!

This is a place where you’ll make discoveries, spark your creativity, be transported to other times and places, get your hands in sand and water, climb and jump, and have a ball doing it all. Go to www.childrensmuseium.org or call (317) 334-4000, Tuesday through Sunday, 10:00 am until 5:00 pm, for tickets.

The Eiteljorg Museum of American Indians and Western Art, the Indianapolis Art Museum, and the American Cabaret Theater are all within a short walk or drive from the hotel too.

Circle Centre Mall is a prime retail, dining and entertainment destination for conventioneers, tourists, and the growing downtown residential population. It features over 100 retailers including the anchor store Carson Pirie Scott, movie entertainment at the United Artist Theaters, and eight sit-down restaurants offering some of the city’s best dining. The twelve hotels connected to Circle Centre Mall and the proximity to the city’s arts and culture makes it a hub for Indianapolis traffic.

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TENTATIVE AGENDA

HOTEL RESERVATIONS

PRECONFERENCE OMT WORKSHOP THURSDAY, APRIL 20, 2017 8:00 am - 5:30 pm • Topic TBD This is an optional preconference OMT workshop for an additional fee. (Please indicate attendance on your registration form.)

FRIDAY, APRIL 21, 2017 (Exhibits open 8:00 am - 3:30 pm) 7:00 am - 5:30 pm • PCSK9 Inhibitors • Ethical Issues Surrounding Physician-Assisted Suicide • Physician Burnout • Tendinopathies and the New Treatment Methods • Pediatric Hypertension • The Future of Residency Training • Ophthalmologic Pearls for the Primary Care Doctor • Neonatal Abstinence Syndrome • OMT Workshop 6:00 pm • Type II Diabetes This is a promotional event. CME credit will not be available for this session. In adherence with PhRMA guidelines, spouses or other guests are not permitted to attend company-sponsored events.

(Please indicate attendance on your registration form.)

SATURDAY, APRIL 22, 2017 7:00 am – 5:30 pm • Physician Practice Issues • COPD • Telemedicine • GERD • Diabetic Retinopathy • Politics of Medicine • Topic TBD • MACRA • IDC-10 Update and CPT Update • Latest Updates on Medicaid and HIP 2.0 (Topics and times subject to change.)

BOOK YOUR ROOM EARLY! The Hyatt’s address is One South Capitol Avenue Indianapolis, IN 46204.

Make your reservation via the internet at https://resweb.passkey.com/go/IOAS or call (317) 632-1234.

Room rates are $159.00 per night single or double occupancy $179.00 per night triple occupancy $199.00 per night quadruple occupancy until March 23.

Be sure to mention the IOA Annual Spring Update to receive these rates.

Make your reservation now even if you’re not certain you will need a room.

If you decide to cancel your reservation, please contact the IOA first.

USE YOUR ELECTRONIC DEVICES! Participants may download powerpoint presentations provided to us by the week before our event on the IOA’s website during CME programs free of charge.

Participants also may request flash drives loaded with powerpoint presentations provided to us by the week before our event free of charge. Download the YAPP app free of charge on your iPhone, iPad, or android and access the IOA’s 120th Annual Spring Update (SPG) App instead of viewing a printed program. (Please indicate if you prefer a flash drive and if you prefer to download the SPG App on your registration form.).

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REGISTRATION FORM __________________________________________________________________________________________________ Name (indicate first and last for name badges) Degree AOA Member Number __________________________________________________________________________________________________ office residence) City State Zip Code Mailing Address (indicate __________________________________________________________________________________________________ office residence cell) Medical College Year of Graduation Telephone Number (indicate __________________________________________________________________________________________________ E-Mail Address Specialty Certification

Non Member Member* Resident/Intern Non Member Resident/Intern Member Student Non Member Student Member

REGISTRATION FEES (circle appropriate fee) Before 03/24/17 After 03/24/17 $550 $600 $395 $445 $275 $325 $200 $250 $150 $200 $100 $150

* Member of IOA or respective state association.

I would prefer a flash drive. .

I would prefer to download the SPG App. I will participate in the optional preconference OMT workshop on Thursday, April 20.

I have included an additional fee of $250 in my check.

I understand that an additional fee of $250 will be charged as indicated below.

I will participate in the promotional event on Friday, April 21.

Check (made payable to IOA) enclosed.

Charge to: Visa Mastercard Discover

American Express

__________________________________________________________________________________________________ Card Number Expiration Date CVC Number Authorized Signature REGISTER ON-LINE FOR AN ADDITIONAL FEE: Go to www.inosteo.org.

CANCELLATIONS & REFUNDS: The IOA must receive notice of cancellations by March 24, 2017, to grant full refunds. If originally paid by credit card, cancellations are subject to a 5% service fee. All cancellations received after March 24 are subject to a 15% service fee.

After April 14, 2017, all cancellations are subject to a 25% service fee.

MAIL REGISTRATION FORM WITH PAYMENT TO: Indiana Osteopathic Association 3200 Cold Spring Road Michael A. Evans Center for Health Sciences, Suite 107 Indianapolis, IN 46222-1997.

QUESTIONS? Call (317) 926-3009.

SPECIAL NEEDS? Contact the IOA before March 24, 2017, if possible.

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TIPS FROM OUR CONSULTANT By: Joy Newby, LPN, CPC, PCS Newby Consulting

Chronic Care Management Services The Centers for Medicare & Medicaid Services (CMS) included an expansion of chronic care management (CCM) services in the “Medicare Program: Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2017” (Final Rule 2017) published in the November 15, 2016 Federal Register.

CMS added Medicare coverage of CCM services effective 01-01-2015. Although CPT 2015 included three codes to describe CCM services, CMS determined that Medicare coverage was only available for CPT code 99490.

99490

Chronic care management services, at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month, with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient; chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline; comprehensive care plan established, implemented, revised, or monitored.

According to professional claims data for CPT code 99490, utilization is steadily increasing but remains low considering the number of eligible Medicare beneficiaries. In the Final Rule for 2017, CMS notes that “to date, approximately 513,000 unique Medicare beneficiaries received the service an average of four times each, totaling $93 million in total payments.”

CMS notes that in a number of forums and in public comments to the CY 2016 Physician Fee Schedule (PFS) final rule, many practitioners complained that the service elements and billing requirements are burdensome, redundant and prevented them from being able to provide the services to beneficiaries who could benefit from them. These commenters also stated that CPT code 99490 is underutilized because it is underpaid relative to the resources involved in furnishing the services, especially given the extensive Medicare rules for payment.

CMS notes that initial information from practitioner interviews conducted as part of the CCM evaluation efforts indicate that practitioners overwhelmingly meet and exceed the 20-minute threshold time for billing CCM. Typically, these practitioners reported spending between 45 minutes and an hour per month on CCM services for each patient, with times ranging between 20 minutes and several hours per month. These practitioners explained that CCM beneficiaries tend to exhibit a higher disease burden, are more likely to be dually eligible for Medicare and Medicaid, and are older than the general Medicare fee-for-service population.

Section 103 of the MACRA requires CMS to assess and report to Congress (no later than December 31, 2017) on access to CCM services by underserved rural and racial and ethnic minority populations and to conduct an outreach/education campaign. According to CMS, the outreach/education campaign is underway. Based on comments as well as the MACRA mandate, CMS has made several changes for CCM Services.

Beginning with dates of service on or after 01-01-2017, in addition to Medicare coverage for 99490 (20 minutes of clinical staff time), CMS added coverage for the following complex chronic care management CPT codes: 99487

99489

Complex chronic care management services, with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, establishment or substantial revision of a comprehensive care plan, moderate or high complexity medical decision making; 60 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month each additional 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure)

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CMS is following CPT coding instructions that less than 60 minutes of clinical staff time in the service period should not be reported separately, and similarly, less than 30 minutes in addition to the first 60 minutes of complex CCM in a service period should not be reported.

Medical Decision-Making – Complex CCM services require and include medical decision-making of moderate to high complexity (by the physician or other billing practitioner).

Again following CPT coding instruction, CMS notes that CPT codes 99487, 99489 and 99490 may only be reported once per calendar month and only by the single practitioner who assumes the care management role with a particular beneficiary for the service period. This provision means that a given beneficiary is eligible to receive either complex or non-complex CCM during a calendar month, but not both.

Practitioner Eligibility Physicians and the following qualified health care professionals may bill CCM services: ✓ ✓ ✓ ✓

Nurse Practitioners Physician Assistants Certified Nurse Midwives Clinical Nurse Specialists

CMS notes that CCM will be billed most frequently by primary care practitioners, although in certain circumstances specialty practitioners may provide and bill for CCM. The CCM service is not within the scope of practice of limited license physicians and practitioners such as clinical psychologists, podiatrists, or dentists, although practitioners may refer or consult with such physicians and practitioners to coordinate and manage care.

CCM services that are not provided personally by the billing practitioner are provided by clinical staff under the direction of the billing practitioner’s general supervision. General supervision means when the service is not personally performed by the billing practitioner, it is performed under his or her overall direction and control although his or her physical presence is not required. The CCM service must be an integral part of services provided by the billing practitioner.

CMS follows CPT’s definition of “clinical staff”: A clinical staff member is a person who works under the supervision of a physician or other qualified health care professional, and who is allowed by law, regulation, and facility policy to perform or assist in the performance of a specific professional service, but does not individually report the professional service.

The clinical staff can be employees or working under contract to the billing practitioner whom Medicare directly pays for CCM. Time spent directly by the billing practitioner or clinical staff counts toward the threshold clinical staff time required to be spent during a given month in order to bill CCM services. Non-clinical staff time cannot be counted toward the threshold.

Patient Eligibility Patients with multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation/ decompensation, or functional decline are eligible for CCM services.

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Billing practitioners may consider identifying patients who require CCM services using criteria suggested in CPT guidance (such as number of illnesses, number of medications or repeat admissions or emergency department visits) or the profile of typical patients in the CPT prefatory language.

Initiating Visit (New billing opportunity) For new patients or patients not seen within one year prior to the commencement of CCM, Medicare requires initiation of CCM services during a face-to-face visit with the billing practitioner (an Annual Wellness Visit [AWV] or Initial Preventive Physical Exam [IPPE], or other face-to-face visit with the billing practitioner). This initiating visit is not part of the CCM service and is separately billed.

Practitioners who furnish a CCM initiating visit and personally perform extensive assessment and CCM care planning outside of the usual effort described by the initiating visit code may also bill HCPCS code G0506 G0506

Comprehensive assessment of and care planning by the physician or other qualified health care professional for patients requiring chronic care management services, including assessment during the provision of a face-to-face service (billed separately from monthly care management services) (Addon code, list separately in addition to primary service).

G0506 is reportable once per CCM billing practitioner, in conjunction with CCM initiation.

Patient Consent Obtaining advance consent for CCM services ensures the patient is engaged and aware of applicable cost sharing.

It may also help prevent duplicative practitioner billing. A practitioner must obtain patient consent before furnishing or billing CCM. Informed patient consent need only be obtained once prior to furnishing CCM, or if the patient chooses to change the practitioner (in a different practice) who will furnish and bill CCM. Although patient cost-sharing applies to the CCM service, most patients have supplemental insurance to help cover CCM cost sharing. Also CCM may help avoid the need for more costly services in the future by proactively managing patient health, rather than only treating severe or acute disease and illness. about:

Consent may be verbal or written but must be documented in the medical record, and includes informing them ✓ ✓ ✓

The availability of CCM services and applicable cost-sharing That only one practitioner can furnish and be paid for CCM services during a calendar month The right to stop CCM services at any time (effective at the end of the calendar month)

Newby Note: We recommend physicians and qualified health care professionals continue to obtain written consent from the patient.

CCM Service Elements The CCM service is extensive, including structured recording of patient health information, maintaining a comprehensive electronic care plan, managing transitions of care and other care management services, and coordinating and sharing patient health information timely within and outside the practice.

The following elements are included for both complex and non-complex CCM unless otherwise specified. CCM services are typically provided outside of face-to-face patient visits, and focus on characteristics of advanced primary care such as a continuous relationship with a designated member of the care team; patient support for chronic diseases to achieve health goals; 24/7 patient access to care and health information; receipt of preventive care; patient and caregiver engagement; and timely sharing and use of health information.

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Structured Recording of Patient Health Information ✓

Record the patient’s demographics, problems, medications, and medication allergies using certified Electronic Health Record (EHR) technology. This means a version of certified EHR that is acceptable under the EHR Incentive Programs as of December 31st of the calendar year preceding each Medicare PFS payment year.

For more information, visit https://www.cms.gov/Regulations-andGuidance/Legislation/EHRIncentivePrograms.

Comprehensive Care Plan ✓

✓ ✓ ✓

A person-centered, electronic care plan based on a physical, mental, cognitive, psychosocial, functional, and environmental (re)assessment, and an inventory of resources (a comprehensive plan of care for all health issues, with particular focus on the chronic conditions being managed) Provide the patient and/or caregiver with a copy of the care plan Ensure the electronic care plan is available and shared timely within and outside the billing practice to individuals involved in the patient’s care Care planning tools and resources are publicly available from a number of organizations

A comprehensive care plan for all health issues typically includes, but is not limited to, the following elements: ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓

Problem list Expected outcome and prognosis Measurable treatment goals Symptom management Planned interventions and identification of the individuals responsible for each intervention Medication management Community/social services ordered A description of how services of agencies and specialists outside the practice will be directed/coordinated Schedule for periodic review and, when applicable, revision of the care plan

Access to Care & Care Continuity ✓

✓ ✓

Provide 24-hour-a-day, 7-day-a-week (24/7) access to physicians or other qualified health care professionals or clinical staff, including providing patients (and caregivers as appropriate) with a means to make contact with health care professionals in the practice to address urgent needs regardless of the time of day or day of week Ensure continuity of care with a designated member of the care team with whom the patient is able to schedule successive routine appointments Provide enhanced opportunities for the patient and any caregiver to communicate with the practitioner regarding the patient’s care by telephone and also through secure messaging, secure Internet, or other asynchronous non-face-to-face consultation methods (for example, email or secure electronic patient portal)

Comprehensive Care Management ✓ ✓ ✓ ✓ ✓

Systematic assessment of the patient’s medical, functional, and psychosocial needs System-based approaches to ensure timely receipt of all recommended preventive care services Medication reconciliation with review of adherence and potential interactions Oversight of patient self-management of medications Coordinating care with home and community based clinical service providers

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Transitional Care Management ✓ ✓

Manage transitions between and among health care providers and settings, including referrals to other clinicians, follow-up after an emergency department visit, or facility discharge Timely create and exchange/transmit continuity of care document(s) with other practitioners and providers

Concurrent Billing The billing practitioner cannot report both complex CCM and non-complex CCM for a given patient for a given calendar month.

CCM cannot be billed during the same service period as HCPCS codes G0181/G0182 (home health care supervision/hospice care supervision), or CPT codes 90951–90970 (certain End-Stage Renal Disease services).

CCM should not be reported for services furnished during the 30-day transitional care management service period (CPT 99495, 99496).

Complex CCM and prolonged Evaluation and Management (E/M) services cannot be reported the same calendar month. Consult CPT instructions for additional codes that cannot be billed concurrent with CCM. There may be additional restrictions on billing for practitioners participating in a CMS sponsored model or demonstration program. Time that is reported under or counted towards the reporting of a CCM service code cannot also be counted towards any other billed code.

Frequently Asked Questions See the list of frequently asked questions on the CMS website at https://www.cms.gov/Medicare/Medicare-Feefor-Service-Payment/PhysicianFeeSched/Downloads/Payment_for_CCM_Services_FAQ.pdf

Winter 2017

PRESIDENT’S MESSAGE (continued from page 1)

State Medical Association’s (ISMA’s) House of Delegates (HOD) meeting in September and introduced a resolution requesting approval of the Interstate Medical Licensure Compact. This compact standardizes physician licensure requirements and simplifies the licensure process for physicians who need multi- state licensure. They voted to send it to a committee for review after an opposing resolution was introduced at the same time. It hopefully will come back up at the next ISMA HOD meeting.

The American Osteopathic Association’s (AOA’s) Bureau of Osteopathic Specialists convened a task force this past fall to make recommendations to the AOA’s House of Delegates regarding Osteopathic Continuous Certification (OCC). They have produced five resolutions.

The five components of OCC are: 1.

2.

3.

4.

5.

Active Licensure Lifelong Learning/Continuing Medical Education (CME) Cognitive Assessment Practice Performance Assessment and Improvement Continuous AOA Membership

The more contentious components of these resolutions would decouple AOA board certification from AOA membership and require only 60 credits of CME every three years unless your specialty college or state licensure required more. If you would like to review these resolutions as well as the other resolutions being considered at the AOA 2017 Midyear Business Meeting go to: http://www.osteopathic.org/inside-aoa/events/midyearmeeting/Pages/resolutions.aspx.

If you are keeping count there are now 33 colleges of osteopathic medicine plus 15 branch campuses. There are COM’s in 31 states. There are seven colleges now in the process of creation or application. These include Texas, Florida, California and Idaho. The Commission on Osteopathic College Accreditation (COCA) currently is performing a major revision of its standards. If you would like to see these and comment go to: http://www.osteopathic.org/inside-aoa/accreditation/COMaccreditation/Pages/proposed-coca-standards.aspx.

The COCA also is taking a very critical look at having new standards that tie new COM’s and those COM’s seeking class size increases to have adequate graduate medical education positions in place.

Single GME accreditation continues to move

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forward. As of February 15, 2017, 49% of all programs (613 out of 1244) have achieved accreditation or have submitted application. 59% of these have dual accreditation, 24% are strictly ACGME accredited and 17% are strictly AOA accredited. A further breakdown of the numbers reveals that 309 programs are accredited, 304 have completed their submissions, 412 are applying, 137 are closing, and 82 programs are unsure how they will proceed.

I attended the AOA’s Advocacy for Healthy Partnerships conference in Tampa, FL, on January 18 - 19.

Topics included: emerging issues in health policy, grassroots advocacy and best practices for meeting with policymakers. This was followed by the Osteopathic Medical Educators and Leaders conference through January 21. This meeting brought together educators, regulators and leaders from across the osteopathic medical profession to create new ideas and perpetuate faculty development. February 26 through March 2, I was in Honolulu, HI, for the AOA Midyear meeting, “Taking one for the team”. March 8 - 12 I am in Orlando, FL, to attend the ACGME Annual Education Conference. Finally, April 4 - 7 I’ll be in Washington D.C. to attend an AOA Board of Trustees executive committee meeting, D.O. Day on the Hill, and AOA cluster meetings. I’ll fly to Orlando on the 7th to give away my daughter, Jyl, in matrimony. I am looking forward to meeting with the first and second year students from the Marian University College of Osteopathic Medicine (MUCOM) on April 20, attending an IOA Board of Trustees meeting that evening and a meeting of the Indiana Graduate Medical Education task force the next day. I hope to see many of you at our annual spring update as well. The IOA’s Continuing Medical Education Committee (CME) continues to put together outstanding CME programs.

Mark S. Cantieri, D.O., FAAO President

Winter 2017

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Date of Sale:

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Phone: (317) 759 - 3627 E-mail: LaurenC@suburbanhealth.com Website: www.shodocs.com

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Winter 2017

MOTYKA DANNIN FOUNDATION CONTRIBUTORS

The following contributors earned 2 stars in 2016: Thurman Alvey, D.O. Brian Black, D.O. Mary Burden, D.O. Gaston Dana, D.O. Dan Galloway, D.O. Terry Iwasko, D.O. Gloria Krejsa, R.Ph. Stephanie Overmars, D.O. Rachel Shockley, D.O.

$250 - $999 (MDF logo pin) $1,000 - $1,999 (MDF logo pin and 1 star) $2,000 - $2,999 (MDF logo pin and 2 stars) $3,000 - $3,999 (MDF logo pin and 3 stars) $4,000 - $4,999 (MDF logo pin and 4 stars) $5,000 (Special designed pin)

The following contributors earned 3 stars in 2016:

Thank you to all contributors to the Motyka Dannin Foundation in 2016. The Foundation raised over $26,000. Our goal is to become the premier scholarship opportunity for Indiana’s osteopathic medical students and to ensure that our top notch students begin their careers and continue to practice in Indiana. Without your support, the Motyka Dannin Foundation would not be able to encourage and help Indiana’s osteopathic medical students to remain in and share their unique talents with the patients in our great state.

Larry Anderson, D.O. Lauren Bruder, MSIII James Coppinger, D.O. Debbie Coyle Daniel Eby, D.O. Daniel Gelfman, M.D. Scott Goeller, D.O. Rebecca Johnson, D.O. Dustin Kimball, D.O. Glen Leer, D.O. Micah Leestma, D.O. Eric Leestma, D.O. Meghane Masquelin, MSIII Donald Sefcik, D.O. Elizabeth Wetzel, D.O. The following contributors earned 1 star in 2016: Bruce Brink, Jr., D.O. Terry Gehlhausen, D.O. Max Helman, D.O. David Koronkiewicz, D.O. David Megremis, D.O.

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Susan Moore-Riesbeck, D.O. Thomas Ringenberg, D.O. Erin Wernert James Williams, D.O.

Contributions to the Motyka Dannin Osteopathic Educational Foundation, Inc. (Motyka Dannin Foundation) are recognized on their lifetime donation totals. Individual lifetime giving levels are:

The following contributors earned a pin in 2016:

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Mark Cantieri, D.O. Chris Lowery, D.O. Angela Wagner, D.O. The following contributors earned 4 stars in 2016: Adrian Carter, D.O. David Coil, D.O. 2016:

Thank you as well to the following contributors in Debbie Albanese Walter Anglemeyer, D.O. Zhalet Baharestan, D.O. James Bertsch, D.O. Scott Blickensderfer, D.O. Lauren Brankle, D.O. Vicki Browder, D.O. Christina Cabott, D.O. John Carney, D.O. Bobby Chawla, D.O. Elizabeth Curtis, D.O. John Dawson, D.O. Tammy Durham, D.O. Catherine Gilreath, D.O. Mary Greiner, D.O. Debra Gulyanics, D.O. Debra Gulyanics, D.O. Christine Hamilton, D.O. Philip Hill, D.O. Jessamine Hippensteel, D.O. Karen Koch, D.O. Dale Long, D.O. Bethany Lyon, D.O.

Winter 2017

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MOTYKA DANNIN FOUNDATION CONTRIBUTORS (continued from page 15)

Ayesha Taj, D.O. Bruce Montgomery, D.O. Lori Munsie, D.O. David Murphy, D.O. James Neely, D.O. Larry Oteham, D.O. Jennifer Pallone, D.O. Patsy Peterson, D.O. Carl Ratliff, D.O. Braden Riley, D.O. Dharma Rose, D.O. Wesley Sunderman, D.O. Donna Sweets, D.O. Karen Swensen, D.O. William Thiemkey, D.O. William Thompson, D.O. Richard Walter, D.O. Stacie Wenk, D.O. Carleigh Wilson, D.O. Samantha Wood, D.O. Debra Zack, D.O. The Motyka Dannin Foundation is pleased to announce that it will be awarding its first $10,000 forgivable loan in April of 2017. We greatly appreciate the enthusiasm of our donors and look forward to awarding forgivable loans to many deserving students in the future.

To make a contribution, go to www.inosteo.org and click on Donate Online under the Foundation tab.

You also may download a form at www.inosteo.org by clicking on Donation Form under the Foundation tab.

To donate stock shares, contact the IOA office at (317) 926-3009 or send an e-mail message to info@inosteo.org.

The Motyka Dannin Foundation is a 501(c)(3) charitable organization. Please consider a contribution as one of your annual donations.

1st Annual Summer Update August 18 - 19, 2017 PRECONFERENCE OMT WORKSHOP AUGUST 17, 2017 French Lick Resort French Lick and West Baden The IOA is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians.

The IOA designates these programs for a maximum of 28 AOA Category 1-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in these activities.

Application for CME credit has been filed with the American Academy of Family Physicians.

Determination of credit is pending.

Winter 2017

HOOSIER D.O. Page 14 OSTEOPATHIC MEDICAL FOUNDATION OSTEOPATHIC FINANCIAL ASSISTANCE MEDICAL FOUNDATION FINANCIAL ASSISTANCE The Osteopathic Medical Foundation (OMF) of

Winter 2015

Michiana works hard to promote the tradition of 2003, theinOsteopathic Inc. osteopathicInmedicine Indiana. ItsMedical missionFoundation, is to support, (OMF)and of Michiana established the OMF Forgivable Loan further perpetuate the osteopathic method and Program. This program provides financial assistance philosophy.

One of its programs designed to nurture thisvia forgivable loans isofthe$10,000 perLoan yearProgram. to osteopathic important tradition Forgivable Any medical students are inis the FIRST through FOURTH osteopathic medicalwho student encouraged to apply.

This years ofprovides study atfinancial one of our nation’s program assistance viaosteopathic forgivable medical loans who desire to return area to ofschools $10,000and for students in years 1 – 4to at the one Michiana of our nation’s practice medicine.

In exchange for practicing within a 60 osteopathic medical schools. These loans are to be forgiven miles radius of South Bend, 25% of their loan will if the student practices in the Michiana area (northwestern be forgiven for each year they are in practice. Please note the Indiana/southwestern Michigan) following completion of following eligibility requirements: his/her training.

Please note the following eligibility An applicant must: requirements: 1. be at least a half time student in an An applicant must: medical school accredited by osteopathic 1.

BetheatAOA; least a half time student in an accredited osteopathic medical school. to the 2. demonstrate an interest in returning 2.

Demonstrate an interest in returning to the northwestern Indiana or southwestern northwestern Indiana/southwestern Michigan “area” (“area” is defined as Michigan area ato60practice osteopathic being within mile radius of South medicine (“area” is Indiana defined as being within Bend, Indiana. counties include Joseph,of South Marshall, Elkhart, a Saint 60 mile radius Bend, Indiana.

Kosciusko, Starkeinclude and LaPorte.

Michigan Indiana counties Saint Joseph, counties Elkhart, include Kosciusko, Berrien, Cass and and Saint Marshall, Starke Joseph) toMichigan practice osteopathic medicine LaPorte. counties include upon graduation; Berrien, Cass and Saint Joseph).

3. demonstrate financialneed. need; 3.

Demonstrate financial 4. be of good moral character; 4.

Be of good moral character. demonstrategood goodmotivation motivationtoward towardthethe 5. 5.

Demonstrate practice of osteopathic medicine; practice of osteopathic medicine. and 6. be available for a personal interview, if 6.

Be available for a personal interview, if requested, by the Osteopathic Medical requested, by the Osteopathic Medical Foundation.

Foundation.

In 2007, the OMF Resident Recruitment Grant In was 2007,established the OMFtoResident Recruitment Grant to Program provide financial assistance Program was established to attract new osteopathic new physicians or small practices interested in recruiting a physicians to the area.

This their program providesThis a one-time new physician to enter practice. program grant of $10,000 to a new physician to assist in the to provides a one-time grant of $10,000 to a new physician repayment of student loans.

Pleaseloans. note the following assist in the repayment of student Please note the eligibility requirements: following eligibility requirements: AnAn applicant must: applicant must: a graduate of accredited an osteopathic medical 1. 1.

Bebea graduate of an osteopathic schoolschool. accredited by the AOA; medical startupupororjoin joina apractice practicelocated locatedin in 2. 2.

Start thethe northwestern Indiana/ Indiana orsouthwestern southwestern northwestern Michiganarea “area” (“area” isosteopathic defined as Michigan to practice being within a 60 mile radius South medicine (“area” is defined as being of within Bend, Indiana.

Indiana counties include a 60 mile radius of South Bend, Indiana.

Saint counties Joseph, include Marshall, Elkhart, Indiana Saint Joseph, Kosciusko, Starke and LaPorte. Michigan counties include Berrien, Cass and Saint Joseph).

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Marshall, Elkhart, Kosciusko, Starke and LaPorte.

Michigan counties include Berrien, Cass and Saint Joseph).

3.3.

Remain years. remainininthe theMichiana Michianaarea areaforfortwo two years, 4.

Serve and one year on the OMF Board of 4. serve one year on the OMF Board of Directors.

Directors.

Visit the OMF’s website at www.omfmichiana.org to download an application OMF’sThe deadline website for at for eitherVisit of thesethe programs. download an application www.omfmichiana.org submitting applications istoMay 15, 2017. for either these programs.

The Foundation deadline for The ofOsteopathic Medical submitting applications is May 15, 2015. appreciates your help in continuing the practice of The Osteopathic Medical Foundation osteopathic medicine in the northwestern Indiana appreciates your help in perpetuating practice and southwestern Michigan area via the financial of osteopathic medicine in the northwestern contributions to the OMF and is grateful for your Indiana and southwestern Michigan area via generosity. financial contributions to the OMF and is grateful for our generosity.

Winter 2017

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DEAN’S UPDATE

By: Donald J. Sefcik, D.O., MBA Vice President for Health Professions and Dean Marian University College of Osteopathic Medicine AROUND CAMPUS. In mid-October 2016, Charles Henley, D.O., Founding Associate Dean of Clinical Affairs at the Marian University College of Osteopathic Medicine (MUCOM) accepted the invitation to serve as the Founding Dean of a new college of osteopathic medicine being planned at Sam Houston State University.

Luke Nelligan, D.O., is serving as Interim Chair of Clinical Education and coordinating most of the activities formerly supervised by Dr. Henley. Dr. Nelligan has accomplished much in a brief period of time—making significant changes to the MS3-MS4 clerkship curriculum and several of the processes that we use to instruct our students.

In late October 2016, MUCOM welcomed Rhonda Garrison into a new position in the college, Assistant Dean for the Continuum of Physician Education. Ms. Garrison has over two decades of experience in health care; several years of that time she managed the residencies at Westview Hospital. Her degree in Public Health with a concentration in Healthcare Administration is from Indiana University, Indianapolis, IN. Rhonda is responsible for aligning and managing the educational experiences for MUCOM’s medical students from matriculation through graduation. Her primary focus is on the design, delivery and coordination of the clinical activities that occur during the third and fourth year of medical school. Prior to joining Marian University, Rhonda was the Director of the Community Healthplex where she managed multiple departments, over 50 full-time employees, and was responsible for a multi-million dollar budget.

On December 16 - 17, 2016, the Indiana Area Health Education Center (AHEC) and the MUCOM Meaningful Medicine Mentoring Program co-sponsored a workshop: Bridges Out of Poverty, led by Terie DreussiSmith, M.A.Ed. Almost eighty participants—first and second year osteopathic medical students, alongside faculty mentors—gained knowledge and skills necessary to care more effectively for patients coming from environments of poverty. Workshop topics centered on barriers to healthcare for patients living in poverty.

Participants studied the impact of poverty on mental models (a lens through which individuals view the world, which also influences how one identifies resources and potential opportunities), family structures, and the hidden rules of economic class. A special thanks to Emily Young, M.D., Assistant Professor of Pediatrics and Co-Director of MUCOM’s Meaningful Medicine Mentoring Program for coordinating the activities and weathering the ice storm to attend.

ACCREDITATION. Two additional “firsts” were experienced in February. Another “first” will be experienced in May. • The results of the AOA Intern/Resident Registration Program (February 6, 2017) and the National Resident Match Program (March 17, 2017) revealed to the members of the Class of 2017 where they will complete their postdoctoral training after graduation. We wish them every success!

• February 8 - 10, 2017, the AOA Commission on Osteopathic College Accreditation (COCA) was on the campus conducting a site visit. We expect that based upon the visit, we will receive full accreditation status during the April 2017 COCA meeting in Washington, D.C. • On May 7, 2017, MUCOM will graduate its first class and establish its inaugural cohort of MUCOM alumni.

COMMUNITY RELATIONS. MUCOM continues to design a more robust training relationship with St. Vincent Hospital and the Community Health Network. Our goal is to have our students complete the majority of third-year (core) rotations within these two systems. Electives and other rotations will continue to be done throughout the state, the Midwest, and around the country.

Discussions are ongoing with several partners regarding the creation of interprofessional training units that will serve to prepare both our medical students and students in the Leighton School of Nursing in an innovative, collaborative, team-based manner. It is very likely that there will also be pharmacy students engaged in this training model.

THANK YOU! As noted previously, on May 7, 2017, MUCOM will graduate its inaugural class. It is clear to all that without the time, effort, wise counsel, and passion for osteopathic medical education that the IOA has dedicated to help support MUCOM, so much could not have been achieved in such a short time. Thank you for all that you D.O.

Winter 2017

COMING EVENTS...

Annual Convention March 16 – 19, 2017 Gaylord Palms Resort & Convention Center, Kissimmee, FL Sponsor: American College of Osteopathic Family Physicians Contact: ACOFP, (800) 323-0794 or www.acofp.org Annual Convocation March 22 – 26, 2017 The Broadmoor, Colorado Springs, CO Sponsor: American Academy of Osteopathy Contact: AAO, (317) 879-1881 or www.academyofosteopathy.org National Osteopathic Medicine Week April 16 – 22, 2017 Preconference OMT Workshop April 20, 2017 Hyatt Regency Downtown, Indianapolis, IN Sponsor: Indiana Osteopathic Association Contact: IOA, (317) 926-3009 or www.inosteo.org The IOA is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. The IOA designates this program for a maximum of 8 AOA category 1-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity. Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

120th Annual Spring Update April 21 - 22, 2017 Hyatt Regency Downtown, Indianapolis, IN Sponsor: Indiana Osteopathic Association Contact: IOA, (317) 926-3009 or www.inosteo.org The IOA is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. The IOA designates this program for a maximum of 20 AOA category 1-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity. Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

Osteopathy: From Head to Toe April 21 – 23, 2017 Sheraton Denver Tech Center, , Englewood, CO Sponsor: The Osteopathic Cranial Academy Contact: The OCA, (317) 581-0411 or www.cranialacademy.org Introductory Course: Osteopathy in the Cranial Field June 10 – 14, 2017 Hyatt Regency Nicollet Mall, Minneapolis, MN Sponsor: The Osteopathic Cranial Academy Contact: The OCA, (317) 581-0411 or www.cranialacademy.org Annual Conference June 15 – 18, 2017 Hyatt Regency Nicollet Mall, Minneapolis, MN Sponsor: The Osteopathic Cranial Academy Contact: The OCA, (317) 581-0411 or www.cranialacademy.org Preconference OMT Workshop August 17, 2017 French Lick Resort, French Lick and West Baden, IN Sponsor: Indiana Osteopathic Association Contact: IOA, (317) 926-3009 or www.inosteo.org The IOA is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. The IOA designates this program for a maximum of 8 AOA category 1-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity. Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

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1st Annual Summer Update August 18 – 19, 2017 Hyatt Regency, Downtown Indianapolis, IN Sponsor: Indiana Osteopathic Association Contact: IOA, (317) 926-3009 or www.inosteo.org The IOA is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. The IOA designates this program for a maximum of 20 AOA category 1-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity. Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

MARK YOUR CALENDARS

NOW AND PLAN TO ATTEND THE IOA 120TH ANNUAL SPRING UPDATE APRIL 21 – 22, 2017 PRECONFERENCE OMT WORKSHOP APRIL 20, 2017 HYATT REGENCY DOWNTOWN INDIANAPOLIS, IN

Winter 2017

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PRACTICE OPPORTUNITIES AVAILABLE IN INDIANA IOA Serves as an Informal Clearinghouse for physicians seeking practice locations.

2017 OFFICERS Mark S. Cantieri, D.O. President Gaston Dana, D.O. Vice President Terry A. Iwasko, D.O. Secretary/Treasuer Adrian L. Carter, D.O. Immediate Past President TRUSTEES Brian H. Black, D.O. David L. Coil, D.O. Abhihav R. Katti, MSII Chris A. Lowery, D.O. Stephanie M. Overmars, D.O. Rachel A. Shockley, D.O. EX-OFFICIO TRUSTEES Bruce C. Brink Jr., D.O. Susan M. Moore Riesbeck, D.O. Donald J. Sefcik, D.O. A.O.A. DELEGATES Mark S. Cantieri, D.O. Adrian L. Carter, D.O. David L. Coil, D.O. Dan C. Galloway, D.O. David C. Koronkiewicz, D.O. Susan M. Moore Riesbeck, D.O. Angela B. Wagner, D.O. A.O.A. ALTERNATE DELEGATES Lauren N. Brankle, D.O. Mary Burden, D.O. Max E. Helman, D.O. Ben D. Huang, D.O. The Hoosier D.O. is published two times per year in the Winter and Summer by the Indiana Association of Osteopathic Physicians and Surgeons, Inc. dba Indiana Osteopathic Association.

Editor: Deborah E. Coyle, CPS IOA Staff: Erin L. Wernert, Executive Director Deborah E. Coyle, Manager of CME Programs and Office Manager The IOA Office is located at: 3200 Cold Spring Road Evans Center, Suite 107 Indianapolis, IN 46222 (317)926-3009 www.inosteo.org

FREELANDVILLE INDIANA. The small rural community of Freelandville misses its retired physician and is hoping a new one will come to town. If interested in a solo practice, contact Erin Wernert or Debbie Coyle, IOA, at (317) 926-3009.

INDIANAPOLIS PHYSICIAN AVAILABLE FOR FAMILY PRACTICE, OCCUPATIONAL MEDICINE, OR URGENT CARE. Certified in family practice in 1999.

For additional information, contact Erin Wernert or Debbie Coyle, IOA, at (317) 9263009.

NORTHERN INDIANA. Mishawaka Osteopathic Clinic has an immediate opening for a physician to come into the practice. We have a well-established and large patient base. Our experienced, loyal, and well-trained staff attracts many new patients. Currently, we have one full time and one part time D.O., an R.N., multiple medical assistants, fully staffed front office and medical records. Our Clinic has 11 exam rooms, including an office surgery/procedure room, PAP room, conference/lunch room and a large comfortable waiting room. We are a fast paced and patient friendly practice caring for families since 1969.

Come join our team of patient care professionals who feel that “our patients matter.” For more information, please contact Mary Behrle, RN Staff Coordinator at (574) 323-3812 or e-mail inquiries along with your CV to mocnurse@yahoo.com.

SOUTHERN INDIANA. Brink’s Family Practice in Princeton has an immediate opening for a physician to come into the practice. The practice has a well-established patient base with experienced, welltrained staff and an in-house lab. The practice is located in a growing community that still possesses small town friendliness and has access to large city amenities. For more information, please e-mail inquiries along with your CV to d.bryantbfp@mw.twcbc.com or contact Erin Wernert or Debbie Coyle, IOA, at (317) 926-3009.