50 Volume 56
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4 Number 2
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Summer 2017
Published by The Indiana Association of Osteopathic Physicians and Surgeons, Inc.
The most recent meeting of the Indiana Graduate Medical Education (GME) Board took place on June 23, 2017, in Indianapolis. Also in attendance was a contingency from Ohio interested in our program and how it operates. We approved funding for seven feasibility studies to Mark S. Cantieri, D.O. institutions or IOA President consortiums that are interested in starting new residencies in primary care. The amount awarded was approximately $75,000 per program. We also granted approval for two years of funding at $250,000 per year for four new residency programs. During the last week of June there were two events sponsored by the GME Board. One was in southern Indiana and the second in Indianapolis. Invited guests were informed of our program that funds the creation of new graduate medical education in the state of Indiana. We are very excited about the level of interest shown by various institutions throughout the state. We hope to sponsor a event in northern Indiana sometime. If you are involved with a teaching program, please consider undertaking a feasibility study, or if interested in starting a new program, please contact Mr. Eugene Johnson, Assistant Commissioner for Special Projects and Program Management, Indiana Commission for Higher Education, at (317) 232-2368 or ejohnson@che.in.gov for additional information. The American Osteopathic Association (AOA) continues to enhance membership through their AOA Member Value program. This is a part of Phase II of the strategic plan. You will have to sign into the AOA member website and under AOA membership look for AOA Member Value. This site has information for physicians who may be in large groups, small groups or solo practitioners, students and resi- (continued on page 14)
ANNUAL MEETING OF MEMBERS
In accordance with Article XVI, Amendments, of the Indiana Association of Osteopathic Physicians and Surgeons, Inc. By-Laws, written notice is hereby given of the Annual Meeting of Members on Friday, December 8, 2017, at 2:30 p.m., at the JW Marriott, in downtown Indianapolis.
PRESIDENT’S MESSAGE
IN THIS THIS ISSUE IN ISSUE New Members…………………………………………….3 In Memoriam……….……………………………………3 Editor Tips Hat To……………………………………….3 WMD Update……………………………………………..4 Annual Spring Update.......................................................4 Annual Winter Update…………………………………...5 Tips From Our Consultant………………………………8 General Assembly Update………………………………15 Dean’s Update…………………………………………..16 Motyka Dannin Foundation……………………………18 Coming Events………………………………………….19 Practice Opportunities………………………………….20
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Summer 2017
IOA WELCOMES NEW MEMBERS ACTIVE MEMBERS Jeremy S. Bigge, D.O. Ann V. Collie, D.O. Cindy M. DeNeira, D.O. Todd W. Duerfeldt, D.O. Erin M. Harpenau, D.O. Philip D. Hill, D.O. Tyler G. Johnson, D.O. Michael R. Messmer, D.O. Stephanie J. Russ, D.O. Patrick W. Russell, D.O. Mark P. Schmeltz, D.O. Mitchell W. Smith, D.O. Brent M. Toney, D.O. David E. Utley, D.O. Bethany A. Wait, D.O. Zachary L. Worley, D.O. Erika M. Young, D.O. STUDENT MEMBERS Erik Auker, MSIII Nathan Bleeke, MSIII Mary Carrier, MSII Blake Christy, MSII Chad Curtis, MSIII Adam Davis, MSIII Bryant Dawson, MSII Micah Fisher, MSII Skyler Gick, MSIII Anneliese Huntzinger, MSIII Anne Jones, MSII Abhinav Katti, MSII Christopher Lesh, MSII Jarron Lincoln, MSII Lauren McCaul, MSII Dannette Napier, MSIII Chad Percifield, MSIII Jeremy Renz, MSIII Lauren Schoerning, MSII Christine Strobel, MSII Jessica Wells, MSII
EDITOR TIPS HAT TO Angela B. Wagner, D.O., of Indianapolis, who received The Leonard Tow Humanism in Medicine Award presented by The Arnold P. Gold Foundation during the Marian University College of Osteopathic Medicine’s Second Annual Gold Humanism Honor Society Induction. Recipients are chosen based on “I.E. CARES” criteria of Integrity, Excellence, Compassion, Altruism, Respect, Empathy, Service.
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IN MEMORIAM Life member of the IOA, Allan M. Arkush, D.O., died March 31, 2017, at his home after a long illness. Dr. Arkush graduated from Midwestern University Chicago College of Osteopathic Medicine in Downers Grove, IL, and completed his internship and general surgery residency at Doctors Hospital in Columbus, OH. He was in practice for 44 years, most all of them on the west side of Indianapolis, starting in 1984 at Westview Hospital (later Community Westview Hospital). Dr. Arkush served as Westview’s Chief of Staff in 1987 – 1988 and as Chair of the Surgery Department in 1986 – 1987 and 2001 – 2007. He also served on Westview’s Board of Trustees in 1991 – 2002 and 2013 – 2014, and as medical director of Wesview’s Advanced Wound Care Center. Dr. Arkush was certified in general surgery by the American Osteopathic Board of Surgery (ABOS), for which he served as a clinical and an oral examiner. Dr. Arkush was Vice President of Clinical Performance for Community Health Network’s West Region, a member of the Network’s Quality of Care Committee, and chair of the Disclosure Committee. He was a former chair of Westview’s Bylaws/Credentials and Ethics Committees, and a former member of Suburban Health Organization’s Credentials Committee and a member of the Advisory Committee of the National College Surgical Tech Program. Over the course of his career, Dr. Arkush served on numerous other organizational and professional committees, all in service to furthering the mission of exceptional patient care and surgical education. He also delivered numerous lectures and was a published author. In 2015, the American College of Osteopathic Surgeons (ACOS) named Dr. Arkush the Charles L. Ballinger Distinguished Osteopathic Surgeon for his outstanding accomplishments and leadership in the field of surgery. In 1991, he received the first ACOS Presidential Award for his outstanding organizational leadership and excellence in improving the quality of osteopathic surgical education. In addition to ACOS and AOBS, Dr. Arkush was a member of the Indiana Osteopathic Association, for which he served as a trustee and on several committees. Dr. Arkush was actively involved with the Mozel Sanders Foundation, an organization which seeks to supplement the needs of the less fortunate with scholarship programs, mentor services, and youth empowerment projects. In 2008, he was named the Mozel Sanders Foundation Humanitarian of the Year. 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.
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120TH ANNUAL SPRING UPDATE The following exhibitors, grantors, and in kind supporters made possible the excellent continuing medical education (CME) program offered during the IOA’s 120th Annual Spring Update held Friday through Saturday, April 21 – 22, 2017, at the Hyatt Regency, in downtown Indianapolis. On Thursday, April 20, a highly successful preconference OMT workshop was offered. The CME Committee and the Board of Trustees of the Indiana Osteopathic Association (IOA) urges all members to let representatives of these companies know that you appreciate their support. EXHIBITORS Activate Healthcare Amgen Astra Zeneca Boehringer Ingelheim Cancer Treatment Centers of America Depomed Eli Lilly Freedom Healthworks Indiana Professional Licensing Agency Janssen Marian University College of Osteopathic Medicine Motyka Dannin Osteopathic Educational Foundation Novartis Novo Nordisk ProAssurance US Army Visionary Health Group GRANTORS Osteopathic Medical Foundation of Michiana IN KIND SUPPORTERS American Osteopathic Information Association Beacon Health System Faegre Baker Daniels Krieg DeVault Marian University College of Osteopathic Medicine Visionary Health Group
WMD UPDATE
By: Colonel Charles A. Holt, D.O. Well, summer is finally here and lots of trivia to share that might help you in your practice or in emergencies. Let's start with RMSF...if you did not get the state health alert you should find it on your email: it is on the rise in the US and IN and one girl has already died from it, in IN, this year...read up on its prevention and treatment. Summer brings hot temperatures and with that children dying of vehicular heat stroke: nine died already and some states are passing laws protecting Good Samaritans who rescue them. Summer brings tornadoes, too, which cause death and destruction...one of my distant relatives witnessed several members of his family die during one when he was a child. But it is not just during the tornado, but during the aftermath with damaged utilities and structures injuring many. A weird condition is 'thunderstorm asthma' where pollen is whipped up triggering asthma attacks that can cripple a town's ER with mass numbers of sufferers. Here are some other bits of health news. Norovirus never seems to go away; causing acute gastroenteritis leading to almost 2 million doctor visits/Y. Have you ever dreamed of making your own kimchi and breeding pet rats in your home...beware of Seoul Virus...check it out on the CDC's web site. Another disease without specific TX is 'acute flaccid myelitis' which may cause the child afflicted to need a ventilator to survive...it is on the rise. Here's one you could see in your office if you have patients who travel to Central and South America...yellow fever...an outbreak is currently going on in Brazil. Read up on how it may have come from Africa in slave ships and quickly spread via mosquitoes...infamously killing tens of thousands building the Panama Canal and forcing the French company to abandon it...eventually COL Wm Gorgas attacked the mosquito vector that was discovered by work of Dr. Carlos Finlay and COL Walter Reed. Never forget its grim reaper comrade, malaria. Some further items of interest...the NHTSA continues to warn drivers of the direct correlation of lack of sleep and drowsy driving accidents...causes at least 800 deaths a year and 50 times more injuries. Mumps cases hit a 10 Y high last year. There is a new fungus amongst us...Candida auris...and it has NO TX. Put on your FLAK jacket...if you like to experience intense euphoria and will risk agitated delirium, then Flakka, a cathione class very addictive chemical, may be your fix...South Florida seems to be its hub. Bio-security is at increasing risk...the more we know about how to manipulate genomes the more likely one may be used in a war or terror incident. Speaking of security, healthcare (HC) is the number one industry to be hacked. Less than (continued on page 16)
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36TH ANNUAL WINTER UPDATE DOCTORS SAID LAST YEAR... “Overall, a very good conference with speakers being very knowledgeable about the topics they presented.” “Excellent conference as always done by the IOA—worth the distance to get there.” “The program was excellent. The quality was very good. I will continue to attend.” “The IOA always puts on a nice conference. I can always count on coming to at least one per year and being glad I did. 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 on Friday, Saturday, and Sunday. THIS YEAR’S PROGRAM We are pleased that Rodney M. Wiseman, D.O. FACOFP dist., president of the American College of Osteopathic Family Physicians (ACOFP) will be our guest at a luncheon on Friday and will report on behalf of the ACOFP Board of Governors. During an ultrasound symposium on Friday afternoon, the IOA will offer a unique opportunity for physicians to experience a pain management education with 3 hands on workshops. At a luncheon and silent auction on Saturday, Boyd R. Buser, D.O., president of the American Osteopathic Association (AOA) will be our guest and will recognize awards recipients and install our new trustees. Your support of the Advocates’ fundraising efforts at our CME program by buying raffle tickets and bidding on items in the silent auction is greatly appreciated. The money raised will go to the Motyka Dannin Osteopathic Educational Foundation to support the study of osteopathic medicine. The IOA is hosting a holiday reception on Saturday evening. Plan to stop by for food, drinks, and an opportunity to celebrate with colleagues and friends. All spouses/guests and children are invited too.
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ENTERTAINMENT December in Indianapolis offers numerous opportunities for family and grown-up fun. You can enjoy first rate theater, concerts, shopping and dining. A Christmas Carol. The spirits of Christmas bring new life to Ebenezer Scrooge in his journey from dark night of the soul to bright joyous morning. Celebrate the season with Indianapolis’s favorite holiday tradition. God bless us, everyone! Tickets on sale now. Go to www.irtlive.com or call (317) 635-5252 Monday through Friday, 11:00 am to 6:00 pm. Enjoy Indiana’s best holiday tradition, IPL Yuletide Celebration, as part of the SymFUNy Sunday family series. Ring in the holidays with Jack Everly, Conductor, and special guests as they bring to life the magic of tap dancing Santas, festive carols and larger-than-life puppetry alongside the ISO. Tickets on sale now. Go to www.indianapolissymphony.org or call (317) 639-4300 or (800) 366-8457 outside Central Indiana Monday through Friday from 10:00 am to 5:00 pm. Surround yourself with the magic and beauty of the holiday season as the Indianapolis Zoo hosts its annual holiday tradition, Christmas at the Zoo presented by Donatos and Teachers Credit Union. A visit to Christmas at the Zoo is unlike any other time of the year. As the sun sets over the White River State Park, enjoy the bright glow of holiday lights creating a magical nighttime experience. The Zoo opens at 12 noon daily and all the fun holiday activities are available from 5:00 pm to 9:00 pm. Holidays sparkle at The Children’s Museum of Indianapolis. Explore Jolly Days Winter Wonderland, visit with Santa Claus, and ride down the Yule Slide. The museum is open Tuesday through Sunday, from 10:00 am to 5:00 pm. The Eiteljorg Museum of American Indians and Western Art, the Indianapolis Art Museum, and the American Cabaret Theater are close 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 ACCOMODATIONS
PRECONFERENCE OMT WORKSHOP THURSDAY, DECEMBER 7, 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, DECEMBER 8, 2017 (Exhibits open 8:00 am - 3:30 pm) 7:00 am - 6:00 pm • Florida Laws & Rules • Cardiovascular Disease • Cancer Genomics and Immunotherapies • Prevention of Medical Errors • HIV/AIDS ULTRASOUND SYMPOSIUM • Practical Station • Practical Station • Practical Station 6:30 pm • NVAF and DVT/PE 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, DECEMBER 9, 2017 7:00 am – 5:30 pm • Federal and State Laws Related to the Prescribing of Controlled Substances • Working with Midlevel Providers • Wound Care • Foot and Ankle Trauma • Professional and Medical Ethics • Regenerative Medicine and Stem Cells • The New Retirement Lifestyle • OMT Workshop 6:00 pm • Holiday Reception All spouses/guests and children are invited too. (Please indicate attendance on your registration form.) SUNDAY, DECEMBER 10, 2017 7:00 am - 12:15 pm • Muscle Energy OMT • Opioid Prescribing • Physical Exam Skills • Changes in Osteopathic Board Certification • Male Hormone Replacement Therapy (Topics and times subject to change.)
BOOK YOUR ROOM EARLY! The JW Marriott’s address is 10 South West Street Indianapolis, IN 46204. Make your reservation via the internet at https://aws.passkey.com/go/IndianaOsteopathic or call (866) 704-6162. The room rate is $189.00 per night single or double occupancy until November 7. Be sure to mention the IOA Annual Winter Update to receive this rate. 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 36th Annual Winter Update (WTR) App instead of viewing a printed program. (Please indicate if you prefer a flash drive and if you prefer to download the WTR App on your registration form.).
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REGISTRATION FORM __________________________________________________________________________________________________ Name (indicate first and last for name badges) Degree AOA Member Number __________________________________________________________________________________________________ Mailing Address (indicate office residence) City State Zip Code __________________________________________________________________________________________________ Telephone Number (indicate office residence cell) Medical College Year of Graduation __________________________________________________________________________________________________ E-Mail Address Specialty Certification
Non Member Member* Spouse/Guest Resident/Intern Non Member Resident/Intern Member Student Non Member Student Member
REGISTRATION FEES (circle appropriate fee) Before 11/10/17 After 11/10/17 $700 $750 $545 $595 $150 $200 $325 $375 $250 $300 $175 $225 $125 $175
* Member of IOA or respective state association. I would prefer a flash drive. .
I would prefer to download the WTR App. I will participate in the optional preconference OMT workshop on Thursday, December 7. 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, December 8. I will participate in the holiday reception on Saturday, December 9. 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 November 10, 2017, to grant full refunds. If originally paid by credit card, cancellations are subject to a 5% service fee. All cancellations received after November 10 are subject to a 15% service fee. After December 1, 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 November 10, 2017, if possible.
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TIPS FROM OUR CONSULTANT By: Joy Newby, LPN, CPC, PCS Newby Consulting
NEW BENEFICIARY MEDICARE IDENTIFIERS The Medicare Access and CHIP Reauthorization Act (MACRA) requires the Centers for Medicare and Medicaid Services (CMS) to remove Social Security Numbers from beneficiary Medicare cards to help fight identity theft and safeguard taxpayer dollars. Physicians must be ready by April 2018 for the change from the Social Security Number based Health Insurance Claim Number (HICN) to the randomly generated Medicare Beneficiary Identifier (MBI), the new Medicare number. CMS is calling this project the New Medicare Card. The MBI will be: •
• •
Clearly different than the HICN and Railroad Retirement Board (RRB) numbers ► The Railroad Retirement Board will issue new cards to RRB beneficiaries ► Physicians will no longer be able to distinguish RRB patients by the number on the new Medicare card. You will be able to identify them by the RRB logo on the beneficiary’s card 11-characters in length Made up only of numbers and uppercase letters (no special characters)
Medicare will be mailing new Medicare cards with their unique MBI to beneficiaries between April 2018 and April 2019. Transition Period CMS plans a transition period where physicians can use either the HICN or the MBI to exchange data. The transition period will begin no earlier than April 1, 2018 and run through December 31, 2019. During the transition period, CMS will monitor the use of HICNs and MBIs to see how many providers/suppliers are ready to use only MBIs by January 2020. CMS will also actively monitor the transition and adjustment to the new MBIs to make sure of their wide-spread adoption so Medicare operations are not interrupted. After the transition period ends on January 1, 2020, physicians will need to use MBIs on claims with a few exceptions when you can use either the HICN or MBI. Medicare Exceptions (Not All Inclusive) • • •
Appeals - Physicians can use either the HICN or the MBI for claims appeals and related forms. Adjustments - Physicians can use the HICN indefinitely for some systems (Drug Data Processing, Risk Adjustment Processing, and Encounter Data) and for all records, not just adjustments. Reports – Medicare will use the HICN on these reports until further notice: ► Incoming to Medicare (quality reporting, Disproportionate Share Hospital data requests, etc.) ► Outgoing from Medicare (Provider Statistical & Reimbursement Report, Accountable Care Organization reports, etc.)
PROVIDER ENROLLMENT REVALIDATION – CYCLE 2 §6401 (a) of the Affordable Care Act established a requirement for all enrolled providers/suppliers to revalidate their Medicare enrollment information under new enrollment screening criteria. CMS has completed its initial round of revalidations and will be resuming regular revalidation cycles in accordance with 42 CFR §424.515. This cycle of revalidation applies to those providers/suppliers that are currently and actively enrolled. Due dates are established based on the provider’s/supplier’s last successful revalidation or initial enrollment (approximately 3 years for DME suppliers and 5 years for all other providers/suppliers).
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Check http://go.cms.gov/MedicareRevalidation for the provider/suppliers due for revalidation. This list will be refreshed periodically. Be sure to check this list regularly for updates. If the provider/supplier has a due date listed, CMS encourages them to submit their revalidation within six months of their due date or when they receive notification from their MAC to revalidate. When either of these occur: •
• •
•
Submit a revalidation application through Internet-based PECOS located at https://pecos.cms.hhs.gov/pecos/login.do, the fastest and most efficient way to submit your revalidation information. Electronically sign the revalidation application and upload your supporting documentation or sign the paper certification statement and mail it along with your supporting documentation to your MAC; or Complete the appropriate CMS-855 application available at https://www.cms.gov/Medicare/ProviderEnrollment-and-Certification/MedicareProviderSupEnroll/EnrollmentApplications.html Physicians are not charged an application fee; however, ambulatory surgical centers and Medicare suppliers must pay an application fee by going to https://pecos.cms.hhs.gov/pecos/feePaymentWelcome.do ► The application fee is $560.00 for Calendar Year (CY) 2017 Respond to all development requests from your MAC timely to avoid a hold on your Medicare payments and possible deactivation of your Medicare billing privileges.
Medicare Administrative Contractors (MAC) will send a revalidation notice within 2-3 months prior to your revalidation due date either by email (to email addresses reported on your prior applications) or regular mail (to at least two of your reported addresses: correspondence, special payments and/or your primary practice address) indicating the provider/supplier’s due date. Revalidation notices sent via email will indicate “URGENT: Medicare Provider Enrollment Revalidation Request” in the subject line to differentiate from other emails. If all the emails addresses on file are returned as undeliverable, your MAC will send a paper revalidation notice to at least two of your reported addresses: correspondence, special payments and/or primary practice address. Deactivations Due to Non-Response to Revalidation or Development Requests It is important that you submit a complete revalidation application by your requested due date and you respond to all development requests from your MACs timely. Failure to submit a complete revalidation application or respond timely to development requests will result in possible deactivation of your Medicare enrollment. If your application is received substantially after the due date, or if you provide additional requested information substantially after the due date (including an allotted time for US or other mail receipt) your provider enrollment record may be deactivated. Providers/suppliers deactivated will be required to submit a new full and complete application to reestablish their provider enrollment record and related Medicare billing privileges. The provider/supplier will maintain their original PTAN; however, an interruption in billing will occur during the period of deactivation resulting in a gap in coverage. NOTE: The reactivation date after a period of deactivation will be based on the receipt date of the new full and complete application. Retroactive billing privileges back to the period of deactivation will not be granted. Services provided to Medicare patients during the period between deactivation and reactivation are the provider’s/supplier’s liability.
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PHYSICIANS CAN FIRE PATIENTS TOO! By: Jeremy A. Wale, JD, ProAssurance Risk Resource Advisor
The physician-patient relationship is created by mutual agreement between the physician and the patient. As such, the physician may terminate the relationship for any non-discriminatory reason. Valid reasons may include (but are not limited to) non-compliance with medical advice, combative or threatening behavior, or outstanding medical bills. Patient non-compliance is one of the most common reasons for terminating the physician-patient relationship. Patients who routinely miss or cancel appointments or refuse to heed medical advice may be considered non-compliant. Non-compliant patients might be your practice’s biggest liability risk. Patients are less likely to get better when they don’t comply with medical advice, placing them at higher risk for adverse outcomes. By properly terminating noncompliant patients, you may help reduce your risk of malpractice claims. It also is appropriate for practices to terminate hostile, aggressive, or verbally abusive patients. Proper termination is important to help avoid a claim of patient abandonment. While the legal definition of abandonment varies from state to state, the following elements typically exist in a patient abandonment claim: • • • •
termination of a professional relationship between the physician and patient without good reason or at an unreasonable time; termination occurred when the patient was in need of continuing medical care; the patient was not given reasonable notice sufficient to secure an alternate physician; and the patient was harmed as a result.1
The American Medical Association (AMA) summarizes your responsibility this way: once a physician-patient relationship exists, physicians are ethically obligated to place the patient’s welfare above all other considerations, including the physician’s own self-interest.2 Once you’ve determined it’s prudent to terminate a patient from your practice, lower the risk of a patient’s claim of abandonment or malpractice by: • • •
Evaluating the patient’s condition and rendering stabilizing care, if needed. Avoid discharging a patient during treatment for an acute condition until the treatment is finished or the condition is resolved. When possible, discuss the termination and your reason(s) for termination with the patient. You may conduct the conversation via telephone or in person. We encourage the physician to have this conversation with the patient. Be sure to document this discussion in the patient’s medical record. Send a written letter to the patient confirming his or her termination from the practice. We suggest sending the letter by both regular mail and certified mail with return-receipt requested. If you choose to include the reason for termination in the letter, be sure you are objective and tactful in your choice of words. We suggest you include the following: o A specified period of time during which you will continue to provide care. The AMA suggests at least 30 days’ notice; however, there is at least one state that requires at least 60 days’ notice. Review your state’s laws before you terminate a physician-patient relationship. o A statement encouraging the patient to find another physician as quickly as possible. o Referral services to aid the patient in finding another physician. These services may include the local medical society or the state board of medicine. o Information on how the patient can get a copy of his or her medical record. You may want to consider including a release-of-records form to make this process easier. o A signature. We encourage the terminating physician to personally sign the letter and retain a copy of the letter in the patient’s medical record.
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We also encourage you to contact any third-party payer or managed care provider that may be involved in the patient’s care. Some third-party payers and managed care providers have specific contractual obligations you must follow prior to terminating one of their covered patients. 1 2
American Medical Association. Ending the patient-physician relationship. 2013. Accessed August 25, 2014. American Medical Association, Code of Medical Ethics Opinion 10.015.
This article is not intended to provide legal advice, and no attempt is made to suggest more or less appropriate medical conduct. Copyright Š 2014 ProAssurance Corporation ProAssurance is a national provider of medical professional liability insurance and risk resource services. For more information about the company, visit ProAssurance.com.
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BAKER INSTALLED AS PRESIDENT On July 22, 2017, the American Osteopathic Association (AOA) inaugurated Mark A. Baker, D.O., as the 2017 – 2018 president of the AOA. Dr. Baker is a diagnostic radiologist from Fort Worth, TX. Currently, he works at Western Radiology in Fort Worth specializing in diagnostic radiology. In addition, he serves as a clinical associate professor in the department of radiology at the University of North Texas Health Science Center Texas College of Osteopathic Medicine (UNTHSCTCOM) in Fort Worth. Previously, Dr. Baker served as acting chair and course director for the department of radiology and as a member of the teaching faculty for the department of gross anatomy at UNTHSCTCOM. After earning his osteopathic medical degree from UNTHSCTCOM, Dr. Baker completed a residency in diagnostic radiology at Fort Worth Medical Center. He has served as president of the Texas Osteopathic Medical Association. He also is a member of the American Osteopathic College of Radiology. When Dr. Baker speaks to osteopathic medical students, he likes to quote Timbuk3, the ’80s one-hit wonder who penned “The Future’s So Bright.” “I tell our students that the future of osteopathic medicine is so bright, they need to wear shades,” he says, often playing the song and swapping his horn-rimmed spectacles for bright red sunglasses during speeches. “Osteopathic medicine is one of the fastestgrowing segments of the health care professions in the U.S.,” notes Dr. Baker. “Our profession is becoming significantly younger and more diverse. Imagine what we could do if we harnessed that energy and passion and directed it toward some common goals.” Dr. Baker’s top goals for the year include: \ 1. Taking steps to further unite the osteopathic family by partnering with younger D.O.s and creating more leadership opportunities for them. “More than half of all D.O.s are younger than 45,” Dr. Baker notes. “We need to hear from them. What do they want this profession to be as they move into their future?” 2. Connecting with affiliate organizations to discuss shared goals and how to achieve them. “I am committed to meeting both the Association of Osteopathic State Executive Directors and the Society of Osteopathic Specialty Executives twice this year,” he says. “I’d like to sit down with them so that we can share our concerns and improve our relationship.” 1. Beginning the process of giving OMED a facelift. “I plan to create a task force to look into ways to improve OMED and make the conference more relevant to our members,” he says.
“Dr. Baker is an expert leader,” says Mark Hahn, D.O., president and CEO of Kansas City University of Medicine and Biosciences College of Osteopathic Medicine. Dr. Hahn collaborated closely with Dr. Baker during the 2000s while both worked for UNTHSCTCOM. “He’s spent time on the national scene and on the state scene. He understands the importance of clinical medicine, of education, and of telling the story of the 125-year history of osteopathic medicine in the U.S. He has a high amount of integrity. These things combined with his professional experience will make him an ideal leader at a very challenging time for medicine in the U.S.” Before Dr. Baker became a D.O. himself, he grew up in an osteopathic household. His father was a D.O., and the family D.O. tradition has continued into a third generation as his daughter, Carrie Baker, D.O., just completed a pediatrics residency in Oklahoma. Dr. Carrie Baker has been heavily influenced by her father’s commitment to the D.O. philosophy and holistic, patient-centered care, she says. “My dad always taught me to let the patient talk, and they would tell you their story,” she says. “If you just let them talk, they will tell you everything you need to know. He taught me the saying, ‘Patients don’t care how much you know until they know how much you care.’ In pediatrics, it has been true. To earn a parent’s trust is huge. Once you do, they’ll believe in you and will let you guide their child’s care.” Introduced to radiology during a summer hospital job before medical school, Dr. Baker says he was drawn to its mix of technology, diagnosis and patient care. People often ask him how osteopathic radiologists are different, he says. “As a radiologist, you can choose to have more or less interaction with patients,” he says. “For many years, I did mammography, where you have the opportunity to develop relationships with patients that last for years. And you can give them the empathy and caring treatment that D.O.s provide. When you do that, they’ll really appreciate it, and they’ll ask for you by name when they have followups.”
AOA HOUSE OF DELEGATES The osteopathic medical profession in Indiana was well represented at the AOA House of Delegates meeting in Chicago in July. The IOA delegation included Susan M. Moore Riesbeck, D.O., Chair, Mark S. Cantieri, D.O., David L. Coil, D.O., Dan C. Galloway, D.O., Max E. Helman, D.O., David C. Koronkiewicz, D.O., Donald E. Sefcik, D.O. and Angela B. Wagner, D.O. Christy Reick, MSII (Student Delegate) and Robert Luke, MSII (Alternate Student Delegate) also participated. The AOA’s House of Delegates meets annually to set organizational policies and elect new officers.
Summer 2017
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Summer 2017
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PRESIDENT’S MESSAGE (continued from page 1)
dents. I was able to take advantage of the Merchant’s Pact credit card processing program and saved my practice $2000 per year. They are expert advisors who negotiate reduced processing fees with your current processor or a new processor, audit payment processing statements for accuracy, and manage this critical aspect for businesses. Members are eligible for a free analysis. Another very substantial piece of Phase II of the strategic plan is enhancement of board certification. With the unlinking of the requirement to have AOA membership in order to have AOA board certification occurring as early as the 2018 -2019 membership year, the AOA must increase the competitiveness of our certification. We will be competing directly with the American Board of Medical Specialties (ABMS) and will be certifying both D.O.s and M.D.s. To show our students and residents the value of AOA certification a new digital marketing campaign is being rolled out to them. Also, there is a new website for our 18 certifying boards. The AOA is currently looking for an osteopathic physician to fill the position of VP of Certifying Services to oversee the AOA’s board certification processes. The AOA has an ongoing search for a psychometrician to work in the department as well. The Doctors That DO campaign continues to be a great success story for the profession. We have received coverage from CBS, ABC, NBC, MSNBC and Meet the Press. Charles Simpson, VP of Communications, oversees this department for the AOA. The campaign continues this coming year with the refreshing of the campaign materials bringing new headlines, copy and new D.O. faces to the materials. The AOA Board of Trustees has budgeted an additional $2.5M for investment in the brand awareness campaign which will include digital and social advertising, national print and paid search. I hope you are reading the “new and improved” JAOA and DO magazines. They have both received national recognition for their content and layouts. What is exciting is we are seeing increased readership among both DO students and undergraduate college students. The Osteopathic profession continues its rapid growth. There are currently 32 osteopathic medical schools with a total 48 campuses. There are 12 new COMS in the pipeline. The IOA has created a task force headed by Susan Moore Riesbeck, D.O., to hire a new executive director for the IOA. Our current executive director, Erin Wernert, has moved to Louisville, KY. Erin will commute and continue to work for the IOA until December when we plan to have our new hire in place. We all extend our thanks and prayers for success to Erin as she begins a new phase in her and her family’s lives.
This will be my last formal newsletter as IOA President. Thank you for the opportunity to serve and thanks to our Board of Trustees for their support and guidance. The IOA will be left in the very capable hands of Gaston Dana, D.O., who will assume the position of IOA President in December.
Mark S. Cantieri, D.O. President
AIOA NEWS The 36th Annual Winter Update, to be held December 8 – 10, 2017, at the JW Marriott, in downtown Indianapolis, is approaching quickly. Go to the IOA’s website at www.inosteo.org and register online now. It’s instant. It’s simple. The Advocates to the Indiana Osteopathic Association (AIOA) program will be great fun as usual. Please plan to join us for dessert following lunch on Friday afternoon, and breakfast, a business meeting, and installation of officers on Saturday morning. We especially hope physicians and spouses/guests will join us for our silent auction during lunch on Saturday afternoon and during the holiday reception on Saturday evening. Your support of our fundraising efforts by buying raffle tickets and bidding on items in the silent auction is vital. The money raised will go to the Motyka Dannin Osteopathic Educational Foundation to support the study of osteopathic medicine. And don’t forget the items you wish to donate for our silent auction. These items should be unique and in good condition. They may be something you have made or bought, tickets to a sporting event or theater production, time at your own retreat, etc. The AIOA is selling advertising in the annual winter update program too. Details will be e-mailed to you in late August about this and the auction. Lastly, please thoughtfully consider joining the AIOA. You may contact Debbie Coyle at the IOA office to receive an application or you may download an application at www.inosteo.org by clicking on Advocates to the AIOA under the Related Organizations tab. Take care and I’ll see you in December.
Mike Coyle AIOA President
Summer 2017
GENERAL ASSEMBLY UPDATE On April 29, 2017, the Indiana General Assembly adjourned for the year. The following bills were sent to the Governor for signature: BALANCED BILLING. Balanced Billing, HB1273, specifies notice requirements for network health care providers that make referrals to out-of-network health care providers. It also provides for exceptions to the notice requirements. OPIOID EPIDEMIC. Opioid Epidemic, SB 226, limits the amount of an opioid prescription to seven days that a prescriber may issue for: (1) an adult who is being prescribed an opioid for the first time; and (2) a child; unless the prescription is for the treatment of specified conditions or circumstances. The bill requires documentation in the use of certain exemptions. The bill requires a prescriber to issue a prescription for an opioid in a lesser amount if requested by specified individuals and to document the request. The bill also requires a pharmacist, upon the request of a specified individual, to partially fill the opioid prescription in compliance with federal law. It requires the pharmacist to document that the opioid prescription was partially filled. The bill requires the Medical Licensing Board (MLB), in consultation with specified persons, to adopt emergency rules and regulations concerning conditions that will be exempt from the prescription limitations. INSPECT PROGRAM. INSPECT program, SB 408, urges the legislative council to assign to the appropriate study committee the topic of potential improvements to the INSPECT program. PRIOR AUTHORIZATION. Prior Authorization, SB 73, requires certain health plans to accept and respond to electronic prior authorization requests according to a particular electronic transaction standard. SCOPE OF PRACTICE. Scope of Practice, SB 51, allows the State Health Commissioner or a designated public health authority who is a licensed prescriber to issue a statewide standing order, prescription, or protocol that allows a pharmacist to administer or dispense certain immunizations. It allows immunization data to be released to an entity for outreach and education purposes to increase immunization rates if certain conditions are met. The bill requires that the standing order, prescription, or protocol be posted on the Internet web site of the Board of Pharmacy. Pharmacist Immunization List: The bill adds the following immunizations to the list of immunizations that pharmacists may administer if certain conditions are met: (1) Measles, mumps, and rubella. (2) Varicella. (3) Hepatitis A. (4) Hepatitis B. (5) Haemophilus influenzae
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type b (Hib). The bill allows a pharmacist to immunize an individual who is at least 50 years of age for pneumonia under a physician's protocol. Compliance: The bill requires a pharmacist to comply with the public health emergency consent requirements for immunizations administered during a public health emergency. It also authorizes a pharmacist to administer immunizations under a standing order, prescription, or protocol of the State Health Commissioner. TELEMEDICINE. Telemedicine, HB 1337, requires the Office of Medicaid Policy and Planning (OMPP) to reimburse a Medicaid provider, determined by the office to be eligible, for covered telemedicine services. It also prohibits the OMPP from setting any distance restrictions under Medicaid on telehealth services and telemedicine services. Professional Licensing Provisions: The bill adds podiatrist to the definition of "prescriber" for purposes of telemedicine services. It requires a telemedicine services prescriber to contact the patient's primary care provider if the telemedicine services prescriber has provided care to the patient at least two consecutive times through the use of telemedicine services. The bill removes a limitation on prescribing controlled substances except for opioids through the use of telemedicine if: (1) the prescriber maintains a controlled substance registration; (2) the prescriber meets federal requirements concerning the prescribing of the controlled substance; (3) the patient has been examined in person by a licensed Indiana health care provider that has established a treatment plan to assist the prescriber in the diagnosis of the patient; (4) the prescriber has reviewed and approved the treatment plan and is prescribing for the patient pursuant to the treatment plan; and (5) the prescriber complies with the requirements of the INSPECT program. The bill allows for the prescribing of an opioid using telemedicine services if the opioid being prescribed is a partial agonist being prescribed to treat or manage an opioid dependence.
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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 THE CAMPUS. Accreditation. On April 24, 2017, the Indiana Commission on Higher Education received notice from the Commission on Osteopathic College Accreditation (COCA) that the Marian University College of Osteopathic Medicine (MUCOM) was awarded the status of Accreditation. This decision was based on a Comprehensive Survey (Site) Evaluation completed in February 2017. The COCA is authorized to accredit colleges of osteopathic medicine by the U.S. Department of Education. Graduation. On May 7, 2017, on the stage of the Hilbert Circle Theater, 133 osteopathic medical students received the degree of Doctor of Osteopathic Medicine and became the inaugural alumni of the MUCOM. On July 1, 2017, these newly minted D.O.s began their residency training in 18 different specialties in 64 cities spread across 27 states. Of our graduates, 34% chose family medicine as their career path. Notably, 49 of our graduates chose to begin their postgraduate training in Indiana; with the top three training locations being St. Vincent Health (16), Community Health Network (11), and Franciscan Health – Indianapolis (5). New Faculty. In July 2017, the MUCOM welcomed two new full-time faculty. Angela Wagner, D.O. is a graduate of Michigan State University College of Osteopathic Medicine (1999). Dr. Wagner is board certified in family medicine, and hospice and palliative medicine. She is past president of the Indiana Osteopathic Association (2013-14). Dr. Wagner completed a teaching fellowship through the Costin Institute at Midwestern University Chicago College of Osteopathic Medicine (2011), completed an ethics fellowship through the Charles Warren Fairbanks Center for Medical Ethics in Indianapolis (2014), and received a masters’ degree in health professions education from Michigan State University (2017). Michael L. Summers, M.D. is a graduate of Butler University (1981) and the Indiana University School of Medicine (1985). Dr. Summers is a board certified family physician and has practiced family medicine in the Indianapolis community since 1988. Dr. Summers is a member of the American Academy of Family Physicians, the Indiana State Medical Association, and the Indiana Academy of Family Physicians. AROUND THE PROFESSION. The American Osteopathic Association Annual Business Meeting and House of Delegates Meeting was held July 17 – 23, 2017. The MUCOM was very well represented by Katie Downs Cassella, OMS4, SOMA National President; Paige
Langhalis Totino, OMS4, SOMA National PR Director; Adam Davis, OMS3, COSGP National Treasurer; Annalissa Kammeyer, OMS2, SOMA Chapter National Liaison Office; Rob Luke, OMS2, SGA President; Christy Reick, OMS2, SOMA Chapter President; Nick Walter, OMS2, SGA Vice President; and Angela Wagner, D.O., MUCOM Chair of Family Medicine. AROUND THE CORNER. On August 7, 2017, MUCOM welcomes the Class of 2021. Under the direction of Bryan Moody, M.Ed, Executive Director of Graduate Admission, and Clint Whitson, M.S., Assistant Dean of Student Affairs, our new students are wellqualified and will be well-prepared to begin classes on Friday, August 11th. Bryan Larsen, Ph.D., Associate Dean of Biomedical Sciences, and Luke Nelligan, D.O., Interim Associate Dean of Clinical Affairs, in collaboration with our faculty and staff are ready to guide these women and men on their journey the next four years as osteopathic physicians-in-training. Best Wishes to all as this adventure begins!!
WMD UPDATE
By: Colonel Charles A. Holt, D.O. (continued from page 4) half of US states scored high in being able to respond to public health emergencies...at the same time we get repeatedly challenged with the likes of ebola, Zika and are caught with our pants down. There is a new effort to try and head off the threats of Lassa fever, MERS and Nipah virus. Ransomware and all kinds of hacking into HC systems is a worsening concern as more are interconnected and have common operating systems. This will make you scratch your head...the recent outbreaks in the US of scabies, not to mention measles, Legionnaires's dis. and even plague. So, sorry for the sickening news, but, it is all around us and sometimes on and inside us, as well. 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 bringing 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.
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Donate Now To MDF The Motyka Dannin Osteopathic Educational Foundation, Inc. was formed at the initiative of the Indiana Osteopathic Association (IOA). Its mission is to raise and distribute funds primarily in support of the study of osteopathic medicine. This includes scholarships, grants for research, seminars, and similar programs. In April of 2017 we awarded our first forgivable loan in the amount of $10,000. Our aspiration is to become the premier scholarship opportunity for Indiana’s osteopathic medical students and to ensure our top notch students continue to practice in Indiana. Your generous support will allow us to continue awarding forgivable loans and providing opportunities for students to attend IOA CME events, attend DO Day on Capitol Hill sponsored by the American Osteopathic Association (AOA), attend the AOA House of Delegates and identify other useful initiatives for our students and members.
Forgivable Loan Qualifications Be an Indiana resident who is attending an osteopathic medical school in the United States or a student of the Marian University College of Osteopathic Medicine;
Donor Benefits
Individual Giving Benefits: Lapel Pin Lifetime giving recognition on website and in publications; Donor only receptions at IOA CME meetings;
Be a member of the Indiana Osteopathic Association;
Annual Luncheon with forgivable loan recipient;
Be enrolled as a second or third year medical student and in good standing;
Complimentary registration at IOA CME meeting of choice with an annual donation of $2,500.
Present two letters of recommendation; Submit an application that includes an essay and list of accomplishments; Intend to practice in Indiana following completion of a residency in family medicine, osteopathic manipulative medicine, general internal medicine, general surgery, psychiatry, general pediatrics, or obstetrics and gynecology (OBGYN) for not less than 24 months.
Namesakes Daniel Motyka, D.O., from Crown Point, IN was one of the IOA’s most dedicated members to developing successful CME events. Dr. Motyka’s mission was to provide and maintain the highest possible education for osteopathic physicians in Indiana and the surrounding states.
Motyka Dannin Osteopathic Educational Foundation, Inc.
Corporate Giving Benefits ($15,000 Commitment over 3 years): Complimentary exhibit space at IOA CME meetings; Complimentary half page ads in publications as well as in programs at IOA CME meetings. Recognition on website and in publications Donor only receptions at IOA CME meetings; Annual Luncheon with forgivable loan recipient. Arthur Dannin, D.O., from Frankfort, IN was focused on the osteopathic medical student. He worked tirelessly with the Indiana General Assembly to pass education friendly legislation, guided students on their paths in medicine and began some of the initial talks to develop an osteopathic medical school in Indiana.
www.inosteo.org
Summer 2017
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NOM WEEK National Osteopathic Medicine (NOM) Week took place April 16 – 22, 2017. NOM Week brings the osteopathic medical profession together to focus on one common goal—increasing awareness of osteopathic medicine and doctors of osteopathic medicine (D.O.s) in our communities. This year Indiana Osteopathic Association (IOA) and the Motyka Dannin Osteopathic Educational Foundation (Motyka Dannn Foundation) brought the osteopathic medical profession together to celebrate D.O.s and osteopathic medicine. On Monday, members of the Motyka Dannin Foundation Board of Trustees selected the recipient of its first $10,000 forgivable loan. Adam Davis is a second year student at the Marian University College of Osteopathic Medicine (MUCOM) in Indianapolis. Mr. Davis is from Argos.
Adam Davis, MSII, recipient of the Motyka Dannin Foundation’s first $10,000 forgivable loan.
Recipients of other awards were Skyler Gick, a third year student at MUCOM; Anneliese Huntzinger, a third year student at MUCOM; and Olivia Smith, a third year student at MUCOM. Ms. Gick is from Otterbein. Ms. Huntzinger is from Noblesville. Ms. Smith is from Charlottesville.
On Thursday, Mark S. Cantieri, D.O., president of the IOA Board of Trustees and a member of the American Osteopathic Association (AOA) Board of Trustees, gave a lecture on the transition to a single accreditation system for graduate medical education (GME) in the U.S. during a lunch and learn at the MUCOM. The students appreciated Dr. Cantieri’s lecture as well as the opportunity to ask questions and share their thoughts. On Friday and Saturday, the IOA sponsored a well-attended and well-received continuing medical education (CME) program during its 120th Annual Spring Update. A highly successful preconference OMT workshop was sponsored on Thursday.
MOTYKA DANNIN FOUNDATION FINANCIAL ASSISTANCE The Motyka Dannin Foundation’s mission is to raise and distribute funds primarily in support of the study of osteopathic medicine. This includes scholarships, grants for research, seminars, and similar programs. Our aspiration is to become the premier scholarship opportunity for Indiana’s osteopathic medical students and to ensure that our top notch students begin and end their careers practicing in Indiana. Your generous support will allow us to continue awarding forgivable loans and providing opportunities for students to attend IOA CME meetings, attend DO Day on the Hill sponsored by the AOA, attend the AOA House of Delegates, and identify other useful initiatives for our students and members. For 2017 – 2018, the Motyka Dannin Foundation intends to award its second $10,000 forgivable loan. In 2018, second or third year students at the Marian University College of Osteopathic Medicine and second or third year Indiana students at one of the other osteopathic medical schools accredited by the AOA’s Commission on Osteopathic College Accreditation (COCA) will be invited to apply. To make a contribution, go to www.inosteo.org and slick 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. On behalf of the future osteopathic physicians who will be helped by your generosity, thank you for your gifts.
Summer 2017
COMING EVENTS... The Cranial Base September 15 – 17, 2017 Hilton Norfolk The Main, Norfolk, VA Sponsor: The Osteopathic Cranial Academy Contact: The OCA, (317) 581-0411 or www.cranialacademy.org OMED October 7 – 10, 2017 Philadelphia, PA Sponsor: American Osteopathic Association Contact: AOA, (312) 202-8014 Or www.osteopathic.org Basic Visceral Course November 8 – 10, 2017 Rowan University School of Osteopathic Medicine, Stratford, NJ Sponsor: American Academy of Osteopathy Contact: AAO, (317) 879-1881 or www.academyofosteopathy.org November 10 – 17, 2017 Eugene, OR Sponsor: The Osteopathic Cranial Academy Contact: The OCA, (317) 581-0411 or www.cranialacademy.org Annual Meeting and Scientific Symposium December 7-10, 2017 Rancho Bernardo Inn, San Diego, California Sponsor: American Academy of Addiction Psychiatry Contact: AAAP, www.aaap.org Preconference OMT Workshop December 7, 2017 JW Marriott 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. 36th Annual Spring Update December 8 – 10, 2017 JW Marriott 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 25 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. Evidence-Based Visceral Manipulation: Finding Best Practices for Evaluation and Management December 8 – 10, 2017 University of North Texas Health Sciences Center at Forth Worth Texas College of Osteopathic Medicine, Fort Worth, TX Sponsor: American Academy of Osteopathy Contact: AAO, (317) 879-1881 or www.academyofosteopathy.org Introduction to Osteopathic Manipulative Medicine January 25 – 28, 2018 University of North Texas Health Sciences Center at Fort Worth Texas College of Osteopathic Medicine, Fort Worth, TX Sponsor: American Academy of Osteopathy Contact: AAO, (317) 879-1881 or www.academyofosteopathy.org
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Annual Convocation March 21 – 25, 2018 Hilton Anatole, Dallas, TX Sponsor: American Academy of Osteopathy Contact: AAO, (317) 879-1881 or www.academyofosteopathy.org Annual Convention March 22 – 25, 2018 JW Marriott, Austin, TX Sponsor: American College of Osteopathic Family Physicians Contact: ACOFP, (847) 952-5100, or www.acofp.org Preconference OMT Workshop April 19, 2018 Sheraton Hotel at Keystone Crossing, 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. 37th Annual Spring Update April 20 – 21, 2018 Sheraton Hotel at Keystone Crossing, 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 36TH ANNUAL WINTER UPDATE DECEMBER 8 - 10, 2017 PRECONFERENCE OMT WORKSHOP DECEMBER 7, 2017 JW MARRIOTT DOWNTOWN INDIANAPOLIS, IN
Summer 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.