State Medical Societies Concerned with State Governments’ Efforts to Legalize Recreational Marijuana 

For Immediate Release 


MEDICAL SOCIETY OF DELAWARE
MEDICAL SOCIETY OF NEW JERSEY
MEDICAL SOCIETY OF THE STATE OF NEW YORK
OHIO STATE MEDICAL ASSOCIATION
PENNSYLVANIA STATE MEDICAL SOCIETY

State Medical Societies Concerned with State Governments’ Efforts
to Legalize Recreational Marijuana
  

October 30, 2020, Westbury, NY— On behalf of the tens of thousands of physicians we represent, the medical societies of Delaware, New Jersey, New York, Ohio, and Pennsylvania are again joining together to express mutually shared concerns about state governments’ efforts to legalize marijuana for recreational use. Legalization continues to present serious public health concerns.

Legalization continues to be considered across many states.  For example, New Jersey voters will consider legalization of cannabis through a ballot referendum on Election Day.  The New York State’s Governor’s office has announced that the legalization of recreational use marijuana will be again be part of the state’s 2021 budget proposal.

We appreciate the enormous challenges state policymakers face to address burgeoning budget deficits, but we strongly believe that further detailed research must be undertaken and assessed regarding the effects legalization of cannabis will have on important public health markers, such as emergency department visits and hospitalizations, impaired driving arrests, and the prevalence of psychiatric and addiction disorders. We are very concerned that the long-term public health costs associated with hospitalizations and treatment for psychiatric/addictive disorders could significantly outweigh any revenues that these states anticipate would be received from the legalization of cannabis.

Data shows that despite best efforts of states to limit the purchase of legal marijuana to adults, it has also led to a troubling increase in youth use.    Overall use by youth aged 12-17 is up in “legal” states while declining in non-legal states, according to a uniform survey of marijuana use conducted by the federal government. The percentage of youth aged 12-17 using marijuana in states where marijuana is “legal” was 7.7%, versus 6.2% in non-legal states (NSDUH State Reports 2016-2017).  The University of Michigan’s Monitoring the Future Survey of American Youth reported that between 2017 and 2018 the percentage of 8th and 10th graders who report “vaping” marijuana increased 63%.  And according to a 2019 report by the Colorado Department of Public Health and Environment’s toxicology reports, the percentage of adolescent suicide victims testing positive for marijuana continues to increase. Between 2011 and 2013, 20.7% of suicide victims between the ages of 10 and 19 tested positive for marijuana (compared with 12.7% who tested positive for alcohol). Between 2014-2016, 22.4% tested positive for marijuana (compared with 9.3% for alcohol) And, in Colorado, the annual rate of marijuana-related emergency department visits increased by 62% from 2012 to 2017 and marijuana-related poisoning hospitalization rates in Colorado rose by 143% from 2012 to 2017 (Colorado Department of Public Health and Environment, 2019).

We are in the midst of a world-wide pandemic and we already know that smoking or vaping marijuana can increase patient risk for more severe complications from COVID-19.  Additionally, there are concerns about the secondary effects on adults and young people from COVID-19 regarding the increased rates of addiction due to the stress of isolation, boredom and decreased access to recovery resources.

We further note that the American Medical Association has a recently updated position (H-95.924) that continues to assert that “cannabis is a dangerous drug and as such is a serious public health concern,” that the sale of cannabis for recreational use should not be legalized and discourages its use—especially by persons vulnerable to the drug’s effects and in high-risk populations such as youth, pregnant women, and women who are breastfeeding.  At the same time, our states continue to assert that the best step states can take to address the very real and legitimate concern regarding unfair enforcement of these laws is to remove criminal sanctions for small amounts of marijuana possession, and to ensure the availability of treatment for addiction.

The cost to the public health system from cannabis use will likely far outweigh any revenues that states secure by legalizing marijuana.

We must proceed cautiously and pay close attention to the public health impacts in states where legalization has occurred.

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Founded in 1807, the Medical Society of the State of New York is the state’s principal non-profit professional organization for physicians, residents and medical students of all specialties. Its mission is to represent the interests of patients and physicians to assure quality healthcare services for all. 


Media Contact:
Roseann Raia
Communications / Marketing
Medical Society of the State of New York
865 Merrick Ave.
Westbury, New York
516-488-6100 ext 302 
rraia@mssny.org

MSSNY eNews: October 30, 2020 – Good News: Hot Off the Presses

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Colleagues:

I am happy to report that the closing of this week brings some good news. 

Delay in Compliance Deadline for the Information Blocking Rule

Yesterday, the Office of the National Coordinator for Health IT (ONC) announced that it will be extending the deadline for compliance with the Information Blocking Rule, a provision of the 21st Century Cures Act.  Under the interim rule, providers won’t be required to come into compliance with the regulation’s information-blocking provisions until April 5, 2021. Compliance for conditions and maintenance of certification requirements related to application programming interface (API) will also go into effect in April 2021 while standardized API functionality won’t be required until December 2022. This extension is a direct result of advocacy by both MSSNY and the AMA who urged the ONC to give healthcare providers more time and flexibility during the COVID-19 pandemic.  Resources on the Information Blocking Rule and how to comply can be found through the AMA at:

MSSNY Awarded Scope of Practice Partnership Grant

The AMA Scope of Practice Partnership yesterday awarded our MSSNY a grant to help subsidize a campaign to defeat legislation in the New York State Legislature that would create complete independent practice for various non-physician practitioners while promoting the concept of maintaining physician-led team care.

Each of these non-physician groups believe that they will have a significant opportunity to achieve legislation to permit independent practice as a result of a Governor’s Executive Order issued this past March at the height of the Covid pandemic, and continued since then, to waive otherwise applicable statutory collaboration and/or supervision requirements.

Physicians very much value the enormous contributions of these non-physician professionals to helping ensure patients have access to needed care.  However, it is imperative to continue to ensure and enhance existing physician collaboration and/or oversight requirements. Physician led teams are the best vehicle to achieve the quadruple aim of providing better patient experience, better population health, lower overall costs and improved professional satisfaction. This grant will help EXPAND PUBLIC AWARENESS FOR our patients and our legislators of our concerns with legislation to “silo” the delivery of care away from a team-based system.

Happy Halloween–wishing you treats and no tricks.

Bonnie Litvack
MSSNY President


MSSNY Weekly Podcast


Appointments for MSSNY President, MSSNY Chief Counsel and VP of Public Health

  • Bonnie Litvack, MSSNY President, has been named by Governor Cuomo to the Vaccine Distribution and Implementation Task Force which has been established to guide the process of how the vaccine will be distributed and administered throughout NY State.
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  • Moe Auster, JD, MSSNY Senior Vice President and Chief Legislative Counsel, was appointed to the DFS Administrative Simplification workgroup. The state departments of Financial Services and Health on Tuesday announced that they had chosen 25 members for a new group aimed at reducing health care administrative costs. Members include leaders from insurers, health systems, and physician and advocacy groups across the state. The departments noted in announcing the list that, as a result of a recent change in New York law, they are required to convene to study and evaluate methods to reduce costs and complexities through standardization and technology. To help do so, the group will examine claims submission and attachments; preauthorization practices; provider credentialing; insurance eligibility verification; and access to electronic medical records, the departments said. The group will issue a report to the departments’ respective heads and the state Legislature in October 2021.
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  • Pat Clancy, MSSNY Vice President for Public Health and Education/Managing Director, has been asked by Department of Health to serve on the Operations Work group to the State’s COVID-19 Vaccination Planning—this group will identified as immunizers, distributors, vaccination priorities based on clinical guidance and any necessary training for providers.


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FBI Warns Imminent Cybercrime Threat to Hospital/Health Care Providers
The Federal Bureau of Investigation (FBI) and two federal agencies are warning of an “imminent cybercrime threat” to US hospitals and health care providers, noting that several hospitals across the country have already been hit. In a joint advisory, the Cybersecurity and Infrastructure Security Agency (CISA), FBI and the U.S. Department of Health and Human Services (HHS) said they have “credible information” that cybercriminals are taking new aim at health care providers and public health agencies as the COVID-19 pandemic reaches new heights. “Malicious cyber actors” may soon be planning to “infect systems with Ryuk ransomware for financial gain” on a scale not yet seen across the American healthcare system.

Hospitals, physician practices, and public health organizations should take “timely and reasonable precautions to protect their networks from these threats.” Malware targeting techniques often lead to “ransomware attacks, data theft, and the disruption of healthcare services.” The agencies recommend several mitigation steps and best practices for health care entities to take to reduce their risk, including the following:

  • Patch operating systems, software, and firmware as soon as manufacturers release updates.
  • Regularly change passwords to network systems and accounts and avoid reusing passwords for different accounts.
  • Use multi-factor authentication where possible.
  • Disallow use of personal email accounts
  • Disable unused remote access/Remote Desktop Protocol (RDP) ports and monitor remote access/RDP logs.
  • Identify critical assets; create backups of these systems and house the backups offline from the network.
  • Set antivirus and anti-malware solutions to automatically update; conduct regular scans.

Note: The AMA and the American Hospital Association (AHA) have created two resources to help physicians and hospitals guard against cyber threats. Those resources and additional cyber security information can be found at the AMA’s cybersecurity webpage

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MSSNY Vice President Dr. Parag Mehta Shares His Personal Journey
with COVID-19
As a COVID-19 survivor, MSSNY’s Vice President Dr. Mehta has a unique perspective on the pandemic.  Here, he shares his reflections on COVID-19:

When the COVID 19 crisis/pandemic started:
I felt responsible
: I am in a leadership position at my institution and a member of a vibrant community. I felt responsible to take care of my patients and protect my team from a murky future., treatment or severity of COVID 19 and there was a scarcity of PPE.
I felt proud and grateful
: I am surrounded by compassionate people who showed exceptional courage and willingness to treat COVID 19 while risking their own lives. I am grateful to see their sacrifices, and willingness to help each other. I did not find any resistance from my residents or colleagues to help others, rather they came forward to help each other. If someone was sick, that person came right back to work as soon as he or she could.
I felt helpless: We all were ignorant of the havoc this disease would bring upon us and how to manage the havoc.  I witnessed ignorance and misuse/mishandling of resources: We were ignorant of the mode of transmission
I was tormented: my smiles became sorrow: I got COVID 19, my team members got COVID, and my family and many friends were infected while working. Several physicians, nurses, and family members became sick and we lost many souls. I was surrounded by pain, suffering, death, separation, anxiety, and uncertainty. I was tormented with this question “Why do people who tried to help others have to suffer?” I was looking for hope, healing, and health.
If you love someone say it now: I learned that to take care of the patient, we should comfort the family who cannot be with the patient. We need to connect people and the family virtually and spiritually. When I took care of many families and patients during times of illness and death, I learned if you love someone, say it now and often. Do not wait until it is too late.
Finding Peace: Forgiveness to self and all. Grateful for what we have. Practicing mindfulness and meditation. Going back into memory lane made me think how lucky I am and how blessed I am to have caring friends and family. Stay Positive.

Click here to view Dr. Mehta’s PowerPoint on his journey.


Medical Societies Concerned with State Governments’ Efforts to Legalize Recreational Marijuana
October 30, 2020, Westbury, NY— On behalf of the tens of thousands of physicians we represent, the medical societies of Delaware, New Jersey, New York, Ohio, and Pennsylvania are again joining together to express mutually shared concerns about state governments’ efforts to legalize marijuana for recreational use. Legalization continues to present serious public health concerns.

Legalization continues to be considered across many states.  For example, New Jersey voters will consider legalization of cannabis through a ballot referendum on Election Day.  The New York State’s Governor’s office has announced that the legalization of recreational use marijuana will be again be part of the state’s 2021 budget proposal.

We appreciate the enormous challenges state policymakers face to address burgeoning budget deficits, but we strongly believe that further detailed research must be undertaken and assessed regarding the effects legalization of cannabis will have on important public health markers, such as emergency department visits and hospitalizations, impaired driving arrests, and the prevalence of psychiatric and addiction disorders. We are very concerned that the long-term public health costs associated with hospitalizations and treatment for psychiatric/addictive disorders could significantly outweigh any revenues that these states anticipate would be received from the legalization of cannabis.

Data shows that despite best efforts of states to limit the purchase of legal marijuana to adults, it has also led to a troubling increase in youth use. Overall use by youth aged 12-17 is up in “legal” states while declining in non-legal states, according to a uniform survey of marijuana use conducted by the federal government. The percentage of youth aged 12-17 using marijuana in states where marijuana is “legal” was 7.7%, versus 6.2% in non-legal states (NSDUH State Reports 2016-2017).  The University of Michigan’s Monitoring the Future Survey of American Youth reported that between 2017 and 2018 the percentage of 8th and 10th graders who report “vaping” marijuana increased 63%.  And according to a 2019 report by the Colorado Department of Public Health and Environment’s toxicology reports, the percentage of adolescent suicide victims testing positive for marijuana continues to increase. Between 2011 and 2013, 20.7% of suicide victims between the ages of 10 and 19 tested positive for marijuana (compared with 12.7% who tested positive for alcohol). Between 2014-2016, 22.4% tested positive for marijuana (compared with 9.3% for alcohol) And, in Colorado, the annual rate of marijuana-related emergency department visits increased by 62% from 2012 to 2017 and marijuana-related poisoning hospitalization rates in Colorado rose by 143% from 2012 to 2017 (Colorado Department of Public Health and Environment, 2019).

We are in the midst of a world-wide pandemic and we already know that smoking or vaping marijuana can increase patient risk for more severe complications from COVID-19.  Additionally, there are concerns about the secondary effects on adults and young people from COVID-19 regarding the increased rates of addiction due to the stress of isolation, boredom, and decreased access to recovery resources.

We further note that the American Medical Association has a recently updated position (H-95.924) that continues to assert that “cannabis is a dangerous drug and as such is a serious public health concern,” that the sale of cannabis for recreational use should not be legalized and discourages its use—especially by persons vulnerable to the drug’s effects and in high-risk populations such as youth, pregnant women, and women who are breastfeeding.  At the same time, our states continue to assert that the best step states can take to address the very real and legitimate concern regarding unfair enforcement of these laws is to remove criminal sanctions for small amounts of marijuana possession, and to ensure the availability of treatment for addiction.

The cost to the public health system from cannabis use will likely far outweigh any revenues that states secure by legalizing marijuana.

We must proceed cautiously and pay close attention to the public health impacts in states where legalization has occurred.


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MSSNY’s Medical Students Section Elects New Officers
Last Sunday, October 25, the medical student section elected the following students:

MSSNY Medical Student Section Councilor (April ’21 to April ’22)
Leanna Knight – University of Rochester School of Medicine

2021 MSSNY HOD – Medical Student Section Delegates
Eunice Choe – SUNY Upstate Medical University
Christian Coletta – NYIT College of Osteopathic Medicine
Jess Hubert – University of Rochester School of Medicine

2021 MSSNY HOD – Medical Student Section Alternate Delegates

Yung Chan – New York Medical College
Claire Choi – SUNY Downstate Health Sciences University

Divya Seth – Touro College of Osteopathic Medicine, Harlem


Live Webinar on Vaccines: What You Need to Know
Join the Nassau County Medical Society for this live webinar with Bruce Farber, MD, Chief of Infectious Diseases at Long Island Jewish Medical Center and North Shore University Hospital. Dr. Farber will provide an update on current vaccines and what to expect in the near future.

What: Vaccines: What You Need to Know
Date: November 18, 2020
Time: 6:00 p.m.

Register here
Link to Flyer


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U.S. Tops 88,000 COVID-19 Cases, Setting New Single-Day Record

COVID-19 Graph


The United States reported 88,452 new coronavirus cases on Thursday, setting a single-day record, according to data from the COVID Tracking Project.

COVID-19 Daily Graph

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CME

Veterans Matters: TBI in Returning Veterans Webinar
The Medical Society of the State of New York and Nassau County Medical Society are hosting a CME live webinar entitled Veterans Matters: TBI in Returning Veterans on Tuesday, November 3, 2020 at 7:30 am.
Click HERE to view the flyer and register for the program!
When:   November 3, 2020 at 7:30 am
Faculty:  David Podwall, MD
.Educational Objectives:

  • Identify signs and symptoms indicative of the spectrum from concussion/mild TBI to severe TBI
  • Examine evidence-based treatment modalities and when to refer to a specialist
  • Identify red flags that indicate alternate or more severe pathology
  • Outline an appropriate management plan for a patient presenting with concussion/TBI including a return to “normal life” protocol
  • For more information, contact Jangmu Sherpa at jsherpa@mssny.org or call (518) 465-8085

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.


 

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Classifieds

Elegant, Custom Built Home with Unparalleled Craftsmanship – Rhinebeck, NY
Set on 10.6 acres in one of the most sought-after neighborhoods in Rhinebeck, this stunning home borders Drayton Grant Park at Burger Hill (a conservation land and the highest point in Rhinebeck). Features beautifully landscaped gardens with sweeping hilltop views and a well established vegetable garden and barn. This handsome home is generously proportioned throughout, with an inviting foyer entry with tastefully designed staircase, millwork, high ceilings, cherry wood floors and custom windows.Rhinebeck Estate for Sale A world class kitchen with a marble counter-topped island, enjoys both a cozy fireside seating area perfect for winter evenings, and glass doors in the hexagonal eat-in-kitchen opening onto the expansive stone terrace for three season enjoyment and entertaining.A luxurious Master suite, with high vaulted ceiling design, his and hers walk-in closets and a gorgeous master bath with cast iron clawfoot tub. The second floor also includes two spacious bedrooms with generous closets and 2 full bathrooms, An additional large sitting room/office could easily make a lovely fourth bedroom. Lower level features a media room, exercise room, bar, wine cellar and full bathroom. Additionally there is a two story barn equipped with water and electricity.
The house is located 7 minutes to the charming center of Rhinebeck village with its many superb restaurants, boutiques & shops. The highly rated Northern Dutchess Hospital, the excellent Rhinebeck schools and the County Fairgrounds, a most desirable venue destination throughout the year, are all nearby. Rhinecliff train station is a mile beyond with Amtrak service south to NYC(1hour 40 minutes) and north to Hudson, Albany, Niagara Falls and Montreal. View full listing Contact Nader Kayal, MD, 845-518-7780 / entdoc53@aol.com or Joshua M. Briggs at Heather Croner RE-Sotheby’s 917 213-9042 / jmb@jmbfineart.com.

UES Park Avenue Medical Office Space for Rent – One or Two Days a Week
Elegant office space on UES, in Park Avenue doorman building.  Enormous furnished windowed consult room, large exam room and private secretarial area.  Private elevator to office, huge waiting room and all shared office space. One – two days available; ideal for low volume Practitioner of any specialty. Please contact office manager Theresa – 212-288-2171 or via email at drfox.903parkave@gmail.com.

Consult Room Consult Room

Exam Room Exam Room

 

Waiting Room Waiting Room


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Dermatology Practice for Sale – Staten Island, NY
Building includes 3 exam rooms, waiting area. Please respond by calling 718-987-3300 or email enbmd@aol.com


OBGYN Physician for Our Upper East Side Practice
Gynecology office setting only – No Obstetrics. Please contact the office at 212-772-3722 Email: olarugabriela@aol.com. Office Location: VCARE OBGYN 328 East 75th St. Suite 4 New York NY 10021 REQUIREMENTS: Doctor of Medicine degree. New York Medical License. DEA Board Certified OBGYN

 

 

 

 

 

 

 

 

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Council Thursday, November 5, 2020, 9:00 AM

MSSNY COUNCIL AGENDA
Thursday, November 5, 2020, 9:00 a.m. (Virtual)

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A. Call to Order and Roll Call
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B.
APPROVAL of the September 17, 2020 Council Minutes.

C. New Business
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1. President’s Report
a. Presidential Appointments to the 2021 Nominating Committee
           (For Council Approval)

Chair: Arthur Fougner, MD
Immediate Past President
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First District: Adolph Meyer, MD
Second District: Paul Pipia, MD
Third District: Joseph Sellers, MD
Fourth District: Gregory Pinto, MD
Fifth District: Howard Huang, MD
Sixth District: Jerome Cohen, MD
Seventh District: Mark Adams, MD
Eighth District: Rose Berkun, MD
Ninth District: Thomas Lee, MD

Members-At-Large: Andrew Kleinman, MD
Daniel Young, MD

b. Legislative & Physician Advocacy Committee, Paul Pipia, MD, Chair
 2021 Legislative Program (For Council Approval)

c. Employed Physicians Committee Resolutions, Arthur Fougner, MD, Chair
Resolution 54 – End Restrictive Covenants (For Council Approval)
Resolution 55 – Restrictive Covenants (For Council Approval)

d. Presentation – Mr. David Mancione, Senior Vice President, Premier

2.  Board of Trustees ReportDr. Andrew Kleinman will present the report
     (For Council Approval) 

3.  Secretary’s ReportDr. Frank Dowling will present the report
     (For Council Approval)

4.  MLMIC UpdateDr. John Lombardo will present a verbal report

5.  AMA Delegation ReportDr. John Kennedy will present a verbal report

6.  MSSNYPAC ReportDr. Thomas Lee will present the report

7.  County Federation ReportDr. Aaron Kumar will present the report

D. Reports of Officers (Verbal)

  1. Office of the President – Bonnie L. Litvack, MD
  2. Office of the President-Elect – Joseph R. Sellers, MD
  3. Office of the Vice-President – Parag H. Mehta, MD
  4. Office of the Immediate Past President – Arthur C. Fougner, MD
  5. Office of the Treasurer – Mark J. Adams, MD, Financial Statement for the  period 1/1/20 – 9/30/20
    (For Council Approval)
  6. Office of the Speaker – William R. Latreille, Jr., MD

E.  Reports of Councilors (Informational)

  1.   Kings & Richmond Report – Adolph B. Meyer, MD
  2.   Manhattan & Bronx Report – David M. Jakubowicz, MD
  3.   Nassau County Report – Paul A. Pipia, MD
  4.   Queens County Report – Saulius J. Skeivys, MD
  5.   Suffolk County Report – Daniel E. Choi, MD
  6.   Third District Branch Report – Brian P. Murray, MD
  7.   Fourth District Branch Report – Gregory L. Pinto, MD
  8.   Fifth District Branch Report – Barry Rabin, MD
  9.   Sixth District Branch Report – Robert A. Hesson, MD
  10. Seventh District Branch Report – Janine L. Fogarty, MD
  11. Eighth District Branch Report – Mark R. Jajkowski. MD
  12. Ninth District Branch Report – Thomas T. Lee, MD
  13. Medical Student Section Report – Shireen Saxena (no report submitted)
  14. Organized Medical Staff Section Report – Stephen F. Coccaro, MD
          (no report submitted)
  15. Resident & Fellow Section Report – Raymond Lorenzoni, MD
          (no report submitted)
  16. Young Physician Section Report – L. Carlos Zapata, MD
          (no report submitted)

F. Commissioners (Informational Items)

  1. Commissioner of Communications, Maria A. Basile, MD, MBA
        Report from the Division of Communications
  1. Commissioner of Continuing Medical Education, Mark J. Adams, MD
        Report from the Division of CME
  1. Commissioner of Governmental Relations, Gregory L. Pinto, MD
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4. Commissioner of Membership, David M. Jakubowicz, MD
    Membership Committee Minutes October 8, 2020

5. Commissioner of Science & Public Health, Joshua M. Cohen, MD

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6. Commissioner of Socio Medical Economics, Brian P. Murray, MD
    (No written report submitted)

G. Report of the Executive Vice President, Philip Schuh, CPA, MS

  1. Membership Dues Revenue Schedule
  2. Group Institutional Dues Report

H. Report of the General Counsel, Garfunkel Wild, Barry Cepelewicz, MD, Esq
    (No written report submitted)

I. Report of the Alliance, Barbara Ellman
    (No written report submitted)

J. Other Information/Announcements
    (No reports submitted)

 K. Adjournment

       

    

MSSNY eNews: October 28, 2020 – Be Aware of Email Spoofing from MSSNY.org Addresses

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MSSNY Joins Medical Societies to Urge Delay of Info Blocking Rule on Nov. 2; New Resources from the AMA
As noted in previous MSSNY e-news, MSSNY has joined with the medical societies of California, Florida and Texas in a letter to the federal Office of the National Coordinator for Health Information Technology requesting that they delay implementation of the information blocking provisions of the 21st Century Cures Act Final Rule for at least one year.  Though there remains the possibility of the rule being delayed with a proposed rule before the federal Office of Management & Budget. the rule is scheduled to go into effect on November 2.

The MSSNY/state medical associations’ letter notes that “We remain completely committed to the goals of the Final Rule – ensuring that robust health care data is accessible to both clinicians and patients…however, physician practices are spending their time and effort battling the COVID-19 pandemic. Physicians are also preparing for flu season, as well as a resurgence of the coronavirus. Physicians are struggling to maintain the financial viability of their practices during the pandemic and do not have the additional resources to dedicate to hiring consultants to develop compliance plans. Asking physicians at this moment to come into compliance with a rule set to take effect on November 2nd is simply too much to ask”.

This week, the American Medical Association developed the following materials to assist physicians to comply with these new requirements when they become applicable

Part 1: What is Information Blocking

Part 2: How do I comply with Information Blocking and where do I start?


Early Voting Underway – Look for These Helpful MSSNY Tools
With early voting already underway in New York State, please check out the bi-partisan list of 24 members of the New York State Assembly, New York State Senate and New York Congressional delegation who received the endorsement of MSSNYPAC for re-election. .  Each has demonstrated themselves to be champions of issues to preserve the ability of patients to continue to receive needed and timely physician care.

Moreover, MSSNYPAC members may receive a copy of MSSNY’s “Legislator Scorecard” with provides physicians with voting and co-sponsorship records of state legislators on 10 key bills that were strongly supported or strongly opposed by MSSNY.  Please contact jwilks@mssny.org to request a copy.


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President’s Claim Physicians Inflated COVID-19 Death Count Provokes Backlash
President Trump’s claim that physicians inflated the COVID-19 death count for financial gain sparked backlash from medical organizations and doctors who called his assertions a smear on the medical profession. Responses came after Trump commented at a Wisconsin campaign rally last weekend that doctors in the U.S. were attributing deaths to COVID-19 when they were actually due to preexisting conditions such as heart disease or cancer, because it increases their reimbursements.

“You know some countries, they report differently,” Trump said in a speech. “If somebody’s sick with a heart problem, and they die of COVID they say they die of a heart problem. If somebody’s terminally ill with cancer and they have COVID, we report them [as COVID-19].”He added that “doctors get more money and hospitals get more money,” telling the audience to “think about this incentive.”

The accusation provoked an immediate response from healthcare professionals. Among those protesting: the American Medical Association (AMA), the American College of Physicians (ACP), the American College of Emergency Physicians, the Council of Medical Specialty Societies, the Society for Hospital Medicine, and the American College of Obstetricians and Gynecologists.

“Let’s be clear physicians are not inflating the number of COVID-19 patients,” the American Medical Association said in its statement. The tweet highlighted a study published in JAMA that showed there were 220,000 excess deaths in the U.S. this year, more than two-thirds of which were COVID-related.

Referring to the president’s statements as “junk news,” Ashish Jha, MD, dean of Brown University School of Public Health, said on Twitter that the federal CARES Act did provide some additional funding for patients with a COVID-19 diagnosis so that hospitals could buy more PPE. However, he added that false coding could get physicians “fined or jailed…Doctors aren’t taking random deaths, calling them COVID deaths,” Jha said. “That’s fraud.”

However, some physicians stated that there has been confusion about which deaths are from COVID, or from underlying conditions, with many erroneously recorded as having been caused by the coronavirus. (Medpage, Oct. 28)


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Members: Be Aware of Email Spoofing from MSSNY.org Addresses
Some MSSNY members may have received an email “spoof” in the last day or two requesting donations to a GoFundMe page. Please be aware that MSSNY does not send GoFundMe pages. This is a scam, and the email should be immediately deleted.  

The most common method for spammers and scammers to get your attention is now e-mail impersonation.  It is a low-tech approach that is easy to implement and takes advantage of the fact that many users check e-mail primarily on a mobile device.  The senders forge the name of the e-mail address they are using, substituting a familiar name to the sender.

Because mobile e-mail clients are constrained by the size of the screen of the device, they will omit the e-mail address and just show the name of the sender.  Depending on the OS of the phone in question, there are methods to display the sender’s e-mail address.  Most of them just require you to tap on the sender’s name and you will see more info about the sender.  Once you do that, it’s easy to tell that this is not genuine, especially if you are familiar with the alleged sender.

The second type of name spoofing is to use the actual e-mail address of the sender to further add legitimacy.  These attacks are more uncommon because they are narrower in focus and targeted against a single person.  Security professionals call this spear phishing.

Methods of Protection Against Becoming a Victim

Most spam and scam e-mails fail the simple test of, “Why is so and so sending me this?” Ask that question.  If still unsure, contact the suspect sender directly.  Do not hit reply on the suspicious e-mail. Most of these emails imply some sort of exigent circumstance.  Don’t be in a hurry to respond.

Do your due diligence and examine the e-mail.  Once you click on the sender’s name and see that it is overwhelmingly suspicious, the scam is almost over.

Always be generally suspicious of anything sent in an e-mail.  MSSNY, your credit card company, the local police, the FBI, your bank, etc. will never contact you via e-mail about an emergency and will never request restitution or resolution in the form of an iTunes gift card.


All SUNY Students Required to Test Negative Before Leaving for Thanksgiving
All on-campus SUNY students will be required to test negative for COVID-19 before leaving campus for Thanksgiving break, State University of New York Chancellor Jim Malatras announced.

Chancellor Malatras says students must test negative within 10 days prior to returning to their hometowns.to help prevent community spread.  “As in-person classes and instruction come to a close next month, tens of thousands of students will travel across the state and country to be with their families and complete their fall courses remotely.”

The colleges must work with their county health department to isolate or quarantine any residential student who tests positive for COVID-19 or is exposed to COVID-19 within 14 days of the closing of the fall semester.

The decision means SUNY’s 64 colleges and universities will test about 140,000 students over a 10-day period preceding Thanksgiving break.  All campuses will shift to remote learning after Thanksgiving and resident halls will be closed, with a few exceptions.

Colleges and universities must submit a plan to test all of their on-campus students within that 10-day window no later than Nov. 5. Background: SUNY colleges and universities have tested more than 270,000 students since the beginning of the fall semester, reporting 1,410 positive cases for a positivity rate of 0.52 percent.


What Are the Most Popular COVID-19 Tests?
The FDA has authorized nearly 230 diagnostic tests for COVID-19, but which ones are most commonly used? Through interviews with companies, lab directors and pathologists, MedPage Today has compiled a list of key players. We’ve grouped them by molecular versus antigen tests. Molecular tests identify viral RNA (frequently, but not always, through PCR testing), while antigen tests detect viral surface proteins. Either type can yield “rapid” tests, but antigen tests are inherently faster.

However, antigen tests are not as sensitive as molecular tests, carrying a greater chance of false negatives. Indeed, the emergency use authorization for each of the antigen tests indicates use in symptomatic patients only. Still, antigen tests are driving the point-of-care testing that many experts have urged. Most of these tests require the purchase of an instrument, but the machines are generally much smaller than PCR analyzers. Only the self-contained BinaxNOW, which is the size of a credit card, does not require instrumentation.

The Trump administration has purchased 150 million Binax NOW tests from Abbott and is distributing them to schools and nursing homes.

A key to the information below: EUA = emergency use authorization; IFU = instructions for use. All sensitivity/specificity figures are manufacturer-reported and based on strict adherence to protocols for sample collection and handling. Note that result turnaround times specify only how long it takes to obtain results after a sample is placed in the analyzer; it does not account for sample transportation, in-lab backlogs in processing samples, or reporting of results, which often make for significant delay. Serology tests for anti-coronavirus antibodies are not covered here.

Molecular Tests

Antigen Tests

Last Updated October 27, 2020 (Medpage)


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CME

Veterans Matters: TBI in Returning Veterans Webinar
The Medical Society of the State of New York and Nassau County Medical Society are hosting a CME live webinar entitled Veterans Matters: TBI in Returning Veterans on Tuesday, November 3, 2020 at 7:30 am.
Click HERE to view the flyer and register for the program!
When:   November 3, 2020 at 7:30 am
Faculty:  David Podwall, MD
.Educational Objectives:

  • Identify signs and symptoms indicative of the spectrum from concussion/mild TBI to severe TBI
  • Examine evidence-based treatment modalities and when to refer to a specialist
  • Identify red flags that indicate alternate or more severe pathology
  • Outline an appropriate management plan for a patient presenting with concussion/TBI including a return to “normal life” protocol
  • For more information, contact Jangmu Sherpa at jsherpa@mssny.org or call (518) 465-8085

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.


 

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Classifieds

Elegant, Custom Built Home with Unparalleled Craftsmanship – Rhinebeck, NY
Set on 10.6 acres in one of the most sought-after neighborhoods in Rhinebeck, this stunning home borders Drayton Grant Park at Burger Hill (a conservation land and the highest point in Rhinebeck). Features beautifully landscaped gardens with sweeping hilltop views and a well established vegetable garden and barn. This handsome home is generously proportioned throughout, with an inviting foyer entry with tastefully designed staircase, millwork, high ceilings, cherry wood floors and custom windows.Rhinebeck Estate for Sale A world class kitchen with a marble counter-topped island, enjoys both a cozy fireside seating area perfect for winter evenings, and glass doors in the hexagonal eat-in-kitchen opening onto the expansive stone terrace for three season enjoyment and entertaining.A luxurious Master suite, with high vaulted ceiling design, his and hers walk-in closets and a gorgeous master bath with cast iron clawfoot tub. The second floor also includes two spacious bedrooms with generous closets and 2 full bathrooms, An additional large sitting room/office could easily make a lovely fourth bedroom. Lower level features a media room, exercise room, bar, wine cellar and full bathroom. Additionally there is a two story barn equipped with water and electricity.
The house is located 7 minutes to the charming center of Rhinebeck village with its many superb restaurants, boutiques & shops. The highly rated Northern Dutchess Hospital, the excellent Rhinebeck schools and the County Fairgrounds, a most desirable venue destination throughout the year, are all nearby. Rhinecliff train station is a mile beyond with Amtrak service south to NYC(1hour 40 minutes) and north to Hudson, Albany, Niagara Falls and Montreal. View full listing Contact Nader Kayal, MD, 845-518-7780 / entdoc53@aol.com or Joshua M. Briggs at Heather Croner RE-Sotheby’s 917 213-9042 / jmb@jmbfineart.com.

UES Park Avenue Medical Office Space for Rent – One or Two Days a Week
Elegant office space on UES, in Park Avenue doorman building.  Enormous furnished windowed consult room, large exam room and private secretarial area.  Private elevator to office, huge waiting room and all shared office space. One – two days available; ideal for low volume Practitioner of any specialty. Please contact office manager Theresa – 212-288-2171 or via email at drfox.903parkave@gmail.com.

Consult Room Consult Room

Exam Room Exam Room

 

Waiting Room Waiting Room


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Dermatology Practice for Sale – Staten Island, NY
Building includes 3 exam rooms, waiting area. Please respond by calling 718-987-3300 or email enbmd@aol.com


OBGYN Physician for Our Upper East Side Practice
Gynecology office setting only – No Obstetrics. Please contact the office at 212-772-3722 Email: olarugabriela@aol.com. Office Location: VCARE OBGYN 328 East 75th St. Suite 4 New York NY 10021 REQUIREMENTS: Doctor of Medicine degree. New York Medical License. DEA Board Certified OBGYN

 

 

 

 

 

 

 

 

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MSSNY and other Physician Organizations Call for NYS DOH and the Governor to Provide Flexibility in Reporting COVID-19 Results 

For Immediate Release

 

MSSNY and other Physician Organizations Call for NYS DOH and the Governor to Provide Flexibility in Reporting COVID-19 Results

 

October 22, 2020, Westbury, NY—Today, the Medical Society of the State of New York (MSSNY), the NY Chapter of the American College of Physicians, the New York State Academy of Family Physicians and the NYS American Academy of Pediatrics, Chapters 1, 2 & 3 called upon the NYS Department of Health and the Governor’s office to provide flexibility for  reporting  results of COVID-19 and Influenza tests performed in physician offices.  A survey conducted by these medical societies found that many physicians will be unable to provide these critically needed tests without more time to report results for fear of the potentially significant penalties for failure to comply.

On September 21, NYS Department of Health Commissioner Howard Zucker sent a notice to all healthcare providers requiring the reporting of all positive and negative COVID-19 and flu tests to the NYS Department of Health within 3 hours.   Additionally, the order requires that the ordering physicians report contact information, employment and/or school information for each patient.  Penalties for non-compliance are up to $2000/day.   The medical organizations are advocating for the removal of the three-hour reporting requirement for the negative tests.

“Physicians across the state share the goal of having information as soon as reasonably possible to begin contact tracing and other containment efforts. Three hours, however, is simply not enough time for busy and overburdened practices to report results, especially negative results,” says   Bonnie Litvack, MD, President, of MSSNY.

“A survey, conducted by MSSNY in conjunction with several specialty societies, found that over 60% of physicians believe the three-hour reporting period is a daunting, if not impossible, task for many practices,” continues Dr. Litvack.  “Over 78% of the respondents indicated that they are unable to comply with the three-hour requirement.  MSSNY is gravely concerned that these requirements may discourage practices from ordering tests and offering testing at a time when COVID-19 rates are rising in our state and more testing, not less is needed.”

“The reporting requirement is likely to compel many practices to forego providing COVID and flu tests which will inconvenience patients by requiring them to have these tests performed elsewhere,” says NYSAFP president Jason Matuszak, MD. “Also, requiring patients to go to multiple locations for tests increases their risk of exposure. Rapid tests could be done at the primary care practice, as opposed to waiting days to get results back from a commercial lab which would allow patients to know their results sooner.”

“Pediatricians across New York are deeply concerned that the recent three-hour reporting requirement for both COVID-19 and Flu test is unrealistic for community-based practices, says Warren Seigel, MD, FAAP, Chair of NYSAAP, District II.  “The recently imposed requirement will discourage offices from offering Flu and/or COVID-19 tests on site.  Sending patients to alternative venues for testing is inefficient, may contribute to the spread of disease and is a breach of medical home principles.  We urge the Department of Health to work with the house of medicine to design a more reasonable turnaround time so all practices can better serve their patients and still meet the state’s requirements for timely data on infections.”

# # #

Founded in 1807, the Medical Society of the State of New York is the state’s principal non-profit professional organization for physicians, residents and medical students of all specialties. Its mission is to represent the interests of patients and physicians to assure quality healthcare services for all.


Media Contact:
Roseann Raia
Communications / Marketing
Medical Society of the State of New York
865 Merrick Ave.
Westbury, New York
516-488-6100 ext 302
rraia@mssny.org

MSSNY eNews: October 23, 2020 – Non-Medical Vaccine Exemptions Endanger Public Health—Law Must Stand

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Colleagues:

Although it seems like decades ago, it was just 2019 when NY State was at the epicenter of another infectious disease crisis, an outbreak of measles in Rockland County.  Due to religious and philosophical exemptions, vaccination rates in the county had fallen significantly with data showing six schools with vaccine religious exemption rates above 20% and another 17 schools with rates of more than 8%.

Our MSSNY, along with a large coalition, recognized the perils associated with the falling vaccination rates and worked successfully with the NYS legislature and the Governor to enact legislation eliminating non-medical exemption for vaccinations.  This public health law was signed in June 2019 and will help protect NYS residents against common childhood diseases.

However, a lawsuit (F.F. v. State of New York) was filed by a group of families that previously had religious exemptions from vaccines.   They argued that the new law violates the families’ state and federal constitutional rights to religious freedom. They also asserted that the repeal violates the U.S. Constitution’s Equal Protection Clause and forces them to comply or otherwise violate New York’s compulsory education laws. A trial court heard and dismissed this case, but an appeal has been filed.

Your MSSNY, the New York State American Academy of Pediatrics and the AMA Litigation Center have filed an amicus brief supporting the State of New York in the appeal, saying “eliminating religious objections was clearly in the best interest of public health.”

The brief explains that measles is a highly contagious disease, requiring nearly 95% of the population be vaccinated in order to achieve herd immunity. It goes on to discuss that 3% of the people who receive the vaccination will not be immune and others have medical conditions that prevent them from being safely vaccinated. It explains that, to achieve the goal of herd immunity nearly everyone who does not have a medical contraindication must be vaccinated.

The brief states “New York’s experience has shown that religious exemptions cause vaccination rates to fall below that level, resulting in dangerous and potentially deadly outbreaks. The decision to eliminate these exemptions will protect the health and the lives of New Yorkers.”

Whether we are discussing measles vaccines, flu vaccines or Covid vaccines, scientific knowledge will continue to guide our MSSNY policies and our advocacy as we strive to protect the health and well-being of the residents of NY State.

Bonnie Litvack MD
MSSNY President


MSSNY and Other Physician Organizations Call for NYS DOH and the Governor to Provide Flexibility in Reporting COVID-19 Results
October 22, 2020, Westbury, NY—Today, the Medical Society of the State of New York (MSSNY), the NY Chapter of the American College of Physicians, the New York State Academy of Family Physicians and the NYS American Academy of Pediatrics, Chapters 1, 2 & 3 called upon the NYS Department of Health and the Governor’s office to provide flexibility for reporting results of COVID-19 and Influenza tests performed in physician offices.  A survey conducted by these medical societies found that many physicians will be unable to provide these critically needed tests without more time to report results for fear of the potentially significant penalties for failure to comply.

On September 21, NYS Department of Health Commissioner Howard Zucker sent a notice to all healthcare providers requiring the reporting of all positive and negative COVID-19 and flu tests to the NYS Department of Health within 3 hours.   Additionally, the order requires that the ordering physicians report contact information, employment and/or school information for each patient.  Penalties for non-compliance are up to $2000/day.   The medical organizations are advocating for the removal of the three-hour reporting requirement for the negative tests.

“Physicians across the state share the goal of having information as soon as reasonably possible to begin contact tracing and other containment efforts. Three hours, however, is simply not enough time for busy and overburdened practices to report results, especially negative results,” says Bonnie Litvack, MD, President of MSSNY.

“A survey, conducted by MSSNY in conjunction with several specialty societies, found that over 60% of physicians believe the three-hour reporting period is a daunting, if not impossible, task for many practices,” continues Dr. Litvack.  “Over 78% of the respondents indicated that they are unable to comply with the three-hour requirement.  MSSNY is gravely concerned that these requirements may discourage practices from ordering tests and offering testing at a time when COVID-19 rates are rising in our state and more testing, not less is needed.”

“The reporting requirement is likely to compel many practices to forego providing COVID and flu tests which will inconvenience patients by requiring them to have these tests performed elsewhere,” says NYSAFP president Jason Matuszak, MD. “Also, requiring patients to go to multiple locations for tests increases their risk of exposure. Rapid tests could be done at the primary care practice, as opposed to waiting days to get results back from a commercial lab which would allow patients to know their results sooner.”

“Pediatricians across New York are deeply concerned that the recent three-hour reporting requirement for both COVID-19 and Flu test is unrealistic for community-based practices, says Warren Seigel, MD, FAAP, Chair of NYSAAP, District II.  “The recently imposed requirement will discourage offices from offering Flu and/or COVID-19 tests on site.  Sending patients to alternative venues for testing is inefficient, may contribute to the spread of disease and is a breach of medical home principles.

We urge the Department of Health to work with the house of medicine to design a more reasonable turnaround time so all practices can better serve their patients and still meet the state’s requirements for timely data on infections.”


Urge DOH to Provide More Flexibility on Reporting Results
Join with @MSSNY and urge @GovernorAndrewCuomo and @NYSDOH to
increase the 3-hour reporting window for all COVID and Flu test results so providers can comply!

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NYS COVID Data: https://forward.ny.gov/percentage-positive-results-region-dashboard


Physicians Less Likely to Vote Than Others, 3-State Study Finds
Physicians in California, New York, and Texas are less likely than the general public to vote in elections, according to findings in JAMA Internal Medicine.

Researchers examined data from a national provider registry and voter files from the three states. The proportion of physicians who voted in elections from 2006 through 2018 was significantly lower than the proportion of the general population who voted (average across elections, 37% vs. 51%). This was largely due to lower voter registration among physicians (50% vs. 66%).

Among physicians who were registered to vote, however, voter turnout was higher in all elections relative to the general population (for example, in 2018, 75% vs. 62%).

Findings were consistent regardless of political party.

The researchers conclude, “Future efforts to improve physician voter participation should explore the influence of both increasing voter registration and election turnout.”

JAMA Internal Medicine research letter; Background: Prior Physician’s First Watch coverage of voter turnout among physicians (2016)


Many U.S. Coronavirus Deaths Were Avoidable
If the U.S. death rate had matched that of other wealthy countries, between about 55,000 and 215,000 Americans would still be alive, according to a scathing new analysis by Columbia University’s National Center for Disaster Preparedness.

Why it matters: These countries have taken a significantly different approach to the virus than the U.S., providing yet another example that things did not have to be this way.

  • “Had the U.S. government implemented an ‘averaged’ approach that mirrored these countries … a minimum of 130,000 COVID-19 deaths might have been avoidable given alternate policies, implementation, and leadership,” the authors write.
  • “This discrepancy, which continues to grow daily, provides objective crude measure for assessing the government response to this unprecedented health emergency.”

Between the lines: The analysis points to several factors that set the U.S. response apart from other countries’, including insufficient testing and contact tracing, a delayed initial response, the lack of a national mask mandate or guidance, politicization and the “failure of top officials to model best practices.”

  • “Particularly, it is the inability or unwillingness of U.S. officials to adapt or improve the federal response over the course of the pandemic that has strongly contributed to the nation’s uniquely high COVID-19 fatality rate,” the authors conclude.


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NYS NEW Paid Sick Leave Law
Need to know more about New York’s new paid sick leave law effective September 30?  Here is more info from NYS Department of Labor: https://www.ny.gov/new-york-paid-sick-leave/new-york-paid-sick-leave#eligibility


AMA Calls for Information Blocking Enforcement Discretion
The Trump Administration’s Final Rule on information blocking requires all physicians to come into compliance with the Rule’s requirements by Nov. 2. While the rule makes several important changes to electronic health record (EHR) vendor technology, including improving usability and interoperability, the rule also creates a new and complex set of administrative and regulatory requirements that physicians must follow in order to be compliant with the information blocking provisions.

Specifically, physicians are required to establish a new compliance framework to handle all medical record requests coming into their office. Information blocking rules require physicians to respond to and release patients’ medical records for nearly every request they receive unless an appropriate exception can be claimed.

Physicians must also examine, create, modify, and update all policies and procedures their organization uses to manage medical record requests. Documenting how a physician applies exceptions—and their organizational policies—to each information request will be important in maintaining compliance with the information blocking rules.

The AMA, along with several professional associations and provider organizations, sent a letter to the Office of the National Coordinator for Health Information Technology (ONC) asking for enforcement discretion for at least one year to allow physicians time to come into compliance with the new rules without fear of being penalized. The COVID-19 pandemic is straining physician resources and office staff and will make coming into compliance with the Nov. 2 deadline impractical. The AMA is also developing a resource to help physicians better understand the rule’s requirements.

Additional fact sheets and webinars on the rule can be found on ONC’s website.


CDC Report: Hispanics’ Death Rates Rose 16.3% in May to 26.4% in August
Hispanic Americans are dying from COVID-19 at higher rates than earlier in the pandemic, a CDC report finds. Researchers analyzed data from 114,411 COVID-19 deaths reported to the National Vital Statistics System and found the percentage of Hispanic decedents rose from 16.3 percent in May to 26.4 percent in August.


 

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Paid Family Leave Webinars for Employers and HR Professionals: Updates for 2021
The New York State Workers’ Compensation Board is pleased to invite you to a special Paid Family Leave webinar specifically for employers and HR professionals.

Each one-hour, online session will provide an overview of the state’s landmark Paid Family Leave benefit, including important information regarding COVID-19, updates for 2021, and resources to help you share information with your employees.

Paid Family Leave is employee-paid insurance that provides employees with job-protected, paid time off from work to bond with a new child, care for a family member with a serious health condition, or assist when a spouse, domestic partner, child or parent is deployed abroad on active military service.  As of March 2020, Paid Family Leave may also be available in the event an employee, or their minor dependent child, is subject to a mandatory or precautionary order of quarantine or isolation due to COVID-19.

Register

Please join us for a live presentation on one of the following dates. Each session is free, and we will leave time at the end for your questions. Registration is required.

Wednesday, November 4, 2020: 10:00 a.m. – 11:00 a.m.
Wednesday, November 18, 2020: 10:00 a.m. – 11:00 a.m.

Additional Paid Family Leave resources are available

New York State offers complete details on Paid Family Leave at PaidFamilyLeave.ny.gov, including updates for 2021 and COVID-19. The employer page also contains helpful resources, including employer forms, fact sheets and past webinars. Help is also available via a toll-free Paid Family Leave Helpline at (844) 337-6303, Monday through Friday, 8:30 a.m. – 4:30 p.m.


Veterans Matters: TBI in Returning Veterans Webinar 
The Medical Society of the State of New York and Nassau County Medical Society are hosting a CME live webinar entitled Veterans Matters: TBI in Returning Veterans on Tuesday, November 3, 2020 at 7:30 am.

Click HERE to view the flyer and register for the program!
When:             November 3, 2020 at 7:30 am
Faculty:           David Podwall, MD

Educational Objectives:

  • Identify signs and symptoms indicative of the spectrum from concussion/mild TBI to severe TBI
  • Examine evidence-based treatment modalities and when to refer to a specialist
  • Identify red flags that indicate alternate or more severe pathology
  • Outline an appropriate management plan for a patient presenting with concussion/TBI including a return to “normal life” protocol

For more information, contact Jangmu Sherpa at jsherpa@mssny.org or call (518) 465-8085
.The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
.The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.


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Join Round Table Regarding NYS’s Response to Increase in HIV and Gonorrhea
Dear Colleague,

We invite you to share your ideas and suggestions to inform New York State’s response to the increases in HIV and gonorrhea. This interactive virtual feedback session will provide Monroe County community providers the opportunity to provide input. Insight gained from these sessions will inform New York State Department of Health response to the HIV and gonorrhea increases in Monroe County.

When: Friday, October 30, 2020 | 11am – 12:30pm
Where: Zoom

Please register here. 

Erica Lovrin
Health Program Aide
Office of the Medical Director, AIDS Institute
New York State Department of Health
Room 259, Corning Tower ESP
Albany, NY 12237
518-473-8815 | Erica.lovrin@health.ny.gov


CDC Expands Definition Of ‘Close Contacts,’ After Study Suggests COVID-19 Can Be Passed in Brief Interactions
The CDC, on October 21, expanded how it defines a “close contact” of someone with Covid-19 as it released new evidence showing the coronavirus can be passed during relatively brief interactions.

Previously, the CDC described a close contact as someone who spent 15 minutes or more within six feet of someone who was infectious. Now, the agency says it is someone who spent a cumulative 15 minutes or more within six feet of someone who was infectious over 24 hours, even if the time is not consecutive, according to an agency spokesperson.

Close contacts are those who are tracked down during contact tracing and are recommended to quarantine.

The announcement from the CDC comes as scientists described in a new study how a correctional officer in Vermont appears to have contracted the coronavirus during “multiple brief encounters” with six incarcerated people who had COVID-19. The infected people were awaiting the results of their Covid-19 tests while the interactions happened.

In the study, the authors — including officials from the CDC and Vermont’s health and corrections departments — noted that the data for defining a close contact have been limited. “A primary purpose of contact tracing is to identify persons with higher risk exposures and therefore higher probabilities of developing infection, which can guide decisions on quarantining and work restrictions,” they wrote, adding that “public health officials should consider transmission-risk implications of cumulative exposure time within such settings.”

Experts have long noted that the 15-minute, within-six-feet rule was not some sort of threshold that needed to be hit for transmission to occur. So much about whether spread happens depends on how infectious a person is, how well-ventilated the room that people are in is, how the virus might move through the air in a particular setting, whether people are wearing masks, and more. The 15-minute window had just been used as a benchmark to prioritize who should be followed up with for contact tracing and quarantine.

One reason why the length of interactions might matter, experts think, is because people need to be exposed to a certain level of virus if they are going to get infected. Researchers still aren’t sure what that “infectious dose” is — and if a higher dose corresponds to how sick people are likely to get — but the thought is that the longer someone is around someone else who is infectious, the higher level of virus they will be subjected to, and the more likely they are to get COVID-19.

After the officer was diagnosed with Covid-19 in August, health officials and staff at the correctional facility reviewed surveillance footage of his interactions with the six incarcerated people. Though he never spent 15 straight minutes within six feet of any one of them, he was within six feet of them at least 22 times for one eight-hour shift, cumulating in at least 17 minutes of exposure. During their interactions, the incarcerated people were wearing masks most, but not all, of the time, while the officer always had a microfiber cloth mask, gown, and eye protection on.


Garfunkel Wild Names Andrew Blustein Chairman
MSSNY’s Counsel, Garfunkel Wild, P.C., a premier law firm with a specialty in health law, is pleased to announce Andrew Blustein has been named the firm’s new Chairman, effective October 1, 2020. Andrew succeeds Robert Wild, founding member of Garfunkel Wild. While Robert will assume the title of Chairman Emeritus, he is not retiring and will continue his practice and charitable work.

Andrew was appointed Vice Chairman four years ago as part of the firm’s leadership succession plan allowing him to work with outgoing Chairman Robert Wild while transitioning into the new role.

Andrew arrived at Garfunkel Wild 28 years ago and has held multiple leadership positions. He has been a member of the Firm’s Executive Committee for nearly a decade and co-founded and co-chairs the Firm’s Health Care Information and Technology Practice Group and E-Health and Telemedicine Practice Group.

Andrew steps into his new role after another successful year. In the last 12 months alone, the firm doubled the size of its Connecticut office, introducing a new integrated Biotechnology, Life Science and Medical Device Practice group and added 12 attorneys. The firm continues to focus on strategic planning, including attorney development and future growth into new markets and practice areas.

Garfunkel Wild, P.C. is a full-service law firm providing assistance to a broad range of clients, including hospitals, health care systems and other health care facilities, organizations, practitioners, and technology companies. Garfunkel Wild, P.C. is ranked in Chambers USA, The Best Lawyers in America© and Super Lawyers. For more, visit www.garfunkelwild.com.


Classifieds

Elegant, Custom Built Home with Unparalleled Craftsmanship – Rhinebeck, NY
Set on 10.6 acres in one of the most sought-after neighborhoods in Rhinebeck, this stunning home borders Drayton Grant Park at Burger Hill (a conservation land and the highest point in Rhinebeck). Features beautifully landscaped gardens with sweeping hilltop views and a well established vegetable garden and barn. This handsome home is generously proportioned throughout, with an inviting foyer entry with tastefully designed staircase, millwork, high ceilings, cherry wood floors and custom windows.Rhinebeck Estate for Sale A world class kitchen with a marble counter-topped island, enjoys both a cozy fireside seating area perfect for winter evenings, and glass doors in the hexagonal eat-in-kitchen opening onto the expansive stone terrace for three season enjoyment and entertaining.A luxurious Master suite, with high vaulted ceiling design, his and hers walk-in closets and a gorgeous master bath with cast iron clawfoot tub. The second floor also includes two spacious bedrooms with generous closets and 2 full bathrooms, An additional large sitting room/office could easily make a lovely fourth bedroom. Lower level features a media room, exercise room, bar, wine cellar and full bathroom. Additionally there is a two story barn equipped with water and electricity.
The house is located 7 minutes to the charming center of Rhinebeck village with its many superb restaurants, boutiques & shops. The highly rated Northern Dutchess Hospital, the excellent Rhinebeck schools and the County Fairgrounds, a most desirable venue destination throughout the year, are all nearby. Rhinecliff train station is a mile beyond with Amtrak service south to NYC(1hour 40 minutes) and north to Hudson, Albany, Niagara Falls and Montreal. View full listing Contact Nader Kayal, MD, 845-518-7780 / entdoc53@aol.com or Joshua M. Briggs at Heather Croner RE-Sotheby’s 917 213-9042 / jmb@jmbfineart.com.

UES Park Avenue Medical Office Space for Rent – One or Two Days a Week
Elegant office space on UES, in Park Avenue doorman building.  Enormous furnished windowed consult room, large exam room and private secretarial area.  Private elevator to office, huge waiting room and all shared office space. One – two days available; ideal for low volume Practitioner of any specialty. Please contact office manager Theresa – 212-288-2171 or via email at drfox.903parkave@gmail.com.

Consult Room

Consult Room

Exam Room

Exam Room

 

Waiting Room

Waiting Room


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Dermatology Practice for Sale – Staten Island, NY
Building includes 3 exam rooms, waiting area. Please respond by calling 718-987-3300 or email enbmd@aol.com


OBGYN Physician for Our Upper East Side Practice
Gynecology office setting only – No Obstetrics. Please contact the office at 212-772-3722 Email: olarugabriela@aol.com. Office Location: VCARE OBGYN 328 East 75th St. Suite 4 New York NY 10021 REQUIREMENTS: Doctor of Medicine degree. New York Medical License. DEA Board Certified OBGYN

 

 

 

 

 

 

 

 

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MSSNY eNews: October 21, 2020 – COVID-19: 1.6% Is the Highest Positivity Rate Since June

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Notes from Governor Cuomo’s Conference Call

COVID-19 General:
– Day 235
– Statewide positivity rate: 1.2%
– Statewide positivity rate (with hotspots): 1.6%
– Red Zone positivity rate: 6.6%
– 7 fatalities
– 950 hospitalizations
– 201 ICU patients
– 103 intubations
– 124,789 tests yesterday

Federal:
– COVID cases are increasing across the country
– 43 states are part of the travel quarantine
– Gov states New Jersey, Pennsylvania, and Connecticut are exempt because there is no easy way to enforce a quarantine against those states
– Positivity rate by state:
– Wisconsin: 13.4%
– Nevada: 58.8%
– Texas: 7.7%
– California: 2.5%
– Florida: 12.4%

Micro-Clusters:
– Gov states that micro-cluster buffer zones will be adjusted based on a 10-day average positivity rate
– Red zone becomes an orange zone if its 10-day average is less than 3%
– Orange zone becomes yellow zone: less than 2%
– Yellow zone returns to normal: less than 1.5%
– Positivity rates for the past 7 days:
– Brooklyn: 5.5%
– Queens (Forest Hills): 2.5%
– Queens (Far Rockaway): 1.8%
– Rockland: 4.8%
– Orange: 4.2%

Q&A:

– 1.6% is the highest positivity rate since June
– How can we set a standard for other states but exempt NJ, CT, and PA from travel restrictions?
– Gov: the only way we are currently enforcing the quarantine is by airports and some trains
– If we quarantined NJ, CT, and PA, we would suffer economically and people would avoid quarantine by driving
– State police are overburdened
– Gov wants to come up with a plan that uses testing to reduce quarantines
– Gov: the numbers overall are increasing because it is Fall
– Poll shows 67% of NY support the Gov’s response to the pandemic
– Gov credits the public for complying with social distancing guidelines


Two More Updates: CDC: “300,000 Deaths in 2020, Not 220,000”
1. Nearly 300,000 excess deaths have occurred this year, suggesting that the official COVID-19 tally of about 220,000 deaths is an undercount, according to a new CDC report. The agency identified an estimated 299,028 excess deaths that occurred from Jan. 26 to Oct. 3, about 66 percent of which were attributed to COVID-19.

2. The nation’s death rate for hospitalized COVID-19 patients is falling, according to two new studies cited by NPR. The decline is evident among all age groups, including patients with underlying conditions that increase the risk of virus complications. One study analyzed 5,000 hospitalizations at New York City-based NYU Langone Health between March and August. Researchers found the death rate fell by 18 percent, on average.


Please Join the NYS Department of Health Thursday, October 22nd at 1-2PM for a COVID-19 Update for Healthcare Providers

To accommodate the large number of participants, find our webinar streaming via YouTube Live (and available for viewing immediately thereafter) on the NYSDOH COVID website for providers:

https://coronavirus.health.ny.gov/weekly-healthcare-provider-update

Audio number and code: 844-512-2950 Access code 9060349#


MSSNY Joins Medical Societies to Urge Delay of Info Blocking Rule on Nov. 2
MSSNY has joined with the medical societies of California, Florida and Texas in a letter to the federal Office of the National Coordinator for Health Information Technology requesting that they delay implementation of the information blocking provisions of the 21st Century Cures Act Final Rule for at least one year. 

The rule is scheduled to go into effect on November 2, though there remains the possibility of the rule being delayed.

The state medical associations’ letter notes that “We remain completely committed to the goals of the Final Rule – ensuring that robust health care data is accessible to both clinicians and patients…however, physician practices are spending their time and effort battling the COVID-19 pandemic. Physicians are also preparing for flu season, as well as a resurgence of the coronavirus.

Physicians are struggling to maintain the financial viability of their practices during the pandemic and do not have the additional resources to dedicate to hiring consultants to develop compliance plans. Asking physicians at this moment to come into compliance with a rule set to take effect on November 2nd is simply too much to ask”.

Please go here for a lengthy summary of the information blocking rules prepared by the American Medical Association.


 


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Urge Congress to Waive “Budget Neutrality” to Prevent Steep 2021 Medicare Cut
The 2021 Medicare Physician payment rule advanced by CMS contains a number of important changes, including reduced documentation for E&M codes and long overdue increases for office visits.  However, of great concern it also sets forth a 11% cut to the Medicare conversion factor, greatly limiting the benefit of these other increases and potentially causing great harm to many practices.

The conversion factor cut is required due to statutory “budget neutrality” requirements that prohibit increases without corresponding decreases.  MSSNY and many other groups are urging Congress to pass legislation to waive these “budget neutrality” requirements to prevent devasting cuts and permit needed changes to go forward.

You can send a letter to supplement these efforts here.

We also thank the many members of the New York Congressional delegation who joined their colleagues in a bi-partisan letter initiated by Rep. Ami Bera, MD (D-CA) and Rep. Larry Bucshon, MD (R-IN) urging that legislation be passed by Congress to prevent these steep Medicare cuts.  The New York Congressional members – both Democrats and Republicans – that signed the letter include Representatives: Brindisi, Clarke, Delgado, Jacobs, Katko, S.P. Maloney, Meeks, Morelle, Reed, Rice, Stefanik, Suozzi, and Tonko

For a comprehensive summary by the AMA of the proposed Medicare 2021 payment rule, please click here.


 

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FDA Advisory Panel to Publicly Discuss COVID-19 Vaccine Approval Process
A committee of outside experts will meet Oct. 22 to advise the FDA on its COVID-19 vaccine approval process for the first time, STAT reported. The convening of the panel, known as the Vaccines and Related Biological Products Advisory Committee, could reassure members of the public who worry the FDA is basing its COVID-19 decisions on politics more than science. An October survey conducted by STAT and the Harris Poll revealed that Americans’ acceptance of a potential COVID-19 vaccine is declining rapidly.

The FDA has listed a roster of 20 committee members, consisting of physicians, academics, disease experts and biostatisticians. The committee will also feature a representative from the pharmaceutical industry, Paula Annunziato, MD, Merck’s vice president of vaccine and clinical research, but she cannot vote when the committee is making decisions.

VRBPAC will convene as many as three times in November and three times in December, according to STAT. Members must be vetted for conflicts of interest before each meeting.

The FDA is not required to heed the advice of the VRBPAC, though it usually does.  (Becker’s Hospital Review 10/20)


FOR YOUR PATIENTS
From NYSDOH: Halloween Should Be Spooky, Not Scary!
Creative ways to celebrate more safely


Medicare Punishes Labs with Slow COVID-19 Test Turnaround; Laggards to Receive $25 Less Per Test
Medicare is clamping down on clinical labs that fail to return COVID-19 test results fast enough.

“CMS previously took action in April 2020 by increasing the Medicare payment to laboratories for high throughput COVID-19 diagnostic tests from approximately $51 to $100 per test. CMS announced that starting January 1, 2021, Medicare will pay $100 only to laboratories that complete high throughput COVID-19 diagnostic tests within two calendar days of the specimen being collected,” CMS said in a press release Thursday. “Also, effective January 1, 2021, for laboratories that take longer than two days to complete these tests, Medicare will pay a rate of $75. CMS is working to ensure that patients who test positive for the virus are alerted quickly so they can self-isolate and receive medical treatment.”

“As America continues to grapple with the COVID-19 pandemic, prompt testing turnaround times are more important than ever,” said CMS Administrator Seema Verma. “Today’s announcement supports faster high throughput testing, which will allow patients and physicians to act quickly and decisively with respect to treatment decisions, physical isolation, and contact tracing.”

Turnaround times for COVID-19 lab tests have been a matter of contention in many states. Quest Diagnostics announced that as of Oct. 12, its turnaround time is “2 days across all populations and 1-2 days for our priority population, which includes hospitalized patients, individuals in long-term care (such as nursing homes), and presurgical patients.”

Not surprisingly, laboratories were not happy with the CMS announcement. “ACLA member laboratories have already implemented innovative solutions and reworked operations to support increased COVID-19 testing capacity and faster turnaround times,” the American Clinical Laboratory Association said in a statement. “We’re concerned this policy could create a domino effect where patient access to testing is severely reduced. Cutting laboratory reimbursement will not address the root causes of delayed turnaround times. Turnaround time is driven largely by fluctuations in demand and access to critical supplies. As states across the country experience a surge in new cases, the global demand for testing supplies remains high.” (Oct.16 Medpage)


Veterans Matters: TBI in Returning Veterans Webinar
The Medical Society of the State of New York and Nassau County Medical Society are hosting a CME live webinar entitled Veterans Matters: TBI in Returning Veterans on Tuesday, November 3, 2020 at 7:30 am.
Click HERE to view the flyer and register for the program!
When:   November 3, 2020 at 7:30 am
Faculty:  David Podwall, MD
.Educational Objectives:

  • Identify signs and symptoms indicative of the spectrum from concussion/mild TBI to severe TBI
  • Examine evidence-based treatment modalities and when to refer to a specialist
  • Identify red flags that indicate alternate or more severe pathology
  • Outline an appropriate management plan for a patient presenting with concussion/TBI including a return to “normal life” protocol
  • For more information, contact Jangmu Sherpa at jsherpa@mssny.org or call (518) 465-8085

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.


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Classifieds

Elegant, Custom Built Home with Unparalleled Craftsmanship – Rhinebeck, NY
Set on 10.6 acres in one of the most sought-after neighborhoods in Rhinebeck, this stunning home borders Drayton Grant Park at Burger Hill (a conservation land and the highest point in Rhinebeck). Features beautifully landscaped gardens with sweeping hilltop views and a well established vegetable garden and barn. This handsome home is generously proportioned throughout, with an inviting foyer entry with tastefully designed staircase, millwork, high ceilings, cherry wood floors and custom windows.Rhinebeck Estate for Sale A world class kitchen with a marble counter-topped island, enjoys both a cozy fireside seating area perfect for winter evenings, and glass doors in the hexagonal eat-in-kitchen opening onto the expansive stone terrace for three season enjoyment and entertaining.A luxurious Master suite, with high vaulted ceiling design, his and hers walk-in closets and a gorgeous master bath with cast iron clawfoot tub. The second floor also includes two spacious bedrooms with generous closets and 2 full bathrooms, An additional large sitting room/office could easily make a lovely fourth bedroom. Lower level features a media room, exercise room, bar, wine cellar and full bathroom. Additionally there is a two story barn equipped with water and electricity.
The house is located 7 minutes to the charming center of Rhinebeck village with its many superb restaurants, boutiques & shops. The highly rated Northern Dutchess Hospital, the excellent Rhinebeck schools and the County Fairgrounds, a most desirable venue destination throughout the year, are all nearby. Rhinecliff train station is a mile beyond with Amtrak service south to NYC(1hour 40 minutes) and north to Hudson, Albany, Niagara Falls and Montreal. View full listing Contact Nader Kayal, MD, 845-518-7780 / entdoc53@aol.com or Joshua M. Briggs at Heather Croner RE-Sotheby’s 917 213-9042 / jmb@jmbfineart.com.

UES Park Avenue Medical Office Space for Rent – One or Two Days a Week
Elegant office space on UES, in Park Avenue doorman building.  Enormous furnished windowed consult room, large exam room and private secretarial area.  Private elevator to office, huge waiting room and all shared office space. One – two days available; ideal for low volume Practitioner of any specialty. Please contact office manager Theresa – 212-288-2171 or via email at drfox.903parkave@gmail.com.

Consult Room

Consult Room

Exam Room

Exam Room

 

Waiting Room

Waiting Room


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Dermatology Practice for Sale – Staten Island, NY
Building includes 3 exam rooms, waiting area. Please respond by calling 718-987-3300 or email enbmd@aol.com


OBGYN Physician for Our Upper East Side Practice
Gynecology office setting only – No Obstetrics. Please contact the office at 212-772-3722 Email: olarugabriela@aol.com. Office Location: VCARE OBGYN 328 East 75th St. Suite 4 New York NY 10021 REQUIREMENTS: Doctor of Medicine degree. New York Medical License. DEA Board Certified OBGYN

 

 

 

 

 

 

 

 

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MSSNY eNews: October 16, 2020 – What You Need to Know: OPMC Signage Requirement and COVID/Flu Testing Mandates

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Colleagues:

What You Need to Know: OPMC Signage Requirement and COVID/Flu Testing Mandates

Your MSSNY has been aggressively lobbying against what seems like an unending stream of new onerous regulations, unfunded mandates and misguided legislation. We have been meeting regularly with the DOH and the Governor’s office, raising objections and informing them of the many obstructions to compliance and the unintended negative consequences. Here’s what you need to know:

New OPMC Signage Requirement:
Last week, despite strong opposition from a united house of medicine, Governor Cuomo signed into law legislation that requires every physician’s “practice setting” to post a conspicuous sign informing patients of the OPMC’s website for reporting suspected misconduct. These signs must be visible in areas accessed by patients and those who accompany patients to visits, such as “waiting rooms, check-in/out areas and treatment areas.”

The law did not mandate verbiage for the sign. However, our MSSNY general counsel has reviewed the law and offered a template as an option to meet the provisions. Please feel free to use the below language and/or customize it as you see fit.

“We are committed to ensuring that our patients receive appropriate medical care. You can get information regarding your rights and how to report professional misconduct at: https://www.health.ny.gov/professionals/doctors/conduct.”

Please be aware that failure to place this sign in your practice setting will NOT subject you to financial penalties. However, failure to post this sign could subject you to discipline by the OPMC if it is shown that there was a “willful or grossly negligent” failure to comply.

Click here to read the statement MSSNY released objecting to this new requirement.

Executive Order 202.61: COVID and Flu Testing Mandates:
On September 21 Commissioner Zucker sent a notice to all healthcare providers informing us that positive and negative COVID-19 and flu tests results must be reported to DOH within 3 hours of the receipt of results, along with contact information, employment and/or school information for each patient with penalties for non-compliance of up to $2000/day (penalties set forth in statute for violations of New York’s Public Health Laws).

Your MSSNY team has had multiple meetings and communications with DOH and the Governor’s office to express that we share the goal of getting information to the State DOH quickly to begin contact tracing and other containment efforts, but urged greater flexibility for reporting these results, particularly for reporting the negative tests. We explained that complying with these mandates is a daunting, if not impossible, task for many practices and may discourage practices from ordering tests and offering testing at a time when COVID-19 rates are rising in our state and more testing, not less is needed.

MSSNY has initiated a physician survey regarding the challenges of complying with these requirements. Thank you for the many of you who have completed the results, and thank you to the urgent care, family medicine, pediatric, and internal medicine societies for partnering with us to promote the survey.

If you have not already taken the MSSNY survey, please take just a few minutes to complete it here. We will be using the results of this survey to inform ongoing discussions with the DOH and the Governor’s office on practical modifications to this executive order.

In addition, we have created a link where you can send a letter to the Governor and the Commissioner of Health conveying your concerns.

Thank you to all of you for the many letters/emails/tweets and posts you have sent to our government officials, for responding to our surveys, and for participating in our policy discussions and meetings. Together we can make a difference and effect positive change.

Bonnie Litvack, MD
MSSNY President


This Week’s MSSNY Update Podcast:


Latest Public Health and Research Information on COVID-19
COVID-19 is an emerging, rapidly evolving situation.

  • Get the latest public health information from CDC.
  • Get the latest research information from NIH.

Do You Provide COVID-19 or Flu Testing? Please Take Our Survey
To assist the State in its contact tracing efforts, the New York State Department of Health (DOH) recently sent a notice to all laboratories and all health care practitioners (including physicians) who provide in-office testing for COVID-19 and influenza to report test results, both positive and negative, within 3 hours of receiving these results. The notice further notes that practitioners or labs who do not comply with this requirement could face serious financial penalties.

Upon raising concerns to the DOH that some physicians will be unable to complete this requirement, the DOH has asked MSSNY to provide additional data regarding physicians’ ability to comply. If you haven’t already done so, please take just a few minutes to respond to this MSSNY survey.



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New Nationwide Poll by Kaiser Family Foundation and ESPN’s The Undefeated Reveals Distrust of the Health Care System Among Black Americans
The Kaiser Family Foundation (KFF) and ESPN’s The Undefeated conducted a joint nationwide survey that explores the views and experiences of African Americans during the coronavirus pandemic. Despite the disproportionate impact of the virus on Black communities, 49 percent of African Americans say they will shun taking a vaccine even if scientists deem it safe and it is available for free to anyone who wants it.

From August 20 through September 14, the study polled 1,769 adults, including 777 African Americans. While half of African Americans said they would probably or definitely decline a coronavirus vaccine, two-thirds of white people said they would definitely or probably get vaccinated, as did 60 percent of Hispanic adults, by comparison.

In addition to exploring the effects of the coronavirus, The KFF/The Undefeated poll is one of the most expansive studies in recent years on Black people’s attitudes and experiences with health care, and the findings reveal how the experiences of Black and white communities differ. A complete analytical report based on the full survey is available here.


Influenza 2020-2021: Vaccine Update CME Webinar
Flu season is upon us! Register now to learn more about dealing with flu season during a pandemic.  Influenza 2020-2021: Vaccine Update will be presented on Wednesday, October 21, 2020 at 7:30 a.m.  William Valenti, MD, chair of MSSNY Infectious Disease Committee and a member of the Emergency Preparedness and Disaster/Terrorism Response Committee will serve as faculty for this program. Registration is now open for this webinar here

Educational objectives are:

  • Describe key indicators to look for when diagnosing patients presenting with flu-like symptoms
  • Analyze clinical and laboratory diagnostic features and treatment specific to each flu season
  • Identify recommended immunizations and antiviral medications for treatment and how best to effectively encourage patients to get vaccinated
  • Evaluate seasonal influenza vaccine development and recommendations concurrent with the SARS-CoV-2 pandemic

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Veterans Matters: TBI in Returning Veterans Webinar
The Medical Society of the State of New York and Nassau County Medical Society are hosting a CME live webinar entitled Veterans Matters: TBI in Returning Veterans on Tuesday, November 3, 2020 at 7:30 am.
Click here to view the flyer and register for the program.

When: November 3, 2020 at 7:30 am
Faculty: David Podwall, MD

Educational Objectives:

  • Identify signs and symptoms indicative of the spectrum from concussion/mild TBI to severe TBI
  • Examine evidence-based treatment modalities and when to refer to a specialist
  • Identify red flags that indicate alternate or more severe pathology
  • Outline an appropriate management plan for a patient presenting with concussion/TBI including a return to “normal life” protocol

For more information, contact Jangmu Sherpa at jsherpa@mssny.org or call (518) 465-8085

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Coronavirus May Survive for 28 Days on Glass, Banknotes, Study Suggests
A new study, “The Effect of Temperature on Persistence of SARS-CoV-2 on Common Surfaces,” published in Virology Journal, finds that COVID-19 may remain infectious for weeks on banknotes, glass and other common surfaces.

The research by Australia’s top biosecurity laboratory highlights risks from paper currency, touchscreen devices and grab handles and rails. Researchers showed SARS-CoV-2 is “extremely robust,” surviving for 28 days on smooth surfaces like glass on mobile phone screens and plastic banknotes at room temperature, or 20 degrees Celsius (68 degrees Fahrenheit), which compares with 17 days survival for the flu virus.


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Survey: Average Annual Cost of Family Health Plan Increased to $21,342 In 2020
Annual family premiums for employer-sponsored health insurance rose 4% to average $21,342 this year, according to the 2020 benchmark KFF Employer Health Benefits Survey. On average, workers this year are contributing $5,588 toward the cost of family coverage, with employers paying the rest. The peer-reviewed journal Health Affairs has published an article with key findings from the 2020 survey.

The survey was conducted from January to July as the COVID-19 pandemic and economic crisis unfolded and may not capture its full impact on costs and coverage. The annual change in premiums is similar to the year-to-year rise in workers’ earnings (3.4%) and inflation (2.1%), though over time what employers and workers pay toward premiums continues to rise more quickly than wages and inflation. Since 2010, average family premiums have increased 55%, at least twice as fast as wages (27%) and inflation (19%).

This year 83% of covered workers have a deductible in their plan, similar to last year and up from 70% a decade ago. The average single deductible stands at $1,644 for workers who have one, similar to last year’s $1,655 average but up sharply from the $917 average of a decade ago. These two trends result in a 111% increase in the burden of deductibles across all covered workers.


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White House Says Administration Will Proceed With Implementation Of Hospital Price Transparency Rule
Modern Healthcare (10/9, Cohrs, Subscription Publication) reports the administration intends to proceed with the “implementation of its hospital price transparency rule on Jan. 1,” a White House official said. Hospitals want the “administration to delay the January 2021 implementation of hospital price transparency requirements, but the White House does not appear to be backing down.” According to a White House official, “the administration already delayed implementation when HHS published the final rule and pushed the deadline to Jan. 1.”


 


Classifieds

Elegant, Custom Built Home with Unparalleled Craftsmanship – Rhinebeck, NY
Set on 10.6 acres in one of the most sought-after neighborhoods in Rhinebeck, this stunning home borders Drayton Grant Park at Burger Hill (a conservation land and the highest point in Rhinebeck). Features beautifully landscaped gardens with sweeping hilltop views and a well established vegetable garden and barn. This handsome home is generously proportioned throughout, with an inviting foyer entry with tastefully designed staircase, millwork, high ceilings, cherry wood floors and custom windows.Rhinebeck Estate for Sale A world class kitchen with a marble counter-topped island, enjoys both a cozy fireside seating area perfect for winter evenings, and glass doors in the hexagonal eat-in-kitchen opening onto the expansive stone terrace for three season enjoyment and entertaining.A luxurious Master suite, with high vaulted ceiling design, his and hers walk-in closets and a gorgeous master bath with cast iron clawfoot tub. The second floor also includes two spacious bedrooms with generous closets and 2 full bathrooms, An additional large sitting room/office could easily make a lovely fourth bedroom. Lower level features a media room, exercise room, bar, wine cellar and full bathroom. Additionally there is a two story barn equipped with water and electricity.
The house is located 7 minutes to the charming center of Rhinebeck village with its many superb restaurants, boutiques & shops. The highly rated Northern Dutchess Hospital, the excellent Rhinebeck schools and the County Fairgrounds, a most desirable venue destination throughout the year, are all nearby. Rhinecliff train station is a mile beyond with Amtrak service south to NYC(1hour 40 minutes) and north to Hudson, Albany, Niagara Falls and Montreal. View full listing Contact Nader Kayal, MD, 845-518-7780 / entdoc53@aol.com or Joshua M. Briggs at Heather Croner RE-Sotheby’s 917 213-9042 / jmb@jmbfineart.com.

UES Park Avenue Medical Office Space for Rent – One or Two Days a Week
Elegant office space on UES, in Park Avenue doorman building.  Enormous furnished windowed consult room, large exam room and private secretarial area.  Private elevator to office, huge waiting room and all shared office space. One – two days available; ideal for low volume Practitioner of any specialty. Please contact office manager Theresa – 212-288-2171 or via email at drfox.903parkave@gmail.com.

Consult Room

Consult Room

Exam Room

Exam Room

 

Waiting Room

Waiting Room


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Dermatology Practice for Sale – Staten Island, NY
Building includes 3 exam rooms, waiting area. Please respond by calling 718-987-3300 or email enbmd@aol.com


OBGYN Physician for Our Upper East Side Practice
Gynecology office setting only – No Obstetrics. Please contact the office at 212-772-3722 Email: olarugabriela@aol.com. Office Location: VCARE OBGYN 328 East 75th St. Suite 4 New York NY 10021 REQUIREMENTS: Doctor of Medicine degree. New York Medical License. DEA Board Certified OBGYN

 

 

 

 

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MSSNY eNews: October 14, 2020 – COVID-19 Hospitalizations Hit 6-Week High in US

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Notes from Governor Cuomo’s Conference Call

COVID-19 General:
– Day 228
– 7 fatalities
– 111,744 tests yesterday
– 938 hospitalizations
– 6.2% infection rate in hotspots
– Statewide rate with hotspots: 1.1%
– Statewide rate without hotspots: .95%
– Gov estimates that hotspots will continue to exist for at least one year
– Gov reiterates that data on school infection rates are available on the dashboard

Infection Rate by Region:
Orange: 7.4%
Rockland: 7.2&
Brooklyn: 6.4%
NYC: 1.2%
Capital: 1.2%
Central NY: 1.2%
Long Island: 1%
Western NY: 1%
Finger Lakes: .7
Mid-Hudson: 1.6
North Country: .1%
Mohawk: .1%
Southern Tier: 1%

Enforcement:
– The promoters of a Chainsmokers concert in the Hamptons will be fined $20,000 for violating safety protocols
– Gov will send out a notice to local governments on closing schools and religious gatherings
– Gov will send a letter to schools in red zones reminding them to close
– Local governments and schools that violate closure orders will not receive state funding

Q&A:
What else can the Gov do to increase enforcement?
– Gov: local governments do not have the authority to make their own public health plans
– The state can impound all funding to localities
On reimagining the NYPD: it has taken four months for the NYPD to hold forums
– Gov: the good news is they’re doing something; the bad news is that an agency can’t    reinvent itself
There are officers that have had it with the pandemic, rising crime rates, and reform
– Gov: officers are not the bad guy, we have to address public distrust
On Orthodox Jewish communities, is there still unrest?
– Gov: some groups have been helpful, and some yeshivas have been opened
Why is the governor worried about a sweet sixteen party?
– Gov says even a single party can become a super spreader event
Do we have enough capacity to handle a potential second wave?
– Gov: we have always had more capacity than we have used


COVID-19 Hospitalizations Hit Six-Week High
The U.S. is reporting the highest level of COVID-19 hospitalizations since Sept. 2, according to COVID Tracking Project data cited by The Wall Street Journal. 

As of Oct. 12, 35,056 people were hospitalized nationwide, up 16 percent from a week prior. Hospitalizations are still lower than figures seen in July, when more than 59,000 people were hospitalized nationwide, according to WSJ.

Eight more updates:

  1. SARS-CoV-2 — the virus that causes COVID-19 — can survive on some common surfaces for up to 28 days, though it is unclear whether the surviving amount of virus could infect someone, an Australian study published in Virology Journal found.
  2. Johnson & Johnson voluntarily paused the clinical trial for its COVID-19 vaccine candidate Oct. 12 after a participant developed “an unexplained illness,” the drugmaker told STAT.
  3. While Belgium, Spain and the U.K. have higher overall COVID-19 death rates than the U.S., the U.S. death rate has far surpassed other high-income countries since May 10, according to a study published Oct. 12 in JAMA. The U.S. death rate since May 10 is 36.9 deaths per 100,000 residents. Sweden had the second highest rate at 23.5 per 100,000.
  4. There was a 20 percent increase over expected deaths in the U.S. between March 1 and Aug. 1, according to a separate study published in JAMA. Of the 225,530 excess deaths researchers identified, 67 percent were attributed to COVID-19.
  5. Investing in testing and contact tracing for COVID-19 pays for itself at least 30 times over, two economists wrote in a viewpoint article for JAMA. They calculated that improved testing and tracing would cost the government about $6 million per 100,000 inhabitants and prevent an estimated $176 million in COVID-19 costs. Read the full article here.
  6. President Donald Trump has tested negative for COVID-19 “on consecutive days” with Abbott’s rapid antigen test, according to an Oct. 12 memo from White House physician Sean Conley, DO. President Trump is “not infectious to others,” based on those test results and “in concert with the CDC’s guidelines for removal of transmission-based precautions,” Dr. Conley wrote. However, some physicians have warned against relying too heavily on results from rapid tests, reports The Wall Street Journal. The CDC does not recommend using antigen tests to inform decisions about ending isolation, instead recommending a PCR test to confirm rapid antigen test results. Dr. Conley’s most recent memo did not share PCR test results for President Trump.
  7. The number of Americans willing to get a COVID-19 vaccine dropped by 11 percentage points in one monthsitting at 50 percent in late September, according to a Sept. 14-27 Gallup poll of 2,730 adults. Sixty-six percent of respondents said they would receive an FDA-approved vaccine in July, while 61 percent said the same in August.
  8. Some COVID-19 survivors are experiencing “brain fog,” or cognitive symptoms including memory loss, confusion, difficulty focusing and dizziness, reports The New York Times.“There are thousands of people who have that,” said Igor Koralnik, MD, chief of neuro-infectious disease at Chicago-based Northwestern Medicine and head of a post-COVID clinic. Scientists are uncertain what causes the brain fog, which can affect people who were only mildly ill from COVID-19 and had no previous medical conditions. (oct. 13, Becker’s Hospital Review)

NYS DOH Guidance for School Administrators Regarding Limited Temporary Enforcement of Student Immunization Requirement
NYS DOH is suspending enforcement of required vaccinations for students for a period of 30 days if such student intends to obtain the required vaccinations in the coming 30 days. This applies only to students attending school exclusively remotely.

For students using remote learning exclusively, if a school does not receive proof of all required vaccinations by 30 days from the date of the DOH letter, the school shall not permit the student to attend, including through remote learning, until such proof has been received. Read the DOH letter to school administrators here.


 


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New OPMC Signage Requirement
Despite strong MSSNY opposition, the Governor recently signed into law legislation requiring every physician’s “practice setting” to post a conspicuous sign identifying for patients the OPMC’s website for reporting suspected misconduct here.

Click here to read MSSNY President Dr. Bonnie Litvack’s statement objecting to this new requirement.

There is no specific template specified in the law or by DOH.  One possible template to meet the provisions of this law as suggested by MSSNY legal counsel is to say in the signage:

We are committed to ensuring that our patients receive appropriate medical care.  You can get information regarding your rights and how to report professional misconduct at https://www.health.ny.gov/professionals/doctors/conduct.“

It should be noted that, because of the section of the law that was amended by this legislation, failure to place this sign in your practice setting will NOT subject a physician to financial penalties that otherwise are applicable for other violations of the Public Health Law.  However, failure to post this sign could subject the physician to discipline by the OPMC if it is shown that there was a “willful or grossly negligent” failure to comply.

MSSNY continues to have discussions with DOH staff regarding aspects of this new signage requirement, including how it will apply in settings not controlled by the physician, such as a hospital, nursing home or clinic.  DOH has sent a letter to all physicians advising them of this new law, noting that these signs must be visible in areas accessed by patients and those who accompany patients to visits, such as “waiting rooms, check-in/out areas and treatment areas.”


NYS DOH COVID-19 Update on Thursday, Oct. 22

The Thursday October 15th 1 PM NYS DOH Healthcare Provider COVID-19 Webinar is CANCELED FOR THIS WEEK ONLY!

Please join the NYS Department of Health on Thursday, October 22nd at 1-2PM for a COVID-19 update for healthcare providers. To accommodate the large number of participants, find the webinar streaming via YouTube Live (and available for viewing immediately thereafter) on the NYSDOH COVID website for providers.

Audio number and code: TBD

Recipients: All Prescribers

For questions: Please send an e-mail to bcdc@health.ny.gov.



 

 


Classifieds

Elegant, Custom Built Home with Unparalleled Craftsmanship – Rhinebeck, NY
Set on 10.6 acres in one of the most sought-after neighborhoods in Rhinebeck, this stunning home borders Drayton Grant Park at Burger Hill (a conservation land and the highest point in Rhinebeck). Features beautifully landscaped gardens with sweeping hilltop views and a well established vegetable garden and barn. This handsome home is generously proportioned throughout, with an inviting foyer entry with tastefully designed staircase, millwork, high ceilings, cherry wood floors and custom windows.Rhinebeck Estate for Sale A world class kitchen with a marble counter-topped island, enjoys both a cozy fireside seating area perfect for winter evenings, and glass doors in the hexagonal eat-in-kitchen opening onto the expansive stone terrace for three season enjoyment and entertaining.A luxurious Master suite, with high vaulted ceiling design, his and hers walk-in closets and a gorgeous master bath with cast iron clawfoot tub. The second floor also includes two spacious bedrooms with generous closets and 2 full bathrooms, An additional large sitting room/office could easily make a lovely fourth bedroom. Lower level features a media room, exercise room, bar, wine cellar and full bathroom. Additionally there is a two story barn equipped with water and electricity.
The house is located 7 minutes to the charming center of Rhinebeck village with its many superb restaurants, boutiques & shops. The highly rated Northern Dutchess Hospital, the excellent Rhinebeck schools and the County Fairgrounds, a most desirable venue destination throughout the year, are all nearby. Rhinecliff train station is a mile beyond with Amtrak service south to NYC(1hour 40 minutes) and north to Hudson, Albany, Niagara Falls and Montreal. View full listing Contact Nader Kayal, MD, 845-518-7780 / entdoc53@aol.com or Joshua M. Briggs at Heather Croner RE-Sotheby’s 917 213-9042 / jmb@jmbfineart.com.

UES Park Avenue Medical Office Space for Rent – One or Two Days a Week
Elegant office space on UES, in Park Avenue doorman building.  Enormous furnished windowed consult room, large exam room and private secretarial area.  Private elevator to office, huge waiting room and all shared office space. One – two days available; ideal for low volume Practitioner of any specialty. Please contact office manager Theresa – 212-288-2171 or via email at drfox.903parkave@gmail.com.

Consult Room

Consult Room

Exam Room

Exam Room

 

Waiting Room

Waiting Room


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Dermatology Practice for Sale – Staten Island, NY
Building includes 3 exam rooms, waiting area. Please respond by calling 718-987-3300 or email enbmd@aol.com


OBGYN Physician for Our Upper East Side Practice
Gynecology office setting only – No Obstetrics. Please contact the office at 212-772-3722 Email: olarugabriela@aol.com. Office Location: VCARE OBGYN 328 East 75th St. Suite 4 New York NY 10021 REQUIREMENTS: Doctor of Medicine degree. New York Medical License. DEA Board Certified OBGYN

 

 

 

 

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October 9, 2020 – Call for Flexibility in Reporting COVID and Flu Test Results

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Colleagues:

This week, MSSNY staff and I met with New York State Department of Health and the Governor’s office to raise concerns with the new reporting requirements for COVID-19 and influenza testing.  MSSNY was joined by physicians who represent urgent care practices.  Under the Commissioner’s September 21 notice, positive and negative COVID-19 and flu tests results must be reported to DOH within 3 hours of the receipt of these results, along with contact information, employment and/or school information for the patient.

Your MSSNY team expressed that we share the goal of getting information to the State DOH as soon as possible to begin contact tracing and other containment efforts, but MSSNY also urged greater flexibility for reporting these results, particularly for reporting the negative tests.  While there are also federal requirements to report COVID-19 test results, those results must be reported within 24 hours and do not apply to influenza testing.  Complying with these mandates is a daunting, if not impossible, task for many practices.  To make matters worse, the DOH notice raises the prospects of serious financial penalties for failure to comply. This is very counterproductive as it is likely to discourage practices from testing at a time when COVID-19 rates are rising in our state.

To obtain further data to back up the many individual concerns we have heard, MSSNY has initiated a physician survey regarding the challenges of complying with the requirement to report COVID-19 and flu tests – both positive and negative – within 3 hours of receiving the results.  If you have not already, please take just a few minutes to complete our survey here.

Results are still coming in, but of the several hundred responses we have received so far, over 60% of those who are providing these tests have indicated that they are unable or will be unable to provide these tests if the requirements set forth in the September 21 notice are continued.  In the “Comments” section of the survey, multiple physicians indicated that they agree with the importance of providing a quick turnaround for positive COVID-19 test results but urge a change in the requirements regarding reporting flu tests and negative COVID-19 tests.  Also noteworthy were the comments we received in the survey concerning the difficulty of obtaining work and school information as part of this reporting mandate.

As a second surge in cases is beginning to emerge, we share the goal of providing test information as soon as reasonably possible so we can together contain the spread of the virus.  However, it is counterproductive to impose measures that make it difficult, if not impossible, for physicians to provide this needed testing for our patients.

Again, please take our MSSNY survey if you provide COVID-19 or Influenza testing.

Bonnie Litvack, MD
MSSNY President


MSSNY Weekly Legislative Podcast


Notes from Governor Cuomo’s Conference Call:

COVID:
– Day 223
– 6 fatalities
– 779 hospitalizations
– 168 ICU patients
– 78 intubations
– 139,000 tests yesterday
– 5.4% infection rate in hotspots
– Statewide rate without hotspots included is  0.9%
– Statewide rate including hotspots is 1.1%
– Gov. stressed hotspots are being oversampled, and this skews the rate when included in statewide rate, as those regions are a small percentage of state’s population
– “misleading” to include hotspots in statewide rate
– Red zones of hotspots are 2.8% of state’s population, but 20% of state’s COVID cases
– 6.6% infection rate in red zones
– Gov. called this data evidence of state’s advanced testing capabilities

Infection Rate by Region:
– NYC – 1.2%
– Capital Region – 0.7%
– Central NY – 0.9%
– Finger Lakes – 0.8%
– Long Island – 1%
– Mid Hudson – 2.1%
– Mohawk Valley – 0.5%
– North Country – 0.3%
– Southern Tier – 1%
– Western NY – 1.3%

Hotspot Regions:
– Orange: 3.6%
– Rockland: 5.6%
– Broome: 3.2%
– Brooklyn: 1.9%, up from 1.7%

Schools:
– 4,500 new school reported tests
– Total of 66,000 tests reported since beginning of dashboard
– 648 school districts have submitted data, which is 94% of districts
– 42 schools receiving orders for non-compliance in submitting data
– 97 new COVID cases reported in schools: 58 students, 39 faculty and staff

Brooklyn Protests:
– Enforcement is continuing
– Gov. said clusters have always been targeted, regardless of the population involved

On Gov. Whitmer and President Trump:
– Gov. said President Trump continues to be “divisive”, “Anti-American”
– Gov. asserted President’s behavior is also driving protests in ultra-Orthodox communities in Brooklyn
– Gov. played an ultra-Orthodox robocall which claimed being in contact with Trump campaign, and being directed by the campaign to protest and hold signs saying, “Cuomo killed thousands”
– Gov. cited tweets from ultra-Orthodox leader Heshy Tischer, requesting flags be created saying, “Cuomo hates Jews” and “Cuomo killed thousands”
– Gov. called this “hurtful, disgusting, painful”, and this rhetoric is putting lives at risk



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More on New OPMC Signage Requirement
As reported in Wednesday’s MSSNY e-news, despite strong MSSNY opposition, this week the Governor signed into law legislation requiring every physician’s “practice setting” to post a conspicuous sign identifying for patients the OPMC’s website for reporting suspected misconduct at https://www.health.ny.gov/professionals/doctors/conduct/.

Click here to read MSSNY President Dr. Bonnie Litvack’s statement objecting to this new requirement.

There is no specific template specified in the law or by DOH.  One possible template to meet the provisions of this law as suggested by MSSNY legal counsel is to say in the signage:

We are committed to ensuring that our patients receive appropriate medical care.  You can get information regarding your rights and how to report professional misconduct at https://www.health.ny.gov/professionals/doctors/conduct

It should be noted that, because of the section of the law that was amended by this legislation, failure to place this sign in your practice setting will NOT subject a physician to financial penalties that otherwise are applicable for other violations of the Public Health Law.  However, failure to post this sign could subject the physician to discipline by the OPMC if it is shown that there was a “willful or grossly negligent” failure to comply.

MSSNY continues to have discussions with DOH staff regarding aspects of this new signage requirement, including how it will apply in settings not controlled by the physician, such as a hospital, nursing home or clinic.  DOH has sent a letter to all physicians advising them of this new law, noting that these signs must be visible in areas accessed by patients and those who accompany patients to visits, such as “waiting rooms, check-in/out areas and treatment areas.”


Do You Provide COVID-19 or Flu Testing? Please Take Our Survey
To assist the State in its contact tracing efforts, the New York State Department of Health (DOH) recently sent a notice to all laboratories and all health care practitioners (including physicians) who provide in-office testing for COVID-19 and influenza to report test results, both positive and negative, within 3 hours of receiving these results. The notice further notes that practitioners or labs who do not comply with this requirement could face serious financial penalties.

Upon raising concerns to the DOH that some physicians will be unable to complete this requirement, the DOH has asked MSSNY to provide additional data regarding physicians’ ability to comply. If you haven’t already done so, please take just a few minutes to respond to this MSSNY survey.


CMS Announces New Repayment Terms for Medicare Loans Made During
COVID-19
The Centers for Medicare & Medicaid Services (CMS) announced amended terms for payments issued under the Accelerated and Advance Payment (AAP) Program as required by recent action by President Trump and Congress.

This Medicare loan program allows CMS to make advance payments to providers and are typically used in emergency situations.  Under the Continuing Appropriations Act, 2021 and Other Extensions Act repayment will now begin one year from the issuance date of each provider or supplier’s accelerated or advance payment.  CMS issued $106 billion in payments to providers and suppliers in order to alleviate the financial burden healthcare providers faced while experiencing cash flow issues in the early stages of combating the coronavirus disease 2019 (COVID-19) Public Health Emergency (PHE).

For more information visit the CMS website.


 

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Flu Season is Upon Us! Vaccine Update Webinar on 10/21
Flu season is upon us! Register now to learn more about dealing with flu season during a pandemic.  Influenza 2020-2021: Vaccine Update will be presented on Wednesday October 21, 2020 at 7:30 a.m.  William Valenti, MD, chair of MSSNY Infectious Disease Committee and a member of the Emergency Preparedness and Disaster/Terrorism Response Committee will serve as faculty for this program. Registration is now open for this webinar here

Educational objectives are:

  • Describe key indicators to look for when diagnosing patients presenting with flu-like symptoms
  • Analyze clinical and laboratory diagnostic features and treatment specific to each flu season
  • Identify recommended immunizations and antiviral medications for treatment and how best to effectively encourage patients to get vaccinated
  • Evaluate seasonal influenza vaccine development and recommendations concurrent with the SARS-CoV-2 pandemic

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Medical Errors Increase by Nearly 20% Around Daylight Savings, Study Finds
In the days following the switch to daylight saving time, human mistakes tied to patient safety-related incidents increased by almost 20 percent, according to a study in the Journal of General Internal Medicine. Researchers analyzed voluntarily reported data from Rochester, Minn.-based Mayo Clinic that occurred seven days before and after the spring and fall time changes for 2010-17.

Patient safety-related incidents included defective systems, equipment failure or human error. Researchers did not report significant differences in overall errors in the weeks before and after the time changes. However, when analyzing human error only, they found the number of human errors increased by a statistically significant 18.7 percent after daylight saving in the spring. Most of the errors involved medications, such as administering the wrong dose or wrong drug.


ICD-10 Updated Codes: October 1, 2020 through September 30, 2021
CMS has updated the ICD-10-CM and ICD-10-PCS codes. The new ICD-10 codes are to be used from October 1, 2020 through September 30, 2021.


Some Insurers Will No Longer Waive Co-Payments for Telemedicine
The New York Times (10/3, Abelson) reported, “Some people will have to start paying more out of their own pockets for telemedicine appointments, if their virtual visits with doctors are unrelated to COVID-19 and are needed to monitor conditions like diabetes or to check out sudden knee pain.” Both Anthem and UnitedHealthcare “are no longer waiving co-payments and deductibles for some customers beginning on Oct. 1.” Patients “who have been relying on telehealth to steer clear of the emergency room or a doctor’s office during the coronavirus pandemic will need to check with their insurers to see how much they will now owe for a virtual visit.


 

 


Classifieds

Elegant, Custom Built Home with Unparalleled Craftsmanship – Rhinebeck, NY
Set on 10.6 acres in one of the most sought-after neighborhoods in Rhinebeck, this stunning home borders Drayton Grant Park at Burger Hill (a conservation land and the highest point in Rhinebeck). Features beautifully landscaped gardens with sweeping hilltop views and a well established vegetable garden and barn. This handsome home is generously proportioned throughout, with an inviting foyer entry with tastefully designed staircase, millwork, high ceilings, cherry wood floors and custom windows.Rhinebeck Estate for Sale A world class kitchen with a marble counter-topped island, enjoys both a cozy fireside seating area perfect for winter evenings, and glass doors in the hexagonal eat-in-kitchen opening onto the expansive stone terrace for three season enjoyment and entertaining.A luxurious Master suite, with high vaulted ceiling design, his and hers walk-in closets and a gorgeous master bath with cast iron clawfoot tub. The second floor also includes two spacious bedrooms with generous closets and 2 full bathrooms, An additional large sitting room/office could easily make a lovely fourth bedroom. Lower level features a media room, exercise room, bar, wine cellar and full bathroom. Additionally there is a two story barn equipped with water and electricity.
The house is located 7 minutes to the charming center of Rhinebeck village with its many superb restaurants, boutiques & shops. The highly rated Northern Dutchess Hospital, the excellent Rhinebeck schools and the County Fairgrounds, a most desirable venue destination throughout the year, are all nearby. Rhinecliff train station is a mile beyond with Amtrak service south to NYC(1hour 40 minutes) and north to Hudson, Albany, Niagara Falls and Montreal. View full listing Contact Nader Kayal, MD, 845-518-7780 / entdoc53@aol.com or Joshua M. Briggs at Heather Croner RE-Sotheby’s 917 213-9042 / jmb@jmbfineart.com.

UES Park Avenue Medical Office Space for Rent – One or Two Days a Week
Elegant office space on UES, in Park Avenue doorman building.  Enormous furnished windowed consult room, large exam room and private secretarial area.  Private elevator to office, huge waiting room and all shared office space. One – two days available; ideal for low volume Practitioner of any specialty. Please contact office manager Theresa – 212-288-2171 or via email at drfox.903parkave@gmail.com.

Consult Room

Consult Room

Exam Room

Exam Room

 

Waiting Room

Waiting Room


Dermatology Practice for Sale – Staten Island, NY
Building includes 3 exam rooms, waiting area. Please respond by calling 718-987-3300 or email enbmd@aol.com


OBGYN Physician for Our Upper East Side Practice
Gynecology office setting only – No Obstetrics. Please contact the office at 212-772-3722. Office Location: VCARE OBGYN 328 East 75th st Suite 4 New York NY 10021
REQUIREMENTS: Doctor of Medicine degree. New York Medical License. DEA Board Certified OBGYN

 

 

 

 

 

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