MSSNY eNews: September 2, 2020 – Siena Poll: 46% of New Yorkers Say Schools Should Remain Closed

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Siena Poll: New Yorkers Still Support Forced Closures
New Yorkers are still solidly in favor of shutting down large parts of society in an attempt to slow the spread of the coronavirus, according to a poll released by the Siena College Research Institute on Wednesday. A total of 70 percent of respondents say state government should prioritize the containment of the coronavirus, “even if it hurts the economy.” Only 23 percent think the state should “restart the economy, even if it increases the risk to public health.” That is basically the same result as when Siena asked the question in early July, when respondents favored public health 70-22.

“Don’t Rush on Schools”

Pollsters also asked about several specific institutions and activities, and by and large, New Yorkers were not in a rush to have them return to normal. On public schools, only 18 percent said that they should reopen for all students immediately, while 33 percent said they should reopen with some sort of a hybrid model. A total of 46 percent said they should stay “closed for now and provide remote instruction as best as teachers can to all students.”

Only 27 percent said that colleges “should bring students back to campus for the fall semester” while 66 percent said their courses should be entirely remote. Respondents were also asked about six different types of activities and whether they “now feel comfortable” participating in them:

· “Visiting a museum” was the only one that anything close to a majority — 45 percent, in this case — say they would be willing to do.

· A total of 38 percent said they are willing to dine indoors, though only 24 percent would be willing to drink at a bar.

· Thirty-one percent said they would be comfortable going bowling and 27 percent are OK going to the gym. And 23 percent would like to go to a movie theater, an activity that Cuomo still has not authorized.

Siena also asked people how their behaviors have changed in recent months. Forty-two percent said they have gained weight, 32 percent lost weight and 22 percent copped to consuming “more alcohol than usual.” (Sept. 2 Politico NY Pro)


NYSDOH Updated Guidelines for Hospital Patients and Nursing Home Residents
The New York State DOH updated its guidelines to require hospital patients and nursing home residents exposed to COVID-19 or influenza to have a coronavirus test. The new regulations also require those individuals to have a coronavirus test if they exhibit symptoms of COVID-19 or influenza. Finally, individuals who exhibit symptoms of COVID-19 prior to death while in the hospital, or on their way to the hospital, but hadn’t taken a COVID-19 test within two weeks before death are required to undergo the coronavirus and influenza tests within 48 hours of death.

Hospitals can use rapid COVID-19 tests that cost $5 to $15 per person when testing a deceased individual. The facilities where individuals with COVID-19 die must report the death to the New York health department after receiving the results of both tests. The state also updated requirements for COVID-19 and influenza testing among funeral directors, coroners and medical examiners that come in contact with individuals who had COVID-19 or were under suspicion of having COVID-19.

A statement from the health department notes that flu season is approaching and said that the department wants to distinguish between COVID-19 and influenza with the increased testing. “In order for New York State to more fully assess and differentiate the number of COVID-19 and influenza-related cases and conduct contact tracing, testing of hospital patients and nursing home residents must be mandatory, where such patients or residents are or were suspected, but not known, to have been suffering from COVID-19 and/or influenza,” the health department states.


Who’s First in Line for a COVID-19 Vaccine?
The first available vaccines against SARS-CoV-2 should be reserved for frontline healthcare workers and first responders, according to draft recommendations from the National Academies of Sciences, Engineering, and Medicine (NASEM) released Tuesday.

Following this “jumpstart phase,” people of any age with comorbidities or underlying conditions that place them at the highest risk of severe outcomes from COVID-19 would be prioritized, along with older adults living in long-term care facilities. These groups combined would comprise about 15% of the entire U.S. population.

NASEM’s 114-page document was released ahead of a public hearing on Wednesday afternoon, and is intended to serve as a framework for policymakers planning fair distribution of what will initially be a limited vaccine supply through Operation Warp Speed — an estimated 10 to 15 million doses, which could cover 3%-5% of the U.S. population.

Phase 2, to be implemented when hundreds of millions of vaccine doses are available, would see vaccination for critical risk workers at high risk for exposure (those in meat processing, grocery store workers, etc.), along with teachers and other school staff, older adults missed during the initial phase, and individuals with underlying conditions at moderately higher risk of poor outcomes. People living in homeless shelters, group homes, prisons, jails, and detention facilities would also be included, as would staff at such facilities. Phase 2 would cover an additional 30%-35% of the total U.S. population.

“In the early phases, prevention of morbidity and mortality, and maintenance of health and emergency services to aid prevention of morbidity and mortality is emphasized more than the reduction in transmission,” the committee stated. “[A]s more courses of vaccines become available, an increasing focus on reducing transmission, starting with high transmission settings, and moving to the general population, would ensure sustainable long-term control of COVID-19.”

Phase 3 would include younger adults, children, and workers in other industries putting them at increased risk of exposure, along with anyone living in the U.S. missed during the previous phases.

NASEM criteria for the “equitable allocation” focused on those at greatest risk of acquiring infection, of severe morbidity or death from infection, and of transmitting infection to others.

Those at high risk of negative societal impact also factored into the equation. “Individuals have higher priority to the extent that societal function and other individuals’ lives and livelihood depend on them directly and would be imperiled if they fell ill,” the committee wrote.

Individuals’ wealth or income was not considered.

While Black, Hispanic, and American Indian and Alaska Native communities have been hit hard by the COVID-19 pandemic, the guidance doesn’t specifically prioritize these populations for earlier vaccination.

“There is currently no evidence that this is biologically mediated, but rather reflects the impact of systemic racism leading to higher rates of comorbidities that increase the severity of COVID-19 infection and the socioeconomic factors that increase likelihood of acquiring the infection,” the committee wrote.

Instead, the framework seeks to target these underlying factors — frontline jobs, crowded living conditions, inability to work from home — that can lead to higher infection rates and

subsequent morbidity and mortality, and relied on CDC’s Social Vulnerability Index to prioritize vulnerable geographic areas within the phases of the draft framework. The draft document was put together at the request of the National Institutes of Health and CDC, and draws on lessons learned from prior mass vaccination campaigns for the 2009 swine flu pandemic and the Ebola epidemic in West Africa in 2013-2016.

“Without transparency regarding the allocation criteria, their ethical rationale, the deliberative process used to formulate them, and fair procedures, it will be difficult to generate and maintain the trust that is indispensable for the public’s cooperation with a mass vaccination program,” the committee stated.

The final report is expected early this fall, and will also address issues of vaccine hesitancy, demand, and promotion, as well as other considerations. (Medpage Sept.2)


Researchers: Coronavirus Antibodies May Last At Least 4 Months After Diagnosis
The AP reports researchers tested more than 30,000 people in Iceland and found “antibodies that people make to fight the new coronavirus last for at least four months after diagnosis and do not fade quickly as some earlier reports suggested.” The findings were published in the New England Journal of Medicine (Sept.1)


Why The ‘6-Foot Rule’ Might Not Stop the Coronavirus
Coronavirus prevention protocols often recommend that people stay six feet away from each other to prevent the virus’ spread, but in a new BMJ analysis suggests those six feet may not always protect you from the pathogen, Ben Guarino reports for the Washington Post.

CDC currently recommends that people say “at least six feet (about two arms’ length) from other people who are not from your household in both indoor and outdoor spaces” to help prevent coronavirus transmission. According to Guarino, the recommendation that six feet of separation can prevent a virus’ spread stems from research conducted by Carl Flügge in the late-1800s, which suggested that a microbe-containing droplet could not travel further than six feet.

However, in later research, scientists found that Flügge’s research did not account for smaller droplets and particles that were invisible to the naked eye and could travel farther than six feet, Guarino reports. And when it comes to the novel coronavirus, experts say a variety of factors—including air circulation, ventilation, and crowd density—could contribute to whether six feet is enough separation to prevent the virus’ spread.

Lydia Bourouiba, an author of the new analysis published in BMJ and a researcher of the fluid dynamics of infectious disease at the Massachusetts Institute of Technology, said, “It becomes very important to not think just about a fixed distance” with the new coronavirus. “It’s very important to think about the air flow,” as well.

For the new analysis, Bourouiba and colleagues reviewed several studies on how far respiratory droplets and areoles that could contain the new coronavirus can spread and how different activities, situations, and mitigation measures could affect those distances. Based on their review, the researchers put together a chart categorizing low-, medium-, and high-risk scenarios for spreading the new coronavirus. The chart, they wrote, “presents a guide to how transmission risk may vary with setting, occupancy level, contact time, and whether face coverings are worn,” and applies “when everyone is asymptomatic”—meaning no one in the scenarios is experiencing symptoms of Covid-19, the disease caused by the coronavirus.

Coronavirus Chart

The researchers explained that, “[i]n the highest risk situations (indoor environments with poor ventilation, high levels of occupancy, prolonged contact time, and no face coverings, such as a crowded bar or night club) physical distancing beyond [six feet] and minimizing occupancy time should be considered.” However, they added, “[l]ess stringent distancing is likely to be adequate in low risk scenarios.”

But the researchers noted a key caveat: The levels of risk represented in the chart “are relative not absolute, especially in relation to thresholds of time and occupancy, and they do not include additional factors such as individuals’ susceptibility to infection, shedding level from an infected person, indoor airflow patterns, and where someone is placed in relation to the infected person.”

According to Bourouiba, the chart can help people “evaluate relative risk in a way that is more subtle than just a one-rule-hammers-it-all.” For instance, she said, “If you’re outside, it’s very well-vented, it’s completely open air, there are no stagnation points in the air flow and people are wearing masks,” you’re in a low-risk setting and likely can be closer to others than six feet with relative safety, Bourouibia said. (Advisory Board, Sept. 2)


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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 SaleA 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.


Upper East Side Office to Share
Includes waiting room, 2 exam rooms and room for medical assistants. Flexible schedule. Call Bianca at 212-327-1851.

For Sale: 715 Park Avenue
Medical office, 1,800 sq. ft. Rectangular, 11 1/2 ft ceilings, street level access. Private entrance on 70th Street, side of the building. Windows on Park Avenue and 70th Street. Excellent office space for plastic surgeon, dermatologist or dental practice. Central air conditioning, high voltage electric service, two bathrooms. *Sale could include active Cardiac / Medical Practice. Please contact Janet @ 212-288-5468.


Office Space and Quad-A Certified O.R. for Rent
Plastic surgery office and/or quad A – certified operating room available for rent. We welcome you to tour our facility, where safety and luxury are combined in the most prime location on the upper east side. We assure you will be delighted by what you discover. We take pride in our facility, where your patients’ safety and satisfaction are our number one priority.
    • Fully equipped operating room perfect for a board-certified plastic surgeon
  • Pre-op and recovery areas
  • A bright and modern waiting area
  • 3 consultation rooms, administrative room, kitchenette, and 2 bathrooms
  • Full day office rental per week / O.R. rental per case

For inquiries please call 212.737.8700, email polina@specialtyaestheticsurgery.com

Office Space and Quad-A Certified O.R. for Rent


 

 

 

 

 

 

eNews: August 28, 2020 – MSSNY 2020 Virtual House of Delegates: We’re on Our Way

Dear Colleagues:

Two weeks from Sunday, the Medical Society of the State of New York will hold its first-ever virtual House of Delegates.  While we wish that we could be gathering to meet in person for our annual lively discussions, a new era is upon us and we, like the rest of the world, are adapting and conducting business in a virtual format. Instead of zooming to the meeting in cars, trains and planes, we will Zoom in on our computers.

Physician resilience is one of our biggest strengths and an important asset to our organization.  We are getting the work of medicine in New York accomplished and doing it in new and innovative ways. We will adopt new policies and move our agenda forward with robust legislative, sociomedical, economic, and public health initiatives.

The 2020 Reference Committee reports have been posted to the MSSNY website and can be found here.

While we will not have live debate, our speakers have developed a process for electronic debate. Comments on resolutions can be emailed to HODComments@mssny.org or you can view and comment on the report in Drop Box through the ref com link on the MSSNY website.   Comments are STRONGLY encouraged. Your opinions matter and hearing them will allow our organization to create and adopt the best overall policies. Comments on any resolutions sent to Council will be forwarded to and considered by the MSSNY committee assigned to review that resolution and ultimately by MSSNY Council prior to consideration of adoption.

Thanks to the outstanding leadership of our speaker and vice speaker, the extended service of our dedicated reference committee members, and our hard-working staff, our 2020 MSSNY House of Delegates will come together on Sunday, September 13th.  To paraphrase the great Dr. Seuss: “We’re off to Great Places! The 13th is our day! Our mountain is waiting, and we are on our way!”

Bonnie Litvack
MSSNY President


Interested in Administering COVID-19 Vaccine When Available? Take NYS DOH Survey
If you are a physician located in New York State, outside of New York City, and are interested in administering COVID-19 vaccine when it becomes available and/or in receiving supplemental publicly-funded seasonal influenza vaccines for adults, click here to take this NYS DOH survey.

Completing this survey does not enroll you to receive vaccine with the New York State Vaccine Program, but it does give DOH information about practices who are interested in receiving vaccine, capacity to reach priority populations, and contact information to help them communicate with you throughout the process.

The DOH is gathering practice information in advance to help expedite the process and is planning to enroll practices who serve adults with no health insurance to improve influenza vaccination rates this season.  At the same time, they are anticipating availability of vaccine(s) against COVID-19 at no cost for all.

This survey collects the information for one provider at a time.  If you wish to submit information for multiple organizations, you can submit multiple surveys or request a form for capturing all your sites.  The form can be requested by emailing Covid19Vaccine@health.ny.gov.

This is a quick survey to capture your likely interest and ability to vaccinate eligible adults in the upcoming influenza season and your entire population in the anticipated Covid-19 vaccine response.  If your practice is already part of the Vaccines for Children, Vaccines for Adults or Hepatitis B Birth Dose programs, the DOH would still appreciate you completing the survey to give them an indication of priority groups that you serve and whether you plan to vaccinate populations other than those listed on your current provider agreement.

Click here to start the survey. Any questions you have regarding this survey may be sent to Covid19Vaccine@health.ny.gov.


Please Urge Governor Cuomo to Veto Mandatory OPMC Signage Legislation
All physicians are urged to contact Governor Cuomo to request that he veto legislation (S.6678-A/A.7991-A) requiring every physician’s office to post a sign regarding how a patient can file a misconduct complaint with the OPMC.  Let the Governor know that this proposal would create unnecessary distrust in the physician-patient relationship and unfairly singles out physicians. This legislation is also unnecessary because this information is already easily available through a simple internet search.  With nearly 10,000 complaints already made each year to OPMC (resulting in only a few hundred actual disciplinary actions), it is clear there is already strong public awareness of this oversight body. Send a letter and tweet to the Governor opposing this baffling legislation.


MSSNY’s Weekly Podcast


MSSNY President Participates in Forum to Discuss Improving Patient Care
MSSNY President Dr. Bonnie Litvack participated in a conference sponsored by the Home Care Association of New York State, along with the Presidents of the NY Health Plan Association, Healthcare Association of New York State, Leading Age, to discuss efforts among various healthcare stakeholders to collaborate both before and during the pandemic to improve patient care. Dr. Litvack took part in the August 26 forum entitled Implications for Post-Acute Care in a Post-COVID Environment.


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Pain Management, Palliative Care and Addiction Coursework Due October 1st : Available at MSSNY CME website
The Medical Society of the State of New York’s updated 2020 Pain Management, Palliative Care and Addiction modules are now available on-line at: https://cme.mssny.org.  The three-hour program must be completed by all physicians and providers who hold a DEA license by October 1, 2020.  The requirement was delayed from July to October due to the COVID 19 pandemic.

The three one hour modules are being offered free of charge to all MSSNY members.  Physicians who are new users to the MSSNY CME site will be required to register as a new user.

These online programs cover all eight topics required in the New York State statute:

  • New York State and federal requirements for prescribing controlled substances
  • Pain management
  • Appropriate prescribing
  • Managing acute pain
  • Palliative medicine
  • Prevention, screening and signs of addiction
  • Responses to abuse and addiction
  • End of life care

MSSNY developed the program with the NYS Office of Alcoholism and Substance Abuse Services (OASAS).  MSSNY is listed as an accrediting organization by the NYS DOH Bureau of Narcotic Enforcement. These courses are entitled:

  • PM, PC & A 2020: Understanding the Current Legal Landscape in New York State
  • PM, PC & A 2020: When to Consider Opioid Therapy for Chronic Non-Cancer Pain and in Palliative Care
  • PM, PC & A 2020: Patients with Opioid Use Disorders

Additional information or technical support may be obtained by contacting cme@mssny.org

Attestation Process for Mandatory Prescribers

Prescribers must attest to the completion of the pain management, palliative care and addiction course work or training by July 1, 2017, and again every three years thereafter. The prescriber should only attest after completion of at least three hours of course work or training covering all eight topics.  The process is described in the Frequently Asked Questions:

https://www.health.ny.gov/professionals/narcotic/mandatory_prescriber_education/docs/faq.pdf

Further information may be obtained by contacting BNE at 1-866-811-7957 or narcotic@health.ny.gov

Or at https://www.health.ny.gov/professionals/narcotic/mandatory_prescriber_education/


CDC Director Changes Coronavirus Testing Guidance
The CDC appears to have backtracked on Covid-19 testing guidance. CDC Director Dr. Robert Redfield said in a statement that “all close contacts of confirmed or probable COVID-19 patients” should consider getting tested. Earlier this week, the CDC’s recommendation that asymptomatic people not be tested faced criticism from physicians and others. Dr. Redfield also said, “Testing is meant to drive actions and achieve specific public health objectives. Everyone who needs a Covid-19 test, can get a test. Everyone who wants a test does not necessarily need a test; the key is to engage the needed public health community in the decision with the appropriate follow-up action.”  Read more in STAT.


AMA Urges FDA to Ensure Transparency in COVID-19 Vaccine Development to Promote Vaccine Confidence Among Physicians, Public
With COVID-19 vaccine development moving at a rapid pace, the American Medical Association (AMA) is urging the U.S. Food and Drug Administration (FDA) to work more closely with the physician community to develop a plan for further education and transparency surrounding COVID-19 vaccine candidates. In a letter sent to the FDA, the AMA notes that it is critical that physicians are continuously informed of the FDA’s plans for review and provided with the utmost level of transparency regarding the process for authorization or licensure, standards for review, and safety and efficacy data as soon as possible.

“The AMA and our physician members are strongly committed to ending this global pandemic and to fighting medical misinformation,” the AMA said in its letter. “However, physicians need to feel confident in the safety and efficacy of the COVID-19 vaccine candidates. To help physicians promote vaccine confidence among their patients and the general public, we must start now to provide information, education, and transparency around the FDA’s process for authorization or licensure, as well as the standards by which FDA will review vaccine candidates and the clinical endpoints which the FDA hopes to achieve.”


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CMS Alerts Physicians to Issue with eCQM Scoring
The Centers for Medicare & Medicaid Services (CMS) is alerting physicians to an issue that impacts electronic clinical quality measure (eCQM) scoring during the 2020 performance year. eCQMs are used in several programs, including the Quality Payment Program and MIPS. The issue relates to the timing values for three quality measures. This issue has the potential to impact measure scoring when certain time values are not present in the input data. The erroneous calculation may result in an increase or decrease of cases that fall in the measure population.

Impacted Measures

  • CMS128v8 Anti-depressant Medication Management
  • CMS146v8 Appropriate Testing for Children with Pharyngitis
  • CMS56v8 Functional Status Assessment for Total Hip Replacement

CMS has published updated measure packages to correct the issues for all three impacted eCQMs. The updates are available on the Electronic Clinical Quality Improvement (eCQI) Resource Center. Physician practices that are reporting on the measure(s) should contact their EHR vendors to see if EHR system updates are warranted. Additional details and measure specific information can be reviewed in the ONC eCQM Known Issues Tracker.


Veterans Matters: The Special Mental Health Needs of Women Veterans Webinar
The Medical Society of the State of New York is hosting a CME live webinar entitled Veterans Matters: The Special Mental Health Needs of Women Veterans on Tuesday, September 15, 2020 at 7:30 am.

Click HERE to view the flyer and register for the program!

When:      September 15, 2020 at 7:30 am
Faculty:    Malene Ingram, MD and Colonel, U.S. Army Reserves

Educational Objectives:

  • Review how the increased role of women in the military has impacted their mental health
  • Describe mental health concerns unique to women veterans and how to identify them
  • Identify the barriers that women veterans face in getting the specific care they need

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 SaleA 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.


Upper East Side Office to Share
Includes waiting room, 2 exam rooms and room for medical assistants. Flexible schedule. Call Bianca at 212-327-1851.

For Sale: 715 Park Avenue
Medical office, 1,800 sq. ft. Rectangular, 11 1/2 ft ceilings, street level access. Private entrance on 70th Street, side of the building. Windows on Park Avenue and 70th Street. Excellent office space for plastic surgeon, dermatologist or dental practice. Central air conditioning, high voltage electric service, two bathrooms. *Sale could include active Cardiac / Medical Practice. Please contact Janet @ 212-288-5468.


Office Space and Quad-A Certified O.R. for Rent
Plastic surgery office and/or quad A – certified operating room available for rent. We welcome you to tour our facility, where safety and luxury are combined in the most prime location on the upper east side. We assure you will be delighted by what you discover. We take pride in our facility, where your patients’ safety and satisfaction are our number one priority.
    • Fully equipped operating room perfect for a board-certified plastic surgeon
  • Pre-op and recovery areas
  • A bright and modern waiting area
  • 3 consultation rooms, administrative room, kitchenette, and 2 bathrooms
  • Full day office rental per week / O.R. rental per case

For inquiries please call 212.737.8700, email polina@specialtyaestheticsurgery.com

Office Space and Quad-A Certified O.R. for Rent


 

 

 

 

 

 

MSSNY eNews: August 26, 2020 – We Need Your Input! Take Survey on NPPs

We Need Your Input! Please take MSSNY’s Quick Survey on NPPs
In order to address the potential deficit of available practitioners to treat patients coming into hospitals during the Covid-19 emergency, various advanced care practitioners—including nurse practitioners, physician assistants, and nurse anesthetists—were given the authority by Executive Order to practice without physician supervision.

The goal of this survey is to assess physician experience of the quality of care delivered by these advanced care practitioners during the emergency.

Please take just a few minutes to complete this quick survey.

.


Notes from Governor Cuomo’s Conference Call
COVID:
–  Day 179 of Covid
– 71,000 tests conducted yesterday, 0.79% infection rate
– 3 deaths yesterday
– 492 hospitalizations
– 136 ICU patients
– 54 intubations
– Still concern over Western NY 1.4% infection rate
– SLA and state police still conducting compliance checks
– Local governments still need to step up enforcement efforts
– CDC issued guidance on Monday that if in close contact with someone
infected with COVID, a test is not needed, reversing previous guidance

Q&A:
-On what parameters would allow high school football to resume in Fall
-Mujica stated high-risk high school sports have resulted in clusters of infection spread
-Guidelines will continue to be updated as infection rate continues to decrease,
extended period of time with a low infection rate is needed

-On whether new CDC guidance will influence NY’s guidance
-Gov. stated NY will not be following CDC guidance, calling it “propaganda”
-Experts Gov. spoke with do not recommend following CDC


CDC Changes Coronavirus Testing Guidelines to Exclude Asymptomatic People
The CDC “quietly modified its coronavirus testing guidelines this week to exclude people who do not have symptoms of Covid-19 – even if they have been recently exposed to the virus.” Some “questioned the revision, pointing to the importance of identifying infections in the small window immediately before the onset of symptoms, when many individuals appear to be most contagious.”  (New York Times, 8/25, Wu)


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Physicians Weigh in On Impact of Pandemic
Physician practices across the nation have struggled to remain viable during the coronavirus pandemic, notwithstanding various flexibilities and financial supports that have been extended by the federal government. A recent Physicians Foundation survey revealed the extent of physicians’ concerns about the impact of the Covid-19 pandemic, including the belief of 72 percent of physicians who indicate that Covid-19 will have serious consequences for their patients’ health because of delays in seeking and receiving care.


August 28 Deadline for CHP Providers to Apply for Provider Relief Fund
This Friday, August 28, is the deadline for Medicaid and Child Health Plus (CHP) providers to apply for the Provider Relief Fund (PRF) under the Coronavirus Aid, Relief, and Economic Security (CARES) Act and the Paycheck Protection Program and Health Care Enhancement Act.

All eligible medical, dental, and long-term services and supports (LTSS) providers may begin the application process at: hhs.gov/providerrelief. Visit the CMS website for additional information.

 


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Veterans Matters: The Special Mental Health Needs of Women Veterans Webinar
The Medical Society of the State of New York is hosting a CME live webinar entitled Veterans Matters: The Special Mental Health Needs of Women Veterans on Tuesday, September 15, 2020 at 7:30 am.

Click HERE to view the flyer and register for the program!

When:      September 15, 2020 at 7:30 am
Faculty:    Malene Ingram, MD and Colonel, U.S. Army Reserves

Educational Objectives:

  • Review how the increased role of women in the military has impacted their mental health
  • Describe mental health concerns unique to women veterans and how to identify them
  • Identify the barriers that women veterans face in getting the specific care they need

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.


P2P Stress Banner


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 SaleA 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.


Upper East Side Office to Share
Includes waiting room, 2 exam rooms and room for medical assistants. Flexible schedule. Call Bianca at 212-327-1851.

For Sale: 715 Park Avenue
Medical office, 1,800 sq. ft. Rectangular, 11 1/2 ft ceilings, street level access. Private entrance on 70th Street, side of the building. Windows on Park Avenue and 70th Street. Excellent office space for plastic surgeon, dermatologist or dental practice. Central air conditioning, high voltage electric service, two bathrooms. *Sale could include active Cardiac / Medical Practice. Please contact Janet @ 212-288-5468.


Office Space and Quad-A Certified O.R. for Rent
Plastic surgery office and/or quad A – certified operating room available for rent. We welcome you to tour our facility, where safety and luxury are combined in the most prime location on the upper east side. We assure you will be delighted by what you discover. We take pride in our facility, where your patients’ safety and satisfaction are our number one priority.
    • Fully equipped operating room perfect for a board-certified plastic surgeon
  • Pre-op and recovery areas
  • A bright and modern waiting area
  • 3 consultation rooms, administrative room, kitchenette, and 2 bathrooms
  • Full day office rental per week / O.R. rental per case

For inquiries please call 212.737.8700, email polina@specialtyaestheticsurgery.com

Office Space and Quad-A Certified O.R. for Rent


 

 

 

 

 

 

MSSNY eNews: August 21, 2020 – The Scope of the Problem

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Dear Colleagues:

Healthcare is a team effort that is optimized when the team members, including the patients, work together—communicating, merging observations, expertise, and decision-making responsibilities—with the common goal of providing the safest, best possible care.  Effective teams, whether in healthcare, sports or other arenas, have leaders. In healthcare, those leaders are the physicians who have 7 years or more of postgraduate education and at least 10,000 hours of clinical experience.

There is no “I” in Team: Independent and Team are Mutually Exclusive

Over the last decade, there have been movements to disrupt the physician led team with calls for non-physician health care practitioners to practice independently.  However, independent and team are mutually exclusive.  There is no “I” in team— “independence” fragments our teams, puts our team members at odds, creates confusion for patients, drives up healthcare costs and most importantly, threatens quality and safety. Particularly disturbing and worrisome is that the pandemic is being used as an excuse to accelerate independent practice and bypass the usual checks and balances on changes in scope of practice.

During the peak of the pandemic, the Governor issued an Executive Order that eliminated physician supervision/collaboration requirements for non-physician practitioners as part of an “all hands-on deck” approach.  Thankfully, in New York we currently have among the lowest number of COVID-19 cases in the country and yet various Executive Orders, including last week’s Executive Order 202.55 that continues the waiver of otherwise required supervision and/or collaboration, have been issued.

MSSNY has urged the Governor’s office and the legislature to restore the statutory supervision and/or oversight requirements as soon as possible. The length of time that these supervision requirements have been waived has become a de facto scope of practice change that has bypassed the State Legislature—and some non-physician practitioners are applying to work outside of hospital settings in a far different scenario than the reason that the supervision requirements were waived in the first place.

A Disturbing Trend

Further demonstrating this disturbing trend, this week the U.S. Department of Health and Human Services (HHS) issued emergency authorization to allow state-licensed pharmacists to order and administer all vaccines to children and adolescents ages 3-18 years, a move that will create further chaos in getting children properly immunized. Taking children out of the medical home where they can get immunized, get screened for developmental milestones, and get the medical care that they need, will only lead to a further fragmentation of a child’s health care. This is contrary to a team approach, and the legality is questionable as this presumes to pre-empt state statutes.

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.  The pandemic should not be used as justification to make scope of practice changes that disrupt the team model and compromise care.

Bonnie Litvack
MSSNY President


Please Urge Governor Cuomo to Veto Mandatory OPMC Signage Legislation
All physicians are urged to contact Governor Cuomo to request that he veto legislation (S.6678-A/A.7991-A) requiring every physician’s office to post a sign regarding how a patient can file a misconduct complaint with the OPMC.

Let the Governor know that this proposal would create unnecessary distrust in the physician-patient relationship and unfairly singles out physicians. This legislation is also unnecessary because this information is already easily available through a simple internet search.  With nearly 10,000 complaints already made each year to OPMC (resulting in only a few hundred actual disciplinary actions), it is clear there is already strong public awareness of this oversight body. Send a letter and tweet to the Governor opposing this baffling legislation.


Crain’s NY Business: MSSNY Issues Statement Criticizing New Rule Allowing Pharmacists to Administer Vaccines to Children
Crain’s New York Business (8/21, Henderson) reports MSSNY issued a statement in opposition to “a new rule that allows state-licensed pharmacists to administer vaccines to children.” MSSNY “noted that it joins with the American Academy of Pediatrics in opposing the emergency authorization from the Department of Health and Human Services, saying the measure is not needed and could cause harm.”

MSSNY President Dr. Bonnie Litvack said, “This is a completely unnecessary move on the part of the Health and Human Services and will cause further chaos in getting children properly immunized. New York state’s pediatric offices have been opened throughout the pandemic and remain open. They are safe places to receive the vaccination, and most importantly, parents and children already have an established relationship with the pediatrician.”

Click here to read MSSNY’s August 20 Press Release: MSSNY Opposes HHS Authorization to Allow Pharmacists to Administer Vaccines to Children


MSSNY’s Weekly Podcast


AMA Develops Comprehensive Summary of Medicare Proposed Rule for 2021
Please click here for a comprehensive summary prepared by the American Medical Association of the proposed 2021 Medicare physician payment rule.  A few key points from the summary:

  • Of significant concern, the proposed CY 2021 Medicare Physician Fee Schedule (PFS) conversion factor is $32.26, which represents an almost 11% reduction from the CY 2020 conversion factor of $36.09.  This is the result of positive adjustments in other parts of the rule.  As a result, AMA and MSSNY and many other societies are pushing for Congress to waive these problematic budget neutrality requirements.
  • Similarly, the proposed CY 2021 anesthesia conversion factor is $19.96, down 10% from the CY 2020 anesthesia conversion factor of $22.20.
  • The AMA/Specialty Society RVS Update Committee (RUC)’s recommendations account for only half of the reduction.  The remaining spending increases and resulting conversion factor reduction is attributed to various CMS proposals to increase valuation for specific services.
  • CMS proposed to accept approximately 75% of the RUC recommendations for Physician Work RVU Updates. Updates to the direct practice expense inputs are proposed for individual codes based on RUC recommendations. The proposed rule does not include the 1.0 work geographic practice cost index (GPCI) floor.
  • CMS proposes to implement finalized CPT descriptors, guidelines and payment rates effective on January 1, 2021, which will be a significant modification to the coding, documentation, and payment of evaluation and management (E/M) services for office and outpatient visits: retain 5 levels of coding for established patients, reduce to 4 levels for new patients, and revise code definitions. CMS revalues services analogous to office outpatient E/M visits.
  • CMS proposes to allow the three G-codes used to report opioid use disorder (OUD) to also be used for monthly treatment reporting for patients with substance use disorder (SUD) as well. So that they could be used to report monthly treatment of patients with any SUD, not just OUD.
  • CMS has proposed to permanently keep several codes that were temporarily added to the Medicare telehealth list, including the prolonged office or outpatient E/M visit code and certain home visit services. CMS also proposes to keep additional services, including certain emergency department visits, on the Medicare telehealth list until the end of the calendar year in which the PHE ends to allow more time to study the benefit of providing these services using telecommunications technology outside the context of a pandemic.

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Struggling with Life Stressors? MSSNY’s Peer to Peer (P2P) Program is Here to Help
If you or someone you know is struggling with everyday life stressors, reach out to the P2P program to be connected with a peer supporter to help!

Email: P2P@mssny.org and request that you be connected with a peer supporter
Phone: 1-844-P2P-PEER (1-844-727-7337) and request that you be connected with a peer supporter

The Medical Society of the State of New York now offers to physicians, residents and medical students an opportunity to talk with a peer about some of life stressors. MSSNY’s Physician Wellness and Resiliency Committee launched a Peer 2 Peer (P2P) program to assist their colleagues who are need of help in dealing with work and family stressors. With the advent of the COVID-19 pandemic, some of the emotional issues related to this event, may also be troubling for our colleagues.

MSSNY is seeking volunteer peer supporters!
A peer supporter is an individual who has shared experiences, listens without judgement, can validate feelings and provide SUPPORT, EMPATHY AND PERSPECTIVE. This is someone who also provides supports to systems and practices and encourages the use of positive coping skills. They also help connect the individual with needed treatment.

Physicians, residents or medical students who are members of MSSNY can become volunteer peer supporters.

How are peers trained? MSSNY will provide free training to the volunteer peer through a training program. This training program will be offered virtually and consists of peer support and what makes a good peer (How to be a Peer), psychological first aid, and how the program will operate. There will also be other on-line course work that a peer can avail themselves of through MSSNY’s CME website. The virtual training programs will be offered more than once.

How to become a volunteer peer: Volunteer peers can be nominated by county medical society presidents, county medical society executives, or another physician, resident or medical students. To nominate an individual please send an email to Cayla Lauder at clauder@mssny.org or call (518) 465-8085.


Scripps TV Features Segment on MSSNY’s Peer to Peer (P2P) Program
Doctors Rothberg and Dowling are featured in a segment on Scripps TV about MSSNY’s Peer to Peer program that connects physicians with their peers for emotional support.  The segment aired on WPIX-TV in NYC and on WKBW-TV in Buffalo, along with other stations around the country.


America’s Health: Stories from Physicians on The Frontline
In response to the COVID-19 pandemic, The Physicians Foundation launched America’s Health: Stories from Physicians on The Frontline, to increase understanding of physicians’ challenges in our current health care system and to create an anthology of physicians’ experiences. The initiative features physicians from across the U.S. sharing their experiences from the COVID-19 pandemic and will cover a variety of topics, such as financial livelihood, physician safety and physician wellbeing.

Visit the Physicians Foundation website for more information.


Garfunkel Wild Ad


Veterans Matters: The Special Mental Health Needs of Women Veterans Webinar
The Medical Society of the State of New York is hosting a CME live webinar entitled Veterans Matters: The Special Mental Health Needs of Women Veterans on Tuesday, September 15, 2020 at 7:30 am.

Click HERE to view the flyer and register for the program!

When:      September 15, 2020 at 7:30 am
Faculty:    Malene Ingram, MD and Colonel, U.S. Army Reserves

Educational Objectives:

  • Review how the increased role of women in the military has impacted their mental health
  • Describe mental health concerns unique to women veterans and how to identify them
  • Identify the barriers that women veterans face in getting the specific care they need

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 SaleA 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.


Upper East Side Office to Share
Includes waiting room, 2 exam rooms and room for medical assistants. Flexible schedule. Call Bianca at 212-327-1851.

For Sale: 715 Park Avenue
Medical office, 1,800 sq. ft. Rectangular, 11 1/2 ft ceilings, street level access. Private entrance on 70th Street, side of the building. Windows on Park Avenue and 70th Street. Excellent office space for plastic surgeon, dermatologist or dental practice. Central air conditioning, high voltage electric service, two bathrooms. *Sale could include active Cardiac / Medical Practice. Please contact Janet @ 212-288-5468.


Office Space and Quad-A Certified O.R. for Rent
Plastic surgery office and/or quad A – certified operating room available for rent. We welcome you to tour our facility, where safety and luxury are combined in the most prime location on the upper east side. We assure you will be delighted by what you discover. We take pride in our facility, where your patients’ safety and satisfaction are our number one priority.
    • Fully equipped operating room perfect for a board-certified plastic surgeon
  • Pre-op and recovery areas
  • A bright and modern waiting area
  • 3 consultation rooms, administrative room, kitchenette, and 2 bathrooms
  • Full day office rental per week / O.R. rental per case

For inquiries please call 212.737.8700, email polina@specialtyaestheticsurgery.com

Office Space and Quad-A Certified O.R. for Rent


 

 

 

 

 

 

MSSNY Opposes HHS Authorization to Allow Pharmacists to Administer Vaccines to Children

 

For Immediate Release

MSSNY Opposes HHS Authorization to Allow Pharmacists to Administer Vaccines to Children

Westbury, NY—August 20, 2020—The Medical Society of the State of New York today joined with the American Academy of Pediatrics in its opposition to the U.S. Department of Health and Human Services (HHS) emergency authorization to allow state-licensed pharmacists to order and administer all vaccines to children and adolescents ages 3-18 years.

“This is a completely unnecessary move on the part of the Health and Human Services and will cause further chaos in getting children properly immunized.  New York State’s pediatric offices have been opened throughout the pandemic and remain open.  They are safe places to receive the vaccination, and most importantly, parents and children already have an established relationship with the pediatrician.  Here in New York State, children are entitled to vaccines through the well-child visits and the Vaccine for Children program—few pharmacies in the state participate in this program.    Taking children out of the medical home where they are able to get immunized, get screened for developmental milestones, and get the medical care that they need, will only lead to a further fragmentation of a child’s health care,” said MSSNY President Bonnie Litvack, MD.

“We urge that the US Department of Health and Human Services immediately rescind this authorization.  We also question the legality of a federal agency declaration pre-empting state statutes that clearly establish the scope of practices of various health care practitioners, which has long been the jurisdiction of state governments. This action has enormous implications to the long-term health care of children and to use the COVID-19 pandemic as justification to make policy change is not acceptable,” said Dr. Litvack.


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About MSSNY
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.

Press Contact:
Roseann Raia
Communications/Marketing
Medical Society of the State of New York
865 Merrick Ave
Westbury, NY 11590
516.488.6100 x302
rraia@mssny.org

 

 

 

 

 

 

 

 

MSSNY eNews: August 19, 2020 – Nearly Half of Physicians Believe COVID-19 Will Not Be Under Control Until After June 2021

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Nearly Half of Physicians Believe COVID-19 Will Not Be Under Control Until After June 2021
The Physicians Foundation just released its biennial Survey of America’s Physicians, revealing the impact of the COVID-19 pandemic on physician practices and their patients. The first part of the three-part series findings include:

  • The majority (86%) of physicians believe COVID-19 won’t be under control until January 2021, with nearly half (49%) not seeing the virus being under control until after June 1, 2021.
  • A majority (72%) of physicians believe that the virus will severely impact patient health outcomes due to delayed routine care during the pandemic
  • 59% of physicians see opening businesses, schools and public places as a bigger risk to patients than continuing policies of isolation.

Visit the Physicians Foundation website for more information.


Notes from Governor Cuomo’s Briefing

COVID-19 General:

-Day 172-80k tests
-631 positive / .7%
-12 straight days under 1%
-6 fatalities
-548 hospitalized

-Numbers have been great, but…  “COVID is not over by any stretch of the imagination.” Rails against “feelings of complacency.”  “I understand the duality of the truth here.”
-SLA found 5 establishments in violation last night.
-Again calls on local gov’t to “do their job.”

COVID & Flu:

-Reiterates the problems associated with lab capacity and COVID testing during the Flu season.  “There is no flex in the system.”
-DOH letter to county health depts: “what plans have you made to perform the necessary flu tests… and COVID tests simultaneously?”
– Letter goes out today. “No easy answer to that riddle.”

Schools:

-References Notre Dame and UNC opening, COVID spread, and closures. Described spread as failure of contact tracing
-Gov suggests school districts look to above examples as lessons to be learned.


DocbookMD Users:  Need to Re-Enroll with Medici
MSSNY members have enjoyed free access to DocBookMD for HIPAA-compliant text messaging with other society members and with their own care teams since 2013.  DocbookMD will soon be known as Medici, reflecting the company’s expansion of services to include the ability for members to offer telemedicine visits to patients.  DocBookMD users will need to re-enroll with Medici before Monday, November 16, 2020 to continue to enjoy free services.

Here’s How to Register for Medici:

  1. Click here to begin.  If you are on your phone, you will download and install the Medici app. If you are on a computer, you will complete registration on the web.
  2. Select “Create Account”. Click Next.
  3. Select “I treat people”. Click Next.
  4. Enter your mobile number. Next.
  5. Enter your email address.  Next.
  6. Create a password. Next.
  7. On the next screens, you will enter your NPI numberfirst and last name, practice address, and specialty.
  8. Once you are in the app, you will receive a message to verify your identity. You will take a photo of your driver’s license, and then take a photo of yourself. NOTE: You can skip this step, but will need to complete it before communicating in Medici Connect.
  9. Agree to the terms of use and HIPAA privacy policy.

Click here for more information.


 

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AMA Guidance for Physicians and General Public on Diagnostic Testing for SARS-CoV-2
The AMA sent a letter to Health and Human Services (HHS) Secretary Alex Azar urging HHS to update its SARS-CoV-2 diagnostic testing guidelines. AMA staff then generated documents for physicians and the general public concerning diagnostic testing for SARS-CoV-2. The documents provide considerations for responsible use of limited testing resources that physicians and their patients should consider when seeking polymerase chain reaction (PCR) diagnostic testing.

The supply chain for PCR testing components continues to be under strain, with hospital and academic laboratories continuing to report inconsistent supplies of reagents and viral transport media, as well as new and increasing shortages of plastic components, such as pipette tips. Further, overwhelming demand for PCR diagnostic tests has resulted in delays in the return of test results at large reference laboratories and health departments nationwide.

As these shortages and delays threaten ability to offer care to both COVID-19 and non-COVID-19 patients, the “Considerations for Ordering PCR Diagnostic Tests for SARS-CoV-2” documents were created. The documents are aimed at encouraging physicians and the public to be good stewards of limited resources by prioritizing PCR diagnostic testing services for those with a medical need, such as those with COVID-19 symptoms, those with a known exposure to someone with COVID-19, those in need of pre-procedure testing, and health care workers.

They further suggest that physicians should consider avoiding ordering a PCR diagnostic test for those without a medically-indicated need for those tests, such as for those wishing to participate in social gatherings, wishing to engage in non-essential travel, or wishing to return to work or school. It further notes that the guidelines are subject to change should demand for testing services decrease, supply availability improve, or as availability of new types of testing increases.


Fee Schedules for Medicaid have Been Updated
The Physician Anesthesia, Surgery, Radiology, and, Medicine & Drugs, Procedure Codes and Fee Schedules have been updated. For details, click here.


Garfunkel Wild Ad

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 SaleA 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.

Upper East Side Office to Share
Includes waiting room, 2 exam rooms and room for medical assistants. Flexible schedule. Call Bianca at 212-327-1851.

For Sale: 715 Park Avenue
Medical office, 1,800 sq. ft. Rectangular, 11 1/2 ft ceilings, street level access. Private entrance on 70th Street, side of the building. Windows on Park Avenue and 70th Street. Excellent office space for plastic surgeon, dermatologist or dental practice. Central air conditioning, high voltage electric service, two bathrooms. *Sale could include active Cardiac / Medical Practice. Please contact Janet @ 212-288-5468.


Office Space and Quad-A Certified O.R. for Rent
Plastic surgery office and/or quad A – certified operating room available for rent. We welcome you to tour our facility, where safety and luxury are combined in the most prime location on the upper east side. We assure you will be delighted by what you discover. We take pride in our facility, where your patients’ safety and satisfaction are our number one priority.
    • Fully equipped operating room perfect for a board-certified plastic surgeon
  • Pre-op and recovery areas
  • A bright and modern waiting area
  • 3 consultation rooms, administrative room, kitchenette, and 2 bathrooms
  • Full day office rental per week / O.R. rental per case

For inquiries please call 212.737.8700, email polina@specialtyaestheticsurgery.com

Office Space and Quad-A Certified O.R. for Rent


 

 

 

 

 

 

MSSNY eNews: August 14, 2020 – Urge Gov. to Veto Mandatory OPMC Signage

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Colleagues:

Philip Schuh, CPA, MS, MSSNY’s long-time CEO and Executive Vice President, has announced his plans to retire at the end of this year.  A 30-year MSSNY veteran, Phil also heads MSSNY’s subsidiary, the Empire State Foundation. He also represents MSSNY on two prestigious national medical society boards, the Physician Foundation of Excellence, and the Physician Advocacy Institute. Both organizations were financed by multi-million-dollar insurance company settlements that uncovered systemic, egregious practices that affected physician payment. MSSNY was a lead plaintiff in both class action suits. During his tenure, MSSNY has been the recipient of numerous million-dollar grants that financed many educational programs for MSSNY physicians.

Phil has guided MSSNY through turbulent times as the landscape for physicians has changed drastically in the past two decades. With his firm hand and his innate common sense, he guided many physicians through their presidential terms, and we are very grateful to him for his exemplary service.

Bonnie Litvack, MD
MSSNY President


Please Urge Governor Cuomo to Veto Mandatory OPMC Signage Legislation
All physicians are urged to contact Governor Cuomo to request that he veto legislation (S.6678-A/A.7991-A) requiring every physician’s practice setting to post a sign regarding how a patient can file a misconduct complaint with the OPMC. Let the Governor know that this proposal would create unnecessary distrust in the physician-patient relationship and unfairly singles out physicians.

This legislation is also unnecessary because this information is already easily available through a simple internet search.  With nearly 10,000 complaints already made each year to OPMC (resulting in only a few hundred actual disciplinary actions), it is clear there is already strong public awareness of this oversight body.

You can send a letter and tweet to the Governor opposing this baffling legislation here.


Notes from the Governor Cuomo’s 8/13 Conference Call
COVID-19 Update:
– 85k tests yesterday
– 727 tested positive
– .85% positive percentage = “fantastic”
– 7th straight day of below 1% positivity rate
– 554 hospitalizations
– 4 deaths yesterday
– 59 intubated / 127 in the ICU
– SLA found 12 violations yesterday
Testing:
– AG and Markets to work w/ DOH to deploy mobile testing sites
Education:
– Infection rate gives ability to schools to open.  “Doesn’t mean they must”
– Reiterates that districts must consult parents and teachers
– Gov says district conference calls state that the districts aren’t
allowing teachers and parents to talk
– If “school districts want to stonewall conversation” it’ll show on the
first day of school; people won’t show up
Wastewater:
– DOH working on that, will start a pilot project looking into removing COVID
from wastewater
Federal Funds / Elections:
– Gov says COVID will be a lead issue in November elections

Q&A:
– Asked about Pres EOs, and new guidance
– Gov states that it would require a law.  “He will be sued, and the Executive Orders
will fail”
– References administrative delays and issues associated with last round,
states that delay would happen again under structure in EO.
– Also references other states that received “more money than they needed”
in the last round, and they’re looking for flexibility in how to spend the
money.
– Pres and Mnuchin says that people are leaving NY, Cuomo calls both claims a
lie.  “State income tax rates are down, that’s a fact.”
– Gov adds that crime in NYC is a problem and that tension between NYPD and
the community is also a problem
– Gov adds that there is a disconnect between parents, teachers and their
school districts. Gov continues on the school thread, referencing flu
season additional complications. Flu season is busy for the labs, and the
complications of adding COVID testing.


Snapshot of COVID-19 in the U.S.
Cases: 5,197,749
Deaths: 166,038
Recovered: 1,755,225

Counts reflect data available as of 8:30 a.m. CDT Aug. 13.


MSSNY President Calls for Physicians Supervision of Non-Physicians
The Medical Society of the State of New York is calling on the state to restore physician supervision for non-physician health care practitioners following a systemwide approach to reduce Covid-19 infections. Dr. Bonnie Litvack, president of the medical society, said in a statement: “These orders that eliminate essential physician supervision potentially place patients at risk.” (Crain’s, 7/10).MS


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Sam Gelfand, Former MSSNY President (1977-78), Has Died
Dr. Samuel Gelfand, a thoracic surgeon, and longtime MSSNY member from Nassau County has passed away. He was MSSNY’s President from 1987-1988 and, until recently, continued as Treasurer of the Empire Foundation.

A MSSNY member since 1955, Dr. Gelfand held numerous County and State leadership positions over his tenure. He was a past Chairman of the Budget and Finance Committee, an AMA Delegate and Chair of Legislation and Physician Advocacy Committee. In2019, Dr. Gelfand published a book, Memoirs of a MASH Surgeon


Top Selling Drugs in the United States
The IQVIA Institute for Human Data Science released a report detailing the 20 top-selling drugs in the U.S. by non-discounted spending.

They are:

  1. Humira — $21.4 billion
  2. Eliquis — $9.9 billion
  3. Enbrel — $8.1 billion
  4. Stelara — $6.6 billion
  5. Keytruda — $6.5 billion
  6. Trulicity — $6.5 billion
  7. Januvia — $6 billion
  8. Xarelto — $6 billion
  9. Biktarvy — $5.1 billion
  10. Remicade — $4.7 billion
  11. Opdivo — $4.4 billion
  12. Rituxan — $4.3 billion
  13. Lantus Solostar — $4.3 billion
  14. Symbicort — $3.9 billion
  15. Jardiance — $3.9 billion
  16. Genvoya — $3.8 billion
  17. Tecfidera — $3.8 billion
  18. Vyvanse — $3.7 billion
  19. Victoza 3-pak — $3.6 billion
  20. Ibrance — $3.6 billion

Find the full report here (Becker’s Hospital)


Youths Who Vape at Higher Risk of Getting COVID-19, Study Finds
Teenagers and young adults who vape face a significantly higher risk of contracting COVID-19, a new study shows.

The study, published in the Journal of Adolescent Healthincludes data from online surveys conducted in May. The surveys included responses from 4,351 participants, ages 13 to 24, from across the country. About half had used e-cigarettes, while the other half had never used nicotine products.

Researchers found that those who vaped were five times more likely to contract COVID-19 than those who did not use e-cigarettes. Those who vaped and smoked cigarettes were seven times more likely to contract the disease. Youths who had vaped and smoked cigarettes in the previous 30 days were almost five times as likely to experience COVID-19 symptoms, such as coughing, fever and difficulty breathing as those who had never smoked or vaped. (Becker’s Hospital Review)


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Most Physicians Think Antibiotic Overprescription is Still an Issue, Study Finds
Most physicians think inappropriate antibiotic prescription is a pervasive problem that needs intervention, according to survey results released Aug. 6 by Pew Research Center and the American Medical Association.

The survey gathered responses from 1,550 primary care physicians between August and October 2018. Here are some of its key findings:

  • Sixty percent of respondents reported that while they believe antibiotic overprescription is a problem, they think they prescribe antibiotics more appropriately than their peers.
  • Seventy-two percent of respondents reported believing antibiotic stewardship programs need to be implemented in healthcare facilities.
  • Seventy-nine percent of respondents reported they thought antibiotic stewardship programs would be ineffective without patient education efforts.
  • Forty-seven percent of respondents reported they would need significant assistance to establish an antibiotic stewardship program in their practice.

Another Op for Physicians to Apply to Relief Fund: New Deadline is August 28
On July 31, 2020, HHS announced that certain Medicare providers would be given another opportunity to receive additional Provider Relief Fund payments. These are providers who previously missed the June 3, 2020 deadline to apply for additional funding equal to 2 percent of their total patient care revenue from the $20 billion portion of the $50 billion Phase 1 General Distribution, including many Medicaid, Children’s Health Insurance Program (CHIP), and dental providers with low Medicare revenues.

In addition, certain providers who experienced a change in ownership, making them previously ineligible for Phase 1 funding, will also be given an opportunity to apply for financial relief.

Starting August 10th, these eligible providers may now submit their application for possible funds by August 28, 2020. This deadline aligns with the extended deadline for other eligible Phase 2 providers, such as Medicaid, Medicaid managed care, CHIP, and dental providers.


Continuous Recruitment for NYS DUR Board Membership
Federal legislation requires States to maintain a DUR program and establish a DUR Board. The NYS Medicaid DUR Board provides recommendations to the Department of Health associated with establishing clinical standards for Medicaid’s pharmacy program. The composition of the DUR Board can be found on pages 1 & 2 of the Bylaws

Responsibilities of the DUR Board include:

  • the establishment and implementation of medical standards and criteria for the retrospective and prospective DUR program;
  • the development, selection, application, and assessment of educational interventions for physicians, pharmacists and recipients that improve care;
  • collaboration with managed care organizations to address drug utilization concerns and to implement consistent management strategies across the fee-for-service and managed care pharmacy benefits;
  • the review of therapeutic classes subject to the Medicaid Preferred Drug Program statute and
  • making recommendations for target supplemental rebate amounts, per the Medicaid Drug Cap statute.

CVs associated with interest in becoming a DUR Board member are accepted continuously and can be submitted to the DUR Board mailbox at dur@health.ny.gov. If no vacancies exist, CVs will be kept on file for consideration once a position becomes available. Questions on membership and candidacy can be directed to the DUR Board Member Liaison, Robert Sheehan, at dur@health.ny.gov or 518-486-3209.

For more information about the NYS Medicaid DUR Board please go here.


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CDC: Hispanic and Black Children Face Higher Rates of COVID-19 Hospitalization 
A new report by the Centers for Disease Control and Prevention (CDC) reveals that Hispanic and Black children have been affected by the coronavirus pandemic at a disproportionate rate, underscoring how minority communities across the country have been among the hardest hit by COVID-19.

The report released Friday uses pediatric data collected from 14 states, including California, Georgia, New York, and Ohio, between March 1 and July 25. The agency notes that children are still at a lower risk for serious complications from COVID-19 such as hospitalization but concluded that Black and Hispanic children are more likely to have such symptoms than their white peers.


Physician Assistant Median Annual Base Salary, By State
Physician assistants in Alaska earned the highest median annual base salary in 2019, while PAs in Alabama earned the lowest, according to a salary report released Aug. 3 by the American Academy of PAs.

Data in the report is based on a survey of 13,682 physician assistants between Feb. 1 and March 1.

The PA median annual base salary in each state and the District of Columbia are listed below, in descending order. The list includes ties at Nos. 3, 5, 10, 14, 16, 19, 27, 33, 39, 42, 45 and 47.

  1. Alaska: $133,976
  2. California: $130,000
  3. Nevada: $125,000
  4. Wyoming: $125,000
  5. Connecticut: $120,000
  6. Washington: $120,000
  7. Hawaii: $117,500
  8. District of Columbia: $117,253
  9. Minnesota: $117,000
  10. New Jersey: $115,000
  11. New Mexico: $115,000
  12. Oregon: $115,000
  13. North Dakota: $112,500
  14. Maine: $112,000
  15. Texas: $112,000
  16. Arizona: $111,000
  17. New York: $111,000

Alert Postcard Disguised as Official OCR Communication
OCR has been made aware of postcards being sent to health care organizations disguised as official OCR communications, claiming to be notices of a mandatory HIPAA compliance risk assessment. The postcards have a Washington, D.C. return address, and the sender uses the title “Secretary of Compliance, HIPAA Compliance Division.”

The postcard is addressed to the health care organization’s HIPAA compliance officer and prompts recipients to visit a URL, call, or email to take immediate action on a HIPAA Risk Assessment. The link directs individuals to a non-governmental website marketing consulting services.

The postcard below is not from HHS/OCR.

Postcard used as scam

HIPAA covered entities and business associates should alert their workforce members to this misleading communication. This communication is from a private entity – it is NOT an HHS/OCR communication.

The addresses for OCR’s HQ and Regional Offices are available on the OCR website at https://www.hhs.gov/ocr/about-us/contact-us/index.html, and all OCR email addresses will end in @hhs.gov. If organizations have additional questions or concerns, please send an email to: OCRMail@hhs.gov. Suspected incidents of individuals posing as federal law enforcement should be reported to the Federal Bureau of Investigation.

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 SaleA 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.

Upper East Side Office to Share
Includes waiting room, 2 exam rooms and room for medical assistants. Flexible schedule. Call Bianca at 212-327-1851.

For Sale: 715 Park Avenue
Medical office, 1,800 sq. ft. Rectangular, 11 1/2 ft ceilings, street level access. Private entrance on 70th Street, side of the building. Windows on Park Avenue and 70th Street. Excellent office space for plastic surgeon, dermatologist or dental practice. Central air conditioning, high voltage electric service, two bathrooms. *Sale could include active Cardiac / Medical Practice. Please contact Janet @ 212-288-5468.


Office Space and Quad-A Certified O.R. for Rent
Plastic surgery office and/or quad A – certified operating room available for rent. We welcome you to tour our facility, where safety and luxury are combined in the most prime location on the upper east side. We assure you will be delighted by what you discover. We take pride in our facility, where your patients’ safety and satisfaction are our number one priority.
    • Fully equipped operating room perfect for a board-certified plastic surgeon
  • Pre-op and recovery areas
  • A bright and modern waiting area
  • 3 consultation rooms, administrative room, kitchenette, and 2 bathrooms
  • Full day office rental per week / O.R. rental per case

For inquiries please call 212.737.8700, email polina@specialtyaestheticsurgery.com

Office Space and Quad-A Certified O.R. for Rent


 

 

 

 

 

 

MSSNY eNews: August 12, 2020 – DFS: You Cannot Charge Patients for PPE

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Reminder: Network Health Care Providers May Not Charge Patients for PPE Costs
As noted in last Friday’s MSSNY e-news, the New York Department of Financial Services (DFS) issued Insurance Circular Letter No. 14 (2020), advising health insurers to immediately notify participating providers that they should not charge insureds fees that are beyond the insureds’ financial responsibility for covered services, such as fees for PPE, and instruct participating providers to refund any such fees to insureds.  It also noted that “Insurers and participating providers should work together to resolve any issues regarding increased costs due to COVID-19, including for PPE, and insureds should be held harmless for such charges.”

MSSNY President Dr. Bonnie Litvack Issued a Statement in Response to Require Health Insurers to Reimburse Health Care Practitioners for PPE Costs
that “MSSNY does not condone health plan-participating health care practitioners charging their patients for the huge jumps in the cost of personal protective equipment (PPE), as state regulations limit the ability of such practitioners to bill patients for these costs.”

However, given the enormous profits of the health insurance industry, MSSNY has urged the DFS to require health insurers to reimburse health care practitioners for these enormous jumps in PPE costs, and the significant difficulty in even obtaining it in the first place. The statement noted a recent MSSNY survey reported that nearly three quarters of the respondents expressed significant difficulty in obtaining PPE altogether, while nearly 40% of the respondents indicated that their PPE costs had gone up by more than 50%.


MSSNY President Testifies at Legislative Hearing Looking at COVID and Hospitals
MSSNY President Dr. Bonnie Litvack presented testimony today at a joint Assembly-Senate legislative hearing examining Covid-19 and hospitals. Dr. Litvack’s testimony raised number of critical issues that impacted and continue to impact physician care from the height of the pandemic, including:

  • Physician wellness, noting MSSNY’s Peer to Peer program
  • Lack of available and affordable PPE
  • Ensuring the ability of patients to receive medically necessary elective surgery in the event of a second surge
  • Ending Executive Order scope of practice changes

Please join the NYS Department of Health Thursday, August 13th at 1-2 PM 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.

For audio only, please dial in: 844-512-2950 and Access Code: 1166339

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MSSNY: Restore Physician Supervision for Non-Physician Providers
The Medical Society of the State of New York is calling on the state to restore physician supervision for non-physician health care practitioners following a systemwide approach to reduce Covid-19 infections. Dr. Bonnie Litvack, president of the medical society, said in a statement: “These orders that eliminate essential physician supervision potentially place patients at risk.” (Crain’s, 9/10)


Medicaid/CHP: Deadline Extended to Aug. 28 for Provider Relief Fund
This listserv notice is to remind Medicaid and Child Health Plus (CHP) providers that on July 31, 2020, the U.S. Department of Health and Human Services (HHS) extended the application deadline to August 28, 2020 for the Provider Relief Fund (PRF) for Medicaid and Child Health Plus under the Coronavirus Aid, Relief, and Economic Security (CARES) Act and the Paycheck Protection Program and Health Care Enhancement Act.  HHS has reopened its Provider Relief Fund (PRF) Application and Attestation Portal to facilitate this deadline extension.

HHS has been hosting a series of informational webinars to address questions and support providers through the application process. The next provider and provider organization webinar will be held on Thursday, August 13, 2020, at 3:00 PM Eastern. Please visit https://webex.webcasts.com/starthere.jsp?ei=1354695&tp_key=b56041b5d4 to register.

CMS instructions on how to apply for PRF funding are shown below.

To Apply:

All eligible medical, dental, and long-term services and supports (LTSS) providers may begin the application process here. Also available here are Medicaid and CHIP Provider Distribution Instructions and the Medicaid and CHIP Provider Distribution Application Form. It is recommended that you use these documents to help you complete the process through the Enhanced Provider Relief Fund Payment Portal. Visit the CMS website here for additional information.


LabCorp, Quest Diagnostics: “Turnaround Time for COVID-19 Test Results Down to 1-3 Days”
LabCorp and Quest Diagnostics both said their average turnaround times for COVID-19 diagnostic tests now stand between one and three days. LabCorp said it has completed over 10 million COVID-19 tests since March and has a capacity of 180,000 per day with plans to increase further. Its average time to deliver results for COVID-19 diagnostic tests is now one to three days, the lab company said Aug. 10.

LabCorp is prioritizing testing for residents and staff of nursing homes in hot-spot states as well as hospitalized patients. All other tests are performed in the order in which they are received. Quest said its average turnaround time is two to three days as of Aug. 10. It has performed about 11.2 million COVID-19 tests and has a capacity of 150,000 tests per day. Quest said it expects to scale up to 185,000 tests by Labor Day. (Becker’s Hospital Review, Aug. 14)



Neck Gaiters, Bandanas More Harmful than Not Wearing a Mask, Duke Study
Wearing bandanas or neck gaiters as face coverings to protect against COVID-19 may actually do more harm than not wearing a mask at all, a study published in Science Advances found.

Researchers at Durham, N.C.-based Duke University analyzed the effectiveness of 14 face coverings ranging from bandanas to N95 masks. They created a simple device involving a laser and cellphone camera to track individual particles emitted from a person’s mouth when speaking. Researchers had trial participants say the same phrase with and without wearing each mask 10 times.

N95 masks proved the most effective, allowing no droplets to escape. Handmade cotton masks were about as effective as surgical masks, both blocking a substantial amount of droplets. Bandanas and breathable neck gaiters ranked least effective, emitting a higher droplet count than control tests involving no masks.

Bandanas and neck gaiters have more porous fabric, which may break up bigger particles into smaller ones that are more likely to float in the air, hence the higher droplet count, Martin Fischer, PhD, a chemist and physicist who developed the testing device, explained in a video created by Duke and cited by The Washington Post.

Dr. Fischer said these types of coverings are a popular choice among Americans because they are convenient to wear and don’t restrict air, which is also why they’re not offering much protection. “It’s not the case that any mask is better than nothing,” he said in the video. “There are some masks that actually hurt rather than do good.”

To view the full study, click here.(Becker’s Hospital Review, Aug. 14)


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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 SaleA 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.

Upper East Side Office to Share
Includes waiting room, 2 exam rooms and room for medical assistants. Flexible schedule. Call Bianca at 212-327-1851.

For Sale: 715 Park Avenue
Medical office, 1,800 sq. ft. Rectangular, 11 1/2 ft ceilings, street level access. Private entrance on 70th Street, side of the building. Windows on Park Avenue and 70th Street. Excellent office space for plastic surgeon, dermatologist or dental practice. Central air conditioning, high voltage electric service, two bathrooms. *Sale could include active Cardiac / Medical Practice. Please contact Janet @ 212-288-5468.


Office Space and Quad-A Certified O.R. for Rent
Plastic surgery office and/or quad A – certified operating room available for rent. We welcome you to tour our facility, where safety and luxury are combined in the most prime location on the upper east side. We assure you will be delighted by what you discover. We take pride in our facility, where your patients’ safety and satisfaction are our number one priority.
    • Fully equipped operating room perfect for a board-certified plastic surgeon
  • Pre-op and recovery areas
  • A bright and modern waiting area
  • 3 consultation rooms, administrative room, kitchenette, and 2 bathrooms
  • Full day office rental per week / O.R. rental per case

For inquiries please call 212.737.8700, email polina@specialtyaestheticsurgery.com

Office Space and Quad-A Certified O.R. for Rent


 

 

 

 

 

 

MSSNY eNews: August 7, 2020 – Testing, Testing, Should Be 1..2..3

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Testing, Testing, Should Be 1..2..3
Nearly every day since the beginning of the pandemic, newspapers have reported on testing issues impeding efforts to contain the Covid-19 virus in the United States.  Major journals including a recent Lancet article have concluded that minimizing testing delays has the largest impact on reducing virus transmission and that optimizing testing and tracing is essential.

While New York State has so far staved off a resurgence in the virus, there have been increased rates of COVID-19 transmission throughout the United States, with more than 35 states now on the NYS travel advisory/quarantine list due to significant community-wide spread of disease. Add to this that college students will be shortly arriving from all over the US to NYS; schools in NYS will likely be opened; and that, as the weather in the fall changes, there will be more indoor activity and the perfect storm is brewing.  In order for the NYS virus transmission rate to remain low and prevent a surge similar or worse that was experienced by NYS in the spring, it is vital that we maximize testing and tracing and minimize testing delays NOW.

To this end, we have been in constant communication with the NYSDOH.  We have alerted them to the many concerns raised by MSSNY members about testing results taking up to 14 days to process/receive. We have informed NYSDOH of the challenges faced by patients who are scheduled for elective procedures/surgery when they are trying to comply with the NYSDOH protocol requiring a negative Covid-19 test to be received within 5 days of a procedure.  We have also shared stories of the impact of the testing delays including the inability to quickly quarantine positive patients and nursing home staff and canceled/delayed cancer surgery and cancer care.

We have contacted both Quest labs and Lab Corp who both say that they are expanding capacity and that they have systems in place for physicians to request priority testing. In addition, MSSNY continues to advocate for expansion of inexpensive point-of-care testing in physician offices as this can quickly expand testing capacity and decrease the time to contact tracing.

This week, MSSNY sent out a short survey to quantify the testing bottlenecks and we ask that you take a few minutes to complete this survey. We will continue to work with the NYS DOH and the Governor to achieve universal turnaround times of 2-3 days or less in NYS; and we will continue to keep members alerted as to the status of our efforts to ensure prompt testing results.

Bonnie Litvack
MSSNY President


Please Take the MSSNY Survey on COVID-19 Testing Delays
Recently, New York Governor Cuomo had an op-ed in the New York Times that touted the results of labs operating in New York State whereby 85% of the lab tests took a median of 2 days to complete. We have heard anecdotes from physicians regarding instances where it is taking far longer.  As we continue to dialogue with the New York State Department of Health and Governor’s office regarding addressing testing delays, would you place take just a few minutes to complete this survey?


Snapshot of COVID-19 in the U.S.
Cases: 4,824,230
Deaths: 158,268
Recovered: 1,577,851
Counts reflect data available as of 9 a.m. CDT Aug. 6.


Gov. Cuomo at 6:55 PM Thursday, Aug.6
Today is day 159 of the pandemic

  • The total number of COVID hospitalizations continues to remain low. Yesterday, there were 570 total hospitalizations and 132 people in the ICU. The State conducted 72,370 tests, of which 703, or 0.97%, were positive. Sadly, we lost 3 New Yorkers to the virus.
  • Remember, there are over 750 testing sites across New York State. Testing is available to any New Yorker who wants a test and is free at any state-run facility. Find a testing site near you here.


MSSNY Weekly Podcast Update


MSSNY Statement Re Physicians’ PPE Costs in Today’s Crain’s
The Medical Society of the State of New York is urging the state Department of Financial Services to require health insurers to reimburse providers for personal protective equipment costs. “MSSNY does not condone health plan-participating health care practitioners charging their patients for the huge jumps in the cost of PPE, as state regulations limit the ability of such practitioners to bill patients for these costs,” said Dr. Bonnie Litvack, president of the medical society, in a statement.

“At the same time, given the enormous profits of the health insurance industry, MSSNY and others have been urging the [department] to require health insurers to reimburse health care practitioners for these enormous jumps in PPE costs, and the significant difficulty in even obtaining it in the first place.”


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Study: Northwell Workers Test Positive for COVID at Similar Rate as Public
Health care providers at Northwell Health have not experienced a higher rate of positive Covid-19 tests than the general community, according to a study published in JAMA on Thursday. The study included 40,329 health care personnel in the greater New York area who voluntarily took an antibody test regardless of whether they had Covid-19 symptoms or not. Results showed 13.2% of Northwell staff tested positive for antibodies, or seropositive. Neither age, gender, ethnicity, location nor primary specialty was a significant predictor of seropositivity.

However, what did correlate was the workers’ self-assessment of their exposure risk. Employees were asked to rate their suspicion of having been exposed to Covid-19 on a scale of 1 to 9, with 1 being “no” and 9 being “definitely.” Of subjects who rated themselves in the high category (7 to 9), 60% tested seropositive, whereas those who rated themselves in the low category (1 to 3) had 5.3% who tested positive.

These findings provided two significant takeaways, said Karina Davidson, professor, and senior vice president at the Feinstein Institutes for Medical Research. The 13.2% positive rate is similar to community rates of about 14%, indicating that health care professionals are adequately protected in hospitals. This study should placate concerns of transmissions in a hospital setting, she said.

The next is that because health care workers have shown that their own assessment of risk correlates to whether or not they have Covid-19, free and convenient testing should be made available to them, Davidson said. These include point-of-care tests either near their home or workplace for quick turnaround and availability at all hours to account for late shifts, she said. “As testing becomes more available and the supply chain improves, there’s little reason for public health officials and hospital administrators not to provide convenient access to testing for these essential frontline workers,” Davidson said.


Fauci at Harvard Med School: Does Not Believe US Will Go into Another Shutdown
While speaking at an online event jointly hosted by the Harvard T.H. Chan School of Public Health and the New England Journal of Medicine Wednesday afternoon, Dr. Anthony Fauci told Dr. Sanjay Gupta of CNN that he doesn’t believe the country will need to go into another economic shutdown to stem the spread of COVID-19.

“We can do better without locking down,” Dr. Fauci said. He added that the U.S. has struggled with an ongoing surge of COVID-19 cases due to human behaviors that contribute to the spread of the virus.

“As long as you have any member of society, any demographic group, who’s not seriously trying to get to the end game of suppressing this, it will continue to smolder and smolder and smolder, and that will be the reason why, in a non-unified way, we’ve plateaued at an unacceptable level,” Dr. Fauci said.


MLMIC Presents: Million Dollar Claims: A Closer Look Now on MSSNY CME Website
MSSNY proudly announces the availability of MLMIC Presents: “Million Dollar Claims a Closer Look” on the MSSNY CME website. If you do not have an account, you will be required to create one.

Educational Objectives:

  • Identify the leading causes of loss in million-dollar claims;
  • Analyze the key factors leading to significant payments in these claims;
  • Recognize the chief medical factors identified in these files; and
  • Implement risk management strategies to lessen the risks of high-exposure professional liability claims within your organization.

MLMIC is accredited by the Medical Society of the State of New York (MSSNY) to provide CME for physicians.  

MLMIC designates this live educational activity for a maximum of 1.0 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Beware: HIPAA Compliance Scam
AUGUST 2020

Earlier today the United States Health and Human Services Office for Civil Rights “OCR” issued an alert concerning fraudulent postcards sent to health care organizations claiming to be official communications from OCR. The postcards, with a Washington, D.C. mailing address and claiming to be from the Secretary of Compliance, HIPAA Compliance Division, encourage health care organizations to visit a website, call, or email the sender “to take immediate action on a HIPAA Risk Assessment” and lists potential penalties for noncompliance. Anyone that does contact the sender is diverted to a non-government website offering consulting services.

As a reminder, all communications from OCR will come from either an official office or an email address ending with @hhs.gov. You can find a complete list of OCR’s headquarters and regional offices here.

CLICK HERE TO DOWNLOAD ALERT


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Analysis Shows Millions More Uninsured Due to COVID-19 Pandemic
There is clear evidence that the COVID-19 pandemic and economic downturn are causing millions of Americans to lose not only their jobs but also their employment-based health insurance. What is less well known is how many of these workers are remaining uninsured, and how many are shifting to other coverage—such as a spouse’s plan, Medicaid, or Medicare. Federal data on these changes will not be available until next year. In the interim, a new Families USA analysis seeks to partially fill this information gap.

The Families USA report examines the insurance and employment patterns of adults ages 18 to 64 in order to estimate the number of uninsured workers among the newly unemployed in each state. This methodology reveals that of the 21.9 million Americans who lost their jobs or left the labor force between February and May 2020, 5.4 million became uninsured as a result.

This increase in the number of uninsured adults is 39% higher than any annual increase ever recorded. The highest previous jump took place from 2008 to 2009, when 3.9 million adults became uninsured. Notably, because the Families USA estimate does not capture family members, many of whom also lost health insurance, or workers ages 65 and older, the actual number of uninsured Americans is likely even higher.


Medicaid Recipients May Not be Billed for COVID-19 Related Provider Expenses
This is a reminder that the Medicaid program prohibits enrolled providers from billing recipients for charges for COVID-19 protective measures, including sanitizing exam rooms and using personal protective equipment, such as masks, gowns, and gloves (collectively, “PPE”). Cost-sharing for Medicaid fee-for-service and managed care members is limited to applicable copays based on federal rules, including the New York’s Medicaid State Plan and 1115 Medicaid Redesign Team Waiver.

Billing Medicaid recipients for PPE is considered an “Unacceptable Practice” under Medicaid rules, which may result in provider sanctions up to and including termination from the Medicaid program.


Join MSSNY’s preferred wealth manager Altfest on Wednesday, August 12, 11:00-11:45 am for a free interactive webinar on Retirement Planning for Physicians Amid COVID-19

Topics Include:

  • Evaluating where your retirement plan stands today
  • Recognizing risks in retirement planning and how to manage them
  • Taking advantage of timely retirement planning opportunities

Altfest will also cover key takeaways from the most recent government stimulus plan. Submit questions to webinar@altfest.com by Monday, August 10.

CLICK HERE TO REGISTER

Learn more about Altfest’s custom comprehensive wealth management services for physicians and their families at altfest.com/physicians.


P2P Stress Banner


The 12 Risk Factors Tied to 40% of Dementia Cases
A new report from the Lancet Commission on Dementia Prevention identifies 12 risk factors linked to 40% of all dementia cases, adding three new risk factors to the Commission’s original 2017 report, Sue Hughes reports for Medscape. The 2017 report identified nine modifiable risk factors that were estimated to account for a third of all dementia cases. The Lancet Commission included those same nine risk factors in this year’s report, as well, but the Commission updated the weighted population attributable fraction attributed to the risk factors. They are:

  • Midlife hearing loss, accounting for 8.2% of dementia cases;
  • Not completing secondary education, accounting for 7.1% of cases; Later-life smoking, accounting for 5.2% of cases;
  • Later-life depression, accounting for 3.9% of cases;
  • Later-life physical inactivity, accounting for 1.6% of cases;
  • Later-life social isolation, accounting for 3.5% of cases;
  • Midlife hypertension, accounting for 1.9% of cases;
  • Later-life diabetes, accounting for 1.1% of cases; and
  • Midlife obesity, accounting for 0.7% of cases.

The Commission also included three new modifiable factors in the updated report:


MSSNY’s YPS Calling for Nominations for Councilor, AMA Delegates and Officers
The YPS Governing Council would like to call for nominations from MSSNY YPS members for the following positions:

·        MSSNY Young Physicians Section Councilor for 2021-2024 (1 nomination to be made)

·        MSSNY AMA Delegation (3 nominations to be made)

·        MSSNY YPS Officers Nomination (1 nomination to be made)

Self-nominations will be accepted. Nominees should submit a CV and statement of interest to sbennett@mssny.org.

Nominations will close at 5 pm, Wednesday, August 12th. Nominees, CVs, and statements of interest will be emailed out to members on Thursday, August 13th.

An election ZOOM meeting will be held on Sunday, August 16th at 7pm, when speeches by candidates will be made.

ZOOM meeting call-in information is below:

Topic: MSSNY YPS Election Meeting
Time: Aug 16, 2020 07:00 PM Eastern Time (US and Canada)

Join Zoom Meeting
https://us02web.zoom.us/j/89818933127

Meeting ID: 898 1893 3127
One tap mobile
+16468769923,,89818933127# US (New York)
+13126266799,,89818933127# US (Chicago)

Daniel E. Choi, MD
Chair, Young Physicians Section, Medical Society of the State of NY (MSSNY)


48% of Americans Would Get COVID-19 Vaccine Right Away, Survey Finds
Less than half of Americans would receive the COVID-19 vaccine as soon as it is available, according to a poll from SurveyMonkey and COVID Near You, a joint project of Boston Children’s Hospital and Boston-based Harvard Medical School.

The survey includes insights from more than 1.2 million U.S. adults polled weekly between Feb. 11 and Aug. 2.

Four survey findings, based on responses collected between July 12 and Aug. 2:

  1. 48% of Americans said they would get a COVID-19 vaccine right away.
  2. 29% said they would “wait some time” to receive the vaccine; 10 percent would “not receive the vaccine anytime soon”; and 13 percent said they did not ever want to get the vaccine.
  3. Americans over age 75 were most likely to say they would get the vaccine right away (42%), while millennials were least likely (24 percent).
  4. 35% of Black respondents said they would get the vaccine right away, compared to 50 percent of white respondents, 49 percent of Asian respondents and 46 percent of Hispanic respondents.

To view the full survey, click here.


NYC Setting Up Checkpoints to Track Visitors Residents from COVID Surge States
Those coming into the city from the 35 states and territories on New York’s travel advisory list must complete the state health department’s traveler form and self-quarantine for 14 days. Those who do not comply with quarantine orders will be subject to a $10,000 fine, and those who refuse to fill out the traveler form will be subject to a $2,000 fine. (Becker’s Hospital Review, Aug. 6)


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 SaleA 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.


Upper East Side Office to Share
Includes waiting room, 2 exam rooms and room for medical assistants. Flexible schedule. Call Bianca at 212-327-1851.

For Sale: 715 Park Avenue
Medical office, 1,800 sq. ft. Rectangular, 11 1/2 ft ceilings, street level access. Private entrance on 70th Street, side of the building. Windows on Park Avenue and 70th Street. Excellent office space for plastic surgeon, dermatologist or dental practice. Central air conditioning, high voltage electric service, two bathrooms. *Sale could include active Cardiac / Medical Practice. Please contact Janet @ 212-288-5468.


Office Space and Quad-A Certified O.R. for Rent
Plastic surgery office and/or quad A – certified operating room available for rent. We welcome you to tour our facility, where safety and luxury are combined in the most prime location on the upper east side. We assure you will be delighted by what you discover. We take pride in our facility, where your patients’ safety and satisfaction are our number one priority.
    • Fully equipped operating room perfect for a board-certified plastic surgeon
  • Pre-op and recovery areas
  • A bright and modern waiting area
  • 3 consultation rooms, administrative room, kitchenette, and 2 bathrooms
  • Full day office rental per week / O.R. rental per case

For inquiries please call 212.737.8700, email polina@specialtyaestheticsurgery.com

Office Space and Quad-A Certified O.R. for Rent


 

 

 

 

 

 

MSSNY Calls for Restoration of Physician Supervision for Non-Physician Health Care Practitioners 

For Immediate Release
August 7, 2020


MSSNY Calls for Restoration of Physician Supervision for Non-Physician Health Care Practitioners

Statement Attributable to:
Bonnie Litvack, MD
President, Medical Society of the State of New York

“We are concerned for patient safety that Executive Order 202.55 continues the waiver of otherwise statutorily required physician supervision requirements for various non-physician health care practitioners, including nurse anesthetists, nurse practitioners and physician assistants.

“MSSNY had significant concerns with the March Executive Order that eliminated physician supervision requirements with an understanding that the COVID-19 pandemic required an ‘all hands-on deck’ approach.  However, given our ‘all in’ efforts to significantly reduce COVID-19 infections in New York, of which we should all be very proud, these Orders that eliminate essential physician supervision potentially place patients at risk.  While various non-physician practitioners are an important part of the health care team, they have far less training than the many years of specialized training that physicians are required to complete before delivering safe patient care.

“We urge that statutory supervision and/or oversight requirements be restored as soon as possible.”

# # #

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 11590
516-488-6100 ext 302 
rraia@mssny.org

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