December 1, 2017 – No Bureaucrats in Medicine!

 

Charles Rothberg, MD - MSSNY President
PRESIDENT’S MESSAGE

Charles Rothberg, MD
December 1, 2017
Volume 17
Number 44

 

 

 

 

 

Dear Colleagues: 

Recently, I discussed the nonsense of the ongoing alphabet soup in healthcare initiatives. We now need to stop the cacophony of this insanity.

These days, we have MACRA, APNs, MIPS, SHIP, DSRIP and VBPs to contend with.  This is being foisted upon us by a bureaucracy desperate to make healthcare better. What’s the problem? Bureaucrats do not practice medicine. They just want to save the almighty dollar—not mine, not yours—but theirs. Many physicians have experienced the downside of “incentive” programs. Initially, physicians appear to be able to benefit financially. However, due to subsequent “gotchas,” physicians are sometimes penalized and forced to refund the incentive payment.

These same bureaucrats who believe they can fix healthcare can’t seem to balance even their own checkbook. According to reliable sources, there is a possibility they will be out of money on December 7.

Already, tasked by the government to help meet arbitrary, non-health related budgetary constraints, physicians are already subjected to a 2% sequestration. Based on the current budgetary climate, there is concern that we might be subjected to additional sequestration in the coming year (4% total).

Physicians need to transform their practices in order to enhance the patient experience and to promote better health outcomes. Policymakers do not recognize that incentives applied with some success to institutional stakeholders do not work on physicians. For example, bad policy has forced us to expend too much time completing fields on our computers at the expense of more valuable patient-centered activity. Additionally, financial penalties further constrain a physician’s ability to add value-enhancing services such as care managers and mental health services. Unlike institutional stakeholders, in physician practices, there is typically no down-stream revenue to add services.

Many physicians, feeling great pressure to conform and comply with regulatory puzzles, are leaving independent practice in hope that employment with a health system might resolve their regulatory woes. After all, large healthcare stakeholders are capable of “working the system” to generate money—money that in turn can be shifted to overcome these regulatory burdens. But in many instances, this trend has neither promoted innovation, physician satisfaction nor has it resulted in cost containment. From the perspective of the payer, one payment issued to a facility for an entire episode of care seems more efficient than issuing multiple payments to a variety of specialty physicians for the components of an episode of care. However, if this sort of “payment reform” is to be successful, the hospital institutions and facilities must recognize and pay the physicians for their vital contributions.

Payment methodologies, senseless reporting and administrative overhead are not effective mechanisms to transform physician practice. Until goals are aligned between the government, insurers, hospitals, engaged patients and physicians, strife and stress will continue.  And better outcomes will remain elusive.

To be clear, MSSNY will always be supportive of the independent practice of medicine.

Sincerely,

Charles Rothberg, MD
MSSNY President

Please send your comments to comments@mssny.org



enews large

Several Health Care Issues on Congress’ Plate for Year End
With the current federal Budget continuing resolution set to expire on December 8, and the US House and Senate simultaneously debating items to be included in a massive tax restructuring bill, there are numerous health care related issues “on the table” that could have a significant impact on physicians and patients.  Among the issues under discussion where MSSNY continues to dialogue with the New York Congressional delegation (as well as the AMA before the full Congress) include:

Health Insurance Coverage/ACA

  • Continuation of funding to states for the Child Health Insurance Program
  • Continuation of funding to states for health insurance cost-sharing subsidies, including those that help to provide subsidized health insurance coverage offered through New York’s Health Insurance Exchange, as well as its Essential Plan for over lower-income New Yorkers who earn too much to qualify for Medicaid.

Medicare Physician Payment

  • Preventing a possible further Medicare “sequestration” cut of up to 4% as a result of increasing the deficit through the tax bill.
  • Continuation of the Medicare GPCI “floor” which helps to prevent cuts to Medicare physician payments for less densely populated areas across the country including upstate New York
  • Targeted changes to the MACRA MIPS program, to grant continued flexibility to CMS in implementing Medicare value-based payments and prevent cuts for reimbursement for medications covered through Medicare Part B.
  • Repeal of the Independent Payment Advisory Board.

Taxes

  • The deductibility of student loan interest
  • The deductibility of medical expenses

The debate on these issues is very fluid, so please be alert for further details and possible action alerts.

Deadline for Resolutions for 2018 House of Delegates Due by February 9, 2018
Be advised that the deadline for resolutions will be FRIDAY, FEBRUARY 9.  The Speaker has established a window during which resolutions are to be submitted:  from Monday, January 22 to 5 PM, February 9.  The 5 PM deadline is a hard deadline.

The resolutions must be researched utilizing both the MSSNY Position Papers and the Legislative Agenda.  Resolutions that are not substantively different from existing policy or initiatives will be recommended for reaffirmation.

Workers Comp Registration Is Open; Physicians Must Register by Jan. 15 2018
The NYS WCB issued their notice and instructions for re-registration for the WC authorized physicians who bill WC.  Any physician who has an individual WCB authorization number must register. PAs and NPs are not authorized to bill so the registration is for the physician(s).  Please see the Board’s notice, here. The updated list will ensure that an injured worker can easily identify Board authorized providers.

The goal of this process is to enable an injured worker to easily and accurately identify Board-authorized medical providers.

Registering. Authorized providers are asked to register with the Board and update their office address (es) and contact information by January 15, 2018. This registration process will be an ongoing initiative every two to three years.

Medical providers who have not registered by January 15, 2018 will:

  • be removed from the public directory of Board authorized providers, and
  • become ineligible for the Board’s disputed bill process.

Creating an Account in the New York State Health Commerce System (HCS)

The Board will use the existing New York State Health Commerce System (HCS) for this registration process. For the initial registration and for future updates to your practice information, you will need to have an HCS account. If you don’t already have one, you can view directions to create an account on the New York State Department of Health website.

Need Help?
If you are not sure if you already have an HCS account, contact the Commerce Account Management unit (CAMU) at (866) 529-1890 and select option 1. For general questions about health care provider registration, please contact the Board’s Customer Support at (844) 337-6305.

Worker Comp Questions? Email us or call Customer Service at (877) 632-4996

Note from Regina McNally, VP MSSNY Socio-Med Economic Division

I recently spoke with staff from the WCB.  They indicated that they will be sending a mailing out to the 40K addresses they have on file next week.

For background, they indicate that they have around 30K authorized providers on their listings.  However, they receive complaints from patients, lawyers and others that the listings are out of date (doctor no longer at the address, phone number is disconnected, the practice is no longer taking comp, etc.).  Their intent is to have authorized providers do this re-registration every 2 or 3 years geared to the time frame of medical license registration.

As I learn more, I will let you know.

Regina

Do You Want to Comment on the Workers Comp Draft Impairment Guidelines? The public comment period will remain open through December 22, 2017. Please submit to comments here.

Workers’ Compensation Guidelines for Determining Impairment



Promo Code: MSSNY


 

 

 

 


NYS Has Lowest Opioid Prescribing Rate in Nation Under Medicare Opioid Prescribing Mapping Tool
New York State has the lowest opioid prescribing rates in the country for Medicare Part D prescriptions, as reported under Medicare’s new opioid prescribing mapping tool.  According to the Centers for Medicare and Medicaid Services (CMS), the 2015 national average percentage for prescribing opioids to the Medicare population stands at 5.52 %, while New York’s is 3.05.  Nevada has the highest prescribing rate with 7.66%.   The Centers for Medicare and Medicaid Services (CMS) has updated its Medicare opioid prescribing mapping tool and this tool is an “interactive, web-based resource that visually presents geographic comparisons of Medicare Part D opioid prescribing rates.”  It also identifies county-level hot-spots and outliers, which “may identify areas that warrant attention.” The updated version of the mapping tool presents Medicare Part D opioid prescribing rates for 2015 as well as the change in opioid prescribing rates from 2013 to 2015; it also includes additional information on extended-release opioid prescribing rates.  The Medicare Part D Opioid Drug Mapping Tool can be found here.

MSSNY Partners with AMA to Educate NY Physicians & Patients on Diabetes Prevention; Physicians Encouraged to Take Diabetes Awareness Survey
The Medical Society of the State of New York has partnered with the American Medical Association to bring its Prevent Diabetes STAT initiative to New York.  MSSNY has developed a short survey to sample physician’s knowledge of the National Diabetes Prevention Program (DPP) and the Prevent Diabetes STAT program. Take the survey by clicking here.

This initiative will help bridge the gap between the clinical care setting and communities to reduce the incidence of type 2 diabetes by educating and connecting more patients to evidence-based lifestyle change programs that are available in their communities, including programs offered where they work, through community and faith-based organizations, and online.

“MSSNY’s partnership with the AMA is a key step towards making an immediate impact on the health of New Yorkers,” said Dr. Geoffrey Moore, Chair of MSSNY’s Preventative Medicine and Family Health Committee and a lifestyle medicine physician based in Ithaca, NY. “The Centers for Disease Control and the American Medical Association have developed a great educational toolkit and, through our partnership, we seek to extend the benefits of these tools to all physicians and patients throughout New York State.”

In the coming year, MSSNY will be developing education sessions and articles outlining important information about diabetes in the MSSNY Daily and E-News.  Educational webinars and podcasts tailored to both physicians and patients on prediabetes and diabetes are also being developed. MSSNY’s website showcases a Diabetes webpage where physicians can find more information about Type 2 Diabetes and to learn more about MSSNY’s partnership with the AMA.

Global Physician Ethics Pledge Makes Most Substantial Makeover in Decades
Physician leaders have given the international modern-day Hippocratic Oath the most substantial update in nearly 70 years, with revisions reflecting changes in the relationship between patients and physicians, and changes in interactions between physicians and their colleagues.

The World Medical Association (WMA) first adopted the Declaration of Geneva in 1948 as the contemporary successor to the 2,500-year-old Hippocratic Oath. Since then, just minimal amendments were made. After two years of gathering feedback from WMA member national medical associations, external experts and the public—the WMA adopted the revised Declaration of Geneva at its General Assembly meeting in Chicago.

In addition to the declaration’s being called “The Physician’s Pledge” for the first time, the policy:

  • References respecting the autonomy and dignity of the patient, which was not previously recognized in the declaration.
  • Adds that the “well-being” of a patient will be a physician’s first consideration, amending a clause to state that the “health and well-being of my patient will be my first consideration.”
  • Establishes an obligation for physicians to share medical knowledge for the benefit of their patients and the advancement of health care.
  • Requires physicians to attend to their own health, well-being and ability so they can provide the highest standard of care. This comes at a time when physicians have seen an increase in workload and a rise in occupational stress.
  • Augments an existing clause that calls for a physician to practice with conscience and dignity by having physicians pledge to practice with conscience and dignity “in accordance with good medical practice.” This was done to more explicitly invoke the standards of ethical and professional conduct that patients and physicians’ peers expect.

These changes “have enabled this pivotal document to more accurately reflect the challenges and needs of the modern medical profession,” German physician Ramin Walter Parsa-Parsi, MD, MPH, wrote in a JAMA Viewpoint essay about the revised policy.

The AMA has offered ethical guidance since the organization’s founding meeting in 1847, when the Association adopted the principles of the AMA Code of Medical Ethics. That living document guides physicians on meeting the ethical challenges of practicing medicine. Also it its General Assembly meeting, the WMA adopted policy on quality assurance in medical education, as well as bullying and harassment in the medical profession, the role of physicians in preventing exploitive adoption practices, and more.


Your membership yields results and will continue to do so. When your 2018 invoice arrives, please renew. KEEP MSSNY STRONG!


GOVERNMENTAL AFFAIRS

Please Urge Governor Cuomo to Veto Disastrous Liability Expansion Bill and Work for Comprehensive Reform Instead
With just a few weeks left in 2017, legislation will soon be delivered to Governor Cuomo  (S.6800/A.8516) that would significantly expand the time to bring a medical malpractice lawsuit, in circumstances based upon an “alleged negligent failure to diagnose a malignant tumor or cancer”.   If signed into law this measure would likely prompt a double digit increase in physician and hospital malpractice premiums.   Please urge the Governor to veto this bill by sending a letter to the Governor here and call 518-474-8390.

While thousands of physicians across New York State have already contacted the Governor, there needs to be an overwhelming demonstration from physicians regarding how this bill will harm access to care in their communities if this bill is not paired with needed tort reforms to bring down the exorbitant costs of medical liability insurance in New York.

Physician leaders have been active in warning the public about the patient care access problems this bill will exacerbate if it is signed into law.  Recently, a letter to the Editor from MSSNY’s President Dr. Charles Rothberg urging a veto was published in the Albany Times-Union (letter).   Similar
letters from regional and statewide physician leaders have also appeared in:

Want to Learn More About New York’s New Step Therapy Override Law?
Please click here to view a webinar discussing New York’s new law that gives physicians a stronger ability to override a health insurer’s step therapy protocol when seeking to assure their patients can receive coverage for necessary prescription medications. Among the faculty for the program are MSSNY President-elect Dr. Thomas Madejski and MSSNY Senior Vice President Moe Auster.

The webinar, sponsored by the National Psoriasis Foundation, will provide physicians with 0.5 hours of CME credit. The new law will be applicable to all NY-regulated health plans as of January 1, 2018.  However, since the law applies to health insurance plans “delivered, issued for delivery issued or >renewed” after January 1, 2017, many group health insurance plans across the State are already required to follow the new law.

MSSNY, AMA and Patient Advocacy Groups Urge Increased Formulary Transparency and Continuity
As health insurer/PBM prior authorization requirements seem to be ever increasing, MSSNY has joined on to a letter to the National Association of Insurance Commissioners (NAIC) along with several other state medical associations, the AMA and patient advocacy organizations urging NAIC to expand upon an existing effort to improve the transparency and development of health plan medication formularies.  Specifically, the groups call upon the NAIC to assure its updated model regulation would:

  • Prohibit mid-year formulary changes (similar to efforts by advocacy efforts by        MSSNY and other groups in New York in support of A2317/S.5022 in the New        York State Legislature)
  • Improved formulary disclosure; and
  • Stronger conflict of interest standards. Specifically, concerns were noted that the current Model Act draft does not address any potential conflicts of interest that may arise with respect to designees of the health carrier (including PBMs).
Coding Tips of the Week

By Jacqueline Thelian, CPC, CPC-I, CHCA, Medco Consultants, Inc.

What CPT code is used to report VEP (Visual Evoked Potential Testing)?
This is a good question. CPT 2018 provides clear guidance on reporting VEP. CPT code 95930 Visual evoked potential (VEP) testing central nervous system, checkerboard or flash has been revised for 2018.

The revised CPT code 95930 now reads Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma with interpretation and report.

The CPT parentheticals provide additional guidance as follows:

  • (For visual evoked potential testing for glaucoma use 0464T)
  • (For screening of visual acuity using automated visual evoked potential devices use 0333T)

CPT now clearly defines the Category 1 CPT code 95930 used for testing of the central nervous system now includes an interpretation and report.

If a vision screening using an automated VEP machine is utilized, starting in 2018 it would be reported with a Category III code 0333T Visual evoked potential, screening of visual acuity, automated with report. (e.g. a 3-year-old presents for vision screening by use of automated VEP machine).

When VEP is utilized for glaucoma you would report the Category III code 0464T.

As a reminder a Category III CPT codes represent a temporary set of codes for emerging technologies, services, and procedures. Category III codes are usually excluded from coverage by many payers.

Source:

  • Current Procedural Terminology (CPT) 2018
  • CPT Changes an Insider’s View 2018


If you have a coding or compliance question you would like to have answered please send your question to MSSNY at eskelly@mssny.org, and complete the subject line with Tip of the Week. 

Targeted Probe and Educate (TPE)

By Medco Consultants, Inc Lorna Simons, CPC

Have you ever been caught in the avalanche of paperwork and uncertainty that is entailed with a Medicare appeal? Medicare audits are never a fun topic to discuss. They can at times be a long, drawn out process. In an effort to “reduce appeals, decrease provider burden and improve the medical review and education process,” Medicare has expanded the Targeted Probe and Educate (TPE) pilot program to all of their Medicare Administrative Contractors (MACs) for Part A, B, HHH and DME.

How will this reduce the number of appeals?

The providers/suppliers will have one (1) to three (3) pre- or post-payment rounds of review. After or during each review, the healthcare provider /supplier will be educated based on MACs findings. The educational sessions are offered via webinar or telephone conference by a nurse reviewer. Other educational methods are available if necessary. If the healthcare provider/supplier is found to be non-compliant with Medicare, they will be reviewed again.

Only when the provider/supplier is found to be non-compliant following the third review, will they be referred to the Centers of Medicare and Medicaid Services (CMS) for additional action. These actions include “extrapolation, referral to Zone Program Integrity Contractor(ZPIC) or Unified Program Integrity Contractor (UPIC), referral to the RAC or 100% pre-pay review,” etc. (i.e. audit).

How will this decrease provider/supplier burden?

The MACs will be reviewing limited samples of 20 to 40 claims per review round. This will decrease the amount of documentation being sent out and ease the economic burden of being on 100% pre-payment review for providers/suppliers with high Medicare patient populations. After each round of audit and education, non-compliant providers/suppliers will have a minimum of 45 days to improve documentation and become compliant before the next round commences.

Sources:

Targeted Probe and Educate (TPE) http://ow.ly/JB5N30fDG7u

CMS PUB 100-20 One-Time Notification, Transmittal 1919, SUBJECT: Targeted Probe and Educate, http://ow.ly/sf9A30fDGjQ

NGS Compliance & Audits, Targeted Probe and Educate http://ow.ly/IshY30fDGyM

Noridian Healthcare Solutions, Targeted Probe & Educate http://ow.ly/s6HN30fDGLX

RESIDENTS/STUDENTS

13th Annual Poster Symposium at MSSNY House of Delegates March 23

Deadline for Abstract Submission: 4:00 pm, Friday, January 5, 2018

To: Residents, Fellows, Medical Students and New York State Program Directors

The Medical Society of the State of New York is very pleased to announce the 13th

Resident/Fellow/Medical Student Poster Symposium.

When:        Friday, March 23, 2018
Where:       Adam’s Mark Hotel Buffalo, New York
What time: 2:00 pm – 4:30 pm

Click here for detailed guidelines.

We welcome the participation of your residents and fellows. Participants must be MSSNY members, and a name=”nys”>membership is free for first-time resident members. Join online.

WEBINARS/SEMINARS

NYS Sees Increase in C-auris Cases;  MSSNY To Hold CME Webinar on C-auris on December 6th
At the New York State Antimicrobial Resistance (AR) Prevention and Control Task Force meeting  in Albany, participants learned cases of Candida auris (a drug-resistant fungal infection) is increasing in New York State.  According to officials from NYS Department of Health, there have 105 clinical cases and 117 screening cases since 2013 in New York State.   The majority of the outbreak is a name=”unu”>occurring in the New York City and Long Island area in hospitals and long term care facility.   The Medical Society of the State of New York will conduct a webinar on C-auris on December 6, 2017.  An Unusual and Highly Resistant Fungus in NYS: An Update on Candida auris for the Practicing Physician will be at 7:30am and there is still time to register by clicking on the link here.    

Emily Lutterloh, MD, MPH will serve as faculty for this webinar.  Dr. Lutterloh was an Epidemic Intelligence Service Officer with the Centers for Disease Control and Prevention before joining the New York State Department of Health, where she currently works as the Director of the Bureau of Healthcare Associated Infections. 

Medical Matters is a series of Continuing Medical Education (CME) webinars sponsored by MSSNY’s Committee on Emergency Preparedness and Disaster/Terrorism Response.  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. 

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

CMS INFORMATION

CMS Announces End to 2 Mandatory Bundled Payment Programs, and Deletes Required Participation in Joint Replacement Program in Western New York
CMS announced this week that it finalized a rule to cancel two of its Medicare bundled payment demonstration programs and make substantial changes to a third program. Specifically, the Episode Payment Models (EPMs) and Cardiac Rehabilitation (CR) incentive payment model announced last year are cancelled. and the number of regions across the country required to participate in the Comprehensive Care for Joint Replacement (CJR) model adopted in 2015 would be cut in half.

To read the full press release, click here.

The EPM and Cardiac Rehabilitation Incentive Payment models were scheduled to begin in January 2018. CMS stated that was proposing to eliminate these two models to give the agency “greater flexibility to design and test innovations that will improve quality and care coordination across the in-patient and post-acute-care spectrum.” According to the press release, CMS expects in the future to “increase opportunities for providers to participate in voluntary initiatives rather than large mandatory episode payment model efforts.”

Moreover, the number of regions required to participate in the Joint Replacement bundled payment program was cut from 67 to 34. Hospitals in the other 33 regions could continue to participate voluntarily. To read the entire rule, click here. Based upon an initial review of the rule, it appears the Buffalo-Niagara Falls metropolitan area has been removed entirely from mandatory participation in this program (p.48) While the New York City metropolitan area will remain in the mandatory program, 13 hospitals in the MSA have been exempted from voluntary participation (p. 52).

CMS Requests Specialty Feedback on Possible RAC Review Topics
At an AMA meeting with CMS officials earlier this year, the medical specialty societies offered to provide feedback to Recovery Audit Contractors (RACs) on possible RAC review topics prior to the approved work being posted on the RACs website. CMS recently informed the AMA that it is moving forward with this process. CMS said that it will take comments on the topics until late December. Here are the topics.



CLASSIFIEDS

RENTAL/LEASING SPACE


Want to Work in NYC but Live 100 Yards from the Atlantic Ocean?
Ocean views abound in this beautiful Rockaway Beach 1 family brick home. 5 bedrooms, 3 bathrooms. 60×100, detached 1 car garage, central air, sprinkler, alarm, large rear deck and heated pool. New finished basement, master bedroom on main floor and full bath. Tons of storage, solar panels. Beautiful front porch with ocean views. Located in Rockaway beach on a block 100 yards from the ocean! $1,750,000. Call 718-634-6004.

Upper East Side Plastic Surgery Office Available for Rent or Share
Beautifully equipped Plastic Surgery office available for part-time share along with Quad A-certified OR available for rent. Located in a lovely carriage house on the Upper East Side in close proximity to Lenox Hill Hospital and MEETH and conveniently located near all NYC mass transit. 1 exam room/OR and Recovery room along with large administrative space. Free WIFI. Available for full or half-days. Suits Plastic/Cosmetic Surgeons/ DERM/ ENT/or other Medical MDs. Please contact Kim at Kim@madisonps.com (212) 628-7600.>/div>


Saratoga Springs, NY – Professional Office Space for Lease
Medically oriented building currently occupied by five parties.  The Suite, Suite 700, has 2904 sq. ft., second floor (elevator), excellent off-road parking with drive-thru patient portico in a well maintained and attractive building close to the local hospital.
The lease area has a large waiting room, administrative rooms, lunch room, four examining rooms, one procedure room and one for storage.  Separate staff entrance.  Attractively priced without triple net obligations.  $4,500/month + heat + utilities.  Call Lauren regarding Suite 700 at (518) 587-2020.

Riverdale Medical Office for Sale – Prime Location
Co-op with private entrance features 2 exam rooms, lab, office & bathroom. Must see! Call 718-230-7069


For Rent or Share – Woodbury, Long Island
Beautiful recently renovated Plastic Surgery office available for part-time share and AAAA-certified (by end of summer). OR available for rent. Centrally located
on Long Island.Close to expressways. 3 exam rooms, 1 procedure room /OR.
Waiting room, break room and personal office. Free WIFI. Available for full or half-days. Suits Plastic/Cosmetic Surgeons/Derm/ENT/
ObGyn/Podiatry or other Medical MDs.
Contact Patricia at info@cosmetichg.com
or 631-318-4008

PHYSICIAN OPPORTUNITIES


Medical Director: Binghamton University College Physician (SL-6)
Department: Student Health ServicesLocations:   Binghamton, NYPosted: Oct 24, ’17Type:  Full-timeRef. No.: 49225The Decker Student Health Services Center at Binghamton University (The State University of New York at Binghamton) invites New York State Medical or Osteopathic Board Certified Physicians (Internal Medicine, Family Practice) to apply for a full-time, twelve-month position. This position plans, directs, supervises, and participates in the outpatient medical care of undergraduates and graduate students of a diverse student base.  The person will have excellent, primary care diagnostic skills as well as experience and proficiency in common outpatient surgical procedures, EKG and pulmonary function study interpretation, office laboratory and clinical microscopy.  This position functions as an on-site medical consultant and collaborative physician to the professional staff that includes 10 nurses, 5 nurse practitioners and 7 physicians.The individual will have five years of clinical experience after residency training and experience with staff oversight and leadership.The Medical Director provides the university campus with infectious disease direction (e.g. meningitis, measles and tuberculosis) and emergency management; participates on the Crisis Response Team; provides direction and consultation to the Dean of Students, University Counseling Center and Residential Life.  This person will be responsible for accreditation activities including; completion of internal and external benchmark studies peer chart review; completion of assessment plans, survey and risk management reports; meeting with site visitors; and following through on recommendations.Requirements: Required qualifications: NYS Board Certified Medical or Osteopathic Physicians (Internal Medicine, Family Practice) from an accredited institution; 5 years of clinical experience after residency; NYS medical license and DEA certificate that are free from special conditions or limitations. Salary: commensurate with qualifications and experience. Preferred qualifications are, but not limited to: college health familiarity; experience with diverse populations; electronic health record navigation; quality assurance, and continuous quality improvement; public health and policy experience. Payroll information can be found on our website http://www.binghamton.edu/human-resources/payroll/Cover letters may be addressed “To the Search Committee.” Postings active on the website accept applications until closure. For information on the Dual Career Program, please visit:
https://www.binghamton.edu/human-resources/dual-career-program/
Application Instructions:Deadline for Internal Applicants:  11/07/2017 Deadline for External Applicants:  Open until filled Review of applications will begin immediately and continue until the vacancy is filled.Persons interested in this position should apply online.Please submit: 1. Resume 2.Cover letter, and 3.Contact information for three professional references You may add additional files/documents after uploading your resume. After you fill out your contact information, you will be directed to the upload page. Please login to check/edit your profile or to upload additional documents: http://binghamton.interviewexchange.com/login.jsp Payroll information can be found on our website http://www.binghamton.edu/human-resources/payroll/
Additional Information:Offers of employment may be contingent upon successful completion of a pre-employment background check and verification of degree(s) and credentials.Binghamton University is a tobacco-free campus.Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation.  If such information has been requested from you before such time, please contact the Governor’s Office of Employee Relations at (518) 474-6988 or via email at info@goer.ny.govEqual Opportunity/Affirmative Action Employer
The State University of New York is an Equal Opportunity/Affirmative Action Employer.  It is the policy of Binghamton University to provide for and promote equal opportunity employment, compensation, and other terms and conditions of employment without discrimination on the basis of age, race, color, religion, disability, national origin, gender, sexual orientation, veteran or military service member status, marital status, domestic violence victim status, genetic predisposition or carrier status, or arrest and/or criminal conviction record unless based upon a bona fide occupational qualification or other exception.
As required by title IX and its implementing regulations Binghamton University does not discriminate on the basis of sex in the educational programs and activities which it operates.  This requirement extends to employment and admission.  Inquiries about sex discrimination may be directed to the University Title IX Coordinator or directly to the Office of Civil Rights (OCR).  Contact information for the Title IX Coordinator and OCR, as well as the University’s complete Non-Discrimination Notice may be found here. The State University of New York is an Equal Opportunity/Affirmative Action Employer.  As required by title IX and its implementing regulations Binghamton University does not discriminate on the basis of sex in the educational programs and activities which it operates.  This requirement extends to employment and admission.  Inquiries about sex discrimination may be directed to the University Title IX Coordinator or directly to the Office of Civil Rights (OCR).  Contact information for the Title IX Coordinator and OCR, as well as the University’s complete Non-Discrimination Notice may be found here.

Medical Director – AIDS Institute
Minimum Qualifications:
Current license and registration to practice medicine in New York State and board certification AND either a Master’s Degree in Public Health or two years of experience in an HIV program or public health program.Preferred Qualifications:
Master’s Degree in Public Health.  Five years of experience including clinical service in an HIV program or clinical fellowship program (infectious diseases/HIV medicine).  Experience in quality management/quality improvement.  Knowledge of the HIV health care delivery system in New York State. Experience in/knowledge of the New York State Ending the Epidemic initiative.  Experience in STD prevention and care, drug user health, and/or LGBT health.  Experience in health policy development, analysis and evaluation.  Experience with evolving health information technologies.  Experience in health program management and administration.
Responsibilities: The Medical Director, AIDS Institute, plays a significant role in shaping HIV, hepatitis C, and STD care and services, drug user health, and LGBT health care throughout New York State.Please click the link below for more information pertaining to this position and to apply: “https://careers-healthresearch.icims.com/jobs/3742/medical-director—aids-institute/job” Affirmative Action/Equal Opportunity Employer/Qualified Individuals with Disabilities/Qualified Protected Veterans

Multiple Physician Positions with DOHMH Office of School Health
Office of School Health is the largest program of the New York City Department of Health and Mental Hygiene (DOHMH). This bureau is responsible for managing the health issues and promoting the well-being of the over 1.3 million children and adolescents enrolled in New York City’s 1700 school buildings.

Positions with the Office of School Health (OSH) combine clinical skills and public health training.

Adolescent School Health Physician
This position offers to the interested physician the opportunity to help address the clinical and public health needs of adolescents in NYC high schools. The physician will work with the innovative Connecting Adolescents to Comprehensive Health Care (CATCH) Program, which provides select reproductive health services to adolescents in select NYC high schools. In addition, the physician will provide medical care and public health services through additional programs offered to adolescents by the Office of School Health.

Under the supervision of the High School Supervising Physician, the Adolescent School Health Physician’s responsibilities will include but are not limited to:

  • Provide CATCH reproductive health services in select high schools.
  • Perform mandated physical examinations (New Admission Exams, Sports Physicals, and Working Paper Physicals).
  • Function as a liaison for students with community health providers to resolve medical issues that affect school performance.
  • Support the development and implementation of initiatives that promote positive health behaviors and reduce high risk behaviors in the adolescent population.
  • Serve as a consultant to the school nurse and administration on school related health concerns.
  • Provide clinical assistance in the event of an environmental or communicable disease occurrence.
  • Function as a liaison for students with community health providers to resolve medical issues that affect school performance.
  • Support all medical initiatives established by the Office of School Health, e.g. programs and protocols in asthma, reproductive health, obesity and diabetes.
  • Maintain good public relations and communicate effectively within the school community and community-based organizations.
  • Keep abreast of health management policy statements and emerging clinical research related to school health.
  • Participate in OSH research activities.
  • Work within the mandates, policies and protocols of the Office of School Health.
  • Attend all mandated DOHMH and OSH trainings.

To Apply: Please email your resume and cover letter to Dr. Caroline Volel: osh@health.nyc.gov OR  Apply online at https://a127-jobs.nyc.gov/.  In the Job ID search bar, enter: job ID number # 277208. 

School Health Field Physician
Under the direction of the Supervising Physician, the School Health Physician’s will:

  • Improve the health of school children through case management of chronic disease, preventive health screening and counseling, health education, and referrals.
  • Perform mandated physical examination (new entrant, sport physical, working paper physicals.
  • Develop relationships with community health providers in order to optimize medical management of students with health issues.
  • Attend to the health needs of your assigned school community.
  • Utilize the Automated Student Health Record (ASHR) to maintain adequate student health records.
  • Serve as a consultant to the school nurse and administration on school related health concerns.
  • Support the development of school educational and prevention programs promoting the health and wellness of all students.
  • Provide clinical assistance in the event of an environmental or communicable disease occurrence.
  • Develop and maintain professional relationships within the school community.
  • Support all medical initiatives put forth by the Office of School Health, e.g. Asthma, Reproductive health, Obesity and Diabetes initiatives.
  • Provide trainings/presentations to school staff, community organizations, or parents.
  • Stay abreast of health management policy statements and emerging research within the health community related to school health.
  • Participate in School Health research and quality improvement activities.
  • Participate in all mandated DOHMH and Office of School Health trainings and professional development sessions.
  • Attend all program meetings and Continuing Medical Education classes provided by the Office of School Health.

To Apply: Please email your resume and cover letter to Dr. Caroline Volel:osh@health.nyc.gov OR Apply online at https://a127-jobs.nyc.gov/.  In the Job ID search bar, enter: job ID number # 279844. 

Supervising School Health Physician 
Job Description
Under the supervision of the Deputy Medical Director, the Supervising Medical Doctor’s responsibilities will include but not be limited to:

  • Supervise School Health Physicians.
  • Work within the mandates, policies and protocols of the Office of School Health (OSH).
  • Attend to the health needs of a designated school community.
  • Utilize the Automated Student Health Record (ASHR) to maintain accurate student health records.
  • Serve as a consultant to the school nurse and school administrative staff regarding school related health concerns.
  • Support the development of school educational and prevention programs promoting the health and wellness of students.
  • Participate in policy development and revisions as indicated.
  • Provide clinical assistance in the event of an environmental or communicable disease occurrence.
  • Function as a liaison for students with community health providers to resolve health issues that affect school functioning.
  • Develop and maintain professional relationships within the school community and the community at large.
  • Support all medical initiatives put forth by the Office of School Health, e.g. Asthma, Reproductive health, Obesity and Diabetes Initiatives.
  • Keep abreast of health management policy statements and emerging research within the health community affecting school health.
  • Assist with or provide trainings/presentations to school health physicians, nurses, school staff, community organizations or parents
  • Participate in School Health research and quality improvement activities
  • Participate in all mandated DOHMH and Office of School Health trainings and professional development sessions
  • Attend all program meetings and Continuing Medical Education classes provided by the Office of School Health.

To Apply: Please email your resume and cover letter to Dr. Caroline Volel: osh@health.nyc.gov  OR  Apply online at https://a127-jobs.nyc.gov/.  In the Job ID search bar, enter: job ID number # 277026


MEDICAL EQUIPMENT


Retiring from pediatrics. I have medical equipment to donate: examining table, pediatric examining table with a scale, medical scale, examining instruments and miscellaneous office items. Forest Hills. Call 718 275-5858 or email mkolak59@gmail.com


CALL FOR RATES & INFO. CHRISTINA SOUTHARD: 516-488-6100 ext. 355