November 11, 2016 – We Love Our Vets
Dr. Malcolm Reid
|November 11, 2016
Volume 16, Number 40
As we observe Veterans Day this year and thank veterans for their service, it makes me proud to be in a position where we, as physicians, can give something back.
Last year, MSSNY launched its Veterans’ Matters program, a primary-care training initiative focused on making sure that our returning veterans receive the best evidence-based treatment. Since its implementation, Veterans’ Matters has educated hundreds of primary-care providers all over the state on how to identify, refer, and treat post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI), two of the most important mental health concerns that affect our veterans today. The program is built on the simple premise that veterans matter, and getting them the care they deserve starts with giving doctors the best resources to understand veterans and the unique challenges of military culture.
That’s why I’m happy to announce that MSSNY is expanding Veterans’ Matters to include new programs on substance use disorders and suicide prevention. These programs will feature monthly webinars and live grand rounds presentations across the state.
To register for a webinar, click on one of the following dates. More dates will be announced soon.
If you are interested in scheduling a Veterans’ Matters grand rounds session in your community, please contact Greg Elperin (firstname.lastname@example.org or 518-465-8085).
Malcolm Reid, MD, MPP
President, Medical Society of the State of New York
Please send your comments to email@example.com
Statement by MSSNY President Malcolm Reid, MD, MPP Regarding Crains Article Examining the Reduction in Independent Practice
“Today’s Crains New York article highlighting the endangered species that is independent physician practice is the inevitable end product of federal and state policies that have resulted in extraordinary overhead cost burdens and paperwork responsibilities, and less time to deliver patient care. Physicians should have a fair choice of practice setting to deliver care to their patients, whether that is in a large health system, large medical group or within a smaller medical practice. Unfortunately, too many physicians find they have no choice but to become employed in large health systems due to the untenable squeeze between these huge and growing overhead costs, and unjustified cuts in payments from insurers if they are even allowed to stay in their networks.
This changing dynamic has profound implications for our patients. Many physicians enjoy independent practice because of the personal attention that can be directed to their patients without external interference. Indeed, that is the heart of the patient-physician relationship. Certainly, existing patient-physician relationships can be maintained (and even in some cases improved) as physicians change care delivery settings, but many of these treatment relationships can be disrupted due to new external demands placed on physicians from their new employers. We urge our state and federal policymakers to be cognizant of these trends in health care delivery as they consider future measures that would only further increase these overhead costs and administrative burdens.”
MSSNY Participates in Antimicrobial Resistance Prevention Task Force
The NYSDOH convened the first-ever multidisciplinary New York State Antimicrobial Resistance Prevention and Control Task Force (NYS-ARTF) Summit this week. The summit addressed the need for prevention strategies throughout the health system and built on the work outlined at the July roundtable discussion on “Antimicrobial Resistance in Healthcare Facilities,” which was hosted by NYSDOH, Greater New York Hospital Association, and the Healthcare Association of New York State.
The engagement of stakeholders in the summit and roundtable is a key element in New York State’s comprehensive strategy to address the persistent and growing threat of multi-drug resistant bacteria. Cases of drug resistant Candida auris, a serious and sometimes fatal fungal infection and mcr-1, a novel drug resistant gene present in some bacteria, have been reported in New York. The Centers for Disease Control and Prevention (CDC) estimate that each year in the United States, at least 2 million people become infected with bacteria that are resistant to antibiotics and at least 23,000 people die as a direct result of these infections.
“Through this Summit, the Task Force is working with New York State’s healthcare leaders to shape a state-wide response to the growing public health threat of multi-drug resistant bacteria,” said Commissioner of Health Dr. Howard Zucker. “If antimicrobial resistance is not addressed, we face a future where these medicines may no longer work, and infections will become difficult or impossible to treat. The most vulnerable among us will be the most at-risk.”
The summit involved experts from various disciplines including healthcare, agriculture, and veterinary care, as well as academia, community groups, and federal, state, and local government.
Stakeholders participating in the summit were previously asked to outline New York State’s top priorities in the efforts to combat antibiotic resistance. Among the priorities listed were:
- To expand antimicrobial stewardship programs and improve infection prevention and control practices in all hospitals and nursing homes
- To limit antibiotic use in food producing animals
- To educate and support healthcare providers to optimize antibiotic prescribing
- To educate consumers about appropriate antibiotic prescribing and use
- To develop rapid diagnostic tests to distinguish bacteria from viruses and identify antibiotic resistance
- To improve communication when patients are transferred between healthcare facilities
During the Summit, participants collaborated on designing practical solutions to achieve these priorities. The input from participants will be compiled to develop and implement a statewide strategic approach to combatting antimicrobial resistance as well as a report of recommendations that will be submitted to Governor Andrew M. Cuomo, by December 31, 2016.
AMA: Educational Opportunities to Fully Understand QPP Created by MACRA
The AMA is offering several educational opportunities to help physicians understand the requirements of the new Quality Payment Program (QPP) that was created by the Medicare Access and CHIP Reauthorization Act (MACRA). The sessions have been scheduled to give physicians an understanding of what the final rule means for their practice and what they need to do as part of the QPP. All of the sessions are open to physicians and medical society staff. We hope you will take advantage and register for these opportunities to learn what you need to know and pass along the registration information to your physician members.
- Monday, Nov. 21, 7 pm – 8:30 pm EST Physician/Staff webinar Registration
- Thursday, Dec. 1 – 6:30 pm – 9 pm EST
Atlanta regional seminar (streaming and webinar)
Cobb Galleria Center
- Tuesday, Dec. 6, 8:00 pm – 9:30 pm EST Physician/staff webinar
- Saturday, Dec. 10, 9 am -11:30 PST
San Francisco regional seminar (streaming and webinar)
San Francisco, CA
Take MSSNY Survey Now: Current Responses Highlight Problems of Pared Down/Inadequate Insurer Networks
MSSNY’s recent survey of physicians has highlighted the concerns of many physicians regarding whether health insurance networks are adequate to truly meet patient care needs. Nearly 80% of physician respondents to the survey indicated that they had experienced a situation where one of their patients could not quickly receive the care they need due to the inadequacy of a health insurer’s network.
Moreover, limited networks continue to be a problem, with over 25% of responding physicians indicating that they were, within the last 2 years, dropped from a health insurer’s network, and over 40% indicating that an insurer with whom they participate had not included them in a new coverage product. Addressing inadequate insurer networks, including assuring the availability of out of network coverage in New York’s Exchange, will be an important part of MSSNY’s 2017 Legislative Program.
The survey has also sought physician perspective on their participation in value-based payment programs. There is still time to add your voice to this survey if you have not already. Please click here.
Your membership yields results and will continue to do so. When your 2017 invoice arrives, please renew. KEEP MSSNY STRONG!
“When Is the Flu Not the Flu?” CME Webinar on Nov. 16; Registration Now Open
MSSNY will begin its 2017 Medical Matters continuing medical education (CME) webinar series with “When Is the Flu Not the Flu?” on Wednesday, November 16, 2016 at 7:30 a.m. William Valenti, MD, chair of MSSNY Infectious Disease Committee and a member of the Emergency Preparedness and Disaster/Terrorism Response Committee will serve as faculty for this program. Registration is now open for this webinar here.
Educational objectives are: 1). Recognize the distinction between influenza virus infections and other similarly presenting illnesses. 2). Describe strategies for prevention, diagnosis and management of patients presenting with flu-like symptoms.
The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Medical Matters is a series of CME webinars sponsored by MSSNY’s Committee on Emergency Preparedness and Disaster/Terrorism Response. Additional programs are will be conducted in January-May 2017, and topics include: Triage in a Disaster Event; The Mental Health Impact of Active Shooter/Bombing on the Healthcare Team; and Mosquito Borne Diseases. Program dates for Medical Matters will be announced shortly.
Electronic Prescribing Waivers Expire on March 26, 2017
As of March 27, 2016, practitioners must electronically prescribe both controlled and non-controlled substances. Current Department of Health (DOH)-approved waivers from the requirement to electronically prescribe will expire on March 26, 2017.
Practitioners requiring a waiver after March 26, 2017, must submit a new request which includes an updated statement of facts describing the continuing circumstances supporting the waiver. Beginning December 27, 2016, a renewal request can be submitted for review to the DOH Bureau of Narcotic Enforcement (BNE). Please note, practitioners who no longer need a waiver are required by law to notify BNE, within five business days of gaining the capability to issue an electronic prescription.
Practitioners issuing less than 25 prescriptions per year for both controlled and non-controlled substances combined should submit a certification (DOH-5221) in lieu of a waiver request. Unlike a waiver request, a certification does not require DOH approval. It is a simpler process which only requires a practitioner’s attestation and upon submission, allows low-volume prescribers (25 prescriptions or less per year) to continue to issue paper prescriptions. To request a new waiver or to submit a certification online, log into the Health Commerce System here and access the “Electronic Prescribing Waivers” (EPW) application. If you need to request a paper form, please call 1-866- 811-7957. Additional information regarding electronic prescribing can be found on our website here.
Practitioners issuing less than 25 prescriptions per year for both controlled and non-controlled substances combined should submit a certification (DOH-5221) in lieu of a waiver request. Unlike a waiver request, a certification does not require DOH approval. It is a simpler process which only requires a practitioner’s attestation and upon submission, allows low-volume prescribers (25 prescriptions or less per year) to continue to issue paper prescriptions. To request a new waiver or to submit a certification online, log into the Health Commerce System here and access the “Electronic Prescribing Waivers” (EPW) application. If you need to request a paper form, please call 1-866-811-7957. Additional information regarding electronic prescribing can be found on our website at www.health.ny.gov/professionals/narcotic.
A copy of the letter can be found HERE.
Register Now for NY eHealth Collaborative on December 6-7
The New York eHealth Collaborative’s Digital Health Conference (DHC) on December 6-7 at New World Stages in Manhattan brings together 500 senior-level healthcare industry leaders to learn about new innovations and to foster dynamic conversation addressing how healthcare is being redefined through technology. This year, the conference is a Who’s Who of New York’s healthcare and health tech community gather for two days of networking, lively intellectual exchange, and exploration to see what’s new, what’s cutting edge, and what will shape the future of healthcare. Join your peers and register today!
MSSNY Members will receive a 10% registration discount. Use code MSSNY when registering at www.DigitalHealthConference.com.
“Get Smart” Campaign On Antibiotic Resistance To Be Held November 14-20th
The New York State Department of Health will hold its “Get Smart (Know When Antibiotics Work) Week” on Nov 14-20th and the campaign is intended to create awareness within the physician and patient community about the growing resistance to antibiotics. Get Smart About Antibiotics Week (Get Smart Week) is a national, annual observance intended to engage relevant stakeholders – including professional societies, advocacy groups, for-profit companies, state and local health departments, the general public, the media and others – around antibiotic stewardship in the outpatient, inpatient, and animal health settings.
New York’s “Get Smart Campaign” promotion of the “Get Smart Guarantee,” an easy way for healthcare providers to display their commitment to appropriate antibiotic prescribing and use. The provider may use the free poster within the office and place their own photo on the poster and sign it.
There are also patient palm cards, which are a nice educational “takeaway” for a patient if they can’t have antibiotics (if their illness is viral, for instance).
The NY Get Smart Campaign will send materials to individual providers. Contact Mary Beth Wenger at firstname.lastname@example.org or at (518)-474-1036.
Multidrug-Resistant Yeast Identified in U.S.
Cases of multidrug-resistant Candida auris infection have been identified for the first time in the U.S., the CDC reports in MMWR. This follows a CDC alert this summer requesting that clinicians report any cases to their health departments. The invasive yeast has been reported on four other continents.
Based in part on a retrospective review of microbiology records, seven cases in four states from 2013 to 2016 were found. All of the affected patients had preexisting medical conditions, such as blood malignancies or brain tumor. Four patients died soon after C. auris was identified. Many of the isolates were resistant to multiple antifungals.
The agency cautions that the infections may have been transmitted in healthcare settings and that the pathogen may initially be misidentified as other Candida species.
The CDC advises healthcare workers to use standard and contact precautions in patients colonized or infected with C. auris.
MMWR article here.
Monroe County Welcomes Their New Executive
The Monroe County Medical Society Search Committee has hired a new Executive to replace Nancy Adams, who is retiring shortly. Christopher Bell has an MBA from the Simon School of Business and an MS in Marriage and Family Therapy form the University of Rochester School of Medicine and Dentistry. He comes to MCMS with knowledge of the key challenges facing physicians and is looking forward to supporting our membership and their staffs.
Chris previously worked with the Finger Lakes Performing Provider System and UR Medicine, supporting state and federal programs that are transforming health care, including the Delivery Service Reform Incentive Payment Program, Patient Centered Medical Home, Meaningful Use, and Physician Quality Reporting System. Additionally, Chris has supported the implementation of Electronic Medical Record systems in New York, New Orleans, and Illinois which has helped him understand the challenges physicians face in using these systems.
Chris lives in Fairport with his wife and daughter.
Morris Park-Van Nest, Bronx. Brand New Construction at Highly Desirable Intersection. 2,350 sq. ft. + Ground Level + 1,300 sq. ft. Lower Level; Open Floor Plan. Please Call Anthony Mameli 347-387-9768 or Email to: email@example.com. Charles Rutenberg Realty – Exclusive.
State of the Art Midtown Medical Office for Rent
Elegant, modern, beautifully designed medical office available, furnished or non-furnished. Full or part time share with thriving Dermatology practice which occupies its own floor. Class A Architects and Designers Building in the best possible Midtown East location near Bloomingdales. Your own private corner, consultation room, two or three large equipped treatment rooms with beautiful cabinetry, sinks, and exam tables. All rooms wired and windowed. Shared oversized waiting room, kitchenette. Your own reception, administrative, front desk and storage space. $8,000-$11,500/month. Contact: (212)–583–2966, email: firstname.lastname@example.org for details. No Brokers.
Elegant Plastic Surgery Office (Upper East Side Manhattan)
Very large and classy office to share. Located in the ground floor of a 25′ x 100′ carriage house opposite the 66th Street Armory with large consult room, 2+ treatment/exam rooms, large waiting room, business office, storage. See video of office — you won’t believe it: www.youtube.com/watch?v=Uli8Cck_eRA $5000/month incl utilities. no brokers. Call Doctor Fischman at (212) 472–3300.Jeffrey R. Fischman, M.D. 110 E 66th Street.
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A Private Multidisciplinary Medical Group is seeking an Internal Medicine/Family Medicine Physician in Manhattan
A well-established Manhattan based private multidisciplinary medical group is seeking to hire an Internal Medicine/Family Medicine Physician. This is a great opportunity to start your own practice in a modern office in midtown Manhattan. Attractive base salary plus comprehensive benefits package offered (Malpractice, 3 weeks paid vacation, 1 week CME, CME allowance, paid health insurance, etc).If you are a solo practitioner in private practice looking to join a private group practice, we will work with you to make the transition seamless. Please email your CV to email@example.com. No recruiters please.
A well-established Manhattan based private multidisciplinary medical group is seeking to hire a Podiatrist. This is a great opportunity to start your own practice in a modern office in midtown Manhattan. Attractive base salary plus comprehensive benefits package offered (Malpractice, 3 weeks paid vacation, 1 week CME, CME allowance, paid health insurance, etc).If you are a solo practitioner in private practice looking to join a private group practice, we will work with you to make the transition seamless. Please email your CV to firstname.lastname@example.org. No recruiters please.