April 17-18, 2015 | Fayetteville

Transcription

Vol.111 • No. 11
APRIL 2015
Join us for the 139th Annual Session
of the Arkansas Medical Society
NUMBER 11
APRIL 2015 • 217
Only a
away!
Connect
to free resources and tools
for your patients!
Go to www.afmc.org and get instant access to information that
health care providers like you need every day. You’ll find free quality
improvement tools available for order and download, details about
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publications geared toward Arkansas providers and MORE!
218 • THE JOURNAL OF THE ARKANSAS MEDICAL SOCIETY
THIS MATERIAL WAS PREPARED BY THE ARKANSAS FOUNDATION FOR MEDICAL CARE INC. (AFMC),
THE MEDICARE QUALITY IMPROVEMENT ORGANIZATION FOR ARKANSAS, UNDER CONTRACTS WITH THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS),
AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND THE ARKANSAS DEPARTMENT OF HUMAN SERVICES,
DIVISION OF MEDICAL SERVICES. THE CONTENTS PRESENTED DO NOT NECESSARILY REFLECT CMS AND ARKANSAS DHS POLICIES.
THE ARKANSAS DEPARTMENT OF HUMAN SERVICES IS IN COMPLIANCE WITH TITLES VI AND VII OF THE CIVIL RIGHTS ACT. QP3-AMS.CNNCT.AD,2-4/14
VOLUME 111
ON THE COVER
Join us for the
139th Annual Session
of the Arkansas
Medical Society
COMMENTARY
BY FRANK GRIFFIN, MD
A Closer Look
at Quality
220
228
Winner of the ASAE Excellence
in Communications Award
Volume 111 • Number 11
April 2015
Established 1890. Owned and edited by the Arkansas Medical
Society and published under the direction of the Board of
Trustees.
Advertising Information: Penny Henderson, (501) 224-8967 or
penny@arkmed.org. #10 Corporate Hill Drive, Suite 300,
Little Rock, Arkansas 72205.
Postmaster: Send address changes to: The Journal of the
Arkansas Medical Society, P.O. Box 55088, Little Rock, Arkansas
72215-5088.
AMS Benefits, Inc.
Annual Report to the Arkansas Medical Society
Nominating Committee, AMS Board of Trustees
221
Arkansas Department of Health
222
ARKANSAS STATE MEDICAL BOARD
2014 ANNUAL REPORT
226
Medical Education Foundation
for Arkansas (MEFFA)
227
Minutes of the Arkansas Medical Society
230
232
House of Delegates
Executive Committee Meeting
Subscription rate: $30.00 annually for domestic; $40.00,
foreign. Single issue $3.00.
Board of Trustees Meeting
The Journal of the Arkansas Medical Society (ISNN 0004-1858)
is published monthly, except twice in the month of August by the
Arkansas Medical Society, #10 Corporate Hill Drive, Suite 300,
Little Rock, Arkansas 72205. (501) 224-8967.
Arkansas Medical Society
Printed by The Ovid Bell Press Inc., Fulton, Missouri 65251.
Periodicals postage is paid at Little Rock, Arkansas, and at
additional mailing offices.
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interest of its readers and do not represent the ofﬁcial position
or endorsement of The Journal or the Arkansas Medical Society.
The Journal reserves the right to make the ﬁnal decision on all
content and advertisements.
2015 BUDGET REPORT
139th Annual Session Registration Form
NUMBER 11
234
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© Copyright 2015 by the Arkansas Medical Society.
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APRIL 2015 • 219
COMMENTARY
FRANKIE GRIFFIN, MD
P
rotecting the financial and
social rewards that accompany becoming a physician should be a priority as the
U.S. works through reform of our
health care delivery system. Be-
coming a doctor should remain a way for our best
and brightest students to pursue the American
Dream.
American Dreamers
others, and a requirement of continued dedication
and hard work once the status is reached.
Doctors deserve the financial and social success that they have traditionally enjoyed. For
2014-15, UAMS estimated that 4 years of medical
school will cost the student a total of $221,757.
Another source noted that the average medical
student nationwide graduates with over $167,000
in debt. Only 7 percent of the 2,379 applicants to
UAMS 2014 entering medical school class were
accepted. Thus, some of the top students in the
If we hope to preserve the future financial and
social security of the profession, doctors must become a part of the solution by working to protect
the integrity of the profession. One area where we
can do better is by adopting policies that allow state
medical boards to be more aggressive and proactive
in going after our colleagues who game the system
for financial gain. Physicians are in the best position
to regulate other physician’s billing practices, and
where we have fallen short, more and more others—with less expertise—continue to step in to do
what must be done. We should push for and support
The idea that hard work, perseverance and
state of Arkansas are becoming physicians at
dedication would lead to success in life was drilled
great financial cost to themselves. After medical
into my head while working in the soybean and rice
school, they will work long hours during residency
A second area where we need to focus is
fields of Northeast Arkansas; to my dad and the
training. Most of those talented students (who
on regaining our ability to practice independently
other farmers around whom I grew up, this idea was
likely could have chosen virtually any profession)
of hospitals and larger organizations. Hospitals
a core value…a foundation upon which to build the
will be somewhere between 29 and 32 years of
are rapidly buying up physicians’ practices. One
American Dream. As a senior in high school, I looked
age before they can start their practices. When
physician-recruiting firm noted that in 2004 only
at the class pictures hanging in the hallways of New-
they do finally enter practice, they will work an
11% of doctors worked for hospitals whereas by
ark High School and could not find a single person
average of 52 hours per week and will generally
2013, the number had grown to 63%. This is an
who had gone on to become a physician. It seemed
handle difficult life-altering and life-or-death de-
understandable trend in the current environment
pretty far-fetched that a farm boy from a high school
cisions multiple times per day. Over half will likely
of EMRs, ACOs, etc. Many doctors are rightfully
class of 25 students in a town of less than 1,000
be “burned out” in a relatively short time period.
running for cover. However, we must continue to
people could go on to become a doctor, but based
upon the foundational values I learned on that farm, I
decided it was worth a try.
Doctors are not the cause of the high costs
of health care, yet we get an inordinate amount
of attention and blame for those costs. Accord-
For many of our brightest students, becoming
ing to the Kaiser Foundation in 2013, physician
a physician is one path to the American Dream. By
payments accounted for only 12% of Medicare
working hard, making good grades in college and
spending on Healthcare. Others have estimated
striving to be their best, countless Americans have
overall that doctors’ payments account for only
pursued and many have accomplished the goal.
8% of health care spending (Jackson Healthcare).
There is hardly a more certain path to financial se-
Reducing doctors fees are not the answer to con-
curity and social prestige in our society than becom-
self-regulation of our profession.
fight for and restore regulations and methods that
facilitate physician independence. Doctors are in
the best position to look out for patients’ best interests when we are not inhibited by the shortsighted,
financial motivations of business people who are
now our bosses. As more and more doctors become hospital employees, we must fight to leave a
trail of breadcrumbs for doctors to trace to get back
out of these arrangements in the future.
trolling healthcare costs. In 2010, the Institute
Our best and brightest deserve the chance to
ing a physician. It takes many years of hard work,
of Medicine noted that 190 billion was spent on
achieve the American Dream by becoming doctors.
dedication and delayed gratification to achieve the
excessive administrative costs. Our focus should
Their success is in the best interests of our country
goal…making it the epitome of the foundational val-
be on eliminating those excessive administrative
and our health care system. As a profession, we
ues behind the American Dream. There is no more
costs and other inefficiencies in the system. Ad-
must work toward preserving that dream. I hope
deserving profession because medicine requires
ministrative tasks and hassles are also making
that my great grandchildren grow up in a country
a high degree of talent and skill, a commitment of
physician’s lives miserable and account for much
where becoming a doctor can still be…the Ameri-
many years of difficult study, a dedication to serving
of the “burn out.”
can Dream.
VOLUME 111
AMS Benefits, Inc.
Annual Report to the Arkansas Medical Society
David Wroten
Executive Vice President
Nicole Richards
Communications Coordinator
Jeremy Henderson
Art Director
EDITORIAL BOARD
Frankie Griffin, MD
Orthopedic Surgery
Robert Hopkins, MD
Pediatrics/Internal Medicine
David Hunton, MD
Surgery
Laura Sisterhen, MD
Pediatrics
Sandra Johnson, MD
Dermatology
Issam Makhoul, MD
Oncology
EDITOR EMERITUS
Alfred Kahn Jr., MD (1916-2013)
ARKANSAS MEDICAL SOCIETY
2014-2015 OFFICERS
Alan Wilson, MD, Crossett
President
Omar Atiq, MD, Pine Bluff
Immediate Past President
G. Edward Bryant, MD, West Memphis
President Elect
William Dedman, MD, Camden
Vice-President
Chad Rodgers, MD, Little Rock
Secretary
Frankie Griffin, MD, Van Buren
Treasurer
Michael Saitta, MD, Fayetteville
Speaker, House of Delegates
Clay Ferguson, MD, Nashville
Vice Speaker of the House of Delegates
Dennis Yelvington, MD, Stuttgart
Chairman of the Board of Trustees
NUMBER 11
STEPHEN MAGIE, MD, CHAIRMAN OF THE BOARD
A
MS Benefits is a for-profit
subsidiary of the Arkansas
Medical Society established
in 1991 to provide insurance benefits to AMS members, family and
staff. The Company operates as a licensed
insurance agency that markets life, health and
disability products. I would like to encourage
all Arkansas Medical Society members to take
advantage of this specialized service that was
created by request from you to meet the needs
of Arkansas Physicians.
AMS Benefits provided over $150,000
in 2014 to AMS for the use of executive staff,
space/equipment and support of AMS projects.
AMS Benefits advertised on the AMS Website
and in the Journal of the Arkansas Medical Society. AMS Benefits provides support at specialty society meetings, clinic manager meetings and educational workshops.
AMS Benefits staff includes two full-time
licensed employee agents. They also contract
with two independent sales agents.
I would like to give a special thanks to the
AMS Benefits Board of Directors for their service to this organization dedicated to providing
support to our members by providing the best
service available for those products they provide.
AMS Benefits Staff
Alanna Scheffer
Emily Clark
Alan White (contract agent)
Travis Mulhearn (contract Agent)
Board Members
Stephen Magie, MD (Little Rock)
Alan Wilson, MD (Crossett)
G. Edward Bryant, MD (West Memphis)
Brenda Powell, MD (Hot Springs)
Barry Pierce, MD (Mt. View)
Jan Hundley, (Little Rock)
David Wroten (AMS)
Nominating Committee
The members of the Arkansas Medical Society Nominating Committee are Drs. Omar Atiq, William
Waldrip, Tommy Wagner, Richard Kyle, Dennis Yelvington, Amy Cahill, John Hearnsberger, Brenda
Powell, James Hagler, and Vickie Henderson. The Nominating Committee would like to present to
the Society the following nominees:
President-elect: Scott Cooper, MD, Rogers
Vice President: William D. Dedman, MD, Camden
Secretary: Chad Rodgers, MD, Little Rock
Treasurer: Amy Cahill, MD, Pine Bluff
Speaker of the House: Michael Saitta, MD, Fayetteville
Vice Speaker of the House: Clay Ferguson, MD, Nashville
AMA Delegate: Michael Moody, MD, Salem
AMA Alternate Delegate: Edward Bryant, MD, West Memphis
Medical Student: Parth Shah
The election of officers will be the first order of business at the House of Delegates meeting,
Saturday April 18, 2015. Additional Nominations for positions elected by the House of Delegates
may be made by any member of the House of Delegates in attendance at the meeting.
APRIL 2015 • 221
Arkansas Department of Health - Report on Activities
by NATHANIEL SMITH, MD, MPH, DIRECTOR AND STATE HEALTH OFFICER
W
hile 2014 will be remembered for Ebola and its illustration of the critical importance of public health, it
was only a fraction of the work the Arkansas Department of Health (ADH) conducted to protect and improve the health
of Arkansans.
ADH has an “always on” surveillance, investigation and control system
that monitors disease trends and identifies high-risk groups. This ensures
the ability to quickly respond to Ebola and other new or emerging diseases.
ADH continues to offer Ebola guidance and training to health care providers
and others so anyone exposed can be identified, monitored and treated.
ADH monitors all travelers who have traveled to outbreak-affected countries for 21 days after their return to Arkansas.
Vigilance against older, more familiar diseases also continued with
new school immunizations requirements for Tdap, Hepatitis A, polio, meningococcus and varicella. ADH and the American College of Physicians are
also working to raise adult immunization rates.
The 2013-14 flu season caused 76 deaths, making it the deadliest in
Arkansas in over 30 years. ADH continues to hold seasonal no-cost Mass
Flu and School Flu Clinics statewide providing 252,571 flu shots during
the 2013-14 season. ADH epidemiologists prepare and distribute weekly
reports that track flu activity.
During 2014, ADH worked with partners throughout the state to keep
Arkansas communities safe from a variety of threats. Arkansas has a serious prescription drug abuse problem with overdoses and deaths almost
doubling since 1999. The Prescription Drug Monitoring Program (PDMP)
has helped identify individuals who are “doctor-shoppers,” leading to a
steady drop in the number of people who visit multiple prescribers and
pharmacies. Over 18 million prescription records are in the PDMP database, and authorized users have made more than a million queries. New
prescribing guidelines for emergency room physicians are now available.
Another danger for Arkansans that can be significantly reduced is
healthcare-associated infections (HAI). ADH tracks antibiotic-resistant, surgical site, Methicillin-resistant Staphylococcus aureus (MRSA) bloodstream and C. difficile infections. The HAI Advisory Committee promotes
antimicrobial stewardship in inpatient hospital settings and is expanding
efforts to outpatient settings.
Electronic cigarette use among Arkansas youth is an increasing public health concern. E-cigarette use doubles the likelihood that youth will
smoke tobacco cigarettes, and 75 percent of teens who smoke continue
smoking as adults. E-cigarettes normalize smoking and undermine efforts
to curb tobacco use. Arkansas was one of the first states to pass a law
prohibiting the sale of e-cigarette products to minors.
The Arkansas Trauma System has coordinated the transportation of
over 59,000 trauma patients since January 2011. Sixty-nine designated
trauma centers, better trauma training, a statewide communications system, quality improvement initiatives, increased injury and violence prevention efforts, and expanded use of technology have all helped to reduce
injury-related deaths in Arkansas.
In 2014, the following ADH activities and collaboratives expanded initiatives to address chronic diseases.
•
A team of community physicians, pharmacists, health units, area hospitals and insurance providers are addressing hypertension in Nevada and Poinsett Counties with an Association of State and Territorial
Health Officials (ASTHO) Million Hearts Learning Collaborative grant.
•
The UAMS Arkansas Prevention Research Center and Fay Boozman
College of Public Health are focusing on hypertension by testing the
effectiveness of an intervention in a rural, medically-underserved,
high-risk community.
•
The Arkansas Stroke Registry (ASR) continues to collect patient and
hospital data and educate health care providers to ensure stroke patients receive the most effective and timely pre-hospital care.
•
A statewide obesity prevention plan was developed with the Winthrop
Rockefeller Institute, Arkansas Center for Health Improvement, and
UAMS. “New Frontiers in Combating Obesity - A Ten Year Plan for Arkansas” will be released soon and addresses nine priority areas of
obesity prevention. •
The second Arkansas Minority Barber & Beauty Shop Health Initiative was held in Pulaski, Clark, Chicot and Jefferson counties. Health
screenings were available at no cost to adults at participating locations to educate African American and Latino populations about heart
disease and stroke.
•
Thirty-eight thousand adult Arkansans may be living with Hepatitis C
(Hep C) and may face permanent liver damage or early death. ADH
has been testing for three months and has tested 658 individuals, of
whom 56 tested positive. Doctors should discuss Hep C testing with
all patients born between 1945 and 1965. New treatments for Hep C
are more effective, easier to tolerate and shorter in duration. Some
of the new treatments have cured more than 90 percent of patients.
The public health accomplishments of 2014 were considerable. However, there remain significant challenges for 2015, and ADH will continue to
work with partners to strengthen efforts to improve the health and safety of
Arkansans and address new threats.
VOLUME 111
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NUMBER 11
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Arkansas’ only Tricare-certified
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APRIL 2015 • 223
5
1
April
17-18,
2015
|
Fayetteville
0
2
join us for the 139th Annual Session of the Arkansas Medical Society
sion
l Ses
nnua
A
AMS
Registration Form on Page 238
Join fellow physicians in Fayetteville to network,
share, debate and have some fun. The meeting will
provide educational programs and the opportunity
to discuss advocacy efforts and society business. It
Schedule
of Events
will also showcase
select vendors’ products and services. Get involved and make a difference in the future of medicine for you and your patients.
Schedule
Friday, April 17, 2015
9:00 a.m. – 5:00 p.m.
12:00 p.m. – 1:00 p.m.
1:00 p.m. – 2:00 p.m.
2:00 p.m. – 5:00 p.m.
2:30 p.m. – 4:30 p.m.
4:30 p.m. – 5:00 p.m.
6:00 p.m. – 7:00 p.m.
7:00 p.m. – 9:00 p.m.
AMS Registration Open
Committee Meetings (TBD)
MEFFA Board Meeting
Exhibits Open
SVMIC Educational Program
Break with Exhibitors
AFMC Welcome Reception
Inaugural Gala &
President’s Reception
Saturday, April 18, 2015
7:30 a.m. – 8:30 a.m.
8:30 a.m. – 9:00 a.m.
9:00 a.m. – 10:00 a.m.
10:00 a.m. – 10:30 a.m.
10:30 a.m. – 11:30 a.m.
10:30 a.m. – 11:30 a.m.
11:30 a.m. – 2:30 p.m.
AMS Board of Trustees
Breakfast with Exhibitors
Dirk Haselow, MD, PhD
Emerging Diseases Update
Break with Exhibitors
Scott Smith, JD, Legislative Recap
50 Year Club Social Hour
Awards Luncheon & AMS
House of Delegates
(includes 50 Year Club)
Register Today!
Featured Events
Inaugural Gala
Dr. Edward Bryant of West Memphis
will be installed as the 2015-2016 president of the Society during the President’s Inaugural Gala on Friday night.
Attendees will enjoy dinner and a dessert reception.
Marvin Caston, associate director of the
Razorback Foundation will be the featured speaker at the Gala. The former
Arkansas fullback played for the 1998
Razorbacks team that shared the SEC
Western Division title. He was a member
of the 1999 SEC Academic Honor Roll and
earned a bachelor of arts and a master in
education from the U of A.
AMS Awards Luncheon
The Asklepion Award and Shuffield Award will be presented at the AMS Awards Luncheon on Saturday. Awards
will be presented to an AMS member and a lay person
who have benefited patients and health care in Arkansas
through their outstanding work in the health care field.
AMS House of Delegates
The House of Delegates, composed of delegates from
component medical societies, specialty societies, members of the Board of Trustees, AMS past presidents and
the vice speaker, is AMS’ legislative and policy making
body. Any dues-paying member of the society has
full-voting rights. All members are invited to attend
the House of Delegates meeting.
Any member may submit a resolution to AMS for consideration. Deadline for submission is March 27. Any
item of business not submitted by March 27 must have
two-thirds consent of attending delegates for introduction at the meeting.
Fifty Year Club
Any AMS member who has practiced medicine for 50 years
or more is eligible to attend the Awards Luncheon where
we will honor new inductees, as well as the Fifty Year
Club Social Hour. Watch your mail for a special invitation.
VOLUME 111
Educational Sessions
Emerging Diseases Update
You will not want to miss AMS returning speaker, Dirk
Haselow, MD, PhD, State Epidemiologist, Medical Director, Communicable Diseases, UAMS. Dr. Haselow has
served as the Arkansas State Epidemiologist and Medical Director for Communicable Disease since 2012.
He completed a PhD in Infectious Disease Epidemiology at the University of Maryland and an MD and a residency in Pediatrics at the
University of Arkansas for Medical Sciences (UAMS). He is an
adjunct Assistant Professor of Pediatrics and Epidemiology at
UAMS and has taught Infectious Disease Epidemiology to MPH
students since the inception of the UAMS College of Public Health.
Legislative Session Recap
Contributors
Exhibitors
&
AMS will once again have a limited number of
exhibit booths. Companies with exhibit booths
as of February 13, 2015, are listed below.
Gold Contributors
AMS Benefits, Inc.
State Volunteer Mutual Insurance
Company (SVMIC)
Bronze Contributors
Arkansas Foundation for Medical Care
From preserving the “private option” to defending the Peer Review Fairness Act to advocating
for enhanced Medicaid reimbursement rates
and everything in between, the AMS Governmental Affairs team has been hard at work at the
Capitol. Director Scott Smith, JD, will wrap up the
session during this presentation, providing a full
recap of what went on and how it will affect you and your patients.
Other Contributors
& Exhibitors
AHIN Professional Services
Arkansas National Guard, Medical Recruiting
First Security Bank
UAMS Physician Relations
Reservations for The Chancellor Hotel may be made over the phone by calling
855-285-6162. The AMS room rate will be $114 but you must identify yourself as
part of the Arkansas Medical Society group when you call to receive the rate.
State Volunteer Mutual Insurance Company’s
2015 General Seminar for Physicians and Non-Physicians
The Chancellor Hotel | Fayetteville, Arkansas
Friday, April 17, 2015 | 2:30 p.m. – 4:30 p.m.
State Volunteer Mutual Insurance Company will be offering a Risk Management seminar on Friday, April 17 from 2:30 p.m. to 4:30
p.m. The 2015 General Risk Management Seminar, “9 Habits of Safe and Effective Medical Practices,” will describe the nine habits
we see among physicians and their staff that contribute to the safest and most effective medical practices. This seminar is designed
for physicians and their staff to attend together. Register online at www.SVMIC.com.
AMA Credit Designation: The University of Tennessee College of Medicine designates this live activity for a maximum of 2.0 AMA PRA
Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Accreditation: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the University of Tennessee College of Medicine
and State Volunteer Mutual Insurance Company. The University of Tennessee College of Medicine is accredited by the ACCME to
provide continuing medical education for physicians.
SVMIC Registration Fees
$75.00 for Physicians
$25.00 for Non-Physicians (non-refundable)
Registration is available through SVMIC
Lunch provided at noon
10% Premium Credit for SVMIC Policyholders
www.SVMIC.com | 800.342.2239
NUMBER 11
“20-MINUTE RULE”
Please be advised: The Risk Management Committee has determined that policyholders attending an SVMIC seminar for credit must participate in the entire
program to fully benefit from the program and qualify for a 10% premium discount. We will count in attendance only those participants who are signed in
within the first 20 minutes of the seminar. Late arrivals will no longer be considered present for satisfaction of the 10% premium credit or CME credit.
APRIL 2015 • 225
ARKANSAS STATE MEDICAL BOARD
2014 ANNUAL REPORT
The 2014 members and officers of the Arkansas State Medical Board are as follows:
Joseph M. Beck, II, MD Chairman; Sylvia D. Simon, MD, Vice-Chairman; Bob E. Cogburn, MD, Secretary; Harold B. Betton, MD, Treasurer; Omar T. Atiq, MD; Stephen L. Cathey, MD; Jim C. Citty, MD; William F. Dudding, MD; John E. Hearnsberger, II, MD; Veryl D. Hodges, DO; Larry D. “Buddy” Lovell; Scott Pace, PharMD, JD; John H. Scribner, MD and John B. Weiss, MD
The Board met bimonthly and addressed complaints, hearings, and other pertinent business affecting health care in the State of Arkansas.
2014 Licensing Statistics
Medical Doctors and Doctors of Osteopathy Licensed ............. 606
Medical Doctors and Doctors of Osteopathy (total)................. 9,587
Complaint Allegations (including investigations)
2.......................................................................................Advertising
1..................................................APN Collaborating Physician Issues
17....................................... Attestation/Renewal Affirmative Answers
6.............................................................................Monitoring Issues
Medical Doctors and Doctors of Osteopathy (in state)............ 6,382
15........................................................................... Behavior/Attitude
Occupational Therapists Licensed............................................... 102
17................................................................. Billing/Insurance Issues
Occupational Therapists (total)................................................. 1,371
Occupational Therapy Assistants Licensed....................................92
11..............................................Board Actions Taken by Other States
5......................................................................... Criminal Allegations
2................................. Lack of Communication or Miscommunication
Occupational Therapy Assistants (total) ..................................... 474
1...............................................................................CME/CEU Issues
Physician Assistants Licensed .......................................................44
59...................................... Dissatisfaction with Treatment/Procedure
Physician Assistants (total)........................................................... 293
Respiratory Care Therapists Licensed......................................... 118
2....................................................................................HIPAA Issues
4............................................................................Hospital Reporting
6........................................................................... Inmate Allegations
Respiratory Care Therapists (total) .......................................... 1,970
23............................................................... Inappropriate Prescribing
Radiologist Assistants Licensed...................................................... 3
44................................................ Lack of Attention to Medical Needs
Radiologist Assistants (total)............................................................ 6
22.................................................................. Malpractice Regulation
Radiology Practitioner Assistants (total)...........................................4
Withdrawn Applications...................................................................18
16............................................. Medical Records – Failure to Provide
6........................................................ Medical Records –Discrepancy
6....................................................................................Misdiagnosis
24................................................................................Miscellaneous
Summary of Board Proceedings for 2014
Individual Discussions and Issues (total)................................. 508
Complaints (including investigations and other issues
involving licensed practitioners)............................................ 385
Issues..................................................................................... 123
25....................................................... Over-Prescribing/Over-Testing
1.......................................Patient felt Offended/Violated by Physician
1.......................................................................Patient Abandonment
4................................... Doctor Refuses to Prescribe/Refill Pain Meds
1.... Didn’t/Won’t Comply with Patient’s Request to Complete Paperwork
8...........................................................................Staff-Generated Issues
2............................................... Self-Prescribing or Prescribing to Family
2014 Board Actions
Suspension............................................................................... 16
Revocation.................................................................................. 1
Revocation (stayed)................................................................... 2
Surrendered.............................................................................. 2
Reprimand.................................................................................. 2
Consent Orders......................................................................... 13
4............................................................Sexual or Romantic Relationship
1..........................................................................................Telemedicine
16............................................................................... Terminated Patient
1............................................................. Lawsuit Filed Against the Board
14.................................................................................... Licensure Issue
1.........................................................................Regulation 35 Reporting
17..................................................................................................Update
To see the amended regulations for the calendar year as well as the full report, visit http://www.armedicalboard.org.
VOLUME 111
Medical Education Foundation for Arkansas (MEFFA)
Alan K. Wilson, MD, President
T
he Arkansas Medical Society organized
the Medical Education Foundation for
Arkansas (MEFFA) in 1959. MEFFA
is a tax exempt foundation (501(c)(3)
and all contributions are tax deductible. MEFFA’s mission is to promote the art and science of
medicine and the betterment of the health of the
public by providing educational grants, primarily
to the UAMS College of Medicine. A large part of
the MEFFA funds are held by the Arkansas Community Foundation.
Current members of the board are Drs. Jim
Citty, Searcy; Muhammad Jaffar, Little Rock;
Steve Magie, Little Rock; Renee Montgomery,
Sherwood; W. Martin Eisele, Life Member; Alan
K. Wilson, President; and Mr. Daniel Hubbs, Medical Student Representative. Serving as ex-officio
members with voting power are the Arkansas
Medical Society president, president-elect, immediate past president, and the dean of the University of Arkansas College of Medicine.
The Board approved the following requests
from UAMS for 2014-2015: (Total awarded $25,390.00)
$4,000.00 AMS Distinguished Lecture Series
– grants of $1,000 for each of the following speakers:
$3,772.00POGIL Workshop – 1-day training
workshop on Process Oriented Guided
Inquiry Learning.
• ULF Lerner DDS, PHD, Professor of Molecular Periodontology and Senior Consultant in
Dentistry at the Centre of Bone and Arthritis
Research, Institute of Medicine, Sahlgrenska
Academy, University of Gothenburg, Gothenburg, Sweden. (requested by the Department
of Physiology and Biophysics.)
$2,500.00 COM Curriculum – Support for the annual Teach the Teacher Conference
$5,673.00 Pathology in Human Structure Module – implement, assess and publish
the results of a joint interdisciplinary
and multifaceted effort to increase the
content of pathology in the UAMS College of Medicine’s new Human Structure module.
$9,445.00 Lightly Embalmed cadavers for
clinical skills training – feasibility
study to assess the implementation of
the preparation of “lightly embalmed”
fresh cadavers for anatomical teaching
and clinical skills training in the College
of Medicine at UAMS.
• Elizabeth Stuart, MD, Clinical Professor of Pediatrics at Stanford University School of Medicine. (requested by the Division of Pediatrics.)
• Jeffry Koh, MD, Professor of Anesthesiology
and Pediatrics at Oregon Health Sciences University and a former UAMS faculty member.
(requested by the Department of Pediatrics)
• Atul Gawande, MD, an American surgeon and
journalist. (requested by the COM curriculum
office.)
“ WHEN I MOVED HERE, IT WAS
VERY EASY TO MAKE FRIENDS.”
WHEN STARTING THE NEW SCHOOL, FRANKI DIDN’T HAVE TO WAIT LONG TO FIND NEW FRIENDS.
“When I moved here from Stockholm, Sweden, it was very easy to make friends.”
On her first day at The New School, two classmates walked her to class
and became fast friends. They now spend their days coding on computers,
learning about social studies and watching science come to life.
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fun and I really like doing social studies and science. We did this really fun thing in
science where we got to name our own worms and got to do projects about the worms.”
THE NEW SCHOOL IS A SPECIAL PLACE WHERE A WELCOMING ENVIRONMENT
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Learn how The New School can help your child discover the world in a new way.
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Franki
3rd grader
8TH GRADE BEGINNING FALL 2015
TheNewSchoolNWA
NUMBER 11
TheNewSchoolTweets
TheNewSchoolAR
NORTHWEST ARKANSAS’ PREMIER INDEPENDENT
SCHOOL SERVING PRESCHOOL THROUGH GRADE 7
APRIL 2015 • 227
A
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C L O S EA CLOSER
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EDITORIAL PANEL
Lynda Beth Milligan, MD, FAAFP, CPE, CHCQM; Michael Moody, MD; David Nelsen, MD, MS;
Steven Strode, MD, MEd, MPH; J. Gary Wheeler, MD, MPS
Newborn screening
improvements in Arkansas
BY STEVE CHASTEEN, MNSc, RN, CPHQ
N
ewborn screening is a public
health activity carried out in
every state in the nation and
in nearly all developed countries. Newborns are screened to identify conditions that are present but not clinically
evident in the newborn period. Early
identification and subsequent treatment of selected disorders can prevent
permanent mental or physical damage,
or death in affected children. The goal
of newborn screening is to identify
newborns who have clinically unapparent rare but treatable syndromes. This
can prevent the occurrence of developmental impairments, delayed physical
growth, severe illness and death.
Newborn screening has been under
scrutiny by public health officials since
a November 2013 article was published
in the Milwaukee Journal Sentinel.
The article reported that thousands of
hospitals throughout the country are
late in sending newborn blood samples
to state labs that perform the screening
tests. The Journal Sentinel analyzed
nearly three million newborn screening tests from hospitals across the
country to determine how long it took
for newborns’ samples to reach state
laboratories. The newspaper began its
investigation after learning that a newborn Arkansan experienced significant
developmental delay from an easily
treatable condition because the hospital where she was born delayed sending
her blood sample for testing. The
newborn was critically ill by the time
her blood sample reached the state lab,
five days after it was collected. It took
an additional three and a half weeks
The Arkansas Department
of Health’s (ADH)
laboratory tests newborn
blood samples for 28
genetic disorders, providing
an invaluable snapshot
of information about the
newborn’s health.
for the abnormal test to be returned to
the treating physicians.1
Arkansas hospitals were slow in
sending newborn screening samples to
the Arkansas Department of Health’s
(ADH) state health laboratory for
testing. At the end of the 2013 state
fiscal year, only about 13 percent of the
samples collected had been delivered
within the specified time period.
RECOMMENDED TIME PERIODS
The American Academy of Pediatrics recommends that blood specimens
be collected after the newborn is at
least 24 hours old.2 A specimen collected prior to 24 hours of age can be
used to screen for some disorders but is
not reliable for amino acid disorders,
cystic fibrosis, hypothyroidism and
several others. Analyses of screening
results suggest that a specimen taken
on the second day of life is suitable for
all testing. This small delay allows testing to be performed only once and has
minimal effect on the outcomes of the
condition of interest.
The American College of Medical
Genetics recommends3 that newborn
screening samples arrive at a lab for
testing no more than three days after
they are collected, with a five-day maximum elapsed time between birth and
the availability of test results. With
some of these abnormal conditions, a
newborn baby often appears healthy at
birth, becoming extremely ill within
days. If not treated, it can lead to disability or death within a few weeks.
The Arkansas State Board of
Health’s Rules and Regulations Pertaining to Testing of Newborn Infants
purpose is to assure that all Arkansas
newborns have the opportunity to
be screened for genetic metabolic
THE ARKANSAS FOUNDATION FOR MEDICAL CARE, INC. (AFMC) WORKS COLLABORATIVELY WITH PROVIDERS, COMMUNITY GROUPS AND OTHER STAKEHOLDERS TO PROMOTE
THE QUALITY OF CARE IN ARKANSAS THROUGH EDUCATION AND EVALUATION. FOR MORE INFORMATION ABOUT AFMC QUALITY IMPROVEMENT PROJECTS, CALL 1-877-375-5700.
VOLUME 111
A
A CLOSER
C L O S E R
L O LOOK
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Q U A L I T
illnesses. For healthy infants born in
medical facilities, the optimum time
for blood specimen collection is 24
to 72 hours after birth. The collected
specimen should be submitted to the
ADH’s Public Laboratories in Little
Rock within one business day, (previously 48 hours) of collection.
In Arkansas, the newborn screen
is collected between 24 and 72 hours
after birth. Blood samples from the
newborn are collected by pricking the
heel of the baby and collecting drops
of blood on a piece of filter paper.
The blood sample should be sent to
the state lab within one business day.
That means the next working day for
the lab, such as when a state holiday
coincides with a weekend.
The ADH laboratory tests newborn
blood samples for 28 genetic disorders,
providing an invaluable snapshot of information about the newborn’s health.
Some health disorders may cause
serious lifelong damage within the first
five days of life. The earlier the lab
processes the tests, the sooner families
can be notified of health concerns, and
can consult with their physicians about
further testing or treatment.
Hospital and public health officials
in many states, including Arkansas,
have pledged to end delays by changing processes and improving how
newborn blood samples get to state
labs. Arkansas offers a courier service
to transport blood samples from county
health units to the ADH lab at no
charge to hospitals. Hospitals also have
the option to utilize overnight delivery
services. Recently the ADH lab added
Saturday hours of operation for newborn blood samples.
STATEWIDE EFFORTS
ARE WORKING
In January 2014, the Arkansas
Department of Health, Arkansas
NUMBER 11
Medicaid Services (AMS), Arkansas
Foundation for Medical Care (AFMC),
Arkansas Hospital Association,
and Arkansas birthing hospitals
began a coordinated effort to reduce
newborn screening delays in Arkansas.
Leveraging the innovative and
successful Arkansas Medicaid Inpatient
Quality Incentive (IQI) program,
AFMC and AMS developed two
newborn screening quality measures.
These measures both challenge
and incentivize Arkansas hospitals
to reduce the time between taking
newborns’ blood-screening samples
and sending them to the ADH lab in
Little Rock.
Newborn screening specimen
collection and submission
requirements from the Arkansas
Board of Health were the basis for
development of the IQI newborn
screening quality measures. The two
quality measures are:
n Newborn Screen 1 (NBS-1):
Timely Collection of Newborn
Screening Specimen
n Newborn Screen 2 (NBS-2):
Timely Submission of Newborn
Screening Specimen
These quality measures will
complement ongoing efforts in
birthing facilities to examine their
current process for collection and
submission of the newborn blood
sample and enhance their ongoing
quality improvement efforts. Each
facility must determine the best
approach that will meet its needs and
that will assist the facility in reaching
established targets.
Since Nov. 2013, the ADH
reports that Arkansas’ hospitals have
increasingly reduced the time it takes
to deliver newborn blood samples to
the public health lab for testing. From
July through September 2014, about
Y
50 percent of newborn blood samples
collected at Arkansas hospitals arrived
at the state laboratory within the
department’s target time span of 48
hours. Arkansas hospitals are working
hard to achieve the more stringent
48-hour target. Many hospitals
in Arkansas have addressed and
eliminated issues with collection and
delivery of newborn blood samples.
Time is critical, and the newborn
screening process is a team effort.
Hospital physicians, nurses and related
staff take care of newborns. Newborns’
blood specimen samples are typically
drawn from the baby before it is
released from the hospital. After blood
specimens are sent to the state lab for
testing and the results are obtained,
the ADH sends the test results to the
physician for follow-up. The physician
can then advise and assist families in
finding the right resources and the right
team of specialists to get the appropriate
treatment. Getting the right treatment,
which starts with timely collection and
testing of blood samples, makes a great
difference in affected infants’ chances
for a healthy outcome. s
Mr. Chasteen is the manager of
quality programs for the Arkansas
Foundation for Medical Care.
REFERENCES
1. Gabler E, journalsentinalonline. Nov.
16, 2013. Available at: http://www.jsonline.com/watchdog/watchdogreports/
Deadly-Delays-Watchdog-Report-Delays-at-hospitals-across-the-country-undermine-newborn-screening-programsputting-babies-at-risk-of-disability-anddeath-228832111.html
2. Update of Newborn Screening and
Therapy for Congenital Hypothyroidism. American Academy of Pediatrics.
(2006). Pediatrics, Vol. 117, No.
6:2290-2303.
3. American College of Medical Genetics.
(2006) Newborn Screening: Toward a
Uniform Screening Panel and System.
Genetics in Medicine, May 2006, Vol.
8, No. 5, Supplement: 44S.
APRIL 2015 • 229
House of Delegates
May 3, 2014
The Arkansas Medical Society House of Delegates met at 1:00 p.m., on Saturday,
May 3, 2014, at the Winthrop Rockefeller Institute at Petit Jean Mountain. The following business was received and transacted.
1. Dr. Michael Saitta called the meeting to order. There were 57 voting members
present.
2. Dr. Steven Strode gave the invocation and remembered AMS members that
passed away during the past year.
3. Dr. Michael Saitta reminded members to check in at the registration desk so
that there would be an accurate count of voting members and introduced the
people at the head table.
4. Dr. Michael Saitta presented plaques to the following members for their
service:
Board of Trustees:
Drs. William D. Dedman, Jacky Dunn, Clay Ferguson, Len Kemp, and
medical student Matt McNelley
Officers:
G. Edward Bryant, Vice President
5. Dr. Gene Shelby thanked the Nominating Committee and introduced the slate
of officers. The following officers were elected:
President-elect: Edward Bryant, MD, West Memphis
Vice President: Bill Dedman, MD, Camden
Secretary: Chad Rodgers, MD, Little Rock
Treasurer: Frankie Griffin, MD, Van Buren
Speaker of the House: Michael Saitta, MD, Fayetteville
Vice Speaker of the House: Clay Ferguson, MD, Nashville
Delegates to the AMA
AMA Delegate: Joe Stallings, MD, Jonesboro
AMA Alternate Delegate: E. Scott Ferguson, MD, West Memphis
Board of Trustees confirmed:
District 1: Bradley Bibb, MD, Ash Flat
District 2: Seth Barnes, MD, Batesville*
District 3: George Conner, MD, Forrest City
District 4: Jeffrey Reinhart, MD, Monticello
District 5: Erin Goss, MD, Camden*
District 6: George Covert, MD, Ashdown*
District 7: Richard Pellegrino, MD, Little Rock
District 8: Tracy Baltz, MD, Little Rock
District 8: Lydia Lane, MD, Little Rock
District 8: Kristen Lienhart, MD, Little Rock
District 8: Renee Montgomery, MD, Sherwood
District 8: Emillo Tirado, MD, Little Rock
District 9: Curtis Hedberg, MD, Rogers
District 9: Robert Gullet, Jr., MD, Fayetteville District 10: Vickie Henderson, MD, Russellville*
Medical Student: Hannah Henson, Little Rock*
6. Minutes from the May 4, 2013, House of Delegates meeting were approved.
7. Requests for life/emeritus/affiliate dues exemptions were approved.
8. Dr. Gene Shelby gave a report on the Board of Trustees meeting held prior to
the House of Delegates meeting.
9. Omar Atiq, MD addressed the Board as outgoing President.
10. David Barbe, Chairman of the AMA Board of Trustees provided an AMA update.
11. The following reports were placed on the Consent Calendar and accepted for
information:
• AMS Benefits, Inc. - Stephen Magie, MD, Chairman
• Arkansas Health Care Access Foundation – William Rutledge,
MD, President
• Arkansas Medical Society Board of Trustees – Gene Shelby, MD,
Chairman
• Arkansas Medical Society 2014 Budget – Frankie Griffin, MD,
Chairman
• Arkansas State Medical Board – Joseph Beck, MD, Chairman
• Medical Education Foundation for Arkansas (MEFFA) – Alan K.
Wilson, MD, President
• Arkansas Department of Health – Nathaniel Smith, MD, MPH
Director and State Health Officer
12. The following amendments to the Constitution and Bylaws were approved:
CONSTITUTION: ARTICLE XIII. Amendments
The House of Delegates may amend any article of this constitution by a twothirds vote of the delegates present at any meeting of the House of Delegates,
provided that the amendment shall have been mailed communicated to all
members at least 90 45 days prior to the meeting.
BYLAWS: CHAPTER XII. Amendments
The House of Delegates may amend any chapter of these bylaws by a twothirds vote of the delegates present at any meeting of the House of Delegates,
provided that the amendment shall have been mailed communicated to all
members at least 90 45 days prior to the meeting.
BYLAWS: Chapter VII, Section 9. Committees
B. Budget Finance and Auditing Committee
The Budget Finance and Auditing Committee shall consist of (a) four seven
members appointed by the chairman of the Board from among the district
*new appointment
VOLUME 111
trustees, and (b) the Arkansas Medical Society treasurer. The four seven
trustees shall be appointed to four-year terms, staggered so that one member is no more than two members are replaced each year. The terms shall
begin on January 1 and end on December 31 of the appropriate years. The
member with the most seniority Arkansas Medical Society treasurer shall
serve as chairman. The Budget Finance and Auditing Committee shall:
Resolved, that AMS representatives to the Arkansas State Medical
Board and the Arkansas State Board of Health be encouraged to periodically attend and participate in AMS Board of Trustees and/or House
of Delegates meetings, and their attendance should be recognized and
serve as an opportunity to highlight the important work carried out by
these two boards, and
(a) Present to the Board, before the first of each year, an annual budget
consisting of anticipated revenue and expenses for the ensuing year
as well as a report of the Society’s committed and non-committed
reserves. Any significant request for funds not included in the annual budget should be reviewed by the Budget Finance and Auditing
Committee before they are committed.
Resolved, that when making nominations and reappointments to these
boards, the AMS shall take into consideration the attendance and participation of applicants, and
(b) The Budget shall provide for an annual independent financial audit and
work to maintain the most prudent use of Society assets. Shall appoint a certified public accountant or firm to conduct an annual
independent financial audit. The auditor shall present the results
of the audit directly to the Committee. A copy of the audit and any
irregularities or concerns identified by the audit shall be presented
to the Board of Trustees.
(c) Work with the executive vice president to review and monitor
the financial reserves of the Society and recommend investment
policy changes when necessary or recommended by Arkansas
Medical Society financial advisors.
Resolved, that those serving on these boards must attend an average
of at least one AMS meeting every two years in order to be considered
for re-nomination.
The meeting adjourned at 4:00 p.m.
October 31, 2014
The Arkansas Medical Society House of Delegates met at 10:00 a.m., on
Friday, October 31, 2014, at The Lodge at Mount Magazine. The following
business was received and transacted.
1.
Alan Wilson, MD, welcomed attendees.
2.
Michael Saitta, MD, called the meeting to order. There were 42
voting members present.
3.
Minutes from the May 3, 2014, House of Delegates meeting were
approved.
4.
Dennis Yelvington, MD, gave a report on the Board of Trustees
meeting held prior to the House of Delegates meeting.
5.
Joe Thompson, MD, Arkansas Surgeon General, gave an update
on the Private Option and a recent Arkansas Hospital Association
report. He also discussed the Payment Improvement Initiative. 6.
Tracy Baltz, MD, gave a report on the Arkansas Medical Society
Political Action Committee (ARKMED-PAC). The total number of PAC
members for 2014 is 250.
7.
Dirk Haselow, MD, PhD, State Epidemiologist and Medical Director
for Communicable Diseases discussed health concerns physicians
should be aware of.
8.
State Representatives Deborah Ferguson, DDS and Steve Magie,
MD discussed their experiences serving as legislators and
encouraged AMS members to get involved and stay in touch with
their legislators.
Whereas, physicians filling those positions assume a tremendous level
of responsibility and authority to influence the practice of medicine and
care of our patients, and
9.
Whereas, it is vitally important that members of these two boards interact with AMS leadership on a regular basis in order to develop a strong,
mutually beneficial relationship that supports the mission of AMS and
the mission of these two boards. Therefore be it
Scott Smith, JD, AMS Director of Governmental Affairs, gave a
report on issues that may be debated during the 2015 legislative
session.
(d) Monitor the financial resources of the Society and make recommendations, as appropriate, to ensure the availability of necessary funding to achieve the short term and long term mission and
purpose of the Society.
Chapter V. Election of Officers, Section 3 Nominations from the Floor
Nothing in this Chapter shall be construed to prevent additional nominations being made by members of the House of Delegates. Additional
nominations for positions elected by the House of Delegates may
be made by any member of the House of Delegates in attendance
at the meeting. Nominations from the floor may also be made for
any District Trustee positions remaining vacant after the election
process provided for under Section 5.
1. Resolution #1 was adopted. To Encourage Participation of AMS
Appointees to the Arkansas State Medical Board and Board of
Health – Submitted by Eddie Bryant, MD (West Memphis)
Whereas, the Arkansas Medical Society is statutorily required to make
nominations to the Governor of the State of Arkansas for positions on
the Arkansas State Medical Board and the Arkansas State Board of
Health, and
NUMBER 11
The meeting adjourned at 12:00 p.m.
APRIL 2015 • 231
Executive Committee Meeting
T
January 22, 2014
he Arkansas Medical Society Executive Committee met at 4:30 p.m.
on Wednesday, January 22, 2014.
Members attending the meeting were Drs.
Gene Shelby, Eddie Bryant, and Frank Griffin.
Members attending via conference call were Drs.
Omar Atiq and Alan Wilson. AMS staff attending
were David Wroten, Scott Smith, Kay Waldo, and
David Ivers, AMS legal counsel. The meeting was
called to order at approximately 4:30 p.m. and the
following business was received and transacted.
review is to ensure appropriate physician representation on the governance structure.
7. Community Care of North Carolina has requested
a letter of support from Arkansas Medical Society. They are bidding to provide Medicaid Care Coordination in Arkansas. The Executive Committee
approved the letter of support if AAFP also provides a letter of support to this group.
8. Dr. Bryant discussed his plans to submit a resolution requiring AMS appointees to the AR State
Med Board and Board of Health to attend at
least one Board of Trustee meeting or House of
Delegates meeting annually. 1. The committee discussed Medical Marijuana
March 26, 2014
Ballot Initiatives that may be on the ballot in the
fall. Arkansas Medical Society staff will provide
additional information to the Executive Committee for review including AMA policy on this issue. Future discussions will include a suggestion that
an ad hoc committee be formed and possibly
polling Arkansas Medical Society members.
2. A contribution of $1000 was approved for AR
Health and AR Jobs. Arkansas Medical Society
is a member of this multi-organization coalition
supporting continued funding for the Private
Option during the upcoming Fiscal Session.
3. Dr. Atiq discussed opening up the election of all
Arkansas Medical Society officers by the general membership rather than the House of Delegates. He is considering presenting this at the
annual meeting in the form of a resolution that
can be discussed by the House of Delegates.
4. Mr. Wroten gave an update on the Arkansas
Blue Cross Blue Shield fee schedule for the metallic health plans.
5. Requests for direct membership were approved.
6. ACHI is applying to a RFP from the AR Insurance
Department to build an “all payer claims data
The Arkansas Medical Society Executive Committee met at 4:30 p.m. on Wednesday, March 26,
2014. Members attending the meeting via conference call were Drs. Omar Atiq, Gene Shelby, Eddie
Bryant, Chad Rodgers, and Frankie Griffin. Also
attending was David Wroten, AMS Executive Vice
President. The meeting was called to order at approximately 4:30 p.m. and the following business
was received and transacted.
1. AMS received notice from the AMA that during
2013 AMA membership in Arkansas increased
above 2000, making Arkansas eligible for an
additional delegate and alternate delegate. After discussion, the Committee agreed that the
new positions could be filled this year with physicians already planning to attend the meeting.
2. Dr. Shelby gave a brief report on the AMA Advocacy Conference.
3. Mr. Wroten informed the Committee that Arkansas Blue Cross Blue Shield has decided to
amend its reimbursement schedule for the metallic health plans effective July 1, with an overall 10% reduction from the 2013 fee schedule.
4. Mr. Wroten informed the Committee about a
potential new opportunity to support a group
ter of support from Arkansas Medical Society. purchasing program for members. A proposal
The executive committee asked Mr. Wroten to
will be forthcoming at a later date.
review the RFP before granting support. The
base.” Dr. Joe Thompson has requested a let-
5. Discussed the 2014 Fall Meeting and the poll of
Trustees. The majority of responders indicated
they would like to have the meeting at Hotel 21C
in Rogers/Bentonville, followed closely with Mt.
Magazine. After comparing costs for the two locations, AMS staff recommended Mt. Magazine.
The Committee agreed.
Meeting adjourned.
June 25, 2014
The Arkansas Medical Society Executive Committee met at 4:30 p.m. on Wednesday, June 25,
2014. Members attending via conference call Drs.
Gene Shelby, Alan Wilson, Eddie Bryant, Frank Griffin, Chad Rodgers, and Bill Dedman. AMS staff attending were David Wroten, Scott Smith and Mike
Mitchell. The meeting was called to order at approximately 4:30 p.m. and the following business
1. Discussed a lawsuit filed to overturn the Peer
Review Fairness Act of 2013, filed by Baptist
Health, Mercy Health Systems, and Washington
Regional. Agreed to seek intervention in the
case and request support and/or intervention
by the Litigation Center of the AMA and State
Medical Societies.
2. Agreed to sign on to a letter asking CMS to reconsider a new rule that would allow hospital systems with multiple campuses to only have one (1)
medical staff organization. Current rules require
each hospital to have its own medical staff and
medical staff leadership (committees, etc.).
3. Discussed telemedicine issues concerning licensure and insurance reimbursement. Dr.
Griffin volunteered to work with staff and others
on this issue for possible legislation.
4. Medical Marijuana ballot initiatives were briefly
discussed. It was noted that AMS already had
taken a position on the issue in the 2012 elections and that the position had not changed. The
question was asked about a public pronouncement of AMS opposition and it was agreed that
VOLUME 111
AMS should consider that if and when the initiatives were successful in getting on the ballot.
5. Approved Direct Member requests.
6. Accepted information for an email from Dr. Janet Cathey asking AMS to intervene in a lawsuit over abortion legislation passed during the
2013 legislative session.
7. Mr. Wroten reported on a recent trip to the Independence County Medical Society to provide
them with information on Clinically Integrated
Networks.
There being no further business, the meeting adjourned.
September 24, 2014
The AMS Executive Committee met on
Wednesday, September 24, 2014 beginning at
4pm. Present: Drs. Dennis Yelvington, Chad Rodgers, William Dedman, Alan Wilson (phone) Frankie
Griffin (phone), Eddie Bryant (phone), Omar Atiq
(phone). Also, David Wroten, Scott Smith, and
Mike Mitchell. Dr. Gene Shelby participated by
phone as a guest.
1. Dr. Shelby discussed ways to encourage physicians to register for the Prescription Drug Monitoring Program. Currently, only 30% of prescribers
are registered users of the PDMP. The Committee
asked that a letter be sent to the Arkansas State
Medical Board formally requesting that the Board
provide a link to the PDMP registration page as
part of the physician licensure renewal process.
The link would make it easier for physicians to
register for the PDMP but would not mandate that
they do so. The Committee also agreed to request
that language be added to the Hospital Rules and
Regulations proposed revisions requiring hospitals to adopt guidelines for prescribing opioids in
the Emergency Department. The language would
not dictate what those policies are but would
simply require the hospital to have them. It was
noted that the AMS, AHA, Health Department and
other organizations developed and approved
a suitable set of guidelines/policies nearly two
years ago.
2. The Committee was asked to advise staff on
wording for specific provisions in the proposed
revision of rules governing hospitals. The issue
involved who could authenticate records for pa-
tients in the hospital (i.e. H&Ps, discharge summaries, etc.). Should it be the person performing
the service (physician or midlevel), the attending
or treating physician, or “any” physician. The
Committee agreed that it should be treating or
attending physician.
3. Mike Mitchell reported on the status of the lawsuit seeking to overturn the 2013 Peer Review
Fairness Act. Judge Tim Fox denied AMS request
to intervene even though there were no objections by the plaintiffs. The Order did not specify
reasons. It was felt not to be worthwhile to pursue
a Motion for Reconsideration.
4. Scott Smith gave an update on potential legislative issues including the impact of rescheduling
hydrocodone combination products on PA/APRN
midlevel practitioners who work for physicians,
CRNA’s requesting removal of physician supervision, telemedicine, POLST, and prescription drug
abuse.
5. The Committee granted approval of all requests
for Direct Membership.
There being no further business, the meeting was
adjourned.
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NUMBER 11
APRIL 2015 • 233
Board of Trustees Meeting
February 12, 2014
May 2, 2014
The Arkansas Medical Society Board of Trustees met at 4:00 p.m. on Wednesday, February 12, 2014, at the Arkansas Transit Association located at 620 West
Broadway Street in North Little Rock. Members attending the meeting were Drs.
Omar Atiq, Bradley Bibb, Ian Birkett, G. Edward Bryant, Amy Cahill, Josh Chance,
George Conner, Scott Cooper, William Dedman, Monica Dellimore, Jacob Dickinson, Jacky Dunn, Gary Edwards, Clay Ferguson, Frankie Griffin, Robert Gullett
Jr., John Hearnsberger, Curtis Hedberg, Jay Jeffrey, Len Kemp, Lydia Lane, Gale
McFarland, James Meserow, Renee Montgomery, Amir Qureshi, Chad Rodgers,
Michael Saitta, Robert Sanders, Gene Shelby, Emilio Tirado, Tommy Wagner, Gary
Wheeler, and Danny Wilkerson. AMS Past Presidents present were Drs. Scott Ferguson, David Jacks, Lloyd Langston, Larry Lawson, Charles Logan, Stephen Magie,
Michael Moody, Brenda Powell, Joe Stallings, and Steven Strode. AMS staff present was Billie Jean Davenport, Penny Henderson, Alanna Scheffer, Scott Smith, Kay
Waldo, David Wroten, and Mike Mitchell. Guests present were Jay Shue, Arkansas
Medicaid Inspector General.
The Arkansas Medical Society Board of Trustees met at 3:00 p.m. on Friday, May
2, 2014, at the Winthrop Rockefeller Institute at Petit Jean Mountain. Members
attending the meeting were Drs. Omar Atiq, Bradley Bibb, Ian Birkett, G. Edward
Bryant, Amy Cahill, Josh Chance, George Conner, Scott Cooper, William Dedman,
Jacky Dunn, Gary Edwards, Robert Gullett Jr., Curtis Hedberg, Muhammad Jaffar, Jay Jeffrey, Len Kemp, Kristen Lienhart, Gale McFarland, Renee Montgomery,
Richard Pellegrino, Amir Qureshi, Chad Rodgers, Michael Saitta, Robert Sanders,
Gene Shelby, Emilio Tirado, Tommy Wagner, Gary Wheeler, Danny Wilkerson, Alan
Wilson, and Dennis Yelvington. AMS Past Presidents present were Drs. Joseph
Beck, John Burge, John Crenshaw, Scott Ferguson, David Jacks, Lloyd Langston,
Larry Lawson, Charles Logan, Stephen Magie, Michael Moody, Brenda Powell, Joe
Stallings, Steven Strode and Dwight Williams. AMS staff present was Kay Waldo,
David Wroten, Penny Henderson, Billie Jean Davenport, Alanna Scheffer and Scott
Smith. Guests present were Drs. Seth Barnes, George Covert, Robert Bell, and Mr.
Cecil Suitt of LAMMICO.
Chairman, Dr. Eugene Shelby called the meeting to order and the following business was received and transacted.
Chairman, Dr. Eugene Shelby called the meeting to order and the following business was received and transacted.
1.
The board approved the minutes of the following meetings:
1.
Welcome and Disclosure of Conflicts of Interest.
• November 13, 2013 Board of Trustees Meeting
2.
• February 12, 2014 Board of Trustees Meeting
• January 22, 2014 Executive Committee Meeting
2.
Jay Shue, Arkansas’ first Medicaid Inspector General addressed the Board.
This new state agency works to detect Medicaid fraud & abuse and maximize recovery of improper Medicaid payments.
3.
David Wroten presented the membership & budget reports for information.
Wroten also announced the establishment of a PA/APRN Interest Group and
encouraged the board to enroll their staff.
• January 22, 2014 Executive Committee Meeting
• March 26, 2014 Executive Committee Meeting
3.
Cecil Suitt, a Senior Field Representative from LAMMICO presented a check
to Eugene Shelby, MD for the Arkansas Medical Foundation for $5000.
4.
Gene Shelby, MD, Joseph Beck, MD, and Nathan Smith, MD discussed Prescription Drug Abuse issues with the State.
5.
Chad Rodgers, MD, reported the Arkansas Healthcare Access Foundation will
no longer receive funding resulting in the dissolution of the Foundation effective July 1, 2014. AHCAF wishes to enter into an agreement with AMS
to oversee the legal, financial and practical steps involved in the dissolving
the Foundation. The Foundations assets will be used to compensate AMS
for their services and any remaining assets will be conveyed to the Medical
Education Foundation for Arkansas. The Board voted to accept this contract. 6.
District Trustee Reports were given by Drs. Jay Jeffrey, Amy Cahill, Ian Birkett,
and Jacky Dunn.
7.
Dr. Shelby announced there will be an election for a new Board Chairman at
the August meeting.
8.
David Wroten presented the membership and budget reports which were
accepted for information. The 2013 tax return was offered to trustees for
their review.
10. Dr. Joe Stallings gave a report of the AMA Interim Meeting held in November,
2013.
9.
The Board approved the 2015 annual meeting dates and location. The meeting will be held April 17-18 at the Chancellor Hotel in Fayetteville.
There being no further business the meeting adjourned.
4.
Scott Smith and Dr. Scott Ferguson reported on activities at the state capitol
including an update on the private option coverage and SGR Repeal.
5.
District Trustee Reports were given by Drs. Len Kemp, Bill Dedman, and Scott
Cooper.
6.
Dr. Gene Shelby provided information about the AMPAC Campaign School
and Candidate School.
7.
Dr. Omar Atiq discussed the current process for election of officers.
8.
Dr. Eddie Bryant suggested that AMS members appointed to boards, i.e.
State Medical Board, Board of Health, etc. be asked to attend at least one
AMS Board meeting or the Annual meeting at least once a year. He will
consider introducing a resolution so that the House of Delegates can discuss
and possibly support the idea.
9.
District Trustee ballots were provided for voting for the 2014 elections.
VOLUME 111
August 13, 2014
October 31, 2014
The AMS Board of Trustees met at 4:00 p.m. on Wednesday, August 13, at Independent Insurance Agents of Arkansas located at 5000 North Shore Drive in
North Little Rock. Members attending the meeting were Drs. Lee Archer, Omar
Atiq, Tracy Baltz, Bradley Bibb, Ian Birkett, Robert Breving, G. Edward Bryant, Josh
Chance, Scott Cooper, George Covert, William Dedman, Monica Dellimore, Jacob
Dickinson, Gary Edwards, Clay Ferguson, Frankie Griffin, Robert Gullett Jr., Curtis Hedberg, Muhammad Jaffar, Jay Jeffrey, Lydia Lane, Kristen Lienhart, Renee
Montgomery, Richard Pellegrino, Amir Qureshi, Jeff Reinhart, Chad Rodgers, Michael Saitta, Robert Sanders, Gene Shelby, Emilio Tirado, Danny Wilkerson, Alan
Wilson, and Dennis Yelvington. AMS Past Presidents present were Drs. David
Jacks, Larry Lawson, Michael Moody, Brenda Powell, and Steven Strode. AMS
staff present were Kay Waldo, David Wroten, Billie Jean Davenport, Alanna Scheffer, Scott Smith and Gloria Boone. Guests present were Nate Smith, MD, David
Ivers, JD, Parth Shah, and Christian Kurth.
The Arkansas Medical Society Board of Trustees met at 7:30 a.m. on Friday, October
31, 2014, at The Lodge at Mount Magazine. Members attending the meeting were
Drs. Omar Atiq, Tracy Baltz, Seth Barnes, Bradley Bibb, Ian Birkett, Robert Breving, G.
Edward Bryant, Amy Cahill, Josh Chance, George Conner, Scott Cooper, Jacob Dickinson, Erin Goss, Frankie Griffin, Robert Gullett Jr., John Hearnsberger, Curtis Hedberg, Vickie Henderson, Muhammad Jaffar, Jay Jeffrey, Lydia Lane, Kristen Lienhart,
James Meserow, Renee Montgomery, Amir Qureshi, Chad Rodgers, Michael Saitta,
Robert Sanders, Danny Wilkerson, Alan Wilson, and Dennis Yelvington. AMS Past
Presidents present were Drs. Scott Ferguson, David Jacks, Stephen Magie, Michael
Moody, Brenda Powell, Gene Shelby, Joe Stallings, and Steven Strode. AMS staff
present were Billie Jean Davenport, Alanna Scheffer, Laura Hawkins, Scott Smith,
Gloria Boone, Kay Waldo, David Wroten, and Mike Mitchell, AMS Legal Counsel.
Guests present were Michael Buffington, MD, Kenneth Vest, MD, Donald Blagdon,
MD, Joe Thompson, MD, State Representative Deborah Ferguson, Ali Jarallah, and
Randy Meador, State Volunteer Mutual Insurance Company.
Chairman, Dr. Eugene Shelby called the meeting to order and the following business
Chairman, Dr. Dennis Yelvington called the meeting to order, reminded members
of the AMS conflict of interest policy and the following business was received and
transacted:
1.
1.
Dr. Shelby welcomed attendees and reminded them of the AMS Disclosure
Policy.
2.
The board approved the minutes of the following meetings
• May 2, 2014 Board of Trustees Meeting
• June 25, 2014 Executive Committee Meeting
2.
Dr. Frankie Griffin, Chairman of the AMS Finance and Auditing Committee,
presented the 2015 proposed budget in Executive Session. The Board approved the budget. State Volunteer Mutual Insurance Company was approved to be an AMS Endorsed Service Provider.
• August 13, 2014 Board of Trustees Meeting
• September 24, 2014 Executive Committee Meeting
3.
Robert Breving, MD, Hot Springs, was approved to fill an unexpired term as
7th District Trustee replacing Lonnie Wright, MD. The term will expire 2015.
3.
Randy Meador, State Volunteer Mutual Insurance Company presented Dr.
Yelvington with a $22,000 check for the Arkansas Medical Society to use for
leadership development.
• MEFFA – Muhammad Jaffar, MD, was approved to fill the vacancy of Jim
Kolb, MD
4.
• Finance and Auditing Committee – Brad Bibb, MD, Erin Goss, MD, and
Danny Wilkerson, MD, were approved to serve on the Finance and Auditing
Committee.
Dr. Yelvington notified the board members of the vacancy within the Finance
and Audit Committee. Amy Cahill’s term will expire December 31, 2014 and
will be filled at the January Board meeting.
5.
Gloria Boone gave an update on AMS efforts with the Arkansas Payment Improvement Initiative.
5.
David Ivers, JD, gave an update on the Challenge of Arkansas’ Peer Review
Fairness Act of 2013.
6.
Mr. Wroten presented the AMS Membership & Budget Reports for information
and noted AMS membership has reached a record high.
6.
David Wroten reported AMS has sent comments to the Arkansas Insurance
Department regarding proposed Rule 108 specifically who can lead a Patient
Centered Medical Home (PCMH).
7.
The Board approved the following candidate names to be sent to the Governor
for consideration to the Arkansas State Medical Board positions in the Fourth
Congressional District:
7.
The July membership and cash budget reports were presented for information. Mr. Wroten also gave an update on AMS Benefits, Inc.
8.
Drs. Shelby and Nate Smith discussed Pennsylvania Prescribing Guidelines
for Chronic Non-Cancer Pain. The board agreed this needed further review
and potentially a committee to consider adopting similar guidelines.
4.
9.
Appointments
Position 1
• Sylvia Simon MD, Monticello – Family Practice
• John E. Hearnsberger, MD, Nashville – General Surgery
• Robert E. Breving, MD, Hot Springs – General Surgery
Position 2
• John E. Hearnsberger, MD, Nashville – General Surgery
Dr. Moody reported on the AMA meeting held in June.
10. David Wroten and Scott Smith facilitated a legislative planning session. Potential topics were identified and will be considered by the AMS Legislative
Committee. • Sylvia Simon MD, Monticello – Family Practice
• Jason D. Richey, MD, Paris -- Family Practice
8.
A motion was made and approved to include budget information in packets
mailed to AMS past presidents.
9.
Shane Smith, MD was elected to fill the unexpired term for Tommy Wagner,
MD, in District #1. Dr. Wagner’s term expires in April, 2015
11. Dennis Yelvington, MD, was elected Board of Trustees Chairman.
NUMBER 11
APRIL 2015 • 235
Put your
business or
service
in the hands of
4,400 Arkansas
physicians,
advertise in:
Arkansas Medical Society
2015 BUDGET REPORT
INCOME
Dues..........................................................................................$1,093,754.00
Journal and Directory.......................................................................81,339.00
Annual Meeting................................................................................24,500.00
Website & Grants............................................................................239,944.00
Interest /Investment Income............................................................72,113.00
Specialty Desk..................................................................................48,840.00
Educational Programs......................................................................95,000.00
TOTAL REVENUE........................................................... 1,655,490.00
EXPENSE
For advertising information,
contact Penny Henderson
at 501.224.8967 or
penny@arkmed.org
Salaries...........................................................................................751,086.00
Travel and Convention......................................................................51,200.00
AMA Delegation................................................................................35,000.00
President’s Account...........................................................................6,000.00
Taxes................................................................................................51,500.00
Retirement........................................................................................81,257.00
Stationery & Printing.........................................................................13,675.00
Office Supplies & Expenses.............................................................35,171.00
Telephone - AMS................................................................................8,008.00
Rent..................................................................................................30,000.00
Postage, Communications, Web......................................................24,400.00
Insurance & Bonds.........................................................................161,850.00
Auditing..............................................................................................5,700.00
Board & Executive Committee...........................................................6,000.00
Journal and Directory.......................................................................70,000.00
Dues & Subscriptions.......................................................................15,400.00
Gifts & Contributions AMS.................................................................5,000.00
Legal Services..................................................................................91,800.00
Public Relations..................................................................................1,500.00
Miscellaneous, Legal guide Exp.........................................................4,000.00
Office Equipment & Furniture...........................................................11,000.00
AMS Resident & Student....................................................................6,000.00
Annual Meeting................................................................................31,000.00
Educational Programs......................................................................34,000.00
Physician’s Health Com...................................................................10,000.00
Investment Fees...............................................................................20,000.00
TOTAL EXPENSE........................................................... 1,560,547.00
VOLUME 111
NUMBER 11
APRIL 2015 • 237
2015 Annual Session Registration Form
Arkansas Medical Society Educational Program & Expo | 139th AMS Annual Session
Chancellor Hotel | Fayetteville, Arkansas | April 17-18, 2015
Section 1: Registrant Information
Member Name: ___________________________________________________________________________________________
Spouse or Guest Name: ____________________________________________________________________________________
Address: ________________________________________________________________________________________________
City: _______________________________________________________________ State: ______ Zip: _____________________
Phone: ____________________________________________ Fax: __________________________________________________
Email:___________________________________________________________________________________________________
Section 2: Registration
AMS Physician Members or their Staff:
Registration Fee
$135 Per Person
Physician Non-Members or their Staff:
Registration Fee
$235 Per Person
Spouse or Guest:
Registration Fee
$ 65 Per Person
Attending House of Delegates Meeting ONLY:
(No Charge)
Please help us make an accurate meal order by indicating the
number of people who will attend the following:
____________
Inaugural Gala (Friday)
____________
Awards Luncheon (Saturday)
Medical Student and Resident Members or their Guests:
Registration Fee
$ 15 Per Person
Total Registration Fee $ ____________________________
Section 3: Payment
Payment Method: □ Check
□ VISA
□ Mastercard
Name on credit card: ______________________________________________________________________________________
Signature: _______________________________________________________________________________________________
Billing Address: ___________________________________________________________________________________________
City/State/Zip: ____________________________________________________________________________________________
Total Amount to be charged to card: $ _________________________________________________________________________
oo/oo
ooo
oooooooooooooooo
Credit Card Number
Expiration Date
3-Digit Code
Registrations made by credit card may be faxed to 501-224-6489. If you have any questions, please call 501-224-8967 or 800-5421058. Refunds requested prior to April 1, 2015, will be at the full amount. Refunds requested after that date will be charged a $25
processing fee. All refunds will be mailed after the convention.
Special Assistance Available: If you are a person with a disability or have special dietary needs, please let the Society office know in
advance so we can arrange to make your attendance as convenient and comfortable as possible.
Register online at www.ArkMed.org
VOLUME 111
NUMBER 11
APRIL 2015 • 239
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VOLUME 111

April 17-18, 2015 | Fayetteville

Transcription

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