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American Society of Interventional Pain Physicians News  | October 14, 2015
IN THIS ISSUE

  1. Final Voyage of FDA and MPW Epidural Saga: Victory for Practicing Interventional Pain Physicians
  2. Registration for ASIPP's November meetings is open  
  3.  96 percent of physicians would work while sick, study finds 
  4. Jeb Bush Releases Health Reform Proposal
  5. The Skinny on Artificial Sweeteners
  6. Study: Americans Spend More on Health Care, but Fare Worse in Terms of Life Expectancy
  7. ASIPP Call for Abstracts 
  8. ICD-10: The early days
  9. Microsoft adds health privacy features to Office 2016
  10. Electronic Records Useful in Predicting Patients with Low Back Pain
  11. CDC Warns of Drug-Resistant 'Superbug' in Multiple U.S. Cities
  12. MedPAC to CMS: Remember the Sustainable Growth Rate
  13. Whistleblower Doctor Warns About Hospitals Hiring Physicians
  14. Are Behavior Disorders Early Risk Factors of Chronic Pain?
  15. State Society News 
  16. Physician Wanted 
victory
Final Voyage of FDA and MPW Epidural Saga: Victory for Practicing Interventional Pain Physicians
 
On October 5, 2015, the Center for Drug Evaluation and Research, the U.S. Food and Drug Administration (FDA), and the Department of Health and Human Services, notified the American Society of Interventional Pain Physicians (ASIPP) of the status of the citizen's petition concerning the rejection of the 17 recommendations developed by the Multisociety Pain Workgroup (MPW). See Letter 
 
The rejection was in response to the FDA citizen's petition filed by ASIPP and the letter sent to the FDA from 1,040 practicing pain physicians to amend the April 23, 2014, Drug Safety Communication regarding epidural corticosteroid injections for pain urging the rejection of the 17 recommendations developed by MPW.
 
The letter signed by 1,040 interventional pain physicians was sent on June 26, 2014, and ASIPP filed a citizen petition on September 3, 2014. The FDA held hearings on November 24-25, 2014 on the safety of epidural steroid injections. On March 4, 2015, the FDA informed ASIPP that they were unable to reach a decision on our petition because it raised complex issues requiring extensive review and analysis by agency officials.
 
The FDA has now determined that they will not amend the drug safety communication; however, they will not adopt the 17 recommendations made by the MPW. This ruling by the FDA is a major victory for practicing interventional pain physicians that avoids micromanagement and the additional bureaucracy created by the MPW. The FDA also published an article in the New England Journal of Medicine  which essentially alludes to the same facts as described, and in no uncertain terms, they emphasize the fact that they are not withdrawing the issued warning, but they also were not endorsing the standards from MPW, even though they facilitated the discussion.
 
It is sad that despite the FDA's and other agencies' inability to identify what patients are receiving, ASA, ISIS, and other organizations on the CPT Committee blocked our CPT codes specifying the epidural approach, such as caudal or interlaminar, and the use of particulate steroids or nonparticulate steroids or other agents.
 
Sadly, ISIS has issued a practice advisory stating how they protected the performance of epidural steroid injections and they are standing by the 17 standards refused to be adopted by the FDA.
 
Consequently, the epidural saga continues even though this may be the final chapter.

novemberRegistration for ASIPP's November meetings is open 
   
 
BROCHURE  |  HOTEL  |  ONLINE REGISTRATION
 
Regenerative medicine is a new and evolving field for interventional pain management. Know if and when to offer these treatments.  
Choose to attend one of ASIPP's November meetings. You can attend the 2-day intensive Regenerative Medicine Workshop or the 1 day Hands-On Cadaver Workshop for IPM Techniques. 
 
Objectives for Regenerative Medicine Course
  • Attain understanding of regenerative medicine.
  • Attain eligibility for competency certification with the completion of both levels.
  • Incorporate regenerative medicine in treating your patients so that patients have better outcomes and reduced side effects.
  • Provide high-quality, competent, safe, accessible, and cost-efficient services to your patients.
Objectives for Cadaver Workshop for IPM Techniques  
  • Integrate multiple aspects of interventional pain management in treating your patients so that patients have better outcomes and reduced side effects.
  • Provide high-quality, competent, safe, accessible, and cost-efficient services to your patients.
  • Improve existing skills and/or develop new skills in the delivery of interventional techniques.
  • Review multiple areas of interventional pain management including fluoroscopic interpretation
Accommodations
   
THE VENETIAN RESORT HOTEL CASINO
3355 Las Vegas Blvd. South, Las Vegas, NV 89109
Hotel: 702.414.1000 | Reservations: 866.659.9643
http://www.venetian.com 
Inform the agent that you are booking for American Society of Interventional Pain Physicians. We have secured a group rate of $159. Register early, as all unbooked rooms will be  released on October 29, 2015 or until sold out, whichever occurs first.
 
Cadaver Venue:
OQUENDO CENTER , 2425 E. Oquendo Road, Las Vegas, NV 89120
Phone: 702.739.6698 | Toll Free: 866.800.7326 |
                           
  
sick96 percent of physicians would work while sick, study finds
 
The vast majority of physicians (96 percent) said they would work while sick with a cold, and 36 percent said they would work while sick with the flu, according to study cited in CBS News.

The study from UC Irvine Health surveyed 474 physicians who were at different stages of their medical careers.
Here are five findings from the study.

  1. Approximately 77 percent of physicians said they would work if they had diarrhea, and 54 percent said they would work if they were vomiting.
  2. Around half of physicians surveyed said they'd work if they had a fever between 101 and 103 degrees Fahrenheit. About a quarter said they'd work with a fever over 103 degrees.
  3. Only 30 percent of physicians said they would wear protective gear such as face masks while working if they had the flu.
  4. The survey found physicians in their medical residency training and physicians who worked in emergency medicine or surgery were more likely to come in while sick.
  5. According to study researchers, the notion of coming in sick stems from a deeply-seated sense of motivation. "There's such a strong sense of work ethic in physicians, and a strong sense of duty that we have," said study researcher Kimberly K. Truong, MD, a resident physician at UC Irvine.
  

jebJeb Bush Releases Health Reform Proposal
 
Republican presidential candidate Jeb Bush unveiled his healthcare reform plan on Tuesday, pledging to repeal and replace the Affordable Care Act (he referred to it as Obamacare) and "stop the damage Washington central planners have caused for decades."

"America's health care system has long been an anachronism," Bush, the former governor of Florida, said on his website. "It works by payment rules, regulations and tax policies that date back to the 1940s and 1960s and have made little sense for decades ... And Obamacare has only further entrenched and worsened its problems. It is time to introduce health care to the 21st century and enable the possibilities of 2025."
  

skinnyThe Skinny on Artificial Sweeteners
 
Substituting artificial sweeteners for sugar-sweetened drinks and other baked goods has been a staple method for decreasing energy intake for a long time now, but there has been debate regarding the actual risks and benefits, even when discussing energy balance, obesity, and obesity-related complications. A new meta-analysis published in the International Journal of Obesity sought to decipher the body of evidence looking at "low-energy sweeteners" (LES) and energy intake plus body weight. The outcomes of the analysis may surprise some, concluding that the use of LES in place of sugar results in beneficial effects, possibly even compared with water.

Traditionally, it seemed obvious that if energy intake could be decreased by replacing sugar-sweetened beverages like soda, juice, and other soft drinks with those utilizing artificial sweeteners, there would be benefit including weight loss and glycemic control. We know that sugar-sweetened beverages  promote weight gain and are associated with obesity, metabolic syndrome, and type 2 diabetes, so replacing them with low-calorie alternatives seems legitimate and has been  recommended by the AHA and ADA. In the Health Professionals Follow-Up Study, sugar-sweetened beverages were also associated with coronary heart disease, while artificially sweetened beverages were not.
  
studyStudy: Americans Spend More on Health Care, but Fare Worse in Terms of Life Expectancy
 
HealthDay News -- When compared to 12 other industrialized nations, Americans spend more on health care services, but they fare worst in terms of life expectancy, according to recent findings from The Commonwealth Fund.

Because most of the information in the report is based on 2013 data, the results do not take into account the implementation of many of the major provisions of the Affordable Care Act, and by some measures, the United States did fare relatively well. For example, the nation's cancer death rate was near the bottom of a list that includes Australia, Canada, Denmark, France, Germany, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United Kingdom. Since 1995 that rate has been falling faster in the United States than in other nations. On the other hand, when it comes to obesity rates and infant mortality, the United States did poorly compared to other nations
  
  
abstracts

Make your plans now to participate in the American Society of Interventional Pain Physicians abstract and poster presentation at the 18th Annual Meeting, April 15-17 in Dallas, Texas.
  
The abstract submission deadline will be February 9, 2016.
  
The annual meeting is a great opportunity to share your abstract with hundreds of physicians who specialize in interventional pain management.
  
icd-10
ICD-10: The early days

We all heard from experts that the industry was, for the most part, prepared for the roll-out of ICD-10 on October 1, 2015.

Because the preparations took place over years, the argument went, there was sufficient time to make the necessary IT changes the new coding system requires.

Even still, many feared the glitches that would occur from this implementation. And more fear still abounds how this change will affect revenue cycle as we still must wait weeks to see how that will play out.
  
  
microsoft
Microsoft adds health privacy features to Office 2016
 
When Microsoft unwrapped the latest version of its Office suite, the company injected the software with data privacy and security features specifically designed for healthcare customers.

Practice managers and IT staff, particularly existing users of Microsoft's apps, might want to know about these.
Here are three of those:

  1. PHI recognition: Outlook can now recognize protected health information in an attachment and warn the user before sending to avoid the common mishap of PHI landing in the inbox of someone who should not receive it. And different permissions can be set to stop some users from even sending PHI at all.
  2. Smart Attachments: This feature gives users the option of sending a link in lieu of heavy documents that consume a lot of memory. The reason that matters: When clinicians send a link via OneDrive for Business, the security mechanism authenticates the user and Exchange can track whether a recipient even clicked on that link - which could help account for what happens should data be sent to unintended recipients.
  3. Encryption, single sign-on and authentication: This is kind of a threefer, admittedly. They are connected enough to group together. In addition to Office, Microsoft injected encryption into Office 365 services, so now both documents and emails are encrypted, while Windows Hello serves as a single sign-on capability and Windows Passport is now being used by third-party apps, such as Allscripts EMR, for facial recognition.
  
  
recordsElectronic Records Useful in Predicting Patients with Low Back Pain
 
A study  in Pain Research & Management suggests that data from electronic health records (EHRs) could be used to develop a predictive model for patients likely to develop low back pain (LBP).
 
In many cases, the researchers acknowledge, pain episodes and flare-ups naturally remit and recur in an episodic manner, and patients can engage in self-care and activity avoidance during those flare-ups to minimize the impact.
 
superbugCDC Warns of Drug-Resistant 'Superbug' in Multiple U.S. Cities
 
Surveillance of seven U.S. metropolitan areas found higher-than-expected levels of carbapenem-resistant Enterobacteriaceae (CRE) in Atlanta, Baltimore, and New York City, according to a report from the U.S. Centers for Disease Control and Prevention published online October 5 in the Journal of the American Medical Association.

The CDC conducted active surveillance of CRE in 2012 and 2013 among people living in seven cities: Albuquerque, Atlanta, Baltimore, Denver, Minneapolis, New York City, and Portland, OR The overall rate of CRE in those cities was 2.93 infections per 100,000 people. While the rates were higher than expected in Atlanta, Baltimore, and New York City, lower-than-expected levels were found in Albuquerque, Denver, and Portland, OR. The Minneapolis rate was what the agency anticipated.
  
MPR
medpacMedPAC to CMS: Remember the Sustainable Growth Rate
 
WASHINGTON -- A nonpartisan panel of experts that advises Congress on Medicare issues battled to make sense of the reimbursement policy that will replace the hugely unpopular Sustainable Growth Rate Formula on Thursday.
 
After a lengthy discussion outlining the core framework of the new reimbursement pathways, the Medicare Payment Advisory Commission (MEDPAC) focused its efforts instead on what the policies goals should be.
 
 
whistleWhistleblower Doctor Warns About Hospitals Hiring Physicians
 
There is a good chance that your once-independent doctor is now employed by a hospital. Michael Reilly, MD, a Fort Lauderdale, Fla., orthopedic surgeon, does not believe this is good for physicians, patients, or society.

For years he watched Broward Health, a nonprofit Florida hospital system, hire community doctors, pay them millions, and minutely track the revenue they generated from admissions, procedures, and tests.
  
  

disorders
Are Behavior Disorders Early Risk Factors of Chronic Pain?
 
Mental disorders have been found to be predictors for the onset of chronic pain in adolescents, according to research published in The Journal of Pain.
 
Previous research on the associations between mental disorders and chronic pain has been inconsistent and primarily conducted in adults. The goal for the current study was to assess the co-occurrence of mental disorders and clinical pain, and whether one preceded the other, thereby showing a causal or predictive relationship. 
 
 
Hyatt 
     
     
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State Society News

 


CASIPP Meeting set for October 16-18
The California chapter of the American Society of Interventional Pain Physicians   will hold its 6th Annual Meeting in Monterey, CA at the Monterey Plaza Hotel Resort over the weekend of October 16-18. Agenda and registration can be found online at www.casipp.com or by calling 661-435-3473. 

 

NY and NJ Societies to hold Pain Symposium Nov. 5-8

The New York and New Jersey Societies of Interventional Pain Physicians will host a Pain Symposium titled Evolving Pain Therapies on November 5-8, 2015 at the Hyatt Regency, Jersey City, NJ. Click HERE for Schedule and more information.


 

 

SAVE the DATE: FSIPP Meeting May 20-22, 2016

The Florida Society of Interventional Pain Physicians will hold its annual meeting in 2016 on May 20-22. The meeting will be held at the Orlando World Center Marriott in Orlando.

Watch FSIPP.org for more details.

 

 
Please send your State Society meetings and news to: Holly Long at hlong@asipp.org

 

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Physicians Wanted

 

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