WEDNESDAY | JANUARY 15, 2020
Physicians spend 16
minutes using EHR for
each patient encounter
Physicians spend, on average, 16 minutes and 14 seconds using an EHR for each patient encounter, with 11% of that time occurring after hours, according to a study published in the Annals of Internal Medicine.

“The time physicians have to spend on indirect patient care tasks creates time pressure on direct patient care — interview, physical exam, discussion — adds to the physician's cognitive load and can be difficult to integrate into the time we have face to face with the patient,” J. Marc Overhage, MD, PhD, a health care information technology executive at Cerner Corporation, told Healio Primary Care.

Overhage and David McCallie Jr, MD, former senior vice president of medical informatics at Cerner Corporation, conducted a descriptive study using data from the Cerner Lights On Network, which monitors EHR activity from physicians in 2,191 health care organizations in the United States. They calculated the average time that physicians of nonsurgical specialties spent using an EHR per encounter in ambulatory care settings, including time spent using EHRs after hours — between 6 p.m. and 6 a.m. on weekdays and any time during weekends. The primary outcome was the average time spent during a 1-month interval to account for work done in the days after the initial encounter.
READ MORE  | HEALIO |
Robert Laszewski, Health Policy and Strategy Associates, LLC, President, is giving a keynote titled 'Evolving Concepts for Future Health Care Reform: Beyond ACA' during the Manchikanti Distinguished Lecture Series
ASIPP® Annual Meeting 2020 Has Two Highly Respected Distinguished Lecture Series
There are two highly respected Distinguished Lecture Series at the American Society of Interventional Pain Physicians’ (ASIPP®) Annual Meeting 2020.

The Raj-Racz Distinguished Lecture Series has keynotes from Laxmaiah Manchikanti, MD on excellence in IPM and Konstantin Slavin, MD, PhD on advances in Neuromodulation.

The Manchikanti Distinguished Lecture Series is pleased to have keynotes from Robert Laszewski speaking on evolving concepts for the future of health care reform and several representatives from Farragut Partners , one of Washington’s top government relations firms, will speak about the importance of legislative advocacy for our specialty.

Joshua Hirsch, MD will do the introduction to the Manchikanti Distinguished Lecture Series . Dr Hirsch is Vice Chief of Interventional Care, Massachusetts General Hospital and Associate Professor, Harvard Medical School.

This will be the 22nd annual meeting for ASIPP ® and is being held in conjunction with the Texas Pain Society . The Annual Meeting will be tailored to physicians, mid-level providers, and staff. You can register in several ways. By phone contact Cindy at 270-554-9412. Online click here . In addition, the Exhibitor Prospectus is available to prospective sponsors and vendors. Click here to access the Exhibitor Prospectus.

Reserve your hotel room at discounted rates. The ASIPP ® meeting room block is now open for reservations. You may book online or by phone. Discounted rates include date of March 31-April 5 and will be available until March 17. Reserve by phone: 1-877-803-7534. Use the Group Discount Code: G-SIPP. Click here to reserve your room online.

If you have questions about the room block or the meeting, contact Karen Avery at kavery@asipp.org / 270-554-9412 x 4210
QUICK LINKS
 | HOTEL  | MEETING REGISTRATION  | EXHIBITOR PROSPECTUS / REGISTRATION   | ABSTRACT SUBMISSION / GUIDELINES  |
Lifestyle Medicine CME & MOC Course: Understand the health benefits of diet, exercise, and behavioral changes.
While much of conventional medicine focuses on treating diseases, wellness and healthy lifestyle medicine takes a more holistic approach. Explore aspects and effects of healthy foods and nutrition, dieting, obesity management and weight loss, exercise and physical activity, mental health and even physician wellness and burnout.

By integrating wellness and lifestyle factors into their practice, physicians and care providers can coach patients even more effectively. With this wellness and healthy lifestyle medicine course, you will better understand how improved intake of healthy food and nutrition, increased physical activity, obesity, weigh and stress management, sleep, social support and limiting certain environmental exposures all play a role in affecting overall health. Learn new approaches to depression management and lifestyle interventions to help prevent cancer. Gain an understanding of alternative medicine therapies and even lower the risk of burnout in your own career and/or practice. With journal, audio, and video formats, this extensive collection of CME activities enables you to choose the best format to fit your learning style.
READ MORE  | AMA ED HUB |
Delaware court reinstates sanctions against pain doctor
Delaware’s Supreme Court has affirmed a medical licensing board’s decision to discipline a doctor for misconduct involving the use of opioid painkillers to treat a patient struggling with heroin addiction.
 
The justices on Wednesday overturned a Superior Court judge’s decision that reversed several of the board’s findings against Dr. Bruce Grossinger.
 
The judge concluded that some of the regulations that Grossinger was accused of violating were unconstitutionally vague as applied to him, that expert testimony in the case was required, and that Grossinger’s due process rights were violated.
 
The justices rejected those findings and said the board’s decisions were supported by substantial evidence.
READ MORE | WASHINGTON POST |
Yuck: Docs' White Coats Rarely See the Washing Machine
New York hospital survey found most go a week or
more between laundering
 
As a resident on rotation in New York City's public hospital system, Edgardo Olvera-Lopez, MD, said he was "shocked" at the filth on the white coats his colleagues were wearing while at their patients' bedsides. It was the same coats with the same stains day after day after day, he said.

"Rather than white coats, they looked more like brown coats," he told  MedPage Today . The stains -- on the pockets, sleeves, around the neck, and on the elbows -- included some that looked like blood. "I don't know how many weeks or months they went without laundering, but it was definitely something I found disgusting and unprofessional."

So last July, Olvera-Lopez, now in his third year of internal medicine residency at Lincoln Hospital in the South Bronx, surveyed attending physicians and colleagues in graduate training within his department: How often, exactly, did they launder their white coats, and how?

The head of his department "was excited about the idea," Olvera-Lopez said, because he had trained in the U.K., where doctors are barred from wearing clothing that extend below the elbow because of concern about cross-patient infection.
The results, published in November  in the  American Journal of Infection Control , were not for the weak of stomach, Olvera-Lopez acknowledged.
READ MORE | MEDPAGE TODAY |
ABIPP Recognizes Your Knowledge and Expertise

The American Board of Interventional Pain Physicians ( ABIPP ) has developed certification programs that recognize accepted levels of knowledge and expertise in the interventional pain management profession, with the goal of improved patient care. Hundreds of qualified physicians have made the commitment to become ABIPP certified.

ABIPP now offers the only competency certification program for regenerative medicine.
 
For complete information about the examination requirements and to obtain an application packet, visit
www.abipp.org or call 270-554-9412 x4217 or by email at summer@asipp.org .
JUNE 27
ABIPP Part I  
  • Combined CSM/CCPM Exam for ABIPP Path
  • Competency Exam in Controlled Substance Management
  • Competency Exam in Coding, Compliance, and Practice Management
 
JUNE 27-28
ABIPP Part II  
  • ABIPP Competency Exam
  • Regenerative Medicine Competency Exam
  • Endoscopic Lumbar Decompression Competency Exam
 
939 Ridge Lake Blvd.,
Memphis, Tennessee 38120

JUNE 2020 ABIPP EXAMS AND COMPETENCY EXAMS
June 27 - June 28, 2020 | Hilton Memphis
FOLLOW ASIPP ON TWITTER @ASIPP
Physical Activity and Diet Parallel from Childhood to Adulthood
A recent study published in the International Journal of Environmental Research and Public Health found a positive link between leisure-time physical activity (LTPA) and  diet  from childhood to middle age.

The researchers assessed data on 3,537 participants (51% females) from the Cardiovascular Risk in Young Finns Study. All subjects were 9 to 18 years at baseline in 1980 and 33 to 48 years at the last follow-up in 2011. LTPA and FVC were both self-reported while LTPA was were identified using latent profile analyses, and subsequently the mean differences in FVC across the trajectories were studied. The researchers identified active, low-active, decreasingly and increasingly active trajectories for both genders, and additional trajectory describing inactivity was identified for females.

The results showed that persistent physical activity during leisure time from childhood to adulthood was associated with higher and more frequent fruit and vegetable consumption when compared to persistent low activity or inactivity. Moreover, the researchers observed that especially men who decreased their activity level exhibited a higher fruit and vegetable consumption than their less active peers until young adulthood, but no longer in middle age. Therefore, the researchers noted that decreasing leisure-time physical activity may be an indicator for an additional health risk, due to simultaneous detrimental changes in diet.
READ MORE | DOCWIRE |
Essentials of Regenerative Medicine in Interventional
Pain Management
Essentials of Regenerative Medicine in Interventional Pain Management is a book to bring concise, collective, and comprehensive information to interventional pain physicians practicing regenerative medicine in managing chronic pain. Regenerative medicine is an integral part of interventional pain management within the definitions of interventional pain management and interventional techniques.

Each chapter contains an introduction of the subject, historical context,pathophysiology, applicability of regenerative medicine with its evidence base, indications, anatomy, technical aspects, complications, and precautions for each topic when available and applicable. This comprehensive book consists of 35 chapters, more than 350 figures, and 50 tables.
Essentials of Regenerative Medicine in Interventional Pain Management
PLACE YOUR ORDER | CLICK HERE TO ORDER |
Physician Burnout Widespread, Especially Among Those Midcareer, Report Says
About half of all doctors surveyed said they would be willing to take a substantial pay cut to achieve a better work-life balance
 
Physicians between the ages of 40 and 54 experience a higher rate of burnout than younger or older physicians, according to a recent survey of more than 15,000 physicians who cited administrative tasks and work hours as key drivers of their stress.

Nearly half of Generation X physicians reported feeling burned out, compared with 38% of millennials, ages 25 to 39, and 39% of baby boomers, ages 55 to 73, surveyed. Roughly half of all the doctors surveyed also said that they would be willing to take a substantial pay cut to achieve a better work-life balance.
READ MORE | WALL STREET JOURNAL |
Submit Your Abstract To The ASIPP ® 2020 Annual Meeting Abstract/Poster Presentation

The 2020 Annual Meeting Abstract Submission form is now available! Abstracts must be submitted by February 17, 2020.
ABSTRACT SUBMISSION / GUIDELINES
Final CMS Payment Rules for Interventional Pain Physicians In-Office, ASC, and HOPD Settings
ASIPP ® and SIPMS will be sending comment letters to CMS. CMS released all 3 payment rules on November 1, 2019.
Links to Payment rates for major IPM codes:

California Governor Gavin Newsom
California Looks to Launch Its Own Prescription-Drug Label
State would contract with generic-drug makers as G overnor Newsom seeks to lower health-care costs
 
California would become the first state to contract with generic-drug manufacturers to make prescription medicines to sell to residents, under a plan proposed by Gov. Gavin Newsom that aims to control rising health costs.

Mr. Newsom, a Democrat, said it will be part of his new budget proposal. Few details were provided about how the plan would work, what kind of drugs it would produce, how much it would cost to enact or how much it might save the state—things that are likely to be studied in more depth as debate over the state budget begins in the coming months.

But with a population of 40 million—nearly 1 in 3 of whom use the state’s Medicaid program for low-income people—Mr. Newsom is betting that California’s purchasing power can help it offer drugs at a lower price than they are offered commercially.
READ MORE | WALL STREET JOURNAL |
Pain Physician November/December
2019 Articles Available Online Now
The November/December issue of Pain Physician features a Health Policy article on the changes in utilization of interventional techniques in the Medicare population, a look at opioid prescribing in Switzerland, and opioid prescribing training in fellowship programs in the US, as well as several systematic reviews, randomized trials and original research.
HEALTH POLICY REVIEW

Update on Reversal and Decline of Growth of Utilization of
Interventional Techniques In Managing Chronic Pain in the
Medicare Population from 2000 to 2018
Laxmaiah Manchikanti, MD; Mahendra Sanapati, MD; Vidyasagar Pampati, MS; Mark V. Boswell, MD, PhD; Alan D. Kaye, MD, PhD; Joshua A. Hirsch, MD

ANALYSIS SURVEY

Opioid Prescription in Switzerland:
Appropriate Comedication use in Cancer and Noncancer Pain
Maria M. Wertli, MD, PhD; Ulrike Held, PhD; Andri Signorell, MSC; Johann Steurer, MD; Eva Blozik, MD; Jakob M. Burgstaller, MD, PhD

What are Future Pain Physicians Learning? A Survey of
Opioid Prescribing Practices Among US Pain Fellowship Programs
Ferdinand Iannaccone, DO; Peter Nielson, MD; Hazeez Adigun, MD; Andrew Kaufman, MD
Alcohol-related deaths increasing in the United States
An analysis of U.S. death certificate data by researchers at the National Institute on Alcohol Abuse and Alcoholism (NIAAA), part of the National Institutes of Health, found that nearly 1 million people died from alcohol-related causes between 1999 and 2017. The number of death certificates mentioning alcohol more than doubled from 35,914 in 1999 to 72,558 in 2017, the year in which alcohol played a role in 2.6% of all deaths in the United States. The increase in alcohol-related deaths is consistent with reports of increases in alcohol consumption and alcohol-involved emergency department visits and hospitalizations during the same period. The new findings are reported online in the journal Alcoholism: Clinical and Experimental Research.

“Alcohol is not a benign substance and there are many ways it can contribute to mortality,” said NIAAA Director Dr. George F. Koob. “The current findings suggest that alcohol-related deaths involving injuries, overdoses, and chronic diseases are increasing across a wide swath of the population. The report is a wakeup call to the growing threat alcohol poses to public health.”
Interventional Pain Management Reports is an Open Access online journal, a peer-reviews journal dedicated to the publication of case reports, brief commentaries and reviews and letters to the editor. It is a peer-reviewed journal written by and directed to an audience of interventional pain physicians, clinicians and basic scientists with an interest in interventional pain management and pain medicine. 

Interventional Pain Management Reports is an official publication of the American Society of Interventional Pain Physicians (ASIPP) and is a sister publication of Pain Physician . Interventional Pain Management Reports Interventional Pain Management Reports is an open access journal, available online with free full manuscripts.  

So submit today your:
  • Case Reports
  • Technical Reports
  • Editorials
  • Short Perspectives
SUBMIT TO IPM REPORTS | CLICK HERE |
Control Your Waiting Room TV

Customized waiting room TV exclusively for ASIPP ® members. Create your own ad-free television broadcasts using our videos, custom informational slides and your own YouTube videos. Even add local weather reports, news and live messages.
GET YOUR OWN LOBBY TV CHANNEL | CLICK HERE FOR ASIPP-TV |
State Society Meetings
Send in your state society meeting news to Holly Long , hlong@asipp.org
ASIPP | Pain Physician Journal | Phone | Fax | Email