October 5, 2018
Vol. 25, No. 18
Busy Times for Healthcare at the DC Council
The DC Council is in the home stretch of its 22nd Council Period, and it is working its way through a significant volume of healthcare bills. This includes a Committee on Health hearing this week and a Public Oversight Hearing on the Providence transition in the week ahead. Yesterday, the Committee on Health held a regular meeting on the following:

• B22-0597, Behavioral Health Parity Act of 2019
• B22-0690, Study of Long-Term Care Services and Supports Act of 2018
• B22-0742, Mental Health Information Disclosure Amendment Act of 2018
• B22-0743, Preservation of Electronic Recordings of Meetings Amendment Act of 2018
• B22-0790, Student Certificate of Health Amendment Act of 2018
• B22-0807, Medical Necessity Review Criteria Amendment Act of 2018

MSDC has already voiced its strong support for the behavioral health parity act . Next week, DC Committee on Health Chair Vincent Gray will be holding a Public Oversight Hearing regarding Providence Hospital's future —and what it means for how healthcare is provided across the city. MSDC is submitting written testimony and will attend the hearing on October 10, 2018, at 10:00 AM in Room 500 of the John A. Wilson Building. Those who wish to attend or submit testimony may do so using the directions provided in the Hearing Notice .

Welcome to the new eNewsline!

You may have noticed that eNewsline looks... a little bit different. That is because, as part of our new digital strategy, we gave our newsletter a refresher. Over the coming weeks we will iron out some of the "quirks", but share your feedback on our new look!
National Advocacy
MSDC Joins Amicus Brief Aimed at Short-term Insurance Plans
Effective October 2, 2018 , the Departments of Labor, Treasury, and HHS have passed regulations which greatly expand the availability of short-term, limited duration insurance (STLDI). Several organizations, including the American Psychiatric Association (APA), recently sued the United States government in an effort to have the new STLDI regulations declared invalid.  MSDC is joining the APA and AMA in action opposing this regulation, to allow patients to receive coverage for needed care.

Senate Sends Sweeping Opioids Legislation to President Trump
The Washington Post reports the Senate “passed the final version of a sweeping opioids package Wednesday afternoon and will send it to the White House just in time for lawmakers to campaign on the issue before the November midterm elections.” The bill “creates, expands and reauthorizes programs and policies across almost every federal agency,” with the aim of addressing “different aspects of the opioid epidemic, including prevention, treatment and recovery.” 
MSDC Member in the News
Dr. Steven Hopping
MSDC Member Dr. Steven Hopping appeared on Nepal NTV News. In the appearance, he discussed his foundation and outreach work to provide plastic surgery to underserved populations. See the video.
MSDC eNewsline
Pia R. Duryea
202-355-9414 (direct)
202-466-1800 (main)
For previous editions, visit eNews Archives

MSDC Media
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2017-2018 Board of Directors
Susanne Bathgate, MD
Chair of the Board, At-large

Barry L. Lewis, MD, MBA

Raymond Tu, MD, FACR
President-elect, AMA Alternate Delegate

Julian R. Craig, MD
Immediate Past President

Joseph E. Gutierrez, MD
Treasurer, AMA Delegation Chair

Peter E. Lavine, MD
AMA Delegate

J. Desiree Pineda, MD
AMA Alternate Delegate

Laurie Duncan, MD

E.W. Emanuel, MD

Alice Fuisz, MD
At-large, Secretary

Daniel I. Perlin, MD

Marc Rankin, MD

Robert Hay Jr., CAE
Executive Vice President
P ractice Management
Attention Practice Managers!
Would you like to connect with others?MSDC is evaluating interest in a Practice Management Group for managers to socialize with their colleagues, share practice tips and resources. If interested, please contact Pia Duryea (duryea@msdc.org)
MIPS Targeted Review Request: Deadline Extended to October 15
If you participated in the Merit-based Incentive Payment System (MIPS) in 2017, your MIPS final score and performance feedback are available on the  Quality Payment Program  website. The payment adjustment you receive in 2019 is based on this final score. If you believe there is an error in your 2019 MIPS payment adjustment calculation, request a targeted review until October 15 at 8 pm ET.

For more information, see:
·  Contact the QPP at 866-288-8292 (TTY: 877-715-6222) or  QPP@cms.hhs.gov
Thank you to our corporate supporters
MSDC 1817 Society
Join Us for the 2018 Annual Meeting and Reception
Register today for MSDC's 2018 Annual Meeting and Reception on Friday evening, October 19, 2018, at the Cosmos Club in Washington, DC. Building on the success of last year's sold-out Bicentennial, this year's event will "celebrate the past and embrace the future." Advance registration is required, so sign up today! You may register by calling 202-466-1800 or online at msdc2018.eventbrite.com .

Healthcare leaders Drs. Barry Lewis (AmeriGroup), Robert Tu (United Medical Center and BridgePoint Hospital), Carla Sandy (Mid-Atlantic Permanente Medical Group) and Brian Jacobs (Children's National Health System) will address the future of medicine in our nation's capital. In addition, we will celebrate distinguished 2018 Special Award recipients whose accomplishments and service improve the health of our nation's capital and the Medical Society's foundation will present scholarship awards to deserving DC students. There will be ample opportunity for you to catch up friends with--and meet new physicians from across metropolitan Washington.

MSDC appreciates the generous support of 2018 Annual Meeting sponsors and supporters: Physicians Committee for Responsible Medicine, ProAssurance, BridgePoint Hospital, Cerner, Amerigroup, Mid-Atlantic Permanente Medical Group, American College of Radiology, and The GW Hospital. Contact Pia Duryea (duryea@msdc.org) with questions on how to participate.
Corporate Partners
Public Health
October is Breast Cancer Awareness Month...Progress in Treatments, Testing 
October is Breast Cancer Awareness Month , an annual campaign to increase awareness of the disease. Other than skin cancer, breast cancer is the most common cancer among American women. Talk to your patients about the importance of breast cancer screening. Medicare Part B provides coverage for screening mammography. A clinical breast exam is also covered as part of the screening pelvic examination for beneficiaries who meet the coverage criteria. For more information, see the Medicare Preventive Services resource and CDC's Breast Cancer Awareness page .

ABC News recently reported on developments in breast cancer treatment, noting that “the movement has been wildly popular: National Cancer Institute (NCI) funding for breast cancer totaled $520 million in 2016.” 
End the Epidemic: Opioid-Related Resources and News
Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain
Providers wrote approximately 4.45 billion opioid prescriptions in 2016—with wide variation across states. In addition, almost 1.8 million Americans, aged 12 or older, either abused or were dependent on prescription opioids in 2016. Improving the way opioids are prescribed through clinical practice guidelines can ensure patients have access to safer, more effective pain treatment while reducing the number of people who misuse or overdose from prescription opioids.

The Centers for Disease Control and Prevention's (CDC) National Center for Injury Prevention and Control has developed and released the Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain . The purpose of the resource is to encourage careful and selective use of long-term opioid therapy in the context of managing chronic pain through:
  1. Evidence-based prescribing,
  2. Quality improvement (QI) measures to advance the integration of the guideline into clinical practice,
  3. Practice-level strategies to improve care coordination; and
  4. A resource toolkit
To access the resource and supporting materials, visit  this website .
National Prescription Drug Take-Back Day
Saturday, October 27, 2018, from 10:00 AM to 2:00 PM is National Take-Back Day . This regular event is a safe, convenient, and responsible way to dispose of unused or expired prescription drugs. Look up take-back locations and drug disposal information on the DEA website . To locate a year-round authorized collector in your area, click here .
AMA Webinar Next Week: Non-pharmacologic Approaches to Pain Management 
On Wednesday, October 10, 2018, at noon CDT, an AMA webinar will explore methods for pain management specifically for patients with chronic medical conditions (i.e. diabetes, cardiac health issues) as well as behavioral, cognitive and physical therapies. The content will also include an overview of the legislative/state-based perspective of pain management approaches. Register here.
DC Prescription Drug Monitoring Program
AMA "End the Epidemic" Website
See the AMA's End the Epidemic website , with resources and recommendations from the AMA Opioid Task Force
October 11-14, 2018
Hyatt Regency Reston (Reston, VA)
"Health Consciousness: Giving Knowledge Life" is the common thread woven through all workshops at the Building Bridges of Integration for Traditional Chinese Medicine Conference, October 11-14, 2018, in Reston, VA. The healing power of Health Consciousness is brought to life through the Five Element Framework. This model becomes a vehicle for expanding self-awareness and advancing a system based on wellness. Discount for MSDC Members! Enter coupon code "MSDC" for 10% off standard registration. https://www.tcmworld.org/conference/conference-2018/  

ACCREDITATION : This live activity is designated for a maximum of 28 AMA PRA Category 1 Credit(s) TM .
Saturday, October 13, 2018, 7:00 AM - 4:00 PM
Martin's Crosswinds, Greenbelt, MD 
This half day symposium will review the latest in the diagnosis and management of advanced heart failure. A special emphasis will be given to special conditions such as infiltrative cardiomyopathies, pulmonary hypertension and genetic conditions. It will also provide an overview of modalities for treating end-stage advanced heart failure such as mechanical circulatory support and heart transplantation. Integration of palliative care will also be discussed. Learn more or register .
October 13, 6:00 AM - 5:00 PM
Omni Shoreham Hotel, Washington, DC
This interdisciplinary, one-day conference will examine clinical updates in melanoma biology staging and early disease management. Course Co-Directors: Michael B. Atkins, MD; Waddah B. Al-Refaie, MD, FACS; Geoffrey T. Gibney, MD. This activity was planned by and for the healthcare team, and learners will receive 7.25 Interprofessional Continuing Education (IPCE) credits for learning and change. Learn more or register .
October 18, 2018
American College of Cardiology (Washington, DC)
This year, ProAssurance, MSDC's 1817 Society Member and partner for medical professional liability insurance, will offer loss prevention seminars on the topic of healthcare communications. Participation in this seminar will better enable participants to:
• Recognize the need for a risk reduction strategy in a patient scenario;
• Explain the relationship between communication and professional liability risk; 
• Apply a risk reduction strategy while providing patient care. 

This will be the final seminar . Learn more or register .
Healing the Healers
Thursday, October 18, 2018, 6:30-9:00 PM
Clyde's at Gallery Place (707 7th St., NW, Washington, DC)
Washington Psychiatry Society invites MSDC members to its Career, Leadership & Mentorship Program Dinner, focused on "healing the healers." The panel includes Eliot Sorel MD, DLFAPA, Richard A. Chefetz, MD, Esther Bilenkis, MD, Cristina Secarea, MD. Learn more or register here .
4th Columbia Psychosomatics Conference - (CME 13.5 Category 1 credits)
Healing "Unexplainable" Pain: Advances in Multidisciplinary Integrated Psychosomatic Care
Saturday & Sunday, October 20-21, 2018
Columbia University Medical Center, New York, NY
Leading world experts in the field are coming to present and conduct workshops on neuroscience-informed diagnosis and treatment of brain-body disorders, including:
• Somatic Symptom Disorders, Functional Disorders, Medically Unexplained Symptoms: From medical office to specialized psychosomatic treatments
• How to Treat Somatic Symptom and Functional Disorders in Primary Care and Family Medicine Practice
• Advances in Psycho-Cardiology
• Chronic Pain and Fibromyalgia 
• Biopsychosocial Treatment of Gastrointestinal Disorders: Disorders of Gut-Brain Interaction
• How to Diagnose and Treat Hypochondriasis
• Where Body Meets Mind in Late-Stage Lyme Disease  and many more topics......
Our conference is science-based & clinically relevant . Advance registration is encouraged, as the number of seats is limited!
For more information,CME, detailed program, and to register visit: 
October 24, 2018, 9:30 AM– Noon 
Kaiser Permanente Center for Total Health (Social Lounge, 700 2nd St. NE, Washington, D.C)

The American Medical Association and the RAND Corporation recently conducted a follow-up study to their 2014 research on the effects of payment models on physician practices, hospitals and health plans in six distinct markets. Today’s new research reveals how the effects of participation in payment models have persisted, improved or further affected practices and organizations. Join for this educational event, which will highlight the findings of the AMA-RAND follow-up study. Panel discussions will cover how the challenges still experienced, improvements realized and strategies implemented affect the shift to value-based care. AMA President Dr. Barbara McAneny will deliver opening remarks. Register or learn more.
November 8, 2018
Royal Sonesta Harbor Court Hotel (550 Light St. Baltimore, MD)
Medical Society of DC members are invited to the Maryland Medical Cannabis Forum on November 8, 2018 in Baltimore MD. Top doctors, researchers, and regulators will provide reliable information on the state of medical cannabis research and practices, including:
■ The endocannabinoid system and its relation to treating diseases
■ Cancer case studies utilizing cannabis for symptom relief and pain management
■ Effect of cannabis on treating neurological disorders such as Alzheimer’s, Epilepsy and Autism.
■ Reduction in opioid dependency and other prescription medications
■ Proper dosing and understanding common side effects

RSVP & further details at www.medicalcannabisforum.org (443-714-3206)
Medical Real Estate Listings
Brought to you by MSDC Corporate Partner GZ Medical Realty. Contact Pete Papantoniou for your real estate needs.
Office Sublet Available
600-1,200 square foot sublet available in Class A office building on 19th Street in N.W., D.C. The space which is about to be built out will have a separate entrance, 2 large offices and 2 exam rooms (all with large windows), and a small reception area. Balance of the office space is occupied by an Internal Medicine practice. Option to share staff and EMR etc with our group. Space available approximately September 2018. Contact Dr. Alice Fuisz if interested. alicefuiszacp@gmail.com .

2440 M Street NW
2440 M Street NW
Washington, DC 20037
2440 M Street is a Class A 110,000 SF medical office building with a three-level parking garage in northwest Washington, DC. The building has abundant patient and physician parking. Please contact Peter Papantoniou at 301-961-1941 or see the online listing for more information. 

Part Time/Full Time Office Space Available
3 Washington Circle
Washington, DC 20037
Part time/full time office space available immediately at 3 Washington Circle. This includes a large consultation room, fully equipped examination room, lab drawing facility onsite, EKG machine, space for receptionist, space for medical records, shared use of copier, telephone system, wireless internet and waiting room. Ideal for general internist, medical subspecialist or surgeon. If interested, please call Mark Sklar, MD. 202-887-4769 or email mmsklar@gmail.com .
Boutique Townhouse Medical Office for Rent Across From GWU Hospital/ Medical School
900 New Hampshire Ave., NW
Washington, DC 20037
Boutique townhouse medical office for rent across from G.W.U. Hospital & School of Medicine. Very close to Foggy Bottom Metro. Three rooms, one on entry level with powered table/chair & overhead surgical light. Consultation room, reception/waiting room, & possibility of 2 additional rooms. Two-car driveway. Call/text Sheldon K. Gottlieb, MD, 301-509-3319, or email skgottliebmd@comcast.net .
Woodburn Medical Park
3229 Woodburn Road  
Merrifield, VA 22003
Woodburn Medical Park is located within walking distance of INOVA hospital directly off Capital Beltway. Common area was recently upgraded. Contact Peter Papantoniou at 301­-961­-1941 or see the online listing for more information.
Full Time/ Part Time Office Space Available
Well-designed and attractively decorated office of three general internists has additional consulting room/exam room suite available. Looking for another general internist to share space and overhead in fully staffed and equipped internal medicine office. Shared call coverage is possible. Contact Alan Stone, MD, 202-466-8118 or aws.md@verizon.net
Medical Society of the District of Columbia
1250 23rd Street NW, Ste 270
Washington, DC 20037