November 16, 2018
Vol. 25, No. 21
Get Your 2018 Physician License Renewal Questions Answered Today at 2 PM
MSDC Licensure Training with the DC Board of Medicine
MSDC will be hosting a licensure training webinar today at 2 PM to assist members with the renewal process. Register here to join and h ear directly from DC Board of Medicine staff (1) how to complete the licensure form and (2) tips and tricks to ease the process and avoid snafus. More importantly, this is an opportunity to ask questions about licensure renewal. A recorded version will be available afterwards for those who can't attend live.

DC Legislative Update
As the 22nd Council session approaches its conclusion, the race to finish pending business speeds on. Since the last eNews, the Council has moved on a number of issues, including (1) acting on breast density screening notification legislation; (2) amending and passing MSDC-supported legislation to reform the insurance market; (3) passing MSDC supported mental health parity legislation; and (4) clearing the way for George Washington to begin building a new hospital on the St. Elizabeth’s campus. On the insurance reforms, MSDC joined 27 local and national consumer, patient, and provider groups in a letter to Committee on Health Chairman Vincent Gray urging swift action to restrict short-term and association health plans in the District. Today, the DC State Health Planning and Development Agency will hold a hearing on the certificate of need to close Providence Hospital. MSDC is present and reporting updates on social media.

Want to become more involved in MSDC’s advocacy efforts or learn more? Contact hay@msdc.org.
National Policy
CMS May Let Hospitals Pay for Housing Through Medicare
This week, Health and Human Services Secretary Alex Azar announced that the Centers for Medicare & Medicaid Services (CMS) might allow hospitals and health systems to pay directly for housing, healthy food or other solutions for the "whole person" through the Medicaid program. Read more in Modern Healthcare .

Highlights from the AMA Interim Meeting
This year’s AMA Interim Meeting addressed a wide range of clinical practice, payment, public health topics and more. Highlights included:
- Physicians again forcefully spoke out on gun-violence policy
- Sex ed should include age-appropriate content on bullying, consent
- AMA moved to protect income-based loan repayment programs
- Vaping is an epidemic and the FDA must act
- Front-of-package labels on food products need transparency
Read more in the AMA Wire .

S ee pictures of the good work our delegation did at the 2018 Interim Meeting on MSDC's Instagram page.
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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2018-2019 Board of Directors
Susanne Bathgate, MD
Chair of the Board, At-large

Raymond Tu, MD, MS
President, AMA Alternate Delegate

J. Desiree Pineda, MD
President-elect, AMA Alternate Delegate

Barry L. Lewis, MD, MBA
Immediate Past President

Joseph E. Gutierrez, MD
Treasurer, AMA Delegation Chair

Peter E. Lavine, MD
AMA Delegate

Laurie Duncan, MBBS, MS

E.W. Emanuel, MD

Alice Fuisz, MD
At-large, Secretary

Daniel I. Perlin, MD

Marc Rankin, MD

Robert Hay Jr., CAE
Executive Vice President
MSDC In the Media
At the AMA Interim Meeting, MSDC introduced a resolution to adopt international standards for forced organ harvesting. Although the resolution was not adopted, it drew international media attention. AMA Delegation Chair Joseph Gutierrez, MD, told an overseas reporter, “We are very concerned with the increasing reports, out of China being particular, regarding forced organ harvesting for transplantation.”

In addition, Dr. Joseph Gutierrez was also featured in the Washington City Paper . Dr. Gutierrez was listed in the "2018 People Issue" which highlights a select list of Washingtonians who give D.C. its unique character. We congratulate him on this recognition.
MSDC Community
Women Physicians Brave the Elements for Kickoff Event
MSDC held its inaugural women physicians social yesterday at Circa in Foggy Bottom. Despite school cancellations and foul weather, many women physicians attended. Women who are interested in participating in future events should contact MSDC .
Bright Young Doctors Happy Hour on November 29
MSDC is kicking off a bright young doctors group for early career physicians. There will be an informal happy hour on Thursday, November 29, at 6:00 PM at Circa (located in Foggy Bottom at 2221 I Street NW). In the spirit of the season, we will also be accepting winter clothing donations at that event to assist local charity.

Other active interest/ networking groups and committees address policy, health disparities, strategic planning, finance and physician health. For information contact hay@msdc.org.
Practice Management
CMS released combined final rules establishing 2019 Medicare Physician Fee Schedule (PFS) and Quality Payment Program (QPP) policies. CMS set the 2019 PFS conversion factor at $36.0391 and the anesthesia conversion factor is $22.2730. Read the AMA's  summary covering QPP changes and advancements in digital medicine.

The annual participation enrollment program for calendar year (CY) 2018 commenced on November 14, 2018, and will run through December 31, 2018. Click here for the website .
Attention Practice Managers!
Would you like to connect with others?MSDC is forming 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)
Extortion Scam Targeting DEA Registrants
DEA is aware that registrants are receiving telephone calls and emails by criminals identifying themselves as DEA employees or other law enforcement personnel. The criminals have masked their telephone number on caller id by showing the DEA Registration Support 800 number. Please be aware that a DEA employee would not contact a registrant and demand money or threaten to suspend a registrant’s DEA registration.  

If you are contacted by a person purporting to work for DEA and seeking money or threatening to suspend your DEA registration, submit the information through “ Extortion Scam Online Reporting ” posted on the DEA Diversion Control Division's website .
Medicare Time Savers: Easily Check Eligibility with These Tools
From Novitas, the Medicare Administrative Contractor for Jurisdictions H and L
With Medicare Open Enrollment going on now, providers are encouraged to take advantage of two valuable. time-saving tools available in Novitasphere, your free internet portal.  
1) The MBI Lookup Tool can be used to locate a patient’s new Medicare Beneficiary Identifier (MBI) numbers when the patient is unable to provide their updated card. See how in this video .
2) The Eligibility Guide can help obtain important eligibility details and can be printed or saved with the patient’s records. Some key information available through Novitasphere:
·    Effective and termination dates for Part A and Part B
·    Current year Part B remaining and total deductible
·   Physical and Occupational Therapy amounts used for the year
·    Medicare Advantage Plan information (MAP)
·    Medicare as Secondary Payer information (MSP)
·    Qualified Medicare Beneficiary (QMB) information
For a full list of what information is available, click here to view the Eligibility Guide .

For questions, please contact the Novitasphere Help Desk at 1-855-880-8424.
Thank you to our corporate supporters
MSDC 1817 Society
Public Health
Six Resources for Antibiotic Awareness Week
The week of November 12 is Antibiotic Awareness Week and the DC Healthcare Associated Infections (HAI) committee that makes recommendations to the DC Government and its external healthcare stakeholders produced six videos to increase awareness. See below.  

1.   How to talk with patients about using antibiotics : Ryan E. Anderson, MD, MPP, Associate Medical Director, MedStar Institute for Quality and Safety discusses a four-step plan for discussing antibiotic stewardship with patients.                      
2.  What is an Antibiogram : Mia Barnes, PharmD, BPCPS, Adjunct Assistant Professor, Infectious Diseases, Howard University College of Pharmacy discussing what is an antibiogram—an aggregate summary of susceptibility data at an institution which gives clinicians a birds-eye view of resistant patterns.
3.   What is an Antibiotic Resistance? : Glenn. Wortmann, MD, FIDSA, FACP, Section Director, Infectious Diseases at MedStar Washington Hospital Center discusses how antibiotic resistance occurs. 
4.   Let's Talk About Antibiotics : DelIsa Winston, RPh, Director of Quality Initiatives, Grub’s Pharmacy discusses what antibiotics are and what they do and difference between viruses and bacterial infections.    
5.   What is Bacteriuria ? Syncia Sabain, EdD, MPH, MS, MBA, MA, Director of Quality Assurance and Infection, Unique Rehabilitation & Health Center discusses when bacteria is present in a urine culture of someone that has no symptoms of an urinary tract infection which is common condition found in the elderly in long term care facilities. Antibiotics do not benefit these residents and they are at risk to for developing antibiotic resistance making them more difficult to treat in the future. 
Corporate Partners
6.     Importance of Immunization :    Erica Shepperd-Debnam, Doctor of Pharmacy Candidate, Howard University College of Pharmacy, discusses how people are exposed to millions of germs every day that can cause infections. Thanks to vaccines, we are able to survive these infections. 
November is Diabetes Month: Why Some Patients Don't Take Prediabetes Seriously  
When you tell some patients they have prediabetes, they may not feel that it rises to the top of their priority list. But by reframing the discussion around your patient’s goals, you can help them learn how to stop prediabetes from developing into type 2 diabetes.  Read more at  AMA Wire.
New Adult Hepatitis B Vaccine Added to Atlantic Health Partners Vaccine Program
From MSDC vaccine buying group partner, Atlantic Health Partners
Atlantic Health Partners has announced the addition of Dynavax’s Heplisav-B vaccine to their comprehensive portfolio of immunizations.  Heplisav-B is the only 2 dose series adult Hepatitis B vaccine approved for patients 18 and older, and provides higher levels of immunity than other adult Hepatitis B vaccines.

Additional benefits of Atlantic’s program include:
·     Most favorable pricing for Merck, Sanofi, and Pfizer (Trumenba) vaccines
·     Excellent service and support for all your immunization needs
·     Outstanding flu program that includes Sanofi and Seqirus products
·     Easy “one-stop shop” ordering for most vaccines

Join many MSDC members already benefiting from Atlantic’s program and contact Cindy Berenson for details.
Help Your Patients Fight the Flu 
The 2018-19 flu season is well underway and, unknowingly, your patients may already be playing “beat the clock”. As you know, doctors are recommending that all individuals over the age of 6 months old receive the vaccination. Because it takes approximately 30 days to develop full flu immunity, patients should get the shot sooner rather than later.
According to the Centers for Disease Control and Prevention, flu costs the nation about $7 billion a year in sick days and lost productivity among working adults. 

Fight the flu and help your patients save this flu season by encouraging them to print a free D.C. Rx Card at the www.MSDC.org website or at www.dcrxcard.com . Any physicians who are interested in ordering free cards for their clinic/hospital can email Allan Browder, via email at abrowder@dcrxcard.com or by phone at 202.330.3118. 
End the Epidemic: Opioid-related Resources and News
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
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