October 22, 2018
Vol. 25, No. 19
MSDC Installs New President and Ushers in a New Era
The Medical Society would like to thank the many members of the physician community who attended the 2018 Annual Meeting and Reception last week at the Cosmos Club. The meeting was enjoyable and well-attended for several reasons:
  • a physician panel with Barry Lewis, MD, Raymond Tu, MD, Carla C. Sandy, MD, and Brain Jacobs, MD, examined disruptive forces in healthcare, the impact of technology on quality, the benefits of physician leadership and other forward-looking trends.
  • inspiring healthcare leaders from DC's medical community were recognized. These included: Daniel Perlin, MD; Anthony Ibe, MD; Neal Barnard, MD; Damani McIntosh-Clarke; Nicole Mullings; Theresa Thomas; Ishmael Williams, and The GW University Hospital & The GW Medical Faculty Associates
  • Raymond Tu, MD, was installed as MSDC's new president.

The final results of the 2018 Leadership Election were announced:
President‐Elect: Dr. Desiree Pineda
Directors at Large: Drs. Susanne Bathgate, Laurie Duncan and Julian Craig
AMA Delegate: Dr. Peter Lavine
AMA Alternate Delegate: Dr. Raymond Tu

Finally, the meeting marked formal introduction of MSDC's new EVP Robert Hay Jr. Read his message to attendees here . As part of MSDC's new vision, multiple groups are being formed to advance the profession of medicine in the District. Whether your interests lie in policy, strategic planning or family violence, or in opportunities to connect with other women in medicine, other bright young physicians, or other practice managers, there is an opportunity for you to connect and get involved. Learn more or sign up here.
DC Advocacy

The month of October has been active on the healthcare legislative front...and the month's not over yet. Areas that the Council has reviewed or will review this month include access to care, breast cancer, health disparity and other key concerns to physicians and patients.

The month started with the Committee on Health's oversight hearing on the controversial transition plan for Providence Hospital. The October 10 hearing lasted most of the day and included testimony from MSDC Certificate of Meritorious Service Winner Anthony Ibe, MD; MSDC member and MedStar Washington Hospital Center CMO Gregory Argyros, MD; and numerous other leaders of the medical community. Watch the video . Although no resolution was reached during the hearing, the DC Council last week approved legislation empowering the Mayor to force hospitals to remain open.

At a recent Council meeting, a Ceremonial Resolution was presented recognizing October as Breast Cancer Awareness Month in the District of Columbia. This measure was supported by MSDC.

Looking ahead, this Friday, the Committee on Health will hold a public hearing on the following legislation:

  • B22-959, the “East End Health Equity Act of 2018”
  • B22-924, the “Program of All-Inclusive for the Elderly Establishment Act of 2018”
  • B22-960, the “Breast Density Screening and Notification Act of 2018”
  • B22-972 the “Conversion Therapy for Consumers Under a Conservatorship or Guardianship Amendment Act of 2018”

The hearing will be held on Friday, October 26, 2018, at 10 AM, in Room 500 of the John A. Wilson Building. The public is invited to testify or submit testimony. See the Hearing Notice for instructions and deadlines.
National Advocacy and News
CMS Proposes Requirement to Disclose Drug Costs in Advertisements
US Health and Human Services Secretary Alex Azar has announced a new policy aimed at bringing transparency to the prescription drug price market. The proposed rule from the Center for Medicare and Medicaid Services, which would require that prescription drug manufacturers post the Wholesale Acquisition Cost (WAC) for drugs covered in Medicare or Medicaid in direct-to-consumer television advertisements. The proposed rule can be downloaded from the Federal Register at: https://www.federalregister.gov/public-inspection/  
CMS will accept comments until December 17, 2018. Comments may be submitted through the e-regulation website .   
Influential Leapfrog Group Jumps In To Rate 5,600 Surgery Centers
The influential Leapfrog Group, which grades nearly 2,000 U.S. hospitals, is launching a national survey to evaluate the safety and quality of up to 5,600 surgery centers that perform millions of outpatient procedures every year. Read more in Kaiser Health News .
MSDC eNewsline
Pia R. Duryea
202-355-9414 (direct)
202-466-1800 (main)
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2018-2019 Board of Directors
Susanne Bathgate, MD
Chair of the Board, At-large

Raymond Tu, MD, MS

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

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
2019 CPT Codes Offer New Paths to Payment for Digital Medicine
Reflecting the reality that physicians and their staff spend an increasing amount of time engaging with technology to enhance and improve patient care, the 2019 Current Procedural Terminology (CPT®) code set that takes effect Jan. 1 provides health professionals the codes they need to get paid for emerging services. Read more at AMA Wire .
District Healthcare Notices
DC Health has posted the following health notices relevant to DC doctors:
Thank you to our corporate supporters
MSDC 1817 Society
MSDC Around the District
MSDC staff and leadership have been visiting area hospitals to discuss legislative advocacy, licensure and other issues important to District physicians. Last week, MSDC attended the George Washington University Hospital quarterly. If you would like the MSDC team to provide an update for your hospital or practice, contact hay@msdc.org.
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
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 .
Webinar: Psychologically-Integrated Approaches to Pain Management
The latest in the AMA's Opioid Safety Project Webinar Series will take place on November 14, at 12:00 Noon (CDT) . Over this hour, the AMA will discuss constructs of pain disorders with a focus on the contribution of psychological phenomena on the subjective experience of pain, among several other topics. Register now
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 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