Specialty Focus   
Volume VIII | Issue 28                                                                                    
July 9, 2019    
Practice specific news, analysis and commentary for Florida's Medical Specialists  
                            From the publisher of FHIweekly & FloridaHealthIndustry.com

  Doctors significantly over-allocated times to perform joint replacements, study shows  
Ron Shinkman | Healthcare Dive

The physician-led Relative Value Scale Update Committee over-allocated the time required to perform knee replacement surgeries by 23% and hip replacement surgeries by 18%, according to a new Health Affairs study. Time over-allocations were even greater when previously implanted joints were being repaired or replaced. More than 80% of original replacements and more than 90% of revisions were performed in less time than allocated by the committee.
New Telehealth Law Takes Effect in FL
On June 25, Florida Governor Ron DeSantis signed into law HB 23, which sets up guidelines for telehealth services in Florida. The legislation took effect J uly 1. Among other things, the law creates new practice standards for how telehealth can be used and by whom, registration of out-of-state telehealth providers, where telehealth services can be provided, and provisions relating to reimbursement. The key provisions are as follows...
Pain Societies Told to Disclose Financial Ties to Opioid Makers
Megan Brooks | Medscape

The U.S. Senate Finance Committee is demanding that pain societies and advocacy groups disclose any and all payments received from opioid manufacturers. Sen. Chuck Grassley (R-IA), who heads the committee, and Sen. Ron Wyden (D-OR), the minority leader, sent letters to 10 organizations asking about their financial relationships with opioid makers and other medical entities that manufacture products to treat pain.
 Read More 
Login/complimentary registration required.
After cancer treatment: It's time to reconsider the ringing of the bell
It's become a common practice in oncology institutions across North America: A patient completes their prescribed course of treatment and they ring a bell. Usually, it's a large bell, like one that used to be rung in schools signaling the end of recess. Or it's a ship's bell, attached to a wall outside the radiation department or the chemotherapy unit. Often patients have their loved ones with them to witness this sentinel event - the ringing of the bell.

I've even used the event as the title of one of my books,  After You Ring the Bell: 10 Challenges for the Cancer Survivor. In the introduction to the book, I explore the concept of cancer survivorship and what life after cancer might look like for the person who rings the bell at the end of treatment. I tried to be gentle in my caution about expectations for the immediate days and weeks that follow. But as the years have gone by since publishing the book and as a result of many conversations with patients who have rung the bell, I have come to question that practice because of what it means to those patients and those who care for them.
HB 369 - Latest Florida Addiction Treatment Law
Florida Healthcare Law Firm
There's an old saying that goes like this: To a hammer, everything is a nail. There's another I like: There are two things in life you don't wanna see being made - one is sausage, the other is law. Case in point is
HB 369, the latest Florida law aimed at correcting certain problems in the addiction treatment industry. Though nailing some clear issues that needed shoring up, some of the provisions skate on some questionably thin ice vis-a-vis conflicting with federal law.
The law implemented last year is a mixed bag. This one is no different, and yet in many ways more of a modification of last year's legislative bombshell than anything else. Some of the good stuff that the law does includes doubling down on the credentials required to work in a recovery center. For instance, the definitions of "clinical supervisor" and "peer specialist" are both beefed up to require, for instance, a length of time of sobriety. And background checks for people working at treatment centers are featured strongly in the new law. The law also creates an exemption from disqualification for certain past offenses, which is important when qualifying people to help those in treatment who likely had a past history of abusing drugs or alcohol. The law also attempts to negate old landlord tenant laws to allow a recovery residence to discharge a resident for some very good reasons (e.g. it's necessary for the resident's welfare). In these ways and others, the law is thoughtful.