January 27, 2023
Presidential Installation of 2023 CMS President, Sarah Ko, M.D., PhD



The Capital Medical Society installed
Dr. Sarah Ko as its 78th President on
January 24, 2023 at the FSU Alumni Center.
 
Congratulations, Dr. Ko!
HCA Healthcare North Florida Division Announces Chris Mosley as Chief Executive Officer of HCA Florida Capital Hospital
On January 26, 2023, HCA Healthcare North Florida Division announced the appointment of Chris Mosley, as Chief Executive Officer of HCA Florida Capital Hospital, starting in early March. In his new role, Mosley will oversee the 288-bed acute-care hospital in Tallahassee, which has served the Big Bend region for more than 40 years. Mosley has more than a decade of experience in healthcare administration having served in various leadership roles at HCA Healthcare.
A Big-Hearted Passion For People: In and Out of White Coats, Michael and Jana Forsthoefel Treat Tallahasseeans with Respect
Drs. Michael and Jana Forsthoefel have been serving the Tallahassee community for almost 40 years, each earning a stellar reputation over that time.


Source: Tallahassee Magazine
Florida Reimbursement Assistance for Medical Education (FRAME) Program Launches February 1
On February 1, the state Department of Health will launch the Florida Reimbursement Assistance for Medical Education (FRAME) Program.

The goal of the FRAME Program is to encourage qualified medical professionals to practice in underserved locations of the state by providing annual payments intended to offset the loans and educational expenses incurred by students for studies leading to medical or nursing degrees, medical or nursing licensure or advanced practice registered nurse licensure or physician assistant licensure.

Reimbursement Amounts
  • Up to $20,000 per year for physicians
  • Up to $15,000 per year for advanced practice registered nurses practicing under section 464.0123, Florida Statutes
  • Up to $10,000 per year for advanced practice registered nurses and physician assistants
  • Up to $4,000 per year for licensed practical nurses and registered nurses

All payments are contingent on continued proof of primary care practice in an area defined in section 395.602(2)(b), Florida Statutes, or an underserved area designated by the Department, provided the practitioner accepts Medicaid reimbursement if eligible for such reimbursement. For more information, go to:


Application Process:
The FRAME Program application window will open on February 1 and run through March 31, 2023.

To facilitate your application process, the FRAMEworks Portal will launch on February 1, 2023. Applicants will be able to log on and register after that date to formally submit their application to the program.

After February 1, you may alternatively choose to mail applications to the address below:
FRAME Program
4052 Bald Cypress Way
Bin A-05
Tallahassee, FL 32399

To get a jump start on the process, the required submission forms can be found below (forms are Adobe PDF and will open in new windows):

Applications will be evaluated, and selections will be made on or before June 1, 2023.
 
For questions or additional information, email FRAME@flhealth.gov.
Amazon Launches a Subscription Prescription Drug Service
Amazon will launch RxPass, a subscription service for customers who have Prime memberships. People will pay $5 a month to fill as many prescriptions as they need from a list of about 50 generic medications.


Source: Health News Florida
Florida gets an F on the American Lung Association's tobacco control report card
Florida is failing when it comes to controlling tobacco and preventing smoking, according to a new report from The American Lung Association.
Florida’s lack of tobacco control and efforts to prevent smoking has earned the state failing grades in an annual report from the American Lung Association.

"With the 2023 state of tobacco control report, Florida, unfortunately, was listed as one of the states with the worst policies to prevent and reduce tobacco use," said Janelle Hom, director of the Central Florida Lung Association office.


Source: Health News Florida
Did your health plan rip off Medicare?
Kaiser Health News has released never-before-seen details of federal audits as the government weighs action against dozens of Medicare Advantage plans.
KHN has released details of 90 previously secret government audits that reveal millions of dollars in overpayments to Medicare Advantage health plans for seniors.

The audits, which cover billings from 2011 through 2013, are the most recent financial reviews available, even though enrollment in the health plans has exploded over the past decade to over 30 million and is expected to grow further.

KHN has published the audit spreadsheets as the industry girds for a final regulation that could order health plans to return hundreds of millions, if not billions, of dollars or more in overcharges to the Treasury Department — payments dating back a decade or more. The decision by the Centers for Medicare & Medicaid Services is expected by Feb 1.


Source: Health News Florida
State Projects 1.75 Million Floridians Could Lose Medicaid Coverage as Pandemic-Era Law Expires
States were not allowed to kick people off Medicaid during the pandemic even if they no longer qualified. As of April 1, they can. Health policy experts fear some people who remain eligible could still lose coverage during the process.


Source: Health News Florida
Distribution of First 200 GME Slots
The Centers for Medicare and Medicaid Services (CMS) announced the distribution of the first 200 GME slots, out of the additional 1,000 slots, that were created as part of the Consolidated Appropriations Act, 2021 (CAA). The slots will be effective July 1, 2023. In this first distribution of slots 100 teaching hospitals in 30 states, the District of Columbia, and Puerto Rico received awards. The application cycle for the 200 FY 2024 slots is currently open and will remain open until March 31, 2023. In order be eligible for these additional FTE resident cap slots a hospital must qualify in at least one of the following four categories: (1) hospitals in rural areas (or treated as being located in a rural area under the law), (2) hospitals training a number of residents in excess of their GME cap, (3) hospitals in states with new medical schools or branch campuses, and (4) hospitals that serve areas designated as health professional shortage areas (HPSAs). Additionally, no hospital can receive more than 25 FTE resident cap slots. Answers to questions concerning the Section 126 application process for additional slots can be found here. The application for additional slots can be found here.

Source: Centers for Medicare and Medicaid Services (CMS)
UV Nail Dryers May Pose Cancer Risks, A Study Says.
A new study finds that UV dryers for gel nail polish can damage DNA and mutate cells, confirming dermatologists' safety concerns. There are precautions you can take and alternatives to consider.


Source: Health News Florida
FGCU Nurse Anesthesiologists Will Be Doctors For First Time
All graduates of the nurse anesthesiologist program at Florida Gulf Coast University will have doctorates for the first time.


Source: Health News Florida
Informational Correspondence with the Capital Medical Society
In this digital era, we strive to keep you updated with the latest in information. Please let us know when your emails and contact information change. We want you to be part of this Society and be active in your practice networking. Patients seeking provider referrals and providers seeking provider referrals keep your practice flourishing. If your membership information is old and you would like to contact us about relocating, new staff changes, or if you haven’t heard from us in a while, your information may not be current. Your personal contact information is kept confidential but is our way of reaching out to you about meetings, medical updates, license requirements, legalities in medicine and patient privacy and care, Journals, newsletters and more.
Pam Irwin, Executive Director, 850-559-8611, pirwin@capmed.org
Are You One of our Members on the Move?
If you can answer "yes" to any of these questions, we want to know more!
·    Is your practice expanding? Are you adding staff members?
·    Do you have a new practice administrator/office manager?
·    Have you changed or added locations?
·    Have you changed your email/phone/fax?
·    Have you added a new specialty or passed your Board Certification(s)?
·    Have you retired within the last six months?
 
Send your updates to rcarlin@capmed.org.
Subject line: Member Updates
Updated Physician Headshots
The CMS website is your link to our physician member database. The CMS has been actively working on each provider search. Please take the time to search the listing. If you find there is any inaccurate information or an outdated headshot, please reach out to CMS to update your information. Let us know as soon as possible to make sure your information is current.
CMS | (850) 877-9018 | rcarlin@capmed.org
CMS Membership Meeting - "Demystifying Investing in Real Estate to Diversify Your Portfolio" - February 28, 2023
Electronic Version of January 2023 Cap Scan
Click here to view the January 2023 Cap Scan.
Free Monthly Webinars: "The Business Side of Medicine"
For more information and to register, click here.

Source: MIRZA, Healthcare Law Partners
Medicare Revalidations
Medicare Revalidations are back in full force after a brief pause during the height of the COVID-19 Pandemic. All healthcare providers and suppliers are required to revalidate their Medicare enrollment every 3-5 years per CMS’ request. Medicare has implemented new revalidation screening criteria that you will need to be aware of. Missing this important deadline will have significant financial consequences on your medical practice! This link is to a tool to a searchable database that allows you to look up the revalidation due date for Medicare providers who must revalidate their enrollment record information every three or five years.

New Medical License Renewal Guide
If your Florida medical license is set to expire on Jan. 31, 2023, make sure to read the updated Florida Medical Association Allopathic Medical License Renewal Guide.

 
Source: Florida Medical Association (FMA)
Your Dose of Medical Humor
Save the Date for Upcoming CMS Meetings/Events
Discounted Event Tickets at the Donald L. Tucker Civic Center
Capital Medical Society members can receive a discount on upcoming events at the Donald L. Tucker Civic Center by using our promo code "CMST". The upcoming event is:
 
April 22-23, 2023
 
Members can receive the discount a few different ways:
1. Click the show link above and enter the promo code "CMST"
2. Call 850-645-0746 to purchase over the phone and mention the promo code "CMST"
Here's Another Connection for CMS Members: Healthcare Lawyer On Call
The CMS has had a long-standing relationship with Jeff Cohen and The Florida Healthcare Law Firm. Did you know that you can tap into a program called Healthcare Lawyer On Call through Jeff and his firm? That's right! On-Call is different than what you may be used to and doesn't mean that you'll find an attorney at 3 AM to answer a question, but what it does mean is that you can call and speak with someone at The Florida Healthcare Law Firm for 15 minutes at no charge! Please remember that any purely verbal discussion on legal matters is simply the lawyer’s best (and unconfirmed) understanding. Another benefit of being a CMS member!
AMA Resources
COVID-19 Shadow Pandemic: Mental Health Impacts on Patients & Care Teams
“Shadow Pandemic: Mental Health Impacts of COVID-19 on Patients and the Care Team,” the latest on-demand webinar in the AMA’s Overcoming Obstacles series, explores how experts have engaged pediatric and adult patients before and during the pandemic, and how patient health needs have changed over time. Hear the challenges encountered and solutions used to creatively address patient needs, and what is next for patient care.


AMA to Host Interactive Session on Telehealth for Dermatology

The AMA is hosting an interactive session that will highlight the innovative ways that telehealth is currently being used in dermatology. Participants will have the opportunity to ask questions and engage with speakers, as well as gain insights on ways to leverage a variety of telehealth modalities, including provider-to-provider e-consults, live audio/visual, and store-and-forward.


AMA STEPS Forward® Podcast: Creating A Culture That Supports Well-Being

In the latest AMA STEPS Forward® podcast episode, Dr. Nigel Girgrah, Chief Wellness Officer at Ochsner Health System, discusses strategies for creating a culture of well-being at your health care organization – including addressing mental health stigma, building a strong EAP program, employing an opt out vs opt in approach, and encouraging leadership to be vulnerable about their own burnout struggles.


Source: American Medical Association (AMA)
WEBINAR - Navigating the Current Healthcare Landscape: COVID-19, Staffing Crisis, and Administrative Burden
Physician practices across the country continue to operate in an atmosphere of uncertainty, now compounded by a staffing crisis due to a surge in COVID-19 cases. In the latest AMA STEPS ForwardTM webinar, “Navigating the Current Healthcare Landscape: COVID-19, Staffing Crisis, and Administrative Burden,” attendees will hear about the current health care workforce landscape, how to plan for workplace shortages, and best practices in workplace safety and efficiencies for staff. The webinar will also feature practical, actionable resources to transform and improve your practice. Accompanying the webinar, the AMA has released an updated version of “A Physician Guide to Keeping Your Practice Open During COVID-19” to address concerns about workforce protection and retention during the pandemic. 

Source: American Medical Association (AMA)
CME Resources
Wolfson Pediatric CME Webinars - 5.5 CME Credit Opportunity
Wolfson Children’s Hospital is proud to provide Continuing Medical Education opportunities to our partners and referring providers by offering monthly virtual CME sessions at no cost. If you have missed any of our previously offered live webinars and still wish to obtain CME credit for them, we have provided 4 recorded webinars for a total of 5.5 CME credits possible. Please follow the instructions below in order to take advantage of this opportunity!
 
1.      Open the flyer and choose which education session you would like to watch.
2.      Click the link in the attachment for the desired education session.
3.      Watch the webinar.
4.      Follow the instructions included in the video description to complete the required survey and input the associated activity code.
*Please note, if you are licensed outside of the state of Florida, you must contact the CME office at Kimberly.Branham-Nelson@bmcjax.com to request an official transcript of your participation.

Easy to use web portal makes it easy to find courses and track credits. Accredited activities for over 30 medical specialties; Over 100 active courses at any given time; Activity accreditations include ACCME, ANCC, AANP, ACPE, and more; Content is always current, and always free.

Free 1-hour online CME opportunity!
University of Florida's Department of Epidemiology
Raising awareness for Alzheimer's disease and increasing screening for cognitive impairment. This CME has a focus on primary care physicians but is applicable to all physicians who may encounter patients with cognitive impairments.

On-Demand CME by The Doctors Company
Diagnostic error continues to be a top patient safety concern, a global burden, and cause patient harm from treatment delay, testing, or misdiagnosis. “Prevention of Diagnostic Error in Primary Care” is an on-demand CME activity that features patient safety expert Jeffrey A. Gold, MD, professor of medicine, vice chair for quality and safety, for the department of medicine at the Oregon Health and Science University. This program highlights major contributing factors of diagnostic error along with the diagnostic process of care framework with additional focus on strategies to mitigate risk of patient harm in the primary care setting.

On-Demand CME by The Doctors Company
1.25 AMA PRA Category 1 Credits™
Explore the challenges and risks associated with telehealth. Concerns regarding privacy, security, licensure, and technology that might instigate a malpractice claim are discussed.

On-Demand CME by The Doctors Company
2.5 AMA PRA Category 1 Credits or 2.5 ADA CE Credits
Opioids play an important role in pain management—both in acute and chronic care settings—but overuse, misuse, and diversion have contributed to an opioid-related epidemic leading to addiction and death. Our on-demand program provides a useful and informative examination of the epidemic’s prevalence and effects.
National Human Trafficking Hotline
If you suspect human trafficking, please call:
  
National Human Trafficking Hotline
1 (888) 373-7888
Suicide Prevention Hotline
Reach the National Suicide Prevention Lifeline and Veterans Crisis Line by Phone and Text

By Phone:
Call 1-800-273-8255 to reach the National Suicide Prevention Lifeline today. 988 is not a nationwide calling code right now.
Veterans should Press 1 to be connected with the Veterans Crisis Line.

By Text:
The National Suicide Prevention Lifeline is also available today through online chats. 988 is not a nationwide texting code right now.
Service members, Veterans, and their families can reach the Veterans Crisis Line by texting 838255, and through online chats at veteranscrisisline.net.


Source: Federal Communications Commission
Florida E-Prescribing
Electronic Prescribing Requirements (Florida Board of Medicine)
House Bill 831 (2019), Electronic Prescribing, was signed into law by Governor DeSantis. The effective date is January 1, 2020. The bill provides important new requirements for prescribers to generate and transmit all prescriptions electronically upon licensure renewal or by July 1, 2021, whichever is earlier.

Florida ePrescribing Clearinghouse (Agency for Healthcare Administration)
The purpose of the Florida ePrescribing Clearinghouse is to provide information that contributes to the promotion and implementation of electronic prescribing by health care practitioners, health care facilities, and pharmacies in order to prevent prescription drug abuse, improve patient safety, and reduce unnecessary prescriptions. This Clearinghouse contains information on the advantages, processes, products, rules, and laws of ePrescribing as well as Florida ePrescribing reports.
Coronavirus - Information, Updates, Resources
Updates and Resources

Maguire Medical Library - Florida State University College of Medicine: Coronavirus Disease 2019 (COVID-19): Basic & Current Information

The State-Level COVID-19 profile for Florida. This data is collected from medical facilities in one of two system HHS protect or National Healthcare Safety Network  
 and the White House Coronavirus Task Force analyzes and distributes the report.
   
The New England Journal of Medicine - A collection of articles and other resources on the Coronavirus outbreak, including clinical reports, management guidelines, and commentary
 
Epidemiological and Clinical Resources For The COVID-19 Pandemic
 
CDC Healthcare Supply of Personal Protective Equipment
 
CDC Guidance for People at Higher Risk for COVID-19 Complications
 
CDC PPE Poster
 
CDC Guidance for Travelers from Countries with Widespread Sustained (ongoing) Transmission Arriving in the United States
 
CDC Communication Resources
 
NETEC coronavirus page includes PPE validation checklists and video resource, in addition to many others:
 
 
From the Florida Medical Association: Coronavirus Educational Resource Center

Vaccine Updates


 
See the latest state Department of Health data summarizing the number of people in Florida who have either received their first dose of the COVID-19 vaccine or completed the vaccine series (FMA) 
 
 (Florida Department of Health in Leon County)
 
(Florida Department of Health in Leon County) 
 
 
(Centers for Disease Control and Prevention)
 
 
COVID-19 Pandemic Planning FAQ (dated 11/19/2020) includes important information regarding procurement and handling of costs for vaccine administration. (FEMA) 
 
What Happens Once There is a COVID-19 Vaccine? Key Challenges to Vaccinating America (12/3/2020) - VIDEO or SLIDES (Kaiser Family Foundation) 

Reporting for Health Care Providers and Laboratories

 
 
 
 
Notable recent additions to CDC guidance include more detailed infection prevention and control recommendations for health care settings: https://www.cdc.gov/coronavirus/2019-nCoV/hcp/infection-control.html.

Please continue to closely monitor the CDC novel coronavirus website for situation and guidance updates. https://www.cdc.gov/coronavirus/2019-nCoV/index.html.

If you have any patients who meet the person under investigation criteria, please contact the Florida Department of Health in Leon County Epidemiology Program at 850-404-6299.
 
Epidemiology and Disease Control Program
Florida Department of Health in Leon County
2965 Municipal Way
Tallahassee, FL 32304
Office Number: (850) 404-6299 
Confidential Fax: (850) 921-9855
PAP Machine Donations Needed!
A PAP (Positive Airway Pressure) machine is an electronic respiratory ventilation device used to treat obstructive sleep apnea. Capital Medical Society Foundation, Inc.'s We Care Network program assists low-income, uninsured adults, whose income is at or below 150% of the Federal Poverty Level, with obtaining these potentially life-saving medical devices, when prescribed by a pulmonologist. Thanks to our partners at Desloge Home Oxygen and Medical Equipment, Inc., we are able to provide refurbished CPAP, AutoPAP, and BPAP machines for eligible We Care Network patients in Leon, Gadsden, Jefferson, and Wakulla Counties. We Care Network also accepts unused, unopened supplies for PAP machines, such as masks, nasal cannulas, and tubing. We Care Network coordinates over $8,000,000 in donated specialty medical and dental care annually.
 
Machine donations can be dropped off at Capital Medical Society Foundation's office at 1204 Miccosukee Road, Tallahassee, FL 32308. Donations to Capital Medical Society Foundation are tax-deductible within IRS guidelines Federal Tax I.D. #: 59-2104510. For additional information, please call 942-5215 or email dbixler@capmed.org.
CMS Foundation Physician Wellness Program is Here for Physicians and TMH Residents
Overloaded? Stressed? You're Not Alone.

Does your workday start before dawn and end well after dusk? Do you go to bed tired and wake up the same way? Maybe it’s time you talk to someone who can help you make positive changes for a healthier, happier life and lifestyle. The CMS has six professional counselors who are available to you - free of charge - free of worry. This program remains one of the few in the state that serves all local practicing physicians and TMH Residents, without cost, without question. Six sessions annually are completely confidential and autonomous. 
 
WELLNESS COACHES: 
Paul Deitchman, Ph.D.
313 Williams St., #5
Tallahassee, FL 32303
850-878-3571
UNIVERSITY: FLORIDA STATE UNIVERSITY
Tracey Morse, Ph.D.
1114 E. Tennessee St.
Tallahassee, FL 32308
850-556-7944 
UNIVERSITY: SOUTHERN ILLINOIS UNIVERSITY – CARBONDALE
Stephen Wright, Ph.D.
313 Williams St., #7
Tallahassee, FL 32303
850-222-3045
UNIVERSITY: FLORIDA STATE UNIVERSITY
SPECIALTY AREA WELLNESS COACHES:
Family, Marriage, and Trauma
Kenneth Fowler, Ph.D., LMHC & Certified Traumatologist
1028 E. Park Ave.
Tallahassee, FL 32301
850-212-6873
UNIVERSITY: FLORIDA STATE UNIVERSITY
CERTIFICATE: FSU TRAUMATOLOGY INSTITUTE
Dr. Fowler is a licensed mental health counselor (LMHC) and an Approved Supervisor for mental health counselors, marriage and family therapists and social workers. As a result of his expertise in psychological trauma, Dr. Fowler was called to respond in New York City following the 9/11 attacks. As a leader in his field, he was able to help with this national tragedy. His work with natural disasters led to him being called to assist with the Hurricane Katrina disaster by debriefing first responders who were exposed to the aftermath of the trauma. Currently, he consults with the Southcom Command of the United States Armed Forces to help returning soldiers and their families deal with the effects of war as well as post-traumatic stress disorder. 
Family and Marriage
Jane Marks, LFMT, LMHC
3325-C Thomasville Road
Tallahassee, FL 32308
850-385-8222
 UNIVERSITY: FLORIDA STATE UNIVERSITY

For five decades, Jane Marks has helped countless families navigate the challenges in life. As a Licensed Family & Marriage Therapist, she will bring a thoughtful approach to wellness for those seeking individual, family or marriage coaching through the CMS Foundation’s Physician Wellness Program.
Grief, Loss, and Trauma
Brenda Rabalais, Ph.D.
216 Lake Ella Drive
Tallahassee, FL  32303
850-841-7733 
UNIVERSITY: FLORIDA STATE UNIVERSITY

Brenda Rabalais, Ph.D., specializes in providing counseling services to those who are struggling with a loss or a trauma. Examples include; divorce, abandonment (foster care, adoption, service families), abuse, suicide, homicide, crime, loss of functionality, loss of home or job, long-term illnesses, other life transitions, as well as death. Brenda founded Lee's Place, a grief, loss and trauma counseling center, in 2000 and has been a practicing therapist as well as the Executive Director for those 21 years.
Special thanks to the MagMutual Foundation and the TMH Medical Staff for helping the CMS fund this program.
Check Out the Latest CMS Member Benefits