April 22, 2022
CMS and CMSA Members: Tallahassee Museum Event
FEATURED ADVERTISER: The Doctors Company
Moderna Announces a Step Toward Updating its COVID Shots for the Fall
Moderna hopes to offer updated boosters in the fall that combine its original vaccine with protection against omicron. On Tuesday, it reported a preliminary hint that such an approach might work.


Source: Health News Florida
Treatment of Gender Dysphoria for Children and Adolescents
The Florida Department of Health wants to clarify evidence recently cited on a fact sheet released by the US Department of Health and Human Services and provide guidance on treating gender dysphoria for children and adolescents.


Source: Florida Department of Health
More Than 137 Million Americans Live in Areas with Poor Air Quality, Report Finds
Despite decades of environmental efforts, over 40% of Americans — more than 137 million people — live in cities and states with poor air quality, a new report says. And, in addition to cars and factories, wildfires are increasingly contributing to unhealthy air.


Source: Health News Florida
C-sections Are on the Rise in the South, and It's Becoming a Persistent Problem
Despite years of efforts to reduce the use of C-sections in delivering babies, rates remain high, especially in the South. Black women, particularly, are more likely to give birth by C-section.


Source: Health News Florida
Why the CDC Issued an Alert on Liver Damage in Children
Researchers are investigating a possible connection between children infected with hepatitis and adenoviruses and liver damage in children.

The Centers for Disease Control and Prevention advised physicians and public health officials Thursday to be on the lookout for pediatric patients with hepatitis from unknown causes. According to the advisory, a cluster of kids in an Alabama children's hospital developed liver damage — liver failure in some cases – in conjunction with hepatitis and adenovirus infections.


Source: Health News Florida
Florida Seniors and Medical Marijuana: Times Have Changed
For some seniors, it’s like a miracle drug that reduces pain or helps them sleep. But medical experts are concerned the stuff they buy at dispensaries has not been studied and approved like other medicines.


Source: Health News Florida
Is My Drug Copay Coupon a Form of Charity — or a Bribe?
Perspective: Amid skyrocketing drug prices, it’s understandable that patients desperately need help affording medicine, especially when their health is on the line. But these programs create a mirage that perpetuates our health care system’s reckless spending.


Source: Health News Florida
Ohio Doctor Found Not Guilty in 14 Hospital Patient Deaths
An Ohio doctor accused of ordering excessive amounts of painkillers that led to multiple patient deaths at a Columbus-area hospital was acquitted of 14 counts of murder Wednesday following a weekslong trial.

Dr. William Husel, 46, was accused of ordering the drugs for patients in the Mount Carmel Health System. He was indicted in cases that involved at least 500 micrograms of the powerful painkiller fentanyl.


Source: WCTV.TV
Newsletter from the Florida Healthcare Law Firm
To view the April 2022 edition of the Florida Healthcare Law Firm newsletter, click here.
 
Source: Florida Healthcare Law Firm
Medical Humor Videos: Jim Gaffigan
To view the video of "Team of Doctors" by Jim Gaffigan, click here.

To view the video of "Brain Tumor" by Jim Gaffigan, click here.
 
Source: YouTube
County Hosts Conversations About Death and Dying During Six-Part Library Series
WHO: Leon County Government
WHAT: Celebrating Life, Understanding Death: A Six-Part Series
WHEN: Every Thursday from April 21 – May 26 at 6 p.m.
WHERE: Dr. B.L. Perry, Jr. Branch Library, 2817 S. Adams Street, or attend virtually via Zoom
 
Join Leon County Government for “Celebrating Life, Understanding Death: A Six-Part Series” every Thursday from April 21 through May 26 at 6 p.m. at the Dr. B.L. Perry, Jr. Branch Library. Each week of this series features compassionate professionals who will speak about different aspects of death and dying.
 
From religious, spiritual, and physiological practices associated with the care of the dying, to the more practical matters of funeral and will planning, to the tender ways in which we support those who grieve, attendees will engage in meaningful conversations about a journey we will all one day make.
  
Each program in this series will also be streamed live via Zoom. Register here
 
Citizens are encouraged to attend the County’s upcoming six-part series in person or virtually.
  • How Different Faith Traditions View Death, Thursday, April 21 – Local faith leaders will discuss how faith and beliefs can impact a patient’s end of life care and other important decisions, including comforting the dying, care and disposition of the body, funeral customs, and mourning practices. The panel will be moderated by Rev. Candace McKibben.
  • Understanding the Dying Process and Debunking Hospice Myths, Thursday, April 28 – Cristal Baer of Covenant Care and Dr. Richard Zorn will discuss what happens to the body during the dying process and share information about hospice care, including what services are provided and when hospice care starts.
  • Starting the Conversation: Advance Directives and Wills, Thursday, May 5 – Paul Malley, president of Aging with Dignity, and elder law attorney Kandace E. Rudd will discuss advance directives for medical care and wills for distribution of personal property. Attendees will receive a free copy of the Five Wishes document, which helps adults consider and document how they want to be cared for at the end of life.
  • How to Live with Grief and Supporting Children through Loss, Thursday, May 12 – Melanie Pelc, president of The Living Room, and children’s grief counselor, Caitlin Burns, will discuss strategies for coping with grief at all ages and how to support children through loss.
  • Funeral Planning and Legacies, Thursday, May 19 – Funeral director Linn Ann Griffin and pre-planning counselor Sarah Taylor will discuss what to expect when planning a funeral and different burial options, including green burials, cremations, aboveground entombment, and in-ground burials.
  • Sitting with the Dying: Rituals and Care at the Bedside, Thursday, May 26 – Kamala Snow, manager of spiritual care at Big Bend Hospice, will discuss what to expect in the final days, hours, and moments, and how we can bring meaning to the time we have left together. Then members of the Tallahassee Area Threshold Singers will discuss and demonstrate how they bring comfort through song to individuals and their loved ones at challenging thresholds of living and dying.

Learn more about this series at LeonCountyLibrary.org.
 
For more information, contact Sally Mason, Learning & Workforce Services Manager, at (850) 606-2617 / MasonSa@LeonCountyFL.gov or Leon County Community and Media Relations at (850) 606-5300 / CMR@LeonCountyFL.gov

Source: Leon County
WEBINAR: ED, Acute Care, and Lassa Fever: Identify, Isolate, and Inform
Emory University's Serious Communicable Disease ECHO program is hosting a special on Lassa Fever for Acute Care.

April 28, 2022
11:00 AM - 12:00 PM EST

Click here for more information and to register.
INSPIHER Leadership Breakfast - May 13, 2022
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?
  • 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
CMS is Here for Physicians, and Now 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 now, also 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 MagMutual Foundation and TMH Medical Staff who are helping the CMS fund this program.
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
The American Medical Association (AMA) has released three resources to help physicians practice more effectively and efficiently. A new video highlights the work of the Professional Satisfaction and Sustainability group. The latest AMA STEPS Forward podcast discusses concerns and best practices when sharing clinical notes with patients.
 
AMA Professional Satisfaction and Practice Sustainability: An Overview
 
A new AMA video highlights the work of the Professional Satisfaction and Practice Sustainability group, which is committed to making the patient-physician relationship more valued than paperwork, technology an asset and not a burden, and physician burnout a thing of the past. The video showcases PS2’s efforts to improve—and set a positive future path for—the operational, financial, and technological aspects of a physician’s practice.
 
 
AMA STEPS Forward™ Podcast: Sharing Clinical Notes with Patients
 
In the latest AMA STEPS ForwardTM podcast episode, Tom Delbanco, MD, and Catherine DesRoches, DrPH, Co-Founder and Executive Director respectively of OpenNotes, discuss common concerns and best practices when sharing clinical notes with patients.
 

Source: American Medical Association (AMA)
Eight Additional Free COVID Test Kits Can Be Ordered from the Federal Government
A second round of free COVID test kits can be ordered from the federal government.

Beginning Monday, March 7, people can go online to usps.com/testkits to request up to eight additional kits.

The only information required to fill out the form is a name, working email and mailing address including ZIP code.


Source: Health News Florida
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)
On-Demand CME by The Doctors Company: Safe Opioid Prescribing for Physicians and Dentists 
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. Earn 2.5 AMA PRA Category 1 Credits™ or 2.5 ADA CE Credits in our on-demand program that provides a useful and informative examination of the epidemic’s prevalence and effects.


Source: The Doctors Company
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
COVID-19 Testing, Vaccination, and Monoclonal Antibody Sites and Hours of Operation in Leon County
Search https://arcg.is/1LLfLi0 for a map of all available testing and vaccination sites in Leon County, along with hours and scheduling details.  
 
Source: Leon County COVID-19 Information Portal
CMS Family Movie Night - Mark Your Calendars!
Teaching Climate Change in Just 45 Seconds: Three Easy Scripts - My Green Doctor
How can we talk with our patients about the health risks of climate change without disrupting the office visit? This important topic can be time-consuming and even controversial. This month, the Capital Medical Society’s My Green Doctor explains an easy solution that may work well in your practice: https://www.mygreendoctor.org/teaching-patients-climate-change-in-just-45-seconds-three-easy-scripts/.
 
My Green Doctor is a free money-saving membership benefit for members of the Capital Medical Society. Members use My Green Doctor’s “Meeting-by-Meeting Guide” to learn how to adopt environmental sustainability, save resources, and help create healthier communities. The program adds just five minutes to each regular office staff meeting or weekly office “huddle”, making small changes at each meeting that over time really add up.
 
Everyone in your practice can register as Partner Society members at www.MyGreenDoctor.org or at www.MyGreenDoctor.es (si, en Espanol) and can use the discount code MGDCMS to save $60 instantly and give full access to My Green Doctor for free. Ask your practice manager to register today and to put My Green Doctor on your next agenda. You can do this!

Source: My Green Doctor
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.
Save the Date for Upcoming CMS Meetings/Events
CMS Foundation Physician Wellness Program
We all need co-pilots. That's why the Capital Medical Society Foundation Physician Wellness Program is here for its members. The CMSF has teamed up with six wonderful resources who will help you fly - confidentially and autonomously. Your first six wellness coaching visits are at no cost to you. None. Nada. No identifying information. Nothing except peace of mind. Seriously. Pick up the phone and call any of the resources noted below. Telehealth options available.

Special thanks to MagMutual Foundation and others who are helping the CMSF fund this program.
 
Wellness Coaches:
  • Paul Deitchman, Ph.D. - 850-878-3571
  • Tracey Morse, Ph.D. - 850-556-7944
  • Stephen Wright, Ph.D. - 850-222-3045

Specialty Area Wellness Coaches:
Family, Marriage, and Trauma
  • Kenneth Fowler, Ph.D., LMHC & Certified Traumatologist - 850-212-6873
Family and Marriage
  • Jane Marks, LFMT, LMHC - 850-385-8222

Grief, Loss, and Trauma
  • Brenda Rabalais, Ph.D. - 850-841-7733

To view Physician Wellness resources, click here.

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.
ABIM Extends Maintenance of Certification Requirement Deadlines Through 2022
Board-certified physicians are getting another extension on the deadline to maintain their internal medicine credentials.

In light of the COVID-19 pandemic, the American Board of Internal Medicine (ABIM) once again extended the Maintenance of Certification (MOC) requirements through December 2022.


Source: Fierce Healthcare
Opportunity to Support the 2023 CMS Membership Directory
The Capital Medical Society will publish its 2023 Membership Directory early next year. It will be distributed to all members. We have once again partnered with E&M Consulting to produce the directory. E&M will be contacting our members over the next few months about advertising opportunities in the directory. E&M will manage all the advertising sales, creative design, and formatting of the publication for us. This is a very professional group with experience in publishing association directories. If you have any questions or would like to advertise, please contact an E&M sales associate at 800-572-0011 ext. 8005 or advertising@eandmsales.com. Please be responsive and help support this directory. Remember, it will include our entire medical community.  
 
CMS will provide the content - including photos of our members. If you have an updated photo - please send it to us!
 
Please feel free to call us if you have any questions - and thank you for your support!
 
Sincerely,
The CMS Staff
(850) 877-9018
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.
You Can Support the CMS Foundation! Sign Up and Shop Today on AmazonSmile!
For eligible purchases at AmazonSmile, the AmazonSmile Foundation will donate 0.5% of the purchase price to the Capital Medical Society Foundation! 
 
Click here to access AmazonSmile and support the CMS Foundation today!
Check Out the Latest CMS Member Benefits