May 21, 2021
June Capital Medical Society Catch My Stride Schedule
FEATURED ADVERTISER: The Doctors Company
Save the Date for Upcoming CMS Meetings/Events
Medical Licensure Extended Until June 30, 2021
On March 31, 2021, as part of the response efforts to the Novel Coronavirus 2019 (COVID-19), FL State Surgeon General Dr. Scott A. Rivkees issued Emergency Order 21-001 extending the licensure renewal expiration date for any professional license issued by the Department or a Department board or council until June 30, 2021. https://www.flhealthsource.gov/pdf/DOH-EO-21-001.pdf
 
The license expiration date for Medical Doctors expiring January 31, 2021 is further extended to June 30, 2021.
CME Resources
Wolfson Children's Hospital and the UF College of Medicine - 1.0 CME Credit Opportunity
2021 Advances in Child Neurology at the Stys Neuroscience Institute - Virtual Lecture
Wednesday, May 26, 2021
8:00 am - 9:00 am
For more information, click here.

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.
Looking for Some Non-CME Credit Learning Opportunities?
TMH has a library of past CME courses for viewing on their MDnews page: https://www.tmh.org/mdnews/education. The recent CME cohosted by CMS and TMH titled, “Exploring the Long-Term Consequences of a COVID-19 Diagnosis” may be found there or by opening: https://youtu.be/HJ50ZsIe2fc.
Physicians as Effective Advocates Opportunity: Resolutions Needed!
Submit your resolutions today to help set statewide policy for tomorrow! Resolutions for the 2021 FMA Annual Meeting (scheduled for July 30-August 1) are being accepted via email: pirwin@capmed.org.
 
Submitting resolutions is your opportunity to assist in setting county, state, and national policy that affects your profession and quality of patient care. It is an exceptional way to use the insight of our membership to change national and state policy and your delegation would be most appreciative of your active input.
 
The CMS Delegation and Executive Committee will review all proposed resolutions. All approved resolutions will then be submitted to the Florida Medical Association House of Delegates for consideration during the FMA Annual Meeting.
 
When submitting your resolution, please provide:
  • Sufficient information to stand alone in terms of what policy or action it intends for the FMA to implement
  • Any background/research documentation you have to support your resolution
  • Your name and email address (or the best way to contact you) in case of any questions
 
Click here for the Resolution Review template.

Deadlines for submission to the Capital Medical Society for review:

For the CMS Delegates to have time to review your resolution draft, please submit it to pirwin@capmed.org no later than May 21.

  • The CMS must submit approved resolutions to the FMA prior to 5 p.m. on June 4, to meet the 2nd deadline for publication in the Delegates Handbook Addendum
 
If you would like to review a sample resolution, please contact Pam Irwin at the CMS office (850.877.9018).
 
We welcome and look forward to your input and participation.
Health Care Industry Gets a Pass on Vaccine 'Passports'
Gov. Ron DeSantis pushed to block businesses from requiring customers to show proof of COVID-19 vaccinations, but legislation he recently signed included a carve-out for the health-care industry.
 
The measure crafted by DeSantis' Republican legislative allies exempted hospitals, nursing homes, assisted living facilities, ambulatory surgical centers, physician offices and ambulance providers, among many other health care providers.


Source: Health News Florida
Doctors Fear COVID-19 Vaccines are Messing with Mammograms
After more than a year of anxious waiting, women newly vaccinated against COVID-19 are flocking back to mammography clinics to catch up on routine tests that were delayed by the pandemic. In some cases, they're met with one more pandemic surprise: a false red flag for breast cancer.

Like a sore arm or slight fever, lymph nodes enlarged by the immune system's response to a COVID-19 vaccine are virtually always a sign that the shot vaccine is doing its job. But to the medical specialists who scour mammograms for signs of malignancy, the unexplained appearance of swollen lymph nodes has typically sparked concern and a recommendation that the patient be called back for further testing.


Source: News Tribune
HB 241 - If Approved by the Governor, the Provisions Take Effect July 1, 2021
HB-241 establishes the “Parents’ Bill of Rights.” The bill provides that the state, its political subdivisions, any other governmental entity, or other institution may not infringe upon the fundamental rights of a parent to direct the upbringing, education, health care, and mental health of a minor child. If those entities infringe upon a parent’s fundamental right, they must demonstrate that the action is reasonable and necessary to achieve a compelling state interest, and the action must be narrowly tailored and not otherwise served by less restrictive means.
 
In addition to the education component, this bill requires a parent’s permission before a health care practitioner may provide services, prescribe medicine to the child, or perform a medical procedure, unless otherwise provided by law. The bill provides a misdemeanor penalty for a health care practitioner or similar person who violates the health care provisions and subjects these persons to disciplinary actions.
 
There are occasions, however, where immediate parental consent to treatment is not practical. Florida has acknowledged this, and in s. 743.064 has provided that parental consent is not required for emergency medical care or treatment provided to a minor who is injured in an accident or is suffering from an acute illness, disease, or condition, but only when such care occurs in the line of duty of EMTs and paramedics, or when the care is provided in a hospital emergency department or in a university health services facility. In these situations, it suffices that parental notification take place as soon as possible AFTER the emergency medical care or treatment is administered.
 
This statute is unaffected by HB 241 and will continue to apply if HB 241 is signed into law. Unfortunately, s. 743.064 applies only to care provided in a licensed hospital or college health service. Any medical care provided to children outside of these facilities will require written parental consent if HB 241 becomes law. Those healthcare providers who do not obtain the proper consent will be subject to arrest and incarceration for having committed a misdemeanor of the first degree.
 
Now you know. The FMA and various medical societies/associations from around the state have petitioned the Governor. Tamara Clancy, MD, has also sent an Op-Ed to the News-Journal. If you see the value in the Governor vetoing the bill this year and the legislature rewriting the measure next year, with appropriate protections in place for emergency situations, please reach out to Governor DeSantis. Time is of the essence!

Institute Estimates 40% More Florida COVID Deaths Than State's Tally
More than 51,100 Floridians have died from COVID-19 in Florida, according to estimates from the Institute for Health Metrics and Evaluation.

The research institution, based out of the University of Washington, produces COVID-19 models that have been closely watched by health officials around the country throughout the pandemic.

This month, the IHME updated its projections to reflect its own calculations of COVID-19 deaths, rather than figures reported by states and countries.

It’s estimate for Florida is about 40% higher than the nearly 37,000 deaths reported by the Florida Department of Health as of Wednesday.


Source: Health News Florida
How True Informed Consent Protects Both Doctors and Patients
Litigation often results from a discrepancy between the patient’s expectations and the outcome of treatment. For decades, consent documents have helped protect physicians against the claims of dissatisfied patients. Times have changed, however, and modern medicine requires a more complex and complete acknowledgment of both the patient’s and the physician’s rights and responsibilities to each other. True informed consent is a process of managing a patient’s expectations; it is not just a signature on a document.


Source: The Doctors Company
270 Doctors Die in India's Latest COVID Surge
A total of 270 doctors in India have died since the country's latest surge of COVID-19 began in early April, the Indian Medical Association (IMA) announced.

Another 748 doctors in the country have died since the pandemic started, according to the IMA, bringing the total to more than 1,000 physician deaths.

That figure is likely far higher since the association only tracks its 350,000 members; India has about 1.2 million doctors, according to reports.


Source: MedPage Today
Indian States Turn to Ivermectin in COVID Crisis
At least two states in India have turned to ivermectin to help manage their COVID-19 outbreaks, even as experts warn against doing so.

Goa, a tourist haven on India's west coast, and Uttarakhand, a northern state in the Himalayas, will use the anti-parasitic preventatively, giving it to wide swaths of their population in hopes of preventing future outbreaks.


Source: MedPage Today
Make Patient Care About Value, Not Volume
After the coronavirus pandemic and our stalled national economy, it is America's runaway, intransigent, and immensely influential healthcare system that most urgently begs for the Biden administration's close attention. The excesses that characterize U.S. healthcare -- stratospheric unit pricing and wildly exorbitant overtreatment -- are deeply entrenched, and make it an increasingly unaffordable burden; one that threatens our national economic security and our global competitive standing, diverting precious resources from other vital needs like education, transportation, and infrastructure.
 
 
Source: MedPage Today / Op-Ed
AMA-Sponsored Study on Physician Experiences with MIPS
Below are links to two articles presenting the results of a study conducted by Weill Cornell Medicine that was sponsored by the AMA and the Physicians Foundation. Researchers conducted 30 in-depth, semi-structured interviews with physician leaders in small and medium internal medicine and general surgery practices and large multispecialty practices about their experiences participating in Medicare’s Merit-based Incentive Payment System (MIPS). The first article provides qualitative results of physicians’ experience with the program, while the second article provides quantitative insights into the cost of participating in MIPS and MIPS APMs.
 
Among the interesting qualitative findings:
 
  • MIPS is viewed as a continuation of previous programs and a precursor of future programs;
  • Performance measures are more relevant to primary care practices than other specialties
  • Leaders are conflicted on whether the program improves patient care
  • Participation creates administrative burden, exacerbated by frequent programmatic changes
  • Incentives are small relative to the effort
  • External support for participation can be helpful
 
In terms of cost, researchers found:
 
  • Annual cost of participation is about $12,000 per physician
  • Annual time spent by clinicians and staff is about 200 hours per physician
  • Costs per physician were predictably higher for smaller practices and for APM participants
 
Source: American Medical Association (AMA)
Medical Schools Overestimate Number of Graduates Who Specialize in Primary Care, Experts Say
Many medical school graduates who complete their residency in primary care switch into different specialties later. That makes medical schools' estimates of its graduates entering family medicine largely inaccurate, NPR reported May 18.


Source: Becker's Hospital Review
FSU College of Medicine's Electronic Medical Review
To view the May 2021 edition of the FSU College of Medicine's Electronic Medical Review, click here.
 
Source: FSU College of Medicine
CHS Sues Thousands of Patients; Hospital Parking Fees Under Fire; Trump-Era Emails
Hospital Chain Blasts Patients With Lawsuits During Pandemic
Community Health Systems (CHS), one of the 10 largest hospital chains in the U.S., filed at least 19,000 lawsuits against individual patients since the start of the pandemic in March 2020, a CNN investigation found.

Parking Fees a 'Knife in the Back' for Cancer Patients
The injustice of racking up significant parking costs while being treated for cancer is starting to get attention from oncologists and even some hospital administrators, according to Kaiser Health News.

Trump-Era FDA Email Revelations
A cache of Trump administration-era emails released by the FDA reveals celebrities and other well-connected business people competing for the agency's attention, frequently on things that ultimately failed, like hydroxychloroquine.


Source: MedPage Today
Doctor’s Employee Admits Role in $24.8 Million Kickback Scheme
The employee of a Jersey City, New Jersey, doctor admitted her role in a multimillion-dollar conspiracy to solicit and receive kickbacks and bribes from individuals associated with a Union City, New Jersey pharmacy, Acting U.S. Attorney Rachael A. Honig announced.


Source: Department of Justice, U.S. Attorney’s Office, District of New Jersey
Grady Memorial Hospital Creates Food as Medicine Space
Grady Memorial Hospital, in partnership with the Atlanta Community Food Bank and Open Hand Atlanta, sought to overhaul an empty space into a healthy food hub that would serve the community in a variety of ways. Hospital patients, visitors, staff and neighbors would access fresh and nutritious meal options at an affordable price at the Jesse Hill Market. Patients with chronic conditions would acquire the skills and knowledge they need to change their lives one meal at a time in the Food Pharmacy and Teaching Kitchen. A focus on food and nutrition would help buoy the collective health and overall quality of life for an entire city.
 
Transforming a parking garage space into a retail market, a working kitchen and private nutrition consultation offices would prove to be a tall order.


Source: Gordian
Just For Fun...Nine Things You Might Not Know About "Murder She Wrote"
It’s hard to believe that it’s been 25 years since Murder, She Wrote ended its 12-year run on May 19, 1996, and mystery writer and amateur sleuth Jessica Fletcher (mostly) disappeared from our lives. A quarter of a century later, the fictional fishing village of Cabot Cove still holds a special place in many hearts, so let’s revisit it with some facts about the show that you might not know. But watch your back, and remember — everyone’s a suspect.


Source: Trivia Genius
Opportunity to Support the 2022 CMS Membership Directory
The Capital Medical Society will publish its 2022 Membership Directory early next year. It will be distributed to all members. We have once again contracted with a company called 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 ad 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 Rob Schmidt with E&M at 850-347-8182, 800-572-0011, or rob@emconsultinginc.com. Information on the available advertising opportunities can be viewed here or can also be viewed online at https://www.emconsultinginc.com/adreservation/cms/. 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
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
Some Days Just Aren't As Bright As Others
No denying that the last 12+ months could have been a bit better and brighter. If your days don't seem as bright, we hope you take advantage of this program. The CMSF's Physician Wellness Program will pay for up to six completely confidential wellness coaching sessions with any of the counselors enrolled in our program (contact information below). Pick up the phone and call any of the resources noted below. Telehealth options available during COVID-19. 
 
Special thanks to MagMutual Foundation and others who are helping the CMSF fund this program.
 
Local Wellness Coaching Resources:
  • Paul Deitchman, Ph.D. - 850-878-3571
  • Tracey Morse, Ph.D. - 850-556-7944
  • Debra Weaver, Ph.D. - 850-942-5585
  • Stephen Wright, Ph.D. - 850-222-3045

C. Vincent Dix, Ph.D. has announced his retirement effective March 31, 2021. We appreciate the services Dr. Dix has provided to local physicians since the inception of the Capital Medical Society Foundation's Physician Wellness Program in 2017.

To view Physician Wellness resources, click here.
Coronavirus - Information, Updates, Resources
Updates and Resources

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
Cap Scan Series: "Portraits in COVID-19" - Please Share Your Experience
Capital Medical Society is accepting stories for its Cap Scan magazine from CMS and CMSA members as part of an occasional series called "Portraits in COVID-19," to capture the changes happening in healthcare and our personal lives due to COVID-19 as experienced by physicians and laypeople. These stories can be about your experiences treating COVID-positive patients, supporting patients and coping with families during "no visitation," entering the world of telehealth, concerns about PPE shortages, distancing from your own families, family celebrations by social distancing, newfound time with family, newbie ZOOM meeting experiences worthy of an SNL skit, staycations extraordinaire, or schooling from home. You get the idea. Please try to stay within 800 words, include a photo if it makes sense, and be mindful of HIPAA, if writing about a patient experience. Please send by email to Shannon Boyle at sboyle@capmed.org. All submissions are reviewed by the Cap Scan editor prior to publication.
Not All Superheroes Wear Capes! We Salute Our PPE Donors and Volunteers!
COVID-19 Donations Needed
Rx for Miracles
Florida RX Card has created a new program and resource card to help Children's Miracle Network children and families in need. This card will work just as Florida Rx Card, helping people save on their prescription medications. 

The flyer explains the program and can be used to share/download the app.
Informed Webinar Series: Understanding the CMS Proposed Rule: Reducing Provider and Patient Burden by Improving Prior Authorization Processes
On December 11, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would improve the electronic exchange of healthcare data among payers, providers, and patients. If finalized, the CMS rule would streamline processes related to prior authorization with the goal of reducing the burden on providers and patients. Medicaid, CHIP (Children's Health Insurance Program), and QHP (Qualified Health Plan) payers would be required to build and implement FHIR-enabled APIs that could:
 
  • Allow providers to know, in advance, what documentation would be needed for each different payer. 
  • Streamline the documentation process. 
  • Enable providers to send prior authorization requests (and receive responses electronically) directly from the provider's EHR or other practice management system.
 
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!
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