May 28, 2021
Capital Medical Society and We Care Network Offices Closed for Memorial Day, May 31
June Capital Medical Society Catch My Stride Schedule
FEATURED ADVERTISER: The Doctors Company
Call to Action - New Bill Would Criminalize Providing Emergency Care to Children
A new bill has been passed in Florida that has the unintended effect of making it a first-degree misdemeanor for a physician to provide emergency or urgent medical care to a child at a sporting event or the scene of an accident without the consent of the child’s parents. If signed into law, this will have a devastating impact on Florida physicians’ ability to deliver necessary, immediate emergent care to children. 
  
That is why the FMA is asking our members to contact Gov. Ron DeSantis immediately and urge him to veto this legislation. On May 14, the FMA, along with the Florida Osteopathic Medical Association and several medical specialty societies, sent a letter to Gov. DeSantis calling for the veto. But nothing will have more impact than personalized letters or emails from Florida physicians. Helping the effort to get this legislation vetoed is easy. You can email the Governor at GovernorRon.Desantis@eog.myflorida.com or send a letter to: 
  
The Honorable Ron DeSantis 
Governor, State of Florida 
PL 05 Capitol 
400 South Monroe Street
Tallahassee, Florida 32399

Source: Florida Medical Association/FMA News
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 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.
Florida relies on managed care companies to provide Medicaid coverage to 3.7 million low-income and elderly residents, but a review of data assembled by regulators shows that the companies have been hit with dozens of complaints that have resulted in the state requesting millions of dollars in payments. 


Source: Health News Florida
Florida Congressman Introduces Bill Against Fentanyl
Tampa Bay area law enforcement and substance abuse advocacy groups are backing a bipartisan bill before Congress that would classify fentanyl as a Schedule I drug.

The bill will permanently allow law enforcement to prosecute people who manufacture, distribute or handle fentanyl-related substances.


Source: Health News Florida
Florida Supreme Court Rejects Challenge To Medical Marijuana Law
Siding with the state in a closely watched case that has kept the cannabis industry in limbo, the Florida Supreme Court on Thursday upheld a 2017 law designed to carry out a constitutional amendment that broadly legalized medical marijuana.

The court’s 42-page ruling came in a drawn-out legal battle launched by Tampa-based Florigrown LLC, which, in part, challenged the state’s system of requiring licensed medical marijuana operators to handle all aspects of the cannabis business, including, growing, processing, distributing and selling products.


Source: Health News Florida
Healthy Kids Program Ready To Revisit Dental Contracts
After a year delay because of the COVID-19 pandemic, a state children’s health insurance program is putting its dental services out for bid.

Members of the Florida Healthy Kids Corp. Board of Directors met Thursday in Orlando and approved publishing an “invitation to negotiate” for dental coverage in the Florida Healthy Kids program.


Source: Health News Florida
Report Points To Benefits Of Florida Medicaid Expansion
Florida could add 134,700 jobs, lower the number of uninsured residents by 852,000 and pump billions of additional federal dollars into the economy if it would expand Medicaid to low-income adults without children, according to a report released Thursday.

The Commonwealth Fund, a New York-based organization that focuses on health care issues, released the report, which said expanding Medicaid in Florida would add 61,600 health-care jobs from 2022 to 2025. It also said an expansion would lead to job increases in the construction, retail, finance and insurance sectors.

State Republican leaders have long rejected expanding eligibility for Medicaid, pointing in part to concerns about potential future costs. The chances of that position changing appear to be nil, as Republicans control the House, Senate and governor’s office.


Source: Health News Florida
Is Your Living Room The Future of Hospital Care?
Major hospital systems are betting big money that the future of hospital care looks a lot like the inside of patients’ homes.
 
Hospital-level care at home — some of it provided over the internet — is poised to grow after more than a decade as a niche offering, boosted both by hospitals eager to ease overcrowding during the pandemic and growing interest by insurers who want to slow health care spending. But a host of challenges remain, from deciding how much to pay for such services to which kinds of patients can safely benefit.


Source: Health News Florida
Wearable Devices Show That Physical Activity May Lower Atrial Fibrillation and Stroke Risk
Physical activity that conforms to medical and health association guidelines is associated with a lower risk of atrial fibrillation (Afib) and stroke, according to a study by researchers at Massachusetts General Hospital (MGH), who analyzed nearly 100,000 individuals equipped with wrist-worn accelerometers to measure their movement. The researchers' findings suggest that data from wearables, including a new generation of devices with sensors that allow for Afib detection, could provide an opportunity for the public health community to promote moderate physical activity as an effective way to improve health outcomes. The study was published in the European Heart Journal.


Source: Medical Xpress
On the Flipside...Missouri Man Must Turn Over Fitbit Data in Hip Implant Suit
A Missouri man suing Zimmer Biomet Holdings Inc alleging that he suffered long-term injuries as a result of a hip implant made by the company must turn over data from his Fitbit fitness tracking device following surgery to remove the implant, a federal judge has ruled.
 
U.S. District Judge John Ross in the Eastern District of Missouri ruled Monday that the data from the device, which tracks number of steps, heart rate and sleep, was potentially relevant to whether or not plaintiff Guan Hollins suffered the injuries he alleges.


Source: Reuters
What the Science Says about Lifting Mask Mandates
The evidence is clear that masks cut down on COVID-19 deaths, but nearly a year and a half into the pandemic and with vaccination coverage climbing in many places, public-health scientists and officials are still struggling to get people — particularly unvaccinated people — to wear masks at appropriate times. Average mask use across the United States has been declining since mid-February. Meanwhile, infection rates in some places have increased. A patchwork of policies and mixed messages from both politicians and public-health officials has resulted in confusion, consternation and a mess of data to interpret. “We’re all over the map,” says Monica Gandhi, an infectious-disease physician at the University of California, San Francisco. “That’s been the problem this entire pandemic. We’ve been making it up as we go along.”


Source: Nature
‘It’s a Minefield’: COVID Vaccine Safety Poses Unique Communication Challenge
Public confidence in the safety of COVID-19 vaccines dipped in the United States after government officials paused vaccinations with the Johnson & Johnson (J&J) shot last month, according to a poll. During the ten-day hiatus, officials explored whether the vaccine was linked to a rare type of blood clot, but they ultimately deemed the jab safe and gave the green light to resume its use. After the pause began, 7% of unvaccinated adults who were surveyed said that the news about blood clots made them less likely to want any COVID-19 shot, according to data published by the Kaiser Family Foundation (KFF).


Source: Nature
In Search Of COVID's Origins, Scientists Reignite Debate On Wuhan ‘Lab Leak’
Once dismissed as a conspiracy theory, the idea that the COVID virus escaped from a Chinese lab is gaining high-profile attention. As it does, reputations of renowned scientists are at risk — and so is their personal safety.

At the center of the storm is Peter Daszak, whose EcoHealth Alliance has worked directly with Chinese coronavirus scientists for years. The scientist has been pilloried by Republicans and lost National Institutes of Health funding for his work. He gets floods of threats, including hate mail with suspicious powders. In a rare interview, he conceded that he can’t disprove that the deadly COVID-19 virus resulted from a lab leak at the Wuhan Institute of Virology — though he doesn’t believe it.


Source: Health News Florida
CDC To Study Health Effects Of Cyanotoxin Exposure From Blue-Green Algae
In 2018, Southwest Florida suffered through two massive harmful algal blooms: the red tide bloom that persisted off the Gulf coast and the blue-green algae bloom that started in Lake Okeechobee and choked the Caloosahatchee River and its estuary.

While research has been conducted on how far cyanotoxins produced by the blue-green algae can travel through the air, health officials don’t have a clear understanding of possible health effects from breathing them.


Source: Health News Florida
Op-Ed: Diabetes Is Not an Equal Opportunity Killer
During the pandemic, Black Americans have died of COVID-19 at higher rates than other racial and ethnic groups in the U.S. One of the many drivers of this inequity is a killer that has been disproportionately affecting the Black community for years: diabetes.


Source: MedPage Today
Pasco, Citrus Mosquito Control Workers Warn Of Increased Risk For Equine Encephalitis
Pasco and Citrus County officials are urging residents to protect themselves against mosquitoes. Sentinel chickens in both counties have tested positive for Eastern equine encephalitis in recent weeks, which is a rare but deadly mosquito-borne illness.


Source: WUSF Public Media
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
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!
Check Out the Latest CMS Member Benefits