June 18, 2021
Happy Father's Day to our CMS Member Dads!
July Capital Medical Society Catch My Stride Schedule
Our 40,000 sq. ft. facility is brand-new and ready to become your new favorite place in Tallahassee. From our onsite restaurant with delicious culinary options to our wide range of games and activities, there’s something for everyone.

Rates for their Saturday attractions:
  • General Bowling (up to 6 people per lane) $50
  • Hyper Lounge Bowling – choose from different themed competitive games in a luxury setting (up to 6 people per lane) $75
  • Bowling Shoe Rental $4.50 per pair
-Ropes Course $12.00
-Laser Tag $12.00
-Dark Ride (Virtual Reality) $12.00
-Axe Throwing $25 for 1 hour per person
-20-minute Escape Room $20 per person up to 4 at a time
  • 1 hour non redemption card $20
  • 2 hour non redemption card $30
  • Arcade card for credits. Start at $5.00 and you can add as much as you would like.
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 Children's Hospital - 1.0 CME Credit Opportunity
Hydronephrosis, Reflux and UTIs: What Every PCP Should Know - Virtual Lecture
Thursday, June 24, 2021
6:00 pm - 7:00 pm
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.

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.
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 CMEs cohosted by CMS and TMH may be found there or by opening: https://youtu.be/HJ50ZsIe2fc and https://www.youtube.com/watch?v=TjgnCn77HSc&t=5s.
Pandemic Swells Medicaid Enrollment To 80 Million People, A ‘High-Water Mark’
The COVID-caused recession and a federal requirement that states keep Medicaid beneficiaries enrolled until the national emergency ends increased the pool of people in the program by more than 9 million over the past year. Medicaid, once considered the ugly duckling compared with Medicare, now covers nearly one in four Americans.

Source: Health News Florida
Florida Dems, ACA Advocates Embrace Supreme Court Ruling
The Supreme Court rejected a challenge to the Affordable Care Act by Florida and 17 other states, leaving intact the law that has helped more than 2 million Floridians obtain subsidized health insurance this year.  

Source: Health News Florida
Florida Asks For More Time On Potential Medicaid Boost
Gov. Ron DeSantis’ administration is asking the federal government for additional time “to consider the potential impacts” of drawing down hundreds of millions of dollars in additional federal Medicaid money for home- and community-based services.

In an email to the federal Centers for Medicare & Medicaid Services, Karen Williams of the state Medicaid office said Florida wants a 30-day extension, which would give the state until July 12 to submit a plan to the federal government.

Source: Health News Florida
The Fastest-Growing U.S. States Have the Worst Health Care
The fastest-growing states in terms of population over the last decade, including Texas, Florida, and Georgia, consistently rank last when it comes to health and health care. This is because these states have large numbers of uninsured adults, high levels of premature death from treatable conditions, less investment in public health, too many people with mental illness unable to get the care they need, and residents facing mounting insurance costs that make health care less affordable than in many other parts of the country, according to the Commonwealth Fund.

Source: Harvard Business Review
A Possible Pandemic Boost
The success of a large trial of Novavax’s Covid-19 vaccine candidate not only suggested that it will likely add to the supply of coronavirus vaccines, but positioned it as a potential promising technology to use for booster shots.

The shot was 90% effective at preventing symptomatic Covid and 100% effective at preventing moderate and severe symptoms, U.S.-based Novavax said Monday. It was also 93% effective against variants of concern, according to results from a secondary analysis that mostly included cases of the alpha variant predominant in the U.S.

Source: Bloomberg
Hospitals, Health Systems Mandating Vaccines for Workers
The number of hospitals and health systems requiring COVID-19 vaccination for employees continues to grow amid efforts to end the pandemic.

Source: Becker's Hospital Review
New Study Determines People Who’ve Had COVID-19 Don’t Need to Get Vaccinated
A new study from the Cleveland Clinic in Ohio has found that people who’ve already had COVID-19 may not necessarily benefit from vaccination.

The research indicates that out of a large pool of healthcare workers, there were nearly 0 cases of SARS-CoV-2 infection among those who had:
·       previously contracted the virus and were unvaccinated
·       previously contracted the virus and were vaccinated
·       never contracted the virus and were vaccinated

There was, however, a steady increase in cases among unvaccinated people who hadn’t previously contracted SARS-CoV-2.

Source: Healthline
Artificial Intelligence, COVID-19, and the Future of Pandemics
Artificial intelligence (AI) has proven of value in the COVID-19 pandemic and shows promise for mitigating future healthcare crises. During the pandemic’s first wave in New York, for example, Mount Sinai Health System used an algorithm to help identify patients ready for discharge. Such systems can help overburdened hospitals manage personnel and the flow of supplies in a medical crisis so they can continue to provide superior patient care.

Source: The Doctors Company
Alzheimer's Tau Vaccine Shows Immune Response, Safety
An active peptide vaccine designed to target pathological tau was safe and elicited immune responses in people with mild Alzheimer's disease, though showed no effects on cognitive decline in the overall population of the phase II placebo-controlled ADAMANT trial.
Exploratory analyses suggested the vaccine, AADvac1, also slowed accumulation of plasma neurofilament light (NfL), a marker of neurodegeneration, reported Petr Novak, MD, PhD, senior clinical research scientist at Axon Neuroscience in Bratislava, Slovakia, and co-authors, in Nature Aging.

Source: MedPage Today
Florida Property Insurance is a Sea of Red Ink
The Legislature passed a bill in its 2021 session making major changes in Florida’s property insurance markets. Time will now tell whether it will help Florida-based property insurers stanch losses that doubled in 2020 from 2019. For three years running they’ve lost money on underwriting.
Among other provisions, the new law allows for Citizens Property Insurance, the provider of last resort, to raise its premiums by as much as 15% a year instead of the current maximum of 10%. The law also includes measures to blunt the onslaught of litigation that state Insurance Commissioner David Altmaier told legislators is responsible for the losses and the resulting rate increases. Florida, Altmaier says, accounted for 76% of homeowners insurance litigation nationally in 2019.

Source: Florida Trend
As Juneteenth Becomes Federal Holiday, Communication Issues Remain
Juneteenth, or June 19, marks the end of slavery in the US. It celebrates June 19, 1865, the day when 250,000 slaves in Texas learned they were free. Yet Juneteenth exists because of a delay. President Abraham Lincoln signed the Emancipation Proclamation in Sept. 1862; it went into effect Jan. 1, 1863, freeing slaves in rebel states. Unfortunately, slaves in the deep South, including those in Texas, weren’t liberated until a bit more than two and a half years later.

Source: PR News
Wolfson Children’s Ranks Among U.S. News’ Top 50 Best Children’s Hospitals Again for 2021-2022
These rankings reassure parents their children will receive high-quality care close to home in Jacksonville.
Whether it’s a common childhood injury, illness, complex medical condition or trauma, Wolfson Children’s Hospital understands the unique healthcare needs of children.
Year after year, Wolfson Children’s is ranked among U.S. News & World Report’s top children’s hospitals in the country. U.S. News released its 2021-2022 Best Children’s Hospitals rankings, and Wolfson Children’s Hospital was ranked among the 50 Best Children’s Hospitals for Diabetes & Endocrinology and Orthopedics. Services provided at Wolfson Children’s Hospital are provided primarily by pediatric physician specialists with Nemours Children’s Specialty Care, Jacksonville, University of Florida College of Medicine – Jacksonville, UPMC Children’s Hospital of Pittsburgh (for cardiac surgery services) and Emergency Resources Group.

U.S. News introduced the Best Children’s Hospitals rankings in 2007 to help families of children with rare or life-threatening illnesses find the best medical care available. Their rankings are the most comprehensive source of quality-related information on U.S. pediatric hospitals. This is the sixth time Wolfson Children’s has ranked among the Top 50 Children’s Hospitals for Diabetes & Endocrinology and the third time the hospital has ranked for Orthopedics.

Source: Wolfson Children's Hospital of Jacksonville
HRSA Releases Ryan White HIV/AIDS Program COVID-19 Data
The Health Resources and Services Administration’s HIV/AIDS Bureau recently released the first report on COVID-19 related activities by Ryan White HIV/AIDS Program recipient and subrecipient service providers.

Source: HIV.gov
Discounted Event Tickets at the Donald L. Tucker Civic Center
Capital Medical Society members can receive a discount on certain events at the Donald L. Tucker Civic Center by using our promo code "CMS". The newest event is:

July 27, 2021
7:00 pm

Tickets for this show go on sale on Friday, June 18, 2021 at 10:00 AM EST.
Members can receive the discount a few different ways:
  1. Click here and enter the promo code "CMS"
2. Call 850-645-0747 to purchase over the phone and mention the promo code "CMS"
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!
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 14+ 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!
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