June 25, 2021
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 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.
2021 Florida Medical Association Annual Meeting
FMA Annual Meeting
July 30-August 1, 2021
Hilton Bonnet Creek Resort, Orlando

A very special THANK YOU to your delegates who will be representing the Capital Medical Society in Orlando:
John Bailey, D.O.
David Dixon, D.O.
Michael Forsthoefel, M.D.
Rohan Joseph, M.D.
Alma Littles, M.D.
John P. Mahoney, M.D.
Alfredo Paredes, M.D.
Paresh Patel, M.D.
Seymour Rosen, M.D.
Hugh VanLandingham, M.D.
Gary Winchester, M.D.
City Confirms TMH Board of Director Selections
The Tallahassee City Commission confirmed the election of Beth Corum, Katrina Rolle, and Carlos Campo, M.D., to the Tallahassee Memorial HealthCare, Inc., Board of Directors at the June 16th meeting.

The Board of Directors of Tallahassee Memorial HealthCare, Inc. (TMH) recently voted to elect the three individuals to the TMH Board. The lease agreement between the City of Tallahassee and TMH and the TMH Bylaws provide that elections of directors are subject to confirmation by the City Commission and that, if no action is taken within 60 days after receipt of the proposed changes, they shall be deemed approved by the City.

Beth Corum and Katrina Rolle have been elected for an initial 3-year term, while Carlos Campos M.D. will serve a 1-year term as the Immediate Past Chair of the TMH Medical Staff.

Source: Tallahassee Reports
Class Action Targets Scripps Over Data Breach that Exposed 147,000+ Patients' Info
Scripps Health is being accused of failing to properly secure and protect patients' health information stored within the San Diego-based system's network, which a malware attack compromised April 29, according to court documents.

Source: Becker's Hospital Review
American Academy of Pediatrics: All Children Should Be Screened for Potential Heart-Related Issues
The American Academy of Pediatrics calls for all children to be screened for conditions that can lead to cardiac arrest or death, regardless of their athletic status and particularly as they enter middle school or junior high school.

In a policy statement, AAP describes the screening – which consists of four questions -- and offers new guidance to help pediatricians identify children at risk for heart-related problems as an update to 2012 recommendations.

Source: The American Academy of Pediatrics
An annual report on child well-being looks at factors like income levels, education and access to health care. It found that 18% of Florida’s children live in poverty and that the pandemic could push that figure to 25%. Overall, Florida ranked 35th on factors that measure child well-being, with food insecurity a major concern.

Source: Health News Florida
The state rescinds pandemic policies created to make it easier for patients to access care and providers to bill for care. Among the changes: “Wrap around” payments go back to a quarterly schedule and prior authorizations resume for behavioral health services. 

Source: Health News Florida
COVID-19 Misinformation Increasing Vaccine Hesitancy, USF Researchers Find
The University of South Florida recently released findings from a statewide survey that looked at some of the factors associated with vaccine hesitancy. While 56% of Floridians have already received at least one dose of the vaccine, many remain unsure of its safety.
Among the 600 adults surveyed, 35.7% have not yet received the vaccine. Of those people, 35.3% say that they will “probably not” or “definitely not” get vaccinated. Another 24.3% are still undecided.

Source: Health News Florida
Flesh-Eating Parasites May Be Expanding Their Range As Climate Heats Up
Americans, it turns out, can be exposed to Leishmania parasites without leaving the country. The parasites are currently endemic in Texas and Oklahoma, and new studies suggest that they might be present in other states, including Florida. While reported cases of leishmaniasis contracted in the U.S. are currently negligible, they may soon be on the rise: As climate change pushes rodent and sand fly habitat northward, scientists caution that in the future, an increasing number of U.S. residents could be exposed to different varieties of the flesh-eating parasite.

Source: NPR
Physicians are Uninformed and Unprepared for Compensation Negotiations
There are a number of reasons why people become physicians, and the prospect for a healthy salary is among them, but it usually does not top the list. In fact, many physicians have experienced the insinuation that a doctor who cares about their compensation is somehow less caring, compassionate, or invested in their patient. If you are altruistic, the system will take care of you and ensure you are fairly compensated. It would be nice if this were true.

Source: The White Coat Investor / Daily Blog
What Caused This Patient's Blood to Turn Brown?
After a tweet with an image of brown blood smeared on a piece of gauze caught the attention of thousands on #medtwitter, its author hopes it offered a teachable moment -- and potentially made physicians aware of a worrisome trend.

Source: MedPage Today
Subsys Doc Gets 5 Years; Docs Take Billions From Device Makers; Child Abuse Law
Doc Gets 5 Years for Taking Insys 'Bribes'

A Manhattan physician has been sentenced to almost 5 years in prison for taking kickbacks for prescribing the fentanyl spray Subsys, the U.S. Department of Justice announced.

Docs Get Billions From Device Makers

Device makers have given billions of dollars to the orthopedic surgeons and neurosurgeons who use their products, and those relationships are coming under legal scrutiny, Kaiser Health News reported.

Law Targets False Child Abuse Accusations

A new law in Texas will require courts to hear additional medical opinions before allowing kids to be taken from their parents by the state's Child Protective Services (CPS) agency, NBC News and the Houston Chronicle reported.

Source: MedPage Today
A Status Report on Healthcare's Adoption of Digital Documents
A new survey from Foxit Software on the shift to paperless medical documents and processes reveals that the Covid-19 pandemic has given a new sense of urgency for healthcare organizations to shift parts of their business that rely on paper-based documents to digital documents.

Source: MedCity News
Popular Sepsis Prediction Model Works ‘Substantially Worse’ Than Claimed, Researchers Find
In an analysis of Epic’s sepsis model, researchers at the University of Michigan found that it performed “substantially worse” than what the developer reported. According to their analysis, it didn’t detect many undiagnosed sepsis cases, but still gave alerts for one in five hospitalized patients.

Source: MedCity News
Perceptions About Dementia Don't Match Reality
Misperceptions and stigma about dementia are hindering efforts to appropriately address brain-healthy behaviors among adults 40 and older, a recent AARP survey found.
The survey, which targeted both healthcare providers and adults age 40 and older in the general population, revealed that fear, confusion, and false information are clouding the truth about dementia. Significant disconnections exist not only in the perceptions of the general public, but also among health care providers.

Source: AARP
DNA Jumps Between Animal Species. No One Knows How Often.
To survive in the frigid ocean waters around the Arctic and Antarctica, marine life evolved many defenses against the lethal cold. One common adaptation is the ability to make antifreezing proteins (AFPs) that prevent ice crystals from growing in blood, tissues and cells. It’s a solution that has evolved repeatedly and independently, not just in fish but in plants, fungi and bacteria.
It isn’t surprising, then, that herrings and smelts, two groups of fish that commonly roam the northernmost reaches of the Atlantic and Pacific Oceans, both make AFPs. But it is very surprising, even weird, that both fish do so with the same AFP gene — particularly since their ancestors diverged more than 250 million years ago and the gene is absent from all the other fish species related to them.

Source: Quanta Magazine
AdventHealth Promotes Medical Leader to Head Seven-County Division in Central Florida
AdventHealth has created a new leadership role and promoted Dr. Neil Finkler to serve as chief clinical officer for the entire Central Florida Division which includes Flagler, Lake, Orange, Osceola, Polk, Seminole and Volusia counties. This is the first time AdventHealth has named a chief clinical officer who will be responsible for the seven-county region.

Source: AdventHealth
Your Questions About Whole Life Insurance Answered
On July 20, 1969, an estimated 650 million people watched in suspense as Neil Armstrong descended a ladder towards the surface of the Moon.
As he took his first steps, he uttered words that would be written into history books for generations to come: “That’s one small step for man. One giant leap for mankind.” Or at least that’s how the media reported his words.

Source: Pocket Worthy
Did We Mishear Neil Armstrong's Famous First Words on the Moon?
Have you been approached about buying whole life insurance? Do you own whole life insurance? More importantly, do you need whole life insurance? Only you can answer these questions. Need a little more input on the subject? Click below!

Source: The White Coat Investor
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 events are:
July 27, 2021
7:00 pm

September 28-29, 2021
Members can receive the discount a few different ways:
  1. Click the show links above 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.
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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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