July 2, 2021
The Capital Medical Society and CMS Foundation Offices Closed on Monday, July 5
The Capital Medical Society and Capital Medical Society Foundation offices will be closed on Monday, July 5, in observance of Independence Day.
Free Concert and Patriotic Fireworks Display to be Held at Tom Brown Park on July 4
Let your American spirit be moved this Fourth of July with the City of Tallahassee’s Celebrate America event. Taking place at Tom Brown Park on Sunday, July 4, from 7-10 p.m., you and your family can enjoy live music and a spectacular, patriotic fireworks display.

Taking the stage from 7:15-8:30 p.m. will be the Billy Rigsby Band. There will be a short interlude while the stage is reset, and for the remainder of the event, the Tallahassee Symphony Orchestra will charm the crowd.

As a prelude to the dazzling firework display, sponsored by the City’s Utilities, TSO will play the National Anthem at 9:45 p.m. and then accompany the fireworks, finishing with the 1812 Overture during the grand finale.

Source: City of Tallahassee
Happy Independence Day!
This weekend, dazzle your family and friends with these fun lesser-known facts about the Fourth of July holiday...
On July 4, 1778, George Washington ordered a double ration of rum for his soldiers to celebrate the holiday. 
Not everyone was on board with celebrating on July 4, the day Congress approved the Declaration. John Adams wanted to celebrate on July 2, the day Congress voted for independence.
Three US presidents have died on July 4 — John Adams, Thomas Jefferson, and James Monroe. In a bizarre twist of fate, Adams and Jefferson both died on July 4, 1826, the fiftieth anniversary of the country they helped found.
And here's no shocker...Americans consume about 150 millions hot dogs on the 4th of July each year and buy more beer on this holiday weekend than any other holiday weekend.
Now you know. Enjoy a safe and wonderful holiday!
Major Infrastructure Improvements Prompt Temporary Closure of S. Magnolia Drive
To construct major infrastructure improvements along the S. Magnolia Corridor, Leon County will temporarily close portions of S. Magnolia Drive in multiple phases beginning Tuesday, July 6, 2021.

Source: Leon County Government
Important Updates for Health Care Providers Regarding Expiration of Emergency Orders
Expiration of Emergency Order 20-002 and Emergency Order 20-003

Florida’s Emergency Order 20-002 and Emergency Order 20-003 related to COVID-19 expired on June 26, 2021. The expiration of these orders impacts the following services that were temporarily authorized in the state of Florida:

  • Out-of-state health care practitioners are no longer authorized to render services for patients in Florida unless they become licensed to practice in Florida, except as specified in the HHS Guidance Memorandum Dated 3/12/2021, regarding vaccine administration.
  • Out-of-state health care practitioners are no longer authorized to perform telehealth services for patients in Florida unless they become licensed or registered in Florida.
  • Qualified physicians are required to conduct an in-person physical examination to issue a physician certification for any patient.
  • Controlled substance prescribers are required to conduct an in-person physical examination to issue a renewal prescription for a controlled substance.

Source: Florida Board of Medicine
6 Things to Tell Patients About Their COVID-19 Vaccine Card
Social media has been flooded with images of people proudly displaying their COVID-19 vaccination cards—and the impetus for doing that is understandable. While that little white card has helped bring a sense of normalcy to people across the country, one question remains: What should your patients do with their COVID-19 vaccination cards? One physician explains what to tell patients to keep in mind after receiving their vaccine card.

Source: American Medical Association (AMA)
Florida Coronavirus Cases, Positivity Rate And More For June 24
Figures from the Centers for Disease Control and prevention show that Florida continues to lead the nation in the daily average of new coronavirus cases.

For the seven days ending Wednesday, Florida had a daily average of more than 1,500 cases.

The CDC’s data shows no other state in the country was reporting a daily average of more than 1,000 cases during the same time period. The state has been leading the country in the seven-day average since early April.

Source: Health News Florida
Leon Circuit Judge Won't Dismiss Case Against Rebekah Jones
A Leon County circuit judge has refused to dismiss a criminal case against a former state employee who claimed she was asked to manipulate COVID-19 data.

Judge Francis Allman in Tallahassee didn't explain his reasons for rejecting a motion to dismiss on Tuesday.

Jones helped build the state’s online presentation of its COVID-19 data until she was fired.

Source: Health News Florida
Telehealth Could Suffer After Expiration Of State Emergency Order
An executive order declaring a public health emergency expired Saturday, and with it many regulatory flexibilities providers received during the pandemic. Among them: Phones no longer are an acceptable platform for non-Medicare patients, and telehealth can't be used for prescribing certain medications and medical marijuana. 

Source: Health News Florida
Analysis: Why We’ll Likely Never Know Whether A COVID Lab Leak Happened In China
In this analysis, a health journalist previously based in China offers insight into the quest to find the origin of the COVID pandemic. The bottom line: It's dangerous for Chinese scientists to say what they know if it challenges the government narrative. 

Source: Health News Florida
United Way Board Announces Funding for 2021-2023 Programs to Help Stabilize Families, End Cycle of Poverty
On Monday, The United Way of the Big Bend (UWBB) board approved $1.89 million to fund community programs in Leon County and seven neighboring counties, to help those with the greatest needs, stabilize the working poor and reduce the root causes of poverty. The two-year awards (July 2021 to June 2023) will fund 20 priority programs in Leon County and 61 programs in other counties in the region.

Source: The United Way of the Big Bend (UWBB)
Walmart Rolls Out Discounted Insulin, But Patients Still Grapple with High Prices
Walmart struck a deal with Novo Nordisk to offer a heavily discounted, private-label version of its fast-acting analog insulin. But it still doesn’t solve the pricing problems patients have faced, with insulin costs skyrocketing in recent years.

Source: MedCity News
Hospital Prices Must Now Be Transparent, But Costs Are Still Anyone’s Guess
A colonoscopy might cost a few hundred dollars — or thousands, depending on the hospital. Long hidden, such price variations are supposed to be available under a Trump administration transparency rule that took effect this year. But compliance is spotty, and even when figures are public, they are hard to find and understand. 

Source: Health News Florida
And Just in Time for Hurricane Season...Florida Keys Residents Report Worse Mental Health Following Hurricane Irma
It's hard to deny the health effects of climate change, which is making storms more intense and frequent. A new CDC reportfinds that 2017's Hurricane Irma — a category 4 storm — may have worsened the mental health of those living in the Florida Keys, where the storm made landfall. Using survey responses from nearly 240 households as a sample, researchers extrapolated that in the 20 months since the storm, roughly 1 in 6 Florida Keys households reported a need for a mental health provider, nearly 40% of which did not receive such a service. Roughly 7% of the population was at suicide risk following the hurricane, while 17% reported worsening anxiety and depression in the aftermath of the storm. Another 1 in 10 said their depression worsened after Hurricane Irma.

Source: Centers for Disease Control and Prevention (CDC)
6 Things to Consider Before Refinancing Your Medical Student Loans
Medical students and physicians with student loans will get many offers to refinance their student loans with private financial institutions. But before you decide to refinance, know that once you leave the federal student loan system, you can never go back. 

Source: Medical Economics
Do We Really Need a Fourth Year of Med School?
As a newly minted physician, I recently decided to reflect on my past year of medical school training, and consider some of the challenges and problematic trends in healthcare that I've already encountered -- from increasing healthcare costs to rising medical school debt to worsening healthcare inequities.

Source: MedPage Today / Opinion
Retirement Catch Up Contributions - It's Not Too Late
A lot of the personal finance blogosphere and social media is focused on supersavers, getting started early, and the benefits of compound interest. Starting to save at 18, saving the majority of your income, and investing it wisely so decades of compound interest can work on it is an incredibly great way to build wealth.
But it isn't what most people do.

Source: The White Coat Investor
The Humorous Side of Being a Physician
Working as a physician today can be stressful, but let’s be honest, we can mine some humor from these daily practice strains.

Check out these 12 cartoons. Can you relate with any of them?

Source: Medical Economics
The Story Behind Eight Presidential Quotes
Sometimes, a President’s words continue to echo long after they were first uttered, and some become a permanent part of our cultural fabric. Here’s a look at eight noteworthy presidential quotations — and the oft-forgotten story behind each one.

Source: Trivia Genius
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"
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.
Save the Date for Upcoming CMS Meetings/Events
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.
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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