August 4, 2023
CMS Members: One-Hour, Live CME - Cardiac Electrophysiology Tests and Subsequent Treatment Options - Tuesday, August 15, 2023 - 6:00 PM
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Florida Medical Association 2023-2024 Board of Governors
The FMA Board of Governors governs legally with an emphasis on external vision rather than internal preoccupation; diversity of thought; strategic leadership; collective rather than individual decisions; and future focus as opposed to past or present reactivity.

The Board develops a sense of group responsibility in which they initiate policy, and the Board is held accountable for its actions. They lead the organization in creating broad written policies that reflect the Board’s values and enforce upon itself whatever discipline is required to govern with excellence. Through all this, the Board will instill a sense of commitment and responsibility to the work associated with creating future policies.

Photo Caption (from left to right) Front Row: Paresh Patel, MD, Michael Patete, MD, Ashley Norse, MD, Mark Rubenstein, MD, Alma Littles, MD, Joshua Lenchus, DO, Jason Goldman, MD, Lisa Cosgrove, MD, Charles Chase, DO, Sanjay Pattani, MD, Cynthia Peterson, Rebekah Bernard, MD, Josh Bloom Middle Row: Naresh Pathak, MD, Shelley Glover, MD, Tra’Chella Johnson Foy, MD, Michelle Falcone, MD, Akeim George, Alexander Lake, DO, Ajoy Kumar, MD, Doug Murphy, MD, Andrew Borom, MD, Daniel Daube, MD Top Row: Charles Riggs, MD, Angel Bosch-DeLeon, Corey Howard, MD, Mark Dobbertien, DO, Ryan Hall, MD, Rudolph Moise, DO, Roger Duncan, MD Not pictured: Hector Vila, MD; Charles Lockwood, MD


Source: Florida Medical Association
A Recent Increase in Leprosy Cases in Central Florida Concerns the CDC
From 2015 to 2020, about 20 percent of the reported U.S. cases were in Florida, and 81 percent of those cases were in Central Florida, according to a research letter released by the CDC.


Source: Health News Florida
Orlando Physicians Who Reported Central Florida Leprosy Trend 'Want to Allay the Fears'
The CDC published the doctors' research letter detailing their data, but they say it shouldn’t cause alarm or panic. They hope the data helps other physicians whose patients have symptoms that align with leprosy but wouldn’t think to check for it. There have been 15 cases in Florida this year, mostly in Brevard County.


Source: Health News Florida
Amazon Adds Telehealth to its Virtual Clinic
The e-commerce giant is pushing deeper into health care delivery with 24/7 telehealth through a virtual clinic launched last fall. Users can compare prices and response times before picking a provider from several options.


Source: Health News Florida
The Dangers of Declining Physician Pay
Between inflation, reimbursement declines and Medicare pay cuts, physician pay is struggling to keep up.

Additionally, CMS floated a 3.34 percent conversion factor decrease in its proposed Medicare physician fee schedule for 2024, which could mean an even starker decline in physician pay.


Source: Becker's Healthcare
Here are some reasons why COVID cases are on the rise in Florida
The state Department of Health documented nearly 3,000 more cases per week over the two weeks ending July 20 compared with the prior five weeks.
COVID-19 cases are on the rise nationwide, and Florida has one of the highest rates of increase.

In its most recent report, the Florida Department of Health documented nearly 10,000 new cases for the week ending July 20. The week prior had over 9,500 new cases.

That is compared with just over 6,000 new cases a week at the start of June. Cases have been rising steadily for the past five recorded weeks — what one health official called the first increase in a couple of months.


Source: HealthNews Florida
Doctors sound alarm about child nicotine poisoning as vapes flood the market
Popular e-cigarettes lack packaging that stops kids from consuming the hazardous nicotine inside.

Hospital toxicologist Ryan Marino has seen up close the violent reactions of children poisoned by liquid nicotine from electronic cigarettes. One young boy who came to his emergency room experienced intense nausea, diarrhea, and vomiting, and needed intravenous fluids to treat his dehydration.

Kids can also become dizzy, lose consciousness, and suffer dangerous drops in blood pressure. In the most severe case he’s seen, doctors put another boy on a ventilator in the intensive care unit because he couldn’t breathe, said Marino, of Case Western Reserve University School of Medicine.

Thousands of kids a year are exposed to the liquid nicotine in e-cigarettes, also known as vapes. For a toddler, even a few drops can be fatal.


Source: HealthNews Florida
Are phones causing more kids to be nearsighted? Here's what a Miami optometrist sees
Kids are focusing too close for too long and their eyes are actually growing to focus the light for things that are near. But it’s blurring their vision for distance.
Increased exposure to screens, like smartphones and tablets, is causing myopia, or nearsightedness, to become more common among children at younger ages.


Source: HealthNews Florida
What are Physicians' Side Gigs?
Five physicians joined Becker's to discuss their side gigs, or lack thereof.


Source: Becker's Healthcare
Catholic Mass to be Offered for Medical Students and Health Care Professionals
The Co-Cathedral of St. Thomas More will be having a Mass (religious service) for medical students and health care professionals. The Mass is offered for all those studying for or working in the medical field, including physicians, physician assistants, advanced practice registered nurses, nurses, physical therapists, pharmacists, dentists, mental health professionals, emergency medical technicians, and others.

It will take place on Saturday, August 12, 2023 at 5:15 p.m. at the Co-Cathedral of St. Thomas More, 900 W Tennessee Street. Fr. Timothy Holeda, rector of the Co-Cathedral, will be the presiding celebrant.
 
This is open to the public to come and pray for the physicians and providers who dedicate their lives to serving the health and wellness needs of the members of our local community.

For more information, click here

Source: Co-Cathedral of St. Thomas More
Where To Eat, Drink Stay and Shop on a Trip to Tallahassee
When it comes to travel destinations across the vibrant state of Florida, Tallahassee often takes a backseat to its more renowned counterparts like Miami, Tampa, and Orlando. Yet, the capital city has a unique charm, a plethora of exciting activities, foodie delights, and hidden treasures waiting to be discovered.


Source: Tampa Magazine
New DEA Requirement CME Available
The Florida Medical Association (FMA) has announced they will be providing the 8-hour, required DEA continuing education requirement through their CME portal: www.flmedical.org.
 
Here is the clickable link to the FMA site for further information and courses. Signing in is required, membership is not required.
 
Course fees apply: Member $200 / Non-Member $300 for the one-time requirement.
Are You Prepared This Hurricane Season?
Hurricane Preparedness Guide 2023

Know Your Flood Zone - FEMA
Explore Tallahassee This Summer - Backyard Bucket List
From June to August, hit the streets of Tallahassee and discover (or rediscover) some of the amazing attractions and businesses that call the Capital City home. From museums to breweries to restaurants and everything in between, a treasure trove of awesome experiences is just waiting right in your backyard! Plus, you could win an incredible prize just for participating.


Source: Visit Tallahassee
Learn the Health Risks of Gas Stoves - My Green Doctor
Gas stoves are a health risk. This is true especially for children and the elderly. People who live in homes with gas stoves have more asthma, lung disease, and cardiovascular disease. This month, the Society’s My Green Doctor provides a short article (visit https://mygreendoctor.org/learn-the-health-risks-of-gas-stoves/) on this vital topic (reading time: 5 mins).
DEA Extends Telehealth Flexibilities Until November 11, 2023
The ability to prescribe controlled substances based on telehealth patient visits was set to expire when the COVID-19 Public Health Emergency ends on Thursday, May 11th. The U.S. Drug Enforcement Administration (DEA) initially issued two proposed rules establishing new policies for controlled substance prescriptions based on telehealth visits, one for buprenorphine and one for other controlled substances. After receiving more than 38,000 comment letters, however, the DEA has decided to extend [federalregister.gov] the same policies that have been in place during COVID for an additional 6 months, until November 11, 2023.

DEA-Registered Practitioners' Training Requirement
On December 29, 2022, the Consolidated Appropriations Act of 2023 enacted a new one-time, eight-hour training requirement for all Drug Enforcement Administration (DEA)-registered practitioners on the treatment and management of patients with opioid or other substance use disorders. Below is information on this new requirement.
 
Who is responsible for satisfying this new training requirement?
 
• All DEA-registered practitioners, with the exception of practitioners that are solely veterinarians.
How will practitioners be asked to report satisfying this new training requirement?
• Beginning on June 27, 2023, practitioners will be required to check a box on their online DEA registration form—regardless of whether a registrant is completing their initial registration application or renewing their registration—affirming that they have completed the new training requirement.
What is the deadline for satisfying this new training requirement?

·    The deadline for satisfying this new training requirement is the date of a practitioner’s next scheduled DEA registration submission—regardless of whether it is an initial registration or a renewal registration—on or after June 27, 2023.
·    This one-time training requirement affirmation will not be a part of future registration renewals.
·    How can practitioners satisfy this new training requirement?
·    There are multiple ways that practitioners can satisfy this new training requirement.
 
• First, the following groups of practitioners are deemed to have satisfied this training:
 
1.Group 1: All practitioners that are board certified in addiction medicine or addiction psychiatry from the American Board of Medical Specialties, the American Board of Addiction Medicine, or the American Osteopathic Association.
2.Group 2: All practitioners that graduated in good standing from a medical (allopathic or osteopathic), dental, physician assistant, or advanced practice nursing school in the United States within five years of June 27, 2023, and successfully completed a comprehensive curriculum that included at least eight hours of training on:
 
·    Treating and managing patients with opioid or other substance use disorders, including the appropriate clinical use of all drugs approved by the Food and Drug Administration for the treatment of a substance use disorder; or
·    Safe pharmacological management of dental pain and screening, brief intervention, and referral for appropriate treatment of patients with or at risk of developing opioid and other substance use disorders.
 
• Second, practitioners can satisfy this training by engaging in a total of eight hours of training on treatment and management of patients with opioid or other substance use disorders from the groups listed below. A few key points related to this training:
 
1.The training does not have to occur in one session. It can be cumulative across multiple sessions that equal eight hours of training.
2.Past trainings on the treatment and management of patients with opioid or other substance use disorders can count towards a practitioner meeting this requirement. In other words, if you received a relevant training from one of the groups listed below— prior to the enactment of this new training obligation on December 29, 2022—that training counts towards the eight-hour requirement.
3.Past DATA-Waived trainings count towards a DEA registrant’s 8-hour training requirement.
4.Trainings can occur in a variety of formats, including classroom settings, seminars at professional society meetings, or virtual offerings.
5. What accredited groups may provide trainings that meet this new requirement?
 
·    The American Society of Addiction Medicine (ASAM)
·    The American Academy of Addiction Psychiatry (AAAP)
·    American Medical Association (AMA)
·    The American Osteopathic Association (AOA), or any organizations accredited by the AOA to provide continuing medical education
·    The American Dental Association (ADA)
·    The American Association of Oral and Maxillofacial Surgeons (AAOMS)
·    The American Psychiatric Association (APA)
·    The American Association of Nurse Practitioners (AANP)
·    The American Academy of Physician Associates (AAPA)
·    The American Nurses Credentialing Center (ANCC)
·    Any other organization accredited by the Accreditation Council for Continuing Medical
Education (AACCME) or the Commission for Continuing Education Provider Recognition (CCEPR), whether directly or through an organization accredited by a State medical society that is recognized by the ACCME or CCEPR
·    Any other organization approved or accredited by the Assistant Secretary for Mental Health and Substance Use, the ACCME, or the CCEPR
 
We hope this information is helpful. For information regarding the DEA Diversion Control Division, please visit www.DEAdiversion.usdoj.gov. If you have any additional questions on this issue, please contact the Diversion Control Division Policy Section at (571) 362-3260.

Sincerely,
Thomas W. Prevoznik
Acting Assistant Administrator Diversion Control Division

Source: U.S Department of Justice Drug Enforcement Administration (DEA)
About Exception Applications PY 2023
There are 2 exception applications available to clinicians:



Source: U.S Centers for Medicare & Medicaid Services
CMS Foundation Physician Wellness Program is Here for Physicians and TMH Residents
Overloaded? Stressed? You're Not Alone.

Does your workday start before dawn and end well after dusk? Do you go to bed tired and wake up the same way? Maybe it’s time you talk to someone who can help you make positive changes for a healthier, happier life and lifestyle. The CMS has six professional counselors who are available to you - free of charge - free of worry. This program remains one of the few in the state that serves all local practicing physicians and TMH Residents, without cost, without question. Six sessions annually are completely confidential and autonomous. 
 
WELLNESS COACHES: 
Paul Deitchman, Ph.D.
313 Williams St., #5
Tallahassee, FL 32303
850-878-3571
UNIVERSITY: FLORIDA STATE UNIVERSITY
Tracey Morse, Ph.D.
1114 E. Tennessee St.
Tallahassee, FL 32308
850-556-7944 
UNIVERSITY: SOUTHERN ILLINOIS UNIVERSITY – CARBONDALE
Stephen Wright, Ph.D.
313 Williams St., #7
Tallahassee, FL 32303
850-222-3045
UNIVERSITY: FLORIDA STATE UNIVERSITY
SPECIALTY AREA WELLNESS COACHES:
Family, Marriage, and Trauma
Kenneth Fowler, Ph.D., LMHC & Certified Traumatologist
1028 E. Park Ave.
Tallahassee, FL 32301
850-212-6873
UNIVERSITY: FLORIDA STATE UNIVERSITY
CERTIFICATE: FSU TRAUMATOLOGY INSTITUTE
Dr. Fowler is a licensed mental health counselor (LMHC) and an Approved Supervisor for mental health counselors, marriage and family therapists and social workers. As a result of his expertise in psychological trauma, Dr. Fowler was called to respond in New York City following the 9/11 attacks. As a leader in his field, he was able to help with this national tragedy. His work with natural disasters led to him being called to assist with the Hurricane Katrina disaster by debriefing first responders who were exposed to the aftermath of the trauma. Currently, he consults with the Southcom Command of the United States Armed Forces to help returning soldiers and their families deal with the effects of war as well as post-traumatic stress disorder. 
Family and Marriage
Jane Marks, LFMT, LMHC
3325-C Thomasville Road
Tallahassee, FL 32308
850-385-8222
 UNIVERSITY: FLORIDA STATE UNIVERSITY

For five decades, Jane Marks has helped countless families navigate the challenges in life. As a Licensed Family & Marriage Therapist, she will bring a thoughtful approach to wellness for those seeking individual, family or marriage coaching through the CMS Foundation’s Physician Wellness Program.
Grief, Loss, and Trauma
Brenda Rabalais, Ph.D.
216 Lake Ella Drive
Tallahassee, FL  32303
850-841-7733 
UNIVERSITY: FLORIDA STATE UNIVERSITY

Brenda Rabalais, Ph.D., specializes in providing counseling services to those who are struggling with a loss or a trauma. Examples include; divorce, abandonment (foster care, adoption, service families), abuse, suicide, homicide, crime, loss of functionality, loss of home or job, long-term illnesses, other life transitions, as well as death. Brenda founded Lee's Place, a grief, loss and trauma counseling center, in 2000 and has been a practicing therapist as well as the Executive Director for those 21 years.
Special thanks to the MagMutual Foundation and the TMH Medical Staff for helping the CMS fund this program.

African-American Alzheimer's Caregivers Training and Support (ACTS 2) Project
Informational Correspondence with the Capital Medical Society
In this digital era, we strive to keep you updated with the latest in information. Please let us know when your emails and contact information change. We want you to be part of this Society and be active in your practice networking. Patients seeking provider referrals and providers seeking provider referrals keep your practice flourishing. If your membership information is old and you would like to contact us about relocating, new staff changes, or if you haven’t heard from us in a while, your information may not be current. Your personal contact information is kept confidential but is our way of reaching out to you about meetings, medical updates, license requirements, legalities in medicine and patient privacy and care, Journals, newsletters and more.
Pam Irwin, Executive Director, 850-559-8611, [email protected]
Are You One of our Members on the Move?
If you can answer "yes" to any of these questions, we want to know more!
·    Is your practice expanding? Are you adding staff members?
·    Do you have a new practice administrator/office manager?
·    Have you changed or added locations?
·    Have you changed your email/phone/fax?
·    Have you added a new specialty or passed your Board Certification(s)?
·    Have you retired within the last six months?
 
Send your updates to [email protected].
Subject line: Member Updates
Updated Physician Headshots
The CMS website is your link to our physician member database. The CMS has been actively working on each provider search. Please take the time to search the listing. If you find there is any inaccurate information or an outdated headshot, please reach out to CMS to update your information. Let us know as soon as possible to make sure your information is current.
CMS | (850) 877-9018 | [email protected]
Electronic Version of August 2023 Cap Scan
Click here to view the August 2023 Cap Scan.
Free Monthly Webinars: "The Business Side of Medicine"
Each webinar is on the third Tuesday of every month at 6:30 PM.

For more information and to register, click here.

Source: MIRZA, Healthcare Law Partners
Medicare Revalidations
Medicare Revalidations are back in full force after a brief pause during the height of the COVID-19 Pandemic. All healthcare providers and suppliers are required to revalidate their Medicare enrollment every 3-5 years per CMS’ request. Medicare has implemented new revalidation screening criteria that you will need to be aware of. Missing this important deadline will have significant financial consequences on your medical practice! This link is to a tool to a searchable database that allows you to look up the revalidation due date for Medicare providers who must revalidate their enrollment record information every three or five years.

Your Dose of Medical Humor
Save the Date for Upcoming CMS Meetings/Events
Here's Another Connection for CMS Members: Healthcare Lawyer On Call
The CMS has had a long-standing relationship with Jeff Cohen and The Florida Healthcare Law Firm. Did you know that you can tap into a program called Healthcare Lawyer On Call through Jeff and his firm? That's right! On-Call is different than what you may be used to and doesn't mean that you'll find an attorney at 3 AM to answer a question, but what it does mean is that you can call and speak with someone at The Florida Healthcare Law Firm for 15 minutes at no charge! Please remember that any purely verbal discussion on legal matters is simply the lawyer’s best (and unconfirmed) understanding. Another benefit of being a CMS member!
CME Resources
Accredited Education Courses to Meet DEA Training Requirement
The Doctors Company offers 6.75 hrs. that meet the DEA requirement for free. These hours can be combined with previous opioid education the physician may have completed to achieve the 8 hr. requirement. This, and all The Doctors Company CME, is available for free to any physician. They do not have to be a The Doctors Company insured.

2023 Medical-Dental Integration Symposium - Virtual
September 13, 2023
2:00-6:00 pm
Free

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.

On-Demand CME by The Doctors Company
1.25 AMA PRA Category 1 Credits™
Explore the challenges and risks associated with telehealth. Concerns regarding privacy, security, licensure, and technology that might instigate a malpractice claim are discussed.

On-Demand CME by The Doctors Company
2.5 AMA PRA Category 1 Credits or 2.5 ADA CE Credits
Opioids play an important role in pain management—both in acute and chronic care settings—but overuse, misuse, and diversion have contributed to an opioid-related epidemic leading to addiction and death. Our on-demand program provides a useful and informative examination of the epidemic’s prevalence and effects.
National Human Trafficking Hotline
If you suspect human trafficking, please call:
  
National Human Trafficking Hotline
1 (888) 373-7888
Suicide Prevention Hotline
Reach the National Suicide Prevention Lifeline and Veterans Crisis Line by Phone and Text

By Phone:
Call 1-800-273-8255 to reach the National Suicide Prevention Lifeline today. 988 is not a nationwide calling code right now.
Veterans should Press 1 to be connected with the Veterans Crisis Line.

By Text:
The National Suicide Prevention Lifeline is also available today through online chats. 988 is not a nationwide texting code right now.
Service members, Veterans, and their families can reach the Veterans Crisis Line by texting 838255, and through online chats at veteranscrisisline.net.


Source: Federal Communications Commission
Florida E-Prescribing
Electronic Prescribing Requirements (Florida Board of Medicine)
House Bill 831 (2019), Electronic Prescribing, was signed into law by Governor DeSantis. The effective date is January 1, 2020. The bill provides important new requirements for prescribers to generate and transmit all prescriptions electronically upon licensure renewal or by July 1, 2021, whichever is earlier.

Florida ePrescribing Clearinghouse (Agency for Healthcare Administration)
The purpose of the Florida ePrescribing Clearinghouse is to provide information that contributes to the promotion and implementation of electronic prescribing by health care practitioners, health care facilities, and pharmacies in order to prevent prescription drug abuse, improve patient safety, and reduce unnecessary prescriptions. This Clearinghouse contains information on the advantages, processes, products, rules, and laws of ePrescribing as well as Florida ePrescribing reports.
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 $5,000,000 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 850-942-5215 or email [email protected].
Check Out the Latest CMS Member Benefits