August 6, 2021
Dr. Doug Murphy Becomes President of Florida Medical Association
Dr. Douglas R. Murphy Jr. of Ocala is the new president of the Florida Medical Association.

Murphy, a board-certified obstetrician/gynecologist who has served the Ocala community in private practice for almost 40 years, was installed Saturday, July 31.


Source: Florida Politics
_________________________________________________

Thank you to all Capital Medical Society members who served as
FMA delegates at the 2021 FMA Annual Meeting.
(Not pictured: Andy Borom, M.D., John P. Mahoney, M.D., Seymour Rosen, M.D.,
Hugh VanLandingham, M.D., and Gary Winchester, M.D.)
FEATURED ADVERTISER: The Doctors Company
Spreading False Vax Info Might Cost You Your Medical License
Physicians who intentionally spread misinformation or disinformation about the COVID-19 vaccines could be disciplined by state medical boards and may have their licenses suspended or taken away, said the Federation of State Medical Boards (FSMB).


Source: MedPage Today
3 Charts Show How Far Covid Delta Variant Has Spread Around the World
More than one year into the Covid-19 pandemic, the world is grappling with a highly transmissible delta variant that has caused a renewed surge in infections in countries from the U.K. and the U.S., to those in Africa and Asia.

The delta variant, which was first detected in India last October, has been found in more than 130 countries globally, according to the World Health Organization.

Delta is the most transmissible variant of the coronavirus that first emerged in China in late 2019, said Dr. Maria Van Kerkhove, an epidemiologist and technical lead for Covid-19 at the WHO.


Source: CNBC
Covid Updates: Known Global Toll Reaches 200 Million Virus Infections
The W.H.O. calls for a moratorium on vaccine boosters. The Delta variant has reached nearly half China’s regions. In the U.S., Pfizer’s vaccine could gain full approval by early September.


Source: The New York Times
Moderna Recommends Third Shot of Vaccine to Defend Against New Coronavirus Strains
Moderna said Thursday that people will likely need a COVID-19 vaccine booster dose to protect against future mutations of the coronavirus, touting the “robust” antibody response generated by the additional shot.

Vaccine developers at Moderna “are looking forward towards our vision of a single dose annual booster that provides protection against COVID-19, flu and [respiratory syncytial virus] for adults. … We believe this is just the beginning,” CEO Stephane Bancel said.


Source: Yahoo! News
Physicians Eyeing Third Dose of COVID Vaccine
With the threat of the more transmissible Delta variant and questions around waning immunity following vaccination, healthcare workers are thinking more and more about a third dose of the COVID-19 vaccine.
 
That's despite the many unknowns on what the true "correlates of protection" are when it comes to immunity, and a lack of hard clinical data that vaccine effectiveness is truly waning.


Source: MedPage Today
'As Contagious As Chickenpox': What To Know About Children And COVID-19
Children are increasingly becoming infected by coronavirus, as cases and hospitalizations surge in Florida. Data from the Centers for Disease Control and Prevention show Florida leads the nation in the rate of children hospitalized.


Source: Health News Florida
Florida Hospitals Struggling to Get Oxygen
Florida hospitals are struggling to get enough oxygen to treat their COVID-19 patients as virus cases surge because of the delta variant, Bloomberg reported Aug. 4.

Restrictions on how long truck drivers can be on the road went back into effect when the state's public health emergency rules were lifted, and there is a shortage of qualified drivers to transport oxygen to hospitals, according to Bloomberg.


Source: Becker's Hospital Review
Florida Healthcare Industry Grapples With How to Reach
Unvaccinated Workers
Hospitals in Tampa Bay said doctors are trying to reach the public about vaccines, but also – their own co-workers.

The Florida Medical Association is recommending that all healthcare practitioners and medical support staff get vaccinated against COVID-19.

Members of the state’s largest physicians association approved a resolution recommending that healthcare workers be vaccinated and wear masks as the numbers of COVID-19 infections in the state skyrocket. Florida reported 21,683 new infections on Friday, the largest amount since Jan. 2, when the state reported 30,531 cases.


Source: FOX 13 News
Florida Colleges Are Now Shielded From COVID-19 Lawsuits
Marking a victory for colleges and universities that shut down campuses last year during the COVID-19 pandemic, Gov. Ron DeSantis signed a bill Tuesday shielding the schools from lawsuits seeking refunds for students because of the closures.


Source: Health News Florida
Physicians Worry Simultaneous RSV, COVID-19 Outbreaks Will Overwhelm Pediatric Units: 7 Notes
Physicians at some U.S. hospitals are worried an unseasonable spike in respiratory syncytial virus combined with an uptick in COVID-19 cases among children could soon overwhelm pediatric units, The New York Times reported Aug. 1.


Source: Becker's Hospital Review
AMA, Physician Groups Slam VA's Planned Standards of Practice Changes
The American Medical Association (AMA) and dozens of physician groups are pushing back on the Department of Veterans Affairs' plan to establish new national standards of practice, which, they argued, would override current state practice and licensure laws and allow non-physicians to operate outside of their training.


Source: MedPage Today
CMS' Final Inpatient Payment Rule for 2022: 7 Things to Know
CMS released its annual Inpatient Prospective Payment System final rule Aug. 2, which increases Medicare payment rates for acute care hospitals and removes some price transparency requirements.

The rule applies to discharges occurring on or after Oct. 1.


Source: Becker's Hospital Review
After Nearly 1 Month of EHR Downtime, UF Health Says Patient Data was Compromised During IT Attack
UF Health Central Florida recently began notifying patients that their personal information may have been exposed in a May cyberattack that shut down the Leesburg-based health system's IT systems.

In a July 30 cybersecurity event notice, UF Health said that an investigation into the May incident revealed that some patient information may have been accessible to unauthorized users on its computer network between May 29 and 31.


Source: Becker's Hospital Review
After Controversial Approval, Doctors Are Still Debating How to Use Biogen's Alzheimer's Drug
Nearly two months since it became available, many doctors have yet to use the first drug approved in the United States to slow Alzheimer's disease. The drug, known scientifically as aducanumab and commercially as Aduhelm, has been a source of hope to Alzheimer's patients and their caregivers for the past several years. Rather than treat symptoms of the disease, Aduhelm is meant to address what's considered to be an underlying cause.
 
But doctors appear uneasy about prescribing the drug.


Source: Healthcare Dive
Do We Mean It When We Say We Support Our Healthcare Heroes?
Medicine is a calling. Over the past year we have heard so many stories of healthcare heroes putting themselves at risk to care for patients and providing care in suboptimal situations. Policies and protocols take time, understandably, but in the interim, the immediate needs of patients have needed to be addressed. Until March of last year, it would have been grossly against protocol to ever reuse a mask or perform a procedure without adequate personal protective equipment, and yet, we were encouraged to do so by both our institutions and our government because patient care necessitated it. Unfortunately, this has resulted in the loss of the lives of many healthcare workers. Despite this, we’ve continued to show up to work every day with a commitment to serve our patients.


Source: Nisha Mehta, M.D.
Suicide Prevention: Primary Care Is a Crucial Setting for Identifying Risk
Most Americans receive their healthcare from primary care physicians. The frequent contact with patients creates opportunities for physicians to identify and address suicide risks. Research tells us that people who die by suicide are more likely to have seen their primary care provider shortly before their death than any other healthcare professional.


Source: The Doctors Company
Help Improve Medical Student Mental Health
Dr. Delicia Haynes is on a mission to improve medical student mental health and raise awareness of the stressors they may experience while completing their medical education journey. It's important they understand what they can do to maintain their mental health throughout training.
 
Students will:
 
know their risk for depression
understand how it may show up in themselves and their colleagues
know how to get help
gain tools to improve their mental health throughout their career
Know that they are not alone!
 
Please go to www.whitecoatsafespace.com to become a book sponsor and help share a gift that will last a lifetime. Use the code “ambassador” to get 20% off whichever level of medical student support you choose. Choose the medical school to where you'd like the books sent or leave the entry blank and the books will be sent to you for distribution.
My Burger Never Looks Like That!
Chances are your cheese pizza doesn't look like it did on TV either. Check out these TV tricks-of-the-trade that keep on-screen food looking delicious and delectable even under the hot camera lights...


Source: Trivia Genius
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.
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:

September 28-29, 2021
 
Members can receive the discount a few different ways:
  1. Click the show link above and enter the promo code "CMS"
2. Call 850-645-0747 to purchase over the phone and mention the promo code "CMS"
Save the Date for Upcoming CMS Meetings/Events
Talk to me, Goose.
We all need co-pilots. That's why the Capital Medical Society Foundation Physician Wellness Program is here for its members. The CMSF has teamed up with four wonderful resources who will help you fly - confidentially and autonomously. Your first six wellness coaching visits are at no cost to you. None. Nada. No identifying information. Nothing except peace of mind. Seriously. Pick up the phone and call any of the resources noted below. Telehealth options available.

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.

The Elephant in the Doctors' Lounge - With roughly 156 million Americans fully vaccinated for COVID-19, physicians are seeing signs of relief on the horizon. That relief can't come soon enough. The initial energy and adrenaline that drove physicians to treat their acutely ill patients in the early months of the pandemic have been replaced by fatigue, burnout, and post-traumatic stress disorder (PTSD). It's time to talk -- and to act -- so these feelings of struggle don't drive more of our colleagues into a mental health emergency.
Source: MedPage Today
CME Resources
Diabetic Retinopathy Webinar: Strategies for Improving Patient-Centered Care - 1.0 CME Credit Opportunity
August 27, 2021
5:00 pm

Re-envisioning Elder Care - CME Opportunity (Open flyer)
All-day Virtual Conference
September 10, 2021
8:15 am - 3:45 pm
Free with fees for CME credit

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.

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.
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!
 
Sincerely,
The CMS Staff
(850) 877-9018
ABIM Extends Maintenance of Certification Requirement Deadlines Through 2022
Board-certified physicians are getting another extension on the deadline to maintain their internal medicine credentials.

In light of the COVID-19 pandemic, the American Board of Internal Medicine (ABIM) once again extended the Maintenance of Certification (MOC) requirements through December 2022.


Source: Fierce Healthcare
Coronavirus - Information, Updates, Resources
Updates and Resources

The State-Level COVID-19 profile for Florida. This data is collected from medical facilities in one of two system HHS protect or National Healthcare Safety Network  
 and the White House Coronavirus Task Force analyzes and distributes the report.
   
The New England Journal of Medicine - A collection of articles and other resources on the Coronavirus outbreak, including clinical reports, management guidelines, and commentary
 
Epidemiological and Clinical Resources For The COVID-19 Pandemic
 
CDC Healthcare Supply of Personal Protective Equipment
 
CDC Guidance for People at Higher Risk for COVID-19 Complications
 
CDC PPE Poster
 
CDC Guidance for Travelers from Countries with Widespread Sustained (ongoing) Transmission Arriving in the United States
 
CDC Communication Resources
 
NETEC coronavirus page includes PPE validation checklists and video resource, in addition to many others:
 
 
From the Florida Medical Association: Coronavirus Educational Resource Center

Vaccine Updates

 
See the latest state Department of Health data summarizing the number of people in Florida who have either received their first dose of the COVID-19 vaccine or completed the vaccine series (FMA) 
 
 (Florida Department of Health in Leon County)
 
(Florida Department of Health in Leon County) 
 
 
(Centers for Disease Control and Prevention)
 
 
COVID-19 Pandemic Planning FAQ (dated 11/19/2020) includes important information regarding procurement and handling of costs for vaccine administration. (FEMA) 
 
What Happens Once There is a COVID-19 Vaccine? Key Challenges to Vaccinating America (12/3/2020) - VIDEO or SLIDES (Kaiser Family Foundation) 

Reporting for Health Care Providers and Laboratories

 
 
 
 
Notable recent additions to CDC guidance include more detailed infection prevention and control recommendations for health care settings: https://www.cdc.gov/coronavirus/2019-nCoV/hcp/infection-control.html.

Please continue to closely monitor the CDC novel coronavirus website for situation and guidance updates. https://www.cdc.gov/coronavirus/2019-nCoV/index.html.

If you have any patients who meet the person under investigation criteria, please contact the Florida Department of Health in Leon County Epidemiology Program at 850-404-6299.
 
Epidemiology and Disease Control Program
Florida Department of Health in Leon County
2965 Municipal Way
Tallahassee, FL 32304
Office Number: (850) 404-6299 
Confidential Fax: (850) 921-9855
Rx for Miracles
Florida RX Card has created a new program and resource card to help Children's Miracle Network children and families in need. This card will work just as Florida Rx Card, helping people save on their prescription medications. 

The flyer explains the program and can be used to share/download the app.
Informed Webinar Series: Understanding the CMS Proposed Rule: Reducing Provider and Patient Burden by Improving Prior Authorization Processes
On December 11, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would improve the electronic exchange of healthcare data among payers, providers, and patients. If finalized, the CMS rule would streamline processes related to prior authorization with the goal of reducing the burden on providers and patients. Medicaid, CHIP (Children's Health Insurance Program), and QHP (Qualified Health Plan) payers would be required to build and implement FHIR-enabled APIs that could:
 
  • Allow providers to know, in advance, what documentation would be needed for each different payer. 
  • Streamline the documentation process. 
  • Enable providers to send prior authorization requests (and receive responses electronically) directly from the provider's EHR or other practice management system.
 
PAP Machine Donations Needed!
A PAP (Positive Airway Pressure) machine is an electronic respiratory ventilation device used to treat obstructive sleep apnea. Capital Medical Society Foundation, Inc.'s We Care Network program assists low-income, uninsured adults, whose income is at or below 150% of the Federal Poverty Level, with obtaining these potentially life-saving medical devices, when prescribed by a pulmonologist. Thanks to our partners at Desloge Home Oxygen and Medical Equipment, Inc., we are able to provide refurbished CPAP, AutoPAP, and BPAP machines for eligible We Care Network patients in Leon, Gadsden, Jefferson, and Wakulla Counties. We Care Network also accepts unused, unopened supplies for PAP machines, such as masks, nasal cannulas, and tubing. We Care Network coordinates over $8,000,000 in donated specialty medical and dental care annually.
 
Machine donations can be dropped off at Capital Medical Society Foundation's office at 1204 Miccosukee Road, Tallahassee, FL 32308. Donations to Capital Medical Society Foundation are tax-deductible within IRS guidelines Federal Tax I.D. #: 59-2104510. For additional information, please call 942-5215 or email dbixler@capmed.org.
You Can Support the CMS Foundation! Sign Up and Shop Today on AmazonSmile!
For eligible purchases at AmazonSmile, the AmazonSmile Foundation will donate 0.5% of the purchase price to the Capital Medical Society Foundation! 
 
Click here to access AmazonSmile and support the CMS Foundation today!
Check Out the Latest CMS Member Benefits