September 24, 2021
A New Monoclonal Antibody Drug Is Coming To Florida To Address Cut In Regeneron Shipments
Florida has purchased the shipment of a new monoclonal antibody medication to help treat people with COVID-19 symptoms.

Gov. Ron DeSantis on Thursday announced the shipment of 3,000 doses sotrovimab to help the state overcome what he says will be a shortage in the Regeneron monoclonal antibody treatment due to federal rationing.


Source: Health News Florida
FEATURED ADVERTISER: The Doctors Company
CMS MEMBER FALL PICNIC
CMS Member Fall Picnic
Alfred B. Maclay Gardens State Park Pavilion/Playground
Saturday, October 16, 2021
11:00 AM to 1:00 PM

Capital Medical Society CME Opportunity: Prevention of Medical Errors - October 19, 2021
Florida Health Department Revamps COVID Rule For School Quarantines, Masks
Pointing to a need to “minimize the amount of time students are removed from in-person learning,” the Florida Department of Health on Wednesday issued a revised rule that gives parents more authority to decide whether children go to school after being exposed to people who have COVID-19.

The emergency rule also continues to require that parents be able to opt students out of school-mask requirements but includes a change that takes aim at some school districts that only allow opt-outs for documented medical reasons. That change says opting out of mask requirements is “at the parent or legal guardian’s sole discretion.”


Source: Health News Florida
Teachers Union Suggests Florida Schools May Bend The New Quarantine Rules
Florida's largest public school union is decrying the state's new ruling that students who are exposed to COVID-19 can stay in school unless they develop symptoms.

But some schools might be tempted to bend the rule.

The Florida Education Association says the new rule could put teachers and school employees at risk by exposing them to students who should be quarantining at home.

Union vice president Carole Gauronskas said she foresees a situation where some schools might defy the governor's order and require quarantining, much like when they required all students to wear masks in class.


Source: Health News Florida
'Fear is Done': Florida's New Surgeon General Outspoken Critic of COVID Lockdowns, Mandates
Dr. Joseph Ladapo — a UCLA medical professor who has published controversial articles about “COVID mania” and is an outspoken critic of lockdowns, mask mandates and other mitigation measures — has been tapped to be Florida's new surgeon general, Gov. Ron DeSantis announced Tuesday.

Ladapo, who was hired Monday at the University of Florida College of Medicine, said he wants to usher in a new era of battling the COVID-19 pandemic in Florida, one that sets a model for other states to follow.

“Florida will completely reject fear. Fear is done,” Ladapo said during a press briefing after the regularly scheduled Florida Cabinet meeting in the Capitol.


Source: Tallahassee Democrat
Ron DeSantis' New Surgeon General Appeared in 'Demon Sperm' Doctor's COVID Conspiracy Video
Joseph Ladapo—the doctor appointed on Tuesday as Florida's new surgeon general by Republican Governor Ron DeSantis—once appeared in a COVID-19 conspiracy video featuring Dr. Stella Immanuel. Immanuel, a pediatrician and religious minister, gained notoriety in 2020 for her bizarre theories, including that "demonic seed" causes endometriosis and ovarian cysts.


Source: MSN
COVID-19 Has Now Killed About As Many Americans As 1918-19 Flu
COVID-19 has now killed about as many Americans as the 1918-19 Spanish flu pandemic did — approximately 675,000.

The U.S. population a century ago was just one-third of what it is today, meaning the flu cut a much bigger, more lethal swath through the country. But the COVID-19 crisis is by any measure a colossal tragedy in its own right, especially given the incredible advances in scientific knowledge since then and the failure to take maximum advantage of the vaccines available this time.


Source: Health News Florida
Hospital Administrators Ask State Lawmakers For Help Amid Staffing Crisis
Hospital administrators on Monday gave state House committees a glimpse into the challenges facing health care professionals, describing efforts to reimagine how care is delivered amid a nursing shortage and sizable financial hit from the COVID-19 pandemic.

At the forefront of the concerns is a shortage of nurses, which the executives told lawmakers has created an emergency for hospital administrators.


Source: Health News Florida
Oregon Physician Who Spread COVID-19 Misinformation Gets License Revoked
A physician from Oregon had his medical license revoked and was fined $10,000 for spreading COVID-19 misinformation and refusing to wear a mask in his medical practice.


Source: Becker's Hospital Review
News from Florida Healthcare Law Firm
Surprise! “No Surprises Act” Enforcement Delayed
It should come as no surprise that the federal government has decided to delay enforcement of the No Surprises Act. So although the Act will still take effect on January 1, 2022, the government will not enforce certain provisions of the law until applicable rules are in place. This will hopefully allow the providers, and the government, time to figure out the best way to comply with the law. READ MORE

Genetic Testing: Be Hopeful but Wary
Genetic tests are valuable because they can provide important information to patients and their medical providers regarding diagnoses, treatment, and disease prevention. However, the rapid growth in the number of tests ordered, especially in light of the telemedicine expansion during the pandemic, has invited well-earned scrutiny to the industry. READ MORE

Lunch and Learn Webinar - The Invisible Business Compliance Risks of COVID
September 29, 2021 - 12:00-1:00 PM
Attorney Jacqueline Bain will present this live lunch n' learn webinar focused on the compliance risks all healthcare businesses face in today's world. She will be joined by guest presenter Phil Liberty, who will lend additional insights specifically related to the increased HIPAA risks during this time. REGISTER

Find replays of past webinars and healthcare legal updates and watch or listen at your convenience!

Source: Florida Healthcare Law Firm
Open Notes Shines Light on Errors in Patient Medical Records
With the April 5 implementation of the federal Information Blocking rule -- also known as "Open Notes" -- "actors" defined as any health provider (including physicians) must make 16 categories of electronic records available electronically to the patient upon request as soon as they're available, with more categories qualifying in the future.


Source: MedPage Today
Pfizer Recalls All Chantix Lots Nationwide Over Concerns of Cancer-Causing Impurity
Pfizer's headache with its popular smoking cessation drug Chantix is escalating. After the drugmaker halted global distribution this summer and then recalled more than a dozen lots in the U.S., the company is now recalling all lots nationwide.
 
Pfizer on Thursday said it's expanding its Chantix recall to the consumer level to include all batches of the drug at the 0.5-mg and 1-mg doses.


Source: Fierce Pharma
New Data Show the Highest Prevalence of Medical Liability Premium Increases in 15 Years
This Policy Research Perspective (PRP) summarizes changes in medical professional liability insurance (MPL) premiums and provides examples of premium levels for select geographic areas from 2011 to 2020. The data are from the Annual Rate Survey Issues of the Medical Liability Monitor (MLM) including the latest from October 2020. The MLM conducts an annual survey of major U.S. liability insurers and is considered the most comprehensive source of data on MPL premiums from a national perspective. Despite its comprehensiveness, the data should be interpreted with some caution. The MLM reports manual premiums, which could differ from the final premiums physicians pay. It reports them for three specialties obstetrics/gynecology (OB/GYN), general surgery and internal medicine—in each state where those insurers provide coverage. In some states, insurers price their policies differently across geographic areas within a state and report premiums to the MLM for each of those sub-state areas. Thus, insurers and states with more rating areas are overrepresented in the data. Finally, the data may not reflect all liability insurers in a market.


Source: American Medical Association (AMA)
New Study Revives a Mozart Sonata as a Potential Epilepsy Therapy
Could this be the return of the “Mozart effect”? In 1993, researchers reported that after college students listened to a particular Mozart piano sonata for 10 minutes, they showed better spatial reasoning skills than they did after listening to relaxation instructions designed to lower blood pressure — or to nothing at all. And their IQ scores jumped by 8 or 9 points in what became known as the Mozart effect. Even though the benefits were hard to reproduce (and wore off within minutes), the fad of Mozart for babies’ brain development was born.


Source: STAT
And Just For Fun...Eight Things You Might Not Know About the U.S. Constitution
The United States Constitution is one of the most famous documents in history. The landmark papers are the culmination of four months of vigorous debate at the 1787 Constitutional Convention in Philadelphia, Pennsylvania. The adoption of the finalized constitution established the laws of the land for the start of President George Washington’s administration on March 4, 1789.
 
While some of its passages and amendments are familiar from history class, here are a few lesser-known facts behind the processes that shaped the backbone of the American republic.


Source: Trivia Genius
October Healthcare Coalitions Virtual Trainings
Below is a list of free virtual classes available for the month of October through the Florida Healthcare Coalitions. 
 
  • October 5 – Hospital Incident Command Systems (AWR-934-V7)
  • 2-hour class (10am to 12pm Eastern)
  • Provider – Center for Domestic Preparedness (Anniston, AL)
  • Flyer - must use unique code to register
 
  • October 8 – Healthcare Facility Preparedness (AWR-934-V8)
  • 1.25-hour class (10am to 11:15am Eastern)
  • Provider – Center for Domestic Preparedness (Anniston, AL)
  • Flyer - must use unique code to register
 
  • October 12 – Federal, State, and Local Roles in Medical Emergency Response (AWR-934-V5)
  • 1.25-hour class (10am to 11:15am Eastern)
  • Provider – Center for Domestic Preparedness (Anniston, AL)
  • Flyer - must use unique code to register
 
  • October 14 – Natural Disaster Awareness for Caregivers (AWR-308)
  • 4-hour class (12:30 to 4:30pm Eastern)
  • Provider – National Disaster Preparedness Training Center (Hawaii)
  • Flyer - must use unique code to register
 
  • October 19 – Hurricane Awareness (AWR-343)
  • 4-hour class (12:30 to 4:30pm Eastern)
  • Provider – National Disaster Preparedness Training Center (Hawaii)
  • Flyer - must use unique code to register
 
  • October 25 & 26 – Healthcare Sector Emergency Preparedness I (AWR-336)
  • 8-hour class (12:30 to 4:30pm Eastern, each day)
  • Provider – Center for Domestic Preparedness (Anniston, AL)
  • Flyer - must use unique code to register
 
Source: Big Bend Healthcare Coalition
Leadership Opportunities at the Capital Medical Society
The Capital Medical Society will be able to continue to navigate in the COVID-19 and post-COVID-19 eras. We have faced challenges before and there will be more in the future, but we can count on strong physician leadership to guide us. I know that the CMS will continue to make a major difference in shaping the future of healthcare in this community and in the State of Florida.
 
The Capital Medical Society Nominating Committee will be convening in the coming months to consider nominations for the CMS Board of Governors and for the CMS FMA Delegation. If you are interested in being considered for nomination to the CMS Board of Governors or to serve as a CMS FMA Delegate, please complete the form (https://capmed.org/wp-content/uploads/2021/08/2021-Succession-Planning-Questionnaire.pdf) and mail to Pam Irwin at:
 
Capital Medical Society
1204 Miccosukee Road
Tallahassee, FL 32308
 
Best,
Pam Irwin
Executive Director
Capital Medical Society
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
Wolfson - Free CME Webinar - 1 CME Credit Opportunity
Updates to the NIH Asthma Management Guidelines
Join Dr. David Schaeffer as he discusses what you need to know to successfully manage your asthmatic patients, including a review of the updated 2020 stepwise approach for asthma management in children.

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

Maguire Medical Library - Florida State University College of Medicine: Coronavirus Disease 2019 (COVID-19): Basic & Current Information

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

Vaccine Updates


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

Reporting for Health Care Providers and Laboratories

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

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

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

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