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August 18, 2010
MAFP E-BULLETIN,
August, 2010, VOL.4, NO.8
In this issue:
AAFP 2010 Scientific
Assembly Denver: A Celebration of Family Medicine
Request from Med
Chi: Voice Your Complaints About Onerous Insurance Practices
Maryland Healthcare
Professionals Immunization Initiative: Apply for a $1,000 Grant
Position
Announcement
Environmental Scan and News You Can Use
AAFP
2010 Scientific Assembly Denver: A Celebration of Family
Medicine

As the 2010 AAFP Scientific Assembly quickly
approaches, perhaps you are considering this quality CME and
networking opportunity provided by the national organization.
All details at
www.aafp.org/assembly. Also, the AAFP Congress of Delegates
will meet two-days prior to the 2010 Assembly to enact policy
and elect officers. Policies are enacted from resolutions put
forth by state chapters and constituency groups, as well as from
commission and board recommendations. The process is efficient
and quite fascinating. Members are encouraged to participate by
attending and even to provide testimony at reference committee
meetings. All details at
www.aafp.org/congress. Your Maryland delegation (list
follows) would like to hear from you, prior to the event,
regarding your thoughts on the various issues and candidates.
Please contact them via the MAFP office at
info@mdafp.org or 410-747-1980.
President: Eugene J. Newmier, M.D., Cambridge
Senior Delegate: William P. Jones, M.D., Davidsonville
Junior Delegate: Howard E. Wilson, M.D., Bowie
Senior Alternate Delegate: Adebowale G. Prest, M.D., Hebron
Junior Alternate Delegate: Yvette L. Rooks, M.D., Baltimore
Executive Director: Esther Rae Barr, CAE, Baltimore
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Request from Med Chi: Voice Your Complaints
About Onerous Insurance Practices
Over the past two months, many of you have demonstrated your
support for MedChi’s efforts to petition the Maryland Insurance
Administration (MIA) for a formal review of some of the onerous
insurance practices that interfere with the patient-provider
relationship. Intended to contain costs, these practices –
including prior-authorization, pre-certification, step therapy
and therapeutic switching – create significant and potentially
dangerous barriers to patient care. In June, I had the privilege
of meeting with acting Insurance Commissioner Elizabeth Sammis
to discuss the unintended consequences of these
“cost-containment” protocols. Her response has been most
encouraging.
We are now at a critical point. In order to thoroughly review
these practices, it is imperative for the MIA to receive formal
complaints from patients and providers (on behalf of patients).
Commissioner Sammis has asked MedChi to encourage its members to
file complaints with the MIA and to share specific examples with
the MIA directly or through MedChi. The MIA needs this
information to develop and implement appropriate responses and
to determine if statutory changes are needed.
We have heard from our own members and from other groups that
many providers are simply too busy to take this extra step, yet
without taking it, the problems will only worsen. Please join us
in urging patients and providers (on behalf of patients) to file
formal complaints with the MIA as situations arise.
To file a complaint, visit
www.mdinsurance.state.md.us and follow the prompts:
Select the Consumer tab from the main menu (top of page);
Select File a Complaint option from the sidebar menu (left side
of page);
Scroll down the page and under the How to File a Complaint
heading, choose option #2, Download Forms to be Completed by
Hand;
Select bullet #2, Life and HEALTH / Appeals and Complaints
Or visit:
http://www.mdinsurance.state.md.us/sa/jsp/consumer/FileComplaint.jsp
Thanks to the organizations which have already weighed in with
your own letters to the MIA: Maryland Academy of Family
Physicians (on file and available to MAFP members by request at
info@mdafp.org), Maryland Academy of Pediatrics, Maryland
Academy of Physician Assistants, Nurse Practitioner Association
of Maryland and Abilities Network / Epilepsy Foundation. As
Maryland moves toward implementing the federal health bill, we
have a chance to improve patient access to care by reducing or
eliminating insurance barriers to care. I look forward to
working with you all to achieve that goal.
Gene M. Ransom III
Chief Executive Officer
MedChi, The Maryland State Medical Society
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Maryland Healthcare Professionals
Immunization Initiative: Apply for a $1,000 Grant

You're
invited to join the effort to increase immunization rates among
healthcare professionals. For the past five years, the Maryland
Partnership for Prevention and the Maryland Department of Health
and Mental Hygiene have co-sponsored this initiative to promote
influenza and other vaccinations recommended for health
professionals. We need your help to make the 2010-2011 Maryland
Healthcare Professionals Immunization Initiative a success.
Please become a "Registered Partner" by completing the
initiative's baseline survey at:
http://www.zoomerang.com/Survey/WEB22AZQ84DU2V.
Registered Partners will:
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Receive a hardcopy of the initiative toolkit, containing
information to support healthcare worker vaccination
campaigns;
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Be
eligible for a $1,000 grant to assist with funding
healthcare professional immunization campaigns;
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Receive monthly newsletters providing updates and
information on vaccinating healthcare workers; and
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Be
invited to the Maryland Healthcare Professional Immunization
Initiative Awards Ceremony and Wrap-Up Event.
We hope
you will join this important effort to protect yourself and your
patients and colleagues against vaccine-preventable diseases.
Once you have completed the survey, a grant application will be
emailed to you. Grant applications are due September 3.
To
complete the survey, you will need the following information:
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The
actual number (or close approximation) of healthcare
personnel and volunteers in your organization
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The
type of vaccine you routinely promote among your healthcare
workers
-
Your
policies on vaccinating employees against flu and other
vaccine-preventable diseases
We
appreciate your consideration of this invitation. For additional
information, see the flyer above or call Tiffany Tate at
410-902-4677 or Robin Decker at 410-767-6679.
We look
forward to having you as our partner!
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Position Announcement
Chase Brexton Health Services, Inc, a fast growing federally
qualified health center in Maryland is currently seeking a
full-time family physician who is either board certified or
board eligible, for our office in Columbia, Maryland. Join our
interdisciplinary team of top-notch, dedicated professionals
providing comprehensive primary care and HIV care for a wide
spectrum of patients regardless of income, insurance, race or
sexual preference. Fascinating multi-cultural patient
population. Full range of ambulatory Family Medicine except OB.
Telephone on-call only (approximately one week in 12). Spanish
language skills very desirable, though not required. We offer
generous leave, CME time and expenses, paid administrative time;
our malpractice coverage is unsurpassable. Please send your
c.v./cover letter to Human Resources, Chase Brexton Health
Services, Inc., 1001 Cathedral St., Baltimore, MD 21201, fax
443-573-5001, or email to
hr@chasebrexton.org.
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Environmental Scan and News
You Can Use
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An International Conference on
Integrative Medicine will be held in October 2010 in
Jerusalem . The Conference will deal with ways to unite the
scientific principles of modern medicine with the holistic
principles of alternative medicine, hosting a dialogue
between professionals and participants from around the
world. In order to give all those interested the possibility
to participate we hereby announce that the registration has
started. Details and registration forms are available in the
Conference site :
www.holylandcon.com
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Telemedicine can be remote lifesaver
United Press International, August 9, 2010
“Telemedicine is becoming a more important part of health
care for oil rig workers and those far away from traditional
health care facilities, experts say. Medical test results
can be relayed by Internet or satellite, while Web cams
allow for visual access and photographs can be sent by
smartphone.”
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Mobile clinics seen as way to cut U.S. health bill
Reuters, August 11, 2010
There are some 2,000 mobile health clinics in the U.S., and
experts say they help control costs by keeping people with
chronic diseases out of hospital emergency departments.
Harvard University's Family Van in Boston estimates every
dollar it spends creates $36 in economic benefits, such as
preventing nonemergency ED visits.
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Companies
Help Employees Provide End-Of-Life Care
NPR, August 10, 2010
“Juggling a caregiving role with a full-time job is
daunting. But it can be even more difficult working during
the end stages of a loved one's life. Some companies are
exploring end-of-life initiatives to help their employees
manage the ultimate transition.”
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Payers announce meaningful-use incentives
FierceHealthPayer, August 9, 2010
“Four major insurers announced they will align their
pay-for-performance programs with federal meaningful-use
criteria for electronic medical records. However, it is not
clear in all cases if those changes will mean increased P4P
payments. Either way, the payers' moves, depending on the
success and spread of their programs, could accelerate
implementation of meaningful use.”
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Nurses who are doctors
Philadelphia Inquirer, August 8, 2010
“More are earning the doctor of nursing practice degree. Sue
Shirato is a nurse. And a doctor. But probably not the kind
of doctor you think, which makes her introduction to
patients at the Jefferson Heart Institute more
complicated."I'm Dr. Shirato, but feel free to call me Sue,"
she tells patients. "I am Dr. Duffy's advanced-practice
nurse."
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CCHIT announces three new certification programs for EHRs
Healthcare IT News, July 27, 2010
“The Certification Commission for Health Information
Technology (CCHIT) announced Tuesday the launch of new CCHIT
Certified programs in three specialty areas for electronic
health records.”
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iPhone apps that could save your life
Network World, August 2, 2010
“Developers are using the Community Health Data Initiative
to create iPhone apps such as iTriage, which provides
patients with information about symptoms and gives advice on
seeking medical care. The app Asthmapolis uses a GPS-enabled
device that attaches to an inhaler and records a time and
location when asthma patients use their inhalers, while
MedWatcher alerts patients about recalls or news related to
their medications.”
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7 hours of sleep each day is just right, study says
Yahoo! News.com, August 1, 2010
“Researchers said seven is the magic number for hours of
sleep and people who got more or less each day increase
their risk of cardiovascular disease. Getting less than five
hours of sleep daily, including naps, doubled the risk of
angina, coronary heart disease, heart attack or stroke,
while sleeping nine hours or longer increased the risk of
cardiovascular disease 1.5 times.”
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MAFP or MAFP Foundation 5710 Executive Drive, Suite 104 Baltimore, MD 21228 Phone:
(410) 747-1980 - Fax: (410) 744-6059 E-Mail:
info@mdafp.org
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