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MAOP Weekly Update

 

A Word From President Brian S. Kahan, DO

 

Renew Your Membership and Join Our Health Information Exchange

The first step to our HIE is a practice management survey for all of our members. Please take a moment to complete the survey in an effort to help MAOP determine the best path to our Health Information Exchange. CLICK HERE NOW FOR THE SURVEY PLEASE

Renew your membership now so you can be the first in line for this new and exciting technology. Renewing your membership is very easy. Just visit our new website at marylanddo.org and follow the links. Or email Executive Director Stephanie Wilson at swilson@marylanddo.org for instructions on sending in a check or money order.

 

A New Era Begins for Care Coordination

On March 25, 2013 a new era begins for NCQA-PCMH Recognition.  Specialists will now be able to participate as a recognized care partner of the Patient Centered Medical Home.   The goal of this program is to recognize specialty practices that successfully coordinate patient care and communicate with their primary care colleagues, other specialists and the patient. Like the Patient-Centered Medical Home, the program will have specific expectations for providing timely access to care and continuous quality improvement.

What are the requirements for specialty practices?  The Patient-Centered Specialty Practice (PCSP) Recognition standards include:

1.  Track and Coordinate Referrals: Specialty practice collaborates effectively with PCPs and other specialists to coordinate testing and care of shared patients. The content of the referral communications supports the needs of all clinicians.

2.  Provide Access and Communication: Timely access to appointments, timely responses to telephone and secure electronic messages during and after office hours, addressing patients’ cultural and language needs, explaining the roles of PCPs, specialists, and the patients in the relationship. In addition the standards include development of a specialty practice team where each team member is trained to be patient-centered and contribute to the top of their license or role.

3.  Identify and Coordinate Patient Populations: Capture key clinical and administrative data to facilitate reporting on specific populations. Demonstrate that the specialty practice is using evidence-based tools for managing care for those populations and following up proactively when care is needed.

4.  Plan and Manage Care: Development of a patient-centered care plan by specialty practice alone, or in collaboration with PCP or other specialists, and assessment of barriers and progress in that care plan. Specialist practice manages patients’ medications, and provides educational resources or refers patients to community services as needed.

5.  Track and Coordinate Care: Specialty practice coordinates use of lab, imaging, and other specialty referrals with PCP practices or other specialists caring for a patient. These are tracked proactively from the point of request through receipt and patient notification. Patients are also tracked as they move through transitions of care such as hospitalizations.

6.  Measure and Improve Performance: Measurement of a number of clinical processes or outcomes and patient experience, showing improvement over time. Practice demonstrates transparency by sharing data within the practice and with external organizations.

*National Committee for Quality Assurance

 Contact MHDG for more information:  843-554-2533

Please continue to read our Weekly Updates for more information on this important topic. 

 

 

[expand Weekly Update 3/18/13]

MAOP Weekly Update

 

 A Word From President Brian S. Kahan, DO

Osteopaths No Longer To Be Licensed in Maryland
Yes, this could be the headline in your local newspaper if House Bill 1313 passes.  House Bill 1313 limits the ability of osteopathic physicians who have not obtained an ACGME residency or passed the USMLE examination to obtain a license to practice medicine in the state of Maryland.   This will not hinder current osteopaths in the state but will effect future DOs from practicing in Maryland. Participate now with the Maryland Association of Osteopathic Physicians and help us fight this inequality with regard to allopathic versus osteopathic physicians.
  

Are You Providing Quality Care and What’s the Opportunity for Your Practice?

The current model of health care delivery is fragmented and is difficult for patients and their families to navigate. Improved care coordination is proving to be an essential role of the primary care provider, especially for those patients with multiple ongoing health care needs that cannot be met by a single clinician or organization.  According to the Institute of Medicine, lack of care coordination can be unsafe and even fatal when abnormal test results are not communicated correctly, prescriptions from multiple doctors conflict with each other or primary care physicians do not receive hospital discharge plans for their patients.  Moreover, uncoordinated care adds to the cost of care due to duplicated services, preventable hospital readmissions and overuse of more intensive procedures.

MAOP’s future will depend on it’s ability to link comprehensive quality care to increased value for patients.  Without any additional undue burden to the physician, it will be necessary for physicians to demonstrate management of the 4 Ps: Patient, Physician Team, Purchasers and Payors.

If your practice provides quality care and you want to align your reimbursement with care delivery, then consider becoming a recognized NCQA Patient Center Medical Home.  Recognition is now available for primary and specialty care practices.

Please stay tuned as we bring you more information on this topic in our Weekly Update and on the website.

  

 Early Bird Special ENDS March 31, 2013

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If you have news, updates, jobs, or any other information you could like included in next week’s update, please respond to this e-mail no later than Friday of this week.[/expand]

[expand Weekly Update 2/25/13]

Legislative Reception

 
We need our osteopathic physicians to join us for an evening filled with delicious food, plenty of beverage and great company this Wednesday at Harry Browne's in Annapolis. We'll begin at 7:00 and will mingle with Maryland state legislators to talk about issues that are on our mind this session.
Following are a few issues on our mind this year:
  • MD HB 218 would allow physician assistants to operate mini C-arm devices. Mini C-arms are advanced diagnostic imaging tools that utilize both x-ray sources and image intensifiers, the improper use of which could put patient safety at risk. The AOA and the Maryland Association of Osteopathic Physicians (MAOP) sent a letter of opposition to the Maryland legislature on January 25.
  • MD SB 488 prohibits tanning facilities or operators from allowing children under the age of 18 to use tanning equipment. Furthermore, the bill would impose civil fines for the failure to verify the age of an individual using the tanning facilities. The AOA worked with both MAOP and the American Osteopathic College of Dermatology to send a letter of support for the bill on February 25.
  • MD SB 496 would require Maryland Medical Assistance Programs to provide coverage for health care services delivered through telemedicine in the same manner as the same health care services are reimbursed when delivered in person. The AOA and MAOP sent a joint letter on February 18 in support of the legislation.
  • MD SB 509 as introduced fails to recognize the AOA’s Healthcare Facilities Accreditation Program (AOA/HFAP) for ambulatory surgery centers. The AOA sent a letter on February 25 asking for an amendment to the bill, in order to include AOA/HFAP as a recognized accrediting organization.
  • MD HB 1313 would make changes regarding the licensure of physicians, including the definition of board certification, as well as the requirements for the unlicensed practice of medicine in the state. However, the bill as introduced fails to recognize the equivalency of the osteopathic profession by only recognizing the Accreditation Council for Graduate Medical Education for certification of residency or internship programs. The AOA and MAOP sent a letter asking for the bill to be amended to include AOA certified residency and internship programs.

Employment Opportunity in Musculoskeletal and Pain Medicine

Our busy non-interventional and interventional practice that is seeking a BC/BE physiatrist interested in musculoskeletal and pain rehabilitation. The candidate should be competent in not only evaluation of the musculoskeletal system but qualified to perform trigger point injections, intra-articular injections, Electrodiagnostic medicine, neurolytic blockade.

 Our current practice offers a comprehensive rehabilitative medicine approach to patient’s suffering from a variety of musculoskeletal disorders including but not limited to stroke, spinal cord injury, failed back and neck surgery, acute radiculopathies, and peripheral nerve diseases. The practice’s philosophy is to improve a patient’s quality of life and I utilize my education in PM&R to provide this. We are an outpatient based practice and work closely with neurosurgery, orthopedics, neurology and family practice.

The candidate must  be willing to work in our offices  with other physiatrists and specialists. The candidate must be outgoing and understand the aspects of a clinical outpatient non-academic practice. Their responsibility will be to evaluate patients complaining of musculoskeletal problems and determine an appropriate approach to improving their condition. The candidate will have access to electrodiagnostics, diagnostic imaging, and diagnostic interventions to determine the source of the patient’s problem. The candidate will work closely with experienced physiatrist to improve our patient’s quality of life. There are also unique research opportunities in the field of pain medicine available as well as speaker presentations through our affiliations.

Please contact me via email at bkahan@thekahancenter.com and visit our website at thekahancenter.com

If you have news, updates, jobs, or any other information you could like included in next week’s update, please respond to this e-mail no later than Friday of this week.

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[expand Weekly Update 3/4/13]

A Word from President Brian S. Kahan, DO

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Dear Colleagues:

MAOPS has been working hard to keep osteopaths on a equal level with allopaths this year in Maryland. Many bills are being presented in the legislature today that will reduce the equality of osteopaths as a physician in Maryland. We need your support and enrollment and  our organization needs your input.  Please read on to see introduced legislation that is being considered:

  • MD HB 218 would allow physician assistants to operate mini C-arm devices. Mini C-arms

    are advanced diagnostic imaging tools that utilize both x-ray sources and image intensifiers, the improper use of which could put patient safety at risk. The  Maryland Association of Osteopathic Physicians (MAOP) and the AOA sent a letter of opposition to the Maryland legislature on January 25.

  • MD SB 488 prohibits tanning facilities or operators from allowing children under the age of 18 to use tanning equipment. Furthermore, the bill would impose civil fines for the failure to verify the age of an individual using the tanning facilities. The AOA worked with both MAOP and the American Osteopathic College of Dermatology to send a letter of support for the bill on February 25.

  • MD SB 509 as introduced fails to recognize the AOA’s Healthcare Facilities Accreditation Program (AOA/HFAP) for ambulatory surgery centers. The AOA sent a letter on February 25 asking for an amendment to the bill, in order to include AOA/HFAP as a recognized accrediting organization.
  • MD HB 1313 would make changes regarding the licensure of physicians, including the definition of board certification, as well as the requirements for the unlicensed practice of medicine in the state. However, the bill as introduced fails to recognize the equivalency of the osteopathic profession by only recognizing the Accreditation Council for Graduate Medical Education for certification of residency or internship programs. The AOA and MAOP sent a letter asking for the bill to be amended to include AOA certified residency and internship programs.

  • MD SB 496 would require Maryland Medical Assistance Programs to provide coverage for health care services delivered through telemedicine in the same manner as the same health care services are reimbursed when delivered in person. The AOA and MAOP sent a joint letter on February 18 in support of the legislation.
  • In July 2012, the University of Maryland, Baltimore, submitted a report to the Maryland Board of Physicians which outlined suggested reforms and changes for the board during the sunset resolution process. Among the changes is the removal of the statutorily protected seat held by a DO member on the board. If this proposal were carried out, nearly 1,000 DOs located in Maryland would be without representation on the licensing board. The AOA is adamantly opposed to the removal of DO representation, and is working with MAOP to maintain an osteopathic voice on the licensing board. The AOA drafted a resolution with MAOP requesting support from MedChi, the Maryland State Medical Society. This resolution was adopted by the MedChi House of Delegates in September 2012 and will help guide their advocacy efforts on this issue in the coming year. Please read Dr. Cymet's report next to find the conclusion . . . .

The issues in Maryland are affecting you everyday and MAOP needs your support. Please consider coming out to the Legislative Reception next Wednesday evening at 7:00pm. We'll meet at Harry Browne's in Annapolis in a casual relaxed setting. About 30 of our senators and delegates have said they will join us. We need all the osteopathic physicians in Maryland to be there. We need to let the legislators know who we are and what we do. We need you! Please RSVP your attendance today to Stephanie Wilson at swilson@marylanddo.org.

 

MAOP . . . . Making Maryland DOs the Very Best!

 

Tyler Cymet, DO Spends the Day in Annapolis

 

 Dr. Cymet was in Annapolis last Wednesday for hearings on several issues that are at the top of our legislative agenda, namely the proposed changes to the composition of the Maryland Board of Physicians. 

Regarding the Board of Physicians, the DO seat will be maintained.  Instead of replacing a DO with a representative from the University of Maryland, an additional seat will be added to the board for a representative from the University of Maryland. This is an excellent result for us.

 Certification for Licensure:  The Maryland State Medical Society (Gene Ransom), the Board of Physicians (Dr. Mathis) and Delegate Cullison have agreed to keep COMLEX as the path for licensure for DOs. COMLEX was put back into the statute.

GME requirements for licensure: AOA certification was only left out for people who failed any portion of a national licensing exam three times.  AOA was put back into statute.

Of interest: The board would like to move towards completion of a residency program as a requirement for licensure in Maryland.  The reason they did not ask for that change this year is that hospitals do rely on moonlighting residents for coverage and that requires an independent license.  The board does not want to change that practice  as moonlighting is seen as professionally beneficial.  This is something that we may see more in the future despite the fact that only one state requires completion of a residency now and that is only for IMGs.

House Bill 174 / Senate Bill 247

MAOP President Brian S. Kahan, DO would like the consensus of support or non-support on an issue. Please read on . . . .

The ability of physicians to treat workers' compensation patients is threatened by recently introduced bills in the General Assembly. House Bill 174/Senate Bill 247 would change the longstanding rule that employers and their insurers are required to pay for medical bills arising from injuries to workers on the job.

 If passed, these bills would effectively end physician dispensing of medications to injured workers by stating that an employer or its insured does not have to pay for any medication dispensed by a physician unless the prescription was (1) dispensed within 72-hours of the injury and (2) limited to not more than a 30-day supply of the medication.
Most workers do not see a doctor within 72 hours of the injury and, even if that time limit is met, payment for dispensing by the physician would only be authorized for a 30 day supply. Nearly all injured workers will be excluded from receiving medications by these criteria. These bills, introduced by the insurance industry, are potentially devastating to medical treatment of Maryland injured workers. They represent industry profit versus patient health and welfare. The real losers if these bills pass will be the injured workers who are currently able to go to their doctor's office and receive treatment as well as their medications without out of pocket fees.
Physician dispensing guarantees that injured patients receive medications when needed and that their recovery begins immediately. Unfilled prescriptions (over 30% are never filled) mean that an injured worker does not begin his or her recovery. There are no unfilled prescriptions when the physician is allowed to dispense medicine at the time of treatment.
Please respond via email voicing your support or non-support on this issue. Dr. Kahan will review all of the responses and make a decision in the best interest of MAOP members.
If you have news, updates, jobs, or any other information you could like included in next week’s update, please respond to this e-mail no later than Friday of this week.

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[expand Weekly Update 2/25/13]
MAOP Weekly Update

 

A Word from Executive Director Stephanie Wilson

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We have been busy at work on the website and hope you will take a moment to see what's new and how things are coming along. We are very interested in any ideas you have to make it better and more convenient for you so please send us your thoughts.

Last week I told you that Dr. Brian Kahan, MAOP President, and the Board of Directors have designed a Needs Assessment Survey to help guide the direction of MAOP based on what you, our membership, wants and needs. The survey is less than 15 questions and will only take a moment for you to complete. Please help us to help you by completing the survey now. PLEASE CLICK HERE FOR SURVEY LINK and thank you in advance for your cooperation and diligence.  We really need your input.

 If you haven't taken care of your member dues for 2013, we ask that you do that immediately please. Simply visit the website at marylanddo.org and scroll down to the post that says Please Pay Your Member Dues. If you would prefer to write a check rather than pay with a credit card, please make it payable to MAOP and send it to the address on file.

We have lots more in store so please stay tuned . . . .

MAOP . . . . Making Maryland DOs the Very Best!

 

EARLY BIRD SPECIAL

for Annual Meeting 2013

Please enjoy a one-time special that we hope everyone will take advantage of. Current and new physician members that renew their MAOP membership by the end March may enjoy a deep discount for the Annual Meeting of $395.00.  Thank you to all the members that have already taken care of their membership dues. You are also eligible for this Early Bird Special. PLEASE CLICK HERE NOW TO BE DIRECTED TO THE REGISTRATION PAGE.

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Legislative Reception Wednesday, March 13

Legislative Reception 2013 web

The response to our Legislative Reception has been overwhelming and we 25+ delegates and senators that have confirmed they will join us. With all the legislative issues going on in Annapolis and especially with the proposed changes to the Maryland Board of Physicians, we need all of our osteopathic physicians, residents and students to be in attendance and display a strong show of support. Dr. Brian Kahan, MAOP President, is getting his best suit pressed and ready to go for this event. I hope that everyone will make a big effort to join us.

Our evening will begin at 7:00pm with cocktails at Harry Browne’s. Please RSVP to Stephanie Wilson at swilson@marylanddo.org.

 

If you have news, updates, jobs, or any other information you could like included in next week’s update, please respond to Stephanie Wilson at swilson@marylanddo.org no later than Friday of this week.

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[expand Weekly Update 2/18/13]
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MAOP Weekly Update

 

A Word from Executive Director Stephanie Wilson

image003Welcome again to the MAOP Weekly Update. If you haven’t taken a spin around our new website, please take a moment to do so. The new website address is marylanddo.org.

We are making lots of changes to the site so please check back daily. Be sure to look for the Find A Physician page that outlines our member physicians’ practice names and addresses along with specialty. This makes it easy for patients to locate osteopathic physicians close to them. We will be  sending out information next week on how you can be listed if you are not already so please stay tuned for that.

Dr. Brian Kahan, MAOP President, and the entire Board of Directors have designed a Needs Assessment Survey which will help guide the direction of MAOP based on what you, our membership, wants and needs. The survey is less than 15 questions and will only take a moment for you to complete. Please help us to help you by completing the survey now. PLEASE CLICK HERE FOR SURVEY LINK and thank you in advance for your cooperation and diligence.

MAOP . . . . Making Maryland DOs the Very Best!

 

Legislative Reception Wednesday, March 13

Legislative Reception 2013 web

The response to our Legislative Reception has been overwhelming and we 20+ delegates and senators that have confirmed they will join us. With all the legislative issues going on in Annapolis and especially with the proposed changes to the Maryland Board of Physicians, we need all of our osteopathic physicians, residents and students to be in attendance and display a strong show of support. Dr. Brian Kahan, MAOP President, is getting his best suit pressed and ready to go for this event. I hope that everyone will make a big effort to join us.

Our evening will begin at 7:00pm with cocktails at Harry Browne’s. Please RSVP to Stephanie Wilson at swilson@marylanddo.org.

 

Annual Meeting 2013

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 Things are moving forward with our Annual Meeting set for December 5-8 in National Harbor once again this year. We had such a great experience last December at the Gaylord, we decided to return. The presentations are being put together now so if you have an interest in lecturing, please send an email to swilson@marylanddo.org.

 

If you have news, updates, jobs, or any other information you could like included in next week’s update, please respond to Stephanie Wilson at swilson@marylanddo.org no later than Friday of this week.

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