OCMA Blog 3771 http://www.ocma.org/news/ocma-blog/ama-code-of-medical-ethics.aspx?PostId=3771&tabid=1144 Alert,General AMA Code of Medical Ethics In 1847, physicians representing 22 states and the District of Columbia came together to establish America&rsquo;s first national professional association for physicians, the American Medical Association (AMA). <div><br> As one of its first acts, the AMA created the first national codification of ethics for any profession anywhere in the world. As the first of its kind, the 1847 AMA <em>Code</em> was reprinted by medical societies in Berlin, London, Paris, Vienna, and around the world. Throughout the rest of the 19th century, it was the most commonly printed medical document in the English language. Today, the AMA <em>Code</em> remains the only codification of professional conduct for all US physicians regardless of their medical specialty, practice type or location. <p >Ethics guidance is regularly added or amended in the AMA <em>Code</em> to reflect changes in medical science and societal expectations. As with any &ldquo;living&rdquo; document that is authored by different individuals over many decades, the AMA <em>Code</em> became fragmented and unwieldy.&nbsp;</p> <p>To address these issues, the AMA embarked on a multi-year &ldquo;modernization&rdquo; project to comprehensively review and update the AMA <em>Code</em>. After much deliberation and debate, the AMA House of Delegates adopted the modernized AMA <em>Code</em> last June.</p> <p>&ldquo;The modernization project ensures that the <em>Code of Medical Ethics</em> will remain a useful and effective resource that physicians can continue to rely on, while remaining faithful to the virtues of fidelity, humanity, loyalty, tenderness, confidentiality and integrity enshrined in the original <em>Code</em>,&rdquo; AMA Immediate Past President, Steven J. Stack, MD, said.</p> <p>A commemorative, leather-bound edition of the modernized AMA Code is <a href="https://commerce.ama-assn.org/store/catalog/productDetail.jsp?product_id=prod2780004&amp;navAction=push" target="_blank">available</a>.</p> </div> Tue, 28 Mar 2017 18:06:34 Z 2017-03-28 18:06 +00:00 2017-03-28 11:06 -07:00 3770 http://www.ocma.org/news/ocma-blog/march-28-is-diabetes-alert-day-diabetes-prevention-programs-reduce-costs-improve-patient-outcomes.aspx?PostId=3770&tabid=1144 Alert,General March 28 is Diabetes Alert Day: Diabetes prevention programs reduce costs, improve patient outcomes Sugar. It&rsquo;s the sweet, grainy staple surging through the foods so many of your patients love but can&rsquo;t entirely kick. Yet the effect of these seemingly innocuous treats has become as deeply rooted as a cavity in the lives of sick patients and the U.S. health care system, according to <a href="https://www.ncbi.nlm.nih.gov/pubmed/28192030" target="_blank">a recent study</a> on prediabetes and medical expenditures. <p>Published in Population Health Management, the study demonstrates how preventing the onset of type 2 diabetes can reduce annual health care costs by thousands of dollars per patient and generate large positive returns on investment (ROI) for health systems, insurers and employers. </p> <p>Researchers in the study used individual-level claims data from more than 8,000 commercially insured adults to estimate medical expenditures among individuals with prediabetes. Data on expenditures were combined with findings from previous studies to estimate net savings and ROI if they were to participate in a Centers for Disease Control and Prevention (CDC)-recognized diabetes prevention program (DPP).&nbsp;</p> <p>Based on an analysis of the data, researchers found that:&nbsp;</p> <p>&bull;<span class="Apple-tab-span"> </span>Patients who develop diabetes are very costly. Expenditures during the one-to-three-year period following HbA1c screening are one-third higher for those who develop diabetes. That amounts to an annual average of $2,671 per patient.&nbsp;<br> <br> &bull;<span class="Apple-tab-span"> </span>Preventing diabetes is more than a vital public health solution&mdash;it&rsquo;s an effective financial strategy. Because the annual cost differential for patients who develop diabetes is significant, &ldquo;The three-year ROI for a National DPP is estimated to be as high as 42 percent,&rdquo; wrote the study&rsquo;s authors, Tamkeen Khan, Ph.D., Stavros Tsipas and Gregory Wozniak, Ph.D., all of the American Medical Association (AMA).<br> <br> &bull;<span class="Apple-tab-span"> </span>Diabetes prevention programs are still one of the best solutions for improving health outcomes and reducing burdensome medical expenditures. In fact, patient participation in a <a href="https://nccd.cdc.gov/DDT_DPRP/Programs.aspx" target="_blank">CDC-recognized DPP</a> in a community-based or primary care setting costs between $400 and $500 per person&mdash;far less than the average annual medical care expenditure savings. Not to mention previous research confirms that the impact of these programs extends beyond dollar signs: People who complete DPPs are one-third less likely to develop type 2 diabetes after 10 years.</p> <p>Using results from this analysis and findings in previous studies, the study authors estimated just 14 percent of patients who complete a DPP will be diagnosed with diabetes within three years, compared with 29 percent of those who do not participate.<br> DPPs in California: The California Medical Association's plan to prevent diabetes&nbsp;</p> <p>These recent findings underscore precisely why AMA and the California Medical Association (CMA) have partnered to advance patient participation in DPPs throughout our state and galvanize support for community-based interventions.&nbsp;</p> <p>More than 86 million Americans are living with prediabetes, but most of them are unaware. In California alone, an estimated 13 million adults &nbsp;have the condition, putting them at high risk of developing type 2 diabetes without intervention.</p> <p>"The diabetes epidemic is out of control and getting worse. In California, diabetes rates have increased by 35 percent since 2001," says CMA President Ruth Haskins, M.D. "In partnership with AMA we are working hands-on with California's physicians to implement meaningful diabetes prevention efforts to improve the health of Californian's &nbsp;and ultimately improve the health of people across the country.&rdquo;&nbsp;</p> <p>The partnership is part of <a href="https://preventdiabetesstat.org/" target="_blank">Prevent Diabetes STAT</a>, a strategic effort launched by AMA in collaboration with the CDC in 2015 to engage more Americans with prediabetes and slow the progression of type 2 diabetes.&nbsp;</p> <p>"The goal of this partnership is to get patients with prediabetes into proven lifestyle change programs that have been shown to cut the risk in half of progressing to type 2 diabetes," said AMA President Andrew W. Gurman, M.D. "By working with a variety of practices and health systems within California, we are learning the best ways to implement processes for screening, testing and referring across different clinical settings. We will use these models in the future to support other states as they adopt a similar process&mdash;helping even more Americans stave off or delay type 2 diabetes to improve health outcomes."&nbsp;<br> Calculate DPP savings for your patient population</p> <p>&nbsp;<a href="https://ama-roi-calculator.appspot.com/" target="_blank">An online tool</a>&nbsp;from AMA helps employers, insurers, health systems and others to calculate net savings and ROI for their sample populations. Play with this calculator to see how upping the share of your patients who enroll in a DPP can have a sizeable effect on the number who develop diabetes and how much money can be saved through prevention.</p> <p>To find a CDC-recognized program near you or online, visit <a href="https://nccd.cdc.gov/DDT_DPRP/Programs.aspx" target="_blank">https://nccd.cdc.gov/DDT_DPRP/Programs.aspx</a>.<br> For more diabetes prevention resources from AMA and CMA, visit <a href="http://www.cmanet.org/issues-and-advocacy/cmas-top-issues/public-health/diabetes-prevention/" target="_blank">http://www.cmanet.org/issues-and-advocacy/cmas-top-issues/public-health/diabetes-prevention/</a><br> <div><br> </div> </p> Mon, 27 Mar 2017 21:16:30 Z 2017-03-27 21:16 +00:00 2017-03-27 14:16 -07:00 3763 http://www.ocma.org/news/ocma-blog/amended-ocma-bylaws.aspx?PostId=3763&tabid=1144 Alert,General,Member Materials Amended OCMA Bylaws The Bylaws Committee of the Orange County Medical Association has reviewed and updated the organization's bylaws. The revisions have been approved by the Board of Directors and will be approved at the General Membership Meeting in May. &nbsp; The revised Bylaws can be found by <a href="http://www.ocma.org/Portals/13/Amended%20Bylaws%20for%20posting%202017.pdf?ver=2017-03-15-165534-420">clicking here</a>.&nbsp; Wed, 15 Mar 2017 23:55:53 Z 2017-03-15 23:55 +00:00 2017-03-15 16:55 -07:00 3752 http://www.ocma.org/news/ocma-blog/paul-b-yost-md-elected-chair-of-caloptima-board-of-directors.aspx?PostId=3752&tabid=1144 Alert,General Paul B. Yost, M.D. Elected Chair of CalOptima Board of Directors During its March 2, 2017 meeting, the CalOptima Board of Directors elected Paul B. Yost, M.D. to serve the remainder of Mark Refowitz&rsquo;s term as chair of the CalOptima Board of Directors. &nbsp;Mr. Refowitz previously announced his retirement as Director of the Orange County Health Care Agency, effective March 30, 2017. &nbsp;He also announced he would be stepping down from the CalOptima Board subsequent to the March 2 regular meeting. &nbsp;Dr. Yost&rsquo;s current term as chair will conclude at the end of 4 months, when the next election is scheduled.<br> <br> Congratulations to Dr. Yost on this tremendous accomplishment.<br> <div><br> </div> Mon, 06 Mar 2017 21:50:07 Z 2017-03-06 21:50 +00:00 2017-03-06 13:50 -08:00 3729 http://www.ocma.org/news/ocma-blog/winter-2017-oc-incare.aspx?PostId=3729&tabid=1144 Alert,General,Health Care Agency Update Winter 2017 OC In+Care: Newsletter for Providers Serving People Living with HIV in Orange County <a href="http://www.ocma.org/Portals/13/InCare%20Newsletter%20Issue%209.pdf?ver=2017-02-16-143925-343">InCare Newsletter Issue 9.pdf</a> Thu, 16 Feb 2017 22:39:59 Z 2017-02-16 22:39 +00:00 2017-02-16 14:39 -08:00 3707 http://www.ocma.org/news/ocma-blog/choc-was-named-a-2016-healthcare-information-and-management-systems-society-himss-enterprise-davies-award-recipient.aspx?PostId=3707&tabid=1144 Alert,General CHOC was named a 2016 Healthcare Information and Management Systems Society (HIMSS) Enterprise Davies Award recipient Children&rsquo;s Hospital of Orange County (CHOC) was named a 2016 Healthcare Information and Management Systems Society (HIMSS) Enterprise Davies Award recipient for achieving improvements in patient care through the use of health information technology. CHOC is the only children&rsquo;s hospital on the West Coast&mdash; and third in the country&mdash; to be honored with the award since its inception.<br> &nbsp;<br> Since 1994, the <a href="http://www.himss.org/library/davies-awards?MetaDataID=2798&amp;ItemNumber=26687&amp;navItemNumber=26817" target="_blank">HIMSS Nicholas E. Davies Award of Excellence</a> has recognized the outstanding achievements of organizations that use health information technology to improve patient care while achieving cost savings. As an award recipient, CHOC will share case studies and lessons learned with other health care organizations across the nation.<br> &nbsp;<br> &ldquo;CHOC has made significant investments in health information technology designed to enhance quality and patient safety &ndash; our highest priorities. &nbsp;We designed and implemented our electronic health record (EHR) with a focus on improving care. &nbsp;Because building and using an effective EHR is not always easy, and is certainly expensive, it&rsquo;s gratifying to see measurable improvement from our efforts and investments. &nbsp;Making kids&rsquo; care better&mdash; making kids&rsquo; lives better&mdash;is the ultimate outcome, and proves the value,&rdquo; says Dr. James Cappon, chief quality officer, CHOC.<br> &nbsp;<br> CHOC received the award from HIMSS based on four case studies that detailed how the use of health information technology and standardized clinical processes has improved patient care. The case studies included:&nbsp;<br> &nbsp;<br> &bull; &nbsp; &nbsp; &nbsp; Through education, a standardized care bundle, and EHR-enabled best practice guidance to minimize urinary catheter use and duration, CHOC significantly reduced catheter-associated infections and urinary catheter use.&nbsp;<br> <br> &bull; &nbsp; &nbsp; &nbsp; Using embedded, evidence-based care guidelines to control asthma and an alert system that triggered when patients were about to be discharged before a home management plan was created, CHOC drove down the average length of stay for asthma patients from 2.14 days to 1.72 days. Asthma readmissions within 30 days also fell from an average of 1.7 per quarter to 0.7 per quarter. <div>&nbsp;&nbsp; <p>&bull; &nbsp; &nbsp; &nbsp;CHOC implemented an EHR-enabled Pediatric Early Warning System (PEWS) to trigger a rapid response team for deteriorating patients. As result, approximately 369 children have avoided resuscitation, with potentially as many lives saved.<br> &nbsp;<br> &bull; &nbsp; &nbsp; &nbsp; CHOC implemented centralized breast milk preparation including barcoding to effectively eliminate feedings of the wrong breast milk. Efficiencies associated with the centralized processes for breast milk preparation resulted in significant annual savings.&nbsp;<br> &nbsp;<br> &ldquo;CHOC demonstrates an enterprise-wide approach to collaboratively identifying clinical challenges, selecting IT interventions and developing workflows to address those challenges,&rdquo; said Jonathan French, senior director of quality and patient safety and Davies program director with HIMSS. &ldquo;Through using information technology to standardize care and continually look to improve care delivery and outcomes, CHOC has significantly improved the quality and patient safety outcomes for their patients. HIMSS is proud to recognize CHOC as a 2016 Davies Enterprise Award winner.&rdquo;<br> &nbsp;<br> Named one of the best children&rsquo;s hospitals by U.S. News &amp; World Report (2016-17) and a 2016 Leapfrog Top Hospital for safe, quality care, CHOC has achieved recognition as a HIMSS Stage 7 EMR (electronic medical record) adoption hospital. CHOC is also a leader in the adoption of population health technologies, and is a recipient of a $17.7 million grant from the Centers for Medicare &amp; Medicaid to help Southern California pediatricians expand their quality improvement capacity, learn from one another and achieve common goals of improved care.<br> &nbsp;<br> &ldquo;These examples of our institutional quality and safety initiatives are an important part of our mission to nurture, advance and protect the health and well-being of children. &nbsp;As we now reach out to the larger community with our population health efforts, our focus extends to keeping well children well, &nbsp;in addition to keeping those who are ill as well as they are able to be,&rdquo; explains Dr. William Feaster, chief medical information officer, CHOC.<br> &nbsp;<br> CHOC will be recognized as a HIMSS Davies Award recipient at the 2017 <a href="http://www.himssconference.org/" target="_blank">HIMSS Conference &amp; Exhibition</a>, Feb. 19-23, in Orlando, Fla. &nbsp;For more information on the awards program, visit the <a href="http://www.himss.org/library/davies-awards?MetaDataID=2798&amp;ItemNumber=26687&amp;navItemNumber=26817">HIMSS Davies Award website</a>.</p> </div> Tue, 31 Jan 2017 19:58:44 Z 2017-01-31 19:58 +00:00 2017-01-31 11:58 -08:00 3669 http://www.ocma.org/news/ocma-blog/choc-named-one-of-the-safest-hospitals-in-the-nation-by-the-leapfrog-group.aspx?PostId=3669&tabid=1144 Alert,General CHOC Named One of the Safest Hospitals in the Nation by The Leapfrog Group CHOC Children&rsquo;s Hospital has once again been named a &ldquo;Top Hospital&rdquo; by The Leapfrog Group for providing the safest and highest quality health care services to patients. &nbsp;CHOC is one of only nine children's hospitals in the nation&mdash;and the only one on the West Coast&mdash; to earn the prestigious distinction. &nbsp;<br> <br> "CHOC is committed to becoming the world's safest children's hospital. While this is a never-ending journey, being named as a Top Children's Hospital for the eighth time by the Leapfrog Group suggests we are on the right track. Leapfrog has always emphasized patient safety as the top priority, one with which our patients, families and partners would no doubt agree. It's a humbling honor, and serves as both encouragement and motivation to continue our efforts to provide the safest, highest quality care possible,&rdquo; said Dr. James Cappon, chief quality officer, CHOC.<br> <br> The selection of Top Hospitals is based on the results of the 2016 Leapfrog Hospital Survey. Performance across many areas of hospital care is considered in establishing the qualifications for the award, including infection rates and a hospital&rsquo;s ability to prevent medication errors. The rigorous standards are defined in each year&rsquo;s <a href="http://www.leapfroggroup.org/sites/default/files/Files/2016%20Top%20Hospitals%20Methodology.pdf" target="_blank">Top Hospital Methodology</a>.&nbsp; <div><br> <p> &ldquo;Being acknowledged as a Top Hospital is an incredible feat achieved by less than three percent of hospitals nationwide,&rdquo; said Leah Binder, president and CEO of The Leapfrog Group. &ldquo;With this honor, CHOC has established its commitment to safer and higher quality care. Providing this level of care to patients requires motivation and drive from every team member. I congratulate CHOC&rsquo;s board, staff and clinicians, whose efforts made this honor possible.&rdquo;<br> <br> To see the full list of institutions honored as 2016 Top Hospitals, please visit <a href="http://leapfroggroup.org/tophospitals" target="_blank">www.leapfroggroup.org/tophospitals.<br> </a> </p> <div><br> </div> </div> Tue, 06 Dec 2016 21:42:01 Z 2016-12-06 21:42 +00:00 2016-12-06 13:42 -08:00 3668 http://www.ocma.org/news/ocma-blog/6-oc-hospitals-receive-a-rating-for-safety.aspx?PostId=3668&tabid=1144 Alert,General 6 OC Hospitals Receive "A" Rating for Safety Six hospitals in the Orange County area, including Hoag Hospital Irvine, Hoag Memorial Hospital Presbyterian, Orange Coast Memorial Medical Center, Kaiser Foundation Hospital - Anaheim and Irvine, and UC Irvine, received an A rating from the Leapfrog Group, a national hospital safety organization, which recently released its annual safety ratings for 2016.&nbsp;<br> <br> Of the 2,633 hospitals evaluated nationally, 267 were in California. Eighty-one California hospitals received an A rating overall, and the state ranked 26 among the 47 states included in the rating.<br> <br> Kaiser Permanente hospitals consistently post some of the highest scores.<br> <br> &ldquo;Kaiser Permanente is committed to patient safety. The ratings by the Leapfrog Group demonstrate that commitment and the trust we have earned from our patients and members, affirming that they are receiving the right care from a team of compassionate physicians, nurses, and care providers,&rdquo; said Edward M. Ellison, MD, executive medical director, Southern California Permanente Medical Group. &ldquo;Our emphasis on infection control and adherence to the safest surgical standards makes Kaiser Permanente hospitals in Southern California among the safest in the nation.&nbsp;<br> <br> &ldquo;In the fast-changing healthcare landscape, patients should be aware that hospitals are not all equally competent at protecting them from injuries and infections. We believe everyone has the right to know which hospitals are the safest and encourage community members to call on their local hospitals to change, and on their elected officials to spur them to action. States that put a priority on safety have shown remarkable improvements.&rdquo; said Leapfrog President and CEO Leah Binder in a statement.<br> <br> The Leapfrog Group's safety assessments factor in several criteria from 30 categories, pooled together from various performance measures from sources such as the Centers for Medicare &amp; Medicaid Services and the Centers for Disease Control and Prevention. These include rates of errors, injuries, accidents, and infections, according to the LA Times.<br> <br> The Leapfrog Hospital Safety Grade is calculated by top patient safety experts and is peer reviewed, fully transparent and free to the public. A full description of the data and methodology used in determining grades is available at <a href="http://www.hospitalsafetygrade.org" target="_blank">www.hospitalsafetygrade.org</a>. Tue, 06 Dec 2016 21:36:00 Z 2016-12-06 21:36 +00:00 2016-12-06 13:36 -08:00 3625 http://www.ocma.org/news/ocma-blog/macra-implementation-a-review-of-cms-final-rule.aspx?PostId=3625&tabid=1144 Alert,General MACRA Implementation: A Review of CMS’ Final Rule <strong><em>WEBINAR: &nbsp;November 30, 2016 | 12:15pm - 1:15pm</em></strong><br> <br> This webinar offers 1 free AMA PRA Category 1 Credit&trade; for CMA members. This webinar is also available to nonmembers for $99.*<br> <br> This webinar will provide an overview of the Centers for Medicare and Medicaid Services (CMS) Quality Payment Program, authorized by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). &nbsp;Our speaker will provide key details and dates you&rsquo;ll need to know and information about how to prepare for the start of the program on January 1, 2017. We will also review key elements of the Merit Based Incentive Payment System (MIPS) pathway and provide a comparison to the other pathway in the program, Advanced Alternative Payment Models (APM). Finally, we will review the flexibilities clinicians have to pick how and when they begin this program during the 2017 transitional year, and review available resources currently available for clinicians seeking technical support.<br> <br> Featured Presenter: Ashby Wolfe, M.D., MPP, MPH, is a board-certified family physician who currently serves as Chief Medical Officer for California, Arizona, Nevada, Hawaii and the Pacific Territories for CMS. Her focus is on implementation of the many facets of the Affordable Care Act and its role in providing access to high-quality care and improved health at a lower cost.<br> <br> Participants should register at least one hour before the webinar. If you do not register an hour before the webinar start time, we cannot guarantee your attendance. <div><br> To register, <a href="http://www.cmanet.org/events/detail/?event=macra-implementation-a-review-of-cms-final" target="_blank">click here</a> <p>.<br> Contact: CMA Member Help Center (800) 786-4262 or <a href="mailto:memberservice@cmanet.org">memberservice@cmanet.org</a>.<br> <br> <br> <em>*The California Medical Association/Institute for Medical Quality (CMA/IMQ) is accredited by the Accreditation Council on Continuing Medical Education (ACCME) to provide continuing medical education for physicians.<br> <br> The California Medical Association/Institute for Medical Quality (CMA/IMQ) designates this live activity for a maximum of 1 AMA PRA Category 1 Credit&trade;. Physicians should claim only the credit commensurate with the extent of their participation in the activity.&nbsp;<br> <br> Provider approved by the California Board of Registered Nursing, Provider Number CEP370, for 1 contact hours.<br> <br> On-demand webinars are not available for CEU or CME credits.<br> </em> <div><br> </div> </p> </div> Tue, 15 Nov 2016 22:40:43 Z 2016-11-15 22:40 +00:00 2016-11-15 14:40 -08:00 3620 http://www.ocma.org/news/ocma-blog/highlights-from-the-ocma-board-of-directors-meeting-on-november-10-2016.aspx?PostId=3620&tabid=1144 Alert,General Highlights from the OCMA Board of Directors meeting on November 10, 2016 <p>By: &nbsp;Darla S. Holland, M.D., President, OCMA</p> <p>The OCMA Board of Directors met on Thursday, November 10. &nbsp; The following highlights the major discussions and actions that took place at that meeting:&nbsp;</p> &bull;<span class="Apple-tab-span"> </span>The Resident Representative, Dr. Duy Nguyen, indicated that the Resident Physicians in Orange County are interested in Physician Wellness Programs geared toward physicians in training. &nbsp;A resolution addressing burnout in Medical Students was discussed at the CMA Board of Trustees meeting in October. &nbsp; &nbsp;The Board is very supportive of sponsoring and supporting such activities for the Medical Students and Residents in programs in Orange County. &nbsp;&nbsp;<br> &bull;<span class="Apple-tab-span"> </span>There was vigorous discussion about the CMA's role in the passage of Senate Bill 72. &nbsp; Many hospital based physicians are affected by this legislation, slated to take effect on January 1, 2017. &nbsp; A recommendation was made to have the Legislative Leadership Committee recommend language to be submitted through the Resolution process to the House of Delegates year round process. &nbsp; &nbsp;&nbsp;<br> &bull;<span class="Apple-tab-span"> </span>The Building Committee made a presentation recommending that OCMA purchase a building as leasing continues to deplete our reserves. &nbsp; The principles guiding the building search involve the following priorities: 1) To have a location convenient for most members to access; 2) To invest in a manner that generates revenue for both operating expenses and special projects that and will grow to at least keep pace with inflation so that the value of the principle does not diminish over time; 3) To allow OCMA staff to function most of their time on activities that support the core mission of the organization. &nbsp; &nbsp;These principles will be incorporated into the building search. &nbsp;&nbsp;<br> &bull;<span class="Apple-tab-span"> </span>The Physicians of Excellence Reception will be on January 25, 2017.<br> <div><br> </div> Mon, 14 Nov 2016 17:48:32 Z 2016-11-14 17:48 +00:00 2016-11-14 09:48 -08:00 3618 http://www.ocma.org/news/ocma-blog/steven-m-thompson-physician-corps-loan-repayment-program.aspx?PostId=3618&tabid=1144 Alert,General Steven M. Thompson Physician Corps Loan Repayment Program <img src="http://www.ocma.org/Portals/13/Steven%20M%20Thompson%20Physician%20Corps%20Loan%20Repayment%20Program.PNG?ver=2016-11-10-134850-490"> Thu, 10 Nov 2016 21:50:05 Z 2016-11-10 21:50 +00:00 2016-11-10 13:50 -08:00 3616 http://www.ocma.org/news/ocma-blog/2016-election-results-are-in.aspx?PostId=3616&tabid=1144 Alert,General 2016 Election Results are In <p>&nbsp;</p> <p> <div style="text-align: center;"> <table class="" border="0" cellspacing="0" cellpadding="0" style="width: 0px;"> <colgroup><col></colgroup> <tbody> <tr> <td style="padding: 0in; text-align: left;"> <p class=""><span><a href="http://cmanet.us1.list-manage.com/track/click?u=145aa039e469fec82f515d867&amp;id=d895e31184&amp;e=ab41627f3b"><span style="padding: 0in; border: 1pt none windowtext;"><img width="600" id="_x0000_i1025" src="http://www.cmanet.org/files/images/misc-graphics/2016-elections/election-email-header.png" alt="California Medical Associaiton: 2016 Election Results" style="border-width: 0px; border-style: solid;"></span></a></span></p> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <div class="" style="text-align: center;"><span> <hr size="1" width="100%" align="center"> </span></div> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <table class="" border="0" cellspacing="0" cellpadding="0" style="width: 100%;"> <colgroup><col><col></colgroup> <tbody> <tr> <td valign="top" style="padding: 0in; text-align: left;" width="2"> <table class="" border="0" cellspacing="0" cellpadding="0" align="left" style="width: 0px;"> <colgroup><col><col></colgroup> <tbody> <tr> <td style="padding: 0in; text-align: left;"> <h3 style="margin: 0in 0in 0.0001pt;"><span class="topstory1" style="padding: 0in; border: 1pt none windowtext;">ELECTION Night 2016:</span><span><br> <strong><span style="padding: 0in; border: 1pt none windowtext;">One for the history books! </span></strong><br> </span></h3> </td> <td style="padding: 0in; text-align: left;" width="9"></td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <p style="margin-top: 0in;"><span>Once again, the California Medical Association took on tough fights and prevailed. </span></p> <p style="margin: 0in 0in 0.0001pt;"><span>We won all of our <a href="http://cmanet.us1.list-manage.com/track/click?u=145aa039e469fec82f515d867&amp;id=1b38d1b3d4&amp;e=ab41627f3b"><span style="padding: 0in; border: 1pt none windowtext;">statewide ballot measure endorsements</span></a>, including three local initiatives in the Bay area.</span></p> </td> <td style="padding: 0in; text-align: left;"> <p class=""><span style="color: white;">.</span></p> </td> </tr> </tbody> </table> </td> <td valign="top" style="padding: 0in; text-align: left;" width="2"> <table class="" border="0" cellspacing="0" cellpadding="0" align="left" style="width: 0px;"> <colgroup><col></colgroup> <tbody> <tr> <td style="padding: 0in; text-align: left;"> <p class=""><span><a href="http://cmanet.us1.list-manage.com/track/click?u=145aa039e469fec82f515d867&amp;id=df516a612b&amp;e=ab41627f3b"><span style="padding: 0in; border: 1pt none windowtext;"><img width="300" id="_x0000_i1027" src="http://www.cmanet.org/files/images/misc-graphics/2016-elections/success-sign-100.png" alt="MACRA before and after" style="border-width: 0px; border-style: solid;"></span></a></span></p> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <p class=""><span style="color: white;">.</span></p> </td> </tr> </tbody> </table> </td> </tr> </tbody> </table> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <h4 style="margin: 0in 0in 0.0001pt;"><span>Together, we voted to&hellip;</span></h4> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <p class=""><span style="color: white;">.</span></p> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <p class="" style="margin: 0in 7.5pt 0.0001pt 18.75pt;"><span>&middot;</span><span> </span><span>Invest in Medi-Cal. (Yes on Prop. <a href="http://cmanet.us1.list-manage1.com/track/click?u=145aa039e469fec82f515d867&amp;id=4917205146&amp;e=ab41627f3b"><span style="padding: 0in; border: 1pt none windowtext;">56</span></a>, <a href="http://cmanet.us1.list-manage1.com/track/click?u=145aa039e469fec82f515d867&amp;id=578e095679&amp;e=ab41627f3b"><span style="padding: 0in; border: 1pt none windowtext;">55</span></a> and <a href="http://cmanet.us1.list-manage2.com/track/click?u=145aa039e469fec82f515d867&amp;id=99a6089fc3&amp;e=ab41627f3b"><span style="padding: 0in; border: 1pt none windowtext;">52</span></a>) </span></p> <p class="" style="margin: 0in 7.5pt 0.0001pt 18.75pt;"><span>&middot;</span><span> </span><span>Save lives, reduce smoking rates and prevent thousands of children from starting in the first place. (<a href="http://cmanet.us1.list-manage1.com/track/click?u=145aa039e469fec82f515d867&amp;id=8743c46229&amp;e=ab41627f3b"><span style="padding: 0in; border: 1pt none windowtext;">Yes on Prop. 56</span></a>)</span></p> <p class="" style="margin: 0in 7.5pt 0.0001pt 18.75pt;"><span>&middot;</span><span> </span><span>Triple the funding for California's anti-smoking programs. (<a href="http://cmanet.us1.list-manage.com/track/click?u=145aa039e469fec82f515d867&amp;id=774ef73d01&amp;e=ab41627f3b"><span style="padding: 0in; border: 1pt none windowtext;">Yes on Prop. 56</span></a>)</span></p> <p class="" style="margin: 0in 7.5pt 0.0001pt 18.75pt;"><span>&middot;</span><span> </span><span>Provide more essential services like medical check-ups, immunizations, prescriptions and dental/vision care for 13 million low-income Californians, including seven million children. (<a href="http://cmanet.us1.list-manage.com/track/click?u=145aa039e469fec82f515d867&amp;id=cb433e25cd&amp;e=ab41627f3b"><span style="padding: 0in; border: 1pt none windowtext;">Yes on Prop. 52</span></a>)</span></p> <p class="" style="margin: 0in 7.5pt 6pt 18.75pt;"><span>&middot;</span><span> </span><span>Prevent an increase in state prescription drug costs, as well as preserve patient access to medications. (No on Prop. 61)</span></p> <p class="" style="margin: 0in 7.5pt 6pt 18.75pt;"><span>&middot;</span><span> </span><span>Protect public health and clarify the role of physicians in controlling and regulating the adult use of cannabis. (Yes on Prop. 64) </span></p> <p class="" style="margin: 0in 7.5pt 6pt 18.75pt;"><span>&middot;</span><span> </span><span>Reduce sugar intake to prevent diabetes and obesity. (Yes on Measures V (San Francisco), HH (Oakland) and O1 (Albany)) </span></p> <p class="" style="margin: 0in 7.5pt 6pt 18.75pt;"><span>&middot;</span><span> </span><span>Break down barriers and removed outdated bilingual education mandates to better reflect California's diverse society. (Yes on Prop. 58)</span></p> <p class="" style="margin: 0in 7.5pt 6pt 18.75pt;"><span>&middot;</span><span> </span><span>Ensure critical infrastructure projects &ndash; including hospitals and medical facilities &ndash; aren't subject to delays or loss of local control. (No on Prop. 53)</span></p> <p class="" style="margin: 0in 7.5pt 6pt 18.75pt;"><span>&middot;</span><span> </span><span>Strengthen California's ability to prevent gun violence. (Yes on Prop. 63) </span></p> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <p class=""><span style="color: white;">.</span></p> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <table class="" border="0" cellspacing="0" cellpadding="0" style="width: 100%;"> <colgroup><col><col></colgroup> <tbody> <tr> <td valign="top" style="padding: 0in; text-align: left;" width="3"> <table class="" border="0" cellspacing="0" cellpadding="0" align="left" style="width: 0px;"> <colgroup><col><col></colgroup> <tbody> <tr> <td style="padding: 0in; text-align: left;"> <h4 style="margin: 0in 0in 0.0001pt;"><span>Voters made health care a priority</span></h4> </td> <td style="padding: 0in; text-align: left;" width="9"></td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <p class=""><span style="color: white;">.</span></p> </td> <td style="padding: 0in; text-align: left;"> <p class=""><span style="color: white;">.</span></p> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <p style="margin-top: 0in;"><span>In the coming months, we'll work to ensure the new revenue reaches the communities most in need of access to health care and improved services.</span></p> <p style="margin-top: 0in;"><span>Voters sent a clear signal that they are willing to support investments in public health andthat they are tired of Sacramento chronically underfunding health care. CMA's alignment with voters further demonstrates our strength and ability to fight for physicians throughout the state and in all modes of practice.</span></p> <p style="margin-top: 0in;"><span>And on the national front &ndash; there are more questions than answers, but one thing is clear: we could be facing a major shake-up. </span></p> <p style="margin-top: 0in;"><span>How will the next Congress and Trump's administration handle the Affordable Care Act? Rising drug prices? Health and Human Services secretary? Medicaid expansion? Mega-mergers?</span></p> <p style="margin-top: 0in;"><span>Regardless of what comes next, CMA will continue to keep California's physicians in the driver's seat on health care policy. And we're working ahead to 2018 to ensure the next Governor reflects our values, including the protection of MICRA and investments in public health.</span></p> <p style="margin-top: 0in;"><span>I want to thank each of you for your support and dedication to CMA. Your membership drives this organization to excellence. Together, we stand stronger.</span></p> <p style="margin: 0in 0in 0.0001pt;"><span><img id="_x0000_i1028" src="http://www.cmanet.org/files/images/electronic-signatures/corcoran-sig.jpg" style="border-width: 0px; border-style: solid;"><br> Dustin Corcoran<br> CMA CEO</span></p> </td> <td style="padding: 0in; text-align: left;" width="9"></td> </tr> </tbody> </table> </td> <td valign="top" style="padding: 0in; text-align: left;" width="1"> <table class="" border="0" cellspacing="0" cellpadding="0" align="left" style="width: 0px;"> <colgroup><col></colgroup> <tbody> <tr> <td style="padding: 0in; text-align: left;"> <h4 style="margin: 0in 0in 0.0001pt;"><span>By the Numbers</span></h4> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <div class="" style="text-align: center;"><span> <hr size="1" width="100%" align="center"> </span></div> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <p class=""><strong><span style="padding: 0in; border: 1pt none windowtext; color: rgb(178, 32, 36);">$3 billion</span></strong><span><br> per year in new federal matching funds for Medi-Cal to serve elderly and low-income Californians. (<a href="http://cmanet.us1.list-manage1.com/track/click?u=145aa039e469fec82f515d867&amp;id=2efb09a3d7&amp;e=ab41627f3b"><span style="padding: 0in; border: 1pt none windowtext;">Yes on Prop. 52</span></a>)</span></p> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <div class="" style="text-align: center;"><span> <hr size="3" width="100%" align="center"> </span></div> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <p class=""><span class="topstory1" style="padding: 0in; border: 1pt none windowtext;">Up to</span><span><br> </span><strong><span style="padding: 0in; border: 1pt none windowtext; color: rgb(178, 32, 36);">$2 billion</span></strong><span><br> per year to improve access to health care services, including Medi-Cal, for low-income children and their families. (<a href="http://cmanet.us1.list-manage1.com/track/click?u=145aa039e469fec82f515d867&amp;id=80c82441c8&amp;e=ab41627f3b"><span style="padding: 0in; border: 1pt none windowtext;">Yes on Prop. 55</span></a>)</span></p> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <div class="" style="text-align: center;"><span> <hr size="1" width="100%" align="center"> </span></div> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <p class=""><span class="topstory1" style="padding: 0in; border: 1pt none windowtext;">Up to</span><span><br> </span><strong><span style="padding: 0in; border: 1pt none windowtext; color: rgb(178, 32, 36);">$1.7 billion</span></strong><span><br> (plus $1 billion in federal matching funds) for Medi-Cal. (<a href="http://cmanet.us1.list-manage1.com/track/click?u=145aa039e469fec82f515d867&amp;id=c214e08e66&amp;e=ab41627f3b"><span style="padding: 0in; border: 1pt none windowtext;">Yes on Prop. 56</span></a>)</span></p> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <div class="" style="text-align: center;"><span> <hr size="1" width="100%" align="center"> </span></div> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <p class=""><span class="topstory1" style="padding: 0in; border: 1pt none windowtext;">Save</span><span><br> </span><strong><span style="padding: 0in; border: 1pt none windowtext; color: rgb(178, 32, 36);">$1.5 billion</span></strong><span><br> in costs for children's health coverage by FY2019-20. (<a href="http://cmanet.us1.list-manage1.com/track/click?u=145aa039e469fec82f515d867&amp;id=2c485a9ccb&amp;e=ab41627f3b"><span style="padding: 0in; border: 1pt none windowtext;">Yes on Prop. 52</span></a>)</span></p> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <div class="" style="text-align: center;"><span> <hr size="1" width="100%" align="center"> </span></div> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <p class=""><strong><span style="padding: 0in; border: 1pt none windowtext; color: rgb(178, 32, 36);">$350 million</span></strong><span><br> per year in support to state and local public hospitals. (<a href="http://cmanet.us1.list-manage.com/track/click?u=145aa039e469fec82f515d867&amp;id=429d5d98d8&amp;e=ab41627f3b"><span style="padding: 0in; border: 1pt none windowtext;">Yes on Prop. 52</span></a>)</span></p> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <div class="" style="text-align: center;"><span> <hr size="1" width="100%" align="center"> </span></div> </td> </tr> <tr> <td style="padding: 0in; text-align: left;"> <p style="margin: 0in 0in 0.0001pt;"><strong><span style="padding: 0in; border: 1pt none windowtext; color: rgb(178, 32, 36);">$20 million</span></strong><span><br> per year for public schools to enhance smoking cessation programs. (<a href="http://cmanet.us1.list-manage.com/track/click?u=145aa039e469fec82f515d867&amp;id=2f2e6a923f&amp;e=ab41627f3b"><span style="padding: 0in; border: 1pt none windowtext;">Yes on Prop. 56</span></a>)</span></p> </td> </tr> </tbody> </table> </td> </tr> </tbody> </table> </td> </tr> </tbody> </table> </div> </p> Thu, 10 Nov 2016 18:15:00 Z 2016-11-10 18:15 +00:00 2016-11-10 10:15 -08:00 3595 http://www.ocma.org/news/ocma-blog/over-diagnosing-over-diagnosis.aspx?PostId=3595&tabid=1144 Alert,General Over-diagnosing Over-diagnosis <div><br> </div> <p>By: &nbsp;John G. West, M.D., Director of Surgery, Breastlink (<a href="http://www.breastlink.com/" target="_blank">Breastlink.com</a>)&nbsp; &nbsp;</p> <p><span class="Apple-tab-span" style="white-space: pre;"> </span>A recent article in the L.A. Times by Melissa Healy casts doubt on the value of screening mammography. &nbsp;Her article is based on publications by Dr. Gilbert Welch, who has been a long-time critic of mammographic screening.</p> <p> &nbsp; &nbsp; Dr. Welch&rsquo;s premise for concluding that mammograms led to unnecessary treatments is based on his observation that screening leads to the detection of a large number of small breast cancers without a corresponding reduction in the number of advanced breast cancers. &nbsp;His assumption is that many of these small cancers would not progress and cause harm.<br> <br> &nbsp; &nbsp;The logic behind these assumptions is open to question, because advanced cancers typically are found in underserved populations that have low levels of participation in screening programs. &nbsp;In populations with high levels of screening, locally advanced cancers are uncommon (1). &nbsp;<br> <br> &nbsp; &nbsp; &nbsp;Dr. Welch bases his conclusions on a study comparing breast cancer outcomes during two time periods. &nbsp;First was 1977-1979 before screening was routine, and the second was 2000-2002 when screening was widespread. His data source is the SEER program (Surveillance, Epidemiology and End Results), which provides information on the size and stage of breast cancers at the time of diagnosis. &nbsp;<br> <br> &nbsp; &nbsp;What is critically lacking in the SEER data is information on mammographic screening for individual patients. &nbsp;The fundamental flaw in the study reported by Dr. Welch is that he had no idea which patients received a mammogram and which did not. &nbsp;This lack of screening data undermines the credibility of his conclusions.<br> <br> &nbsp; &nbsp; &nbsp; Studies that have data on who was screened and who was not come to a much different conclusions. &nbsp;One recent study from Canada evaluated a large group of women who participated in routine screening and found a 40% reduction in breast cancer mortality (1). &nbsp;A recent autopsy study from Boston found that 65% of women who died of metastatic breast cancer never had a mammogram (2).<br> <br> &nbsp; &nbsp;It has also been observed that when screening is introduced into underserved populations, the percentage of advanced cancers drops and there is a corresponding rise in the number of early stage cancers (3). &nbsp;This is a critical observation since survival with early detection is greater than 95% and survival with advanced cancer is in the range of 50-60%.<br> <br> &nbsp; &nbsp;Dr. Welch also states that the biggest harm from screening is over-diagnosis. &nbsp;In other words, he asserts that screening leads to the detection of small cancers, that if left untreated, would not cause harm.&nbsp;<br> <br> &nbsp; &nbsp; &nbsp;It is correct to point out that some small, low-grade cancers may take years before becoming life threatening. &nbsp;Thus, older women who have a cancer that is only seen on the mammogram might &ldquo;outlive&rdquo; their cancer even without treatment. However, small but rapidly growing cancers in the elderly usually benefit from aggressive treatment. Treating physicians must adjust their treatments based on tumor biology. &nbsp;<br> <br> &nbsp; &nbsp; For younger women, over-diagnosis is a non-issue. &nbsp;Given time, small, non-aggressive cancers will progress. &nbsp;Most will spread beyond the breast within a decade or less. &nbsp;Once this spread has taken place, there is often the need for aggressive surgery and chemotherapy, and the chances for survival are markedly reduced.<br> <br> &nbsp; &nbsp;The irony of the case against mammographic screening is that it comes at a time when major progress is being made in early detection. &nbsp;We now have technology, such as screening ultrasounds and screening MRIs, that can detect cancers not visible on mammograms. &nbsp;Widespread adoption of advanced screening technology, particularly in high-risk women and women with dense breasts, has the potential to produce dramatic reductions in breast cancer mortality.<br> <br> &nbsp; &nbsp; Now is not the time to cut back on screening. &nbsp;Now is the time to develop less expensive and more effective screening technology. &nbsp;We must recognize that over-diagnosis is not the problem. &nbsp;The problem is over-treatment. &nbsp; Our goal must be to individualize patient care in a manner that maximizes benefits while avoiding the harm associated with over-treatment.<br> <br> Reference:<br> 1. &nbsp;Coldman A., Phillips N., Wilson C. et. al. &ldquo;Pan-Canadian Study of Mammography Screening and Mortality From Breast Cancer,&rdquo; Natl Cancer Inst &nbsp;106 (July 2014):1-7.<br> <br> 2. &nbsp;Webb M.L., Cady B., Michaelson J.S. et. al. &ldquo;A Failure Analysis of Invasive Breast Cancer: Most Deaths From Disease Occur in Women Not Regularly Screened,&rdquo; Cancer &nbsp;120 (Sept. 2014): 2839-2846.<br> <br> 3. &nbsp;Epidemiologic Study from Orange Co. California: &nbsp;Making mammographic screening available to the underserved Hispanic population. &nbsp;<br> <br> <br> <div><br> </div> </p> <div><br> </div> Thu, 03 Nov 2016 21:22:51 Z 2016-11-03 21:22 +00:00 2016-11-03 14:22 -07:00 3552 http://www.ocma.org/news/ocma-blog/message-from-nikan-khatibi-do-ocma-legislative-committee-co-chair.aspx?PostId=3552&tabid=1144 Alert,General Message from Nikan Khatibi, D.O., OCMA Legislative Committee Co-Chair <p>Nikan Khatibi, D.O., Co-Chair of the OCMA Legislative Committee, recorded a brief synopsis of what physicians need to know for the upcoming election. &nbsp;He addresses the elections for the first and third districts of the Orange County Board of Supervisors, two CMA-supported propositions and the Presidential election. &nbsp;We encourage you to watch and listen to the video and VOTE on November 8, 2016.&nbsp; </p> <div><br> </div> <div> <p class=""><a href="https://youtu.be/NwD-leNRBec" target="_blank">https://youtu.be/NwD-leNRBec</a></p> <br> <p>&nbsp;</p> <p>&nbsp;</p> </div> Thu, 13 Oct 2016 19:04:00 Z 2016-10-13 19:04 +00:00 2016-10-13 12:04 -07:00 3545 http://www.ocma.org/news/ocma-blog/2016-california-ballot-propositions-where-do-ocmacma-stand.aspx?PostId=3545&tabid=1144 Alert,General 2016 California Ballot Propositions: Where Does OCMA/CMA Stand? <p class="" style="margin-bottom: 0.0001pt;"><strong><span style="color: rgb(0, 112, 192);">CMA&rsquo;s Board of Trustees: Positions on November 2016 Ballot Measures</span></strong></p> <p class="" style="margin-bottom: 0.0001pt;"><a href="http://www.cmanet.org/issues-and-advocacy/cmas-top-issues/2016-ballot-propositions/"><span>http://www.cmanet.org/issues-and-advocacy/cmas-top-issues/2016-ballot-propositions/</span></a></p> <p class="" style="margin-bottom: 0.0001pt;"><strong>&nbsp;</strong></p> <p class="" style="margin-bottom: 0.0001pt;"><strong>Prop. 52: California Medi-Cal Hospital Reimbursement Initiative&nbsp;</strong><br> <em>Position: CMA Supports (YesProp52.org)</em><br> Prop. 52 would lock in hospital fees to allow the state to draw down federal health care funds. It would add language to the California Constitution requiring voter approval of changes to the hospital fee program. This will prevent diversion of the funds from the original intended purpose of supporting hospital care to Medi-Cal patients and paying for health care for low-income children.</p> <p class="" style="margin-bottom: 0.0001pt;"><strong>&nbsp;</strong></p> <p class="" style="margin-bottom: 0.0001pt;"><strong>Prop. 53: California Public Vote on Bonds Initiative&nbsp;</strong><br> <em>Position: CMA Opposes (NoOnProp53.com)</em><br> Prop. 53 would require voter approval before the state could issue more than $2 billion in public infrastructure bonds that would require an increase in taxes or fees for repayment. This initiative could impact medical care by curtailing the ability of the State of California and local government entities to build or rebuild major infrastructure projects.</p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;"><a href="http://www.cmanet.org/issues-and-advocacy/cmas-top-issues/2016-ballot-propositions/yes-on-prop-55/"><strong>Prop. 55: California Children&rsquo;s Education and Health Care Protection Act of 2016</strong></a><br> <em>Position: CMA Supports (</em><em>YesOn55.com)</em><br> Prop. 55 would extend the current income tax rates on the wealthiest two percent of Californians &ndash; singles earning more than $250,000 and couples earning more than $500,000 a year &ndash; for 12 years. Funding would provide local school districts the money needed to hire teachers and reduce class sizes and improve access to health care services for low-income children so they can stay healthy and thrive. </p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;"><a href="http://www.cmanet.org/issues-and-advocacy/cmas-top-issues/2016-ballot-propositions/yes-on-prop-56/"><strong>Prop. 56: California Healthcare, Research and Prevention Tobacco Tax Act of 2016</strong></a><br> <em>Position: CMA Supports (YesOn56.org)</em><br> Prop. 56 &ndash; supported by a broad alliance of physicians, health care advocates, educators and others &ndash; would raise California&rsquo;s tobacco tax, which is currently among the lowest in the country, to $2.87 a pack. Designed as a user fee on cigarettes and other tobacco products, the majority of the money would be used for existing health programs and research into cures for cancer and other illnesses caused by smoking and tobacco products.</p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;"><a href="http://www.cmanet.org/news/press-detail/?article=california-medical-association-endorses2"><strong>Prop. 58: The Language Education Acquisition and Readiness Now (LEARN) Initiative</strong></a><br> <em>Position: CMA Supports (SupportProp58.com)</em><br> Prop. 58 would give local school districts and their academic staff the option of providing bilingual education. California needs a well-prepared and educated health care workforce that reflects our diverse society. Prop. 58 would break down barriers by removing outdated mandates, helping physicians provide the best patient care for all Californians.</p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;"><a href="http://www.cmanet.org/news/detail/?article=cma-calls-for-greater-transparency-in"><strong>Prop. 61: Drug Price Standards Initiative</strong></a><br> <em>Position: CMA Opposes (NoOnProp61.org)</em><br> Prop. 61 would prevent certain state agencies from entering into contracts for the purchase of prescription drugs unless the price paid is the same as or lower than the special discounts provided to the U.S. Department of Veterans Affairs. The measure could result in the invalidation of existing agreements between the state and pharmaceutical companies that already provide significant discounts to the state.</p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;"> <p class="" style="margin-bottom: 0.0001pt;"><a href="http://www.cmanet.org/news/press-detail/?article=california-medical-association-endorses1"><strong>Prop. 63: Safety for All Act of 2016</strong></a><br> <em>Position: CMA Supports (SafetyForAll.com)</em><br> Prop. 63 would prohibit the possession of large-capacity ammunition magazines and would require most individuals to pass a background check and obtain authorization from the California Department of Justice to purchase ammunition. CMA supports Prop. 63 to ensure our communities are safe and healthy places to live.</p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;"><a href="http://www.cmanet.org/news/detail/?article=cma-endorses-marijuana-ballot-initiative-to"><strong>Prop. 64: Adult Use of Marijuana Act</strong></a><br> <em>Position: CMA Supports (YesOn64.org)</em><br> Prop. 64 would regulate and control the cultivation and use of non-medical cannabis. The proposal would generate up to $1 billion in taxes for state and local governments, according to a fiscal analysis of the proposal. CMA believes that the most effective way to protect public health is to tightly control, track and regulate cannabis, as well as comprehensively research and educate the public on its health impacts.</p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;"><strong><span style="color: rgb(0, 112, 192);">Prop. 56: CA Healthcare, Research and Prevention Tobacco Tax Act of 2016</span></strong></p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;">The&nbsp;<a href="http://www.yeson56.com/">California Healthcare, Research and Prevention Tobacco Tax Act of 2016</a> &ndash; supported by a broad alliance of physicians, health care advocates, educators and others &ndash; would raise California&rsquo;s tobacco tax, which is currently among the lowest in the country, to $2.87 a pack. The majority of the money from the initiative&rsquo;s user fee on cigarettes and other tobacco products, including e-cigarettes containing nicotine, will be used for existing health programs and research into cures for cancer and other illnesses caused by smoking and tobacco products.</p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;">&ldquo;Sadly, we see tobacco&rsquo;s deadly and costly toll every day in our hospitals and clinics. Cancer and other tobacco-related diseases kill more people than car accidents, murder, suicide, alcohol, illegal drugs and AIDS combined,&rdquo; said Steven Larson, M.D., MPH, president of the California Medical Association (CMA). &ldquo;The heart of this initiative is simple: Taxing tobacco saves lives by getting people to quit or never start smoking. The only people who will pay are those who smoke. If you don&rsquo;t smoke, you don&rsquo;t pay.&rdquo;</p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;">California taxpayers pay $3.5 billion annually to treat cancer and other tobacco-related diseases through Medi-Cal. A user fee on cigarettes is a matter of fairness &ndash; it shifts the fiscal burden to smokers for these medical programs, smoking prevention and research.</p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;">The tobacco tax will also prevent a new generation of kids from taking up a deadly, addictive habit. Despite years of progress in education and research about the dangers of tobacco, nearly 17,000 California kids get hooked on smoking every year; one-third of them will eventually die from tobacco-related illnesses.</p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;">Prop. 56 is backed by a coalition that includes CMA, the American Cancer Society Cancer Action Network, American Lung Association in California, American Heart Association, California Dental Association, the California Hospital Association, SEIU California, Blue Shield of California and philanthropist Tom Steyer.</p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;"><strong>Connect with the campaign</strong></p> <ul style="margin-top: 0in; list-style-type: disc;"> <li class="" style="margin-bottom: 0.0001pt;">Visit the campaign website at&nbsp;<a href="http://www.yeson56.org/">www.yeson56.org</a></li> <li class="" style="margin-bottom: 0.0001pt;">Join the conversation on Twitter with&nbsp;<a href="https://twitter.com/YesOn56">@YesOn56</a>&nbsp;and&nbsp;<a href="https://twitter.com/hashtag/Yeson56?src=hash">#YesOn56</a></li> <li class="" style="margin-bottom: 0.0001pt;">Follow on Facebook at&nbsp;<a href="https://www.facebook.com/Yeson56">www.facebook.com/Yeson56</a></li> <li class="" style="margin-bottom: 0.0001pt;">Download Spanish-language resources at&nbsp;<a href="http://www.yeson56.org/espanol/">www.yeson56.org/espanol</a></li> </ul> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;"><strong><span style="color: rgb(0, 112, 192);">Prop 55: CA Children&rsquo;s Education and Health Care Protection Act of 2016</span></strong></p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;">The <a href="http://www.yeson55.com/">California Children&rsquo;s Education and Health Care Protection Act of 2016</a> will extend the temporary income tax provisions of Proposition 30 for 12 years. Prop. 55 will extend the current income tax rates on the wealthiest two percent of Californians &ndash; singles earning more than $250,000 and couples earning more than $500,000 a year.</p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;">This initiative will maintain the current tax rates on the wealthiest Californians to prevent billions of dollars in funding cuts for public education and vital health care services. This measure will generate $8 -11 billion per year, and provide up to $2 billion annually to improve access to health care for low-income children and their families.&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;">California Governor Jerry Brown&nbsp;supported and campaigned for the passage of Proposition 30 in 2012 to increase taxes to prevent $6 billion&nbsp;cuts to the education budget for California state schools.&nbsp;The measure was approved by California voters by a margin of 55 to 45 percent.</p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;">Funding from this vital measure will provide local school districts the money they need to hire good teachers and reduce class sizes for our students. And it will improve access to health care services for the low-income children so they can stay healthy and thrive. Budget forecasts show that unless we extend these taxes on the wealthy, in the first year alone our public schools will face nearly $5 billion in cuts, and our state budget will face a nearly $3 billion deficit.</p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;">&ldquo;Doctors and other health care providers across the state are supporting this initiative because it will provide critical funds to improve access to health care for low-income children and their families,&rdquo; &nbsp;said CMA President-Elect Ruth Haskins, M.D. &ldquo;This initiative will help our state provide the care vulnerable kids need to stay healthy and thrive.&rdquo;</p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;">The initiative also ensures strict accountability and transparency so that all the money goes where it matters the most &ndash; directly to the classroom, not towards administrative costs.</p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;">Prop. 55 is backed by a <a href="http://www.protectingcalifornia.com/endorsements">coalition</a> that includes CMA, the California Hospital Association, Association of California Health Districts, California Academy of Family Physicians, California Dental Association, Health Access California and Blue Shield of California.</p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> <p class="" style="margin-bottom: 0.0001pt;"><strong>Connect with the campaign</strong></p> <ul style="margin-top: 0in; list-style-type: disc;"> <li class="" style="margin-bottom: 0.0001pt;">Visit the campaign website at&nbsp;<a href="http://www.yeson55.com/">www.yeson55.com</a></li> <li class="" style="margin-bottom: 0.0001pt;">Join the conversation on Twitter with&nbsp;<a href="https://twitter.com/YesOn55">@YesOn55</a>&nbsp;and&nbsp;<a href="https://twitter.com/hashtag/Prop55?src=hash">#Prop55</a></li> <li class="" style="margin-bottom: 0.0001pt;">Follow on Facebook at&nbsp;<a href="https://www.facebook.com/yeson55">www.facebook.com/yeson55</a></li> </ul> </p> <p class="" style="margin-bottom: 0.0001pt;">&nbsp;</p> Thu, 13 Oct 2016 18:20:00 Z 2016-10-13 18:20 +00:00 2016-10-13 11:20 -07:00 3511 http://www.ocma.org/news/ocma-blog/physicians-must-post-non-discrimination-statements-by-october-19-2016.aspx?PostId=3511&tabid=1144 Alert,General Physicians Must Post Non-Discrimination Statements by October 16 2016 The U.S. Department of Health and Human Services (HHS) Office of Civil Rights (OCR) recently finalized new nondiscrimination rules intended to advance health equity and reduce health care disparities. Under the rule, which implements section 1557 of the Affordable Care Act, individuals are protected from discrimination in health care on the basis of race, color, national origin, age, disability and sex, including discrimination based on pregnancy, gender identity and sex stereotyping. This new rule is the first federal civil rights law to broadly prohibit discrimination on the basis of sex in federally funded health programs. It also includes important protections for individuals with disabilities and enhances language assistance for people with limited English proficiency. <div><br> This rule applies to those who provide or administer health-related services or insurance coverage and receive "federal financial assistance." Federal financial assistance includes Medicare, Children's Health Insurance Program, Medicaid, meaningful use payments, HHS grants, Centers for Medicare and Medicaid Services gain-sharing demonstration projects, federal premium and cost-sharing subsidies, etc.</div> <div><br> The rule does not apply to physicians who participate only in Medicare Part B, unless they are also receiving meaningful use incentive payments.</div> <div><br> Covered physicians must comply with the following requirements:<br> &bull;<span class="Apple-tab-span"> </span>Post a notice of nondiscrimination and taglines in the top 15 languages spoken by individuals with limited English proficiency<br> &bull;<span class="Apple-tab-span"> </span>Develop and implement a language access plan<br> &bull;<span class="Apple-tab-span"> </span>Designate a compliance coordinator and adopt grievance procedures (applicable to group practices with 15 or more employees)<br> &bull;<span class="Apple-tab-span"> </span>Submit an assurance of compliance form to OCR <div><br> Physicians should note that in addition to administrative enforcement mechanisms, such as loss of federal financial assistance, individuals are permitted to bring individual or class action violation claims directly against physicians in federal court.<br> To assist with implementation, OCR has translated into 64 languages a <a href="http://www.hhs.gov/civil-rights/for-individuals/section-1557/translated-resources/index.html" target="_blank">sample notice and taglines</a> for use by covered entities. In addition, OCR has published a <a href="http://www.hhs.gov/sites/default/files/2016-06-07-section-1557-final-rule-summary-508.pdf" target="_blank">summary of the rule</a>,<a href="http://www.hhs.gov/civil-rights/for-individuals/section-1557" target="_blank"> factsheets on key provisions</a> and a list of <a href="http://www.hhs.gov/sites/default/files/2016-05-13-section-1557-final-rule-external-faqs-508.pdf" target="_self">frequently asked questions</a>.<br> <br> <p>The California Medical Association (CMA) has sought guidance from the California Department of Health Care Services to determine what languages California physicians must post for the nondiscrimination notice. As additional information becomes available, CMA will provide more detailed instructions about how physicians may comply with this rule.<br> &nbsp;<br> <div><br> </div> </p> </div> </div> Mon, 19 Sep 2016 22:17:58 Z 2016-09-19 22:17 +00:00 2016-09-19 15:17 -07:00 3507 http://www.ocma.org/news/ocma-blog/county-of-orange-health-care-agency-mycobacterium-facts-for-parents.aspx?PostId=3507&tabid=1144 Alert,General County of Orange Health Care Agency Mycobacterium Facts for Parents <p>The County of Orange Health Care Agency released the following fact sheet on Mycobacterium&nbsp; abscessus infections.</p> <p><img src="http://www.ocma.org/Portals/13/assets/images/Blog/Mycobacterium-Facts-For-Parents.jpg?ver=2016-09-14-115529-793" alt="County of Orange Health Care Agency Mycobacterium Facts for Parents"></p> Wed, 14 Sep 2016 18:53:55 Z 2016-09-14 18:53 +00:00 2016-09-14 11:53 -07:00 3481 http://www.ocma.org/news/ocma-blog/presidents-report-highlights-from-the-august-18-2016-ocma-board-of-directors-meeting.aspx?PostId=3481&tabid=1144 Alert,General President's Report: Highlights from the August 18, 2016 OCMA Board of Directors Meeting <div><strong><br> </strong></div> <strong>Liaison Reports:</strong>&nbsp;<br> <br> <strong>AMA</strong>: three topics were highlighted:&nbsp;<br> <br> 1. <span class="Apple-tab-span"> </span>An AMA Interim Meeting is slated for November 12-15.&nbsp;<br> 2. <span class="Apple-tab-span"> </span>Communication about the status of MACRA was provided, indicating that the rules are still in the draft phase and that the AMA continues to work with CMS to make sure that all practice types and sizes are provided the flexibility to be successful in the new program. In a comment letter to CMS,&nbsp;<br> the AMA outlined a number of recommendations to help these physicians success under MACRA.&nbsp;<br> <br> &bull; Increase the low volume threshold to exempt more physicians.&nbsp;<br> &bull; Compare practices to their peers rather than larger or more advanced entities.&nbsp;<br> &bull; Lower reporting burdens for small, rural and similarly situated practices.&nbsp;<br> &bull; Provide education, training and technical assistance to small practices.&nbsp;<br> &bull; Allow participation in virtual groups as soon as possible.&nbsp;<br> <br> 3. <span class="Apple-tab-span"> </span>The steps that the Stanford surgical residency program leadership took to address the underlying issues affecting resident health were discussed. Their leadership took these after the tragic suicide of one of the physicians from that program, highlighting the need to address physician wellness and burnout in both physicians in training and practice.&nbsp;<br> <br> <strong>CMA:</strong> two major topics were brought forward:&nbsp;<br> <br> 1. <span class="Apple-tab-span"> </span>The priorities for the 2016 House of Delegates were recommended and approved and include&nbsp;<br> <br> Burnout (Actionable Report and Education Session)&nbsp;<br> Opioids (Actionable Report and Education Session)&nbsp;<br> ACA Changes Under 1332 Waiver (HOD 203-15) (Actionable Report)&nbsp;<br> MACRA (Actionable Report and Education Session)&nbsp;<br> Recertification / Maintenance of Certification (Actionable Report and Education Session)&nbsp;<br> Development of a 5-Year Public Health Plan (Actionable Report)&nbsp;<br> <br> 2. <span class="Apple-tab-span"> </span>The Dues structure was revised to change discounts for new members as well as negotiated group memberships.&nbsp;<br> <br> <strong>OCMA Financials:</strong>&nbsp;<br> <br> &bull; <span class="Apple-tab-span"> </span>OCMA has a healthy balance sheet.&nbsp;<br> &bull; <span class="Apple-tab-span"> </span>The Revised OCMA Budget was approved to reflect changes needed following the sale of the building.&nbsp;<br> <br> <strong>Physician Recognition Programs Committee Report:</strong>&nbsp;<br> <br> &bull; <span class="Apple-tab-span"> </span>The partner to publish and celebrate the 2017 Physicians of Excellence will be Orange Coast Magazine.&nbsp;<br> &bull; <span class="Apple-tab-span"> </span>The time line once again involves summer nominations, applications, and selection with an anticipated celebration to take place in January.&nbsp;<br> &bull; <span class="Apple-tab-span"> </span>The celebration is slated to be held at Pirch in Costa Mesa.&nbsp;<br> &bull; <span class="Apple-tab-span"> </span>Physicians from the Physicians of Excellence program should be featured on the cover of Orange Coast Magazine&rsquo;s January Edition.&nbsp;<br> <br> <strong>House of Delegates Report:</strong>&nbsp;<br> <br> &bull; <span class="Apple-tab-span"> </span>Two resolutions were put forward from our delegation and both were supported by the delegation.&nbsp;<br> &bull; <span class="Apple-tab-span"> </span>Dr. Ted Mazer, speaker of the House of Delegates, will be joining the Delegation on its meeting scheduled for October 5 at 6:30 pm. to discuss how the Council reports and the resolution process will be coordinated.&nbsp;<br> <br> <strong>Services Committee Report</strong>:&nbsp;<br> <br> &bull; <span class="Apple-tab-span"> </span>An addition to the OCMA Preferred Business Partner Policy was discussed and approved. A clause was added to state that &ldquo;The products and services are not clinical, scientific, or research-oriented and the company is not a direct provider of patient care.&rdquo;&nbsp;<br> &bull; <span class="Apple-tab-span"> </span>Should there be questions about whether or not a company might be considered a &ldquo;patient care&rdquo; company, it would be referred to the Board for vetting.&nbsp;<br> <br> <strong>Legislative Committee:</strong>&nbsp;<br> <br> &bull; <span class="Apple-tab-span"> </span>Drs. Khatibi and Ramos announced that OCMA will be hosting a fundraiser at the OCMA Conference Center for Senator Lou Correa on September 8, 2016 at 6:00 pm. Senator Correa is running for the Congressional seat vacated by Loretta Sanchez who is running for the US Senate. Senator Correa&rsquo;s wife is an Obstetrician/Gynecologist and he has long been a friend of the House of Medicine. All OCMA members are encouraged to attend.&nbsp;<br> &bull; <span class="Apple-tab-span"> </span>It was recommended and approved that DOCPAC funds be used to support Supervisor Andrew Do&rsquo;s campaign.&nbsp;<br> &bull; <span class="Apple-tab-span"> </span>Dr. Khatibi announced that a physician, Dr. Sion Roy is running for a position with the Santa Monica College Board of Trustees. Though this is not an Orange County position, it benefits all physicians to have&nbsp;<br> physicians in elected positions. Members are encouraged to support his candidacy.&nbsp;<br> <br> <strong>District Updates:</strong>&nbsp;<br> <br> &bull; <span class="Apple-tab-span"> </span>The Providence/St. Joseph Health Merger was approved by the California Attorney General and is moving forward.&nbsp;<br> &bull; <span class="Apple-tab-span"> </span>CNA continues to be active in conversations with staff at St. Judes.&nbsp;<br> &bull; <span class="Apple-tab-span"> </span>OSCAR, a newer Health Insurance plan is gaining a foothold in Orange County.&nbsp;<br> &bull; <span class="Apple-tab-span"> </span>The Kaiser Permanente Medical School is slated to open in 2019 and will be located in Pasadena.&nbsp;<br> <br> <strong>Executive Director&rsquo;s Report:</strong>&nbsp;<br> <br> &bull; <span class="Apple-tab-span"> </span>The NEPO (Network of Ethnic Physicians Organizations) is sponsoring a conference in Southern California in September. Two registrations were offered to OCMA and members have stepped up to use them.&nbsp;<br> &bull; <span class="Apple-tab-span"> </span>The Board of Directors Retreat will take place on Saturday, September 17 at the Pasea Resort in Huntington Beach. In addition to the Board of Directors and guests, the Chiefs of Staff from all Orange County hospitals and leaders from Medical Groups and physician organizations have been invited for the educational morning session.&nbsp;<br> &bull;<span class="Apple-tab-span"> </span>A building update was provided. The OCMA Building and Conference Center was sold in February and we have been leasing back the building since then. A Building Committee was formed early last summer to evaluate the Association&rsquo;s needs. It was recommended that input from the membership be obtained. A survey seeking input, opinions and preferences for the next building will be forthcoming shortly&nbsp; Tue, 30 Aug 2016 23:07:47 Z 2016-08-30 23:07 +00:00 2016-08-30 16:07 -07:00 3466 http://www.ocma.org/news/ocma-blog/video-message-from-county-of-orange-public-health-officer-eric-g-handler-md.aspx?PostId=3466&tabid=1144 Alert,General,OC Public Health Update Video Message from County of Orange Public Health Officer, Eric G. Handler, M.D. Earlier this month Eric G. Handler, M.D., County of Orange Public Health Officer, visited the OCMA offices to discuss issues of importance to him. &nbsp;These include Zika and West Nile Virus, social determinants of health. and drowning. &nbsp;Another area of focus is joining together behavioral health and primary care to provide an integrated system of care for individuals with severe behavioral issues as well as returning veterans. &nbsp;<br> <br> Click <a href="https://youtu.be/khNOsjAOtvw" target="_blank">here</a> to listen to Dr. Handler's entire message. Mon, 22 Aug 2016 23:47:21 Z 2016-08-22 23:47 +00:00 2016-08-22 16:47 -07:00 3412 http://www.ocma.org/news/ocma-blog/macra-preparation-checklist-available-for-members.aspx?PostId=3412&tabid=1144 Alert,General MACRA Preparation Checklist Available for Members <p class="">CMA has published a preparation checklist titled, &ldquo;MACRA: What Should I Do Now to Prepare?&rdquo; The checklist contains specific actions practices should take as they prepare for the implementation of MACRA in 2017.&nbsp;<br> <br> The preparation checklist is available free for members in CMA's MACRA resource center at <a href="http://www.cmanet.org/macra" target="_blank">www.cmanet.org/macra</a>. &nbsp;(C<span style="line-height: inherit;">lick the blue &ldquo;MACRA Resources&rdquo; button). It is not available to non-members.</span></p> <p class=""> <div><br> </div> <br> <div><br> </div> </p> Tue, 02 Aug 2016 22:42:51 Z 2016-08-02 22:42 +00:00 2016-08-02 15:42 -07:00