Monday, December 18, 2017

OCMA Blog

March 14 is early bird deadline for 2014 Leadership Academy; Register today and save $100

Register today for the 17th annual Western Health Care Leadership Academy (formerly the California Health Care Leadership Academy) and save $100. You won't want to miss out on this year's dynamic conference and our very special keynote speaker! 

This year's conference will be held at the beautiful San Diego Convention Center on April 11-13, 2014. 

Continuing its tradition of programming excellence, the conference will examine the most significant operational, financial and environmental challenges facing health care today and present proven models and innovative approaches that will enable you to transform your organization’s care delivery and business practices.  

Registrations received on or before March 14 receive a $100 discount. Additional discounts available for multiple registrations (five or more individuals from the same medical practice, medical group or medical staff). Visit http://www.westernleadershipacademy.com for more details.

New this year, registrants have the option to select the "VIP Upgrade" for a more up close and personal experience. Register with the VIP Upgrade and enjoy express onsite check-in, preferred seating, a private off-site cocktail reception and more! Upgrades are available in a limited number on a first-come, first-served basis, so register today!

Contact: Roger Purdy, (800) 795-2262 or rpurdy@cmanet.org.

Former Secretary of State Hillary Rodham Clinton will headline the 2014 Leadership Academy

The 17th annual Western Health Care Leadership Academy is thrilled to welcome keynote speaker Hillary Rodham Clinton, Former Secretary of State and Former U.S. Senator from New York. This year's Academy (formerly the California Health Care Leadership Academy), is scheduled for April 11-13, 2014, at the San Diego Convention Center.  

Top thinkers and doers will share strategies and resources for accelerating the shift to a more integrated, high performing, and sustainable health care system. The conference will examine the most significant challenges facing health care today and present proven models and innovative approaches to transform your organization’s care delivery and business practices. Topics will include leadership development, ACA implementation and practice management.

Click here for the flyer and registration form. 


The County of Orange, Health Care Agency is seeking an experienced Public Health Medical Officer I

Program Emphasis:

The Public Health Medical Officer I provides culturally sensitive, medically indicated care (and supervision of clinical services provided by Family Health nurse practitioners), including clinical assessments, physical exams, diagnostic and medical management, and coordination of case management. The Public Health Medical Officer I also supports on-site program activities in other co-located ambulatory care clinics.

LOCATION:

Santa Ana - 1725 W. 17th St., Santa Ana, CA 92706 

The Opportunity:

The County of Orange, HEALTH CARE AGENCY is seeking an experienced Public Health Medical Officer I who can utilize their education and skills to:

  • Examine, diagnose and treat pediatric patients for both acute care and periodic health screenings (CHDP) seen in our Family Health Clinics (Child Health, Immunizations)
  • (In the case of a family medicine physician) provide in the Family Planning Clinic individual reproductive health education and counseling; initiation and management of all FDA-approved methods of contraception, including emergency contraception; clinical and preventive services to maintain reproductive health
  • Prescribe medications to suitable patients; initiate and/or continue medical regimes for new patients; chart treatment records and monitor results; provide medical patient consultations/referrals to other physicians in the community
  • Provide clinical supervision and consultations to nurse practitioners in Child Health (Pediatric or Family Medicine Physicians) and Family Planning (Family Medicine Physicians only)
  • Consult with other program clinical staff regarding care of patients and treatment given
  • Conduct nurse practitioner peer reviews, patient care-coordination and case management
  • Develop, review and update clinical policies and procedures, clinical practice guidelines, developmental screenings
  • Provide clinical oversight of travel immunization clinic, provide consults (including malaria) for travelers; monitor travel and/or health-related advisories
  • Present in-service education and trainings to clinic staff (including new and updated policies and procedures, vaccines)
  • Stay current with care and treatment guidelines; ensure compliance with requirements from Childhood Prevention and Disability Program (CHDP), Family Planning (FPACT), Vaccines for Children (VFC) Program
  • Review billing records for accuracy and appropriate documentation.
  • Participate in staff meetings, problem solving groups, and continuing education programs sponsored by the clinic or other designated agencies.
  • Identify client's medical or psychosocial issues that fall outside the scope of Family Health and refer such cases to appropriate resources for treatment with follow-up.
  • Participate in quality improvement activities, review charts for compliance with established standards, policies, and procedures.

MINIMUM QUALIFICATIONS:


License Required:
  • Possession of a valid Physician's and Surgeon's Certificate issued by the Board of Medical Examiners of the State of California.
Education:
  • Possession of a masters degree in public health from an accredited school of public health (one year of experience as a Medical Officer in a public health agency with a generalized program may be substituted for the masters degree).

 

For more information and to apply, click here.


The Doctors Company Risk Tip: Undiagnosed Heart Disease in Women

Differences in the early symptoms and signs of an impending heart attack in women may make diagnosis more difficult compared to men. 

In a study of closed medical malpractice claims involving undiagnosed heart disease in women, The Doctors Company found that in 61 percent of claims the patient died when her heart condition was not correctly diagnosed and 33 percent had heart muscle damage from myocardial infarction. 

In the following case, failure to diagnose acute myocardial infarction resulted in death:

A 47-year-old obese woman presented to her PCP complaining of a burning sensation in her chest after eating. The patient reported a similar episode the prior day after eating lunch as well as increased heartburn over the last few weeks.

A review of the medical record reflected elevated blood pressures over the past six months and an elevated cholesterol level of 237 (mg/dl). On the day of the exam, her blood pressure was 160/90. She smoked, drank alcohol socially, and was unaware of a family history of coronary artery disease. A heart exam revealed normal rate and rhythm. The physician noted that the patient appeared diaphoretic; however, she wasn’t in acute distress and was pain-free throughout the examination. An ECG revealed a left bundle branch block. Prior ECGs were not available for comparison. Suspecting reflux esophagitis (heartburn), the PCP advised the patient to take an antacid and to return if the symptoms continued.

Two days later, the patient called her PCP’s office stating that her chest burning sensation continued. The nurse advised her to continue taking the antacid and scheduled an office appointment for the following day. The nurse advised the patient to go to the ED if she developed chest pain. 

That night, the woman awoke with chest pain, nausea, and vomiting. She was taken to the ED for emergeny coronary angiography, but died shortly after arrival. 


To avoid such risks:

 

  • Rule out myocardial infarction before arriving at a GI-related diagnosis such as gastric reflux as the cause of chest pain or discomfort. 
  • Consider cardiac risk factors such as obesity, smoking, hypertension, and hyperlipidemia. 
  • Offer patients same-day appointments when they complain of continued symptoms for which they were recently seen. If this is not possible, send them to the ED and document this in the medical record.
  • Develop a written chest pain protocol. 

Contributed by The Doctors Company. For more patient safety articles and practice tips, visit www.thedoctors.com/patientsafety.


CMA Resource: Surviving the Second Month of Covered California

As of January 15, Covered California reports that more than 625,000 individuals have enrolled in exchange plans. With that figure expected to grow by the end of the 2014 open enrollment period, it is critical that physicians and their staff know what to expect.

To help answer some of the more common questions, the California Medical Association (CMA) offers a second tip sheet as a members-only benefit to help physicians survive the second month of Covered California. To access the full Covered CA tip sheet, click here or visit  http://www.cmanet.org/resource-library/detail/?item=surviving-the-second-month-of-covered.


Upcoming AME Symposium – Under the Influence: Medicine in the post Physician Payment Sunshine Act World – Changes, Challenges and Confusion

Friday, February 28, 2014 – 1 pm – 5 pm

Beckman Center,
100 Academy Drive
Irvine, CA 92617


The Association for Medical Ethics and the University of California, Irvine School of Medicine are pleased to host the upcoming AME Symposium – Under the Influence – Medicine in the post Physician Payment Sunshine Act World – Changes, Challenges and Confusion, to be held from 1 pm to 5 pm on Friday, February 28, 2014 at the Beckman Center in Irvine, Calif., with a cocktail reception to follow.

The afternoon will feature physicians, researchers, attorneys and medical industry professionals as they present and discuss the latest information on state of medicine today and in the future, as the implementation of the Physician Payment Sunshine Act impacts the medical community.

Physicians attending the AME UCI Symposium may earn Continuing Medical Education credits. This activity is approved for AMA PRA Category 1 Credits™. The course fee is $40 per person.

 Featured Speakers

  •     Terry Belmont, Chief Executive Officer, University of California, Irvine Medical Center, Associate Vice Chancellor for Medical Center Affairs, University of California, Irvine
  •     Charles Burton, MD, President of the Association for Medical Ethics, Neurosurgical Spine Specialist and Medical Director, Sentinel Medical Associates, Editor, Burtonreport.com, Former Board Member and past President NASS
  •     Erwin Chemerinsky, JD, Dean of the School of Law, University of California, Irvine
  •     Howard Gillman, PhD, Provost and Executive Vice Chancellor, University of California, Irvine
  •     Ranjan Gupta, MD, Chair of the Department of Orthopaedic Surgery and Professor of Orthopaedic Surgery Anatomy & Neurobiology and Biomedical Engineering, University of California, Irvine
  •     Zeev Kain, MD, MBA, Associate Dean for Clinical Operations, Chair of the Department of Anesthesiology & Perioperative Care, and Professor of Anesthesiology & Pediatrics & Psychiatry & PM&R, University of California, Irvine
  •     Allan Korn, MD, Former Chief Medical Officer at Blue Cross Blue Shield
  •     Scott Lederhaus, MD, Association for Medical Ethics Board Member and Neurosurgeon, Inland Neurosurgery Institute and AME Board Member
  •     Charles Rosen, MD, Co-Founder of the Association for Medical Ethics, Clinical Professor of Orthopaedic Surgery University of California, Irvine

For more information and to register visit http://www.ethicaldoctor.org/symposium.


Physician Advocate Tip of the Month - What you need to know about "the grace period"

February Tip:
What You Need to Know About "The Grace Period"

 Federal law allows Covered CA enrollees who receive financial subsidies to keep their health insurance for three months, even if they have stopped paying their premiums. This is known as the "grace period."

CMA made significant progress through their advocacy efforts to help ensure that physicians are not on the hook for unpaid claims in months two and three of the three-month grace period. Instead, coverage will be suspended during those two months. CMA has prepared an easy-to-understand fact sheet to help physicians and their staff understand what the grace period means for their practices and their patients. Click here to download a copy of the grace period fact sheet.

 Upcoming: OCMA Exchange Seminar  

Mitzi Young, OCMA/CMA Physician Advocate, will be hosting an exchange seminar at OCMA on Thursday, February 27. The seminar will focus on how the California health benefit exchange will affect physician practices. Attendance for this seminar is free for OCMA members. For more information and to RSVP, visit https://caexchange.eventbrite.com.


Receiving practice management guidance from Mitzi is a FREE OCMA member benefit!


Contact Mitzi to schedule a one-on-one consultation to discuss your practice management needs:

Mitzi Young
Physician Advocate, CMA Center for Economic Services
888.236.0267
myoung@cmanet.org


Orange County Public Healthcare Update: OC In+Care Newsletter


OC In+Care: A newsletter for providers serving people living with HIV/AIDS in Orange County


How does ACA affect patients? 

 
There are three ways in which ACA may affect people living with HIV/AIDS (PLWH/A). 
 
1) ACA will not impact your patient if they:

  • Would like to keep their current private insurance plan
  • Have employer-based insurance
  • Are receiving Ryan White medical care and ineligible for ACA
  • Are CalOptima (Medi-Cal in Orange County) or Medicare patients

2) ACA offers an opportunity for Individuals living with HIV/AIDS to quality for CalOptima coverage based on Federal Poverty Level (FPL) which is about $15,000 per year for one person.

  • Individuals who are legal residents with income below 138% FPL.
  • Patients who are currently on Medical Services Initiative (MSI) will be automatically enrolled into CalOptima for individuals below 138% FPL.

3) ACA requires that your patient purchase insurance and enroll in the health insurance exchange through Covered California if the individual is above 138% of the FPL. Depending on the individual, financial assistance such as: subsidies, health insurance premium payment, and/or waivers may be available. 

For patients who do not qualify for private health insurance, Medi-Cal, or will receive services not covered by their current coverage, they may be eligible for the federally-funded Ryan White program. This program offers medical, supportive services, and medication assistance for individuals who have no other source of paying for care services.

Covered California Enrollment Locations- Orange County
 
AIDS Services Foundation- (949) 809-5781 -Sky Park Circle, Irvine
 
AltaMed- (877) 462-2582 - S. Bristol Ave., Santa Ana 
 
APAIT Health Center- (714) 636-1349 - Garden Grove Blvd, Garden Grove 
 
Delhi Community Center- (714) 481-9600 - E. Central Ave., Santa Ana 
 
The Center OC- (714) 953-5428 ext. 336- N. Spurgeon St., Santa Ana

Covered California
 
For patients who are interested in health insurance options other than their current plan, or their income puts them above the 138% FPL, they will have to apply through the health insurance exchange. In California, this is called Covered California.

Multiple locations in Orange County have enrollment workers who can help patients enroll in appropriate health coverage; whether it is into private insurance or Medi-Cal. Individuals can also visit the Covered California website at www.coveredca.com..

Subsidies may be available to patients who have enrolled in a Covered California approved plan.

Office of AIDS-Health Insurance Premium Payment (OA-HIPP)

OA-HIPP is a program for individuals living with HIV/AIDS and need assistance in payments for health insurance premiums. Individuals above 138% FPL who qualify for AIDS Drugs Assistance Program (ADAP), may also qualify to receive assistance with premiums. For more information on OA-HIPP, visit: www.cdph.ca.gov/programs/aids/Pages/tOAHIPPindiv.aspx

Important Reminders 

  • If the patient currently has ADAP or Ryan White coverage, s/he will be screened at their eligibility appointment for all programs s/he may be eligible. 
  • Patients should be reminded to attend their eligibility appointment.
  • If the patient has a case manager or a care coordinator, they can assist the patient in addressing questions regarding ACA.
  • Enrollment varies depending on coverage.
  • If patient is eligible for Medi-Cal, enrollment began October 1, 2013. Coverage will begin January 1, 2014, but patients can apply at any time.
  • If the patient is above 138% FPL and is eligible for a Qualified Health Plan through Covered California, enrollment began October 1, 2013 and ends March 31, 2014. Open enrollment is between October through December thereafter.
  • Remind clients to open and read their mail as important information regarding health coverage is being disseminated via mail.


Covered California Affordable Care Act Resources


Health Care Reform and YOU!

 
HIV Health Reform: www.hivhealthreform.org/ 
 
Greater Than AIDS 
www.greaterthan.org/campaign/obamacare/ 
 
Please visit Orange County Health Care Agency's website for important up-to-date resources on the Affordable Care Act: www.ochealthinfo.com/phs/about/dcepi/hiv/libehiv/aca


OC In+Care is a project of the Orange County HIV Quality Management Committee. The HIV Quality Management Committee works to increase the quality of Ryan White services. For more information about the committee, please call (714) 834-8711.
 
If you have feedback or topic suggestions for future newsletters, please contact Mindy He at Mhe@ochca.com

OCMA hosts Leaders Toolkit: A two-day course for physicians seeking leadership roles in organized medicine


Leadership, except for the amazing few, is a learned art.

The Leader's Toolkit is a Socratic seminar (via a didactic "lecture") that covers the key elements of leadership in a very concise manner. While there will be some theory, we will highlight actionable behavior, tools, and concepts that you will (or should) use every day. This two-day course is available to CMA/OCMA members only.

What Will Be Covered:

  • Strategy: Knowing when to change, change management, strategic planning, strategic execution
  • Leading Your Team: Non-delegatable responsibilities of the leader, setting boundaries - management philosophy, making decisions
  • Building Your Team: Hiring (and firing)
  • Managing Your Time: Setting priorities, managing your time
  • Managing Your Meetings: Running a Meeting, parliamentary procedure
  • Managing Your Organization's Money: assessing your financials from the CEO's perspective and knowing the correct questions to ask
  • CMA/CMS Structure: Understanding and leveraging this critical relationship from a physician leader's perspective
  • Managing Your Message: Communicating by email, communicating one-to-one, having difficult conversations, negotiating, communications with your customer (aka marketing)

Meeting Dates & Times: 
Leader's Toolkit will begin promptly at 8:00 am on Saturday, March 22, 2013 and includes a mandatory dinner that evening. We will convene again at 8:00am on Sunday, March 23rd. We will conclude at 12 noon.
 
Presenter:
Tom Gehring, CEO, Executive Director of the San Diego Medical Society, has taught this immensely popular seminar for the past 5 years. 
 
Location:
OCMA Conference Center
17322 Murphy Ave.
Irvine, CA 92614

Registration Information
 
RSVP: Fax the form to 916.551.2563 or contact Jennifer Moller, CMS Services at 916.551.2541 or jennifer@cmsservices.org.
Space is limited so RSVP today!
 
Cost: This program is FREE to our members and offered as a member benefit. We do require that all participants purchase a set of 13 leadership and reference books which are discussed during the seminar and provide the attendee valuable resources for further study and reference. This collection of books may be purchased directly from Amazon (list will be provided) and most are available as e-Books, hard-bound and/or as paperbacks and cost between $150 - $200 for the set.
 
Class size is limited to 16 attendees and reservations are taken on a first-come, first-served basis. Meals over the two days will be provided by CMA including dinner on Saturday night. Travel and lodging costs are the responsibility of the attendee.  
 
Attire: No ties, no suits, no fancy attire - jeans are just fine. California casual, please.

"My participation in the Leader's Toolkit seminar was useful in so many ways - some unexpected. I have been more effective at communicating within my family, at my workplace and among the leadership at my hospital. I recommend this course to all physicians who want to advocate for patients or for other doctors, who hold any leadership role in their practice, hospital, community or medical group, or who have any aspirations for such a role." 
- Ruth Haskins, M.D.


Now Accepting Nominations: 2014 OCMA Physician of the Year

DEADLINE: February 18, 2014

The Orange County Medical Association is now accepting nominations for the 2014 OCMA Physician of the Year. This award, which was established in 1983, recognizes a physician who, throughout his/her career, has exemplified what it means to be an accomplished physician. All OCMA members are encouraged to participate by nominating a fellow physician for his/her hard work and dedication, exceptional professional competence, and good rapport with patients. The award also acknowledges the physician for being a motivator, educator and community leader. If you would like to nominate a fellow physician colleague, please send your recommendation letter including: 
 
  • Name and title of nominee  
  • Description of the nominee's accomplishments and contributions. Supporting documents such as a CV, newspaper clippings, etc. are encouraged   
  • Name, title and signature of nominator
Nominees are not required to be OCMA members.
 
The winner will be announced at the OCMA General Membership Dinner.

 

Nomination submission:

 

Attention Holly Appelbaum 2014 OCMA Physician of the Year
Orange County Medical Association
17322 Murphy Avenue, Irvine, CA  92614
(949) 398-8100 ext 106 

Fax: (949) 398-8120

Email: happelbaum@ocma.org

DEADLINE: February 18, 2014


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