March 2014 · Volume 24 & Issue 3
A Monthly Publication of the Greater Louisville Medical Society
2014 GLMS Election - cast your vote online See page 3
Vice President June 2014-May 2015
June 2014-May 2016
Robert “Bob” Couch, MD, MBA See bio on page 3
Heather L. Harmon, MD
Tracy L. Ragland, MD
June 2014-May 2015
June 2014-May 2016
Regi Varghese, MD
June 2014-May 2017
Frank R. Burns, MD
Eric F. Lydon, MD
Shalonda Newcomb, MD
Rajesh Sheth, MD
Natalie Stephens, MD
2015 Nominating Committee
June 2014-May 2015
Ahmad Sayam Alex Bashir, MD Cravanas, MD
(To elect 20, listed in random order)
Nathan Podoll, MD
Frank Burns, MD Wayne Tuckson, MD Gregory Ciliberti, MD Sean Clifford, MD K. Thomas Reichard, MD Shawn Glisson, MD Gordon Tobin, MD Larry Griffin, MD Divya Cantor, MD Terry Weiss, MD
U. Geetha Joseph, MD Tracy Ragland, MD Stephen Kirzinger, MD A. O’tayo Lalude, MD Brian Sosnin, DO John Mandrola, MD Karen Abrams, MD Nancy Newman, MD Rosemary Ouseph, MD Amy Quillo, MD
Information on how to cast your vote on page 3
Cynthia Rigby, MD David Bybee, MD John Roberts, MD Susan Bornstein, MD Charity Burke, MD Mary Helen Davis, MD Ganesh Rao, MD Regi Varghese, MD
GLMS News is a monthly publication of the Greater Louisville Medical Society 101 W. Chestnut Street, Louisville, KY 40202 (502) 589-2001 Fax (502) 581-9022 www.glms.org. GLMS News reserves the right to make the final decision on content and advertisements.
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Executive Director [email protected]
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Membership Status As of February 2014, active GLMS membership numbered 2004, which is 80 percent of physicians practicing in Jefferson County. View Additional Photos from GLMS Events: www.flickr.com/photos/glms1
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Board of Governors’ Highlights February 14, 2014 • Kentuckiana Health Collaborative Co-Director Randa Deaton presented an update on KHC’s group practice quality reporting website. The website, set to launch this spring, will contain consumer education, group practice comparisons, and hospital comparisons. The reports focus mainly on primary care group practices with at least three providers with a minimum of 30 patients per measure, and who don’t opt out. Practices featured will be located in Jefferson, Oldham and Bullit counties in Kentucky and Floyd, Harrison, Clark and Scott counties in Indiana. Reports will be based on claims submitted for 20 HEDIS measures from the various insurance plans, including multi-payer, commercial and Medicaid plans, which will be added up to get the total score for each measure. The individual physician reports will be combined to reach a group practice score. The GLMS Quality Improvement and Patient Safety Committee has been very involved in this project and welcomes physician input. • Secretary Robert A. Zaring, MD, MMM, reported that membership data was submitted to Louisville Magazine at the end of January for their 2014 Fit Louisville Health Guide. Associate Executive Director Bert Guinn, MBA, CAE, added that the guide is essentially a public version of the roster. The publication will come out in the spring and 40,000 will be distributed to Louisville Magazine subscribers, YMCAs, and physicians. • The GLMS Proposed Ballot was announced to the membership by e-mail and on the website on February 1 as indicated in our bylaws. The election will occur online in mid-March. • Treasurer Robert Couch, MD, MBA, reported that 79% of Active members had paid their 2014 dues, compared with 73% at the same time last year. • Board Chair Russell Williams, MD, reported that after examination, it was found that GLMS’s investment portfolio included a single mutual fund investing in tobacco products. That mutual fund will be eliminated from the portfolio. President Elect Bruce Scott, MD, suggested the Board look at the portfolio each year with the financial advisor prior to the annual report to ensure GLMS isn’t investing in major health-related vices. • Brian Sosnin, DO, Robert Zaring, MD, MMM, and Tracy Ragland, MD were appointed to the newly created Bylaws Task Force. President James Patrick Murphy, MD, MMM, will oversee the task force. • Dr. Murphy reported on the success of the inaugural OPIOID course. See story page 5. • Metro Health Director LaQuandra Nesbitt, MD, announced that the Healthy Louisville 20/20 plan would launch on Feb. 19 and would focus on community health, including banning e-cigarettes and
hookahs to minors. A community dashboard will be launched this spring that will allow entities to self-report what they’re doing to help with those issues making it easier for groups to partner with common goals. Funding opportunities will also be circulated on the site. • UofL School of Medicine Dean Toni Ganzel, MD, announced that construction on the preclinical instruction building has started. Major construction will begin when the first and second year students complete their instruction and be completed by the end of the academic year. This should coincide with the launch of their completely integrated first year curriculum. They are also creating an Office of Community Engagement as a result of strategic planning, with the goal of engaging the nursing school, school of public health and dental school to make more of an impact on the community. • GLMS Foundation Director Terry Todd thanked the Board for supporting the Comprehensive Campaign and reminded members that the 4th Annual Scholarship Golf Outing will take place on September 22, 2014. • Karyn Hascal, president of The Healing Place, announced the annual Celebrate Freedom Dinner was sold out. Also, the organization is planning a variety of activities to celebrate its 25th anniversary in August. On January 28, THP’s Board voted unanimously to move forward with redeveloping the men’s campus. • KMA President Fred Williams, MD, reported on some of the issues that KMA and GLMS were taking to Frankfort for Physicians’ Day at the Capitol on February 26: o The Good Samaritan Law o Medical Review Panel o Smoke-free legislation o MOST (Medical Orders for Scope of Treatment) Dr. Murphy encouraged members to call the Legislative Message Line at 800-372-7181 to ask their legislators for support of these issues. Dr. Williams also reported the nurse practitioner bill moved out of the Senate and has gone to the Governor to sign. • Dr. Zaring, AMA Alternate Delegate, gave a report on AMA issues: o ICD10 is supposed to go into place on October 1 but a new report looking at the cost shows it tripled since last predictions were made. Insurance companies are also reportedly not prepared, with only a small percentage of claims making it through the pass through process. Ardis Hoven, MD, AMA President, wrote a letter to Kathleen Sebelius asking her to further
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GLMS Mission - Promote the science, art and profession of medicine; Protect the integrity of the patient-physician
relationship; Advocate for the health and well-being of the community; Unite physicians regardless of practice setting to 2 GLMS News March 2014 achieve these ends.
2014 GLMS Election President-Elect How to Cast Candidate Your Vote Robert H. Couch, MD, a native of Tuscumbia, Alabama, received his B.S. from the University of Alabama and his medical degree from the University of AlabamaBirmingham. He worked as a Paramedic during his time at Alabama. Following medical school, he came to Louisville for a residency in Emergency Medicine under Dr. Donald M. Thomas. He co-founded his EM group, Southern Emergency Medical Specialists in 1985, and it has grown to include over 25 physicians and 20 mid-level providers. It exemplifies the team-based approach to the practice of Emergency Medicine. In 2009, he completed the MBA program at Auburn University, confusing both Alabama and Auburn alumni. Dr. Couch, or “Bob”, has been active in leadership roles in Emergency Medicine, twice serving as president of the Kentucky Chapter of the American College of Emergency Physicians and in hospital medical staff activities, serving as president of the medical staffs at both Caritas Medical Center and Jewish Hospital-St. Mary’s Healthcare. He has also been active in GLMS activities, serving on the Board of Governors since 2009, and currently serves as treasurer. He has been selected by his peers for a number of years as a “Top Doc” in Louisville Magazine, and was presented the Horizon Award at the Doctor’s Ball. One of Bob’s passions is in taking his skills in medicine to underserved regions in the world, including rural areas of China, India, Haiti, and Central America. He has partnered with Dr. Tom McKechnie in his “Teach to Transform” initiative, taking healing arts and teaching indigenous peoples basic medical skills, helping to transform both individuals and communities. This initiative has grown to include other GLMS members and has touched people groups all over the world. Dr. Couch and his wife of 25 years, Wilma, have two daughters, Mary Claire and Julia, both students at Belmont University in Nashville. They are all avid Louisville Bats fans. Wilma also serves as crew chief for their hot air balloon, Zwazo, and prefers to stay on the ground while Bob slips the surly bonds of Earth.
GLMS News March 2014
The GLMS election is conducted entirely online for the offices listed on page one as well as KMA delegates. Please note that all candidates are unopposed except for the 2015 Nominating Committee, where 20 will be selected. It is important for GLMS members to vote and choose Nominating Committee members who they believe will represent the various sectors of the medical society’s membership, since the committee will develop next year’s slate of candidates. Active, life, military and in-training members are eligible to vote. Voting will close on Friday, April 4. If GLMS has your email address on file, you will receive instructions via email. Otherwise, go to www.glms.org and click on 2014 GLMS Election – Vote Now. Clicking the link will take you to the Official Ballot, you will need to enter your member ID number to cast your vote. Your member ID is located next to your name in the GLMS Annual Pictorial Roster. Members can vote only one time. If you need your member ID or have difficulty voting, contact Jennifer Howard at [email protected]
Board of Governors’ Highlights, continued (continued from page 2)
postpone implementation. o Part of the AMA’s strategic plan includes studying new methods for medical student education. The AMA recently released $11M over five years to 11 schools to study new methods of providing education. o SGR Repeal and Medicare Provider Modernization Act (HB 1415/ SB 2000) would repeal SGR and put things into value-based purchasing using quality indicators that specialty societies have come up with. The senator who championed the repeal has been made an ambassador to China so he’ll have to be replaced. Members are urged to contact their legislator. More information can be found at ama-assn.org. • Dr. Ragland, Policy & Advocacy Team co-chair, reported a good turnout at the GLMS Legislative Reception on January 14. There were nearly 80 people in attendance, including 12 legislators.
Physicians’ Day at the Capitol
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The KMA Physicians Day at the Capitol was held on Wednesday, February 26. Representatives from GLMS attended and met with legislators after being introduced on the senate floor, pictured above are Sen. Carell Gibson, Dr. Robert Couch, Dr. MonaLisa Tailor, Sen. Dan Seum, Dr. Tracy Ragland, Dr. Randy Schrodt, GLMS Associate Executive Director Bert Guinn and Sen. Ernie Harris. Policy and Advocacy Team Chair, Mary Helen Davis, MD, lobbies in Jefferson County Representative Ron Crimm’s office.
Dr. Robert Couch and and Rep. Darryl Owens speak about the medical society’s top five issues.
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MedicaL Society Professional Services GLMS News March 2014
A Greater Louisville Medical Society Company
Inaugural OPIOID Course a Success OPIOID speakers Dr. James Patrick Murphy, Dr. Mark Boswell, Dr. Paul Sloan, Detective Beth Ruoff, Dr. Mary Helen Davis and Dr. Boz Tabler gather at The Healing Place.
The inaugural OPIOID (Optimal Prescribing Is Our Inherent Duty) held February 7 – 9, 2014, included lectures, group dynamic work and testimonials for the full class of ten participants. Course director, James Patrick Murphy, MD, MMM, said, “What was most gratifying to me was seeing how our participants (now to be rightly known as our ‘partners’) remained focused and underwent a metamorphosis of sorts. But in reality, I don’t believe they were changed in any way by the course; instead, I believe OPIOID may have rekindled a spark in each of them that was already there - only perhaps a bit beaten down by the regulatory grind. I know I was inspired by what happened over these past three days.” The inaugural class of participants was energetic, focused and committed to making any changes necessary to provide their patients the best care possible. The intentionally small class size fostered a sense of community and encouraged the participants to engage with the faculty and one another, with many sharing personal experiences with the group.
Medical School Building. Mary Helen Davis, MD, led a detailed conversation on the inner workings of KASPER and finished with a discussion on physician motivation in the age of regulatory expansion. David Hopkins, KASPER Program Manager for the Kentucky Cabinet for Health and Family Services, also shared vital information about Kentucky’s electronic prescription monitoring program. Dr. Tabler returned to lead a session on the psychology of pain and the co-existence of chronic pain and psychiatric illness, as well as psychiatric treatment strategies. Ken Kirsh, MD, reviewed the interface between pain and psychological issues. Mark Boswell, MD, described the different types of challenging pain patients. He followed this with a lecture on how to screen for psychological pathology in our patient population. The day concluded with “Pain Management Meets Speed Dating.” Dr. Tluczek, along with Patrick Myers, MD, and seven other actors posed as various types of challenging pain patients, allowing the course participants private one-on-one mock interviews. Dr. Murphy wrapped up the successful course with an in-depth look at Kentucky’s pain regulations and learned strategies on how to incorporate the rules effectively into daily practice routines. Future OPIOID courses are currently being planned. Click on the OPIOID button at www.glms.org for more information or contact Stephanie Woods at 502-736-6350 or [email protected]
for news on the next course.
The first day participants gathered at The Healing Place. Dr. Murphy opened the session with an overview of the multiple areas of concern when prescribing controlled substances. Paul Sloan, MD, gave a thorough review of pharmacology and guidelines. Detective Beth Ruoff spoke on the interface between addiction and the criminal diversion of prescription drugs. The group was then educated on the science of addiction by Boz Tabler, MD. Heather Tluczek, MD facilitated as two Healing Place clients shared about the toll addiction has taken on them personally. The final two days of the course were hosted at The Old Dr. James Patrick Murphy leads a discussion on Kentucky’s pain regulations and strategies on how to incorporate them into daily practice routines.
GLMS News March 2014
GLMS Town Hall Offers Resources to Ease Practice Frustrations with ACA On February 13, 2014, over 50 office managers and physicians gathered at The Old Medical School Building to discuss issues that have arisen since the new Health Benefit Exchange policies went into effect on January 1. The forum, hosted by GLMS PresidentElect Bruce Scott, MD, featured discussion between the participants and a panel of experts: Jessica Williams, CHTS-PW, GLMS Director of Physician Education & Practice Support; Lindy Lady, CPC, CPCO, KMA Manager of Medical Business Advocacy; and Stephanie Woods, CHTS-PW, GLMS Senior Practice Advocacy Specialist. Issues discussed included Kentucky Health Cooperative contracts, out-ofstate benefit problems, copay policies to use when the card doesn’t state the patient’s copay, and suggestions for improving Availity. Attendees received copies of ex-
change plan member cards for Anthem Pathway X, Humana HMOx and Kentucky Health Cooperative and a list of contacts for exchange plan carriers. For copies of these documents, contact Stephanie at 502-736-6350 or [email protected]
Physician members or office staff may submit issues with insurance carriers using the GLMS Hassle Report Form available online at www.glms.org, on the GLMS Mobile App or by contacting [email protected]
The GLMS Physician Education and Practice Support Department tracks these issues in order to identify trends and regularly communicates with the insurance carriers to address and resolve problems for our members. Additionally, GLMS will take issues discussed at this meeting and others back to the insurance carrier for response and will continue to monitor progress of the ACA and Health Benefits Exchange.
GLMS President-Elect, Dr. Bruce Scott, GLMS Director of Physician Education, Jessica Williams, KMA Manager Medical Business Advocacy, Lindy Lady, and GLMS Sr. Advocacy Specialist Stephanie L. Woods, CHTS-PW answered questions
President-Elect, Dr. Bruce Scott, is interviewed by New York Times reporters for an ongoing series about the Affordable Care Act in Louisville.
2014 Healthcare Classic
Membership Dues Reminder
The 25th Annual Healthcare Classic 5K Run/Walk is organized by University of Louisville medical students. All proceeds from this race are donated to The Healing Place.
Thank you to all GLMS physicians who have paid their 2014 membership dues. Delinquent notices have been sent to members whose dues remain outstanding on March 1. Failure to pay dues will result in not being listed in the GLMS Annual Pictorial Roster or mobile app.
When - March 29th. Runner check-in begins at 7:30 and the race starts at 9.
Where - Cherokee Park, Hogan’s Fountain, 745 Cochran Hill Rd. How Much - $20 Registration - Online registration closes on March 22nd. www.active.com/running/louisville-ky/healthcare-classic-5k-2014
To ensure no disruption in your membership status and benefits, pay dues immediately at www.kyma.org (click on Membership). If you have questions or did not receive a dues bill, please call Jennifer Howard at (502) 736-6362. In addition, don’t forget to join the GLMS Foundation. Foundation membership is only $100 and supports the organization’s initiatives of medical missions/indigent care, scholarships and preservation of The Old Medical School Building. Foundation members are recognized in the Annual Pictorial Roster for their tax-deductible donation.
GLMS News March 2014
NORTON HEALTHCARE WELCOMES ALI AZADI, M.D. Dr. Azadi provides expanded urogynecology services to women, including a variety of minimally invasive treatments for urinary incontinence and pelvic organ prolapse. Along with laparoscopic, robotic-assisted and transvaginal procedures, Dr. Azadi also provides: • Treatment for urinary incontinence and organ prolapse using natural tissue repair instead of synthetic mesh • Novel treatments such as sacral neuromodulation for the treatment of bladder and bowel disorders • In-office treatment for refractory overactive bladder • In-office urodynamic testing Go to NortonWomensCare.com to learn more about our Pelvic Health Program. To refer a patient, call Norton Women’s Specialists – Urogynecology at (502) 409–5600.
Ali Azadi, M.D. Norton Women’s Specialists – Urogynecology
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GLMS Monthly Educational Series Topic Medicare and Medicaid Roundtable Thursday, March 27, 2014 7 a.m. The Old Medical School Building “The Current State of Medicare in Louisville” will be discussed by Dr. Earl Berman, Chief Medical Officer, CGS Medicare Jurisdiction 15. Medicaid Issues will be addressed by individual Medicaid MCOs in attendance. Please submit general issues and/or questions for the upcoming roundtable agenda. Please note that any questions pertaining to individual claims/patients cannot be addressed during this meeting, however, there may be an opportunity after the meeting to speak individually with carrier representatives if their schedules allow.
GLMS members and staff are invited to attend. To RSVP or submit agenda items, contact [email protected]
or 502-736-6350. GLMS News March 2014
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