March 24, 2008

IN THIS ISSUE

Editor's Column: The Hand That Rocks The Cradle
 DMC's Dr. Bock Lauded
Tamper-Proof Rx Pad Deadline April 1
Patient Safety Audio Conference April 8
Meet Pols At April 10 Meeting
WSUSOM Displays AIDS Quilt


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Editor's Column: The Hand That Rocks The Cradle

By JOSEPH WEISS, MD
The health news that generates headlines comes from the presidential candidates’ rhetoric on health insurance: who to cover, how to cover, how and how much to pay. The medical community is concerned with different issues.

A new president, whether Republican or Democratic, likely will bring changes in 1) coordination of care, better known as the medical home; 2) changing patterns of medical care, now called pay–for-performance and 3) accelerating information technology, now focused on bringing a computer to every medical lap.

Who will receive care, how much care, and at what cost are questions that Congress will debate and modify from any original political party position. The discussions will take place publicly and news will come often on progress, compromise, changes on issues and new ideas.

In contrast, the areas of coordination of care, changing physician practice, and forwarding technology represent areas controlled by CMS policy. In turn, CMS initiatives come from decisions made by a small group of administrators who report to each other. The names of these policy makers and their deliberations are generally unknown to us. 

Therefore, in our conversations with the candidates, their advisors, representatives, supporters and followers we should ask questions not about coverage and how to pay for it, but focus on these areas of the medical home, P-4-P, and the roll out of medical technology. We should also learn the names of the candidates’ confidants on health matters.

Experience shows that health insurance companies follow CMS initiatives. What the new administration begins, will become the changes we will see from Blue Cross, Aetna, United Health, and Humana in the months that follow. 

Certainly, we need to know what the new president intends, but of more importance to us, is how CMS intends to do it.

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DMC's Dr. Bock Lauded

The American College of Emergency Physicians (ACEP) announced March 14, 2008 it has recognized Brooks F. Bock, MD, president of Harper University Hospital and Hutzel Women’s Hospital, as a “Hero of Emergency Medicine.” The campaign which is part of ACEP’s 40th anniversary, recognizes emergency physicians who have made significant contributions to emergency medicine, their communities and their patients.

“Dr. Bock is one of the best administrative physicians and his accomplishments in emergency medicine are too numerous to name. He is a leader in his field and has been for many years,” said Dr. Ronald Krome, former Chief of Emergency Medicine at DMC Detroit Receiving Hospital and a past president of ACEP.

Dr. Bock, who is also a professor in the department of emergency medicine at Wayne State University, began practicing emergency medicine in 1970. In 1976, he established the emergency medicine residency program at Wayne State University/Detroit Receiving Hospital and later became professor and chair. Dr. Bock has been medical director for the City of Detroit EMS System since 1985. He served on the editorial board of the Annals of Emergency Medicine from 1985 to 1995, and has served as a delegate to the AMA House of Delegates since 2000.

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Tamper-Proof Rx Pad Deadline April 1

Under a federal law passed last year, physicians will be required to use tamper-resistant prescription pads for most handwritten Medicaid prescriptions (exceptions exist for Medicaid managed care and institutionalized patients).

Advocacy by the AMA, state medical societies and others last fall achieved a six-month delay in the implementation date, which is now April 1, 2008. Orders for these pads can take up to four weeks to process, so physicians who have not yet ordered them should do so now. While this is a federal law and the Centers for Medicare & Medicaid Services has issued some guidance to state Medicaid agencies, each state agency must implement its own requirements regarding the tamper-resistant features of the pads. The AMA has been working with a coalition to bring clarity to the situation.

Visit http://www.ama-assn.org/ama/pub/category/15559.html for more details, including a letter from the National Council for Prescription Drug Programs and a spreadsheet showing particulars for each state.

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Patient Safety Audio Conference April 8

Hospital leaders and others who want to learn how to get patients and families to partner with healthcare providers on community-based patient safety advisory councils should mark their calendars for a free audio conference on April 8 from 2:00 to 3:00 pm, E.D.T. AHRQ grantee Kathy Leonhardt, MD, MPH, of Aurora Health Care in Wisconsin will present the latest evidence in “How to Develop a Community-Based Patient Advisory Council,” a toolkit developed in partnership with Consumers Advancing Patient Safety. The audio conference will feature highlights from a how-to guide developed through AHRQ’s Partnerships in Implementing Patient Safety (PIPS) grants program. The PIPS projects focus on implementing safe practice interventions that can be used by those who wish to adapt and/or adopt interventions to improve patient safety in diverse settings. For conference registration information, send an e-mail to AHRQ-PSRCC@ahrq.hhs.gov.

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Meet Pols At April 10 Meet-n-Greet

MSMS will hold the 11th annual Greater Detroit Meet-n-Greet on Thursday, April 10, 6:30-9 pm, at Fishbone’s Rhythm Kitchen in Detroit’s Greektown. This event is designed to foster a connection between the medical community in the greater Detroit metropolitan area and their state lawmakers. Also, participants will have the opportunity to discuss health care legislation and state budget issues. (View the

2008 MSMS Legislative Agenda online at www.msms.org/legagenda.) Hors d’oeuvres and refreshments will be provided during the event,co-sponsored by MSMS, the Detroit Medical Society, Wayne County Medical Society, and Wayne County Osteopathic Society. To RSVP, contact Anne Lavender at MSMS at 517-336-5736 oralavender@msms.org. For more information about legislative advocacy,contact Colin Ford at MSMS at

517-336-5737 or cford@msms.org. Or visit www.msms.org/advocacy.

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WSUSOM Displays AIDS Quilt

AMSA Presents...

THE AIDS MEMORIAL QUILT DISPLAY AT

WSU-SOM!!!!

We've already learned about the biochemistry behind HIV and AIDS. Now, come to the reception to hear about the life experiences of someone who is HIV+. Viewing the Quilt display will provide a more humanistic approach of how AIDS impacts the family and friends of those who have lost their lives to this terrible disease!

AIDS QUILT RECEPTION!

When: Wednesday, March 26th from 4:30 PM to 6:30 PM

Where: Scott Hall Cafeteria

Speakers: Elizabeth Dawsey from Positive Perspectives will be giving a talk about her experiences being HIV+. Dr. Robert Frank, MD, Executive Vice Dean for WSU-SOM, will be making the opening remarks.

Hors d'oeuvres and beverages will be provided.

Additional Viewing Times for the AIDS Quilt Display:

Dates and Times: March 21st, 24th thru 28th--7:30 AM to 11:00 PM

March 22nd--10:00 AM to 2:00 PM

Location: Scott Hall Cafeteria

What is the AIDS Memorial Quilt all about? Visit www.aidsquilt.org to find out!

PLEASE ATTEND!!!!!!

This event was made possible by contributions from AMSA, WSU-SOM Student Senate, Dr. Bill Kupsky, MD, and Dr. Ali Moiin, MD.

David S. Goodyear V, MS I

LGBT Action Committee Chair, AMSA

Wayne State University

School of Medicine

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