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June 2012


From the Governor

This edition of the newsletter includes a recap of Leadership Day, several items of interest, and more. As always I would like to hear back from ACP members about we can be doing to bring new initiatives to the chapter. I can be contacted at jneal6@iuhealth.org or (765) 747-4350.

J. Matthew Neal, MD, MBA, FACP
Governor, Indiana Chapter

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2012 Leadership Day Recap



Leadership Day 2012 was another great event as our delegation (see photo below) met with our members of Congress on Capitol Hill to encourage our legislators to help repeal the SGR, and eliminate proposals to cut primary care programs and GME funding. The first day consisted of an “advocacy workshop” conducted by the staff in the Washington ACP office. We then had a keynote address by Bob Doherty, who gave an up-to-date summation of the key health care issues being discussed and the position of ACP on these matters. Of particular note is the pending Supreme Court decision on the constitutionality of the Affordable Care Act (ACA) which will have dramatic impact on future legislation.

From left to right: Tapan Mehta, Ami Bhimani, Shoaib Rasheed, Matt Neal, Bob Crook, Cassidy Menard, Rattan Juneja, Eric Djenge, Henry Davis, Mark Kevin.

The sessions also included meetings with Rep. Bill Cassidy, MD (R-LA), an ACP Fellow and gastroenterologist, and Rep. Allyson Schwartz (D-PA), who has been a key influence in health care reform. These sessions were incredibly informative. We also had the chance to meet the United States Surgeon General, VADM Regina Benjamin, MD, MBA, who discussed health care reform and the necessity for our patients to develop healthier lifestyles.

I had the wonderful opportunity to meet Dr. Benjamin personally and I can attest that she "really means" what she says - she is an incredibly down-to-earth person who has done amazing things during her career to help the underprivileged and is someone whose great leadership example we can all follow.


I would like to thank Drs. Tapan Mehta and Ami Bhimani, two of our IU Health Ball Memorial Hospital residents, who organized the Congressional appointments and set up the schedules.

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Fall Chapter Meeting

Don’t forget the Indiana Chapter Meeting at Marten House Hotel & Lilly Conference Center, November 9-10, 2012 in Indianapolis! More information will be posted soon on our News & Meetings page.

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Items of General Interest

The Patient-Centered Outcomes Research Institute has posted the draft report of its Methodology Committee. A formal comment period will begin in July. For more information, visit http://www.pcori.org/what-we-do/methodology/.

A group of health care delivery organization executives has released an IOM Discussion Paper titled, "A CEO Checklist for High -Value Health Care." A related commentary has been posted by JAMA.
http://iom.edu/Global/Perspectives/2012/CEOChecklist.aspx
http://jama.jamanetwork.com/article.aspx?articleID=1172505

David Bronson and Robert McLean are both interviewed in this discussion of the primary care bonus in the American Medical News. The piece raises the question of whether the temporary 10% primary care bonus in the Affordable Care Act has made a positive impact on practice. There is an interesting chart at the end showing data from the Commonwealth Fund illustrating a net savings by increasing Medicare payments for primary care office visits over a 10 year period. The savings would accrue mainly from decreased hospitalization expenses that more than offset the increase in primary care office services. The current Medicare bonus ends in 2016.

This is an interesting repeat broadcast of a CNN special that originally aired in March, 2012 called "Global Lessons: The GPS Roadmap for Saving Health Care." The presentation by Fareed Zakaria to be both clear and thoughtful while also recognizing the complexities of the problem. The program examines the health care systems of the UK, Taiwan, and Switzerland, and contrasts them to the US. The program also examines some possible approaches to the problem including Jeff Brenner's targeting of high needs patients in Camden, NJ. The CNN web site has a nice summary of the program. Zakaria's approach echoes the ACP 2008 position paper: "Achieving a High-Performance Health Care System with Universal Access: What the United States Can Learn from Other Countries".

The new issue of The Economist featured an article on the historical evolution of the role of a physician. The article reports, "Most countries suffer from a simple mismatch: the demand for health care is rising faster than the supply of doctors. The problem is most acute in the developing world, though rich countries are not immune...One approach to making doctors more efficient is to focus what they do."
http://www.economist.com/node/21556227

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Young Physician Leadership Webinars

June 28, 2012 6:30 pm EST “Interviewing Physician Candidates”

Please don’t miss the second of our Leadership webinars. This session will focus on the potential pitfalls in interviewing physician candidates and ways to improve outcomes.

Register: https://www3.gotomeeting.com/register/341690606

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Contact Information

Indiana Chapter Governor:
J. Matthew Neal, MD, MBA, CPE, FACP, FACE
Email: jneal6@iuhealth.org
(765) 747-4350; Fax (765) 751-1451

Donna Seawards
Executive Director
Email: donnaseawards@gmail.com
Ph: 623-225-5527

Chapter Address:
4319 West Clara Lane, PMB #288
Muncie, Indiana 47304