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May 2013


From the Governor

I enjoyed seeing many of you in San Francisco! For those of you who couldn't join us, I have included a full recap of the Internal Medicine 2013 meeting below. 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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Recap of Internal Medicine 2013 Meeting

April 11-13, 2013, San Francisco, CA

The 2013 Annual Session was a great event, with fantastic educational sessions, activities, and dining. It was great to network and see old colleagues, and meet many new ones. The weather was great, and I hope that everyone who attended had a great time.



Our two new ACP Masters—Asok Antony and David Crabb—were honored at Convocation. The criteria for Mastership are difficult to attain and require that candidates have “great personal character, positions of honor, contributions toward furthering the purpose of ACP, eminence in practice or medical research, or other attainments in science or the art of medicine.”
Dr. David Crabb is inducted as a Master of ACP by Dr. Guze.


Dr. Asok Antony is inducted as a Master of ACP by Dr. Guze and Dr. Bronson.

Four new Fellows participated in Convocation: Shoaib Rasheed, Ramesh Aggarwal, Angie Lee, and Gloria Alano.
2013 New Indiana Fellows: (from left to right) Angie Lee, Matt Neal (Governor, Indiana Chapter), Ramesh Aggarwal, Gloria Alano, Shoaib Rasheed.


New Fellows walk during Convocation.


ACP President David Bronson and Board of Regents Chair Phyllis Guze give the Convocation address.


Convocation 2013.

The Indiana Chapter reception was held at the Fifth Floor Restaurant in the Palomar Hotel. It was a great success as over 30 members attended the event.















The Indiana Doctor’s Dilemma team (from IU Health Ball Memorial Hospital) of Jeff Glant, Adrian Singson, and Xavier Laurente was competitive but unfortunately lost to Florida in the opening round.
IN Chapter Team (from left to right): Xavier Laurente, Adrian Singson, Jeff Glant.

Five residents presented posters at the national competition (two from IU School of Medicine and two from St. Vincent Hospital.
Joseph Khalil, St. Vincent Hospital


Luis Nunez, St. Vincent Hospital


Anita Rajagopal, St. Vincent Hospital


Khaled Abd el-jawad, IU School of Medicine


Sean Teagarden, IU School of Medicine

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Resident Council Spearheads Hands of Hope Project

The Indiana Chapter Resident/Fellow Council, headed by Chrissy Doan, Chrissie Tran, and Eric Robinson, put together a number of essential supply packages (school supplies, clothing, etc.) as part of the Hands of Hope Adoption & Orphan Care Ministry. Thanks also to Danni Holcomb, Director of Orphan Care and our liaison.

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Hold the date for the 2013 Indiana Chapter Meeting!

November 15-16, 2013
The Marten House Hotel & Lilly Conference Center
Indianapolis, IN

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Items of Interest

Obama Acknowledges "Bumps" Ahead For ACA Implementation.

Though President Obama had planned to unveil the new, shorter Affordable Care Act application form during his press conference Tuesday, other comments he made about the law receive much more attention in the national papers Wednesday. In response to questions about whether implementation of the ACA will turn into a "train wreck," as Senator Max Baucus predicted recently, Obama acknowledged that the next year will no doubt see "glitches and bumps." However, most sources note that he ultimately was optimistic about the rollout, saying, "We've got a great team in place. We are pushing very hard to make sure we are hitting the deadlines and the benchmarks."

The Wall Street Journal (5/1, Radnofsky, Subscription Publication) reports President Barack Obama admitted on Tuesday that the Affordable Care Act, the signature legislation of his first term, may face "bumps" in its implementation. The article explains that two main provisions of the law, intended to extend insurance to those Americans without it, have hit snags that have presented problems to the Administration. First, over half the states have thus far opted out of Medicaid expansion, meaning millions of low-income Americans who were supposed to be covered by 2014 will not be. Second, 33 states chose not to run their own insurance exchange, adding to the Federal government's implementation burden. As Obama said Tuesday, "Even if we do everything perfectly, there will still be glitches and bumps."

The New York Times (5/1, Pear, Subscription Publication) reports that the President said "that his health care law was 'working fine,' and played down concerns that the law could disrupt coverage or lead to higher premiums for people who already had health insurance."

USA Today (4/30, Jackson) notes that the discussion about the Affordable Care Act was sparked by a question Obama received "about comments by Sen. Max Baucus, D-Mont., that implementation could be a potential 'train wreck.'"

The Huffington Post (5/1, Young) reports that as Obama "sought to assuage the fears of the bulk of Americans who have health insurance already and to tamp down anxiety that his administration won't be ready when people start lining up to obtain health coverage under the law this fall," his remarks "reflected how much work is left to be done."

The Los Angeles Times (5/1, Levey) adds, "Obama pledged that the administration would meet all its deadlines and make the process as smooth as possible. He cited the release Tuesday of a simplified enrollment form for individual insurance, which was reduced to three pages from a 21-page draft."

Reuters (5/1, Heavey) adds that Obama said, in reference to the majority of states opting out of building their own exchanges, "I think it's harder, there's no doubt about it. It puts more of a burden on us."

CMS Proposes Raising Medicare Payments To Hospitals 0.8%.

Bloomberg News (4/26, Wayne) reported hospitals "will get a pay raise from the US government for treating patients in the nation's Medicare program," as CMS "plans to raise payments 0.8 percent beginning Oct. 1 for services that elderly and disabled patients receive after being admitted to hospitals," it said in a regulatory filing. "Long-term care hospitals that treat patients after they're discharged from acute-care centers would see a 1.1 percent increase." Bloomberg News says the proposals would increase government's spending on hospital care "by about $53 million next year."

Modern Healthcare (4/27, Zigmond, Daly, Subscription Publication) reported that in addition to the slight rate increase, CMS is also proposing "chang[ing] reimbursement for facilities serving high numbers of the uninsured in a way that is already drawing fire from public hospitals." The rule, proposed late Friday, "also launches a new penalty program for hospitals that fail to curb hospital-acquired conditions, a provision mandated by the Patient Protection and Affordable Care Act."

CQ (4/27, Norman, Reichard, Subscription Publication) noted that "these quality-focused provisions and others continue the Obama administration's stress on trying to more closely link hospital payments to how well institutions perform, rather than simply the number of patients they treat."

Bipartisan Group Of Experts Releases Report To Lower Healthcare Costs.

The Hill (4/30, Viebeck) "Healthwatch" blog reports that a "bevy" of healthcare "authorities," including former Senate Majority Leader Tom Daschle (D-SD), former HHS Secretary Michael Leavitt, and former White House budget directors Alice Rivlin and Peter Orszag, "released recommendations Monday for cost-conscious reforms to Medicare, Medicaid and private insurance they said could save $1 trillion over two decades." In a Brookings Institution study, the group "urge[s] Washington to embrace small, consensus-driven policy moves to lower healthcare costs rather than wait for a major deficit-reduction deal."

CQ (4/30, Reichard, Subscription Publication) reports that according to Leavitt, a Republican, "the plan outlined Monday reflects agreement among thought leaders in both parties who also have broad experience with the way Washington works." He detailed the reports "four areas of common ground," which include integrated care, a move away from fee-for-service, and "the principle of consumer choice."

Modern Healthcare (4/30, Block, Subscription Publication) adds that the report says that "the federal government could save more than $300 billion in healthcare costs over the next 10 years."

More Medical Providers Using Biometric Technology To Prevent Data Breaches.

Bloomberg News (4/29, Hallam) reported, "Iris scanners aren't just for airport border-control agents and spy movies anymore." London-based HCA Holdings Inc. as well as healthcare providers throughout the US, are "buying so-called biometric" technology, which "identifies people based on physical traits to improve patient safety and stamp out fraud." Data breaches cost the US healthcare industry "as much as $7 billion a year," according to a survey by the Ponemon Institute; and biometric device manufacturers, such as AOptix Technologies, Fujitsu, M2Sys Technology and Safran "say demand" from healthcare providers across the globe "is growing."

Hospitals Turn To UV Light-Emitting Robots To Fight Superbugs.

The AP (4/30, Stobbe) reports that "hospital infections are tied to an estimated 100,000 deaths each year and add as much as $30 billion a year in medical costs, according to the Centers for Disease Control and Prevention." According to the AP, "the rise of...superbugs, along with increased pressure from the government and insurers, is driving hospitals to try all sorts of new approaches to stop their spread: Machines that resemble 'Star Wars' robots and emit ultraviolet light or hydrogen peroxide vapors."

Health Experts Say Patients Should Play Active Role In Hospital Safety.

The Atlanta Journal-Constitution (4/29, Teegardin) reports that many healthcare experts "say it's wise for hospital patients and their families to ask doctors and nurses to wash their hands, remove unnecessary catheters and explain how they will prevent an infection from developing after surgery." Dr. Michael Bell, acting director of the division of healthcare quality promotion at the US Centers for Disease Control and Prevention in Atlanta, notes that infection control can be a complicated undertaking, which is why many hospitals now demand that doctors follow protocols known to keep patients safe. "We want to make things as goof-proof as possible," Bell said.

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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: 224-356-6101

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