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April 2014 Gregory A. Hood, MD, FACP, ACP Governor


From the Governor

Dr. Hood

This newsletter marks my final communication with you as your ACP Governor. The Chapter will be extremely capably served by the leadership of Dr. Phil Bressoud, our new Governor. He can be reached via KentuckyACP@gmail.com, which has been transitioned to his control.

It has been the greatest privilege to serve these years as your ACP Governor. We have pursued a number of initiatives, some new, some longstanding to continue to serve you ever better as members of ACP. In recognition of these efforts the Kentucky chapter is now continuing a four year streak in receipt of the ACP Chapter Excellence Award.

Additionally, for the chapterís work with House Bill 1, including providing testimony, education, and meeting with other stake-holders in the Commonwealth Kentucky is a nominee for an Evergreen award. This is the first time since the recognition of our residentís retreat at Shakertown that Kentucky is under such consideration.

The work with pain management in primary care has also led to the genesis and completion of a paper on controlled substance prescribing by ACP. Some of these same principles also contributed to an earlier paper on governmental intrusion regulating the physician-patient interaction.

Also, in a first of its kind program, Kentucky ACP has partnered with ACP nationally in receiving a grant from the Physicians Institute for Excellence in Medicine/Pfizer IGLC. As was communicated earlier this year Kentucky ACP will be working with several participating practices that are in ACOs, or PCMHs studying and (hopefully) improving pain management practices in primary care.

KY ACP continues to be blessed by the exceptional individuals and leadership who compose the governorís advisory council. The chapterís successes would not be possible without each one of them. I want to personally thank each one of them for their ceaseless dedication, input, friendship and availability over these years, as well as their ongoing commitment to serving the needs of all Kentucky members. Thank you also to you, as a member of ACP. We are in the midst of turbulent times in medicine. I applaud and thank you for your membership in ACP. As a member of ACP you are a part of the search for solutions for the future of American medicine.

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MOC

Maintenance of Certification is a topic of great importance and emphasis at this time. Compliance with MOC, as well as the impending issue of Maintenance of Licensure (MOL) by the Federation of State Medical Boards has the attention of most licensed physicians.

ACP has resources available for you.

ACP offers a variety of ABIM recertification resources to help you earn both ABIM Maintenance of Certification points and CME credits through the same educational program. All ACP MOC modules are free or included in the price of the product/meeting, with the exception of the live courses to complete ABIM modules.

Changes for 2014

ABIM has announced changes to the Maintenance of Certification (MOC) process for board certified internal medicine specialists and subspecialists, effective January 2014.

Beginning in 2014, ABIM will report two credentials for board-certified internists: whether you are Board Certified, and whether you are Meeting MOC Requirements. If you are not sure how the changes will affect you, check out the details at the ABIM website.

ABIM is an independent organization and its certification programs adhere to common standards established by the American Board of Medical Specialties. ACP recognizes the medical profession's responsibility to ensure quality medical care and supports the concept of lifelong learning and professional accountability. ACP believes that methods of internal medicine recertification should be relevant to a variety of practice settings, not redundant, and accommodate different learning styles and be sensitive to cost and time. However, ACP does not review, edit, comment or vote on certification or recertification requirements promulgated by the ABIM. Given our commitment to lifelong learning and high quality care, we strive to assure that ACP members understand the requirements of Maintenance of Certification and have access to effective education to help them with certification and MOC requirements.

Once you've enrolled in the ABIM's Maintenance of Certification program, you can turn to ACP for help earning the required points and preparing thoroughly for the internal medicine recertification exam. You're in good company when you use our reliable resources. Many internists report that they found the MOC process more fulfilling when they used our resources to earn points and keep up to date.

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SGR fix-againÖ sort of

Over the past year, and especially over the past month, Congress had tried to pass comprehensive legislation to finally rid physicians of Medicareís Sustainable Growth Rate (SGR) formula and move Medicare physician payments to a system that focuses on quality and value. Unfortunately, last night, despite the urging of many physician organizations including ACP and phone calls from Advocates, the Senate followed the House and passed, 64-35, the 17th SGR patch legislation, delaying the scheduled 24 percent SGR cut until April 1, 2015.

ACPís statement on the Senate vote expresses deep disappointment and frustration over yet another patch and the inability of Congress to resolve its differences over the budget and pass comprehensive SGR repeal legislation, as agreed to by the Medicare committees. The House passed the same SGR patch legislation by voice vote last Thursday. Read ACPís statement on the House vote. President Obama is expected to sign it into law, averting the 24 percent SGR cut that technically takes place today, but also, unfortunately, forestalling permanent SGR repeal.

With the patch in effect through March 31, 2015, Congress has tried to push permanent SGR repeal and Medicare payment reform to next year and the new 114th Congress. The policies of this comprehensive legislation, however, already have the unprecedented support of over 600 physician organizations (encompassing all states and specialties), and the Democrats and Republicans on the three committees with jurisdiction over Medicare issues (two in the House; one in the Senate) supporting it.

Washington, D.C. Leadership day is again approaching. The 22nd annual Leadership Day on Capitol Hill will be held May 21-22 at the Westin Washington, DC City Center, 1400 M Street, NW, in Washington, D.C.

Leadership Day enables the College to increase its presence on Capitol Hill and bring our issues of concern to U.S. lawmakers. Participants receive a comprehensive orientation and briefing on ACPís top legislative priorities and have an opportunity to meet with legislators and their staff on Capitol Hill. Kentucky has a long tradition of strong participation. We have been able to meet constructively with national as well as our own representatives.

Leadership Day 1

Leadership Day 2

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Kentucky Annual Meeting

The KY ACP chapter meeting will again be held this September in Louisville, in conjunction with the KMA meeting. Please watch closely for communications regarding both the educational program as well as the evening chapter business meeting. It is at the evening program that awards are given to medical students, residents, teachers and other chapter award recipients. This meeting will include opportunities to interact with Governor Bressoud as well as other KY ACP leaders as well as to explore ways that you can become involved in the chapter, including participating in policy and event creation.

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