|February 2013||Darilyn V. Moyer, MD, FACP, Governor|
- Greetings and Notes from Your Governor
- Have You Heard?
- Capitol Update by John Nikoloff
- A Gallery of Southeast Photos
- Einstein’s Team Wins PA Medical Jeopardy Championship Again!
- Pennsylvania Chapter Proudly Introduces the 2012 Awards Recipients
- Congratulations New SE Fellows!
- Southeast Region Fall Activities
- Welcome Aboard!
- PA Chapter Calendar of Events
Greetings and Notes from Your Governor
Dear ACP Colleagues,
Please join me in congratulating Greg Kane, MD, FACP, who is the Governor-elect designee for the Southeastern PA ACP Chapter! Greg will become the Governor -elect at the IM Meeting in San Francisco in April 2013. His term as Governor will commence in 2014. Greg brings an incredible wealth of experience in the clinical, educational and health and public policy realms to his upcoming governorship!
Greg is currently Professor of Medicine, Interim Chairman, Department of Medicine and Vice-Chair for Education at Jefferson Medical College. Greg and his wife, Jean, reside in Devon with their four children. Here is more information about Greg.
Five National ACP Awards and Two Masterships Awarded in PA ACP
Please join me in congratulating the following individuals who will receive national ACP awards and masterships at IM 2013:
|Geno J. Merli, MD, FACP||Masters|
|Howard H. Weitz, MD, FACP||Masters|
|Richard J. Baron, MD, MACP||Joseph F. Boyle Award for Public Service|
|William H. Lipshutz, MD, FACP||Outstanding Volunteer Clinical Teacher Award|
|Bennett Lorber, MD, MACP||Jane F. Desforges Distinguished Teacher Award|
|Lawrence D. Ward, MD, FACP||Walter J. McDonald Award for Young Physicians|
|Douglas Wallace, PhD||ACP Outstanding Work in Science as Related to Medicine|
Health and Public Policy Update
The PA ACP and the Temple University School of Medicine will be co-sponsoring the Second Annual Health and Public Policy Forum The Affordable Care Act: Issues and Answers, Saturday March 9, 2013.
How Can You Learn More About Advocacy and Health and Public Policy?
There is much occurring at the national and state levels in the health and public policy domain and we encourage you to make your opinion count by getting involved. We invite any of you who are interested in learning more and/or joining the PA ACP Health and Public Policy Committee, which meets by conference call once a month. Please email John Derrickson if you are interested in “listening in” on a call.
Information on the ACP Medical Home Builder
The ACP Medical Home Builder (MHB) tool provides affordable, accessible, online guidance to help identify opportunities for practice improvements and, if desired, prepare your practice for recognition as a Patient-Centered Medical Home (PCMH).
- Designed for all practices, ACP’s Medical Home Builder will help
- Improve office efficiency
- Increase patient satisfaction
- Optimize patient care
- Develop policies and procedures with downloadable forms
- Prepare for PCMH accreditation or recognition
Here is the brochure mailed to ACP Members.
Darilyn Moyer, MD, FACP
Governor, Southeast Region, PA-ACP
Have You Heard?
- A Single-Day Maintenance of Certification Learning Session in Internal Medicine is set for Saturday, March 23, 2013 at Hershey Medical Center.
- IM-Office Based 2012 Update
- IM-Hospital Based 2012 Update
- The sessions are designed to help internists to complete two American Board of Internal Medicine (ABIM) medical knowledge modules that can be used to earn MOC credit.
- We are proud to announce that five chapter members will receive national ACP Awards during ACP-IM in April. Congratulations Bennet Lorber, MD, MACP; William H. Lipshutz, MD, FACP; Richard J. Baron, MD, MACP, Lawrence D. Ward, MD, FACP and Douglas Wallace, PhD. Learn about the awards that they will receive.
- ACP Leadership Day 2013 is set for May 21 – 22, 2013. This event gives us the opportunity to have our voices heard on Capitol Hill.
- The Southeast Region’s 2013 Abstract Competition is in the planning stage. This year, Albert Einstein Medical Center will host the annual Poster Competition. A confirmed October date will be announced in the Spring.
- The Pennsylvania Chapter sponsors three regional abstract competitions offering residents and medical students an opportunity to compete with and meet his/her peers. In collaboration with program director, a resident may write an abstract on research, case study, or quality improvement based on their experience. The abstracts receive professional critiques and the best are selected to present a poster at the annual Residents Day. Residents and students who want to submit an abstract must be a member of the ACP. All residents who have provided the ACP with an email address will receive emails about the 2013 abstract competition.
Preyanka Makadia, a Philadelphia College of Osteopathic Medicine med student, has an excellent article published in ACP’s medical student newsletter and The Capitol Key titled “From the Capitol to the Clinic: Taking Home Lessons from Leadership Day”.
Follow either of the links below to learn about Preyanka’s Leadership Day experience.
Capitol Update by John Nikoloff
The 2013-2014 legislative session began on New Year’s Day with the swearing in of members. Under the PA Constitution, the General Assembly actually goes out of business at midnight November 30, and is not formally reconstituted until the first Tuesday in January. As this year’s session has just begun, no major legislation is pending. Committees have just been announced this week, and they are now setting initial agendas.
The Governor will be making his budget announcement on February 5, which is a target date for just about everything legislative, and following that budget speech and public announcement, the House and Senate will begin several weeks of public hearings on an agency by agency basis, to discuss proposed spending levels. This process is slated to run from mid-February until early March, at which time, the General Assembly will begin its real 2013 work.
Much of the legislative activity affecting internal medicine is focused on a few committees: Health, Insurance, Appropriations, and occasionally Judiciary, Human Services, and Aging and Youth. The newly announced members of these committees are available on line for the House here, and for the Senate here. Establishing grass roots relationships with the members of these committees and legislative leadership can be extremely helpful in our efforts to impact legislation.
The Governor’s 2013-2014 budget will include dealing with state pension costs, which are expected to be at least $500 million additional dollars annually. It’s unlikely that there will be that much money available without curtailing funding in some other areas, raising taxes or using bond revenues. Gov. Corbett continues to say he will veto any new tax increases. However, in finding funding for Transportation Infrastructure, ERG has been told wholesale oil/gas taxes and costs for licenses, registration will be increased. We do not expect similar increases to be visited on Pennsylvanians to support ongoing state funding programs.
As noted previously, the Nurse Practitioners plan to seek legislation that would give them independent practice and eliminate the need for a collaborative agreement with a physician. PA-ACP has opposed this expansion in APNs’ scope of practice in the past, but was told in December that the national ACP organization is in discussions with the national APN association to seek some common ground. The PA Academy of Family Physicians intends to fight any expansion as its priority issue in 2013, and has asked PA-ACP to join with them. Any political/policy decision on the part of ACP might best be made AFTER the legislation is introduced and when we can analyze the impact of that legislation.
State Policy Insight
ERG is continuing a series of meetings with the Governor’s Policy and Legislative Offices, Insurance, Health, DPW and Aging Departments to ensure you are kept abreast of state plans relative to the ACA and other state programs. At the same time, we have begun a round of meetings with the chairs and staff of key committees looking toward maintaining the good relationships we have with those individuals and committees.
PAMed has asked the PA-ACP to again sign on to support proactive legislation for tort reform in Pennsylvania. The Chapter has long supported changes to current law regarding venue shopping, medical professional liability, apology legislation, and caps on non-economic damages among other tort reform issues. These issues will be in legislation that will be introduced this session and PA-ACP will work with other organizations to support passage in the House and Senate. Governor Corbett has strongly supported these measures, and is expected to sign any which can get approval by the General Assembly.
The New Year has brought more pieces of the Affordable Care Act into law, and to date, the Governor has not announced a decision on whether the Commonwealth will expand Medicaid access to include those up to 133% of the FPL.
At the same time, the state has moved forward with plans to pay primary care physicians no less than 100 percent of Medicare payment rates for primary care services.
Governor Corbett says he's seeking more information from the federal Department of Health & Human Services before taking the plunge on Medicaid expansion. Matt O’Donnell, formerly director of policy for the Insurance Department, who was the lead staff person on Health Insurance Exchanges and ACA implementation, has taken a new job as Deputy Policy Secretary in the Governor’s Office. ERG met with Matt, and with the Governor’s other Policy Office staff in the last week, and was advised that the issue is almost strictly a matter of cost.
A report by Kaiser Commission on Medicaid and the Uninsured in late November estimated that moving to 133% of poverty as an entry point would cost Pennsylvania taxpayers an additional $2 billion dollars in the coming years – and estimates done for the Commonwealth by independent consultants have estimated that figure as high as $4 billion.
"What I don't know is how much it's going to cost, and when I start seeing that we're talking in the hundreds of millions of dollars, for us to get to hundreds of millions of dollars would require some new revenue source that we don't have right now," Corbett said.
The federal government will fully fund the Medicaid expansion for three years, and drop to 90 percent thereafter.
John Derrickson has sought additional information from the ACP Washington office to support our efforts to convince the state that it should expand Medicaid. We had previously argued that the savings in improved health and lower levels of ER utilization would help pay for the expansion, but the Kaiser report suggests otherwise.
According to the ACP, the latest comprehensive study shows that net state spending with uncompensated care costs considered is 1.5% higher with expansion from 2013-2022, for a 52% reduction in the number of uninsured in PA. The issue as always remains the cost.
States also get an enhanced reimbursement to improve outreach and enrollment systems regardless whether or not they choose to expand Medicaid coverage. The federal government will pay a 90% matching rate for eligibility system design and development until 2016 and then 75% rate thereafter. The intent is to help alleviate the administrative burden related to Medicaid expansion, interaction w/ health insurance exchange, etc.
Affordable Care Act Implementation
In December, the Governor announced that Pennsylvania would not establish a state-based Health Insurance Exchange, but rather allow the federal government to operate a federally-facilitated exchange for Pennsylvania. Insurance Commissioner Consedine had said that the cost to the state would have been between $30-50 million, depending on the requirements established by HHS. As the deadline approached for states to opt-in or out, HHS had not responded to Pennsylvania’s August inquiries about programs and costs for the Exchange if state-run.
At least 29 states have now opted to let the feds run the exchanges in 2014-2015. The option for a state run Exchange remains open for 2016 forward. Because of the large number of states opting to let the Exchange be federally administered, HHS has said there may be delays in implementation, which by law should be October 1.
With the decision on the Exchange, the Essential Health Benefits package required by law will essentially be dictated by the Department of Health and Human Services, although the state may still be able to expand on those EHBs. The House Insurance Committee is looking into that possibility and ERG is working with staff to ensure compliance with the ACA.
A Gallery of Southeast Photos
Southeast Region’s 2012 Poster Competition
The 2012 Poster Competition held at Lankenau Hospital and Medical Center was an overwhelming success. We received a record number of abstracts and, for the first time, medical students were invited to compete.
We congratulate the poster winners and say thank you to all who participated. You made the day both educational and fun. A special thank you to Dr. Nina Mingioni, Abstract Chair; Dr. Janani Rangaswami, Medical Jeopardy Chair and Dr. Bill Surkis, Dr. Catherine Kuntz, Dr. David Cohen, Dr. Matt Behme, Michele Corkery and our many abstract reviewers and judges.
Dr. Emma Weaver, Thomas Jefferson University Hospital, achieved 2nd place In the CV category.
Katherine Steele, a student at the University of Pennsylvania School of Medicine, was awarded 2nd place for her CV entered in the Medical Student category.
Dr. Nicole Albert (R), Lankenau Hospital and Medical Center poses with Dr. Laura Connor in front of her poster titled “Disparities in Colorectal Cancer Screening in a Public Health Hospital Clinic vs. a Private Practice”. Dr. Albert submitted in the Quality Improvement category.
Dr. Bhuvin Buddhdev (L), Abington Memorial Hospital, discusses his poster “Physical Exam Leads to Diagnosis of Rare Tumor” with a judge during the poster competition.
Dr. Anitha Somasundaram, Mercy Catholic Medical Center, submitted a research poster titled “A Multi-center Study of Physician Knowledge of Patient Fall Risk”
Presenting their QI poster “Mild Standing Therapeutic Hypothermia Outcomes After In-Hospital Cardiac Arrest in Community Hospital” is Dr. Vijay Bodukam (L) and Dr. Sarum Thomas (R) from Crozer-Chester Medical Center.
Listed below are the Southeast Region’s 2012 Poster Prize Winners. Those with an asterisk by their name received an invitation from the Chapter to present their poster in San Francisco during ACP-IM 2013.
Ist Place – QI, Ayodeji Adegunsoye, Associate, Mercy *
Title: IV INFILTRATION – Reducing hospital incidence, increasing patient safety,
2nd Place QI, Tany Thaniyavarn, Associate, EMCP, QI,
Title: Morning Ventilator Huddle and Time of Extubation in medical ICU,
1st Place Research, Chinualumogu Nwakile, Associate, EMCP *
Title: QRS Duration Predicts Inpatient Ventricular Arrhythmias and 30 Day Mortality Following ,
2nd Place Research, Vladimir, Lakhter, Associate, Temple
Title: National Incidence and Predictors of Stroke Following Coronary Artery Bypass Grafting,
1st Place CV, Jonathan Gotfried, Associate, Temple*
Rising Use of Hydralazine: Beware of Side Effects,
2nd Place CV, Carlos Solano, Associate, EMCP
Title: Cholestatic hepatic injury: Atypical presenting feature of thyroid storm
2nd Place CV, Emma Weaver, Associate, Jefferson
Title: An Interesting Case of Malignancy Presenting as a Rheumatologic Phenomenon
2nd Place CV, Parit Mekaroonkamol, Associate, EMCP
Title: Cytomegalovirus colitis: A mimicker and a predisposing factor of Clostridium difficile-associated diarrhea
1st Place CV, Shelly Dutt, Med Student, Jeff SOM
Title: An Unexpected Explanation for Hemichorea-hemiballismus: Case Report and Review of the Literature
2nd Place Research, Katherine, Steele, Med Student, Upenn SOM
Title: Early Mortality and AIDS Progression Despite High Initial Antiretroviral Therapy Adherence and Virologic Suppression in Botswana
Einstein’s Team Wins PA Medical Jeopardy Championship Again!
Congratulations to the Einstein Medical Jeopardy Team, (L to R) Chitra Punjabi, MD; Apostolos Perelas, MD (Alternate); Praveen Ramakrishnan, MD; Guillermo Garrido, MD (coach) and Jedrzej Wykretowicz, MD, for winning the 2012 Southeast competition and the Pennsylvania State Championship. They will defend their National Title at IM 2013. This may be another national win for Einstein!
We also congratulate the teams from Abington, Christiana, Crozer-Chester, Drexel, Jefferson, Lankenau, Temple, and Penn who competed in the Southeast tournament. They were all champions and we look forward to seeing them in 2013 at our regional competitions.
Pennsylvania Chapter Proudly Introduces the 2012 Awards Recipients
Another exceptional group of Pennsylvania physicians received Chapter awards for their commitment, dedication and excellence in leadership and service during the Pennsylvania Chapter’s annual Awards Dinner held at The Hershey Country Club in early December.
Dr. Mary Harris (East) and Dr. Ralph Schmeltz (West) received the Chapter’s Laureate
Mary Harris, MD, FACP of Danville and Ralph Schmeltz, MD, FACP, FACE of Mt. Lebanon received the 2012 Laureates. The Laureate is the highest honor offered by the ACP and is presented to Fellows and Masters of the College who demonstrate by their example and conduct an abiding commitment to excellence in medical care, education, research, service to their community, their chapter and the ACP.
Dr. Schmeltz is a prominent endocrinologist and physician activist. He served four years as Governor for the Western Pennsylvania Region of the American College of Physicians and recently served as president of the Pennsylvania Medical Society.
Dr. Harris has served as a member of the Pennsylvania Chapter Council for eight years and is the Internal Medicine Residency Director at Geisinger Health Center in Danville, PA.
Gwendolyn Poles, DO, FACP
Dr. Gwendolyn Poles, a Harrisburg internist, received the Robert S. Pressman Award for Distinguished Service to Internal Medicine. She was recognized for her on-going leadership and grass-roots involvement in advocacy activities on behalf of patients and physicians in Pennsylvania.
John S. Kintzer, MD, FACP
Dr. John Kintzer of Bethlehem, who has practiced Pulmonary and Critical Care Medicine in the Lehigh Valley for over 34 years, was presented the 2012 Herbert S. Waxman Award for Distinguished Service to Internal Medicine. The Waxman recognizes an internist in Pennsylvania who has distinguished himself or herself as a member of the voluntary faculty at a teaching hospital or medical school in Pennsylvania and spends a significant amount of time teaching medical students.
Janice Kubo Hillman, MD, FACP
Dr. Janice Hillman, a Radnor physician associated with PennCare Adolescent and Young Adult Associates, was presented with a Clinical Practice Award The Clinical Practice Award honors Fellows and Masters of the American College of Physicians who demonstrate by their example and conduct an abiding commitment to excellence in medical care, education, research and service to their community, their chapter, and the American College of Physicians.
Susan Manzi, MD, MPH, FACP
Pittsburgh internist, Dr. Susan Manzi (Western Region) was the recipient of a Clinical Practice Award for Exceptional Service to Internal Medicine. She currently serves as System Chair, Department of Medicine for West Penn-Allegheny Health System and is Director of the Lupus Center of Excellence.
Mary G. van den Berg-Wolf, MD, FACP, a well-known Internist and Professor of Medicine at Temple University, was also presented a Clinical Practice Award. She serves as American Academy of HIV Medicine, Pennsylvania Chapter Chair and as an elected member of the Pennsylvania AAHIM Board of Directors.
Fabio L. Dorville, MD, FACP (Eastern Region) of Bethlehem was the Eastern Region’s recipient of the prestigious Clinical Practice Award for his exceptional service.
Dr. Danielle Krol
Dr. Florence Momplaisir
The Pennsylvania Chapter presented Danielle Krol, MD (L) and Florence Momplaisir, MD (R) with a Special Recognition Award. They were recognized for their successful role in holding a series of dialogues and focus groups with medical students and residents in the Philadelphia area to determine their knowledge of and interest in medical organizations such as the American College of Physicians. This project was an extension of the PA Chapter Strategic Planning Initiative. Conclusions were incorporated in the membership and marketing efforts.
Dr. Momplaisir is a Fellow at Temple University Hospital and Dr. Krol is a resident in Internal Medicine at Hahnemann University Hospital.
Congratulations New SE Fellows!
|Amy L. Davis, DO, FACP||Bryn Mawr|
|Arnold B. Meshkov, MD, FACP||Philadelphia|
|Barry D. Fuchs, MD, FACP||Merion Station|
|Crystal A. Gadegbeku, MD, FACP||Wayne|
|Daniel Edmundowicz, MD, FACP||Media|
|David H. Sirken, DO, FACP||Huntingdon Valley|
|Duncan B. Johnstone, MD, PhD, FACP||Wayne|
|Edgar Chou, MD, FACP||Bryn Mawr|
|Elizabeth Leilani Lee, MD, FACP||Philadelphia|
|Emil P. Sfedu, MD, FACP||Philadelphia|
|Erin R. Lockard, MD, FACP||Philadelphia|
|Gregary D. Marhefka, MD, FACP||Wyndmoor|
|James E. Davis, MD, FACP||Philadelphia|
|Janine Kyrillos, MD, FACP||Philadelphia|
|Jose G. Tiongson, Jr,. MD, FACP||Ridley Park|
|Karen A Sullivan, MD, FACP||Maple Glen|
|Kevin Volpp, MD, FACP||Philadelphia|
|Lesley S. Carson, MD, FACP||Philadelphia|
|Miguel G. Madariaga, MD, FACP||Wayne|
|Neil S. Whitaker, MD, FACP||King of Prussia|
|Nicholas J. Ruggiero, MD, FACP||Philadelphia|
|Peter A. Merkel, MD, FACP||Philadelphia|
|Sowmya Kanikkannan, MD, FACP||Philadelphia|
|Vincent M. Figueredo, MD, FACP||Philadelphia|
Southeast Region Fall Activities
Drexel IMIG Leaders at the Fall Student Activity Fair
PENN Students Fall Fair: Beyshoy Sidhom (L) and Josh Kiss (R) Co-president of the William Pepper Medical Society. Beyshoy was the lucky winner of the SE region’s gift card.
PCOM students Matt Cuchanski, Club VP and Lauren Lai
Pennsylvania Chapter Annual Awards Dinner, December 1, 2012
Dr. Chuck Cutler (L) past SE Governor and Dr. Alan Yeasted (R) , Governor, Western Region congratulating Dr. Ralph Schmeltz following the Laureate presentation.
(L to R) Dr. Chuck Cutler, Dr. Gwendolyn Pole and Dr. Ben Lloyd.
The Southeast Region is happy to welcome aboard 57 new Members. We look forward to meeting you and hope to see you at some of the activities planned for the year.
Allison S. DeKosky, MD, Philadelphia
Aman Jalali, MD, Media
Amanulla Khaji, MD, King of Prussia
Amy Hwang, MD, Philadelphia
Anabella L. Bianchi, MD, Philadelphia
Anil Kumar Muddada, MD, Huntingdon Valley
Anwar Labal, MD, Jenkintown
Arinze O. Ikeme, MD, Glenolden
Benjamin D’Souza, MD, Philadelphia
Brooke Worster, MD, Philadelphia
Bryan Hess, MD, Philadelphia
Corrie A. Stankiewicz, MD, Narberth
Deepakraj Gajanana, MBBS, Blue Bell
Diego R. Ortega, MD, Philadelphia
Efua Asamoah Odei, MD, Philadelphia
Emily Stanton, MD, Philadelphia
Erica Just, MD, Philadelphia
Francis X. Burt, MD, Philadelphia
Imali Sirisena, MD, Philadelphia
James L. Perkins, Philadelphia
Janani Rangaswami, MBBS, Elkins Park
Jayamohan Nair, MD, Drexel Hill
Jennifer H. Chuang, MD, Philadelphia
Jennifer Johnson, MD, Media
Jessica N. Fields, MD, Jenkintown
Joanna Rodriguez, MD, Philadelphia
Katherine Doktor, MD , Philadelphia
Keith M. McNellis, MD, Blue Bell
Kendra J. Feeney, MD , Lafayette Hill
Kristy L. Reinert, MD, Philadelphia
Lindsay Jubelt, MD, Philadelphia
Maria Vasiliadis, DO, Broomall
Marijo Bilusic, MD, Philadelphia
Melissa John, MD, Glenside
Merranda Logan, MD, Philadelphia
Natallya Dementovych, MD, Huntingdon Valley
Nicholas Cavallaro, MD, Philadelphia
Niray N. Shah, MD, Philadelphia
Ram M. Jhingan, MBBS, Philadelphia
Rama K. Krishna, MD, Philadelphia
Rebecca C. Jaffe, MD, Philadelphia
Rhea E. Powell, MD, Philadelphia
Robert Bailey, DO, Philadelphia
Sajina Prabhakaran, MBBS, Philadelphia
Salma S. Baksh, MD , Media
Sharon Lim, MD, Philadelphia
Spyros Kamarinos, MD, Philadelphia
Stephanie A. Hutchison, DO, Philadelphia
Timothy Patterson, DO, Broomall
Vanneta Georgia Hyatt, MD, Sharon Hill
Vassiliki Saloura, MD, Philadelphia
Vijay Babu Balakrishnan, MD, Wyncote
Vijayakumar Paramasivam, MD, Broomall
Vishnu Kulasekaran, MD, Philadelphia
Yadana Kyaw, MBBS, Broomall
Zubair A. Malik, MD, Philadelphia
PA Chapter Calendar of Events
|March 9||Temple Health & Public Policy Forum||Philadelphia|
|February 18||WCGME IMIG||Scranton|
|January 22||Penn State–Hershey IMIG||Hershey|
|January 15||PENN IMIG West||Philadelphia|
|January 8||CCYP Planning Dinner||Philadelphia|
|March 13||CCYP Dinner||Philadelphia|
|March 16||Council Meeting||Harrisburg|
|April 11 - 13||ACP – IM||San Francisco|
|April 12||Pennsylvania Reception||Lulu’s, San Francisco|
|May 21 – 22||Leadership Day||Washington, DC|
- Eastern Region Governor's Newsletter - February 2013
- Western Region Governor's Newsletter - February 2013
- Southeast Region Governor's Newsletter - February 2013
- Maintenance of Certification Sessions - March 23, 2013
- Learn about PAS Governor-elect Gregory C. Kane, MD, FACP
- Member Feedback - Share Your Thoughts
- Member Accomplishments
- Internist Weekly
Daniel B Kimball, Jr, MD, FACP, Governor
Darilyn V. Moyer, MD, FACP, Governor
G. Alan Yeasted, MD, FACP
Phone: 610-543-6880 or Toll-free: 800-846-7746
General chapter information/questions: