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April 11-13, 2019
Internal Medicine Meeting 2019
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Ensure payment and avoid policy violations. Plus, new resources to help you navigate the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
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What a busy time of the year, filled with new beginnings. I love
celebrating graduations, starting new adventures, and smelling
Spring flowers. I hope you have each had a chance to take a step
back and mindfully reflect. It was great to see so many of you at
IM 2015 in Boston! I wanted to share a few things from the
IM 2015: Gail Mizner, Cathy Ow, and Christie Reimer
Dr. Rick Walker receiving Mastership
Rick Walker IV, MD, MACP
Planning is already underway for the Fall ACP Colorado Ortho
meeting on September 12th in Denver, and for the ACP Colorado
Chapter Annual meeting February 4th-6th, 2016. Put these dates on
your calendar. I'll look forward to seeing you there.
Christie Reimer, MD, FACP
The American College of Physicians held its annual Leadership
Day activities on May 20th and 21st in Washington DC. As usual, the
first day included an introduction to advocacy for attendants new
to advocacy in the morning, with briefings on current health policy
issues in the afternoon. The second day started off with brief
talks from two members of Congress over breakfast (including Rep.
Burgess, a primary architect of the SGR fix), followed by meetings
with members of Congress and / or their Legislative Aides on
Capitol Hill. This year's contingent from Colorado included Chapter
member Al Steinmann and three Associate members -
David Elwell and Jordan Harrison
from the University of Colorado Primary Care Internal Medicine
Residency, and Scott Milch from the Saint Joseph
Hospital Internal Medicine Residency Program. Their meetings on the
Hill included Sen. Cory Gardner and Legislative Aides from Sen.
Bennet's and Rep. DeGette's offices. Not surprisingly the first
priority was to thank the members of Congress for passing the
permanent SGR fix that was included in the Medicare Access and CHIP
Reauthorization Act of 2015. Other issues discussed included the
extension of the Medicare Primary Care Incentive Program, which is
due to expire at the end of this year, reinstituting Medicaid
Primary Care Pay Parity, which was part of the PPACA expired at the
end of 2014, and Graduate Medical Education finance reform. Despite
the dreary, rainy weather in our nation's capitol, the day was
quite upbeat, with everyone celebrating the bipartisan support for
successful SGR reform.
- Al Steinmann
2015 Ortho Day!
Saturday, September 12, 2015
Rocky Vista University, College of Osteopathic Medicine is
looking for a board certified internist for a ¼ time
(roughly ten hours a week) administrative position that would be
overseeing clinical rotations for third and fourth year medical
students. Interested parties should contact Michael Tieman, MD,
Chairperson of the Department of Specialty Medicine.
FOR IMMEDIATE RELEASE
March 26, 2015
DENVER, CO - Colorado Medicaid's Accountable Care Collaborative
(ACC) is launching a cutting-edge care model that uses telehealth
technology to help primary care medical providers treat chronic
pain and reduce prescription painkiller abuse among Medicaid
members. Modeled after the Project ECHO® programs developed by
the University of New Mexico, the Chronic Pain Disease Management
Programbrings the expertise of pain management specialists into
primary care settings with video conferences designed to help
primary care medical providers manage the care of Medicaid members
with chronic pain. More than 50 providers from 33 primary care
clinic sites across Colorado that include medical providers,
behavioral health providers and pharmacists are participating as
part of an integrated care team.
Using HIPAA-compliant video technology, the ACC's Primary Care
Medical Providers have access to a multi-disciplinary team of
chronic pain specialists, including physicians, pharmacists, nurses
and behavioral health professionals, who specialize in pain
management and addiction to painkillers. The team reviews cases
submitted by primary care providers and recommends evidence-based
interventions for treating their patients. Each video conference
also features a short lecture on specific topics concerning pain
management and the use of opioids in treating chronic pain.
"This program supports the goals of Governor Hickenlooper
and the Colorado Consortium for Drug Abuse Prevention by giving
providers throughout the state better access to education and
evidence-based strategies for preventing opioid addiction,"
said Susan E. Birch, MBA, BSN, RN, executive director. "It uses
health technology so primary care providers can practice at the top
of their scope to make evidence-based treatment available to
Medicaid members, particularly those in rural and frontier areas
with limited access to specialists."
The ACC, Medicaid's main health care reform program, has
implemented this program as part of its vision to provide
person-centered and integrated care, so Medicaid members have the
best possible health outcomes while the state controls costs.
Telemedicine technologies are an important part of the ACC's plan
to create "medical neighborhoods" that can meet all of the health
needs of members in each region of the state.
The Chronic Pain Disease Management Program will give providers
tools to improve the health of Medicaid members with chronic pain
while preventing abuse of prescription painkillers. In addition to
offering video conference clinical consultations between primary
care doctors and pain management specialists, the program offers
medical practices administrative strategies for working effectively
with patients who have chronic pain. These strategies include
appointment scheduling for ideal pain management, communication
with pharmacies, and the use of technology for monitoring
The Department is currently working with the University of
Colorado to develop other similar programs that use the Project
ECHO® model to manage other diseases and conditions in the
primary care setting.
About the Colorado Department of Health Care Policy and
Financing: The Department administers the Medicaid and Child Health
PlanPlus programs as well as a variety of other programs for
low-income Coloradans who qualify. For more information about the
department, please visit Colorado.gov/hcpf.
The NM Chapter of the ACP is partnering with the UNM Department
of General Internal Medicine and The NM Medical Society to present
a special Grand Round series on physician health and wellness
Taking Our Own Pulse: Physician Wellness as a Personal,
Institutional, and Political imperative
12:30 to 1:30 pm on June 4, June 11, June 18 and June 25*
UNM Health Sciences Center, Domenici Auditorium **
June 4: Put Your Own Mask On First: A Resilience Review for
Physicians Cathy Cheng, MD, FACP, General
Internist, Northwestern Medical Group and Northwestern University
Feinberg School of Medicine.
June 11:The Colorado Physician Health Program: Physicians
Helping Physicians Doris Gunderson, MD,
Psychiatrist, Medical Director of the CO Physician Health
June 18: Northern Reflections: Canadian Approaches To
Physician Health Challenges Derek Puddester,
MD, Psychiatrist and the Associate Medical Director of the
Physician Health Program for the Ontario Medical Association
June 24: The Epidemic Of Physician Clinician Burnout: We Can
Turn This Around! Mark Linzer, MD, FACP,
General Internist, Director of GIM at the Hennepin County Medical
*CME credit is available for attendance.
**Out-of-town physicians can watch a live or archived broadcast
for CME credit
Want to stay ahead of payment reform by understanding the value
you provide your patients? The Colorado All Payer Claims Database
(APCD), the state's most comprehensive source of health care
claims, can help you succeed by helping you understand your cost
and quality compared to your peers. Data in the APCD includes
claims from the largest 20 commercial health plans, Medicaid and
For more information, please contact Eddy Costa
at 720-484-4110 or
The Institute of Medicine Dying in America report emphasized the
need for effective healthcare processes to improve advance care
planning. We need your help to understand advance care planning in
Colorado healthcare settings. We are interested physician input
from a wide range of Colorado practices.
Participation in voluntary and your time is greatly appreciated.
Your responses are anonymous. This survey takes about 15 minutes.
You can skip questions, stop at any time, and return to complete
the survey at your convenience.
Here is the survey link
or also, Understanding Advance Care Planning in Colorado-Survey
Please respond by June 30, 2015. At the end of the survey, we
invite you to volunteer for a short interview to provide more
information about advance care planning in your setting. Any
identifying information will be stored separately from your survey
responses to maintain anonymity.
This study, Understanding Colorado Healthcare Providers'
Perspectives on Advance Care Planning, was approved by the Colorado
Multiple Institutional Review Board (COMIRB; # 15-0745) and funded
by the Colorado Health Foundation. Contact Hillary Lum, MD, PhD,
principal investigator if you have any questions.
1st place - Pulmonary Mucormycosis in a Diabetic Patient: An
Unusual Presentation by Kelsi Lacock, MD and
Cara Crouch, MD
2nd place - A Rare Case of Abdominal Pain: Cronkhite-Canada
Syndrome by Roxana Naderi, MD and Kathleen
3rd place - Recurrent Stroke-Like Symptoms in a Patient with Recent
Trigeminal Zoster by Michael Lam, MD and
Michael Morton, MD, FACP
4th place - Spontaneous Intercostal Lung Herniation: A Case Report
by Sumugdha Rayamajhi, MD and Max Cohen,
1st place - Norwegian Scabies Masquerading as Plaque
Psoriasis: A Common Misdiagnosis by Sarah Wirth,
2nd place - Invasive Phizopus Infection Originating from the
Chest Cave After Pneumonectomy by Miriam Freundt, MD,
Haneya Assad, MD, PhD, Christof Schmid, MD, PhD, Stephan Hirt, MD,
3rd place - An Unusual Case of Syncope in a Lymphoma
Patient by Tyler Miller, MD and
Douglas Ney, MD
1st place - A Needle in a Haystack: Quality
Improvement-Patient Safety by Stefan Law, MD, Jonathan
Kurche MD, PhD, and William Janssen,
We are excited to announce a new texting tool to help practices'
stay up-to-date on important regulatory requirements and
opportunities. Physicians and practice managers can subscribe to
time-sensitive updates via your text messaging-enabled cell phone
and receive brief reminders about important deadlines and details
related to a variety of regulatory, payment, and delivery system
changes and requirements. Text alerts may also contain links to
both ACP-created and trusted external information and resources
that will help you to stay prepared. Access the full Physician
& Practice Timeline.
Get Started Now! To subscribe, just text ACPtimeline (no spaces)
to 313131 on your mobile phone. Text alerts are expected to be sent
about 1-2 times a month. Regular text message charges will apply,
cancel at anytime. If you have questions about this new texting
tool, contact Sam Benton.
ACP advocacy and policy development, with other allied
organizations, worked to improve your practice environment and help
you provide high quality care. Here's a summary of our most
important efforts and initiatives in 2014, and why they matter:
We are continuing to make progress in other areas as well, due
to ACP advocacy and policy development efforts, working with other