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August 2013

From the Governor

On Mentoring

While the noun “doctor” refers to many professions, a great many people think of a physician when they hear the term. Let’s examine the etymology of the expression that is so common in our daily discussions. “Doctor” comes from the Latin verb docere, which means “to teach.” While many will link that action with Doctors of Philosophy, I believe teaching refers to physicians as well. At least that should be the case.

We all learned basic knowledge from textbooks, class notes, lectures, and, more recently, online educational methods. This gave us background knowledge of medicine. But I would gather that most of us learned how to be a physician from our more experienced mentors. Mentoring is an acquired skill that is not taught in any course or curricula, yet it is vital for engaging and bringing forth the physicians of tomorrow.

There are many ways to mentor the early career physician. Mentoring can occur in both formal and informal settings. Those of us in academic centers have learners around us commonly, but do we take them for granted? Do we use every opportunity we have to give our knowledge back to them? Others do not have students or residents in substantial supply, yet I would maintain that there are many early career physicians at those institutions who could benefit from our experiences.

While online CME is certainly more convenient for the busy physician, its proliferation has led to diminishing attendance at live CME events. This phenomenon can lead to the unintended consequence of eliminating one of the best mentoring opportunities: networking with other physicians at live conferences. If you have the opportunity to attend some live events, please try and interact with early career physicians who can benefit from your knowledge. Everyone has something to add to another’s body of information.

There are many ways to “give back” to the profession by mentoring the next generation of physicians. This can, of course, include traditional teaching and lectures. More often, it can be the informal discussions between colleagues that are valued the most: giving your less experienced colleague something that cannot be learned in any textbook is priceless.

ACP has a Mentoring Web page at http://www.acponline.org/residents_fellows/mentors/. If you are interested in mentoring, please submit your name and areas of interest.

Give back the gift of your leadership as much as you can. Noted leadership author John Maxwell said, “Four out of five of all leaders that you ever meet will have emerged as leaders because of the impact made on them by established leaders who mentored them.” Maxwell goes on to say, “It takes a leader to raise a leader.” Our duty as ACP members is to help bring along the future members of our profession who will take over for us someday.

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


Upcoming Indiana Chapter Webinars —
Register today!

August 22, 2013 6:30-7:30 pm EST

“HIPAA Compliance for Physicians”
Michelle Altobella, JD
Vice President/General Counsel
IU Health Ball Memorial Hospital

Jane Welch
HIPAA Privacy Officer
IU Health Ball Memorial Hospital

Register here: https://www3.gotomeeting.com/register/193749974


• Provide a regulatory overview of HIPAA, including HIPAA general requirements, HIPAA authorizations, HIPAA exceptions, Business Associate Agreements and HIPAA enforcement (civil and criminal fines; investigatory role of the Department of Health & Human Services, Office of Civil Rights)
• Realize how HIPAA applies within the Physician/Physician Office Setting, including Patient Rights under HIPAA, Accounting of Disclosures, Treatment Payment-Healthcare Operations Exceptions under HIPAA, Implementation of HIPAA Safeguards, Minimum Necessary Standard, Social Networking.
• Learn practical tips on how to comply with HIPAA and steps to take in the event of a HIPAA breach.

Indiana University Health Ball Memorial Hospital is accredited by the Indiana State Medical Association (ISMA) to sponsor continuing medical education for physicians. IU Health Ball Memorial Hospital designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

September 10, 2013 6:30-7:30 pm EST

“Contract Negotiation for Physicians”
Julie Reed, JD
General Counsel
Indiana State Medical Association

Register here: https://www3.gotomeeting.com/register/116365918

• Understand the important components of the physician contract.
• Realize the importance in obtaining legal counsel before entering into any legal agreement.
• Realize the market range of compensation in your area so that you may be prepared for proper negotiation.

Indiana University Health Ball Memorial Hospital is accredited by the Indiana State Medical Association (ISMA) to sponsor continuing medical education for physicians. IU Health Ball Memorial Hospital designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Hold the date for the 2013 Indiana Chapter Meeting!

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


Congratulations to our newly elected Fellows of ACP!

  • Charles Janssens, DO, FACP, Indianapolis, IN
  • Debra K Litzelman, MD, FACP, Carmel, IN
  • Natasha Singh, MBBS, FACP, Columbus, IN


Items of Interest

Facing Deadlines, Exchanges May Be Less User-Friendly Than Planned.

The AP (7/26, Alonso-Zaldivar) reports that despite plans to make shopping for health insurance under the Affordable Care Act much “like using Travelocity or Amazon,” many people “will end up with something more mundane than online shopping, like a call to the help desk.” Due to the “deadline crunch” to make marketplaces ready by October 1, states are delaying the tools that “could make it easier for consumers to find the right plan.” Instead, the Federal government and states “are investing in massive call centers.”

Federally-Run Exchanges Expected To Offer Lower Premiums.

Modern Healthcare (7/26, Block, Subscription Publication) reports that while HHS has been touting news that premiums for individual insurance purchased on state-run exchanges will be lower under the Affordable Care Act next year, it is unclear what will happen in the 34 Federally-run exchanges. Still, though these “federally-facilitated” exchanges, or FFEs, have until July 31 “to submit rates from insurers to HHS,” indications suggest that “FFEs also will see lower rates.”

Poll: Healthcare Costs Rise When Hospitals Buy Up Physician Practices.

CNBC (7/26, Mangan) reports that the recent major trend in which hospitals merge and buy up physician practices is “threatening to also drive up costs to patients – at least in the short term.” The piece quotes Dr. Peter Angood, chief executive officer of the American College of Physician Executives (ACPE), who said, “This trend is here, it’s here to stay.” Recently, ACPE found in a poll of physicians that “32 percent...said that health-care costs ‘go up’ when ‘a group or practice is bought by a hospital or health-care system.’”

Coverage Gap Will Open For Poor In States Not Expanding Medicaid.

CNN Money (7/26, Luhby) reports that some working poor in the 21 states not expanding Medicaid will exist in a sort of coverage gap, not “eligible for either the long-standing government health insurance program for the poor, or for premium subsidies in the new exchanges.” According to the Urban Institute, if these states hold out against expanding the program, around “4.9 million people will not be covered in 2016.”

Republicans Formally Signal Intent To Defund ACA In Continuing Resolution.

As has been reported this week, led by Senator Mike Lee, a handful of Republicans are planning to fight the Affordable Care Act by refusing to authorize any further government spending until the law is defunded. On Thursday, members of the GOP from both Houses formally signaled their intent, which many outlets acknowledge could lead to a showdown when the Continuing Resolution comes to a vote at the end of September.

The Washington Times (7/26, Howell) “Inside Politics” blog reports that on Thursday, 12 Republican Senators wrote a letter to Majority Leader Harry Reid signaling their intent to not “support any short-term spending bill if it contains funds to implement President Obama’s health care law.” The effort, led by Senator Mike Lee of Utah, includes such “rising stars” as Sens. Marco Rubio of Florida, Ted Cruz of Texas, and Rand Paul of Kentucky. As with other reports, the blog notes that the GOP sees the approaching budget talks as “their last chance” to stop the Affordable Care Act before its exchanges launch. The piece also notes the “risk” inherent in the move, as the party could be blamed for shutting down the government.

Politico (7/26, Sherman, Bresnahan) reports that more than 60 House Republicans have signed a similar letter being circulated by Rep. Mark Meadows which urges House Speaker Boehner “to defund Obamacare when Congress funds the government in September.”

Drug Companies Promise More Data Transparency

The world's biggest drugmakers have pledged to release detailed data about their drugs to outside researchers, a move seen by some as an effort to head off more extensive disclosure requirements. (NEW YORK TIMES)

Legacy on the Line in Fierce Drive on Health Law

Few things are more important to the White House this year than a successful rollout of healthcare reform. Getting it right will help determine President Barack Obama's place in history. (NEW YORK TIMES)


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