Your Chapter in Action is a streamlined communication distributed every two weeks to members of the New York Chapter of the American College of Physicians. Each communication is focused on the Chapter’s three core missions: Education, Advocacy and Quality Improvement and provides you with resources, tools and ways to connect. For more information or direct discussion of any issue listed – call our office at 518-427-0366.

 October 30, 2014


PrEP Conferences:
Pre-Exposure Prophylaxis (PrEP) Expanding the HIV Prevention Toolkit

Earn Up to 3 AMA PRA Category 1 CreditsTM
The NY Chapter ACP in conjunction with NYSDOH's Clinical Education Initiative and Mount Sinai Institute for Advanced Medicine  invite you to attend a free ½ day CME conference from 9:00 am to 1:00 pm on:  Pre-Exposure Prophylaxis (PrEP) Expanding the HIV Prevention Toolkit on the following dates:

Wednesday, Dec. 3, 2014
Hilton Garden Inn
235 Hoosick Street
Troy, NY  12180
Register Here
Conference Brochure

Wednesday Dec. 10, 2014
RIT Inn & Conference Center
5257 West Henrietta Road
Henrietta, NY  14467
Register Here
Conference Brochure

Wednesday, Dec. 17, 2014  
Crowne Plaza Syracuse 
701 E. Genesee Street
Syracuse, NY  13210
Register Here
Conference Brochure     



HIV prevention through pre-exposure prophylaxis (PrEP) involves the use of antiretroviral medications by non-HIV-infected individuals to reduce their risk of acquiring HIV. In July 2012, the Food and Drug Administration (FDA) approved the use of tenofovir + emtricitabine (TDF/FTC) for HIV PrEP in adults who are at high risk for becoming HIV-infected.


This program will educate healthcare professionals about issues related to pre-exposure prophylaxis in a variety of circumstances. Learning Objectives Include:

  • Discuss the NYS and CDC Guidelines for Pre-Exposure Prophylaxis (PrEP)
  • Describe selection of candidates for PrEP
  • Discuss the management of the patient on PrEP
  • Discuss PrEP therapy and side effects
  • Discuss the challenges associated with PrEP
  • Discuss follow-up care including labs, PrEP and counseling

For additional information on NYSDOH's Clinical Educational Initiatives - go to the CEI website at

For additional information on the Chapter's other education programs go to

Practice Management


Updated CDC Resource Available on Ebola

The Centers for Disease Control and Prevention (CDC) website has the latest information on Ebola Virus Disease (Ebola). New guidance has been added about the use of personal protective equipment in hospitals. Review and bookmark the CDC resources for health workers, and check back often for the latest updates.

CMS National Provider Call: Transitioning to ICD-10 Information

The Centers for Medicare and Medicaid Services (CMS) has sponsored a national provider call on Wednesday, November 5, from 1:30 - 3:30 PM EST to help providers transition to ICD-10.

October 1, 2015 is the new compliance date for health care providers, health plans, and health care clearinghouses to transition to ICD-10. During the MLN Connects National Provider Call, CMS subject matter experts will discuss ICD-10 implementation issues, opportunities for testing, and resources. A question and answer session will follow the presentations.

TO REGISTER: Visit MLN Connects Upcoming Calls at: Participation may be limited so early registration is encouraged.


  • Final rule and national implementation
  • Medicare Fee-For-Service testing
  • Medicare Severity Diagnosis Related Grouper (MS-DRG Conversion Project)
  • Partial code freeze and annual code updates
  • Plans for National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs)
  • Home health conversions
  • Clams that span the implementation date

NYS Specific ICD-10 Readiness Survey

The New York State Department of Health would like to learn about our providers' readiness for the upcoming ICD-10 implementation and ask that you complete and submit the following brief, anonymous survey. This will help us to design and target our communication and implementation efforts as we approach 2015.

You can take the anonymous survey here.

Hardship Exemption Application to Avoid 2015 Medicare Payment Adjustment Due November 30 - Information

CMS has reopened the submission period for hardship exception applications for eligible professionals and eligible hospitals to avoid the 2015 Medicare payment adjustments for not demonstrating Meaningful Use of Certified Electronic Health Record Technology (CEHRT). The new deadline is November 30, 2014.

For more information CMS has a regulations and guidance site.

Access the Hardship Exception Extension Application here.

ACP Toolkit Improves Care Coordination

ACP's High Value Care Coordination Toolkit features resources to improve referrals and care coordination between primary care physicians and specialists, eliminate waste and duplicative care, and create more efficiency in care delivery.

The toolkit was developed collaboratively through ACP's Council of Subspecialty Societies (CSS) and patient advocacy groups.

The High Value Care Coordination Toolkit includes 5 components:

  • a checklist of information to include in a generic referral to a subspecialist practice,
  • a checklist of information to include in a subspecialist's response to a referral request,
  • pertinent data sets reflecting specific information in addition to that found on a generic referral request to include in a referral for a number of specific common conditions to help ensure an effective and high-value engagement,
  • model care coordination agreement templates between primary care and subspecialty practices, and between a primary care practice and hospital care team, and
  • an outline of recommendations to physicians on preparing a patient for a referral in a patient- and family-centered manner.

These resources are part of ACP's High Value Care initiative, which is designed to help doctors and patients understand the benefits, harms, and costs of tests and treatment options for common clinical issues so they can pursue care together that improves health, avoids harms, and eliminates wasteful practices.



ACO Updates

Proposed New York ACO regulations: What You Should Know About Becoming a Certified ACO

On October 15, the New York State Department of Health published proposed regulations setting forth standards for the issuance of certificates of authority to Accountable Care Organizations ("ACOs"). Although becoming a certified ACO is voluntary, there are many enticing benefits for those parties that choose to become certified.

You can read the full article here.

New Initiative to Support Care Coordination Nationwide

On October 15, CMS announced the availability of a new initiative for Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program.

The new ACO Investment Model is designed to coordinate care to rural and underserved areas by providing up to $114 million in upfront investments to up to 75 ACOs across the country. Through the CMS Innovation Center, this initiative will provide up front investments in infrastructure and redesigned care processes  to help eligible ACOs continue to provide higher quality care. This will help increase the number of beneficiaries - regardless of geographic location - that can benefit from lower costs and improved health care through Medicare ACOs. CMS will recover these payments through an offset of an ACO's earned shared savings.

Eligibility is targeted to ACOs who joined the Shared Savings Program in 2012, 2013, 2014, and to new ACOs joining the Shared Savings Program in 2016. The application deadline for organizations that started in the Shared Savings Program in 2012 or 2013 will be December 1, 2014. Applications will be available in the Summer of 2015 for ACOs that started in the Shared Savings Program in 2014 or will start in 2016.

For more information, visit the ACO Investment Model web page.

Full text of this excerpted CMS press release (issued October 15).

Last Updated 10.30.14

New York Chapter of the American College of Physicians
744 Broadway, Albany NY 12207
Tel: 518-427-0366
Fax: 518-427-1991