June 29, 2016 

Your Chapter in Action!

Practice Management

Practitioners Must Recertify Their CMS EIDM User Accounts by June 30, 2016 for Continued Access

The CMS Enterprise Portal in July 2015 transitioned to the Enterprise Identity Management (EIDM) system for use in idenfication of verified users. The new EIDM system includes Identity Verification, Access Management, Authorization Assistance Workflow Tools, and Identity Lifecycle Management functions.

However, those who use EIDM as identity proofing must recertify their accounts annually to continue access to these functions. The EIDM Security Official (SO) or Individual Practitioner must recertify by Thursday, June 30, 2016

The SO and Individual Practitioners can recertify by logging into the CMS Enterprise Portal using existing EIDM credentials to access the list of users who require recertification.  SOs and Individual Practitioner can locate the list of users by navigating to the View and Manage My Access page after logging in and selecting the Annual Certification link on the left pane. The SO and Individual Practitioner can recertify multiple users at one time.

If you experience issues trying to recertify users, please call the QualityNet Help Desk immediately at 1-866-288-8912. The QualityNet Help Desk hours of operations are Monday - Friday, 7 a.m. to 7 p.m., Central Time.

Take action today. The deadline for SOs and Individual Practitioners to recertify user roles is June 30th. Current certification will expire after that date and user roles will be revoked. If that happens, users must go through the process of requesting the role for SO and Individual Practitioner approval.

Bureau of Narcotic Enforcement (BNE) Releases Waiver Process for Practitioners Prescribing 25 Prescriptions or Less

The Bureau of Narcotic Enforcement (BNE) has released the forms and an FAQ for practitioners who want to certify that they will not issue more than twenty-five prescriptions during a twelve-month period. Practitioners submitting a certification will not be required to issue prescriptions electronically. Prescriptions in both oral and written form for both controlled and non-controlled substances must be included in determining whether the practitioner will reach the limit of twenty-five prescriptions.

The practitioner can either submit a certification online through the Electronic Prescribing Waiver (EPW) application on the NYS Health Commerce System (login required) or by submitting a paper certification form to BNE at this address:

NYS Bureau of Narcotic Enforcement
OPP Registration Unit Riverview Center
150 Broadway Albany, NY 12204
FAX: (518) 402-1058

Developing a Small, Independent Practice Response to Value Based Payment Models in New York City

The NY Chapter of the American College of Physicians, in collaboration with the NYS Academy of Family Physicians, the NYS American Academy of Pediatrics, NYC Population Health Improvement Program and the United Hospital Fund, recognizes the challenges independent and small practices face as payers move to Value Based Payment systems.

Value based payment models require primary care practices to meet quality and performance improvement goals.  Practices must have personnel (e.g. care managers and/or coordinators, IT support and /or data analytics staff, nutritionists or diabetes educators and behavioral health support) and capacities that small practices (typically defined as 15 or fewer clinicians) may not be able to afford alone.  It also requires having (or assembling) a large enough population of patients to generate statistically meaningful results for performance incentives.

Regardless of the initiative, be it Medicaid’s Delivery System Reform Incentive Program (DSRIP), State Innovations Model (SIM)/Advanced Primary Care (APC), Transforming Clinical Practice Initiative (TCPI), Medicare’s Merit-based Incentive Payment System (MIPS),  Medicare Access and CHIP Reauthorization Act (MACRA), or the CMS Comprehensive Primary Care Plus (CPC+), you are being asked to “transform” in order to be eligible for higher reimbursement.

One way for small, independent practices to remain independent may be to share capacities and personnel across a number of practices.

The NY Chapter of the American College of Physicians is coordinating five small focus groups in New York City to:

  1. Understand which functions would be desired as a “shared service” function
  2. Explore key preferences in the design and delivery of shared service arrangements, including:
    • The suite of services you would considerhelpful and amenable to sharing
    • Key considerations for grouping of practices
  3. Considerations of options for selection of a host organization to house/provide those services to be shared.

If you are an independent and/or small practice and would like to participate in discussions around shared service models with colleagues in your area, please register to attend a focus group at one of the following locations:

July 18: Brooklyn (limited to 14) - 6:30 – 8:30 pm
Medical Society of the County of Kings
480 77th Street
Brooklyn, NY 11209

July 21: Staten Island - 6:30 – 8:30 pm
Regina M. McGinn Education Center
475 Seaview Avenue – 2nd Floor
Staten Island, NY 10305

July 26: Queens - 6:30 – 8:30 pm
Medical Society of the County of Queens
112-25 Queens Boulevard, 4th. Floor
Forest Hills, NY 11375

July 27: Manhattan - 6:30 – 8:30 pm
New York County Medical Society
31 West 34 Street, Ste. 7053
New York, NY 10001

July 28: Bronx - 6:30 – 8:30 pm
SBH Health System
Braker Board Room/Braker Building
4422 Third Ave (enter via 182nd St on Third Ave)
Bronx, NY 10457

Seating is limited. First come first served. A light dinner will be provided.

You can register for one of these sessions online or faxing this form to 518-427-1991.

Letter from the CDC Advisory Committee on Immunization Practices (ACIP) Regarding Flu Vaccines

Dear Health Care Provider:

As you plan for the upcoming 2016-2017 influenza season, be aware of the recent interim recommendations of the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) regarding the use of FluMist® Quadrivalent..

At the June 22 meeting of the ACIP, preliminary data were shared regarding the effectiveness of FluMist® Quadrivalent during the 2015-2016 influenza season. Based on a review of these data, the ACIP issued an interim recommendation that FluMist Quadrivalent should not be used in any setting for the 2016-2017 influenza season. This decision was based on CDC vaccine effectiveness study results from the last three influenza seasons, in which FluMist Quadrivalent did not demonstrate statistically significant effectiveness in children 2-17 years of age in the US.

Results are currently available from five observational vaccine effectiveness studies involving live attenuated (LAIV) and inactivated (IIV) influenza vaccines in children 2 to 17 years of age during 2015-2016, and can be viewed here.

Influenza vaccine effectiveness varies from season to season based on differences in circulating influenza strains and strains contained in the vaccines. The observed effectiveness of FluMist Quadrivalent in 2015-16 was driven by low to moderate effectiveness against circulating A/H1N1pdm09 influenza viruses, which was also observed in 2010-11 and 2013-14. Against other influenza viruses, FluMist® effectiveness in US children has ranged from 46% to 82% against vaccine-similar A/H3N2 and B viruses in 2010-11, 2011-12, 2012-13, 2013-14, and 2014-15 influenza seasons.

Member Benefits

New Annals Virtual Patients Are Here!
New benefits from ACP

ACP has just added 6 brand new patient conditions for physicians to treat in its Annals Virtual Patients Course Catalog:

  • Insomnia
  • Neurocognitive Decline
  • Shoulder Pain
  • Perimenopause
  • Low Back Pain
  • Hypertension

The ACP Annals Virtual Patients online course program contains 3 7 interactive cases that mirror real patient care decisions and their consequences, including a free sample case.

Try it for free today by clicking here!

Courses Available Courtesy of NYACP

The New York Chapter ACP is excited to offer these exclusive benefits for our members!

DOT Medical Examiners Training Course

The Federal Motor Carrier Safety Administration (FMCSA) now requires all medical examiners who conduct physical examinations for interstate commercial motor vehicle drivers to complete a training course and pass a certification examination.  To assist physicians in completing the necessary training course, NYACP continues to collaborate with the California Academy of Family Physicians to offer a convenient online course option.  The cost is $350 for ACP members and $500 for Non-ACP Members. Additional information and registration details can be found here.

Auto Insurance Reduction Course

The NYACP continues to offer a 6-hour Insurance and Point Reduction Course that is approved by the NYS Department of Motor Vehicles and available to NYACP members, their families, office staff and friends.  This convenient online member benefit allows registered "students" the ability to start and finish the course within 30 days for only $42.00.  The benefit includes a 10% reduction on your automobile insurance (liability, no-fault and collision) and up to 4 points off of your driving record (if applicable).  More information can be found by clicking here.


2016 District Meetings

Wednesday, September 14, 2016 - Nassau District Meeting

Akbar Restaurant - 2 South Street, Garden City NY 11530
6:00pm  Registration  •  6:30pm  Dinner and Educational Program
More information will be posted shortly.

Thursday, September 29, 2016 - Brooklyn District Meeting

Gargiulo's Restaurant - 2911 West 15th Street, Brooklyn NY 11224
6:00pm  Registration  •  6:30pm  Dinner and Educational Program
More information will be posted shortly.

NYACP Resident and Medical Student Forum

Saturday,  November 5, 2016
Mount Sinai Hospital
One Gustave L. Levy Place
New York, NY  10029

This half day program will include the popular Resident and Medical Student Poster competition and the Resident Dr's Dilemma competition.

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