September 18, 2018
Your Chapter in Action!
NYACP Ethics Committee Releases Paper, "What NYACP Members Need to Know About Withholding and Withdrawing Life Sustaining Therapies for Adult Patients Without Capacity"
Medical decision-making on behalf of adult, incapacitated patients can be challenging for physicians. This paper, from the NYACP Ethics Committee, reviews medical decision-making when patients lack capacity, and the 2010 New York State Family Healthcare Decisions Act (FHCDA), a law that governs surrogate decision-making in hospitals as well as nursing homes in the state of New York. In addition, it provides information about a 2015 amendment to this law that allows physicians to provide hospice-eligible, incapacitated patients with no surrogate hospice care in a way that was not previously permissible under the FHCDA, and provides details on the steps that must be taken. The Committee’s guidance is offered to assist Chapter Members as they face difficult patient challenges.
We would like to thank the following NYACP Ethics Committee members on producing this timely paper: Ellen C. Meltzer, MD, FACP, Jack P. Freer, MD, FACP, Cynthia S. Pan, MD, FACP, Daniel Pomerantz, MD, FACP, Timothy E. Quill, MD, MACP and Elaine Schattner, MD, FACP, with input from the rest of the Ethics Committee. We especially want to thank Joseph J. Fins, MD, MACP, Division of Medical Ethics Chief at Weill Cornell Medical College and Robert Swidler, Esq., for their guidance and input.
ACP Comments on Medicare Payment Proposal, Offers Alternate Way Forward
The Centers for Medicare & Medicaid Services (CMS) released the proposed rule for the 2019 Medicare physician fee schedule and Quality Payment Program on July 12, 2018, which would change documentation requirements and how physicians are paid for office visits. Since that time, ACP has been reviewing the proposed rule in detail and evaluating potential short- and long-term effects on Internal Medicine specialists, subspecialists, and their patients.
ACP strongly supports CMS easing documentation of E/M services. As ACP has long advocated and asserted, the proposed changes can and should be implemented starting next year, without resulting in reductions in pay for the most complex visits.
The College strongly opposes the proposed change to pay the same for complex cognitive care as more basic care, which would adversely affect internal medicine specialists, subspecialists, and their patients and urges CMS to test alternatives to their proposed flat fee structure.
ACP observed in a 2015 position paper on clinical documentation, “In place of a thoughtfully written review of systems that listed pertinent positive or negative findings, clinically meaningless terms such as ‘ten point review of systems was negative’ were introduced into the record to satisfy E&M guidelines ... [an] imbalance of values has been created, with compliance, coding, and security trumping patient care, clinical well-being, and efficiency.”
ACP's comments offer an alternative way forward for CMS to immediately implement changes that will address the adverse impacts of documentation on patient care while preserving the principle that more complex cognitive care must be valued more than less complex care. If CMS eases documentation of E/M services without devaluing complex cognitive care, it would be a big step forward for ACP members and ACP's Patients Before Paperwork initiative.
In its official comment letter to CMS last week addressing the proposed rules, ACP detailed concerns and made recommendations for change. You can read the letter here.
Make Your Voice Heard: Take this Survey on Reducing Administrative from ACP
ACP is continuously working on your behalf to reduce administrative burdens and improve the Medicare payment system, as well as press legislators and regulators for changes that can successfully improve your daily work experience and patient care.
As part of that work, ACP is looking for members to complete this survey on Administrative Tasks and Best Practices. This survey will better assist the College in advocating for reform.
Infographic from SHIN-NY
The New York eHealth Collaborative recently released a new infographic on the Statewide Health Information Network for New York (SHIN-NY), detailing how it works and why its important to you and your practice.
The SHIN-NY is a “network of networks” that links New York’s nine regional Regional Health Information Organizations (RHIOs) throughout the state. Each RHIO (or Qualified Entity/QE) operates its own network that collects electronic health records from participating practices. Today, these regional networks combined already connect 84% of hospitals in New York State, thousands of medical offices, and represent millions of patients who live in or receive care in NY.
NYACP Executive Director to Receive New York eHealth Collaborative Honoree Award
NYACP Executive Director, Linda Lambert, CAE will receive the prestigious New York eHealth Collaborative Honoree Award for her dedication and accomplishments for the advancement of healthcare technology in New York State at its annual Gala and Awards ceremony in New York City on November 27th.
The Gala and Awards, hosted by NYeC’s Board of Directors, serve to recognize and honor the achievements of those leading the mission to improve healthcare through technology. Linda has spearheaded our Chapter’s activities along with our leaders and Health Information Technology Committee in efforts to provide meaningful perspective into the benefits, barriers and challenges of adoption of EHRs across the healthcare system in New York State.
Congratulations, Linda for your years of keeping our patients and members best interests central as health information technology advances!
Buprenorphine Waiver Eligibility Training
Friday, February 22, 2019
12:00 pm - 5:00 pm
660 Albany Shaker Road
Albany, NY 12211
Chapter Co-Sponsored Events:
Current Topics in Primary Care and Neurology: Update for the Primary Care Practitioner
September 21-23, 2018
Offering 10 Hours of AMA PRA Category I Credits
The Conference Center
2608 Main Street
Lake Placid NY 12946
Sponsored by: Albany Medical College's Dept. of Medicine, Dept. of Neurology, and the Office of Continuing Medical Education and in collaboration with the New York Chapter American College of Physicians (NYACP Hudson Valley Capital District)
13th Annual Mid-Atlantic Hospital Medicine Symposium
Mastering the Care of the Hospital Patient
October 19-20, 2018
Co-sponsored by Society of Hospital Medicine and the NY Chapter ACP
Icahn School of Medicine at Mount Sinai
Hess Center for Science and Medicine
Hatch Auditorium, 2nd Floor
1468 Madison Avenue at 100th Street
New York, NY
Commissioner's Medical Grand Rounds: Integration of Primary Care and Behavioral Health
Worth 2 AMA PRA Category I CreditsTM!
Wednesday, October 3rd, 2018
Forchheimer First Floor Lecture Hall 105
Albert Einstein College of Medicine
1300 Morris Park Avenue (Belfer 115), Bronx, NY 10461
Flyer • Register here
Continuing Medical Education Credits
The School of Public Health, University at Albany is accredited by the MedicalSociety of the State of New York (MSSNY) to provide continuing medical education for physicians.
The School of Public Health, University at Albany designates this live activity for a maximum of 2.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
ACP Partners with Bedside Rounds Podcast to Offer Continuing Education
ACP and Bedside Rounds, a podcast focusing on the history of medicine and how those issues affect our society and culture – both past and present – are partnering to offer CME credits and MOC points.
The first ACP-Bedside Rounds podcast covers the birth of population health. The episode, “Blood on the Tracks,” is about how growing controversies about bloodletting led French physician Pierre Louis to develop his “numerical method” to run the first population study in history. After listening to the podcast, ACP members can log on to ACP’s Online Learning Center to claim CME credit and MOC points. Bedside Rounds is available on iTunes and other podcast platforms.
Find out more here. ACP login is required
Auto Insurance Reduction Course - Save 10%!
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).