February 9, 2018

Your Chapter in Action!

Practice Management

ACIP 2018 Immunization Schedule

The Advisory Committee on Immunization Practices (ACIP) has released its 2018 adult immunization schedule for patients ages 19 years and older, including changes to herpes zoster and measles, mumps, rubella (MMR) vaccinations.

For herpes zoster, the ACIP recommends that two doses of the recently approved recombinant zoster vaccine (Shingrix) be administered two to six months apart in adults ages 50 years and older regardless of past episodes of herpes zoster or receipt of the zoster vaccine live (Zostavax). In addition, for adults who previously received zoster vaccine live, it recommends that two doses of the recently approved recombinant zoster vaccine be administered two to six months apart at least two months after vaccination with the first vaccine. Finally, for adults ages 60 years or older, the ACIP recommends that either vaccine be administered, although the recombinant zoster vaccine is preferred.

For MMR, the ACIP updated its recommendations to include use of a third dose of a mumps-containing vaccine in adult patients who previously received two doses of a mumps-containing vaccine and are identified as being at increased risk during a mumps outbreak by a public health authority.

Vaccine recommendations in the 2018 schedule, based on age, medical conditions, and other indications, are summarized in two figures and detailed footnotes. A table of contraindications and precautions is also included, as is information on considerations for special populations (for example, pregnant women) and instructions for reporting adverse events and suspected reportable vaccine-preventable diseases, among other topics. The schedule was published by Annals of Internal Medicine on Feb. 6.

A series of videos from ACP explaining the ACIP's 2018 adult immunization schedule is available online.

CMS Debuts New Voluntary Bundled Payment Model

The Centers for Medicare and Medicaid Services (CMS) has launched a new voluntary bundled payment model called Bundled Payments for Care Improvement Advanced (BPCI Advanced), which is available to organizations in Region II (New York and New Jersey).  

The goal of the model is to better support health care providers who invest in practice innovation, care redesign and enhanced care coordination. In BPCI Advanced, participants will be expected to redesign care delivery to keep Medicare expenditures within a defined budget while maintaining or improving performance on specific quality measures.  Participants bear financial risk, have payments under the model tied to quality performance, and are required to use Certified Electronic Health Record Technology. BPCI Advanced will qualify as an Advanced Alternative Payment Model (Advanced APM), as well as a Merit-Based Incentive Payment System APM (MIPS APM) for select Participants beginning in 2019, under the Quality Payment Program.

You can learn more by attending the BPCI Advanced Open Door Forum on February 15 from 12-1 PM EST (register here) or on the BPCI Advanced website.

Navigate CMS Quality Payment Program Reporting with ACP's Quality Payment Advisor Tool!

The 2017 reporting deadline for CMS’ Quality Payment Program (QPP) is March 31, 2018. ACP's Quality Payment Advisor (QPA), a free online tool for ACP members, helps clinicians navigate CMS’ new QPP and avoid a payment penalty in 2019.

The QPA helps determine how members should be reporting the following:

  • Merit-based Incentive Payment System (MIPS) or Alternative Payment Model (APM)
  • Group or solo
  • Full year/partial year/test

The QPA also assists with identifying quality metrics to report and the various ways to submit data to CMS: registry, claims, or direct EHR submission.

Clinicians who have already determined how they should report can log into CMS’ QPP site and submit data using their Enterprise Identity Management (EIDM) credentials. The EIDM account is a single-user identification used to access many CMS systems and connects users with their practice's Taxpayer Identification Number (TIN).

Once connected, clinicians can report data for the group, for individuals in the practice, and/or for multiple sites as needed.

As data are entered, clinicians will see real-time initial scoring within the MIPS performance categories. Data are automatically saved, and clinician records are updated in real time.

NY Department of Health Influenza Surveillance

During the week ending January 27, 2018:

  • There were 11,683 laboratory-confirmed influenza reports, an  50% increase over last week.
  • Of the 3,225 specimens submitted to NYS WHO/NREVSS laboratories, 742 (23.01%) were positive for influenza.
  • Of the 126 specimens submitted to the Wadsworth Center, 91 were positive for influenza, 11 were for influenza A (H1), and 6- were influenza A (H3), 19 were influenza B (Yamagata)
  • Reports of percent of patient visits or influenza-like illness (ILI3) from ILINet providers was 10.63%, which is above the regional baseline of 3.10%.
  • The number of patients hospitalized with laboratory-confirmed influenza was 1,759, an 5% increase over last week.
  • There were no influenza-associated pediatric deaths reported this week, and one pediatric death so far this season.

Read the entire report here.


REGISTER TODAY for Pre-Scientific Meeting MOC Sessions!

Friday June 1, 2018
Earn up to 40 ABIM MOC points and 40 CME Credits™!

Join NYACP for a Pre-Scientifc Meeting MOC Session. Complete all four courses to earn 80 ABIM MOC points and 40 CME CreditsTM!

8:30 am-10:30 am: 2017-18 Update in Hospital Medicine 
Jitendra Barmecha, MD, FACP & Parag Mehta, MD, FACP
11:00 am-1:00 pm: 2017-18 Update in Geriatric Medicine 
T.S. Dharmarajan, MD, MACP, AGSF
1:30 pm-3:30 pm: 2017-18 Update in Hospice and Palliative Medicine 
Daniel Pomerantz, MD, FACP
3:45 pm-5:45 pm: 2017-18 Update in Internal Medicine 
Ed Stehlik, MD, MACP

Price per session:

ACP Members: $60
Non-ACP Members: $100

Event Flyer & Fax RegistrationOnline Registration

Mark Your Calendar!

NYACP Annual Scientific Meeting
Saturday, June 2, 2018

Make plans now to join us at the next Chapter  Annual Scientific Meeting on Saturday, June 2, 2018 at the Westchester Hilton Hotel in Rye Brook, New York.

Take advantage of the Chapter’s rich resources and increase your knowledge by networking at our premier educational event for all Internists (general and subspecialty), as well as residents and medical students. This one-day conference offers something for everyone – you can earn up to 7.5 CME CreditsTM, along with viewing the outstanding posters by our resident and medical student members. You can also earn up to 30 MOC points if you register for the SEP breakout sessions.

NYACP Scientific Meeting Details • Downloadable Brochure & Fax Registration Online Registration

Call for Papers: 2018 Poster Competition - Deadline to Submit Approaching!

The next Chapter poster competition takes place at the Annual Scientific Meeting on Saturday, June 2, 2018 at the Westchester Hilton Hotel in Rye Brook, New York. If you have worked on a research project or have an interesting clinical case, submit your abstract!

Separate poster competitions for residents and medical students will be held for entries in the following categories:
              Clinical Vignette

Residents/Fellows and Medical Students will be combined in the following category:
              Quality, Advocacy and Public Policy

If your abstract is chosen during the preliminary judging phase, you will be invited to present your poster at the NYACP Scientific Meeting on Saturday, June 2, 2018 at the Hilton Westchester Hotel. Deadline to submit abstracts is Friday, March 2, 2018.

To find out more please click here.

Commissioner's Medical Grand Rounds: Antibiotic Use and Resistance for the Practicing Physician

Wednesday, February 28th, 2018, 8:00am – 10:00am
Conference Center, Maria Fareri Children’s Hospital
Westchester Medical Center Campus
100 Woods Road, Valhalla, NY 10595

Co-Sponsored by NYACP, this presentation will strengthen clinicians’ understanding of antibiotic resistance, review recommended guideline-based approaches to antibiotic use for common outpatient adult and pediatric conditions, and describe evidence-based tools and approaches to assist providers in communication to patients about optimal antibiotic use.

The Grand Rounds Program is free of charge for all providers in NYS. Advance registration is requested.

Register Here (registration ID not required)Flyer

Two New Educational Opportunities: Strategies for Cardiovascular Risk Reduction
Jointly Provided by the NYU Langone Medical Center and NYACP

Thursday, May 3, 2018 
Offering 7.5 Hours of AMA PRA Category I Credits™
7:45am - 4:30pm
Event Flyer • Online Registration 

Friday, May 4, 2018
Offering 5.5 Hours of AMA PRA Category I Credits™
7:30am - 2:00pm
Event Flyer • Online Registration

Member Recognition

Patricia L. Hale, MD, PhD, FACP, FHIMSS -  Dr. Hale will be the recipient of the HIMSS North America Board of Directors Service Award for her role in the Healthcare Information and Management Systems Society and her dedication to improving health care in quality, safety, cost-effectiveness, and access through the best use of information technology and management systems. She will be given this award on Thursday, March 8, 2018, at the HIMSS Awards Gala in Las Vegas, Nevada. Congratulations, Dr. Hale!

Career Link

New Job Posting: Physician - SNF Syracuse
Posted  February 2, 2018

Physician - SNF Syracuse, NY:  $35k sign on bonus! Landmark Connect is a division of Landmark Health. Landmark Health was created to transform how healthcare is delivered to the most medically vulnerable members in our community. The physician functions as a health care provider within skilled nursing facilities, sub-acute rehab and long term care facilities for the purpose of providing medical management and culturally sensitive care to patients or residents. Provides assessment and consultation with patients. Works with Landmark Connect, Medical Director, Facility, Director of Nursing and Administrator in the development and/or implementation of medical management policy, clinical protocols, and quality management programs. The practice will involve care and management of patients in these settings. Care will include performing admission H&Ps, plan of care day-to-day management of patients and discharge planning. Qualifications • BC/BE Physician, preferably Internal Medicine, Family Medicine, or Emergency Medicine • M.D. or D.O. from an accredited educational institution • Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems • Knowledge of CPT, ICD-10 and HCPC codes • Knowledge of clinical standards of care • Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful.   Please send your CV to

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