Click cover to read

ARTICLES
Photo Feature …………………….. 211
2013 ACMS Foundation Gala Awards
Celebration: Pittsburgh Proud
Materia Medica ………………….. 218
Recent Advances in the Landscape of Chronic
Phase CML Treatment
Nicole Cornish, PharmD Candidate
Karen Fancher, PharmD, BCOP
Legal Report ………………………. 224
Special Fraud Alert from OIG: Physician-owned
Distributorships
Paul Kenneth Vey, ESQ
Practice Management ………….. 228
Does Your Office Morale Need a Booster Shot?
Tracy Glenn, CPC-H, CCS-P
Special Report ……………………. 230
Foundation Grants: Birmingham Free Clinic

PERSPECTIVES
Miller Time ……………………….. 194
Prescription for Change
Scott Miller, MD, MA
Editorial ……………………………. 197
Chaos and Collapse
Michael W. Weiss, MD
President’s Message …………….. 199
Maintaining Physician Information for
Your Patients
Amelia A. Paré, MD
Resident Reflections ……………. 200
Match, Military, Moving, Money,
Motherhood & Mushy
Benjamin T. Cobb, MD
Perspective…………………………. 202
The Affordable Care Act 2013: The End
of the Beginning
Ralph Schmeltz, MD, FACP, FACE
Michael Best, MD

DEPARTMENTS
Society News ……………………… 204
♦ Geriatric medicine conference
♦ Geriatrics society medical student awards
♦ Hospital Elder Life Program (HELP)
♦ Photo: Most Interesting Cases
♦ End-of-Life issues
Community Notes ……………… 207
Activities & Accolades …………. 207
Continuing Education…………. 208
Calendar ……………………………. 209
Reportable Diseases ……………. 226
Classifieds …………………………. 234

The Allegheny County Medical Society sponsors an annual photo contest and the winning photos appear on Bulletin covers. Please read the guidelines below for this year’s contest.

• Only member physicians are eligible to enter the contest, with a maximum of three entries per individual. Each photographer will be limited to TWO winning entries.
• Select your best entries—color or black & white, print, slide or digital image—but, because we need a hard copy of each image for judging purposes, please convert your entries into prints before sending to ACMS Bulletin Photo Contest, 713 Ridge Ave., Pittsburgh, PA 15212. Deadline for submission is Friday, August 30, 2013.
• Because Bulletin covers feature a vertical orientation, winning photos with a horizontal orientation will need to be cropped to fit that format. Your approval of this alteration is implicit with any entry with a horizontal orientation. Sorry, but we cannot accept panoramic shots or photos featuring specifically identifiable individuals and relatives. The Editorial Board makes final determination.
• Please label your entries only with a title and use a separate sheet of paper to record personal information such as your name, address or telephone number. We carefully number and track entries when they arrive so we can return them to their owners, but care is taken not to reveal personal information to contest judges, so please include only the title on the back of the photo entry.
• Contest judges will select 12 winners, including one grand prize winner that will appear on the January 2014 Bulletin cover; the remaining 11 winners will appear on Bulletin covers throughout 2014. Other entries will appear inside the Bulletin as space allows. All photos will be returned by the end of 2014.

For more information, call Linda Smith
at (412) 321-5030 or e-mail lsmith@acms.org.

The National Physician Payment Transparency Program (OPEN PAYMENTS)  is intended to create greater transparency around the financial relationships of manufacturers, physicians, and teaching hospitals.

OPEN PAYMENTS will require the following information to be reported annually to CMS:

• Applicable manufacturers of covered drugs, devices, biologicals, and medical supplies to report payments or other transfers of value they make to physicians and teaching hospitals to CMS.
• Applicable manufacturers and applicable group purchasing organizations (GPOs) to report to CMS certain ownership or investment interests held by physicians or their immediate family members.
• Applicable GPOs to report to CMS payments or other transfers of value made to physician owners or investors if they held ownership or an investment interest at any point during the reporting year.

CMS  plans to collect this data, aggregate it, and publish it on a public website.

Resources

CMS.gov OPEN PAYMENTS website

CMS.gov Fact sheet for Physicians

In order to ensure chemical safety in the workplace, information about the identities and hazards of the chemicals must be available and understandable to workers. OSHA’s Hazard Communication Standard (HCS) requires the development and dissemination of such information:

• Chemical manufacturers and importers are required to evaluate the hazards of the chemicals they produce or import, and prepare labels and safety data sheets to convey the hazard information to their downstream customers;
• All employers with hazardous chemicals in their workplaces must have labels and safety data sheets for their exposed workers, and train them to handle the chemicals appropriately.

Resources

• OSHA Hazard Communication Standard Website
• 2013 Medical Office Occupational Health and OSHA Update - May 8th, 2013 – ACMS Building

ARTICLES

Materia Medica ………………….. 170
Is a Statin Right for My Elderly Patient?
Rick Hoffmaster, MD
Johanna Thompson, PharmD

Financial Health …………………. 176
Magic Bullet: Life Cycle Funds for
Retirement Accounts
Gary S. Weinstein, MD, FACS

Special Report ……………………. 178
Health Literacy: A National and Regional Issue
Carmela Breslin, MPH

Practice Management ………….. 182
Growing Demand, Shrinking Revenues: The PA Solution
Ragan Cohn, CAE

PERSPECTIVES

Editorial ……………………………. 154
Time to Dump Affirmative Action in
Medical School Admissions
Frank Vertosick, MD

President’s Message …………….. 158
Expanding Medicaid in Pennsylvania—
Should We or Shouldn’t We?
Amelia A. Paré, MD

Medical Student Musings …….. 160
Serebral.org—A Smarter Way to Serve
Bradley End

DEPARTMENTS

Society News ……………………… 163
♦ Practice administrators, Feb. 28
♦ ACMS Alliance Annual Meeting/Luncheon

In Memoriam …………………….. 165
Franklin P. Johnson, MD

Activities & Accolades …………. 165
Community Notes ……………… 165
From the Mailbag ……………….. 167
Continuing Education…………. 168
Calendar ……………………………. 169
Legal Summary ………………….. 181
Classifieds …………………………. 186

Join us at the ACMS Foundation’s 2013 Pittsburgh Proud Gala, and help ensure the future of medical training in Pittsburgh.

Pittsburgh Proud is an annual event that celebrates Pittsburgh’s vibrant medical community and the many reasons to be proud of the region, including this year’s ACMS award winners, those individuals and organizations that have done an extraordinary job reaching out to meet the health care needs of our community.

The 2013 Gala is chaired by John F. Delaney, Jr, MD, MPH, DrPH and promises to be an extraordinary event. Enjoy fine dining and world-class entertainment, while helping to fund scholarships for deserving nursing and medical students.

Complete details and reservations

ARTICLES

Materia Medica ………………….. 121
Weighing the Options: New Medications
for Weight Loss
Kelly M. Gaertner, PharmD
Legal Report ………………………..126
Physician Concerns and Issues for 2013
Michael A. Cassidy, Esq
Financial Health …………………. 130
After “The Cliff ”
Charles J. Stout
Special Report ……………………. 132
Foundation Grants: South Hills YMCA
Camp AIM
Practice Management ………….. 134
Examining Medicare Wellness Visits
Lisa M. Eisel, RN
Denise M. Schmook, RN
Feature………………………………. 138
Professional Guidelines and Performance
Measures: Do They Constitute the
Standard of Care?
Ruth Ryan, RN, BSN, MSW, CPHRM

PERSPECTIVES

Editorial ……………………………. 106
“Petit Lieutenant de Big Pharma”
Robert H. Howland, MD, FACC, FACP
Medical Student Musings …….. 108
With Tears
Brianna Rossiter

DEPARTMENTS

Society News ……………………… 111
♦ New ACMS board members
♦ Practice Administrators Forum, March 19
♦ 2013 Clinical Update in Geriatric
Medicine, April 4-6
♦ Reminder: malpractice reporting
In Memoriam …………………….. 115
Joseph F. Novak, MD
Thomas E. Allen, MD
Remembering …………………….. 115
Bruce W. Dixon, MD
From the Mailbag ……………….. 116
Activities & Accolades …………. 117
Community Notes ……………… 117
Continuing Education…………. 118
Calendar ……………………………. 119
Membership Applications ……. 142
Board Summary …………………. 144
Classifieds …………………………. 146

View photo gallery

ARTICLES

Materia Medica ……………………..70
Atorvastatin Prior to Percutaneous Coronary
Intervention
Laura Boni, PharmD Candidate
Alicia Edsall, PharmD Candidate
Nicole Hemminger, PharmD Candidate
Regina Kishbaugh, PharmD Candidate
Lodge Bliznesky, PharmD, BCPS, CACP

Profile …………………………………..74
Amelia A. Paré, MD—Meet Your New
President
Christina E. Morton

Feature………………………………….78
2012 ACMS Award Winners
Christina E. Morton

Legal Report ………………………….84
What Will a Federally-Run Health Insurance
Exchange Mean for Pennsylvania?
William H. Maruca, ESQ

Financial Health …………………….88
Securing Income in Retirement
Dan Dingus, AIF

Special Report ……………………….90
Medical Subspecialty: Emergency
Medical Services
Michael T. Hilton, MD
Adam Z. Tobias, MD, MPH

Practice Management ……………..92
Transitioning to Electronic Payor Payments
Jennifer Duell Popovec

Feature………………………………….94
PAMED State & Regulatory Agenda:
2013-2014 Session
PERSPECTIVES
Miller Time …………………………..55
Bedbound
Scott Miller, MD, MA

Editorial ……………………………….56
Winter in Pittsburgh
Fredric Jarrett, MD, FACS, FRCSC

Medical Student Musings ………..58
The Technological Advancement of Medicine
Benjamin Cobb

Academic Perspective ……………..60
Transformation Ahead
Arthur S. Levine, MD

Gala Host Committee …………….62
ACMS Foundation Gala—Recognizing Those
Who Make Us “Pittsburgh Proud”
John F. Delaney Jr., MD, MPH, DrPH

DEPARTMENTS
Society News …………………………65
Activities & Accolades …………….66
Community Notes …………………67
In Memoriam ………………………..67
Joel M. Alcoff, MD
Continuing Education…………….68
Calendar ……………………………….69
Poison Pen…………………………….77
Reportable Diseases ……………….87
Classifieds …………………………….98