Winter 2015

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California

FAMILY PHYSICIAN VOL . 66 NO.1 Wint er 2015

FAMILY MEDICINE AND PATIENTS WIN BIG IN 2014

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2014 YEAR OF THE FAMILY PHYSICIAN YEARBOOK

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COVERED CALIFORNIA PROVIDES SECOND OPEN ENROLLMENT PERIOD RESOURCES

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#2014YEARFP IS OVER: WHAT’S NEXT?

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California Family Physician Winter 2015

EARLY BIRD DISCOUNT: SAVE $100

Rheumatology News® Internal Medicine News® Family Practice News® present

8th Annual

EARN UP 15.5 TO CME/C CREDI E TS

PERSPECTIVES IN RHEUMATIC DISEASES A CONTINUING MEDICAL EDUCATION CONFERENCE

SEPTEMBER 18-19, 3 THE COSMOPOLITAN, LAS VEGAS Plenaries & Rheumatology & Primary Care Tracks Join an outstanding faculty, representing the best in the field, and learn about the newest scientific therapies and research focused on improving patient care and enhancing your practice. CHAIR Daniel E. Furst, MD Carl M. Pearson Professor of Medicine Department of Medicine, Division of Rheumatology David Geffen School of Medicine University of California, Los Angeles

CO-CHAIRS Brian Mandell, MD, PhD Professor and Chairman of Medicine Department of Rheumatic and Immunologic Diseases The Cleveland Clinic, Cleveland, Ohio

WHO SHOULD ATTEND 3 Rheumatologists 3 Internal Medicine Specialists 3 Family Medicine Physicians 3 Nurse Practitioners 3 Physician Assistants 3 Nurses 3 Pharmacists

Professor Iain B. McInnis, PhD, FRCP, FRSE, FMedSci Muirhead Professor of Medicine University of Glasgow Scotland, UK

Jointly provided by

and Search “Global Academy for Medical Education”

FOR FULL CONFERENCE DETAILS GO TO WWW.GLOBALACADEMYCME.COM/RHEUMATOLOGY California Family Physician Winter 2015

3

ϭϹώϏ WÄ‚Ä?Ĺ?ÄŽÄ? ǀĞŜƾÄž Íť ^Ä‚Ĺś &ĆŒÄ‚ĹśÄ?Ĺ?Ć?Ä?Ž͕ Ä‚ĹŻĹ?ĨŽĆŒĹśĹ?Ä‚ ϾϰϭϏϾ Íť Ç Ç Ç Í˜ĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ? WĹšŽŜÄž ͞ϰϭϹͿ ϯϰϹͲϴϲϲϳ Íť &Ădž ͞ϰϭϹͿ ϯϰϹͲϴϲϲϴ Íť ͲžÄ‚Ĺ?ĹŻÍ— Ä?Ä‚ĨƉΛĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

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President Ğů DĹ˝ĆŒĆŒĹ?Ć?Í• D

ĹŻĹŻĹ?Ć?ŽŜ Ä‚ĆľÄžĆŒ

President-Elect :ĂLJ >ĞĞ͕ D ͕ DW,

Associate Director, Communications and Publications

Ä‚Ä?Ä‚ĆľÄžĆŒÎ›ĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

Immediate Past President DÄ‚ĆŒĹŹ ĆŒÄžĆ?Ć?ĹśÄžĆŒÍ• D

:ĂŜĞ ŚŽ

Speaker >ĞĞ ZĂůƉŚ͕ D

ĹŠÄ?ŚŽΛĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

Vice-Speaker DĹ?Ä?ŚĞůůĞ YĆľĹ?Ĺ˝Ĺ?ƾĞ͕ D Secretary/Treasurer >Ĺ?Ć?Ä‚ tÄ‚ĆŒÄšÍ• D Executive Vice President ^ĆľĆ?Ä‚Ĺś ,Ĺ˝Ĺ?ĞůĂŜĚ͕ Foundation President DĹ?Ä?ŚĂĞů ZĹ˝ÄšĆŒĹ?Ĺ?ĆľÄžÇŒÍ• D Í• DW, AAFP Delegates :ÄžĨĨ >ĆľĆšĹšÄžĆŒÍ• D Ä‚ĆŒĹŻÄ‚ <ĂŏƾƚĂŜĹ?Í• D AAFP Alternates Ä‚ĆŒŽů ,ĂǀĞŜĆ? D :ĂLJ >ĞĞ͕ D Í• DW, CMA Delegation Ć?ĹšÄ?LJ tŽůĨĞ͕ D Í• DWWÍ• DW, EĂƚŚĂŜ ,Ĺ?ĆšÇŒÄžĹľÄ‚ĹśÍ• D DĹ?Ä?ŚĞůůĞ YĆľĹ?Ĺ˝Ĺ?ƾĞ͕ D ^ƾžÄ‚Ĺś ZĞĚĚLJ͕ D <ĞǀĹ?Ĺś ZĹ˝Ć?Ć?Ĺ?Í• D WÄ‚ĆšĆŒĹ?Ä?Ĺ?Ä‚ ^Ä‚žƾůÄžĆ?ŽŜÍ• D

California FAMILY PHYSICIAN

Ä?ĹšĹ?ŜĂLJĂ EÄ‚ĆŒÄ‚Ç‡Ä‚ĹśÄ‚Ĺś

Manager, Medical Practice Affairs

ĚĂž &ĆŒÄ‚ĹśÄ?Ĺ?Ć?

Deputy Director, Government Affairs

Ä‚ĨĆŒÄ‚ĹśÄ?Ĺ?Ć?ΛĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ? ^ŽƉŚĹ?Ä‚ ,ÄžĹśĆŒÇ‡

Associate Director, Membership and Marketing

Ć?ĹšÄžĹśĆŒÇ‡Î›ĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

Workforce Development Manager anarayanan@familydocs.org

Quarterly publication of the California Academy of Family Physicians

ŽĚLJ DĹ?ĆšÄ?ĹšÄžĹŻĆšĆŒÄžÄž

EĂƚŚĂŜ ,Ĺ?ĆšÇŒÄžĹľÄ‚ĹśÍ• D Í• Editor ĹŻĹŻĹ?Ć?ŽŜ Ä‚ĆľÄžĆŒÍ• Managing Editor

Ä?ĹľĹ?ĆšÄ?ĹšÄžĹŻĆšĆŒÄžÄžÎ›ĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

ŽžžƾŜĹ?Ä?Ä‚ĆšĹ?ŽŜĆ? ŽžžĹ?ƚƚĞĞ͗ EĂƚŚĂŜ ,Ĺ?ĆšÇŒÄžĹľÄ‚ĹśÍ• D Í• Chair

Student, Resident and Social Media Manager

>ĞĂŚ EÄžÇ ĹŹĹ?ĆŒĹŹ Vice PresidentÍ• Health Policy ĹŻĹśÄžÇ ĹŹĹ?ĆŒĹŹÎ›ĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ? Deputy Executive Vice President

Íť :ƾůĹ?Ä‚ ĹŻÄ‚ŜŏÍ• D Íť EĂƚŚĂŜ ,Ĺ?ĆšÇŒÄžĹľÄ‚ĹśÍ• D Íť :ÄžĨĨĆŒÄžÇ‡ >ĆľĆšĹšÄžĆŒÍ• D Íť :ĂLJ DŽŜĹ?Ĺ?Ä‚ĆŒÄšĹ˝Í• D

<ĞůůLJ 'ŽŽÄšĆ‰Ä‚Ć?ĆšÄžĆŒ

Íť DĹ?Ä?ŚĞůůĞ YĆľĹ?Ĺ˝Ĺ?ƾĞ͕ D Íť ĹŻÄ?ÄžĆŒĆš ZĂLJ͕ D

^ŚĞůůLJ ZĹ˝ÄšĆŒĹ?Ĺ?ƾĞĆ?Í• Í• & ,W Ć?ĆŒĹ˝ÄšĆŒĹ?Ĺ?ƾĞĆ?ΛĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ? Manager, Financial Services

ĹŹĹ?ŽŽÄšĆ‰Ä‚Ć?ĆšÄžĆŒÎ›ĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

^ĆľĆ?Ä‚Ĺś ,Ĺ˝Ĺ?ĞůĂŜĚ͕

Executive Vice President

Ć?ŚŽĹ?ĞůĂŜĚΛĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ? :ÄžĆŒĆŒĹ? Ä‚Ç€Ĺ?Ć?Í• D W Director, CME/CPD

ŊĚĂǀĹ?Ć?ΛĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

dŚĞ California Family Physician Ĺ?Ć? ƉƾÄ?ĹŻĹ?Ć?ŚĞĚ Ć‹ĆľÄ‚ĆŒĆšÄžĆŒĹŻÇ‡ Ä?LJ ƚŚĞ Ä‚ĹŻĹ?ĨŽĆŒĹśĹ?Ä‚ Ä?ĂĚĞžLJ ŽĨ &Ä‚ĹľĹ?ůLJ WŚLJĆ?Ĺ?Ä?Ĺ?Ä‚ĹśĆ?͘ KƉĹ?ĹśĹ?ŽŜĆ? Ä‚ĆŒÄž ƚŚŽĆ?Äž ŽĨ ƚŚĞ Ä‚ĆľĆšĹšĹ˝ĆŒĆ? ĂŜĚ ŜŽĆš ŜĞÄ?ÄžĆ?Ć?Ä‚ĆŒĹ?ůLJ ƚŚŽĆ?Äž ŽĨ ƚŚĞ žĞžÄ?ÄžĆŒĆ? ĂŜĚ Ć?ƚĂč ŽĨ ƚŚĞ &W͘ EŽŜͲžÄžĹľÄ?ÄžĆŒ Ć?ĆľÄ?Ć?Ä?ĆŒĹ?ƉĆ&#x;ŽŜĆ? Ä‚ĆŒÄž ΨϯϹ Ć‰ÄžĆŒ Ç‡ÄžÄ‚ĆŒÍ˜ Ä‚ĹŻĹŻ ϰϭϹͲϯϰϹͲϴϲϲϳ ƚŽ Ć?ĆľÄ?Ć?Ä?ĆŒĹ?Ä?Ğ͘

DÄ‚ĆŒĹ?Ä‚ :ÄžŜŜĹ?ĹśĹ?Ć?

Executive Assistant

žŊÄžŜŜĹ?ĹśĹ?Ć?ΛĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ? LJŜƚŚĹ?Ä‚ <ÄžÄ‚ĆŒÍ• D Ĺ?ǀ͕ D W Senior Vice President

Ä?ĹŹÄžÄ‚ĆŒÎ›ĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

pcipublishing.com Created by Publishing Concepts, Inc. $AVID "ROWN 0RESIDENT s DBROWN PCIPUBLISHING COM For Advertising info contact -ICHELE 'ILBERT s EXT MGILBERT PCIPUBLISHING COM EDITION 13

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California Family Physician Winter 2015

12 Family Medicine and Patients Win Big in 2014

Adam Francis

18 Covered California Provides Second Open Enrollment Period Resources

Catherine Direen

19 #2014YearFP Is Over: What’s Next?

Ron Fong, MD, MPH

20 House Calls Circa 2014 Increase Physician and Patient Satisfaction

Marion Leff, MD

22 Taking to the Streets

Laura Murphy

26 Soda Tax Victory in Berkeley Stirs Public Health Conversation

Lenard Lesser, MD, MSHS

6

Editorial

Keeping Family Medicine Local

8

President’s Message

Making the Last Home Visit

9

PCMH Corner

2015 Has New Promise for Practice Transformation

Leah Newkirk

10 Political Pulse

Four New California Laws Affect Family Physicians

Ashby Wolfe, MD, MPP, MPH

14 Students & Residents

Family Medicine Summit was a Huge Success

16 Membership

2014 Year of the Family Physician Yearbook

30 EVP’s Forum

Family Medicine Organizations Unify to Make Health Primary

Nathan Hitzeman, MD Del Morris, MD

Cody Mitcheltree

Susan Hogeland, cae

For the upcoming CME calendar go to www.familydocs.org California Family Physician Winter 2015

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EDITORIAL

Keeping Family Medicine Local ŝƌƚŚĚĂLJ ƉĂƌƚŝĞƐ ŚĂǀĞ ĐŚĂŶŐĞĚ ĂŶĚ ƐŽ ŚĂƐ ŵĞĚŝĐŝŶĞ͘ dŚŝƐ ŝƐƐƵĞ ŽĨ &W ƐƉĞĂŬƐ ƚŽ ƚŚĞ ĐŽŵŵƵŶŝƚLJ ŝŶǀŽůǀĞŵĞŶƚ tŚĞŶ / ǁĂƐ Ă ĐŚĂƉ ŝŶ ĐŽƌĚƵƌŽLJƐ ǁŝƚŚ ƚŚĞ ďŽǁů ŚĂŝƌĐƵƚ͕ / ŽĨ ĨĂŵŝůLJ ĚŽĐƐ ʹ ĨƌŽŵ ŚŽŵĞ ǀŝƐŝƚƐ͕ ƚŽ ƚƌĞĂƚŝŶŐ ƚŚĞ ŵŝŶĚ ƌĞĐĂůůĞĚ EĞŝů ŝĂŵŽŶĚ ŵƵƐŝĐ ďůĂƌŝŶŐ͕ ƚŚĞ ŵŽŵƐ ƐŝƉƉŝŶŐ ĂƐ ǁĞůů ĂƐ ƚŚĞ ďŽĚLJ͕ ƚŽ ĨŝŐŚƚŝŶŐ ďĂĐŬ ĂŐĂŝŶƐƚ Ă ĐƵůƚƵƌĞ ŽĨ &ƌĂŶnjŝĂ ďŽdž ǁŝŶĞ ĂŶĚ ĚŝƐĐƵƐƐŝŶŐ :Z ǁŝŶŐ͕ ĂŶĚ ƚŚĞ ĚĂĚƐ Ăƚ ƐƵŐĂƌͲƐǁĞĞƚĞŶĞĚ ďĞǀĞƌĂŐĞƐ͘ ƚŚĞ Y ĚĞďĂƚŝŶŐ ƐƉŽƌƚƐ ĂŶĚ ĚƌŝŶŬŝŶŐ ŽŽƌƐ͘ dŚĞƌĞ ǁĂƐ Ă ůŝƚƚůĞ ƐƚƌƵĐƚƵƌĞĚ ƉůĂLJ ĨŽƌ ƚŚĞ ŬŝĚƐ ůŝŬĞ dǁŝƐƚĞƌ Žƌ WŝŶͲƚŚĞͲ tŝƚŚ ƉƌŝŵĂƌLJ ĐĂƌĞ ďĂĐŬ ŝŶ ƚŚĞ ŐĂŵĞ ǁŝƚŚ ƚŚĞ ĨĨŽƌĚĂďůĞ dĂŝů͕ ƚŚĞŶ ŵLJ ŵŽŵ͛Ɛ 'ĞƌŵĂŶ ĐŚŽĐŽůĂƚĞ ĐĂŬĞ ĂƉƉĞĂƌĞĚ͕ ĂƌĞ Đƚ ; Ϳ͕ ǁĞ ŶĞĞĚ ƚŽ ŵĂŬĞ ƐƵƌĞ ǁĞ ĂƌĞ ĐĂůůŝŶŐ ƉƌĞƐĞŶƚƐ ǁĞƌĞ ŽƉĞŶĞĚ͕ ĂŶĚ ŵŽƌĞ ŽĨ ƚŚĞ ƐŚŽƚƐ ƚŚĂŶ ǁĞ ĚŝĚ ŬŝĚƐ ƌĂŶ ĂŵŽŬ͘ ^ŽŵĞ ŐƵĞƐƚƐ ĚƵƌŝŶŐ ƚŚĞ ,ĞĂůƚŚ DĂŝŶƚĞŶĂŶĐĞ ůŝŶŐĞƌĞĚ͕ ĂŶĚ ƚŚĞ ƉĂƌƚLJ ǁĂƐ KƌŐĂŶŝnjĂƚŝŽŶͲŐĂƚĞŬĞĞƉĞƌͲ ȱ ȱ ȱ ȱ ȱ ȱ ƵŶƌƵƐŚĞĚ͘ ůĂďĞů ĚĞďĂĐůĞ ŽĨ ƚŚĞ ϭϵϵϬƐ͘ dŚĞƌĞ ĂƌĞ ĞŶĐŽƵƌĂŐŝŶŐ ƐŝŐŶƐ ȱ ȱ ȱ ǯȱ dŽĚĂLJ͕ ŬŝĚƐ͛ ďŝƌƚŚĚĂLJƐ ŚĂǀĞ ǁŝƚŚ ŝŶĐƌĞĂƐĞĚ ƐĐƌƵƚŝŶLJ ŽĨ ďĞĐŽŵĞ Ă ƉƌĞĚŝĐƚĂďůĞ ƐƵďͲƐƉĞĐŝĂůƚLJ ZĞůĂƚŝǀĞ sĂůƵĞ ȱ ȱ ȱ ȱ ȱ ďŽƌĞ͘ dŚĞ ƵƐƵĂů ǀĞŶƵĞƐ ĂƌĞ hŶŝƚƐ ĂŶĚ ƚŚĞ ĞŵĞƌŐĞŶĐĞ , ͲƉƌŽŵŽƚŝŶŐ ŚƵĐŬͲ Ͳ ŽĨ ƚƌĂŶƐŝƚŝŽŶĂů ĐĂƌĞ ǀŝƐŝƚƐ ȱ ȱ ǯȱ ȱ ŚĞĞƐĞ͕ ŐLJŵŶĂƐƚŝĐƐ ĐĞŶƚĞƌƐ͕ ĂŶĚ͕ ŶŽǁ͕ ĐĂƌĞ ŵĂŶĂŐĞŵĞŶƚ ȱ ǰȱ ȱ ȱ ȱ ¢ȱ Žƌ ŝŶĨůĂƚĂďůĞ ƉůĂLJ ƉĂƌŬƐ͘ ƌĞŝŵďƵƌƐĞŵĞŶƚ ƚŚĂƚ ŶĞĞĚ ŶŽƚ >ŝŬĞ ůŝǀĞƐƚŽĐŬ͕ ƚŚĞ ŬŝĚƐ ĂƌĞ ďĞ ĨĂĐĞͲƚŽͲĨĂĐĞ͘ ǰȱ ȱ ȱ ȱ ȱ ƌŽƵƚĞĚ ƚŚƌŽƵŐŚ ƐƚƌƵĐƚƵƌĞĚ ĂĐƚŝǀŝƚŝĞƐ ǁŚŝůƐƚ ĂĚƵůƚƐ ĐŚĞĐŬ dŚĞ ůĂƌŐĞ ŚĞĂůƚŚ ŽƌŐĂŶŝnjĂƚŝŽŶƐ ȱ ¢ȱ ȱ ȱ ¢ǯ ƚŚĞŝƌ ƐŵĂƌƚƉŚŽŶĞƐ ĂŶĚ ŚĂǀĞ ĂůƐŽ ĐŽŵĞ ƚŽ ĂƉƉƌĞĐŝĂƚĞ ƉĞƌŚĂƉƐ ĂƚƚĞŵƉƚ ŽĐĐĂƐŝŽŶĂů ƚŚĂƚ ƚŚĞ ĨƵƚƵƌĞ ŽĨ ƉƌŝŵĂƌLJ ĐĂƌĞ ĞLJĞ ĐŽŶƚĂĐƚ Žƌ ƚŚĞ ĞdžĐŚĂŶŐĞ ĚĞƉĞŶĚƐ ŽŶ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͕ ŽĨ ƉůĞĂƐĂŶƚƌŝĞƐ͘ EĞdžƚ ĨŽůůŽǁƐ Ă ƌƵƐŚĞĚ ĨĞĞĚŝŶŐ ĨƌĞŶnjLJ ĂŶĚ ƚŚĂƚ ƚŚĞ ŶĞǁ ƌĞĐƌƵŝƚƐ ǁĂŶƚ ĨƵůů ƐƉĞĐƚƌƵŵ ƉƌĂĐƚŝĐĞ ĂŶĚ ŽĨ ƚŚĞ ĐŚĞĂƉĞƐƚ ƉŝnjnjĂ ŵŽŶĞLJ ĐĂŶ ďƵLJ ĨŽůůŽǁĞĚ ďLJ ƚŚĞ ůĞĂĚĞƌƐŚŝƉ ŽƉƉŽƌƚƵŶŝƚŝĞƐ͘ ŽďůŝŐĂƚŽƌLJ ŽƐƚĐŽ ǁŚŝƚĞ ĐĂŬĞ ǁŝƚŚ ĂŶ ŝŶĐŚ ŽĨ ďƵƚƚĞƌĐƌĞĂŵ ĨƌŽƐƚŝŶŐ͘ dŚĞ ,ĞĂůƚŚ ŝƐ WƌŝŵĂƌLJ ĐĂŵƉĂŝŐŶ ǁĂƐ ƌĞĐĞŶƚůLJ ĂŶŶŽƵŶĐĞĚ ŝŶ ƚŚĞ ŶŶĂůƐ ŽĨ &ĂŵŝůLJ DĞĚŝĐŝŶĞ͘ dŚĞ ǀĂůƵĞ ŽĨ ĨĂŵŝůLJ DĞĚŝĐŝŶĞ ŝƐ ƵŶĚĞƌŐŽŝŶŐ ƚŚŝƐ ŬŝŶĚ ŽĨ ĐŽŶǀĞƌŐĞŶƚ ĞǀŽůƵƚŝŽŶ͘ ŵĞĚŝĐŝŶĞ ǁĂƐ ƌĞǀŝƐŝƚĞĚ ǁŝƚŚ ǁŽƌĚŝŶŐ ƐƵĐŚ ĂƐ ƚƌĞĂƚŝŶŐ ƚŚĞ DƵůƚŝƉůĞ ŚĞĂůƚŚ ƐLJƐƚĞŵƐ ĂƌĞ ĐŚĂŵƉŝŽŶŝŶŐ ƚŚĞ ĐĂƵƐĞƐ ŽĨ ǁŚŽůĞ ƉĂƚŝĞŶƚ ĂŶĚ ƚŚĞ ĨĂŵŝůLJ͕ ĞƐƚĂďůŝƐŚŝŶŐ ƌĞůĂƚŝŽŶƐŚŝƉƐͬ ƉĂĐŬĂŐĞĚ ĞdžƉĞƌŝĞŶĐĞƐ ůŝŬĞ ƋƵĂůŝƚLJ ŵĞĂƐƵƌĞƐ͕ ƉƌĂĐƚŝĐŝŶŐ ƉĂƌƚŶĞƌƐŚŝƉƐ ǁŝƚŚ ƉĂƚŝĞŶƚƐ ŽǀĞƌ ƚŝŵĞ͕ ƵƐŝŶŐ ďĞƐƚ ƐĐŝĞŶĐĞͬ ͞ůĞĂŶ͕͟ ƵƐŝŶŐ ŽƌĚĞƌ ƐĞƚƐͬǀĂƌŝĂƚŝŽŶ ƌĞĚƵĐƚŝŽŶ͕ ƉƌŽŵŽƚŝŶŐ ĞǀŝĚĞŶĐĞ͕ ƉƌŝŽƌŝƚŝnjŝŶŐ ŶĞĞĚƐ ĂŶĚ ƉƌĂĐƚŝĐŝŶŐ ĐŽƐƚͲ ƉŚŽŶĞ ĂŶƐǁĞƌŝŶŐ ƐĞƌǀŝĐĞƐ ƚŽƚĂůůLJ ĚŝƐĐŽŶŶĞĐƚĞĚ ĨƌŽŵ ƚŚĞ ĞĨĨĞĐƚŝǀĞ ŵĞĚŝĐŝŶĞ͕ ƚƌĞĂƚŝŶŐ ƉŽƉƵůĂƚŝŽŶƐ ŝŶ ĂĚĚŝƚŝŽŶ ƚŽ ƉŚLJƐŝĐĂů ĐůŝŶŝĐ͕ ĞůĞĐƚƌŽŶŝĐ ŝŶƚĞƌĨĂĐĞ ĨŽƌ ĨĂŝƌůLJ ŝŵƉĞƌƐŽŶĂů ƚŚĞ ŝŶĚŝǀŝĚƵĂů͕ ƉƌŽǀŝĚŝŶŐ ůĞĂĚĞƌƐŚŝƉ ŝŶ ŚĞĂůƚŚ ĐĂƌĞ͕ ĂŶĚ͕ ŝŶƚĞƌĂĐƚŝŽŶƐ ĂŶĚ ĞǀĞŶ ƐĐƌŝƉƚŝŶŐ ǁŚĂƚ ͞ƉƌŽǀŝĚĞƌƐ͟ ƐŚŽƵůĚ ƉĞƌŚĂƉƐ ŵŽƐƚ ŝŵƉŽƌƚĂŶƚůLJ͕ ĂĚĂƉƚŝŶŐ ŽƵƌ ĐĂƌĞ ƚŽ ƚŚĞ ƐĂLJ͘ dŚĞƐĞ ŵĞĂƐƵƌĞƐ ůŽŽŬ ŐƌĞĂƚ ŽŶ ĨůŽǁ ĐŚĂƌƚƐ͕ ďƵƚ / ǁŽƌƌLJ ƵŶŝƋƵĞ ŶĞĞĚƐ ŽĨ ŽƵƌ ƉĂƚŝĞŶƚƐ ĂŶĚ ĐŽŵŵƵŶŝƚŝĞƐ͘ ŚŽǁ ďŝŐ ďŽdž ŵĞĚŝĐŝŶĞ ǁŝůů ĞƌĂƐĞ ƚŚĞ ĚŽǁŶ ŚŽŵĞ ĨĞĞů ŽĨ LJĞƐƚĞƌLJĞĂƌƐ͘ / ƌĞŵĞŵďĞƌ ŵLJ ĐŚŝůĚŚŽŽĚ ĨĂŵŝůLJ ĚŽĐƚŽƌ tŚĂƚ ŝƐ ŶĞǁ ŝƐ ŽůĚ͘ tĞ ŬŶŽǁ ƚŚŝƐ ƐƚƵĨĨ͘ tĞ ĚŽ ŝƚ ďĞƐƚ͘ ǁĞĂƌŝŶŐ ďĞůů ďŽƚƚŽŵƐ͕ ƚĞůůŝŶŐ ĐŽƌŶLJ ũŽŬĞƐ ĂŶĚ ŶŽƚ ďĞŝŶŐ ^Ž ŝŶƐŝƐƚ ŽŶ ďĞĐŽŵŝŶŐ ŵŽƌĞ ƚŚĂŶ ƚŚĞ ǁŚŝƚĞ ĐĂŬĞ ǁŝƚŚ ƚŝĞĚ ƚŽ Ă ĐŽŵƉƵƚĞƌ͘ dĞůůŝŶŐ ĐŽƌŶLJ ũŽŬĞƐ ƐŚŽƵůĚ ƐƚĂLJ ŽŶ ƚŚĞ ďƵƚƚĞƌĐƌĞĂŵ͘ zŽƵ ĂƌĞ ƚŚĞ ƌĞĚ ǀĞůǀĞƚ ĐĂŬĞ ǁŝƚŚ ĐƌĞĂŵ ĨůŽǁ ĐŚĂƌƚ͊ ĐŚĞĞƐĞ ĨƌŽƐƚŝŶŐ͘ zŽƵ ĂƌĞ ƚŚĞ <ĂŚůƵĂ ĐĂŬĞ ǁŝƚŚ ĐŚŽĐŽůĂƚĞ ŐĂŶĂĐŚĞ͘ &ŽƌŬ ƚŽ ĨĂƌŵ͕ Žƌ ĨŽƌŬ ƚŽ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͕ ƚŚĞƌĞ ŝƐ ĂŶ ĂƉƉĞƚŝƚĞ ǁŚŝĐŚ ŽŶůLJ ǁĞ ĐĂŶ ƐĂƚŝƐĨLJ͘

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California Family Physician Winter 2015

California Cal a ifo alifo iforni if rn a Fami rni FFamily amily Phy amily ami P Physician sician sic sician n Winter Win Wi W i ter 20 2015 15

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PRESIDENT’S MESSAGE

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Making the Last Home Visit ͞dŚŝŶŐƐ ƐĞĞŵ ƚŽ ďĞ ŐŽŝŶŐ ĚŽǁŶŚŝůů͕͟ / ƐĂŝĚ ƉƵƫŶŐ ƚŚĞ ŽďǀŝŽƵƐ ŝŶƚŽ ǁŽƌĚƐ͘ ĂƌŽů ǁĂƐ ŽŶ ŚĞƌ ďĂĐŬ ǁŝƚŚ ŚĞƌ ĞLJĞƐ ĐůŽƐĞĚ͘ ^ŽŵĞ ƚĞĂƌƐ͘ >ŽŶŐ ƉĂƵƐĞ͕ ƚŚĞŶ͕ ͞'Ğƚ ĞĂŶ͘͟ ĞĂŶ ŚĂĚ ũƵƐƚ ĐŽŵĞ ŝŶƚŽ ƚŚĞ ƌŽŽŵ͘ ͞tŚĂƚ ĚŽ LJŽƵ ŶĞĞĚ͕ ŚŽŶ͍ tĂƚĞƌ͕ ũƵŝĐĞ͍͟ ͞WŽƉ ƵŶ͕͟ ƐŚĞ ƐĂŝĚ ƐŽŌůLJ͕ ĂŶĚ ƚŽŽ ĨĂƐƚ͘ ĂƌŽů ǁĂƐ ĨĂĐŝŶŐ ĂǁĂLJ ĨƌŽŵ ŚĞƌ ŶŝŐŚƚƐƚĂŶĚ ĂŶĚ ĂƉƉĞĂƌĞĚ ĂƐůĞĞƉ͘ ĞĂŶ ƐĂŝĚ ƚŚĂƚ ƐŚĞ ŚĂĚ ďĞĞŶ ƋƵŝĞƚ ĚƵƌŝŶŐ ƚŚĞ ĚĂLJ͕ ůĞƐƐ ĂŐŝƚĂƚĞĚ ĂŶĚ ĐŽŶĨƵƐĞĚ ƚŚĂŶ ƐŚĞ ŚĂĚ ďĞĞŶ ƚŚĞ ĚĂLJ ďĞĨŽƌĞ͘ / ƐĂƚ ĚŽǁŶ ŶĞdžƚ ƚŽ ŚĞƌ ďĞĚ͘ ͞ ĂƌŽů͍ ĞĂŶ ƐĂLJƐ LJŽƵ ŚĂǀĞ ŚĂĚ Ă ƌŽƵŐŚ ĨĞǁ ĚĂLJƐ͘͟ EŽ ĂŶƐǁĞƌ͘ ^ŚĞ ƐůŽǁůLJ ƌŽůůĞĚ ŽǀĞƌ ĂŶĚ ůŽŽŬĞĚ Ăƚ ŵĞ͘ ͞tĂƚĞƌ͘͟ ^ŚĞ ĐŽƵůĚŶ͛ƚ ůŝŌ ŚĞƌ ŚĞĂĚ ƵƉ ŵƵĐŚ͘ dŚĞ ĐƵƉ ŚĂĚ Ă ďĞŶƚ ƐƚƌĂǁ͘ ^ŚĞ ƚŽŽŬ Ă ƐŝƉ͘ ͞tŚĞƌĞ͛Ɛ ĞĂŶ͍͟ ͞/Ŷ ƚŚĞ ŬŝƚĐŚĞŶ͘͟ ĂƌŽů ŚĂĚ ǁŝĚĞůLJ ŵĞƚĂƐƚĂƐŝnjĞĚ ŽǀĂƌŝĂŶ ĐĂŶĐĞƌ͘ ^ŚĞ ŚĂĚ ďĞĞŶ ŝŶ Ă ƌĞŵŝƐƐŝŽŶ ƵƉ ƵŶƟů ŽŶĞ ŵŽŶƚŚ ďĞĨŽƌĞ͘ / ŚĂĚ ĂƌƌĂŶŐĞĚ ŚŽƐƉŝĐĞ ĐĂƌĞ ŝŶ ŚĞƌ ŚŽŵĞ ĂŶĚ ǁĂƐ ŵĂŬŝŶŐ ŵLJ ŶŝŐŚƚůLJ ǀŝƐŝƚ ĂŌĞƌ ĐůŝŶŝĐ͘ ,Ğƌ ŚƵƐďĂŶĚ͕ ĞĂŶ͕ ĂŶĚ / ŚĂĚ ĚĞǀĞůŽƉĞĚ Ă ƌŝƚƵĂů͘ ,Ğ ǁŽƵůĚ ĂŶƐǁĞƌ ƚŚĞ ĚŽŽƌ ĂŶĚ ůĞĂĚ ŵĞ ƚŽ ƚŚĞŝƌ ďĞĚƌŽŽŵ͕ ĂŶĚ ƚŚĞŶ ŚĞ ǁŽƵůĚ ƌĞƚƌĞĂƚ ĚŽǁŶƐƚĂŝƌƐ ƚŽ ƚŚĞ ŬŝƚĐŚĞŶ ƐŽ ĂƌŽů ĂŶĚ / ĐŽƵůĚ ƚĂůŬ͘ ŌĞƌ ϭϬ Žƌ ϭϱ ŵŝŶƵƚĞƐ͕ ŚĞ ǁŽƵůĚ ĐŽŵĞ ƵƉ ƚŽ ƐĞĞ ŝĨ ƐŚĞ ŶĞĞĚĞĚ ĂŶLJƚŚŝŶŐ͘ tŚĞŶ / ĐĂŵĞ ĚŽǁŶ ŚĞ ǁŽƵůĚ ŚĂǀĞ Ă ďĞĞƌ ĨŽƌ ŵĞ ĂŶĚ ǁĞ ǁŽƵůĚ ƚĂůŬ͘ ĂƌŽů ŚĂĚ ďĞĞŶ ŵLJ ĐůŝŶŝĐ ŵĂŶĂŐĞƌ Ă ŶƵŵďĞƌ ŽĨ LJĞĂƌƐ ĞĂƌůŝĞƌ͘ >ĂƚĞƌ ƐŚĞ ŚĂĚ ďĞĐŽŵĞ ŵLJ ƉĂƟĞŶƚ͘ ^ŚĞ ŚĂĚ Ă ƚŽƵŐŚŶĞƐƐ ƚŽ ŚĞƌ ƚŚĂƚ ŚĂĚ ďĞĞŶ ŶĞĞĚĞĚ͘ / ĐĂŵĞ ƚŽ ůĞĂƌŶ ƐŚĞ ǁĂƐ ŚŽŶĞƐƚ ĂŶĚ Ăƚ ƟŵĞƐ ďůƵŶƚ͘ ͞/ ƐĞĞ ƚŚĞLJ ďƌŽƵŐŚƚ ƚŚĞ ŚŽƐƉŝƚĂů ďĞĚ ƚŽĚĂLJ͘͟ /ƚ ǁĂƐ Ăƚ ƚŚĞ ĞŶĚ ŽĨ ŚĞƌ ďĞĚ͘ ĞĂŶ ĂŶĚ ƚŚĞŝƌ ƐŽŶ DŝĐŚĂĞů ǁĞƌĞ ŐŽŝŶŐ ƚŽ ŐĞƚ ŚĞƌ ŝŶƚŽ ƚŚĞ ďĞĚ ǁŚĞŶ ŚĞ ŐŽƚ ƚŚĞƌĞ ƚŚĂƚ ĞǀĞŶŝŶŐ͘ ͞tŚĂƚ ƟŵĞ ŝƐ ŝƚ͍͟ ĂƌŽů ǁŚŝƐƉĞƌĞĚ͘ ^ŚĞ ǁĂƐ ŐƌŽŐŐLJ ĂŶĚ ƵƐŝŶŐ ĨĞǁ ǁŽƌĚƐ͖ ƐŽŌ ǀŽŝĐĞ͕ ŚĂƌĚ ƚŽ ŚĞĂƌ͘ ^ĞĞŵĞĚ ĨŽƌ ƚŚĞ ŵŽŵĞŶƚ ƐŚĞ ǁĂƐ ŽƌŝĞŶƚĞĚ͘ ^ŚĞ ďĞĐĂŵĞ ƋƵŝĞƚ ĂŐĂŝŶ͘ / ƚŚŽƵŐŚƚ ƐŚĞ ŚĂĚ ŐŽŶĞ ďĂĐŬ ƚŽ ƐůĞĞƉ͘ / ǁĂůŬĞĚ ƚŽ ƚŚĞ ĞŶĚ ŽĨ ŚĞƌ ďĞĚ ƚŽ ŝŶƐƉĞĐƚ ƚŚĞ ŚŽƐƉŝƚĂů ďĞĚ͘ ͞tŚĞƌĞ ĂƌĞ LJŽƵ ŐŽŝŶŐ͍ ƌĞ LJŽƵ ůĞĂǀŝŶŐ͍͟ ůŝƩůĞ ŽĨ ĂƌŽů͛Ɛ ĐŽŵŵĂŶĚŝŶŐ ǀŽŝĐĞ ǁĂƐ ƚŚĞƌĞ͘ / ǁĞŶƚ ďĂĐŬ ƚŽ ƚŚĞ ŚĞĂĚ ŽĨ ŚĞƌ ďĞĚ ĂŶĚ ƐĂƚ ĚŽǁŶ͘ 8

California Family Physician Winter 2015

ĞĂŶ ĂŶĚ / ĚŝĚŶ͛ƚ ƵŶĚĞƌƐƚĂŶĚ͘ tĂƐ ƐŚĞ ĐŽŶĨƵƐĞĚ ĂŐĂŝŶ͍ DŽƌĞ ŝŶƐŝƐƚĞŶƚůLJ͕ ͞WŽƉ ŽŶĞ͘͟ sŽŝĐĞ ǁĂƐ ƐƚƌŽŶŐĞƌ͘ / ĚŝĚŶ͛ƚ ƵŶĚĞƌƐƚĂŶĚ͕ ďƵƚ ĞĂŶ ĚŝĚ͘ ,Ğ ƌĞƉĞĂƚĞĚ͕ ͞WŽƉ ŽŶĞ͍͟ ͞zĞƐ͘͟ ͞ ŚĂŵƉĂŐŶĞ͍͟ ͞zĞƐ͟ ĞĂŶ ƐĂŝĚ ŽŬ ĂŶĚ ǁĂƐ ŐŽŶĞ ŝŶ Ă ŇĂƐŚ͘ ͞/͛ŵ ƟƌĞĚ͕͟ ƐŚĞ ƐĂŝĚ͘ ĞĂŶ ƌĞƚƵƌŶĞĚ ǁŝƚŚ Ă ďŽƩůĞ ŽĨ ĐŚĂŵƉĂŐŶĞ ĂŶĚ ƚǁŽ ŐůĂƐƐĞƐ͘ ,Ğ ŽƉĞŶĞĚ ƚŚĞ ďŽƩůĞ ĂŶĚ ƉŽƵƌĞĚ ƐŽŵĞ ŝŶƚŽ ĂƌŽů͛Ɛ ĞŵƉƚLJ ǁĂƚĞƌ ĐƵƉ ǁŝƚŚ ƚŚĞ ƐƚƌĂǁ͕ ĂŶĚ ƐŽŵĞ ŝŶƚŽ ƚŚĞ ƚǁŽ ŐůĂƐƐĞƐ͘ ͞>ŝĨĞ͕͟ ĂƌŽů ƐĂŝĚ͘ ĞĂŶ ŚĞůĚ ŚĞƌ ĐƵƉ ĂŶĚ ƐŚĞ ŚĂĚ Ă ƐŝƉ͘ ĞĂŶ ĂŶĚ / ŚĂĚ Ă ƐŝƉ͘ ĂƌŽů ƉĂƐƐĞĚ ĂǁĂLJ ƚŚĞ ŶĞdžƚ ŵŽƌŶŝŶŐ͘ DLJ ǁŝĨĞ ĂŶĚ / ĂƩĞŶĚĞĚ ŚĞƌ ŝŶƚĞƌŵĞŶƚ ĂŶĚ ǁĞ ŚĂĚ ůƵŶĐŚ ǁŝƚŚ ĞĂŶ ĂŶĚ DŝĐŚĂĞů ĂŌĞƌǁĂƌĚ͘ tĞ ƐŚĂƌĞĚ ŽƵƌ ƌĞĐŽůůĞĐƟŽŶƐ ĂďŽƵƚ ƚŚĞ ĐŚĂŵƉĂŐŶĞ ŵŽŵĞŶƚ ĂŶĚ ŚŽǁ ƚŚĂƚ ǁĂƐ ƵŶĞdžƉĞĐƚĞĚ ĂŶĚ LJĞƚ ƐŽ ĂƌŽů͘ DŽŶƚŚƐ ůĂƚĞƌ Ăƚ ƚŚĞ &W ĂŶŶƵĂů ŵĞĞƟŶŐ͕ ƌ͘ ďƌĂŚĂŵ sĞƌŐŚĞƐĞ ƚŽůĚ Ă ǀĞƌƐŝŽŶ ŽĨ ƚŚĞ ƐƚŽƌLJ ŽĨ ŶƚŽŶ ŚĞŬŚŽǀ͛Ɛ ĚĞĂƚŚ͘ /Ŷ ĂĚĚŝƟŽŶ ƚŽ ůŝƚĞƌĂƌLJ ĨĂŵĞ͕ ŚĞŬŚŽǀ ǁĂƐ Ă ǁĞůůͲŬŶŽǁŶ ĂŶĚ ƌĞŐĂƌĚĞĚ ƉŚLJƐŝĐŝĂŶ͘ /Ŷ ƚŚĞ ĞŶĚ ƐƚĂŐĞ ŽĨ ƚƵďĞƌĐƵůŽƐŝƐ͕ ŚĞ ƚƌĂǀĞůĞĚ ƚŽ Ă 'ĞƌŵĂŶ ŚĞĂůƚŚ ƐƉĂ ĂŶĚ ǁĂƐ ĂƩĞŶĚĞĚ ďLJ Ă ĚŽĐƚŽƌ ǁŚŽ ǁĂƐ ŚŽŶŽƌĞĚ ĐĂƌŝŶŐ ĨŽƌ ƐƵĐŚ Ă ĨĂŵŽƵƐ ƉĂƟĞŶƚ͘ KŶ ƚŚĞ ŶŝŐŚƚ ŽĨ ŚŝƐ ĚĞĂƚŚ ƚŚĞ ĚŽĐƚŽƌ ǁĂƐ ĐĂůůĞĚ ƚŽ ŚĞŬŚŽǀ͛Ɛ ƌŽŽŵ ďĞĐĂƵƐĞ ŚĞ ǁĂƐ ĨĞĞůŝŶŐ ĂŶdžŝŽƵƐ ĂŶĚ ƐŚŽƌƚ ŽĨ ďƌĞĂƚŚ͘ ŚĞŬŚŽǀ ƐƵĚĚĞŶůLJ ƐĂƚ ƵƉ ĂŶĚ ĂŶŶŽƵŶĐĞĚ ƚŚĂƚ ŚĞ ǁĂƐ ĚLJŝŶŐ͘ dŚĞ ĂƩĞŶĚŝŶŐ ŽīĞƌĞĚ ƚŽ ŐĞƚ Śŝŵ ĐĂŵƉŚŽƌ ƚŽ ĐĂůŵ Śŝŵ ĚŽǁŶ͘ ŚĞŬŚŽǀ ƌĞƐƉŽŶĚĞĚ ƚŚĂƚ ďLJ ƚŚĞ ƟŵĞ ŚĞ ŐŽƚ ŝƚ ŚĞ ǁŽƵůĚ ďĞ ĚĞĂĚ͘ dŚĞ ĚŽĐƚŽƌ ƚŚĞŶ ŽƉĞŶĞĚ Ă ďŽƩůĞ ŽĨ ĐŚĂŵƉĂŐŶĞ ĂŶĚ ƉŽƵƌĞĚ ŐůĂƐƐĞƐ ĨŽƌ ŚĞŬŚŽǀ͕ ŚĞŬŚŽǀ͛Ɛ ǁŝĨĞ͕ KůŐĂ͕ ĂŶĚ ŚŝŵƐĞůĨ͘ ^ŚŽƌƚůLJ ĂŌĞƌ ŚĞŬŚŽǀ ĚƌĂŶŬ ƚŚĞ ŐůĂƐƐ͕ ŚĞ ƚŽŽŬ ŚŝƐ ůĂƐƚ ďƌĞĂƚŚ͘ / ŚĂĚ Ă ǀŝƐƵĂů ŝŵĂŐĞ ŽĨ ĂƌŽů͕ ŝŶ ŚĞĂůƚŚ͕ ƐŵŝůŝŶŐ ĂŶĚ ƐĂůƵƟŶŐ ǁŝƚŚ Ă ŐůĂƐƐ ŽĨ ĐŚĂŵƉĂŐŶĞ͘

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ȱȱȱȱȱȱȱ

PCMH CORNER

2015 Has New Promise for Practice Transformation &Žƌ ŵĂŶLJ ĂůŝĨŽƌŶŝĂ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͕ ƌĞƚƵƌŶ ŽŶ ŝŶǀĞƐƚŵĞŶƚ ŝƐ ƚŚĞ ƐŝŶŐůĞ ŐƌĞĂƚĞƐƚ ŽďƐƚĂĐůĞ ƚŽ ƚƌĂŶƐĨŽƌŵŝŶŐ ƚŽ ƚŚĞ WĂƟĞŶƚ ĞŶƚĞƌĞĚ DĞĚŝĐĂů ,ŽŵĞ ;W D,Ϳ ŵŽĚĞů͘ dŚĞ ƚƌĂŶƐĨŽƌŵĂƟŽŶ ƉƌŽĐĞƐƐ ƌĞƋƵŝƌĞƐ ĂŶ ƵƉĨƌŽŶƚ ŝŶǀĞƐƚŵĞŶƚ ĂŶĚ ƐƵƐƚĂŝŶŝŶŐ ƚŚĞ ŵŽĚĞů ĐĂŶ ďĞ ĞdžƉĞŶƐŝǀĞ͘ KƵƚƐŝĚĞ ŽĨ ƚŚĞ ŐƌĂŶƚ ǁŽƌůĚ͕ ůŝŵŝƚĞĚ ĮŶĂŶĐŝĂů ĂƐƐŝƐƚĂŶĐĞ ŝƐ ĂǀĂŝůĂďůĞ ƚŽ ŚĞůƉ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƚƌĂŶƐĨŽƌŵ ƚŚĞŝƌ ƉƌĂĐƟĐĞƐ͘ ŶĚ ŝŶ ŽƵƌ ĐƵƌƌĞŶƚ ĨĞĞͲĨŽƌͲƐĞƌǀŝĐĞ ĞŶǀŝƌŽŶŵĞŶƚ͕ ƚŚĞƌĞ ŝƐ ůŝƩůĞ ƌĞǁĂƌĚ ĨŽƌ ƚŚŽƐĞ ǁŚŽ ĚŽ͘ dŚĞ ĂůŝĨŽƌŶŝĂ ĐĂĚĞŵLJ ŽĨ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶƐ ; &WͿ ĂŶĚ ƚŚĞ ŵĞƌŝĐĂŶ ĐĂĚĞŵLJ ŽĨ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶƐ ; &WͿ ŚĂǀĞ ŵĂĚĞ ƚŚŝƐ Ă ĨŽĐĂů ƉŽŝŶƚ ŝŶ ŽƵƌ ĂĚǀŽĐĂĐLJ ǁŽƌŬ͘ ƚ ĞǀĞƌLJ ŽƉƉŽƌƚƵŶŝƚLJ͕ ǁĞ ĞŵƉŚĂƐŝnjĞ ƚŚĞ ŶĞĞĚ ƚŽ ƐƵƉƉŽƌƚ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ŝŶƚĞƌĞƐƚĞĚ ŝŶ ƚƌĂŶƐĨŽƌŵĂƟŽŶ ĂŶĚ ƚŽ ƌĞĨŽƌŵ ŽƵƌ ƉĂLJŵĞŶƚ ŵŽĚĞů ƐŽ ƚŚĂƚ ƚƌĂŶƐĨŽƌŵĞĚ ƉƌĂĐƟĐĞƐ ĂƌĞ ƐƵƐƚĂŝŶĂďůĞ͘ /Ŷ ϮϬϭϱ͕ ǁĞ ĂŶƟĐŝƉĂƚĞ ƌĞĂƉŝŶŐ ŵŽƌĞ ŽĨ ƚŚĞ ďĞŶĞĮƚƐ ŽĨ ƚŚĞƐĞ ĂĚǀŽĐĂĐLJ ĞīŽƌƚƐ͘ /Ŷ KĐƚŽďĞƌ ϮϬϭϰ͕ ƚŚĞ ĞŶƚĞƌƐ ĨŽƌ DĞĚŝĐĂƌĞ ĂŶĚ DĞĚŝĐĂŝĚ ^ĞƌǀŝĐĞƐ ; D^Ϳ ĂŶĚ ƚŚĞ D^ /ŶŶŽǀĂƟŽŶ ĞŶƚĞƌ ĂŶŶŽƵŶĐĞĚ ƚŚĞ ĂǀĂŝůĂďŝůŝƚLJ ŽĨ ΨϳϬϬ ŵŝůůŝŽŶ ĚŽůůĂƌƐ ƚŽ ĂƐƐŝƐƚ ϭϱϬ͕ϬϬϬ ĐůŝŶŝĐŝĂŶƐ ƚƌĂŶƐĨŽƌŵ ƚŚĞŝƌ ƉƌĂĐƟĐĞƐ͘ dŚĞ dƌĂŶƐĨŽƌŵŝŶŐ ůŝŶŝĐĂů WƌĂĐƟĐĞ /ŶŝƟĂƟǀĞ ;d W/Ϳ ǁŝůů ƐƵƉƉŽƌƚ ĐůŝŶŝĐĂů ƉƌĂĐƟĐĞƐ ƚŚƌŽƵŐŚ WƌĂĐƟĐĞ dƌĂŶƐĨŽƌŵĂƟŽŶ EĞƚǁŽƌŬƐ͕ ǁŚŝĐŚ ǁŝůů ĐƌĞĂƚĞ ƉĞĞƌͲƚŽͲƉĞĞƌ ƐƵƉƉŽƌƚ͕ ŚĞůƉ ŝĚĞŶƟĨLJ ĞǀŝĚĞŶĐĞͲďĂƐĞĚ ŵŽĚĞůƐ ŽĨ ĐĂƌĞ ĂŶĚ ĂƐƐŝƐƚ ƉƌĂĐƟĐĞƐ ŝŶ ĐŽůůĞĐƟŶŐ ĂŶĚ ƵŶĚĞƌƐƚĂŶĚŝŶŐ ĚĂƚĂ ŶĞĞĚĞĚ ƚŽ ĂĐŚŝĞǀĞ ŚŝŐŚ ƉĞƌĨŽƌŵĂŶĐĞ͘ dŚĞ d W/ ĂůƐŽ ĐƌĞĂƚĞƐ ƚŚĞ ^ƵƉƉŽƌƚ ĂŶĚ ůŝŐŶŵĞŶƚ EĞƚǁŽƌŬƐ ĨŽƌ ƉƌŽǀŝĚĞƌ ĂƐƐŽĐŝĂƟŽŶƐ ĂŶĚ ƐŝŵŝůĂƌ ŽƌŐĂŶŝnjĂƟŽŶƐ ƚŚĂƚ ǁŝůů ŚĞůƉ ĂůŝŐŶ ƉƌŽĨĞƐƐŝŽŶĂů ƐƚĂŶĚĂƌĚƐ͕ ĞdžĂŵŝŶĂƟŽŶƐ͕ ŵĂŝŶƚĞŶĂŶĐĞ ŽĨ ĐĞƌƟĮĐĂƟŽŶ ĂŶĚ ĐŽŶƟŶƵŝŶŐ ĞĚƵĐĂƟŽŶ ǁŝƚŚ ƚŚĞ ƉƌŽũĞĐƚ͘ dŚĞ d W/ ŝƐ ĞdžƉĞĐƚĞĚ ƚŽ ƌƵŶ ďĞƚǁĞĞŶ DĂLJ ϮϬϭϱ ĂŶĚ Ɖƌŝů ϮϬϭϵ͘ Ɛ ŽĨ ƚŚŝƐ ǁƌŝƟŶŐ͕ &W ĂŶĚ &W ĂƌĞ ƐƟůů ĚĞƚĞƌŵŝŶŝŶŐ ŽƵƌ ƌŽůĞƐ ŝŶ ĂƉƉůLJŝŶŐ ĨŽƌ ĂŶĚ ƉĂƌƟĐŝƉĂƟŶŐ ŝŶ ƚŚĞ ŐƌĂŶƚ͘ KŶĞ ƌŽůĞ ŝƐ ĐĞƌƚĂŝŶ͕ ŚŽǁĞǀĞƌ͗ ĞŶƐƵƌŝŶŐ ŽƵƌ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ ŵĞŵďĞƌƐ ƌĞĐĞŝǀĞ ŶĞĞĚĞĚ ƐƵƉƉŽƌƚ ŵĂĚĞ ĂǀĂŝůĂďůĞ ƚŚƌŽƵŐŚ ƚŚŝƐ ŐƌĂŶƚ ŽƉƉŽƌƚƵŶŝƚLJ͘ &W ǁĂƐ ĚŝƐĂƉƉŽŝŶƚĞĚ ƚŽ ůĞĂƌŶ ƚŚĂƚ ĂůŝĨŽƌŶŝĂ ĚŝĚ ŶŽƚ ƌĞĐĞŝǀĞ ĨƵŶĚŝŶŐ ƚŚƌŽƵŐŚ ƚŚĞ /ŶŶŽǀĂƟŽŶ ĞŶƚĞƌͲƐƉŽŶƐŽƌĞĚ ^ƚĂƚĞ /ŶŶŽǀĂƟŽŶ DŽĚĞůƐ ;^/DͿ /ŶŝƟĂƟǀĞ͘ dŚŝƐ /ŶŝƟĂƟǀĞ ŝƐ ĚĞƐŝŐŶĞĚ ƚŽ ƐƵƉƉŽƌƚ ƐƚĂƚĞƐ ŝŶ ĚĞǀĞůŽƉŝŶŐ ĂŶĚ ƚĞƐƟŶŐ ŵƵůƟͲƉĂLJĞƌ ƉĂLJŵĞŶƚ ĂŶĚ ŚĞĂůƚŚ ĐĂƌĞ ĚĞůŝǀĞƌLJ ƐLJƐƚĞŵ ƚƌĂŶƐĨŽƌŵĂƟŽŶ ƉƌŽũĞĐƚƐ ǁŝƚŚ ƚŚĞ Ăŝŵ ŽĨ ŝŵƉƌŽǀŝŶŐ ŚĞĂůƚŚ ƐLJƐƚĞŵ ƉĞƌĨŽƌŵĂŶĐĞ ĨŽƌ ƌĞƐŝĚĞŶƚƐ͘ EĞĂƌůLJ ΨϯϬϬ ŵŝůůŝŽŶ ŚĂƐ ďĞĞŶ ĂǁĂƌĚĞĚ ƚŽ Ϯϱ ƐƚĂƚĞƐ͕ ŝŶĐůƵĚŝŶŐ ĂůŝĨŽƌŶŝĂ͕ ƚŽ ĚĞƐŝŐŶ ŝŵƉƌŽǀĞŵĞŶƚƐ ƚŽ ƚŚĞŝƌ ƉƵďůŝĐ ĂŶĚ ƉƌŝǀĂƚĞ ŚĞĂůƚŚ ƉĂLJŵĞŶƚ ĂŶĚ ĚĞůŝǀĞƌLJ ƐLJƐƚĞŵƐ͘ /Ŷ

ϮϬϭϰ͕ D^ ůĂƵŶĐŚĞĚ ZŽƵŶĚ dǁŽ ŽĨ ƚŚĞ ^/D ŝŶŝƟĂƟǀĞ ƚŽ ƉƌŽǀŝĚĞ ƵƉ ƚŽ ΨϳϯϬ ŵŝůůŝŽŶ ĨŽƌ ƚŚĞƐĞ ƐƚĂƚĞƐ ƚŽ ŝŵƉůĞŵĞŶƚ ƚŚĞŝƌ ƉůĂŶƐ͘ ĂůŝĨŽƌŶŝĂ ƐƵďŵŝƩĞĚ ĂŶ ĂƉƉůŝĐĂƟŽŶ ĨŽĐƵƐĞĚ ŽŶ ĨŽƵƌ ĐĂƚĞŐŽƌŝĞƐ ŽĨ ĚĞůŝǀĞƌLJ ĂŶĚ ƉĂLJŵĞŶƚ ƚƌĂŶƐĨŽƌŵĂƟŽŶ͗ ,ĞĂůƚŚ ,ŽŵĞƐ ĨŽƌ ŽŵƉůĞdž WĂƟĞŶƚƐ͕ ĐĐŽƵŶƚĂďůĞ ŽŵŵƵŶŝƟĞƐ ŽĨ ,ĞĂůƚŚ͕ DĂƚĞƌŶŝƚLJ ĂƌĞ ĂŶĚ WĂůůŝĂƟǀĞ ĂƌĞ͘ hŶĨŽƌƚƵŶĂƚĞůLJ͕ ƚŚĞ /ŶŶŽǀĂƟŽŶ ĞŶƚĞƌ ĚĞĐůŝŶĞĚ ƚŽ ƐƵƉƉŽƌƚ ƚŚŝƐ ĂƉƉůŝĐĂƟŽŶ͘ ĂůŝĨŽƌŶŝĂ͛Ɛ ^ĞĐƌĞƚĂƌLJ ŽĨ ,ĞĂůƚŚ ĂŶĚ ,ƵŵĂŶ ^ĞƌǀŝĐĞƐ͕ ŝĂŶĂ ŽŽůĞLJ͕ ƉůĞĚŐĞĚ ƚŚĂƚ ĂůŝĨŽƌŶŝĂ ͞ŵƵƐƚ ƉƌŽĐĞĞĚ ƚŽ ŝŵƉůĞŵĞŶƚ ĞůĞŵĞŶƚƐ ŽĨ ŽƵƌ ΀ĂƉƉůŝĐĂƟŽŶ ƉůĂŶ΁ ŝŶĐůƵĚŝŶŐ ƚŚĞ ƚƌĂŶƐƉĂƌĞŶĐLJ ĂŐĞŶĚĂ͕ ŚĞĂůƚŚ ŚŽŵĞƐ͕ ĂŶĚ ƉƵďůŝĐ ƌĞƉŽƌƟŶŐ ŽĨ >Ğƚ͛Ɛ 'Ğƚ ,ĞĂůƚŚLJ ĂůŝĨŽƌŶŝĂ /ŶĚŝĐĂƚŽƌƐ͘͟ ^ĞĐƌĞƚĂƌLJ ŽŽůĞLJ ƐƵŐŐĞƐƟŶŐ ƚŚĂƚ ƚŚĞ ƐƚĂƚĞ ǁŝůů ƐĞĞŬ ƐƵƉƉŽƌƚ ĨƌŽŵ ĂůŝĨŽƌŶŝĂ͛Ɛ ŚĞĂůƚŚ ĐĂƌĞ ĨŽƵŶĚĂƟŽŶƐ ĨŽƌ ƚŚŝƐ ĞīŽƌƚ͘ KŶ Ă ƉĂƌĂůůĞů ƚƌĂĐŬ͕ ĂůŝĨŽƌŶŝĂ͛Ɛ ĞƉĂƌƚŵĞŶƚ ŽĨ ,ĞĂůƚŚ ĂƌĞ ^ĞƌǀŝĐĞƐ ; , ^Ϳ ŝƐ ƉůĂŶŶŝŶŐ ƚŚĞ ͞^ĞĐƟŽŶ ϮϳϬϯ ,ĞĂůƚŚ ,ŽŵĞ KƉƟŽŶ͘͟ dŚŝƐ ŝƐ Ă ĨƵŶĚŝŶŐ ŽƉƉŽƌƚƵŶŝƚLJ ŵĂĚĞ ĂǀĂŝůĂďůĞ ďLJ ƚŚĞ īŽƌĚĂďůĞ ĂƌĞ Đƚ ƚŽ ƐƵƉƉŽƌƚ ĐĂƌĞ ĐŽŽƌĚŝŶĂƟŽŶ ĂŶĚ ŽƚŚĞƌ ŚĞĂůƚŚ ŚŽŵĞ ƐĞƌǀŝĐĞƐ ĨŽƌ ĐŽŵƉůĞdž ƉĂƟĞŶƚƐ ŝŶ ƚŚĞ DĞĚŝĐĂŝĚ ;DĞĚŝͲ ĂůͿ ƉƌŽŐƌĂŵ͘ dŚĞ ƐƚĂƚĞ ƉůĂŶƐ ƚŽ ƐƚĂƌƚ ǁŝƚŚ ƚŚĞ ŽŽƌĚŝŶĂƚĞĚ ĂƌĞ /ŶŝƟĂƟǀĞ ĐŽƵŶƟĞƐ ŝŶ :ĂŶƵĂƌLJ ϮϬϭϲ͘ &W ǁŝůů ŬĞĞƉ LJŽƵ ƵƉͲƚŽͲĚĂƚĞ ŽŶ ŽƉƉŽƌƚƵŶŝƟĞƐ ĂǀĂŝůĂďůĞ ƚŽ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ŝŶ ƚŚĞ ĂůŝĨŽƌŶŝĂ ^/D ĂŶĚ ^ĞĐƟŽŶ ϮϳϬϯ ,ĞĂůƚŚ ,ŽŵĞ ƉƌŽũĞĐƚƐ͘ tĞ ŚĂǀĞ ďĞĞŶ ŚĞĂǀŝůLJ ŝŶǀŽůǀĞĚ ŝŶ ƚŚĞ ƐƚĂŬĞŚŽůĚĞƌ ƉƌŽĐĞƐƐ ĨŽƌ ďŽƚŚ ƉƌŽũĞĐƚƐ ĂŶĚ ĂƌĞ ĞdžƉůŽƌŝŶŐ ŽƉƉŽƌƚƵŶŝƟĞƐ ƚŽ ǁŽƌŬ ǁŝƚŚ ƚŚĞ ƐƚĂƚĞ ĂƐ ŝƚ ĐŽŶƟŶƵĞƐ ƚŽ ĚĞƐŝŐŶ ĂŶĚ ŝŵƉůĞŵĞŶƚ ƚŚĞ ƉƌŽũĞĐƚƐ͘ tĞ ŬŶŽǁ ŽƵƌ ƉƌŝŵĂƌLJ ƌŽůĞ ŝƐ ƚŽ ĞŶƐƵƌĞ ŽƵƌ ŵĞŵďĞƌƐ͛ ĂĐĐĞƐƐ ƚŽ ƚŚĞ ƌĞƐŽƵƌĐĞƐ ĂŶĚ ĞĚƵĐĂƟŽŶĂů ŽƉƉŽƌƚƵŶŝƟĞƐ͘ tŚĂƚ ĂďŽƵƚ ƉĂLJŵĞŶƚ ƚŚĂƚ ƐƵƉƉŽƌƚƐ ƚŚĞ W D, ŵŽĚĞů͍ dŚĞ d W/ ZĞƋƵĞƐƚ ĨŽƌ WƌŽƉŽƐĂůƐ ŝŶĚŝĐĂƚĞƐ ĐůĞĂƌůLJ ƚŚĂƚ ƚŚĞ d W/ ŐƌĂŶƚ ŝƐ ĂŶ ŽƉƉŽƌƚƵŶŝƚLJ ƚŽ ƉƌĞƉĂƌĞ ƉƌŽǀŝĚĞƌƐ ĨŽƌ Ă ĨƵƚƵƌĞ ŵŽǀĞ ďLJ D^ ĂǁĂLJ ĨƌŽŵ ĨĞĞͲĨŽƌͲƐĞƌǀŝĐĞ ƚŽǁĂƌĚ ǀĂůƵĞͲďĂƐĞĚ ƉĂLJŵĞŶƚ͘ dŚĞ ĂůŝĨŽƌŶŝĂ ^/D ĂŶĚ ^ĞĐƟŽŶ ϮϳϬϯ ,ĞĂůƚŚ ,ŽŵĞ ƉƌŽũĞĐƚƐ ŝŶǀŽůǀĞ ƐŽŵĞ ůĞǀĞů ŽĨ ƉĂLJŵĞŶƚ ƌĞĨŽƌŵ͕ ĂůƚŚŽƵŐŚ ũƵƐƚ ǁŚĂƚ ƚŚĂƚ ǁŝůů ůŽŽŬ ůŝŬĞ ŝƐ LJĞƚ ƚŽ ďĞ ĚĞƚĞƌŵŝŶĞĚ͘ dŚĞ ĂůŝĨŽƌŶŝĂ ^/D ƉƌŽũĞĐƚ ŝƐ ĞdžĐŝƟŶŐ ďĞĐĂƵƐĞ ŝƚ ŵĂLJ ďĞ ƚŚĞ ĮƌƐƚ ƟŵĞ ĂůŝĨŽƌŶŝĂ ĐŽŶǀĞŶĞƐ ŵƵůƟƉůĞ ƉĂLJĞƌƐ ƚŽ ǁŽƌŬ ƚŽŐĞƚŚĞƌ ƚŽ ƐƵƉƉŽƌƚ ƚƌĂŶƐĨŽƌŵĞĚ ƉƌĂĐƟĐĞƐ͘ ϮϬϭϱ ŵĂLJ ďĞ Ă ďĂŶŶĞƌ LJĞĂƌ ŝŶ ƚŚĞ ŵŽǀĞ ƚŽ ƚƌĂŶƐĨŽƌŵ ƚŚĞ ŚĞĂůƚŚ ĐĂƌĞ ĚĞůŝǀĞƌLJ ƐLJƐƚĞŵ͘ &W ŝƐ ĐĞůĞďƌĂƟŶŐ ƚŚĞƐĞ ŽƉƉŽƌƚƵŶŝƟĞƐ͕ ǁŚŝůĞ ĂĐŬŶŽǁůĞĚŐŝŶŐ ƚŚĂƚ ƚŚĞƌĞ ŝƐ ŵƵĐŚ ŵŽƌĞ ǁŽƌŬ ƚŽ ďĞ ĚŽŶĞ͘ Leah Newkirk is CAFP’s Vice President of Health Policy.

California Family Physician Winter 2015

9

POLITICAL PULSE

¢ȱ ǰȱ ǰȱ ǰȱ ȱ

Four New California Laws Affect Family Physicians /Ŷ Ğ ĂĐ ĂĐŚ Ś ůĞĞŐŝ Ő ƐƐůůĂƚ Ăƚŝǀ ƚ ŝǀǀĞ Ğ ƐĞĞƐƐŝŽ ƐƐƐ ŝŽ ŝŽŶ Ŷ͕ & Ŷ͕ &W W ƚĂ ƚĂ ŬĞĞƐƐ ĂĐ ƚĂŬĞ Ă ƚŝ ƚ ŝŽŶ Ŷ Ž Ŷ ƐĞ Ɛ ǀĞ ǀĞƌĂ ĞƌĂ ƌ ů ďŝůůƐ ƐŝŐŶ ŶĞĚ Ě ŝŶƚƚŽ ůĂ ůĂǁ ǁ ƚŚĂƚ ƚŚ ŚĂƚ Ăƚ Ă ƌĞĞ Ě ŝĨ ŝĨĨŝ ŝĨĨŝ ĨŝĐƵ ĐƵ Ƶ ůƚƚ ƚŽ ĐĂ ĐĂƚĞ ƚĞŐŽ ƚĞ ŐŽ Žƌŝ ƌ njĞĞ ĂƐ Ă Ă ǁ Ŷ Žƌ Ă ůŽƐ ǁŝ ŽƐ Ɛ ŽƐƐ Ɛ ĨŽ ĨŽƌƌ Ĩ ĨĂ ĨĂ ŵŝ ŵŝůLJ ůLJLJ ŵ ĞĚ ĞĚŝĐ ŝĐ ŝŶ ŶĞ ĂŶ ĂŶ Ě ƉĂĂƚŝ ƚ ĞŶ ŶƚƐ ƚƐ͘​͘ KĨ KĨ ƚĞĞŶ ƚŚ ƚŚĞĞƐ Ğ ď ůůƐƐ Ăƌ ďŝ ĂƌĞ ǁĞĞůů ͲŝŝŶƚ ŶƚĞŶ ĞŶ Ŷƚŝ ƚ ŽŶ ŽŶĞĚ ĞĚ Ě͕ ďƵ ďƵ ƚ ŶŽ ŶŽƚƚ Ğǀŝ ŶŽ ĞǀŝĚ Ğǀ ŝĚ ĞŶ ŝĚĞŶ Ğ ĐĞ Đ Ͳď ďĂ ƐĞĚ ĂŶĚ ŶĚ Ě ŵ ĂLJ ŵĂ LJ ĐŽ ŽŵƉ ŵ ůŝůŝĐĂ ĐĂƚĞ ĐĂ ƚĞĞ ƉĂƚ ĂƚŝĞ ŝĞĞŶƚ ĐĂƌ ĂƌĞĞ ŝŶ Ă ǁĂLJ ƚŚĂƚ ůĞ ůĞŐŝ ŐŝƐů Őŝ Ɛ Ăƚ Ɛů ĂƚŽƌ ŽƌƐ ĨĂ ĨĂŝůŝů ĨĂ ƚ Ɖ ƌĞĚŝ ƚŽ ƌĞĚŝ ƌĞ Ě Đƚƚ ͘ &W &W ĞǀĞ ǀĞŶƚ ŶƚƵ Ŷƚ ƵĂ ůůLJ ĂĚŽƉ ŽƉƚĞ ŽƉ ƚĞĞĚ Ă ŶĞ ŶĞƵƚ Ƶƚƚ ƌĂ ƵƚƌĂ ƌĂů Ăů Ɖ ƉŽ Ž ƐŝƚŝŽŶ ŽŶ ƚŚ Ś ƌƌĞĞ Ğ Ğ ŽĨ ŽĨ ƚŚĞ ĨŽƵƌ ďŝůůůůůƐ ĚĞĞƐĐ Ɛ ƌŝ ƌŝďĞ ď Ě ďĞĞ ůŽ ďĞ ůŽǁ͕ ǁ͕ ď Ƶƚ Ƶ Ś ĂĚ Ă Ě ƉƌĞ ƌĞǀŝ ǀŝŽƵƐůLJ ƚĂŬĞĞŶ ĂŐŐ Őƌ Ő ĞƐ Ğ Ɛŝ ƐŝǀĞ ǀĞ ĂĐƚ ĐƚŝŽ ŝŽŶ ŝŽ Ŷ ŽŶ ƚ ŚĞ ŚĞ ŵ ĂƐ ƚ ŚĞ ŚĞŵ ŚĞLJLJ ŵŽ ŵ ŽǀĞ ŵŽǀ ǀĞĚ ƚŚ ƚŚƌŽ ƌŽƵŐ ƵŐŚ Ś ƚŚ ƚŚĞĞ ůĞŐŐŝ Ɛů ƐůĂƚ Ăƚƚŝǀ ŝǀĞ Ğ Ɖƌ ƉƌŽ Ɖƌ ŽĐĞƐƐ͕ ǁŽƌŬŝ ŬŝŶŐ Ŭŝ ŶŐ ǁŝƚ ŝƚŚ Ś ƚŚ ƚŚĞĞ ĂƵ ĂƵƚŚ ƚŚŽƌ ŽƌƐƐ ĂĂŶ Žƌ ŶĚ ƐƉ ƐƉŽŶ ŽŶƐŽ ƐŽƌƐ ƌƐ ƚŽ ƌĞŵŽ ŵŽǀĞ ǀĞ Ž ƌ Ăŵ Ă ĞŶ ĞŶĚ Ě ŚĂƌŵĨƵ Ƶů Ɖƌ Ɖ Žǀ Ž ŝƐŝŽŶƐ ďĞĨŽƌ ŽƌĞ Žƌ Ğ ƚŚ Ğ ƚŚĞLJ ŵĂĚĞ ŝƚ ƚŽ ƚŚĞ ƚŚ Ğ 'Ž Ğ ' ŽǀĞ ǀĞƌŶ ǀĞ ƌŶŽƌ Ž ͛Ɛ Ě ĞƐŬ͘ Žƌ Ŭ

ȱ ȱ ȱ Ě ȱ ȱ ȱ ȱ ȱ ȱ ǯȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ǰȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ¢ȱ ě ȱ ȱ ȱ ȱ ǯȱȱ AB 1886 (Eggman) ĂƐ ŽƌŝŐŝŶĂůůLJ ǁƌŝƚƚĞŶ ǁŽƵůĚ ŚĂǀĞ ĞůŝŵŝŶĂƚĞĚ ůŝŵŝƚƐ ŽŶ ƚŚĞ DĞĚŝĐĂů ŽĂƌĚ ŽĨ ĂůŝĨŽƌŶŝĂ͛Ɛ ŽŶůŝŶĞ ƉŽƐƚŝŶŐ ŽĨ ĚŝƐĐŝƉůŝŶĂƌLJ ĂĐƚŝŽŶƐ͕ ŵĂůƉƌĂĐƚŝĐĞ ũƵĚŐŵĞŶƚƐ͕ ĂƌďŝƚƌĂƚŝŽŶƐ͕ ƐĞƚƚůĞŵĞŶƚƐ ĂŶĚ ƌĞůĞǀĂŶƚ ŵŝƐĚĞŵĞĂŶŽƌ ĐŽŶǀŝĐƚŝŽŶƐ͕ ĂůůŽǁŝŶŐ ƚŚĞ ŽĂƌĚ ƚŽ ƉŽƐƚ ƚŚŝƐ ŝŶĨŽƌŵĂƚŝŽŶ ŝŶĚĞĨŝŶŝƚĞůLJ͘ dŚĞ ŝŶĐůƵƐŝŽŶ ŽĨ ƐĞƚƚůĞŵĞŶƚƐ ŝƐ ĐŽŶĐĞƌŶŝŶŐ

10

California Family Physician Winter 2015

ďĞ ĐĂ ďĞ ĐĂƵƐ ƵƐƐ Ğ Ğ ĐŽ Ž ŶƐ ŶƐƵŵ ƵŵĞƌ Ƶŵ ĞƌƐƐ ŵĂ Ğƌ ŵĂLJ LJ ǀŝ LJ ǀ Ğǁ Ğǁ ƚ ŚĞ ŚĞŵ ŵ ĂƐ ĂƐ ĂŶ ĂĚ Ě ŵ ŝƐƐƐŝŽ ŽŶ ŽĨĨ ŐƵŝ Ƶŝůƚ ůƚ͘ dŚĞĞ ĂƵ dŚ Ă ƚŚ ƚŚŽƌ Žƌƌ ĂŐƌ Ő ĞĞ Ğ ĞĚ Ě ƚŽ Ɛ ŝŐ ŝ Ŷŝ ŶŝĨŝ Ĩŝ ĐĂ ĨŝĐ Ĩŝ ĐĂŶƚ ĂŵĞĞŶĚ ĐĂŶ Ě ŵĞ ŵ ŶƚƚƐ ƚŽ ƚ ƚŚĞ ŚĞ ď ŝůŝůů͕ ů ůů͕​͕ ŝŶĐů ŝŶ Ŷ Đů Đ ƵĚ ƵĚŝŶ ŝŶŐ ŝŶ Ő ůŝů ŵŝ ŵ ŝƚŝŶŐ ƚŝŝ ŶŐ ŶŐ ƚ ŚĞ Ɖ ŽƐ ŽƐƚŝ ƚ ŶŐ ŽĨ DĞĚŝĐĂ ƚŝ ĐĂĂů Ž Ž ĂĂƌƌĚ Đŝ ĐŝƚĂ ƚĂƚŝ ƚĂ Ăƚƚŝŝ ŽŶ Ɛ ƚŽ ƚŽ ƚŚ ƚŚƌĞ ŚƌĞ ƌ Ğ LJĞ LJ ĂƌƐƐ ĂŶ ĂŶĚ Ě Đƌ Đ ĞĂ ĞĂƚŝ Ăƚƚŝŝ ŶŐ Ŷ Ă ϯϬͲĚĂLJ ǁŝŶĚŽǁ ǁ ĨŽƌ Ž ƚŚĞ Ś ƉŚLJ ŚLJƐŝ ƐŝĐĐ ŝĂŶ ĂŶ Ŷ ƚŽ ƌĞƐ ƚŽ Ğ ŽůůǀĞ ƚŚ ŚĞ ŝ ƐƐƐƵĞ ŚĞ ƵĞ Ž ƌ ƌ ĂƉ ĂƉƉĞ ƉĞ Ăů Ăů ŝƚ ď ďĞĨŽƌĞ ĨŽ ƌĞ ŝƚ ŝƐ ƉŽƐƚƚĞĚ͘ ƚĞĚ͘ dŚ ŚĞĞ Ăŵ ĞŶĚŵĞŶƚƐ ĂůƐŽ ůŝůŝůŝ ŵŝƚ ƚŚ Ăŵ ŵ ŝ ƚŚĞĞ ƉŽ ŵŝ ƉŽƐƚ ƐƚŝŝŶŐ ŽĨĨ ƐĞƚƚƚůůĞŵĞŶƚ ƚ ŝŶ ŝ ĨŽƌƌ ŵĂƚƚ ŝŽ ŝŽŶ Ŷ ŽŶ Ŷ ůLJ ƚŽ ǁŚĞŶ Ă ƉŚLJLJƐŝ Ɛ ĐŝĂŶ Ŷ ŚĂƐ ƚŚƌĞĞĞ Ž ƌ ŵŽ ƌ ŵŽ ŵ ƌĞĞ ƐĞƚƚůĞĞŵĞŶƚƚƐ ŽĨ ŵŽ ŵ Ž ƌĞ ƚŚĂ ŚĂŶ Ŷ Ψϯ ΨϯϬ͕ Ϭ͕ϬϬ ϬϬϬ Ϭ ŝŶ ŝŶ ƚŚ ŚĞ ůĂƐƚ ĨŝǀĞĞ LJĞĂƌƐ Ğ ĂƌƐ ĞĂ ƌƐ ͘ AB 2139 (Eggman) ǁŽƵůĚ ůĚ Ě ŚĂǀ Ă Ğ Ğ ƌĞ ƌĞƋƵ ƋƵŝƌ ŝƌĞĚ Ě ƚ ŚĂƚƚ ͞ǁ ͞ǁŚĞ Ś ĞŶ ĂĂ ŚĞ ĂůƚŚ ŚĞ ŚĞĂ ƚŚ Ś ĐĂƌ ĂƌĞĞ Ɖƌ ƉƌŽǀ ŽǀŝĚ Žǀ ŝĚĞƌ ŝĚ Ğ ƌ ŵĂŬŬĞƐ Ă Ğ Ɛ Ě ŝĂ ŝ ŐŶ ŐŶŽƐ ŽƐƐŝƐ ƚŚĂ Ś ƚ ĂĂ ƉĂ Ɖ ƚŝ ƚŝĞŶ ĞŶ Ŷƚ ŚĂĂƐ Ă ƚĞ ƚĞƌŵ ƌŵŝŶ ŝŶĂů Ăůů ŝ ůůůůŶĞĞ ƐƐ ƐƐ͕ ƚŚ ƚŚĞĞ ŚĞĂů ĂůƚŚ ƚŚ ĐĂƌ ĂƌĞĞ ƉƌƌŽǀ Žǀ ŝĚ ŝĚĞƌ Ğƌ ƐŚĂůů ŚĂ ůů Ŷ ŽƚƚŝĨĨ LJ ƚŚ ƚ Ğ ƉĂĂƚŝ ƚŝĞŶ ĞŶƚƚ ŽĨ Ś ŝƐ Ž ƌ ƌ ŚĞ ŚĞƌ ƌ ƌŝŐŚƚ ƚŽ ƚŽ ĐŽŵ ŽŵƉƌƌĞŚ Ś ĞŶƐŝǀĞ ŝŶĨŽƌƌŵĂ ŵĂƚŝŝŽŶ ĂŶĚ Ě ĐŽƵŶ ƵŶƐĞ ƐĞůŝůŝŶŐ ŶŐ ƌĞŐĂƌ ĂƌĚŝ Ě ŶŐ Ŷ ůĞŐĂů ĞŶĚ Ŷ ͲŽ ŽĨͲ ĨͲůůŝĨĞ ŽƉƚŝŽŶƐ͘͟ dŚŝƐ ǁŽƵůĚ ŚĂǀĞ ĐƌĞĂƚĞĚ ǁŝĚĞͲƌĂŶŐŝŶŐ ĂŶĚ ƵŶĐůĞĂƌ ƌĞƋƵŝƌĞŵĞŶƚƐ ĨŽƌ ƉŚLJƐŝĐŝĂŶƐ͘ ^ŝŐŶŝĨŝĐĂŶƚ ĞǀŝĚĞŶĐĞ ĞdžŝƐƚƐ ƚŚĂƚ ĐŽŶǀĞƌƐĂƚŝŽŶƐ ĂďŽƵƚ ĞŶĚͲŽĨͲůŝĨĞ ĐĂƌĞ ĂƌĞ ďĞŶĞĨŝĐŝĂů ĨŽƌ ƉĂƚŝĞŶƚƐ ĂŶĚ &W ĞŶĐŽƵƌĂŐĞƐ ƉŚLJƐŝĐŝĂŶͲƉĂƚŝĞŶƚ ĐŽŵŵƵŶŝĐĂƚŝŽŶ ĂďŽƵƚ ĞŶĚͲ ŽĨͲůŝĨĞ ŽƉƚŝŽŶƐ͘ tĞ ŽƉƉŽƐĞ ůĞŐŝƐůĂƚŝŽŶ ƚŚĂƚ ĚŝĐƚĂƚĞƐ ƚŚĞ ƚŝŵŝŶŐ ĂŶĚ ĐŽŶƚĞŶƚ ŽĨ ƉŚLJƐŝĐŝĂŶͲƉĂƚŝĞŶƚ ĐŽŵŵƵŶŝĐĂƚŝŽŶ͕ ŚŽǁĞǀĞƌ͘ >ŝƚƚůĞ ĞǀŝĚĞŶĐĞ ŝŶĚŝĐĂƚĞƐ ǁŚĞŶ ƚŽ ŶŽƚŝĨLJ ƉĂƚŝĞŶƚƐ ĂďŽƵƚ ĞŶĚͲŽĨͲůŝĨĞ ŽƉƚŝŽŶƐ͘ &W ĂŶĚ ŽƵƌ ĂůůŝĞƐ ůŽŽŬĞĚ ƚŽ ď Ě Ĩ ůŝĨ ŝ &W Ě ůůŝ ů Ŭ Ě ďƵŝůĚ ŝŶ ĨůĞdžŝďŝůŝƚLJ ĨŽƌ ƚŚĞ ƉŚLJƐŝĐŝĂŶ ŶŽƚ ƚŽ ďĞ ĨŽƌĐĞĚ ƚŽ ŚĂǀĞ Ă ĐŽŶǀĞƌƐĂƚŝŽŶ ŝŵŵĞĚŝĂƚĞůLJ ƵƉŽŶ Ă ƚĞƌŵŝŶĂů ĚŝĂŐŶŽƐŝƐ͘ ĨƚĞƌ ŵŽŶƚŚƐ ŽĨ ŝŶƚĞŶƐĞ ŶĞŐŽƚŝĂƚŝŽŶƐ ĂŶĚ ĞŵŽƚŝŽŶĂů ǀŽƚĞƐ ďLJ ůĞŐŝƐůĂƚŽƌƐ͕ &W ĂŶĚ ŽƵƌ ĂůůŝĞƐ ǁĞƌĞ ĂďůĞ ƚŽ ĂŵĞŶĚ ƚŚĞ ďŝůů ŝŶ ƚŚĞ ĨŽůůŽǁŝŶŐ ǁĂLJƐ͗ ͻ dŚĞ ĐŽŶǀĞƌƐĂƚŝŽŶ ŝƐ ŶŽƚ ƌĞƋƵŝƌĞĚ ƚŽ ŽĐĐƵƌ ŝŵŵĞĚŝĂƚĞůLJ ƵƉŽŶ Ă ƚĞƌŵŝŶĂů ĚŝĂŐŶŽƐŝƐ͘ ͻ dŚĞ ĐŽŶǀĞƌƐĂƚŝŽŶ ĐĂŶ ŽĐĐƵƌ Ăƚ ĂŶLJ ͞ƐƵďƐĞƋƵĞŶƚ ǀŝƐŝƚ͘͟ ͻ dŚĞ ŶĂƚƵƌĞ ŽĨ ƚŚĞ ĐŽŶǀĞƌƐĂƚŝŽŶ ŝƐ Ăƚ ƚŚĞ ƉŚLJƐŝĐŝĂŶ ĂŶĚ ƉĂƚŝĞŶƚ͛Ɛ ĚŝƐĐƌĞƚŝŽŶ͘ &Žƌ ĞdžĂŵƉůĞ͕ Ă ƉŚLJƐŝĐŝĂŶ ĐĂŶ ĐŽŵƉůLJ ǁŝƚŚ ƚŚĞ ƌĞƋƵŝƌĞŵĞŶƚ ďLJ ƐĂLJŝŶŐ ͞zŽƵ ŚĂǀĞ Ă ƌŝŐŚƚ ƚŽ ŝŶĨŽƌŵĂƚŝŽŶ ĂŶĚ ĐŽƵŶƐĞůŝŶŐ ƌĞŐĂƌĚŝŶŐ ůĞŐĂů ĞŶĚͲŽĨͲůŝĨĞ ŽƉƚŝŽŶƐ͘ WůĞĂƐĞ ƚĂŬĞ ƚŚŝƐ ƉĂŵƉŚůĞƚ ǁŝƚŚ ŵŽƌĞ ŝŶĨŽƌŵĂƚŝŽŶ͘ /͛ŵ ŚĂƉƉLJ ƚŽ ƚĂůŬ ŵŽƌĞ͘͟ Kƌ Ă ƉŚLJƐŝĐŝĂŶ ĐĂŶ ŚĂǀĞ ĂŶ ŝŶͲĚĞƉƚŚ ĐŽŶǀĞƌƐĂƚŝŽŶ ĂďŽƵƚ ĞŶĚͲŽĨͲůŝĨĞ ŽƉƚŝŽŶƐ͘ ͻ dŚĞ ĐŽŶǀĞƌƐĂƚŝŽŶ ĐĂŶ ŽĐĐƵƌ ďĞƚǁĞĞŶ ƚŚĞ ƉŚLJƐŝĐŝĂŶ ĂŶĚ ĂŶŽƚŚĞƌ ƉĞƌƐŽŶ ĂƵƚŚŽƌŝnjĞĚ ƚŽ ŵĂŬĞ ŚĞĂůƚŚ ĐĂƌĞ ĚĞĐŝƐŝŽŶƐ ĨŽƌ ƚŚĞ ƉĂƚŝĞŶƚ͘

HOT TOPICS IN MEDICINE

ͻ dŚĞ ůĂǁ ǁŝůů ŶŽƚ ŝŶƚĞƌĨĞƌĞ ǁŝƚŚ ƚŚĞ ĐůŝŶŝĐĂů ũƵĚŐŵĞŶƚ ŽĨ Ă ŚĞĂůƚŚ ĐĂƌĞ ƉƌŽǀŝĚĞƌ ŝŶ ƌĞĐŽŵŵĞŶĚŝŶŐ ƚŚĞ ĐŽƵƌƐĞ ŽĨ ƚƌĞĂƚŵĞŶƚ͘ SB 1457 (Evans) ƌĞƋƵŝƌĞƐ ƚŚĂƚ dƌĞĂƚŵĞŶƚ ƵƚŚŽƌŝnjĂƚŝŽŶ ZĞƋƵĞƐƚƐ ;d ZƐͿ ďĞ ƐƵďŵŝƚƚĞĚ ŝŶ ĞůĞĐƚƌŽŶŝĐ ĨŽƌŵ ĨŽƌ ƚŚĞ ŚŝůĚƌĞŶ͛Ɛ ^ĞƌǀŝĐĞƐ WƌŽŐƌĂŵ͕ ƚŚĞ 'ĞŶĞƚŝĐĂůůLJ ,ĂŶĚŝĐĂƉƉĞĚ WĞƌƐŽŶƐ WƌŽŐƌĂŵ ĂŶĚ DĞĚŝͲ Ăů͘ KƌŝŐŝŶĂůůLJ ƚŚŝƐ ďŝůů ŵĂŶĚĂƚĞĚ ƚŚĂƚ ƚŚŝƐ ƌĞƋƵŝƌĞŵĞŶƚ ďĞŐŝŶ :ƵůLJ ϮϬϭϱ ĂŶĚ ŚĂĚ ŶŽ ŽƚŚĞƌ ĐĂǀĞĂƚƐ͘ &W͕ D ĂŶĚ ŽƵƌ ĂůůŝĞƐ ǁĞƌĞ ĂďůĞ ƚŽ ƐĞĐƵƌĞ ĂŵĞŶĚŵĞŶƚƐ ƚŚĂƚ , ^ ŶŽƚ ŝŶƐƚŝƚƵƚĞ ƚŚĞ ƌĞƋƵŝƌĞŵĞŶƚƐ ƵŶƚŝů :ƵůLJ ϮϬϭϲ Ăƚ ƚŚĞ ĞĂƌůŝĞƐƚ ĂŶĚ ƚĂŬĞ ŝŶƚŽ ĂĐĐŽƵŶƚ ƚŚĞ ĐĂƉĂĐŝƚLJ ŽĨ ŝŶĚĞƉĞŶĚĞŶƚ ƉƌĂĐƚŝƚŝŽŶĞƌƐ͕ ƐŵĂůů ŝŶĚĞƉĞŶĚĞŶƚ ƉƌŽǀŝĚĞƌͲ ŽǁŶĞĚ ĐůŝŶŝĐƐ ĂŶĚ ƌƵƌĂů ƉƌŽǀŝĚĞƌƐ ĂŶĚ ĞŶƐƵƌĞ ƚŚĂƚ ƚŚĞLJ ŚĂǀĞ ;ϭͿ ƌĞĂƐŽŶĂďůĞ ƚŝŵĞ ƚŽ ĞƐƚĂďůŝƐŚ ƚŚĞ ŝŶĨƌĂƐƚƌƵĐƚƵƌĞ ŶĞĐĞƐƐĂƌLJ ĨŽƌ ƚŚĞ ŐĞŶĞƌĂƚŝŽŶ ŽĨ ĞůĞĐƚƌŽŶŝĐ d ZƐ͖ ĂŶĚ ;ϮͿ ĂŶ ŽƉƉŽƌƚƵŶŝƚLJ ƚŽ ƉĂƌƚŝĐŝƉĂƚĞ ŝŶ ĞĚƵĐĂƚŝŽŶ ĂŶĚ ƚƌĂŝŶŝŶŐ ƌĞŐĂƌĚŝŶŐ ƚŚĞ ŐĞŶĞƌĂƚŝŽŶ ĂŶĚ ƐƵďŵŝƐƐŝŽŶ ŽĨ ĞůĞĐƚƌŽŶŝĐ d ZƐ͘ SB 1266 (Huff) ǁĂƐ Ă &WͲƐƵƉƉŽƌƚĞĚ ďŝůů͕ ƵŶůŝŬĞ ƚŚĞ ďŝůůƐ ĂďŽǀĞ͕ ďƵƚ ǁĞ ǁĂŶƚ ƚŽ ĂůĞƌƚ ŽƵƌ ŵĞŵďĞƌƐ ƚŽ ƐŽŵĞ ƉŽƐƐŝďůĞ ĐŽŶƐĞƋƵĞŶĐĞƐ ŽĨ ŝƚƐ ŝŵƉůĞŵĞŶƚĂƚŝŽŶ͘ dŚĞ ŶĞǁ ůĂǁ ƌĞƋƵŝƌĞƐ ƐĐŚŽŽůƐ ƚŽ ƐƚŽĐŬ ĞŵĞƌŐĞŶĐLJ ĞƉŝŶĞƉŚƌŝŶĞ ĂƵƚŽͲŝŶũĞĐƚŽƌƐ ƚŽ ƉƌŽǀŝĚĞ ĞŵĞƌŐĞŶĐLJ ĂŝĚ ƚŽ ƉĞƌƐŽŶƐ ƐƵĨĨĞƌŝŶŐ ĨƌŽŵ ĂŶ

You’ve spent 20 years building your career. We’ve spent 60 years protecting your investment. Call (866) 794-2513 or visit aafpins.com for more information on the plan including rates, exclusions, limitations, eligibility and renewal provisions.

CME CRUISE

SEPTEMBER 20-27, 2015

Joie de Canada Quebec & St. Lawrence River 1-888-647-7327 www.seacourses.com

ĂŶĂƉŚLJůĂĐƚŝĐ ƌĞĂĐƚŝŽŶ͕ ƐŽŵĞƚŚŝŶŐ ƚŚĂƚ ǁĂƐ ǀŽůƵŶƚĂƌLJ ƉƌĞǀŝŽƵƐůLJ͘ ^ĐŚŽŽů ĚŝƐƚƌŝĐƚƐ ŵƵƐƚ ŶŽǁ ĚĞǀĞůŽƉ Ă ƌĞůĂƚŝŽŶƐŚŝƉ ǁŝƚŚ Ă ƉƌĞƐĐƌŝďŝŶŐ ƉŚLJƐŝĐŝĂŶ ƚŽ ĞŶƐƵƌĞ ĂĚĞƋƵĂƚĞ ƐƵƉƉůŝĞƐ ŽĨ ƉŝWĞŶƐ͘ ^ŚŽƵůĚ LJŽƵ ďĞ ĂƉƉƌŽĂĐŚĞĚ ďLJ Ă ƐĐŚŽŽů ĚŝƐƚƌŝĐƚ ƚŽ ƉƌŽǀŝĚĞ Ă ƐƚĂŶĚŝŶŐ ŽƌĚĞƌ͕ ƉůĞĂƐĞ ĐŽŶƐŝĚĞƌ ƉƌŽǀŝĚŝŶŐ ŽŶĞ Žƌ ƌĞĨĞƌƌŝŶŐ ƚŚĞ ĚŝƐƚƌŝĐƚ ƚŽ ĂŶŽƚŚĞƌ ǁŝůůŝŶŐ ƉŚLJƐŝĐŝĂŶ͘ tŚŝůĞ ŶŽƚ ƉĞƌĨĞĐƚ͕ ƚŚĞƐĞ ŶĞǁ ůĂǁƐ ƌĞĨůĞĐƚ ƐƵďƐƚĂŶƚŝĂů ĐŚĂŶŐĞƐ ĨƌŽŵ ƚŚĞŝƌ ŽƌŝŐŝŶĂů ǀĞƌƐŝŽŶƐ͘ &W ǁŝůů ĐŽŶƚŝŶƵĞ ƚŽ ǁŽƌŬ ƚŽ ŝŵƉƌŽǀĞ ďŝůůƐ ƐƵĐŚ ĂƐ ƚŚĞƐĞ͕ ĂƐ ǁĞůů ĂƐ ƚŽ ĞĚƵĐĂƚĞ ŽƵƌ ŵĞŵďĞƌƐ ŽŶ ĐŚĂŶŐĞƐ ƚŚĂƚ ŵĂLJ ĂĨĨĞĐƚ ƚŚĞŵ ĂŶĚ ƚŚĞŝƌ ƉĂƚŝĞŶƚƐ͘ Dr. Wolfe is Chair, CAFP Legislative Affairs Committee.

AAFP Insurance Services offers exclusive insurance programs designed AA tto help protect the career you’ve worked so hard to build. That includes the AAFP Group Disability Income Insurance Plan from New Y York Life Insurance Company. You may be able to collect up to $10,000 a month, $120,000 a year, to help replace the income you’d lose if a covered accident or illness prevents you from working. Protect your most valuable asset … your ability to earn a living. Affordable rates start at less than $3.13* per day. AMERICAN ACADEMY OF FAMILY L PHYSICIANS

for your financial health

Underwritten by New York Life Insurance Company 51 Madison Avenue, New York, NY 10010. Group Policy Form GMR – FACE/G-7201. CA license #0547642. *For male under 30 years old

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California Family Physician Winter 2015

11

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Family Medicine and Patients Win Big in 2014 ϮϬϭϰ ǁĂƐ ĂŶ ĞdžĐŝƟŶŐ LJĞĂƌ ĨŽƌ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ĂĚǀŽĐĂĐLJ͕ ŶŽƚ ƚŚĞ ůĞĂƐƚ ŽĨ ǁŚŝĐŚ ŝŶĐůƵĚĞƐ ƚŚĞ >ĞŐŝƐůĂƚƵƌĞ͛Ɛ ĚĞĐůĂƌŝŶŐ ϮϬϭϰ ĂƐ ͞dŚĞ zĞĂƌ ŽĨ ƚŚĞ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶ͘͟ dŚĞ ƉĂƐƐĂŐĞ ŽĨ Z ϭϬϳ ; ůŽŽŵͿ ƐĞƚ ƚŚĞ ƚŽŶĞ ĨŽƌ ƐŽŵĞ ďŝŐ ǁŝŶƐ ĂĐŚŝĞǀĞĚ ƚŚƌŽƵŐŚ ƚŚĞ ŚĂƌĚ ǁŽƌŬ ŽĨ &W͕ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƚŚƌŽƵŐŚŽƵƚ ƚŚĞ ƐƚĂƚĞ ĂŶĚ ŽƵƌ ŵĂŶLJ ĂůůŝĞƐ͘ ,ĞƌĞ ĂƌĞ ŽƵƌ ƚŽƉ ƚŚƌĞĞ ǁŝŶƐ ĨŽƌ ϮϬϭϰ͗ CAFP͛s MulƟfaceted Eīort >eads to MulƟmillionͲ ollar Investment in Primary Care Residency Slots &W ƐƵĐĐĞƐƐĨƵůůLJ ĂĚǀŽĐĂƚĞĚ ĨŽƌ ŵŽƌĞ ƚŚĂŶ ΨϭϮ ŵŝůůŝŽŶ ŝŶ ŶĞǁ ^ŽŶŐͲ ƌŽǁŶ ,ĞĂůƚŚ ĂƌĞ tŽƌŬĨŽƌĐĞ dƌĂŝŶŝŶŐ WƌŽŐƌĂŵ ĨƵŶĚŝŶŐ ƚŚƌŽƵŐŚ ƚŚĞ ƐƚĂƚĞ ďƵĚŐĞƚ͕ ůĂƵŶĐŚŝŶŐ Ă ƐƚĂƚĞǁŝĚĞ ĐĂŵƉĂŝŐŶ ƚŽ ĂĚĚƌĞƐƐ ƚŚĞ ƉƌŝŵĂƌLJ ĐĂƌĞ ƉŚLJƐŝĐŝĂŶ ƐŚŽƌƚĂŐĞ͘ dŚĞ ĨƵŶĚŝŶŐ ŝŶĐůƵĚĞĚ͗ ͻ ŽŶĞ ƟŵĞ͕ Ψϰ ŵŝůůŝŽŶ ŝŶǀĞƐƚŵĞŶƚ ƚŽ ƐƵƉƉŽƌƚ ŶĞǁ ƉƌŝŵĂƌLJ ĐĂƌĞ ƉŚLJƐŝĐŝĂŶ ƌĞƐŝĚĞŶĐLJ ƐůŽƚƐ ĂŶĚ ĨĂĐƵůƚLJ ƚŽ ƚƌĂŝŶ ƚŚĞ ŶĞǁ ƌĞƐŝĚĞŶƚƐ͘ ͻ ΨϮ͘ϴϰ ŵŝůůŝŽŶ ĂŶŶƵĂůůLJ ĨŽƌ ƚŚĞ ŶĞdžƚ ƚŚƌĞĞ LJĞĂƌƐ ƚŽ ƉŝůŽƚ ĨƵŶĚŝŶŐ ŝŶƚĞƌŶĂů ŵĞĚŝĐŝŶĞ͕ ƉĞĚŝĂƚƌŝĐ ĂŶĚ K Ͳ'LJŶ ƌĞƐŝĚĞŶĐLJ ƐůŽƚƐ ŝŶ ƚŚĞ ^ŽŶŐͲ ƌŽǁŶ ƉƌŽŐƌĂŵ͘ 'ƌĂƐƐƌŽŽƚƐ ĂĚǀŽĐĂĐLJ ďLJ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ǁĂƐ ĞƐƐĞŶƟĂů ƚŽ ƚŚŝƐ ǀŝĐƚŽƌLJ͕ ĞŶƐƵƌŝŶŐ ƚŚĂƚ ŬĞLJ ůĞŐŝƐůĂƚŽƌƐ ŚĞĂƌĚ ĚŝƌĞĐƚůLJ ĨƌŽŵ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ͘ &W ĐƌĞĂƚĞĚ ĨĂĐƚƐŚĞĞƚƐ ĞdžƉůĂŝŶŝŶŐ ǁŚĂƚ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ ĂƌĞ͕ ƚŚĞ ŶĞĞĚ ĨŽƌ ŝŶĐƌĞĂƐĞĚ ĨƵŶĚŝŶŐ ĂŶĚ ƚŚĞ ŝŵŵĞĚŝĂƚĞ ĂŶĚ ůŽŶŐͲƚĞƌŵ ďĞŶĞĮƚƐ ŽĨ ŝŶĐƌĞĂƐĞĚ ƉƌŝŵĂƌLJ

ĐĂƌĞ ƌĞƐŝĚĞŶĐLJ ƐůŽƚƐ͘ &W ŐĂǀĞ ǁĞďŝŶĂƌ ƉƌĞƐĞŶƚĂƟŽŶƐ ƚŽ ŚĞůƉ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ ĂŶĚ &W <ĞLJ ŽŶƚĂĐƚƐ ůĞĂƌŶ ŚŽǁ ƚŽ ƐĞƚ ƵƉ ĂŶĚ ŚŽƐƚ Ă ůĞŐŝƐůĂƚŽƌ ƐŝƚĞ ǀŝƐŝƚ Ăƚ ƚŚĞŝƌ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ͘ &W ĂůƐŽ͗ ͻ ^ĞŶƚ ƐƚĂī ƚŽ ϭϯ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ ƚŚƌŽƵŐŚŽƵƚ ƚŚĞ ƐƚĂƚĞ ƚŽ ŐŝǀĞ ŽŶĞͲŽŶͲŽŶĞ ƚƌĂŝŶŝŶŐƐ͖ ͻ ^Ğƚ ƵƉ ŵĞĚŝĂ ŽƉƉŽƌƚƵŶŝƟĞƐ ĂƌŽƵŶĚ DĂƚĐŚ ĂLJ ĂŶĚ ĐƌŽƐƐͲ ƉƌŽŵŽƚĞĚ ŝƚ ǁŝƚŚ ŽƵƌ ͞ϮϬϭϰ zĞĂƌ ŽĨ ƚŚĞ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶ͟ ƉƵďůŝĐ ƌĞůĂƟŽŶƐ ĐĂŵƉĂŝŐŶ͖ ĂŶĚ ͻ /ŶĐŽƌƉŽƌĂƚĞĚ ŽƵƌ ƐƉŽŶƐŽƌĞĚ ůĞŐŝƐůĂƟŽŶ ĂŶĚ ďƵĚŐĞƚ ĞīŽƌƚƐ ŝŶƚŽ ŽƵƌ ůů DĞŵďĞƌ ĚǀŽĐĂĐLJ DĞĞƟŶŐ ; D DͿ ĂŶĚ >ŽďďLJ ĂLJ ĂĐƟǀŝƟĞƐ͘ /Ŷ ƌĞĐŽŐŶŝƟŽŶ ŽĨ ƚŚĞƐĞ ĞīŽƌƚƐ ĂŶĚ ŽƵƌ ƐƵĐĐĞƐƐ͕ &W ƌĞĐĞŝǀĞĚ &W͛Ɛ ϮϬϭϰ >ĞĂĚĞƌƐŚŝƉ ŝŶ ^ƚĂƚĞ 'ŽǀĞƌŶŵĞŶƚ ĚǀŽĐĂĐLJ ǁĂƌĚ͕ ǁŚŝĐŚ ŝƐ ŐŝǀĞŶ ĨŽƌ ͞ŽƵƚƐƚĂŶĚŝŶŐ ĐŚĂƉƚĞƌ ĐŽŶƚƌŝďƵƟŽŶƐ ƚŽ ĨƵƌƚŚĞƌ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƚŚƌŽƵŐŚ ůĞŐŝƐůĂƟǀĞ ĂĐĐŽŵƉůŝƐŚŵĞŶƚƐ Žƌ ŝŶŝƟĂƟǀĞƐ͕ Žƌ ƚŚĞ ƐƵƉƉŽƌƚ ŽĨ ƉƵďůŝĐ ƉŽůŝĐLJ ĞīŽƌƚƐ͘͟ dhe Resounding efeat of the drial >awyerͲSponsored AnƟͲ MICRA IniƟaƟve͗ Prop 46 &W͕ ŝŶ ĐŽŽƌĚŝŶĂƟŽŶ ǁŝƚŚ ƚŚĞ ĂůŝĨŽƌŶŝĂ DĞĚŝĐĂů ƐƐŽĐŝĂƟŽŶ ; D Ϳ͕ ĂůŝĨŽƌŶŝĂŶƐ ůůŝĞĚ ĨŽƌ WĂƟĞŶƚ WƌŽƚĞĐƟŽŶ ; WWͿ͕ ŶĞĂƌůLJ ϭ͕ϬϬϬ ŽƌŐĂŶŝnjĂƟŽŶƐ͕ ĂŶĚ ǁŝƚŚ ƚŚĞ ƟƌĞůĞƐƐ ǁŽƌŬ ŽĨ ƉŚLJƐŝĐŝĂŶƐ ƚŚƌŽƵŐŚŽƵƚ ƚŚĞ ƐƚĂƚĞ͕ ƐƵĐĐĞƐƐĨƵůůLJ ĚĞĨĞĂƚĞĚ WƌŽƉŽƐŝƟŽŶ ϰϲ ďLJ Ă ƚǁŽͲƚŽͲŽŶĞ ŵĂƌŐŝŶ͊ dŚŝƐ ƵŶǁŽƌŬĂďůĞ ƉƌŽƉŽƐŝƟŽŶ ǁŽƵůĚ ŚĂǀĞ ĚƌĂŵĂƟĐĂůůLJ ĂůƚĞƌĞĚ ƚŚĞ DĞĚŝĐĂů /ŶũƵƌLJ ŽŵƉĞŶƐĂƟŽŶ ĂŶĚ ZĞĨŽƌŵ Đƚ ;D/ Z Ϳ͕ ŵĂŬŝŶŐ ŝƚ ĞĂƐŝĞƌ ƚŽ ĮůĞ ůĂǁƐƵŝƚƐ ĂŐĂŝŶƐƚ ŚĞĂůƚŚ ĐĂƌĞ ƉƌŽǀŝĚĞƌƐ͕ ŝŶĐƌĞĂƐŝŶŐ ŚĞĂůƚŚ ĐĂƌĞ ĐŽƐƚƐ͕ ƌĞĚƵĐŝŶŐ ĂĐĐĞƐƐ ƚŽ ĐĂƌĞ ĂŶĚ ŐĞŶĞƌĂƟŶŐ ŵŽƌĞ ůĞŐĂů ĨĞĞƐ ĨŽƌ ƚƌŝĂů ůĂǁLJĞƌƐ͘ &W ĚĞǀĞůŽƉĞĚ ďƌŽĐŚƵƌĞƐ ĂŶĚ ŶĞǁƐůĞƩĞƌƐ͕ ƚƌĂŝŶĞĚ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ ƐƉŽŬĞƐƉĞŽƉůĞ͕ ŚĞůĚ ĐŚĂƉƚĞƌ ĞǀĞŶƚƐ ƚŚƌŽƵŐŚŽƵƚ ƚŚĞ ƐƚĂƚĞ ĚĞĚŝĐĂƚĞĚ ĂůŵŽƐƚ ĞdžĐůƵƐŝǀĞůLJ ƚŽ WƌŽƉ ϰϲ ĞĚƵĐĂƟŽŶ͕ ĞŶŐĂŐĞĚ ŝŶ Ă ƐŽĐŝĂů ŵĞĚŝĂ ďůŝƚnj ĂŶĚ ĐŽŶƚƌŝďƵƚĞĚ ĮŶĂŶĐŝĂůůLJ ƚŽ ƚŚĞ ĐĂŵƉĂŝŐŶ͘ dŚĞ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶƐ WŽůŝƟĐĂů ĐƟŽŶ ŽŵŵŝƩĞĞ ŵĂĚĞ ĚĞĨĞĂƟŶŐ ƚŚĞ ŝŶŝƟĂƟǀĞ ŝƚƐ ƚŽƉ ƉƌŝŽƌŝƚLJ͘ ĞĐĂƵƐĞ ŽĨ ƚŚĞƐĞ ĞīŽƌƚƐ͕ ƚŚĞ ƉƵďůŝĐ ĚĞĐŝƐŝǀĞůLJ ǀŽŝĐĞĚ ŝƚƐ ƐƵƉƉŽƌƚ ĨŽƌ D/ Z ĂŶĚ ƌĞũĞĐƚĞĚ WƌŽƉ ϰϲ͘ dŚŝƐ ǁŝŶ ŝƐ ƉƌŽŽĨ ƚŚĂƚ ƚŚĞ ǀĂƐƚ ŵĂũŽƌŝƚLJ ŽĨ ĂůŝĨŽƌŶŝĂŶƐ ĂŐƌĞĞ ŽŶ ƚŚĞ ŝŵƉŽƌƚĂŶĐĞ ŽĨ ĂĐĐĞƐƐ ƚŽ ƋƵĂůŝƚLJ ŚĞĂůƚŚ ĐĂƌĞ͘ &W͕ ŝŶ ƉĂƌƚŶĞƌƐŚŝƉ ǁŝƚŚ D ĂŶĚ WW͕ ǁŝůů ƌĞŵĂŝŶ ǀŝŐŝůĂŶƚ ŝŶ ŽƵƌ ǁŽƌŬ ǁŝƚŚ ƚŚĞ >ĞŐŝƐůĂƚƵƌĞ ƚŽ ĐŽŶƟŶƵĞ ƚŽ ƉƌŽƚĞĐƚ D/ Z ĂŶĚ ĂĐĐĞƐƐ ƚŽ ĐĂƌĞ͘

r. Ashby Wolfe (leŌ) and CAFP staīer Adam Francis accept the AAFP 2014 >eadership in State 'overnment Award.

12

California Family Physician Winter 2015

ČąÂ›ÂŽÂŒÂŽÂ’Â&#x;ÂŽÂ?Čą Č‚ÂœČąĹ˜Ĺ–Ĺ—ĹšČą ŽŠÂ?ÂŽÂ›ÂœÂ‘Â’Â™ČąÂ’Â—Čą Â?ŠÂ?ÂŽČą ˜Â&#x;Ž›—–Ž—Â?Čą Â?Â&#x;˜ŒŠŒ¢ȹ  ÂŠÂ›Â?ǰȹ Â‘Â’ÂŒÂ‘ČąÂ’ÂœČąÂ?Â’Â&#x;Ž—ȹÂ?Â˜Â›Čą ČƒÂ˜ÂžÂ?ÂœÂ?Š—Â?’—Â?ČąÂŒÂ‘ÂŠÂ™Â?ÂŽÂ›ČąÂŒÂ˜Â—Â?›’‹žÂ?Â’Â˜Â—ÂœČą Â?Â˜ČąÂ?ž›Â?‘Ž›ȹÂ?Š–’•¢ȹ–ŽÂ?Â’ÂŒÂ’Â—ÂŽČąÂ?‘›˜žÂ?‘ȹ •ŽÂ?’œ•ŠÂ?Â’Â&#x;ÂŽČąÂŠÂŒÂŒÂ˜Â–Â™Â•Â’ÂœÂ‘Â–ÂŽÂ—Â?ÂœČąÂ˜Â›Čą ’—’Â?’ŠÂ?Â’Â&#x;ÂŽÂœÇ°ČąÂ˜Â›ČąÂ?Â‘ÂŽČąÂœÂžÂ™Â™Â˜Â›Â?ČąÂ˜Â?ČąÂ™ÂžÂ‹Â•Â’ÂŒČą ™˜•’Œ¢ȹŽě˜›Â?ÂœÇŻČ„Čą

The Hard Fought ElecĆ&#x;on of Primary Care Champion Richard PanÍ• M to the State Senate

/Ĺś Ä‚ĹŻĹ?ĨŽĆŒĹśĹ?Ä‚Í• ƚŚĞ ƚŽƉ ĆšÇ Ĺ˝ Ä?ĂŜĚĹ?ĚĂƚĞĆ? ĨĆŒŽž ĞĂÄ?Ĺš ÄšĹ?Ć?ĆšĆŒĹ?Ä?Ćš Ĺ?Ĺś ƚŚĞ Ć‰ĆŒĹ?ĹľÄ‚ĆŒÇ‡ ĞůĞÄ?Ć&#x;ŽŜ žŽÇ€Äž ŽŜ ƚŽ ƚŚĞ Ĺ?ÄžĹśÄžĆŒÄ‚ĹŻ ĞůĞÄ?Ć&#x;ŽŜÍ• ĆŒÄžĹ?Ä‚ĆŒÄšĹŻÄžĆ?Ć? ŽĨ Ć‰Ä‚ĆŒĆšÇ‡ Ä‚ĸůĹ?Ä‚Ć&#x;ŽŜ͘ dĹšĹ?Ć? Ĺ?Ć? Ç ĹšÄ‚Ćš ŚĂƉƉĞŜĞĚ Ç ĹšÄžĹś Ć?Ć?ĞžÄ?ůLJžĞžÄ?ÄžĆŒ ZĹ˝Ĺ?ÄžĆŒ Ĺ?Ä?ĹŹĹ?ĹśĆ?ŽŜ ĂŜĚ Ć?Ć?ĞžÄ?ůLJžĞžÄ?ÄžĆŒ ZĹ?Ä?ĹšÄ‚ĆŒÄš WĂŜ͕ D ÍžÄ?ŽƚŚ ÄžžŽÄ?ĆŒÄ‚ĆšĆ?Íż ĨÄ‚Ä?ĞĚ Žč ƚŽ ĆŒÄžĆ‰ĹŻÄ‚Ä?Äž ^ƚĂƚĞ ^ÄžĹśÄ‚ĆšĹ˝ĆŒ Ä‚ĆŒĆŒÄžĹŻ ^ƚĞĹ?ĹśÄ?ÄžĆŒĹ?͘ ĹŻĹŻ Ć?Ĺ?Ĺ?ĹśĆ? ƉŽĹ?ŜƚĞĚ ƚŽ Ä‚Ĺś ÄžÇ†ĆšĆŒÄžĹľÄžĹŻÇ‡ Ä?ĹŻĹ˝Ć?Äž ĆŒÄ‚Ä?Ğ͘ ĆŒÍ˜ WĂŜ͕ Ä‚ ƉĞĚĹ?Ä‚ĆšĆŒĹ?Ä?Ĺ?ĂŜ͕ Ĺ?Ć? ƚŚĞ ŽŜůLJ ƉŚLJĆ?Ĺ?Ä?Ĺ?Ä‚Ĺś Ĺ?Ĺś ƚŚĞ Ä‚ĹŻĹ?ĨŽĆŒĹśĹ?Ä‚ >ÄžĹ?Ĺ?Ć?ĹŻÄ‚ĆšĆľĆŒÄžÍ– Ĺ?Ĩ ŚĞ ŚĂĚ ŜŽĆš Ç Ĺ˝ĹśÍ• Ä‚ĹŻĹ?ĨŽĆŒĹśĹ?Ä‚ Ç Ĺ˝ĆľĹŻÄš ŚĂǀĞ ĹŻĹ˝Ć?Ćš Ä‚ ĹŻÄžĹ?Ĺ?Ć?ĹŻÄ‚Ć&#x;ǀĞ ĹŻÄžÄ‚ÄšÄžĆŒ Ç Ĺ?ƚŚ Ä‚ ĚĞĞƉ ƾŜÄšÄžĆŒĆ?ƚĂŜĚĹ?ĹśĹ? ŽĨ Ç ĹšÄ‚Ćš Ć‰ĆŒĹ?ĹľÄ‚ĆŒÇ‡ Ä?Ä‚ĆŒÄž ƉŚLJĆ?Ĺ?Ä?Ĺ?Ä‚ĹśĆ? ĂŜĚ ƉĂĆ&#x;ĞŜƚĆ? ĨÄ‚Ä?Äž ÄžÇ€ÄžĆŒÇ‡ ĚĂLJ͘ tĹ?ƚŚ ƚŚĞ Ć?ĆľĆ‰Ć‰Ĺ˝ĆŒĆš ŽĨ ƚŚĞ ƉŚLJĆ?Ĺ?Ä?Ĺ?Ä‚Ĺś Ä?ŽžžƾŜĹ?ƚLJ ĂŜĚ Ĺ˝ĆšĹšÄžĆŒĆ?Í• ĆŒÍ˜ WÄ‚Ĺś Ć‰ĆŒĹ˝Ç€ÄžÄš ƚŚĞ ƉŽůůĆ? Ç ĆŒŽŜĹ? ĂŜĚ ƉƾůůĞĚ ŽƾĆš Ä‚ Ç Ĺ?ĹśÍ˜ &W Ä?ŽŜĹ?ĆŒÄ‚ĆšƾůĂƚĞĆ? ĆŒÍ˜ WÄ‚Ĺś ĂŜĚ ůŽŽŏĆ? ĨŽĆŒÇ Ä‚ĆŒÄš ƚŽ Ä?ŽŜĆ&#x;ŜƾĹ?ĹśĹ? ŽƾĆŒ Ĺ?ĹľĆ‰Ĺ˝ĆŒĆšÄ‚ĹśĆš Ç Ĺ˝ĆŒĹŹ Ç Ĺ?ƚŚ ĹšĹ?Ĺľ ƚŽ Ĺ?ĹľĆ‰ĆŒĹ˝Ç€Äž ƚŚĞ ŚĞĂůƚŚ ŽĨ Ä‚ĹŻĹŻ Ä‚ĹŻĹ?ĨŽĆŒĹśĹ?Ä‚ĹśĆ?ÍŠ

INSPIRE greatness

At Mercy Medical Group, a service of Dignity Health Medical Foundation, we lead by example. By always striving to give our personal best—and encouraging our patients and colleagues to do the same— we’re able to achieve and do more than we ever imagined. If you’re ready to inspire greatness in yourself and others, join us today. We currently have the following opportunities with our different medical groups throughout Northern & Central California:

Adam Francis is CAFP’s Deputy Director of Government RelaĆ&#x;ons.

s &AMILY Practice: 'RASS 6ALLEY -ERCED 2EDDING 3ACRAMENTO

3TOCKTON (bilingual in Spanish required)

The Petaluma Health Center (PHC) has opportunities for experienced, innovative physicians to join a dynamic team of twenty nine providers in Southern Sonoma County. PHC is a Federally Qualified Health Center (FQHC) located in Petaluma, CA and provides full spectrum comprehensive primary care including obstetrical care and mental health services to over 20,000 patients. Our health center is a leading innovator in integrative medicine, team based care, and technology. We are seeking bilingual English/Spanish physicians with a minimum of three years’ experience to provide care to a panel of patients. These positions allow for ample growth and leadership in a multitude of areas related to improvement of the patient care experience. Options for combined hospital medicine and obstetric call are available, as is the option of outpatient call (telephone call) only.

Our locations offer access to outstanding schools, exciting recreational opportunities and a wide variety of cultural events. Our physicians utilize leading edge technology, including EMR, and enjoy a collegial and supportive environment. We also offer a competitive compensation & benefits package which includes bonus potential and a very desirable retirement plan. health.org

&OR MORE INFORMATION PLEASE CONTACT 0HYSICIAN 2ECRUITMENT 0HONE %MAIL PROVIDERS DIGNITYHEALTH ORG WWW DIGNITYHEALTH ORG PHYSICIAN CAREERS

California Family Physician Winter 2015

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STUDENTS AND RESIDENTS

Family Medicine Summit was a Huge Success ĂĐŚ ĨĂůů͕ ĂůŝĨŽƌŶŝĂ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ͕ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƌĞƐŝĚĞŶƚƐ ĂŶĚ ĨĂĐƵůƚLJ ŵĞŵďĞƌƐ ĐŽŶǀĞƌŐĞ ŝŶ >ŽƐ ŶŐĞůĞƐ ĨŽƌ &W͛Ɛ ĂŶŶƵĂů &ĂŵŝůLJ DĞĚŝĐŝŶĞ ^Ƶŵŵŝƚ͘ dŚĞ ĐŽŶĨĞƌĞŶĐĞ ƉƌŽǀŝĚĞƐ ĂƚƚĞŶĚĞĞƐ ǁŝƚŚ ŽƉƉŽƌƚƵŶŝƚŝĞƐ ƚŽ ĚĞǀĞůŽƉ ůĞĂĚĞƌƐŚŝƉ ƐŬŝůůƐ ĂŶĚ ůĞŐŝƐůĂƚŝǀĞ ĂĚǀŽĐĂĐLJ ĂĐƵŵĞŶ ĂŶĚ ŐĂŝŶ ĐůŝŶŝĐĂů ŬŶŽǁůĞĚŐĞ͘ dŚĞ ^Ƶŵŵŝƚ ŝƐ ĂůƐŽ ĂŶ ĞĨĨĞĐƚŝǀĞ ŶĞƚǁŽƌŬŝŶŐ ƚŽŽů ĨŽƌ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ůŽŽŬŝŶŐ ƚŽ ůĂƵŶĐŚ ĐĂƌĞĞƌƐ ŝŶ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͘ &W ǁĞůĐŽŵĞĚ ŵŽƌĞ ƚŚĂŶ ϭϴϬ ŝŶĚŝǀŝĚƵĂůƐ ƚŽ ƚŚĞ ϮϬϭϰ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ^Ƶŵŵŝƚ͕ Ăƚ ǁŚŝĐŚ ĂƚƚĞŶĚĞĞƐ ǁĞƌĞ ƚƌĞĂƚĞĚ ƚŽ Ă ďĞǀLJ ŽĨ ŝŶĐƌĞĚŝďůĞ ƉƌŽŐƌĂŵŵŝŶŐ͘ dŽ ŬŝĐŬ ŽĨĨ ƚŚĞ ^Ƶŵŵŝƚ͕ ƚŚĞ ĐĂĚĞŵLJ ƚĂƉƉĞĚ ĨŽƌŵĞƌ EĞǁ WŚLJƐŝĐŝĂŶ ŵĞŵďĞƌ ŽĨ ƚŚĞ &W ŽĂƌĚ ŽĨ ŝƌĞĐƚŽƌƐ ĂŶĚ ŶĞǁůLJ ĞůĞĐƚĞĚ ƉƌĞƐŝĚĞŶƚ ŽĨ ƚŚĞ DĂƌLJůĂŶĚ ĐĂĚĞŵLJ ŽĨ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶƐ <ŝƐŚĂ ĂǀŝƐ͕ D ͕ DW, ƚŽ ĚĞůŝǀĞƌ ƚŚĞ ŬĞLJŶŽƚĞ ĂĚĚƌĞƐƐ͕ ǁŚŝĐŚ ǁĂƐ ďŽƚŚ ŝŶƐƉŝƌĂƚŝŽŶĂů ĂŶĚ ĞĚƵĐĂƚŝŽŶĂů͘ &W ^ƚƵĚĞŶƚ ĂŶĚ ZĞƐŝĚĞŶƚ ŽƵŶĐŝů ůĞĂĚĞƌƐ ƚŚĞŶ ƚŽŽŬ ĐĞŶƚĞƌ ƐƚĂŐĞ ŝŶ ƚŚĞ ƵŝůĚŝŶŐ ƌŝĚŐĞƐ ŝŶĨŽƌŵĂƚŝŽŶĂů ĂŶĚ ƉůĂŶŶŝŶŐ ƐĞƐƐŝŽŶ͘ dŚŝƐ ǁĂƐ ĨŽůůŽǁĞĚ ďLJ ďƌĞĂŬŽƵƚ ƐĞƐƐŝŽŶƐ͕ ǁŚŝĐŚ ŝŶĐůƵĚĞĚ ĂĚǀŽĐĂĐLJ ƚƌĂŝŶŝŶŐ͕ ƚƌĂŶƐŐĞŶĚĞƌ ƉƌŝŵĂƌLJ ĐĂƌĞ͕ ƉŽŝŶƚͲŽĨͲĐĂƌĞ ƵůƚƌĂƐŽƵŶĚ ƉƌŽĐĞĚƵƌĂů ǁŽƌŬƐŚŽƉƐ͕ ŵĞŶƚĂů ŚĞĂůƚŚ ŝƐƐƵĞƐ ŝŶ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ĂŶĚ ůĞĂƌŶŝŶŐ ĂďŽƵƚ ƚŚĞ ƌĞƚƵƌŶ ŽŶ ŝŶǀĞƐƚŵĞŶƚ ĨŽƌ ƌĞƐŝĚĞŶƚƐ ĐŚŽŽƐŝŶŐ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͘ EĞǁ ĨŽƌ ϮϬϭϰ͕ ǁĞ

ŝŶĐůƵĚĞĚ Ă ƚƌĂĐŬ ƐƉĞĐŝĨŝĐĂůůLJ ĨŽƌ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵ ĚŝƌĞĐƚŽƌƐ ĂŶĚ ĨĂĐƵůƚLJ ŵĞŵďĞƌƐ͘ dŚĞ ŚŝŐŚůŝŐŚƚ ŽĨ ƚŚĞƐĞ ƐĞƐƐŝŽŶƐ ǁĂƐ ƚŚĞ ĞůĞĐƚŝŽŶ ŽĨ ƌƐ͘ WĂŵĞůĂ ĂǀŝƐ ĂŶĚ :ĞĨĨ ,ĂŶĞLJ ĂƐ ZĞƐŝĚĞŶĐLJ EĞƚǁŽƌŬ ĐŽͲůĞĂĚĞƌƐ͘ dŚĞ ĞǀĞƌͲƉŽƉƵůĂƌ ĂůŝĨŽƌŶŝĂ ZĞƐŝĚĞŶĐLJ &Ăŝƌ ƌĞƚƵƌŶĞĚ ǁŝƚŚ ŵŽƌĞ ƚŚĂŶ ϯϬ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ ĞdžŚŝďŝƚŝŶŐ͘ ^ƚƵĚĞŶƚƐ ŚĂĚ ƚŚĞ ŝŶǀĂůƵĂďůĞ ŽƉƉŽƌƚƵŶŝƚLJ ƚŽ ŵĞĞƚ ƉƌŽŐƌĂŵ ĨĂĐƵůƚLJ ĂŶĚ ůĞĂƌŶ ǁŚĂƚ ĞĂĐŚ ƉƌŽŐƌĂŵ ŝƐ Ăůů ĂďŽƵƚ͘ DĂŬŝŶŐ ƚŚĞ ĐŚŽŝĐĞ ŽĨ ǁŚĞƌĞ ƚŽ ĐŽŵƉůĞƚĞ ƌĞƐŝĚĞŶĐLJ ƚƌĂŝŶŝŶŐ ŝƐ Ă ŵŽŶƵŵĞŶƚĂů ĚĞĐŝƐŝŽŶ͕ ĂŶĚ &W ŝƐ ŐůĂĚ ƚŽ ŚĞůƉ ƐƚƵĚĞŶƚƐ ƚŚƌŽƵŐŚ ƚŚŝƐ ƉƌŽĐĞƐƐ͘ Ɛ ĨŽƌ ŵĞ͕ ƚŚĞ ^Ƶŵŵŝƚ ŝƐ ĂůǁĂLJƐ ƚŚĞ ŚŝŐŚůŝŐŚƚ ŽĨ ƚŚĞ LJĞĂƌ͘ / ƚŚŝŶŬ / ĐĂŶ ƐƉĞĂŬ ĨŽƌ ŵLJ ĨĞůůŽǁ &W ƐƚĂĨĨĞƌƐ ǁŚĞŶ / ƐĂLJ ƚŚĂƚ ƚŚĞ ĞŶƚŚƵƐŝĂƐŵ ĂŶĚ ƉĂƐƐŝŽŶ ĞdžŚŝďŝƚĞĚ ďLJ ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ ŝƐ ƚƌƵůLJ ŝŶƐƉŝƌŝŶŐ͘ / Ăŵ ŚŽŶŽƌĞĚ ƚŽ ďĞ ĂďůĞ ƚŽ ǁŽƌŬ ĨŽƌ ƐƵĐŚ ŝŶĚŝǀŝĚƵĂůƐ ĂŶĚ ŽƌŐĂŶŝnjĞ ƚŚĞ ^Ƶŵŵŝƚ ĞĂĐŚ LJĞĂƌ͘ / ƚŚĂŶŬ ĞǀĞƌLJŽŶĞ ǁŚŽ ĂƚƚĞŶĚĞĚ ƚŚĞ ŵĞĞƚŝŶŐ ĂŶĚ ůŽŽŬ ĨŽƌǁĂƌĚ ƚŽ ƚŚĞ ŶĞdžƚ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ^Ƶŵŵŝƚ ŝŶ ^ĞƉƚĞŵďĞƌ ϮϬϭϱ͘ ^ĞĞ LJŽƵ ŝŶ > ͊ Cody Mitcheltree is CAFP’s Student, Resident and Social Media Manager.

ȱ¢ ȱ ȱ ȱ ǰȱ ǰȱ ȱ ¢ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱŘŖŗŚȱ ¢ȱ ȱ Ƿ More than 30 programs were featured in this year’s Residency Fair.

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California Family Physician Winter 2015

Healthcare is changing. Are you ready for a change? Consider Corizon Health - the nation’s leader in Correctional Healthcare. Join our team of professionals and experience the many rewards of working with an organization that truly values its healthcare providers. We currently have opportunities in Fresno, Dublin and Visalia We offer: ΄ 6gPRZZR]c P^\_R]bMcW^]͜ W]PZdQW]U \MZ_aMPcWPR P^eRaMUR ΄ @^ ^eRaVRMQb͜ ]^ OWZZW]U WbbdRb ΄ ?W]W\MZ ^]͹PMZZ ΄ ?RQWPMZΧQR]cMZ OR]RŬcb͜ = ΄ 7dZZ cW\R͜ _Mac cW\R͜ BD@ M]Q Z^Pd\b Corizon Heath offers the opportunity to practice medicine without the normal practice worries! Work with industry leaders in an emerging clinical specialty with complex challenges pathological challenges and opportunities for career advancement.

If you are interested please send your resume to:

Dee Thandi Dee.thandi@corizonhealth.com T: 800.893.2118 F: 866.303.2728

Over 500 facilities in 29 states. 35 years of innovation and expertise.

Visit corizonjobs.com to see all opportunities. California Family Physician Winter 2015

2014 YEAR OF THE FAMILY PHYSICAN YEARBOOK CAFP regularly highlights the inspiring stories of our members ǁith the Member of the Month series. te celebrate the passion that drives them to success and share hoǁ they have put their vast knoǁledge and enthusiasm to ǁork on behalf of their paƟents, students and community. Take a moment and meet our standout 2014 honorees ǁho are using their voices and experience to advance the specialty:

JANUARY: The Pioneer

FEBRUARY: The Voice

Ronald Fong, MD, MPH

Marie-Elizabeth Ramos, MD

“As family physicians, are ǁe telling stories? And if ǁe are, ǁhat stories are ǁe telling? te should never be pusillanimous in our stories as healers, teachers, spouses, parents, neighbors, or friends. For if ǁe are, hoǁ can ǁe ever hope to be able to connect ǁith our paƟents and have them be vested in a relaƟonship for decades? Speak up; speak out.”

“Leadership is creaƟng posiƟve change in people's lives. This is either done by example, or by becoming the voice for those society does not care to hear. As a family doctor, I take pride in being a living example of healthy living for my paƟents. As a result, I successfully climbed Mount Shasta (14,12ϵ Ō. elevaƟonͿ in June of 2014 to support the Breast Cancer Fund.”

MARCH: The Hero

APR/>: The Nedžt 'eneraƟon

Jeremy Fish, MD

Laura Doan, MD, MBA MaƩheǁ Varallo, DK

“I consider teaching the next generaƟon of family physicians my greatest capacity to aīect populaƟon and paƟent health for many years to come. If more family physicians ǁere aǁare of the stateǁide Medical EducaƟon NetǁorkͶhoǁ poǁerful and meaningful it can be ǁhen ǁe gather ourselves together and focus on a shared vision and purpose ʹ toǁ͊ It ǁould be a game changer͊”

To celebrate residency Match Day, ǁe honored tǁo fourthyear medical student leaders. They served as student codirectors on the CAFP Board of Directors and are founders of CAFP’s Building Bridges campaign, ǁhich connects students, residents and physicians to encourage collaboraƟon on proũects and advocacy eīorts.

MAY: The Coach

JUNE: The Ethicist

Lauren Simon, MD, MPH

James Hornstein, MD

“My advice to graduaƟng residents transiƟoning to pracƟce is to ǁrite out your short-term and long-term personal and professional goals. Try to pick a pracƟce model that Įts your personality and goals. Save your list of goals and periodically reassess to see if you (and your pracƟce choiceͿ are on track to achieve your goals or if your goals have changed. ”

“I am energized by the possibility of helping to shape a beƩer American health care system based on the values and beliefs family doctors have pracƟced for decades. te should help partner ǁith our legislators to help them appreciate ǁhat needs to change in our health care system and ǁhat does not.”

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California Family Physician Winter 2015

MEMBERSHIP

JULY: The Mentor

AU'UST: The PragmaƟst

Asma Jafri, MD

Daniel Pio, MD, MBA

“To achieve ǁork-life balance, have an understanding life partner ǁho is ǁilling to step in for you ǁhen you are torn betǁeen family and professional needs. Also try to negoƟate Ɵme ǁhen you seek employment. Time for personal and professional development is usually not granted in standard contracts. Develop a netǁork of like-minded colleagues ǁho ǁill provide support and mentorship to you.”

“The best career experience I’ve gained so far is geƫng to knoǁ some of the family medicine community. It has been fantasƟc. I love my program and my co-residents. Residency is tough. No quesƟon about it, but speaking about my class speciĮcally, I knoǁ that no maƩer ǁhat happens, eight outstanding family physicians have my back through anything. I am just starƟng the journey ǁith these people and I knoǁ amazing things are in store for all of them.”

SEPTEMBER: The Philanthropist

KCTKBER: The Innovator

Esther Danphuong N. Ho, MD

Steven Lin, MD

“The most important quality a family physician should have is opennessͶto hearing ǁhat a paƟent’s true perspecƟve is, to learning, to handling challenges, and to the countless opportuniƟes a family physician has to make a diīerence.”

“I got involved in smartphone mobile app development ǁhen I ǁas an intern in my family medicine residency program. I realized hoǁ much I didn't knoǁ about so many diīerent things and hoǁ poorly some of those topics ǁere taught in medical school. So, I decided to do it myself and do the research and come up ǁith these evidence-based tools that ǁill alloǁ primary care physicians on the frontlines to access up to date informaƟon to help ǁith clinical decision making at the point of care.”

NKVEMBER: The Trailblazer

DECEMBER: The Captain

Tarek Z. Mahdi, MD, CMD, FAAFP

Karun Grossman, MD

“IniƟally, going doǁn the road of the medical home transformaƟon ǁas very hard, but noǁ ǁe actually have diīerent physicians and groups visiƟng our pracƟce on a monthly basis just to look at hoǁ ǁe run the pracƟce. It is reǁarding to see our physicians be very happy to explain to physicians and groups ǁhat they are doing. I think the biggest achievement is ǁatching the ǁhole pracƟce transform and really embracing it going forǁard. ”

“The biggest opportunity for the specialty is creaƟng a model of team-based care that succeeds in balancing all the roles on the team to provide paƟents ǁith a seamless experience. te have to ǁork together to deĮne ǁhat it means ǁhen ǁe ask each member of the team to provide care at the top of his or her ability. I am hopeful that solving this puzzle also ǁill provide the soluƟon to physician burn-out and help us provide excepƟonal care to ǁhole communiƟes.” California Family Physician Winter 2015

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Covered California Provides Second Open Enrollment Period Resources ,ĞĂůƚŚ ĐĂƌĞ ƌĞĨŽƌŵ ĚƌĂŵĂƟĐĂůůLJ ĚĞĐƌĞĂƐĞĚ ƚŚĞ ŶƵŵďĞƌ ŽĨ ƵŶŝŶƐƵƌĞĚ ĂůŝĨŽƌŶŝĂŶƐ ůĂƐƚ LJĞĂƌ ĂŶĚ ƚŚĞ ƌĂƚĞ ŝƐ ĞdžƉĞĐƚĞĚ ƚŽ ĚĞĐůŝŶĞ ĨƵƌƚŚĞƌ ŝŶ ϮϬϭϱ͘ &ĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ĂŶĚ LJŽƵƌ ƐƚĂīƐ ĐĂŶ ƐƵƉƉŽƌƚ ƚŚŝƐ ĞīŽƌƚ ďLJ ůĞƫŶŐ ƉĂƟĞŶƚƐ ŬŶŽǁ ƚŚĞLJ ĐĂŶ ĐŽŶƚĂĐƚ ŽǀĞƌĞĚ ĂůŝĨŽƌŶŝĂ ƚŽ ĞŶƌŽůů ŝŶ ƉƌŝǀĂƚĞ ƉůĂŶƐ Žƌ DĞĚŝͲ Ăů͕ ĚĞƉĞŶĚŝŶŐ ŽŶ ƚŚĞŝƌ ŝŶĐŽŵĞƐ͘ >ĂƐƚ LJĞĂƌ ƚŚĞ ƐƚĂƚĞ͛Ɛ ƵŶŝŶƐƵƌĞĚ ƌĂƚĞ ĚƌŽƉƉĞĚ ďLJ ŚĂůĨ͕ ĨƌŽŵ ϮϮ ƉĞƌĐĞŶƚ ƚŽ ϭϭ ƉĞƌĐĞŶƚ ʹ ƚŚĞ ůĂƌŐĞƐƚ ĚĞĐƌĞĂƐĞ ĂŵŽŶŐ ƚŚĞ ŶĂƟŽŶ͛Ɛ Ɛŝdž ďŝŐŐĞƐƚ ƐƚĂƚĞƐ ʹ ĂƐ ϭ͘Ϯ ŵŝůůŝŽŶ ƉĞŽƉůĞ ĞŶƌŽůůĞĚ ŝŶ ƉƌŝǀĂƚĞ ƉůĂŶƐ ĂŶĚ ƚǁŽ ŵŝůůŝŽŶ ŝŶ DĞĚŝͲ Ăů͘ ŽǀĞƌĞĚ ĂůŝĨŽƌŶŝĂ ĞdžƉĞĐƚƐ ƚŽ ĞŶƌŽůů ĂŶ ĂĚĚŝƟŽŶĂů ŚĂůĨͲĂͲ ŵŝůůŝŽŶ ƉĞŽƉůĞ ŝŶ ƉƌŝǀĂƚĞ ƉůĂŶƐ ďLJ ƚŚĞ ƟŵĞ ϮϬϭϱ ŽƉĞŶ ĞŶƌŽůůŵĞŶƚ ĐůŽƐĞƐ ŽŶ &ĞďƌƵĂƌLJ ϭϱ͘ dŚĞ ŬĞLJ ƚŚŝŶŐƐ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ĂŶĚ ƐƚĂī ŵĞŵďĞƌƐ ŶĞĞĚ ƚŽ ŬŶŽǁ ĂƌĞ ǁŚĞƌĞ ƉĂƟĞŶƚƐ ĐĂŶ ĞŶƌŽůů ŝŶ ĐŽǀĞƌĂŐĞ͖ ǁŚĞƌĞ ƚŚĞLJ ĐĂŶ ĮŶĚ ŚĞůƉ ĨŽƌ ƌĞůĂƚĞĚ ƋƵĞƐƟŽŶƐ ĂďŽƵƚ ŝŵŵŝŐƌĂƟŽŶ ƐƚĂƚƵƐ͕ ŝŶĐŽŵĞ ĂŶĚ ŽƚŚĞƌ ŝƐƐƵĞƐ͖ ĂŶĚ ŚŽǁ ƉŚLJƐŝĐŝĂŶƐ ĐĂŶ ĞŶƐƵƌĞ ƚŚĞLJ͛ƌĞ ůŝƐƚĞĚ ŽŶ ;ĂŶĚ ŽŶůLJ ŽŶͿ ƚŚĞ ĐŽƌƌĞĐƚ ŚĞĂůƚŚ ƉůĂŶ ƉƌŽǀŝĚĞƌ ŶĞƚǁŽƌŬ ĚŝƌĞĐƚŽƌŝĞƐ͘ &Žƌ ĞǀĞŶ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ĂďŽƵƚ ŽǀĞƌĞĚ ĂůŝĨŽƌŶŝĂ͕ LJŽƵ ĐĂŶ ĚŽǁŶůŽĂĚ ƚŚĞ ĨƌĞĞ͕ &WͲƉƌŽĚƵĐĞĚ ďŽŽŬůĞƚ͕ ŽǀĞƌĞĚ ĂůŝĨŽƌŶŝĂ ĂƐŝĐƐ͗ ZĞƐŽƵƌĐĞƐ͕ dŽŽůƐ ĂŶĚ /ŶĨŽƌŵĂƟŽŶ ĨŽƌ zŽƵ ĂŶĚ zŽƵƌ WĂƟĞŶƚƐ͗ ŚƩƉ͗ͬ​ͬĨĂŵŝůLJĚŽĐƐ͘ŽƌŐͬĐŽǀĞƌĞĚͲĐĂůŝĨŽƌŶŝĂͬƚŽŽůƐͲƌĞƐŽƵƌĐĞƐ

AddiƟonal Resource for PaƟents

&ĞǁĞƌ >ĂƟŶŽ ĐŽŶƐƵŵĞƌƐ ĞŶƌŽůůĞĚ ŝŶ ĐŽǀĞƌĂŐĞ ůĂƐƚ LJĞĂƌ ƚŚĂŶ ĞdžƉĞĐƚĞĚ͖ ŵĂŶLJ ĐŝƚĞĚ ĐŽŶĐĞƌŶƐ ĂďŽƵƚ ŵŝdžĞĚ ŝŵŵŝŐƌĂƟŽŶ ƐƚĂƚƵƐ ŝŶ ƚŚĞŝƌ ĨĂŵŝůŝĞƐ ĂƐ Ă ƌĞĂƐŽŶ ǁŚLJ͘ ůƚŚŽƵŐŚ ŽŶůLJ ĚŽĐƵŵĞŶƚĞĚ ĂůŝĨŽƌŶŝĂ ƌĞƐŝĚĞŶƚƐ ƋƵĂůŝĨLJ ĨŽƌ ĐŽǀĞƌĂŐĞ ƚŚƌŽƵŐŚ ƚŚĞ ƐƚĂƚĞ ŚĞĂůƚŚ ďĞŶĞĮƚ ĞdžĐŚĂŶŐĞ ĂŶĚ DĞĚŝͲ Ăů͕ ƋƵĞƐƟŽŶƐ ĂďŽƵƚ ŽƚŚĞƌ ĨĂŵŝůLJ ŵĞŵďĞƌƐ ŵĂLJ ƌĂŝƐĞ ŝŵŵŝŐƌĂƟŽŶ ƋƵĞƐƟŽŶƐ͘ ŽǀĞƌĞĚ ĂůŝĨŽƌŶŝĂ ĂŶĚ ƚŚĞ ŶĂƟŽŶĂů ĞdžĐŚĂŶŐĞ ŚĂǀĞ ƉůĞĚŐĞĚ ƚŚĂƚ ŝŶĨŽƌŵĂƟŽŶ ŐĂƚŚĞƌĞĚ ŝŶ ƚŚĞ ĞŶƌŽůůŵĞŶƚ ƉƌŽĐĞƐƐ ǁŝůů ŶŽƚ ďĞ ƵƐĞĚ ĨŽƌ ĂŶLJ ŽƚŚĞƌ ƉƵƌƉŽƐĞƐ͘ KŶĞ ŐŽŽĚ ƌĞƐŽƵƌĐĞ ĨŽƌ ĐůĂƌŝĨLJŝŶŐ ŝƐƐƵĞƐ ĂŶĚ ĞůŝŐŝďŝůŝƚLJ ŝƐ ,ĞĂůƚŚ ŽŶƐƵŵĞƌ ůůŝĂŶĐĞ ;, Ϳ͕ Ă ƉĂƌƚŶĞƌƐŚŝƉ ĂŵŽŶŐ ůĞŐĂů ĂŝĚ ŽƌŐĂŶŝnjĂƟŽŶƐ ƚŚĂƚ ƉƌŽǀŝĚĞƐ ĨƌĞĞ ůŽĐĂů ĂƐƐŝƐƚĂŶĐĞ ƚŽ ŝŶĚŝǀŝĚƵĂůƐ ĂŶĚ ĨĂŵŝůŝĞƐ ĂƉƉůLJŝŶŐ ĨŽƌ Žƌ ĞŶƌŽůůĞĚ ŝŶ ŽǀĞƌĞĚ ĂůŝĨŽƌŶŝĂ Žƌ DĞĚŝͲ Ăů͘ WĂƟĞŶƚƐ ĐĂŶ ǀŝƐŝƚ ǁǁǁ͘ŚĞĂůƚŚĐŽŶƐƵŵĞƌ͘ŽƌŐ ĨŽƌ ĐŽŶƚĂĐƚ ŝŶĨŽƌŵĂƟŽŶ ďLJ ĐŽƵŶƚLJ Žƌ ĐĂůů ϴϴϴͲϴϬϰͲϯϱϯϲ͘ , ĐĂŶ ŚĞůƉ ƉĂƟĞŶƚƐ ǁŝƚŚ͗ ͻ ŽŵƉůŝĐĂƚĞĚ ŝŵŵŝŐƌĂƟŽŶ ƋƵĞƐƟŽŶƐ ƐƵĐŚ ĂƐ ĚŽĐƵŵĞŶƚĂƟŽŶ ƐƚĂƚƵƐ͕ ƐƚƵĚĞŶƚ ǀŝƐĂƐ͕ ǁŽƌŬ ǀŝƐĂƐ͕ ĞƚĐ͘ ͻ ŽŶƟŶƵŝƚLJ ŽĨ ĐĂƌĞ ƌĞƋƵĞƐƚƐ ĂŶĚ ǁŽƌŬŝŶŐ ǁŝƚŚ ŚĞĂůƚŚ ŝŶƐƵƌĂŶĐĞ ƉůĂŶƐ ĂŶĚ ĂůŝĨŽƌŶŝĂ ƌĞŐƵůĂƚŽƌƐ ; ĞƉƚ͘ ŽĨ DĂŶĂŐĞĚ ,ĞĂůƚŚ ĂƌĞ ĂŶĚ ĞƉƚ͘ ŽĨ /ŶƐƵƌĂŶĐĞͿ͘

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California Family Physician Winter 2015

ͻ ŽŵƉůĞdž ŝŶĐŽŵĞ ƋƵĞƐƟŽŶƐ ƐƵĐŚ ĂƐ ŚŽǁ ƚŽ ĐĂůĐƵůĂƚĞ ŵŽĚŝĮĞĚ ĂĚũƵƐƚĞĚ ŐƌŽƐƐ ŝŶĐŽŵĞ͕ ƚĂdž ƋƵĞƐƟŽŶƐ͕ ĂŶĚ ŽƚŚĞƌ ŝŶĐŽŵĞͲƌĞůĂƚĞĚ ƋƵĞƐƟŽŶƐ͘ ͻ YƵĞƐƟŽŶƐ ĂďŽƵƚ ƚŚĞ ĚŝīĞƌĞŶĐĞ ďĞƚǁĞĞŶ DĞĚŝͲ Ăů ĂŶĚ ŽǀĞƌĞĚ ĂůŝĨŽƌŶŝĂ͕ ƚŚĞ ďĞŶĞĮƚƐ ŽĨ ďĞŝŶŐ DĞĚŝͲ ĂůͲĞůŝŐŝďůĞ͕ ĂŶĚ ĮŶĚŝŶŐ Ă ƉŚLJƐŝĐŝĂŶ͘

Are you listed in the correct health plan directories?

ĂůŝĨŽƌŶŝĂ ƌĞŐƵůĂƚŽƌƐ ĨŽƵŶĚ ŝŶ Ă ƐƵŵŵĞƌ ϮϬϭϰ ƐƵƌǀĞLJ ƚŚĂƚ ŶƚŚĞŵ ůƵĞ ƌŽƐƐ ĂŶĚ ůƵĞ ^ŚŝĞůĚ ŽĨ ĂůŝĨŽƌŶŝĂ ǀŝŽůĂƚĞĚ ƐƚĂƚĞ ůĂǁ ďLJ ŵŝƐůĞĂĚŝŶŐ ĐŽŶƐƵŵĞƌƐ ĂďŽƵƚ ƚŚĞŝƌ ƉƌŽǀŝĚĞƌ ŶĞƚǁŽƌŬƐ ƚŚƌŽƵŐŚ ŝŶĂĐĐƵƌĂƚĞ ƉƌŽǀŝĚĞƌ ĚŝƌĞĐƚŽƌŝĞƐ͘ ĂĐŚ ŽĨ ƚŚĞ ƚǁŽ ĐŽŵƉĂŶŝĞƐ͛ ĞƌƌŽƌ ƌĂƚĞƐ ƚŽƉƉĞĚ Ϯϱ ƉĞƌĐĞŶƚ͕ ĂĐĐŽƌĚŝŶŐ ƚŽ ƚŚĞ ĂůŝĨŽƌŶŝĂ ĞƉĂƌƚŵĞŶƚ ŽĨ DĂŶĂŐĞĚ ,ĞĂůƚŚ ĂƌĞ͘ &ĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ĐĂŶ ǀĞƌŝĨLJ ǁŚĞƚŚĞƌ ƚŚĞLJ͛ƌĞ ůŝƐƚĞĚ ŽŶ ƚŚĞ ƌŝŐŚƚ ŚĞĂůƚŚ ƉůĂŶ ƉĂŶĞůƐ ;ĂŶĚ ŶŽƚ ůŝƐƚĞĚ ďLJ ŵŝƐƚĂŬĞ ŽŶ ƚŚĞ ǁƌŽŶŐ ƉĂŶĞůƐͿ ďLJ ĐŚĞĐŬŝŶŐ ĞĂĐŚ ƉůĂŶ͛Ɛ ĚŝƌĞĐƚŽƌLJ ŽŶ ƚŚĞ ŝŶĚŝǀŝĚƵĂů ƉůĂŶƐ͛ ǁĞďƐŝƚĞƐ͘ dŚŝƐ ĐĂŶ ďĞ ĐŽŶĨƵƐŝŶŐ ďĞĐĂƵƐĞ ŚĞĂůƚŚ ƉůĂŶƐ ŚĂǀĞ ĚŝīĞƌĞŶƚ ƉŚLJƐŝĐŝĂŶ ŶĞƚǁŽƌŬƐ ĨŽƌ ĚŝīĞƌĞŶƚ ĐŽǀĞƌĂŐĞ ƉƌŽĚƵĐƚƐ ĂŶĚ ƚŚĞ ƉƌŽĚƵĐƚƐ ĂƌĞ ŶĂŵĞĚ ĚŝīĞƌĞŶƚůLJ ŽŶ ƚŚĞ ŽǀĞƌĞĚ ĂůŝĨŽƌŶŝĂ ǁĞďƐŝƚĞ͕ ŚĞĂůƚŚ ƉůĂŶ ĐĂƌĚƐ ĂŶĚ ŚĞĂůƚŚ ƉůĂŶ ǁĞďƐŝƚĞƐ͘ ŽǀĞƌĞĚ ĂůŝĨŽƌŶŝĂ͛Ɛ Provider Directory Reference Guide ůŝŶŬƐ ƚŽ ƚŚĞ ƉƌŽǀŝĚĞƌ ĚŝƌĞĐƚŽƌLJ ŽĨ ĞĂĐŚ ƉĂƌƟĐŝƉĂƟŶŐ ŚĞĂůƚŚ ƉůĂŶ ĂŶĚ ůŝƐƚƐ ƚŚĞ ǀĂƌŝŽƵƐ ƉůĂŶ ŶĂŵĞƐ ƵƐĞĚ͗ ǁǁǁ͘ĨĂŵŝůLJĚŽĐƐ͘ŽƌŐͬĨͬWůĂŶEĂŵĞƐ/ ĂƌĚWƌŽǀŝĚĞƌ ŝƌĞĐƚŽƌLJZĞĨĞƌĞŶĐĞ'ƵŝĚĞ͘ƉĚĨ

Catherine Direen is CAFP’s media consultant.

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#2014YearFP Is Over: What’s Next? ϮϬϭϰ zĞĂƌ ŽĨ ƚŚĞ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶ ;ηϮϬϭϰzĞĂƌ&WͿ ŝƐ ĚƌĂǁŝŶŐ ƚŽ ĂŶ ĞŶĚ͘ DLJ ŽƌŝŐŝŶĂů ƋƵĞƐƚ ǁĂƐ ƚŽ ŚĂǀĞ Time ƌĞĐŽŐŶŝnjĞ ƚŚĞ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ ĂƐ ŝƚƐ WĞƌƐŽŶ ŽĨ ƚŚĞ zĞĂƌ ĨŽƌ ϮϬϭϰ͘ /ƚ ǁĂƐ Ă ŚĂƐŚƚĂŐ ŝŶ Ă ďŽƩůĞ / ƚŽƐƐĞĚ ŝŶƚŽ ƚŚĞ ĐLJďĞƌƐƉĂĐĞ ŽĐĞĂŶ͕ ŚŽƉŝŶŐ ƚŚĂƚ ŝƚ ǁŽƵůĚ ŇŽĂƚ ŽƵƚ ƚŽ ĞŶŽƵŐŚ ƉĞŽƉůĞ ƚŽ ŵĂŬĞ Ă ĚŝīĞƌĞŶĐĞ͘ ŶĚ ŝƚ ĚŝĚ ŵĂŬĞ Ă ĚŝīĞƌĞŶĐĞ͕ ďƵƚ ŶŽƚ ŝŶ ƚŚĞ ǁĂLJ / ŚĂĚ ĞŶǀŝƐŝŽŶĞĚ͘ DĂŶLJ ƉĞŽƉůĞ͕ ĞƐƉĞĐŝĂůůLJ &W ŵĞŵďĞƌƐ͕ ƚŽŽŬ ƵƉ ƚŚĞ ďĂŶŶĞƌ ĂŶĚ ŝŶĨƵƐĞĚ ŝƚ ŝŶƚŽ ŵĞĞƟŶŐƐ͕ ƐŽĐŝĂů ŵĞĚŝĂ ŽƵƚůĞƚƐ ĂŶĚ ƚĂůŬŝŶŐ ƉŽŝŶƚƐ͘ ^ŚĂƐƚĂ ŽŵŵƵŶŝƚLJ ,ĞĂůƚŚ ĞŶƚĞƌ ďŽĂƌĚ ŵĞŵďĞƌ >Žƌŝ KƐďŽƌŶ >ĂĂŐ 'ŽLJŶĞ ƐƵĐĐĞƐƐĨƵůůLJ ƉĞƟƟŽŶĞĚ ƚŚĞ ŝƚLJ ŽĨ ZĞĚĚŝŶŐ ĂŶĚ ^ŚĂƐƚĂ ŽƵŶƚLJ ƚŽ ŝƐƐƵĞ ŽĸĐŝĂů ƉƌŽĐůĂŵĂƟŽŶƐ ĐŝƟŶŐ ηϮϬϭϰzĞĂƌ&W͘ dŚŝƐ ŝƐ ŶŽƚ ƐƵƌƉƌŝƐŝŶŐ͖ >Žƌŝ ŝƐ ƚŚĞ ŵŽƚŚĞƌ ŽĨ Ă ĐƵƌƌĞŶƚ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƌĞƐŝĚĞŶƚ͘ dŚĞ ŝƚLJ ĂŶĚ ŽƵŶƚLJ ŽĨ ^ĂĐƌĂŵĞŶƚŽ ĂůƐŽ ƉĂƐƐĞĚ ƐŝŵŝůĂƌ ƌĞƐŽůƵƟŽŶƐ͘ dŚĞ ƌĞĐŽŐŶŝƟŽŶ ƌĞĂĐŚĞĚ ƚŚĞ ƐƚĂƚĞ ůĞǀĞů ĚƵĞ ƚŽ ƚŚĞ ĞīŽƌƚƐ ŽĨ &W͘ dŚĞLJ ǁŽƌŬĞĚ ǁŝƚŚ ƐƐĞŵďůLJ DĞŵďĞƌ ZŝĐŚĂƌĚ ůŽŽŵ ŝŶ ƐƉŽŶƐŽƌŝŶŐ ƐƐĞŵďůLJ ŽŶĐƵƌƌĞŶƚ ZĞƐŽůƵƟŽŶ EƵŵďĞƌ ϭϬϳ͕ ǁŚĞƌĞďLJ ƚŚĞ ĂůŝĨŽƌŶŝĂ >ĞŐŝƐůĂƚƵƌĞ ĚĞĐůĂƌĞĚ ϮϬϭϰ ĂƐ ƚŚĞ zĞĂƌ ŽĨ ƚŚĞ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶ͘ dŚĞƌĞ ǁĂƐ ůĞŐŝƐůĂƟǀĞ ƌĞĐŽŐŶŝƟŽŶ ĨŽƌ ηϮϬϭϰzĞĂƌ&W͕ ďƵƚ ĚŝĚ ŝƚ ƌĞƐŽŶĂƚĞ ŽŶ Ă ƉĞƌƐŽŶĂů ůĞǀĞů͍ DĂŶLJ ƉĞŽƉůĞ ŚĂǀĞ ŐŝǀĞŶ ηϮϬϭϰzĞĂƌ&W ƚŚĞŝƌ ǀŽŝĐĞ ĂŶĚ ƉƌŽǀŝĚĞĚ ƵƐ ǁŝƚŚ Ă ĐƵůƚƵƌĂů ĨŽĐƵƐ͘ dŚĞLJ ŚĞĂƌĚ ƚŚĞ ĐĂůů ĂŶĚ ŵĂĚĞ ŝƚ ƚŚĞŝƌ ŽǁŶ͘ / ƌĞĐĞŝǀĞĚ ŝŶƋƵŝƌŝĞƐ ĨƌŽŵ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ŽƵƚƐŝĚĞ ŽĨ ĂůŝĨŽƌŶŝĂ ĂƐŬŝŶŐ ŚŽǁ ƚŚĞLJ ĐŽƵůĚ ƐƉƌĞĂĚ ƚŚĞ ŵĞƐƐĂŐĞ ŽĨ ηϮϬϭϰzĞĂƌ&W͘ / ǁĂƐ ƉůĞĂƐĂŶƚůLJ ƐƵƌƉƌŝƐĞĚ ďLJ ƚŚĞ ŶƵŵĞƌŽƵƐ ƉŚŽƚŽ ƉŽƐƟŶŐƐ ŽĨ ƉĞŽƉůĞ ŚŽůĚŝŶŐ ƚŚĞ ηϮϬϭϰzĞĂƌ&W ƉůĂĐĂƌĚ ĚĞƐŝŐŶĞĚ ďLJ &W͘ DŝĐŚĂĞů DĂĚƐĞŶ͕ ŽǁŶĞƌ ŽĨ ƚŚĞ ŽīĞĞ 'ĂƌĚĞŶ ŝŶ ^ĂĐƌĂŵĞŶƚŽ͕ ƉƌŽƵĚůLJ ĚŝƐƉůĂLJƐ ƚŚĞ ƉůĂĐĂƌĚ ŽŶ ƚŚĞ ĨƌŽŶƚ ǁŝŶĚŽǁ ŽĨ ŚŝƐ ĐĂĨĠ͘ EŽǁ ǁŚĂƚ͍ /Ɛ ϮϬϭϱ ƚŚĞ zĞĂƌ ŽĨ ƚŚĞ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶ͕ WĂƌƚ //͍ /Ŷ ŵĂŶLJ ǁĂLJƐ͕ ĞĂĐŚ LJĞĂƌ ŝƐ ƚŚĞ zĞĂƌ ŽĨ ƚŚĞ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶ ďĂƐĞĚ ŽŶ ƚŚĞ ƌĞĂĐŚ ǁĞ ŚĂǀĞ ǁŝƚŚ ŽƵƌ ƉĂƟĞŶƚƐ ĂŶĚ ĐŽŵŵƵŶŝƟĞƐ͘ dŚŝƐ ĐůĂŝŵ ŝƐ ďƵŽLJĞĚ ďLJ ƚŚĞ ƐƚĞĂĚLJ ŝŶĐƌĞĂƐĞ ŽĨ ĂƉƉůŝĐĂŶƚƐ ŵĂƚƌŝĐƵůĂƟŶŐ ŝŶ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ĚƵƌŝŶŐ ƚŚĞ ƉĂƐƚ ĚĞĐĂĚĞ͘ džƉĞƌŝĞŶĐĞƐ ƐŚŽƵůĚ ďĞ ŵŝƌƌŽƌƐ ĂŶĚ ůĞŶƐĞƐ͘ ηϮϬϭϰzĞĂƌ&W ǁĂƐ ĂŶ ĞdžƉĞƌŝĞŶĐĞ / ǁĂŶƚĞĚ ƚŽ ƐŚĂƌĞ ǁŝƚŚ ŵLJ ĨĞůůŽǁ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƚŽ ĐĞůĞďƌĂƚĞ ƚŚĞ ǁŽƌŬ ǁĞ ĚŽ ĂŶĚ ŚŽǁ ǁĞ Įƚ ŝŶƚŽ ŽƵƌ ĐŽŵŵƵŶŝƟĞƐ͘ / ĨĞůƚ ǁĞ ŶĞĞĚĞĚ ƚŽ ĐŽŵĞ ƚŽŐĞƚŚĞƌ ƚŽ ĞdžĂŵŝŶĞ ŽƵƌ ƉĂƐƐŝŽŶƐ ĂŶĚ ƉƵƌƉŽƐĞƐ͘ ,ĂǀŝŶŐ ĚŽŶĞ ƐŽ͕ ǁĞ ƐŚŽƵůĚ ƐŚĂƉĞ ϮϬϭϱ ĂƐ Ă ůĞŶƐ ĨŽƌ ŚŽǁ ǁĞ ƐĞĞ ƚŚĞ ƉĞŽƉůĞ ǁĞ ƐĞƌǀĞ͘

WĞƌŚĂƉƐ / ĞƌƌĞĚ ŝŶ ƐĞĞŬŝŶŐ ŶĂƟŽŶĂů ƌĞĐŽŐŶŝƟŽŶ ǁŚĞŶ / ƐŚŽƵůĚ ŚĂǀĞ ƐƚƌŝǀĞĚ ĨŽƌ ůŽĐĂů ĞŶŐĂŐĞŵĞŶƚ͘ /Ĩ ŽƵƌ ďĂƐĞ ǁĂƐ ĞŶĞƌŐŝnjĞĚ͕ ǁĞ ƐŚŽƵůĚ ƵƐĞ ƚŚĂƚ ŵŽŵĞŶƚƵŵ ƚŽ ĞůĞǀĂƚĞ ŽƵƌ ƉĂƟĞŶƚƐ͘ >Ğƚ ƵƐ ŵĂŬĞ ϮϬϭϱ Ă LJĞĂƌͲůŽŶŐ ĞdžƉƌĞƐƐŝŽŶ ŽĨ ŐƌĂƟƚƵĚĞ ƚŽ ŽƵƌ ƉĂƟĞŶƚƐ͘ tĞ ĐĂŶ ďĞŐŝŶ ĞĂĐŚ ƉĂƟĞŶƚ ĞŶĐŽƵŶƚĞƌ ďLJ ƚŚĂŶŬŝŶŐ ƚŚĞŵ ĨŽƌ ĐŚŽŽƐŝŶŐ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ĨŽƌ ƚŚĞŝƌ ŚĞĂůƚŚ ĐĂƌĞ ŶĞĞĚƐ ĂŶĚ ĨŽƌ ƉůĂĐŝŶŐ ƚŚĞŝƌ ƚƌƵƐƚ ŝŶ ƵƐ͘ tĞ ĐŽƵůĚ ŝŶĐůƵĚĞ Ă ŶŽƚĞ ŽĨ ƚŚĂŶŬƐ ŝŶ ƚŚĞ ĂŌĞƌ ǀŝƐŝƚ ƐƵŵŵĂƌLJ ƐĞĐƟŽŶ ŽĨ ŽƵƌ ƉƌŽŐƌĞƐƐ ŶŽƚĞƐ͘ tŚĞŶ ǁĞ ŵĂŬĞ ϮϬϭϱ ƚŚĞ zĞĂƌ ŽĨ ƚŚĞ &ĂŵŝůLJ DĞĚŝĐŝŶĞ WĂƟĞŶƚ͕ ǁĞ ŐŝǀĞ ǀŽŝĐĞ ƚŽ ĞǀĞƌLJ ŵĂŶ͕ ǁŽŵĂŶ ĂŶĚ ĐŚŝůĚ͘ tĞ ŚŽŶŽƌ ƚŚĞ ďŽŶĚƐ ĂŶĚ ƐƚƌĞŶŐƚŚƐ ŽĨ ĨĂŵŝůŝĞƐ͘ /ŶƐƚĞĂĚ ŽĨ ƚŚĞ ƐƵƉƉŽƌƚ ŽĨ Ă ŚƵŶĚƌĞĚ ƚŚŽƵƐĂŶĚ͕ ǁĞ ǁŽƵůĚ ŚĂǀĞ Ă ůĞŐŝŽŶ ŽĨ ŚƵŶĚƌĞĚ ŵŝůůŝŽŶ ƌĂůůLJŝŶŐ ĂƌŽƵŶĚ ƚŚŝƐ ŵŽǀĞŵĞŶƚ͘ >Ğƚ͛Ɛ ƐĞĞ ŝĨ Time ĐĂŶ ŝŐŶŽƌĞ ƚŚĂƚ͘ Dr. Fong is director of the UC David Family Medicine Residincy Network.

California Family Physician Winter 2015

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House Calls Circa 2014 Increase Physician and Patient Satisfaction tŚĞŶ / ǁĂƐ Ă ŵĞĚŝĐĂů ƐƚƵĚĞŶƚ ŝŶ ƚŚĞ ͚ϳϬƐ ŝŶ ZŝĐŚŵŽŶĚ͕ sŝƌŐŝŶŝĂ͕ / ŚĂĚ Ă ĨĂŶƚĂƐLJ ƚŚĂƚ / ǁŽƵůĚ ďƵLJ ĂŶ ŽůĚ ͚ϰϵ WĂĐŬĂƌĚ͕ ƉĂĐŬ ƵƉ ŵLJ ďůĂĐŬ ďĂŐ ĂŶĚ ĚĞůŝǀĞƌ ŵĞĚŝĐĂů ĐĂƌĞ ƚŽ ĨĂŵŝůŝĞƐ ůŝǀŝŶŐ ŝŶ ƚŚĞ ͞ŚŽůůĞƌƐ͟ ŽĨ tĞƐƚ sŝƌŐŝŶŝĂ͘ /ƚ ǁĂƐ ǀĞƌLJ ƌŽŵĂŶƟĐ͘ /ƚ ĚŝĚŶ͛ƚ ŚĂƉƉĞŶ ƚŚĂƚ ǁĂLJ͘ / ŶĞǀĞƌ ŐŽƚ ƚŚĞ WĂĐŬĂƌĚ͕ ĂŶĚ ŵLJ ƉƌĂĐƟĐĞ ďĞĐĂŵĞ ƵƌďĂŶ ^ĂĐƌĂŵĞŶƚŽ͕ ŶŽƚ ƌƵƌĂů tĞƐƚ sŝƌŐŝŶŝĂ͘ / ĚŝĚ ŚŽǁĞǀĞƌ ŐĞƚ ƚŽ ŝŶĐŽƌƉŽƌĂƚĞ ŚŽƵƐĞ ĐĂůůƐ ŝŶƚŽ ŵLJ ƉƌĂĐƟĐĞ͘ dŚĞƐĞ ŚŽŵĞ ǀŝƐŝƚƐ͕ ǁŚŝůĞ ŝŶĨƌĞƋƵĞŶƚ͕ ĞŶƌŝĐŚ ŵLJ ƉƌŽĨĞƐƐŝŽŶĂů ůŝĨĞ͘ dLJƉŝĐĂůůLJ͕ / ďƌŝŶŐ ĂůŽŶŐ Ă ŵĞĚŝĐĂů ƐƚƵĚĞŶƚ Žƌ ƌĞƐŝĚĞŶƚ͘ dŚĞƐĞ ǀŝƐŝƚƐ ĂƌĞ ŝĚĞĂůůLJ ƐƵŝƚĞĚ ĨŽƌ ƚŚĞ ĞůĚĞƌůLJ͕ Ă ƐŚƵƚͲŝŶ͕ ƐŽŵĞŽŶĞ ŝŶ ŚŽƐƉŝĐĞ Žƌ ƐŽŵĞŽŶĞ ĨŽƌ ǁŚŽŵ ƚŚĞ ŽĸĐĞ ǀŝƐŝƚ ĚŽĞƐ ŶŽƚ ĂĚĞƋƵĂƚĞůLJ ƚĞůů ƚŚĞ ƐƚŽƌLJ͘ sŝƐŝƚƐ ƚŽ ŵLJ ƉĂƟĞŶƚƐ ŝŶ ůŽǁ ŝŶĐŽŵĞ ƐĞƫŶŐƐ ŽŌĞŶ ƌĞǀĞĂů ƐŽŵĞ ŽĨ ƚŚĞ ǀĞƌLJ ƌĞĂů ĞĐŽŶŽŵŝĐ ƐƚƌĞƐƐĞƐ ƚŚĞLJ ĨĂĐĞ͘ >Ğƚ ŵĞ ƐŚĂƌĞ ƐŽŵĞ ŵĞŵŽƌĂďůĞ ĞdžĂŵƉůĞƐ͘

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ŽƌŝƐ ŚĂĚ ƚĞƌƌŝďůĞ ĂƐƚŚŵĂ ĂŶĚ ĞĐnjĞŵĂ͘ ^ŚĞ ǁĂƐ ĂŶ ŽĚĚ ďŝƌĚ͕ Ă ƌĞƟƌĞĚ ũŽƵƌŶĂůŝƐƚ ǁŚŽ ďƌŽƵŐŚƚ ŵĞ ŚĂŶĚ ĚƌĂǁŶͲŚŽůŝĚĂLJ ĐĂƌĚƐ͘ / ŬŶĞǁ ƐŚĞ ůŝǀĞĚ ĂůŽŶĞ ĂŶĚ ŶĞǀĞƌ ŚĂĚ ĂŶ ŝŶƟŵĂƚĞ ŚƵŵĂŶ ƌĞůĂƟŽŶƐŚŝƉ ƚŽ ŵLJ ŬŶŽǁůĞĚŐĞ͘ ^ŚĞ ůŽǀĞĚ ŚĞƌ ĐĂƚƐ͘ / ŚĂĚ ŶŽ ŝĚĞĂ ŚŽǁ ŵƵĐŚ ƵŶƟů ƚŚĞ ŚŽŵĞ ǀŝƐŝƚ ǁŝƚŚ Ă ŵĞĚŝĐĂů ƐƚƵĚĞŶƚ͘ Ŷ ŽůĚ ĐĂƌ ǁĂƐ ƉĂƌŬĞĚ ŝŶ ƚŚĞ ĚƌŝǀĞǁĂLJ ŽĨ Ă ĚŝůĂƉŝĚĂƚĞĚ ŚŽŵĞ͘ ƉƉƌŽĂĐŚŝŶŐ ƚŚĞ ĨƌŽŶƚ ĚŽŽƌ͕ ǁĞ ƌĞŇĞdžŝǀĞůLJ ƚŽŽŬ Ă ƐƚĞƉ ďĂĐŬ ʹ ŽƵƌ ŶŽƐĞƐ ĂƐƐĂƵůƚĞĚ ďLJ ƚŚĞ ƐŵĞůů ŽĨ ĐĂƚ ƵƌŝŶĞ͘ EŽƚ ŽŶůLJ ǁĂƐ ŽƌŝƐ Ă ĐĂƚ ůĂĚLJ͕ ƐŚĞ ǁĂƐ ĂůƐŽ Ă ŚŽĂƌĚĞƌ͘ tĞ ŚĂĚ ƚŽ ŵĂŬĞ ŽƵƌ ǁĂLJ ĐĂƌĞĨƵůůLJ ƚŚƌŽƵŐŚ ƌŽŽŵƐ ĐůƵƩĞƌĞĚ ǁŝƚŚ ƉŝůĞƐ ŽĨ ƐƚƵī ĂůŽŶŐ ǁŝƚŚ ĐĂƚ ůŝƩĞƌ ĞǀĞƌLJǁŚĞƌĞ ĂŶĚ ĐĂƚƐ ĐŽŵŝŶŐ ĂŶĚ ŐŽŝŶŐ͘ tŝƚŚ ƚŚĞ ŚĞůƉ ŽĨ Ă ĐĂƐĞ ŵĂŶĂŐĞƌ͕ ŽƌŝƐ ǁĂƐ ŵŽǀĞĚ ƚŽ ĂŶ ĂƐƐŝƐƚĞĚ ĐĂƌĞ ƌĞƐŝĚĞŶĐĞ ĂŶĚ ǁĂƐ ĂďůĞ ƚŽ ďƌŝŶŐ ŽŶĞ ĐĂƚ͘ >ĂƚĞƌ Ă ƐƚƵīĞĚ ŬŝƩLJ ƚŽŽŬ ŝƚƐ ƉůĂĐĞ͘ ZĞŵĂƌŬĂďůLJ Ăƚ ĨŽůůŽǁ ƵƉ ǀŝƐŝƚƐ͕ ŽƌŝƐ ŶŽ ůŽŶŐĞƌ ǁŚĞĞnjĞĚ ĂŶĚ ŚĞƌ ƐŬŝŶ ŚĂĚ ĐůĞĂƌĞĚ͘ 'ƌĂĐĞ ŚĂĚ ĚĞŵĞŶƟĂ͕ ĂŶĚ / ǁĂƐ ĐŽŶĐĞƌŶĞĚ ĂďŽƵƚ ŚŽǁ ǁĞůů ŚĞƌ ƐŽŶ ǁĂƐ ĂďůĞ ƚŽ ĐĂƌĞ ĨŽƌ ŚĞƌ͘ dŚĞ ƌĞƐŝĚĞŶƚ ĂŶĚ / ƉƵůůĞĚ ƵƉ ƚŽ Ă ƉůĞĂƐĂŶƚ͕ ǁĞůůͲĐĂƌĞĚͲĨŽƌ ĂƐƚ ^ĂĐƌĂŵĞŶƚŽ ŚŽŵĞ ĂŶĚ ǁĞƌĞ ŝŶǀŝƚĞĚ ŝŶ͘ ŌĞƌ ĐŚĂƫŶŐ ďƌŝĞŇLJ ŝŶ ƚŚĞ ůŝǀŝŶŐ ƌŽŽŵ͕ ǁĞ ĂƐŬĞĚ ƚŽ ƐĞĞ ŚŝƐ ŵŽƚŚĞƌ͘ ,Ğ ƚŽŽŬ ƵƐ ƚŽ ƚŚĞ ŬŝƚĐŚĞŶ ǁŚĞƌĞ ŚĞ ŚĂĚ ŚĞƌ ůLJŝŶŐ ŽŶ Ă ƉůĂƐƟĐ ƚĂďůĞĐůŽƚŚ ŽŶ ƚŚĞ ŇŽŽƌ͘ dŚŝƐ͕ ŚĞ ƚŽůĚ ƵƐ ǁŝƚŚ ƐŽŵĞ ƉƌŝĚĞ͕ ǁĂƐ ŚŝƐ ĐůĞǀĞƌ ŵĞĂŶƐ ŽĨ ŐĞƫŶŐ ŚĞƌ ŽƵƚ ŽĨ ďĞĚ ǁŚŝůĞ ĮŶĚŝŶŐ Ă ŵĞĂŶƐ ƚŽ ĐůĞĂŶ ŚĞƌ ĞĸĐŝĞŶƚůLJ͘ dƌLJŝŶŐ ŶŽƚ ƚŽ ůĞƚ ŚŽƌƌŽƌ ƐŚŽǁ ŽŶ ŵLJ ĨĂĐĞ͕ / ŵĂŶĂŐĞĚ Ă ŶŽŶͲũƵĚŐŵĞŶƚĂů ƌĞĂƐŽŶ ƚŽ ŚĂǀĞ ŚĞƌ ƚƌĂŶƐƉŽƌƚĞĚ ŝŵŵĞĚŝĂƚĞůLJ ƚŽ ƚŚĞ ŚŽƐƉŝƚĂů ĂŶĚ ůĞƚ ĂĚƵůƚ ƉƌŽƚĞĐƟǀĞ ƐĞƌǀŝĐĞƐ ŚĂŶĚůĞ ƚŚĞ ƐŽŶ͘ KŶ ĂŶŽƚŚĞƌ ŽĐĐĂƐŝŽŶ͕ / ĚŝƐĐŽǀĞƌĞĚ ƚŚĂƚ Ă ƐĞĞŵŝŶŐůLJ ŝŶƚƌŽǀĞƌƚĞĚ ǁŽŵĂŶ ǁĂƐ ĂĐƚƵĂůůLJ Ă ƉĂƌĂŶŽŝĚ ƐĐŚŝnjŽƉŚƌĞŶŝĐ͘ ŶŽƚŚĞƌ ƉĂƟĞŶƚ ǁŚŽ ǁĂƐ ďůŝŶĚ ŵĂŶĂŐĞĚ ŚĞƌ ŵĞĚŝĐĂƟŽŶƐ ǁŝƚŚ Ă ƵŶŝƋƵĞ ƐLJƐƚĞŵ͘ ŶŽƚŚĞƌ ƉĂƟĞŶƚ ǁŚŽ ŚĂƌĂƐƐĞĚ ŵĞ ĂďŽƵƚ ŚĞƌ ƉĂŝŶ ŵĞĚŝĐĂƟŽŶƐ ;ĂŶĚ ƉŽƐƐŝďůLJ ŵŝƐƵƐĞĚ ƚŚĞŵͿ ƐƚŽƉƉĞĚ ďĞŝŶŐ ƚŚĂƚ ŽŶĞ ĚŝŵĞŶƐŝŽŶĂů

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California Family Physician Winter 2015

ĚƌƵŐ ƐĞĞŬĞƌ ǁŚĞŶ ƐŚĞ ƐŚŽǁĞĚ ŵĞ ǁŝƚŚ ŐƌĞĂƚ ƉƌŝĚĞ ƚŚĞ ƉŝĐƚƵƌĞƐ ŽĨ ŚĞƌ ĐŚŝůĚƌĞŶ ĂŶĚ ŐƌĂŶĚĐŚŝůĚƌĞŶ͘ dŚĞ ƚƌƵƚŚ ŝƐ͕ ĂůƚŚŽƵŐŚ ůŽǁ ƚĞĐŚ͕ ŝƚ ŝƐ ĨƵŶ ƚŽ ŐĞƚ ŽƵƚ ŽĨ ƚŚĞ ŽĸĐĞ ĂŶĚ ĞdžƉĞƌŝĞŶĐĞ ƚŚĞƐĞ ƉĂƟĞŶƚ ĞŶĐŽƵŶƚĞƌƐ͘ / ŚĂǀĞ ŶĞǀĞƌ ŚĂĚ Ă ƉĂƟĞŶƚ ĐŽŵƉůĂŝŶ ƚŚĂƚ / ǁĂƐ ƌƵŶŶŝŶŐ ůĂƚĞ͕ ĂŶĚ ďŽƚŚ ƉĂƟĞŶƚ ĂŶĚ ƉŚLJƐŝĐŝĂŶ ƐĂƟƐĨĂĐƟŽŶ ŝƐ ǀĞƌLJ ŚŝŐŚ͘ ^Ž ŝĨ ƚŚĞ ǁĂůůƐ ŽĨ LJŽƵƌ ŽĸĐĞ ĂƌĞ ĐůŽƐŝŶŐ ŝŶ ŽŶ LJŽƵ͕ ĐŽŶƐŝĚĞƌ ũƵŵƉŝŶŐ ŝŶƚŽ LJŽƵƌ ĐĂƌ ;WĂĐŬĂƌĚ Žƌ ŽƚŚĞƌǁŝƐĞͿ ĂŶĚ ĚŽ Ă ŚŽŵĞ ǀŝƐŝƚ͊ Marion Leī, MD is the program director of the SuƩer Health FMRP in Sacramento, California.

California Family Physician Winter 2015

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ȱ ¢

Taking to the Streets

dŚĞ WŽŵŽŶĂ ,ŽŵĞůĞƐƐ KƵƚƌĞĂĐŚ WƌŽũĞĐƚ ;W,KWͿ ŝƐ Ă ƐƚƵĚĞŶƚͲƌƵŶ ŽƌŐĂŶŝnjĂƟŽŶ Ăƚ tĞƐƚĞƌŶ hŶŝǀĞƌƐŝƚLJ ĂŝŵĞĚ Ăƚ ŽīĞƌŝŶŐ ƐƵƉƉŽƌƚ ƚŽ ƚŚĞ ŚŽŵĞůĞƐƐ ĂĚƵůƚƐ ĂŶĚ ĨĂŵŝůŝĞƐ ŽĨ WŽŵŽŶĂ ďLJ ƉƌŽǀŝĚŝŶŐ ďŝͲŵŽŶƚŚůLJ ĚŝŶŶĞƌƐ ĂŶĚ ŵŽŶƚŚůLJ ĐůŝŶŝĐƐ͘ / ďĞŐĂŶ ǀŽůƵŶƚĞĞƌŝŶŐ ǁŝƚŚ W,KW ŝŶ KĐƚŽďĞƌ ϮϬϭϮ ĂŶĚ ďĞŐĂŶ ĐŽŽƌĚŝŶĂƟŶŐ ƚŚĞ ĨƌĞĞ ŵĞĚŝĐĂů ĐůŝŶŝĐƐ ŝŶ DĂƌĐŚ ϮϬϭϯ͘ ƚ ĞǀĞƌLJ ĐůŝŶŝĐ ǁĞ ƉƌŽǀŝĚĞ ƐĐƌĞĞŶŝŶŐƐ ĨŽƌ ǀŝƐŝŽŶ͕ ďůŽŽĚ ƉƌĞƐƐƵƌĞ ĂŶĚ ďůŽŽĚ ŐůƵĐŽƐĞ ĂƐ ǁĞůů ĂƐ ĨŽĐƵƐĞĚ ĞdžĂŵƐ ƚŚĂƚ ĂĚĚƌĞƐƐ ƚŚĞ ƵŶŝƋƵĞ ŶĞĞĚƐ ŽĨ ĞĂĐŚ ƉĂƟĞŶƚ͘ Ŷ ŽǀĞƌƐĞĞŝŶŐ ƉŚLJƐŝĐŝĂŶ ŝƐ ƉƌĞƐĞŶƚ Ăƚ Ăůů ƟŵĞƐ ƚŽ ŵĞŶƚŽƌ ƵƐ ĂŶĚ ŽƉƟŵŝnjĞ ƚŚĞ ƋƵĂůŝƚLJ ŽĨ ĐĂƌĞ ǁĞ ƉƌŽǀŝĚĞ ĨŽƌ ŽƵƌ ĐŽŵŵƵŶŝƚLJ͘ /Ŷ KĐƚŽďĞƌ ϮϬϭϯ͕ / ƐŽƵŐŚƚ ƚŽ ƚĂŬĞ ƚŚĞ W,KW ĐůŝŶŝĐƐ ƚŽ Ă ůĂƌŐĞƌ ƐĐĂůĞ͖ ĂƐ Ă ƚĞĂŵ ǁĞ ĚĞĐŝĚĞĚ ƚŽ ĚŝƐƚƌŝďƵƚĞ ŝƚĞŵƐ ƚŚĂƚ ǁĞƌĞ ĨƵŶĚĂŵĞŶƚĂů ƚŽ ĚĂŝůLJ ůŝǀŝŶŐ ŝŶ ĂĚĚŝƟŽŶ ƚŽ ƉƌŽǀŝĚŝŶŐ ŽƵƌ ƌĞŐƵůĂƌ ŚĞĂůƚŚ ĐĂƌĞ ƐĞƌǀŝĐĞƐ͘ dŚĞƐĞ ŝƚĞŵƐ ŝŶĐůƵĚĞĚ ĐůŽƚŚŝŶŐ͕ ŚLJŐŝĞŶĞ ƉƌŽĚƵĐƚƐ͕ ĂŶĚ ƉƌĞǀĞŶƟǀĞ ĐĂƌĞ ŝŶ ƚŚĞ ĨŽƌŵ ŽĨ ŇƵ ǀĂĐĐŝŶĂƟŽŶƐ͘ / ŬŶĞǁ ƚŚŝƐ ǁŽƵůĚ ƌĞƋƵŝƌĞ ůŽƚƐ ŽĨ ƉƌĞƉĂƌĂƟŽŶ͕ ƐŽ ǁŝƚŚ ƚŚĞ ŚĞůƉ ŽĨ ĞǀĞƌLJ ƉƌŽŐƌĂŵ Ăƚ tĞƐƚĞƌŶ hŶŝǀĞƌƐŝƚLJ͕ ĂŶĚ͕ ŝŶ ƉĂƌƟĐƵůĂƌ͕ ƚŚĞ ƉŚĂƌŵĂĐLJ ƐƚƵĚĞŶƚƐ͕ ǁĞ ƐĞƚ ŽƵƚ ƚŽ ŵĂŬĞ ŝƚ ŚĂƉƉĞŶ͘ hƐŝŶŐ ŵĞĚŝĂ ƐŝƚĞƐ ĂŶĚ ŇLJĞƌƐ ǁĞ ĂĚǀĞƌƟƐĞĚ ƚŚĂƚ ǁĞ ǁŽƵůĚ ďĞ ƉůĂĐŝŶŐ ďŽdžĞƐ ďLJ ĞǀĞƌLJ ŵĂŝŶ ĞŶƚƌĂŶĐĞ ĨŽƌ ƉĞŽƉůĞ ƚŽ ĚŽŶĂƚĞ ĐůŽƚŚĞƐ ĂŶĚ ĞǀĞƌLJĚĂLJ ŚLJŐŝĞŶĞ ƉƌŽĚƵĐƚƐ͕ ƐƵĐŚ ĂƐ ŶĞǁ ƚŽŽƚŚďƌƵƐŚĞƐ͕ ƚŽŽƚŚƉĂƐƚĞ͕ ƐŽĂƉ͕ ĂŶĚ ƐŚĂŵƉŽŽ͘ ƚ ƚŚĞ ĞŶĚ ŽĨ ĞǀĞƌLJ ǁĞĞŬ ƚŚĞ ďŽdžĞƐ ǁŽƵůĚ

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California Family Physician Winter 2015

ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ¢ȱ ȱ ȱ ¢ǯȱ ȱ ȱ ¢ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ǰȱ ȱ ȱ ǯ

ďĞ ŽǀĞƌŇŽǁŝŶŐ͘ dŚƌŽƵŐŚŽƵƚ ƚŚŝƐ ƟŵĞ / ǁŽƌŬĞĚ ĐůŽƐĞůLJ ĂůŽŶŐƐŝĚĞ ƚŚĞ ƉŚĂƌŵĂĐLJ ƐƚƵĚĞŶƚƐ ŝŶ ŐĞƫŶŐ ƚŚĞ ƉƌŽƉĞƌ ƉĂƉĞƌǁŽƌŬ ƐŝŐŶĞĚ ĂŶĚ ĚĞůŝǀĞƌĞĚ ƚŽ ŵĞĞƚ ƚŚĞ ƵŶŝǀĞƌƐŝƚLJ ĂŶĚ ĐŝƚLJ ƌĞƋƵŝƌĞŵĞŶƚƐ ĨŽƌ ĂƉƉƌŽǀĂů͘ dŚĂŶŬƐ ƚŽ ƚŚĞ ŐĞŶĞƌŽƵƐ ĚŽŶĂƟŽŶ ŽĨ ƚŚĞ tĞƐƚĞƌŶ hŶŝǀĞƌƐŝƚLJ ƉŚĂƌŵĂĐLJ ƉƌŽŐƌĂŵ͕ ǁĞ ŽďƚĂŝŶĞĚ ϮϬϬ ǀĂĐĐŝŶĂƟŽŶƐ ŝŶ ƟŵĞ ĨŽƌ ƚŚĞ ĐůŝŶŝĐ͘ LJ ƚŚĞ ĚĂLJ ŽĨ ƚŚĞ ĐůŝŶŝĐ͕ ǁĞ ŚĂĚ ŶĞĂƌůLJ ϮϬ ƐƚƵĚĞŶƚ ǀŽůƵŶƚĞĞƌƐ͕ ĐŽƵŶƚůĞƐƐ ǁĂƌŵ ĐůŽƚŚĞƐ ƚŽ ĚŽŶĂƚĞ ĂŶĚ ϭϬϬ ŚLJŐŝĞŶĞ ƉĂĐŬĞƚƐ ĨŽƌ ƉĂƟĞŶƚƐ ĂŶĚ ƚŚĞŝƌ ĨĂŵŝůŝĞƐ͘ ŌĞƌ ĞŶƐƵƌŝŶŐ ƚŚĂƚ ŽƵƌ ĐůŝŶŝĐ ƐƵƉƉůŝĞƐ ǁĞƌĞ ĨƵůůLJ ƐƚŽĐŬĞĚ ĂŶĚ ƚŚĂƚ ĞǀĞƌLJ ŝƚĞŵ ǁĂƐ ŽƌŐĂŶŝnjĞĚ ĂŶĚ ƌĞĂĚLJ ƚŽ ŐŽ Ăƚ ŽƵƌ ƐŝƚĞ Ăƚ ϱ͗ϬϬ Ɖŵ͕ ǁĞ ŽƉĞŶĞĚ ƚŚĞ ĚŽŽƌƐ ƚŽ ŽƵƌ ĐŽŵŵƵŶŝƚLJ͘

ĂƐ W,KW ŶŽƚ ŽŶůLJ ŵĂŬĞ ŵĞ ƉƌŽƵĚ ƚŽ ďĞ ĞŶƚĞƌŝŶŐ ƚŚĞ ŵĞĚŝĐĂů ƉƌŽĨĞƐƐŝŽŶ͕ ďƵƚ ĂůƐŽ ƉƌŽƵĚ ƚŽ ďĞ ĞŶƚĞƌŝŶŐ ƚŚĞ ǁŽƌůĚ ŽĨ ƉƌŝŵĂƌLJ ĐĂƌĞ͕ ǁŚĞƌĞ / ĐĂŶ ŽŶĞ ĚĂLJ ĐĂůů ŵLJƐĞůĨ Ă ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ͘ Laura Murphy is currently a third-year medical student at Western University College of Osteopathic Medicine in Pomona, CA. She is acƟvely involved in extracurricular acƟviƟes, parƟcularly the family medicine interest group and student-run clinics. She also serves on the CAFP FoundaƟon oard of Trustees.

KǀĞƌĂůů͕ ƚŚĞ ĐůŝŶŝĐ ǁĂƐ ĂŶ ŝŶĐƌĞĚŝďůĞ ƐƵĐĐĞƐƐ͘ tĞ ŐĂǀĞ ϭϰϱ ǀĂĐĐŝŶĂƟŽŶƐ ƚŚĂƚ ĚĂLJ͕ ĚŝƐƚƌŝďƵƚĞĚ ĞǀĞƌLJ ŚLJŐŝĞŶĞ ƉĂĐŬĞƚ ĂŶĚ ƉƌŽǀŝĚĞĚ Ϯϱ ĨƵůů ŵĞĚŝĐĂů ĞǀĂůƵĂƟŽŶƐ ŝŶ ƚŚĞ ƐƉĂŶ ŽĨ ƚŚƌĞĞ ŚŽƵƌƐ͘ KƵƌ ĂĐĐŽŵƉůŝƐŚŵĞŶƚƐ ǁĞƌĞ ƵŶĚŽƵďƚĞĚůLJ ĚƵĞ ƚŽ ƚŚĞ ĞdžĞŵƉůĂƌLJ ĐŽůůĂďŽƌĂƟŽŶ ŽĨ ŽƵƌ ƐƚƵĚĞŶƚ ďŽĚLJ ĂŶĚ ƚŚĞ ƵŶǁĂǀĞƌŝŶŐ ŐĞŶĞƌŽƐŝƚLJ ŽĨ ŽƵƌ ƉŚĂƌŵĂĐLJ ƉƌŽŐƌĂŵ͘ ǀĞŶƚƐ ůŝŬĞ ƚŚĞƐĞ ĂƌĞ Ă ƚĞƐƚĂŵĞŶƚ ƚŽ ƚŚĞ ŽƉĞŶ ŚĞĂƌƚƐ ĂŶĚ ďĞĂƵƚLJ ǁŝƚŚŝŶ ŽƵƌ ĐŽŵŵƵŶŝƚLJ͘ / Ăŵ ĐŽŶƐƚĂŶƚůLJ ƌĞŵŝŶĚĞĚ ŽĨ ŚŽǁ ŝŵƉŽƌƚĂŶƚ ŝƚ ŝƐ ƚŽ ŐŝǀĞ ďĂĐŬ ƚŽ ŵĂŬĞ ŽƵƌ ǁŽƌůĚ ŚĂƉƉŝĞƌ͕ ŚĞĂůƚŚŝĞƌ ĂŶĚ ƐƚƌŽŶŐĞƌ͘ KƌŐĂŶŝnjĂƟŽŶƐ ƐƵĐŚ

For Sale: Established private practice since 1991 in beautiful Bakersfield, CA with gross collections of 1MM. This is a boutique type practice catering to private insurers with majority of the patients being female. Seller works part time with highly trained staff in place. This practice has great potential for a full time physician working full time and easily doubling your income. For information call (877)955-4447 or email: info@DoctorsBroker.com

PHYSICIAN – FAMILY MEDICINE Vista Community Clinic located in North San Diego County Seeking: Full-time, part-time and per diem Family Medicine Physicians. Requirements: California license, DEA license, CPR certification and board certified in family medicine. Bilingual English/Spanish preferred. Contact Us: Visit our website at www.vistacommunityclinic.org Forward resume to hr@vistacommunityclinic.org or fax resume to 760-414-3702 California Family Physician Winter 2015

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For Advertising CONTACT

Michelle Gilbert

mgilbert@pcipublishing.com

1-800-561-4686

ext. 120

24

California Family Physician Winter 2015

FAMILY PRACTICE PHYSICIAN RURAL OUTPATIENT CLINIC STARTING SALARY: $240,408 ANNUALLY

Benefits/Additional Compensation: SLJQLQJ ERQXV $20,000 $ 0,000 AQQXDO ERQXV SWDUWLQJ DW RI DQQXDO VDODU\ AQQXDO IQFUHDVHV )HGHUDO TRUW &ODLPV &RYHUDJH GHQHURXV 3T2 ² EHJLQQLQJ DW 4 ZHHNV THQ SDLG KROLGD\V &RPSUHKHQVLYH KHDOWKFDUH FRYHUDJH LLIH DQG 'LVDELOLW\ IQVXUDQFH )OH[LEOH SSHQGLQJ AFFRXQW RHWLUHPHQW SODQV (PSOR\HH :HOOQHVV &HQWHU Must be board eligible or board certified

Yukon-Kuskokwim Health Corporation (YKHC) is currently seeking a compassionate Family Practice Physician to join us in our Outpatient Clinics. Serving the people of Southwestern Alaska, the Yukon-Kuskokwim Delta Regional Hospital is a 50-bed general acute care medical facility. Fully accredited by JCAHO, services include adult med/surg, pediatrics, obstetrics, emergency room, as well as outpatient family medicine clinics, pharmacy, lab, and imaging. YKHC applies Alaska Native/American Indian (under PL 93-638), EEO, and Veteran Preferences. Under federal and state laws, YKHC performs criminal history and background checks to ensure customers are protected.

Working Together to Achieve Excellent Health For more information contact Seth Lidren – 907-543-6094 Seth_Lidren@ykhc.org

www.ykhc.org

California Family Physician Winter 2015

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ȱ ǰȱ ǰȱ

Soda Tax Victory in Berkeley Stirs Public Health Conversation DĂŶLJ ƉŽůŝƚŝĐĂů ƉƵŶĚŝƚƐ ĂƌĞ ƚƌLJŝŶŐ ƚŽ ĚĞĐŝƉŚĞƌ ƚŚĞ ůĞƐƐŽŶƐ ĨƌŽŵ ƚŚĞ ϮϬϭϰ ŵŝĚͲƚĞƌŵ ĞůĞĐƚŝŽŶƐ͘ / ǁŝůů ŶŽƚ ƚƌLJ ƚŽ ĚŽ ƚŚĂƚ ŚĞƌĞ͘ Ƶƚ͕ ƐŽŵĞ ŽĨ ƚŚĞ ŵŽƐƚ ŝŶƚĞƌĞƐƚŝŶŐ ƌĞƐƵůƚƐ ŚĂǀĞ ĐŽŵĞ ĨƌŽŵ ďĂůůŽƚ ŵĞĂƐƵƌĞƐ͘ tŚŝůĞ ŵĂŶLJ ƉĞŽƉůĞ ǀŽƚĞĚ ĨŽƌ ĐŽŶƐĞƌǀĂƚŝǀĞ ŽĨĨŝĐŝĂůƐ͕ ƚŚĞƐĞ ƐĂŵĞ ǀŽƚĞƌƐ ǀŽƚĞĚ ƚŽ ůĞŐĂůŝnjĞ ŵĂƌŝũƵĂŶĂ͕ ƉƌĞǀĞŶƚ Ă ƉĞƌƐŽŶŚŽŽĚ ĂŵĞŶĚŵĞŶƚ ĂŶĚ ƌĂŝƐĞ ƚŚĞ ŵŝŶŝŵƵŵ ǁĂŐĞ͘ KŶĞ ŽĨ ƚŚĞ ŵŽƐƚ ŝŶƚĞƌĞƐƚŝŶŐ ŵĞĂƐƵƌĞƐ ƚŚĂƚ ƉĂƐƐĞĚ ǁĂƐ ƚŚĞ ƐŽĚĂ ƚĂdž ŝŶ ĞƌŬĞůĞLJ͘ ^ĂŶ &ƌĂŶĐŝƐĐŽ ǀŽƚĞƌƐ ĂůƐŽ ǀŽƚĞĚ ŝŶ ĨĂǀŽƌ ŽĨ ƚŚĞ ƚĂdž͕ ďƵƚ ĚŝĚ ŶŽƚ ƌĞĂĐŚ ƚŚĞ ƚǁŽͲƚŚŝƌĚƐ ŵĂũŽƌŝƚLJ ŶĞĞĚĞĚ ƚŽ ƉĂƐƐ͘ ;dŚĞ ƚǁŽͲƚŚŝƌĚƐ ƚŚƌĞƐŚŽůĚ ŚĂƐ ƚŽ ĚŽ ǁŝƚŚ ĂůŝĨŽƌŶŝĂ ůĂǁ ŽŶ ŶĞǁ ƚĂdžĞƐ͘Ϳ KƚŚĞƌƐ ŚĂǀĞ ƚƌŝĞĚ ƚŽ ŝŶƐƚŝƚƵƚĞ Ă ƐŽĚĂ ƚĂdž͘ dŚĞ ƚǁŽ ŵŽƐƚ ŶŽƚĂďůĞ ĞdžĂŵƉůĞƐ ǁĞƌĞ EĞǁ zŽƌŬ ŝƚLJ ĂŶĚ ZŝĐŚŵŽŶĚ͕ ͘ /Ŷ ďŽƚŚ ĐĂƐĞƐ ƚŚĞ ŵĞƌŝĐĂŶ ĞǀĞƌĂŐĞ ƐƐŽĐŝĂƚŝŽŶ ; Ϳ͕ ĂŶ ŝŶĚƵƐƚƌLJ ƚƌĂĚĞ ŐƌŽƵƉ͕ ƐƉĞŶƚ ŵŝůůŝŽŶƐ ŽĨ ĚŽůůĂƌƐ ƚŽ ĚĞĨĞĂƚ ƚŚĞ ŵĞĂƐƵƌĞƐ͘ dŚĞ ƐƉĞŶƚ

ȱ ę ȱ ȱ ȱ ¢Ȃ ȱ ȱ ȱ ȱ ¡ȱ ȱ ȱ ȱ ȱ ě ǯȱ ȱ ȱ ȱ ȱ ¡ ȱ ȱ ȱ ȱ ¢ȱ ȱ ȱ ȱ ȱ ȱ ¡ǯȱ ȱ ȱ ȱ ȱ ȱ ¡ ȱ ȱ ȱ ȱ ǯ Ă ĨĞǁ ŵŽƌĞ ŵŝůůŝŽŶ ŽƉƉŽƐŝŶŐ ƚŚĞ ƌĞĐĞŶƚ ďĂůůŽƚ ŝŶŝƚŝĂƚŝǀĞ ŝŶ ĞƌŬĞůĞLJ͘ LJ ůĂǁ͕ ĐŽŵƉĂŶŝĞƐ ŚĂǀĞ Ă ĨŝĚƵĐŝĂƌLJ ƌĞƐƉŽŶƐŝďŝůŝƚLJ ƚŽ ŵĂŝŶƚĂŝŶ ƉƌŽĨŝƚƐ ĨŽƌ ƚŚĞŝƌ ƐŚĂƌĞŚŽůĚĞƌƐ͘ dŚƵƐ͕ ŵLJ ConƟnued on pg. 28

12th Annual CAPG Healthcare Conference

Accountable Care

ACCELERATING THE EVOLUTION

June 11 - 14, 2015 d San Diego, CA REGISTER NOW capg.org/conference2015

CAPG is the largest U.S. association of physician organizations committed to delivering accountable, capitated, clinically integrated care. Learn more at capg.org. 26

California Family Physician Winter 2015

SERVE OUR SOLDIERS' LOVED ONES AS A U.S. ARMY FAMILY MEDICINE PHYSICIAN.

Providing the highest quality health care to Soldiers, family members, retirees and others will be a rewarding and career-enhancing experience: <ou can focus on patient care, without the distraction of running a practice <ou¶ll grow in a role that allows you to blend teaching and clinical excellence, as well as develop leadership sNills <ou¶ll enMoy a variety of financial benefits, including the potential for education reimbursement, loan repayment and special incentives SCAN THE QR CODE for information about benefits of working with the $rmy 0edical 'epartment To learn more about furthering your career in family medicine, call (310)216-4433 or visit healthcare goarmy com ©2014. Paid for by the United States Army. All rights reserved.

California Family Physician Winter 2015

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ĐŽŶĐůƵƐŝŽŶ ŝƐ ƚŚĂƚ ƚŚĞLJ ŚĂĚ ƚŽ ƐƉĞŶĚ ƚŚŝƐ ŵŽŶĞLJ͘ dŚĞLJ ĨĞĂƌĞĚ ƉƌŽĨŝƚƐ ǁŽƵůĚ ĚĞĐůŝŶĞ ŝĨ ƚŚĞƐĞ ŵĞĂƐƵƌĞƐ ƉĂƐƐĞĚ͘ dŚĞ ĞǀŝĚĞŶĐĞ ŝƐ ĨĂŝƌůLJ ĐůĞĂƌ ŽŶ ƚŚĞ ůŝŬĞůLJ ĞĨĨĞĐƚƐ ŽĨ Ă ƐŽĚĂ ƚĂdž͘ sĂƌŝŽƵƐ ĞĐŽŶŽŵŝƐƚƐ ŚĂǀĞ ĚŽŶĞ ƐŝŵƵůĂƚŝŽŶƐ ƚŽ ƐŚŽǁ ƚŚĂƚ Ă ƚĂdž ǁŝůů ůŝŬĞůLJ ĚĞĐƌĞĂƐĞ ĐŽŶƐƵŵƉƚŝŽŶ ĂŶĚ ƉƵƌĐŚĂƐŝŶŐ͘ dŚĞ ŚĞĂůƚŚ ĞĐŽŶŽŵŝƐƚƐ ĂůƐŽ ŚĂǀĞ ƐŝŵƵůĂƚĞĚ ŚŽǁ ŵĂŶLJ ƉĞŽƉůĞ ǁŝůů ďĞ ƉƌĞǀĞŶƚĞĚ ĨƌŽŵ ŐĞƚƚŝŶŐ ĚŝĂďĞƚĞƐ ĂŶĚ ŚĞĂƌƚ ĂƚƚĂĐŬƐ͘ KĨ ĐŽƵƌƐĞ͕ Ăůů ƐŝŵƵůĂƚŝŽŶƐ ĂƌĞ ďĂƐĞĚ ŽŶ ĂƐƐƵŵƉƚŝŽŶƐ͘ ^ŝŶĐĞ ǁĞ ĚŽ ŶŽƚ ŚĂǀĞ ĂŶ ĂĐƚƵĂů ƐŽĚĂ ƚĂdž LJĞƚ͕ ŝƚ ŝƐ ŚĂƌĚ ƚŽ ƉƌĞĚŝĐƚ ĞdžĂĐƚůLJ ǁŚĂƚ ǁŝůů ŚĂƉƉĞŶ͘ Ƶƚ͕ ĞĂƌůLJ ŝŶĚŝĐĂƚŝŽŶƐ ĨƌŽŵ ĚĂƚĂ ŝŶ DĞdžŝĐŽ͕ ǁŚĞƌĞ Ă ƐŽĚĂ ƚĂdž ǁĂƐ ŝŶƐƚŝƚƵƚĞĚ ƌĞĐĞŶƚůLJ͕ ĂƌĞ ƚŚĂƚ ƐĂůĞƐ ĂƌĞ ĚĞĐƌĞĂƐŝŶŐ͘ /Ĩ ŽƚŚĞƌ ĂƐƐƵŵƉƚŝŽŶƐ ŚŽůĚ ƵƉ ;Ğ͘Ő͕͘ ƚŚĂƚ ƉĞŽƉůĞ ǁŝůů ŶŽƚ ƐŝŵƉůLJ ĞĂƚ ĐĂŶĚLJ ŝŶƐƚĞĂĚͿ͕ DĞdžŝĐŽ͛Ɛ ƉŽůŝĐLJ ĐŽƵůĚ ŚĂǀĞ ĂŶ ŝŵƉĂĐƚ ŽŶ ƉƵďůŝĐ ŚĞĂůƚŚ͘ dŚĞ ĞĨĨĞĐƚƐ ǁŝůů ďĞ ŵŽƌĞ ĚŝĨĨŝĐƵůƚ ƚŽ ŵĞĂƐƵƌĞ ŝŶ ĞƌŬĞůĞLJ͘ ĞƌŬĞůĞLJ ŝƐ Ă ƐŵĂůů ĐŝƚLJ ǁŝƚŚ ŵĂŶLJ ƐƵƌƌŽƵŶĚŝŶŐ ƵƌďĂŶ ĂƌĞĂƐ ƚŚĂƚ ĚŽ ŶŽƚ ŚĂǀĞ Ă ƐŽĚĂ ƚĂdž͘ /ƚ ĂůƐŽ ŚĂƐ Ă ƉŽƉƵůĂƚŝŽŶ ƚŚĂƚ ŝƐ ŽĨƚĞŶ ĐŚĂŶŐŝŶŐ͕ ďĞĐĂƵƐĞ ŝƚ ŝƐ Ă ƵŶŝǀĞƌƐŝƚLJ ĐŝƚLJ͘ ĞƌŬĞůĞLJ Ɛƚŝůů ŽĨĨĞƌƐ ĂŶ ŝŶƚĞƌĞƐƚŝŶŐ ĞdžƉĞƌŝŵĞŶƚ ŽŶ ƚŚĞ ƉŽƐƐŝďůĞ ĞĨĨĞĐƚƐ ŽĨ Ă ƐŽĚĂ ƚĂdž͕ ŚŽǁĞǀĞƌ͘ /ƚ ǁŝůů ďĞ ƉĂƌƚŝĐƵůĂƌůLJ ŝŶƚĞƌĞƐƚŝŶŐ ƚŽ ƐĞĞ ƚŚĞ ĞĨĨĞĐƚ ŽŶ ĞƌŬĞůĞLJ LJŽƵƚŚ͘

ƵƐ Ăůů ƚĂůŬŝŶŐ ĂďŽƵƚ ƚŚĞ ŚĂƌŵƐ ŽĨ ĚƌŝŶŬŝŶŐ ϭϬ ;Žƌ ŵĂŶLJ ŵŽƌĞͿ ƚĞĂƐƉŽŽŶƐ ŽĨ ƐƵŐĂƌ Ăƚ Ă ƚŝŵĞ͘ dŚĞ ŵĞĚŝĂ ŝƐ ƚĂůŬŝŶŐ ĂďŽƵƚ ŝƚ͘ ^ŽĐŝĂů ŵĞĚŝĂ ŝƐ ƚĂůŬŝŶŐ ĂďŽƵƚ ŝƚ͘ /Ĩ ƚŚĞ ƚĂdž ŝŶ ĞƌŬĞůĞLJ ƐŝŐŶĂůƐ ƚŽ ƉĞŽƉůĞ ƚŚĂƚ ĚƌŝŶŬŝŶŐ ƐƵŐĂƌ ŝƐ ŶŽƚ ƚŚĞ ͞ĐŽŽů͟ ƚŚŝŶŐ ƚŽ ĚŽ͕ ƚŚĞŶ ŵĂLJďĞ Ă ĨĞǁ ŵŽƌĞ ƉĂƌĞŶƚƐ ǁŝůů ƚŚŝŶŬ ƚǁŝĐĞ ĂďŽƵƚ ďƵLJŝŶŐ ƚŚĞŝƌ ŬŝĚƐ Ă ƐƵŐĂƌLJ ĚƌŝŶŬ͘ Dr. Lesser works at the Palo Alto Medical Foundation and is actively engaged in conversations around public health and obesity. This article was originally published on the National Physicians Alliance website.

GME Psychiatry Update

ƐŝŐŶŝĨŝĐĂŶƚ ĐŽŶƐĞƋƵĞŶĐĞ ŽĨ ĞƌŬĞůĞLJ͛Ɛ ƉĂƐƐŝŶŐ Ă ƐŽĚĂ ƚĂdž ŝƐ Ă ƉŽƐƐŝďůĞ ƌŝƉƉůĞ ĞĨĨĞĐƚ͘ KƚŚĞƌ ĐŝƚŝĞƐ ŝŶƚĞƌĞƐƚĞĚ ŝŶ ĞdžƉĞƌŝŵĞŶƚŝŶŐ ǁŝƚŚ ƉƵďůŝĐ ŚĞĂůƚŚ ƉŽůŝĐLJ ĐŽƵůĚ ĐŽŶƐŝĚĞƌ ƉĂƐƐŝŶŐ Ă ƐŽĚĂ ƚĂdž͘ ĂůŝĨŽƌŶŝĂ ŚĂƐ ŽĨƚĞŶ ďĞĞŶ ĂŶ ĞdžƉĞƌŝŵĞŶƚĂƚŝŽŶ ŐƌŽƵŶĚ ĨŽƌ ŝŶŶŽǀĂƚŝǀĞ ƉŽůŝĐŝĞƐ͘ &Žƌ ĞdžĂŵƉůĞ͕ ƚŚĞ ƉŽůŝĐŝĞƐ ƉƌĞǀĞŶƚŝŶŐ ƐŵŽŬŝŶŐ ŝŶ ƉƵďůŝĐ ƉůĂĐĞƐ ƐƚĂƌƚĞĚ ŚĞƌĞ͕ ůĞĂĚŝŶŐ ƚŚĞ ǁĂLJ ĨŽƌ ĐŝƚŝĞƐ ǁŽƌůĚǁŝĚĞ ƚŽ ŝŶƐƚŝƚƵƚĞ ƚŚĞƐĞ ďĂŶƐ͘ tŚŝůĞ ůŝďĞƌƚĂƌŝĂŶƐ ŵĂLJ ƉƌŽƚĞƐƚ ĂŐĂŝŶƐƚ ƚŚĞƐĞ ƉŽůŝĐŝĞƐ͕ ƉĞŽƉůĞ Ɛƚŝůů ŚĂǀĞ ƚŚĞ ĨƌĞĞĚŽŵ ƚŽ ĐŚŽŽƐĞ ǁŚĂƚĞǀĞƌ ƚŚĞLJ ůŝŬĞ ƚŽ ƉƵƌĐŚĂƐĞ͘ dĂdžĞƐ ĂůƌĞĂĚLJ ĞdžŝƐƚ ŽŶ ŽƚŚĞƌ ĨŽŽĚƐ ŝŶ ĂůŝĨŽƌŶŝĂ͕ ƐƵĐŚ ĂƐ ƌĞƐƚĂƵƌĂŶƚ ĨŽŽĚ ĂŶĚ ĨƌŽnjĞŶ ŵĞĂůƐ͘ dŚĞ ƐŽĚĂ ƚĂdž ũƵƐƚ ĂĚĚƐ ƐƵŐĂƌLJ ďĞǀĞƌĂŐĞƐ ƚŽ ƚŚĞ ŵŝdž͕ ĂůďĞŝƚ Ăƚ Ă ƐůŝŐŚƚůLJ ŚŝŐŚĞƌ ƌĂƚĞ͘ &ŝŶĂůůLJ͕ ŵĂŶLJ ďĞůŝĞǀĞ ƚŚĂƚ ƚŚĞ ĂĐƚƵĂů ƚĂdž ŝƐ ŶŽƚ ƚŚĞ ƌĞĂů ŝŶƚĞƌǀĞŶƚŝŽŶ ŚĞƌĞ͘ dŚĞ ƚĂdž ŽŶ ƐƵŐĂƌLJ ďĞǀĞƌĂŐĞƐ ũƵƐƚ ŐĞƚƐ

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California Family Physician Winter 2015

Earn 6 CME/CE Credits at this FREE One-Day Update Coming to Anaheim on Sat., April 18, 2015! Join fellow healthcare professionals for this symposium featuring the world’s leading experts discussing the latest advances in diagnostic and therapeutic issues in patients with bipolar disorder, major depression, sleep disturbances, ADHD and schizophrenia.

Supported by independent educational grants from Jazz Pharmaceuticals and Sunovion Pharmaceuticals.

Jointly Provided By:

For full accreditation, information, and to register for free visit www.gmeded.com/psychupdate

MED7 has been providing urgent care services in the Greater Sacramento area since 1987 rgent care clinics are located in Roseville, Carmichael, Folsom & North Sacramento. Board Certified or Board Eligible in family practice or emergency medicine. All shifts 9am to 9pm. Full time is 13 shifts per month. We offer our full time physicians the following: full malpractice coverage, medical & dental coverage at no cost for the physician & any dependents, disability policy & we have a simple IRA you can contribute to with 3% matching. Part time is 6 to 8 shifts per month. There is no call. There is no tail coverage that needs to be purchased should you leave our employment. We have a single policy that continues on after you leave. If something were to arise here after you left our employment, you would be covered. For more information about MED7 and our clinics please visit our website: www.med7.com We offer an attractive compensation package. Contact Merl O’Brien,MD, at: (916) 791-1300, ext.111; or email CV to: sherry@med7atwork.com.

Central California Family Practice MDs/DOs FAMILY PRACTICE MD/DO Open Door Community Health Centers in coastal Northern California is seeking 3 full-time Family Practice MD/DO’s for our clinics in Crescent City, Eureka and McKinleyville. We offer competitive salary and benefits, including health insurance, malpractice insurance, pension plan, vacation/holiday pay, CEU time/stipend, and loan repayment options. Requires CA license, Board Certification, DEA, EMR experience. Visit www.opendoorhealth.com to learn about us, then come live, work and play on the stunning northern California Coast!

Clinica Sierra Vista has been serving the people of Kern, Fresno, and Inyo Counties for nearly 43 years. We are centrally located to California’s most popular attractions and are currently in search of Family Practice MD’s or DO’s to work in one of several clinic locations. Clinica offers a challenging and rewarding environment, competitive wages, incentive programs, and a comprehensive benefit package. We provide malpractice/liability coverage and relocation expenses. Positions require CA licensure. Previous EHR experience and board certification are preferred. For more information, please contact Tim Speece at (661) 302-8997 or Ruben Chavez at (559) 901-8524.

Come experience the finest California’s Central Valley has to offer at Clinica Sierra Vista.

www.clinicasierravista.org California Family Physician Winter 2015

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EXECUTIVE VICE PRESIDENT’S FORUM

Family Medicine Organizations Unify to Make Health Primary dŚĞ ŵĞƌŝĐĂŶ ĐĂĚĞŵLJ ŽĨ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶƐ ĂŶĚ ƐĞǀĞŶ ŽƚŚĞƌ ŶĂƟŽŶĂů ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ŽƌŐĂŶŝnjĂƟŽŶƐ ŚĂǀĞ ũŽŝŶĞĚ ƚŽŐĞƚŚĞƌ ƚŽ ĚĞǀĞůŽƉ ,ĞĂůƚŚ /Ɛ WƌŝŵĂƌLJ͗ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ĨŽƌ ŵĞƌŝĐĂ͛Ɛ ,ĞĂůƚŚ͘ dŚĞ ŐŽĂů ŝƐ ƚŽ ĚĞǀĞůŽƉ Ă ƐƚƌĂƚĞŐLJ ĂŶĚ ĐŽŵŵƵŶŝĐĂƟŽŶ ƉůĂŶ ƚŽ ĐŽŶƟŶƵĞ ƚŚĞ ƚƌĂŶƐĨŽƌŵĂƟŽŶ ŽĨ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƚŽ ďĞƩĞƌ ŵĞĞƚ ƚŚĞ ŶĞĞĚƐ ŽĨ ƚŚĞ ŵĞƌŝĐĂŶ ƉƵďůŝĐ ďLJ ĂĐŚŝĞǀŝŶŐ ƚŚĞ dƌŝƉůĞ ŝŵ ŽĨ ďĞƩĞƌ ĐĂƌĞ͕ ďĞƩĞƌ ŚĞĂůƚŚ ĂŶĚ ůŽǁĞƌ ĐŽƐƚ͘ dŚĞ ƉƌŽũĞĐƚ ǀŽǁƐ ͞ƚŽ ůĂƵŶĐŚ Ă ƐĞƌŝĞƐ ŽĨ ƐƚƌĂƚĞŐŝĐ ĞīŽƌƚƐ ƚŽ ͚ƌĞŶĞǁ ƚŚĞ ƐƉĞĐŝĂůƚLJ ƚŽ ŵĞĞƚ ƚŚĞ ŶĞĞĚƐ ŽĨ ƉĞŽƉůĞ ĂŶĚ ƐŽĐŝĞƚLJ͘͟ ƐŚŽƌƚ ƐĞŶƚĞŶĐĞ ĨŽƌ Ă ƚĂůů ŽƌĚĞƌ͍ ĞƌƚĂŝŶůLJ͕ ďƵƚ ŽŶĞ ƚŚĂƚ ŶĞĞĚƐ ĚŽŝŶŐ ŶŽǁ͘

ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ǰȱ Ĵ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ¢ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ¢ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ¢ȱ ǯȱȱ dŚĞ ƉƌŽũĞĐƚ ŝƐ ĨŽĐƵƐĞĚ ŽŶ ͞ƚƌĂŶƐĨŽƌŵŝŶŐ ƉĞƌĐĞƉƟŽŶƐ ĂŶĚ ďĞŚĂǀŝŽƌ ĂƌŽƵŶĚ ŚĞĂůƚŚ ĂŶĚ ŚĞĂůƚŚ ĐĂƌĞ ĂŶĚ ĨŽƐƚĞƌŝŶŐ ĂǁĂƌĞŶĞƐƐ ĂŶĚ ĂĐƟŽŶ ƚŽ ƐƵƉƉŽƌƚ ƚŚĞ ĞƐƐĞŶƟĂů ƌŽůĞ ŽĨ ƉƌŝŵĂƌLJ ĐĂƌĞ͘͟ ƚ ƚŚĞ ƐĂŵĞ ƟŵĞ͕ ;ŝƚͿ ǁĂŶƚƐ ƚŽ ͞ƚƌĂŶƐĨŽƌŵ ƚŚĞ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƐƉĞĐŝĂůƚLJ ƚŽ ĞŶƐƵƌĞ ƚŚĂƚ ǁĞ ĐĂŶ ŵĞĞƚ ƚŚĞ ŶĂƟŽŶ͛Ɛ ŚĞĂůƚŚ ĐĂƌĞ ŶĞĞĚƐ ĂŶĚ ƵůƟŵĂƚĞůLJ͕ ŝŵƉƌŽǀĞ ƚŚĞ ŚĞĂůƚŚ ŽĨ ĞǀĞƌLJ ŵĞƌŝĐĂŶ͘͟ dŚĂƚ ŝŶĐůƵĚĞƐ͗ ͻ &ƵƌƚŚĞƌŝŶŐ ƚŚĞ ĞǀŽůƵƟŽŶ ŽĨ ƚŚĞ ƉĂƟĞŶƚͲĐĞŶƚĞƌĞĚ ŵĞĚŝĐĂů ŚŽŵĞ͖ ͻ ĚǀĂŶĐŝŶŐ ƚŚĞ ƵƐĞ ŽĨ ƚĞĐŚŶŽůŽŐLJ͖ ͻ ŶƐƵƌŝŶŐ Ă ƐƚƌŽŶŐ ƉƌŝŵĂƌLJ ĐĂƌĞ ǁŽƌŬĨŽƌĐĞ͖ ĂŶĚ ͻ ^ŚŝŌŝŶŐ ƚŽ ĐŽŵƉƌĞŚĞŶƐŝǀĞ ƉƌŝŵĂƌLJ ĐĂƌĞ ƉĂLJŵĞŶƚ͘ ĚĚŝƟŽŶĂůůLJ͕ ƚŚĞ ƉůĂŶ ŝƐ ƚŽ ŝŵƉƌŽǀĞ ƉĂƟĞŶƚ ĞŶŐĂŐĞŵĞŶƚ ŝŶ ƉƌĞǀĞŶƟŽŶ ĂŶĚ ŚĞĂůƚŚ ĐĂƌĞ ŵĂŶĂŐĞŵĞŶƚ͕ ĂƩƌĂĐƚ ƚŚĞ ďĞƐƚ ĂŶĚ ďƌŝŐŚƚĞƐƚ ƐƚƵĚĞŶƚƐ ƚŽ ƚŚĞ ƉƌĂĐƟĐĞ ŽĨ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ĂŶĚ ĞŶƐƵƌĞ Ă ƐŚŝŌ ŝŶ ƚŚĞ ƉĂLJŵĞŶƚ ŵŽĚĞů ƚŽ ƐƵƉƉŽƌƚ ĂĐĐĞƐƐ ƚŽ ƚƌƵĞ ƉƌŝŵĂƌLJ ĐĂƌĞ͘ Health Is Primary ǁŝůů ƌĞůLJ ŽŶ ƐŽĐŝĂů ŵĞĚŝĂ ƚŽ ĂƩƌĂĐƚ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƚŽ ƚŚĞ ĐĂŵƉĂŝŐŶ͕ ƐĞĞŬ ƉĂƌƚŶĞƌƐ ƚŽ ŚĞůƉ ƐƵƉƉŽƌƚ ŝƚƐ ŵŝƐƐŝŽŶ ĂŶĚ ƐĞĞŬ

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California CaliforniaFamily FamilyPhysician PhysicianWinter Winter2015 2015

ŵĞĚŝĂ ĐŽǀĞƌĂŐĞ͕ ďŽƚŚ ĞĂƌŶĞĚ ĂŶĚ ƉĂŝĚ͕ ƚŽ ƐƉƌĞĂĚ ƚŚĞ ŵĞƐƐĂŐĞ ĂďŽƵƚ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ĂŶĚ ƉƌŝŵĂƌLJ ĐĂƌĞ͘ zŽƵ ĐĂŶ ĨŽůůŽǁ ƚŚĞ ĐĂŵƉĂŝŐŶ ŽŶ dǁŝƩĞƌ͕ ͞ůŝŬĞ͟ ŝƚ ŽŶ &ĂĐĞŬ Žƌ ŐŽ ƚŽ ƚŚĞ ǁĞďƐŝƚĞ Ăƚ ǁǁǁ͘ ŚĞĂůƚŚŝƐƉƌŝŵĂƌLJ͘ŽƌŐ͘ dŚĞ ƐĞĐŽŶĚ ƉĂƌƚ ŽĨ ƚŚĞ ŝŶŝƟĂƟǀĞ ŝƐ Family Medicine for America’s Health ;&D ,ĞĂůƚŚͿ͕ Ă ĮǀĞͲLJĞĂƌ ƐƚƌĂƚĞŐŝĐ ŝŵƉůĞŵĞŶƚĂƟŽŶ ĞīŽƌƚ ͞ǁŚŝĐŚ ǁŝůů ǁŽƌŬ ƐŝŵƵůƚĂŶĞŽƵƐůLJ ƚŽ ƚƌĂŶƐĨŽƌŵ ƚŚĞ ƐƉĞĐŝĂůƚLJ ĂŶĚ ĚĞůŝǀĞƌ ŽŶ ƚŚĞ ƉƌŽŵŝƐĞ ŽĨ ƉƌŝŵĂƌLJ ĐĂƌĞ͘͟ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ĂďŽƵƚ &D ,ĞĂůƚŚ͕ ŐŽ ƚŽ ŚƩƉ͗ͬ​ͬĨŵĂŚĞĂůƚŚ͘ŽƌŐͬ

FMAH has seven Ŭey strategies͗ ϭ͘ ^ŚŽǁ ƚŚĞ ǀĂůƵĞ ĂŶĚ ďĞŶĞĮƚƐ ŽĨ ƉƌŝŵĂƌLJ ĐĂƌĞ͖ Ϯ͘ ŶƐƵƌĞ ĞǀĞƌLJ ƉĞƌƐŽŶ ǁŝůů ŚĂǀĞ Ă ƉĞƌƐŽŶĂů ƌĞůĂƟŽŶƐŚŝƉ ǁŝƚŚ Ă ƚƌƵƐƚĞĚ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ Žƌ ŽƚŚĞƌ ƉƌŝŵĂƌLJ ĐĂƌĞ ƉƌŽĨĞƐƐŝŽŶĂů ŝŶ ƚŚĞ ĐŽŶƚĞdžƚ ŽĨ Ă ŵĞĚŝĐĂů ŚŽŵĞ͖ ϯ͘ /ŶĐƌĞĂƐĞ ƚŚĞ ǀĂůƵĞ ŽĨ ƉƌŝŵĂƌLJ ĐĂƌĞ͖ ϰ͘ ZĞĚƵĐĞ ŚĞĂůƚŚ ĐĂƌĞ ĚŝƐƉĂƌŝƟĞƐ͖ ϱ͘ >ĞĂĚ ƚŚĞ ĐŽŶƟŶƵĞĚ ĞǀŽůƵƟŽŶ ŽĨ ƚŚĞ ƉĂƟĞŶƚͲĐĞŶƚĞƌĞĚ ŵĞĚŝĐĂů ŚŽŵĞ͖ ϲ͘ ŶƐƵƌĞ Ă ǁĞůůͲƚƌĂŝŶĞĚ ƉƌŝŵĂƌLJ ĐĂƌĞ ǁŽƌŬĨŽƌĐĞ͖ ĂŶĚ͕ ϳ͘ /ŵƉƌŽǀĞ ƉĂLJŵĞŶƚ ĨŽƌ ƉƌŝŵĂƌLJ ĐĂƌĞ ďLJ ŵŽǀŝŶŐ ĂǁĂLJ ĨƌŽŵ ĨĞĞͲ ĨŽƌͲƐĞƌǀŝĐĞ ĂŶĚ ƚŽǁĂƌĚ ĐŽŵƉƌĞŚĞŶƐŝǀĞ ƉƌŝŵĂƌLJ ĐĂƌĞ ƉĂLJŵĞŶƚ͘

^ŝdž dĂĐƚŝĐ dĞĂŵƐ ŵĞƚ ŝŶ ĞĂƌůLJ ĞĐĞŵďĞƌ ŽĨ ůĂƐƚ LJĞĂƌ ƚŽ ŝĚĞŶƚŝĨLJ ƚǁŽ ŬĞLJ ƚĂĐƚŝĐƐ ƚŚĂƚ ĞĂĐŚ ƚĞĂŵ ĐŽƵůĚ ƵƐĞ ƚŽ ĂĐŚŝĞǀĞ ƚŚĞƐĞ ƐƚƌĂƚĞŐŝĞƐ͘ dŚĞ ƚĞĂŵƐ ʹ WƌĂĐƚŝĐĞ͕ ŶŐĂŐĞŵĞŶƚ͕ ZĞƐĞĂƌĐŚ͕ WĂLJŵĞŶƚ ZĞĨŽƌŵ ĂŶĚ tŽƌŬĨŽƌĐĞ ʹ ƉůĂŶ ƚŽ ďĞŐŝŶ ǁŽƌŬ ŝŵŵĞĚŝĂƚĞůLJ͘ dŚƌĞĞ ĂůŝĨŽƌŶŝĂŶƐ ƐĞƌǀĞ ŽŶ ƚŚĞ dĂĐƚŝĐ dĞĂŵƐ͗ :ĂLJ >ĞĞ͕ D ͕ DW, ŽŶ WƌĂĐƚŝĐĞ ĂŶĚ <ĞǀŝŶ 'ƌƵŵďĂĐŚ͕ D ĂŶĚ / ŽŶ ŶŐĂŐĞŵĞŶƚ͘ &W ǁŝůů ĚŽ ŝƚƐ ďĞƐƚ ƚŽ ĐŽŵƉůĞŵĞŶƚ ďŽƚŚ ƚŚĞ ,ĞĂůƚŚ /Ɛ WƌŝŵĂƌLJ ĂŶĚ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ĨŽƌ ŵĞƌŝĐĂ͛Ɛ ,ĞĂůƚŚ ƉƌŽũĞĐƚƐ ĂƐ ƚŚĞLJ ŵŽǀĞ ĨŽƌǁĂƌĚ ĂŶĚ ƚŽ ŬĞĞƉ LJŽƵ ŝŶĨŽƌŵĞĚ ĂŶĚ ĞŶŐĂŐĞĚ ŝŶ ƚŚĞ ƉƌŽũĞĐƚƐ͘ DĂŶLJ ŽĨ &W͛Ɛ ƐƚƌĂƚĞŐŝĐ ŐŽĂůƐ ĂůƌĞĂĚLJ ĂůŝŐŶ ǁĞůů ǁŝƚŚ ƚŚŽƐĞ ŽĨ &D ,͕ ĞƐƉĞĐŝĂůůLJ ŽƵƌ ǁŽƌŬĨŽƌĐĞ ĂŶĚ ƉĂLJŵĞŶƚ ƌĞĨŽƌŵͬƉƌĂĐƚŝĐĞ ƚƌĂŶƐĨŽƌŵĂƚŝŽŶ ŐŽĂůƐ͘ zŽƵƌ ŽĂƌĚ ŽĨ ŝƌĞĐƚŽƌƐ͕ ĐŽŵŵŝƚƚĞĞ ĐŚĂŝƌƐ ĂŶĚ ƐƚĂĨĨ ǁŝůů ŵĞĞƚ ŝŶ :ƵůLJ ƚŽ ƵŶĚĞƌƚĂŬĞ ŽƵƌ ĞǀĞƌLJͲƚŚƌĞĞͲLJĞĂƌ ƐƚƌĂƚĞŐŝĐ ƉůĂŶŶŝŶŐ ĂĐƚŝǀŝƚLJ ĂŶĚ ǁŝůů ĚĞƚĞƌŵŝŶĞ ŚŽǁ ƚŽ ďƌŝŶŐ ŽƵƌ ƐƚƌĂƚĞŐŝĞƐ ĂŶĚ ƚĂĐƚŝĐƐ ŝŶƚŽ ĞǀĞŶ ĐůŽƐĞƌ ĂůŝŐŶŵĞŶƚ͘ tĞ͛Ě ůŽǀĞ ƚŽ ŚĞĂƌ ĨƌŽŵ LJŽƵ ĂďŽƵƚ ŚŽǁ ƚŽ ŵŽǀĞ ĨŽƌǁĂƌĚ ŽŶ ƚŚĞ &D ,ĞĂůƚŚ ŐŽĂůƐ ŝŶ ĂůŝĨŽƌŶŝĂ͘

Ȃ Ǩ IMMEDIATE OPENINGS - CALIFORNIA Clinical Director: FCC Lompoc & USP Atwater Staff Physician: FCI Mendota & FCC Victorville Join the Leader in Correctional Health Care

California Family Physician Winter 2015

31

CALIFORNIA ACADEMY OF FAMILY PHYSICIANS FOUNDATION 1520 PACIFIC AVE SAN FRANCISCO, CA 94109 -2627

Presorted Standard U.S. POSTAGE PAID

Little Rock, AR Permit No. 2437

MIEC Belongs to Our Policyholders! Senior Claims Representative Michael Anderson

Lamont D. Paxton, MD Vice Chairman, Board of Governors

Keeping true to our mission MIEC has never lost sight of its original mission, always putting policyholders (doctors like you) first. For 40 years, MIEC has been steadfast in our protection of California physicians with conscientious Underwriting, excellent Claims management and hands-on Loss Prevention services; we’ve partnered with policyholders to keep premiums low. Added value: Q No profit motive and low overhead Q Dividends for an average savings of 25% on 2015 premiums for California physicians* For more information or to apply: Q www.miec.com Q Call 800.227.4527 Q Email questions to underwriting@miec.com * On premiums at $1/3 million limits. Future dividends cannot be guaranteed.

MIEC 6250 Claremont Avenue, Oakland, California 94618 s 800-227-4527 s www.miec.com CalFamPhy_ad_12.19.14 32 California Family Physician Winter 2015

MIEC Owned by the policyholders we protect.

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