THE OFFICIAL MAGAZINE OF THE MICHIGAN STATE MEDICAL SOCIETY » VOL. 118 / NO. 1
January/February 2019
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FEATURES & CONTENTS January / February 2019
10
Recreational Marijuana is Legal. Now What? BY JODI SCHAFER, SPHR, SHRM-SCP
14
Michigan Legislature Dominated by New Names, Faces
20
MSMS Legislative & Regulatory Platform and Legislative Priorities
22
Survey: Doctors Conflicted but Patients Still Top Concern BY BILL FLEMING
COLUMNS
FEATURE
12
04 President's Perspective
BETTY S. CHU, MD, MBA
06 Ask Our Lawyer
DANIEL J. SCHULTE, MSMS LEGAL COUNSEL
08 MDHHS UPDATE
STEFANIE COLE, BSN, RN, MPH
Health Care Dominates Election Cycle BY NICK DELEEUW FOR THE MICHIGAN STATE MEDICAL SOCIETY
Surveys tell us that when voters went to the polls last November, few issues were more front of mind than health care. Read more on page 12.
STAY CONNECTED!
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michigan MEDICINE® 3
perspective
MICHIGAN MEDICINE® VOL. 118 / NO. 1 Chief Executive Officer JULIE L. NOVAK Managing Editor KEVIN MCFATRIDGE KMcFatridge@msms.org
Happy New Year from everyone at the Michigan State Medical Society!
Marketing & Sales Manager TRISHA KEAST TKeast@msms.org
As our physician community reflects on the year that’s past, and the opportunities
Publication Design STACIA LOVE, REZÜBERANT! INC. rezuberant.com
advocate for our patients and our profession.
Printing FORESIGHT GROUP staceyt@foresightgroup.net Publication Office Michigan Medicine® 120 West Saginaw Street East Lansing, MI 48823 517-337-1351
that lie before us, it’s important to understand the environment in which we Last November, Michigan voters went to the polls and swept into power a new Governor, new Attorney General, new Secretary of State, new members of Congress, and an astonishing 76 new members of the Michigan state House of Representatives and state Senate.
www.msms.org All communications on articles, news, exchanges and advertising should be sent to above address, ATT: Trisha Keast. Postmaster: Address Changes Michigan Medicine® Trisha Keast 120 West Saginaw Street East Lansing, MI 48823
Michigan Medicine®, the official magazine of the Michigan State Medical Society (MSMS), is dedicated to providing useful information to Michigan physicians about actions of the Michigan State Medical Society and contemporary issues, with special emphasis on socio-economics, legislation and news about medicine in Michigan.
In this edition of Michigan Medicine®, we will introduce you briefly to the new names and faces around the state Capital. We’ll also discuss the impact health care had on the 2018 elections and our priorities for 2019 and beyond. We provide resources that will help you better connect with your own state lawmakers, and to more effectively put your patients first when it comes to politics and public policy.
The MSMS Committee on Publications is the editorial board of Michigan Medicine® and advises the editors in the conduct and policy of the magazine, subject to the policies of the MSMS Board of Directors.
More than half of the state legislature is made up of brand new faces, and
Neither the editor nor the state medical society will accept responsibility for statements made or opinions expressed by any contributor in any article or feature published in the pages of the journal. The views expressed are those of the writer and not necessarily official positions of the society. Michigan Medicine® reserves the right to accept or reject advertising copy. Products and services advertised in Michigan Medicine® are neither endorsed nor warranteed by MSMS, with the exception of a few.
opportunities – and solemn responsibilities.
Michigan Medicine® (ISSN 0026-2293) is the official magazine of the Michigan State Medical Society, published under the direction of the Publications Committee. In 2018 it is published in January/February, March/April, May/ June, July/August, September/October and November/December. Periodical postage paid at East Lansing, Michigan and at additional mailing offices. Yearly subscription rate, $110. Single copies, $10. Printed in USA. ©2018 Michigan State Medical Society
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each of the state’s big-three constitutional offices changed hands. The future of medicine is in new hands. That presents each of us with exciting Your Michigan State Medical Society is hitting the ground running in a brand new Lansing. With your help, we’ll deliver the results our patients deserve. Sincerely,
Betty S. Chu, MD, MBA MSMS President
By Betty S. Chu, MD, MBA, Michigan State Medical Society President
®
BETTY S. CHU, MD, MBA MSMS PRESIDENT
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michigan MEDICINE® 5
ASK OUR LAWYER
Insist on Fairness in Your Employment Agreement By Daniel J. Schulte, JD, Kerr Russell
W
hat you are experiencing is more common than it should be. It occurs most often when the physician is not represented by an attorney. There really should be nothing controversial about the following:
Termination Rights
Q:
I am seeking employment with a medical practice. As a recent graduate completing my residency I am new to this. The employment agreements I have been given do not seem
fair to me. Examples of things that make me feel this way are the employer refusing to commit to a work schedule with call being shared equitably, insisting on being the only one who may terminate and large fines for violating a covenant not to compete without exceptions. When I object I am told things like “the last doctor they hired signed it”, “it is a standard agreement” and “our attorney thinks it is reasonable”. Is this the case? What provisions should I insist on to insure basic fairness in the employment agreement without making myself look out of line? 6 michigan MEDICINE®
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Both the employer and the employee should have a without cause and with cause termination right. The without cause termination right should be subject to a reasonable amount of notice (e.g. 30, 60 or 90 days) so that the employer has time to find a replacement and you have time to find a new job. The notice should be required to be in writing. The employment agreement should provide that if you terminate without cause and the employer will not let you work during the notice period that you still be paid for the notice period. The opposite is also true. If the employer terminates you without cause and you refuse to work during the notice period you should be held liable for the employer’s damages (the profit that would have been earned by the employer on your services during the notice period). Each side should also have a with cause termination right. Besides requiring a cause for the termination, a termination with cause is usually effective immediately upon notice. The “causes” for the employer exercising this right are usually your loss of licensure, your DEA registration, controlled substance license, conviction of certain offenses, failure to follow office
policies and procedures, etc. Your “cause” for exercising this right would be the employer breaching the employment agreement. For example, it your employer not paying you what you are owed on time. If you do not have a with cause termination right you would be stuck terminating without cause and having to give notice - meaning you would have to continue working despite your employer’s breach for the notice period.
Covenant Not to Compete The covenant not to compete should contain an exception applicable when the employer terminates you without cause soon after you sign the employment agreement. For example, if you are employed less than a year when the employer terminates without cause the covenant not to compete should not apply. This is because you have not been employed long enough to have established the type or volume of relationships with
“The best way to cut through these tactics is to hire an attorney experienced in reviewing physician employment agreements who can give you a professional opinion…”
the employer’s patients to enable you to compete with the employer or otherwise be any threat to the employer’s legitimate business interests. In this case, where the employer terminates without a cause, you should have the unrestricted ability to find new employment.
DANIEL J. SCHULTE, JD, MSMS LEGAL COUNSEL IS A MEMBER AND MANAGING PARTNER OF KERR RUSSELL
The best way to cut through these tactics is to hire an attorney experienced in reviewing physician employment agreements who can give you a professional opinion what should and should not be included, fairly balancing the interests of the employer and employee.
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MDHHS UPDATE
Advisory Committee on Immunization Practice October 2018 Meeting Recap By Stefanie Cole, BSN, RN, MPH, Immunization Nurse Educator Michigan Department of Health and Human Services Division of Immunization
The Advisory Committee on Immunization Practices (ACIP), a group of medical and public health experts, meets three times a year at the Centers for Disease Control and Prevention (CDC) to discuss and recommend vaccines for use in the United States. ACIP met on October 24-25, 2018, to discuss numerous vaccine topics and vote on two vaccine items.
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Vote #1 Homelessness as a risk group for routine hepatitis A vaccination The first vote by ACIP was in favor of adding homelessness as a risk group for routine hepatitis A vaccination. In response to multi-state outbreaks of hepatitis A among homeless populations, ACIP voted to include people experiencing homelessness to the list of persons routinely recommended to receive two doses of hepatitis A vaccine. Due to difficulty in maintaining proper hygiene and crowded conditions in shelters, homeless persons are at greater risk of hepatitis A infection and transmission.
Vote #2 New design framework for routine child/adolescent and adult immunization schedule The second vote by ACIP was in favor of accepting the new design framework for the routine child/adolescent and adult immunization schedules. Recent surveys conducted by CDC indicated healthcare providers were frequently confused by the format of the current immunization schedules. CDC workgroups redesigned both schedules to make them more visually appealing and user-friendly. Once finalized, the 2019 immunization schedules can be found at www.cdc.gov/vaccines. The 2019 schedules will include new colors to visually indicate vaccine precautions and any recommendations for temporarily delaying certain vaccines, such as during pregnancy. The schedules also will contain brief “notes” rather than the detailed footnotes. The new notes will be limited to routine recommendations and will refer users to other documents for non-traditional recommendations, such as administering vaccines for outbreak control. Both the childhood and adult schedules will now include a list of vaccines, abbreviations, and trade names. All recommendations approved by ACIP are provisional until approved by the CDC Director and published in Morbidity and Mortality Weekly Report (MMWR). Presentation slides from the October ACIP meeting can be found on the ACIP website at www.cdc.gov/vaccines/acip/meetings.
“Now more than ever, you as healthcare professionals need to make strong, science-based vaccine recommendations to all your patients.”
Other Vaccine Topics ACIP also heard presentations regarding the impact of PCV13-vaccinated children on the incidence of pneumococcal disease in adults over age 65 years. Vaccinated children have indirectly improved the level of protection among adults age 65 years and older. Further discussion on this topic will occur at future ACIP meetings. HPV Vaccine SafetyData were also presented on HPV vaccine safety, including the results of an extensive study that found no relationship between HPV vaccine and primary ovarian insufficiency. There was also discussion about the recent FDA licensure of HPV vaccine for the expanded age range up through 45 years. ACIP will continue to review and discuss data regarding this expanded age range for HPV. There was no vote to change the HPV vaccine recommendation at the October 2018 ACIP meeting.
Other topics presented included a report on influenza vaccine effectiveness in preventing influenza-associated hospitalizations during pregnancy, possible future changes for the dosage amount for Fluzone® (Sanofi Pasteur) for children 6 through 35 months of age, and Tdap revaccination recommendations. Further review of Tdap revaccination data will take place at future ACIP meetings. Lastly, there was a presentation by CDC’s Dr. Andrew Kroger regarding The General Best Practice Guidelines for Immunization (www.cdc.gov/vaccines/hcp/acip-recs/ general-recs/index.html) that included revisions that have been posted to the site since April 2017. Because the General Best Practice Guidelines are continually updated, they can only be accessed online. Dr. Kroger noted that all errata and updates are listed chronologically on the "List of Errata/Updates" webpage at www.cdc.gov/ vaccines/hcp/acip-recs/general-recs/general-recs-errata.html. Continuing education credit is also available for completing the General Best Practice Guidelines review: www.cdc.gov/vaccines/ed/general-recs/ ce-flyer.pdf. Because ACIP is a federal advisory committee, they must include time for public comments. The October ACIP meeting was noteworthy in that there were many public comments from individuals who oppose vaccines, including accusations towards members of the committee and workgroups.
Vaccinate Your Family (formerly Every Child by Two) wrote a blog post summarizing what took place at the October meeting and supporting ACIP and its mission. You can read it at: https://shotofprevention.com/2018/11/09/vaccine-skepticslash-out-at-cdc-advisory-committee-meeting/
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ASK HUMAN RESOURCES
Recreational Marijuana Is Legal. Now What? By Jodi Schafer, SPHR, SHRM-SCP
: Q
Just when I thought I didn’t have enough to worry about as an employer, recreational marijuana is now legal. We currently drug test applicants before offering them a job. Does this mean I can no longer consider a positive result for marijuana as a reason for denying employment? What
if my current employees decide to use marijuana outside of work? How can I protect my practice and my employees from accidents and injuries that might result from being under the influence? I’m so confused…
The reality is not as bleak as it may seem. While it is true that 56% of Michigan voters voted in favor of Proposal 1 (the legalization of recreational marijuana), this new law does not grant a ‘free for all’ as far as consumption is concerned.
I
t’s helpful to think about the use of recreational marijuana like you think about alcohol. After all, that is what several components of this ballot initiative were patterned after. Proposal 1 legalizes personal possession, cultivation (up to 12 pot plants in a person’s home), and use of limited amounts of cannabis for adults 21 and older. The use of marijuana is limited to a person’s home or private property. It is still illegal to consume marijuana while driving or riding in a vehicle and it is still illegal to ingest marijuana in public. So, how does all of this impact employers? Well, the legalization of marijuana does not mean that employers have to begin allowing this substance in their workplace. Employers can continue to treat marijuana as a prohibited substance and can enforce zero-tolerance policies that result in termination for applicants and/or employees found using or testing positive for marijuana. Again, think of it like alcohol. Just because alcohol is legal for people over the age of 21, doesn’t mean that you can drink on the job or that you have protections if you are
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” The legalization of marijuana does not mean that employers have to begin allowing this substance in their workplace. Employers can continue to treat marijuana as a prohibited substance and can enforce zero-tolerance policies.”
found to be under the influence at work. However, there is at least one key difference between alcohol and marijuana and this is in how we determine ‘under the influence’. The testing available for alcohol is much more very specific than the test for marijuana. A blood alcohol test measures how much alcohol is in the bloodstream at the time of the test and compares those levels to a pre-established range. Alcohol doesn’t stay in the bloodstream as long at THC does, the active ingredient in marijuana that creates a high. Though the effects of THC wear off within a few hours of ingesting marijuana, traces of the chemical can remain in the body for weeks. The common urinalysis testing currently used for workplace drug screens does not compare a THC level to any pre-determined standard of impairment. Since THC is metabolized differently in different people and because it can remain in the blood stream for 10+ days, you could potentially have an employee test positive for THC and not actually be under the influence at the time of the test.
The implications of this are messy. Again, you still have the right to discipline and/ or terminate if the test comes back positive, but because the testing methodology is not as precise as an alcohol test, you risk losing a good employee who may have ingested marijuana on the weekend and still has traces of THC in their bloodstream mid-week – even though they are not under the influence at that point in time. More accurate testing approaches would provide some much-needed clarity in these situations, but that has not yet been achieved. For now, my advice is to retain your zero-tolerance policy, update the language to include both recreational and medical marijuana and retain the right to test employees at your discretion. You can continue to test applicants as well, but assume that you may have a higher number of candidates test positive for THC now that recreational marijuana is legal – at least until a better testing model is available.
Suggested Steps: 1. Retain your zerotolerance policy. 2. Update the language in your policies to include both recreational and medical marijuana. 3. Retain the right to test employees at your discretion.
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FEATURE
Health Care Dominates 2018 Election Cycle The opioid crisis
Surveys tell us that when voters went to the polls last November, few issues were more front of mind than health care. Candidates across the state made health care central parts of their campaign platforms and strategies, and news cycles were dominated by discussions of the state’s health care future.
“If their rhetoric and election year platforms are any indication – and they are – they’ll be tackling a number of health care related topics...”
T
hat dynamic carries over to Lansing in 2019, where 73 new lawmakers, a new governor, a new Secretary of State, and a new Attorney General look to put their stamp on state policy – and to fulfill big campaign promises. If their rhetoric and election year platforms are any indication – and they are – they’ll be tackling a number of health care related topics this year, including:
Medicaid expansion, pre-existing conditions, and health insurance coverage Democrats across the state, led by Governor Gretchen Whitmer, ran hard and ran consistently on their plans to protect Medicaid expansion and to defend coverage access for patients with pre-existing conditions. By the end of the election season, even conservative Republicans were brandishing their health care access bona fides. Many progressive Democrats ran promising to push the state and the nation towards single-payer, government controlled health care, as well. The tension between traditional Democrats and the more liberal members of their Party will be important to monitor, but changes that broad are unlikely in the near-term with Republicans maintaining control of both legislative chambers in Lansing, as well as the United States Senate.
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Michigan remains the epicenter of the national opioid crisis, and candidates from one corner of the state to the next worked to identify themselves as champions in the fight against addiction. Opioids also took center stage for moments during the gubernatorial contest. Physicians can expect lawmakers to continue working to identify opportunities to treat addiction and limit access to addictive pain killers.
Clean water and contamination treatment The Flint water crisis was one of the biggest issues in statewide races, with many local candidates weighing in as well. Later in the campaign cycle, reports of PFAS contamination also dominated headlines. While much of the conversation revolved around water infrastructure and environmental protections, the health care community’s leadership and ability as frontline defenders of those who have been exposed also generated buzz. The state’s physician community will have continued leadership opportunities in 2019 and beyond as the state works through contamination crises.
Health care transparency Health care transparency legislation targeting several industries from drug manufacturers to pharmacy benefit managers that were under consideration during the 20172018 legislative session are likely to take on new life in 2019 as lawmakers consider ways to curtail the cost of health care. Industry players like pharmaceutical companies, health insurers, hospitals and providers can expect to be subject to debates around what level of scrutiny is warranted to ensure consumers are provided with meaningful information to make the best decision for themselves and their families.
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LEGISLATIVE UPDATE
Michigan Legislature Dominated by New Names, Faces New Year, new Lansing. The 2018 election will bring new names and faces to the state Capital. While Democrats seized power at the top of the ticket, capturing the offices of the Governor, Secretary of State and Attorney General, Republicans maintained their majorities in the state House and Senate, but with significantly smaller margins.
Term limits and the proverbial “blue wave” means a disproportionate number of lawmakers taking the oath of office in January will be brand new to their positions. Specifically, of the 110 members of the state House, only 64 return as incumbents. Of the 38 members of the state Senate, only 8 incumbents return.
I
n the following pages, you’ll find legislative district maps highlighting the districts represented by first-term lawmakers, and a brief description of each new legislator. In this edition, you’ll also find a removable insert that lists all 110 members of the state House and all 38 members of the Senate, for your quick reference over the next two years. Be assured, the Michigan State Medical Society is on the frontlines, day in and day out, working with the Governor and lawmakers to ensure Michigan public policy fosters a medical practice environment that best positions physicians to serve their patients. We trust this resource will be useful as you get to know your own local legislator in the days and weeks to come.
GOVERNOR Gretchen Whitmer cruised to victory on November 6th. The East Lansing Democrat previously served in the state House and Senate, ultimately rising to the position of Senate Minority Leader during her second term in the Senate. Following her tenure in the legislature, she completed a term as Ingham County Prosecuting Attorney before pursuing her candidacy for Governor.
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Whitmer has also taught at both the University of Michigan and Michigan State University. Among her most prominent campaign issues was her fight as a lawmaker to secure the expansion of healthy Michigan, and her commitment as Governor to protect it.
ATTORNEY GENERAL A newcomer to state politics and a progressive Democrat, Dana Nessel won a tight race for Attorney General. A graduate of the University of Michigan and Wayne State University Law School, Nessel has worked as an assistant prosecutor and defense attorney. Nessel rose to prominence as the attorney for April DeBoer and Jayne Rowse, a case that ultimately overturned Michigan’s ban on gay marriage.
SECRETARY OF STATE Jocelyn Benson is a former dean of Wayne State University Law School, and served as CEO and executive director of the Ross Initiative in Sports for Equality, before winning her race to become Secretary of State. Benson is a well-known Democratic activist and party organizer, and is the author of Secretaries of State: Guardians of the Democratic Process.
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SENATE MAJORITY LEADER AND HOUSE SPEAKER The new legislature will also feature a pair of new legislative leaders – Senate Majority Leader Mike Shirkey and House Speaker Lee Chatfield. Shirkey, a Jackson County Republican, is entering his second term as a state Senator, and his first at the helm of the Senate Majority. The founder and owner of Orbitform, an engineering and manufacturing company, Shirkey holds a master’s degree from the University of Wisconsin and a bachelor's degree from General Motors Institute. He previously worked for General Motors in various management and engineering roles, and is the past board chair of Henry Ford Allegiance Health. Chatfield, a northern Michigan Republican entering his third term in the House, holds a master’s degree from Liberty University and a bachelor's degree from Northland International University. He previously served as a full-time high school teacher, coach, and athletic director at Northern Michigan Christian Academy, and he hosts summer sports camps for high school and local athletic associations.
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See inset 17
(Map for illustrative purposes only)
THE SENATE LIST District 1: Stephanie Chang, Democrat
District 4: Marshall Bullock II, Democrat
Chang served two terms in the state House before being elected this November to the state Senate. She previously worked as a community organizer in Detroit and helped lead the Center for Progressive Leadership in Michigan.
A former member of Detroit Mayor Mike Duggan’s staff, Bullock served as District 7 manager before his senate run. He is a lifelong Detroit resident.
District 2: Adam Hollier, Democrat
District 5: Betty Jean Alexander, Democrat A political unknown, Alexander secured a shocking primary victory over incumbent state Senator David Knezek before cruising to victory in the general.
Hollier is a 2nd Lieutenant in the United States Army Reserves. A Detroit native and former staffer for prominent Detroit lawmakers, he is a graduate of Cornell University.
District 6: Erika Geiss, Democrat
District 3: Sylvia Santana, Democrat Santana served one term in the state House before winning her race for state Senate. A 15 year veteran of the financial industry, prior to running for office Santana worked for ProsperUS Detroit, helping connect Detroiter entrepreneurs with training and small business lending programs.
Geiss served two terms in the state House, including a stint as assistant minority whip for the Democratic caucus. A graduate of Brandeis University, with an M.A. from Tufts University, Geiss formerly served as adjunct faculty at the Art Institute of Michigan-Troy. (CONTINUED ON PAGE 16)
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THE SENATE LIST – continued (see district map on page 15)
District 15: Jim Runestad, Republican
District 25: Dan Lauwers, Republican
District 7: Dayna Polehanki, Democrat
A two term state Representative before running for Senate, Runestad is a graduate of Central Michigan University and the owner of Runestad Financial Associates, an Oakland County insurance company.
The owner of Eastern Michigan Grain and a former leader at the National Milk Producers Federation, Lauwers moves to the Senate after previously serving in the House of Representatives.
Polehanki is a public school teacher, and was named her district’s 2018 Teacher of the Year. She also owns a small business focusing on film and television casting.
District 18: Jeff Irwin, Democrat
District 26: Aric Nesbitt, Republican
Lucido moves to the Senate after two terms in the state House. He is a licensed attorney, insurance agent, realtor, and security register representative.
Irwin served three terms in the state House of Representatives following two years as a Washtenaw County Commissioner. He has worked as an organizer with the League of Conservation Voters and helped develop the bipartisan “green tea” coalition to promote solar and energy freedom legislation.
District 29: Winnie Brinks, Democrat
District 9: Paul Wojno, Democrat
District 19: John Bizon, MD, Republican
Wojno moves to the Senate from the city of Warren, where he served through 2018 as City Clerk. Wojno previously served 3 terms in the state House of Representatives.
District 10: Michael MacDonald, Republican
Bizon is a Battle Creek otolaryngologist and past president of the Michigan State Medical Society. A former lieutenant colonel in the U.S. Air Force, Bizon earned his medical degree from Wayne State University and completed his residenty at Wilford Hall U.S. Air Force Medical Center.
MacDonald is vice president of the Michigan Air Force Association and holds a doctorate in health administration from the University of Phoenix.
District 20: Sean McCann, Democrat
District 11: Jeremy Moss, Democrat
McCann won the 20th state Senate seat in 2018 after falling only 61 votes short in 2014. A former state Representative and Kalamazoo City Commissioner, he is a graduate of Western Michigan University.
District 8: Peter Lucido, Republican
Moss moves from the state House to the Senate. A former Southfield City Councilman and House Democratic staffer, Moss is a graduate of Michigan State University.
District 12: Rosemary Bayer, Democrat Bayer is the co-founder of the Michigan Council of Women in Technology Foundation, and holds degrees from Central Michigan University and Lawrence Technological University. She lives in Beverly Hills.
District 13: Mallory McMorrow, Democrat McMorrow is a former product designer for Mattel, working on the company’s Hot Wheels toy line. A New Jersey native, McMorrow lives in Royal Oak.
District 14: Ruth Johnson, Republican Johnson previously served two terms as Michigan Secretary of State. She was the first woman elected Oakland County Clerk, and also served 3 terms in the state House of Representatives.
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District 21: Kim LaSata, Republican LaSata moves from the House to the Senate. Prior to her time in the legislature, LaSata taught 5th grade students at Lake Michigan Catholic Schools, and was named Teacher of the Year in 2015.
District 22: Lana Theis, Republican The former Brighton Township Treasurer is moving to the Senate after two terms in the state House of Representatives. Theis is a graduate of Cal State Fullerton, with a degree in biology.
District 24: Tom Barrett, Republican Barrett serves in the Michigan Army National Guard as a helicopter pilot, and is a veteran of both Operation Enduring Freedom and Operation Iraqi Freedom. He has been awarded multiple Army Commendation Medals, and joins the Senate after two terms in the state House.
Nesbitt is a former three term member of the state House and most recently served as state Lottery Commissioner. He and his family operate a grape and dairy farm in south west Michigan.
Brinks joins the Senate after three terms as a state Representative. She is a former caseworker at The Source in Grand Rapids, and past executive director of a nonprofit corrections agency.
District 30: Roger Victory, Republican Term limited out of the House, Victory operates Victory Farms in Ottawa County. He is the past president and chair of the Ottawa County Farm Bureau.
District 31: Kevin Daley, Republican Daley owns and operates a family dairy farm. He is a former state Representative.
District 33: Rick Outman, Republican A veteran of the U.S. Army and the U.S. Army National Guard, Outman served three terms in the state House of Representatives before running for state Senate.
District 34: Jon Bumstead, Republican Bumstead founded and operates Bumstead Construction, specializing in building and remodeling homes. He previously served three terms in the state House.
District 35: Curtis VanderWall, Republican A first-term House member, VanderWall is the former chair of the Mason County Board of Commissioners and the owner of Turf Care Mole Man Pest Control.
District 38: Ed McBroom, Republican McBroom is a dairy farmer and substitute teacher from Dickinson County. He recently completed his third term in the state House of Representatives.
District 25: Nate Shannon, Democrat Shannon was twice elected to the Sterling Heights City Council and is a public school teacher in the L’Anse Creuse Public Schools.
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District 28: Lori Stone, Democrat
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Stone is a public school teacher from Warren.
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District 29: Brenda Carter, Democrat
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(Map for illustrative purposes only)
District 2: Joseph Tate, Democrat
District 9:
Tate is a veteran of the U.S. Marine Corps and holds an MBA and Master of Science from the University of Michigan.
Whitsett is a community organizer from Detroit.
District 4: Isaac Robinson, Democrat
Garza previously served two terms on the Taylor City Council, and is a former legislative aide for a number of Democratic lawmakers.
Karen Whitsett, Democrat District 12:
Alex Garza, Democrat
District 16:
Kevin Coleman, Democrat
District 5: Cynthia Johnson, Democrat
Coleman is a former mayoral candidate and member of the Westland City Council.
Johnson has spent her career in law enforcement, working as a probation and parole agent, a victim witness advocate, and corrections officer.
District 19:
District 6: Tyrone Carter, Democrat A veteran of the Wayne County Sheriff’s office, Carter is the president of the Original United Citizens of Southwest Detroit.
District 35: Kyra Harris Bolden, Democrat A graduate of Grand Valley State University, Harris Bolden later attended Detroit Mercy School of Law. She served as commissioner on the Total Living Commission for the city of Southfield and on numerous boards and associations.
District 36: Doug Wozniak, Republican
THE HOUSE LIST
The son of an outgoing lawmaker, Robinson is a former legislative staffer with the Detroit City Council. He has also worked for a number of labor organizations.
An organizer of the Million Woman March, Carter served in 2018 as President of the Pontiac School District Board of Education and Michigan Association of School Board Directors.
Laurie Pohutsky, Democrat A Democratic activist, Pohutsky is a graduate of Michigan State University.
District 20:
Matt Koleszar, Democrat Koleszar is an English and social studies public school teacher in the Airport Community Schools.
Wozniak is a practicing attorney and served 3 terms on the Shelby Township Board of Trustees before his election to the state House.
District 39: Ryan Berman, Republican Berman is an attorney, activist, and a graduate of Michigan State University and Wayne State University.
District 40: Mari Manoogian, Democrat The graduate of George Washington University previously worked in the Office of English Language Programs and the Office of eDiplomacy at the U.S. State Department.
District 41: Padma Kuppa, Democrat Kuppa is a contributor to MetroParent Magazine and previously worked as a project manager for Chrysler. Born in India, her family moved to the United States in the early 1980s. (CONTINUED ON PAGE 18)
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District 55: Rebekah Warren, Democrat Warren moves to the House after completing two terms in the state Senate. She is the former executive director of NARAL Pro-Choice Michigan.
District 62: Jim Haadsma, Democrat A personal injury attorney, Haadsma formerly served on the Calhoun County Commission.
District 63: Matt Hall, Republican Hall is a longtime GOP activist who worked previously for the Michigan attorney general’s office.
District 65: Sarah Lightner, Republican Lightner served as a Jackson County Commissioner before winning a seat in the House. She is a former paralegal, and operates a small crop farm and deer processing business.
District 67: Kara Hope, Democrat Hope moves to the House from the Ingham County Board of Commissioners, where she served since 2012. She is the founding president of the Holt Community Art Council and a former adjunct professor at Cooley Law school.
District 68: Sarah Anthony, Democrat
THE HOUSE LIST – continued District 42:
Serving on the Ingham County Board of Commissioners when she was elected to the House, Anthony is a former legislative staffer and holds a masters degree from Western Michigan University.
Ann Bollin, Republican
District 48: Sheryl Kennedy, Democrat
Brighton Township Clerk since 2003, Bollin in 2018 served as a member of the Michigan Township Association Board of Directors and is past president of Livingston County Municipal Clerks Association.
A self-described moderate, Kennedy taught for 22 years before becoming a public education administrator for the Birmingham and Walled Lake school districts.
District 43:
District 49: John Cherry, Democrat
District 71: Angela Witwer, Democrat
The son of the former Lieutenant Governor, Cherry comes to the legislature after years working for the Michigan Department of Natural Resources Office of Science and Policy.
Witwer is president of Edge Partnerships, with an extensive background in Lansing’s health care industry. She worked 22 years for Sparrow Health System, in both the burn unit and as manager of pediatric rehabilitation.
District 51: Mike Mueller, Republican
District 73: Lynn Afendoulis, Republican
Mueller is a U.S. Navy veteran. He returned home to serve in the Washtenaw Sheriff’s Department and the Livingston County Sheriff Department. He also owns and operates a family farm, Mueller’s Orchard.
Afendoulis is a former reporter with the Grand Rapids Press. She spent 15 years as director of corporate communications and community relations for Universal Forest Products before running for office.
Andrea Schroeder, Republican A former kindergarten teacher, Schroeder served as an Independence Township Board Trustee and as director of the ACE Academy.
District 44:
Matt Maddock, Republican Maddock made his name in state politics as a prominent backer of President Donald Trump. He is the President of A=1 Bail Bonds, and a licensed private detective.
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District 69: Julie Brixie, Democrat Brixie served as Meridian Township treasurer for 10 years before joining the House. She holds a master’s degree from Michigan State University, and previously worked as an environmental consultant.
District 74: Mark Huizenga, Republican
District 81: Gary Eisen, Republican
District 93: Graham Filler, Republican
Huizenga was twice elected mayor of Walker before running for state House. He also worked as a self-employed health care consultant, and owns a software company that specializes in hospital resource and waste management.
Eisen owns a welding and fabricating business, as well as a personal protection training company offering CCW and CPL classes.
Filler has worked as an assistant Attorney General since 2011, where he has specialized in health care and energy issues. His wife is a physician in Lansing.
District 76: Rachel Hood, Democrat
District 84: Phil Green, Republican
District 94: Rodney Wakeman, Republican
A former National Sheriff’s Association Chaplain of the Year, Green entered politics after working as a school administrator and assistant pastor at Juanita Christian School in Vassar.
Wakeman is the owner and director of Wakeman Funeral Homes. He was appointed in 2011 to the Michigan State Board of Examiners in Mortuary Science, and served as chairman since 2017.
District 88: Luke Meerman, Republican
District 98: Annette Glenn, Republican
District 78: Brad Paquette, Republican
Meerman is a 5th generation dairy farmer. He and his wife own A&L Machinery Repair in Coopersville.
Paquette is a public school teacher from Niles, where he also served on the local planning commission. He is originally from the Upper Peninsula, and is a graduate of Northern Michigan University.
District 90: Bradley Slagh, Republican
Glenn replaces her husband, Gary, in the state House. She is a mother of 5, and previously worked as a Republican legislative staffer and campaign manager.
The former leader with the West Michigan Environmental Action Council, Hood spent her career before politics as a grant strategist and project manager at Chase Park Grants and Dig Deep.
District 79: Pauline Wendzel, Republican A newcomer to politics, Wendzel spent her career as a sales and marketing manager for Coloma Frozen Food, Inc., and worked as programs director for North Berrien Historical Museum.
Slagh joins the House after serving for 10 years as Ottawa County Treasurer. He previously worked in banking, and holds a real estate sales license.
District 101: Jack O’Malley, Republican O’Malley worked as the morning radio show host on WTCM for 30 years, before entering politics.
District 91: Greg VanWoerkom, Republican
District 110: Gregory Markkanen, Republican
The board president of Western Michigan Christian High School, VanWoerkom also serves on the board for the United Way of the Lakeshore.
Markkenen is a high school history, civics, and geography teacher. He previously taught for Gogebic Community College, as well.
“Be assured, the Michigan State Medical Society is on the frontlines, day in and day out, working with the Governor and lawmakers to ensure Michigan public policy fosters a medical practice environment that best positions physicians to serve their patients. We trust this resource will be useful as you get to know your own local legislator in the days and weeks to come.”
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LEGISLATIVE UPDATE
MSMS Legislative & Regulatory Platform Insurance and Regulatory Advocacy
The following provides an overview of some of the top issues that comprise the Michigan State Medical Society’s legislative and regulatory advocacy platform. These are the ongoing issues we are monitoring annually on behalf of our 15,000 physician members.
Medicaid
Support mental health parity
Seek funding parity with Medicare
Advocate for adequately sized physician networks
Oppose taxes that are limited only to physicians
Regulate narrow networks Appropriate access to telemedicine
Seek funding sources that are fair and sustainable
Advocate regulation of silent PPO/ rental networks
Support state funding for the Healthy Michigan Plan
Reduce unnecessary administrative costs
Ensure access to primary care physicians and sub-specialty physicians
Public Health and Prevention
Professional Liability
Restore Michigan's helmet law
Preserve existing tort reforms
Support vaccine availability and oppose efforts to weaken Michigan’s vaccine laws
Advocate for higher negligence thresholds in medical liability cases
Reduce prescription drug diversion Ensure appropriate access to pain medication Reduce childhood environmental hazards Support efforts to reduce unintended pregnancies Support school-based nutrition and exercise standards Reduce gun violence through health screening, patient counseling and expanded access to mental health services
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Eliminate the lost opportunity doctrine
Physician Supply and Training Increase graduate medical education funding at state level Minimize burden of medical school debt
Insurance Contracting Reform Limit retroactive audit timeframes Support adequate disclosure of fee screens Support appeals process that includes independent reviews Prohibit down-coding in purposes of determining medical necessity
Scope of Practice
Restore legislative intent of tort reforms related to meaningful caps on non-economic damages
Support education over legislation as the means of increasing scope of practice
Restore legislative intent of tort reforms related to court rules and procedures to level the playing field for physicians
Oppose independent prescriptive authority by non-physicians
Seek pilot projects of medical courts and other non-judicial alternatives to the tort system
Support patient right-to-know/health professional credentials disclosure
Advocate liability relief for legislatively mandated standards of practice
Support the physician-led team-based approach to health care
2019 MSMS Legislative Priorities The following are the legislative issues the
Team-based Care/Scope of Practice
medical society is prioritizing in 2019.
Patients are best served by a team-based approach that provides the maximum amount of choice for their care while ensuring that they benefit from the additional training and expertise having a physician on the team. A highly functioning health care team is the best way to serve patients while addressing access issues, rather than legislation that creates silos. MSMS will continue to promote the role of the physician as the leader of the health care team and oppose any efforts to expand allied health professionals scope of practice that may put patients at risk.
The majority of our resources and efforts will be dedicated to action on these issues.
Prior Authorization Reform The prior authorization process diverts valuable resources away from direct patient care, can delay the start or continuation of necessary treatment and can negatively impact patient health outcomes. MSMS will work closely with the legislature, regulators and stakeholders on ways to streamline, standardize and make the prior authorization process more transparent and evidence-based.
Graduate Medical Education (GME) Studies repeatedly demonstrate that one of the best ways to recruit and retain physicians is via local medical schools and residency programs. GME helps fill the gap in under-served areas by providing extremely low-cost care to those most in need. Michigan has been a leader in expanding medical school class sizes to address the projected demand for physician services, it is imperative that we continue to fund GME slots to allow these future physicians to learn here in Michigan, train here in Michigan, and stay here in Michigan.
Auto No-Fault Reform Michigan has been a leader in providing care to those injured in auto accidents by virtue of our no-fault statute. For 40 years, Michigan has required drivers to purchase coverage in the unfortunate event of a catastrophic injury. Unlike other states that burden taxpayers by allowing the injured to be shifted to the Medicaid program or increase uncompensated load on physicians and facilities. That said, reforms to the current system are needed. MSMS will continue to work with its partners in the Coalition for Protecting Auto No-Fault (CPAN) on reforms that bring fairness to insurance rates, increase transparency, crack down on fraud, reduce lawsuits and lower health care prices for accident victims.
Addressing Substance Abuse in Michigan In late 2017, Michigan passed a series of opioid laws in an effort to address the state’s opioid epidemic. Several unintended consequences emerged as the laws took effect, some of which could negatively impact patient care and access to legitimate pain medication. Moreover, the laws failed to adequately address barriers to treatment. The rise of prescription drug abuse is a growing concern among the physician community, however, it is important that solutions do not have the unintended consequence of denying access to pain patients. MSMS will be working to pursue solutions that focus on all areas of illicit prescription drug use, not just the interaction between the patient and the physicians. On November 6, 2018, Michigan voters approved a ballot initiative making recreational marijuana use legal in Michigan. In the face of changing societal attitudes and relaxing state and local policy, the need to raise awareness around the dangers associated with the normalization of marijuana use has never been greater. MSMS will seek to partner with lawmakers, state regulators and other stakeholders to ensure the proper laws, rules and regulations are in place to protect the public.
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THE FUTURE OF HEALTHCARE: A NATIONAL SURVEY OF PHYSICIANS
Doctors Conflicted, but Patients Still Top Concern By Bill Fleming, Chief Operating Officer, The Doctors Company
Physicians are concerned about the quality of care they provide to patients— that is, after all, the reason they chose the profession. But physicians today report being so disappointed with the present state of medical practice, that 7 out of 10 say they cannot recommend the profession to their children or other family members.
T
hat’s the message from the 2018 Future of Healthcare survey, featuring responses and comments from more than 3,400 physicians nationwide. Conducted by The Doctors Company, the nation’s largest physician-owned medical malpractice insurer, the survey reveals a complicated picture about the attitudes of physicians towards the state of healthcare. The survey results indicate that in the future, healthcare will likely be much different than what providers and patients are accustomed to today. The number of physicians may continue to decrease, with fewer entering the profession and many practicing physicians retiring in the next five years. Patients may no longer see a physician for non-critical conditions, as advanced practice providers such as nurse
practitioners and physician assistants will likely fill the gap. And while practice consolidation appears to have slowed, evolving technologies and reimbursement models are viewed as encumbrances to the most important reason doctors practice medicine: caring for patients.
Below are some of the survey's most relevant findings:
54% believe current electronic health record (EHR) technology is having a negative impact on the physician/patient relationship. 62% say they don’t plan to change practice models within the next five years. 54% contemplate retirement within five years due to changes in healthcare.
54%
62%
54%
BELIEVE CURRENT ELECTRONIC HEALTH RECORD (EHR) TECHNOLOGY IS HAVING A NEGATIVE IMPACT ON THE PHYSICIAN/PATIENT RELATIONSHIP.
OF DOCTORS SAY THEY DON'T PLAN TO CHANGE PRACTICE MODELS WITHIN THE NEXT FIVE YEARS.
OF DOCTORS CONTEMPLATE RETIREMENT WITHIN FIVE YEARS DUE TO CHANGES IN HEALTHCARE.
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Contributed by The Doctors Company
thedoctors.com
SEVEN OUT OF 10 PHYSICIANS ARE WILLING TO RECOMMEND HEALTHCARE AS A PROFESSION.
And physicians were clear in their comments. “If I had to start today, I would choose another field of endeavor,” said one. Another opined, “We love what we do, but…we need to restore the dignity back to the physician-patient relationship.” While many say they are disheartened with medicine, it gives us hope that the unique passion physicians possess for patient care remains. As one California surgeon noted: “There is no other life I would choose, regardless of compensation or regulation.” Despite the cautionary notes these results strike for the future, they still give some reason for optimism. Younger doctors shared a more positive perspective of EHRs. Moreover, after a period of relative flux in practice models, doctors now an-
“Clearly changes are coming. I hope physicians can focus on helping patients while managing a balanced lifestyle to ensure that their personal needs are adequately attended to.”
ticipate that their practice settings will stabilize over the next five years. The vast majority say they will not change practice models in the near future. This structural solidification may give patients more reassurance and predictability when it comes to their healthcare experiences.
What can be done to reverse some of the disenchantment? Based on the responses to this survey, we need to think long-term. Physician disenchantment may ultimately change the face of healthcare as we know it. As it stands today, by 2020 we will already reach a tipping point, with more primary care physicians retiring than graduating from primary care residencies across the US. From this alone, we can predict a re-
“There is a need for integrated EMR connecting hospitals and doctor offices. Documentation and compliance could be automatically obtained and not require redundant input and authorizations.”
shaping of services, with physician assistants and nurse practitioners composing more of the family practice workforce. The medical profession is emerging from a period of uncertainty. The use of EHRs is finally becoming familiar, if not popular. And though new business structures and pricing methods might not be second nature, the challenges are at least better understood. To help advance the practice of good medicine, surveys like the Future of Healthcare are instructive and vital. Doctors deserve a loud voice in the healthcare debate, so that quality care and the doctor-patient relationship are the cornerstone of every decision.
“The Federal government should leave the practice of medicine to physicians. The increased regulatory demands of valuebased medicine are overwhelming.”
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michigan MEDICINE® 23
Welcome New Members Genesee
Monroe
Washtenaw
Kerri Neville, MD
Elisa Coccimiglio, MD
Laura Katz, MD
Kassia Biddle, MD
Paul Pokrandt, MD
Casey Branach, MD
Patricia Poling, MD
Tori Edmiston, MD Dale Hanson, MD
Muskegon
Michael Buist, MD
Tanav Popli, MD
Salwa Mohamedahmed, MD
William Alling, DO
Kimberly Casten, MD
Melissa Rafferty, MD
Jason Chua, MD
Reza Roohanirad, MD
Grand Traverse/
Oakland
Michael Connolly, MD
Abhishek Satishchandran, MD
Benzie/Leelanau
Arjun Dupati, MD
Robin Cook, MD
Kevin Sethi, MD
Nashwa Khogali-Jakary, DO
Laura Crespo Albiac, MD
Mary Shen, MD
Arshi Lehal MD, DDS
Braydon Dymm, MD
Michelle Shnayder, MD
Tarana Mohammadi, MD
Johnathan Gabison, MD
Leigh Swartz, MD
Robert Pinney, MD
Elise Gross, MD
Elias Taxakis, MD
Abhishek Sharma, MD
Xin He, MD
Molly Tokaz, MD
Hassan Turaihi, MD
Nicholas Herrman, MD
Valeria Valbuena, MD
Christine Wade, MD
Michael Hesseler, MD
Raymond Van Ham, MD
Michael Hicks, MD
Rafael Wabl, MD
Ottawa
Mai Himedan, MD
Glenn Wakam, MD
April Yuki, MD
Victoria Hoch, MD
Adam Was, MD
Jessica Hoffman, MD
William Weir, MD
Saginaw
Katherine Holste, MD
Joel Wilkie, MD
Nicholas Haddad, MD
Harris Imam, MD
Aaron Williams, MD
Wynee Lou, DO
Yasmine Kahok, MD
Amoah Yeboah-Korang, MD
Venkat Maganti, MD
Bryan Kunkler, MD
Raymond Yeow, MD
John Ludwig, MD
Thomas Zimmer, MD
Curtis Cummins, MD Paul Lee, MD Michael Morris, MD
Ingham Shady Shebak, MD
Kalamazoo Vincent Keszei, MD
Kent Julie Akright, DO Habiba Hassouna, MD
Livingston Thomas Floyd, DO Viken Matossian, MD
St Clair
Jessie Marshall, MD
Omar Turk, MD
Kunal Mathur, MD
Wayne
Brandon Meyer, MD
Barika Butler, MD, MHCM
Alexandra Miller, MD
Mohammad Salameh, MD
Rachel Nayak, MD
Ernest Yoder, MD, PhD, MACP
Macomb Sarah Diaz, DO Lizabeth Giles, DO
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ACEMAPP Careers MSMS.ACEMAPP.ORG ACEMAPP Careers uses advanced algorithms to match health care students and professionals to opportunities that fit their needs based on experience as well as specialty, schedule and location preferences. New opportunities are always being added, so be sure to log in regularly to review your matches.
If you haven’t already, create your free online profile at msms.acemapp.org to begin matching with opportunities that meet your needs. Benefits include: • Email alerts when a job matches your specialty, schedule and location preferences • CE Tracking tool to document continuing education credits
MEDITATION & MINDFULNESS FOR PROFESSIONAL PRACTICES Are you looking for a life of more peace and fulfillment, at home and at the office? Meditation practice is scientifically proven to reduce stress and increase happiness. Contact Dawn to learn more!
Practices for Sale ANN ARBOR COSMETIC SURGERY CENTER Boutique Plastic Surgery practice with approved surgery room. Physician with reputation of good work, is selling a part time practice grossing one million per year. All set up, ready to go. Business comes by word of mouth and repeating patients. Business/Real Estate asking $750,000. Open Saturdays and/or do more procedures and you should do even better.
TAYLOR MICHIGAN INTERNAL MEDICINE PRACTICE Long standing Internal Medicine practice has history. Physician Owner has chronic illness, needs to sell and you can get a real bargain. Practice and Real Estate available. Call Joe for more details. ADDICTION/FAMILY MEDICINE CLINIC GROSSING OVER $1.3 MILLION PER YEAR Southgate Michigan, Family Practice clinic added Addiction Medicine before Pain Management became topic. Nice clean and controlled practice can pick and choose patients. Patient referrals and word of mouth keep slowing building both sides of business. 10 exams rooms, set up for multiple providers lots of room to grow. Asking $760,000 for Real Estate and Business. Leases are possible.
URGENT CARE Westland, across from the mall. Urgent Care has undergone 1-2 years of loss and big investment is now turning a profit. Physician/Owner has reasons personal and private to sell. Nice new and professional interior, good signage. A couple mid levels available and patients that come back for Healthcare. You want an Urgent Care? This is the best way to cut your investment in less than half. Buy this clinic at $149,900.
Always new listings each month. If you do not see what you seek, call us! Joe Zrenchik, Broker 248-240-2141 (cell) • 734-808-0147 (eFax) bestdoctors@yahoo.com 248-919-0037(office)
Dawn AG Kulongowski, DDS Certified Meditation Teacher dawngk@PeacefulPractice.com
www.PeacefulPractice.com
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www.michiganmedicalpractices.com Thinking about retirement, relocation or expansion of your medical practice? We have buyers and sellers for primary care, internal medicine and cardiology practices.
In Memoriam MEMBERS OF THE MICHIGAN STATE MEDICAL SOCIETY REMEMBER THEIR COLLEAGUES WHO HAVE DIED.
BERTON J. MATHIAS, MD GENESEE COUNTY MEDICAL SOCIETY 10/30/18
JAMES E. PACKER, MD SAGINAW COUNTY MEDICAL SOCIETY 11/15/18
PETER D. VAN VLIET, MD KENT COUNTY MEDICAL SOCIETY 11/23/18
JACK A. BROWN, MD BARRY COUNTY MEDICAL SOCIETY 12/2/18
x
TO MAKE A GIFT OR BEQUEST: CONTACT REBECCA BLAKE, DIRECTOR, MSMS FOUNDATION CALL 517-336-5729 OR EMAIL RBLAKE@MSMS.ORG
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michigan MEDICINE® 27
Educational Offerings MSMS On-Demand Webinars
For a complete listing of On-Demand Webinars visit:
Webinars Offering CME:
Free CME Webinars:
Balancing Pain Management and Prescription Medication Abuse: Chronic Pain and Addiction*
2018 Prescribing Legislation* (part of the Pain and Symptom Management Series)
CDL-Medical Examiner Course
Choosing Wisely Part 1 - Stewards of our Health Care Resources
From Physician to Physician Leader
Choosing Wisely Part 2 - Change Strategies to Implement Choosing Wisely
HEDIS Best Practices
Health Care Providers' Role in Screening and Counseling for Interpersonal and Domestic Violence: Dilemmas and Opportunities
HIPPA Security and Meaningful Use Compliance Human Trafficking*
In Search of Joy in Practice: Innovations in Patient Centered Care
Inter-professionalism: Cultivating Collaboration
Legalities and Practicalities of HIT - Cyber Security: Issues and Liability Coverage
Medical Ethics – Conscientious Objection among Physicians*
Legalities and Practicalities of HIT - Engaging Patients on Their Own Turf: Using Websites and Social Media
Opioids and Michigan Workers' Compensation Webinar Patient Portals as a Tool for Patient Engagement
MACRA Series
Pain and Symptom Management Series*
Key Things You Should Know About MACRA
Pain and Opioid Management 2017*
Roadmap for Getting Started
The CDC Guidelines*
MACRA: Alignment Strategy
Treatment of Opioid Dependence*
The Role of Documentation
The Role of the Laboratory in Toxicology and Drug Testing*
Technology Survival Tips to Tackle MACRA
Michigan Automated Prescription System (MAPS) Update
Navigating Need to Know Resources
MAPS Update & Opportunities The Current Epidemic and Standards of Care Balancing Pain Treatment and Legal Responsibilities Physician Online Rating and Reviews: Do's and Don'ts Preparing for the Medicare Physician Value-Based Payment Modifier What's New in Labor and Employment Law *Fulfills Board of Medicine Requirement
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MACRA’s Quality Payment Program: Highlights for 2018
Taking Control of MACRA with a QCDR Michigan Automated Prescription System (MAPS) Update* (part of the Pain and Symptom Management Series) MAPS Update and Opportunities* (part of the Pain and Symptom Management Series) Section 1557: Anti-Discrimination Obligations Understanding and Preventing Identity Theft in Your Practice
*Fulfills Board of Medicine Requirement
Visit msms.org/OnDemand for complete listing of On-Demand Webinars. Register online at msms.org/eo or call the MSMS Registrar at 517-336-7581.
msms.org/OnDemand
Coding and Billing Webinars
Upcoming Educational Conferences – REGISTER TODAY! 2019 Spring Scientific Meeting
Billing 101
Morning, afternoon and evening clinical courses available
Claim Appeals
Date: Thursday, May 16 and Friday, May 17
Complete Coding Updates for 2018
Location: DoubleTree Hotel, Dearborn
Compliance in the Office
Note: Continental breakfast and lunch will be provided
Credentialing
Intended for: Physicians and all other health care professionals
ICD-10 for 2017 & Routine Waiver of Co-pays
Contact: Marianne Ben-Hamza 517/336-7581 or mbenhamza@msms.org
ICD-10 What We Have Learned & What We Need to Know Managing Accounts Receivable Reading Remittance Advice Tips and Tricks on Working Rejections Year-End Wrap Up *Fulfills Board of Medicine Requirement
154th MSMS Annual Scientific Meeting Morning, afternoon and evening clinical courses available. Date: Wednesday, October 23 - Saturday, October 26 Location: Sheraton Detroit Novi Hotel, Novi Note: Continental breakfast and lunch will be provided. Intended for: Physicians and all other health care professionals Contact: Marianne Ben-Hamza 517/336-7581 or mbenhamza@msms.org
23rd Annual Conference on Bioethics Date: Saturday, November 2 Location: Holiday Inn, Ann Arbor Note: Continental breakfast and lunch will be provided Intended for: Physicians, bioethicists, residents, students, other health care professionals, and all individuals interested in bioethical issues. Contact: Beth Elliott at 517/336-5789 or belliott@msms.org.
Register online: www.msms.org/eo Or call the MSMS Registrar : 517-336-7581
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michigan MEDICINEÂŽ 29
ADVOCACY
Five Reasons to
BACK the PAC The Michigan Doctors’ Political Action Committee (MDPAC) builds and maintains strong relationships with lawmakers, as well as candidates running for political office. As the face of physicians, MDPAC bring medical knowledge into
Activate your political voice! The Michigan Doctors’ Political Action Committee (MDPAC) is the political arm of the Michigan State Medical Society. It is a bipartisan political action committee made up of physicians, their families, residents, medical students and others interested in making a positive contribution to the medical profession through the political process. MDPAC supports pro-medicine candidates running for political office in Michigan. Physician engagement is essential to the success of a pro-medicine legislature. Current and potential lawmakers want and need to hear from professionals in the field of medicine. Through MDPAC, you will activate your voice on the things most important to Michigan physicians.
discussions with political decision makers.
For more than three decades, MDPAC has mounted successful lobbying efforts on behalf of physicians. For example... MDPAC protects and strengthens tort reform, stopped the physician’s tax, and has
helped to stop the expansion of a non-physician’s scope of practice. MDPAC has power, prestige and respect! If you wake your sleeping giant, MDPAC could make rapid, positive change for physicians and patients. It could ease administrative pressures with the current prior authorization process, save you money
and time on your Maintenance of Certification, and advance public health issues.
Trial lawyers, insurance companies, and other political opponents raise massive sums of money. Medicine’s friends, through MDPAC, must dig deeper to raise equivalent or greater amounts of funds to advance Michigan
physician’s agenda.
Get started today at MDPAC.org
The current political landscape is uncertain. Only through a well-funded, unified voice will physicians and their patients’ interests be heard. MDPAC is that voice. Get your voice heard by contributing today at MDPAC.org
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