Spring 2013: Volume 24, Number 2 by Michigan Osteopathic Association

triad SPRING 2013 VOLUME 24 ISSUE 2

THE AWARD WINNING JOURNAL OF THE MICHIGAN OSTEOPATHIC ASSOCIATION

SPECIAL CONVENTION PREVIEW

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You deserve more than a little gratitude for a career spent practicing good medicine. That’s why The Doctors Company created the Tribute Plan. This one-of-a-kind benefit provides our long-term members with a significant financial reward when they leave medicine. How significant? Think “new car.” Or maybe “vacation home.” Now that’s a fitting tribute. The Michigan State Medical Society exclusively endorses our medical malpractice insurance program, and we are a preferred partner of the Michigan Osteopathic Association. To learn more about our program benefits, call our East Lansing office at (800) 748-0465 or visit www.thedoctors.com/tribute.

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TA B L E O F C O N T E N T S

FEATURES

114th Annual Spring Scientific Convention Schedule

Keynote Presentations

Practice Managers Program

Hotel Information & Attractions

New Method for Obtaining CME Credit at the Spring Convention

Scientific Research Exhbit

Student Program

Intern-Resident Program

Exhibit Hall Shows POP, WOW and ZAP

Registration Information

The Doctors Company

Health Care Reform Pay or Play

DEPARTMENTS

Editor’s Notebook

President’s Page

AMOA News

Intern-Resident Program

Dean’s Column

Advertiser Index

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BE BOLD WITH LEAN BEEF Heard the good news about lean beef? The latest research presents a new way of thinking: lean beef can be part of a solution to one of America’s greatest health challenges—eating for a healthy heart. A study published in the American Journal of Clinical Nutrition found that participants in the BOLD (Beef in an Optimal Lean Diet) study experienced a 10% decrease in LDL cholesterol from baseline when they ate lean beef daily as part of a heart-healthy diet and lifestyle containing less than 7% of calories from saturated fat.*1

Setting the Record Straight This ground-breaking clinical study substituted lean beef for white meat as part of an overall heart-healthy diet and found the improvements in LDL cholesterol seen on the beef-containing diets were just as effective as DASH (Dietary Approaches to Stop Hypertension).

MANY LEAN CUTS Lean beef is easily served with vegetables, whole grains and low-fat dairy—improving taste, satisfaction and providing essential nutrients. And many of the most popular cuts of beef—like Top Sirloin steak, Tenderloin and 95% lean Ground Beef— meet the government guidelines for lean.

TEN ESSENTIAL NUTRIENTS Packed with high-quality protein, lean beef provides a satisfying, nutrient-rich experience. A 3-ounce serving of lean beef contains 150 calories on average and is a good or excellent source of ten essential nutrients, including iron, zinc and B-vitamins.2 Scan to view the BOLD fact sheet

PART OF A HEART-HEALTHY PLAN PATIENTS WILL LOVE Lean beef can be a deliciously welcome and satisfying choice in a heart-healthy diet. Help your patients increase meal ﬂexibility by including lean beef among other heart-healthy choices on their shopping lists. Learn more about the many nutritional and heart health beneﬁts of lean beef at:

Funded by The Beef C koff

* Subjects that consumed the BOLD diet experienced a 10.1% decrease in LDL cholesterol compared to baseline. In comparison to the Healthy American Diet, subjects experienced a 4.7% decrease in LDL cholesterol on the BOLD diet. 1 Roussell MA, Hill AM, Gaugler TL, West SG, Vanden Heuvel JP, Alaupovic P, Gillies PJ, and Kris-Etherton PM. Beef in an Optimal Lean Diet study: effects on lipids, lipoproteins, and apolipoproteins. Am J Clin Nutr 2012; 95(1):9-16. 2 USDA, ARS. 2011. USDA National Nutrient Database for Standard Reference, Release 24. Nutrient Data Laboratory Home Page, http://www.nal.usda.gov/fnic/foodcomp/search/

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The Michigan Beef Industry Commission www.mibeef.org

e d i t or’s no t eboo k

by ROBERT G.G. PICCININI, D.O., dFACN

This year, the Michigan Osteopathic Association’s (MOA) largest convention will be held May 15-18, 2013 at the Suburban Collection Showplace in Novi, Michigan. The 114th Annual Spring Scientific Convention, like the practice of medicine, is changing in many ways: First and foremost, the convention, which brings more than 1,000 osteopathic physicians together, will be hosted in a new location – the Suburban Collection Showplace. Located at 46100 Grand River Avenue in Novi, the Suburban Collection Showplace is Southeastern Michigan’s premier exposition, conference and banquet center. With both exhibit and conference space conveniently located near each other, the Suburban Collection Showplace will offer a greater opportunity of building relationships with our peers, medical students and business partners. Secondly, the MOA has developed a simplified and convenient method for you to obtain continuing medical education (CME) credit for the 114th Annual Spring Scientific Convention through a webbased convention attestation, evaluation and CME system. Under this reporting system you may obtain a Certificate of Attendance and/or a CME Certificate for your participation in the 114th Annual Spring Scientific Convention by completing online evaluations for all of the educational sessions you attend along with an attestation of your participation. It is also important to know that this system provides the only way to obtain a Certificate of Attendance and/or a CME Certificate for the 114th Annual Spring Scientific Convention and for MOA to report your CME hours to the AOA. Complete instructions will be provided in the on-site program, however, please know you will be required to scan your badge, complete with barcode, twice per day – once in the morning and once in the afternoon. Thirdly, overnight accommodations will be available through our host hotel, Sheraton Detroit Novi Hotel. Located at 21111 Haggerty Road in Novi, the hotel will provide free shuttle service to and from the Suburban Collection Showplace at designated times. The MOA also recommends The Baronette Hotel and the Crowne Plaza Hotel Detroit-Novi. Further information may be found on our website at www.mi-osteopathic.org/2013SpringConvention. While all of the changes are either procedural or logistical, I assure you the sessions at this year’s convention remain high in quality. With up to 30 AOA Category 1-A continuing medical education credits offered, this year’s spring scientific convention hosts sessions including osteopathic manipulative medicine, cardiology, stroke, wilderness/environmental medicine, clinical updates, patient/physician protection updates and much more. Additionally, there are many specialty credits available, including AOBIM, AOBFP, AOBS, AOBOG, AOBD and AOBEM. Of course, credits do vary. I encourage all of you to register before April 26 so you receive the early registration fee.See you in May! Robert G.G. Piccinini, D.O., dFACN is TRIAD co-editor-in-chief and a member of the MOA Board of Trustees. He can be reached at rggpiccinini@gmail.com.

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P R E S ID E N T ’ S P A G E

by Edward J. Canfield, D.O.

Ah yes, when the discussion of the Michigan Osteopathic Association (MOA) begins to turn to the Spring Scientific Convention, you realize that your year as president is waning. I am certainly not hanging up my spurs just yet, there remains a great deal of work to be done and that work will not end in May, but Dr. Michael Weiss will take the mantle as president. I am confident he will be up to the task. The MOA 114th Annual Spring Scientific Convention will present some new changes for the attendees. Due to concerns about the Hyatt Regency Dearborn and our own growing pains it was no longer an acceptable location for our conference. The MOA staff has sought out and really done an excellent job finding a new venue for the convention this year. The Suburban Collection Showplace in Novi has been selected as the new location. Hotels located close by will accommodate the attendees, which is different than what we are used to, but I have been assured will not present a major problem. Having the meeting in Novi improves accessibility for out-state members over the previous location, but remains close for tri-county attendees as well, a “win-win” situation. The MOA education committee has, once again, out done themselves in bringing meaningful and timely educational content to our convention. There are options for specialty as well as for general education needs, and at times programs will run concurrently. There will be a new system for checking into the lecture halls to insure one receives proper credit for their attendance to the conference. Of course the scientific presentations will be available to review. I hope you will take the time to look at them, to learn and support our young physician researchers. I am sure there will be some minor problems that arise, but our outstanding MOA staff will be available to address any and all issues. As always, the MOA Spring Scientific Convention will follow the MOA House of Delegates annual meeting where the business of the MOA will be conducted. I always enjoy both as an opportunity to network with my old friends, make new friends and improve my understanding of the osteopathic profession and medicine, in general. It continues to be my pleasure to serve as your president of the Michigan Osteopathic Association. I invite you to attend and hope to see you at the MOA 114th Annual Spring Scientific Convention beginning on May 15, 2013. MOA President Edward J. Canfield, D.O. is a family physician in Sebewaing, MI. He may be reached at ejcanfield.do@gmail.com.

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AMOA NEWS

by Dana Borenitsch

Our Michigan Advocates are excited and looking forward to the 114th Annual Spring Scientific Convention at the new location in Novi. This has been a very gratifying year as first-time president. The year has been full of new experiences, changes and the undertaking of new projects. I have thoroughly enjoyed working on so many exceptional things and meeting so many awesome people around the country. We have been passionate about our new project this year. I’ve addressed several osteopathic organizations with our ideas and proposals and received several contributions. The donations have allowed us to purchase a Virtual Driving Simulator! The simulator is designed to allow you to experience impaired driving (like you’ve been drinking), and distracted driving (like you are texting or talking on the phone) until you crash! By using the simulator we can experience our limitations and see the importance of staying alert, focused and driving responsibly We extend an invitation to you to experience our new project at our membership table this year! Since this has become a world of multitasking, even while we’re driving, I encourage you to try the simulator and see how long you can last before you crash. We are excited to bring the simulator to seminars, junior high, high schools, and health fairs. We want to promote the osteopathic profession not only limiting their concern with the health and welfare of their patients, but also being compassionate with the safety of their entire community. As we continue to receive contributions, we will purchase another simulator, so we can continue to actively touch and save so many lives. This will enable us to be at different locations of the state at the same time spreading the word, showing the care and compassion we have for everyone from our osteopathic families. I hope you can experience our new project and I invite you to personally try your driving expertise at the 114th Annual Scientific Convention. We welcome all members and encourage all new members to join us to promote our exceptional group of Advocates. We do care and make a difference showing the public we are supporting our family members in the Osteopathic profession who are actively touching lives by caring, treating, healing and now helping to keep the roads safe for everyone. I’m looking forward to meeting new potential advocates! We do have an awesome group now, but we need YOU who will add your gifts and talents making our Advocates all the more awesome. We hope to see you in Novi! Dana Borenitsch is the president of Advocates for the Michigan Osteopathic Association. She can be reached at dborenitsch@hotmail.com.

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2013 SPRING SCIENTIFIC CONVENTION

May 15-18, 2013

114TH Annual Spring Scientific Convention Schedule The 2013 MOA Scientific Convention will be from Wednesday, May 15 to Saturday, May 18 at the Suburban Collection Showplace in Novi, Michigan. Below is the tentative schedule of events for the week. 31 hours of AOA Category 1-A credits anticipated.

Wednesday, may 15

THURSday, may 16

Three Credits

Ten Credits

9 a.m. - 3 p.m. MOA House of Delegates The MOA House of Delegates is the legislative and policy-making body of the association. The House is responsible for election of officers and directors, election of AOA delegates and alternates, bylaw amendments, component societies and various policies and positions. 3 - 7 p.m. Registration 4 - 7 p.m. CME Scan-In, CME Evaluation 4 - 7 p.m. Osteopathic Manipulative Therapy (OMT) – Geriatrics • Moderator: Mary Goldman, D.O. • Common Geriatric Cases, Andrew Stasevich, D.O. • Elderly Patients with Balance Issues, Mary Goldman, D.O. • Spinal-Stenosis in Geriatrics, Lisa DeStefano, D.O. 4 - 7 p.m. Maintenance of Licensure, Osteopathic Continuous Certification: Update, Q&A, Panel Discussion • Moderator: Robert G.G. Piccinini, D.O., dFACN • Guest Speaker: Mark A. Baker, D.O., AOA Trustee from Fort Worth, Texas, Panel includes AOA Trustees Susan Sevensma, D.O., FAODME, Carol Monson, D.O., John Bodell, D.O., FACOS and Craig Magnatta, D.O., FACOFP. • Opening remarks and introductions will be given by Dr. Sevensma followed by a presentation from Dr. Baker along with a Q&A panel discussion. Physicians will have an opportunity to meet with osteopathic specialty certifying boards in breakout sessions during a wine and cheese reception. 10

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7 - 8 a.m. Breakfast Session: Understanding Legal Tools and the Key to Lawsuit Prevention and Tax Reduction Pre-registration required. Sponsored by LEGALLY MINE USA

7 a.m. - 1:30 p.m. CME Morning Scan-In, CME Morning Evaluation 7 a.m. - 3 p.m. Scientific Research Exhibit 7 a.m. - 7 p.m. Registration 8 a.m. - 12 p.m. Cardiology Update • Moderator: William Nazzaro, D.O. • Venous Insufficiency Diagnosis and Treatment, Marshall Medley, D.O. • Transcatheter Aortic Valve Replacement (TAVR), Himanshu J. Patel, M.D. • Evaluation of Chest Pain, Felix Rogers, D.O. • Palliative Approach in ICU-Geriatrics Heart Disease, Annette Carron, D.O. 8 a.m. - 12 p.m. Wilderness/Environmental Medicine • Moderator: Ryan Hart, D.O. • Introduction to Travel Medicine, Grant Brinkley, M.D. • Exposures During Travel, Ryan Hart, D.O. • Water/Underwater/HBO, John Dery, D.O. and Richard Maier, D.O. • High Altitude Illness and Medical Applications, Jeff Hirschi, D.O.

9 a.m. – 12 p.m. MOA Student Program First- and second-year medical students

12 - 1:30 p.m. Luncheon Presentation: Medical Leadership Pre-registration required. Moderator: Francis Komara, D.O.

Keynote Speaker: Daniel Van Arsdale, D.O., Administrative Director of Medical Education, Program Director of Family Medicine/OMT, Residency Program in Community Osteopathic Medicine at Southampton Hospital, New York. 1 p.m. - 4:30 p.m. MSUCOM Campus Day THIRD-year medical students

1:30 - 2 p.m. Visit The Exhibits 1:30 - 3:30 p.m. OMM (Osteopathic Manipulative Medicine) Hands On 1:30 - 4:30 p.m. Interns, Residents and New Physicians Program 1:30–6 p.m. CME Afternoon Scan-In, CME Afternoon Evaluation

114TH Annual Spring Scientific Convention Schedule THURSDAY, MAY 16

FRIDAY, may 17

Ten Credits

2 - 6 p.m. Michigan Association of Osteopathic Family Physicians (MAOFP) Update • Moderator: Patrick Botz, D.O. • Teaching the Millennium Generation: Education Strategies for Teaching Osteopathic Residents and Students, Saroj Misra, D.O., FACOFP • Update: Healthcare Reform, Lawrence Abramson, D.O., MPH • Supporting Individuals with Autism Spectrum Disorder, Amy L. Matthews, PhD; Colleen Allen, PhD

7 - 8 a.m. Breakfast SESSION: Beating Cardiovascular Disease WITH USE OF CARDIOVASCULAR BIOMARKERS

4:45 - 6 p.m. Students-Interns-Residents Reception

7 a.m. - 1:30 p.m. CME Morning Scan-In, CME Morning Evaluation

5:30 - 7:30 p.m. Kansas City University of Medicine and Bioscience -College Of Osteopathic Medicine Reception

7 a.m. - 2 p.m. Scientific Research Exhibit

Michigan State University College of Osteopathic Medicine (MSUCOM) Reception 6 - 7:30 p.m. Midwestern University Reception

Pre-registration required.

Sam Fillingane, D.O. from Jackson, Mississippi will demonstrate evaluation and treatment regimens of specific types of cardiovascular patients commonly seen in primary care patients. How to beat cardiovascular disease and steps to risk reduction. He will explain how advanced cardiovascular testing helps identify patients at early risk.

7 a.m. - 5 p.m. Registration 8 a.m. - 12 p.m. Stroke Session • Moderator: Mary Lynn Arvanitis, D.O. • Emergency Department Management of Stroke Time is Brain, Harrison Tong, D.O., MPH • Risk Stratification and Management of TIA, Suzanne Crandall, D.O. • The Role of Intervention in Acute Stroke, Andrew Xavier, M.D. • Blood Pressure Management in Acute Stroke, Brad Aymen, D.O. • Secondary Prevention of Stroke TIA and Anticoagulation in Stroke Prevention, Suzanne Crandall, D.O. • The Continuum of Rehabilitation After Stroke and Behavior and Cognitive Disorders After Stroke, Francis Komara, D.O. • The last 15 minutes will be a question and answer session.

9 - 11 a.m. Scientific Research Judging 12 - 1:30 p.m. Luncheon Presentation: How Healthy Is Your Political System? Moderator: Lawrence Abramson, D.O. Keynote Speaker: Tim Skubick, Michigan Senior Capitol Correspondent Tim Skubick in an encore presentation dissects the body of politics at the state capitol and offers his unique diagnosis on everything from the Governor on down. 1:30 - 2 p.m. Visit the Exhibits 1:30 - 3:30 p.m. OMM (Osteopathic Manipulative Medicine) Hands On 1:30 - 6 p.m. CME Afternoon Scan-In, CME Afternoon Evaluation 2 - 6 p.m. Case Studies in Clinical Practice/Updates In Medicine • Moderator: Craig Glines, D.O. • Sun Protection for Dummies, Ronald C. Miller, D.O. • Updates on Birth Control, Craig Glines, D.O. • ABCs of EHRs, Chris Pohlod, D.O. • Post Traumatic Stress, Meredith Perry, D.O. 7 – 9:30 p.m. PRESIDENT’S RECEPTION

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2013 SPRING SCIENTIFIC CONVENTION

May 15-18, 2013

SATURDAY, MAY 18 Eight Credits 7 - 8 a.m. Continental Breakfast Sponsored by Kerr Russell Attorneys and Counselors

7 a.m. - 12 p.m. CME Morning Scan-In, CME Morning Evaluation 7 a.m. - 4 p.m. Registration 7:30 - 11:30 a.m. Dialogs In Patient/Physician Protection Issues NOTE: These sessions also qualify for Florida CME (sign-in for Florida CME).

• Moderator: Harold Friedman, D.O. • Prevention of Medical Errors, Sam Watson, MSA, CPPS, Senior Vice President Patient Safety and Quality, Michigan Health and Hospital Association • Florida Laws and Rules, Dan Schulte, Attorney, Kerr Russell Attorneys and Counselors • Managing Your Risk of a Lawsuit: A Review of Specialty Specific Data, Carla White, BA, RN, CPHRM and Christine Pickard, MJ, RN, CPHRM, The Doctors Company

(sign in for this session for certificate)

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7:30 a.m. - 12 p.m. Physicians’ Clinical Support System-Buprenorphine (PCSS-B) Office-Based Treatment for Opioid Use Disorders The Half and Half Course Pre-registration and separate sign-in.

• Moderator: William Morrone, D.O. and Michael Brooks, D.O. • Funding for this conference was made possible (in part) by (1H79T1022022) from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government. • In an effort to provide training in a way that is more flexible for both practicing physicians and physicians-in-training, the creation of the Half and Half course was developed. One half of the course is a face-to-face, 4.25 hour classroom-style training. The training focuses on specifics of treating patients with opioid use disorders in office-based settings and clinical vignettes to help trainees think through “real life” experiences in opioid use disorders treatment. • The other half of the course is a 3.75 hour of CDROM-based training. This CD contains training on substance abuse treatment, opioids, and the use of buprenorphine in the treatment of opioid use disorders from officebased practices. An examination must be completed as part of the process to obtain a waiver for prescribing buprenorphine.

• The combined face-to-face and CDROM training will provide the required 8 hours needed to obtain the waiver to prescribe buprenorphine in office-based treatment of opioid disorders. • This training has been reviewed and is acceptable for up to 4.0 credit hours by the American Academy of Family Physicians (AAFP). 11:30a.m. - 12 p.m. Boxed Luncheon Sponsored by The Doctors Company

12 - 4 p.m. CME Afternoon Scan-In, CME Afternoon Evaluation 12 - 4 p.m. Dialogs In Patient/Physician Protection Issues NOTE: These sessions also qualify for Florida CME (sign-in for Florida CME)

• Moderator: Francis Komara, D.O. • Professional and Medical Ethics, Elizabeth Petsche, D.O. • Federal and State Laws related to the Prescribing of Controlled Substances, William Morrone, D.O. • Domestic Violence, Leah Taraskiewicz and survivor, HAVEN–Oakland • Preexposure HIV prophylaxis, Peter Gulick, D.O.

Keynote Presentations THURSDAY, MAY 16

MEDICAL LEADERSHIP

by DANIEL VAN ARSDALE, D.O. Dr. Van Arsdale has been involved in Medical Leadership for 20 years. As a Field Surgeon in the 42Nd Infantry Division Dr. Van Arsdale has seen leadership in action in both peacetime and in combat. Dr. Van Arsdale has also been involved with academia, as a former Assistant Professor, at the New York College of Osteopathic Medicine. Currently, Dr. Van Arsdale is the Administrative Director of Medical Education at Southampton Hospital, and the Program Director of the Family Medicine and combined Family Medicine/ Neuromusculoskeletal Medicine Programs. This osteopathic training program is distinguished as the only Social Medicine Residency Program in the Osteopathic Profession. Dr. Van Arsdale is board certified in both Family Medicine and Neuromusculoskeletal Medicine.

FRIDAY, may 17

What’s Happening in Lansing?

by Tim Skubick Everybody knows what happens in Lansing may impact the lives of all Michigan residents, but how do you get the inside scoop on what issues the Michigan House of Representatives and Senate are facing? Tim Skubick has the answers. As the keynote speaker at the Friday luncheon during the Michigan Osteopathic Association’s Scientific Convention, Skubick’s presentation promises to be entertaining and informative. Skubick is the longest-serving member of the State Capitol Press Corps with 42 years of covering Michigan government and politics. Skubick anchors and produces the weekly public television series “Off the Record”, since 1972. Additionally, he covers the capitol for WJBK-TV 2 in Detroit, WWJ News Radio 950 in Detroit and 54 other radio stations statewide. He writes a weekly political column and blog for 22 statewide newspapers and is a member of the broadcasters and journalism halls of fame. Skubick has done more political broadcasts than any other journalist, print or broadcast, in the state and has been covering Michigan government and politics since 1969. He holds B.A. and M.A. degrees in Broadcast Journalism from Michigan State University. Tim Skubick’s first book, Off the Record, was named a 2004 “Michigan Notable Book.” A second book, See Dick and Jen Run: The 2006 Michigan Race for Governor was published in 2006. He was installed into the Michigan Broadcasters Hall of Fame in 2008. Skubick has received four Emmys for his work in television and has written two books on state politics. Both his Bachelor’s and Master’s degrees come from Michigan State University. TRIAD, SPRING 2013

2013 SPRING SCIENTIFIC CONVENTION

May 15-18, 2013

Practice Managers Program The Michigan Osteopathic Association’s Scientific Convention is also open to all practice managers for osteopathic physicians across Michigan. Register online by visiting www.mi-osteopathic.org/2013SpringConvention.

THURSDAY, MAY 16

FRIDAY, may 17

8:30 - 9 a.m. Coffee and Registration Moderator, Kimber Debelak

7:30 - 8:30 a.m. Breakfast and Registration Moderator, Kimber Debelak

9 - 10 a.m. Coding as it Relates to PGIP and Risk Adjustment Laurie Latvis, RN

8 - 9 a.m. Medicare Updates for 2013 (Physician Fee Schedules, Medical Policy, Transitional Care Management, Quality and Resource Use Reports, e-News, Place of Service Codes, ICD-10, Appeals, Provider Enrollment, CERT, Medical Review, Medicare Incentive Programs, Self-Service Technology) J. David Bozarth, WPS Medicare

10 - 11 a.m. ICD-10 and Your Practice: Impacts, Strategies and Tips for Transition Rob Sawalski, Blue Cross Blue Shield of Michigan 11 - 11:15 a.m. Break 11:15 a.m. - 12:15 p.m. HIPAA Updates for 2013 – What’s Changed for the Privacy and Security Rules Joe Suchocki, Compliance Consultant, Eagle Associates, Inc. 12:15 - 1:15 p.m. Lunch 1:15 - 2:15 p.m. Little Mistakes Can Still Be Fraud Jill Young, CPC, CEDC, CIMC, Young Medical Consulting, LLC 2:15 - 3:15 p.m. Best Practices in Credentialing: What’s in Your Credentialing File? Christopher J. Allman, Ottenwess, Allman & Taweel, PLC 3:15 - 3:30 p.m. Break 3:30 - 4:30 p.m. Medical Staff Office Compliance Program Ingrid M. Flemming, MA, MLS, Sr. Director Compliance Services, McLaren-Northern Michigan 4:30 p.m. Adjourn

9 - 10 a.m. Protect Your Money… Before it’s Too Late Thomas O’Sullivan, Yeo & Yeo 10 - 10:15 a.m. Break 10:15 - 11:15 a.m. Top 10 HR Issues Pat Grabenstein, Paychex 11:15 a.m. - 12:15 p.m. Defensible EMR Documentation Carla White, BA, RN, CPHRM, & Christine Pickard BS, RN, MJ, CPHRM, The Doctor’s Company 12:15 - 1:15 p.m. Lunch 1:15 - 2:15 p.m. Security Risk Analysis-How to Complete and Document for HIPAA & Meaningful Use Joe Suchocki, Compliance Consultant, Eagle Associates, Inc. 2:15 - 2:30 p.m. Break 2:30 - 3:30 p.m. Physician Group Incentive Program Lorraine Bilinski, VP of Corporate Informatics and Health Plan Initiatives, United Physicians & Andrew Madak, D.O. 3:30 p.m. Adjourn

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Keynote Presentation THURSDAY, MAY 16

little mistakes can still be fraud

Jill M. Young, CPC, CEDC, CIMC Jill has been the principle of Young Medical Consulting, LLC for the past 9 years. She brings with her over 30 years of medical experience, including a diverse background in all areas of a medical office from clinical duties to coding and billing. Her past includes time spent working with many different physician specialties. Her skill set includes chart auditing and instructional lectures for both office staff and physicians on a variety of topics. Jill’s comments and opinions can be seen in several publications and also heard on a variety of audio-conferences. Her professional speaking includes educational lectures for the Michigan State Medical Society and other national organizations including The Coding Institute and Eli Research. Previously she was a workshop presenter nationally for the AAPC and she has been a topic speaker at the AAPC National Conference for the past 8 years. She is known particularly for experPractice Manager’s Highlights tise on ICD-9 coding, ICD-10 preparation, • Coding as it Relates to PGIP and Risk all Medicine specialties, Pulmonary Medicine and Sleep Disorders. Adjustment A charter member of the Board of Direc• ICD-10 and Your Practice: Impacts, tors of the AAPC (AAPCCA) she served as Strategies and Tips for Transition chair of the board her last 2 years, 20092011. She also served on the National • HIPAA Updates for 2013 – What’s Changed Advisory Board of the AAPC 2004-2005.

for the Privacy and Security Rules

• Best Practices in Credentialing: What’s in Your Credentialing File? • Medical Staff Office Compliance Program TRIAD, SPRING 2013

2013 SPRING SCIENTIFIC CONVENTION

May 15-18, 2013

Hotel Information & Attractions Following is information regarding the host hotel for the 114th Annual Spring Scientific Convention. Reservations must be made under the MOA Convention. The group rate is $109 for single/double occupancy. Sheraton Detroit Novi Hotel

21111 Haggerty Road Novi, MI 48375-5305 Tel: 248-349-4000 Fax: 248-349-4302 http://sheraton.com/detroitnovi HOTEL OVERVIEW

Situated in Detroit’s affluent Novi suburb, the Sheraton Detroit Novi Hotel is just minutes from downtown Detroit and the Detroit Metro Airport. The comfort of Novi and the excitement of the nearby city is a great combination for your business trip. You are invited to relax in the comfortable confines of Novi, conveniently located near a variety of Michigan’s finest attractions, including upscale shopping, dining, and casinos. The Sheraton Detroit Novi Hotel will provide you with all the comforts of home while you enjoy the Detroit metro area. Sink into The Sheraton Sweet Sleeper™ Bed after a long day of work. Visit our Lobby “connection destination”, the Link@ Sheraton experienced with Microsoft, and also enjoy Wireless and High Speed Internet Access throughout the hotel, keeping you connected to what’s most important in your world. OTHER HOTEL OPTIONS

The Michigan Osteopathic Association also recommends either The Baronette Hotel (248-349-7800) or the Crowne Plaza Hotel Detroit-Novi (248-348-5000).

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AREA ATTRACTIONS

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Arab American National Museum Border & Customs Information Caesars Windsor Charles H. Wright Museum of African American History Cranbrook Art Museum Detroit Historical Museum Detroit Institute of Arts Detroit Lions Detroit Metro CVB Detroit Opera House Detroit People Mover Detroit Pistons Detroit Red Wings Detroit Repertory Theatre Detroit Riverfront Conservancy Detroit Science Center Detroit Symphony Orchestra Detroit Tigers Detroit Zoo Downtown Detroit Info Fisher Theatre Fountain Walk Gem/Century Theatre GM Renaissance Center Greektown Casino Henry Ford Museum, The Holocaust Memorial Center Inside Detroit Joe Dumars Fieldhouse MGM Grand Casino Michigan Metro Parks Motor City Casino Motown Historical Museum Music Hall Nature Walks, Hikes, Wildlife info Novi Town Center Olympia Entertainment (concerts, plays, etc.) Paradise Park Park West Gallery Pewabic Pottery Second City, The Somerset Collection, The Stingers Bar & Grill Twelve Oaks Mall

New Method for Obtaining CME Credit at the Spring Convention The Michigan Osteopathic Association (MOA) has developed a simplified and convenient method for you to obtain CME credit for the 114th Annual Spring Scientific Convention through the web-based Convention Attestation, Evaluation and CME Scanning System. You must also scan your name badge once in the morning and once in the afternoon as part of this new attendance process. Scan-in stations will be located outside of lecture halls. Under this reporting system you may obtain a Certificate of Attendance and/or a CME Certificate for your participation in the 2013 Annual Convention by completing online evaluations for all of the educational sessions you attended along with an attestation of your participation. Your candid evaluations are very valuable to us as it helps with planning for future educational offerings. It is also important to know that this system provides the only way to obtain a Certificate of Attendance and/or a CME Certificate for the 114th Annual Spring Scientific Convention and for MOA to report your CME hours to the American Osteopathic Association (AOA). You will only receive CME credit for those activities for which you complete an evaluation. Instructions for using the MOA Online Evaluation and Attestation System

Save These Instructions

How can I complete the evaluations and attest to my participation in the meeting?

This can be done in one of two ways: 1. During sessions scheduled Wednesday-Friday, CME computer kiosks will be conveniently located near registration in Hall C and in the exhibitor booth area. On Saturday, a CME computer kiosk will be available outside the Crystal Room. CME computer kiosks will be available during the following times: • Wednesday, 4 - 7 p.m. • Thursday, 8 a.m. - 6 p.m. • Friday, 7 a.m. - 6 p.m. • Saturday, 7 a.m. - 4 p.m. 2. After you return home or to your practice, visit www.mi-osteopathic.org/2013SpringEvaluation and submit your evaluations and attestation there. Your online evaluation and attestation of participation must be completed by June 21, 2013.

Directions for using the CME Evaluation/Attestation System

1. To access the system, log into www.mi-osteopathic. org/2013SpringEvaluation using the following information: • User Name: Your MOA ID (located on your name badge) • Password: MOA2013 2. Locate the 2013 Conference Evaluation / CME link and click it. Now you are in the MOA Online Evaluation and Attestation System. You may login and logout of the system as many times as you wish using your user name and password. Your responses will be saved and you will have the ability to go back in and edit previous responses as many times as you wish until your evaluation is completed. This means that you may log in and evaluate one session or one day at a time rather than having to wait until the conclusion of the convention. As you work through the evaluation process, use the buttons within and at the bottom of each page to navigate the forms. The system will automatically log you out after 10 minutes of inactivity. If you are using this evaluation tool at a public access computer (i.e. kiosk), please remember to logout when you are finished. The Certificate button will not be functional until MOA verifies all registration and attendance scans. Your verification of attendance will be completed by 5 p.m. on Tuesday, May 21, 2013. You will see ATTENDANCE VERIFICATION PENDING below the Certificate button. When attendance has been verified, you will see the attendance status change to ATTENDANCE VERIFIED; at that time the Certificate button will be enabled, and the system will allow you to create the appropriate CME certificate. You will have the option to download it to your computer as a PDF or e-mail it to yourself. You will need Adobe Reader in order to view your certificate. If you do not have access to a printer, you may download it at any time by logging back in and clicking Certificate. CME will be submitted to the AOA by June 28, 2013.

TRIAD, SPRING 2013

2013 SPRING SCIENTIFIC CONVENTION

May 15-18, 2013

Scientific Research Exhibit The MOA hosts a Scientific Research Exhibit (SRE) twice yearly. These competitions provide osteopathic medical students, residents, fellows and attending level physicians an opportunity to present their medical and scientific research to our profession. The SRE event demonstrates the very best of what osteopathic medicine is and reaffirms the profession’s commitment to the advancement of science in osteopathic medicine. Judges, working in teams, evaluate the exhibits based on criteria established in four domains: 1. Setup (background/hypothesis) 2. Work (measurement/data collection) 3. Analysis (results/medical application) 4. Presentation (effective organization/illustration of research) Winning participants from the Spring Scientific Convention receive these cash awards: • First place: $1,000 • Second place: $750 • Third place: $500 • Outstanding case report: $250 • People’s choice: $100 Additionally, the Andrew Taylor Still (ANDY) Achievement Award may be presented to an outstanding exhibit. The ANDY Award, which includes an exquisitely carved crystal piece and a $1,500 cash prize, is not awarded every year. This award his reserved for only those who best reflect the principles of osteopathic medicine with their research exhibit. Past ANDY Award Winners

2007: Scott Fannin, D.O. 2006: Heather Lake, D.O., Rob Wall, D.O., Loai Marouf, D.O. and Chris Buatti 1999: Lisa Vredevoogd, D.O., Mark Notman, PhD, Martin Hogan, PhD and William Johnston, D.O. 1997: Rick Hallgren, PhD 1995: Edward Loniewski, D.O., Joseph Williams, D.O., 18

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Anthony Bahu, D.O. and Rob Schafina, D.O. 1993: Frank A. Paul, D.O. GENERAL INFORMATION

Complete the exhibit application (www.mi-osteopathic. org/SRE) and submit to the Michigan Osteopathic Association (MOA) by May 1, 2013. This deadline will be strictly enforced. If you submit after the May 1, 2013 deadline, the SRE Committee will contact you if they wish to accept your submission. All contributing authors will be notified via email that their electronic applications have been successfully received by the MOA with a summary of the submission, including the entirety of the abstract. Applications are processed by the MOA on a first-come, firstserved basis for review by the Scientific Research Exhibit (SRE) Committee. Submissions will be accepted for presentations by the SRE Committee only if they meet currently acceptable academic and scientific standards, including proper abstract format that includes a summary of data. The SRE Committee reserves the right to reject applications and limit the number of entries. The SRE Committee will inform applicants no later than May 8, 2013 whether their applications have been accepted for presentation at the 2013 MOA Spring Scientific Research Exhibit, along with a reminder of exhibit information details. Application and further details may be found by visiting www.mi-osteopathic.org/SRE.

Past SRE Winners and Honorees Autumn Scientific Convention 2012 First Place Robert Collins, D.O., Metro Health Hospital Second Place Darin Quach, MSUCOM Third Place Thereseann Huprikar, MSUCOM Outstanding Case Report Dustin Bivins, D.O., Western Michigan University School of Medicine People’s Choice Award Juliana Rodrigues, D.O., GI Fellow, Genesys Regional Medical Center Honorable Mention Juliana Rodrigues, D.O., GI Fellow, Genesys Regional Medical Center Spring Scientific Convention 2012 First Place Samer Totonchi, D.O., McLaren Macomb Hospital Second Place Steven R. Dyer, D.O., Detroit Medical Center Third Place Jamie Bartley, D.O., Botsford Hospital Outstanding Case Report Elizabeth Hanlon, D.O., McLaren Macomb Hospital People’s Choice Award Michael Burla, MSUCOM, Detroit Medical Center Honorable Mentions Adrian Dews, Sr., D.O., St. John Providence Health System Kathryn Dalton, D.O., Henry Ford Wyandotte Hospital Lucas D.F. Watts, Sparrow Hospital 2011 Brian Keyes, D.O. Brandon A. Behjatnia, D.O., MPT Elizabeth Hanlon, D.O. Nicholas S. Hoeve, D.O. Shane R. Sergent Molly Maniscalco, D.O. Jaskiran Jhajj, D.O. Joel M. Post, D.O.

2010 Carrie Fitzgerald, D.O., MPH Nicole Szell, OMS3 Karen Estrine, D.O. Courtney Tabaka, OMSIV Scott Welle, D.O. Tarek Pacha, D.O. 2009 Karla Witzke, D.O. Karen Estrine, D.O. Tarek Pacha, D.O. Monica Maka Nafsou, OMSIV Stephen Swetech, D.O. 2008 Beth Makowski, D.O. Mohammad F. Katranji, D.O. Karla D. Witzke, D.O. Rob Wall, D.O. Michael Oleyar Jeffrey Schock, D.O. Christopher Shiepis, D.O. Amy Brode, D.O. Darryl Reaume, D.O. 2007 Kelly Janis, MSU COM John Goudreau, D.O. Roc McCarthy, D.O. Julia Casner, D.O. Nancy L. S. Patel, D.O. Samuel Allen, D.O. 2006 Rachelle Tognacci, D.O. Amy L. Opperer, D.O. Gregory McIntosh, D.O. Leanna Withrow 2005 Christopher Beal, D.O. Tiffany Lasky, D.O. Tanya Itani Taival, D.O. Matthew Farrugia, D.O. 2004 Michael S. Hoff, D.O. Darryl Reaume, D.O. Douglas Iddings, D.O. Michael Kia, D.O. Jim Bevenour, D.O. Marc G. Kapraw, D.O. Obonoruma Ekhaese, D.O.

Spring Scientific Convention 2012 First Place WINNER, Samer Totonchi, D.O. WITH McLaren Macomb Hospital.

2003 Russull Doubrava, D.O. Donald Bartkowski, D.O. Erik Hedlund, D.O. Dmitriy Pales, D.O. Thomas Mohr, D.O. Karen Nielsen Taryn Papandria, D.O. 2002 Kari Hortos, D.O., FACOI Chandan Gupte, RD, MA Patricia Moore, RN Carolyn Majors, D.O. Chandan Gupte, RD, MA Kari HOrtoz DO, FACOI B. Tarl Hamisch, D.O. Mary Joy Hyde, D.O. John Homa, D.O. Steven Roth, D.O., FACOS Clarence L. Nicodemus, PhD William Johnston, D.O.

2001 Dawn Bodell, D.O. Jon Suleskey, D.O., FACOS Vanessa L. Harkins, D.O. Mary J. Hughes, D.O. Jay Lonsway, D.O. Michael Daugherty, D.O. John Lanesky, D.O. Darryl Reaume, D.O. Steven Roth, D.O. John Suleskey, D.O. Christopher J. Pham, D.O. 2000 Jeffrey Mueller, D.O. Richard Carr, D.O. Nawal Ragheb, D.O. Paul Seed, D.O. Alka Indurkhya, D.O. S.B. Lucas, D.O.. N.G. Liomba, D.O. Malcolm Molyneux, D.O. Terrie Taylor, D.O. Eric Sevensma Jay Lonsway, D.O. Brian Yost, D.O. Scott Devinney, D.O. David Prieskorn, D.O. Elizabeth Wagner, D.O. TRIAD, SPRING 2013

2013 SPRING SCIENTIFIC CONVENTION

May 15-18, 2013

Student Program As a first year osteopathic medical student, there are still plenty of reasons to attend the Michigan Osteopathic Association 114th Annual Spring Scientific Convention. The MOA Student Liaison Committee is composed of first- and second-year students who attend the Michigan State University College of Osteopathic Medicine whether they attend the East Lansing, Detroit or Macomb campus. These students work with staff at both the MOA and MSUCOM to plan and execute events for their peers. The Committee has created a student program for osteopathic students during the Spring Scientific Convention, and the MOA invites you to partake in several other networking opportunities while on site. On Thursday, May 16th, the MOA invites first-and second-year MSUCOM students to their convention luncheon featuring Daniel Van Arsdale, D.O. and his presentation entitled “Medical Leadership.” Dr. Van Arsdale is the administrative director of medical education, program director of family medicine/OMT, residency program in community osteopathic medicine Southhampton Hospital in New York. There will be reserved seating for students, so make sure to get there early! Again this year, the MOA allows students to have the opportunity to “speed network” with osteopathic Directors of Medical Education from 10 Michigan hospitals. This program will be held from 1 - 5 p.m. on Thursday, May 16th.

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Speed Date a DME

Who: 1st year COM Students What: An annual event where each SCS hospital has a booth staffed with a DME, MSUCOM clerkship student and the clerkship coordinator When: Four hour afternoon program offered annually each spring at one location Why: To provide students with: • standard information about all SCS hospitals • contact info of current 3rd yr COM student at base hospitals • opportunity to meet and ask questions of DME, MSUCOM clerkship student and site clerkship coordinator Immediately following the speed networking with osteopathic DMEs, please stay to enjoy the student and intern-resident receptions. The MOA and the DMEs sponsor these fun and casual events offering refreshments and appetizers. Socialize, meet new people, ask questions and enjoy. Students are also invited to attend the MSUCOM Alumni Reception in the Opal room. MSUCOM sponsors this grand reception for students and alumni to gather. While at the convention be sure to check out the Scientific Research Exhibits! Students, residents and physicians showcase their abstracts in a spirited competition to promote osteopathic principles. Learn more about the Scientific Research Exhibit by visiting www.mi-osteopathic.org/SRE.

Preparing MSUCOM Students to Compete for Residencies More than 300 students from the Michigan State University College of Osteopathic Medicine are expected at the 114th Annual Spring Scientific Convention the afternoon of Thursday, May 16 for a program that will springboard them into residency education. For several years MSUCOM has hosted the session for its third-year students to enable them to succeed in an increasingly competitive residency selection process. With the advent of new medical schools and the increases in class sizes to meet the projected physician shortages, there has not been a concomitant growth in residency positions nationwide, either in the allopathic or osteopathic professions. The program will include these presentations • Preparing for the match, including an introduction to the AOA Intern/Resident Registration Program; osteopathic, allopathic and military options; rules and procedures; statistics and deadlines • ERAS, the Electronic Residency Application Service A panel of directors of medical education in hospitals, who will offer advice, clarify dos and don’ts, and answer questions about internships and residencies. The program is coordinated by MSUCOM’s Career Development Team including members from Academic Programs, Student Services and Statewide Campus System.

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2013 SPRING SCIENTIFIC CONVENTION Intern-Resident Program Sponsored by The Doctors Company

THURSDAY, MAY 16 1:30 – 1:40 p.m. Welcome Edward Loniewski, D.O., MOA Past President Gregory Harris, D.O., Chair Intern-Resident Committee 1:40 – 3:15 p.m. Employment Susan Sanford, JD, Independent Health Care Consultant 3:15 – 4:30 p.m. Understanding Medical Professional Liability Mike Stuart, Director of Business Development Insurance, The Doctors Company 4:30 p.m. Raffle 4:45—6:00 p.m. Reception Students and Intern-Residents Please join us for a Reception in the Sapphire Room.

TRIAD, SPRING 2013

May 15-18, 2013

I N T E R N - R E S ID E N T P R O G RA M

The MOA 114th Annual Spring Scientific Convention is always one of the most exciting and informative events of the year for current issues in medicine, the House of Delegates, and research. It is also an informative time for interns, residents and new physicians. The Intern and Resident Session will focus on the ever-important topics of: finding a job, insurance and malpractice. This year’s keynote speaker, Susan Sanford, will discuss tactics on how to begin a successful job search, and identify each step from ‘how to start’ to ‘finalizing your contract’. This is always an informative session with plenty of opportunity to interact and ask specific questions regarding the

by GREGORY HARRIS, D.O.

beginning of our career. Ms. Sanford is also working with the MOA’s Intern and Resident Committee on the creation of our first New Physician’s in Practice Guide. This guide will be a resource for all new physicians to use as a resource. The guide will contain materials and with a step-by-step process to starting a new practice. In addition to Ms. Sanford as the keynote speaker, The Doctors Company will discuss the everchanging field of medical malpractice and insurance. The Intern and Resident Session is a tremendous resource for networking and meeting people entering the field of medicine. Following

Find your next opportunity today

miMOM.org | 800-479-1666

the session there is an opportunity to interact with medical students about your field. The students always enjoy hearing our perspective. I look forward to seeing you in May at the Suburban Collection Showplace.

View Michigan opportunities in your specialty Connect directly with Michigan employers Free and easy registration

Gregory Harris, D.O. is a member of the MOA Board of Trustees. He can be reached at drgregoryharrisdo@gmail. com.

Employers, learn more about how MOM can work for you: 800-479-1666 TRIAD, SPRING 2013

MOA ANNUAL SCIENTIFIC CONVENTION

May 15-18, 2013

Exhibit Hall Shows POP, WOW and ZAP throughout to allow time in the Exhibit Hall. See your Program for complete details. EXHIBIT HALL HOURS

Just as important as building your session schedules is planning your visits to the Exhibit Hall. The 114th Annual Spring Scientific Convention provides attendees with a unique opportunity to meet with many vendors offering solutions geared to the specific needs of osteopathic physicians. The Exhibit Hall opens following the Michigan Osteopathic Association’s House of Delegates at 2:30 p.m. on Wednesday, May 15. Get your Convention started with networking in the Exhibit Hall Wednesday afternoon. While education sessions run concurrently with the Exhibit Hall, there are several breaks

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• Wednesday, May 15: 2:30 - 6 p.m. • Thursday, May 16: 7 a.m. - 3 p.m. • Friday, May 17: 7 a.m. - 3 p.m. For the convenience of attendees, the Exhibit Hall is located in Hall C along with registration, the Scientific Research Exhibits, OMM tables, luncheons with Keynote Speakers and the breakfasts. This will allow time for you to spend time with the vendors, get some CME, get some OMT and see the latest research from the osteopathic profession. As in the past, this year will bring many giveaways and contests. With a Super Hero theme, the Exhibit Hall is sure to provide some ZAP, WOW and WHAM! Each attendee will receive a ballot card and a map of the

exhibit hall in their registration packet. Each exhibitor the attendee visits will place a sticker on the applicable booth location on the map. Once your map is completed, please drop it off at the MOA booth no later than 12 p.m. Friday, May 17. Everyone completing a map will have their name entered into the grand-prize drawing, which will be held at 1:45 on Friday afternoon. Only attendees who have completed the entire map will be eligible to receive the grand prize. Winners must be present to win. Additionally, each attendee will be able to take the ballot and vote on the booth with the best comic book or super hero theme. Members may drop off their ballots at the MOA booth no later than 12 p.m. on Friday, May 17. NEW THIS YEAR is a family area for kids under 12 to enjoy the super hero theme. They may come dressed as their favorite super hero and take part in activities such as coloring, drawing and help complete the map of the Exhibit Hall. Each picture drawn will be posted for the attendees to enjoy. Make sure you plan some time to stop in the exhibit hall to find a new solution, or to thank someone for the idea you got last year. To help you find the solutions you are looking for, please visit www.mi-osteopathic.org/2013SpringConvention to begin planning your visit. Stop in and see what all the excitement is about.

Below is a list of companies that have already committed with many more joining every day: • Accelerated Rehabilitation Centers • Accera • Bio-Magnetic OPEN MRI/MRA Imaging Centers • Blue Cross Blue Shield of Michigan • Colonial Valley Software • CPAN (Coalition to Protect Auto No-Fault) • Flagstar Bank • Genius Solutions, Inc. • Health Diagnostic Laboratory, Inc. • Health Info Tracker • MediTouch EHR/ HealthFusion • Merrill Lynch • Michigan Medicaid EHR Incentive Program • Otsuka America Pharmaceuticals Inc - Medical Device Division • Pamlab LLC • Reckitt Benckiser Pharmaceuticals • Renewal by Andersen • Retirement Investment Services, Inc. • Techmode - Utility Telecom • Tri-County Pain Consultants • Yeo & Yeo, P.C. TRIAD, SPRING 2013

MOA 114th Annual Spring Scientific Convention 4 EASY WAYS TO REGISTER! 1. ONLINE: Register with a credit card at http://mi-osteopathic.org/2013SpringConvention 2. CALL: (800) 657-1556 with credit card information 3. FAX: (517) 347-1566 with completed form and credit card information 4. MAIL: Send completed form with your credit card information or check.

May 15-18, 2013 Novi, Michigan

The MOA has requested that the AOA Council on Continuing Medical Education approve this program for 30 credits of AOA Category 1-A CME credits. Approval is currently pending.

Specialty credits available: AOBIM, AOBFP, AOBS, AOBOG (credits vary)

Registrant Information Name (to appear on badge)

AOA#

Specialty

Address City State Zip AOA Board Certified? Yes Email Phone MOA Member? Yes Intern/Resident?

Yes

Student

Yes

No No

Spouse/Guest Name

Special needs? (wheelchair access, etc.)

Convention Programs and Fees CME Price Active Member Registration Early Registration (before April 26) $510* Registration (after April 26) $560* I am planning on attending the Office-Based Treatment for Opiod Use Disorders session on Saturday, May 18. Retired Member

Life Professional/Honorary Member

$300 FREE

Intern/Resident/Student FREE I am an Intern/Resident planning to attend the Intern/Resident/YP Program on Thursday, May 16. Nurses, P.A.s, Med Techs Non-member

Total Registration

Breakfast Session

Advocates Program

(Please indicate if you are planning to attend) Thursday, 7 - 8 a.m. FREE Friday, 7 - 8 a.m. (tentative) FREE

(Please mark the number of people attending) #__ AMOA House of Delegates Thursday, 1:30 - 5 p.m. @ $20 $ __________

Luncheons

(Please mark the number of people attending) # __ Thursday, 12 - 1:30 p.m. ($25/each) $ __________ Speaker: # __ Friday, 12 - 1:30 p.m. ($25/each) Speaker:

$ __________

#__ Friday Installation Luncheon ONLY 12 - 2 p.m. @ $45 $ __________

Presidentâ&#x20AC;&#x2122;s Reception (Please mark the number of people attending) #__ Friday, 6:30 - 8:30 p.m. at the Sheraton Detroit Novi Hotel @ $25 $ __________

$510 $1,200

$ ________

#__ Thursday lunch (RSVP) at your own expense. Location TBD

+ Total Meals

______ (please initial) I am aware of the new CME scan-in process and I acknowledge I must scan in twice daily (once in the morning and once in the afternoon). Card Number

$ ________

Exp. Date

Total Other

Total Payment

$ ________

CVV Code (three digits on back)

Authorized Signature If paying by check, please send this form with payment payable to Michigan Osteopathic Association. Members of other state osteopathic associations may attend at the MOA member fee with proper association identification. MOA policy states all requests for refunds must be in writing. No refunds after April 26, 2013. A $50 processing fee will be assessed on all TRIAD, SPRING 2013 refunds26 prior to April 26, 2013.

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HEALTH CARE REFORM PAY OR PLAY Effective date January 1, 2014

The Shared Responsibility Provision of the Patient Protection and Affordable Care Act (PPACA), commonly referred to as the Pay or Play Rule, mandates that large employers (those with 50 or more full-time and full-time equivalent employees) may be subject to an excise tax if they do not offer health coverage to their employees and dependents that: • Meets the definition of minimum essential benefits • Is deemed affordable coverage An employer is potentially liable for the excise tax if: • They do not offer coverage • They offer coverage, but the employee’s share of premium cost for the single premium: • Exceeds 9.5 percent of the employee’s W-2 wages • The coverage does not meet the definition of minimum essential benefits

Essential Health Benefits Defined Essential Health Benefits must include items and services within the following 10 categories, at a minimum: • Ambulatory patient services • Emergency services • Hospitalization • Maternity and newborn care • Mental health and substance use disorder services, including behavioral health treatment • Prescription drugs • Rehabilitative and rehabilitation services and devices

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• Laboratory services • Preventive and wellness services (including chronic disease management) • Pediatric services (including oral and vision care)

Pay or Play – No Coverage Offered Employers that do not offer coverage and have at least one full-time employee that receives a premium tax credit on the exchange will be assessed an excise tax equal to $2,000 annually, multiplied by the number of full-time employees (minus the first 30). The penalty calculation is assessed on a monthly basis.

No Coverage Penalty $2,000 X [number of full-time employees – 30] ($166.67 per full-time employee after 30 per month) Example: ABC Company has 52 full-time employees and does not offer coverage. $2,000 X [52 – 30] ($166.67 per full-time employee after 30 per month) = $2,000 X 22 / 12 = $3,666 per month

Pay or Play – Unaffordable Employers that offer coverage and have an employee that

receives a premium tax credit through an exchange because the employer’s coverage is not affordable, or does not meet the definition of minimum essential benefits, must pay an amount equal to the lesser of $3,000 for each full-time employee receiving a subsidy, or $2,000 annually for each full-time employee (minus the first 30). The penalty for unaffordable coverage cannot exceed what the employer would have paid for offering no coverage. The penalty calculation is assessed on a monthly basis.

employees: These penalties do not apply to these groups, regardless if they offer coverage. Groups who have 50 or more full time and full time equivalent employees: These groups need to evaluate their benefit package (ensure it meets minimum essential benefits) and employee contribution towards the single premium

to determine if they meet the standards to avoid the excise tax, or be prepared to pay the tax penalty in 2014. If you have questions about Health Care Reform or would like to learn more about the MOA Insurance Portfolio of products and services, contact the MOA Insurance Team at MIT@MI-OSTEOPATHIC.ORG.

Unaffordable Penalty The lesser of… $3,000 X number of employees receiving a tax credit ($250 per employee receiving a tax credit per month) OR $2,000 X [number of full-time employees – 30] ($166.67 per full-time employee after 30 per month)

Calculating Employees The sum of all full-time employees working 30 or more hours per week + Plus the total number of hours worked in a month by part-time employees/ divided by 120 = Total number of full-time equivalent employees This calculation does not include seasonal employees who work less than 120 days per year. This calculation is specific to this provision of PPACA. Example: Is ABC Company a Large Group? • 20 full-time employees working over 30 hours per week. • 160 part-time employees each working 24 hours per week 20 full-time employees + [(160 part-time X 24 hours per week)/120] = 20 + (3840/120) = 20 + 32 = 52 full-time equivalent employees Groups who fall under the 50 full time employees and full time equivalent TRIAD, SPRING 2013

DEAN’S COLUMN

by William Strampel, D.O.

We gather again at convention – some of us for decades, others fresh and new – to celebrate what it means to be an osteopathic physician in Michigan, to learn more to enhance our skills, and to revitalize, rethink, reposition, and reassess. We’re all so busy, it might seem overwhelming to take whole days out of our schedules to do so. But as our world becomes more complicated, what we can accomplish together can actually ease some of those pressures, offering a great return on the investment of time. The profession needs all of our input, and the convention is a great place to start. Challenges? Well, they’re many, and they impact each of us each day • A patient population that is only now emerging from four years of economic hardship. Many have lost health care access, have delayed seeking care, have skimped on needed medications, and have had time to develop chronic or acute health care conditions that might create a spike in demand • The burgeoning need for primary care physicians, and the obstacles that channel our graduates away from selecting primary care • The changes caused by the Affordable Care Act, creating new procedures, standards, challenges and opportunities for us individually and collectively • Our state’s response to our health care problems, affecting legislation and appropriations that are sorely needed to address the greatest issues of our patients • Issues of reimbursement and liability • The factors that must be addressed in the ACGME/AOA residency training collaboration to ensure that what is important about osteopathic education be preserved in the curricula, and that our graduates remain highly competitive in the system • The need to find more efficient and effective ways to get the continuing medical education we all need – programs that allow us to gain knowledge on-line and enter the classroom for discussion, practice, refinement There’s much to discuss, and it’s important that we address these issues together. Only then can valuable osteopathic principles and practice be maintained and strengthened for the future. Only then can our patients continue to receive the best of who we are and what we do. I hope you’ll stop by MSUCOM’s booth and reception at convention. Get reunited with classmates and faculty. Stop to chat. Let us hear your needs and opinions and challenges and dreams. Let’s do this together! William Strampel, D.O., is Dean of the Michigan State University College of Osteopathic Medicine. He can be reached at pat.grauer@hc.msu.edu.

TRIAD, SPRING 2013

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AD V E RTI S E R I N D E X Association Benefits Company..............................................31 TRIAD Staff

Brodsky Investment Company..............................................30

Robert G.G. Piccinini, D.O., dFACN & Jeffrey M. Stevens, D.O., Editors-in-Chief

David Leszkowitz, D.O.........................................................25

Kevin M. McFatridge, Managing Editor John Bodell, D.O.; Vance Powell, D.O. & William Strampel, D.O., Contributing Editors

Health Law Partners PC........................................................32 Kerr Russell & Weber PLC.....................................................8 Keystone Pharmacy..............................................................25

Kris T. Nicholoff, Executive Director

Medical Opportunities in Michigan......................................25

Lisa M. Neufer, Director of Administration

Michigan Beef Industry Commission......................................4

Kevin M. McFatridge, Manager of Communications Cyndi Earles, Director, MOA Service Corporation Shelly M. Madden, Manager of Membership Marc A. Staley, Manager of Finance

Michigan Clinic for Facial Pain, P.L.C...................................23 MSU College of Osteopathic Medicine..................................25 MSU Federal Credit Union.....................................................6

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2012–2013 Board of Trustees

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Michael D. Weiss, D.O., President-Elect Kurt C. Anderson, D.O., Immediate Past President Myral R. Robbins, D.O., FAAFP, FACOFP, Secretary/Treasurer George T. Sawabini, D.O., FACOFP, D.Ph, Past President Lawrence J. Abramson, D.O., MPH & Bruce A. Wolf, D.O., Insurance Department Gregory Harris, D.O. & Lawrence L. Prokop, D.O., Membership Department Robert G.G. Piccinini, D.O., dFACN & Jeffrey Stevens, D.O., Continuing Education Department Leo E. Reap III & John W. Sealey, D.O., Public Affairs Department The osteopathic profession in Michigan is made up of osteopathic physicians, osteopathic hospitals and an osteopathic medical school. This TRIAD stands together to serve our patients and one another. TRIAD, the official journal of the Michigan Osteopathic Association, serves Michigan’s osteopathic community, including its osteopathic physicians, hospitals, medical school and patients. The Michigan Osteopathic Association will not accept responsibility for statements made or opinions expressed by any contributor or any article or feature published in TRIAD. The views expressed are those of the writer, and not necessarily official positions of MOA. TRIAD reserves the right to accept or reject advertising. The acceptance of an advertisement from another health institution or practitioner does not indicate an endorsement by MOA. TRIAD (ISSN 1046-4948; USPS 301-150) is published quarterly by the Michigan Osteopathic Association, 2445 Woodlake Circle, Okemos, MI 48864. Periodical postage paid at Okemos, MI 48864 and other post offices. Subscription rate: $50 per year for non-members. All correspondence should be addressed to: Communications Department, Michigan Osteopathic Association, 2445 Woodlake Circle, Okemos, MI 48864. Phone: 517.347.1555. Fax: 517.347.1566. Website: www.mi-osteopathic.org. Email: moa@mi-osteopathic.org. POSTMASTER: send address changes to TRIAD, 2445 Woodlake Circle, Okemos, MI 48864. 34 TRIAD, Osteopathic SPRING 2013 ©2013 Michigan Association

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