July/Aug 2017 | Los Angeles Medicine by Los Angeles County Medical Association

OFFICIAL PUBLICATION OF THE LOS ANGELES COUNTY MEDICAL ASSOCIATION

SAVING PRIVATE PRACTICE You take care of your patients. We will take care of you.

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Small Business Owners: Make Time for Mid-Year Planning Patrick Nygren, Senior Vice President, Area President, L.A. Community Bank Wells Fargo & Company

Patrick Nygren

Even with half of the year in the books, many small business owners wait until December or January to assess their business and identify ways to improve its financial performance. Yet making time in June or July for a mid-year check-in – when you have a good idea of your business’ needs – may be one of the best times to help your business save time and money, and operate more efficiently in the long run.

As a banker, I see the benefits of doing a mid-year review firsthand. A mid-year review can help a business owner evaluate what lies ahead on the fiscal horizon and plan accordingly. The key to making the review effective is to keep it focused on the outcomes you want to attain. Here are key areas every business owner should consider at mid-year to help make the rest of the year a success: EVALUATE BUSINESS EXPENSES | Understanding how profitable your business has been year-to-date can help you evaluate your current position and modify your financial goals as needed. If you don’t already do it, keep your business and

personal accounts separate. Business checking and credit accounts that are kept separate from personal accounts can help you maintain accurate and complete records of all businessrelated income and expenses. Keeping separate records will also help you as you look for ways to minimize expenses and improve cash flow. ASSESS YOUR BUSINESS PLAN | Every small business should have a formal, written business plan to help with business decisions and strategic planning. According to a recent Wells Fargo survey, business owners who said they had a formal plan reported much greater optimism for 2015. If you don’t have one, or if your plan hasn’t been updated in a long time, now is a great time to consider writing or updating your business plan. THINK TAXES | It can be easy to lose sight of the need for year-round tax planning for your business. The more proactive you can be with managing and filing your tax returns, the better. Spend time reviewing your tax entries for the first half of the year to ensure you’ve captured all expenses, especially for things like cars that are used for business and personal use. If you haven’t met with your tax professional recently, now is a good time to go over key filing dates and deadlines like quarterly tax payments, and staying organized and prepared on your business taxes.

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EDITOR Sheri Carr | editors@physiciansnewsnetwork.com ADVERTISING SALES Dari Pebdani 858.231.1231 | dpebdani@gmail.com EDITORIAL ADVISORY BOARD David H. Aizuss, MD Troy Elander, MD Thomas Horowitz, DO Robert J. Rogers, MD

VOLUME 148 ISSUE 5 | JULY/AUG 2017

HEADQUARTERS LOS ANGELES COUNTY MEDICAL ASSOCIATION 801 S. Grand Avenue, Suite 425 | Los Angeles, CA 90017 Tel 213.683.9900 | Fax 213.226.0350 www.losangelesmedicine.org

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CEO’s Letter | Gustavo Friederichsen

LACMA BOARD OF DIRECTORS COUNCILORS-AT-LARGE Jerry Abraham, MD (1) Samuel Fink, MD (6) Jeffery Lee, MD (6) Maria Lymberis, MD (5) Nhat Tran, MD (9)

A LOOK BACK WITH LACMA PRESIDENT

Vito Imbasciani, MD

TRUSTEES & CHAIR DELEGATION David Aizuss, MD, CMA Trustee Marvin Kaplan, MD, Chair of the LACMA Delegation Peter Richman, MD, CMA Trustee

Meet LACMA’s Newest Partners

EXECUTIVE COMMITTEE William Averill, MD COUNCILORS C. Freeman, MD Robert Bitonte, MD (D1) Sion Roy, MD Emil Avanes, MD (D2) Diana Shiba, MD Stephanie Booth, MD (D3) Vito Imbasciani, MD Troy Elander, MD (D5) Kambiz Kosari, MD (D6) David Hopp, MD (D7) Omer Deen, MD (D9) Christine Phan, MD (D10) Jinha Park, MD (D14) Sidney Gold, MD (D17) Roxana Yoonessi, MD (SCPMG) Heather Silverman, MD (SSGPF) Mitch Katz, MD (LADHS) Albert Young, MD (Allied Pacific) Stephanie Hall, MD (USC) Po-Yin Samuel Huang, MD (1, YP Councilor) Hector Flores, MD (1, EPC Chair) Laura Halpin, MD (Resident Councilor) Erik Berg, MD (Alt. Resident Councilor) Ali Tafreshi (Student, USC) Gwendolyn Lee (Alt. Student, UCLA)

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SAVING PRIVATE PRACTICE

Curing Cancer?

LACMA’s Board of Directors consists of a group of 30 dedicated physicians who are working hard to uphold your rights and the rights of your patients. They always welcome hearing your comments and concerns. You can contact them by emailing or calling Lisa Le, Director of Governance, at lisa@losangelesmedicine.org or 213-226-0304. SUBSCRIPTIONS Members of the Los Angeles County Medical Association: Los Angeles Medicine is a benefit of your membership. Additional copies and back issues: $3 each. Nonmember subscriptions: $39 per year. Single copies: $5. To order or renew a subscription, make your check payable to Los Angeles Medicine, 10755 Scripps Poway Parkway, Suite 615 | San Diego, CA 92131. To inform us of a delivery problem, email editors@physiciansnewsnetwork.com. Acceptance of advertising in Los Angeles Medicine in no way constitutes approval or endorsement by LACMA Services Inc. The Los Angeles County Medical Association reserves the right to reject any advertising. Opinions expressed by authors are their own and not necessarily those of Los Angeles Medicine, LACMA Services Inc. or the Los Angeles County Medical Association. Los Angeles Medicine reserves the right to edit all contributions for clarity and length, as well as to reject any material submitted. PM is not responsible for unsolicited manuscripts.

Los Angeles Medicine (ISSN 1533-9254) is published monthly by LACMA Services Inc. (a subsidiary of the Los Angeles County Medical Association) at 801 S. Grand Avenue, Suite 425, Los Angeles, CA 90017. Periodicals Postage Paid at Los Angeles, California, and at additional mailing offices. Volume 143, No. 04 Copyright ©2012 by LACMA Services Inc. All rights reserved. Reproduction in whole or in part without written permission is prohibited. POSTMASTER: Send address changes to Los Angeles Medicine, 801 S. Grand Avenue, Suite 425, Los Angeles, CA 90017. Advertising rates and information sent upon request.

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L ACMA PRE S I D E N T

V I TO I M BAS C I AN I , M D

A Look Back with LACMA President

VITO IMBASCIANI, MD

Last June we welcomed Dr. Vito Imbasciani as the 145th LACMA president. For this final column, we’ve pulled together some of his previous words of wisdom as a marker of all that’s happened over the past year. AUGUST: Burnout | “Medical journals and the lay press are full lately of reports of studies showing a high rate of burnout among physicians. The burnPHYSICIANS HAVE THE EDUCAout rate tops 50% according to some TION, THE EXPERIENCE, THE studies, making us 15 times more likely to INTEREST AND THE PASSION TO reach that point than MAKE A POSITIVE IMPACT IN THE professionals in any other field. Physicians LIVES OF THE PEOPLE IN THE routinely work 60 hours a week, 10 COMMUNITIES THEY SERVE. hours more than nonmedical professional peers. Forty-five percent of primary care physicians would quit practicing if they could afford to do so. ... “It’s a truism to say that we physicians must take care of ourselves first in order to care for our family, our patients and the communities in which we live and work. Success at righting the work-life imbalance that is endemic in the modern practice of medicine, regardless of one’s specialty, takes a combination of information on what works; commitment to achieving the goal; and time, the most precious commodity of all.” OCTOBER: MACRA | “Unfortunately, this new MACRA-centered world is a zero-sum game: Approximately half of practicing physicians will garner higher compensation for their services by meeting these new CMS expectations, while the other half — unable to compete effectively on this new playing field — will be docked pay in increasingly higher aliquots with each passing year. ... A recent meeting of the entire LACMA Board of Directors discussed this issue at length. The pain in the room was palpable and visceral, and it creates unfortunate divisions within the House of Medicine.”

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FEBRUARY: Leadership | “I presume, somewhere out there in the world of literature, there is a vision of Utopia where the author has taken pains to create a society without leaders, where citizens lead their lives in the absence of rule-setters. ... “But, let’s face it, we need leaders. We need them at the local, regional, national and international levels, because humanity has not yet evolved to a point where we all agree on what our needs are, let alone agree on the solutions. We have myriad needs, for the maintenance of biological life, for reproduction, for emotional and spiritual health, for peace in the world. “Physicians have the education, the experience, the interest and the passion to make a positive impact in the lives of the people in the communities they serve. Be a leader — find your voice and speak out. ... A physician speaking at city council meetings will be listened to. There is no better time to lead than now.” APRIL: Legislative Advocacy Day | “Hundreds, if not thousands, of groups flock to Sacramento every year to lobby their cause, and many of them try to distinguish themselves and magnify their visual impact by wearing a uniform ... . But those groups cannot hold a candle to the simple white jackets that are synonymous with the nobility of the healing arts. And half of those jackets were worn by medical students, giving our elected officials a snapshot ... a glimpse into the future. That future will be populated by hosts of physicians who are actively involved in advocating for the profession at the local, state, and national level — and they learned how to do it while a student, under the aegis of LACMA and the other county medical associations throughout California.” Thank you Dr. Imbasciani for all of your service to LACMA.

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LACM A CEO

G U STAVO F R I E DE R I C HS EN

The “new look” for the magazine is one piece of an ever-changing mosaic that is a smarter, more relevant organization. In fact, this issue of Los Angeles Medicine is an example of the evolution of LACMA. Our focus will continue to be laser-like when it comes to supporting physicians across the region. What will change is the tempo, the reach, influence, engagement and results. The practice of “medicine” will continue to fuel us as we move forward, while the execution of strategic goals will drive growth and brand awareness because, after all, LACMA is a brand that has historically not resonated with 30,000 physicians — until now. The first step in this evolution is to improve what we deliver for physicians: better resources, smarter solutions, pricing, incentives, service and support. Gone are the days of promising help; today, with a renewed focus, we are about one thing: giving you help when you need it the most. Our staff model is now in place to drop everything for our member needs. We have a consulting group that supports our digital, social media, public relations and district needs. And, as we move into the next phase of my tenure as CEO, we are in the midst of our first campaign to grow membership by 10% in the next 12 months. We have a healthy partnership with CMA, which GONE ARE THE DAYS OF has yielded big dividends with transformational partnerships with Los Angeles County (almost 800 physicians) and more recently with La Peer PROMISING HELP, TODAY, Health Systems of Beverly Hills and 50 new members, all of whom are in WITH A RENEWED FOCUS, private practice.

WE ARE ABOUT ONE THING:

And speaking of private practice, by the time this new-look magazine reaches members, we will have launched our “Saving Private Practice” campaign to generate attendance at our first signature event on July 15 NEED IT THE MOST. at the Doubletree Hotel in downtown Los Angeles. I hope every physician who is in private practice can join us for this truly historic event. This day is for our solo and small practice independent physicians. In attendance will be a dozen companies that provide services especially designed for independent physicians. From billing, coding and collections, real estate, IT, waste disposal, web design, HR, banking, finance, and wealth management to liability coverage, regulatory relief, advocacy, insurance brokerage, population health and chronic care management and even prescription drug card discounts, LACMA’s portfolio is vast and growing. We are in negotiations with a fitness partner, electronic health record platform and a safe, secure, clinical communications solution.

GIVING YOU HELP WHEN YOU

There is a sense of urgency to deliver options and solutions for independent doctors, especially in light of last month’s American Medical Association study that featured a sobering trend: For the first time ever, less than half of physicians (47.1%) had ownership in a medical practice, which is down from 53.2% in 2012. Young doctors in particular have been shifting from owning their own practice to joining larger practices. Compliance costs, new payment models, physician compensation and the barrage of regulatory threats, and work/life imbalance add to the decline. That’s the bad news. The good news is simply this: LACMA will help with almost any challenge you face. If you’re a member and in a small practice, take advantage of the new LACMA benefits. You might be surprised by what you discover: a new organization built to serve you.

Gustavo Friederichsen Chief Executive Officer

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Back to Back

SAVINGS on

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for physician practices! Rates remain level for another year for the LACMA/CMA-sponsored program. Why buy workers’ compensation insurance from just anyone, when you can purchase it through the LACMA/CMA-sponsored program and save 5% on your premiums?

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As you know, if you have employees, Workers’ Compensation is required in California. Looking to your association for a comprehensive program is one of the best ways to make use of your member beneﬁts. CMA and LACMA partner with Mercer Health & Beneﬁts Insurance Services and Preferred Employers Insurance to provide safety, stability, service and savings to physician practices participating in the program.

Stability: Preferred prides itself on its stability, which includes maintaining some of the best and most consistent pricing available for members. And because of its Medical Provider Network of credentialed medical professionals, claim costs can be closely monitored and managed while providing quality care to injured employees. Safety: In addition to mandatory CalOSHA information and videos on workplace safety, Preferred’s team of Risk Advisors are available for consultations when you need them. They also have a strong fraud prevention policy and as a California-based carrier, they know exactly what it takes to do business successfully in this State. Service: Mercer’s team of advisors is knowledgeable about the needs of physician

practices and is available to walk you through the application process, either by phone, or in person. Preferred handles and manages its own claims, rather than using third-party adjusters. This means more efﬁcient and expert claim handling. With Preferred, injured employees tend to return to work faster than the industry average and effective management of medical fraud means lower overall insurance costs for members.

Underwritten by:

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All of these features add up to Savings for LACMA/CMA members! See how safety, stability and service can save you money by requesting a premium indication today! Call a Mercer Client Advisor at 800-842-3761 to get started. Or, visit www.CountyCMAMemberInsurance.com for more information and download a premium indication request form or application. 79173 (6/17) Copyright 2016 Mercer LLC. All rights reserved. • 777 S. Figueroa St., Los Angeles, CA 90017 CMACounty.Insurance.service@mercer.com • www.CountyCMAMemberInsurance.com • 800-842-3761

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Meet LACMA’S Newest Partners We’re here to help all physicians reach their goals, cultivate a rewarding practice and find enjoyment and balance in life. We recognize that whether you’re in private or group practice, your days are incredibly full caring for patients and managing career pressures, and work/life balance can be elusive. The portfolio of preferred partners we’ve compiled tailor their expertise and services for LACMA members and offer benefits to save you money and time. We’ve put this list together as a handy reference of special member benefits. And one last note: If you take advantage of all our partners have to offer, you could save thousands. And that doesn’t include the potential revenue you could generate once they start working for you.

AMERICAN CAREER COLLEGE AND WEST COAST UNIVERSITY A direct link to one of the leading healthcare education institutions in the West, which means you don’t have to hire expensive temp, search or placement firms or spend valuable time posting jobs in order to hire and retain quality talent.

BEST PRACTICE MANAGEMENT, INC. | Professional billing and practice management service dedicated to meeting all of the insurance and patient billing needs of your practice.

COOPERATIVE OF AMERICAN PHYSICIANS | In addition to better malpractice protection and benefits, CAP offers practice resources and risk management tools to help physicians thrive.

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CURBSIDE REAL ESTATE | Concierge real estate service created by physicians for physicians, committed to saving you time, money, and stress – and most importantly, to get you into your new home.

DXC.TECHNOLOGY | DXC’s global experience and perspective is built into our larger strategic population health roadmap designed to help providers improve healthcare delivery for high-need patients, while maximizing the benefits of technology and managing costs.

JNTTEK | Full-service boutique IT services organization that caters to each specific practice’s needs in a collaborative team-oriented environment to address potential server, device, security, EMR or back up issues.

M EET L ACM A’S

MEDPRO DISPOSAL | MedPro provides an alternative, low-cost solution to medical waste disposal, pharmaceutical disposal and OSHA compliance training.

TAYLOR DIGITAL | Provides three pillars of digital services – website development (including custom web applications), search strategy and content writing and marketing.

NEWEST PARTNERS

AREAS OF SERVICE Collections, Billing & Coding Business & Workers Comp Insurance Healthcare Technology & Digital Transformation

MERCER | Exclusive workers’ comp and business insurance advisor for LACMA and CMA, providing insurance plans with discounted pricing, enhanced coverage or both.

LACMA RX DISCOUNT PROGRAM PROVIDED BY UNITED NETWORKS OF AMERICA | Making prescriptions more affordable for the uninsured and the underinsured. Can be used to supplement most health insurance plans with savings up to 75%.

IT Services Employment Law Malpractice Insurance Marketing Medical Waste Disposal Personal & Business Banking

NEW YORK LIFE | Financial advisors providing holistic wealth management programs, including tax-efficient strategies, estate planning, business and succession planning, retirement planning, investments and asset diversification strategies, asset protection, risk management and philanthropy.

Prescription Assistance

WELLS FARGO | Provider of banking, investing, credit card, insurance, and consumer and commercial financial services.

WORKWISE LAW PC | Employment attorneys providing an array of personalized legal education/training, employment consulting, resources, and conflict mediation services.

This conference will give practitioners a whole body approach to successfully diagnose and treat underlying issues contributing to the manifestations of neurological, social, and behavioral disorders. Research has revealed that many disorders such as depression, bipolar disorder, anxiety, OCD, eating disorders, and autism spectrum disorders often have biomedical causes that contribute to symptoms, from nutritional deficiencies to chronic infections. Patients have better outcomes when these causes are addressed and treated through a combination of specialized testing and nutritional therapies.

VENUE: HYATT REGENCY ORANGE COUNTY CME AND CE AVAILABLE!

Real Estate: Residential & Commercial Staffing & Recruiting Wealth & Financial Management To learn more and access your benefits, please call 213-226-0393.

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Dale Bredesen, MD

SAVING PRIVATE PRACTICE CONSORTIUM - JULY 15

“

THE TIME HAS COME FOR LACMA TO FOCUS ON PHYSICIANS IN PRIVATE PRACTICE. THAT IS WHY WE ARE LAUNCHING A CAMPAIGN TO PROVIDE AN ENTIRE SUITE OF NEW SERVICES SPECIFICALLY DESIGNED FOR INDEPENDENT PHYSICIANS. WE KNOW HOW HARD ALL PHYSICIANS WORK TO TAKE CARE OF PATIENTS. LET LACMA TAKE CARE OF YOU. -GUSTAVO FRIEDERICHSEN, CEO LOS ANGELES COUNTY MEDICAL ASSOCIATION

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We asked our doctors in private practice what their biggest challenges are and what kind of support they could use most from LACMA. The result is the Saving Private Practice Consortium, an event unlike any LACMA has ever held. We’re grateful to many of our physician members and leaders for so openly sharing their challenges, reaching out to other doctors to listen to their pressing problems and communicating with LACMA staff, board and colleagues. As a result of all the feedback we have received, we have organized a truly unique Consortium where physicians will have the chance to sign up for one-to-one consultations to discuss issues specific to private practice. Office managers are also welcome to participate so you and your staff members can have the chance to find solutions in the following areas: • • • • • • • • • • •

Billing, Collections & Coding Business & Workers’ Comp Insurance Employment Law Healthcare Technology & Digital Transformation IT Services Malpractice Insurance Medical Waste Disposal Prescription Assistance Real Estate: Residential & Commercial Recruiting & Staffing Wealth & Financial Management

P R IVATE PRAC TIC E

Aside from the consultation sessions, we’ve planned breakout sessions that focus on ways you can enhance your practice and adapt to the changing healthcare environment. We’re bringing in consultants to share their experience around entrepreneurial ventures, innovation and trends in technology, personalized medicine and big data, investment strategies and tools for increasing productivity, performance and personal satisfaction. We’re pleased to have Janus Norman, senior vice president, Centers for Government Relations and Political Operations, California Medical Association, attending as keynote speaker. Advocacy is always a big part of the service we provide members. At the Consortium, Norman will provide an insider’s look in his talk, “Engaging the Legislative Process to Save Private Practice.”

EVENT DETAILS SATURDAY, JULY 15, 2017 10 AM – 4 PM DOUBLETREE BY HILTON LOS ANGELES DOWNTOWN

We have many goals in bringing this event to the private practice community, but our main goal is to provide you with the resources you need to thrive personally and professionally and care for your patients the way you want. At the Consortium you will have the chance to do this by exploring how to: • Streamline your business operations • Save money on practice services • Explore how to optimize reimbursements and enhance patient care • Achieve better balance between work, life and well-being • Understand staffing solutions to better recruit and retain employees. We consistently hear that time to socialize and network is incredibly important and that there’s never enough time to connect with colleagues. We’ll round out the Consortium with the chance to unwind and discuss the key points of the day with colleagues over Happy Hour. Free registration at losangelesmedicine.org/register or call 213-226-0361

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C URING CA N CE R

Curing Cancer?

In 2015, in his State of the Union address, President Obama announced, “Last year, Vice President Biden said that with a new moonshot, America can cure cancer. Tonight, I’m announcing a new national effort to get it done.” The White House Cancer Moonshot continues to engage scientists, clinicians, healthcare organizations, advocacy groups and others. A recent Popular Mechanics article called “It’ll Take an Army to Kill the Emperor” focused on some of the top doctors, scientists, policy makers and others who are starting to join forces to win the war against cancer. Doctors from LACMA groups such as City of Hope and Southern California Permanente Medical Group (SCPMG) are part of the effort. Here we take a closer look at what’s going on locally in the fight against cancer.

If you want to see the impact EHR and data collection can have in the fight against cancer, look no further than the Permanente Medical Group. They point to the use of electronic health record (EHR) as “a tool for multiple physicians from different specialties to coordinate care, communicate critical clinical information, and deliver medical treatment quickly and safely.” Michael Kanter, MD, regional medical director of quality and clinical analysis, Southern California Permanente Medical Group, is part of a large multi-disciplinary team working on the SCPMG Colon Cancer Moonshot. The goal, which Dr. Kanter called “large and audacious,” is to cut mortality rates from colon cancer by 50% in 10 years. Three years in, they’re making good progress toward that goal with a 17% reduction in mortality rates. Another impressive feat is that they’ve gotten their colon cancer screening rates up to almost 82% in commercial patients. That statistic jumps to 90% with Medicare patients. The national average hangs at about 45%. EHR is an essential element in the Moonshot project. Reminders about screenings and care gaps go out to both patient and doctor. If a patient is due for a colonoscopy and sees a dermatologist at SCPMG, a reminder will come up. Patients can also check their records for care gaps, and in the case of screenings for colon cancer, get an in-home test sent right to their door. Advances in using EHR for this project are helping the SCPMG team “review deaths with a program called E-Autopsy ... and we’re also able to monitor care and care paths,” said Dr. Kanter. He acknowledges that there’s an advantage at SCPMG in that they have a defined denomination of patients with their healthcare system. He compared it to an organization such as UCLA where they take patients in who aren’t part of the network. The result is a project that spans a decade and allows the team to work toward the goal with a populationbased approach. It also allows for “a little more patience” to see how interventions perform over time.

City of Hope is a logical place to look to for these advances. It is a world leader in the research and treatment of cancer and other serious diseases. It is one of only 48 comprehensive cancer centers in the U.S., as designated by the National Cancer Institute. Recent advances in immunotherapy and gene-based targeted therapy as part of a precision medicine approach have placed City of Hope in the news lately. The National Institutes of Health defines precision medicine as “an emerging approach for disease treatment and prevention that takes into account individual variability in genes, environment, and lifestyle for each person.” Advances in genetic science and research have made precision medicine possible. William D. Boswell Jr., MD, FACR, interim chief medical officer and professor and chair, Department of Diagnostic Radiology, has attributed their “bench-to-bedside approach” as one key to their overall success. He describes it as an ability to move things into action, from research to clinical, within their specialized focus. Many of their physicians are involved in both the clinical and research work at the facility. Their research findings are then applied directly at the community centers. Steven T. Rosen, MD, is the provost, chief scientific officer, director of the Comprehensive Cancer Center and the Beckman Research Institute for the City of Hope. He recently published an article in Oncology Times detailing the partnership between City of Hope and Translational Genomics Research Institute (TGen) out of Arizona. He points to how their areas of specialty dovetail “to fast-track the future of precision medicine and speed translational research for patients.” Dr. Rosen wrote that “precision medicine is the future of cancer care.”

SCPMG is well-respected in the healthcare industry for their effective use of EHR. Dr. Kanter pointed to a couple of factors in that success. He said that “someone has to think about how to use it. It takes systematically thinking about who needs to be screened.” Doctors are often focusing just on what has brought a patient into their office. Stepping back and looking at the need for screenings and other preventative measures has been made easier at SCPMG with the coordinated EHR system. In continuing to develop best practices with the technology, educating patients about care gaps is another factor and plays into the strategy for the Colon Cancer Moonshot.

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LACMA is excited to see where our group members at SCPMG and City of Hope take precision medicine, technology and data collection in caring for patients, treating and, ultimately, wiping out cancer.

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OPPORTUNITY WANTED

RADIOLOGIST

Board certified. Have own malpractice insurance. Available for part-time position or film reading. Call 310-477-4257. CONSULTING & SERVICES

Arthur S. Shorr & Associates, Inc.

Consultants to Healthcare Providers

Practice Appraisal & Sales Partnership Buy-In / Buy Out Supporting Southern California Physicians Since 1983 Call for a Courtesy Consultation

818-693-7055

avishorr@gmail.com

SANTA MONICA OFFICE SPACE FOR SUBLEASE Pediatric practice has 2 exam rooms, consulting office, storage space, approximately 500 square feet available. Modern, high end design. Rent negotiable. Contact Dr. Jeffrey Wasson, 1450 10th Street, 310458-1866.

BEVERLY HILLS OFFICE TIMESHARE Beverly Hills Office Timeshare Medical building in “Golden Triangle.” Fully furnished, equipped for aesthetic practitioners, plastic surgeons and dermatologists. Space available half or full day, including Saturdays. Contact Mary at 310-278-8721 mary@robertkotlermd.com.

LOCUM TENENS AVAILABLE

OFFICE FOR SALE OR LEASE

ORANGE COUNTY MEDICAL CONDOMINIUM AND INTERNAL MEDICINE PRACTICE FOR SALE 1420 square feet, fully furnished medical condominium for sale. 4 exam rooms, 2 consultation rooms, a full kitchen. Central Orange County, near 4 hospitals. $450,000. Internal Medicine physician retiring after 39 years. Will sell hospital based practice for $200,000. Inquire at vbsiew@aol.com.

TRACY ZWEIG ASSOCIATES, INC. • Physicians • Nurse Practitioners • Physician Assistants

LOCUM TENENS PERMANENT PLACEMENT 800-919-9141 • 805-641-9141 FAX: 805-641-9143 email: tzweig@tracyzweig.com www.tracyzweig.com

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