WELCOME TO THE IDAHO ACADEMY OF FAMILY PHYSICIANS,

STRONG MEDICINE FOR IDAHO

SUMMER 2016 IDAHO FAMILY PHYSICIAN

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Volume 39 Issue 2

The News for Idaho’s Family Physicians

To access the IAFP Web Page, log on to www.Idahofamilyphysicians.org

FEATURES:

  • President's Message

  • ICOM Position Statement

  • SHIP Update

  • Close the Gap

  • Idaho Residency Updates

  • Excellence in Primary Care Conference

  • IAFP Foundation Campaign

  • Family Physician of the Year

  • Recognition for Dedication

  • Tar Wars

  • Community Health Worker Training

  • Be Prepared for MACRA

  • HPV Training

  • Improve Adult Immunizations

  • IAFP Board of Directors

  • Welcome New Members

  •  Morning CME

PRESIDENT'S MESSAGE

Minnehan
Hello to All Fellow IAFP Members,
In May, I was installed as your President at the Annual IAFP meeting in Boise and it is a huge honor to represent all of you.  We are one of the few states that have achieved 88% membership of our family physicians in the state and I am proud to serve.  Thank you for being a member!
Since 2005, I have served on the IAFP board. I attended medical school at the University of Washington as a Montana WWAMI and graduated from the Family Medicine Residency of Idaho in 2001.  I grew up on a farm in Chester, Montana and attended Montana State University in Bozeman.  Idaho has been my home since 1996 starting with the Idaho Medical Student Track for my 3rd and 4th year clinical rotations in Boise.  Upon graduation from residency, I worked as a locum tenens for three months in Klawock, Alaska on the Prince of Wales Island and have lived in Cottonwood, Idaho practicing full spectrum rural family medicine since 2001.
Our practice in Cottonwood (population 917) is clinic and hospital based with seven family physicians, one ER doctor and five mid-levels.  We actively train medical students and residents and do full spectrum Family Medicine with ER, OB including C-sections, colonoscopies, EGDs, hospital rounds and clinic.  One of our FPs also performs T&A’s, hernia repairs, laps and open cholecystectomies and hysterectomies. Our service area extends to five outreach clinics in Elk City, Grangeville, Kamiah, Craigmont and Nez Perce.  We have a helipad at our front door and have been assigned various titles such as “Disneyland with a lot of Fear” for residents and medical students and the “Model Patient Centered Medical Home” even before the concept had been universally known.  For all seven of us family doctors, this has been our first job.
Read more from Dr. Minnehan and her message to the members...

THE IAFP BOARD OF DIRECTORS TAKE A STANCE ON ICOM

The IAFP strongly supports medical education in Idaho and has worked to advance both GME and the medical school programs in the state. At the May board meeting, the board heard from the dean of the proposed ICOM medical school, Dr. Robert Hasty, and were able to ask questions about their plans. After the meeting, the board developed a position statement on the new school. Below the position statement are a few points made by the board to explain the basis for their stance. Please take a few minutes and read through the statement and the rationale behind it. The IAFP Board is here to represent our members so we welcome your comments.

IAFP Position Statement on the Proposed Idaho College of Osteopathic Medicine

The Idaho Academy of Family Physicians (IAFP) Board of Directors supports deliberate and collaborative efforts to increase the training pipeline of quality physicians for Idaho. As it is currently proposed, the Idaho College of Osteopathic Medicine (ICOM) does not do this.  Read the full statement and specifics here...

STATEWIDE HEALTHCARE INNOVATION PLAN

SECOND COHORT RECRUITMENT BEGINS

 

SHIP logoIdaho envisions a statewide healthcare system transformation that changes the standard of practice for healthcare in Idaho.  Through this transformation, Idaho will improve the quality and experience of care for all Idahoans, improve health outcomes, and control costs.  In December 2014, the Idaho Department of Health and Welfare (IDHW) received a State Innovation Model (SIM) grant from the Centers for Medicare and Medicaid Innovation (CMMI). This grant will fund a four (4) year model test that began on February 1, 2015, to implement SHIP. During the grant period, Idaho will demonstrate that the state’s entire healthcare system can be transformed.

Many of Idaho’s providers are ready to test the model and, at the same time, are working to recruit other providers. An Interest Application was issued in August 2015 to determine primary care practices’ interest in transformation to a PCMH model; this generated 134 responses. By the end of the SIM Model Test period, Idaho will have 165 practices around the State transformed from a traditional primary care practice to a well-integrated, coordinated PCMH model supported by value-based payment models.

Read more about the selection criteria and interest survey process...

HELP CLOSE THE HEALTHCARE COVERAGE GAP - Sign a Petition! 

 

Momentum is building to close the gap this legislative session. A new petition has been created to help Idahoans share their support for a complete solution for those in the healthcare website-logo-home-page6coverage gap. Join our efforts and show Idaho's elected officials just how much public support is behind closing the coverage gap! Don’t forget to forward this message on to your networks, colleagues, friends and family.  Click here to add your voice to those asking the legislature to close the gap.  Review the eight myths about covering the uninsured and an opinionpiece by Rep. Ken Andrus on why he supports a solution to the coverage gap.

Together, we will build a healthy, compassionate Idaho. 

FAMILY MEDICINE RESIDENCY PROGRAMS

  • The Kootenai Clinic Family Medicine Residency is doing well and we are thrilled about the growth of our program.  After many years of planning and preparing, Kootenai Clinic Residency welcomed the third class of interns, meaning the program is at full complement! The teaching faculty, administrative team, residents and nurses have been invaluable in helping reach this exciting milestone. Now the program provides more seamless coverage to the inpatient service for adults, children and newborns. Residents have been able to reach out to the community and provide several medical education sessions including Tar Wars, Health GPS, LGBT Issues in Primary Care,  and Adolescent Depression Screening Tools. Kootenai Health has completed a three story, $57 million expansion providing an additional 100,000 square feet. This includes a new front entrance and patient registration, Family Birth Center and expanded orthopedic and neurology rooms. The Family Birth Center is now comprised of ten labor and delivery rooms, 18 post-partum rooms and a new NICU with 12 rooms to care for infants as early as 28 weeks gestation and as small as 2.2  pounds. With the full complement of residents, the faculty continues to expand individual interests and the Kootenai Clinic Family Medicine Residency is recruiting for new full spectrum family medicine teaching faculty. Richard McLandress, MD, Residency Director
  • 2016 Graduates
  • 2016 Graduates
  • 2016 RTT Graduates
  •  2016 FMRI Fellows

 EXCELLENCE IN PRIMARY CARE

Presented by the
Idaho Academy of Family Physicians
MARCH 17 - 18, 2017
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Earn up to 7 CME Credits and enjoy skiing at the "Best Resort in the Inland Northwest," voted 13 years running. Watch for more information on the IAFP Web page.

IAFP FOUNDATION'S ANNUAL GIVING CAMPAIGN

 

July 2016 is the inaugural year of the IAFP Foundation's Annual Campaign where we ask our members to consider making a yearly donation to help pay it forward for the next wave of family physicians in Idaho.

The IAFP Foundation promotes the growth of family medicine through a variety of membership, student and resident programs including CME conferences, the FM Interest Group (FMIG) program, RUOP, Premed Matching Program and Tar Wars. The IAFP Foundation works to support activities which maintain the educational excellence of family physicians. For more foundation information, please visit http://idahofamilyphysicians.org/tar-wars/

Donations can be made by clicking HERE or mailing a check to the IAFP Foundation, 777 N Raymond Street, Ste 100, Boise, ID 83704. Suggested donation of $25, $50, $100 or more are very beneficial to our programs. 

COEUR D'ALENE PHYSICIAN NAMED 2016 IDAHO FAMILY PHYSICIAN OF THE YEAR

Vetter and McFarlandThe Idaho Academy of Family Physicians (IAFP) named Dr. Robert McFarland from Coeur d’Alene, Idaho as the 2016 Idaho Family Physician of the Year on Saturday, May 14, 2016 at the 68th Annual Conference of the Idaho Academy of Family Physicians in Boise, Idaho.  A tribute was made to Dr. McFarland for his generous contributions to his profession, to medical education and his service and dedication to his community and his state at the meeting.

He grew up in Coeur d'Alene and after residency training and a few years of practice in Washington State; he returned to serve his hometown and has remained for more than 30 years.  He cares for 3 generations of many families, who identify him as a true hero in their lives. Read more about Dr. McFarland here...

SENATOR DAN SCHMIDT AND DIRECTOR DICK ARMSTRONG RECOGNIZED BY THE IAFP FOR THEIR DEDICATION TO IDAHO CITIZENS

Senator Dan Schmidt, a family physician and state senator from Moscow was recognized along with Director Dick Armstrong from the Department of Health and Welfare for their unwavering dedication to the families and communities of Idaho.  On Saturday, May 14, 2016, the Idaho Academy of Family Physicians’ (IAFP) at the 68th Annual Conference of the IAFP in Boise, awarded Dr. Dan Schmidt with the IAFP Award for Legislative Advocacy and Director Dick Armstrong with the IAFP Health Care Policy Award.  Because of their efforts, the 78,000 Idahoans who fall into the health care coverage gap are being noticed.  IAFP Executive Director, Neva Santos said, “These two gentlemen put themselves on the line for the citizens of Idaho.  They are both heros because of their commitment and exceptional leadership on behalf of the health and well-being of all Idahoans.”

 

A MESSAGE FROM IDAHO’S TAR WARS COORDINATOR

 

I am pleased to2015 TWlogo-tagline-jpg report that Tar Wars is still flourishing in the great state of Idaho.  What a wonderful way for doctors and other health care providers to connect with their communities.  Thank you to all of our dedicated presenters who make it all happen!

Our Community Partners have been especially instrumental in sustaining the program. Congratulations to our partners at St. Luke’s-MSTI-- Vicky Jekich, Melanie Gonzales, and Dawn Callaham who, as a team, were the recipients, earlier this year, of an award given by the Tobacco Free Idaho Alliance for their work with Tar Wars.

I am also happy to have so many Family Medicine Residents participating in the program.  FMR of Idaho, FMR-ISU, FMR-Caldwell RTT, and FMR-Kootenai are all on board.  In spite of their busy and hectic schedules, the Residents seem to find great value and enjoyment in giving the Tar Wars presentations.

I feel a great responsibility to bring this very important tobacco-free message to as many of Idaho’s youth as possible.  I am always looking for additional volunteer presenters to help with this cause.  It is much easier to get a school on board with Tar Wars when I have a willing presenter ready to accommodate them.

If you are interested in getting involved with this very worthwhile program or if you have questions about it, please feel free to contact me:

Peggy Drzayich Idaho Tar Wars Coordinator Phone: (208) 939-3373 Email: idtarwars@aol.com

 

IDAHO COMMUNITY HEALTH WORKER (CHW) TRAINING PROGRAM AVAILABLE

 

The Idaho Department of Health and Welfare (IDHW), through the Idaho Statewide Healthcare Innovation Plan (SHIP), is implementing a Community Health Worker (CHW) training program in collaboration with Idaho State University. The training is delivered live online Tuesday evenings from 6:30-9:30 PM MST for 16 weeks beginning August 23. There is no cost to participate in the training for students accepted into the program.

The application and registration period is now open!

CHW student eligibility:

  • Be current Idaho residents;
  • Agree to participate in the SHIP initiative and submit data to IDHW on a quarterly basis for one full year after completing the training program;
  • Receive a letter of support from their employer or community sponsoring agency as part of the application process.

Information and the course application:

Macra Ad

HPV Logo

Learn the Facts:

Get information on the burden of HPV cancers, the importance of HPV vaccination, and how to help parents overcome hesitancy about HPV vaccine.
 Webinar options:

Date                                   Time                                      Presenter                 Registration Link

Wed, Aug 3, 2016       Noon-1pm Pacific Time     Dr Cadwallader         bit.ly/HPV-Aug3

Thur, Aug 4, 2016      Noon-1pm Mtn Time          Dr Cadwallader          bit.ly/HPV-Aug4

Thur, Sep 8, 2016       Noon-1pm Mtn Time          Dr Berlin                      bit.ly/HPV-Sep8

Learn more and get registration information here...

Improving Adult Immunization: Billing for Medicare Part D Covered Vaccines

  

Physicians billing Medicare for preventive vaccines covered under Medicare Part D may have had their claims denied and may have resorted to charging patients up front because their billing system does not have pharmacy benefit functionality. The Centers for Medicare and Medicaid Services discourages requiring patients to pay the full charge out of pocket first and be reimbursed by the plan later. One option to help ensure adequate access under Part D to covered vaccines is web-assisted out-of-network billing. TransactRx provides an easy-to-use web-based billing system for physicians, “TransactRx Part D Vaccine Manager,” that is increasingly being used to facilitate billing for Medicare Part D covered vaccines. The service and electronic payments to providers are at no cost; however, if payment is to be made by check, there is a small fee for each check.

Features of TransactRx Part D Vaccine Manager include: • Check of patient eligibility and determination of appropriate Part D plan to bill • Display of amount of co-payment required of patient • Real-time claim adjudication and amount to paid to provider • Reporting to track and manage claims and payments

For more information, see http://www.transactrx.com/physician-vaccine-billing; click on the “Enroll Now” button for links to frequently asked questions and a list of participating providers.

IAFP BOARD OF DIRECTORS

EXECUTIVE BOARD:
  • President:Haley Minnehan, MD Cottonwood
  • President Elect: Jonathan Bowman, MD Boise
  • Immediate Past-President:  Bill Vetter, MD Emmett
  • Treasurer: Mary Barinaga, MD Boise
BOARD MEMBERS:
  • Boyd Southwick, DO Idaho Falls
  • Keith Davis, MD Shoshone
  • Ted Epperly, MD Boise
  • Cher Jacobsen, MD Coeur d'Alene
  • Leanne Rousseau, MD Post Falls
  • Mikael Bedell, MD Cascade
  • Michael Packer, MD Rexburg
  • Rebecca Siemers, MD Coeur d'Alene
  • Suzanna Hubele, MD Weiser
RESIDENT MEMBERS:
  • Tara Mertz-Hack, MD Jerome
  • Douglas Borst, MD Coeur d’Alene
  • Billy Galligar, MD  Boise  (Observer)
  • David Kimball, DO  Pocatello (Observer)
STUDENT MEMBER:
  • Lee Spencer Boise
AAFP DELEGATES:
  • David Schmitz, MD Eagle
  • Mary Barinaga, MD Boise
AAFP ALTERNATE DELEGATES:
  • Scott Dunn, MD Sandpoint
  • Suzanne Allen, MD Boise
  Morning CME

Online AAFP Prescribed Credits and AMA Category 1 Credits are now available online from University of Washington and Virginia Mason specialists. Visit morningcme.com to access over 90 credits annually for $150 annual membership.  For the month of August, there is a promotion for IAFP members to receive $50 off a membership; your coupon code is IAFP.  Please contact Melissa for any questions: russocme@gmail.com or 509-431-0718.

Here’s a bit more detail if you’re interested...

WELCOME NEW MEMBERS

ACTIVE MEMBERS:

  • Erika Aragona, DO  Meridian
  • Charles Edward Boult, MD  Boise
  • Jonathan Maxwell Currey, MD  McCall
  • Toby Davis, DO  Boise
  • Vaughn Alexander Harris, MD  Twin Falls
  • Jeffrey C Haskell, MD  Rigby
  • Heather Margaret, MD  Clark Fork
  • McLane Simpson, MD  Coeur D Alene
  • Shahla Walizada, DO  Boise
  • Roger Tracy Wyatt, MD  Caldwell
  • Dustin L Ziebarth, DO  Kimberly

RESIDENT MEMBERS:

  • Kathleen Joanne Bartczak, MD  Pocatello
  • Travis J. Clyde, MD  Pocatello
  • Richard N. Curtis, MD  Pocatello
  • Brian S. Gould, MD  Pocatello
  • Justin L. Jones, MD  Pocatello
  • Aaron E. Packham, DO  Chubbuck
  • Skyler Shane Shippen, MD  Pocatello

STUDENT MEMBERS:

  • Sarah Bargman  Moscow
  • Colby Brower  Moscow
  • Dalan Brown  Moscow
  • Jessica Copeland  Pullman
  • Ana Cornea  Moscow
  • Rebecca Noel Hall  Moscow
  • Brynn Hathaway  Moscow
  • Arianna Kamaliazad  Spokane
  • Heather Stevens  Seattle
  • Courtney Swantek  Moscow
  • Victoria Talbutt  Moscow
  • Anthony Trakas  Moscow
  • Mary Lynn Young  Seattle