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Terry R. Boucher. MPH Highlights from TOMA 's 102nd Annual Convention and Scientific Seminar E:ucuti1•e Director · Editor in Chi~/ Mark A. Baker, D.O .• New TOMA President ...... 6 Paula Yeamans New TOMA Presidem Pledges Membership increase as Top Priority ...... 7 Associme Eucurivt: Director Donald M. Peterson, D.O. - Recipient of lhe Distinguished Service Award 2001 ..9 Lucy Gibbs, CAE Morton L. Rubin, D.O. - Recipient of the Community Service Award 2001 ... 10 Membership Coordinator Mrs. Susan Sel man Assumes ATOMA Presidency for 2001-2002 ...... 11 Jill Weir, CAE Elmer Baum, D.O., Receives UNT Healt h Science Center's Highest Award ...... 13 Projects Coordinator Pictorial Review of the 102nd Annual Convemion and Scientific Seminar . .14 - 18 Sherry Dalton Thanks to the Sponsors and Exhibitors ...... 19 Publications Coordinator

Trisha Moran Legislative Wrap-Up ...... 2 1 Rea ptionist Self 's Tips and Tidings ...... 23 D.O. is the official publication of the Texas In Memori am . . 25 OsteOpathic Medical Association. Health Science Center G raduates Medical Professionals Duri ng 28lh Co mmencement . . .26 Published eleven times a year, mon th ly except for Tricare News and Related Mili tary Issues ...... 3 0 Ju ly. Subscription pri ce is$50peryear. Texas FYI ...... 3 1 Tuas D.O. does not hold itself responsible for state­ Fro m the Department of Health and Human Resources . . .. 32 ments made by any contributor.lbe advertising con­ Opportunities Unlimited . tained in this magazine is not necessarily endorsed ...... 34 by the Texas Osteopathic Medical Association. Published by the Texas Osteopathic Medical Association, Volume LVIII, No. 7, July/August, ISSN 0275-1453.

PuBliCATION O~l'I CE 1415 Lavaca Street Austin, Texas 78701 -1634 1-800-444-8662 or 512-708-8662 FAX: 512-708- 14 15 E- mail: tom [email protected] Website: www.txosteo.org

Copy and Adv~rtis in g d~adline is t h~ l Oth of 1 h~ month p rtc~ding publica/ion.

Executive Committee Board of Trustees Ex Officio Members of the Board of Trustees Mark A . Baker, D.O. Kenneth S. Bayles, D.O. President George M. Cole, D.O. A. Duane Selman, 0 .0 James E. Froelich, Ill, D.O Joseph A. Del Pri ncipe, D.O. Speaker, House of Delegates President-Elect Patrick Hanford, 0 .0 Ray L. Morrison D.O. Jim W. Czewski , D.O. Vice Speaker, House of Delegates Vice President Bobby D. Howard. D.O. Joseph Montgomery-Davis, D.O. Bill V. Way. D.O . Hector Lopez, D.O. Board Consultant/or Health Affairs Immediate Past President Jack McCarty, D.O. SID Scott You ng Rodney M. Wiseman, D.O. Eli zabeth Palmarozzi, D.O Student Member -321 4 Past President Robert G. Parrott, D.O Mr. Terry R. Boucher Irvin E. Zeitler, D.O. Executive Director -55 33 Daniel W. Saylak, D.O. Chair, Departmem of -0246 Professional Affairs Monte E. Troutman, D.O. Paul S. Worrell, D.O. Hector Lopez. D.O. ATOMA President Chair, Department of Public Affairs Irvin E. Zeitl er, D.O. Susan Selman SfR) Jim W. Czewski, D.O. Chair, Departmem of Developmem & Liaison CALENDAR OF EVENT S

AUGUSTS -12 SEPTEMBER 14 • 16 "OMM: Osteopathic Millennium Medicine" "2001 Mid-year Seminar" Sponsored by the Arkansas Osteopathic Medical Association Sponsored by the Florida Osteopathic Medical Associati011 CME: 26 category 1-A hours anticipated Location: Hyatt Regency Westshore, Tampa, FL Contact AOMA: 501-374-8900 CME : 21 category 1-A hours anticipated FAX : 501-374-8959; E-mail: osteomed@ ipa.net Con tact: Florida Osteopathic Medical Assoc iation The Hull Building, 2007 Apalachee Parkway AUGUST 25 · 26 Tallahassee, FL 32301 " Ligamentous Articu lar Strain Techniques for Treating 800-226-FOMA the Rest of the Body Based on Sutherland's Methods" Sponsored by the Dallas Osteopathic Study Group OCTOBER 21 • 25 Location: Doubletree Hotel Campbell Centre " I 06th AOA Annual Convention" 8250 Nonh Central Expressway Sponsored by the American Osteopathic Association Dallas, TX Location: San Diego Convention Center, San Diego, CA CME: 16 category 1-A hours amicipated Contact: Ann Wittner, 800-621-1773 Contact: Conrad Speece. D.O .. Course Director E-mail: [email protected] 214-321-2673

SEPTEMBER 13 · 16 " OPSO Annual Convention" Sponsored by the Osteopathic Physicians and Surgeons of Oregon Location: Embassy Suites- Washington Square Tigard , Oregon Contact: 800-5 33-6776; www.opso.com r·-·-·-·-·-·-·-·-·-·-·-·-·-·-·-·-·-·-·-·-·-·-·--, ! www.txosteo.org ON THE WEB! t~=~=~=~=~=~ =~ =:.-.=:.-.=.-~::.:~::.::-=:-.=.-~.-~~I~ J.~Iy_ ~ ~~~~~~ J

ON THE WEB is a monlhly feature of the Texas D.O. announcing headlines and trailers of timely osteopathic news articles, pertinent information on healthcare and education, legislative updates and much more; all of which can be found on our website .

• Health Notes • News from UNTHSC at Fort Worth • From the Texas Medical Foundation • In Brief • News from the AOA Costs up? Efficiency down?

TOMA Physician Services can show you how to bring efficiency up and costs down through an operations assessment.

Our consultants will evaluate: •Overhead • Patient Satisfaction • Staffing Ratios • Reimbursement Systems • Records Management • Policies and Procedures •Work Flow • Patient Flow

mel) ativc rp. Physician Services Vortb Contact a TOMA consultant today. (800) 523-8776 [email protected] Mark A. Baker, D.O. Dr. Ill New TOMA President

A 1976 graduate of the University of North Texas Health Sc ience Centerffexas College of Osteopathic Medic ine in Fort Worth (UNTHSCffCOM), Dr. Baker interned a1 Public Health Service Hospital, New Orleans, Loui siana. He completed a diagnostic radi­ ology residency at Osteopathic Medical Center of Texas (OMCT) in Fort Worth in 1986 Dr. Baker practices at OMCT and Westside Radiology Consultants, also in Fort Worth and of which he is the current president. In addition, he is a clinical associate professor and the acting chainnan of the Department of Radiology at UNTHSCffCOM He is certified in Di agnostic Radiology by the American Osteopathic Board of Radiology, and a Diplomat of the National Board of Examiners for Osteopathic Physicians and Surgeons. An active member of TOMA since 1978, Dr. Baker serves on, and has chaired. numerous Association committees. He has been a member of the Board of Trustees since 1989; speaker of the House of De legates, the policy-making body ofTOMA, from 1993-2000; and has held the offices of vice speaker, vice president and president-elect. He has also been active in his divisional society, TOMA District 2. serving as president from 1989-90 and from 1999-2000. Other memberships include the American Osteopathic Association, in which he serves as speaker of its House of Delegates; American Institute of Ultrasound in Medicine; American Osteopathic College of Radiology; Radiological Society of North America. Inc.; American College of Radiology; Texas Radiological Society; Texas Medical Association; Texas Independent Osteopathic Physicians Association, of which he is a board member; and life member of the Texas College of Osteopathic Medicine Alumni Association. He is also a physician reviewer for the Texas Medical Foundation, and a member of the Medical Radiological Technologist Advisory Committee of the Texas Department of Heahh Dr. Baker and his wife. Rita, reside in Fon Wonh. They are the parents of two chi l­ dren. Christopher Allen and Carrie Arlene. New TOMA President Pledges Membership Increase as Top Priority Dr. Baker Presen ts Innovative Approaches to Ach ieve Goal

Ed110r's note: The following is the #2) As Terry Boucher. TOMA' speech presented by Mark A. Baker, Executive Director. and 1 make our D.O., upon assuming the TOMA presi­ district visitation trips during this next dency fo' 21XJI-21XJ2. year, forums will be set up with non­ members to hear first-hand their As I stand before you this evening, I concerns and comments about TOMA am filled with a sense of great pride in and our profession. We will, in tum. our osteopathic profession here in share with them the value that TOMA Texas. We have served the health care Donald Krpon, D.O., AOA Pres id~ nt (r), adminimrs rh ~ membershiphastooffereachandevery needs of the citizens of our state for Presidential Oath of Offiu 10 Mark A. Baker, D.O .. during the osteopathic physician in Texas. With over 100 years, and o ur patients know President's Banqun on Saturday, Jun e 9th. this open dialogue J feel certain that we us as caring, competent and compassionate physicians. We have can alleviate many of their concerns and we can welcome them back established and continue to support the fin est osteopathi c into the TOMA family. medical school in the United States, the Texas College of Q..,teopathic Medicine in Fort Worth. We also have o ne of the #3) We must increase D.O. residency slots in Texas. TOMA, premiere hospitals in our profession. the Osteopathi c Medical in conjunction with the AOA, TCOM, and the Texas Osteopathic Center of Texas. Post-doctoral Training Institution, is developing relationships with several allopathic residency programs in the state to estab­ Through the years, we have been successful in maintaining lish dual accredited residency slots for our Texas D.O. graduates. three D.O.s on the Texas State Board of Medical Examiners. I am sure you know that currently there are not enough osteo­ Through our legislative efforts we have protected the public and pathic residency slots in our state. A survey conducted by the our profession with the managed care legislation of the past AOA and the Gary Siegel Organization of first year D.O. resi­ se'•eral years. We should be proud of our accomplishments. dents revealed that the most important factors in making thei r My goal for this year is to increase membership in our state residency decision were LOCATION and quality of the program. organization - the Texas Osteopathic Medical Association. We In other words "Texans want to stay in Texas." Combine this with will accompli sh this goal by taking the following steps: the fact that D.O.s taking allopathic (ACGME) residencies are less likely to be members ofTOMA and the AOA and the answer NI) TOMA applied for a grant through the AOA/State Society seems very c lear. By helping our Texas osteopathic graduates Partnership program, which was approved at the midyear 2()()1 find appropriate residencies within the state, including dual AOA Board of Trustees meeting. This grant will be used to fund accredited programs, their affi liation with TOMA and the AOA a program that targets osteopathic physicians practicing in Texas will be strengthened. We hope this will lay the foundation for who have completed allopathic residencies and who are not their future involvement in the osteopathic profession and insure members of ei ther TOMA or the AOA. their membership in TOMA. Plans are currently underway to establish dual accredited residency programs with Texas Tech According to the Apri l 2001 li st published by the Texas State Medical School in both Lubbock and Odessa. which will start in Board of Medical Examiners, there are 2,904 osteopathic physi­ 2002. Other potential sites have also been identified. cians licensed by the State of Texas. TOMA currently has a membershi p of 1,379 active practicing osteopathic physicians, As some of you may know, I was fortunate enough to be born plus an additional 503 resident physicians. The goals of this 3- into an osteopathic family. My father, Frank Baker, was an osteo· year program are to: pathic general practitioner in Fort Worth, Texas. From an early age I learned the importance of supporting and protecting the a) Identify non-members who served allopathic residencies osteopathic profession. We all are a family - the osteopathic b) Design a recruitment marketing plan to reach out to these family, and we mu st look out for our own. Like the osteopathic physicians, usi ng the slogan, "Return to Your Osteopathic physicians who have gone before us, we must continue to ensure Roots" through the AOA Re-entry Program for Board the success of the osteopathic profession in Texas. I encourage Certification each of you to give back to our profession. Serve in whatever capacity that you can. Be involved in your communities, let the c) Educate targeted D.O.s about the re-entry program public know who and what we are. Emphasize our distinctive­ d) Analyze the success of this marketing plan to bring these ness. Learn and use our tag line: "D.O.s: physicians treating physicians into our membership ranks. people, not just symptoms." continued Ofl nut page Above all we must the auxiliary a great big "Thank You". Each of you should suppon exhibit unity, whether your the Auxiliary by paying your spouses dues at the district, state and involvement is through national levels and become involved in their programs. TOMA, TCOM, ACOFP, As your president, I have a vision of what I would like all AOA or the auxiliary. We TOMA members to be. I wou ld like each of you to: are a fa mily - and every Support and help preserve the osteopathic hospitals within our member is of great value state. and necessary for our Attend and support your district meetings and events. success. This profession Become a leader in your district, state or national osteopathic has been good to everyone associations. in this room and to our Become involved in training and/or mentoring our students, families- providing us with interns and residents wherever you may practice. a way of life thai most can Let your patients and colleagues know how you are unique onl y imagine. We owe the and distinctive. profession more than we can ever repay. Get to know the elected officials in your area who are making We must support our future- the current osteopathic medical health policy decisions and offer to serve as their source or students - whether by donating money for scholars hips, taking information about our profession. students into your practice for rotations, or merely making your­ Donate to the TOMA PAC fund. self avai lable to meet with a student who wants to talk with a Support the TOMA auxiliary by paying your spouse's "real" doctor. Welcome them into our profession. The graduates membership dues and getting involved in auxiliary's excellent of TCOM have swelled the membership ranks of TOMA and projects. provided our association with several of our current leaders. Contact non-members thai you know, explaining the benefits ofTOMA membership, and bring them back into the "famil)." Remember: today's student is tomorrow's colleague and TOMA member. Just think what we could accomplish with dedicated members like this! While TOMA is a very strong and successful association, we can and will do a better job. Each of us can do our part by encour­ We should all be proud to be members of the osteopathic profes- 1 aging our colleagues, if they are not members, to join TOMA, sion here in Texas. We have a strong association, a nationally recog­ and for everyone to attend our annual conventions. We have nized osteopathic medical school, and a good relationship wlth the increased our membership services to better fit the needs of our state legislature. We must, however, be ever vigilant to protect our physicians. We provide quality CME at a reasonable cost. profession and to insure its future success. We must aU do our panl By working together we can assure that TOMA will remain a strong Each of us should pledge to make annual contributions to association for furure generations of Texas D.O.s. TOMA-PAC. These funds allow us to get our message out in Au stin and to support our friends in the Texas Legislature. As In closing, 1 would like to quote Dr. Andrew Taylor Still who legislation is introduced that may affect the osteopathic profes­ said , "Let your light so shine .... that the world will know you art sion in Texas or infringe on our practice rights, we will have an osteopathic physician, pure and simple, and that no greater established relationships that will ensure that our point of view title can follow a human name. Unless you teach it, preach it and will be heard. With the changes in medicine today, the need for practice it, neither you nor osteopathic medicine will s urvive .~ TOMA-PAC fund s is taking on ever increasing importance. I Well ladies and gentleman, if A.T. Still could see the TOMA hope that each of you will please consider donating. This is one of today he would reali ze that not only has the osteopathic way in which we all can support our profession. profession in Texas survived, it has flourished. As we continue to Without a doubt the group that does the most to promote and work together ror our common good, our profession will support the osteopathic profession is the Auxiliary. The women continue to shine brightly over the health care of our great state and men of the auxiliary increase the public's knowledge of osteo­ We are a family- the osteopathic family pathic medicine through their many worthwhile projects including the "Yellow Ribbon Suicide program.'' Every D.O. in Texas owes Thank you, good night ! Donald M. Peterson, D.O., a Mesquite family physician. has received the Te)(as Osteopathic Medical Association's Distinguished Service Award. The award represents the highest honor that TOMA can bestow upon an osteopathic physician in recognition of outstanding service and contributions to the osteopathic profession in Texas. The award was presented to Or. Peterson during TOMA's !~2 n d An nual Conve ntion and Sc1entific Semi nar, held June 6-10 at the Arlmgton Convention Center in Donal{) M. Peter.Jon~ D.O. Arlington, Texas.

Or. Peterson earned hi s D.O. degree in 1959 from the University of Recipient of the Health Sciences. College of Osteopathic Medicine in Kansas City, Mt.,souri. and served an internship at Dallas Osteopathic Hospital. He DISTINGUISH ED currently maintains a private practice in Mesquite. SERVICE AWARD 2001 He IS board cenifi ed and a fell ow of the American College of o~teopa thi c Family Physicians, a fell ow of the American College of Utilization Review Physicians and a fe llow of the American College of Medical Technology.

Throughout the years, Dr. Peterson has represented the osteopathic profession on all levels with honor and excellence. On the national leve l, he has been a member of the American Osteopathic Association since 1960, serving as a member of the Ad Hoc, Bylaws and Resolutions Committees. Other national membershi ps and activities include the American College of Osteopathic Family Physicians, the American College of Osteopathic Obstetricians and Gynecologists, the American Board of Quality Assurance and Utili zation Review Physicians, the Amencan College of Utilization Review Physicians and Sigma Sigma Phi. Dr. Peterson has the di sti nction of being the fi rst osteopathic physician elected to the Board of Trustees of the American Medical Peer Review As\OCiat ion , in which he has held numerous positions during the years. On the state level, he has been extremely active in TOMA affairs, se ning as president from 1985-86. He was a representative to the Texas Medical Foundation for 21 years, during which time he held numerous posnions including vice president and member of the TMF Board of Trustees. In addition, he served as a member of the Texas Board of Health Bill V. Way, D.O .. lmmediall' Pas/ Presidem of TOMA (L). wtlh from 1989-1993, and is a past president of the Texas Society of the award recipient Donald M. Pelerson, D.O American College of Osteopathic Family Physicians. Locally, Dr. Peterson has he ld all officer positions in his divisional o;oc1ety, TOMA District 5, and has served as chairman of the Medical Advisory Committee at Tarrant County Mental Health/Mental Retardation Authority. He has also been heavily involved in teaching activities at Tri · City Health Centre, Dallas Memorial Hospital, and at the Texas College of

Special honors include the Phil Ovenon Award for Outstanding Leadership in Funherance of Quality Medical Review in Texas in 1990, from the Texas Medical Foundation, and General Practitioner of the Year m 1986 from the Texas Society of the American College of Osteopathic Family Phys icians.

TOMA takes great pride in congratulating Dr. Peterson on receiving this we ll deserved award. )usan Selma "A

Morton L. Rubin, D.O .. a family physician. has received th ~ Texas Osteopathic Medical Association's Community Service Award. The award represents the highest honor that TOMA can bestow upon an osteo­ ~lml'of Nilnl"' pathic physician in recognition of outstanding service to their community ~• P""d_O COIIJU~ .. COMMUNITY Arlington, Texas Dr. Rubin was lauded for his longtime contributions as a physician l,. of the TeUS C S ERVICE AWARD 2001 volunteer at the Eastwood Health Clinic, located at 4 12 Telephone Road .... --hO...,Jic

TOMA is proud to extend congratulations to Dr. Rubin on receiving l.!rt. St l m~ n lib btcD this award. :lO'.IAasv.·ell asherdl\1.\i f"YATOMA ~ llnct 2. She ·II) ""~ • AlOMA In ~OI - ~I« t. Sbt IS C\1 """'SlitsDrr

Susan Selman of Arlington, has been mstalled as president of the Auxili ary to years before its lime. When the b1g da) the Texas Osteopathic Medical came. Dr. Margaret introduced me to loiS Association (ATOMA) for 2001-2002. of people, but Mcril) n R1chard-.. Nancy ln~tallation ceremonies took place June 8 Zachary, and Dr. Virginia Elh 'i particu­ larly stick out in my mind they all 11 the Wyndham Arlington Hotel in bccnu~ Arlington, Texas. in conjunction with the made me feel like I was one of them. Dr. J02nd Annual Convention and Sc ientific Virginia was the luncheon s pea~cr and Seminar of the Texas Osteopathic she was the first person I ever heard say Med1cal Association, held June 6- 10. these words. "we pay for our place in life by serving others ... and I've loved the 1\ho installed as offi cers with Mrs. place I've occu pied." Her whole counte­ Selman were Pam Adams, pres ident­ nance lit up when she said those words. It t:lect; Barbara Galarneau, vice president ; 1s easy to understand why she received 0 Lmda Garza. secretary; and Shirley Founders Medal later that day. Me}er, a.s treasurer. Well, I love the place I've occupied Upon accepting the state presidency, Richland Hill s, reside in Arl ington. They and I'm grateful to osteopathic medicine "'rs. Selman outlined her goals for the have two sons. Weston, 23, and Carter, 18. for providing that place. Without it. my commg year, one of which wi ll be the family and I wou ld not have been nearly fun.herance of the Yellow Ribbon Teen The fo llowing is the inaugural speech as comfonable. nor would I have known SuJCide Prevemion Program in Texas. presemed by Mrs. Selman during the all of you Th~ program provides Yellow Ribbon President's Banquet on Saturday. June 9. The main objectives li sted in Cards to chi l dren/te~ns, giving them a ATOMA's constitution and bylaws are to ~It and simple way to ask for help ''Welcome to Arl ington-my home­ further the objecti ves and ideols of Adults ar~ subsequeml y educated to town! ['m so excited and honored to be TOMA for the purpose of creat ing a re\pond appropriatel y when presented the new President of ATOMA. better understanding of the osteopat hic 11¥1th a Yellow Ribbon Card. Mrs. Selm an First of all. I'd like to introduce my profession and to aid in the improvement noted that she hopes to imroduce this family. Most of you already know my best of the public health through service to much-n~eded program to more youth hal f. A. Duane, our son Carter, our son TOMA. In other words, ATOMA is in through pr~se ntation s at sc hools, Weston and his date Jenny, Duane's existence to serve and sup port TOMA and churches, youth organizations, and the brother Don Selman and his wife, Ellen. the osteopathic profession as a whole. like. She wi ll also concentrate on the prumot1on of the osteopathic profession, My theme for th is year is having an In servi ng and supporting TOMA and as we ll as direct attenti on to the need for "Attitude of Gratitude through Service." I the osteopathic profession, my main foc us all osteopathic physicians to have a voice chose th is parti cular theme because of areas will be introducing the Yellow ahout their future by participating in their one of my first experiences with our Ribbon Teen Suicide Prevention Program osteopathic political action committee. osteopathic fami ly. Si nce Duane was to more schools. churches and youth president of his freshman class at TCOM organizat ions and the distribution of book Mrs. Se lman has been active in back in 1982. we were invited to a whole covers promoting osteopathic medicine ATOMA as we ll as her divisional auxil­ day of festivities centered around the and the Yellow Ribbon Program. I see Iary, ATOMA District 2. She has previ­ Sixth Annual Convocation, including doors opening to the Yellow Ribbon ou~ly serv~d as ATOMA treasurer and dinner with President Willard, the Program through the new U.S. Su rgeon pre~ident-elec t. She is currently an Founders' Medal recipients, and other General's spotlight on suicide prevention. lndepend~nt Sales Director for May Kay, YIPs from the profession. My own expe­ To further support the future of the Inc Prior to that. she worked as a legal rience with thi s family started out when osteopathic profession in Texas, attention secretary for 27 years. Dr. Margaret Wi ll ard invited me to a must be given to our Political Action Memberships include St. Matthew luncheon at the Women's Club and then to Committee. I'll be emphasizi ng support of Cumberland Presbyterian Church and the join her and some other wives at the TOM A-PAC in my di strict visits. It is my Arlmgton Chamber of Commerce. Convocation. Oh, by the way. that was the intention to dedicate one of our fund­ first "white co:tt ceremony" at rai sers at next year's convention to Mrs. Selman and her husband, A. Convocation, in itiated and organ ized by TOMA-PAC - that is, you wi ll donate Duan~Selman , D.O., an emergency room Duane as a demonstration of student unity your money directly to TOMA-PAC ph)SICJan at Nonh Hills Hospital in North to the faculty - a "u nity campaign" 20 instead of through the ATOMA Lreasury. Cindy mean the world to me. As a token Joining me in support of TOMA is an understand what it's like being married to of our appreciation to the TOMA Officers flmer BaUI incredible group of people. [ATOMA a D.O. or to someone who works with the and our Executive Director, I'd like to board introductions were made. ) I'm truly profession. Doctors. encourage your present you with your own personalized honored by thei r willingness to serve - spouse or significant other to join. official 200 1 scrub tops. -UNT Heal thi s is going to be a great board! A special thank-you goes to my good I'm grateful for the opportunity to Some of the best friends I could ever friends at TOMA Headquarters in Austin serve our osteopathic fa mily and I'm ask for have come th rough being a - Paula, Sherry. Jill , Lucy. and Tri sha - Center's H member of the Auxiliary. If you're not yet you make us all look good and I Jove looking forward to a great year. God ble'' working with you. And to Terry Boucher, you all for your support of ATOM A. a part of this fami ly, become one and get ~CrulttSityofNoflhTeU involved. You'll make some of the best who keeps everything running and still Thank you to every one of you! eii!~Eiroe>l-·d ,...·,fouJ~<~er~ Medll It Just Doesn't Get Any Better Than This! ll<"""'"~"""""ilrU AOA Annual Convention, San Diego, California IJ].lbtccrtJOOIIY"i'lltkl l and TOMA's Post-Convention CME Seminar, Cabo San Lucas, Mex ico .C(II'IItnriM October 20 - 28, 2001 1).8aum hasttpeattdlydtl .,,"smdR003i~~~<.,;19(1Js.~B.un,. Cabo Stlrr l...uros, M~xico •"""'~"'"'o;ldloli SAN DIEGO HYATT REGENCY SPACE IS LIM ITED li&o"!dus.dtiUitli: While at the AOA Annual Conve ntion in San Diego. TOMA trav­ Reservations wi ll be accepted on a "first-come. first served" bas1~ udtTgf~I>DIIo!lh<TNIIJilo Convention Center and Seaport Village. The hotel is within easy or other conveyance that is used in the performance of its dut} to walking di stance of the Covention Center, site of the AOA the passenger nor or hotel or resort properties. A""!h•IIWIYolx!• Oblingui$hedSmnCcr Annual Convention. PRI CE PER COUPLE Osloipalh• ~ HOTEL FINISTERRA *Total Price- $2,140.00 Resting at the tip of the Baja Peninsula, Cabo San Lucas has Price per couple includes hotel accommodations, TOMA CME reached resort stardom. In the last ten years, it has evolved from registration, ground transportation, baggage handling and ti('l' a sleepy hide-away for fi shermen and yacht owners, into one of where applicable. Mexico's most popular resort desti nations. Hotel Fini sterra, • C harges for round-trip airfares are ill. fllkfiJiJm. to the pria located a sho rt walk from downtown Cabo, is built on cliffs over­ quoted above which is for ground services only. looking the Pacific Ocean and Sol mar Beach ~arEd1tor: DEPOSITS AND PAYMENTS PRI CE IN CLUSIONS AND EXCLUSIONS Th e total payme11t for the trip must be received by CarlsDit 0nbdulflilh< l1>1 The cost of the AOA ConventionffOMA Post-Convention CME Wago11lit/Spears Tra vel 011 or bef ore September J, 2001 \\'orth,lv.1sh10npm\' Seminar is priced per couple and based on double occupancy. The Cancellations received before September I, 2001 will be charged ~IP.••hadlh;,.f" , All prices are in effect as of the printing of this brochure and are TOMA and Carlson Wagonlit/Spears Travel reconunend travelers subject to change without notice unti l full payment is made. Plamunl•thady• purchase nomi nal cost trip insurance to cover cancellation charges, ktcp)'oomformed

The Uni versity of North Texas Health Science Center at Fort Worth has recognized Elmer Baum, D.O., an Austin physician. h} giving him its highest honor, the Texas Coll ege of Osteopathic Medicine's Founders Medal.

The honor was presented during the annual AOA Luncheon on Ronald Blanck. D.O.. p"sitlt'n/ of tht' U/t!f llrnltl! June 7. The ceremony was held in Arlington as part of TOMA 's ScitiiCt Ctmtr (L). looks 011 tn Dr. Elnrt'r Hmmt fl!mn annual conYe ntion Iris m•1.-/y owcmlrtl Founders Mttlnl. "Dr. Baum has repeatedly demonstrated his dedication to the include the General Practitioner of the Year in 1958 und the Di stinguished Service Award in 1995 from TOMA. profession," said Ronald Blanck, D.O., president of the UNT Health Science Cemer. "His advocacy opened the doors to osteo­ Dr. Baum has seiVed as a member of the Bureau of Insurance. pathic education in Texas. He was instrumental to the early deve l­ chaimmn of the Council on Federal Health Programs. a commi ucc opme nt of our own Texas College of Osteopathic Medicine." member of the Council on Federal Heahh Programs. and Vice M11Wm. President of the American Osteopathic Association. Dr. Baum has 1n the mid-1960s, Dr. Baum worked with then Governor Preston been a member of the White House Conference on Health and Sm1th to obtain private scholarshi ps for osteopathic students from chainnan of the Bureau of Public Education on Health . On the Te~a.~- Following this, the state of Texas approved general appropri­ state level , Dr. Baum was a member of the Texas State Board of atHlfb for the Texas College of Osteopathic Medicine and provided Health for over 18 years. mmal financing for bui lding the college. Shortly thereafter, the Texas College of Osteopathic Medicine became a Texas state college under The Founders Medal, awarded in honor of the health science the t:m~ersity of North Texas system. center's medical school founders, George Lui bel, D.O .. Carl E. Everett. D.O. and the late D. D. Beyer. D.O., has been presented '\mong hi s many other honors, Dr. Baum received the presti ­ si nce 1978. The honor is awarded to "deseiVing indi viduals in gious Distmguished Service Certificate award in 1999 from the recognition of significant contributions to heal thcare and/or American Osteopmhic Association. Some of hi s other awards - osteopathic medical education ."

LEDER TO THE ED ITOR Dear Editor;

On behalf of the Christian Medical Associat ion of the University of North Texas Health Sc ience Center at Fort Worth, I wish to ex press my gratitude for your recent donation to our Spring Break Medical Mission Trip. With your help, we had the privilege of providing free medical care to over 400 patients in the Piedras Negras. Mexico area. More than 32 medical students participmed in this endeavor, and the poverty and medical need around them impacted many. It was a tremendous learning experience for all involved. both in their medical education and in devel­ opi ng a compassion for the medically underserved.

Planning is already underway for the spring 2002 Medical Mi ssion Trip. Our location is as yet unknown. but I will keep you informed of our plans. If you have any questions or wou ld like to be involved in our future charitable projects, please contact me at

Thank you again for your generous support.

Si ncerely yours, Joanna Barsness rT•rri CMA President- 2001-2002 {,IRS TRAVEL ~ TOMA'S 102ND ANNUAL CONVENTION AND SCIENTIFIC SEMINAR ARLINGTON, TEXAS JUNE 6 -10, 2001

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ABXDiagoo-.~ ~t A~tlabmton AtrC3illa Arbonne lnternmo Boduingalngtlht BniiOIMeym!.ju c,DIOC:nM TOMA thanks the many sponsors and exhibitors who contributed so generously to the success of the J02nd Annual Convention and Scientific Seminar

Presidential Sponsors Medical Equ ipment Systems. Inc. Don Self Associates ($2,500 or more) Merck Dupont Pham1aceutical Micro4 Dean, Jacobson Financial Services, LLC Education Center For Texas Health Steps Novartis GlaxoSmithKiine GlaxoSmithKii ne Novo Nordisk Pharmaceuticals Pfizer, Inc Harcourt Health I W.B. Sau nders Pan American Laboratories Texas Medical Foundation Jones X-Ray Pharmacia UNTHSC-FWffCOM Biomedi cal Lone Star Open MR I Communications PROM ED Trust Medical Equipment Systems. Inc. Records 123 A!V Services Merck Roche Pharmaceuticals Wyeth-Ayerst Laboratories Micro4 TOMA Physician Services Novart is Ambassador Sponsors TOPIC - Managed by Will is Corroon Novo Nordisk Phannaceuticals ($2,000 . $2,499) Tachyon Enterprises Onho-McNeil Pharmaceuticals Texas Department of Health, Adult Cephalon Osteopathic Health System of Texas Health Program Eli Lilly Pan American Laboratories Texas Medical Liability Trust Phannacia UNTHSC/TCOM Educational Chairman Sponsors Physician Manpower Training ($1,500 . $1,999) Foundation Commission U.S. Army Healthcare Recru iting Ortho-McNeil Pharmaceutical Corp. Physician Oncology Education Program Wa ll ace Laboratories 0\teopathic Health System of Texas PROM ED Trust Whitehall-Robins UCB Pharma Records 123 X-Ray Sales & Service Co Roche Laboratories Sponsors X lear STDIHI V Prevention Training Center ($500 • $1, 499) TAP Pharmaceuticals Contributors TCOM Alumn i ABX Diagnostic (less than $500) TOMA Physician Services Abbo tt Laboratori es Center For Rural Health Initiatives TOPIC Aircast, Inc. Education Center For Texas Health Steps Tachyon Enterprises8 Arbonne International Roche Laboratories Texas Dept. of Hea lth, Adu lt Health Boehringer Jngelheim Somnus Medical Technology Program Bristol Meyers Squ ibb Texas Medical Foundation Centocor Exhibitors Texas Medical Liabi lity Trust Creative Financial Professionals U.S. Army Healthcare Recruiting ABX Diagnostic Daiich• Pharmaceutical Corporation UCB Phanna Abbott Laboratories Dennik Laboratories UNTHSC - TCOM P.A. Program Aircast, Inc Dupont Pharmaceutical UNTHSCffCOM Arbonne International Forest Pharmaceutical Wal lace Laboratories Boehrin ger lngleheim Galdenna Whitehall-Robins Bristol Meyers Squibb Harcou rt Health I W.B. Saunders Wyeth-Ayerst Laboratories Center For Rural Health Initiatives Horizon Meetings X-Ray Sales & Service Company Creati ve Financial Professionals Jones X-Ray X lear Daiichi Pharmaceutical Corporation Lone Star Open M RI Dean, Jacobson Financial Svcs, LLC ~~~t;: Tidings ~bf'a .J .. ~.,

This month's article on coding. collec­ ments and proh ibitions regardi ng docu­ tion requirements, or some other negatl\·c factor that limits their actions. tions, Medicare and reimbursements will mentation. claims submission, compli· be a little bit different from past months. ance, local medical review policies, So, how do we apply the concept of Over the past few years, the scope of my contractual changes. reduced fee sc hed­ ' prohibitive' versus 'permissive' to business practice has changed somewhat. ules, practice administration issues and change our perspecti ve? We re-visit the No longer am I just "fi xing problems" the like. Sometimes, if you are really Medical Practice Act of our particular when a client calls. Now, we are assisting lucky, you may even get a 'thank you' State to actually see what we are physician practices in Texas and elsewhere note from a patient or information about a ·pennitted ' and ex pected to do in the plan, organize, and implement enhance­ new medication, procedure or test that practice of medicine. Once you ha\ e ments designed to modernize administra­ may really help some of your patients. reviewed what you are 'pennitted' and/or tive tools and focus on the problems of Instead. we seem to have our focus drawn expected to do, you re-read the Code of today as well as the needs of tomorrow. No to the negati ve or prohibitive aspects of Ethics governing your chosen vocation longer am I just "reacting" to the problems our profession. Let's see if we can find a Once you have completed this simple my clients have, but now I am responding way to change our perspecti ve. assignment (and I do mean you need to to their needs- even if those needs are ill actually take the time to read them), a~k Consider this. The law, as well as most defin ed and only suspected. yourself and determine if you are prac. rules, regu lations, and guidelines estab· tieing 'reactive' or 'responsive' medicine No, I'm not about to try to tell you how lished by regulatory agencies are generally to clinically treat your patients but I do classed as either 'prohibitive' or 'pennis­ "Responsive medicine means the want to share with you a piece that was sive.' This is an important and often over· ph ysician asserts their belief in the written by my trusted colleague and looked aspect governing the duties and permissive aspects of the practice ol partner, Wayne Clark, JD. These are the conduct of a professional. It is central to medicine and takes the next step, most basic principles we utilize with our clients. developing a thought process and attitude specificall y with their established Man) thanksl So far, we have seen increases ranging that can lead to positive change. patiems. Instead of just reacting to today's from 15% to 120% in their monthly collec· c hief complaint, the RESPONSIVE roralltheitemsdonat The physician, when presented with a tions by using these ideas. The principles physician considers the history of their held during TO chief complaint, reacts professionall y to expressed in the following article will patiem and moves to interdict with appro­ resolve the current complaint using the Il work for you in your own practice • try it priate tests, diagnosti cs and planned tools at their disposal. But is that enough? !.WJ+ and see for yourself if you begin to feel programs to either resolve and/or arre~t Have we become so foc used on the imme· beuer about your practice while increasing the progressive disease states of the1r -Orimi>IRup,Hoo diate problem we fail to appropriately your own monthly income. patient. (This is what we have our client• trtGalleries,Houstoo, TX consider what other specific actions we doing in their practices. This results m could or should take for the well being of Reactive vs. Responsive li ves being saved, improved patient cart the patient? Have we become so jaded Medicine and practices discovering this change 1n and focused on the prohibitions of our focus almost always results in an increbt Everyone seems to know the differ­ practice and patient encounters that we in their monthly income). ence between the words 'reactive' and fail to take time to pay attention? You may 'responsive' when asked. However, when be surprised, but I reall y think the answer They develop programs that imple applied to the medical care of patients, is a resound ing NO! ment measured responses to their patieRl more and more physicians are responding needs by more comprehensive schedulin~ What does take place, I believe, is the favo rably when we explore all the impli ­ and use of ancillaries and laboratory sen physician intuitively considers the signs, cations this can have in their practice. It ices. Why send a patient elsewhere wheff symptoms, and history of the patient, means we can begin to get better patient they'll have another co-pay or new patient initiates an appropriate treatment and then outcomes AND concurremly enhance the charge? Learn what you can do in your moves on to the next case. Why? Because economics of the practice. own office to better serve your patienb to take the next step the physician may Ask yourself if you are a referral serv1ce Every day physicians are bombarded believe to be appropriate and warranted or are you their primary care physician? by faxes, letters, policy bulletins, payor for their patient. they are confronted with advices and communiques designed questions regarding issues of perceived They establish Coordination of Cart solely to call auemion to new require- medical necessity. onerous documenta- services that better manage the co-- morbidities of their patients (if you wait with serious co-morbitidics on a regular you cannot do annual eumi or pre\entl\e for the patient to present with a serious schedule. (This has resulted in several li ves medicine or you can't get p~ud for th1s or complai nt, it may not happen and if it being saved and has consistently provided that. ll's high 11me that you imest•gate and doeS. it is often too late). needed and timely interventions.) learn ~hat you CAN do for your patient They utilize physician extenders to They set as ide some time to review It's time you learned what you CAN b1 ll a:.~ist in the review of patient c.harts and and questi on their performance with and ~hat you CAN be pa1d for. It '~ tune to hi~tory to remind them of necessary and specifi c patients. Every other professional put the phys ician & patient back m appropri ate tests and diagnostics (we set business requires quality control checks . control of the patient's needs imtead of up a flagging or tickler system in the office so should physicians. the accountant s and bool.. keepcrs and and require it to be used by all personnel). managed care executives. So, you ha\e a And, most importantly, they schedu le choice. You can continue to react to you r They inspect set-ups and charts to personal time to objecti vely reflect upon patient's compl ai nts and ill nesses or you ensure all vitals are appropriately measured their professional performance. My can start MANAGING your patients. your and reported during every visit. (Remember, prescription: take a 5- 10 minute leisurely practice and your income. The nex t two ~· oor nurse can actuall y perform part of the walk around the block by yourself every month's issue will touch on a few more e'am elements needed to comply with day. You may have a surprising outcome pointers that arc working for our clients. docume ntati on requirements.) "Physician. heal thyself. Apply some If you don't want to wa it till then. emai l They establish controls to ensure that of the same di agnostic tools you use every me at with your al l ordered tests and diagnostic services are day to your practice and li sten to the name and mention the TEXA S D.O .. :md actually perfonned. (ln 75% of offices we answers with your head and heart. You we'll start sending you e- mai l tips as we ha\e worked with, we have found a may fi nd there are more pearl s and can , wherever you are. number of services being done - but not diamonds in your own backyard than you Don Self & Associates, Inc billed or not completed due to scheduling ever imagined." Wayne Clark 305 Senter Avenue conflicts or inconsistent support staff.) Wh itehouse. TX 7579 1 Doctor. for too long you've been 903-839-7045 They no longer wait for the patient to listening to NAYSAYER people tell you FAX: 903-839-7069 cume to them with a problem. They set up what you CANNOT do in your practice E-mai l: donself@donse lf.com 1 recall system to monitor their patients You cannot do this test on the patient or www.donself.com ATOMA News Many thanks to the compani es and individuals This Is Not Your for all the items donated to the Annual ATOMA Silent Auction held during TOMA's Annual Convention in June Ordinary T-Shirt TOTAL R AISED: $6 732

$1,000+ $20-$199 Abrahams Oriental Rugs, Houston, T X Pam Adams Hart Galleries, Hous ton, TX Dr. Conrad Speece. BackMaster® Dr. Kenneth & Shirley Bayles $500-$999 Bunch & Shoemaker Brian Annbruster Champp's Ameri cana Dr George & Linda Cole Contempo Desig n. Inc. Dr. Nelda Cunni f-lsenberg Dr. Ji m & BJ Czewski Foley's Department Store District 15 Auxiliary Round Rock D.O .. Ro bert Peters, Jr., Dr Howard & Barbara Galarneau Dr. Carl & Mary Hope Everett and his staff. model the new ATOMA Dr. Bobby & Beth Howard Dr. Karen & Chris Hull scrub shirts. The reversible, white top has Dr's Royce & Elva Keilers Maggiano's Little Italy, Houston, TX a navy blue, offi cial TOMA seal on the JX>Cke t (on both sides) and is avail able in Stetzel & Associates Marjori e Croushore, Mesa General Hospital Gift Shop sizes Youth Large- Adult XXXL. $2110-$499 Lois Mitten At just $20 each, this is a great oppor­ Rrta Baker Sam's Wholesale Club tu nity to contribute to th is ATOMA fund Decorators Walk Susan Selman raiser and get a cool shirt to boot! Di~ tri c t 15 Auxiliary Student Associate Auxiliary To purchase your very own scrub Drstrict6 Tami Prangle, T's Baskets shirt(s), please contact ATOM A president, Dr. Hector & Mi reya Lopez Westin Oaks Galleria Susan Selman at 817-483-0302. Dr. Rodney & Marie Wiseman Dr. Eugene & Nancy Zachary IRAs. Today's limit of$2,000 climbs Starting in 2006, the plan even ere. New Law May to $3 ,000 from 2002 through 2004. ales another potential method of The limit will then reach $4,000 in achieving tax-free growth for re· Provide 2005 through 2007, and $5,000 by tirement assets. ln that year, 2008. There will be no change to in­ 40l(k) and 403(b) plans may allow "EGTRRA" come limits. employees to make after-tax contri­ butions to a separate account. Money IRAs are not the only retirement sav­ Withdrawals will not be subject to ings vehicles to benefit from in­ income tax, provided the partic i­ For creased contribution limits. Investors pant holds the account at least fi ve who contribute to a 40l(k) or 403(b) years and is age 59 1/2 or older at Retirement plan are currently limited to a the time of distribution. oo! $10,500 annual ceiling. This in­ It has always been a wise fmancial creases to $11 ,000 in 2002, and will Those are simply a few of the new practice to save for retirement by rise by $1 ,000 yearly thereafter, top­ options that EGTRRA will provide utilizing tax-advantaged investment ping out at $15,000 in 2006. EG­ to smart investors who take advan­ vehicles such as the traditional indi­ TRRA also contains a "catch-up" pro­ tage of the benefits of tax· vidual retirement account (lRA) or vision that allows those ages 50 and advantaged retirement investing Roth IRA, or an employer-sponsored above to contribute an extra $1 ,000 While they are exciting, it is interest· plan such as a 40l(k) or 403(b). per year starting in 2002, until an in­ ing to note that unless lawmakers creased contribution limit of$5,000 is renew the bill in the future, these in· It is simply hard to match the bene­ met. After 2006, the $5,000 limit will creased contribution limits are fits associated with tax-deferred in­ be indexed for inflation in $500 incre­ scheduled to revert back to cumnt vesting, multiplied over time by ments. levels in 20 II. So while it is up to compounding interest. Many inves­ Congress to extend these contribu· tors wish they could contribute EGTRRA also eliminates the per­ tion limits down the road, it is up 10 money to their retirement plan. centage-of-compensation guideline all of us to put EGTRRA to wort A new Jaw known as the Economic for the 40I(k) and 403(b). As it starting in 2002. Growth and Tax Relief Reconcilia­ stands now, employees can contrib­ tion Act of 2001 (EGTRRA) is ute up to 25 percent of yearly com­ Call us. poised to make that wish a reality. pensation or $10,500, whichever is Signed by President Bush on June 7, lower. Beginning in 2002, employ­ the Jaw dramatically increases con­ ees may contribute up to 100 percent Country Dean, CFP tribution limits for Americans in­ of compensation, so long as it does Jake Jacobson, CLU, ChFC vest ing for retirement. not exceed that year' s dollar limit. Jeff Schmeltekopf, ChFC, CFP Combined employer and employee The law will gradually raise the contributions can be the lower of up Fort Worth maximum annual IRA contribution to $40,000 or 100 percent of compen­ Dallas limit for both traditional and Roth sation. Toll Free

lnveslment Services offered through liasco/Privatr Lrdgrr, a Rrgistered Broker/Dealer, ln vtslment Advisor and Member NASD/SIPC. Th is artK:k: • for general informa~ion ooly and is not intended to provide specific advice or recornmendatioos for any individual. Coosult your attorney, ac:OOWiunt. or fmancialadvisor with re gard to your individual situation. Entire publication copyright of Linsco/Private Ledger Corp., 2001. All rights reserved Dean, Jacobson Financial Services, LLC is located at 311 2 W. 4th Street, Foct Worth , Texas, 76107 Legislative Wrap-up Monday, May 28, was the final day of the 140-day session of the 77th regular session. Gov. Rick Perry vetoed a record 82 bills, more than any other governor in recent history. Seventy-eight bills were vetoed on Sunday (Jun e 17) alone, which was the final day for the governor to act on legislation approved by lawmakers.

The following are bills of interest to the medical community. For provide a written description of the factors considered by the mort information, log 011 to . For veto managed care entity in determining the amount of rei mbu ~c mc nt messages, log 011 to . for the out-of-network provider. Effective 9- 1-0 I.

HB 42 - Rep. Ruth J. McClendon - The Texas A&M HB 2989- Rep. Roberto Gutierrez - Establi shes an acanthosis Umversity System is granted the authority to conduct a feasi­ nigricans screening program in certain public and pri vate bility study regarding the creati on of a doctor of medicine degree schools. Effective 9-1-2001 program at Prairie View A&M Uni versity. Effective 6- 11 -200 I HB 3600- Rep. Jaime Capelo - Preserves the confident iality of HB 606- Rep. John Smithee- Health benefit plans are prohib- records regarding the compliance monitoring of physician~ by 1ttxl from requiring the use of hospitalists for hospital in-patient the Texas State Board of Medical Examiners. Effective 6- 15- care. Effective 9- 1-200 I 2001.

HB 767 - Rep. Glen Maxey - CME requirements for licensed SB II - Sen. Jane Nelson - Bans health entities from sharing chemical dependency counselors are amended to include training patient data wi th marketers or advertisers without previous relating to HJV, hepatitis C and STDs. Effective 5-21-2001. consent and gives patients access to thei r medica l records. Effective 9- 1-2001, except Section 2 effective 1- 1-2002. HB 1688- Rep. Ruth McClendon - Public school students wi ll be allowed to possess and self-administer prescription asthma SB 19 - Sen. Jane Nelson - Authorizes the State Board of medication while on school property or at a school-related event, Education to require school districts to offer 30 minutes of phys­ provided a written authorization is signed by the student 's physi­ ical activity each day. Effective 6- 14-2001 . Cian. Effective 6-1 1-2001. SB 31- Sen. Judith Zaffirini - Institut ions of higher education HB 1862- Rep. Craig Eiland - Known as the prompt pay bill, must provide infonnation relating to bacterial meningitis to new this legi slation would have increased state requirements that students, such infonnation to include sy mptoms. transmi ssion heahh insu rance plans pay medical claims on time. In effect. it methods, and the availabil ity and effectiveness of vacc ination. would have closed loopholes in a previous law requiring insur­ Effective 5-22-200 I ance compani es to pay off claims withi n 45 days or provide an uplanation fo r the delay. Vetoed 6-17-2001 . SO 43 - Sen. Judith Zallirini - This legislation simplifies the Medicaid enrollment process by eliminating personal interviews HB 2584- Rep. Norma Chavez- Establishes a Commission on wi th Medicaid applicants, allowing applications to be fil ed by Geriatrics Study Requirement for Medical Schools to conduct mail. Additionally, it provides 12 months of continuous coverage studies and make recommendations as to the feasibil ity of for children under five , although older children will have to re­ making the study of geriatrics a requisite for graduation from a enroll every six months. Effective 1-1-2001 except Section medical school in Texas. Effective 9- 1-01 32.026 1, Human Resources Code effective 9- 1-2002

HB 2600- Rep. IGm Brimer - Requires that a medical advisor SO 55- Sen. Judith Zaffirini - Implements a statewide educa­ position be established at the Texas Workers· Compensation tion program to prevent infant mortality. Effective 9-J-01. Committee: calls for the creation of a Medical Quality Review Panel, to be composed of physicians and other health care profes­ S8 126- Sen. Frank Madia - Creates the Rural Communities Health Care Investment Program to attract and retain rural health sionals; and specifies that questions regarding medical necessity care professionals. Effective 5-28-2001 . are to be resolved by an independent review organi zat ion. Effective 6- 17-2001. SB 280 - Sen. Jane Nelson - The Texas Department of Health is authorized to seek proposals from private entities to provide a HB 2828 - Rep. John Smithee - Requires financial reserves more effective means of storage and distribution of the state's when networks assume financial ri sks for services other th at vacc ine supply. Effective 9- 1-2001 . those nonnall y provided by the network or health care entity Effec ti ve 9- 1-2001 SO 282 - Sen. Jane Nelson - Requires the Texas Department of Health to promote the vaccines for children program to HB 2831 -Rep. John Smithee - Upon written request by an health care providers not currently enrolled in the program. out-of-network health care provider, a managed care entity must Effecti ve 5-22-200 I. conunutd on nut ptJgt SB 285 - Sen. Jane Nelson - Modernizes the cancer-reporting SB ~40 - Sen. Tee) ~ivins - E~tab li s h es th_e Joi nt Admission statute to meet federal guidelines. Effective 9-1-2001. Med1cal Program to wcrease rrunority med1cal school enroll­ ment. Effective 6-11·2001. SB 332 - Sen. Mike Moncrief - Adds a provision to the Occupations Code that allows a physician to supply a patient, SB 11 56 - Sen. Judith Zallirini - Known as the Medicaid free-of-charge. with a drug provided by a drug manufactu rer for restructuring bill. it would have streamlined program adm inistra­ an indigent phannaceutical program if the physician fee ls it is in tion, and was expected to save approximmely $416.8 million the best interest of the patient. Effective 6- 13-2001 over five years. Vetoed 6-17-2001. \IrS. WillieMX BonJ~efE SB 338 - Sen. Frank Madia - Relating to a state plan and SB 1300- Sen. David Cain - Amends the Occupations Code to I~J.JOOI.Si<'"'4.fulIWIChaP'imRod hepatitis C. Effective 6-14-2001. day grace period fo llowi ng expiration of an annual registration I penni t that has not been renewed for that year has the same effect Ai94Jgrodua•ofG!ti«Y SB 516- Sen. Frank Madia - Would have established the Rural as practicing medicine without a license. Effective 6- 13-2001 acaletnurseattbcUDtl~lt) Physic ian Relief Program to provide affordable re lief services to AuSUnduringWOOdWull rural physicians. Ve toed 6- 17-2001 SB 1304 - Sen. Chris Harris- Creates a missi ng persons DNA loJl D.D.mo>cd•RockpoR database at the Universi ty of North Texas Health Science Center SB 616- Sen. Leticia Van de Pulte - Establishes a medical at Fon Worth. Effective 9- 1-200 1 assistance pilot program fo r the management of chi ldren's asthma and establi shes an asthma and allergy research advisory SB 1456 - Sen. Eduardo Lucio - Establi shes a pediatm: committee. Effective 9- 1-2001. diabetes research advisory committee in the Texas Department of Health. Effecti ve 5-22-2001. SB 789- Sen. Mike Moncrief - Relates to the development of reimbursement parameters for telemedicine medical services SB 1467 - Sen. Mike Moncrief- Requires certain health benefit under Medicaid . Effective 6- 15-200 1. plans to provide benefits for diagnostic exams for the detection of colorectal cancer. Effective 9-1-0 1

New TOMA Officers & Trustees Slll\ilmiocluclrber lul: po

Mrs. Willie Mae Bonner Elliot Survivors include his wife. Bonnie. of New Orleam.: \On and daughter-i n-law, Scott and Carolyn of Beaumont: mother. U nort: Mrs. Willie Mae Bonner Elliot of Rockport, passed away Boyd of Bryan; brothers and sisters-in-law, John and Mary of May 7. 2001. She was 74. Funeral services were held May II at Neuvo. California, and Robin and Rose of Bryan: father. John H. Charlie Marshall Chapel in Rockport. Boyd, D.O.. and his wife. Myrtle. of Eden: adopted ~ibh n g-.. A !943 graduate of Gregory High School, Mrs. Ell iot served Teresa Boyd, D.O., of . Ann Boyd Maxwe ll of San ll'l a cadet nurse at the University of Texas Breckenridge Hospital Angelo, Debbie Boyd Carrigan of Lu bbock, Melody Boyd 10 Austin during World War ll. She and her husband, Homer F. Medders of Eden, and Robert Boyd of San Antonio. Elliot, D.O., moved to Rockport in 1948, and have resided there Donations to the American Cancer Society or any favorite \IOCethat time. charity would be appropriate. Mrs. Ell iot was a founding member and past president of the Aransas County Women's Club. She was elected as Democratic Mrs. Ted C. (Betty) Alexander, Sr. PrecJnct Chainnan for Aransas County Precinct I and lA for many H~ars. also serving on the Democratic Executive Commi ttee for the Mrs. Ted C. (Betty) Alexander, Sr. , of Wichita Falls, passed .:ounty and as a past president of the Aransas County Democratic away on June 15, 2001. She was 83. Funeral services were held Women. She had also served as director of the Rockport-Fulton June 18 at Aoral Heights United Methodi st Church, with inter­ Chamber of Commerce; as a den mmher for Cub Scouts; and as a ment at Rosemont Cemetery. Girl Scout leader. Mrs. Elliot was a past president of the Auxi liary Mrs. Alexander was born in Rolla. Missouri in 191 7, and 10 the Texas Osteopathic Medical Association. received her teaching certificate from Truman State University, Survivors include her husband, Dr. Homer F. Ell iot, of Kirksville, Missouri. In 1942, she married Ted C. Alexander, Rockport; son, Roger Elliot of Little Rock, Arkansas; daughter, D.O., in Kirksville. Dr. Alexander preceded her in death in 1992. Ro-.e Ann Ell iot of Dallas; brother, John Bonner of Taft; three A Wichita Falls resident since 1948, she was a member of ~hters.Ann Boyd of Yoakum, Kathryn Bean and Lola L. Bonner. Floral Heights United Methodi st Church, where she was a member of the Faith Class and a youth Sunday School teacher. In lieu of nowers, the family has suggested a donation to She was the past Queen of the Daughters of the Nile, a member Aran~as County Medical Services, Inc., P.O. Box 82 1, Rockport, TX78381. of the Widows of the Shrine, past president of the Fun Band, and a member of the Order of the Eastern Star. Mrs. Alexander was the #I charter member and a five-time past president of the Does. Alan R. Boyd, D.O. In addition, she was a 50-year member and past president of the Social Order of Beaucean. Alan R. Boyd, D.O., of New Orleans, Louisiana, passed away Survivors include her children. Ted C. Alexander. Jr., D.O., on May9, 200 1. He was 50. Services were held May 16 at Tulane Pat Alexander, and her daughter-in-Jaw, Charlene Alexander of Unt\ers1ty where he was an Assistant Professor in Psychiatry since 1996. Wichita Falls; nine grandchildren and five great-grandchildren Memorial contributions may be made to the Kirksville Dr Boyd was a 1990 graduate of Texas Coll ege of College of Osteopathic Medicine in Kirksville, Missouri or to the o,teopathic Medicine in Fort Worth and completed his psychi ­ Building Fund of Aoral Heights United Methodist Church in atry residency at Tulane University Medical Center in 1995. Wichita Falls, TeJ~as .

F Y I on Fungus Treatment

The FDA is issuing a public health advisory concerning Sporanox and Lamisil, systemic drug therapies to treat onychomycosis {f~ngal nail infections). Healthcare professionals are notifi ed of the possible association of serious cardiac and hepatic adverse events With the adm inistration of these therapies. New labeling for both Sporanox and Lamisil recommends that healthcare providers obtain nail speci mens for laboratory testing pri or to prescribing the medications for onychomycosis to confirm the diagnosis. FDA's concerns do not apply to the over-the-counter versions of Lamisil . whic h are topical creams. For additional information, including links to the ~A Talk Paper, FDA Public Health Advisory, FDA Q's and A's, and the revised Sporanox and Lamisillabels. go to the MedWatch afety Summary entry for Sporanox and Lami sil at . Health Science Center Graduates Medical Professionals During 28th Commencement

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More !han 140 studenls gradu;ued from die Un iversit y of North Texas Health Science Cenh · • Fort Worth on May 19 at Will Rogers Coliseum mfirt Worth. The gradumi ng class included 108 docllll llf 1 osteopathic medicine fro m the health science L't0 Texas College of Os1eopathic Medicine Everett Alvarez. Jr. , the first American a\, shot down on North Vietnam, was the guest speaJ.\ the health science center's 28th commencement Mr. Alvarez was taken prisoner of war Augu 1964. and held in Vietnam for eight and a half ~c. unt il the general release of prisoners Februaf) l973. He continued to serve in the U.S. Navy until his retirement m 1980. He now owns a consulting firm, Conwal Incorporated. Barbara Monique Chavez. D.O. - Osteopathic Med ical Center of Texas, Fort Worth. TX in McLean, Virginia.

Amy Eunice Clark, D.O. - Texas Tech University Health Science Following are the names and residency appointments of the Center. University Medical Center, Lubbock. TX TCOM Class of 200 I: Ruth Ann Adell, D.O. - McLennan County Medkal Education Brent Kelly Combs, D.O. - Tulane Uni ve rsity School of Medicine, New Orleans. LA and Research Foundation, Waco, TX Jason Douglas Creel, D.O. - John Peter Smith Hospital. Fort Kay Elizabeth Atkins, D.O. - John Peter Smith Hospital, Fort Worth, TX Worth, TX

Brian James Batdorf, D.O. - Grandview Hospital and Medical Yen Kim Dao, D.O. - Central Texas Medical Foundation. Brackenridge Hospital, Austin, TX Center. Dayton, OH

Pa\'anl Bellary, D.O. - Plaza Medical Center of Fort Worth, Fort Brian Mitchell Darnell, D.O.- University of Wyoming College of Worth, TX Health Sciences, Wyoming Medical Cemer, Casper, WY

Juan Pablo Benavides, D.O. - Doctors Hospital of Stark County, Carolyn Dale Denton, D.O. - Osteopathic Medical Center of Texas, Fort Worth, TX \fa!!sillon,OH William Ke vin Denton, D.O - Plaza Medical Cemer of Fort Nico lle Rocina Marlene Benz, D.O. - Maine Medical Center, Worth, Fort Worth, TX Ponland, ME Michelle Kathleen Doroz, D.O. - Phoenix Baptist Hospital and Mark Nicholas Blaser, D.O. - Northeastern Ohio University Medical Cemer, Phoenix, AZ College of Medicine, Children's Hospital Medical Center of OH Akron. Akron. Timoth y John Doyle, D.O. -Osteopathic Medical Center of Texas, Fort Worth, TX f\iancy Ann Blum, D.O. - University of Texas Southwestern \fedical School, ParkJand Health and Medical System, Dallas, TX Jeffrey Frederick Erdner, D.O. - Texas Tech University, Thomason Hospital, El Paso, TX Tara Christine Boedeker, D.O. - Methodist Hospitals of Dallas, Dallas, TX Scott Evan Ewing, D.O. - Plaza Medical Center of Fort Worth, Fort Worth , TX James Joseph Boehmke, Jr., D.O. -Wilford Hall Medical Center, San Antonio, TX Theresa Nguyen Garza, D.O. - Un ivers it y of Texas Southwestern , Charlton Methodist Hospital , Dallas, TX Bascom Kyle Bradshaw, D.O. - Eisenhower Army Medical Center, Augusta, GA Daniel Philip Gilday, D.O. - Christiana Care Health System, Newark, DE Dav1d Pearce Bryant, D.O. - Louisiana State University School of Medicine, New Orleans, LA Laura Glendene Golightly, D.O.- Osteopathic Medical Center of Texas, Fort Worth, TX Oanh Ngoc Thi Bui, D.O. - John Peter Smith Hospital, Fort Worth. TX Grider Glenn Gordon, D.O. - Plaza Medical Center of Fort Won.h, Fan Worth, TX Tada K. Butler, D.O. - University of Arkansas, Little Rock, AR Sharon M. Gustowski, D.O. - Bay Area Medical Center, Corpus Jennifer Leigh Caffey, D.O. - University of Texas Medical Christi, TX Branch, Galveston, TX Tracey Ann Haas, D.O. - Maine Medical Center. Portland, ME Maricela Cantu, D.O. - Texas Tech Uni versity, Thomason Hospual, El Paso, TX Rose Marie Haisler, D.O. -Universi ty of Illinois, St. Francis Medical Center, Peoria, IL dicJ~. Roberto Cardarelli , D.O. - Baylor College of Medicine, St. Luke's Hospital, Houston. TX Sandra L. Hartline, D.O. - Philadelphia Col lege of Osteopathic Medicine, Geisinger Health System, Danvi lle, PA Aaron Lawrence Cemero, D.O. - Plaza Medical Center of Fort Nadya Hasham-Jiwa, D.O. -University of Texas Medical Wonh, Fort Worth, TX Branch, Galveston, TX

Annie Yu Chang, D.O. - Scott and White Memorial Hospital, Tammy Sue Hooker, D.O. -Uni versi ty of Arkansas, Arkansas Temple, TX Children 's Hospital, Little Rock. AR comim.. ed on. nu t poge • Uni1·c11 Manuel Jesus Palafox, D.O. - Plaza Medical Center of Fon Ronald James Jensen, D.O Doctors Hospital North. Worth. Fort Worth. TX Columbus, OH A mit Pravin Parikh, D.O. - Scott & White Hospital, Temple, TX Vishal Subbash Kancherla, D.O. - New York College of

Osteopathic Medicine. St. Clare's Hospital, New York, NY Maria Elisa Perez-Johnson, D.O.- Driscoll Children's H o~pnal Jeremiah N. Keng. D.O. - Central Texas Medical Foundation. Corpus Christi, TX Austin, TX Andrew Dodd Petersen. D.O. -Altoona Hospital, Altoona, PA

Wendy Alison Kindrick, D.O. -University of Kansas Medical Sindhu Elizabeth Philip. D.O. - Texas Tech University Heahh Center, Kansas City, KS Science Center, Thomason Hospital/Providence Memon&J Michele Kreisberg. D.O. -Naval Medical Center, San Diego. CA Hospital, El Paso. TX

Shital Desai Kumar, D.O. - MacNeal HospitaL Berwyn, lL Anush Sasidharan Pillai, D.O. -Univeristy of Texas Health Science Center, Hennann Hospi tal/Lyndon B. Johnson H o~pnal Quang Trong Le, D.O. - Plaza Medical Center of Fort Worth, Houston, TX Fort Worth, TX Juli a Dawn Qu inl an, D.O.- University of Texas Health Scienu Rick Jui Han Lin , D.O. - St. Paul Medical Center, Dallas, TX Center, Wilford Hali/Lackland AFB, San Antoni o, TX

Chun-Tsai (Kirk) Liu . D.O.- St. Paul Medical Center, Dallas. TX Samiya Rashid. D.O. - University of Illinois at Chi(.:agu, University of Illinois, Ch icago, IL Michael Francis Lori ch, D.O. - Darnall Army Community Hospital, Fort Hood, TX Chandana Reddy. D.O. - Scott & White Hospital, Temple, TX

Rebecca Anne Mantsch, D.O. - Rush Presbyterian, Chicago, IL Christopher Orren Restad, D.O. - St. Louis University Sehoul or Medicine, Belleville, IL Matthew Wight Margolis. D.O.- University of Arkansas Medical Sciences. University of Arkansas Hospital, Little Rock, AR Martha Jeanette Rodriguez, D.O. - Valley Baptist MeJ1.:al Center, Harlingen, TX Shane Alan Maxwell, D.O. · Wake Forest University Baptist Medical Center, Winston-Salem, NC Chri stine J. Sandoval. D.O.- University of Texas Health ScienL, Center. University Hospital, San Antonio, TX Chere Elizabeth McCormick. D.O. - Baylor Garland Medical Center, Garland. TX Alberto Santos Ill. D.O.· Bay Area Hospital, Corpus Chri~ll. TX

Jared E. McElhaney, D.O.- Dallas Southwestern Medical Center, Lesley Ann Schmitz, D.O. - South western Medical Cenh:r Dallas, TX Dallas, TX

Brian Randle McMillan, D.O. - Brooke Army Medical Center, Keisha M. Shaheed, D.O.- Texas Tech University Health Smn~· e Fort Sam Houston, TX Center, University Medical Center, Lubbock, TX

Richard Scott McPherson, D.O. - University of Pittsburgh Eri k Tabakin Shaw, D.O. - University of Texas Health Sdc:ncc Medical Center. Pittsburgh, PA Center, University Hospital. San Antonio, TX

Niraj Mahendra Mehta, D.O. - Plaza Medical Center of Fort Kelvi n Dwayne Shepherd, D.O. - Un iversity of lllinoi' ljaO...IIIi,.,DO ·Soa Worth, Fort Worth. TX Chicago. Cook County Hospital , Chicago, lL lflo!aiC-.llallu.TX Wajid Ali Mirza. D.O. - University of Texas Medical Branch, Philip T. H. Shie . D.O. - Scottsdale Healthcare, Scottsdale, A1 Galveston. TX Leonid D. Shturman, D.O. - Tuft's Uni versity School Nance D. Mitchell. D.O. - University of Oklahoma Health Medicine, St. Elizabeth Medical Center, Boston, MA Sciences Center Rural Program, Ramona, OK Milana M. Shtunnan, D.O. - Tuft's University Schon! Wi lli am Edward Moss, D.O. - Virginia Commonwealth Medicine. St. Elizabeth Medical Center, Boston, MA University, Medical College of Virginia, Richmond, VA James Lee Slater Jl , D.O. - University of Texas Southwc~t cr'll Minh Quang Nghi, D.O.- Osteopathic Medical Center of Texas, Medical School, Dallas, TX Fort Worth. TX Sharl et Gay! Slough, D.O. - John Peter Smith Hospital, h11t Manuel Alejandro Padilla, Jr., D.O. - Plaza Medical Center of Worth, TX Fort Worth. Fort Worth, TX Janis Lea Smeal, D.O. - University of Texas Health Science Center. Houston , TX TOMA Members Assume Positions Bobby Wayne Smith, D.O. - St. John's Ri verview Hospital. on the Federation of State Medical Detroit. MI Boards of the United States Heidi Suzanne Smith, D.O.- University ofTeKas Health Science Ccmer, San Antonio, TX During the recent annual meeting of the Federut1on of State Medical Boards held in Atlama. Georgia. the following physi­ helh Soza. D.O. - University of TeKas Health Science Center, cians assumed leadership positions: Vmvcrsity Hospital - San Amonio, San Antonio, TX David E. Garza, D.O .. a Laredo famil y physician , was elected as a member of the Editorial Committee of the Laura Lee Spies, D.O. - Osteopathic Medical Center of Texas, Federation. Elected for a three-year term, Dr. Gana will join the Fort Worth, TX Committee to work with the edi tor in establishing editorial policy Robert Ne il Suter, D.O. - Plaza Medical Center of Fort Worth, for the Federation's Journal of Medical Licensure and Di sc ipline. Fort Worth, TX A fel low of the American Academy of Famil y Physicians and a diplomate of the National Board of Osteopathic Medical Ken! S. Sutterer, D.O. · Kirksville College of Osteopathic Examiners, Dr. Garza has served the Texas medical commun it y Medicine, Regional Medical Center, Kirksvill e, MO we ll. He is a member of the TeKas State Board of Med ical Jon N. Swift, Jr., D.O. ·John Peter Smith Hospital, Fort Worth. TX EKaminers, and curren tl y chai rs the board's Licensure Committee. He also serves on the Finance Committee, the Non­ Joseph Murry Szczytowski , D.O - Scou & White Memorial profit Health Organizati ons Committee, and the Ad Hoc Hospital, Temple, TX Committee for Optometric Issues. For more than fi ve years. Dr. Garza has provided leadership to the Texas Society of the Mo-Pmg Marlene Tham, D.O. -New York College of Osteopathic American College of Osteopathic Family Physicians, serving as .1edicme. Maimonides Medical Center, Brooklyn, NY vice president, chair of the Government and Legislative Committee, and currently as a member of the Board of Chnstopher William Tidwell , D.O. - Ohio University College of Governors. He is a past president of both the Texas Association o... teopathic Medicine, Grandview Medical Center, Dayton, OH of Mexican-American Medical Students and of Healthcare Alliance of Laredo. Ngoc Van Tran, D.O. - University of TeKas Health Science Center, University Hospital - South TeKas Medical Center, San Dr. Garza received his D.O. degree in 1989 from the Antomo, TX Universi ty of North Texas Health Science CenterffeKas College of Osteopathic Medicine in Fort Worth. He com pleted an intern­ Peterson Tsai, D.O. - Western University, Arrowhead Regional ship at Osteopathic Medical Center, also in Fort Worth, followed Medical Center, Colton, CA by a famil y medicine residency at Memorial Medica l Center in Corpus Christi. Currentl y, he is chief of staff at Doctor's Hospital Dmna Cypress Wagner, D.O. - Baylor Medical Center, Dallas, TX and has a pri vate family practice in Laredo, Texas. Fang Wang, D.O. - Methodist Hospital of Dallas, Dallas, TX R. Russell Thomas, Jr., D.O., M.P.H., of Austi n, was Phi lli p Andrew Ward , D.O. - Corpus Christi Bay Area Medical installed as a member of the Board of Directors of the Federation Center, Corpus Christi , TX of State Medical Boards. He was elected to a three-year term. Dr. Thomas has offered leadership to the Federation for more Joanna Dean Wilson, D.O. - Southwestern Medical School, St. than five years, serving on the Special Commiuee to Evaluate Paul Medical Center, Dallas, TX Licensure EKaminations, the Special Com mittee on Uniform Standards and Procedures, the Strategic Pl anning Commiuee, the Wil11am Byron Winn, D.O. - University of Arkansas Medical School, Univers ity Hospital, Little Rock, AR Nominating Committee, and as chai r of a Federation Reference Committee. Dr. Thomas was a guest speaker at FSMB 's 1999 John Raymond Winningham, D.O. - Martin Anny Community Annual Meeting. Presentl y. he serves as a member of the Post Ho1 ..... ~JI>illol.i.lltf oR"'kD.RHDM<< and Related Military lssueiJ mFannm Bond ··~tltfi~i@iif#t• ..> Cen" in Catroil wscoouactnowaprl TRICARE Senior Pharmacy Program Begins TRICARE, his wife was able to receive two bottles of the same T..,,.mbelllW"' eye-drops for only $9. With Great Success "''Dalla<~ Another beneficiary reports being prescribed a new medica­ a-u-'*6+1W For approximately 1.4 million unifonned services benefici· tion that had no generic substitute. Purchased locally, the aries age 65 and older, April I. 2001, was not a typical spring prescription wou ld have cost $17 per tablet. Filling the prescrip­ day. The new TRICARE Senior Phannacy Program sprang into tion using the NMOP, the beneficiary received a 90·day supply action, availing them of one of the best pharmacy benefits in the costing $9 ( I 0 cents per tablet) United States. "For some beneficiaries, the previous pharmacy co-payment "Overall the new pharmacy program is extremely successful. system was confusing. Co-payments were detennined by the The response from beneficiaries 65 and older has been over­ member's enrollment status (fRlCARE Prime, Extra or Standard), whelmingly positive," said Army Col. William Davies. director, beneficiary category, and place of phannacy service. Under the new Department of Defense (DoD) pharmacy programs. "The TRJCARE pharmacy program with the new rate structure, prescrip­ managed care support contractors (MCSCs) provided excep­ tion medications. for the most part, will cost less," explains Davies. tional support at the regional level, ensuring a smooth beginning to the program ," added Davies. Davies added, "The military treatment facility (MTF) remains the best value for all users of the TRICARE pharmacy Among the few difficulties encountered by users were denied claims resulting from erroneous social security numbers (benefi· program. By filling prescriptions at the MTF, TRICARE benefi­ ciary's instead of the sponsor's) and incorrect information in the ciaries can el iminate their out-of-pocket costs. As long as the claims processor's database about the beneficiary having other "prescribed medication is listed on the MTFs fonnulary, eligible health in surance (OHI) beneficiaries may continue using this option." IMJ II Children's H Prescriptions filled using the National Mail Order Pharmacy "In these situations, the DoD's toll·free TRICARE Pharmacy foundationAg~tt~ Help Line l-877·DOD·MEDS (1-877-363·6337) proved to be an cost $3 for a 90·day supply for a generic medication. and $9 for Sttl~liUionto invaluable resource," said Davies. "As problems which caused a a 90-day supply for most non-generic medications. Prescriptions claim to be denied were identified. corrective action was taken on filled using a retail network phannacy cost $3 for a 30-day lloiicaidO•·erpayrr supply of a generic medication, and $9 for a 30-day supply for the spot by the network pharmacy and help line staffs to contact T'rrt:op.a..,. bo the beneficiary, updme or correct erroneous infonnation and most non-generic medications. .,RIIgdoing 1D i process the claim " Beneficiaries choosing to fi ll prescriptions using a non­ lllahuhlheTIU!Aao From April I to 28, approximately 450,000 prescriptions network pharmacy wi ll pay. either $9 or 20 percent of the total ..,...,!ldi!jMt ... were processed. The TR ICARE retail networks processed cost of the prescription, whichever amount is greater. and meet 'Oiiil"ido!falscmfo 3 17.000 prescriptions, and the National Mail Order Pharmacy the annual TRICARE deductible of $150 per individual or $300 "'~oiHe.J per famil y. (NMOP) processed 133.000 prescriptions. Users of the expanded -...! • '"'I'Y !he senior pharmacy benefit have reported their satisfaction to Up--to--date infonnation on the TRJCARE Senior Phannacy """'IC. Eligible unifonned services beneficiaries may also contact ld for rei mbursclllf tablets of a certain medication. The same prescription submitted the Department of Defense toll-free TRICARE Pharmacy Help Line through a TRICARE network phannacy cost only $9 for 180 1-877-DOD· MEDS (1·877·363-6337). Beneficiaries may also tablets. The beneficiary also reported previously paying $48 for contact a local TRJCARE service center or health benefits adviser to a bottle of eye-drops to treat his wife's glaucoma. Using find out more about their new pharmacy benefits. Blue Cross and Blue Shield of inflated figures on charity work and panic­ TEXAS Texas and Subsidiaries of Tenet ipating in possible violations of state and Healthcare Corp. Agree to a federal anti-kickback statutes. New, Multi-Year Contract (Corp14S Clrrisri Call~ r- Tim~s. 5-25-2001) The agreement wiU provide access for The University of Texas System members of Blue Choice PPO. HMO Blue Regents Approved Plans and HMO Blue Texas programs, to aU Tenet to Construct $300 Million hospitals in the Dallas area, including Doctors Hospital of Dallas, Garl and Outpatient Care Building Communiry Hospital, Lake Pointe Medical The building is the first in a series of ---isues Center in Rowlett, RHD Memorial Medical fac ilities planned for the site now occupied Center in Farmers Branch and Trinity by the Houston Main Building and wi ll Medical Center in Carrollton. Under a house facilities for breast. ovarian and -Sollie previous comract, now expired, only HMO gynecologica1, and prostate and genito­ Blue Texas members had access to most of urinary cancers, as well as provide space Tenet's Dallas hospitals. for a radiation center and for screening and (Dallas Businns Joumol, 6-4-2001) counseling. M.D. Anderson has grown by FYI 40 percent in the past five years and has Construction Underway for seen a ten percent increase in outpatient Two Hospital Upgrade Projects clinic visits, treatments and procedures in 2000 over the previous year. A $4.5 million project, slated for a Nov. (Houston Chronic/~. 5-10-2001) I completion date, will add 25, square When it failed to notify patienlS of their feet for All Saints Episcopal Hospital's TSBME Executive Director cardiac service telemetry unit, will provide independent review ri ghts, lntracorp was 28 private patient rooms, including three Resigns under contract to perform utilization Dt.p!i>' review for Connecticut General Life suites, and replaces 24 beds in an area built The Texas State Board of Medical iomO. Insurance Co., an affiliate within the same decades ago. A $575,000 construction Examiners recently announced the resig­ holding company system. Connecticut iluylll" project, expected to be completed in nation of its executive director, F. M. General agreed to pay a $15,000 fine for its ffi ~ September, also began at Zale Lipshy "Skip" Langle, M.D. Chief operating failure to discover and prevent lntracorp's AR! I

HHS Calls on Congress Acquisition Ru les. The legislation would contract with multiple pharmacy sen-­ ices providers: and to Reform Medicare also increase CMS' abi li ty to reward well ­ performing contractors. Contracting Rules use contracted pharmacy services to Through this legislation, CMS hopes supplement in-house pharmacy service\ On June 28, HHS Secretary Tommy G to accomplish the following: Thompson ca lled on Congress to enact the By being able to undertake these acb\1· Bush administration's proposed legislation Provide fl exibility to CMS and its hies, community health center networks to begin slrengthening and modernizi ng contractors to work together more and other covered entities will improve Medicare by opening up the program's effectively and better adapt to changes their economies of scale, allowing inch­ claims-processing contracts to competitive in the Medicare program. vidual centers to purchase more drup bidding. By law, Medicare must contract without increasing total expenditures Promote competiti on, leading to more Contracting with multiple pharmacy with private health insurance companies to flexible efficiency and greater account ­ process and pay Medicare claims without service providers and supplementing in· ability. needed flexibility avai lable under other house pharmacy services will improw government contracts. Establish better coordinati on and patients' access to prescription drugs by communication between CMS, its increasing the number or pharmacy sitct "Reforming the processes that are contractors and health care providers. where these drugs can be obtained. nus .. used to select Medicare contractors wi ll an important improvement becauw help us to serve our beneficiaries more Promote CMS' ability to negotiate patients or safety-net providers oftea efficiently," Secretary Thompson said . incentives for Medicare contractors to cannot afford to travel from their neighbcl-· "Changing the law will allow us to better perform well. hoods to a distant pharmacy to have meet the needs of beneficiaries. physi­ prescriptions filled. cians and healthcare providers, now and New HHS Initiative to Expand in the future." Access to Prescription Drugs Currently, organ izatio ns eligible 10 participate in the drug discount program ­ Since Medicare was created in 1965, for Safety-Net Patients established by Section 3408 of the Public the Centers for Medicare & Medicaid A new initiative announced June 18 Health Service Act - cannot take lhete Services (formerly the Health Care by HHS Secretary Tommy G . Thompson cost-saving steps Financing Administration) has used will help community health centers and private health insurance companies to The 3408 discount program require& other safety-net providers develop new process Medicare claims and perform drug manufacturers to sell drugs to speci· ways to expand their abil ity to buy drugs related administrative services for benefi­ fied safety-net health care providers a1 1 and improve access to prescription drugs ciaries and health care providers. Today, discount rate determined by a fonnula ill for patients. CMS uses 49 contractors, located all the legislation that created the program. across the country, to process nearly a "Through this initiative, organizations Discounts average 25 percent to 40 billion Medicare claims every year, fro m will be able to stretch scarce resources and percent on most drugs. more than I million doctors and other buy more of the drugs their patients need," health care providers. Secretary Thompson said. "The initiative responds to proposaJs from local safety-net "The current arrangement is one of the benefits provided as well as on compliaoct providers and it exemplifies our commit­ worst remnants of Medicare's original with requirements of the 3408 law. If ... ment to support grassroots efforts that design," CMS Admini strator Tom Scully demonstrations are successful , the new improve primary care services for unin­ said. "To move Medicare into the 21st methods of accessing discounted drup sured and underserved Americans." century successfull y, we must take will be incorporated into the 3401 aggressive action to reform the current Through demonstration projects, the program's published guidelines. Eligibll contracting system." new initiative will allow organizations organizations should submit proposals Ill The legislative proposal, unveiled at a that participate in the 3408 drug di scount HHS Adminis[J'ation's Office of Phartnii&:J hearing of the House Energy and program to take actions to reduce admin­ Affairs. HRSA is the lead HHS agency far Commerce Committee's subcommittees istrative costs and make buying drugs improving access to health care for iJldi. on Health and Oversight and easier for patients. Entities approved for vidua)s and families nationwide. the demonstrations will be able to: Investi gations, would allow the HHS For a description of the propolll Secretary more fl exibility in contracti ng participate in single purchasing and requirements and to review criteria. go • with the private companies that process dispensing systems that serve covered . Then click • Medicare claims under the Federal entity networks; What's New. management its best.

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PHYSICIANS WANTED BOARD CERTIFIED FAMILY PHYSI­ reception area, pri vate doctor's office CIAN WITH 20 YEARS PRACTICE & Bui lding shared with pharmacy and ofYOI PART-TIME Physician Wanted - The TEACHING. skilled in OMT. good dental office. Doctor retiring, 40+ years m Davisson Clinic. Dallas, Texas. 214-546- surgical skill s. broad knowledge of herbs. same location. For more details, call 210- 7266. (06) public speaking, graduate in counseling 434-4321. (05) Seeks position in consultation. adminis­ . ..1 WANTED: PHYSICIAN TO SHARE tration or teaching & patient contacts in or FOR SALE - FAMILY PRACTICE, LUXURY 2600 SQUARE FOOT near Metroplex. Please contact Randall Aust in, Texas. Net $200,000/no hospital OFFICE a1 prime North Dallas location­ Hayes, D.O .. at 8 17-535- 1585. (10) Will finance. Will work with new as)()­ Frankford & Preston (1801 Preston Road, ciate/owner during transition period. Call Suite 202, Dallas, TX 75252) with POSITION WANTED: BOARD CERTI­ TOMA at 800-444-8662. (09) Dermatologist Dudley W. Goetz, D.O. AED FP for outpatient full time, part time Amenities include ample parking, large or locum tenens, prefer 60 miles radius of MEDICAL PRACTICE, EQUIPMENT waiting room w/ti le noor, staff break D/Fl. Worth area. $65.00 hour. Excellent AND BUILDING - FOR SALE room, refrigerator. washer/dryer, 7 private references will be furnished. Call Eric M. Established 1982, no HMO, 50% cash exam rooms. business office. Call Dr. Concors, D.O .. at 2 14-365-90 13. Leave Good Location. Call TOMA at 800-444 Goetz to schedule a tour at 972-931-1789; message. ( 13) 8662. (18) Dallas office: 8 17-261-9665. 1000 W. It you Randol Mill Road, Arlington. Texas FP, BC, D.O., Desires full-time primary FOR SALE - Family Practice, Dalllb., ~ 76006: Toll free pager· 888-694-5785. care position in South Texas. CV & refer­ Texas. No hospital. Will work with nev. (07) ences avai lable on request. E-mail to akci­ owner during transitiOn period [email protected] or call 3 12-257-4477 Established practice 40 years-plus. Call ...1 DALLAS - Physician needed at walk­ Leave message. ( 19) TOMA (800) 444-8662. (23) in GP clinic. Flexible hours or part-time. 214-330-7777. ( II) PRACTICE FOR SALE/RENT MISCELLANEOUS

DALLAS/FORT WORTH - Physician CHECK OUT THIS GREAT OPPOR­ DERMATOLOGY TRAINING - opportunity to work in low stress, office TUNITY: Moderate to large broadbase Interested? Call Dudley Goetz. D.O., at based practice. Regular office hours family practice for sale, Fort Worth 817-261-9665; pager: 888-694-5787. (Oil Lucrative salary plus benefits. No call and suburban area. 20 years. Avail able for no emergencies. Please call Lisa Gross at immediate take over. Patient base OMT, WE ARE A GROUP OF MEDICAL 888-525-4642 or 972-255-5533 or FAX Pediatric & Senior Care. No Medicaid. AND BUSINESS PROFESSIONALS CV to 2 14-441 -28 13 . (25) Please contact Dr. Hayes at 8 17-535- who are improving our health and finance' 1585. (04) with Rexall. Find out how you can profit POSITIONS WANTED from the multibillion-dollar pre\ientM SOUTH TEXAS PRIMARY CA RE healthcare, anti-aging, and sports fitne\~ B. E. D.O., 24 years practice experience PRACTICE FOR SALE/LEASE TO industries. Ca11888-253-4360 for 5-mmute in urgent care, occupational medicine, OWN: San Antonio. TX, located near recorded information. (12) family practice. Seeks part time Downtown area. in the busy intersection (weekend) work in urgent care/occupa­ of NW 24th and Martin/Commerce St. FOR SALE - Late model MA X-n) tional medicine/ fami ly practice in Texas, Convenient walking distance to 4 major and processor with view box and acte\ DFW area preferred. Avai lable May I, bus lines. All major hospitals 10-15 sories; hydraulic stretcher; transpon DEAN 2001. C.V., references on request. 817- minutes away. Estimated annual gross stretchers; Coulter counter and diluter. 329-5453. (01) income of $265.000. 1721 sq. ft., storage cabinets; office desk: assont!d 3112 West 4th~ designed and ful ly equipped for imme­ other items - very good condiuon P.O. Box 47018 diate use. Four exam rooms wi th cabinets­ Contact Dr. Glen Dow or Office Manager. lavatories in each room, wai ting room, 8 17-485-47 11. (48) Fon Worth, Te!

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(SECURITIES SOLD THROUGH LINSCO/PRIVATE LEDGER, A REGISTERED INVESTMENT ADVISER) (MEMBER NASD/SIPC) Texas Osteopathic Medical Association PASRT STO 1415 Lavaca Street U.S. POSTAGE Austin, Texas 78701- 1634 PAID CHANGE SERVICE REQUESTED

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Section 529 Plans use securities. As such they ~re provided through Linsco/Privatt Ledger, M...,.,.., NASDISIPC. Ulntact DJFS for a prospecuu whKh contains more complete infornution about nunagement fees and other n:penses. Please read it carefully before you invest or send money