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Evolution of Telehealth Law 2017 ACMS Foundation Award Winners Care Is Your Business, Change Is Ours the Healthcare Environment Is Changing

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Evolution of Telehealth Law 2017 ACMS Foundation Award Winners Care Is Your Business, Change Is Ours the Healthcare Environment Is Changing ALLEGHENY COUNTY MEDICAL SOCIETY BulletinDECEMBER 2017 Update from ACHD Evolution of telehealth law 2017 ACMS Foundation award winners Care is Your Business, Change is Ours The healthcare environment is changing. Physicians must focus on providing the highest quality care with intense competition for their time. Medical practices face increased challenges tied to changes to regulation, insurance protocols, cost-management and revenue management. Houston Harbaugh has over 30 years of experience in helping physicians and medical practices manage change through contract negotiations with hospitals and payors; contract management; advocacy and new practice start-up counsel. We have provided critical support in practice mergers and acquisitions. And we have provided sound advocacy on issues ranging from HIPAA compliance to medical staff and peer review matters. Every challenge a medical practice can face, we have seen. We have helped practices of all size and structure meet these challenges. And we know what is ahead. hh-law.com Business • Employment • Estates and Trusts • Health Care Litigation • Oil and Gas • Public Finance • Real Estate ALLEGHENY COUNTY MEDICAL SOCIETY BulletinDECEMBER 2017 / VOL. 107 NO. 12 Opinion Departments Articles President’s Message .......... 422 Society News ...................... 436 Feature ................................ 442 Looking back; moving forward • Pennsylvania Geriatrics Society – 2017 ACMSF award winners David J. Deitrick, DO Western Division Christina E. Morton • Pittsburgh Ophthalmology Society Editorial ............................... 424 • Intel ISEF Pittsburgh seeking judges Materia Medica .................... 448 ’Tis the season and volunteers Edaravone (Radicava®) for Care is Your Business, Change is Ours Deval (Reshma) Paranjpe, MD, FACS • Heart Health Walk held amyotrophic lateral sclerosis The healthcare environment is changing. Physicians must focus on providing the highest quality care with intense • January program planned for Daniel Powell, PharmD competition for their time. Medical practices face increased challenges tied to changes to regulation, insurance protocols, Editorial .............................. 426 physicians, practice managers cost-management and revenue management. ‘Thank you, sir, may I have another?’ Legal Report ....................... 450 Joseph C. Paviglianiti, MD ACMS Alliance News ......... 440 Evolution of telehealth law Houston Harbaugh has over 30 years of experience in helping physicians and medical practices manage change through Michael A. Cassidy, Esq. contract negotiations with hospitals and payors; contract management; advocacy and new practice start-up counsel. Miller Time .......................... 428 In Memoriam ....................... 441 We have provided critical support in practice mergers and acquisitions. And we have provided sound advocacy on issues The cannabinoid conundrum • Joseph Francis Hakas, MD Special Report .................... 456 ranging from HIPAA compliance to medical staff and peer review matters. Scott Miller, MD, MA, FAAHPM Update from the ACHD Advertising Index ................453 Stephen Forest, MPH Every challenge a medical practice can face, we have seen. We have helped practices of all size and structure meet Editorial .............................. 430 Kristen Mertz, MD, MPH these challenges. And we know what is ahead. Update: PAMED Board of Trustees Editorial Index .....................454 David Nace, MD, MPH Amelia A. Paré, MD, FACS Reportable Diseases .......... 458 Perspective ........................ 432 Opioid crisis: Historic perspective and Classifieds ...........................458 current trends William Simmons, MD On the cover Birds of a Feather Happy Holidays Terence W. Starz, MD hh-law.com from all of us at ACMS Dr. Starz specializes in rheumatology Business • Employment • Estates and Trusts • Health Care and internal medicine. Litigation • Oil and Gas • Public Finance • Real Estate EDITORIAL/ADVERTISING OFFICES: Bulletin of the Allegheny County Medical Society, 713 Ridge Avenue, Pittsburgh, PA 15212; (412) 321-5030; fax (412) 321-5323. USPS #072920. PUBLISHER: Allegheny County Medical Society at above Affiliated with Pennsylvania Medical Society and American Medical Association Bulletin address. Medical Editor The Bulletin of the Allegheny 2017 PAMED DISTRICT TRUSTEE Deval (Reshma) Paranjpe County Medical Society welcomes Executive Committee Amelia A. Paré ([email protected]) contributions from readers, physicians, and Board of Directors Associate Editors medical students, members of allied COMMITTEES Charles Horton professions, spouses, etc. Items may President Awards ([email protected]) be letters, informal clinical reports, David J. Deitrick Donald B. Middleton Robert H. Howland editorials, or articles. Contributions President-elect Bylaws ([email protected]) are received with the understanding Robert C. Cicco Adele L. Towers John Kokales that they are not under simultaneous Vice President Finance [email protected] consideration by another publication. Adele L. Towers Peter G. Ellis Scott Miller Issued the third Saturday of each Secretary Gala ([email protected]) month. Deadline for submission William K. Johnjulio Patricia L. Bononi Amelia A. Paré of copy is the SECOND Monday Treasurer Adele L. Towers ([email protected]) preceding publication date. Periodical Patricia L. Bononi Nominating Gregory B. Patrick postage paid at Pittsburgh, PA. Board Chair Matthew B. Straka ([email protected]) Lawrence R. John Bulletin of the Allegheny County Primary Care Joseph C. Paviglianiti Lawrence R. John Medical Society reserves the right to ([email protected]) edit all reader contributions for brevity, DIRECTORS Brahma N. Sharma clarity and length as well as to reject 2017 ([email protected]) any subject material submitted. Peter G. Ellis Todd M. Hertzberg Managing Editor The opinions expressed in the Barbara A. Kevish Meagan K. Sable Editorials and other opinion pieces David A. Logan ([email protected]) are those of the writer and do not necessarily reflect the official Jan W. Madison ADMINISTRATIVE STAFF policy of the Allegheny County Matthew B. Straka Executive Director Medical Society, the institution with Angela M. Stupi John G. Krah which the author is affiliated, or 2018 ([email protected]) the opinion of the Editorial Board. David L. Blinn Assistant to the Director Advertisements do not imply spon- William F. Coppula Dorothy S. Hostovich ([email protected]) ACMS ALLIANCE sorship by or endorsement of the Kevin O. Garrett ACMS, except where noted. Raymond E. Pontzer Bookkeeper President John P. Williams Susan L. Brown Kathleen Reshmi Publisher reserves the right to exclude 2019 ([email protected]) First Vice President any advertisement which in its opinion Thomas P. Campbell Director of Publications Patty Barnett does not conform to the standards of Michael B. Gaffney Meagan K. Sable Second Vice President the publication. The acceptance of advertising in this publication in no Keith T. Kanel ([email protected]) Joyce Orr way constitutes approval or endorse- Jason L. Lamb Assistant Executive Director, Recording Secretary ment of products or services by the Maria J. Sunseri Director of Member Relations Justina Purpura James D. Ireland Corresponding Secretary Allegheny County Medical Society of ([email protected]) Doris Delserone any company or its products. PEER REVIEW BOARD Treasurer Subscriptions: $30 nonprofit organi- 2017 Membership Relations Manager Josephine Martinez zations; $40 ACMS advertisers; $50 Donald B. Middleton Nadine M. Popovich Assistant Treasurer others. Single copy, $5. Advertising Ralph Schmeltz ([email protected]) Sandra Da Costa rates and information sent upon 2018 request by calling (412) 321-5030 or Sharon L. Goldstein online at www.acms.org. Bruce A. MacLeod 2019 Robert W. Bragdon COPYRIGHT 2017: John A. Straka ALLEGHENY COUNTY MEDICAL SOCIETY www.acms.org POSTMASTER—Send address changes to: Bulletin of the Allegheny County Medical Society, 713 Ridge Avenue, Pittsburgh, PA 15212. Leadership and Advocacy for Patients and Physicians ISSN: 0098-3772 NORCAL GROUP OF COMPANIES MEDICAL PROFESSIONAL LIABILITY INSURANCE PHYSICIANS DESERVE Offering top-tier educational resources essential to reducing risk, providing versatile coverage solutions to safeguard your practice and serving as a staunch advocate on behalf of the medical community. Talk to an agent/broker about NORCAL Mutual today. NORCALMUTUAL.COM | 844.4NORCAL © 2016 NORCAL Mutual Insurance Company nm5001 President’s Message Looking back; moving forward DAVID J. DEITRICK, DO t’s amazing how quickly a year flies In the meantime, I want to person- members representing Pennsylvania at Ipast. It’s been a year that has been ally thank Jack for his friendship and the AMA, including members serving filled with challenges, accomplishments leadership over the years. We wish him in leadership and council positions. and changes. As I complete my year as all the best in his future endeavors. We always have an active, engaged your president and prepare to pass the We have had our share of accom- delegation at the annual PAMED gavel to my uncle, Dr. Robert Cicco, plishments this year. In collaboration House of Delegates meeting in Octo- in January, I wanted to update you on with the Allegheny County Health ber. This year, we successfully elected some of the activities of the Allegheny Department and The Hospital and my mentor, Dr. John, as vice president County Medical Society over the past Healthsystem Association of Pennsyl-
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