Committee forWomen Risk Management Update on Cape the DSM 5—CarleneDSM McMillan, MD Western Massachusetts Psychiatric - Committee Meeting Geriatric Managed Care Public Sector Sector Public Psychiatry Psychiatry Welcoming Psychotherapy to Back Managed Care Council Managed Care Committee Executive omte o Women for Committee Risk Management Update on Cape the Psychiatry Psychiatry Welcoming Psychotherapy to Back Sector Public MD McMillan, 5—Carlene DSM Western Massachusetts Psychiatric - Meeting Committee Geriatric Care Managed xctv Committee Executive aae Care Managed Council Care Managed Committee forWomen Psychiatry Psychiatry Welcoming Psychotherapy to Back Sector Public 5—CarleneDSM McMillan, MD Western Massachusetts Psychiatric - Committee Meeting Geriatric Managed Care Risk Management Update on Cape the Managed Care Council Managed Care Committee Executive Non Profit Org. US Postage Paid Holliston MA Permit 74

Issue 139 November/December 2013 IssueIssueIssue 139139 139 November/December November/December 20132013 2013 IssueIssueIssue 139139 155 139 November/DecemberNovember/December November/DecemberJuly/August 2013 20132015 2013 IssueIssueIssue 139 155 139 November/December November/DecemberJuly/August 20132015 2013 Issue 155 July/August 2015 FROMFROM THE THE PRESIDENT PRESIDENT www.psychiatry-mps.org FROM RohnTHE S.PRESIDENT Friedman, MD www.psychiatry-mps.org Rohn S. Friedman, MD oebr1,21 t1:0NO tMPS at 12:00NOON at 2013 15, November ofrneCne tHans yni MA Hyannis Hyannis, at ConferenceCenter November 16, 2013 at 8:30 AM at The Resort and eebr7 03a :0A tMMS at 8:30AM at 2013 7, December MPS at 7:00PM at 2013 21, November at Delaney House, Holyoke, November 20, at 6:15 PM MPS at 7:00PM at 2013 19, November aur 1 04a :0P tMPS at PM 7:00 at 2014 21, January MPS at PM 7:00 at 2014 14, January MPS at 7:00 PM 2013 at 17, December oebr2,21 t80 Ma MPS at 8:00PM at 2013 20, November MPS at 7:00 PM 2013 at 10, December Rohn S. Friedman, MD November 15, 2013 at 12:00 at NOON2013 15, November MPS at December 7, 2013 at 8:30AM at 7, 2013 December MMSat 7:00 at MPSPM2013 at 21, November November 20, at 6:15 PM at Delaney House, Holyoke, 7:00 at MPSPM2013 at 19, November MA Hyannis Hyannis, at ConferenceCenter November 16, 2013 at 8:30 AM at The Resort and January 21, 2014 7:0021, at MPSPM January at 2014 7:0014, at MPSPM January at 2013 7:00 17, at MPSPMDecember at November 20, 2013 at 8: at 2013 MPSPM 00 20, Novemberat MPS 2013 MPS 7:00 10, at PMDecember at Membership: Joining in! November 15, 2013 at 12:00 at NOON2013 15, November MPS at Conference Center at Hyannis, Hyannis MA MA Hyannis Hyannis, at ConferenceCenter November 16, 2013 at 8:30 AM at The Resort and November 20, at 6:15 PM at Delaney House, Holyoke, 7:00 at MPSPM2013 at 19, November November 21, 2013 at 7:00 at MPSPM2013 at 21, November December 7, 2013 at 8:30AM at 7, 2013 December MMSat January 21, 2014 7:0021, at MPSPM January at 2014 7:0014, at MPSPM January at 2013 7:00 17, at MPSPMDecember at November 20, 2013 at 8: at 2013 MPSPM 00 20, Novemberat MPS 2013 MPS 7:00 10, at PMDecember at Membership: Joining in! P aedro Events Calendar of MPS Membership:Membership:Membership: Joining Joining in!in! in! DIVERSIONS MPS Calendar of Events WhatMembership:Membership: does a professional JoiningJoining societyJoining provide in!in! in! to its DIVERSIONSoverlapped. 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Courses...... 8...... 14 ManagedManaged Care Care Update Update ...... 4 4MPS MPS New New Members Members ...... 14 14 Public Sector September 17, 2015 at 7:00 PM at MPS [email protected] MPSASK C/L PHS Committee - Steve Adelman, Meeting MD Update ...... 5 ...... 5 MPS CalendarClassifieds ...... 9 16 MPSMPS C/L C/L Committee Committee Meeting Meeting Update Update ...... 5 5MPS MPS Calendar Calendar ...... 16 16 InMedicare Transitional Billing Space - James ...... T. Hilliard, Esq...... 6 6 MPS Calendar ...... 16 Executive Committee September 22, 2015 at 7:00 PM at MPS [email protected] In TransitionalIn Transitional Space Space ...... 6 6 MPS Bulletin - July/August 2015 www.psychiatry-mps.org 15 40 Washington Street, Suite 201 Wellesley Hills, MA 02481 Phone: 781-237-8100 Lahey Health Behavorial Services | Lahey Hospital & Medical Center Fax: 781-237-7625 www.psychiatric-mps.org RESIDENT FELLOW MEMBER CORNER Rohn S. Friedman, M.D. President Rebecca Mae Allen, M.D., MPH Our Future Mark J. Hauser, M.D. President-Elect Begins With You program called Metavision at BIDMC. Gregory G. Harris, M.D., MPH The Epic Joy of Electronic Health Records Immediate Past-President I am neither a luddite nor a programmer. I use Given this abundance of computer health record Adult and Child/Adolescent Laura Bajor, D.O. computers almost all day and feel adrift like an systems, I had a hard time understanding why Secretary unmoored dinghy without my smartphone, but the hospitals continued to insist that the paper Psychiatry Opportunities Bruce Black, M.D. still struggle to flip a photograph right side up chart is the “real” chart, and anything written Lahey Health/Lahey Health Behavioral Services (LHBS)is currently Treasurer and convert it to a PDF. Overall, though, I use in the electronic health record should also be recruiting BE/BC Adult and Child/Adolescent Psychiatrists interested in computers more than I feel used by them. printed, signed, and stuck in a 3-ring binder, Gary Chinman, M.D. outpatient, consultation-liaison, inpatient and other vital roles within Sr. APA Representative 2013-2016 never to be looked at again because, of course, Until this month, June 2015, when I, along everyone could read the note on the computer. our group. Lahey Health is a progressive and award winning integrated with thousands of Partners employees, suffered What, then, is the point of having an electronic healthcare system headquartered in Burlington, MA, approximately Patrick Aquino, M.D. through the transition to a new electronic health health record, if the trees are cut down any- 17 miles North of Boston. Lahey Hospital and Medical Center (LHMC) APA Representative 2015-2016 record system. way for these “real” charts? When I asked this question, the replies included much hand wav- is the flagship facility of Lahey Health. It is a 317-bed, state of the art, John Bradley, M.D. Tufts-affiliated Academic Medical Center consistently recognized as one APA Representative 2015-2016 The arrival of Epic, renamed eCare by Part- ing and references to the Joint Commission. A ners for obscure reasons, has been anticipated paper chart in addition to an electronic version of the best hospitals in the country. LHBS is an 1800 employee strong Michelle Durham, M.D., MPH since I arrived here in Boston to start residency seemed to be an inevitable, unquestionable fact member of Lahey Health committed to delivering compassionate, APA Representative 2015-2017 four years ago. In fact, on my Harvard Long- of life in Boston. I pined for the modern Orego- responsive, high quality inpatient and outpatient psychiatric care. Marshall Forstein, M.D. wood residency interview day in late 2010, the nians who aimed to save, well, pines. APA Representative 2014-2017 transition to Epic was mentioned by one of the It provides comprehensive mental health services in more than 30 senior residents as a selling point. Intern year, Not that my frustration with paper charts was locations throughout Eastern, MA and Southern, NH. LHBS is growing I remember being excited and relieved at the all due to lofty environmental values. I also re- and looking to add to its professional team. Given the breadth and prospect of switching to Epic, which was the membered with fondness the ability as a medi- Siu Ping Chin Feman, M.D. scope of services offered, we can accommodate the professional 2015-2018 computer system used at my medical school, cal student to retire to an office, workroom, or Oregon Health & Science University. I started library to finish notes, without having to then interests and practice style preferences of most providers. Below are Astrid Derosiers, M.D. clinical rotations at OHSU just after it had fully print them up and run from floor to floor drop- brief descriptions of a few of the attractive opportunities currently 2014—2017 transitioned to Epic, and people there seemed ping them off in binders at nurses’ stations. available at Lahey Health. David Gitlin, M.D. comfortable with the new system. Epic did ev- 2014-2017 erything. It could insert pre-written dot phras- My intern medicine rotations at Newton Welles- Eran D. Metzger, M.D. es, import labs and current medications directly ley Hospital were particularly painful in this re- Current Opportunities: 2015-2018 into a note, store complicated templates, allow gard. Someone at the top of the food chain had medical students to write orders and send them determined – albeit correctly – that electronic Adult Outpatient Psychiatrists Geriatric Psychiatrist Arthur Papas, M.D. to residents for cosign, and, most important to daily notes led to copying too much over from Lahey Hospital and Medical Center (LHMC) and An opportunity is currently available for an experienced Geriatric Psychiatrist 2013-2016 a medical student, automatically import vital day to day, rather than emphasizing the salient Lahey Health Behavioral Services (LHBS) Outpatient Clinics with exceptional clinical skills and administrative savvy to help define, enhance and expand geriatric services throughout the Lahey Health System. Pedro Politzer, M.D. signs into notes so I didn’t have to hunt down points. The solution? Handwritten daily prog- The Department of Psychiatry at LHMC is currently seeking BE/BC psychiatrists interested in joining our dedicated and dynamic team of full 2014-2016 and flip through grubby binders. I remember a ress notes, most of which were hastily scrawled Moonlighting Opportunities short training to learn Epic, a few hours at most, by stressed out interns and entirely illegible, and part time clinicians (MD, CNS, LICSW, PhD). This is a very exciting RESIDENT FELLOW MEMBERS time to join our team with the integration of mental health services in Lahey Health Behavioral Services Outpatient Clinics and the system seemed intuitive. filled with acronyms and shorthand. primary care practices being one of the LHMC Department’s top priorities. Lucrative night and weekend psychiatric call opportunities are currently Rebecca Mae Allen, M.D., MPH Chosen applicants will have the opportunity to help further develop adult available at BayRidge, Beverly, and Addison Gilbert Hospitals, member 2015-2017 During residency I have had the privilege of Why, I thought, can’t we just switch to Epic al- psychiatric services as part of the ACO which will emphasize comprehensive hospitals of Lahey Health. MA-Licensed residents, fellows and experienced learning over five electronic medical record sys- ready? care at all levels of the treatment continuum, and a close partnership with MDs will be considered. Both on-site and telephonic roles are available. tems. The Brigham had LMR and BIDMC had primary care providers. Clinicians in the community will provide individual Additionally, we are seeking psychiatrists interested in on-call back up roles Marc A. Whaley, M.D. OMR (which it still uses). While Faulkner and During my PGY4 year, the arrival of Epic, a.k.a. assessments, family interventions, individual and group treatment, and for our Emergency Screening and Community Crisis Stabilization Services. President Newton Wellesley both had Meditech, the two eCare, was announced. The date was set for psychopharmacological management, and will consult with primary care This role is currently structured in 7-day periods, 24 hours per day versions were sufficiently different as to almost June 1, 2015. Partners did its very best to build providers, pediatricians, schools and other behavioral health and human count as separate programs. Children’s had yet the suspense as the “go-live” date approached. services providers. We offer a collegial environment and tremendous Lahey Health/LHBS is also actively recruiting for clinical opportunities for growth. nurse specialists, licensed independent clinical social Donald A. Smith, M.D. another system which was clunky and showing Emails with reminders and tips regarding eCare workers and other associate level providers. President its age, and, finally, last year MassMental decid- filled our already-stuffed email inboxes. Child/Adolescent Psychiatrist ed to implement a shockingly outdated system Lahey Health Behavioral Services For consideration or more information contact: which appeared to have been designed in the First, we had to complete a few hours of on- M. Cornelia Cremens, M.D., MPH An exciting opportunity is currently available for a board-certified Child/ David DeLuca, 1980’s and reminded me of pixilated computer line training, clicking through narrated Pow- Adolescent Psychiatrist. This position has great flexibility in terms of the Senior Physician Recruiter games I played as a child on my Tandy 1000. erPoint slides. Then, we discovered we were treatment of specific patient populations and in a variety of settings across Lahey Health Beverly Sheehan Dupuis This list isn’t even counting the separate emer- all required to attend training downtown at a the system. We offer great opportunities for growth and development into 781.744.8646 or [email protected] Executive Director gency department monitoring programs at the fancy corporate rental office center with bright a leadership role as well Brigham and BIDMC, plus the strange DOS- color-coded hallways, where we were treated to Mayuri Patel Executive Office and based ordering system called BICS used by a bottomless supply of Keurig coffee and sand- Membership Administrator Brigham and MGH, as well as the ICU-specific wich boxed lunches reminiscent of elementary (continued on page 3) Learn more at LaheyHealth.org/Careers Julie Kealey Continuing Medical Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 Education Coordinator 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 14 MPS Bulletin - July/August 2015 www.psychiatry-mps.org 3 (continued from page 1) PSYCHIATRISTS to provide a secure setting for patients at need for EDs, inpatient units, and state hos- most risk? pitals. A continuum of care means provid- CharterCARE Health Partners, Our Lady of Fatima Hospital ing the right service at the right time in the North Providence, Rhode Island Director of the Latino Mental Health Program - Psychiatry in No one who works on an inpatient unit, in right place with the right intensity. When the Division of Cognitive Neurology at Beth Israel Deaconess an ED, or in a state hospital opposes diver- we lose sight of that clinical reality and sion of patients who do not need to be in CharterCARE Health Partners is seeking Board Eligible/Certified Psychiatrists Medical Center pursue diversion at any cost, we risk once Rohn S. Friedman, MD to join the Behavioral Health Team at our North Providence location – Our those settings. But it is a recurrent fallacy again finding our patients on the street, in President, Lady of Fatima Hospital. Our Lady of Fatima Hospital offers a comprehensive to believe that if we had enough or the right hospital-based inpatient and outpatient Behavioral Health Program known for its The Latino Mental Health Program in the Division of Cognitive the jails, and stuck in the revolving doors Massachusetts Psychiatric Society progressive and compassionate care. Neurology and the Department of Psychiatry, Beth Israel community services we could eliminate the of hospitals and EDs. Deaconess Medical Center (BIDMC), a teaching hospital of CharterCARE Health Partners (CCHP) has entered into a joint venture with Prospect Medical Holdings to develop an innovative regional coordinated Harvard Medical School (HMS), are seeking a psychiatrist to health care network, anchored by Roger Williams Medical Center and Our serve as Director, to lead and shape an expanding multidisciplinary Lady of Fatima Hospital. Our network includes the Roger Williams Cancer Center, Southern New England Rehabilitation Center, Elmhurst Extended Care, outpatient program. The position involves administrative, clinical (continued from page 2) Resident Fellow Member Corner a home care services program and much more. It also operates Prospect and academic components. Provider Group of Rhode Island, an independent physician association with school, complete with potato chips and a We soon discovered that the Epic “play- the offer. more than 200 primary care physicians and specialists, and a network of physician practices. Secured by community-based facilities, CharterCARE The Latino Mental Health Program is an integrated, culturally cookie. Epic flew trainers in to Boston ground” was full of broken equipment and includes an academic affiliation with the Boston University School of Medicine. competent team within the Division of Cognitive Neurology. from all across the country for the massive missing some basic playground staples. June 1st arrived and the switch was flipped.

Would like to learn more about our plans for the future and how you can be a The goals of the Latino Mental Health Program are to promote effort of teaching every single employee After a spin on the merry-go-round of LMR, BICS, and Meditech were out, eCare part of our endeavor? If you are up to the challenge, please send your CV to: cognitive and behavioral health in Latino’s across their lifespan the new system. Most employees needed learning and re-learning the very easy “in- was in. We verbally expressed sympathy and to diagnose and treat Latinos with psychiatric, neurologic, Christine Loesch, Provider Recruitment. Christine can be reached one day of training (7am through 3pm). basket” features, our conversation slid off to our colleagues who worked the weekend via email at [email protected] or by phone 401- neuropsychologic, and social challenges. The program serves Those of us who work in both inpatient track when we Sunday residents asked to of go-live, while quietly sighing in relief 222-9280. patients with and without neurologic conditions. and outpatient settings had to attend two be shown how to print a rounding list. Sur- that we would start with Epic on day 2, full days of training plus, for providers, prisingly, this did not seem to be a built- after the first several hundred help tickets Interested candidates can also apply online at: Qualified candidates must have completed certification in an extra half-day of “personalization.” I in feature of the Partners eCare. How, we had been addressed. The “super users” www.olfcareers.org psychiatry. Priority will be given to candidates with clinical managed to get one weekday session, but ask, are we going to cover our service’s took turns with patient-free blocks during All inquiries and resumes will remain confidential. interests and an established line of interdisciplinary research for my second training I joined a handful list at night if we cannot print information which they could walk from office to of- relevant to the Latino population. Candidates should be eligible of other residents for an Epically fatiguing about multiple patients on the same page? fice and answer Epic questions. Fewer pa- for faculty appointment in Harvard Medical School at the rank Sunday. Although all of us plebians had The trainer’s unlikely answer was that we tients were scheduled than usual, allowing of Instructor, Assistant or Associate level. Underrepresented to attend trainings, an elite set volunteered needed to enter each chart individually and us time to bumble around on the computer. minorities are encouraged to apply. to be in-house “super users,” with extra look at each sign out note separately. An- preparation to help their colleagues after other memorable moment came when an Many features did not work as they were Please send a letter of interest and CV to William Greenberg, MD, CharterCARE Health Partners is an Equal Opportunity Employer – a go-live. internal medicine resident asked how we supposed to. The mental status exam’s but- workplace where ALL are welcome. Chief of Psychiatry, by email: [email protected]. could prepare notes in advance of a pa- ton selections made no sense and included We Partners employees collectively tient’s arrival. The trainer said we should only pathological responses for several cat- learned new terminology, such as “play- never open an encounter until a patient ar- egories – you could not, for example, say The Department of Psychiatry at UMass Memorial ground” for the Epic practice version and rives, and therefore we cannot prep notes. that someone did NOT have hallucinations Health CarePublication is currentlyMPS seeking a full time BC/ “hyperspace” for the “go-live” version. While the above answers eventually turned or suicidal ideation without entering the We were walked through multi-module out to be not quite true, it did highlight the information manually. The past psychiat- BE AttendingRun PsychiatristDate July/August to join the team on the “encounters,” which cumbersomely split holes in the Epic trainers’ understanding of ric history’s buttons were no better. I had 27 bed adultSection inpatientRecruitment unit at UMass Memorial pieces of a typical progress note into sep- physician workflow. a frustrating moment figuring out that if I Medical Center,Size the academic3.5 X 5” teaching hospital and arate sections. I began to see LMR with clicked any psychiatric diagnosis, the his- clinical partnerPrice of the University of Massachusetts rosy-eyed glasses, newly appreciating the At the end of each training session, we tory of partial hospitalization button also simplicity of seeing a patient and writing a were admonished to spend no less than automatically switched to “yes,” then if I Medical School. Primary15-STRI-0011213 duties involve direct clinical careAd# and support of the academic mission single note in a single text box. We learned 30 minutes per day in the “playground.” tried to change that button it would warn of the Department and the Medical Center including the term “drop charges” has a very differ- While I would not presume to say that no me that I was also eliminating the psychiat- ent meaning in Epic than it does on police one actually did this, I haven’t met anyone ric diagnosis. Epic seemed to believe that educational responsibilities and the opportunity to procedural dramas. We learned we had to who will admit it. In any case, there was all psychiatric patients must have been to participate in research. The position provides the add “episodes” of illness in a separate sec- not a lot to “play” with in the Epic “play- a partial hospital program. Worse, as an opportunity for involvement in a full range of clinical tion and “associate” our encounters with ground” that was relevant to psychiatry. apparently un-alterable feature, Epic can and academic pursuits. A faculty appointment, an episode. We were also taught to “as- We are unique in that we do not generally only connect to network printers. In my commensurate with experience, is also available. sociate” each medication with a diagnosis, have staff “room” a patient and collect ini- clinic, this means our in-office printers will which is logical but adds yet more mouse tial information. For psychiatry, all the collect dust as prescriptions and other pro- clicks to an encounter. “rooming” features in an “encounter,” such tected health information route to the hall- Come join Dr. Alan Brown, Vice Chairman as filling in the reason for the visit,- con way, necessitating a momentary abandon- of Clinical Services, Dr. Douglas Ziedonis, The content of the training swung back and firming past medical history, reconciling ment of the patient while we run to grab Department Chair, and other prominent members of forth from the somewhat useful and obvi- medications, and reviewing allergies, were printouts. the Psychiatry Department in their ongoing pursuit ous, such as how to write a prescription, to moved to the physician section. of clinical and academic excellence. Interested the mostly useless and mysterious, such as Throughout the first few weeks of “go- candidates should submit CVs and Letter of Intent printing out non-customizable and limited Adding to the build-up towards June live,” well-labeled strangers wearing “reports” of patient characteristics. I tried 1st, residents were offered hefty sums of blue-grey vests paced up and down the to [email protected], and failed to think of creative ways to use moonlighting money to manually transfer clinic halls sniffing out providers in Epic Attention: Kathleen Anderson. Candidates are also the nifty feature of being able to draw ar- information about current inpatients from distress, and we were easy to find. This encouraged to visit the Psychiatry Department’s eas on cartoon outlines of human bodies in one system to another on the day before was called “external at the elbow support.” website at: www.umassmed.edu/psychiatry. the physical exam section, but illustrating go-live, May 30th. This option was pre- Epic also held office hours for people emotional states (black heart on the chest? sented to us at a residency meeting and, to report problems in person. Our clinic Vise around the head?) seemed like more thanks to the modern acceptability of us- added several psychiatry-specific training trouble than it was worth. ing cell phones in all settings, the available sessions in our conference room, invit- spots were filled within a few minutes of ing expert guests from both the LMR and (continued on page 4) Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 4 MPS Bulletin - July/August 2015 www.psychiatry-mps.org 13 (continued from page 3) Epic teams. The chin-up supportive emails Epic successfully, I’m inclined to say that Epic is low-hanging fruit for complaints, from the Brigham kept coming, reminding Epic will ultimately work better for a co- jokes, and puns, but after a few months (and Southeastern Massachusetts’ Pembroke Hospital and us to take care of ourselves, feeding us an lossal health network like Partners than the maybe a few thousand more help desk tick- Arbour-Fuller Hospital have outstanding opportunities for overwhelming number of Epic “tips,” and previous patchwork quilt of home-grown ets?) I believe it will work smoothly and offering recompense ranging from massage electronic health record systems. This as advertised. Integrated health records Inpatient Psychiatrists chairs to on-campus food trucks. transition was incredibly difficult to orga- crossing multiple hospitals and health net- Enjoy highly competitive compensation and benefits, a schedule that allows for work- nize, and I have a new appreciation for why works will ultimately improve care for our Two weeks into go-live, the update email it took the entirety of my four years of resi- patients, and I also have hope that paper life balance, and the stability of working for the largest private mental health system reported that the Service Desk team had dency for Epic to progress from decision to charts will fade to a distant, semi-nostalgic in Massachusetts. logged a mind-boggling total of 8688 Epic- implementation. While I do not like some memory. That goal is well worth a few • Reasonable caseload related tickets for BWHC and closed 4604. of the new features (“encounters” and “epi- weeks of stress. Bring it on, Epic! • Weekday schedule with no call or weekend work required Now, towards the end of June, all is set- sodes”), others are excellent ideas and add • Paid moonlighting available for additional compensation tling. There are no more food trucks, no value (e.g., “associating” diagnoses with • A benefits package that includes, but not limited to: health and dental insurance, more massage chairs, no more strangers in medications). I am glad, however, that I retirement savings with company match, paid time off including CME allowance vests, the office hours are winding down, am sticking with Partners for two years of Pembroke Hospital in Pembroke, MA, is a 120-bed freestanding psychiatric hospital. and the super users are returning to their neuropsychiatry fellowship. My 2.5+ days normal jobs. The email updates regarding of training will be useful, while other grad- Services include adolescent, adult and older adult inpatient units, as well as partial help desk tickets have tapered off. uating residents had the unfortunate experi- hospitalization programs for adolescents and adults. Inpatient and outpatient electro- ence of attending long trainings to use Epic convulsive therapy services are available. The hospital is currently recruiting for adult Was the transition worth all the trouble? for just one month. psychiatrists including those with addictions or geriatric specialties. Having experienced a system that used Arbour-Fuller Hospital is a 103-bed private psychiatric facility in South Attleboro, MA. Inpatient units treat adolescents and adults. It also houses the Commonwealth’s only adult inpatient intellectual disabilities specialty unit. The hospital has an adult acute residential treatment program and adult partial hospitalization program. The hospital is currently recruiting adult psychiatrists. For more information on these or other openings, contact Andree Paige

E m E r s o n H o s p i t a l o p p o r t u n i t i E s office: 617-390-1437, cell: 617-429-4240, e-mail: [email protected] Arbour Health System provides a continuum of care that includes evaluation, crisis stabilization and treatment for children, adolescents and adults with mental illness, dual diagnosis and/or addiction disorders. All hospitals are accredited by The Joint Commission and licensed by the Location, Location, Location Massachusetts Department of Mental Health. Visit us at www.arbourhealth.com.

Concord :30 Boston

w o r l d - r e n o w n e d affiliations | 3 0 m i n u t e s f r o m b o s t o n | q u a l i t y o f l i f e Seeking Psychiatrist for outpatient program in Maine Emerson Hospital Department of Psychiatry Concord, Massachusetts About Concord, MA and Exciting opportunity to join the psychiatry department at Emerson Emerson Hospital Liberty Healthcare is looking for someone who enjoys outpatient psychiatry and serving adults with serious Hospital, a vibrant community hospital located in historic Concord, mental illness. If you have an interest in assertive community treatment, preventing re-hospitalization, and Massachusetts. You will join a group of four full-time psychiatrists. supporting people in their effort to live independently, this full time opportunity may be an experience worth Located in Concord, exploring. Primary responsibilities include: Massachusetts Emerson • Treatment of patients on our 31 bed locked inpatient unit Hospital is a 179-bed If you join us, you can expect: • Consultation on psychiatrically ill patients on the medical units community hospital with satellite facilities in Westford, Groton and Sudbury. The ~ High job satisfaction / nice personal life balance and collaboration with our medical colleagues hospital provides advanced medical ~ Very small caseload & low patient volume • Back-up for our increasingly busy Emergency Services services to over 300,000 individuals in • Outpatient Addictions Rehabilitation Program over 25 cities and towns. ~ No billing, no managed care, no productivity quotas • Weekend, weeknight and holiday call in rotation Emerson has strategic alliances with ~ Collegial multidisciplinary practice setting Massachusetts General Hospital, • Opportunity for limited private practice available Brigham and Women’s and Tufts ~ Ability to focus on quality patient care • Additional income from moonlighting Medical Center. ~ Financial and administrative assistance with licensing and relocation Concord area is rich with history, For inquiries, please contact: recreation, education This position offers a small caseload (25-30 patients), competitive compensation package, regular 40-hour Robert Stern, M.D. Director Behavioral Health Services workweeks, daytime work hours, minimal on-call, pay by direct deposit (no billing required), 8 weeks off [email protected] phone: 978-287-3512 annually, liability insurance, ample onsite CME and relocation assistance if needed. fax: 978-287-3695. Psychiatrists who are looking to practice within a collegial multi-disciplinary environment and serve people who have serious mental illness and/or forensic patients are encouraged to apply.

All qualified applicants shall receive consideration without regard to race, color, creed, sex, national origin, ancestry, age, physical or mental disability, or sexual orientation.

w w w . E m E r s o n H o s p i t a l . o r g For additional details contact Frank Zura at (610) 331-2186 or [email protected]

Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 12 MPS Bulletin - July/August 2015 www.psychiatry-mps.org 5 HIGH POINT TREATMENT CENTER is seeking the following: ASK PHS Steve Adelman, MD – PHS Director • Full Time Psychiatrists for a NEW Adult / Adolescent Inpatient Psychiatric Hospital just opened in Middleborough, MA. The first two units Question: What kind of organization is Physician Health Ser- assessment process, PHS seeks the client’s permission to vices (PHS) and what services does PHS provide? collect information from collateral sources such as col- The Jamaica Plain Center has outstanding opportunities for are opening in June, and two additional units will open in September. leagues, clinicians and family members. When sufficient Outpatient Psychiatrists Answer: I thought I really “got” PHS when I decided to take information is collected to determine next steps, cases are • A Full Time Psychiatrist for Inpatient Voluntary on the challenge of filling the large shoes of my esteemed presented to the team and recommendations are formulated. Enjoy a highly competitive salary, great benefits, a schedule that predecessor, Dr. Luis Sanchez. It took about 6 months on allows for work-life balance, and the stability of working for the 24 hour level of care, Dual Diagnosis Unit and Although PHS does not provide clinical care, per se, acutely Outpatient Clinic located in Plymouth, MA; the job for me to realize just how little I knew, and it took distressed physicians may be seen on a same day or next day largest private mental health system in Massachusetts. at least another 6 months of working here full-time before I basis, and may be triaged from PHS to an acute care facility At this time, there is significant demand for psychopharmacology • A Psychiatrist for Outpatient Clinics in New Bedford could begin to formulate a clear answer to the above ques- in a matter of hours. services, including Suboxone, and interested psychiatrists can and/or Taunton, MA, FT/PT to provide mental tions. I’ll work backwards, starting with the second ques- build a highly successful outpatient practice. The site has over 50 health and suboxone services (adult and/or adult/ tion first. Historically, PHS has recommended ongoing monitoring highly qualified clinicians including social workers and licensed adolescent) to approximately one-third of our clients. Monitoring is mental health/addictions counselors who work closely with center What services does PHS provide? PHS is a destination “structured oversight of long-term remediation.” A physi- psychiatrists. Clinicians have significant expertise in addictions Salary $190,000 - $220,000 for any physician or medical student with a Massachusetts cian or student is typically monitored by PHS for 2 or 3 and dual diagnosis, Latino populations, child and adolescents Excellent health benefits and leave time connection and any health concern that has the potential to years. The monitoring package includes clinical care by (including school-based) services. interfere with, impede or impair one’s ability to practice outpatient mental health and substance abuse providers, Conveniently located at 157 Green Street in the Jamaica Plain If interested, please contact Jim Horvath at 774-213- medicine effectively and proficiently. Individuals may self- involvement in self-help groups for physicians, a monthly neighborhood of Boston, the center provides a range of behavior- 8368 or email to [email protected] refer to PHS (currently about 40% of clients) or they may meeting with a PHS associate director, and an opening of al health services to a diverse child, adolescent and adult popula- be referred by colleagues, family members, medical leaders, the lines of communication between PHS and the work or tion. On-site services include: Individual, family, group psycho- Also available Doctor on Call weeknight, weekend attorneys, a physician health program in another state, or the school setting. PHS monitoring is a topic unto itself, and therapy, structured outpatient addictions program (SOAP) and and Holiday coverage – for the Middleborough Inpatient Board of Registration in Medicine. From PHS’s perspec- should be a focus of a future “Ask PHS” column. adult partial hospitalization programs. The center is licensed by Psychiatric Unit. tive, a client’s participation is voluntary. It is unfortunate the Massachusetts Department of Public Health and the Bureau that some physicians and students delay getting help until of Substance Abuse Services. Now I’d like to backtrack to the first part of the question: If interested, please contact Mark J. Hauser, M.D. at their careers and lives are becoming unmanageable and im- What kind of organization is PHS? This is an opportunity to join a thriving practice with excellent 617-969-6331 or email to Dr. Hauser and his assistant periled. In such cases, involvement with PHS may be nec- administrative/billing support, a well-appointed office space, and Kevin at [email protected] essary and needed in order to salvage one’s career and one’s PHS is the physician health program (PHP) of Massachsetts. supportive colleagues. personal viability. PHPs emerged from the AMA’s efforts in the 1970s to ac- For more information, contact Andree Paige, office: 617-390-1437, knowledge and address the needs of physicians impaired by cell: 617-429-4240, e-mail: [email protected] The health concerns of PHS clients reside in one or more of psychiatric and substance use disorders. Currently, 47 of 51 five overlapping domains: states (including DC) have an active PHP. Some still func- tion like a committee of the state medical society. Many are • Substance use disorders funded by the state medical board. Here in Massachusetts, • Other significant mental disorders we are independent of the Board of Registration of Medi- • Problematic workplace behavior cine. We are broad in scope, and we endeavor to promote • Neurocognitive and medical challenges physician health, intervene early, and prevent physician im- • Occupational stress and burnout pairment. The third category, “problematic workplace behavior,” de- Physician Health Services, Inc. is a 501(c)3 subsidiary of the serves further explication. Problematic behaviors that may Massachusetts Medical Society. We are governed by a sep- lead to a PHS referral include boundary violations, angry arate Board of Directors, chaired by Dr. Edward Khantzian, outbursts, poor interpersonal skills, lack of professionalism, a renowned addiction psychiatrist, and one of the founders and, difficulty with technical matters such as time manage- of the MMS committee that spawned PHS. The other trust- ment and documentation. ees include psychiatrists, medical leaders, a hospital CEO, and the Executive Vice President of the MMS. PHS’s bud- PHS provides the following services to physicians and med- get and annual report are submitted on a yearly basis to the ical students: medical society’s Board of Trustees for approval. PHS is funded by contributions from the MMS, CRICO, Coverys, • Informational consultations and a large number of supporting health care organizations. • Assessments Some of PHS’s operating budget comes from fundraisers • Referrals and triage and individual contributions. PHS does not charge fees to • Support groups our physician and medical student clients. • Monitoring I invite you to email me your questions about PHS. Please As PHS has engaged with more than 2500 clients over the do not send me any information about an identifiable phy- past couple of decades, we possess a great deal of experi- sician colleague or patient. If your question is of gen- ence and expertise when it comes to helping students and eral interest, we may answer it here in this column. Oth- physicians sort out and overcome their challenges. Infor- erwise, I will respond to your email individually. I can mational consultations, which may occur over the phone, be reached at [email protected] or at 781-434-7404. are offered to anybody who calls with concerns involving a doctor or student. Potential clients may themselves call anonymously to hear more about the assistance that we are able to provide. Clients who wish to be seen typically have an intake appointment with the director, and a subsequent assessment appointment with one of PHS’s 5 part-time as- sociate directors. When a client opts to participate in the Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 6 MPS Bulletin - July/August 2015 www.psychiatry-mps.org 11 sirable. Resident teaching and Harvard appointment available Medicare Billing When You Are Not a Medicare Provider for qualified applicant if interested. Competitive compensa- t i o n p a c k a g e a n d n o r e q u i r e d n i g h t c a l l . P l e a s e s e n d C V ’ s t o The Department of Psychiatry at Mount Auburn James T. Hilliard, Esq. - General Counsel, MPS William Pariseau @ [email protected]. Hospital, affiliated with Harvard Medical School, is recruiting for a position in our Outpatient Psychiatry Recently I have been receiving inquiries from non-Medicare of the “reasonable charge as determined by the Secretary of DR. JOHN C. CORRIGAN MENTAL HEALTH CENTER participating physicians questioning whether they can con- the U.S. Secretary of Health and Human Services”. Once the (JCCMHC) FALL RIVER, MA 02720 Service. Responsibilities include evaluation and tract with a Medicare eligible patient to collect from that pa- patient reaches the age of 65 and the physician can no longer INPATIENT MEDICAL DIRECTOR - 40 HOURS PER treatment of adult patients with a variety of psychiatric WEEK tient their (the physician’s) regular fee as opposed to the collect his regular fee, they only have two options. One is to disorders, including dual diagnosis patients, and Medicare allowed fee. This question is usually raised in the collect only what Medicare allows (even if they are not Medi- Hospital Practice Psychiatry seeks BC/BE Psychiatrist for acute context of the physician who has been treating a patient prior care providers) and the other is to terminate with the patient. 16 bed inpatient unit. This is a JCAHO CMHC with compre- coordination of care with other psychiatric clinicians, to that patient becoming Medicare eligible and, once eligible, hensive outpatient programs, assertive community treatment, primary care and specialty physicians. The department the physician is neither willing to become a Medicare pro- As there is no provision in the state law to accept any crisis stabilization unit, case management, residential sites and vider nor to accept the Medicare fee. This issue raises the fee in excess of the Medicare reasonable charge even 24 hour emergency and mobile services. JCCMHC is part of continues to develop programs integrating psychiatry classic question of whether a physician may “balance bill” a with the patient’s express approval, physicians need the MA DMH and is affiliated with the Harvard psychiatry resi- with primary care. Position includes participation in Medicare eligible patient even with the patient’s permission. to be diligent in how they charge Medicare patients. dency training program. Responsibilities to include: admission/ the teaching activities of the Department. Academic discharge review, psychiatric evaluations, psychopharm man- The prohibition on balance billing of Medicare recipi- Interestingly enough, in the Mass. Medical Society v. Dukakis agement, treatment planning and consultation to treatment team/ appointment to the clinical faculty at Harvard Medical ents by all physicians in Massachusetts was decreed in a case the court distinguished between charging and collecting leadership. Competitive compensation package and no required School is anticipated. 1985 legislative act* which was subsequently affirmed when it said, “A physician may still submit a higher ‘charge’ to night call. Resident teaching, research opportunities, and Har- in the 1986 case of Mass. Medical Society v. Dukakis.** Medicare in order to raise his or her customary charge profile vard appointment possible for qualified applicants. Please send Please send a letter of interest and CV to: without actually charging that amount to the beneficiary...“ .*** CV’s to William Pariseau at [email protected] Joseph P. D’Afflitti, M.D., Chapter 475 of the Acts of 1985 provided that the Board of Reg- istration in Medicine (BRM): Bottom line: If you are a licensed physician in Massachusetts ATTENDING PSYCHIATRIST Chair, Department of Psychiatry “shall require as a condition of granting or renewing a phy- you may not, under any circumstances, collect from a Medi- Tewksbury Hospital is a Joint Commission accredited Depart- Mount Auburn Hospital, sician’s certificate of registration that the physician who care eligible recipient an amount in excess of the Medicare fee. ment of Public Health hospital located about 23 miles north of 330 Mount Auburn Street if he agrees to treat a Medicare beneficiary shall also agree Boston, MA near the intersection of Interstates 495 and 93. not to charge or collect from such beneficiary any amount The Caution: Every physician needs to be diligent in review- Cambridge, MA 02138 in excess of the reasonable charge for that service as deter- ing their billing to Medicare eligible patients to insure that they Two Life Style Choices Tel: 617 499-5665, ext 4212 mined by the U.S. Secretary of Health and Human Services.” are collecting fees not in excess of reasonable charges as deter- 1. Salary: $210,000 base for board certified psychiatrist with 1-2 email: [email protected] mined by Health and Human Services. As this prohibition is not overnight call shifts per month. Recent salary increases, gener- The Massachusetts Medical Society along with the American only a statutory requirement but is also a condition of licensure ous signing bonus, excellent fringe benefits, generous allowance Medical Association challenged the statute in federal court argu- in Massachusetts that each physician certifies every two years for license and board certification fees, CME fees and 6 weeks ing among other matters that the statute would, in effect, restrict on his/her license renewal, knowingly violating this require- leave time for full or part time psychiatrists. You will work on access to medical care for Medicare beneficiaries. The basis of ment could have serious implications regarding his/her license. a DMH intermediate care unit where you can treat people with the challenge was that under the federal Medicare legislation, chronic persistent mental illness with both therapy as well as Adult and Child Psychiatry non-participating physicians who treated Medicare recipients What about treating for services that are not covered by Medicare? medication due to the median 200 days LOS. Work with an ex- Metro Boston, Massachusetts could balance bill the patient for that amount of the physician’s If you are a physician who is treating a Medicare recipient cellent and personable group of psychiatrists. bill that exceeded Medicare’s reasonable charge. The Massachu- for a service that is not covered by Medicare and thus has not setts statute prohibited non- Medicare participating physicians been classified by the Secretary of Health and Human Services, 2. Salary: $185,350 same as above with no overnight/weekend Harvard Vanguard Medical Associates, a practice of Atrius from charging and collecting from a Medicare eligible patient you may bill that patient for your usual and customary rate. on call. Health, has full and part-time openings for BC/BE adult and child psychiatrists in multiple practice locations including our an amount in excess of Medicare’s reasonable fee. The federal Contact Anthony Vagnucci, MD, Chief of Psychiatry, Tewksbury court in upholding the statute ruled that the state legislature had * Chapter 475 of the Acts of 1985 Hospital, 978-851-7321 x2863, [email protected] Braintree, Quincy, Medford and Post Office Square locations. the right to impose such a restriction on physician licensure. ** Massachusetts Medical Society, et al. v. Dukakis, et al. 637 Our behavioral health team works closely with their medical Fed. Supp. 684 (1986) colleagues (internists, pediatricians and gynecologists) in The problem of balance billing arose when physicians were bill- *** Ibid. TAUNTON STATE HOSPITAL (TSH), TAUNTON, MA addition to a multidisciplinary team of behavioral health clinicians ing and collecting from persons under 65 at their regular rate. ATTENDING PSYCHIATRIST - 40 HOURS PER WEEK (psychiatrists, psychologists, social workers and clinical nurse Once the patient became 65 and Medicare eligible, some phy- specialists) in a collaborative approach to outpatient psychiatric sicians continued to bill and collect at their regular rate most Hospital Practice Psychiatry seeks a BC/BE Psychiatrist and behavioral health care. often under an express agreement with the patient to pay the for a position in a general adult continuing care psychiatric physician’s regular rate. With the passage of Chapter 475 and unit. Candidates should have a commitment to a recovery- the subsequent court decision upholding the BRM’s authority Responsibilities include outpatient psychiatric evaluation, based model and community first. TSH is a JCAHO hospital treatment planning and integrated psychiatric treatment and in requiring all physicians not to balance bill Medicare recipi- operated by the MA DMH and is a 45 bed continuing care ents, it became clear that Medicare and non-Medicare provid- facility, providing inpatient services to adults and geriatrics. medication management services. Experience with Addiction ers alike were now prohibited from collecting fees in excess No managed care with a caseload of approximately 15 patients. Psychiatry is a plus! Our practice features a fully integrated EHR The psychiatrist is the leader of a multidisciplinary team, and (Epic), excellent practice supports (billing and authorization a wide range of treatment modalities are valued, including matters are all taken care of for you), minimal call, after-hours psychopharmacology, group therapy emphasizing skill-building, telephonic clinical triage services, competitive salaries and a insight-oriented and cognitive behavioral psychotherapy, family comprehensive benefits package including a generous 401(k) interventions, and Dialectical Behavior Therapy. Competitive plan. compensation package and no required night call. Please send CV’s to William Pariseau @ [email protected]. Please forward your CV to: Brenda Reed, Physician Recruitment, Harvard Vanguard Medical Associates, 275 Grove Street, Suite 3-300, Newton, MA, 02466-2275. Fax: 617-559- 8255; e-mail: [email protected], or call: 800- 222-4606; or 617-559-8275 within Massa c h u s e t t s . E O E / A A . www.harvardvanguard.org

Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 10 MPS Bulletinwww.psychiatry-mps.org - July/August 2015 9 www.psychiatry-mps.org 7

BUSINESS SERVICES OFFICEOFFICE SPACE SPACE APA Applauds U.S. Reps. Murphy and Johnson for Reintroducing

LEGAL ADVICE Hea Comprehensive Mental Health Reform Legislation OfficeBrookline: sublet: Attractive, comfortable, quiet, reasonably priced FOR PSYCHIATRISTS Office space available at 1093 Beacon St. in3 suiteBrookline. office nearSunny, Coolidge top floor Corner office has suite opening The American Psychiatric Association (APA) praised U.S. Reps. Tim Murphy (R-Pa.) and Eddie Bernice Johnson Milton L. Kerstein, Esq. infor an a full old timeworld, or bay two windowed 1/2 time clinicians corner as of (D-Texas) for their reintroduction of comprehensive mental health reform legislation, the Helping Families in Mental Andrew L. Hyams, Esq. office,January 2014. with Streeta fireplace parking and and nearhard T. wood Call Healthcare Billing Specialists, Inc. Health Crisis Act. Mr. Hyams, former General Counsel to the Bd. floors.Jim Harburger Flexible hours MD, in an 617-232-3822 outstanding or location. of Reg. in Medicine, and Mr. Kerstein provide email [email protected] “The nation’s mental health system needs reform and investment—especially on behalf of patients and families living Providing Billing Services to the Mental Health Community Contact Dr. Martin Pildis at legal services to psychiatrists and other health [email protected] or call 617- with serious mental illness. We applaud Representatives Murphy and Johnson,” said APA President Renée Binder, M.D. professionals in the following areas: 731-2678. “Among the many important provisions of this bill are strengthening enforcement of mental health parity, enhancing Billing. . . PSYCHIATRISTS the psychiatric workforce, ensuring better coordination of federal resources, and improving research and treatment for • Licensing Board Complaints and Applications It’s what we do. persons with mental illness, including substance use disorders.” • Medicare/Medicaid Audits Every mental health Tewksbury Hospital is looking for a full time • Patient Confidentiality inpatient psychiatrist. The position is on a DMH Added APA CEO and Medical Director Saul Levin, M.D., M.P.A.: “We look forward to working with Congress to pass professional needs a great PSYCHIATRIST this bill this year.” • Provider and Employer Contracts intermediate care unit working with a wide varie- billing service. For over 15 ty of patients with severe and persistent mental • Civil/Criminal Litigation Mental illnesses are widely prevalent in the United States. Sixty million Americans live with a diagnosable psychiatric years, Healthcare Billing Cambridgeillness. No Psychiatricmanaged care Services or after-hours on-call. As a service to Bulletin readers, we offer one PSYCHIATRISTS:Median LOS about Interested200 days. Competitivein flexible com- or substance use disorder, and 13 million Americans live with a serious or severe psychiatric disorder. Despite recent free 15-minute consultation to discuss any gen- Specialists has been hours, competitive pay rates, and a sched- gains in medical research and public awareness, ensuring treatment for psychiatric and substance use disorders remains pensation. Work with an excellent and persona- a challenging task for physicians and patients alike, unnecessarily complicated by wide-ranging factors that include eral legal concerns. providing exceptional uleble that group fits of your psychiatrists. needs? Qualified psychiatrists needed to - pro fragmented delivery and reimbursement systems, regulatory barriers, workforce shortages, and the enduring stigma Kerstein, Coren & Lichtenstein, LLP service to over 100 practices videFor information overnight, contact: weekend, and holiday surrounding mental health and substance use disorders. 60 Walnut Street, Wellesley, MA 02481 60 Walnut Street, Wellesley, MA 02481 in Massachusetts. moonlightingAnthony Vagnucci, coverage MD at area hospitals, www.KCLwww.KCL----law.comlaw.com Chief of Psychiatry, Tewksbury Hospital clinics, and other psychiatric facilities. (617) 969969----71397139 For978-851-7321 more information x2863 please call Jes- Contact us for more information! s [email protected] c a D ’ A n g i o a t ( 6 1 7 ) 8 6 4 - 7 4 5 2 o r a t Office: (781) 784-4123 [email protected]  Fax: (781) 784-0996 STAFFSTAFF PSYCHIATRISTPSYCHIATRIST POSTIONS. POS- Full Email: [email protected] TIONS.and part-time Full and positions part-time are available positions for are ADULT APA Member Patrice Harris, M.D., Voted in as Chair-Elect of AMA Board of Trustees availablePSYCHIATRISTS for ADULT in PSYCHIATRISTS our outpatient clinics in Web: www.hcbilling.com Framingham, Marlboro and satellites. Advocates SPECIALIZED BILLING SERVICES in our outpatient clinics in Framingham, MarlboroInc is a and full-service, satellites.Advocates non-profit system Inc is serving individuals with psychiatric and developmental Patrice Harris, M.D., a psychiatrist and past member of the American Psychiatric Association (APA) Board of Trustees, PSYCHIATRIC BILLING SPECIALISTS a full-service, non-profit system serving was recently voted into office as Chair-Elect of the American Medical Association (AMA) Board of Trustees. SPECIALIZED CREDENTIALING SERVICES individualsdisabilities with and other psychiatric challenges and indevel a strength-- ♦ EXCELLENT COLLECTION RATES MEDICAL CREDENTIALING SPECIALISTS based, person-centered and multi-disciplinary opmental disabilities and other challeng- The Board of Trustees is an elected body of 21 physicians who guide the AMA as it sets standards and policy for the ♦ UNDERSTANDABLE REPORTING AND essetting. in a strength-based, Excellent physicians person-centered are honored, and we ♦ PROVIDER CREDENTIALING offer a warm, friendly practice environment. medical profession. “I am thrilled that Dr. Harris will serve as Chair-Elect on the AMA Board,” said APA President Re- MANAGEMENT TOOLS and multi-disciplinary setting. Excellent nee Binder, M.D. “The APA Board of Trustees is looking forward to working with her as both groups strive to improve ♦ APPLICATION PROCESS physiciansCompensation are honored, is competitive and we and offer benefits a are ♦ STATE-OF-THE ART BILLING SOFTWARE and advance the practice of medicine.” ♦ HEALTH PLAN ENROLLMENT AND warm,available friendly for 20 hours practice +. environment. ♦ BANKING SERVICES LINKAGE Compensation is competitive and ben- efitsContact are inavailable confidence for Chris20 hours Gordon, +. MD,Con- Medi- Harris’ election to Chair-Elect comes in the wake of her recent re-election to a second term on the AMA Board of Trust- ♦ CREDENTIALING CONSULTATION AND ♦ NPI AND PROVIDER NUMBERS tactcal in Directorconfidence at Chris 508.628.6652 Gordon, orMD, at ees. She was first elected to the board in 2011. APA CEO and Medical Director Saul Levin, M.D., M.P.A., noted: “It’s ASSISTANCE ♦ NATIONAL AND MULTI-STATE an honor to have one of our former Board of Trustees members re-elected to the AMA Board of Trustees and become SERVICES [email protected]. e d i c a l D i r e c t o r a t 5 0 8 . 6 2 8 . 6 6 5 2 o r a t ♦ CUSTOMER SERVICE, CUSTOMER SERVICE, [email protected]. Chair-Elect of the board. Dr. Harris will continue to carry the integration of psychiatry and mental health within the CUSTOMER SERVICE !! ♦ CAQH REGISTRY MAINTENANCE house of medicine.” Cambridge Psychiatric Services ♦ Practice Medicine and We’ll Do the Rest. STATE OF THE ART SOFTWARE BROCKTONPSYCHIATRISTS: MULTI-SERVICE Call us for more information at CENTER (BMSC) Harris has taken on several leadership roles at the AMA, including a term as chair of the AMA Council on Legislation. Interested in flexible hours, competitive pay “It’s a great honor to be elected Chair-Elect to our AMA Board of Trustees,” Harris said. ”I am proud to be in this role (617) 244-3322 Please call us to discuss fee arrangements. BROCKTON, MA Credentialing Services are priced either by STAFFrates, and PSYCHIATRISTa schedule that fits your – needs? 35 and to have a strong voice for the patients we serve. My success in the AMA is in no small part due to the hard work of Ask about our discount program application or on a monthly flat fee basis the members of the Section Council on Psychiatry.” HOURSQualified PER psychiatrists WEEK needed to provide over- depending on the scope of services requested. night, weekend, and holiday moonlighting cover- Hospital Practice Psychiatry seeks BC/ Harris is the Director of Fulton County (Ga.) Health Services and the head of the Fulton County Department of Behav- age at area hospitals, clinics, and other psychiat- www.specializedbillingservices.com IN ADDITION TO OUR CREDENTIALING BE Psychiatrist. BMSC is a JCAHO ioral Health and Developmental Disabilities. As director of health services for Fulton County, which includes Atlanta, SERVICES, WE OFFER MEDICAL BILLING facilityric facilities. operated by the MA DMH Harris directs all county health services, including health partnerships that deliver a wide range of treatment and pre- SERVICES TO PHYSICIANS, HOSPITALS, andFor offersmore information comprehensive please outpatient, call vention services. She is a past president of the Georgia Psychiatric Physicians Association and served as a member of GROUP PRACTICES, CLINICS, ETC. FOR THETHE DEADLINE DEADLINE FOR FOR THE THE PACT,Jessica caseD’Angio management, at 617-864-7452 residential the AMA Women Physicians Congress. Harris also maintains a private psychiatric practice. CLIENTS WHO PURCHASE OUR MEDICAL services, and 24-hour on-site emer- JANUARYSEPTEMBER 2014 MPS NEWSLETTER2015 IS BILLING SERVICES, WE OFFER CREDEN- or at [email protected] gency services. Active medical staff MPSDECEMBER NEWSLETTER 15, 2013. IS TIALING AS PART OF THAT PACKAGE. and Harvard-affiliated psychiatry Adult psychiatrist for part or full time. Private AUGUST 14, 2015. FOR residencyAdult psychiatrist training program. Respon- FOR ADDITIONAL ADVERTISING PRACTICE MEDICINE, WE DO THE REST. Group Practice of MD’s & PhD’s. CBT exclu- ADDITIONAL ADVERTISING sibilities include outpatient psychi- INFORMATION, PLEASE CONTACT THE atricsively. evaluations, Services needed psychopharmacol include diagnostics- and INFORMATION, PLEASE CONTACT CALL US FOR MORE INFORMATION AT MPS OFFICE AT: (781) 237-8100 CALL US FOR MORE INFORMATION AT ogymed management, management. treatment planning THE MPS OFFICE AT (781) 237-8100 (617) 244244----3322332233223322 Contact: Peter W. Moran, Ph.D. Cornerstone OR and consultation to treatment teams. OR www.sbscincorporated.com/ TransitionalBehavioral Health, age youth 469 Chandler or forensic St., exWorcester,- [email protected]@PSYCHIATRY-MPS.ORG perience,MA 01602 and/or or [email protected] Spanish speaking de-

Massachusetts Psychiatric Society ♦ 40 WashingtonMassachusetts Street, Suite Psychiatric 201 ♦ Society Wellesley, 40MA Washington 02481-1802 Street, Suite 201 Wellesley, MA 02481-1802 Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 781-237-8100 ♦ Fax: 781-237-7625 ♦ Email: [email protected] ♦ [email protected] 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 8 MPS Bulletin - July/August 2015 www.psychiatry-mps.org 9

Online MMS CME Courses

PAIN MANAGEMENT/PRESCRIBING OPIOIDS FEATURED ONLINE CME COURSES - FREE

According to the Centers for Disease Control and Prevention, more than 80% of people who misuse prescription pain medications are using drugs prescribed to someone else. These Baystate Health is seeking outstanding Psychiatrists to join our teams at Baystate Medical drugs are most often obtained from a friend or relative – for free, purchased, or stolen. Center, Baystate Wing Hospital, and Baystate Franklin Medical Center in beautiful western The Massachusetts Medical Society has long been a leader in providing continuing medical Massachusetts. Our current openings include: education about critical public health issues, including pain management. In an effort to remove as many barriers as possible to prescriber education, the MMS will make its CME/CPD activities on pain management and opioid prescribing available to all Baystate Medical Center/ Tufts University School of Medicine, Springfield MA prescribers – for free – until further notice. This includes not only their current suite of courses, but those due to be released in the coming weeks and months. • Child & Adolescent Psychiatry- Faculty Position

MMS’s educational goal is to provide high-quality learning opportunities developed from evidence-based practices and data. We • Adult Inpatient Psychiatry- Faculty Position encourage all prescribers to participate in any (or all) of the following CME/CPD courses and incorporate risk management strate- gies into their practices to help reduce the number of opioids prescribed in the Commonwealth and related opioid abuse, addiction Baystate Wing Hospital, Palmer MA and deaths. • Adult Inpatient Psychiatry Managing Pain Without Overusing Opioids (updated) • Adult Outpatient Psychiatry 3.00 CME Credits | RM | Text & Graphics • Outpatient Child Psychiatry Legal Advisor: Identifying Drug Dependence 1.00 CME Credit | RM | Text • Geriatric Psychiatry Baystate Franklin Medical Center, Greenfield MA • Medical Director, Department of Psychiatry at BFMC   Full time, part time and per diem opportunities are available. We seek compassionate, MPS IS PLEASED TO WELCOME THE dedicated psychiatrists who value teamwork, diversity and care that focuses on patient-centered FOLLOWING NEW MEMBERS  excellence. Please visit our website at www.choosebaystatehealth.org for more details about our Are you General Member:  specific positions. eligible Reji Attupurath, MD eligible Baystate Health is a nationally ranked, award-winning, multi-institutional healthcare system    at theSusan Delaney Elizabeth House Austrian, in Holyoke, MD Dr. Ben Liptzin will present Gyorgy K. Bodrog, MD and interested with state-of-the-art facilities located in Western Massachusetts. Baystate Health was recently            Claudia Epelbaum, MD in applying for recognized as a Thompson Reuters Top 15 Health System for outstanding clinical performance   Barton S. Herskovitz,   ThisMD talk will discuss the potential roles for psychiatrists asFauzia Accountable Wali Khan, Care MD Organizations develop as a result of Fellow and quality outcomes. We are committed to raising the standard for excellence - Join us in the Accountable Care Alica Act which Azpiri is Magallanes, stimulating healt MDh care reform all over the delivering a higher state of caring at Baystate Health. country. These organizationsAjay Metha, will be MDexpected to take on financial risk by caring or for a population with aAlana fixed Nagle,amount MD of money. It is expected that psychiatric Distinguished services will be integratedShreya into Raj, primary MD care using a variety of organizational models. This talk will Terry describe Martin ways Smith, for practicin MD g psychiatrists to learn more Fellow Status? about these models in theirJoseph local Zollo, service MD area. Are you interested in applying We will host a receptionResident-Fellow starting at 6 with Members: dinner being served at 6:30PM. The Contact the for MPS Fellow Office. status? Ato archieeve a y hioghuer s tarte eof acarding?y program will start at 7:30Sylwia PM. P.The Fowler, Massachusetts MD Psychiatric Society designates this live activity for a maximumSasikala ofManavalan, 1 AMA PRA MD Category 1 Credit TM. Physicians Visit the APA at www.psychiatry.org. For more information, please contact: should claim only the creditChrissy commensurate Mathew, MD with the extent of their participation in Joseph E. Mathias, MD We would be glad to assist you Melissa Hale, Senior Physician Recruiter the activity. The Massachusetts Psychiatric Society is accredited by the Massachu Your application must be setts Medical Society to provide continuing medical education for physicians. in completing your application. Phone: 413-794-2624; Fax: 413-794-5059; [email protected] Transfer In: submitted to the APA on or ChooseBaystateHealth.org/PsychMPS/MPSPA The cost is $25.00 forJoseph the meal Samuel and Insler, the CME MD credits . You can either pay by before September 1, 2015. check, cash or credit cardPaulina on Wednesday Loo, MD night. Advancement: TM Adeliza Olivero, MD Together we deliver a higher state of caring.  Baystate Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or Protected Veteran status.

 Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org  Antonio Eduardo Bullon, MD Tatjana Dujmic, MD Janet Kennedy, MD The American Psychiatric Association offers FREE monthly webinars for Christopher Joseph Lukonis, MD physicians who have waivers to treat opioid dependence in officebased Fremonta L. Meyer, MD settings and other interested clinicians. The presentations address cutting Zafar N. Naqvi, MD edge topics in treating substance use disorders and feature nationally George Ellsworth, MD prominent clinical experts, researchers, and government officials. Alaa M. Elrefai, MD Michael Braverman, MD Elizabeth Koby, MD Ajay D. Wassan, MD  Amanda Sims, MD Sponsored by the American Osteopathic Academy of Addiction Medicine

 (AOAAM) Amber Frank, MD Course Director: Stephen A. Wyatt, DO Charotte Scott Hogan, MD Contact Information: Lara Renucci [email protected] or 7085728006 Stephanie Cincotta, MD Daiana Harper, MD   Ann Hess, MD Sponsored by the American Osteopathic Academy of Addiction Medicine David Buxton, MD (AOAAM) Laura Sponseller, MD Course Director: William Morrone, DO Margaret E. Tompsett, MD Contact Information: Lara Renucci [email protected] or 7085728006 Karen LeBlane, MD Gaston Baslet, MD Sara Coffey, MD  Marika Wrzosek, MD http://www.pcssb.org/educationalandtrainingresources/upcoming John P. Glazer, MD training/ Dwight Smith, MD Hsiang S Huang MD

Massachusetts Psychiatric Society ♦ 40 Washington Street, Suite 201 ♦ Wellesley, MA 024811802 7812378100 ♦ Fax: 7812377625 ♦ Email: mps@psychiatrymps.org ♦ www.@psychiatrymps.org 8 MPS Bulletin - July/August 2015 www.psychiatry-mps.org 9

Online MMS CME Courses

PAIN MANAGEMENT/PRESCRIBING OPIOIDS FEATURED ONLINE CME COURSES - FREE

According to the Centers for Disease Control and Prevention, more than 80% of people who misuse prescription pain medications are using drugs prescribed to someone else. These Baystate Health is seeking outstanding Psychiatrists to join our teams at Baystate Medical drugs are most often obtained from a friend or relative – for free, purchased, or stolen. Center, Baystate Wing Hospital, and Baystate Franklin Medical Center in beautiful western The Massachusetts Medical Society has long been a leader in providing continuing medical Massachusetts. Our current openings include: education about critical public health issues, including pain management. In an effort to remove as many barriers as possible to prescriber education, the MMS will make its CME/CPD activities on pain management and opioid prescribing available to all Baystate Medical Center/ Tufts University School of Medicine, Springfield MA prescribers – for free – until further notice. This includes not only their current suite of courses, but those due to be released in the coming weeks and months. • Child & Adolescent Psychiatry- Faculty Position

MMS’s educational goal is to provide high-quality learning opportunities developed from evidence-based practices and data. We • Adult Inpatient Psychiatry- Faculty Position encourage all prescribers to participate in any (or all) of the following CME/CPD courses and incorporate risk management strate- gies into their practices to help reduce the number of opioids prescribed in the Commonwealth and related opioid abuse, addiction Baystate Wing Hospital, Palmer MA and deaths. • Adult Inpatient Psychiatry Managing Pain Without Overusing Opioids (updated) • Adult Outpatient Psychiatry 3.00 CME Credits | RM | Text & Graphics • Outpatient Child Psychiatry Legal Advisor: Identifying Drug Dependence 1.00 CME Credit | RM | Text • Geriatric Psychiatry Baystate Franklin Medical Center, Greenfield MA • Medical Director, Department of Psychiatry at BFMC   Full time, part time and per diem opportunities are available. We seek compassionate, MPS IS PLEASED TO WELCOME THE dedicated psychiatrists who value teamwork, diversity and care that focuses on patient-centered FOLLOWING NEW MEMBERS  excellence. Please visit our website at www.choosebaystatehealth.org for more details about our Are you General Member:  specific positions. eligible Reji Attupurath, MD eligible Baystate Health is a nationally ranked, award-winning, multi-institutional healthcare system    at theSusan Delaney Elizabeth House Austrian, in Holyoke, MD Dr. Ben Liptzin will present Gyorgy K. Bodrog, MD and interested with state-of-the-art facilities located in Western Massachusetts. Baystate Health was recently            Claudia Epelbaum, MD in applying for recognized as a Thompson Reuters Top 15 Health System for outstanding clinical performance   Barton S. Herskovitz,   ThisMD talk will discuss the potential roles for psychiatrists asFauzia Accountable Wali Khan, Care MD Organizations develop as a result of Fellow and quality outcomes. We are committed to raising the standard for excellence - Join us in the Accountable Care Alica Act which Azpiri is Magallanes, stimulating healt MDh care reform all over the delivering a higher state of caring at Baystate Health. country. These organizationsAjay Metha, will be MDexpected to take on financial risk by caring or for a population with aAlana fixed Nagle,amount MD of money. It is expected that psychiatric Distinguished services will be integratedShreya into Raj, primary MD care using a variety of organizational models. This talk will Terry describe Martin ways Smith, for practicin MD g psychiatrists to learn more Fellow Status? about these models in theirJoseph local Zollo, service MD area. Are you interested in applying We will host a receptionResident-Fellow starting at 6 with Members: dinner being served at 6:30PM. The Contact the for MPS Fellow Office. status? Ato archieeve a y hioghuer s tarte eof acarding?y program will start at 7:30Sylwia PM. P.The Fowler, Massachusetts MD Psychiatric Society designates this live activity for a maximumSasikala ofManavalan, 1 AMA PRA MD Category 1 Credit TM. Physicians Visit the APA at www.psychiatry.org. For more information, please contact: should claim only the creditChrissy commensurate Mathew, MD with the extent of their participation in Joseph E. Mathias, MD We would be glad to assist you Melissa Hale, Senior Physician Recruiter the activity. The Massachusetts Psychiatric Society is accredited by the Massachu Your application must be setts Medical Society to provide continuing medical education for physicians. in completing your application. Phone: 413-794-2624; Fax: 413-794-5059; [email protected] Transfer In: submitted to the APA on or ChooseBaystateHealth.org/PsychMPS/MPSPA The cost is $25.00 forJoseph the meal Samuel and Insler, the CME MD credits . You can either pay by before September 1, 2015. check, cash or credit cardPaulina on Wednesday Loo, MD night. Advancement: TM Adeliza Olivero, MD Together we deliver a higher state of caring.  Baystate Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or Protected Veteran status.

 Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org  Antonio Eduardo Bullon, MD Tatjana Dujmic, MD Janet Kennedy, MD The American Psychiatric Association offers FREE monthly webinars for Christopher Joseph Lukonis, MD physicians who have waivers to treat opioid dependence in officebased Fremonta L. Meyer, MD settings and other interested clinicians. The presentations address cutting Zafar N. Naqvi, MD edge topics in treating substance use disorders and feature nationally George Ellsworth, MD prominent clinical experts, researchers, and government officials. Alaa M. Elrefai, MD Michael Braverman, MD Elizabeth Koby, MD Ajay D. Wassan, MD  Amanda Sims, MD Sponsored by the American Osteopathic Academy of Addiction Medicine

 (AOAAM) Amber Frank, MD Course Director: Stephen A. Wyatt, DO Charotte Scott Hogan, MD Contact Information: Lara Renucci [email protected] or 7085728006 Stephanie Cincotta, MD Daiana Harper, MD   Ann Hess, MD Sponsored by the American Osteopathic Academy of Addiction Medicine David Buxton, MD (AOAAM) Laura Sponseller, MD Course Director: William Morrone, DO Margaret E. Tompsett, MD Contact Information: Lara Renucci [email protected] or 7085728006 Karen LeBlane, MD Gaston Baslet, MD Sara Coffey, MD  Marika Wrzosek, MD http://www.pcssb.org/educationalandtrainingresources/upcoming John P. Glazer, MD training/ Dwight Smith, MD Hsiang S Huang MD

Massachusetts Psychiatric Society ♦ 40 Washington Street, Suite 201 ♦ Wellesley, MA 024811802 7812378100 ♦ Fax: 7812377625 ♦ Email: mps@psychiatrymps.org ♦ www.@psychiatrymps.org 10 MPS Bulletinwww.psychiatry-mps.org - July/August 2015 9 www.psychiatry-mps.org 7

BUSINESS SERVICES OFFICEOFFICE SPACE SPACE APA Applauds U.S. Reps. Murphy and Johnson for Reintroducing

LEGAL ADVICE Hea Comprehensive Mental Health Reform Legislation OfficeBrookline: sublet: Attractive, comfortable, quiet, reasonably priced FOR PSYCHIATRISTS Office space available at 1093 Beacon St. in3 suiteBrookline. office nearSunny, Coolidge top floor Corner office has suite opening The American Psychiatric Association (APA) praised U.S. Reps. Tim Murphy (R-Pa.) and Eddie Bernice Johnson Milton L. Kerstein, Esq. infor an a full old timeworld, or bay two windowed 1/2 time clinicians corner as of (D-Texas) for their reintroduction of comprehensive mental health reform legislation, the Helping Families in Mental Andrew L. Hyams, Esq. office,January 2014. with Streeta fireplace parking and and nearhard T. wood Call Healthcare Billing Specialists, Inc. Health Crisis Act. Mr. Hyams, former General Counsel to the Bd. floors.Jim Harburger Flexible hours MD, in an 617-232-3822 outstanding or location. of Reg. in Medicine, and Mr. Kerstein provide email [email protected] “The nation’s mental health system needs reform and investment—especially on behalf of patients and families living Providing Billing Services to the Mental Health Community Contact Dr. Martin Pildis at legal services to psychiatrists and other health [email protected] or call 617- with serious mental illness. We applaud Representatives Murphy and Johnson,” said APA President Renée Binder, M.D. professionals in the following areas: 731-2678. “Among the many important provisions of this bill are strengthening enforcement of mental health parity, enhancing Billing. . . PSYCHIATRISTS the psychiatric workforce, ensuring better coordination of federal resources, and improving research and treatment for • Licensing Board Complaints and Applications It’s what we do. persons with mental illness, including substance use disorders.” • Medicare/Medicaid Audits Every mental health Tewksbury Hospital is looking for a full time • Patient Confidentiality inpatient psychiatrist. The position is on a DMH Added APA CEO and Medical Director Saul Levin, M.D., M.P.A.: “We look forward to working with Congress to pass professional needs a great PSYCHIATRIST this bill this year.” • Provider and Employer Contracts intermediate care unit working with a wide varie- billing service. For over 15 ty of patients with severe and persistent mental • Civil/Criminal Litigation Mental illnesses are widely prevalent in the United States. Sixty million Americans live with a diagnosable psychiatric years, Healthcare Billing Cambridgeillness. No Psychiatricmanaged care Services or after-hours on-call. As a service to Bulletin readers, we offer one PSYCHIATRISTS:Median LOS about Interested200 days. Competitivein flexible com- or substance use disorder, and 13 million Americans live with a serious or severe psychiatric disorder. Despite recent free 15-minute consultation to discuss any gen- Specialists has been hours, competitive pay rates, and a sched- gains in medical research and public awareness, ensuring treatment for psychiatric and substance use disorders remains pensation. Work with an excellent and persona- a challenging task for physicians and patients alike, unnecessarily complicated by wide-ranging factors that include eral legal concerns. providing exceptional uleble that group fits of your psychiatrists. needs? Qualified psychiatrists needed to - pro fragmented delivery and reimbursement systems, regulatory barriers, workforce shortages, and the enduring stigma Kerstein, Coren & Lichtenstein, LLP service to over 100 practices videFor information overnight, contact: weekend, and holiday surrounding mental health and substance use disorders. 60 Walnut Street, Wellesley, MA 02481 60 Walnut Street, Wellesley, MA 02481 in Massachusetts. moonlightingAnthony Vagnucci, coverage MD at area hospitals, www.KCLwww.KCL----law.comlaw.com Chief of Psychiatry, Tewksbury Hospital clinics, and other psychiatric facilities. (617) 969969----71397139 For978-851-7321 more information x2863 please call Jes- Contact us for more information! s [email protected] c a D ’ A n g i o a t ( 6 1 7 ) 8 6 4 - 7 4 5 2 o r a t Office: (781) 784-4123 [email protected]  Fax: (781) 784-0996 STAFFSTAFF PSYCHIATRISTPSYCHIATRIST POSTIONS. POS- Full Email: [email protected] TIONS.and part-time Full and positions part-time are available positions for are ADULT APA Member Patrice Harris, M.D., Voted in as Chair-Elect of AMA Board of Trustees availablePSYCHIATRISTS for ADULT in PSYCHIATRISTS our outpatient clinics in Web: www.hcbilling.com Framingham, Marlboro and satellites. Advocates SPECIALIZED BILLING SERVICES in our outpatient clinics in Framingham, MarlboroInc is a and full-service, satellites.Advocates non-profit system Inc is serving individuals with psychiatric and developmental Patrice Harris, M.D., a psychiatrist and past member of the American Psychiatric Association (APA) Board of Trustees, PSYCHIATRIC BILLING SPECIALISTS a full-service, non-profit system serving was recently voted into office as Chair-Elect of the American Medical Association (AMA) Board of Trustees. SPECIALIZED CREDENTIALING SERVICES individualsdisabilities with and other psychiatric challenges and indevel a strength-- ♦ EXCELLENT COLLECTION RATES MEDICAL CREDENTIALING SPECIALISTS based, person-centered and multi-disciplinary opmental disabilities and other challeng- The Board of Trustees is an elected body of 21 physicians who guide the AMA as it sets standards and policy for the ♦ UNDERSTANDABLE REPORTING AND essetting. in a strength-based, Excellent physicians person-centered are honored, and we ♦ PROVIDER CREDENTIALING offer a warm, friendly practice environment. medical profession. “I am thrilled that Dr. Harris will serve as Chair-Elect on the AMA Board,” said APA President Re- MANAGEMENT TOOLS and multi-disciplinary setting. Excellent nee Binder, M.D. “The APA Board of Trustees is looking forward to working with her as both groups strive to improve ♦ APPLICATION PROCESS physiciansCompensation are honored, is competitive and we and offer benefits a are ♦ STATE-OF-THE ART BILLING SOFTWARE and advance the practice of medicine.” ♦ HEALTH PLAN ENROLLMENT AND warm,available friendly for 20 hours practice +. environment. ♦ BANKING SERVICES LINKAGE Compensation is competitive and ben- efitsContact are inavailable confidence for Chris20 hours Gordon, +. MD,Con- Medi- Harris’ election to Chair-Elect comes in the wake of her recent re-election to a second term on the AMA Board of Trust- ♦ CREDENTIALING CONSULTATION AND ♦ NPI AND PROVIDER NUMBERS tactcal in Directorconfidence at Chris 508.628.6652 Gordon, orMD, at ees. She was first elected to the board in 2011. APA CEO and Medical Director Saul Levin, M.D., M.P.A., noted: “It’s ASSISTANCE ♦ NATIONAL AND MULTI-STATE an honor to have one of our former Board of Trustees members re-elected to the AMA Board of Trustees and become SERVICES [email protected]. e d i c a l D i r e c t o r a t 5 0 8 . 6 2 8 . 6 6 5 2 o r a t ♦ CUSTOMER SERVICE, CUSTOMER SERVICE, [email protected]. Chair-Elect of the board. Dr. Harris will continue to carry the integration of psychiatry and mental health within the CUSTOMER SERVICE !! ♦ CAQH REGISTRY MAINTENANCE house of medicine.” Cambridge Psychiatric Services ♦ Practice Medicine and We’ll Do the Rest. STATE OF THE ART SOFTWARE BROCKTONPSYCHIATRISTS: MULTI-SERVICE Call us for more information at CENTER (BMSC) Harris has taken on several leadership roles at the AMA, including a term as chair of the AMA Council on Legislation. Interested in flexible hours, competitive pay “It’s a great honor to be elected Chair-Elect to our AMA Board of Trustees,” Harris said. ”I am proud to be in this role (617) 244-3322 Please call us to discuss fee arrangements. BROCKTON, MA Credentialing Services are priced either by STAFFrates, and PSYCHIATRISTa schedule that fits your – needs? 35 and to have a strong voice for the patients we serve. My success in the AMA is in no small part due to the hard work of Ask about our discount program application or on a monthly flat fee basis the members of the Section Council on Psychiatry.” HOURSQualified PER psychiatrists WEEK needed to provide over- depending on the scope of services requested. night, weekend, and holiday moonlighting cover- Hospital Practice Psychiatry seeks BC/ Harris is the Director of Fulton County (Ga.) Health Services and the head of the Fulton County Department of Behav- age at area hospitals, clinics, and other psychiat- www.specializedbillingservices.com IN ADDITION TO OUR CREDENTIALING BE Psychiatrist. BMSC is a JCAHO ioral Health and Developmental Disabilities. As director of health services for Fulton County, which includes Atlanta, SERVICES, WE OFFER MEDICAL BILLING facilityric facilities. operated by the MA DMH Harris directs all county health services, including health partnerships that deliver a wide range of treatment and pre- SERVICES TO PHYSICIANS, HOSPITALS, andFor offersmore information comprehensive please outpatient, call vention services. She is a past president of the Georgia Psychiatric Physicians Association and served as a member of GROUP PRACTICES, CLINICS, ETC. FOR THETHE DEADLINE DEADLINE FOR FOR THE THE PACT,Jessica caseD’Angio management, at 617-864-7452 residential the AMA Women Physicians Congress. Harris also maintains a private psychiatric practice. CLIENTS WHO PURCHASE OUR MEDICAL services, and 24-hour on-site emer- JANUARYSEPTEMBER 2014 MPS NEWSLETTER2015 IS BILLING SERVICES, WE OFFER CREDEN- or at [email protected] gency services. Active medical staff MPSDECEMBER NEWSLETTER 15, 2013. IS TIALING AS PART OF THAT PACKAGE. and Harvard-affiliated psychiatry Adult psychiatrist for part or full time. Private AUGUST 14, 2015. FOR residencyAdult psychiatrist training program. Respon- FOR ADDITIONAL ADVERTISING PRACTICE MEDICINE, WE DO THE REST. Group Practice of MD’s & PhD’s. CBT exclu- ADDITIONAL ADVERTISING sibilities include outpatient psychi- INFORMATION, PLEASE CONTACT THE atricsively. evaluations, Services needed psychopharmacol include diagnostics- and INFORMATION, PLEASE CONTACT CALL US FOR MORE INFORMATION AT MPS OFFICE AT: (781) 237-8100 CALL US FOR MORE INFORMATION AT ogymed management, management. treatment planning THE MPS OFFICE AT (781) 237-8100 (617) 244244----3322332233223322 Contact: Peter W. Moran, Ph.D. Cornerstone OR and consultation to treatment teams. OR www.sbscincorporated.com/ TransitionalBehavioral Health, age youth 469 Chandler or forensic St., exWorcester,- [email protected]@PSYCHIATRY-MPS.ORG perience,MA 01602 and/or or [email protected] Spanish speaking de-

Massachusetts Psychiatric Society ♦ 40 WashingtonMassachusetts Street, Suite Psychiatric 201 ♦ Society Wellesley, 40MA Washington 02481-1802 Street, Suite 201 Wellesley, MA 02481-1802 Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 781-237-8100 ♦ Fax: 781-237-7625 ♦ Email: [email protected] ♦ [email protected] 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 6 MPS Bulletin - July/August 2015 www.psychiatry-mps.org 11 sirable. Resident teaching and Harvard appointment available Medicare Billing When You Are Not a Medicare Provider for qualified applicant if interested. Competitive compensa- t i o n p a c k a g e a n d n o r e q u i r e d n i g h t c a l l . P l e a s e s e n d C V ’ s t o The Department of Psychiatry at Mount Auburn James T. Hilliard, Esq. - General Counsel, MPS William Pariseau @ [email protected]. Hospital, affiliated with Harvard Medical School, is recruiting for a position in our Outpatient Psychiatry Recently I have been receiving inquiries from non-Medicare of the “reasonable charge as determined by the Secretary of DR. JOHN C. CORRIGAN MENTAL HEALTH CENTER participating physicians questioning whether they can con- the U.S. Secretary of Health and Human Services”. Once the (JCCMHC) FALL RIVER, MA 02720 Service. Responsibilities include evaluation and tract with a Medicare eligible patient to collect from that pa- patient reaches the age of 65 and the physician can no longer INPATIENT MEDICAL DIRECTOR - 40 HOURS PER treatment of adult patients with a variety of psychiatric WEEK tient their (the physician’s) regular fee as opposed to the collect his regular fee, they only have two options. One is to disorders, including dual diagnosis patients, and Medicare allowed fee. This question is usually raised in the collect only what Medicare allows (even if they are not Medi- Hospital Practice Psychiatry seeks BC/BE Psychiatrist for acute context of the physician who has been treating a patient prior care providers) and the other is to terminate with the patient. 16 bed inpatient unit. This is a JCAHO CMHC with compre- coordination of care with other psychiatric clinicians, to that patient becoming Medicare eligible and, once eligible, hensive outpatient programs, assertive community treatment, primary care and specialty physicians. The department the physician is neither willing to become a Medicare pro- As there is no provision in the state law to accept any crisis stabilization unit, case management, residential sites and vider nor to accept the Medicare fee. This issue raises the fee in excess of the Medicare reasonable charge even 24 hour emergency and mobile services. JCCMHC is part of continues to develop programs integrating psychiatry classic question of whether a physician may “balance bill” a with the patient’s express approval, physicians need the MA DMH and is affiliated with the Harvard psychiatry resi- with primary care. Position includes participation in Medicare eligible patient even with the patient’s permission. to be diligent in how they charge Medicare patients. dency training program. Responsibilities to include: admission/ the teaching activities of the Department. Academic discharge review, psychiatric evaluations, psychopharm man- The prohibition on balance billing of Medicare recipi- Interestingly enough, in the Mass. Medical Society v. Dukakis agement, treatment planning and consultation to treatment team/ appointment to the clinical faculty at Harvard Medical ents by all physicians in Massachusetts was decreed in a case the court distinguished between charging and collecting leadership. Competitive compensation package and no required School is anticipated. 1985 legislative act* which was subsequently affirmed when it said, “A physician may still submit a higher ‘charge’ to night call. Resident teaching, research opportunities, and Har- in the 1986 case of Mass. Medical Society v. Dukakis.** Medicare in order to raise his or her customary charge profile vard appointment possible for qualified applicants. Please send Please send a letter of interest and CV to: without actually charging that amount to the beneficiary...“ .*** CV’s to William Pariseau at [email protected] Joseph P. D’Afflitti, M.D., Chapter 475 of the Acts of 1985 provided that the Board of Reg- istration in Medicine (BRM): Bottom line: If you are a licensed physician in Massachusetts ATTENDING PSYCHIATRIST Chair, Department of Psychiatry “shall require as a condition of granting or renewing a phy- you may not, under any circumstances, collect from a Medi- Tewksbury Hospital is a Joint Commission accredited Depart- Mount Auburn Hospital, sician’s certificate of registration that the physician who care eligible recipient an amount in excess of the Medicare fee. ment of Public Health hospital located about 23 miles north of 330 Mount Auburn Street if he agrees to treat a Medicare beneficiary shall also agree Boston, MA near the intersection of Interstates 495 and 93. not to charge or collect from such beneficiary any amount The Caution: Every physician needs to be diligent in review- Cambridge, MA 02138 in excess of the reasonable charge for that service as deter- ing their billing to Medicare eligible patients to insure that they Two Life Style Choices Tel: 617 499-5665, ext 4212 mined by the U.S. Secretary of Health and Human Services.” are collecting fees not in excess of reasonable charges as deter- 1. Salary: $210,000 base for board certified psychiatrist with 1-2 email: [email protected] mined by Health and Human Services. As this prohibition is not overnight call shifts per month. Recent salary increases, gener- The Massachusetts Medical Society along with the American only a statutory requirement but is also a condition of licensure ous signing bonus, excellent fringe benefits, generous allowance Medical Association challenged the statute in federal court argu- in Massachusetts that each physician certifies every two years for license and board certification fees, CME fees and 6 weeks ing among other matters that the statute would, in effect, restrict on his/her license renewal, knowingly violating this require- leave time for full or part time psychiatrists. You will work on access to medical care for Medicare beneficiaries. The basis of ment could have serious implications regarding his/her license. a DMH intermediate care unit where you can treat people with the challenge was that under the federal Medicare legislation, chronic persistent mental illness with both therapy as well as Adult and Child Psychiatry non-participating physicians who treated Medicare recipients What about treating for services that are not covered by Medicare? medication due to the median 200 days LOS. Work with an ex- Metro Boston, Massachusetts could balance bill the patient for that amount of the physician’s If you are a physician who is treating a Medicare recipient cellent and personable group of psychiatrists. bill that exceeded Medicare’s reasonable charge. The Massachu- for a service that is not covered by Medicare and thus has not setts statute prohibited non- Medicare participating physicians been classified by the Secretary of Health and Human Services, 2. Salary: $185,350 same as above with no overnight/weekend Harvard Vanguard Medical Associates, a practice of Atrius from charging and collecting from a Medicare eligible patient you may bill that patient for your usual and customary rate. on call. Health, has full and part-time openings for BC/BE adult and child psychiatrists in multiple practice locations including our an amount in excess of Medicare’s reasonable fee. The federal Contact Anthony Vagnucci, MD, Chief of Psychiatry, Tewksbury court in upholding the statute ruled that the state legislature had * Chapter 475 of the Acts of 1985 Hospital, 978-851-7321 x2863, [email protected] Braintree, Quincy, Medford and Post Office Square locations. the right to impose such a restriction on physician licensure. ** Massachusetts Medical Society, et al. v. Dukakis, et al. 637 Our behavioral health team works closely with their medical Fed. Supp. 684 (1986) colleagues (internists, pediatricians and gynecologists) in The problem of balance billing arose when physicians were bill- *** Ibid. TAUNTON STATE HOSPITAL (TSH), TAUNTON, MA addition to a multidisciplinary team of behavioral health clinicians ing and collecting from persons under 65 at their regular rate. ATTENDING PSYCHIATRIST - 40 HOURS PER WEEK (psychiatrists, psychologists, social workers and clinical nurse Once the patient became 65 and Medicare eligible, some phy- specialists) in a collaborative approach to outpatient psychiatric sicians continued to bill and collect at their regular rate most Hospital Practice Psychiatry seeks a BC/BE Psychiatrist and behavioral health care. often under an express agreement with the patient to pay the for a position in a general adult continuing care psychiatric physician’s regular rate. With the passage of Chapter 475 and unit. Candidates should have a commitment to a recovery- the subsequent court decision upholding the BRM’s authority Responsibilities include outpatient psychiatric evaluation, based model and community first. TSH is a JCAHO hospital treatment planning and integrated psychiatric treatment and in requiring all physicians not to balance bill Medicare recipi- operated by the MA DMH and is a 45 bed continuing care ents, it became clear that Medicare and non-Medicare provid- facility, providing inpatient services to adults and geriatrics. medication management services. Experience with Addiction ers alike were now prohibited from collecting fees in excess No managed care with a caseload of approximately 15 patients. Psychiatry is a plus! Our practice features a fully integrated EHR The psychiatrist is the leader of a multidisciplinary team, and (Epic), excellent practice supports (billing and authorization a wide range of treatment modalities are valued, including matters are all taken care of for you), minimal call, after-hours psychopharmacology, group therapy emphasizing skill-building, telephonic clinical triage services, competitive salaries and a insight-oriented and cognitive behavioral psychotherapy, family comprehensive benefits package including a generous 401(k) interventions, and Dialectical Behavior Therapy. Competitive plan. compensation package and no required night call. Please send CV’s to William Pariseau @ [email protected]. Please forward your CV to: Brenda Reed, Physician Recruitment, Harvard Vanguard Medical Associates, 275 Grove Street, Suite 3-300, Newton, MA, 02466-2275. Fax: 617-559- 8255; e-mail: [email protected], or call: 800- 222-4606; or 617-559-8275 within Massa c h u s e t t s . E O E / A A . www.harvardvanguard.org

Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 12 MPS Bulletin - July/August 2015 www.psychiatry-mps.org 5 HIGH POINT TREATMENT CENTER is seeking the following: ASK PHS Steve Adelman, MD – PHS Director • Full Time Psychiatrists for a NEW Adult / Adolescent Inpatient Psychiatric Hospital just opened in Middleborough, MA. The first two units Question: What kind of organization is Physician Health Ser- assessment process, PHS seeks the client’s permission to vices (PHS) and what services does PHS provide? collect information from collateral sources such as col- The Jamaica Plain Center has outstanding opportunities for are opening in June, and two additional units will open in September. leagues, clinicians and family members. When sufficient Outpatient Psychiatrists Answer: I thought I really “got” PHS when I decided to take information is collected to determine next steps, cases are • A Full Time Psychiatrist for Inpatient Voluntary on the challenge of filling the large shoes of my esteemed presented to the team and recommendations are formulated. Enjoy a highly competitive salary, great benefits, a schedule that predecessor, Dr. Luis Sanchez. It took about 6 months on allows for work-life balance, and the stability of working for the 24 hour level of care, Dual Diagnosis Unit and Although PHS does not provide clinical care, per se, acutely Outpatient Clinic located in Plymouth, MA; the job for me to realize just how little I knew, and it took distressed physicians may be seen on a same day or next day largest private mental health system in Massachusetts. at least another 6 months of working here full-time before I basis, and may be triaged from PHS to an acute care facility At this time, there is significant demand for psychopharmacology • A Psychiatrist for Outpatient Clinics in New Bedford could begin to formulate a clear answer to the above ques- in a matter of hours. services, including Suboxone, and interested psychiatrists can and/or Taunton, MA, FT/PT to provide mental tions. I’ll work backwards, starting with the second ques- build a highly successful outpatient practice. The site has over 50 health and suboxone services (adult and/or adult/ tion first. Historically, PHS has recommended ongoing monitoring highly qualified clinicians including social workers and licensed adolescent) to approximately one-third of our clients. Monitoring is mental health/addictions counselors who work closely with center What services does PHS provide? PHS is a destination “structured oversight of long-term remediation.” A physi- psychiatrists. Clinicians have significant expertise in addictions Salary $190,000 - $220,000 for any physician or medical student with a Massachusetts cian or student is typically monitored by PHS for 2 or 3 and dual diagnosis, Latino populations, child and adolescents Excellent health benefits and leave time connection and any health concern that has the potential to years. The monitoring package includes clinical care by (including school-based) services. interfere with, impede or impair one’s ability to practice outpatient mental health and substance abuse providers, Conveniently located at 157 Green Street in the Jamaica Plain If interested, please contact Jim Horvath at 774-213- medicine effectively and proficiently. Individuals may self- involvement in self-help groups for physicians, a monthly neighborhood of Boston, the center provides a range of behavior- 8368 or email to [email protected] refer to PHS (currently about 40% of clients) or they may meeting with a PHS associate director, and an opening of al health services to a diverse child, adolescent and adult popula- be referred by colleagues, family members, medical leaders, the lines of communication between PHS and the work or tion. On-site services include: Individual, family, group psycho- Also available Doctor on Call weeknight, weekend attorneys, a physician health program in another state, or the school setting. PHS monitoring is a topic unto itself, and therapy, structured outpatient addictions program (SOAP) and and Holiday coverage – for the Middleborough Inpatient Board of Registration in Medicine. From PHS’s perspec- should be a focus of a future “Ask PHS” column. adult partial hospitalization programs. The center is licensed by Psychiatric Unit. tive, a client’s participation is voluntary. It is unfortunate the Massachusetts Department of Public Health and the Bureau that some physicians and students delay getting help until of Substance Abuse Services. Now I’d like to backtrack to the first part of the question: If interested, please contact Mark J. Hauser, M.D. at their careers and lives are becoming unmanageable and im- What kind of organization is PHS? This is an opportunity to join a thriving practice with excellent 617-969-6331 or email to Dr. Hauser and his assistant periled. In such cases, involvement with PHS may be nec- administrative/billing support, a well-appointed office space, and Kevin at [email protected] essary and needed in order to salvage one’s career and one’s PHS is the physician health program (PHP) of Massachsetts. supportive colleagues. personal viability. PHPs emerged from the AMA’s efforts in the 1970s to ac- For more information, contact Andree Paige, office: 617-390-1437, knowledge and address the needs of physicians impaired by cell: 617-429-4240, e-mail: [email protected] The health concerns of PHS clients reside in one or more of psychiatric and substance use disorders. Currently, 47 of 51 five overlapping domains: states (including DC) have an active PHP. Some still func- tion like a committee of the state medical society. Many are • Substance use disorders funded by the state medical board. Here in Massachusetts, • Other significant mental disorders we are independent of the Board of Registration of Medi- • Problematic workplace behavior cine. We are broad in scope, and we endeavor to promote • Neurocognitive and medical challenges physician health, intervene early, and prevent physician im- • Occupational stress and burnout pairment. The third category, “problematic workplace behavior,” de- Physician Health Services, Inc. is a 501(c)3 subsidiary of the serves further explication. Problematic behaviors that may Massachusetts Medical Society. We are governed by a sep- lead to a PHS referral include boundary violations, angry arate Board of Directors, chaired by Dr. Edward Khantzian, outbursts, poor interpersonal skills, lack of professionalism, a renowned addiction psychiatrist, and one of the founders and, difficulty with technical matters such as time manage- of the MMS committee that spawned PHS. The other trust- ment and documentation. ees include psychiatrists, medical leaders, a hospital CEO, and the Executive Vice President of the MMS. PHS’s bud- PHS provides the following services to physicians and med- get and annual report are submitted on a yearly basis to the ical students: medical society’s Board of Trustees for approval. PHS is funded by contributions from the MMS, CRICO, Coverys, • Informational consultations and a large number of supporting health care organizations. • Assessments Some of PHS’s operating budget comes from fundraisers • Referrals and triage and individual contributions. PHS does not charge fees to • Support groups our physician and medical student clients. • Monitoring I invite you to email me your questions about PHS. Please As PHS has engaged with more than 2500 clients over the do not send me any information about an identifiable phy- past couple of decades, we possess a great deal of experi- sician colleague or patient. If your question is of gen- ence and expertise when it comes to helping students and eral interest, we may answer it here in this column. Oth- physicians sort out and overcome their challenges. Infor- erwise, I will respond to your email individually. I can mational consultations, which may occur over the phone, be reached at [email protected] or at 781-434-7404. are offered to anybody who calls with concerns involving a doctor or student. Potential clients may themselves call anonymously to hear more about the assistance that we are able to provide. Clients who wish to be seen typically have an intake appointment with the director, and a subsequent assessment appointment with one of PHS’s 5 part-time as- sociate directors. When a client opts to participate in the Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 4 MPS Bulletin - July/August 2015 www.psychiatry-mps.org 13 (continued from page 3) Epic teams. The chin-up supportive emails Epic successfully, I’m inclined to say that Epic is low-hanging fruit for complaints, from the Brigham kept coming, reminding Epic will ultimately work better for a co- jokes, and puns, but after a few months (and Southeastern Massachusetts’ Pembroke Hospital and us to take care of ourselves, feeding us an lossal health network like Partners than the maybe a few thousand more help desk tick- Arbour-Fuller Hospital have outstanding opportunities for overwhelming number of Epic “tips,” and previous patchwork quilt of home-grown ets?) I believe it will work smoothly and offering recompense ranging from massage electronic health record systems. This as advertised. Integrated health records Inpatient Psychiatrists chairs to on-campus food trucks. transition was incredibly difficult to orga- crossing multiple hospitals and health net- Enjoy highly competitive compensation and benefits, a schedule that allows for work- nize, and I have a new appreciation for why works will ultimately improve care for our Two weeks into go-live, the update email it took the entirety of my four years of resi- patients, and I also have hope that paper life balance, and the stability of working for the largest private mental health system reported that the Service Desk team had dency for Epic to progress from decision to charts will fade to a distant, semi-nostalgic in Massachusetts. logged a mind-boggling total of 8688 Epic- implementation. While I do not like some memory. That goal is well worth a few • Reasonable caseload related tickets for BWHC and closed 4604. of the new features (“encounters” and “epi- weeks of stress. Bring it on, Epic! • Weekday schedule with no call or weekend work required Now, towards the end of June, all is set- sodes”), others are excellent ideas and add • Paid moonlighting available for additional compensation tling. There are no more food trucks, no value (e.g., “associating” diagnoses with • A benefits package that includes, but not limited to: health and dental insurance, more massage chairs, no more strangers in medications). I am glad, however, that I retirement savings with company match, paid time off including CME allowance vests, the office hours are winding down, am sticking with Partners for two years of Pembroke Hospital in Pembroke, MA, is a 120-bed freestanding psychiatric hospital. and the super users are returning to their neuropsychiatry fellowship. My 2.5+ days normal jobs. The email updates regarding of training will be useful, while other grad- Services include adolescent, adult and older adult inpatient units, as well as partial help desk tickets have tapered off. uating residents had the unfortunate experi- hospitalization programs for adolescents and adults. Inpatient and outpatient electro- ence of attending long trainings to use Epic convulsive therapy services are available. The hospital is currently recruiting for adult Was the transition worth all the trouble? for just one month. psychiatrists including those with addictions or geriatric specialties. Having experienced a system that used Arbour-Fuller Hospital is a 103-bed private psychiatric facility in South Attleboro, MA. Inpatient units treat adolescents and adults. It also houses the Commonwealth’s only adult inpatient intellectual disabilities specialty unit. The hospital has an adult acute residential treatment program and adult partial hospitalization program. The hospital is currently recruiting adult psychiatrists. For more information on these or other openings, contact Andree Paige

E m E r s o n H o s p i t a l o p p o r t u n i t i E s office: 617-390-1437, cell: 617-429-4240, e-mail: [email protected] Arbour Health System provides a continuum of care that includes evaluation, crisis stabilization and treatment for children, adolescents and adults with mental illness, dual diagnosis and/or addiction disorders. All hospitals are accredited by The Joint Commission and licensed by the Location, Location, Location Massachusetts Department of Mental Health. Visit us at www.arbourhealth.com.

Concord :30 Boston

w o r l d - r e n o w n e d affiliations | 3 0 m i n u t e s f r o m b o s t o n | q u a l i t y o f l i f e Seeking Psychiatrist for outpatient program in Maine Emerson Hospital Department of Psychiatry Concord, Massachusetts About Concord, MA and Exciting opportunity to join the psychiatry department at Emerson Emerson Hospital Liberty Healthcare is looking for someone who enjoys outpatient psychiatry and serving adults with serious Hospital, a vibrant community hospital located in historic Concord, mental illness. If you have an interest in assertive community treatment, preventing re-hospitalization, and Massachusetts. You will join a group of four full-time psychiatrists. supporting people in their effort to live independently, this full time opportunity may be an experience worth Located in Concord, exploring. Primary responsibilities include: Massachusetts Emerson • Treatment of patients on our 31 bed locked inpatient unit Hospital is a 179-bed If you join us, you can expect: • Consultation on psychiatrically ill patients on the medical units community hospital with satellite facilities in Westford, Groton and Sudbury. The ~ High job satisfaction / nice personal life balance and collaboration with our medical colleagues hospital provides advanced medical ~ Very small caseload & low patient volume • Back-up for our increasingly busy Emergency Services services to over 300,000 individuals in • Outpatient Addictions Rehabilitation Program over 25 cities and towns. ~ No billing, no managed care, no productivity quotas • Weekend, weeknight and holiday call in rotation Emerson has strategic alliances with ~ Collegial multidisciplinary practice setting Massachusetts General Hospital, • Opportunity for limited private practice available Brigham and Women’s and Tufts ~ Ability to focus on quality patient care • Additional income from moonlighting Medical Center. ~ Financial and administrative assistance with licensing and relocation Concord area is rich with history, For inquiries, please contact: recreation, education This position offers a small caseload (25-30 patients), competitive compensation package, regular 40-hour Robert Stern, M.D. Director Behavioral Health Services workweeks, daytime work hours, minimal on-call, pay by direct deposit (no billing required), 8 weeks off [email protected] phone: 978-287-3512 annually, liability insurance, ample onsite CME and relocation assistance if needed. fax: 978-287-3695. Psychiatrists who are looking to practice within a collegial multi-disciplinary environment and serve people who have serious mental illness and/or forensic patients are encouraged to apply.

All qualified applicants shall receive consideration without regard to race, color, creed, sex, national origin, ancestry, age, physical or mental disability, or sexual orientation.

w w w . E m E r s o n H o s p i t a l . o r g For additional details contact Frank Zura at (610) 331-2186 or [email protected]

Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 14 MPS Bulletin - July/August 2015 www.psychiatry-mps.org 3 (continued from page 1) PSYCHIATRISTS to provide a secure setting for patients at need for EDs, inpatient units, and state hos- most risk? pitals. A continuum of care means provid- CharterCARE Health Partners, Our Lady of Fatima Hospital ing the right service at the right time in the North Providence, Rhode Island Director of the Latino Mental Health Program - Psychiatry in No one who works on an inpatient unit, in right place with the right intensity. When the Division of Cognitive Neurology at Beth Israel Deaconess an ED, or in a state hospital opposes diver- we lose sight of that clinical reality and sion of patients who do not need to be in CharterCARE Health Partners is seeking Board Eligible/Certified Psychiatrists Medical Center pursue diversion at any cost, we risk once Rohn S. Friedman, MD to join the Behavioral Health Team at our North Providence location – Our those settings. But it is a recurrent fallacy again finding our patients on the street, in President, Lady of Fatima Hospital. Our Lady of Fatima Hospital offers a comprehensive to believe that if we had enough or the right hospital-based inpatient and outpatient Behavioral Health Program known for its The Latino Mental Health Program in the Division of Cognitive the jails, and stuck in the revolving doors Massachusetts Psychiatric Society progressive and compassionate care. Neurology and the Department of Psychiatry, Beth Israel community services we could eliminate the of hospitals and EDs. Deaconess Medical Center (BIDMC), a teaching hospital of CharterCARE Health Partners (CCHP) has entered into a joint venture with Prospect Medical Holdings to develop an innovative regional coordinated Harvard Medical School (HMS), are seeking a psychiatrist to health care network, anchored by Roger Williams Medical Center and Our serve as Director, to lead and shape an expanding multidisciplinary Lady of Fatima Hospital. Our network includes the Roger Williams Cancer Center, Southern New England Rehabilitation Center, Elmhurst Extended Care, outpatient program. The position involves administrative, clinical (continued from page 2) Resident Fellow Member Corner a home care services program and much more. It also operates Prospect and academic components. Provider Group of Rhode Island, an independent physician association with school, complete with potato chips and a We soon discovered that the Epic “play- the offer. more than 200 primary care physicians and specialists, and a network of physician practices. Secured by community-based facilities, CharterCARE The Latino Mental Health Program is an integrated, culturally cookie. Epic flew trainers in to Boston ground” was full of broken equipment and includes an academic affiliation with the Boston University School of Medicine. competent team within the Division of Cognitive Neurology. from all across the country for the massive missing some basic playground staples. June 1st arrived and the switch was flipped.

Would like to learn more about our plans for the future and how you can be a The goals of the Latino Mental Health Program are to promote effort of teaching every single employee After a spin on the merry-go-round of LMR, BICS, and Meditech were out, eCare part of our endeavor? If you are up to the challenge, please send your CV to: cognitive and behavioral health in Latino’s across their lifespan the new system. Most employees needed learning and re-learning the very easy “in- was in. We verbally expressed sympathy and to diagnose and treat Latinos with psychiatric, neurologic, Christine Loesch, Provider Recruitment. Christine can be reached one day of training (7am through 3pm). basket” features, our conversation slid off to our colleagues who worked the weekend via email at [email protected] or by phone 401- neuropsychologic, and social challenges. The program serves Those of us who work in both inpatient track when we Sunday residents asked to of go-live, while quietly sighing in relief 222-9280. patients with and without neurologic conditions. and outpatient settings had to attend two be shown how to print a rounding list. Sur- that we would start with Epic on day 2, full days of training plus, for providers, prisingly, this did not seem to be a built- after the first several hundred help tickets Interested candidates can also apply online at: Qualified candidates must have completed certification in an extra half-day of “personalization.” I in feature of the Partners eCare. How, we had been addressed. The “super users” www.olfcareers.org psychiatry. Priority will be given to candidates with clinical managed to get one weekday session, but ask, are we going to cover our service’s took turns with patient-free blocks during All inquiries and resumes will remain confidential. interests and an established line of interdisciplinary research for my second training I joined a handful list at night if we cannot print information which they could walk from office to of- relevant to the Latino population. Candidates should be eligible of other residents for an Epically fatiguing about multiple patients on the same page? fice and answer Epic questions. Fewer pa- for faculty appointment in Harvard Medical School at the rank Sunday. Although all of us plebians had The trainer’s unlikely answer was that we tients were scheduled than usual, allowing of Instructor, Assistant or Associate level. Underrepresented to attend trainings, an elite set volunteered needed to enter each chart individually and us time to bumble around on the computer. minorities are encouraged to apply. to be in-house “super users,” with extra look at each sign out note separately. An- preparation to help their colleagues after other memorable moment came when an Many features did not work as they were Please send a letter of interest and CV to William Greenberg, MD, CharterCARE Health Partners is an Equal Opportunity Employer – a go-live. internal medicine resident asked how we supposed to. The mental status exam’s but- workplace where ALL are welcome. Chief of Psychiatry, by email: [email protected]. could prepare notes in advance of a pa- ton selections made no sense and included We Partners employees collectively tient’s arrival. The trainer said we should only pathological responses for several cat- learned new terminology, such as “play- never open an encounter until a patient ar- egories – you could not, for example, say The Department of Psychiatry at UMass Memorial ground” for the Epic practice version and rives, and therefore we cannot prep notes. that someone did NOT have hallucinations Health CarePublication is currentlyMPS seeking a full time BC/ “hyperspace” for the “go-live” version. While the above answers eventually turned or suicidal ideation without entering the We were walked through multi-module out to be not quite true, it did highlight the information manually. The past psychiat- BE AttendingRun PsychiatristDate July/August to join the team on the “encounters,” which cumbersomely split holes in the Epic trainers’ understanding of ric history’s buttons were no better. I had 27 bed adultSection inpatientRecruitment unit at UMass Memorial pieces of a typical progress note into sep- physician workflow. a frustrating moment figuring out that if I Medical Center,Size the academic3.5 X 5” teaching hospital and arate sections. I began to see LMR with clicked any psychiatric diagnosis, the his- clinical partnerPrice of the University of Massachusetts rosy-eyed glasses, newly appreciating the At the end of each training session, we tory of partial hospitalization button also simplicity of seeing a patient and writing a were admonished to spend no less than automatically switched to “yes,” then if I Medical School. Primary15-STRI-0011213 duties involve direct clinical careAd# and support of the academic mission single note in a single text box. We learned 30 minutes per day in the “playground.” tried to change that button it would warn of the Department and the Medical Center including the term “drop charges” has a very differ- While I would not presume to say that no me that I was also eliminating the psychiat- ent meaning in Epic than it does on police one actually did this, I haven’t met anyone ric diagnosis. Epic seemed to believe that educational responsibilities and the opportunity to procedural dramas. We learned we had to who will admit it. In any case, there was all psychiatric patients must have been to participate in research. The position provides the add “episodes” of illness in a separate sec- not a lot to “play” with in the Epic “play- a partial hospital program. Worse, as an opportunity for involvement in a full range of clinical tion and “associate” our encounters with ground” that was relevant to psychiatry. apparently un-alterable feature, Epic can and academic pursuits. A faculty appointment, an episode. We were also taught to “as- We are unique in that we do not generally only connect to network printers. In my commensurate with experience, is also available. sociate” each medication with a diagnosis, have staff “room” a patient and collect ini- clinic, this means our in-office printers will which is logical but adds yet more mouse tial information. For psychiatry, all the collect dust as prescriptions and other pro- clicks to an encounter. “rooming” features in an “encounter,” such tected health information route to the hall- Come join Dr. Alan Brown, Vice Chairman as filling in the reason for the visit,- con way, necessitating a momentary abandon- of Clinical Services, Dr. Douglas Ziedonis, The content of the training swung back and firming past medical history, reconciling ment of the patient while we run to grab Department Chair, and other prominent members of forth from the somewhat useful and obvi- medications, and reviewing allergies, were printouts. the Psychiatry Department in their ongoing pursuit ous, such as how to write a prescription, to moved to the physician section. of clinical and academic excellence. Interested the mostly useless and mysterious, such as Throughout the first few weeks of “go- candidates should submit CVs and Letter of Intent printing out non-customizable and limited Adding to the build-up towards June live,” well-labeled strangers wearing “reports” of patient characteristics. I tried 1st, residents were offered hefty sums of blue-grey vests paced up and down the to [email protected], and failed to think of creative ways to use moonlighting money to manually transfer clinic halls sniffing out providers in Epic Attention: Kathleen Anderson. Candidates are also the nifty feature of being able to draw ar- information about current inpatients from distress, and we were easy to find. This encouraged to visit the Psychiatry Department’s eas on cartoon outlines of human bodies in one system to another on the day before was called “external at the elbow support.” website at: www.umassmed.edu/psychiatry. the physical exam section, but illustrating go-live, May 30th. This option was pre- Epic also held office hours for people emotional states (black heart on the chest? sented to us at a residency meeting and, to report problems in person. Our clinic Vise around the head?) seemed like more thanks to the modern acceptability of us- added several psychiatry-specific training trouble than it was worth. ing cell phones in all settings, the available sessions in our conference room, invit- spots were filled within a few minutes of ing expert guests from both the LMR and (continued on page 4) Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org MPS Bulletin - July/August 2015 www.psychiatry-mps.org 15 40 Washington Street, Suite 201 Wellesley Hills, MA 02481 Phone: 781-237-8100 Lahey Health Behavorial Services | Lahey Hospital & Medical Center Fax: 781-237-7625 www.psychiatric-mps.org RESIDENT FELLOW MEMBER CORNER Rohn S. Friedman, M.D. President Rebecca Mae Allen, M.D., MPH Our Future Mark J. Hauser, M.D. President-Elect Begins With You program called Metavision at BIDMC. Gregory G. Harris, M.D., MPH The Epic Joy of Electronic Health Records Immediate Past-President I am neither a luddite nor a programmer. I use Given this abundance of computer health record Adult and Child/Adolescent Laura Bajor, D.O. computers almost all day and feel adrift like an systems, I had a hard time understanding why Secretary unmoored dinghy without my smartphone, but the hospitals continued to insist that the paper Psychiatry Opportunities Bruce Black, M.D. still struggle to flip a photograph right side up chart is the “real” chart, and anything written Lahey Health/Lahey Health Behavioral Services (LHBS)is currently Treasurer and convert it to a PDF. Overall, though, I use in the electronic health record should also be recruiting BE/BC Adult and Child/Adolescent Psychiatrists interested in computers more than I feel used by them. printed, signed, and stuck in a 3-ring binder, Gary Chinman, M.D. outpatient, consultation-liaison, inpatient and other vital roles within Sr. APA Representative 2013-2016 never to be looked at again because, of course, Until this month, June 2015, when I, along everyone could read the note on the computer. our group. Lahey Health is a progressive and award winning integrated with thousands of Partners employees, suffered What, then, is the point of having an electronic healthcare system headquartered in Burlington, MA, approximately Patrick Aquino, M.D. through the transition to a new electronic health health record, if the trees are cut down any- 17 miles North of Boston. Lahey Hospital and Medical Center (LHMC) APA Representative 2015-2016 record system. way for these “real” charts? When I asked this question, the replies included much hand wav- is the flagship facility of Lahey Health. It is a 317-bed, state of the art, John Bradley, M.D. Tufts-affiliated Academic Medical Center consistently recognized as one APA Representative 2015-2016 The arrival of Epic, renamed eCare by Part- ing and references to the Joint Commission. A ners for obscure reasons, has been anticipated paper chart in addition to an electronic version of the best hospitals in the country. LHBS is an 1800 employee strong Michelle Durham, M.D., MPH since I arrived here in Boston to start residency seemed to be an inevitable, unquestionable fact member of Lahey Health committed to delivering compassionate, APA Representative 2015-2017 four years ago. In fact, on my Harvard Long- of life in Boston. I pined for the modern Orego- responsive, high quality inpatient and outpatient psychiatric care. Marshall Forstein, M.D. wood residency interview day in late 2010, the nians who aimed to save, well, pines. APA Representative 2014-2017 transition to Epic was mentioned by one of the It provides comprehensive mental health services in more than 30 senior residents as a selling point. Intern year, Not that my frustration with paper charts was locations throughout Eastern, MA and Southern, NH. LHBS is growing I remember being excited and relieved at the all due to lofty environmental values. I also re- and looking to add to its professional team. Given the breadth and prospect of switching to Epic, which was the membered with fondness the ability as a medi- Siu Ping Chin Feman, M.D. scope of services offered, we can accommodate the professional 2015-2018 computer system used at my medical school, cal student to retire to an office, workroom, or Oregon Health & Science University. I started library to finish notes, without having to then interests and practice style preferences of most providers. Below are Astrid Derosiers, M.D. clinical rotations at OHSU just after it had fully print them up and run from floor to floor drop- brief descriptions of a few of the attractive opportunities currently 2014—2017 transitioned to Epic, and people there seemed ping them off in binders at nurses’ stations. available at Lahey Health. David Gitlin, M.D. comfortable with the new system. Epic did ev- 2014-2017 erything. It could insert pre-written dot phras- My intern medicine rotations at Newton Welles- Eran D. Metzger, M.D. es, import labs and current medications directly ley Hospital were particularly painful in this re- Current Opportunities: 2015-2018 into a note, store complicated templates, allow gard. Someone at the top of the food chain had medical students to write orders and send them determined – albeit correctly – that electronic Adult Outpatient Psychiatrists Geriatric Psychiatrist Arthur Papas, M.D. to residents for cosign, and, most important to daily notes led to copying too much over from Lahey Hospital and Medical Center (LHMC) and An opportunity is currently available for an experienced Geriatric Psychiatrist 2013-2016 a medical student, automatically import vital day to day, rather than emphasizing the salient Lahey Health Behavioral Services (LHBS) Outpatient Clinics with exceptional clinical skills and administrative savvy to help define, enhance and expand geriatric services throughout the Lahey Health System. Pedro Politzer, M.D. signs into notes so I didn’t have to hunt down points. The solution? Handwritten daily prog- The Department of Psychiatry at LHMC is currently seeking BE/BC psychiatrists interested in joining our dedicated and dynamic team of full 2014-2016 and flip through grubby binders. I remember a ress notes, most of which were hastily scrawled Moonlighting Opportunities short training to learn Epic, a few hours at most, by stressed out interns and entirely illegible, and part time clinicians (MD, CNS, LICSW, PhD). This is a very exciting RESIDENT FELLOW MEMBERS time to join our team with the integration of mental health services in Lahey Health Behavioral Services Outpatient Clinics and the system seemed intuitive. filled with acronyms and shorthand. primary care practices being one of the LHMC Department’s top priorities. Lucrative night and weekend psychiatric call opportunities are currently Rebecca Mae Allen, M.D., MPH Chosen applicants will have the opportunity to help further develop adult available at BayRidge, Beverly, and Addison Gilbert Hospitals, member 2015-2017 During residency I have had the privilege of Why, I thought, can’t we just switch to Epic al- psychiatric services as part of the ACO which will emphasize comprehensive hospitals of Lahey Health. MA-Licensed residents, fellows and experienced learning over five electronic medical record sys- ready? care at all levels of the treatment continuum, and a close partnership with MDs will be considered. Both on-site and telephonic roles are available. tems. The Brigham had LMR and BIDMC had primary care providers. Clinicians in the community will provide individual Additionally, we are seeking psychiatrists interested in on-call back up roles Marc A. Whaley, M.D. OMR (which it still uses). While Faulkner and During my PGY4 year, the arrival of Epic, a.k.a. assessments, family interventions, individual and group treatment, and for our Emergency Screening and Community Crisis Stabilization Services. President Newton Wellesley both had Meditech, the two eCare, was announced. The date was set for psychopharmacological management, and will consult with primary care This role is currently structured in 7-day periods, 24 hours per day versions were sufficiently different as to almost June 1, 2015. Partners did its very best to build providers, pediatricians, schools and other behavioral health and human count as separate programs. Children’s had yet the suspense as the “go-live” date approached. services providers. We offer a collegial environment and tremendous Lahey Health/LHBS is also actively recruiting for clinical opportunities for growth. nurse specialists, licensed independent clinical social Donald A. Smith, M.D. another system which was clunky and showing Emails with reminders and tips regarding eCare workers and other associate level providers. President its age, and, finally, last year MassMental decid- filled our already-stuffed email inboxes. Child/Adolescent Psychiatrist ed to implement a shockingly outdated system Lahey Health Behavioral Services For consideration or more information contact: which appeared to have been designed in the First, we had to complete a few hours of on- M. Cornelia Cremens, M.D., MPH An exciting opportunity is currently available for a board-certified Child/ David DeLuca, 1980’s and reminded me of pixilated computer line training, clicking through narrated Pow- Adolescent Psychiatrist. This position has great flexibility in terms of the Senior Physician Recruiter games I played as a child on my Tandy 1000. erPoint slides. Then, we discovered we were treatment of specific patient populations and in a variety of settings across Lahey Health Beverly Sheehan Dupuis This list isn’t even counting the separate emer- all required to attend training downtown at a the system. We offer great opportunities for growth and development into 781.744.8646 or [email protected] Executive Director gency department monitoring programs at the fancy corporate rental office center with bright a leadership role as well Brigham and BIDMC, plus the strange DOS- color-coded hallways, where we were treated to Mayuri Patel Executive Office and based ordering system called BICS used by a bottomless supply of Keurig coffee and sand- Membership Administrator Brigham and MGH, as well as the ICU-specific wich boxed lunches reminiscent of elementary (continued on page 3) Learn more at LaheyHealth.org/Careers Julie Kealey Continuing Medical Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 Massachusetts Psychiatric Society 40 Washington Street, Suite 201 Wellesley, MA 02481-1802 Education Coordinator 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-237-7625 Email: [email protected] www.psychiatry-mps.org Committee forWomen Risk Management Update on Cape the DSM 5—CarleneDSM McMillan, MD Western Massachusetts Psychiatric - Committee Meeting Geriatric Managed Care Public Sector Sector Public Psychiatry Psychiatry Welcoming Psychotherapy to Back Managed Care Council Managed Care Committee Executive omte o Women for Committee Risk Management Update on Cape the Psychiatry Psychiatry Welcoming Psychotherapy to Back Sector Public MD McMillan, 5—Carlene DSM Western Massachusetts Psychiatric - Meeting Committee Geriatric Care Managed xctv Committee Executive aae Care Managed Council Care Managed Committee forWomen Psychiatry Psychiatry Welcoming Psychotherapy to Back Sector Public 5—CarleneDSM McMillan, MD Western Massachusetts Psychiatric - Committee Meeting Geriatric Managed Care Risk Management Update on Cape the Managed Care Council Managed Care Committee Executive Non Profit Org. US Postage Paid Holliston MA Permit 74

Issue 139 November/December 2013 IssueIssueIssue 139139 139 November/December November/December 20132013 2013 IssueIssueIssue 139139 155 139 November/DecemberNovember/December November/DecemberJuly/August 2013 20132015 2013 IssueIssueIssue 139 155 139 November/December November/DecemberJuly/August 20132015 2013 Issue 155 July/August 2015 FROMFROM THE THE PRESIDENT PRESIDENT www.psychiatry-mps.org FROM RohnTHE S.PRESIDENT Friedman, MD www.psychiatry-mps.org Rohn S. 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