Illinois Family Physician

IAFP ILLINOIS FAMILY PHYSICIAN

VOLUME 62, ISSUE 4 Published by the Illinois Academy of Family Physicians Editor – Ginnie Flynn | [email protected] | 630-427-8004 July/August 2010 Primary Care is Front and Center: Now What? ADVERTISERS Family physicians gathered in to address the primary care physician IN THIS ISSUE Washington, DC at the AAFP’s annual shortage by supporting primary care Family Medicine Congressional medical education as well as medical ISMIE Mutual...... 3 Conference on May 11-12 to discuss school scholarship and loan repayment the new era of health care reform and programs. ProAssurance Professional its effect on almost every citizen and Liability Group...... 11 our entire health care delivery system. Let’s look at how family medicine But more importantly, they met to roll advocates for each priority: Professional Solutions...... 13 up their sleeves and begin the task of implementing change and transforming Primary Care Payment: The Centers Complex Cases...... 14 a system that will ultimately have for Medicare and Medicaid Services primary care at its epicenter. (CMS) eliminated consultation codes US Army...... 14 and updated practice expense data, Sponsored by the AAFP and the Council which modestly increased the value of of Academic Family Medicine, the ‘evaluation and management’ codes Pri-Med...... 16 conference educated participants on that are among the codes most used family medicine’s legislative priority by family physicians. FMCC participants Acute Care, Inc...... 18 issues and allowed participants to urged Congress to support primary put these skills to use with federal care payments and allow these needed Biosphere Medical...... 19 legislators and their staff. More than changes to stand and not overrule the 175 physicians attended the meeting. CMS regulation. Ingenix...... 23 IAFP participants met with members of the Illinois delegation and called And of course, family physicians for legislation that would permanently urged Congress to support the fix the SGR to maintain access to care recommendation of the Medicare for elderly and disabled Americans. Payment Advisory Commission They also urged their representatives (MedPAC) to repeal the SGR formula (continued on page 4)

IN THIS ISSUE

02 President’s Message

05 IAFP News

06 Calendar of Events

12 Government Relations

15 Continuing Medical Education

17 Foundation Update

20 Member Spotlight

21 Members in the News

23 News You Can Use The Illinois AFP members with Illinois Congresswoman Jan Schackowsky (D-9th). 01 ILLINOIS FAMILY PHYSICIAN

state or another country, welcome! We want you to know that membership in your Academy brings opportunities President’s specifically for residents at this pivotal time in your career. Message -We hold an annual program with sessions for resident members and Patrick Tranmer, MD recruiting opportunities at our annual residency fair and learning seminar. This year’s Fall Festival event is October A Letter to Residents 16th in Oak Brook and includes a session on debt management and loan Dear graduating resident members, repayment! -Join a committee, task force or interest As you embark upon your family group. Learn about the world you will medicine careers, I want to thank be working in, make connections with you for choosing Illinois for your family doctors who share your interest residency training. We have some of Support the Family Health Foundation and passion, and develop leadership the best faculty, facilities and training of Illinois. Perhaps the Summer skills. opportunities in family medicine Externship program provided the -Attend an event. IAFP conferences and throughout the state. I know you turning point in your decision to be annual meeting registration fees are are ready for the monumental task of a family physician. Be a preceptor waived for resident members! caring for the diversity of patients you or donate to support the Summer -Teach Tar Wars (www.tarwars.org) or have learned to help, as well as their Externship program. take on AIM to Change (www.aafp.org families and communities. search AIM to Change), Learn and use If you still need to find a job, look no Ask and Act (www.askandact.org). Wherever your career takes you next, further than the FP Jobs Online resource I want to encourage you to maintain at http://www.iafp.com/JobListings/. Remember that our voice for change your membership and move to You can post your resume and search is strongest when we work together “active” membership status within for jobs here in Illinois, or any state that for common goals. We need your our academy. But don’t just be active you wish to consider! energy and vitality to carry our specialty on the database; get active with your into the forefront of medicine. We chapter! Stay informed! At IAFP Advocacy abounds - be relevant. The need to stay together to enhance our we try to streamline our electronic fast-changing future of health care in practices and advocate for adequate communications to members with the U.S. and the realization of primary reimbursement and compensation. You three main avenues of electronic care’s integral role in caring for the are the future of our specialty. You are communication (this newsletter, IAFP nation has drawn attention: at the needed to build, sustain and motivate e-News every two weeks and CME White House, in Congress, and from the future family physicians like you. Please Connections once a month). We know press. Your Academy is working for you join us in moving our nation to a your inbox is bulging, so we want to – and we need you to work with us! brighter health care future. keep it simple and provide avenues to more information when you want it! Leadership opportunities in your Manage your membership via future: Many organizations and entities AAFP’s web site at http://www.aafp. Membership means access to AAFP’s ask IAFP for recommendations for org/online/en/home/membership. outstanding online and print journal leadership positions in public health, html?navid=members resources such as FPM Toolbox, which technology, access to care and any topic is a great resource that can take some where family medicine is poised to lead. of the stress out of preparing for your Being an active leader in your Academy post-residency career, and give you is a road to leadership in other avenues hands-on tools you can use when of health care. you’re growing your practice. Long after you leave residency, you’ll IAFP produces top-notch live and online still have questions. AAFP and IAFP CME programs. Spend some time at staffs are here, ready to help. www.iafp.com/education and www.yhp.com. You will spend the rest Welcome to our newest resident of your career learning, and IAFP CME members! If you have entered an should be your first stop for education Illinois family medicine residency most relevant to your practice needs. Oops! The May/June issue forgot to program after medical school in another include a proper credit for this photo. 02 © www.shinphotograpy.com pro·tec·tion prә tek´ shәn pro·tec·tionTo cover or shield from prә exposure, tek´ shәninjury, damage, or destruction : guard; defend. To maintain the status or integrityTo cover ofor esp.shield through from exposure, financial orinjury, legal damage, guarantees: or asdestruction a: to save :from guard; contingent defend. To financial maintain loss. the status or integrity of esp. through financial or legal guarantees: as a: to save from contingent financial loss.

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Matrix Marketing Group • ISMIE 2010 • Protection • 8x11 4/C Likewise, the Institute of Medicine (IOM) and the Congressional Research Service (CRS) have pointed to the decline in Title VII primary care funding as harming the program at a time when more primary care is needed. As part of the FMCC agenda, participants educated their Congressional members on the purpose of Title VII and the great need for increased appropriations. At the federal level, Title VII is intended to increase the quality, quantity, and diversity of the primary care workforce, with special emphasis on increasing capacity to care for the underserved. It supports the development of innovative primary care curricula and programming at the medical school, residency, fellowship, and departmental levels. Access to primary care is in jeopardy. The nation needs renewed or enhanced investment in programs like Title VII thatILLINOIS support the production FAMILY of primary PHYSICIAN care physicians and their placement in underserved areas.

(Cover story, continued from page 1) This project would revise and base the conversion factor on a the way GME payments are stable, predictable index commensurate made to support production with the cost of delivering health care of a robust primary services. At press time, Congress had care workforce. FMCC enacted a 2.2 percent update effective participants brought the only until November 30. legislative idea to members of Congress and many in Substantial evidence indicates that the Illinois delegation were primary care-based health care adds intrigued by the concept. overall value through increased efficiency and better health outcomes. Patient-Centered Medical However, our nation’s system fosters Home: FMCC participants fragmentation, rewards volume and urged Congress to undervalues primary care. Over incorporate into Medicare two decades, this fragmentation and other federal programs One successful example of reversing this trend is Canada.like theAccording Federal to Employees SIU chair of resulted in a nearly 100-percent family medicine, Jerry Kruse, MD, who presented on the workforce shortage issue at the compensation gap between primary One successful example of reversing Health Benefits Program, the patient- thisconference, trend is Canada.Canada and According the US haveto been centeredgoing in opposite medical directionshome so thatin developing the care and subspecialty medicine and primary care physicians. In 2004, Canada made a commitment to primary care in their drove medical students away from SIU School of Medicine chair of family physician practice selected by the reform bill, while the U.S. relied on market forces. Canada saw resurgence in medical primary care. Conference participants medicine, Jerry Kruse, MD, who patient to serve as the patient’s were able to thank Congressional presentedstudents choosing on the workforceprimary care, shortage up to 35 percentmedical in 2009. home Meanwhilewould receive the USa care- saw the members who took the first steps in issuenumbers at the of newconference, primary careCanada physicians and continuemanagement on a downward fee in slide. addition to fee- recognizing the value of primary care by the US have been moving in opposite for-service payments. These initiatives increasing payment for those services in directionsAccording developingto an abstract primary in the Maycare issue of Healthare currently Affairs, beingtitled “Primary formulated Care: with Current some cases. physicians.Problems and In Proposed2004, Canada Solutions:” made a input from family physicians and other commitment“The United to primary States care has in atheir serious geographicprimary care maldistribution physicians. of primary care Primary Care Workforce: The Robert reformservices bill, while and the is U.S.entering relied an on era of primary care workforce shortages. Improving Graham Center continues to report that marketaccess forces. toCanada primary saw care resurgence will require A promising major macro-level compensation system option reform—in the nation’s physician training pipeline in medicalparticular, students increases choosing in primaryprimary care reimbursementfor the medical both home to reduceis to use the a primary is steadily producing fewer primary care, upcare–specialty to 35 percent income in 2009. gap and to investblended in primary model care of practice payment improvement…. that care physicians. A 2006 report from the MeanwhileCoverage the US expansion saw the andnumbers the resultant of combinesdemand for a primaryfee-for-service care access system presents American Academy of Family Physicians new primaryan opportunity care physicians for policy continue makers with to legislate a care management substantial fee. and This long-term (AAFP) reveals that the U.S. will need on a downwardinvestments slide. in the primary care infrastructure.”care coordination fee would be paid 39% more family physicians by the year directly to each patient’s designated 2020 with Illinois projected to need [INSERT PULL QUOTE:] medical home that has achieved 1,000 (28%) family physicians to meet recognition by an independent third the demand in 2020. Less than 8% of Currently, about 30 percent of party (e.g., the National Committee for Illinois medical school graduates chose the physician workforce is in Quality Assurance). The purpose is to family medicine this year in the Match. encourage and enable family physicians primary care. Over time, the to completely transform their practices As part of the FMCC agenda, U.S. should have a physician to a model better able to deliver high participants educated their workforce that is at least 45 quality preventive and chronic care with better outcomes for all beneficiaries. Congressional members on the purpose percent primary care and of Title VII funding and the great need for increased appropriations. At uniquely trained to meet the Summary: If we believe that more the federal level, Title VII is intended needs of current and future primary care physicians = lower cost to increase the quality, quantity, and and higher quality, Congress has taken diversity of the primary care workforce, patients. some vital steps toward addressing with special emphasis on increasing primary care payment and workforce. capacity to care for the underserved. It These components can move forward supports the development of innovative Turning the tide - Modernizing through innovations like the GME pilot primary care curricula and programming GME: A major segment of the and increased funding to Title VII. at the medical school, residency, conference agenda addressed the need fellowship, and departmental levels. to modernize primary care graduate Family physicians must continue to be Access to primary care is in jeopardy. medical education. The AAFP and leaders and guide this transformation of The nation needs renewed or enhanced the Canadian Academy of Family the health care system. investment in programs like Title VII Medicine (CAFM) proposed legislation that support the production of primary to implement a budget-neutral pilot (continued on page 12) care physicians and their placement in project to test new models of the underserved areas. use of Medicare Graduate Medical Education Funding (GME) for the training of primary care physicians. 04 Send your nominations for IAFP Board of Directors Contested elections begin in 2010 IAFP The Illinois Academy of Family Physicians seeks members interested in serving on its board of directors. The IAFP Leadership Development Committee (LDC), chaired by Steven Knight, MD of Harrisburg, will review all nominations and prepare a ballot News for voting. The ballot will include up to five candidates for the three 2013 Board of Director positions (three-year term), and there will be up to two candidates for each of the following positions: New Physician (two-year term), 2nd Vice President (1-year term) and 1st Vice President (1-year term). If more candidates are received than the allotted number allowed, the LDC will make decisions for the final ballot. No write-in candidates will be allowed on the ballot, so nominate yourself or colleagues for a position before the August 20, 2010 deadline.

Non-contested positions that will appear on the ballot will be slated by the Leadership Development Committee are President-Elect and the two-year positions of AAFP Delegate and Alternate Delegate.

Nominations will be accepted starting July 5 and running until August 20. Only active members of the IAFP/AAFP in good standing may run for a board position. Please send your nomination and CV to Vince Keenan by e-mail [email protected]. Questions about board positions may also be directed to Vince.

Electronic voting will be used again in 2010 IAFP elections

Last year IAFP tested its first use of the electronic voting format. This year the Academy will conduct elections via electronic voting and offer contested positions for the first time. IAFP will send notices to all active and life members who have provided us with an e-mail address. A postcard will be mailed via the U.S. postal service to voting members for whom the Academy does not have a valid e-mail address. This postcard will announce the voting and offer the web site address members may use to vote. While several e-mail reminders will be sent, only one postcard will be mailed to each voting member.

As electronic processes become more commonplace, IAFP leaders and staff want to ensure our members are connected to their Academy and empowered to voice their vote.

This would be a great time to update your preferred and correct e-mail address to the Academy office at [email protected]. Our aim is to make it as easy as possible for members to contact IAFP, while keeping costs down and being environmentally responsible by reducing our reliance on paper materials.

IAFP staff has contracted with the same company as last year, IVS Associates, to provide the electronic voting services and tabulation. This option will assure members that all voting is done fairly and equitably by an outside entity. Voting will begin in late September. IAFP does not share member e-mail addresses with any outside entity. Your e-mail address will be protected by IVS Associates.

Results will be announced at the All Member Assembly on December 4, 2010 in St. Louis and the new officers and board members will be sworn in then.

Meet your new Resident and Student Board Members Lareina Pedriquez, MD is the new Bethany Cohen is the new Student President Resident President. She is co-chief and a rising M4 at Loyola University-Stritch resident at NorthShore University School of Medicine. She served as Loyola’s Family Medicine Residency Program at FMIG president in 2008-09 and spearheaded Glenbrook Hospital in Glenview. She the growth and popularity of their group. has been a fixture for her program Bethany has been active in many of the IAFP at various IAFP events recruiting student events and at the 2009 IAFP annual students to the program. Lareina has meeting. She attended IAFP board meetings participated in the last two Spring into as a substitute for the previous student board Action events at the Statehouse and personally brought member and will also be joining the IAFP Public Health several of her fellow residents with her in April of this year. Committee. Bethany was a summer externship student Lareina attended the April 2010 IAFP Board meeting in with Leslie Sleuwen, MD and the Adventist Hinsdale Family Kansas City and also the AAFP Annual Leadership Forum. Medicine Residency Program in 2008. She is a member of the IAFP Public Health Committee and is looking forward to visiting with other Illinois programs. 05 ILLINOIS FAMILY PHYSICIAN

IAFP helps Dept. of Insurance find fairness for patients

The Illinois Department of Insurance (DOI) and the Illinois Academy of Family Physicians (IAFP) have joined efforts to help the thousands of Illinois families who face medical-related disputes with their health insurance companies every year. IAFP members will review insurance company rescissions currently awaiting DOI action to determine if the insurance company was justified in their actions.

IAFP’s volunteer physicians will provide expert review to enhance the Department’s ability to serve Illinois consumers and provide consult as the Department implements the health insurance reforms of the federal Patient Protection and Affordable Care Act. IAFP President Patrick Tranmer, MD with Gov. Pat Quinn and Dept. of Insurance Director Michael McRaith. “This innovative partnership between the Department of Insurance and the common goal of better health care insurance will have the right to an Illinois Academy of Family Physicians for all,” said IAFP President Patrick A. independent, external review of denied will help residents throughout Illinois Tranmer, MD. “We stand ready to help health insurance claims. to confront unfair denials of medical ensure patients are treated fairly by claims,” said Governor Pat Quinn. “I insurance companies.” salute the Illinois Academy of Family Physicians and its dedicated doctors for Every year, the Department receives Calendar of Events participating in this groundbreaking thousands of formal complaints and public-private partnership.” phone calls from consumers who JULY have a medical-related dispute with 28 Egyptian Member Group Meeting “The Department’s first priority is their health insurance company, such Golf Outing and Dinner - Herrin consumer protection,” said Illinois as denied claims on the basis that a 29 Forum on proposed new permanent Department of Insurance Director Medicaid card - Oak Park medical condition was “pre-existing” Foundation Fundraiser – White Sox Game Michael T. McRaith. “Illinois families or that a treatment recommended by a 29-31 AAFP National Conference of Students and businesses paying hard-earned physician is not “medically necessary.” and Residents – Kansas City premium dollars continue to suffer from By pure volume, Illinois has far more 31 TLC Complex Cases Conference, Rosemont claim denials and coverage revocations, rescissions than any other state and, especially when health care treatment per capita, is second only to New AUGUST 20 Deadline for IAFP board of directors is most needed. The insights of the Mexico. nominations Illinois Academy of Family Physicians will provide Department regulators with Consumers who need assistance SEPTEMBER an additional tool to ensure that Illinois should call the Department’s toll-free 26 IAFP Executive Committee families receive the health care benefits hotline at (877) 527-9431 or visit the Meeting – Denver for which premiums were paid.” “With Department’s website at 27-29 AAFP Congress of Delegates – Denver their extensive training and experience http://insurance.illinois.gov/. 29–Oct. 3 AAFP Annual Scientific Assembly – caring for families and patients of all Denver ages and both sexes, family physicians Earlier this year, Governor Quinn signed are the ideal experts to review these a law (Public Act 96-857) providing OCTOBER cases,” said Vincent D. Keenan, IAFP greater consumer protections to Illinois 14-16 Pri-Med Midwest Convention and executive vice president. Exhibition – Rosemont residents with health insurance. IAFP 16 Fall Festival event for residents and president Patrick A. Tranmer, MD students – Oak Brook “This partnership demonstrates our attended the bill signing. Effective 29-30 Pri-Med Access – Millennium Hotel, ability to work as a team toward the July 1, 2010, all Illinoisans with health St. Louis 06 • A collection of primary care access to care, continuity of care, ACOs – Friend or Foe practices and non-primary care comprehensiveness, and coordination. Ken Bertka, M.D., F.A.A.P., specialists working together Harold Miller in his white paper How to AAFP Board of Directors through an Independent Practice Create Accountable Care Organizations Throughout the health care reform Association (IPA) or some other identifies eight prerequisites for primary debate in Congress, all of the proposed organizational structure care practices to participate in ACOs: bills contained provisions for promoting • A clinically integrated system of • Complete and timely information development of Accountable Care primary care practices, non-primary about patients including the Organizations (ACOs). So, what is an care specialists, and hospitals services they are receiving ACO? Will ACOs be good for patients? working together though an • Technology and skills to support Are ACOs a positive step in the right integrated delivery system (all population management and direction for family physicians and other physicians employed) or through coordination of care primary care physicians? a physician-hospital organization • Adequate resources for patient (PHO) of independent providers education and self-management At the core, this proposed care model who are clinically integrated support is a means by which physicians and • Physician and non-physician • A culture of teamwork in the other health care providers are part health care providers, public practices of a network responsible for quality health agencies, social service • Coordinated relationships across all and certain components of the cost of organizations and other community practices, specialities and providers care for a defined patient population. organizations working jointly to • The ability to measure and report An ACO is dependent upon a strong improve health care for a broad on quality of care foundation of primary care. Ideally, this patient population. • Infrastructure and skills for foundation is based upon the patient- management of financial risk centered medical home (PCMH) model Elliott Fischer, one of the pioneer • A commitment by senior leadership of care. From this perspective, the ACO proponents of ACOs, supports the to improving value as a top priority can be thought of as the “medical concept of virtual ACOs as long as backed by a system to drive home neighborhood” aligning the three key ACO elements are supported: improved performance. goals and incentives of non-primary • Local accountability for quality and care physicians and other providers with per capita cost for the local patient Effective and sustainable accountable those of a network of PCMH practices. population care organizations cannot happen • Standardized performance without significant payment reform. Federal health care reform efforts in the measurement Since primary care is foundational to U.S. are focused on increasing health • Payment reform that transitions the ACO, the blended payment model insurance coverage, improving quality payments from encouraging – fee-for-service, care management and controlling cost. From a health care volume and procedures to fee and outcomes-based payments – is reform perspective, the ACO model increasing quality outcomes and critical to the support of primary care of care is aimed at cost and quality. value (quality/cost). within the ACO model. In additional to The main goal of the ACO model is the blended payment model for primary to reduce health care cost, or at least The concept of a virtual ACO is care, the overall ACO payment structure “bend the cost curve” down while at particularly important for small- and should support several goals: the same time improving clinical quality medium-sized independent practices • Baseline payment that adequately and patient satisfaction. An ACO is especially those located in more rural covers the expected costs of the NOT a health maintenance organization areas. Formation of virtual networks of defined population (HMO) as it does not accept insurance practices with infrastructures that can • Avoidance of penalties for taking risk – the risk of whether a patient who support data sharing and the collection on sicker patients or experiencing is part of the defined ACO population is of quality measures across practices will “adverse selection” sick or well. be a requirement for ACO formation. • Flexibility to deliver the right services at the right time in the Accountable care organizations can ACOs will not happen overnight. Just right place have various structures to fit the like PCMH practice transformation, • ACO profitability is enhanced if environment in which they function. the medical home neighborhood it keeps its population healthier These include: transformation to an ACO model (relative to baseline) or reduces • A collection of primary care will require well-organized planning, unnecessary services practices working together through decision making and implementation • Enhanced payments for higher an Independent Practice Association under strong physician leadership. quality care and encouragement of (IPA) or some other organizational Most importantly, the foundation of patients to become engaged and structure the ACO care model is effective family seek out higher quality care. medicine (primary care) emphasizing (continued on page 8) 07 ILLINOIS FAMILY PHYSICIAN

(continued from page 7) active patient participation in health should be the goals that guide family Although a mature ACO system might and wellness decision making physicians in the exploration of ACOs thrive under a global payment model, • Changes to antitrust regulations as friend or foe. as long as it avoids the pitfalls of and to Stark self-referral regulations traditional capitation, developing ACOs likely will be needed to allow full Dr. Bertka is a family physician in should avoid global payments and look participation of physicians especially Toledo, Ohio and a member of the toward transitional payment models those in small- and medium-sized AAFP Board of Directors. He served as including combinations of shared independent practices chair of the AAFP Accountable Care savings, episode-of-care payments, and • Payment models must align mutual Organization Task Force. hybrid models (partial comprehensive accountability and evolve over time care payments with bonuses based as the ACO model transitions References on quality outcomes and savings). • The ACO should be financially 1. AAFP Accountable Care Organization Most importantly for primary care rewarded based upon a Task Force Report. Accountable physicians, the ACO payment model combination of absolute standards, care organization principles. 2009. must effectively set levels of “internal” relative performance and http://www.aafp.org/online/etc/ physician payments that recognize improvement medialib/aafp_org/documents/policy/ the dependence of ACO success on a • Primary care and the PCMH model private/healthplans/payment/acos/ strong foundation of primary care and should be supported by blended acosprinciples.Par.0001.File.dat/AAFP- PCMH practices. payments – fee-for-service, care ACO-Principles-200910.pdf management payments and quality 2. Engelberg Center for Health Care In late summer 2009, the American outcomes payments. Reform at Brookings. The Dartmouth Academy of Family Physicians Board Institute. Issue brief: Accountable of Directors appointed a task force So, is the ACO family medicine’s care organizations. Reforming to study ACOs especially from the friend or foe? The simple answer is provider payment. 2009. http:// perspective of small- and medium-sized “Yes, ACOs can be friend or foe.” www.brookings.edu/~/media/ family medicine practices. The ACO Task The real life answer will depend Files/events/2009/0311_aco/ Force defines an ACO as “a primary upon the details of ACO structure issuebriefacofinal.pdf care-based collaboration of health care and operation. The greatest ACO 3. Fischer ES, McClellan MB, Bertko professionals and health care facilities strength for family physicians is that J, et al. Fostering Accountable that accept joint responsibility and ACO success requires strong physician Health Care: Moving Forward In accountability for the quality and cost leadership and strong primary care. Medicare. Health Affairs 2009; of care provided to a defined patient The physician leadership must be 28(2):w219-w231. population.” The task force developed characterized by true knowledge-based 4. Miller HD. How to create accountable a series of ACO principles aimed decision making in an environment care organizations. Center of primarily at small- and medium-sized of mutual support, collaboration and Healthcare Quality and Payment family medicine practices considering transparency by all ACO participants. Reform. 2009. participation in or development of an This cannot be the façade of physician 5. Rittenhouse DR, Shortell SM, Fischer ACO. Key principles include: leadership characteristic of the many ES. Primary care and accountable care • The core of an ACO is accessible, independent practice associations (IPAs) – two essential elements of delivery- team-based primary care such as and physician-hospital organizations system reform. N Engl J Med 2009; the PCMH (PHOs) seen during the heyday of 361(24): 2301-2303. • ACOs require strong physician managed care. True collaboration and leadership and a true partnership mutual trust, supported by data and among all participants transparency and across diversity of • A clinically integrated information geography, demographics, processes of system for point-of-care decision care and technology will be challenging. making is ultimately required If done without an intense commitment • The ACO encourages continuous to do the right thing for patient care innovation to identify and and health care value, the ACO model implement best patient care could swallow up primary care into practices an ambiguous medical neighborhood • Organization structure and payment of “more of the same by a different reform should be implemented name.” Most family physicians espouse in an incremental manner and the need for true, meaningful health monitored closely to prevent care reform that supports and rewards “unintended consequences” access to primary care, comprehensive • ACO should strive to incentivize care and coordinated care. These 08 IAFP members participate in Crain’s Forum The problem, panelists say, is in the payment structures currently clogging for Physicians. the system with paperwork, and still “There is a lot going on right now in (ARRA) and the Patient Protection and driving up costs with a procedure- Chicago that hasn’t made its way to Affordable Care Act (PPACA), physicians based payment system rather than all the forefront,” said Russ Robertson, from all avenues will need to think the elements of providing good care. MD who is chair of the deptartment ahead, re-think and perhaps change “Physicians are all-too-willing to do of family and community medicine at their way of thinking entirely. The the right thing, the best thing for the Northwestern University – Feinberg forum allowed for excellent discussion patient,” said Dan. “But the financial School of Medicine and also Chair on a wide range of topics including alignment simply makes physicians in of the Council on Graduate Medical physician supply and distribution, as various business models do things that Education (COGME). “There are a lot well as re-focusing on the value and are antithetical to what would be the of systems that are reorganizing and quality of primary care. Robertson most efficient thing.” shifting care away from the hospital and provided insight on the primary care into the community. That’s the main workforce and the issues surrounding reason health care is so expensive in the physician distribution in all specialties, United States, because the incentives as well as some problems in medical aligned to do things to people in the school admissions practices, which hospitals.” perpetuates the shortage.

The future of the business of medicine Ms. Goldsher talked about the in Chicago was the topic of discussion challenges for their large physician at a May 25th Physicians Group group to re-engineer processes across Breakfast hosted by Crain’s Chicago the care delivery system and adjusting Business. About 400 attendees heard staff roles in those processes with the from the panel and networked with goal of providing value and quality colleagues to discuss the quickly care. In fact, the common theme changing health care landscape. The mentioned by all four panelists was a panel of four represented leaders in future of “teamwork” in the delivery Chicagoland medicine, including two of care to meet the shared goals of IAFP members: Robertson and Jim patient outcomes, provider satisfaction, Valek, MD, IAFP’s 2007 Family Physician and the ability to measure results and of the Year and owner of Vista Family care for entire populations within Medicine on Chicago’s southwest side. practices. Those teams will be led by Jim Valek, MD The other two panelists were James physicians and will need to include (Courtesy John R. Boehm Photography) R. Dan, MD, President of Advocate nurse practitioners, physician assistants, Medical Group and Mary Goldsher, and others. Those teams will also need Part of the discussion centered on the Interim CEO of DuPage Medical Group. a standard payment system for care move to health information technology. management, including e-visits, phone Dr. Valek shared that the impact of the With fast and furious changes ahead calls, patient education and other actual transition on the practice and resulting from both the American services that are not currently not paid. the staff temporarily made his medical Reinvestment and Recovery Act home into a “bit of a dog house.” Northwestern’s medical But when asked about the future of school will begin a health care under the new reform law, program where medical he was cautiously optimistic, saying students and physician that most physicians do embrace the assistant students accountability and the systems. Yet his will train together in concern lies in preserving the intimacy rotations to build that that his practice and others like Vista teamwork mentality provide as the medical home for their during their education. patients and families. When the potential is realized, Robertson As the only solo practice on the panel, says the team model Valek was very frank in his assessment will actually expand of the role of small and solo practices our current health care going forward. “You will absolutely capacity. need to align or network with the larger Russell Robertson, MD (Courtesy John R. Boehm Photography) (continued on page 10) 09 ILLINOIS FAMILY PHYSICIAN

Green Gala raises green through West Suburban hospital. the PCC and at clinic sites: including Walsh started as a resident physician PCC Chief Medical Officer Paul Luning, for a green CHC at West Suburban in 1980 and served MD; Medical Director for Quality as program director for the family Improvement Karole Lakota, MD; PCC PCC Wellness held their first ever Green medicine residency program there. North Avenue Medical Director Gina Gala on June 3 at Carnivale in Chicago. She was an original member of the Smith, MD; Kimi Suh, MD Medical Not only did the event raise over PCC board of directors beginning in Director of PCC Lake Street, Blanca $40,000 for the new PCC Austin Family 1992 and served as chair from 2001-04 Baldoceda, MD, Medical Director Health Center, it also gave a platform to before retiring from practice. “She has of PCC South, who developed their celebrate the tremendous impact of the made a tremendous impact in making global health program, and PCC Austin PCC Wellness system, created by and PCC the outstanding organization it is Medical Director TJ Staff, MD. led by outstanding family physicians. today,” said Urso. He credited Walsh for building the partnership between The new Austin site opened earlier PCC Community Wellness was founded PCC sites and the West Suburban this year with great fanfare, including in 1992 and fueled by community family medicine residency program, as U.S. Sen. Richard Durbin, Chicago and federal grant funding for their well as developing outstanding female Mayor Richard Daley and other local mission of providing access to quality family physician leaders. leaders, an event that was featured on care for the underserved, with a strong WGN-TV. The facility has a capacity emphasis on maternal and child care. Ever the gracious and selfless physician, for 32,000 visits a year, and a new Eighteen years later, PCC encompasses Walsh took the podium and thanked dental wing opening soon will enable nine locations in western Chicago and the patients who came to PCC seeking oral health services as part of the PCC the near west suburbs. better care for their families. “Over the comprehensive approach to care and years I have seen countless individuals wellness. The gala event also honored a family taking three or four buses, toting physician champion and pillar of the countless children, enduring waits and One of the most unique aspects of PCC PCC Community Wellness program. long lines, to see their primary care Austin is that it’s one of the “greenest” Kathy Walsh, MD was honored for her provider. They do this to guarantee health centers in the nation, meeting 30 years of service to the community quality care for themselves and their the standards for advanced silver families,” she said. “I continue to be level LEED (Leadership in Energy and (continued from page 9) humbled by the trust and confidence Environmental Design) from the U.S. that these patients place in our Green Buildings Council. The design groups. You cannot stand alone.” organization.” enabled them to receive federal and state grants towards the construction of Finally when asked for one thing Also specifically praised by PCC the $5.4 million clinic. that would make medicine better for President and CEO Bob Urso were the physicians, Valek suggested streamlining family physicians at the event who On the Web: the avalanche of information from serve as leaders in various roles within http://www.pccwellness.org/index.asp various payers and resources. Dan would like to see better systems for taking patient calls, triaging and managing a physician’s “on-call” period. Goldsher would like for their physicians to have more time with patients and spend less time on the “other things” that keep them away from patients and their home life. Robertson shared that half of the doctors trained in Illinois do not stay in Illinois. He says that fixing the flawed medical liability system in Illinois could be a tremendous help in keeping more Illinois-trained physicians in our state.

The goals and wish lists are out there, it’s up to the health care stakeholders to implement the changes and realize the successes that an improved system will bring to everyone involved. 10 Kathy Walsh, MD accepts her award from PCC at the Green Gala Endorsed by

11 1-8-20 IL Academy of Family Phys.indd 1 4/19/10 12:56:15 PM ILLINOIS FAMILY PHYSICIAN

An update since FMCC On June 16, the U.S. Dept. of Health and Human Services announced their Government plans for the first allocation from the new $500 million Prevention and Public Relations Health fund for fiscal year 2010, created by the Affordable Care Act. Half of (Reform - continued from page 4) this fund – $250 million – will be used to boost the supply of primary care Thank you to our providers in this country by providing Illinois family physician new resources, including: • Creating additional primary care delegation residency slots: $168 million for Janice Benson, MD training more than 500 new primary Michael Fitzgerald, MD of Naperville and Ellen Brull, MD care physicians by 2015; Chinni Pulluru, MD (right) Michael Fitzgerald, MD • Encouraging states to plan for visit U.S. Rep. Debbie Halvorson (D-11). Vincent D Keenan, CAE and address health professional Steven D Knight, MD workforce needs: $5 million Gordana Krkic, CAE for states to plan and Evenimplement with all the consternation in Congress over the Medicare payment formula, Medicaid FMAP Jerry E Kruse, MD innovative strategies toextensions expand their and other issues causing you grief on Capitol Hill, itʼs now critically important to support the Rick Leary, MD primary care workforceAAFP by 10 FamMedPAC. to If you followed the recent AMA elections, you know that a pediatric subspecialist Mark Potter, MD 25 percent over ten yearswas toelected meet over two primary care physicians as their president-elect. Dr. Peter Carmel has voiced his Javette C Orgain, MD increased demand for concernsprimary careover issuees that are favorable to primary care. We may be looking at a serious divide at the Soujanya R Pulluru, MD services. AMA, and cannot count on them to fairly represent your needs. Patrick A Tranmer, MD Family Medicine must have a strong and separate voice in Congress. Our biggest mouthpiece with members of Congress is via the PAC. If you have not contributed during the 2009-10 election cycle, please find a way to do that now.

Illinois FamMedPAC champion Ellen Brull, MD of Glenview and FamMedPAC chair Jim King, MD of Tennessee are challenging state chapter members to step up so that 10 percent of Illinois active members contribute to the PAC. IAFP needs 244 total contributors to reach that 10 percent goal, and we Even with all the consternation in Congress over the Medicare paymentare more formula, than one-fourthMedicaid ofFMAP the way extensions there! Thankand other you toissues the 62 donors (which can and does include causing you grief on Capitol Hill, it’s now critically important to supportresidents, the AAFP students FamMedPAC. and staff!) who If you have followed contributed the during recent the current cycle. AMA elections, you know that a pediatric subspecialist was elected over two primary care physicians as their president-elect. Dr. Peter Carmel has voiced his concerns over Congress’s plans that Nationalare favorable goal ofto $1 primary million: care. AAFP We FamMedPAC may be looking has also at a crunched the numbers to determine how serious divide at the AMA, and cannot count on them to solely representmuch of your that needs.$1 million can be raised from each state chapter, based on their total number of members. The Illinois magic number for the 2009-10 election cycle is $39,349 and we are more than halfway to Family Medicine must have a strong and separate voice in Congress.reaching Our biggest that goal. mouthpiece Letʼs be the with over-achievers members of that Congress Illinois familyis via physicians have always been! the PAC. If you have not contributed during the 2009-10 election cycle, please find a way to do that now. To add your contribution to our total, please visit Illinois FamMedPAC champion Ellen Brull, MD of Glenview and FamMedPAChttp://www.aafp.org/online/en/home/policy/fammedpac.html chair Jim King, MD of Tennessee are challenging to make a secure online donation. state chapter members to step up so that 10 percent of Illinois active members contribute to the PAC. IAFP needs 244 total contributors to reach that 10 percent goal, and we are more than one-fourth of the way there! Thank you to the 62 donors (which can and does include residents, students and staff!) who have contributed during the current cycle.

National goal of $1 million: AAFP FamMedPAC has also crunched the numbers to determine how much of that $1 million can be raised from each state chapter, based on their total number of members. The Illinois magic number for the 2009-10 election cycle is $39,349 and we are more than halfway to reaching that goal. Let’s be the over- achievers that Illinois family physicians have always been! Total 09-10 Donors: 62 Total 09-10 Donations: $20,865.00 (7) To add your contribution to our total, please visit http:// Average Donation: $243 www.aafp.org/online/en/home/policy/fammedpac.html to % of Chapter Donating: 2.54% make a secure online donation. 12 Get comprehensive and competitively-priced physician malpractice insurance protection that ﬁ ts your needs from “A” (Excellent) rated* Professional Solutions Insurance Company.

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13 ILLINOIS FAMILY PHYSICIAN

You Are Invited to Join Us for a Full Day CME Conference Saturday, July 31, 2010 8:00AM – 4:30PM Hilton/Rosemont Chicago O’Hare (formally Rosemont Hotel at O’Hare) 5550 North River Road Rosemont, IL 60018 ...... The Duke University School of Medicine is accredited by the Accreditation Earn 7.25 credits in this robust, interactive Council for Continuing Medical Education to provide continuing medical conference covering a variety of topics: education for physicians.

The Duke University School of Medicine designates this educational activity Fibromyalgia, migraine, gastroesophageal reflux disease, gout, for a maximum of 7.25 AMA PRA Category 1 CreditsTM. Physicians should only acute coronary syndrome, diabetic neuropathic pain, diabetes, claim credit commensurate with the extent of their participation in the activity. osteoporosis, chronic pain, Parkinson’s disease, elderly The activity has been reviewed and is acceptable for up to 6.75 Prescribed depression, Alzheimer’s disease, and overactive bladder credits by the American Academy of Family Physicians.

Learn by discussing complex cases you might see in your Nurse practitioners and physician assistants can claim up to 7.25 AMA PRA Category 1 CreditsTM. everyday practice. Evaluate diagnostic and treatment strategies for patients In collaboration with: presenting with multiple comorbidities.

For further information or to reserve your space, please call (800) 260-4378 or visit www.TotalMedEd.com/CC

THE STRENGTH TO HEAL and get back to what I love about family medicine.

Do you remember why you became a family physician? When you practice in the Army or Army Reserve, you can focus on caring for our Soldiers and their Families. You’ll practice in an environment without concerns about your patients’ ability to pay or overhead expenses. Moreover, you’ll see your efforts making a difference.

To learn more about the U.S. Army Health Care Team, call 1SG Antwan Holden at 888-476-4326, email [email protected], or visit healthcare.goarmy.com/info/e928.

©2009. Paid for by the United States Army. All rights reserved. 14 IAFP CME is IAFP Hosts Home and reaccredited by ACCME Palliative Care Conference Continuing IAFP will continue to serve members On May 22nd, 45 primary care Medical and primary care physicians as a providers participated in a half-day provider of high-quality CME programs. CME conference geared toward Education The IAFP received reaccreditation status physicians who provide house calls. The from the Accreditation Council for “Growing Old at Home: Palliative Care Continuing Medical Education (ACCME) in Family Medicine” conference was “Today the lectures were the brainchild of IAFP board member in March 2010. ACCME accreditation just superb in regards to the assures physicians and the public Michael Fessenden, MD who works for that continuing medical education Home Physicians, Inc. Dr. Fessenden complexities of end of life care.” activities provided and produced by the saw the need for education geared Rosemary McHugh, IAFP meet the high standards of the toward this subset of primary care MD - Wheaton Essential Areas, Standards and Policies providers who take care of patients for Accreditation as specified by the unable to access routine medical treatment due to physical or mental ACCME. The first of two “House Call” limitations. He saw firsthand that conferences to be held in 2010, this many of these patients are unable to The IAFP was recognized to be in conference focused on the impact of see a specialist for their condition and compliance in all areas, except in the house calls in Palliative Care, Hospice, therefore the primary care provider area of Evaluation. A Progress Report Advance Directives and End of Life may need to direct the treatment will be submitted to the ACCME in Care. Other speakers included Diana pathways for conditions that may not November 2010 demonstrating the Rapaport, MD from Vitas Healthcare, be adequately addressed otherwise. changes the IAFP is making in the area William Barnhart, MD from Mt. Sinai of analyzing changes in the learner. Hospital and Javette Orgain, MD from One of the conference presenters If the ACCME accepts the changes UIC. Another half-day conference is was Tom Cornwell, MD founder of made in this area and the IAFP is planned for the fall and will focus on HomeCare Physicians, which serves found in compliance in the area of common disease states found in this DuPage County. “We have an Evaluation, the ACCME will consider a population and the current medical exploding homebound population change in our organization status from treatment options available. “Accreditation” to “Accreditation With coming up,” he said. “Currently these homebound patients are being cared Commendation”. Accreditation with Sponsors for this conference were IAFP, for at the costliest place, which is the Commendation is the highest level of Home Physicians and the Department hospital system and emergency room. credit an organization can receive and of Family Medicine at the University of But these patients really need the most would allow the IAFP to be accredited Illinois at Chicago College of Medicine. for another six years. primary care. So primary care needs to go to them, because they can’t get to “Our CME committee and outstanding it.” panel of experts and speakers are an invaluable resource in the education Those who attended came away with products that we provide. Family specific tools and tips, as well as a physicians are guaranteed an new appreciation for the big picture of educational experience that meets caring for our growing and aging senior their needs and helps them fulfill their population. promise to their patients of high-quality, cost-efficient, personalized care,” said “It shows how complicated the whole Vince Keenan, CAE, IAFP executive thing can be when dealing with end vice president. “We look forward of life care. But when you get a team to achieving the Accreditation with effort involved, with social workers, Commendation level, which reflects nurses, along with the physician our dedication to family medicine involved with patient care, it creates the continuing medical education.” type of environment that is much more positive which supports the patient and the family,” said attendee Rosemary McHugh, MD of Wheaton.

15 ILLINOIS FAMILY PHYSICIAN

EXPAND YOUR MEDICAL KNOWLEDGE THROUGH COMPLETE AND INNOVATIVE CME

Pri-Med Midwest Conference & Exhibition Donald E. Stephens Convention Center Rosemont, IL Pre-Conference Symposia Day* Wednesday, October 13, 2010 Current Clinical Issues in Primary Care October 14-16, 2010

This annual 4-day conference and exhibition includes a Pre-Conference FAMILY MEDICINE FALL FESTIVAL Symposia Day and features the 3-day Saturday, October 16th core program, Current Clinical Issues Oak Brook Marriott Hotel (event opens at 8:30am, program begins at 9am) in Primary Care, comprised of over 50 Online registration will be available, but for now block off that date on your Outlook/Google/Palm/iPhone clinical lectures presented by Harvard calendars! Medical School & Northwestern University Oak Brook Marriott Hotel (free parking!) nd Feinberg School of Medicine. 1401 W 22 Street Oak Brook, IL 60523 Independent, non-Harvard Medical School accredited educational symposia†, Join us for fun, games, prizes and YES, some meaningful interaction with family medicine!

and a dynamic exhibit hall round out the Our premiere event for medical students will include an opening session on the Match process from offerings. former IAFP Student President Carrie Holland, MD of West Suburban Family Medicine Residency Program. Our loan repayment/debt management panel will benefit residents and students.

Pri-Med Access with ACP* Visit with family medicine residents and faculty, try out procedures and demonstrations, and get face to face help with your CV and planning for the interview process! December 14-15, 2010 Chicago, IL Did we mention fun, games and prizes??

An all-new CME curriculum that will Event Objectives . FUN explore advances in efficient and cost- . Encourage student understanding and interest in family medicine effective diagnosis. 3+ hours of total . Provide recruiting opportunities for family medicine residency programs program time is dedicated to Q&A, Pri-Med® is committed to expanding your knowledge base through allowing you to dialogue with our expert faculty, who are practicing clinicians the most complete CME in the industry. as well as leading educators. The • Live conventions and seminars in cities across the United States. format is flexible to accommodate busy schedules—sign up for the full two-day • Continuously growing list of online CME activities addressing the latest program, one course, or one day. research in multiple topic areas. • CME Tracker to manage your learning online, easily track credits, Pri-Med is proud to Partner with Illinois Academy of Family Physicians to bring quality education to family physicians. and print a summary of credits and certificates earned.

*These activities are sponsored by Join the Discussion Now you can connect with other clinicians before and after meetings, discuss pressing medical topics, receive CME notifications instantly, and † Support for some of these activities is made possible by educational grants from industry. Disclosure of industry sup- stay updated on the latest Pri-Med news. Visit . www.pri-med.com/social port is provided to attendees in advance of the educational activity. This is a limited-capacity, ticketed event available on a first-come, first-served basis.

For more information, visit us at www.pri-med.com/iafp ®

or call 866-263-2310 (Mon-Fri, 9 am-8 pm edt). TM

Pre-Conference Symposia Day, Practice Solutions, and Symposia are produced independently of and are not affiliated with Harvard Medical School and Northwestern University Feinberg School of Medicine. © 2010 M/C Communications, LLC. All rights reserved. Pri-Med is a registered trademark and KNOWLEDGE THAT TOUCHES PATIENTS is a trademark of M/C Communications, LLC. All other trademarks are the property of their respective owners. 16

FAMILY MEDICINE FALL FESTIVAL

Saturday, October 16th FAMILY MEDICINEOak Brook Marriott FALL Hotel FESTIVAL (event opens FAMILYat 8:30am, program MEDICINE begins at FALL 9am) FESTIVAL Saturday, October 16th Saturday, October 16th Oak BrookOnline Marriott registration Hotel (event will opens be available, at 8:30am, but program for now begins blockOak at off 9am) Brook that Marriottdate on Hotel your (eventOutlook/Google/Palm/iPhone opens at 8:30am, program calendars! begins at 9am) Online registration will be available, but for now block off that date on your Outlook/Google/Palm/iPhoneOnline registration will be available, but for now block off that date on your Outlook/Google/Palm/iPhone calendars! Oak Brook Marriottcalendars! Hotel (free parking!) Oak Brook Marriott Hotel (free parking!) Oak Brook Marriott Hotel (free parking!) 1401 W 22ndnd Street 1401 W 22nd Street 1401 W 22 Street Oak Brook, IL 60523 Oak Brook,Oak Brook, IL IL 60523 60523

Join us for fun, games, prizes and YES, some meaningful interaction with family medicine!Join us for fun, games, prizes and YES, some meaningful interaction with family medicine! Join us for fun, games, prizes and YES, some meaningful interaction with family medicine! Our premiere event for medical students will include an opening session on the MatchOur process premiere from event for medical students will include an opening session on the Match process from former IAFP Student President Carrie Holland, MD of West Suburban Family Medicineformer Residency IAFP Student President Carrie Holland, MD of West Suburban Family Medicine Residency Program.Our Our premiere loan repayment/debt event for management medical studentspanel will benefit will include residents anandProgram. opening students. Our session loan repayment/debt on the Match management process panel from will benefitformer residents IAFP Student and students. President Carrie Holland, MD of West Suburban Family Medicine Residency Program. Visit with family medicine residents and faculty, try out procedures and demonstrations,Visit and with get family face tomedicine residents and faculty, try out procedures and demonstrations, and get face to face help with your CV and planningOur loan for the repayment/debtinterview process! managementface help panel with your will CV benefitand planning residents for the interview and process! students .

Did we mention fun, gamesVisit with and familyprizes?? medicine residents andDid faculty, we mention try out fun, procedures games and and prizes?? demonstrations,

Event Objectives and get face to face help with yourEvent CV Objectives and planning for the interview process! . FUN . FUN . Encourage student understanding and interest in family medicine . Encourage student understanding and interest in family medicine . Provide recruiting opportunities for family medicineDid residency we mention programs fun,. Providegames recruiting and opportunities prizes?? for family medicine residency programs

Event Objectives • FUN • Encourage student understanding and interest in family medicine • Provide recruiting opportunities for family medicine residency programs • Provide students information on the Match process. • Expose students to procedures commonly used by family physicians • Allow networking opportunities for resident physicians and students

This program has been redesigned to offer ample time for interaction between students and residency programs. The event will include exhibit booths, plenary sessions, and demonstrations. Plenary sessions are open to students and interested residents.

Attention all Family Medicine Residency Programs: Make plans NOW to participate in IAFP’s only student recruitment event! Saturday, October 16, 2010 from 9:00 am – 3:00 pm Exhibitor registration and set-up begins at 9:30 a.m. Exhibit Hours: 11 am – 3 pm If your program is interested in participating, please contact Crishelle O’Rourke at 630-427-8006 or [email protected].

17 ILLINOIS FAMILY PHYSICIAN

State poster contest winner is headed for DC Community steps up with private donations!

Our 10th year of Tar Wars in Illinois wrapped up with a fantastic finish!

Congratulations to CourtneyIt’s Monierbeen of Lea Roy, tough our own 2010Illinois Tar forWars Posterthe ContestIllinois Tar Wars program. With the Foundation finances struggling, winner, on her 7th placewe honor were at the National unable Tar Wars to poster provide Contest in Washingany travelton, funding for the 2010 Tar Wars state poster contest winner to DC! And thank you to everyone who supported Tar Wars with a donation to ensure that the Foundation couldattend fund the airfarethe and National hotel room for Tar Courtney Wars and a posterparent to contest in Washington, DC later this summer. If fifth-grader attend the conference. Madisyn Quinn was going to make it to DC, they had to find another way. That’s when her Tar Wars presenter, Emily Happ from Bureau-Putnam Bi-County health department stepped up with a drive for donations from the local community. The Bureau County businesses responded, and in a few weeks Happ had enough funding to ensure that Madisyn and her parents are headed to Washington for the experience of her young lifetime.

Thank you to the following Bureau County businesses and organizations for their donations! Madisyn Quinn Kurt Berry from Mass Mutual (Loves Park) Valley Bar and Grill (Spring Valley) Bernabei, Balestri, and Fiocchi (Spring Valley) Princeton Optimist Club (Princeton) Citizens 1st National Bank (Princeton) First Federal Savings and Loan Assn. (Princeton) Starline Construction (Ladd) Tar Wars Night with the White Sox is big hit with IAFP Thanks to the 200 friends andTee-Group fans of family medicine Films who gathered (Ladd) for the 5th annual Tar Wars Night with the Chicago White Sox on July 8th. Special thanks to the following three IAFP members who brought in the most fans: Ravi Shah,American MD; Patrick Tranmer, LegionMD and Deborah Harold Midgely, MD. TheE eventRussell raised Post 938 (Ladd) over $2,200 for the Illinois TarE.J. Wars Cattani Program. & Son Inc (Ladd) North Central Bank (Ladd) The AAFP Tar Wars program also contributed $250 in travel funding to help support the Quinn’s trip.

Madisyn’s “No Joke, Don’t Smoke” message beat out 19 other finalists from around the state. The National Poster Winner will be announced on July 26 at a banquet honoring all the state winners. She will also have the opportunity to tour the Capitol and visit with her U.S. Representative, Aaron Schock and Senator Dick Durbin.

Congratulations to Tar Wars presenter Jenny Blair of the Will Co. Health Dept., who has been awarded the Tar Wars STAR award from the National Tar Wars Program. Since Jenny first introduced Tar Wars to Will County schools in 2007, she has presented the program to nearly 5,500 area grade school children. In the 2009 school year, she taught 37 presentations at 16 schools, totaling approximately 1,500 students. Jenny will be honored at the National Tar Wars Poster Contest awards ceremony and will present to Tar Wars coordinators from around the country with her strategies for running a successful local program.

Learn more at www.iafp.com/tarwars or www.tarwars.org.

18 UFE: Good Medicine for Family Medicine

A SAFE AND EFFECTIVE ALTERNATIVE FOR FIBROIDS Uterine fi broid embolization (UFE), also known as uterine artery embolization, is a non-surgical treatment for symptomatic uterine fi broids performed by an interventional radiologist. Using a catheter and guidewire, the physician injects tiny microspheres into the vessels that feed the fi broids, blocking the blood supply, shrinking the fi broids, and relieving symptoms. After the UFE procedure and appropriate case follow-up, your fi broid patient returns to you for continued care.

A non-surgical COMPARING UFE TO SURGICAL ALTERNATIVES alternative to UFE Hysterectomy* Procedure Time Approximately 1 hour A few hours

hysterectomy Hospital Stay Usually 23 hours 1-3 days that can improve Recovery Time About 1 week 4-6 weeks Anesthesia Local/Conscious Sedation General/Spinal/Epidural patient care and Surgical Incision No Yes quality of life for your * Laparoscopic surgery is less invasive; however, the overall majority of hysterectomies are still performed abdominally. patients with ﬁ broids Take a Dose of GOOD Medicine FOR MORE INFORMATION, to locate an experienced Interventional Radiologist (IR) in your local area and to order your free supply of patient pamphlets objectively discussing ALL ﬁ broid treatment options call 866-275-7498.

MR10-028 Rev B

19 ILLINOIS FAMILY PHYSICIAN

IAFP Member IAFP Member Spotlight Spotlight

Why family medicine? Physicians are currently being enrolled Because of the relationships we have Janet Albers, MD in the program. Learn more at the with our patients over time. I love the SIU-Springfield Family Medicine Sangamon County Medical Society continuity of care and the fact that we Residency Program website at http://www.scmsdocs.org/ deal with the patient and the family and IAFP Board Member publications.htm#Access Project. the community. How do you see the future of family My IAFP activity What would you do if you weren’t medicine? I’m currently a member of the board a doctor? We are starting to see a tiny resurgence and the board’s liaison to the CME I think I’d probably be a teacher of students going into primary care, but committee and I’ve worked on quite a because I love that part of my job, I think we are going to lag behind for few CME projects with the Academy. teaching patients as well as teaching a little while. Our patient population, residents and students. particularly the geriatric population, is How do you champion family growing and the family physician’s role medicine? Tell us about the CATCH program is growing, especially with the growth As a residency program director, I get to you helped to create in your in patient centered medical homes, be with residents and medical students community so there may not be enough of us for all the time, so I try to be a role model CATCH (Coordinated Access to awhile. When I was a med student, to them about what’s it’s really like to Community Health) is a multidisciplinary half of us went into family medicine. At be a family doc. approach between community agencies SIU this year, that number was more like and the hospitals and medical societies 10 percent. What’s the biggest health concern and physicians looking at the uninsured you see in your practice? population and finding ways to You were in the House Gallery I see a lot of diabetes, that’s a big cover the gaps that they experience. when President Obama gave his concern. I also think depression, anxiety health care speech to the Nation in and those major mental health issues September 2009. What was that need to be addressed as well. like? It was great to be there to see and How do you balance your career hear him talk about issues that were so with your own well-being? important to me personally and to our Not as well I should, some of the time, family medicine specialty finally being but I try. I have a family and children looked at in-depth. It was exciting! and I spend time with them. Taking time for yourself is also important to rejuvenate and keep going.

20 Richard Londo, MD was honored with toenails. the Distinguished Service Award from the University of Illinois at Rockford Nipa Shah, MD of Chicago is quoted according to the April 29 Rockford in a May 13 Daily Northwestern story Members Register-Star. about training health care professionals to screen for signs of suicide in the in the News David Trachtenbarg, MD of Peoria office visit. was quoted in a May 2nd Peoria Journal-Star story about how Methodist Kristian Bigosinsky, MD of Chicago Medical Center is now using e-visits, was quoted in a Chicago (Tribune) Red and that AAFP and AAP recommend electronic prescription refills and Eye May 15th story about exercising that children get all recommended e-scheduling. late at night. vaccines.

Tony Miksanek, MD of Benton Past President Ellen Brull, MD of IAFP executive vice president Vince provided comments in a newspaper Glenview and board member Chinni Keenan, CAE is quoted in an extensive article, “Losing patience with patients: Pulluru, MD of Naperville were Illinois Issues cover story examining the How doctors deal with ‘difficult’ quoted in an extensive article about federal Health Care Reform legislation people”, published in the May 5 issue BlueCrossBlueShield in the May 17th and the impact on various sectors in of The State-Journal Register. issue of Crain’s Chicago Business. Illinois.

The 2010 Tar Wars state poster contest Jim Valek, MD of Chicago was Jill Carnahan, MD of Peoria was a lead winner, Madisyn Quinn, was featured featured in a May 16th Southtown Star source in an article about the effect in the May 6 Bureau County Republican. story about patients and parents going of food choices on mood and mental gaga with Google and bringing their health. The story originally appeared Michael Friedman, MD of Chicago, concerns about the latest health scare in the Peoria Journal-Star, and then ran director of the family medicine to the doctor’s attention. in 16 more papers across central and residency program, Saints Mary and southern Illinois. Elizabeth Medical Centers, received a IAFP past president Ed Hirsch, MD of Silver Minted Liberty Dollar Award from Peoria has been appointed to a new Jennifer Kurka, DO of Oswego was the Mutual of America Community national panel developing physician quoted in a Sun-Times News Group Partnership for his dedication and performance measures for female stress story about gluten allergies and the commitment to the school-based health urinary incontinence (SUI) using the relationship to celiac disease in a center at Roberto Clemente High School Physician Consortium for Performance patient education article about food in Chicago. Improvement (PCPI) process. The intent allergies on June 2. is to develop measures suitable for use Carrie Nelson, MD of Wheaton by all stakeholders involved with the IAFP second vice president Carrie was quoted several times in the May diagnosis, treatment, reimbursement Nelson, MD is back to blogging on 6 Tribune TribLocal Hinsdale and and regulation of SUI. Dr. Hirsch ChicagoNow! as one of the “The LaGrange editions in a story covering is representing AAFP on the panel, Doctors Next Door.” She recently a panel discussion about the impact of which also includes the American blogged about her first personal the federal health care reform package, Urological Association (AUA) and experience with acupuncture - as the also known as the Patient Protection American College of Obstetricians and patient, not the provider! Link to Dr. and Affordable Care Act. Gynecologists (ACOG). Carrie’s latest blog entry at http://www. chicagonow.com/blogs/doctors-next- Mario Piverger, MD of Blue Island was Matthew Johnson, MD of Park door/2010/06/does-acupuncture-really- quoted in the May 12 Lincoln-Way Sun Forest was named Chair of the Family work.html for his practice’s efforts to offer sports Medicine Dept. at Advocate South physicals and give away tickets to a Suburban Hospital in Hazel Crest, IAFP President Patrick Tranmer, MD local minor league baseball game. according to the May 28th TribLocal. penned a strong letter to the editor urging Congress to permanently fix the Paul Kinsinger, MD of Washington Anthony Leazzo, MD of Naperville Medicare payment system and replace was featured in a May 12 Bloomington authored a guest column in the June the SGR formula that will dictate severe Pantagraph story for his innovative 9th issues of the TribLocal in Wheaton payment cuts if left unaddressed. invention he calls “Dr. Paul’s Piggy and Aurora answering the ongoing The letter ran the week of June Paste,” which is a topical treatment for question that child vaccines are safe 9 in the Chicago Defender, Sauk 21 ILLINOIS FAMILY PHYSICIAN

Valley Newspapers and several local create the best first aid kit for your Ansari was quoted about the high newspapers in the western suburbs of family. costs of defensive medicine driven by Chicago. physicians’ fear of being sued. Resident member Whitney Lyn, MD Chantal Girod, MD was honored by of Chicago is quoted in an Associated IAFP’s new partnership with the Illinois Swedish American Health System with Press article about the new ACGME Dept. of Insurance (see feature story the Dr. Henry C. Anderson Quality proposed resident work hours. The on page 6) generated several media Award according to the June 11 proposal would put new limits on first placements, including the June 22 Rockford Register-Star. year residents, limiting them to 16- Crain’s Chicago Business and Park hour shifts. The story has been widely Forest e-News as well as a July 1 “Inside David de Ramos, MD received the reproduced in newspapers and news Health Care” column in the Chicago Christian Service Award from Adventist websites, Tribune. GlenOaks Hospital for his dedication to the hospital’s mission of extending Kenneth Lee, MD of Glen Ellyn was the healing ministry of Christ according selected as a Glen Ellyn Character In Memoriam: to the June 14th TribLocal Naperville Coalition Person of Character. He was IAFP 2004 Distinguished Service Award edition. nominated by two of his patients who honoree Roy T. Rapp, MD passed cited his dedication to his patients away on May 30th at his home in Jerome Epplin, MD of the Litchfield and his active volunteerism in the Quincy. He was 92. He was born in Family Practice Center was named the community, including the People’s Quincy in 1917 and returned home Clinician of the Year by the American Resource Center. Lee was profiled in in 1954 and opened the Rapp Clinic Geriatrics Society. the June 25th Glen Ellyn Sun. after practicing in West Virginia and Kentucky. His office remained a fixture Jennifer Taylor, MD of Mendota and Southern Illinois School of Medicine in the community until his retirement in Cynthia Running, MD of Oglesby was featured in a June 28 State- July 2009. were quoted in a June 17th LaSalle Journal Register story about the NewsTribune article about the need school’s #15 ranking for its “social John J. Ring, MD died Saturday, to get kids outside and do anything mission” to training primary care June 12, 2010, at Advocate Condell to maintain physical activity and stay physicians, providers in underserved Medical Center in Libertyville. Dr. Ring healthy during the summer breaks. communities and physicians from was a family physician in Mundelein minority communities. Jerry Kruse, since 1958. He was on staff at Condell Congratulations to SLU - St. Louis MD, chair of the deptartment of family Memorial Hospital (now Advocate University Belleville Family Medicine and community medicine was quoted Condell Medical Center) in Libertyville Residency has been honored with in the story. and Victory Hospital in Waukegan a 2010 AAFP Foundation Pfizer (now Vista East Medical Center). Link Immunization Award for achieving Aaron Michelfelder, MD from Loyola to the obituary at http://www.legacy. excellence in clinical practice by Family Medicine in Maywood shone com/obituaries/dailyherald/obituary. developing creative solutions that result the spotlight on men’s reluctance to aspx?n=john-j-ring&pid=143580656 in increased immunization rates in their see a doctor. The story was featured in communities. the June 30 Chicago Tribune and also posted on the WGN-TV website. The awards provide monetary grants and scholarships for residents to attend Yasmeen Ansari, MD of Wood Dale the AAFP’s National Conference, a was a featured panelist at a forum held three-day event held during July in June 28th by U.S. Rep. Peter Roskam Kansas City designed for residents and (R-6th) to discuss the federal health medical students to share ideas with care reform and the impact on his family medicine educators and leaders district. The forum was covered in five from across the nation. suburban newspapers in the region.

Michael McFadden, MD authored a guest column for the June 21 Freeport Journal-Standard detailing how to

22 Save big during vaccine purchasing season News You

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1All offers are contingent upon credit approval and acceptance of the Ingenix Master Services License Agreement and appropriate product schedule, including transition and training costs of approximately $1,000 per practice, and are not open to current customers. Ingenix is not responsible for and does not guarantee stimulus payments, and you are solely responsible for qualifying under the program for such payments. IN429HPCM09

Yamamoto Moss Mackenzie Date: 6.16.10 252 1st Avenue North Client: Ingenix Minneapolis, MN 55401 Job #: 13429 ph: 612.375.0180 File Name: IN429HPCM09_061610.indd fax: 612.375.2424 Publication: IAFP Family Physician Ad Size: Live: 7.5 in. x 4.5 in. Trim: Bleed: Ink Colors: 4c CMYK Pub Date: July/Aug - Sept/Oct ILLINOIS FAMILY PHYSICIAN Your Illinois Academy of Family Physicians Executive Committee Board of Directors IAFP Staff

PRESIDENT CLASS OF 2010 EXECUTIVE VICE PRESIDENT Patrick A. Tranmer, MD Tina M. Brueschke, MD VICE PRESIDENT OF EDUCATION Dennon Davis, MD Vincent D. Keenan, CAE PRESIDENT ELECT Kathryn Stewart, MD David J. Hagan, MD DEPUTY EXECUTIVE VICE PRESIDENT CLASS OF 2011 OF FINANCE AND MEMBERSHIP FIRST VICE PRESIDENT Janet L. Albers, MD Jennifer O’Leary Michael P. Temporal, MD Tamarah Duperval, MD DEPUTY EXECUTIVE VICE PRESIDENT SECOND VICE PRESIDENT Renee M. Poole, MD OF GOVERNMENT RELATIONS, Carrie Nelson, MD CLASS OF 2012 COMMUNICATIONS AND MARKETING CHAIR OF THE BOARD Michael Fessenden, MD Gordana Krkic, CAE Javette C. Orgain, MD Soujanya “Chinni” Pulluru, MD Alvia Siddiqi, MD VICE PRESIDENT OF MARKETING TREASURER AND DEVELOPMENT NEW PHYSICIANS Christine Holz Emerson Deborah Edberg, MD Ravi Shah, MD Asim Jaffer, MD VICE PRESIDENT OF COMMUNICATIONS DELEGATES TO AAFP Ginnie Flynn Ellen S. Brull, MD RESIDENT Michael P. Temporal, MD Lareina Pedriquez, MD DIRECTOR OF MEETINGS Crishelle O’Rourke ALTERNATE DELEGATES STUDENT Kathleen J. Miller, MD Bethany Cohen OFFICE MANAGER Javette C. Orgain, MD Diana Garcia EDUCATION MANAGER Kate Valentine

Illinois Academy of Family Physicians

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