SUMMER 2011 PUBLIC HEALTH AND ALSo… PATIENT PROTECTION • Electronic Medical Records - The Path The Future of Integrated Delivery Systems: Forward for Maryland Primary Care and Public Health Partnerships in Physicians Care Coordination • MD-Tech: Use Your The Importance of Reporting Drug Adverse Events EMR Meaningfully: Streamline the Team! Early Breast Cancer and Modern Healthcare This Edition Approved for 2.5 CME Credits. Ovarian Cancer: Are Physicians Under-Screening Complete and Submit Journal CME Quiz at for a Silent Killer? www.mdafp.org. THE MARYLAND familydoctor / SUMMER 2011 • 1 Place your trust in Maryland’s leading medical professional liability insurer. You work in a challenging world where outsiders often use 20-20 hindsight to second-guess health care decisions you’ve made for your patients. As a result, litigation can strike at any time. Fortunately, since 1975, Medical Mutual has been here to protect your practice and professional reputation. Our unyielding and proactive claims defense gives you the confidence you need to practice good medicine. That’s why more Maryland Doctors depend on Medical Mutual than all other medical professional liability carriers combined. 225 International Circle | Hunt Valley, Maryland 21030 | 410-785-0050 | 800-492-0193 2 • THE MARYLAND familydoctor / SUMMER 2011 THE MARYLAND familydoctor Summer 2011 Volume 48, Number 1 contents FEATURES The Future of Integrated Delivery Systems: 12 Primary Care and Public Health Partnerships in Care Coordination by Andrea Mathias, M.D., MPH The Importance of Reporting Drug Adverse Events 15 by Jasmine Chen Gatti, M.D. Early Breast Cancer and Modern Healthcare 17 by Niharika Khanna, M.D. Ovarian Cancer: 20 Are Physicians Under-Screening for a Silent Killer? by Merrell R. Sami, M.D. Electronic Medical Records - Cover: Historic image of a pediatric clinic waiting room. 22 The Path Forward for Maryland Physicians by Gene Ransom (EVP, MedChi) MD-Tech: Use Your EMR Meaningfully: 24 Streamline the Team! by Matthew Hahn, M.D. Mission Statement To support and promote Maryland family physicians in order to improve the health of DEPARtmENts our State’s patients, families and communities. 4 Board of Directors, Commissions and Committees 10 Executive Director Engaging and Collaborating with Health Care Partners 5 President by Esther Rae Barr, CAE Summer Time Reflections by Eugene J. Newmier, D.O. 17 Calendar 8 Editor 19 Journal CME Quiz Clinical Practice Emcompassing Public Health by Jasmine Chen Gatti, M.D. 26 Members THE MARYLAND familydoctor / SUMMER 2011 • 3 PresideNT Western Matthew Hahn, M.D. 301-678-7007 Eugene J. Newmier, D.O.* 410-228-1325 Kari Alperovitz-Bichell, M.D. 410-867-4700 [email protected] [email protected] [email protected] AAFP DELEGates PresideNT-ELect Directors William P. Jones, M.D. 410-867-2200 Yvette Oquendo-Berruz, M.D.* 410-884-7831 Central [email protected] [email protected] Jocelyn M. Hines, M.D. 410-908-0478 Howard E. Wilson, M.D. 202-865-3200 [email protected] [email protected] 2011-2012/2013 Treasurer Christine L. Commerford, M.D.* 410-788-4800 Mozella Williams, M.D. 404-918-1278 AAFP ALT. deLEGates [email protected] [email protected] Adebowale G. Prest, M.D. 410-641-4200 SecretarY Eastern [email protected] Kisha N. Davis, M.D.* 410-884-7831 Andrea L. Mathias, M.D. 410-632-1000 x 1004 Yvette L. Rooks, M.D. 410-328-5012 [email protected] [email protected] [email protected] Vice presideNts Rosaire Verna, M.D. 410-745-6617 Immediate past presideNT Central [email protected] Yvette L. Rooks, M.D.* 410-328-5012 Eva S. Hersh, M.D. 410-545-4481 Southern [email protected] [email protected] Patricia Czapp, M.D. 410-286-8974 ResideNT Director Eastern [email protected] Kevin P. Carter, M.D. (UM) 410-328-8792 Howard H. Bond, M.D. 410-256-2580 Ramona G. Siedel, M.D. 410-518-9808 [email protected] [email protected] [email protected] StudeNT director Southern Western Meghana Desale (JHU) 408-891-4254 officers & directors & officers Trang M. Pham, M.D. 410-255-2700 Kristen Clark, M.D. 410-730-8288 [email protected] [email protected] [email protected] *Member of Executive Committee COMMISSIONS AND COMMITTEES Executive Committee of Board of Directors Commission on Legislation & Economic Affairs Eugene J. Newmier, D.O. (President) 410-228-1325 [email protected] Vice President Southern District Yvette Oquendo-Berruz, M.D. (Pres-E) 410-884-7831 [email protected] Trang M. Pham, M.D. 410-255-2700 [email protected] Christine L. Commerford, M.D. (Treas) 410-788-4800 [email protected] Legislative Committee Kisha Davis, M.D. (Secretary) 410-884-7831 [email protected] William P. Jones, M.D.** 410-867-2200 [email protected] Yvette L. Rooks, M.D. (Immediate PPres) 410-328-5012 [email protected] Kari Alperovitz-Bichell, M.D. 410-867-4700 [email protected] Commission on Membership and Member Services Howard H. Bond, M.D. 410-256-3580 [email protected] Vice President Central District Patricia Czapp, M.D. 410-286-8974 [email protected] Howard H. Bond, M.D.** 410-256-2580 [email protected] Kevin S. Ferentz, M.D. 410-328-4282 [email protected] Natelaine E. Fripp, M.D. 410-328-4283 [email protected] Bylaws Committee Robert S. Goodwin, M.D. 410-997-5333 [email protected] Yvette Oquendo-Berruz, M.D. ** 410-884-7831 [email protected] Kenneth B. Kochmann, M.D. 410-683-3330 [email protected] (new structure as of 6/24/11) Adebowale G. Prest, M.D. 410-546-0447 [email protected] Louis Kovacs, M.D. 410-404-0889 [email protected] Finance Committee Yvette Oquendo-Berruz, M.D. 410-884-7831 [email protected] Christine L. Commerford, M.D. ** 410-788-4800 [email protected] Ben E. Oteyza, M.D. 410-838-2424 [email protected] Eva S. Hersh, M.D. 410-545-4481 [email protected] Yvette L. Rooks, M.D. 410-328-5012 [email protected] Eugene J. Newmier, D.O. 410-228-1325 [email protected] Gregory H. Taylor, M.D. 410-328-0861 [email protected] Yvette Oquendo, M.D. 410-884-7831 [email protected] Rosaire M. Verna, M.D. 410-745-6617 [email protected] Joseph W. Zebley, III, M.D. 443-524-4481 [email protected] Joseph W. Zebley, III, M.D. 443-524-4481 [email protected] Nominating Committee Vivienne A. Rose, M.D. 410-328-2550 [email protected] Yvette L. Rooks, M.D. ** 410-328-5012 [email protected] Ramona G. Seidel, M.D. 410-518-9808 [email protected] Kisha Davis, M.D. 410-884-7831 [email protected] Tracy A. Wolff, M.D., MPH 301-427-1616 [email protected] Eva S. Hersh, M.D. 410-545-4481 [email protected] Joseph W. Zebley, III, M.D. 443-524-4481 [email protected] Katina N. Moore, M.D. 443-777-6544 [email protected] Commission on Education Eugene J. Newmier, D.O. 410-228-1325 [email protected] Vice President Central District Yvette Oquendo-Berruz, M.D. 410-884-7831 [email protected] Eva S. Hersh, M.D. 410-545-4481 [email protected] Membership Committee Education Committee Charles P. Adamo, M.D. 410-573-4067 [email protected] Eva S. Hersh, M.D. ** 410-545-4481 [email protected] Yvette Oquendo-Berruz, M.D. 410-884-7831 [email protected] Kwame Akoto, M.D. 410-328-5145 [email protected] RH = Rural Health Raygan Harris-Lofton, M.D. 410-255-2700 [email protected] Matthew A. Hahn, M.D. (RH) 301-678-7007 [email protected] Tracy Jansen, M.D. 301-498-3150 [email protected] Andrea L. Mathias, M.D. (RH) (410) 632-1000 x 1004 [email protected] Eugene J. Newmier, D.O. 410-228-1325 [email protected] Eugene J. Newmier, D.O. (RH) 410-228-1325 [email protected] Shana O. Ntiri, M.D. 410-328-8792 [email protected] Adebowale G. Prest, M.D. (RH) 410-546-0447 [email protected] Adora Otiji, M.D. 410-328-4283 [email protected] Trang M. Pham, M.D. 410-255-2700 [email protected] commissons &commissons commmittees Technology Committee Kwame Akoto, M.D. 410-328-5145 [email protected] Adebowale G. Prest, M.D. 410-546-0447 [email protected] Kristen Clark, M.D. 410-730-8288 [email protected] Vivienne A. Rose, M.D. 410-328-2550 [email protected] Matthew Hahn, M.D. 301-678-7007 [email protected] Ramona G. Seidel, M.D. 410-518-9808 [email protected] Eugene J. Newmier, D.O. 410-228-1325 [email protected] Tracy A. Wolff, M.D., MPH 301-427-1616 [email protected] Joseph W. Zebley, III, M.D. 443-524-4481 [email protected] Commission on Health Care Services and Public Health Vice President Western District Publications Committees Kari Alperovitz-Bichell, M.D. 410-867-4700 [email protected] MFD = MFD Editorial Board Richard Colgan, M.D.** (MFD) 410-328-2686 [email protected] Public Health Committee Joyce Evans, M.D. (MFD) 410-328-2273 [email protected] Niharika Khanna, M.D.** 410-328-5145 [email protected] Jasmine Chen Gatti, M.D. (MFD) 301-796-2074 [email protected] Kari Alperovitz-Bichell, M.D. 410-867-4700 [email protected] Trang M. Pham, M.D. (MFD) 410-255-2700 [email protected] Kisha Davis, M.D. 410-884-7831 [email protected] Merrell R. Sami, M.D. (MFD) 410-780-2000 [email protected] Lauren Gordon, M.D. (women’s health) 410-780-2000 [email protected] Tracy A.