CDC Releases New Guidelines for Personal Protective Wear for Healthcare Workers Treating Patients with the Ebola Virus

Yesterday, the CDC released new detailed guidance on the types of personal protective equipment (PPE) to be used and on the processes for donning and doffing (i.e., putting on and removing) PPE for all healthcare workers entering the room of a patient hospitalized with Ebola virus disease (Ebola). For that information, and to read the CDC’s other recommendations, please click on the following link:

http://www.cdc.gov/vhf/ebola/hcp/procedures-for-ppe.html

Washtenaw Medical Beat Episode on Depression Available For Viewing

The latest Washtenaw Medical Beat discussing depression can be seen thru the following link:

The program previously aired in March 2014 on the Community Television Network, Cable Channel 17.

2014 MSMS Foundation Annual Scientific Meeting

Washtenaw County Medical Society and its membership are cordially invited to attend the 149th Michigan State Medical Society (MSMS) Foundation Annual Scientific Meeting to be held October 22-25, 2014, at the Somerset Inn, Troy.

ASM 2014 will offer WCMS members over 40 three-hour sessions, two one-hour plenary sessions, and the one-hour William Beaumont Lecture over the four-day conference. Physicians can earn up to 28.5 AMA PRA Category 1 Credit(s)TM.


Conference highlights include:

ü Free Plenary Sessions offered at 7:00 a.m.

· Thursday – Delivering High Value Care in 2014

· Friday – Sew Up the Safety Net for Women and Children: Reducing Infant Mortality in Southeast Michigan through Equitable Care

ü Discounted Rates for Members, YPS, Retirees, Students and Residents.

ü Earn CME at Night. Courses with complimentary dinner offered Wednesday and

Thursday evenings.

ü Saturday CME. Three sessions on Saturday, from 8:30 a.m. to 12:00 p.m. covering

Otolaryngology, Back Pain, and Interventional Radiology.

Space is limited, so please register early. For questions, please contact Marianne Ben-Hamza at (517) 336-7581 or mbenhamza@msms.org. We look forward to seeing you at this year’s ASM.

Registration form:
ASM Mailer_2014_print

CMS to Reopen Meaningful Use Hardship Exemption

Due to significant pressure from the AMA, the Centers for Medicare & Medicaid Services (CMS) has announced the reopening of its Meaningful Use (MU) hardship exception application for physicians and hospitals to avoid the 2015 penalty. The new deadline will be November 30, 2014. Previously, the hardship exception application deadline was April 1, 2014 for hospitals and July 1, 2014 for physicians.

While all Medicare physicians have until February 28, 2015 to attest to any 90-day reporting period in 2014 to obtain an MU incentive, Medicare physicians who started the program this year were required to attest by October 1, 2014 to avoid a penalty of up to 2 percent in 2015. Those new to the MU program can now apply for a hardship exception to avoid this penalty if they missed the October 1 deadline. In addition, even if you are prepared to attest by February 28, 2015, you can still apply for a hardship exception as a fallback precaution to avoid the penalty. The AMA believes this hardship exemption will be interpreted broadly by CMS and therefore encourages all physicians who meet the following criteria to apply by the November deadline.

The hardship exception, however, only provides relief from the MU penalty and will not earn you an incentive. Meaningful Use incentives are still available for those who are able to meet and attest to the Stage 1 or Stage 2 measures by the February deadline.

This reopened hardship exception period is for Medicare physicians and hospitals that:

· Have been unable to fully implement 2014 Edition CEHRT due to delays in 2014 Edition CEHRT availability; and

· Physicians who were unable to attest by October 1, 2014 and hospitals that were unable to attest by July 1, 2014 using the flexibility options provided in the CMS 2014 CEHRT Flexibility Rule.

The CMS 2014 CEHRT Flexibility Rule allows physicians to use older certified EHR technology (Version 2011), a combination of old and new technology (Version 2011 and Version 2014), or just new technology (Version 2014) to attest for their 2014 reporting period. A more in-depth review of the rule can be found on the AMA website under “Avoiding meaningful use penalties / Hardship Exceptions.” Unfortunately, the CMS system was not ready to accept attestations by the October 1, the last date Medicare physicians new to MU could attest to avoid a penalty. This is part of the reason why CMS elected to re-open the hardship filing period, ensuring more doctors avoid a 2015 penalty.

For more information, and for a link to the hardship exemption application, visit the CMS website.

FREE CME if You Renew Your Membership by November 15

MSMS/WCMS membership renewals are in the process of being mailed, and as a thank you for your loyalty as a member and for paying early, all physicians who pay their 2015 dues by November 15 will receive a coupon for a free CME course at a MSMS educational training.

MSMS/WCMS values you as a member and this is just a small token of our appreciation for your continued support of organized medicine.

For questions about membership, please contact Joshua C. Richmond, Director, Membership & Political Fundraising, at 517-336-5788 or jrichmond@msms.org.

Washtenaw County Flu Update

First flu hospitalization of the season as of 10/1/14

Washtenaw County Public Health received a report of a Washtenaw adult hospitalized with lab-confirmed influenza B (via PCR testing). The individual is an older adult with underlying high risk health conditions who had not been vaccinated against flu. An additional case of influenza B, also in an Ypsilanti-area adult, was reported two weeks ago.

Influenza testing:

It is important for clinicians to order confirmatory lab testing on suspected influenza cases, especially when we are early in the season. Rapid flu tests are not reliable when low levels of influenza are circulating. Influenza PCR and culture isolates are an essential part of ongoing public health surveillance throughout the season.

Vaccination:

Providers should vaccinate throughout the influenza season (see below for a summary of vaccine coverage for last flu season). Provider recommendation for vaccination is critical. Public Health has flu vaccine available for everyone 6 months and older; call 734-544-6700 to schedule an appointment.

Please see the Washtenaw County Public Health web site for ongoing local flu surveillance information:

http://www.ewashtenaw.org/government/departments/public_health/ph_flusurveillance.html


Influenza vaccination coverage in Washtenaw County during 2013-14 season

Washtenaw County children had the top rate of flu vaccine coverage in Michigan last year (per MCIR). Among Washtenaw children ages 6 months through 4 years, 70% received at least one dose of flu vaccine; the state average was 49.6%. In the 5 to 12 year-old age group, 50.1% in Washtenaw were vaccinated compared to 31.6% statewide. Rates in adults are lower but this is partly due to lack of consistent entry of adult vaccines into the MCIR.

Public Health wants to thank all of our providers for helping to protect our community against flu. Flu vaccine rates in Washtenaw kids are particularly impressive and reflect the efforts of staff across the health care system. We are getting closer to our community goal of 90% coverage for everyone 6 months and older.


2013-14 Flu-associated hospitalizations and deaths in Washtenaw residents

2013-14 was a moderately severe flu season which was dominated by influenza A/H1N1; B viruses were circulating as well. An intense wave of A/H1N1 hit the community in late December and January causing numerous hospitalizations. The hospitalizations were fairly evenly distributed among younger (18 – 49 yrs), middle-aged (50 – 64 yrs) and older adults (65+ yrs). Few hospitalizations (5% of total) were seen in children 17 years and younger. Almost all hospitalized individuals had an underlying high-risk condition. Residents of the Ypsilanti area and African-American adults had higher rates of hospitalization than expected.

The low hospitalization rate in Washtenaw children last season is notable. The flu-related hospitalization rate among Washtenaw 0 – 4 year olds was 10.4/100,000 compared to a national rate of 46.7/100,000 (CDC). During the 2009 H1N1 pandemic, 27% of local hospitalizations were in children 17 years and younger, compared to 5% in 2013-14.

Some key findings of Washtenaw flu-related hospitalizations in 2013-14:

· Total hospitalizations = 116

· ICU Admissions = 20%

· Adult flu-related deaths = 4

· Child flu-related deaths = 0

· Underlying high-risk condition = 94%

Please see the full summary of hospitalizations for more details: http://www.ewashtenaw.org/government/departments/public_health/disease_control/2013-14-flu-hospitalization-summary

2014 Waggoner Lecture on Ethics & Values, Wednesday, October 29 at 4 p.m.

2014 Waggoner Lecture on Ethics and Values
Click the above link to print the flyer

Sharon P. Douglas, M.D., Professor of Internal Medicine and Associate Dean for Veterans
Administration Education at the University of Mississippi Medical Center, will give the 2014 Raymond W.
Waggoner, MD, Lecture on Ethics & Values in Medicine, sponsored by the University of Michigan
Department of Psychiatry, Wednesday, October 29, 2014, at 4:00 pm in the Ford Auditorium, second
floor, at the University of Michigan Hospital.

Dr. Douglas’ talk is entitled “End of Life Discussions, What, How and When? /I End of life care has
become increasingly important and the doctor plays a leadership role in advance planning. The skillful
understanding physician and his staff and aides provide a discussion format which includes the dying
patient, the family and the doctor. Dr. Douglas will confront some of the difficult issues physicians and
other caregivers face when meeting with a dying patient and his family. She will offer tools for initiating
conversations about dying and will then provide communication techniques to use at critical points in
the conversation. The conversation that no one wants to have will become more heartfelt and helpful
through Dr. Douglas’ teachings.

Dr. Douglas has recently served and just completed her term as the Chair of the American Medical
Association (AM A) Council on Ethical and Judicial Affairs. This council essentially sets the nation’s professional ethical standards on behalf of American medicine.

The talk is free and open to the public.

For information contact:

Philip Margolis, M.D.
734-998-6180
margolis@med.umich.edu

or

Sandra Glover

Administrative Assistant Senior

University of Michigan Department of Psychiatry
Phone: 734-232-0352

sandig@med.umich.edu

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