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Established 1878
OCTOBER 2021
WHAT’S INSIDE
LSMS VISITS WITH EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE - MONROE CAMPUS
1 LSMS visits with VCOM 2 LSMSWorking for you! 3 Actions of the LSMS Board of Governors 4 Your Voice Matters 5 Looking back on LSMS History 6 Meet your legislators! 7
During the 2021 LSMS Annual House of Delegates, which was
held on August 7, 2021, the following members were elected to LSMS staff, VCOM - Monroe leadership, physician members and legislators in a recent trip to Northeast Louisiana. leadership positions on the Board of Governors and American Medical Association delegation.
LSMS Graduate Medical Education (GME) Lectures 8 LSMS Members Appointed to Louisiana Patients Compensation Fund (PCF) Oversight Board 9 Prescription Monitoring Program Advisory Council
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LSMS WORKING FOR YOU!
The LSMS Board met via Zoom on September 29, 2021, and their actions are summarized below. • The board appointed Matthew Giglia, M.D., an Ochsner Gastroenterologist from Baton Rouge to fill the Employed Physician Section seat. ACTIONS OF THE LSMS BOARD OF GOVERNORS September 2021
September
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Terri Watson hosted the House Staff GME lecture for Ochsner Medical Center
• Revised our current COVID-19 Statement to read: “While the LSMS recognizes personal choice based upon individual health care needs relative to the COVID-19 vaccine, we remain a policy-driven organization and for over 30 years, the LSMS has supported the administration of vaccines recommended by the Centers for Disease Control, as a public health measure to protect patients and reduce the spread of disease. Therefore, we encourage you to get vaccinated after consultation with your physician.” • Additionally, the board received updates on a recent court ruling regarding Ivermectin (Charlotte D. Ratley et al vs. St. Tammany Parish Hospital Service District No. 1 et al); Hurricane Ida damage and recovery efforts; LAMPAC’s approval of financial support and endorsement of Jeremy Stine in an upcoming special election in Louisiana Senate District 27; and an update of the sale of the LSMS Headquarters building
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JeffWilliams and Maria Bowen met LAMPAC endorsed Senate candidate Jeremy Stine in Lake Charles with LAMPAC Chairman, John Noble, MD.
• Future meeting dates for the 2021 – 2022 board were approved as: December 8th - Baton Rouge; March 16th – Lafayette; June 8th - Lake Charles, and August 5th - Baton Rouge. • Approved a notification process and contract language between the LSMS and KONZA to be utilized by HealthSYNC and Louisiana Insurance companies when data sets are requested by the insurance companies for their insured patients.
October
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Maria Bowen joined the AMA Scope of Practice staff meeting
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Lauren Bailey worked to bring a multi-employer healthcare plan to fruition
Sarah Edwards attended an ACCMEWebinar
JeffWilliams attended the PCF Meeting
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Maria Bowen joined the Advocacy Resource Meeting of the AMA
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Lauren Bailey participated in the Pharmacy Benefit Manager Monitoring Advisory Council Meeting
‘TIS THE SEASON FOR RENEWALS! For the same price as six stops at the coffee shop each month, youhave access to all the exclusive LSMSmember benefits you love. The LSMS advocates, communicates, educates, and collaborates with the help of dedicated members like yourself. It is through membership that the LSMS has continued to thrive for more than 140 years. Please take a few minutes to make sure your membership continues and that your information is up to date. With your support, LSMS is able to advocate, communicate, educate, and collaborate, with the goal of protecting your profession. We appreciate our dedicated LSMS members and their commitment to the Society. We urge you to remain an active member by taking action as soon as you receive your renewal invoice. The easiest way to renew is to sign up for our *NEW* auto-pay membership. Monthly, quarterly, and annual installments are available. You can also renew through the secure payment link sent directly to your email inbox. For members and practices that prefer to pay via check, a paper invoice can be provided. As you submit your renewal, please verify and update your profile so that we can better communicate with you!
Lauren Bailey chaired the Prescription Monitoring Program Advisory Council meeting
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LSMS staff met with Covalent Logic to work on LSMS Communications goals
JeffWilliams, Maria Bowen and Terri Watson met with consultants working on a Peer to Peer Program for physicians
AVOID THE CLUTTER AND SIGN UP FOR AUTOPAY!
Maria Bowen met with physician members to discuss physician assistant legislative efforts
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JeffWilliams and Maria Bowen visited Monroe for a tour of the new VCOM Osteopathic School of Medicine, to meet with physician members and to host legislators for dinner
Lauren Bailey attended the LABI Health Care Council meeting
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JeffWilliams and Maria Bowen participated in Coffee with Cassidy with Ray Morrison, DO, VCOM’s Vice President for College Advancement
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Government Affairs staff met with other medical advocates to discuss legislation
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Maria Bowen presented Peer to Peer Network options to the LSBME
Terri Watson hosted the House Staff GME lecture for Ochsner Medical Center
If you have any questions about your membership or want to get started with autopay today, contact Amy Tyrrell at atyrrell@lsms.org or 225.763.2303.
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Sarah Edwards attended the ACCMEWebinar
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YOUR VOICE MATTERS The LSMS has engaged Covalent Logic, a local strategic communications firm, to develop a comprehensive communications plan for our members, the public, regulators, and legislators. Your insight is vital to this process. We ask that you please take 5-10 minutes to complete an electronic survey you will receive from Covalent Logic as this information will guide us in providing more efficient and effective communications which meets your needs.
LOOKING BACK ON LSMS HISTORY Since its founding in 1878, The Louisiana State Medical Society has supported the physicians of Louisiana through some of our state and nation’s biggest trials. This includes the five-year span from 1941-1946 that encompassed the second world war.
In 1945, in order to help facilitate moving troops across the country by minimizing civilian travel, the office of the Defense Transportation banned gatherings with more than 50 people. As a result, the House of Delegates was not convened. It is not until the war ended in 1946 that we once again get a glimpse into the sentiment of Dr. Talbot regarding the brave physicians who served our country abroad as well as the doctors who provided care to those who remained at home. “Certainly, we should take this occasion to commend and salute the valiant efforts of our members who served in the armed forces for the contributions which they made in our behalf for the cause of freedom. Also, we should never forget those faithful and hardworking civilian doctors who remained at home and rendered such high class and efficient service to the American people under such trying circumstances.” For more glimpses into the history of the LSMS and the practice of medicine in Louisiana, check out our ongoing series on our social media pages @lamedsoc.
Pictured here from the LSMS library are the 1941- 46 Abstracted Minutes of the House of Delegates. Reading through the minutes give you an inside look into how Louisiana struggled to continue to provide quality medical care to our citizens when so many physicians were overseas. The following quote from the Secretary-Treasurer, P.T. Talbot, M.D. in his 1944 report to the House of Delegates provides insight into the thoughts of the LSMS leadership at during those years. “It is needless for me to remind you that we will be continuously facedwith serious and gravemedical problems as a result of the exigencies of the war. I am, furthermore, assured that these will be met in a manner pleasing to all by the medical professionals of our state.” Dr. Talbot went on to say, “In the meantime, we have to keep our chins up and demonstrate the ability of our profession as it has always been in the past, to carry on and give the best of medical service under such trying conditions.”
2022 100% GROUPS Thank you!
LOUISIANA SENIOR CARE ACO AFFINITY HEALTH GROUP
DERMATOLOGY & SKIN SURGERY NORTHWEST LA NEPHROLOGY DRS. SCHWARTZENBURG, LAFRANCA, GUIDRY, CHAPMAN, MAGEE & BOURGEOIS THE PATHOLOGY GROUP THE DERMATOLOGY CLINIC NORTHEAST LOUISIANA KIDNEY SPECIALISTS
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MEET YOUR LEGISLATORS! Name: Jeremy LaCombe, J.D. Party: Democrat District: 18 Profession: Attorney Committees: • House and Governmental Affairs • Ways and Means • House Select Committee on Homeland Security, Vice Chair • Joint Legislative Committee on Capital Outlay • House Select Leadership Committee
LSMS GRADUATE MEDICAL EDUCATION (GME) LECTURES
Since the start of the new program year, the LSMS has hosted several GME lectures for the residents and fellows at Ochsner Medical Center. This educational partnership was established in 2000 as a way to bring additional value to their learning experience and introduce them to the benefits of the state medical society.
August: Minimizing conflict within interprofessional settings Tina Gunaldo, PhD and Shane Sanne, DO, FACP reviewed a patient-physician communication case study. They led the group in discussing the case outcome and provided best practices in engaging with teams.
Tina Gunaldo, PHD Director, Center for
Shane Sanne, DO, FACP Associate Program Director – Internal Medicine, LSUHSC School Medicine
NEWSPAPERS YOU READ/TV NEWS YOUWATCH: I still read The Advocate for local and state reporting. Very rarely do I watch the news, either local or national. WHAT PHYSICIANS SHOULD KNOW: Out of 144 people serving in the Louisiana Legislature, not one single person is a M.D. We have lawyers, business people, nurses, real estate agents, contractors, and a host of others from all walks of life who serve, but not a single member is a Physician. This fact should absolutely be remedied. Our legislature needs the input of the Physician community while we are in the deliberative process. PHYSICIANS YOU LISTEN TO: The smartest person I know…..my wife! WHAT DIDN’T I ASK THAT YOUWANT TO SHARE: The issues that physicians care about at their office or hospital are being debated all the time in the legislature…… just without any input inside the rail from a physician legislator. That should be a major cause of concern, and hopefully encourages someone to run for office. One word(ish) answers: Texting or Talking: Talking Favorite color: Green Favorite book: Where the Red Fern Grows Favorite movie: Braveheart Favorite dessert: Dr. Sarah Huffman-Cazorla’s Tiramisu Favorite local restaurant: Beausoleil or Stab’s Favorite day: Halloween with my kids Foreign language: French College: Northwestern State University & LSU Law School
PERSONAL INFORMATION YOU ARE COMFORTABLE SHARING (MARRIED/CHILDREN, ETC.): Married to Jessica J. LaCombe, MD with 3 kids (Jaxson, Nellie & Griffin LaCombe) REASON FOR RUNNING FOR OFFICE: To help people REALITY OF ACTUALLY GETTING ELECTED: The biggest reality check for me after getting elected was seeing Washington style partisan politics take over our capitol building in Baton Rouge. Our problems are not Democrat problems or Republican problems, but they are Louisiana problems. We need to start putting people over partisan politics. Washington style partisan politics limits our potential, cripples our economy, squanders our natural resources and discourages people from participating in the legislative process. BIGGEST CHALLENGE YOU SEE FOR LOUISIANA: In my opinion the biggest challenge we will face in the very near futurewill be trying to figure out how-to long-term fund major infrastructure projects for transportation. Louisiana has a backlog of road and bridge projects that currently sits at approximately 30 billion dollars, and that does not include a new bridge over the Mississippi in Baton Rouge, or a new bridge in Lake Charles. Failure to put together a long-term plan to fund infrastructure projects, significantly impacts future economic development, cost our citizens untold thousands of dollars annually in vehicle repairs, cost our businesses millions of dollars in down time while employees sit in stalled out traffic, and limits the potential we have to grow and compete in today’s global economy. CRAZIEST THING YOU’VE SEEN AS A LEGISLATOR: In two short years, I feel like I have seen it all. WHAT NOBODY TOLD YOU BEFORE YOU RAN: The amount of time you would end up spending away from your family.
Interprofessional Education and Collaborative Practice
September: Financial Management – Personal Finance and the Basics of Investing Chase Terrebonne, JD from UBS Financial Services spoke to the attendees about setting themselves for financial success, why investing is important and how to get started.
Chase Terrebonne, JD
WE NEED YOUR HELP! TheGovernor’sOfficehas requestedphysiciannominations fromtheLSMSforconsideration to the Traumatic Head and Spinal Cord Injury Trust Fund Advisory Board. This board was created by the Louisiana Legislature in 1993 with Act 654, which imposes additional fees on motor vehicle violations in Louisiana for the offenses of driving under the influence, reckless operation, and speeding. We consider this a great honor as it confirms that our members are valuable contributors to the future of healthcare in Louisiana. Please click here for more information regarding meetings, rules, and past minutes. To be considered for nomination, please forward your name, contact information, and CV to Terri Watson, terri@lsms.org .
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LSMS MEMBERS APPOINTED TO LOUISIANA PATIENTS COMPENSATION FUND (PCF) OVERSIGHT BOARD
PRESCRIPTION MONITORING PROGRAM ADVISORY COUNCIL
OPIOIDS FromCY2016 through CY2020, Louisiana saw a 29%decrease in the number of opioid prescriptions. Examining CY2021, it appears Louisiana is on track for another decrease in opioid prescriptions dispensed. The opioid prescriptions include all opiate agonist, opiate partial agonist, buprenorphine containing products used in medication assisted treatment, and antitussives containing opioids. CONTROLLED DANGEROUS SUBSTANCES FromCY2016 through CY2020, Louisiana saw a 17%decrease in the number of controlled substance prescriptions. Examining CY2021, it appears we will remain similar to CY2020 and perhaps see a slight decrease. The CDS prescriptions include all federally scheduled 2 through 5 prescriptions. It does not include Louisiana C-V, drugs of concern, or therapeutic marijuana recommendations. THERAPEUTIC MARIJUANA Reporting commenced in August of 2019. Through September 30, 2021, the total prescription count is 154,263 resulting from 280 prescribers and 28,174 patients.
LSMSVice President of Legal Affairs, LaurenBailey, serves as the Vice Chair of the Advisory Council which met on October 13, 2021, during which the council received an overview of the program operation including statistical information as follows: As of October 1, 2021, the Louisiana PMP is interoperable with 304 licensees representing more than 2,275 facilities responsible for over 1.9 million requests in the month of September. The PMP is sharing data with 35 PMPs including 1 federal district, 1 territory, 1 federal jurisdiction and 32 states. The most recent states to be added were Colorado and Rhode Island. NUMBER OF ELIGIBLE PRESCRIPTION TRANSACTIONS
Governor John Bel Edwards recently appointed Robert “Reece” Newsome, M.D., a Radiologist fromBaton Rouge and David M. Broussard, M.D., an Anesthesiologist from Metairie each to a four-year term on the Louisiana Patients Compensation Fund (PCF) Oversight Board. This will be the first term for each. Dr. Newsome and Dr. Broussard join Luis M. Alvarado (Internal Medicine – Mandeville) and Christopher M. Foret (Family Medicine – Folsom) on the PCF Board where Dr. Foret currently serves as the current Chairman.
Robert “Reece” Newsome, M.D.
REPORTED TO THE PMP The transactions include:
David M. Broussard, M.D
• controlled substances (schedules 2 through 5 federally),
• drugs of concern (butalbital, naloxone, promethazine in oral liquid formulations, and gabapentin containing products), • Louisiana C-V controlled substances (ephedrine, pseudoephedrine, phenylpropanolamine containing products), and
• therapeutic marijuana recommendations.
About the PCF Oversight Board It consists of a total of ninemembers who are representatives of one or more classes of health care providers enrolled in the fund and these members shall be apportioned according to the distribution of aggregate surcharges paid to the fund among the several classes of health care providers enrolled in the fund. Four of the members represent the providers contributing the greatest percentage of the aggregate surcharges, two members represent the second greatest percentage, one member represents the third greatest percentage, and one member is appointed to represent all other providers enrolled in the fund. The ninth member is selected from nominees from insurance agents and must be a La. Licensed producer with experience in property & casualty insurance. Board Members are appointed for 3-year terms. Members are paid $75 per diem when attending board meetings or when engaged in board business. They are also reimbursed for travel in accordance with the Louisiana travel regulations. The PCF’s regularly scheduled meetings are held on the first Thursday of each month at Our Lady of the Lake Regional Medical Center, Baton Rouge, LA. A representative from the LSMS is present at most meetings.
Examining the trajectory for CY2021, it appears we will have an increase in the number of prescriptions dispensed and reported to the PMP. However, after a careful review of the information, there has not been an increase in the number of prescriptions dispensed, instead the increase is the result of adding promethazine in oral liquid formulations and gabapentin containing products to the list of drugs of concern in January 2021 Pharmacies are now required to report these dispensed transactions to the PMP. This requirement has increased the number of prescriptions reported to the PMP by 1.25 million prescriptions thus far in 2021.
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