| countdown_to_the_2018_wsma_annual_meeting_heres_what_you_need_to_know | Countdown to the 2018 WSMA Annual Meeting: Here's what you need to know | Advocacy | Shared_Content/News/Membership_Memo/20180912/countdown_to_the_2018_wsma_annual_meeting_heres_what_you_need_to_know | <div class="col-md-12">
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</div>
<h5>
September 12, 2018
</h5>
<h2>Countdown to the 2018 WSMA Annual Meeting: Here's what you need to know</h2>
<p>The 2018 WSMA Annual Meeting, WSMA's premier policymaking and networking event, is nearly here. If you have yet to register for the meeting, scheduled for Oct. 13-14 in Spokane, <a href="https://wsma.org/WSMA/Events/Annual_Meeting/WSMA/Events/Annual_Meeting/Annual_Meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f">do so today</a>. The meeting is free for WSMA members and members of the Washington State Medical Group Management Association. Here's what members should know as the meeting approaches.</p>
<ol>
<li>Tomorrow (Thursday, Sept. 13) is the final deadline for WSMA delegates to submit resolutions (proposals asking the WSMA to take a position or act on an issue) to the WSMA Seattle office. <a href="https://wsma.org/WSMA/Events/Annual_Meeting/How_to_Write_a_Resolution/WSMA/Events/Annual_Meeting/How_to_Write_a_Resolution/How_to_Write_a_Resolution.aspx?hkey=0b33a619-8be9-4a6f-b5b8-7be298a616ee">Learn more about the “whats†and “whys†of resolutions</a>.</li>
<li>The 2018 Delegate Handbook—the compilation of resolutions and other business to be considered by the House of Delegates at the meeting—is now available for <a href="https://wsma.org/WSMA/Events/Annual_Meeting/WSMA/Events/Annual_Meeting/Annual_Meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f#handbook">download from the WSMA Annual Meeting webpage</a>. Delegates may order the handbook on flash drive by emailing <a href="mailto:hod@wsma.org">hod@wsma.org</a>. The handbook will be updated with additional items following Thursday's resolution deadline and the revised handbook will be available on <a href="https://wsma.org/WSMA/Events/Annual_Meeting/WSMA/Events/Annual_Meeting/Annual_Meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f#handbook">the meeting webpage</a>.</li>
<li>More than 30 resolutions, covering a wide swath of public health and professional affairs issues, are now available in our password-protected <a href="https://wsma.org/WSMA/Events/Annual_Meeting/Online_Reference_Committees_and_Forum/WSMA/Events/Annual_Meeting/Online_Reference_Committees_and_Forum/Online_Reference_Committees_and_Forum.aspx?hkey=4ea4ed56-61ce-4121-89b9-636415daa863">"virtual†reference committees</a>. WSMA members are encouraged to take a moment to review these proposals and provide input, which is crucial to shaping good policy.</li>
</ol>
<p>Find the full agenda, speaker and activity detail and register for the WSMA Annual Meeting <a href="https://wsma.org/WSMA/Events/Annual_Meeting/WSMA/Events/Annual_Meeting/Annual_Meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f">online</a>.</p>
<p>The WSMA would like to thank our corporate partners for helping to make the meeting possible: exclusive premier partner <a href="http://www.phyins.com/">Physicians Insurance A Mutual Company</a>, and silver partners <a href="http://www.premera.com/">Premera Blue Cross</a>, <a href="https://www.fchn.com/">First Choice Health</a>,&nbsp;<a href="http://www.hallrender.com/">Hall Render</a>&nbsp;and <a href="https://www.wpmgcareers.org/index.html">Kaiser Permanente</a>. The WSMA also wishes to thank the following meeting sponsor for its generous contributions: platinum sponsor <a href="https://www.providence.org/">Providence Health &amp; Services</a>.</p>
</div> | 9/12/2018 11:18:50 AM | 9/12/2018 12:00:00 AM |
| medical_commission_finalizes_opioid_prescribing_rules | Medical Commission finalizes opioid prescribing rules | Advocacy | Shared_Content/News/Membership_Memo/20180912/medical_commission_finalizes_opioid_prescribing_rules | <div class="col-md-12">
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<h5>
September 12, 2018
</h5>
<h2>Medical Commission finalizes opioid prescribing rules</h2>
<p>Culminating a year-long rulemaking effort, the Washington State Medical Commission has finalized and voted to approve new opioid prescribing rules for physicians and physician assistants treating all phases of pain (acute, subacute and chronic). The Medical Commission will release final rule language this fall, with the new prescribing requirements scheduled to go into effect on Jan. 1, 2019.</p>
<p>Based on the draft language available at the final public hearing, the WSMA remains greatly concerned about the volume of administrative burden the new requirements would add to a physician's typically limited patient encounter and the lack to time afforded for related physician and public education. For more on our concerns, <a href="javascript://[Uploaded files/Resources/Clinical Quality/Opioids/WSMA_WSHA_commentsforsubmission_CR102opioidRxrules.pdf]">review formal comments</a> submitted on behalf of the WSMA and Washington State Hospital Association.</p>
<p>Many thanks to the many physicians and providers who provided feedback during the rulemaking period and who responded to our calls to action on the issue. WSMA staff will review the final rule language in detail once available and will prepare to assist you and your patients in being successful under these new rules. If you have questions about the rules, contact Jeb Shepard <a href="mailto:jeb@wsma.org">jeb@wsma.org</a>.</p>
</div> | 9/12/2018 10:42:43 AM | 9/12/2018 12:00:00 AM |
| update_on_medicaid_reimbursement_increase_for_pediatric_services | Update on Medicaid reimbursement increase for pediatric services | Advocacy | Shared_Content/News/Membership_Memo/20180912/update_on_medicaid_reimbursement_increase_for_pediatric_services | <div class="col-md-12">
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</div>
<h5>
September 12, 2018
</h5>
<h2>Update on Medicaid reimbursement increase for pediatric services</h2>
<p>One way the WSMA supports practice viability is to support fair Medicaid reimbursement, and this past legislative session we helped pass a funding provision, contained in <a href="http://apps2.leg.wa.gov/billsummary?BillNumber=6032&amp;Year=2017&amp;BillNumber=6032&amp;Year=2017">Senate Bill 6032</a>, that took a small, but significant, step forward: an increase in reimbursement rates for Medicaid pediatric primary care and vaccine services. Health Care Authority staff has been working to determine allocation amounts across the identified codes and has announced it will make the individual codes with the enhanced reimbursement rates available on Sept. 24.</p>
<p>Both physician and non-physician providers will be eligible for these increases, which are effective for dates of service beginning Oct. 1, 2018 and ending no sooner than June 30, 2019. For physicians and providers offering primary care for fee-for-service pediatric clients, the rate will increase 9.5 percent for evaluation and management services. For vaccine administration, the rates have increased to 77 percent of Medicare rates for vaccines administered through <a href="https://www.doh.wa.gov/ForPublicHealthandHealthcareProviders/PublicHealthSystemResourcesandServices/Immunization/VaccinesforChildren">Vaccines for Children</a>&nbsp;(VFC) and 100 percent of Medicare rates for vaccines administered outside of VFC. Physicians and providers serving clients covered by a contracted managed care organization should contact the individual MCO for the increase percentage. </p>
<p>The HCA has added <a href="https://www.hca.wa.gov/about-hca/apple-health-medicaid/rate-increase-pediatric-primary-care">a webpage with information on these rate increases</a>.</p>
</div> | 9/12/2018 11:16:11 AM | 9/12/2018 12:00:00 AM |
| wsma_advocacy_on_reported_problems_with_health_net_federal_service_and_tricare | WSMA advocacy on reported problems with Health Net Federal Service and TRICARE | Advocacy | Shared_Content/News/Membership_Memo/20180912/wsma_advocacy_on_reported_problems_with_health_net_federal_service_and_tricare | <div class="col-md-12">
<h5>
September 12, 2018
</h5>
<h2>WSMA advocacy on reported problems with Health Net Federal Service and TRICARE</h2>
<p>In January, Health Net Federal Services took over the contract for the TRICAREWest Region that was previously handled by UnitedHealthCare. There were some significant challenges with the transition at the beginning of the year and it appears as if these challenges are still impacting practices. The WSMA has been working with HNFS on addressing the challenges impacting physicians and providers. As of July 1, HNFS ended waivers to facilitate this transition.</p>
<p>At this time, we are hearing that problems are still occurring with the TRICARE program and that some of these issues are also impacting Medicare Advantage plans offered by Centene, the parent company of HNFS. The WSMA is communicating these practice-specific concerns to HNFS leadership for their direct intervention in resolving these problems. If you are encountering such issues, contact Michelle Lott at <a href="mailto:mml@wsma.org">mml@wsma.org</a>.</p>
</div> | 9/12/2018 11:27:24 AM | 9/12/2018 12:00:00 AM |
| WSMA_joins_AMA_to_raise_concerns_on_proposed_changes_to_E_M_codes | WSMA joins AMA to raise concerns on proposed changes to E/M codes | Advocacy | Shared_Content/News/Latest_News/2018/September/WSMA_joins_AMA_to_raise_concerns_on_proposed_changes_to_E_M_codes | <div class="col-md-12">
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<h5>
September 12, 2018
</h5>
<h2>WSMA joins AMA to raise concerns on proposed changes to E/M codes</h2>
<p>The WSMA joined with the AMA and about 170 other medical organizations, signing onto <a href="https://www.ama-assn.org/170-groups-send-letter-proposed-changes-physician-payment-rule">a letter to the Centers for Medicare &amp; Medicaid Services</a> that raised concerns about CMS' proposal to substantially revise the current framework of the evaluation and management codes.</p>
<p>The proposed changes, contained in <a href="https://wsma.org/Shared_Content/News/Membership_Memo/20180725/new_cms_rule_proposes_significant_changes_to_medicare_billing_and_documentation">CMS' notice of proposed rulemaking for the 2019 Medicare physician payment rule</a>, would collapse payment rates for eight office visit services for new and established patients&nbsp;down to two each. A key concern is that these changes would result in the underpayment of services to physicians who treat the sickest patients.</p>
<p>The letter expressed appreciation for CMS’ goal of seeking to reduce excessive E/M documentation requirements and urged immediate adoption of these principles:</p>
<ol>
<li>Changing the required documentation of the patient’s history to focus only on the interval history since the previous visit.</li>
<li>Eliminating the requirement for physicians to re-document information that has already been documented in the patient’s record by practice staff or by the patient.</li>
<li>Removing the need to justify providing a home visit instead of an office visit.</li>
</ol>
<p>To help address these concerns, the letter recommended that AMA create of a work group of physicians and other health professionals to analyze E/M coding and payment issues, with recommended actions to be presented to CMS in time for implementation in the 2020 Medicare physician fee schedule.</p>
<p>Sept. 10 was the deadline for comments on the proposed rule, with the final rule expected to be released by CMS in early fall.&nbsp;For additional background, watch the following CMS videos:</p>
<ul>
<li><a href="https://www.youtube.com/watch?v=JvoRQfMtPo4&amp;feature=youtu.be">Introduction</a> (3 minutes).</li>
<li><a href="https://www.youtube.com/watch?v=B0BZmGYpYFU&amp;feature=youtu.be">Office visits</a> (2 minutes).</li>
<li><a href="https://www.youtube.com/watch?v=W2QBTQNxfSY&amp;feature=youtu.be">Panel discussion</a> (22 minutes).</li>
</ul>
</div> | 9/5/2018 4:58:34 PM | 9/12/2018 12:00:00 AM |
| wsma_testifies_against_proposed_scope_expansion_for_naturopaths | WSMA testifies against proposed scope expansion for naturopaths | Advocacy | Shared_Content/News/Membership_Memo/20180912/wsma_testifies_against_proposed_scope_expansion_for_naturopaths | <div class="col-md-12">
<h5>
September 12, 2018
</h5>
<h2>WSMA testifies against proposed scope expansion for naturopaths</h2>
<p>The WSMA joined several medical specialty societies in testifying against a proposal from the state naturopathic licensing board to allow naturopathic physicians to perform non-surgical cosmetic procedures, including the administration of botulinum toxin, dermal fillers or other inert substances. The WSMA believes naturopaths do not have the appropriate training for these types of procedures and this expansion of scope of practice would put patients at undue risk of harm. The WSMA also submitted formal comments to the Department of Health on the matter. To read the comments and for more information, see the <a href="https://wsma.org/Shared_Content/News/Weekly_Rounds/2018/weekly_rounds_2018_09_03_five_things_you_need_to_know_this_week">Sept. 3 issue of Weekly Rounds</a>, the newsletter from WSMA CEO Jennifer Hanscom.</p>
</div> | 9/12/2018 11:17:44 AM | 9/12/2018 12:00:00 AM |
| opioid_overdose_pilot_program_designed_to_save_lives | Opioid overdose pilot program designed to save lives | Advocacy | Shared_Content/News/Latest_News/2018/August/opioid_overdose_pilot_program_designed_to_save_lives | <div class="col-md-12">
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<h5>
August 31, 2018
</h5>
<h2>Opioid overdose pilot program designed to save lives</h2>
<p>
Aug. 31, International Overdose Awareness Day, is an opportunity to remember those who have been affected by overdoses as well as offer education about how to prevent or reverse overdoses. Approximately 700 people die from overdoses in Washington state each year. This tragic loss of life impacts all aspects of our community, and it is something we can stop.
</p>
<p>
To stop overdoses, the WSMA, the Washington State Department of Health and the Washington State Hospital Association have partnered with Collective Medical (developers of the Emergency Department Information Exchange, or EDIE) to launch an overdose notification program in Clallam and Jefferson counties. This pilot program will notify a primary care physician or other prescribing provider when their patient is brought to a hospital emergency department and confirmed to have experienced an overdose event.
</p>
<p>"More than 90 percent of patients who experience an overdose event go on to have a prescription for the same drug that almost killed them. This is because providers are not aware their patient almost died," says Olympic Medical Center Chief Medical Officer Scott Kennedy, MD. "The goal of this pilot is to stop this cycle and save lives."
</p>
<p>
Physicians and providers need timely and meaningful information to support patient care. This notification program uses the EDIE platform to share critical information with providers, nearly in real time. Elya Prystowsky, executive director of Olympic Community of Health said, "We are excited to pilot this amazing notification program in the peninsula as it will help providers quickly coordinate care, get patients access to treatment services and work to reduce overall opioid prescriptions."
</p>
<p>
The pilot will last for three months and then spread to the rest of the state at no cost to hospitals, physicians or providers.
</p>
<p>
The WSMA worked with WSHA, DOH and Collective Medical Technology to advance legislation (HB 1427) in 2017 to establish this program. We have been working collaboratively over the past year to build the infrastructure, and we are excited to finally pilot the program and expand it in the coming months.
</p>
<p>
For a closer look at the pilot overdose notification program, be sure to read the Legal Matters column in the September/October issue of WSMA Reports, now in the mail to WSMA members (<a href="https://wsma.org/WSMA/News_Publications/Publications/WSMA_Reports_Archive/WSMA/News_Publications/Publications/WSMA_Reports_Archive/WSMA_Reports_Archive.aspx?hkey=d3cb4400-8f2b-4fd4-9e4f-f970296623b3">click here</a> for a pdf of the issue). Also in that issue, you'll find up-to-date coverage of other WSMA and state efforts to find clinically effective, long-term solutions to the opioid crisis.
</p>
<p>
For more Washington state-specific information and resources on stopping overdoses, please visit <a href="http://stopoverdose.org">stopoverdose.org</a>.
</p>
</div> | 8/31/2018 9:19:58 AM | 8/31/2018 12:00:00 AM |
| are_you_a_health_care_employer_take_this_survey_and_help_washington_gauge_workforce_challenges | Are you a health care employer? Take this survey and help Washington gauge workforce challenges | Advocacy | Shared_Content/News/Membership_Memo/20180822/are_you_a_health_care_employer_take_this_survey_and_help_washington_gauge_workforce_challenges | <div class="col-md-12">
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</div>
<h5>
August 22, 2018
</h5>
<h2>Are you a health care employer? Take this survey and help Washington gauge workforce challenges</h2>
<p>The <a href="http://www.wtb.wa.gov/HealthSentinel/">Washington Sentinel Network</a> works with health care providers across the state to identify common occupational skills they need but can't always get, then provides that information to legislators, educators and others to inform policymaking. If you are a health care employer, please take a moment to provide feedback to the network on your workforce needs via this <a href="https://uwfamilymedicine.co1.qualtrics.com/jfe/form/SV_dhEJ4jEwJ1YwEWF">online survey</a> (feedback is particularly needed from primary care/specialty clinics and hospitals).
</p>
<p>Your feedback is confidential. The network is a collaboration of the state's Workforce Training and Education Coordinating Board and the UW Center for Health Workforce Studies. Visit the <a href="http://www.wtb.wa.gov/HealthSentinel/findings.asp">Sentinel Network's website</a> to review its findings to date, searchable by facility type and geographic region.</p>
</div> | 8/22/2018 9:31:31 AM | 8/22/2018 12:00:00 AM |
| comments_due_sept_10_on_cms_proposal_for_physician_fee_schedule_and_quality_payment_program | Comments due Sept. 10 on CMS proposal for physician fee schedule and Quality Payment Program | Advocacy | Shared_Content/News/Membership_Memo/20180822/comments_due_sept_10_on_cms_proposal_for_physician_fee_schedule_and_quality_payment_program | <div class="col-md-12">
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</div>
<h5>
August 22, 2018
</h5>
<h2>Comments due Sept. 10 on CMS proposal for physician fee schedule and Quality Payment Program </h2>
<p>Physicians, providers and staff have until Sept. 10 to submit comments to the Centers for Medicare &amp; Medicaid Services on its proposed rule updating Medicare's physician fee schedule and Quality Payment Program for 2019. The new rule proposes comprehensive and significant changes to Medicare billing and documentation, including a single new rate for evaluation and management (E/M) services, provisions to incentivize EHR interoperability and telehealth services, and much more.</p>
<p>The WSMA earlier reported on <a href="https://wsma.org/Shared_Content/News/Membership_Memo/20180725/new_cms_rule_proposes_significant_changes_to_medicare_billing_and_documentation">highlights of the proposed changes and the mixed reception to the proposal</a> from some in the medical community. The AMA is working with state and specialty medical societies to discuss and identify key concerns and recommendations to submit to CMS (see <a href="https://assets.ama-assn.org/sub/advocacy-update/2018-08-09.html#national">this AMA update for more information</a>). CMS has provided <a href="https://www.cms.gov/newsroom/fact-sheets/proposed-policy-payment-and-quality-provisions-changes-medicare-physician-fee-schedule-calendar-year-3">a fact sheet covering the changes to the physician fee schedule</a> and one covering the <a href="https://www.cms.gov/Medicare/Quality-Payment-Program/Resource-Library/2019-QPP-proposed-rule-fact-sheet.pdf" target="_blank">changes proposed for the Quality Payment Program</a>, as well as a <a href="https://www.youtube.com/watch?v=JvoRQfMtPo4&amp;feature=youtu.be">series</a> of <a href="https://www.youtube.com/watch?v=B0BZmGYpYFU&amp;feature=youtu.be">videos</a> providing a closer look at the changes to E/M coding, including a <a href="https://www.youtube.com/watch?v=W2QBTQNxfSY&amp;feature=youtu.be">live telecast</a> of a panel discussion with CMS leaders. The proposed rule and instructions on how to provide feedback are available from the <a href="https://www.federalregister.gov/documents/2018/07/27/2018-14985/medicare-program-revisions-to-payment-policies-under-the-physician-fee-schedule-and-other-revisions">Federal Register website</a>.</p>
<p>(Update Aug. 27, 2018: The AMA has delivered <a href="javascript://[Uploaded files/News and Publications/Newsletters/2018/AMA_E_M_sign-on_letter_to_CMS.pdf]">its recommendations to CMS regarding proposed changes to the physician fee schedule</a>, with the WSMA cosigning, along with other state and specialty societies.)&nbsp;<br />
<br />
</p>
</div> | 8/22/2018 9:34:19 AM | 8/22/2018 12:00:00 AM |
| health_care_authority_introduces_online_prior_authorization_for_apple_health_and_pebb | Health Care Authority introduces online prior authorization for Apple Health and PEBB | Advocacy | Shared_Content/News/Membership_Memo/20180822/health_care_authority_introduces_online_prior_authorization_for_apple_health_and_pebb | <div class="col-md-12">
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</div>
<h5>
August 22, 2018
</h5>
<h2>Health Care Authority introduces online prior authorization for Apple Health and PEBB</h2>
<p>Physicians and providers caring for patients enrolled in Apple Health or the Public Employees Benefits Board may now submit prior authorizations for medical requests online.</p>
<p>The Health Care Authority has completed a system update to ProviderOne to allow electronic submissions of prior authorization requests and all backup documentation. Physicians and providers submitting requests may also use the ProviderOne portal to check the status of their request. For step-by-step instructions, visit the HCA's <a href="https://www.hca.wa.gov/billers-providers/prior-authorization-claims-and-billing/prior-authorization-pa">prior authorization webpage</a>. Prior authorization requests may still be submitted by fax or mail.</p>
<p>Reminder: For medical services covered by individual and small/large group health plans, new requirements are in effect streamlining insurer requirements and easing your burden. Make sure you're making the most of these new requirements by visiting the <a href="http://priorauth.wsma.org/">WSMA Prior Authorization Navigator</a>.</p>
</div> | 8/22/2018 9:36:25 AM | 8/22/2018 12:00:00 AM |
| join_wampac_for_fundraiser_in_support_of_dr_kim_schrier | Join WAMPAC for fundraiser in support of Dr. Kim Schrier | Advocacy | Shared_Content/News/Membership_Memo/20180822/join_wampac_for_fundraiser_in_support_of_dr_kim_schrier | <div class="col-md-12">
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<h5>
August 22, 2018
</h5>
<h2>Join WAMPAC for fundraiser in support of Dr. Kim Schrier</h2>
<p><a href="https://www.drkimschrier.com/">Dr. Kim Schrier</a> (D-Issaquah), a Virginia Mason pediatrician and longtime WSMA member, was victorious in the primary election for the 8<sup>th</sup> Congressional District seat and will advance to the general election on Nov. 6. Following her victory, the board of directors of <a href="https://wsma.org/WSMA/Advocacy/WAMPAC/WSMA/Advocacy/WAMPAC/WAMPAC.aspx?hkey=269c3c03-cf72-4568-be5b-7893557300a7">WAMPAC</a>, WSMA's campaign arm, voted unanimously to support her campaign and will be hosting a luncheon fundraiser for her in Auburn on Friday, Aug. 31.</p>
<p>The fundraiser will take place at Oddfellas Pub (102 W Main St., Auburn 98001) starting at noon; suggested donation levels are $250/friend; $500/sponsor; $1,000/co-host. Space is very limited for this small-group event, so if you are interested in attending please RSVP to Sean Graham as soon as possible at <a href="mailto:sean@wsma.org">sean@wsma.org</a>. If you are not able to attend but would like to provide a contribution to Dr. Schrier's campaign in support of the event, <a href="https://act.myngp.com/Forms/-620291617758246144">you can do so here</a>.</p>
</div> | 8/22/2018 8:56:48 AM | 8/22/2018 12:00:00 AM |
| learn_how_to_run_a_successful_campaign_at_the_2018_ampac_campaign_school | Learn how to run a successful campaign at the 2018 AMPAC Campaign School | Advocacy | Shared_Content/News/Membership_Memo/20180822/learn_how_to_run_a_successful_campaign_at_the_2018_ampac_campaign_school | <div class="col-md-12">
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<h5>
August 22, 2018
</h5>
<h2>Learn how to run a successful campaign at the 2018 AMPAC Campaign School</h2>
<p>Ever wonder how doctors get elected to Congress or your state legislature? Considering a run for office yourself? Then the AMPAC Candidate School, held Dec. 8-9 in Washington, D.C., is for you.</p>
<p>The AMPAC Candidate School is designed to give you the skills and strategic approach you will need out on the campaign trail. A select team of political experts will teach you everything you need to know to run a successful campaign or be a sought-after volunteer.</p>
<p><a href="http://www.ampaconline.org/political-education/apply/">Registration is now open</a>. The deadline to register is Sept. 21—the program fills up quickly, so don't delay. The registration fee is $350 for AMA members, spouses and state medical society staff ($1,000 for non-AMA members). The fee is waived for students/residents; however, there are limited slots and the AMPAC Board will review and select from the pool of qualified applicants.</p>
<p>For more information or to apply visit <a href="http://www.ampaconline.org/political-education/apply/">AMPAC online</a> or contact <a href="mailto:politicaleducation@ama-assn.org">politicaleducation@ama-assn.org</a>.</p>
</div> | 8/22/2018 8:48:03 AM | 8/22/2018 12:00:00 AM |
| resolutions_now_available_for_your_input_on_wsma_virtual_reference_committees | Resolutions now available for your input on WSMA virtual reference committees | Advocacy | Shared_Content/News/Membership_Memo/20180822/resolutions_now_available_for_your_input_on_wsma_virtual_reference_committees | <div class="col-md-12">
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<h5>
August 22, 2018
</h5>
<h2>Resolutions now available for your input on WSMA virtual reference committees</h2>
<p>Reference committees give WSMA members an opportunity to discuss and debate resolutions and other business that will be considered for action at the WSMA Annual Meeting each fall, and thus serve a key role in WSMA's policymaking process (learn more about the <a href="https://wsma.org/WSMA/Events/Annual_Meeting/WSMA/Events/Annual_Meeting/Annual_Meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f">role of the annual meeting in determining WSMA policy</a>).&nbsp; Resolutions are now available for your review and feedback in our password-protected <a href="https://wsma.org/WSMA/Events/Annual_Meeting/Online_Reference_Committees_and_Forum/WSMA/Events/Annual_Meeting/Online_Reference_Committees_and_Forum/Online_Reference_Committees_and_Forum.aspx?hkey=4ea4ed56-61ce-4121-89b9-636415daa863">"virtual†reference committees</a>, and more will be added in the weeks to come in anticipation of the 2018 WSMA Annual Meeting this October.</p>
<p>
Note: you'll be prompted to sign in to the website to review resolutions and comment.</p>
<p>Now available in Reference Committee B, which covers issues related to professional services and internal affairs:</p>
<ul>
<li><strong>Resolution B-1</strong> would have the WSMA reaffirm policy that resolutions be submitted to the House of Delegates separate from committee reports, with the resolution sponsor(s) clearly identified. <a href="https://wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=38db3f25-ce59-427b-a451-cef8419f081f&amp;WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927">Read the resolution and post your comments</a>.</li>
<li><strong>Resolution B-2</strong> would have the WSMA implement additional criteria for consideration in electing board of trustees members and would require all qualified candidates be placed on a ballot for House of Delegates voting. <a href="https://wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=dd8c0c25-b1dc-4bec-8000-b92546b71df6&amp;WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927">Read the resolution and post your comments</a>.</li>
<li><strong>Resolution B-3</strong> would have the WSMA advocate for several measures to help identify, treat and eliminate sources of childhood lead poisoning in the state. <a href="http://www.wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=99123686-8b7c-4bcd-b319-3c8f81dbb8e3">Read the resolution and post your comments</a>.</li>
<li><strong>Resolution B-4</strong> would have the WSMA promote the use of the metric system across the entire health care system. <a href="http://www.wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=e6aa2654-820b-4211-9d5f-915b17698dd1">Read the resolution and post your comments</a>.</li>
<li><strong>Resolution B-5</strong> contains recommendations from the WSMA/WAPA work group on physician assistant practice. <a href="http://www.wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=bdfdc754-f827-40cc-81f0-597c53fa10d6">Read the resolution and post your comments</a>.</li>
<li><strong>WSMA policies subject to sunset: </strong>The WSMA executive committee and the board of trustees have reviewed policies subject to sunset in 2017 and have made recommendations to reaffirm, amend or allow to sunset for each individual policy. The policies will be available for review and comment between now and the 2019 WSMA Annual Meeting. <a href="https://wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=e77e8b5a-dbe2-4873-9d4d-0b4d45519502&amp;WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927">Read the policies and post your comments</a>.</li>
</ul>
<p>Now available in Virtual Reference Committee C, covering legislative affairs, health care economics/reform:</p>
<ul>
<li><strong>Resolution C-1</strong> would have the WSMA work to promote clarity in the use of the term “doctor,†including a campaign to educate the public regarding the different levels of training of different practitioners. <a href="https://wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=4a2fbec9-ab1f-4703-b926-bf2a082cff30&amp;WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927">Read the resolution and post your comments</a>.</li>
<li><strong>Resolution C-2</strong> would have the WSMA adopt policy supporting mainstream opioid-free therapies to treat and manage pain, including support for health plan coverage of such therapies. <a href="https://wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=845d6394-219b-4a0a-ace0-7f8ad5a80b05&amp;WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927">Read the resolution and post your comments</a>.</li>
<li><strong>Resolution C-3</strong> would have the WSMA identify physician whistleblower protections as a legislative priority and find sponsors to introduce such a bill into the 2019 legislature. <a href="https://wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=dbfb0548-3abe-48d1-baeb-91168cbf327d&amp;WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927">Read the resolution and post your comments</a>.</li>
<li><strong>Resolution C-4</strong> would have the WSMA support a public option in the state and continue the work of WSMA's Universal Health Coverage and Access Work Group for an additional year. <a href="https://wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=c2a23ee7-54a9-4beb-8bc9-487599376eda&amp;WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927">Read the resolution and post your comments</a>.</li>
<li><strong>Resolution C-5</strong> would have the WSMA draft and find sponsors for a "corporate practice of medicine" bill to be introduced during the 2019 state legislative session. <a href="http://www.wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=e47faae7-14bf-4560-b605-1afb0b6b8511">Read the resolution and post your comments</a>.</li>
<li><strong>Resolution C-6</strong> would have the WSMA support the legalization and use of biochemical hydrolysis as a green alternative to traditional cremation. <a href="http://www.wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=8eb12673-269a-4ef0-a764-875a9a1bc3ce">Read the resolution and post your comments</a>.</li>
</ul>
<p>Take a moment to review these proposals and provide your feedback, which is crucial to shaping good policy. If adopted, these resolutions help guide WSMA's advocacy efforts and policy positions on behalf of its members, their patients and the greater medical community in Washington.</p>
<p>Member testimony will be accepted in the virtual reference committees until midnight on Wednesday, Oct 10. If you'd like to provide testimony in person, reference committees meetings are scheduled for Saturday, Oct. 13 at the <a href="https://wsma.org/WSMA/Events/Annual_Meeting/WSMA/Events/Annual_Meeting/Annual_Meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f">2018 WSMA Annual Meeting</a> in Spokane. If you haven't yet registered for the meeting,&nbsp;<a href="https://wsma.org/WSMA/Events/Annual_Meeting/WSMA/Events/Annual_Meeting/Annual_Meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f">do so today</a>. The meeting is free for WSMA members and for members of the Washington State Medical Group Management Association.</p>
</div> | 8/22/2018 9:26:31 AM | 8/22/2018 12:00:00 AM |
| update_on_medicaid_interpreter_services_vendor_and_request_for_feedback | Update on Medicaid interpreter services vendor and request for feedback | Advocacy | Shared_Content/News/Membership_Memo/20180822/update_on_medicaid_interpreter_services_vendor_and_request_for_feedback | <div class="col-md-12">
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<h5>
August 22, 2018
</h5>
<h2>Update on Medicaid interpreter services vendor and request for feedback</h2>
<p>Many practices have experienced <a href="https://wsma.org/Shared_Content/News/Membership_Memo/20180711/some_serious_bumps_in_the_transition_to_new_medicaid_interpreter_services_vendor.aspx">significant issues</a> with the Health Care Authority's new interpreter services vendor, Universal Language Services. The WSMA, working in close collaboration with the Washington State Medical Group Management Association, has been communicating with HCA leadership to address reported problems. While most of the initial transition problems appear to have been addressed, we are asking practices to contact us with any ongoing issues specifically related to fulfilling the interpreter requests, and to share with us your thoughts on potential improvements or changes that might assist you. Please contact Michelle Lott at <a href="mailto:mml@wsma.org">mml@wsma.org</a> with your feedback.</p>
</div> | 8/22/2018 9:01:03 AM | 8/22/2018 12:00:00 AM |
| court_sides_with_wsma_in_case_scrutinizing_standards_for_expert_testimony | Court sides with WSMA in case scrutinizing standards for expert testimony | Advocacy | Shared_Content/News/Membership_Memo/20180808/court_sides_with_wsma_in_case_scrutinizing_standards_for_expert_testimony | <div class="col-md-12">
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<h5>
August 8, 2018
</h5>
<h2>Court sides with WSMA in case scrutinizing standards for expert testimony</h2>
<p>
In a 7-2 decision favoring WSMA's position, the Washington State Supreme Court handed down a ruling in Reyes v. Yakima Health District that found a declaration from the plaintiff's expert witness insufficient to establish medical negligence. This is important because the case could have lowered the standards for pretrial statements from expert witnesses regarding the standard of care in medical malpractice cases.
</p>
<p>
In this case, brought against a treating physician and the Yakima Health District, an expert witness for the plaintiff submitted a declaration stating that the physician violated the standard of care, yet failed to specify what the standard of care in the case should have been.
</p>
<p>
The trial court had granted summary judgment for the defendants on the medical malpractice claim and on the other claims. The court of appeals had upheld that decision. When the state Supreme Court decided to take up the case, we submitted a brief urging the court to do the same.
</p>
<p>
We were pleased to see the court side with our arguments, ultimately deciding that an expert witness' declaration must state the standard of care before concluding that the defendant had violated said standard. The WSMA, joined by the American Medical Association, the Washington Chapter of the American College of Emergency Physicians, and supported by Physicians Insurance, submitted a brief in the case urging, among other things, for the court to preserve the current standards, and we are pleased to see the court do so.
</p>
<p>
For questions on this case, contact Tierney Edwards, JD, at <a href="mailto:tee@wsma.org">tee@wsma.org</a> or Denny Maher, MD, JD, at <a href="mailto:denny@wsma.org">denny@wsma.org</a>.
</p>
</div> | 8/8/2018 3:03:11 PM | 8/8/2018 5:23:58 PM |
| wsma_weighs_in_as_state_attorney_general_considers_pharmacists_scope_of_practice | WSMA weighs in as state attorney general considers pharmacists' scope of practice | Advocacy | Shared_Content/News/Membership_Memo/20180808/wsma_weighs_in_as_state_attorney_general_considers_pharmacists_scope_of_practice | <div class="col-md-12">
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<h5>
August 8, 2018
</h5>
<h2>WSMA weighs in as state attorney general considers pharmacists' scope of practice </h2>
<p>
The WSMA has provided comments to the state attorney general's office in response to a formal opinion request from the Washington State Medical Commission on pharmacists' scope of practice.
</p>
<p>
Medical Commission Chair Warren Howe, MD, has requested the attorney general's interpretation of state law related to pharmacists' scope of practice under a collaborative drug therapy agreement (CDTA). The <a href="https://www.atg.wa.gov/pending-attorney-generals-opinions#Howe">request</a> raises questions regarding a pharmacist's ability to diagnose medical conditions and prescribe medications under a CDTA that grants authority to pharmacists for "initiating or modifying" a drug treatment plan.
</p>
<p>
In our comments, the WSMA argued that the law is clear and does not allow a pharmacist to diagnose medical conditions. The WSMA also asserted that a pharmacist does not have truly independent prescriptive authority, even under a CDTA with a physician. Because a pharmacist's scope of practice does not include the ability to diagnose medical conditions, this task cannot be delegated by the physician to a pharmacist. Currently, we argued, a CDTA does not require a pharmacist to diagnose to operate under a CDTA, because "initiating or modifying" a drug treatment plan only requires a pharmacist to follow a set of steps or algorithm specified by the physician or other prescriber who wrote and authorized the CDTA.
</p>
<p>
We will update members once the attorney general's office releases its opinion in response to the Medical Commission's request. For questions on this issue, contact Denny Maher, MD, JD, at <a href="mailto:denny@wsma.org">denny@wsma.org</a>.
</p>
</div> | 8/8/2018 3:00:41 PM | 8/8/2018 4:16:05 PM |
| special_invitation_to_join_the_wampac_diamond_club | Special invitation to join the WAMPAC Diamond Club | Advocacy | Shared_Content/News/Membership_Memo/20180808/special_invitation_to_join_the_wampac_diamond_club | <div class="col-md-12">
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<h5>
August 8, 2018
</h5>
<h2>Special invitation to join the WAMPAC Diamond Club</h2>
<p>
While it's too soon at the time of this writing to call <a href="[@]Shared_Content/News/Membership_Memo/20180808/Blue_wave__looming__Primary_election_results_favor_Democrats.aspx">a number of yesterday's primary competitions</a>, it's never too soon to support WAMPAC, WSMA's nonpartisan political action committee that supports the house of medicine. Right now, we're offering a special <a href="https://wsma.org/WSMA/Advocacy/WAMPAC/Give_to_WAMPAC.aspx?WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927&amp;hkey=665ce949-b574-4ec7-8e5a-7a796233e5d7">WAMPAC Diamond Club membership rate of $100</a> for the duration of the election cycle. By joining the Diamond Club, you help support WAMPAC and the candidates who support medicine, while receiving exclusive access to political information and events. And as part of our special election year offer, your Diamond Club membership includes free admission to the WAMPAC luncheon at the WSMA Annual Meeting in Spokane on Saturday, Oct. 13 (a $40 value).
</p>
<p>
Since its inception in 2015, the Diamond Club has received more than 200 contributions, raising more than $90,000 for WAMPAC. These investments help ensure WSMA's voice remains influential and effective. If you care about politics and policy, please consider <a href="https://wsma.org/WSMA/Advocacy/WAMPAC/Give_to_WAMPAC.aspx?WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927&amp;hkey=665ce949-b574-4ec7-8e5a-7a796233e5d7">joining your physician colleagues in the Diamond Club</a>.
</p>
<p>
Learn more about how WAMPAC supports you: One of the many ways WAMPAC brings value to WSMA members is providing details on lawmakers' track records on issues important to you and your patients. With 2018's midterm elections around the corner, be sure to review the <a href="https://wsma.org/WSMA/Advocacy/WAMPAC/WAMPAC.aspx?WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927&amp;hkey=269c3c03-cf72-4568-be5b-7893557300a7#tracker">2018 WAMPAC Vote Tracker</a> to learn where your legislators stand on health care policy.
</p>
<p>
If you have questions about WAMPAC, the Diamond Club or your membership status, contact Sean Graham at <a href="mailto:sean@wsma.org">sean@wsma.org</a>.
</p>
</div> | 8/8/2018 2:52:14 PM | 8/8/2018 4:16:03 PM |
| Blue_wave__looming__Primary_election_results_favor_Democrats | Blue wave looming? Primary election results favor Democrats | Advocacy | Shared_Content/News/Membership_Memo/20180808/Blue_wave__looming__Primary_election_results_favor_Democrats | <div class="col-md-12">
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<h5>
August 8, 2018
</h5>
<h2>Blue wave looming? Primary election results favor Democrats</h2>
<p>
For months, the talk among political insiders has been whether we'd see a "blue wave" sweep more Democrats into office this year. The notion is that the party out of power at the federal level tends to make gains in midterm elections when there's no presidential election on the ballot. It's too soon to make definitive statements, but Republicans would do well to head for higher ground based on early primary election returns posted on Tuesday.
</p>
<p>
In essence, the primary election is a massive statewide political poll. And as we learned in 2016, it’s dangerous to put too much stock into polls. Not all primary ballots have been counted yet, and there’s a lot of time between now and the general election in November. But even with those caveats, it’s tough to read the primary results as anything other than the potential of a blue wave looming in November.
</p>
<p>
At the time of this writing, Republicans are trailing in 17 House races where they currently hold seats, in addition to four Senate races. For historical context, if Republicans were to lose 17 House seats it would put them at their smallest contingent in Olympia since 1941. Three Republican congressional seats also look to be at least closely contested, if not in jeopardy.
</p>
<p>
The WSMA has been closely watching the open-seat race in the state’s 8th Congressional District, being vacated by Rep. Dave Reichert (R-Auburn). Two Democratic physician candidates—Dr. Kim Schrier and Dr. Shannon Hader—faced off there in a crowded primary. Schrier currently leads the Democrats slightly, with a 1,000-vote advantage over attorney Jason Rittereiser, and 5,000 over Hader. The winner of that primary will advance to the general election against Republican Dino Rossi, a former state senator and gubernatorial candidate.
</p>
<p>
There are several state legislative districts where Republicans are in jeopardy of losing multiple seats. Republicans are trailing in two House races each in the Issaquah-area 5th District and Puyallup-area 25th District where they currently hold seats. The 26th District on the Kitsap Peninsula looks to feature close races for both House seats and the Senate slot. Ditto for Whatcom County’s 42nd District and Spokane Valley’s 6th District, both of which last sent a Democrat to Olympia in 2011.
</p>
<p>
It’s worth repeating that there are important caveats to keep in mind. Not all ballots have been counted, and late-arriving returns have often (though not always) favored Republicans in recent years. But we also know that turnout will likely be much higher in the general election, and higher turnout tends to benefit Democrats.
</p>
<p>
A lot can change between now and the general election on Nov. 6. But for Republicans to weather this storm and maintain any semblance of balance in Olympia next session, they may have to learn how to ride a blue wave.
</p>
<p>
<em>This primary update comes courtesy of WAMPAC, WSMA's nonpartisan campaign arm. <a href="[@]WSMA/Advocacy/WAMPAC/WAMPAC.aspx">Learn more about WAMPAC and how it supports the house of medicine</a>.</em></p>
</div> | 8/8/2018 12:42:44 PM | 8/8/2018 2:47:28 PM |
| 2018_wsma_annual_meeting_help_guide_wsma_advocacy_by_authoring_a_resolution | 2018 WSMA Annual Meeting: Help guide WSMA advocacy by authoring a resolution | Advocacy | Shared_Content/News/Membership_Memo/20180725/2018_wsma_annual_meeting_help_guide_wsma_advocacy_by_authoring_a_resolution | <div class="col-md-12">
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<h5>
August 8, 2018
</h5>
<h2>2018 WSMA Annual Meeting: Your resolutions due Sept. 13</h2>
<p>
WSMA members interested in shaping association policy can do so by submitting a resolution for consideration at the WSMA Annual Meeting this fall. The WSMA provides <a href="https://wsma.org/WSMA/Events/Annual_Meeting/How_to_Write_a_Resolution/How_to_Write_a_Resolution.aspx">detailed instructions on how to write and submit a resolution</a>; you can also talk to your local county medical or state specialty society for more information. If you have questions or need assistance, WSMA staff is available to help: Email us at <a href="mailto:hod@wsma.org">hod@wsma.org</a> or call 206.441.9762. The final deadline for submitting resolutions to the WSMA for consideration at this year's annual meeting is Sept. 13.
</p>
<p>
Registration is now available for the <a href="https://wsma.org/WSMA/Events/Annual_Meeting/WSMA/Events/Annual_Meeting/Annual_Meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f">2018 WSMA Annual Meeting</a>, Oct. 13-14 at the Historic Davenport Hotel in Spokane. The meeting is free for WSMA members and members of the Washington State Medical Group Management Association (WSMGMA). <a href="https://wsma.org/WSMA/Events/Annual_Meeting/WSMA/Events/Annual_Meeting/Annual_Meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f">Learn more about the meeting and register today</a>.
</p>
</div> | 7/25/2018 2:57:58 PM | 8/8/2018 12:00:00 AM |
| Last_chance_to_comment_on_rules_impacting_the_way_you_prescribe_opioids | Make your voice heard! Last chance to comment on proposed opioid prescribing rules | Advocacy | Shared_Content/News/Membership_Memo/20180808/Last_chance_to_comment_on_rules_impacting_the_way_you_prescribe_opioids | <div class="col-md-12">
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<h5>
August 8, 2018
</h5>
<h2>Make your voice heard! Last chance to comment on proposed opioid prescribing rules</h2>
<p>
The WSMA is urging members to review and provide feedback on the Washington State Medical Commission's <a href="https://www.doh.wa.gov/Portals/1/Documents/3000/CR-102-07162018.pdf" target="_blank">final proposed rulemaking</a> establishing opioid prescribing requirements for physicians and physician assistants in our state. Don't delay; your comments are due by Aug. 16. This is your last opportunity to provide input before the rules are finalized by the Medical Commission later this year.
</p>
<p>
While the current proposal is drastically improved over previous iterations, the WSMA remains concerned about the volume of administrative burden and liability these rules would place on physicians and physician assistants during the limited context of a patient encounter and the resulting impact on access to appropriate care. Learn more about these concerns by reviewing <a href="javascript://[Uploaded files/Resources/Clinical Quality/Opioids/WSMA_WSHA_commentsforsubmission_CR102opioidRxrules.pdf]">our formal comments on the rulemaking</a>, submitted on behalf of the WSMA and Washington State Hospital Association joint opioid safe practices task force.
</p>
<p>
In addition to your own thoughts, your feedback to the Medical Commission may be as simple as endorsing WSMA and WSHA’s comments. Send your feedback on the draft rules to the Medical Commission at <a href="mailto:medical.rules@doh.wa.gov">medical.rules@doh.wa.gov</a> before Aug. 16.
</p>
<p>
For those available to attend in person, the Medical Commission will be holding a public hearing on the proposed rule on Aug. 22, beginning at 2 p.m. at the Hotel RL Olympia located at 2300 Evergreen Park Drive SW in Olympia.
</p>
</div> | 8/1/2018 9:08:05 AM | 8/8/2018 12:00:00 AM |