April 2017 Bulletin



Editorial …………………………. 121
Patient care vs. privacy, or HIPAA,takes a holiday
Deval (Reshma) Paranjpe, MD, FACS

Miller Time …………………….. 124
What we leave behind
Scott Miller, MD, MA, FAAHPM

Perspective ……………………. 126
The beautiful end
Christine M. Glaser, MD

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Keith R. Lagnese, MD, FACP, HMDC

Perspective ……………………. 128
Walking wounded: The epidemic of PTSD in the inner cities
William Simmons, MD

Perspective ……………………. 130
How to recognize bipolar disorder in a country where everyone is diagnosed with it
Leo Bastiaens, MD

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New health care company begins work to enhance value-based health care in Pennsylvania

The Care Centered Collaborative, a new Harrisburg-based health care company founded by thousands of Pennsylvania physicians statewide, is now open for business and says it has the tools to help independent physicians enhance the patient experience through higher quality care, cost savings, and greater customer satisfaction.


“We are in a new health care world that is evolving every day,” says Jaan Sidorov, MD, president and chief executive officer of the Care Centered Collaborative. “As healthcare delivery becomes more focused on value, both physicians and their patients are keenly interested in having access to care options that reduce the burden of chronic disease and improves well-being.”


Formed by the Pennsylvania Medical Society (PAMED), the leading advocate for Pennsylvania patients and their physicians, the Care Centered Collaborative supports the provision of value-based care by Pennsylvania physicians. One new service will enable care excellence in the federal government’s Quality Payment Program (QPP).  Established by the landmark Medicare Access and CHIP Reauthorization Act of 2015 (“MACRA”), QPP is designed to promote high quality healthcare for Medicare beneficiaries.


In addition to fostering excellence in QPP, Care Centered Collaborative will partner with physicians to gain greater efficiencies to build superior access to care and services for Pennsylvania’s patients including accurate insurance claims handling, care management services, and health informatics technology. Joint programs designed to improve patient care with other health care organizations are also planned.


“Today’s health care is about providing high quality care at the lowest costs possible while increasing patient satisfaction,” Dr. Sidorov says. “That’s what we all want and that’s why we’ve built a Pennsylvania-specific company with local expert staff who know the Keystone State’s health care environment inside out.  Through the Care Centered Collaborative, we’ve made a very a strong commitment to advancing access to high quality care for our friends and neighbors … the citizens of the Commonwealth.”


Dr. Sidorov says this company will improve care because they fully understand how ever-changing regulations are forcing independent medical practices to transform, while still preserving physician-led team based care and the doctor-patient relationship. Care coordination becomes the linchpin of this health care environment.


“The culture of health care is transforming,” he says. “Physicians were once service providers and now they need to be clinical managers, handling the most complicated cases but also supervising day-to-day care and management by other clinicians.”


According to Dr. Sidorov, funding by PAMED for up to $15 million for the Care Centered Collaborative was preceded by months of advance work and preparation. This set the foundation before the PAMED House of Delegates, representing 18,000 members of the organization, unanimously voted to move forward with the new company. The Care Centered Collaborative will be headquartered at 777 East Park Drive in Harrisburg, and currently is growing to include 10 full-time employees.


“There is growing evidence that physician-led care through a team of health care professions is excellent care, and this can create value to patients, payers, and health care professionals,” says Charles Cutler, MD, president of PAMED. “As we look into the future and what it holds, we believe the Care Centered Collaborative will be an asset to Pennsylvania’s physicians and their patients. We’re very excited to see this new company up and running.”

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March Bulletin Available



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Editorial …………………………… 82
Deval (Reshma) Paranjpe, MD, FACS

Editorial …………………………… 84
The kid scores again
Joseph C. Paviglianiti, MD

Perspective ……………………… 86
Stop the Bleed campaign aims to educate public
Matthew D. Neal, MD
Benjamin R. Reynolds, MSPAS, PA-C, DFAAPA
Raquel M. Forsythe, MD, FACS
David A. Bertoty, MSN, RN, NEA-BC
Andrew B. Peitzman, MD

Perspective ……………………… 90
Making a difference
Richard H. Daffner, MD, FACR

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National POLST Paradigm Toolkit Webinar Series

The National POLST Paradigm is hosting a webinar series to present a new POLST toolkit we’ve been developing, Using the POLST Paradigm to Honor Patient Wishes Across the Care Continuum. This toolkit is intended to give facilities a reference of what the POLST Paradigm is, and will provide resources (FAQs, sample policies and practices, etc.) to help implement quality procedures that support the treatment wishes of patients using the POLST Paradigm.

This Spring 2017 webinar series includes 6 webinars, an Overview, plus 5 webinars that correspond to various care settings in which POLST is important:

  1. Primary Care,
  2. EMS,
  3. In-patient Hospital,
  4. Nursing Homes, and
  5. Hospice.

You may register for the free webinars and learn more at http://polst.org/toolkit/

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Allegheny County Medical Society
713 Ridge Avenue
Pittsburgh, PA  15212
412-321-5030  FAX 412-321-5323