VIRGINIA MEDICAL NEWSMARCH 2016

IN THIS ISSUE:President’s message . . . . 4EVP’s message . . . . . . . . 5Legislative Summit . . . . .9Doctors’ Day . . . . . . . . .14MSV Marketplace . . . . .17

2 www.msv.org

MSV Leadership

Medical Society of Virginia2924 Emerywood Parkway, Suite 300, Richmond, VA 23294

800 | 746-6768 • www.msv.org

Officers, Board Members and AMA Delegates

PresidentEdward G. Koch, M.D., FACOG

President-ElectBhushan H. Pandya, M.D.

Immediate Former

PresidentWilliam C. Reha,

M.D., M.B.A.

Secretary-TreasurerAlan L. Wagner, M.D., FACS

Speaker of the House

Kurtis S. Elward, M.D., M.P.H., FAAFP

Vice SpeakerArthur J. Vayer Jr., M.D.

DirectorsMichael S. Amster, M.D. Joel T. Bundy, M.D., FACP, FASNJohn F. Butterworth IV, M.D.Sandy L. Chung, M.D., FAAP, FACHEClifford L. Deal III, M.D., FACSEhsan Dowlati

James R. Dudley, M.D., M.B.A. Jacqueline M. Fogarty, M.D. Stuart F. Mackler, M.D., FACSIbe O. Mbanu, M.D., M.B.A., M.P.H. S. Hughes Melton, M.D., M.B.A., FAAFPMohit Nanda, M.D. Patricia A. Pletke, M.D.William S. Prominski, M.D.

Jonathan T. Schaaf, M.D.John D. Ward, M.D.Alan H. Wynn, M.D., FACP

Associate DirectorsTeresa W. Babineau, M.D.Samuel D. Caughron, M.D. James J. Gooding, M.D.Joshua Lesko, M.D.Michael S. Martin, M.D.

Monica MelmerLarry G. Mitchell, M.D.Edilberto O. Pelausa, M.D., FACS, FRCSCPradeep Pradhan, M.D.Timothy L. Raines, M.D. Richard A. Szucs, M.D.Chi Young, M.D.

ChairRandolph J. Gould, M.D.

Vice ChairClaudette E. Dalton, M.D.

DelegatesDavid A. Ellington, M.D.Edward G. Koch, M.D., FACOGHazle S. Konerding, M.D. Mitchell B. Miller, M.D. Lawrence K. Monahan, M.D.

Alternate DelegatesClifford L. Deal III, M.D.Thomas W. Eppes Jr., M.D. Russell C. Libby, M.D. Bhushan H. Pandya, M.D. Sterling N. Ransone Jr., M.D.

William C. Reha, M.D., M.B.A. Cynthia C. Romero, M.D., FAAFP

AMA delegation

March 2016 3

Who better to help you?

Each day thousands of physicians treat their patients with confi dence in knowing that MSVIA is their insurance partner. Building on the Medical Society of Virginia’s legacy of caring about Virginia physicians, our team stands ready to support you with unbiased guidance and exceptional service.

Request a quote at www.msvia.org/RequestQuote.

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As the General Assembly session draws to a close and I reflect on the many successes MSV achieved, I know that we were able to win because of you, my fellow MSV members. Your thoughts, passions and actions are the driving force behind this great organization. Thanks to you, we were able to tackle very difficult

issues facing the Commonwealth and improve the practice of medicine for Virginia physicians. One of the many issues the General Assembly considered this year was the prescription drug crisis in the Commonwealth. As you know, prescription drug misuse is a national epidemic and legislatures are under growing pressure to combat the problem. Oftentimes, this results in well-intentioned legislation that unfortunately targets the practice of medicine—something we saw happen in Richmond. Thanks to the great work of MSV’s Opioid Misuse Task Force, a group of physicians from diverse perspectives, we were prepared.

As the only organization in Virginia that represents all physicians in the Commonwealth, MSV was extremely successful in working with members of the General Assembly; we pushed back and were able to ensure that the changes would be practical for physicians, while still addressing the prescription drug crisis. For example, many of our White Coats on Call participants advocated tirelessly for changes to the Prescription Monitoring Program. You can see the results of their hard work in the chart:

This is only one instance where, thanks to you, MSV made a big difference on behalf of Virginia physicians and patients.

Though the legislative session has ended for the year, our work is far from over. Now, we must begin to implement what was passed and plan for the future. MSV needs you once again to lend your voice, your time and your passion. I encourage you to do so by attending MSV’s Legislative Summit (more on page 9). I know that with your help, 2017 will be a banner year for health care in Virginia. In the meantime, I again thank you for your participation and for your support for our organization.

Thank you,

Edward Koch, M.D., FACOGMSV President

President’s Message

President’s message: Thanks to You

March 2016 5

I believe in the power of listening. When I first began at the Medical Society of Virginia (MSV) last year, it was my top priority to meet with as many of our leaders as I could, and I began what we refer to as my “listening tour” across Virginia. During the tour I met with hundreds of physicians who graciously shared with me their stories, successes and concerns about the

future of medicine. This was invaluable to quickly dive in and see the common passions—and pain points—among members of our organization.

I learned how important it was to listen very early on in my career. I had a very important lesson from a great boss who had me reach out to thousands of our constituents my first year personally. And, as I sat there calling each individual one by one, I realized what she already knew—they wanted to be heard and were happy that someone cared enough to ask. If you’re at all familiar with Stephen Covey and his work, you will know that most people don’t listen with the intent to understand and instead listen with the intent to reply.

At MSV, we are trying to do both. We hear you, and we’re also doing something about it. On the next two pages of this newsletter you’ll find two documents that we compiled as a direct result of the feedback we received during the listening tour and our strategic planning sessions. The information from the “We Asked. We Listened.” document played a direct role in the creation of our new strategic plan—RISE. Over the next few years, MSV is going to be focused on Raising the perceived value of physicians, Increasing revenue to support the strategic plan, Strengthening the value of MSV and Empowering physicians to manage change. We’re not done listening. We will continue to find new ways to engage with you and gather your feedback about the direction MSV is taking. We will continue to look over each and every one of the comments you supply us within our surveys, whether it’s on what you would like to see done to help end the opioid epidemic or how you view the potential health insurance mergers. We seek to understand your frustrations and we hear the prevailing feelings of helplessness and resignation.

We are here to let you know that you don’t have to feel that way. Virginia is in the midst of an incredible time within the health care realm, and after listening to so many of your thoughts and concerns, MSV is taking bold strides in the right direction to

protect the practice of medicine in Virginia. We did incredible work with our efforts on certificate of public need (COPN) with great representation from several of our members and with our solid partnerships with other specialty groups. Through our work in convening stakeholders and determining solutions, we’re showing how important it is to work toward meaningful COPN reform. We have also taken a firm stance on our efforts with opposing the creation of “associate physicians” and helping to make significant achievements to address the opioid crisis.

Those of you who were at our 2015 Annual Meeting’s House of Delegates may remember that I mentioned Winston Churchill and his ability to pull people together to stand in what they believe in as a force. Thanks to their unity and collective determination, they ultimately achieved victory. He once said, “I was not the lion but it fell to me to give the lion’s roar.” The need to rally us together as an organization still remains. More than ever, I believe that we need to stand united to lead the way as the champions of patients, quality of care and health in Virginia. We need you to participate, to voice your ideas and to work with us.

I hope you will continue to engage with MSV and carry the message to others that organized medicine, and our collective power, is more important than ever. Know that we hear you and will work with you to find the best way to accomplish our shared goal of a healthier, better Virginia. Although the 2016 General Assembly session has ended, there is no better time to increase our shared strength and show what an incredible force physicians are in practicing medicine in Virginia the way it was meant to be practiced and in rising—and roaring—together.

Melina Davis-MartinMSV Executive Vice President

EVP’s Message

EVP’s Message: The Power of Listening

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Raise the perceived value of physicians

Raise the perceived value of MSV

Help physicians manage change

Consider ways to reach out to and represent patients

Patient portals, education, patient experience, patient representation

Highlight importance of the physician’s role in determining treatment

Patient-physician relationship, physician’s “trusted voice,” value of physician training/education

Improve public image of physicians Position physicians and MSV as the

source of medical truth

Identify direct and indirect value of membership

Tangible benefits – both in the immediate and future

Provide opportunities for engagement Volunteering, serving, recruiting,

representing

Show a unified voice Opportunities to bring together all

specialties, backgrounds and geographies

Respond to different member needs Understand how to best address each

member’s individual need

Engage members actively and early Get back to the roots of medicine Engagement with medical students

and residents

BUILDING ON YOUR BURNING ISSUES

KEY TAKEAWAYS

Increase membership by increasing direct benefits

Communicate the value of the legislative wins

Own public perception as patient advocates and medical experts

Offer information and resources to patients

Work together to demonstrate a unified front

Spread the fire and actively recruit more physicians to join us

March 2016 7

Strengthen the connection of physicians with patients and within communities

Promote value and importance of physicians to patients in their communities and in health care

Raise up House of Medicine or Voices of Physicians to improve communities and health care

Plan and execute a marketing and communication effort among physicians and publicly

Be the unifying community for all physicians in Virginia

Elevate physicians in local communities and in healthcare

Provide value added benefit to the physician community

Equip employees and leadership to advance to a position of strength

Execute a strategic communication plan that builds mutually beneficial relationships between MSV, physicians and the public

Provide tools to help physicians succeed in a modern business environment

Expand engagement of physicians in the house of medicine and in the leadership of 21st century medicine

Facilitate the involvement of physicians as leaders in health care

Increase revenue annually

Evaluate and implement new revenue sources and other offerings to ready MSV to meet future demands and opportunities (Both revenue and strength)

RRaise

the perceived value of

physicians

Increase revenue to support the

strategic plan

I SStrengthen

the value of MSV

EEmpower

physicians to manage change

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March 2016 9

The Medical Society of Virginia (MSV) cannot achieve any of its legislative successes without you. We want to hear your top priorities for MSV’s 2017 legislative agenda. Your input is critical to our advocacy eff orts.

Be sure to come to learn about and discuss priorities for 2017. If you have an idea that you would like to be considered as part of MSV’s legislative agenda, you simply need to submit a proposal online at www.msv.org/legislativesummit by April 29. All MSV members and local and specialty medical societies have the opportunity to submit proposals for potential inclusion in MSV’s 2017 legislative agenda. In order for your proposal to be heard at the legislative summit, you must be present in-person at the summit or send a designee on your behalf.

After the summit, MSV’s legislative committee reviews the input and prioritizes issues for possible legislative initiatives based on MSV policy, available resources and the current political landscape. The issues are then presented to MSV’s board of directors for fi nal consideration.

Get involved now by registering to attend the legislative summit! Visit www.msv.org/legislativesummit to register.

S. Hughes Melton, M.D., M.B.A., FAAFP, DABAM is a family physician and MSV member, specializing in addiction medicine and treatment, from Bristol, Virginia. The Southwestern Virginia region suff ers from high levels of substance abuse with limited access to health care or treatment options. Recognizing this need, Dr. Melton has pioneered an

initiative to give patients access to primary care treatment of addiction and chronic pain while also working to recruit health professionals to this medically underserved area.

His passion for his patients and for ending the opioid misuse epidemic is made truly apparent through his tireless eff orts advocating at the General Assembly. Recently Dr. Melton traveled to Richmond to meet with legislators regarding the Medicaid Substance Use Disorder (SUD) treatment benefi t. There, he advocated for critical funding, which would increase reimbursement for physicians to equal or greater than commercial rates for treatment. These conversations helped to

secure a place for the SUD benefi t in both House and Senate versions of the budget.

When asked his thoughts on the importance of advocacy, Dr. Melton said, “I found advocacy traction in my clinical passion for addiction. I remember specifi cally a legislator who changed their position on an issue as they asked questions and pondered my answers. It was rewarding and fun to watch my advocacy eff orts get amplifi ed by our excellent MSV staff and make a clear, positive diff erence in the legislative outcome. What are you passionate about?”

Dr. Melton has served in leadership positions on the MSV Opioid Misuse Task Force and the MSV, MSVPAC, and Virginia Academy of Family Physicians Boards. MSVPAC and the government aff airs team extend its gratitude to Dr. Melton for all of his hard work and support.

Make sure to give your 2016 MSVPAC contribution – make checks payable to MSVPAC and mail to MSVPAC, 2924 Emerywood Pkwy, Suite 300, Richmond, VA 23294 or click here to donate online.

Share your ideas at MSV’s Legislative Summit

Advocate for My Profession

All of our work begins at the MSV legislative summit—so mark your calendars now! This year’s summit will be held on:

Friday, May 13, 20162:30 p.m. to 5:00 p.m.

MSV headquarters2924 Emerywood Parkway, 2nd FloorRichmond, VA

By Lindsay Larkin, Government Aff airs & Political Advocacy ManagerAdvocacy Champion Spotlight: S. Hughes Melton, M.D.

By Hedi Cho, Communications Manager

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Manage My Practice

Physicians work unremittingly to diagnose, treat and save the lives of complete strangers every day. Acknowledging the eff ort it takes to take on that type of responsibility is paramount. We want to take a moment this month to say thank you for all that you do day in and day out. Your work is greatly appreciated and indispensable.

–The 1752 Financial TeamIncome protection for physiciansPhysicians know all too well that traditional insurers fall short in providing adequate amounts of individual or group disability insurance. Most group plans limit issue levels to $10,000 per month, which leaves a signifi cant shortfall when it comes to protecting your most valuable asset—your income.

1752 Financial provides coverage to supplement a physician’s in-force disability insurance. While most plans pay monthly benefi ts

until age 65, once you are disabled for a period longer than 60 months, an accelerated benefi t will pay the remaining monthly benefi ts up to age 65. 1752 Financial underwrites policies with as little as a short form application.

“Physicians are protecting others though their work every day,” said Matt Brotherton, President of 1752 Financial, Inc. “I want to make sure they protect themselves and their family by making sure they have disability income insurance.”

Benefi ts• Pure “own-occupation” defi nitions• 30, 60, 90, 180 or 365 day waiting periods• Total and partial disabilities are included• Bonus income included in total income calculation• Lump sum benefi ts payable up to ten times your annual income

For more information, please contact Matt at 804 | 283-1920 or MBrotherton@1752fi nancial.com

To a large degree, employers have been consumed over the last few years determining which aspects of the Aff ordable Care Act (ACA) apply and how to be in compliance with the law. The most recent task, absorbing both time and resources, has been the ACA reporting requirements for applicable large employers. While that issue will remain front and center for the foreseeable future, there are other signifi cant compliance concerns employers need to be aware of. Many are an off shoot – or next wave – of the ACA.

Here are some things to keep in mind this year that could impact your business:

1. HIPAA privacy & security – With many stories of breaches over the last year, privacy has become top of mind. If an employer has reason to handle private health information (PHI), their processes should be evaluated to ensure minimum standards for encryption and security controls are met and a notifi cation process is in place should a data breach occur. Key steps include designating a privacy offi cer and creating an information security program per appropriate regulations. Many employers have started off ering various ID protection products to plan members as an additional benefi t to help employees deal with security and privacy concerns.

2. Affordable Care Act (ACA) reporting – Now what? – Now that applicable large employers (ALEs) are required to begin the ACA reporting, other issues may begin to emerge. What happens if an employee that was off ered “aff ordable” coverage from their employer has been collecting a subsidy through the public exchange, even though they were not eligible? Technically, the employee owes this money back via taxes. Employers may be faced with issues related to this as ACA reporting begins to identify discrepancies.

3. Funding – Employers, both large and small, are exploring funding alternatives to fully insured medical plans in an eff ort to reduce ACA related taxes. Funding, however, can impact things relative to compliance and the ACA. Self-insured groups, for instance, potentially have access to additional PHI, which may impact how an employer deals with HIPAA and privacy matters. Self-insured employers are impacted diff erently regarding compliance with the Aff ordable Care Act (reporting, fees, etc.). As an employer evaluates

Continued on page 11

By Matt Brotherton, President of 1752 Financial

By Philip Saul, Principal, Digital Benefi t Advisors

Thank You

What Regulatory Issues Should you be Watching in 2016?

March 2016 11

Manage My Practice

Continued from page 10

funding options, careful attention should be paid to related compliance and ACA changes. 4. DOL audits – What if you got a U.S. Department of Labor (DOL) audit tomorrow and had ten days to respond? Would you be able to produce copies of your Summary Plan Description, benefi t booklets, enrollment package, Summary of Benefi ts and Coverage, 5500s, COBRA notices, etc. to comply with the deadline? Employers should insure they have up-to-date documents regarding the administration of their benefi ts plan. Now that the reporting requirements have become a reality, there could be an uptick in audit activity.

5. Coverage considerations – Many employers are reviewing plan provisions to ensure they align with current regulatory guidance as well as their own company culture. Some, for instance, previously included domestic partner coverage for same sex-couples. Now with the option of marriage for both same-sex and opposite-sex couples, employers should consider if they want to continue with domestic partner provisions and perhaps be required to expand them to opposite sex domestic partners. (Related to this, employers should review documentation requirements to make sure they are consistent for same-sex and opposite-sex couples).

Other key issues regarding coverage considerations include employee defi nitions (Full-Time, Part-Time, Variable, contract/1099) and eligibility requirements (when is a person eligible to be covered under the plan). One issue that has been problematic for some employers is the loose use of the defi nition of a “contract/1099” employee. This defi nition has been used in the past to avoid costs, such as providing benefi ts to a segment of employees. If the contract employee, in reality, functions as a regular full-time employee, this may emerge as a problem in a future audit, or even in a lawsuit directly from the employee. While the use of the contract/1099 employee is a widely utilized concept, the employer should review documentation related to these positions to confi rm they clearly outline the roles and responsibilities of workers under this designation.

It is worthwhile to note that in an election year many employers tend to gravitate toward a “wait-and-see” posture in hopes that any perceived adverse sections of a particular legislation are changed. While it is not unheard of for changes to be made (e.g. employer ACA fees were delayed from the original date the Cadillac tax has been postponed for a few years) we caution employers to at least have a contingency plan to be in compliance for any applicable regulations by the deadline.

It is a daunting task to keep up with the vast array of regulations and compliance issues. Employers should keep up to date on relevant updates and engage a knowledgeable resource with the expertise to stay informed. Audits may not be a common occurrence now, but the frequency is anticipated to increase, and fi nancial penalties can be substantial.

For more information, please contact Philip at 804 | 747-5300 or psaul@digitalbenefi tadvisors.com.

Digital Benefit Advisorsdigitalbenefitadvisors.com

Things Employers Feel Matter Most

Helping Simplify the Employee Benefits Experience

Manage costs

Provide the best benefits possible

Create wellness initiatives to promote healthy lifestyles

Help navigating ACA and compliance

Support HR and eliminate administrative headaches

DBA Virginia is proud to be named as one of the 2016 Best Places to Work in Virginia by Virginia Business and Best Companies Group.

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Why does April 16 matter? Not only is it the day after Tax Day, April 15, it is National Healthcare Decisions Day (NHDD), which was created to inspire, educate and empower the public and providers about the importance of advance care planning. NHDD is an initiative to encourage patients to express their wishes regarding health care and for providers and facilities to respect those wishes, whatever they may be. The theme for this year’s NHDD is, “It always seems too early until it’s too late.”

The Medical Society of Virginia (MSV) supports the 50-state initiative to celebrate NHDD every year on April 16. We do so by providing our members with clear, concise and consistent information on health care decision-making that can be used to educate themselves and their patients. The topic of advance care planning is something that brings together a variety of players in the larger health care/legal/religious community together to work on a common goal benefiting patients, families and providers.

This NHDD, please remember to talk to your patients and educate them on how to communicate and document their health care decisions. This initiative is meant to inspire and empower the public and providers about the importance of advance care planning, encouraging patients to express their wishes regarding health care and for providers to respect those wishes. Click here to visit the NHDD Web site and get tools to help educate your patients on the importance of advance care planning.

Available resources

• MSV advance directives knowledgebase – Several online resources on advance directives• Virginia State Bar Web site – Get advance directive forms, which are documents that list an individual’s wishes regarding medical

care in writing• Virginia Advance Health Care Directive Registry – Securely store critical planning documents like advance directives, health care

power of attorney and declaration of anatomical gift for access by authorized medical providers, emergency responders and family members

The Medical Society of Virginia Foundation (MSVF) is partnering with the American Society of Addiction Medicine (ASAM) and Johnston Memorial Hospital to provide two opioid pain management webinars: The Buprenorphine Course for office-based treatment of opioid use disorders and CO*RE/ASAM Opioid Prescribing: Safe Practice, Changing Lives. Both webinars have been approved for AMA PRA Category 1 Credits™.”

The Buprenorphine Course is a blended learning United States Drug Enforcement Administration waiver training course consisting of (4) hours of independent study and (4) hours of live education. The webinar provides the requirements needed to obtain a waiver to prescribe buprenorphine in office-based treatment of opioid use disorders. CO*RE/ASAM Opioid Prescribing: Safe Practice, Changing Lives is a 3-hour training which incorporates all six units defined by the United States Food and Drug Administration blueprint and was developed to provide effective prescriber-focused education on the safe and effective prescribing of opioids to manage pain. Both courses are also available through a live webinar.

April 16 - National Healthcare Decisions Day

Upcoming Opioid Pain Management Webinars

By Hedi Cho, Communications Manager

By Amy Swierczewski, MSVF Program Manager and Kirsten Roberts, Senior Policy Analyst

Care for My Patients

Register at: https://elearning.asam.org/MSV

Courses are open to any interested participant. Continuing Medical Education (CME) will be provided upon completion of training.

DETAILS ARE AS FOL-

CO*RE/ASAM Opioid Prescribing: Safe Practice, Changing LivesFriday, March 18, 2016Cost: FREETime: 1:15 pm – 4:15 pm

The ASAM Buprenorphine Course WebinarFriday, April 1, 2016Cost: $75

March 2016 13

MSVF Salutes Exceptional Physician Leaders

Win up to $5,000 - Complete the Physicians Foundation Survey

By Hedi Cho, Communications Manager

By Hedi Cho, Communications Manager

Can you envision some of your colleagues and friends as individuals who should be recognized for their exceptional service to the medical profession or to the community? Please let us know who they are! Every year, the Medical Society of Virginia Foundation (MSVF) honors some phenomenal physicians and medical students with Salute to Service Awards in the following categories:

• Service to the Profession • Service to the Uninsured and Underserved • Service to the International Community • Service by a Medical Student or Resident • Service to the Commonwealth for Advancing Patient Safety and Quality Improvement

Please submit nominations for those individuals who can join the ranks of other accomplished physicians, residents and students who have done exceptional work as leaders and humanitarians. It’s easy – simply visit http://foundation.msv.org to recognize someone today or learn more about last year’s winners.

Winners will be recognized with a wonderful tribute at this year’s Physicians’ Gala during the MSV Annual Meeting at the Hotel Roanoke and Conference Center on Oct. 15. The awards are sponsored by The Doctors Company.

For additional information, call 804 | 377-1053 or e-mail foundation@msv.org.

The Physicians Foundation, a non-profit organization that seeks to empower physicians to lead in the delivery of high-quality, cost-efficient health care, is launching its fourth national Survey of America’s Physicians, one of the largest physician surveys ever undertaken in the United States.

The survey is being conducted by national physician search and consulting firm, Merritt Hawkins, and will be emailed to more than 650,000 physicians across the country from March-May of 2016. The survey will take approximately 10-12 minutes to complete and will allow physicians to share their thoughts on health reform, electronic medical records, new methods of physician reimbursement, ICD-10, and a variety of other topics. A full copy of the final survey report will be emailed to all physicians who participate, and participants will also be entered to win one of five $500 Amazon gift cards and one $5,000 Amazon gift card.

Physicians can access the survey at: https://amnhealthcare.co1.qualtrics.com/jfe3/form/SV_bk1BYfVr1FDaOIR

MSV news

It’s easy to nominate someone! Simply complete the online form at http://foundation.msv.org.

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Since Oct. 30, 1990, March 30 has been the designated day to celebrate Doctors’ Day. For the last few years, the Medical Society of Virginia (MSV) has gone the extra step of asking all of you to join us in celebrating Virginia’s physicians and the hard work, stress and sacrifices you make every day to help heal your patients and communities.

Please join us in celebrating our physicians and their work in making their patients feel better and live better. It’s easy to participate. Just visit the MSV Facebook page at www.facebook.com/MedicalSocietyofVirginia and nominate a physician who inspires you. Nominations are due by March 30, and the photo or story that gets the most number of “likes” will be featured in an upcoming issue of MSV’s Virginia Medical News.

Previous winners include Ken Tuck, M.D., Fred Arnold, M.D. and Carol Shapiro, M.D., M.B.A. This year could be your year to be recognized among other physician leaders who have made tremendous contributions to their communities and the profession.

Here’s how to submit your nomination:

• Simply visit www.facebook.com/MedicalSocietyofVirginia to share a story of a Virginia physician who inspires you. Click on the empty “Status” box and start typing! If you would like to post a photo, please click on the “Photo/ Video” button and attach a photo. Once you are finished, simply click on the “Post” button and all the information will be available on the MSV Facebook page. If you do not have Facebook, you can e-mail webmanager@msv.org to share your photo and story.

This is your chance to recognize those in the medical profession who inspire you. Please share stories and photos of physicians who make an impact and who you would like to thank for their many contributions.

We invite you to join us in observing Doctors’ Day to continue to recognize your profession, your work, and the contributions you make every day to our communities. Remember your friends and colleagues who inspire you.

Recognize Those who Inspire You this Doctors’ Day By Hedi Cho, Communications Manager

MSV news

March 2016 15

In the spirit of encouraging you to fi nd some work-life balance, we asked you to share with us, “What does a good work day look like?” Thank you to everyone who responded!

“As an emergency physician, a good day at work is when the whole team—nurses, clerks, techs and doctors—comes together to move lots of patients through the ED, relieve suff ering, fi nd some interesting problems and develop coherent, integrated patient care plans with other physician colleagues, to get the patients on the right path forward. That’s a good day, but a great day is when, at the end of a visit, the patient says, ‘Thanks, doctor. Do you have an offi ce where I can see you?’ That’s a great day!” — James Dudley, M.D., M.B.A.

“A good day at work is having adequate time to spend with each patient so that our interaction as doctor-patient is meaningfully benefi cial to both.” — William Reha, M.D., M.B.A.

“A good day at work for me involves challenging cases in the operating room and interesting consultations in the offi ce. This is enhanced by a team eff ort that is focused on delivery of quality care for our patients. This is further enhanced by my ability to focus most of my energies on what I’m trained to do and for others to focus on administrative duties. Physician satisfaction is also enhanced by having my medical students around all day. It is a privilege to have them with me and they keep me grounded.” — Randy Gould, M.D., FACS

“Although every day brings new challenges, a good day at work is one where our team works well together to take care of patients, and where we get to learn in the process. On good days, everyone feels like they helped care for our patients in the best way that we can, and everyone feels like they gained something from meeting the challenges of that day. On good days, our team makes sure that we watch out for each other in addition to caring for patients.” — Medical student

We also asked, “What is your biggest concern on a daily basis/what keeps you up at night?” We received powerful and thoughtful responses from physicians, nurses and physician assistants. Here’s what they shared that keeps them or their colleagues up at night:

• Anxiety that I may have missed something or missed doing something/will I make a mistake and a patient is harmed/ second guessing decisions

• Electronic medical records (EMR), paperwork, documentation, billing, etc. • Finances - not being compensated/not being able to keep my doors open • What’s happening to the medical system, how to adjust and do I like it? • How do I function with all the new rules, requirements and regulations that seem to keep growing and growing? • Losing control of practice/loss of autonomy, authority, independence • Loss of role as a professional/loss of community standing • Loss of satisfaction of proving good care • Loss of quality relationships with patients • Unsure of expectations • Loss of medical profession as I knew it • Sheer volume—seeing too many patients • Overwhelmed/too many changes • Feeling like I can’t keep up/have all tasks been completed?/prioritizing the next day’s tasks • Worry about very ill patients and their families

What Does a Good Work Day Look Like?”By Lynne Hughes, MSVF Director of Development and SYNC/evolve speaker on burnout prevention and work-life balance

MSV news

16 www.msv.org

MSV news

Member resourcesGet the most out of your involvement with MSV by taking advantage of our many valuable resources, publications, educational

opportunities, professional services and practice management tools. Most of these services are available to only MSV members so please join today to enjoy these exclusive benefits.

Free resources• Practice Services helpline

800 | 746-6768, EXT 1060 • Member information center

800 | 746-6768, EXT. 1050 for questions regarding membership

• Relationship staff • JobBoard

www.msv.org/jobboard• Physician Directory• Health plan hassles

www.msv.org/hasslefactor

Leadership• Committees and task forces • House of Delegates and Board of

Directors

• State leadership opportunities

Information• Grassroots action center

www.msv.org/grassrootstoolkit• MSV Legislative Updates, MSV

E-News, Virginia Medical News, Practice Services Updates www.msv.org/publications

• Issue backgrounders • Knowledgebase

www.msv.org/knowledgebase

Events• White Coats on Call lobby days • Advocacy boot camps • MSV Annual Meeting • Medical student section events

Education• evolve™ • SYNC

Discounted• Coding webinars and classes

www.msv.org/classes• Local consultation

Additional services• Property & casualty insurance • Life & health insurance• DOC Rx Relief

MSV Marketplace• LendKey• VA Drug Card• Total Merchant Services• HIPAA Secure Now• iMedicor• 1st Healthcare Compliance• Digital Benefit Advisors • 1752 Financial • MSVIA

March 2016 17

MSV news

The Medical Society of Virginia (MSV) is excited to introduce its newest member resource, the MSV Marketplace! Our Marketplace is a preferred vendor program where we research, assess and recommend products and services to our members. Vendors included in the program have to successfully complete a comprehensive application process and offer exclusive rates and superior service on competitive solutions for MSV members.

MSV is proud to announce the following inaugural vendor participants in the MSV Marketplace:

• LendKey, a free service for use by college graduates to compare new student loan refinancing rates• VA Drug Card, a program launched to help lower out-of-pocket prescription costs• Total Merchant Services, a national merchant bankcard business that employs smart card technology• HIPAA Secure Now, a provider of HIPAA compliance services specializing in working with ambulatory medical practices• iMedicor, a national provider of comprehensive secure communications solutions for the health care community• 1st Healthcare Compliance, a comprehensive compliance program management solution for health care providers• Digital Benefit Advisors, provider of life and health insurance solutions• 1752 Financial, a provider of long term care and life insurance products• MSVIA, the insurance agency of MSV, providing property and casualty services through highly rated AM Best companies,

along with the best resources possible for employee benefits and for life and disability insurance needs

The Marketplace just launched at www.msv.org/msvmarketplace. Included on the site are details of each vendor as well as specifics regarding the negotiated rates and benefits for MSV members. If you have any suggestions for who MSV should solicit to participate in the MSV Marketplace or if you have any questions regarding this new member offering, please contact Business Development Director Dustin Beekman at dbeekman@msv.org or 804 | 422-3100 x1006.

New Benefits and Savings with the MSV MarketplaceBy Hedi Cho, Communications Manager

marketplace

helping physicians prosper

Virgina Drug CardAccording to an article by GoBankingRates.com, Americans pay almost as much for healthcare each year as for housing, making it the second-big-gest household expense. On average, household spending on healthcare in 2015 was $8,247, according to Bureau of Economic Analysis data, and a 2015 PwC Health Research Institute report projected a 6.5 percent increase in healthcare spending in 2016.

The Virginia Drug Card is a free option to lower out-of-pocket prescrip-tion costs. If you have a high deductible, or take a medication not covered by insurance, or have no prescription coverage, the Virginia Drug Card can save you up to 75%. Log on to www.VirginiaDrugCard.com to print a free card. If you are unable to print a card, you can walk into any CVS Pharmacy and request to use the Virginia Drug Card. You can contact John Cenerazzo at John@VirginiaDrugCard.com for more information.

http://www.gobankingrates.com/personal-finance/how-much-americans-expect-pay-healthcare-2016/

18 www.msv.org

MSV news

FredericksburgDiane Franchi, M.D.

RichmondMolly Ashby, D.O.James E. Thompson, M.D.Todd Wichman, M.D.

SuffolkWilliam Morrison IV, PA-C

Welcome New MembersThe Medical Society of Virginia (MSV) welcomes new members who joined in January 2016.

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