" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary

January 26, 2011

·  Obama Downplays Partisan Healthcare Debate in Address

·  Early Registration Deadline This Week for February Course

·  ASIPP Abstract Registration Open

·  ASIPP Nominations Open to Membership Through Jan. 31

·  Patients Hit with Add-on Charges

·  New' Oxycontin Meant to Deter Abuse

·  Medical Practice Efficiency Killers

·  UK Study: P4P isn't Improving Patient Care

·  FDA to Improve Most Common Review Path for Medical Devices

·  HCPlexus - Thomson Reuters National Physicians Survey

·  Wall Street Journal Files Suit to Open Medicare Database

·  Physicians Praise New Medical Liability Bill

·  State Society News

·  Physicians Wanted

Obama Downplays Partisan Healthcare Debate in Address

WASHINGTON - President Barack Obama mentioned healthcare in his State of the Union speech Tuesday night, but it wasn't at the top of the list.

In a speech that had the tone of a pep rally, Obama tackled the healthcare reform issue - one of the more intense political battles in the nation's capital during the past two years - only after discussing the economy, education, clean energy, immigration and trade.

He tried to keep the lid on the kettle with a little jovial sarcasm. "Now, I've heard rumors that a few of you have some concerns about the new healthcare law," he began. "So let me be the first to say that anything can be improved. If you have ideas about how to improve this law by making care better or more affordable, I am eager to work with you."

Healthcare Finance News

Early Registration Deadline This Week for February Course

Registration is now open for the February and April Comprehensive Review Course and Cadaver Workshop in Interventional Pain Management. Both courses feature Basic, Intermediate, and Comprehensive Interventional Pain Management Examination section levels. The courses will be held on February 18-20 and April 8-10 in Memphis, Tenn. In order to maintain an optimal participant/instructor ratio, space in both courses is limited so please register early to assure a spot in the course and in the level of your choice.

During the 2½-day Comprehensive Review Course and Cadaver Workshop, you can improve existing skills and/or learn new techniques. You will have the opportunity for personal interaction with our distinguished faculty comprised of excellent teachers and lecturers. It is always our goal is to create a thorough and compelling educational experience for you.

Whether you have been practicing interventional pain management for many years or are new to the field with basic skills, we are confident you will find these courses and workshops to be beneficial to you in your practice. With the ever changing dynamics in healthcare and in the specialty of interventional pain management, it-is essential that we continue learning and exploring new procedures and techniques in our specialty.

Both courses will take place at the Marriott Memphis, 2625 Thousand Oaks Boulevard (901-362-6200) on Friday. Ask for the ASIPP reduced room rate of $129 when making your accommodations. On Saturday and Sunday we will transport you the Medical Education and Research Institute (MERI) for a hands-on learning experience.

February brochure Click HERE for February Registration

April brochure Click HERE for April Registration

Register for 2011 Course Today

ASIPP Abstract Registration Open

The Online Abstract Submission for the 13th Annual Meeting of the American Society of Interventional Pain Physicians (ASIPP) is now open. The meeting will be held June 25- June 29, 2011 at the Hyatt Regency Crystal City in Arlington, VA.

To be considered for a presentation at the meeting, abstracts must be submitted and completed by the submission deadline of 5:00pm Central Standard Time (CST) Monday, May 2, 2011.

Abstract submission must be completed through ASIPP's interactive online form.

Click HERE to access form.

Submit Abstract

ASIPP Nominations Open to Membership Through Jan. 31

It is once again time to consider the ASIPP Board elections. In accordance with the ASIPP bylaws, we are requesting nominations from eligible candidates to serve as officers and directors-at-large with service to begin immediately following the annual business meeting held on June 26, 2011.

We are seeking nominations for interested, hard-working, service-oriented ASIPP members in good-standing who are willing to serve the organization as an officer or director on the board. The nomination committee will select two members per position from the submitted nominations for the 2011 election ballot. The election ballot will be sent out sometime after the March 31, 2011 nomination deadline and prior to the 13th Annual Meeting.

Please click on the following link for the nomination instructions and form. For your convenience, you will submit your nominations electronically. We have provided information on the current board and available openings. The last day to submit your electronic nominations is January 31, 2011.

Please do not nominate any one (or) a person for more than one position. For more information on the positions available and the current officers, please CLICK HERE for the 2011 Board of Directors Information Sheet.

Nomination Ballot

Patients Hit with Add-on Charges

An insured patient's trip to the doctor's office usually entails tests, a brief conversation with a health practitioner and ends with a co-pay.

But an increasing number of physicians are taking a cue from credit card companies, airlines and ATMs - charging extra out-of-pocket fees for services that policies do not cover.

The blame, they say, lies with Medicare reimbursement rates, which have been flat for more than a decade, and private insurance companies that usually require scads of time-consuming paperwork.


New' Oxycontin Meant to Deter Abuse

A new formula makes OxyContin harder to smoke, but some think the change has helped boost heroin use.

EVERETT -- Before Marquise Brown was shot to death in June, he was accused of dealing fake OxyContin pills.

Investigators wondered if the shooter suspected that Brown was trying to pass off a new kind of OxyContin, a reformulated version of the prescription painkiller that hit the market last year. Altering the old pill gives people a faster high, a rush that they don't feel if they swallow the tablet whole.

The new OxyContin is intended to be more tamper-resistant so people can't grind it up for smoking or snorting. Detectives learned that those involved in the drug deal "tested" the pill by trying to burn it. The test showed that the pills couldn't be smoked, police wrote in court papers.

The Herald

Medical Practice Efficiency Killers

At Marysville Primary Care, the physicians have a good idea of what awaits them each day before seeing their first patients.

The four doctors at the Ohio-based practice take a look at their schedule at least one day ahead of time, communicating any concerns with two nurse practitioners and other staff members - all in the name of increased efficiency.

"You need to be realistic about what you can do in 15- to 30-minute time slots," says internist and pediatrician Mary S. Applegate, one of the practice's physicians. "To do that, our staff works together and troubleshoots things a day ahead of time."

Part of that troubleshooting also involves realistic appointment scheduling based on the patient. For example, someone who has not seen a physician in more than a year does not get a 15-minute visit, nor do patients with psychiatric issues, she says, because it is unrealistic to think a full visit can be completed in that time frame. Nurse input is also crucial, Applegate adds, because they know certain patients, like seniors, take at least 15 minutes to get ready for their exams, hence they require a longer visit.

Physicians Practice

UK Study: P4P isn't Improving Patient Care

BOSTON - Pay-for-performance programs, which reward doctors for quality care and patient outcomes, may not be improving patient care, according to a new study.

Published January 26 in the British Medical Journal, the study, which focused on hypertention, indicated P4P measures didn't offer any benefit to patients, despite the enormous administrative costs required to maintain such a system.

"No matter how we looked at the numbers, the evidence was unmistakable; By no measure did pay-for-performance benefit patients with hypertension," said lead author Brian Serumaga, formerly of Harvard Medical School and the Harvard Pilgrim Health Care Institute and now at the University of Nottingham Medical School in the UK.

Healthcare Finance News

FDA to Improve Most Common Review Path for Medical Devices

The U.S. Food and Drug Administration unveiled a plan containing 25 actions it intends to implement during 2011 to improve the most common path to market for medical devices.

Key actions include:

  • · Streamlining the "de novo" review process for certain innovative, lower-risk medical devices,
  • · Clarifying when clinical data should be submitted in a premarket submission, guidance that will increase the efficiency and transparency of the review process,
  • · Establishing a new Center Science Council of senior FDA experts to assure timely and consistent science-based decision making.

These actions will result in "a smarter medical device program that supports innovation, keeps jobs here at home, and brings important, safe, and effective technologies to patients quickly," said Jeffrey Shuren, M.D., J.D., director of the FDA's Center for Devices and Radiological Health (CDRH).

Before marketing most lower-risk medical products such as certain catheters or diagnostic imaging devices, manufacturers must provide the FDA with a premarket notification submission. These submissions are known as 510(k)s for the section of the Federal Food, Drug, and Cosmetic Act that describes this notification requirement. Generally, 510(k)s must demonstrate that a proposed product is substantially equivalent to another, legally marketed medical device that is also lower-risk.


HCPlexus - Thomson Reuters National Physicians Survey

In partnership with Thomson Reuters, HCPlexus recently conducted a nationwide survey of TLBB physicians. Physicians were asked to respond to a series of questions: the quality of health care in the near future in light of the Patient Protection and Affordable Care Act (PPACA), the impact of Electronic Medical Records (EMR), and the specific consequences both physicians and patients may encounter because of the PPACA - also known as the Health Care Reform Act of 2010 (HCRA) legislation.

This report cites the responses of 2,958 physicians, including primary care physicians and specialists from every state in the US (and the District of Columbia). Responses indicate that these physicians are anxious about the future of healthcare, and are concerned for their practices and their patients.


Wall Street Journal Files Suit to Open Medicare Database

The publisher of The Wall Street Journal filed suit Tuesday to overturn a decades-long court order barring public access to a confidential Medicare database it says is essential to rooting out fraud and abuse in the government health-care program.

The American Medical Association, the doctors' trade group, successfully sued the government in 1979 to keep secret how much money individual doctors receive from Medicare, and the ruling still stands.

The filing by Dow Jones & Co., in the U.S. District Court for the Middle District of Florida, comes after a series of articles in the Journal about abuses of the Medicare system. The articles were based on computerized Medicare records that represent part of the broader database at the center of the 1979 case.

Wall Street Journal

Physicians Praise New Medical Liability Bill

WASHINGTON - The American Medical Association and 100 medical and physician organizations say the bi-partisan HEALTH Act, submitted to Congress earlier this week, could be exactly what the doctor ordered for solving medical liability issues.

The organizations have sent a letter to the sponsors of a new tort reform bill - H.R.5, the Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 - giving their support to the legislation and its reforms of what they called "the nation's broken medical liability system." Similar bills have been submitted in the past, but lacked support in the Senate.

Rep. Phil Gingrey, MD, (R-Ga.) introduced the bill in the House; Reps. Lamar Smith (R-Texas) and David Scott (D-Ga.) are co-sponsors.

Healthcare Finance News

State Society News

FSIPP Annual Meeting 2011 set for May 13-15, 2011

Be sure to save the dates of May 13 - 15, 2011, for FSIPP's Annual Meeting, Conference & Tradeshow, to be held again at The Gaylord Palms, Kissimee (Orlando). The event will kick off Friday evening, May 13, with a Welcome Reception and a presentation on The Health Benefits of Wine!

Continuing education lectures will go on all day Saturday and Sunday morning, as has been our format for the last couple of years. We've had some very good feedback about the educational content of our meetings, and the 2011 meeting is shaping up with some exciting topics:

  • "Soft Tissue Pathology"
  • "The Musculoskeletal Physical Exam with Pearls"
  • "An MCO Medical Director's Perspective on Pain Management - Medical and Interventional"
  • "Clinical Research Breakthroughs/Updates"
  • "The Evolution of Epidural Lysis of Adhesions"
  • "The Dangers of Transforaminal ESI"
  • "The Florida Statutes, DOH Regulations, and BOM/BOOM Rules Regarding Pain Clinics"

Please watch http://flsipp.org/ for developing program and registration details, or call 904-221-9171.

Physicians Wanted

Visit the ASIPP Web site to find available positions for IPM physicians.

Physicians Wanted


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American Society of Interventional Pain Physicians ®
81 Lakeview Drive, Paducah, KY 42001
Phone 270.554.9412, Fax 270.554.5394
E-mail asipp@asipp.org