NCMS Morning Rounds 11-19-19

Happy Tuesday! Enjoy your

NCMS Morning Rounds.

Nov. 19, 2019

NCMS Well Represented at the AMA Interim Meeting

The NCMS AMA Delegation along with NCMS President Palmer Edwards, MD, DFAPA, NCMS Immediate Past President Timothy J. Reeder, MD, MPH, FACEP, NCMS CEO Robert W. Seligson, MBA, MA and NCMS COO and General Counsel Stephen W. Keene, JD, MBA have been representing North Carolina at the AMA’s Interim meeting, which began last week. This interim meeting is focused on issues related to legislation and advocacy as required by the AMA’s bylaws.

The NC delegates to the AMA who attended the meeting included delegation chair G. Hadley Callaway, MD, along with Chuck Willson, MD, Mary Ann Contogiannis, MD, William E. Bowman, Jr., MD, Darlyne Menscer, MD, Dev Sangvai, MD, MBA, FAAFP, Liana Puscas, MD, Rebecca Hayes, MD, FAAFP, Timothy M. Beittel, MD and Albert J. Osbahr, MD, MSCM, FACOEM.

Dr. Callaway shared an update with the Southeast Delegation to the AMA on legislative initiatives underway in North Carolina including our transition to Medicaid managed care and on the State Health Plan.

Dr. Reeder addressed the Southeast Delegation on the NCMS’ disaster relief efforts in the wake of Hurricane Florence. Thanks to generous contributions from individuals, The Physicians Foundation and Blue Cross and Blue Shield of North Carolina, the NCMS Disaster Relief Program has distributed nearly $500,000 in aid to practices in eastern North Carolina hit by the storm. The grants have helped over 80 physicians and PAs, many in small, rural practices continue to provide health care to their communities.

Seligson gave the delegation information on the racial equity training NCMS staff, the NCMS Board of Directors and NCMS Foundation Board of Trustees will receive in February through the Racial Equity Institute, based in Greensboro.

You can review the highlights of the meeting at the AMA website and watch AMA President Patrice A. Harris’, MD, MA, remarks at the House of Delegates opening session.

This is Childhood Resilience Week — Get Informed

Governor Roy Cooper has proclaimed this week, Nov. 17-24, Adverse Childhood Experiences (ACEs) Awareness Week. Read his proclamation.

ACEs are defined as potentially traumatic events that occur in childhood (0–17 years) such as experiencing violence, abuse or neglect or the child’s environment undermines their sense of safety, stability and bonding such as growing up in a household with substance misuse, mental health problems or instability due to parental separation or incarceration of a parent, sibling or other member of the household. These conditions have been shown to have a tremendous impact on future violence victimization or perpetration as well as lifelong influence on health and opportunity.

Among the activities planned for this week is the showing tonight, Tuesday, Nov. 19, of a special documentary feature, ‘Resilience: The Biology of Stress & the Science of Hope,’ from 8 to 9 pm on UNC-TV. Following the broadcast, NC Department of Health and Human Services (NCDHHS) State Health Director Elizabeth Tilson, MD, will participate in a statewide Twitter Townhall from 9 to 10 pm. You can join the conversation by following her online at Twitter @betseytilson and by tweeting your comments and questions using #ResilienceWeek to receive real-time answers from a panel of trauma-informed experts.

Earlier this month, the Centers for Disease Control and Prevention (CDC) released a groundbreaking report, ‘Preventing Adverse Childhood Experiences (ACEs) to improve U.S. Health.’ North Carolina’s ‘Early Childhood Action Plan,’ released in February 2019, outlines methods to ensure all children in our state get a healthy start and develop to their full potential in safe, nurturing families schools and communities.

To support communities in improving outcomes for young children and families, NC DHHS has released Early Childhood Data for all NC counties. Access the data.

Report on Clinician Well-Being Subject of Dec. 4 Meeting

The National Academy of Medicine (NAM) will host a meeting to discuss the conclusions and recommendations of its report ‘Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being.’ Download a free PDF of the report. The meeting to discuss the findings will take place on Dec. 4 from 8 a.m. to 5:30 p.m. at the NAM building in Washington, D.C. You may also attend via webcast. Learn more and register here.

The NAM commissioned this consensus study to evaluate the available evidence on clinician burnout and well-being, and make recommendations for change. Over the course of 18 months, a committee of seventeen subject-matter experts gathered evidence, reviewed and deliberated on the evidence, and developed recommendations on designing systems to reduce clinician burnout and foster professional well-being. The resulting report presents a bold vision for redesigning clinical systems – one that focuses on the activities that patients find important to their care and which enables and empowers clinicians to provide high-quality care.

Objectives of the upcoming meeting include:
• Identifying what health care organizations, educational institutions, policymakers and the Clinician Well-Being Collaborative can do to advance the consensus report goals, findings and recommendations, and
• Making commitments at the individual and institutional level to carry forward the consensus report recommendations

In the News

The Most Remote Emergency Room: Life and Death in Rural America, The Washington Post, 11-16-19

Learning Opportunity

The North Carolina Osteopathic Medical Association will present the ‘Fundamentals of Ultrasound for Rural Providers Workshop,’ on Friday, Dec. 6 from 1 to 4 pm at the Campbell University Jerry M. Wallace School of Osteopathic Medicine in Lillington. This hands-on ultrasound workshop is designed to teach physicians and physician assistants the fundamentals of ultrasound imaging for point-of-care ultrasound. The workshop will cover the science behind the production of ultrasound, critical knobology and keyboard functions, best scanning practices and overall image optimization methods while scanning the abdomen and heart. Learn more and register.


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