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Memorial Day - Monday
May 28, 2007 |
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TOA
President's
Update
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By John T. Gill, MD
President, Texas Orthopaedic Association
Today is Memorial Day. As this day is the holiday
commemorating U.S. men and women who have died in military
service to their country, we would like to recognize the
incredible sacrifices made by our armed forces. |
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If you didn't come
to the TOA 2007 Annual Meeting, you didn't receive the Legacy of
Heroes photo book. AAOS sent its Legacy of Heroes exhibit to Austin
for our annual meeting and it was displayed at the Capitol in Austin,
May 7-11th. The American Academy of Orthopaedic Surgeons developed the
Legacy of Heroes exhibit and supporting web site and book to preserve
the wartime stories of its members and the advances in orthopaedic
surgery during WWII. To view more about Legacy of Heroes click
here.
We also had the
chance to hear from Col. Mark Bagg of Brooke Army Medical Center
during our Friday evening reception.
Click
here
to view photos from Col. Mark Bagg's presentation.
There is incredible work being done
to save our wounded warriors in Iraq and Afghanistan, from the point
of impact in the theater, all the way through to the Echelon 5 Center
in San Antonio. Survival rates are
excellent due both to the level of care and the improved body armor,
however the devastating extremity injuries that must be cared for are
pushing the limits of orthopaedic knowledge. As in WWII, the knowledge
gained and the advancement of the science of wound and extremity care
will be remarkable, a bittersweet byproduct of any armed conflict.
On this Memorial Holiday, enjoy your freedom and your family, but
remember the fallen and those they left behind. Remember also those
whose lives and limbs have been forever altered in the constant
struggle to maintain our freedoms. Take a moment to pray for those
still in harms way, that they too will soon be able to enjoy the
company of their loved ones. God bless America.
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Texas
District by District:
Susan Combs
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Prior to her 1998 election as Texas Agriculture Commissioner, Susan
Combs served two terms in the Texas House of Representatives, serving
as the only Republican legislator for Travis county. In the
legislature, she successfully sponsored and passed landmark private
property rights legislation. Working side by side with then Governor
Bush, she worked to rewrite the Juvenile Justice Code in 1995. She
also wrote and passed legislation establishing an accountability
system for our state's public schools as well as legislation making
state agencies more fiscally |
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responsible. Susan Combs authored legislation on tort
reform, vital to the state's business community.
As the first woman ever elected Commissioner of Agriculture,
Susan Combs has made rural economic development and
marketing Texas agricultural products top priorities in her
administration. No one has been a better friend of rural
Texas than Susan Combs. Susan Combs has also launched an
innovative effort to promote tourism in small towns across
the state, resulting in measurable revenue increases for
those areas. Her award-winning marketing program is a huge
benefit to participants who have experienced increased sales
and revenue.
Susan Combs was inducted into the Texas Women's Hall of Fame
in 2004 for her dedication and commitment providing healthy
foods for Texas schools and for her high-profile efforts to
enhance rural economic development. She has also been
committed to strengthening the Texas agriculture industry.
Her efforts have been recognized by
Progressive Farmer,
which named her Leader of the year in Texas Agriculture for
2002.
In March of 2006, the American Medical Association presented
Commissioner Combs the Dr. Nathan Davis Award for
Outstanding Government Service, the highest award the AMA
can bestow on a public official. Combs was recognized for
her strong leadership in tackling the state’s obesity crisis
and in championing a school policy to address the problem.
In June 2004, Susan Combs was invited to participate in the
Time-ABC News Summit on Obesity, where she was recognized
for her work to promote better nutrition in Texas schools
and named one of six national heroes in the fight against
obesity.
Commissioner Combs graduated from Vassar College and worked
in international advertising in New York, in the financial
markets on Wall Street, and for the federal government. She
later returned to Texas and received her law degree from the
University of Texas School of Law. Upon graduation, Susan
Combs served as an Assistant District Attorney in Dallas
handling child abuse cases, where her outstanding
performance as a tough prosecutor earned her widespread
respect. Throughout her career, Susan Combs has had a deep
interest in children and their welfare and education. She
has served as President and board member of a private
parochial school, and chairperson of several local public
school committees. She has also served on the board of an
agricultural lending institution.
Commissioner Combs was born in San Antonio, Texas, and has a
cow-calf operation in Brewster County on the same ranch
established by her great-grandfather more than a century
ago. Susan Combs resides in Austin with her husband Joe and
their three sons.
Email
Susan Combs to
thank her for her work!
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This Week In Texas: Mignon
McGarry Memos
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By Mignon McGarry
TOA Legislative Advocate / Memos: Thu May 24 & Tue
May 22, 2007
TOA Online Version: All Memos
May 24, 2007, Thursday
We are at the watch and wait portion of the legislative
session. The deadlines to pass bills have come and gone. Now
the House and Senate must resolve their differences on the
bills still in play.
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Everyone is still waiting for the other shoe to drop in the race for
Speaker. Rumors still abound regarding a possible Motion to Vacate the
Chair. Speaker Craddick hasn’t been in the Chair much which increases
the chatter of the potential for action before the session ends on
Monday.
The focus has also been on two bills that still remain unresolved – the
budget and SB 792, the major transportation bill. In order to avoid a
special session, both of these must be passed by the Legislature and be
acceptable to Governor Perry.
May 22, 2007, Tuesday
As of May 18th, according to the Legislative Reference
Library of Texas, a total of 10,147 House and Senate bills,
concurrent resolutions, joint resolutions, and simple
resolutions had been filed. Of the 4,140 bills filed in the
House, 233 had passed. In the Senate, 209 of the 2,050 bills
filed had passed.
So far this week, we have seen two new
names thrown into the race for Speaker. Rep. Jim Pitts (R-Waxahachie)
and Rep. Brian McCall (R-Plano) have both filed paperwork with the
Ethics Commission to make their candidacies official. Rep. Byron Cook
(R-Corsicana) made an impassioned speech on the House floor Monday
night, asking Speaker Craddick not to run again for Speaker. What
happens next is anyone’s guess.
Bills headed to Governor Perry’s desk for his signature or veto include
enhanced punishment for child molesters and the reorganization of Texas
Youth Commission. As expected, Governor Perry vetoed House Bill 1892, a
transportation bill that is now being reworked in the Legislature as
Senate Bill 792. Key legislative items still in play at the Legislature
include the proposal to expand the Children's Health Insurance Program
(CHIP), an air quality bill and most importantly, the budget. The budget
must be completed, printed and distributed to all members by the end of
the week in order for it to be voted on by both the Senate and the House
by this Sunday.
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Treatment and Return to Work Guidelines Are In
Effect As Of May 1
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New disability management rules are
now in effect for health care providers in the Texas workers’
compensation system. These rules require non-network system
participants to use the Division’s treatment and return to work
guidelines for care provided to injured employees on or after May 1,
2007.
Health care providers and all other
system participants should now be |
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using the Official Disability Guide (ODG) and the Medical
Disability Advisor (MDA) for non-network health care.
Treatments and services provided on or
after May 1, 2007 that are not recommended, not listed, or under study
by the ODG, or that exceed the ODG in frequency or duration, require
preauthorization.
Carrier Denials and Medical Necessity Disputes
Carrier denial of payment
for health care provided within the ODG must be supported by
documentation of evidence-based medicine that outweighs the presumption
of reasonableness established by Labor Code §413.017. Any medical
necessity disputes will be determined by an Independent Review
Organization in accordance with Labor Code §§413.031 and 413.032.
Treatment Planning
To provide system participants with additional time to
communicate and establish appropriate systems and processes, the
effective date for required treatment planning has been changed from May
1, 2007 to September 1, 2007. The Division continues to work with
stakeholders to ensure that system participants are able to prepare
required treatments plans for care to be provided to injured employees
on and after September 1, 2007.
Disability Management Information & Training
ODG vendor-provided training opportunities are available from
the Work Loss Data Institute. Please visit their
website.
Disability management training and educational
information for health care providers is also available on the Division
website. The on-line information includes:
•
Health Care Provider Slide Show (TMA CME is available)
• Local “Brown Bag”
Educational Presentations by Division staff – In Progress
Now
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Frequently Asked Questions
• FastFacts on the following topics:
o
Disability Management Overview
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Disability Management for Health Care Providers
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Treatment Planning
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Steps for Determining When a Treatment Plan is Needed
Free Brown Bag Educational Seminars. The Division is
providing Brown Bag Educational Seminars at various Division field
offices. These sessions acquaint health care providers and insurance
carriers with the treatment and return to work guidelines. The schedule
for these seminars is located at:
http://www.tdi.state.tx.us/wc/dm/dmsched.html.
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