June 8, 2009

 

 
Azalea Orthopaedics Honored For Besting Benchmarks
  

By John Early, MD
President, Texas Orthopaedic Association


Congratulations Azalea Orthopaedics!

 

We contacted TOA Past President, Tim Beck and Leslie Fossey, PR Director for Azalea Orthopaedics to congratulate them on their successful patient satisfaction program.  Leslie Fossey asked us to mention a couple of corrections to which we amended the original

article.  She said "Azalea has ranked above the 90th percentile for three years. Azalea has come close several times but has just now exceeded that goal. Azalea Orthopaedics has 17 orthopedic surgeons and two physical medicine physicians on board."

Original Article on Tyler Morning Telegraph's Website
By Coshandra Dillard (903.596.6287)
Staff Writer

Staff members at Azalea Orthopaedics had something to celebrate Wednesday as they were recognized for going above benchmarks in patient satisfaction surveys. Press Ganey Associates, an independent patient satisfaction survey company, each year recognizes health care facilities that rank in the 95th percentile in the nation for patient satisfaction.

Azalea Orthopaedics exceeded the goal, reaching the 97th percentile. Within the region, which includes Texas, Oklahoma, Arkansas and Louisiana, the facility ranked in the 99th percentile.

In the last three years, the facility ranked in the 90th percentile and staff members have collectively worked to push past that extra point. Officials said, as reports are released each year, they review data to identify areas that need the most improvement.

"It's about taking ownership," said Dr. Michael Russell, orthopedic spine surgeon. "Its important to not just care for the patient, but give them a good experience while here, and take care of their families' needs."

Factors used in the survey include concern for patients' privacy, sensitivity to patients' needs, waiting times, communication of delays and quality of care. As one objective has been met, the staff looks toward another one.

"The goal is to stay at 95 percent or better and we will be satisfied," Russell said. The clinic was also recognized for an improvement of 1.3 mean score points in overall satisfaction from Feb. 1 to April 30.

In addition to general and pediatric orthopedic, Azalea Orthopaedics provides care for nerve pain and the spine. It has 140 employees including 17 surgeons at two locations: 1905 Donnybrook Ave. and 3414 Golden Road. Officials plan to consolidate the two locations at the Golden Road site this summer.

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MOC Exam Information (as of June 2009)
 
  

Part I Application
The Part I Exam application will be available online October 10, 2009. Deadline for the 2010 application is December 15, 2009. The exam is on July 8, 2010.

Part II Application
The application for 2010 Part II will be available online April 1, 2009.

APRIL 1 - SEPTEMBER 30, 2009 is the time to collect your cases. The deadline to apply and submit your case lists is October 31, 2009. The absolute late deadline with an additional $350.00 late fee is November 15, 2009.

MOC for Diplomats with Certificates Expiring in 2011, 2012, & 2013
Those who wish to take the 2011 Examination must log into the ABOS website and register their Case Logs and CME. (Registration date for 2011 starts February 1, 2009)

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This Week In Texas: Mignon McGarry Memos

By Mignon McGarry
TOA Legislative Advocate
TOA Online Version: All Memos

June 3, 2009, Wednesday
The Texas Legislature adjourned Sine Die on Monday.  As expected, the last few days of session were like a roller coaster ride of ups and 

downs, twists and turns.  Both chambers passed a $182.3 billion state budget for the next biennium with little fanfare.  The budget, which includes $12 billion in federal stimulus funds, now goes to Governor Perry who can use his veto pen to cut select provisions. A $2.4 billion supplemental budget was also passed. The supplemental budget helps agencies cover cost overages for the remainder of the current budget year. It includes $150 million for hurricane response and recovery.  Of the roughly 7,200 bills filed, close to 1400 passed.  Additional bills that failed to pass were added to ones that did as amendments.

As you have now no doubt read in the news, the Legislature adjourned without passing sunset legislation to extend the life of five state agencies, most notably the Texas Department of Transportation and the Texas Department of Insurance.  In a press conference on Tuesday, Governor Perry assured Texans that these agencies would continue to operate as he explores the various options to keep them operating through the next legislative session in 2011.  Although Governor Perry commented that it was too early to discuss the prospect of a special session, rumors abound in Austin that a special session will be called shortly after the March primary election in 2010.

Key bills passed by the Legislature include Senate Bill 175 (Top Ten Percent); House Bill 3 (Public School Accountability); House Bill 4765 (Margins Tax Threshold); and House Joint Resolution 14 (Eminent Domain).  Legislation to address funding issues within the Texas Windstorm Insurance Association was added to another bill at the eleventh hour and now awaits the Governor's approval.

Key bills that failed to pass include Senate Bill 362 (Voter ID); Senate Bill 1164 (Concealed Carry on Campus); Senate Bill 1443 (Higher Ed Tuition Regulation); House Bill 2962 (CHIP Expansion); Senate Bill 182 (Mandatory Ultrasounds before abortions) and various bills related to the expansion of gambling.

Governor Perry has until Sunday, June 21st to sign, veto or allow legislation to become law without his signature.

Curious about a bill that you have heard about or lost track of along the way?  Go to http://www.capitol.state.tx.us where you can search for bills by number or by subject.  There is also a text search feature.

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Update: Bills Of Interest To TOA
 
    

TX H 1357 Isett SpecialtyHosp
Freestanding Emergency Medical Care Facilities
Relates to the regulation of Freestanding Emergency Medical Care facilities; provides an administrative penalty; creates an offense.
06/03/2009 *****To GOVERNOR.

TX H 1888 Davis J InsReimburse PatientSafety
Physician Ranking
Relates to standards required for certain rankings of physicians by health benefit plans.
06/01/2009 *****To GOVERNOR.

TX H 2154 Edwards Physicians
Physician Education Loan Repayment Program
Relates to the physician education loan repayment program.
06/03/2009 *****To GOVERNOR.

TX H 3450 Legler Chiropractic
Temporary Chiropractic Faculty License
Relates to a temporary faculty license for chiropractic faculty.
05/31/2009 *****To GOVERNOR.

TX H 3456 Branch Physicians
Baylor College of Medicine Funding
Relates to the education and preparation of resident physicians; relates to the contract with Baylor College of Medicine that provides money to be spent exclusively by the school for the education, training, development, and preparation of resident physicians for a career in medicine.
05/29/2009 Filed with Secretary of State. Chapter No. 44

TX H 3717 King S PT-misc
Physical Therapy
Relates to exemptions from the requirement to hold a license to practice physical therapy.
06/03/2009 *****To GOVERNOR.

TX H 4409 Taylor MedMal
Emergency Preparation and Management
Relates to emergency preparation and management.
06/03/2009 *****To GOVERNOR. 

TX S 202 Shapleigh Physicians
Physician Provisional Licensing
Provides for provisional licensing of physicians to practice in underserved areas.
05/28/2009 *****To GOVERNOR.

TX S 292 Nelson Physicians
Physician Emergency Contact Information
Relates to the requirement that licensed physicians submit to the State Medical Board, telephone numbers, fax numbers, and e-mail addresses, if available and as appropriate, that the board may use to contact the license holder in an emergency.
06/03/2009 *****To GOVERNOR.

TX S 395 Lucio Ed PT-misc
Early Childhood Health and Nutrition Council
Relates to creation of the Early Childhood Health and Nutrition Interagency Council.
06/01/2009 *****To GOVERNOR.

TX S 1225 Huffman Physicians
Faculty Temporary Licenses to Practice Medicine
Relates to faculty temporary licenses to practice medicine.
06/01/2009 *****To GOVERNOR. 

TX S 1326 Nelson ASC
Statewide Health Coordinating Council
Relates to the functions of the Statewide Health Coordinating Council; provides civil penalties.
06/01/2009 *****To GOVERNOR. 

TX S 1728 West Physicians
Joint Admissions Medical Program
Relates to the administration of and eligibility for the Joint Admissions Medical Program.
06/01/2009 *****To GOVERNOR.

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Health Care Providers Offer Input on Imaging Services
 
  

On May 27, 2009, the Centers for Medicare and Medicaid Services (CMS) hosted an Open Door Forum on the upcoming Appropriate Use of Imaging Services Demonstration Project. The demonstration project was authorized by the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA). The goal of this project is to collect data on physicians' use of advanced diagnostic imaging services (defined as magnetic resonance imaging (MRI), computed tomography (CT) and

nuclear medicine (including positron emission tomography).

The open door forum was a listening session to obtain input from stakeholders. The call was led by staff from The Lewin Group, the firm that won the contract to conduct the demonstration. The specific goals of the open door forum were to gather input on evaluating and measuring utilization, ways to motivate physician participation, issues related to point of order and point of service and which procedures to include in the demonstration. The main groups participating in the discussion were the American College of Cardiology, American College of Radiology, independent radiology groups, and hospitals that have already implemented these types of programs. The major suggestions from participants were to standardize the electronic means of collecting data, ensure ease of use by incorporating programs into workflow process, and use evidence-based appropriateness criteria. The main area of disagreement was whether to focus on criteria at the point-of-order or the point-of-service.

The AAOS is working with CMS and The Lewin Group assist in the appropriate design of the demonstration project.

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