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ARCHIVED Newsletter 2012.09
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September
2012
Oregon Association Of Naturopathic Physicians Newsletter

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Notes From The Office

The Run for Natural Medicine Visits Oregon
by: Laura Farr l Executive Director, OANP


For almost a year now, we have been focused on working through the legislative and Health Authority processes to get naturopathic doctors included in the transformation ofthe Oregon Health Plan. While that process grinds on (see Legislative Update below), we now also have an opportunity to highlight our efforts with the media and general public to help us build momentum.
 
That media opportunity is coming to us in the form of the Run for Natural Medicine. Some of you may remember the amazing efforts of the Run last summer, when Dennis Godby, ND and his sons ran across country to raise awareness of naturopathic medicine.
 
This year, the Run is hitting the road again, with two runners heading from the Canadian and Mexican borders and meeting in Sacramento. They'll be coming right through Oregon between the dates of August 21st through September 1st.
 
We'll be working with the Run organizers to plan events in several cities as they come through Oregon, with a rally planned in Portland to call on the new Coordinated Care Organizations to fully integrate naturopathic doctors into the new CCOs. We'll be asking you to invite your friends, family, patients, staff and of course yourselves to join Jeremiah Godby in running at various points along his path, and will be working with NCNM and the Run to draw media attention to our campaign.
 
Stay tuned for more details - and watch out for emails that you can send to your networks to join us in this opportunity to bring attention to getting naturopathic doctors covered by insurance! Visit www.therun.org for more information on the Run's activities and itinerary.
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.. Community News

Oregon Health Authority looking for Naturopaths to join the State Emergency Registry of Volunteers.
by: Adam Briggs l Membership Manager, OANP
 
Eric Gebbie, DrPH, of the Oregon Health Authority, has placed a call to Naturopaths to join the State Emergency Registry of Volunteers in Oregon. Known as SERV-OR, this program is run by the Oregon Health Authority. It is a great avenue for licensed healthcare professionals who may want to volunteer their services to help those in need during community disasters and public health emergencies.
 
September is National Preparedness Month, and Eric Gebbie is specifically reaching out to the ND community, because there are currently less than 10 NDs registered with SERV-OR. Gebbie emphasized that NDs "...have important skills, credentials and compassion that could be of great service to people affected by disasters."
 
For more information on SERV-OR, visit their website at SERV-OR.org.
 
 
 
Member Alert - Avoid Scams from the "Ashford Network"
by: Adam Briggs l Membership Manager, OANP
A company calling itself the Ashford Network has been approaching NDs via email and phone, and offering them a chance to do an interview on their podcast. The main issue with their offer is that they charge a fee of $2,500 to be on a podcast that does not have anywhere close to a substantial following. If you hear anything from them, do not agree to it.
 
 
 
 
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Member & Supporter News
Multnomah Family Care Center were recently honored with Tier 3 status of the Patient Centered Primary Care Home (PCPCH)
by: Dr. Sara Love l OANP Member


Sara Love, ND and Kirsten Carr, MD of Multnomah Family Care Center were recently honored with Tier 3 status of the Patient Centered Primary Care Home (PCPCH). The PCPCH is a part of the Oregon Health Authority and has the goal of seeing that patients in Oregon are established in primary care homes and treated according to standards set by the PCPCH committee which OANP Boars Member Dr. Carrie Baldwin-Sayre is a member. The primary care home model emphasized preventitive medicine and the PCPCH clinics are paid monthly per qualified patients with incentives of keeping patients out of emergency rooms and surgery.
The PCPCH model is excellent for naturopaths who wish to practice primary care medicine in Oregon. It allows us to truly use our medicine in a way that we were trained.
 
 
May 2012 Newsletter Update: Billing Medicare
By: Adam Briggs l Membership Manager OANP

In our May 2012 Newsletter, we highlighted how patients that have secondary insurance in addition to Medicare may have the possibility to bill NDs to their secondary insurance. After that article was published the process for getting a Medicare denial letter has changed.

Under the new process, the patient must fill out this form (with assistance from their ND), and send it with a HCVA to Medicare, Medicare will then send an EOB denying coverage. This EOB is then sent to the secondary insurance with a new HCVA billed to their secondary insurance. It is important to make sure the patient's secondary insurance offers coverage for NDs before beginning this process.

 
In Memoriam: Dr. Teresa Magda Mische

By: Alexandra Gayek, ND

Teresa Magda Mische, ND, of Orcas Island, Wa., passed away Feb. 13 while on a scubadiving trip in the Bahamas. She was 63.

Dr. Mische was born February 11, 1949 in Rockville Centre, NY. After earning her BS in Pharmacy from the Univ. of Connecticut in 1971, she traveled West and fell in love with the Grand Canyon. She put her pharmacy career on hold to live there, managing Phantom Ranch, at the bottom of the Grand Canyon, while she backpacked thousands of miles and learned to row the big whitewater of the Colorado River.

Her love of adventure then led Magda on a 19 month world trek in 1977, working and traveling throughout Europe and Asia.

On her return to America in 1979, she worked as a pharmacist in Vancouver, Wa. while pursuing her ND degree. Dr. Mische graduated from NCNM in 1990, then moved to Orcas Island, where she worked as a pharmacist while building her practice there and in Anacortes, Wa. was a beloved family practice physician on Orcas Island for 22 years.

A lover of wild places, Magda was happiest in nature, especially on and in the water. Although she traveled and lived all over the world, it was the majesty of the Grand Canyon that called her. In all, she made some 23 Canyon trips down the Colorado River, most of them at the oars of her trusty 14 foot raft.

Her active life led to more than a few injuries, including a broken back. Each time she bounced back and pressed on undaunted — hiking, climbing, river rafting, sea kayaking, and in 2009 became a certified diver. She credited the caring and support of the Orcas Island community, her family, her spiritual pursuits, and her many friends for her courage to heal.

Dr. Mische is survived by her partner, Alexandra Gayek, ND (NCNM ’97,) her brothers, Philip and Eric Mische, and extended family. A celebration of her life took place at the Orcas Center on Orcas Island on June 24.

 
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.. Continuing Education & Community Events
 
OANP 2012 Pharmacy and Ethics Seminar
December1-2, Waterfront Marriott, Portland, OR
This event offers 10 hours of pharmacy and 2 hours of ethics CE. Any CE obtained in December but not needed for license renewal in that year may be carried over to the next year's renewal. Pharmacy & ethics CE not needed for those requirements may also be used as General CE.
 
Systemic Enzyme Therapy: The Next Frontier in Healthy Aging and InflammationComplimentary Seroyal Webinar– 1.5 hrs
Thursday, October 11, 2012 8:00 PM – 9:30 PM EST | 5:00 PM – 6:30 PM PST r
Systemic Enzyme Therapy was for a long time regarded as a purely empirical treatment method. Due to the rapid development of immunology, biochemistry and molecular biology, Systemic Enzyme Therapy (SET) has undergone significant developments. It has been shown that behind the empirically supported clinical results are a complex set of regulatory processes, which previously were unknown. Today, scientists have a better understanding with respect to mechanisms by which SET, long considered Europe’s natural alternative to pharmaceutical NSAID’s, achieves superior clinical results for pain, acute and chronic inflammation, and immune support.
Enzymes play a critical role in the body and are involved in a tremendous number of metabolic processes. Scientists suspect there may be as many as 15,000 enzymes at work in our bodies on a daily basis. System Enzyme Therapy is one of the most studied natural therapies in history, and long considered a traditional mainstay in physician treatment programs across Central and Eastern Europe.
Chronic (silent) inflammation is increasingly being viewed as the central mediator of disease progression and/or in the manifestation of symptoms in diseases as varied as cardiovascular and autoimmune diseases, chronic fatigue and chronic pain syndromes, metabolic syndrome and more. Resolution of the chronic inflammatory condition lies at the heart of all attempts to treat and prevent these diseases. Please join Dr. Miller to learn more.

 
Integrative Approaches to Pediatrics
October 26-28, 2012Institute of Women’s Health an Integrative MedicinePortland, OR
Come join us for a fabulous 2.5 days of lectures by experts in pediatrics, pediatric endocrinologyand natural medicines. CME hours: Total of 15.25 hours with 13.0 hours of general CME and3.25 hours of pharmacy.
Topics include:
-What’s new in the Pediatric Literature
-Pediatric Allergies: Holistic management beyond gluten and dairy elimination
-Autism spectrum disorders- an integrative approach
-Top 5 problems in Pediatric Endocrinology
-Type 1 Diabetes in children
-Pediatric
-Endocrinology and Integrative Solutions
-Vulvo-vaginal disorders in young girls
-Principles of Parenting Interventions
-Omega-3s and Child development and behaviors
-Botanical medicines and protocols in a Pediatric Practice
-Urgent care issues in Pediatrics
-Clinical Pearls from a Naturopathic Pediatric Practice
Featured Speakers: Mary Bove, N.D., Tamara Cullen, N.D., Matthew Baral, N.D. ,Aimee Shunney,N.D., Alena Guggenheim, M.D., Karin Selva, M.D., Aarin Benson, N.D.and Tori Hudson, N.D.
 
 
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.. Legislative Updates

CCO Update
by: Laura Farr | Executive Director, OANP

The last two months have been marked by the Oregon Health Authority trying to finalize administrative rules for the new law authorizing the creation of Coordinated Care Organizations - SB 1580.
OANP-member Kelly Fitzpatrick, ND from Eugene was appointed to the CCO Rules Advisory Committee in May, and we are extremely grateful for the time she took off from her practice to give NDs a voice in developing the rules.
 
Unfortunately, not many of the comments that she or the OANP contributed during the committee's meetings were adopted in the next draft of the rules.
 
Our concerns are:
 
•The rules do not clarify that NDs can and should be credentialed in the CCOs as primary care providers - they still do not define provider at all!
 
•There is no provision in the rules for CCOs to provide continuity of care for people who have an "open card" on the OHP who currently see an ND for their primary care to be able to continue seeing their ND in the new CCO.
 
• The non-discrimination language in the rules does not further define what constitutes discrimination and does not define what is an "adequate network" of providers from which people can choose.
 
• Rules need to be more clear that varying reimbursement rates must only be based on quality and outcomes of providers, and not based solely on provider type.
 
The second draft of the rules just finished having a public comment period on July 22nd, and OANP members helped to get over 150 comments voicing these concerns submitted to OHA. More than half of those comments were submitted by your patients after you helped spread the word about this for us. Thank you for helping us in this legislative battle!

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News-bytes & Classified Ads

2 NDs for Hire
I am looking to hire an ND for both the Bend and Redmond clinics. The position could be part time (1-2 days/ week) and only for a short interim as I look for someone full time. The short term part time position would be on a contractual basis while the full time position will be a salaried position with benefits. If you or anyone you know might be interested please contact me, Payson Flattery, ND, at paysonflattery@gmail.com
 
Medical Office for Lease in West Linn, OR
Exam rooms, 1460 sqft. Reception area with built-in desk. Close to other health care professionals. Upper class neighborhood. On-site parking. First year $1460 plus triple-net, 3 yr lease to start. Call 503-932-0885 for more information.
 
 
Career Opportunity for ND, ND/LAc
Dr. Noel Peterson is looking for an associate to join our practice at The Center for Traditional Medicine,PC, in Lake Oswego, Oregon. We are seeking to employ an experienced practitioner with passion, charisma, a strong work ethic, and commitment. Newly renovated and stunningly beautiful., our 4000 SF clinic is located on the Willamette River, in downtown Lake Oswego. Since 1978, CTM has excelled as a multi-discipline natural medical team dedicated to empowering our clients to create optimal health through education, inspiration, and natural therapy. We are fully staffed and excel in customer service.
Requirements: Oregon license, motivated and experienced in naturopathic and alternative cancer therapy, patient care and management, entrepreneur's spirit, affinity to Oregon, finds humor in and/or opportunity in everything she/he experiences.
For more information,Contact Noel Peterson ND, DAAPM noelpeterson1@comcast.netwww.MyCTM.org

 


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.. Clinical Research & Practice Information


How to Bill Like a Lawyer-Coding tips and other techniques to get paid for your time
by: Shirley Grace | Physicianspractice.com
 
Last week you examined a patient and took a history. After ruling out this or that, you began to suspect the worst. So you sent him off for the appropriate tests. The qualifications fit for a 99213, so that’s how you coded the visit. Today, the results are back: cancer. The patient returns and you relay the bad news. It’s a difficult visit. Lots of listening to someone whose body has let him down. You support your patient, impart critical information, reassure him that there’s hope, and discuss treatment options. Several members of the patient’s family are there, too, and they have questions. You spend 45 minutes on this counseling.How on earth do you code that? You performed no physical exam. You took no additional history. You made no medical decisions. These are, of course, the base criteria for E&M coding; more or less activity in each category can bump the code up or down a notch. But what you did for this patient has real value — and it took more of your time than most visits. Lawyers charge by the hour. Why can’t you? Or can you? Yes you can, sometimes...
 
 
Probiotics Reduce Antibiotic-associated Diarrhea
by: Journal of American Medicine
 
A recent review in the Journal of the American Medical Association confirms the efficacy of probiotics in preventing and managing antibiotic-associated diarrhea. Two independent reviewers examined data from 63 randomized, controlled trials that included 11,811 participants. Probiotic administration reduced the risk of antibiotic-associated diarrhea by 42%. Antibiotic-associated diarrhea occurs in up to 30% of those using the medications and is a significant reason patients fail to comply with antibiotic prescription therapy.
 
Hempel S, Newberry SJ, Maher AR, et al. Probiotics for the prevention and treatment of antibiotic-associated diarrhea: a systematic review and meta-analysis. JAMA. 2012 May 9;307(18):1959–69.
 
 



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Oregon Association of Naturopathic Physicians
PO Box 5876
Portland, OR 97228
phone (503) 262-8586

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Laura Farr, Executive Director
laura@oanp.org

Adam Briggs, Member & Supporter Coordinator
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OREGON ASSOCIATION OF NATUROPATHIC PHYSICIANS
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Phone: 503-262-8586