DJP Update 6-2-2007 -CMO Gary Epstein leaves AMA; AMA & Sermo; Pay-for-Performance; Gadgets; French exhibit Femme, Femme, Femme at NOMA

ITEM ONE: AMA's marketing chief leaving to run XM radio channel Chicago Tribune story by Bruce Japsen: "Chief Marketing Officer Gary Epstein, who helped lead a $60 million campaign...." departs AMA.

ITEM TWO: AMA and Sermo Enter Into Partnership To Empower Physician On-line Forum and more.  See press releases below.

ITEM THREE: Is pay-for-performance good for the heart? UPI Article about study in JAMA June 6, 2007 "...no significant difference"

ITEM FOUR: Gadgets - Portable GPS devices

ITEM FIVE: French Femme, Femme, Femme Exhibition at NOMA -  last chance to see it starts at midnight Saturday and ends midnight Sunday, June 3.  In you are near enough to make the exhibit, don't miss it.  You will not be disappointed!

Donald J. Palmisano, MD, JD
Intrepid Resources / The Medical Risk Manager Company
5000 West Esplanade Ave., #432
Metairie, LA 70006
504-455-4895 office
504-455-9392 fax
312-560-0180 cell
DJP@intrepidresources.com
www.intrepidresources.com


ITEM ONE: AMA's marketing chief leaving to run XM radio channel

http://www.chicagotribune.com/business/chi-
sat_ama_0602_jun02,0,1695889.story?coll=chi-business-hed

AMA's marketing chief leaving to run XM radio channel

By Bruce Japsen
Tribune staff reporter
Published June 2, 2007

American Medical Association Chief Marketing Officer Gary Epstein, who helped lead a $60 million campaign to reinvigorate the Chicago-based doctors group's image and revive sagging membership, is heading to satellite radio.

Epstein, who joined the AMA three years ago, will become chief executive officer of Northbrook-based ReachMD, a 24-hour news and talk channel for health-care professionals on XM Satellite Radio, the AMA confirmed. Epstein's departure date has not yet been determined, the AMA said.

The brand campaign included an updated logo and ads depicting doctors as "everyday heroes." Last year the AMA said the brand campaign boosted the number of dues-paying members by 3,300, or 2.5 percent.  However, it did not turn around a decadelong decline in overall membership at a time when the number of doctors continues to grow.  The AMA plans to update its 2006 membership numbers at the group's annual meeting in Chicago this month.

The AMA, which once represented two-thirds of the nation's doctors, now represents about 250,000 -- or less than one-third -- of the nation's physicians. The organization's recruiting has suffered from perceptions that it is a self-interested trade group and from the growth of specialty societies.

A high membership count is critical to the group's morale and clout, particularly in Washington, where the group has been in an almost constant battle for reimbursement dollars, liability reform and other issues important to physicians these days.

The AMA is currently in an uphill battle to head off cuts in Medicare reimbursement to doctors as Congress and the Bush administration are struggling with ways to pare a budget deficit and pay for the Iraq war.

The AMA's chief executive, Dr. Michael Maves, praised Epstein's accomplishments. "Few other people in the history of the AMA have had the impact on the AMA brand that Gary has," Maves said in a statement. "Gary's influence is clearly visible and will be a lasting testament to his work and creativity."

bjapsen@tribune.com
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ITEM TWO: AMA and Sermo Enter Into Partnership To Empower Physician

http://www.sermo.com/

http://www.ama-assn.org/ama/pub/category/17614.html
FOR IMMEDIATE RELEASE

AMA and Sermo Enter Into Partnership To Empower Physicians

Nation’s largest physician organization teams with leading online physician community to hear and act on physicians’ needs in a way never before possible Cambridge, MA – May 30, 2007 – The American Medical Association (AMA) and Sermo today announced a collaborative agreement to empower physicians by making their collective voice heard in a way never before possible. By teaming with Sermo, the AMA will be able to address important professional and public health issues in a multi-phase, multi-year alliance aimed at improving medical practice, physician advocacy, and patient care.

“The Sermo community represents an innovative forum for physicians to share their voice with the AMA and discuss emerging issues on the front lines of medicine,” said Cecil B. Wilson, M.D., chair of the AMA Board.  “Engaging with Sermo’s virtual community adds to the resources the AMA can call upon to rapidly assess and respond to the issues and concerns of physicians across the Unites States.”

The AMA and Sermo have been working together to create initiatives that have a tangible value for physicians.  “We’re working with Sermo to learn how we can use cutting edge Web technology to better serve our physician members and help advance our strategic pillars of advocacy, communications and involvement,” said Dr. Wilson.

As part of this relationship, AMA and Sermo will work together to:

Create a direct line of communication between physicians and AMA leadership by allowing AMA to pose questions, get feedback, and observe real-time discussions on Sermo about medical practice, treatment options, and the latest advances in clinical care.

Include a “Discuss on Sermo” link in AMA print and online publications, including the AMA’s award-winning American Medical 
News, which reach more than 350,000 physicians. This new link will allow physicians nationwide to immediately discuss, survey, and corroborate opinions about the latest health care news and research.

Leverage Sermo to help AMA policy development around public health issues.

Create a special home in the Sermo community specifically designed for AMA’s physician members.

Amplify the most hotly debated issues among physicians within the Sermo community by producing a “Top Postings” column in the weekly AMA eVoice e-newsletter, which reaches more than 100,000 physicians nationwide.

Nearly 75 percent of office-based physicians work alone or in small group practices, with few opportunities to interact with peers or their professional organizations. Physicians are further burdened by increasing case loads, medical liability, reduced Medicare reimbursement, unprecedented numbers of uninsured patients, and managed care pressures on physician-patient relationships.  In this environment, today’s physicians must manage more responsibilities with less time and resources -- all while trying to deliver the best possible care for patients.

By leveraging Web 2.0 technology, Sermo is providing a much needed online forum for physicians to interact. In just six months, Sermo has become the “go-to” place for thousands of physicians nationwide to ask and answer questions of each other, build consensus around the latest medical trends, and exchange insights about drugs, devices and treatment options. The Sermo community has rapidly become an important new way for physicians to connect with each other, and now to connect directly with professional associations such as the AMA.

“Sermo shows how new technologies can make a direct impact on the practice of medicine,” said CEO of Sermo, Daniel Palestrant, M.D. “We’ve established an entirely new information exchange never before possible that is empowering physicians and giving them a collective voice they’ve never had.  Now the AMA will have a direct line to the physician community at large and can instantaneously see trends and issues challenging physicians nationwide.  This relationship opens the flood gates for hundreds of thousands of physicians to work together on Sermo and apply their collective thinking to revolutionize medical practice and better serve the public health.”

About Sermo
Launched in September 2006, Sermo is already the largest online physician community, ever.  Sermo’s Web-based platform provides a medium for physicians to aggregate observations from daily practice then — rapidly and in large numbers — challenge or corroborate each other’s opinions.  This forum accelerates the discovery of emerging trends and provides new insights into medications, devices and treatments. Through Sermo, physicians exchange knowledge with each other the minute it is learned and gain potentially life saving insights from colleagues as they happen instead of waiting to read about them in conventional media sources. Sermo harnesses the power of collective wisdom and enables physicians to discuss new clinical findings, report unusual events, and work together to improve patient care in a way never before possible. Through its unique business model, Sermo is free to physicians and has no advertising or promotion.  Based on a system of information arbitrage, Sermo allows healthcare organizations, financial services firms and industry analysts to access the community’s collective knowledge on a subscription basis.  For more information, visit www.sermo.com.

About the American Medical Association

The American Medical Association helps doctors help patients by uniting physicians nationwide to work on the most important professional and public health issues. Working together, the AMA's quarter of a million physician and medical student members are playing an active role in shaping the future of medicine. For more information on the AMA, please visit www.ama-assn.org.

Press Contacts:
Gregory Shenk
Sermo Marketing Communications
Phone: (617) 497-1110
E-mail: gshenk@sermo.com

Robert J. Mills
AMA Media Relations
Phone: (312) 464-5970
E-mail: robert.mills@ama-assn.org
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ITEM THREE: Is pay-for-performance good for the heart?

http://www.upi.com/Health_Business/Briefing/2007/06/01/
is_payforperformance_good_for_the_heart/4705/print_view/

Is pay-for-performance good for the heart?

DURHAM, N.C., June 1 (UPI) -- The recent trend in giving hospitals financial perks to meet certain quality measures doesn't seem to help heart attack patients, says a U.S. study.  A study done at Duke University suggests that a pay-for-performance program at hospitals was not associated with significant improvement in quality of care or in outcomes for heart attack patients.

"The concept of providing financial incentives to healthcare givers to improve quality of care, known as pay for performance, has received national attention as a potential means of narrowing well-documented gaps between healthcare guidelines and clinical practice,"  said the Duke team.

The researchers looked at data from 105,383 patients with acute, non-ST-segment elevation myocardial infarction who were treated between July 2003 and June 2006 at 54 hospitals in a Medicare pay-for-performance pilot and at 446 control hospitals.

They found no significant difference in the rate of improvement in the composite score on quality-care measures between the two hospital groups.
The team noted that, for two of the six Medicare-advised measures -- aspirin prescription at discharge and smoking cessation counseling -- the rate of improvement was slightly higher at the pay-for-performance hospitals, compared to the control hospitals.

However, for composite measures of heart attack treatments not subject to incentives, rates of improvement were not significantly different, the authors said, and both hospital groups saw a roughly similar, slight decline in heart attack death rates over time.

"This study is one of the first to evaluate the ... pay-for-performance pilot project," the authors said. "Among hospitals 
participating in a voluntary quality-improvement registry, pay-for-performance had limited incremental impact on processes of care and outcomes for acute myocardial infarction. Conversely, we did not find evidence that pay-for-performance had an adverse impact on improvement in processes of care that were not subject to financial incentives." Medicare launched the pilot program in 2003.

The study appears in the June 6 issue of the Journal of the American Medical Association.
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ITEM FOUR: Gadgets - Portable GPS devices

In the last DJP Update I did not mention portable GPS devices.  My favorite is the Garmin Nuvi 350.  It fits in a pocket and is 
terrific.  More info at: https://buy.garmin.com/shop/shop.do?pID=6290
The price is less than $500 in most places.

I have used it East Coast, West Coast, North and South in USA and also  in Canada.  Easy to use.  Also it holds photos on a memory card and plays MP3 music.  A new model is even smaller (200 model) but I have not used it.  There is no monthly charge to use it.  Just buy it and use our satellites free.

A backup concept is the GPS built into the BlackBerry 8800 that I own.  However, it costs $9.95 cents per month for the GPS service.  Nice to have the backup as I noted this past week when AMA president-elect Dr. Ron Davis was in New Orleans for a speech.  Ron and his wife Nadine requested a tour of the Katrina-damaged areas.  We went to the lakefront, Lakeview, New Orleans East, and then to the lower Ninth Ward.  Returning from the lower Ninth Ward I discovered the bridge over the Industrial Canal blocked by a military vehicle.  Trying to find an alternative route out, I got turned around and pulled out the BlackBerry phone with GPS as I forgot my Garmin at home.  Within a minute it told me my location and gave me an alternative route that was not blocked.  A wonderful magical gadget that can prevent grief especially when you are on a trip and get lost.
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ITEM FIVE: French exhibit at NOMA - last chance to see it starts at midnight Saturday and ends midnight Sunday.
Go to: www.noma.org
*****NEWS ALERT*****NEWS ALERT*****
Femme, Femme, Femme Exhibition Closes With Marathon Day. Final day of 
Femme, femme, femme to last 24 hours

Femme, femme, femme: Paintings of Women in French Society from Daumier to Picasso from the Museums of France will be open for a marathon 24-hour day to close out the exhibition. The New Orleans Museum of Art (NOMA) will remain open to visitors from 11:59 p.m. Saturday, June 2nd to 11:59 p.m. Sunday, June 3rd. Femme, femme, femme will close forever Sunday, June 3rd at midnight.  "....paintings by such artists as Renoir, Degas, Manet, Toulouse-Lautrec and Picasso, Femme, femme, femme celebrates the emergence of the modern woman as seen through art."

Robin and I saw it today and it is wonderful.

This exhibit is a magnificent gift by France to help New Orleans post-Katrina.  In addition to millions of dollars given by the French 
citizens to the French Red Cross to help in the devastated areas, an exhibition of French art was promised to assist New Orleans in its recovery and to revive tourism in New Orleans.  Femme, femme, femme is the result.  Some of the art left France for the first time.  A book of all of the paintings is available for purchase from NOMA  
Thank you, our friends in France!

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Hope you enjoyed the update!
DJP

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