Sunday, October 30, 2011

WHY WE SHOULD STAY WITH THE MEDICAL SOCIETY


For those of you who do not know me, my name is Maria Basile.  I am a colon and rectal surgeon with a private practice in Port Jefferson, and have been a member of this medical staff since October of 2000.  I am currently serving a year as Secretary of the Suffolk County Medical Society.  I have been tasked by our leadership, Dr. Schrank and Dr. Kvilekval, to outline the benefits of our Medical Staff’s Institutional Membership with the Medical Society, to help you understand how our Institutional Membership has helped us – individually, as a medical staff, and as a profession.


Individually, this membership has saved me, and at least 500 of you, my colleagues, more than $850 in individual dues to SCMS and MSSNY.


Because of our institutional membership, 4 CME courses were brought to us and professionally taught on site on timely topics of our own choosing, such as


1.       Preparing Your Practice for and Audit


2.       Accountable Care Organizations


3.       Electronic Health Records/ Meaningful Use


4.       Clinical Integration


Future offerings could include


·         ICD-10 Implementation


·         Employment Law


·         Captive PC’s and IPA’s





The MSSNY House of Delegates is my favorite opportunity to see firsthand how issues important to individual physicians can shape and even become Medical Society Policy.  At the Womens’ Caucus  this spring I was exposed to the different ways that female physicians from all over New York State and at varying points in their career still navigate cloaked, hurtful, or thoughtless comments about women in our profession – how they balance home, family, and work-life demands, and explore new models of part time practice or manage reentry into full time practice after maternity, family health, or academic leave.


I witnessed how Dr. Schrank followed issues that spoke to his interest in Sports Concussion through the process of creating resolutions that protect and promote the issues important to doctors and watch them be considered, debated, voted upon, and adopted, or not adopted by the House.


I have sought individual legal support from the medical society for answers about ethical and legal matters, employment contracts, and their ombudsman services against managed care companies’ administrative harassments.





This year our Medical Staff, its leadership and committees, has also sought legal advice from MSSNY.  Senior counsel, Donald Moy was able to attend a meeting of our medical leadership and ad-hoc committee on Captive PC’s to give an opinion on changes to our bylaws to accommodate changing practice models and alignment strategies with our hospitals and what these changes mean in terms of Medical Staff privileges.  We should continue to seek MSSNY’s guidance as we revise our Medical Staff Bylaws to comply with MS 01.01.01 Joint Commission standards.


Because of our Medical Staff’s Institutional membership, MSSNY Legislative Day was improved.  Our Medical Staff and St. Charles Hospital was chosen as one of 9 Remote “Satellite” nodes for live internet streaming of the Physician Town Hall Meeting in Albany, an exciting new format designed to bring Physician Lobby Day to the communities where MSSNY members are practicing.


Because of our pioneering efforts as a Joint Medical Staff taking this leap to join MSSNY as an institution OTHER HOSPITAL STAFFS HAVE FOLLOWED suit.  The entire Albany Medical College Faculty Practice, St. James Mercy Medical Center in Steuben County have joined as Institutional Members, and MSSNY is currently negotiating with 7 other institutions using our model for Institutional membership.


We ARE becoming the change we want to see in this world.


This year Medical Liability Reform has become part of budget discussion at the New York State level.  At the national level, our New York delegation was a vocal contingency to the AMA, pushing them to readopt a stance to have Med Mal Reform as part of the National conversation.  “Med Mal Reform  IS Health Care Reform,” was the message from NY to every other state delegation.


At a recent Legislative Breakfast at Suffolk County Medical Society headquarters, I was so proud to watch our own Dr. Paul Lograno, speaking as president on behalf of his local specialty society,strategize and engage a room full of legislators emphasizing how critical Physician Collective Negotiation would be to level the playing field between physicians and managed care.





These past few weeks thousands of people have been involved in the “Occupy Wall Street” protests in New York City and other cities around the world.  Participants are being roundly portrayed and criticized for being fractured, fringe actors, obstructionist, too individualized in motive, and lacking in a unified message.


OUR MEDICAL STAFF IS DIFFERENT in that we have found a way to use our numbers effectively to serve our priorities.  We HAVE brought a unified voice to issues like Med Mal Reform and Physician Collective Negotiation to and through the NYS Legislature, the Governor’s office and into the National Conversation.
We HAVE found a way to harness all the trust, compassion, stability, and hope that we use each day with our patients and each other to OCCUPY MEDICINE even as we continue to practice medicine.  This way has been with our institutional membership with the Suffolk County Medical Society and the Medical Society of the State of New York.