Kansas Chapter of the American College of Surgeons
Chapter News
Officers
ACS Home Page
About Us
Contact Us
Home
Other Links


Kansas Chapter Annual Meeting - September 14, 2019

Jennifer McAllaster, MD FACS of Topeka was installed as the Kansas Chapter President, replacing John Ashcraft, DO FACS, and Peter DiPasco, MD FACS of Kansas City was elected President-Elect. The new Councilors elected to serve were Samantha Beck, MD FACS of Wichita, Amanda Amin, MD FACS of Kansas City, and Randi Ryan, MD of Kansas City (Resident).

The Chapter program consisted of presentations and a panel discussion regarding Updates in Breast Surgery as well as Disruptive Technology - Robotics vs. Conventional Laparoscopy panel discussion, followed by a Surgical Treatment of GERD lecture provided by Reginald Bell, MD of Denver, CO. Jerod Grove, MD FACS led the group into the luncheon with an ACS Foundation Update, followed by an ACS Update from Mark Weissler, MD FACS - First Vice-President, ACS. Joshua Mammen, MD PhD FACS presented an ABS Update to the group after lunch.

The Resident Trauma Presentations winner was Bachar Halimeh, MBBS with "Empowering the Affected - Informing Community-Based Solutions through Interviews with Survivors of Interpersonal Gun Violence".
The following Resident Cancer winner was Randi Ryan, MD with "Inhibition of Esophageal Tumor Cell Growth Using a Common Antifungal Agent - Drug Repositioning in Cancer Treatment".




Leadership & Advocacy Summit 2019
Thanks to Drs. Joshua Broghammer, Scott Coates, Joshua Mammen, Randi Ryan and Robert Sliter, for attending the ACS Leadership & Advocacy Conference in DC. They advocated on behalf of Kansas surgeons to your congressional leaders.  Here is what the asks were on Capitol Hill:

Unanticipated Medical Billing - Surgeons, patients, and policy makers are concerned about the impact that unanticipated medical bills have on patient costs and the patient-physician relationship. The American College of Surgeons (ACS) believes a holistic approach consisting of coordinated efforts by health insurance plans, hospitals, providers, and patients will be required to remedy this complex issue.

As Congress moves forward with its efforts to address this issue, the surgeons asked that the principles listed above be utilized to promote access to appropriate medical care, and encourage insurers to negotiate in good faith with health care providers to establish adequate provider networks and fair remuneration.

The Future of Medicare Physician Payment - Faced with two decades of stagnant payment, looming cuts, and onerous requests for investment in new sytems that CMS fails to implement, physicians are understandably frustrated and burned out. With Medicare playing a vital role in the delivery of health care in the United States, Congress must take steps to ensure that Medicare as a payer keeps pace with innovation and inflation by addressing reimbursement in a way that reflects the cost of medical care and the value of services provided to beneficiaries. Congress can do this by taking the following steps:
• Create an inflationary update mechanism for the Medicare conversion factor formula
• Partner with physicians and other experts to improve the MIPS program
• Urge CMS to work with stakeholders on measurement that informs patient and physician decisions
• Extend the A-APM incentive payment beyond 204 while directing CMS to test PTAC approved models
• Review A-APM participation thresholds to ensure surgeons and other can achieve QP status.

The ACS will continue to pursue improvements to quality and value in MACRA. However, it is time for Congress to examine physician reimbursement in a way that is fair and incentivizes physicians to continue to take on risk, innovate in care delivery, and provide high quality of care of patients.

Prior Authorization - Surgical patients are encountering barriers to timely access to care due to onerous and unnecessary prior authorization (PA) requests from Medicare Advantage (MA) plans. Utilization review tools such as PA can sometimes play a role in ensuring patients receive clinically appropriate treatment while controlling costs. However, the ACS is concerned about the growing administrative burdens and the delays in medically necessary care associated with excessive PA requirements.

Support legislative efforts to improve the continuity of patient care by increasing transparency of prior authorization requirements for Medicare Advantage plans.

Meaningful Measurement of Surgical Quality - The enactment of Medicare Access and CHIP Reauthorization Act (MACRA) provided an important opportunity to tie Medicare payments closely to quality in a meaningful way to both patients and providers. However, instead of working with stakeholders to develop a measurement structure that strives for high quality and value, the Centers for Medicare and Medicaid Services (CMS) over-relied upon legacy quality programs to create the Merit-based Incentive Payment System (MIPS).

Various stakeholders have engaged CMS, providing solutions to develop innovative and rigorous episode-based measurement to drive value-based surgical care, but these efforts have not been given the opportunity for testing. As a result, the current measures framework lacks rigor, is fragmented, and is based on how a clinician bills in fee-for-service. Differentiating among physicians for payment purposes does nothing to inform care decisions or quality improvement efforts, missing the intent of MACRA to drive value.

Congress should encourage CMS to work with key stakeholders to develop and implement accurate quality measurement.

Firearms Research and Violence Prevention - The ACS was a co-author of a 2015 article in the Annals of Internal Medicine, Firearm-Related Injury and Death in the United States: A Call to Action From 8 Health Professional Organizations and the American Bar Association. In this article, ACS highlighted the rising number of firearm-related deaths each year, classified firearm-related violence as a public health crisis, and reiterated ACS’ support for being part of the solution to reducing the number of firearm-related injuries and deaths.

The ACS supports an appropriates request of $50 million specifically for firearm morbidity and mortality prevention research through the CDC as part of the Fiscal Year (FY) 2020 Labor, Health and Human Services (HHS), Education and Related Agencies appropriations package.

Federally funded research from the perspective of public health has contributed to reductions in motor vehicle crashes, smoking, and Sudden Infant Death Syndrome. ACS believes a similar approach could reduce firearm-related injuries and deaths in our communities.

Pandemic and All Hazards Preparedness Act (PAHPA) - Trauma systems are organized across the country to manage, on a daily basis, acutely injured patients in an efficient, time-sensitive manner. A trauma system spans the continuum of care from the point of injury, through rehabilitation. As a result, these systems are responsible for not only day-to-day emergency and trauma care, but for public health emergencies that cause regions to experience a surge in capacity. Since trauma centers and systems serve as critical infrastructure for disaster response, having a nationwide trauma system would afford patients with the best trauma care regardless of the emergency and the location.

The ACS encourages Congress to resolve differences and enact PAHPAI, including the Mission Zero Act.

Ensuring an Adequate Surgical Workforce in Underserved Areas - Increasing evidence indicates a current and growing shortage of surgeons available to serve our nation’s population. A shortage of general surgeons is a critical component of the crisis in health care workforce because only surgeons are uniquely trained and qualified to provide certain necessary, lifesaving procedures. In light of growing evidence demonstrating a shortage of general surgeons, the American College of Surgeons (ACS) believes more accurate and actionable workforce data is necessary to determine exactly what constitutes a surgical shortage area and subsequently where these areas exist.

Cosponsor H.R. 1841, the Ensuring Access to General Surgery Act, in the House and work towards reintroduction of the legislation in the Senate.

Maintaining a Strong Investment in Cancer Research and Prevention - The ACS and the CoC are dedicated to improving survival and quality of life for cancer patients through advocacy of issues pertaining to prevention and research.

Please continue to build upon your commitment to cancer research by funding the: NIH – increase of $2.5 billion, for a total of $41.6 billion, including $6.5 billion for the NCI Providing at least $555 million for the CDC’s Cancer Control and Prevention programs, including $70 million for the National Cancer Registry Program.

Cosponsor H.R. 1570/S. 668, the Removing Barriers to Colorectal Cancer Screening Act. Cosponsor H.R. 647, the Palliative Care Hospice Education and Training Act (PCHETA).



Kansas Chapter Annual Meeting - September 15, 2018

John Ashcraft, DO FACS of Kansas City was installed as the Kansas Chapter President, replacing Kyle Vincent, MD FACS, and Jennifer McAllaster, MD of Topeka was elected President-Elect. The new (or renewed) Councilors elected to serve on the Council were Romano Delcore Jr., MD FACS of Kansas City, Michael Porter, MD FACS of Wichita, and Benjamin Stone, MD FACS of Atchison.

The Chapter program consisted of “Opioid Management – ERAS and Non-Narcotic Analgesic”, presented by Craig Johnson, MD FACS CASCRS from Oklahoma Surgical Hospital in Tulsa, OK, followed by a presentation by Justin Green, MD FACS – “Support Use of the NBATS”, David Acuna, DO – “NBATS Needs More Refining”, with a panel discussion moderated by Kim Molik, MD FACS. Kathleen Selzler Lippert, Executive Director of the Kansas State Board of Healing Arts provided an update to the attendees, with Jerod Grove, MD FACS leading the group into the luncheon with an ACS Foundation Update. Joshua Mammen, MD PhD FACS presented an ABS Update to the group.

The Resident Trauma Presentations included (trauma presentation winner is highlighted):
“An Evaluation of Blood Product Utilization Rates with Massive Transfusion Protocol; Before and After Thromboelastography (TEG) Use in Trauma” by Mitchell Unruh, MD.
“BITES Trial: A Randomized Controlled Pilot Trial to Determine the Effectiveness of Bite Technique to Decrease the Development of Postoperative Complications” by Clint Gates, MD “Epidemiologic Investigation of Trauma from a Level I Trauma Center” by David Watson.

The following Resident Cancer and Education presentations included (overall presentation winner is highlighted):
“Breast Cancer Treatment in the Elderly: Is Noncompliance Associated with Increased Rate of Breast Cancer-Related Death?” by Obi Agborbesong, MD
“Rare Case of Anal Granular Cell Tumor Involving External Sphincter Muscle” by David M. Berke, MD
“Perioperative Outcomes and Morbidity Associated with Ivor-Lewis, Transhiatal, and Minimally Invasive Esophagectomies in the Treatment of Esophageal Malignancies: A Retrospective Study” by Elliot Konrade
“Comparison of Right- and Left-Sided Colorectal Cancer Outcomes Following CRS-HIPEC: A Single-Institution, Retrospective Analysis” by Maddie Jones (Meghan Woody-Fowler)
“Pathology-Specific Complication Rates, Morbidity and Mortality Associated with Patients Undergoing CRS-HIPEC: A Retrospective Study from the KUMC Database from 2007-2017” by Matthew Moreno
“Lymph Node Evaluation May be Avoided in a Subset of Women Over Age 70 Diagnosed with Hormone Receptor-Positive Breast Cancer” by Juan Ruiz/Gerson Maldonado
“Inhibition of Esophageal Tumor Cell Growth Using a Common Antifungal Agent – Drug Repositioning in Cancer Treatment” by Randi Ryan, MD
“Concurrent Sigmoid Volvulus and Sigmoid Mesocolic Hernia in Child with Developmental Delay” by David M. Berke, MD
“Thromboelastography After Cardiopulmonary Bypass, Does it Save Blood Products?” by Hadley Freeman, MD
“Sounds of Surgery: Assessing the Impact of Nonpreferred Music While Performing Novel Surgical Tasks Using the Da Vinci Surgical Simulator” by Kellen Gil, MPH
“Twitter Presence of Surgical Departments” by Derek Nold
“Concomitant Placement of Right Internal Jugular Dual Lumen Dialysis Catheter and Central Venous Catheter: Is It Safe?” by Blake Spitzer, MD



Welcome Dinner for New Initiates

On November 13th, a welcome dinner for the Kansas City area new initiates to the Kansas Chapter, American College of Surgeons was held at Seasons 52 on the Plaza. The event promoted an opportunity to network with colleagues. Dr. John Ashcraft, President and Dr. Scott Coates, Governor, personally welcomed the new initiates to the organization by hosting dinner in their honor. New initiates from the Kansas City area are: Hadley Wyre MD, Stepheny Berry MD, Thaer Daifallah DDS, Kari Jerge MD, Cheryl Rice MD, Sigi Joseph MD, Casey Hertzenberg MD, Athanasios Tsiouris MD, Priya Padmanabhan MD, Wael Khreiss MD, and Ryan Strain MD.

On December 4th, 2018 a welcome dinner was also scheduled for the Wichita area new initiates.  New initiates from the Wichita area are: Ali Ahmad MD, Seth Vernon MD, and John McConeghey MD. Dr. McConeghey was available to attend the dinner with Dr. Kyle Vincent, Immediate Past President, and Dr. Scott Coates, Governor.



2018 Leadership & Advocacy Summit
Thanks to Drs. Scott Coates, Amanda Hangge and Joshua Mammen, as they represented the interests of Kansas surgeons by donating their time and effort, advocating on your behalf on Capitol Hill last week.

The issues addressed were:
Opioid Epidemic
The College is committed to addressing the opioid epidemic through both patient and provider education, as well as through continued research into non-opioid pain treatments and other alternative remedies. Both are necessary to reduce the number of individuals who improperly or unnecessarily receive opioid prescriptions. The Kansas delegation encouraged legislators to limit solutions that impose federal mandates on physicians, such as prescribing limits or Continuing Medical Education (CME), asked legislators to create fully functional, interoperable Prescription Drug Monitoring Programs (PDMPs) that integrate with a clinician’s clinical workflow, and asked legislators to create enhanced options for non-opioid therapy.

Pandemic and All Hazards Preparedness Act (PAHPA)
The Pandemic and All Hazards Preparedness Act (PAHPA) was created to improve the nation’s response to public health and medical emergencies. It also establishes the office of the Assistant Secretary of Preparedness and Response (ASPR), which oversees the nation’s preparedness for disaster response. ASPR responsibilities include the implementation of the recommendations from the June 2016 National Academy of Sciences, Engineering and Medicine (NASEM) report entitled, “A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury.” To assist with the development of a national framework for trauma care and to address some of the shortfalls in our current trauma system, the ACS asks the following legislative proposals be included in the 2018 PAHPA reauthorization, we requested the inclusion of:
• The Mission Zero Ace (H.R. 880/S. 1022).
• Authorization of the federal trauma systems and centers grant programs with the goal of creating a national trauma system.
• The Good Samaritan Health Professionals Act (H.R. 1876/S. 781).

Cancer Research and Prevention
The American College of Surgeons and the Commission on Cancer continue their dedication to improving survival and quality of life for cancer patients through advocacy of issues pertaining to prevention and research. As Congress begins to work on FY 2019 appropriations, we encouraged them to maintain the bipartisan commitment to ensuring cancer research and prevention remain a budgetary priority.

Colorectal Cancer Screening
According to the NCI, colorectal cancer is the second leading cause of cancer related death in the United States when men and women are combined. This statistic is especially troubling since colorectal cancer is largely preventable due to effective screening methods. Under current law, Medicare waives co-insurance and deductibles for preventative colonoscopies. However, when a polyp is discovered and removed, the procedure is reclassified as therapeutic for the purposes of Medicare billing and patients are therefore required to pay the coinsurance. Not only is the cost-sharing obligation of current law confusing to patients, but it also results in the unintended consequence of creating a financial barrier to the most effective method of colorectal cancer prevention. H.R. 1017/ S. 479 would help to ensure that the threat of unanticipated costs do not deter a patient from having the screening performed.

Pediatric Cancer Research
Although pediatric cancer death rates have declined by nearly 70 percent over the past four decades, cancer remains the leading cause of death from disease among children according to the NCI, which estimates that 10,380 new cases of cancer were diagnosed in the United States among children from birth to age 14 last year, and about 1,250 children are expected to die from the disease this year. While advancements have been made in childhood cancer research, there is still a long way to go to ensure that children facing a cancer diagnosis have the best opportunities for winning their fight and access to the highest quality of care. The STAR Act (H.R. 820/ S. 292) would advance pediatric cancer research and child-focused cancer treatments, while also improving childhood cancer surveillance and providing resources for survivors of childhood cancer.

Stop Overregulating My OR (SOMO)
Physicians are inundated with a growing number of administration requirements set forth by both Congress and federal agencies. Although these policies are intended to ensure that patients receive care that meets high-quality and safety standards, physicians are confronted with the burden of demonstrating regulatory compliance. The excessive regulations placed on surgeons and needless barriers to providing necessary care and increase spending on nonclinical activities. When physicians first began to create medical records, their primary goal was to provide an accurate, chronologic record of patient care. Over time, the Centers for Medicare and Medicaid Services (CMS) and payers began to increasingly utilize the medial record for purposes of determining payment of services. Evaluation and Management (E&M) codes are requirements for documentation of the history and physical examination to support a level of payment. Because E&M documentation guidelines were introduced 23 years ago, when medical records were primarily paper-based, they have resulted in the unintended consequence of a medical record bloated with repetitive and redundant information. We urged legislators to address concerns regarding E&M documentation guidelines as they work with their congressional colleagues to reduce the excessive administrative burdens which create barriers to patient care.

Firearms Research and Prevention
The ACS supports an appropriations request of $50 million specifically for firearm morbidity and mortality prevention research through the CDC as part of the fiscal year (FY) 2019 appropriations package.

Ensuring an Adequate Surgical Workforce in Underserved Areas
In light of growing evidence demonstrating a shortage of general surgeons, the ACS believes more accurate and actionable workforce data is necessary to determine exactly what constitutes a surgical shortage area and subsequently where these areas exist. Identifying where patients lack access to surgical services will provide the Health Resources and Services Administration’s (HRSA) with a valuable new tool for increasing access to the full spectrum of high quality health care services. Determining what constitutes and defines a surgical shortage area is an important first step in guaranteeing all Medicare beneficiaries, regardless of geographic location, have access to quality surgical care.



Welcome the New Initiates!
On November 28, 2017, a welcome dinner for the Kansas City area new initiates to the Kansas Chapter, American College of Surgeons was held at Seasons 52 on the Plaza. The event promoted an opportunity for networking with colleagues. Dr. Scott Coates, Governor, and Dr. Joshua Mammen, Past President, personally welcomed the new initiates to the organization by hosting dinner in their honor. Dr. Pablo Aguayo, Dr. Andrea Hufford and Dr. Anuj Shah were available to attend. Other new initiates from the Kansas City area are Dr. Jason Fraser, Dr. Jared Konie, Dr. James Lin and Dr. Dani Zoorob.

From left to right: Pablo Aguayo, MD; Elizabeth Aguayo; Robin Coates; Scott Coates, MD; Denise Lantz; Anuj Shah, MD; Andrea Hufford, DO, Robert Gerhardt and Joshua Mammen, MD.

The Chapter will also be hosting a welcome dinner for the new initiates in the Wichita area soon. The new initiates in this area of the state are Chad Philip Ammar, MD; Samantha Beck, MD; Austin Blake George, MD; Jerod Grove, MD (Hays); Brenda Marie Kopriva MD; Tom Resch, MD; and Lindsay Strader, DO.

Please welcome the new initiates!!




Kansas Chapter Annual Meeting - September 23, 2017
Some of the Chapter meeting highlights were...

Kyle Vincent, MD FACS, of Wichita was installed as the new Kansas Chapter President, and John Ashcraft, DO FACS, of Kansas City was elected President-Elect. The new Councilors elected were Nicholas Brown, MD FACS of Wichita and Jerod Grove, MD of Hays. Congratulations to our new leaders.

Justin Green, MD FACS and Robert Winfield MD, FACS, trained the meeting attendees in Stop the Bleed. This education has been chosen by the Kansas Chapter as an important state-wide initiative. More information may be found at http://www.bleedingcontrol.org/; or http://www.stopthebleedingfoundation.org/.

Bariatric Surgery was the focus of the morning session, with presentations and discussion led by Carlyle Dunshee, II, MD FACS, Nick Brown, MD FACS, and James Hamilton Jr., MD FACS. One focus of the Kansas Chapter during the next legislative session will be to promote all payor coverage of Bariatric services within the state, as is currently covered by KanCare.

Mary C. McCarthy, MD FACS, Trauma and Critical Care Surgeon from Dayton, Ohio and 2nd Vice President of the ACS, presented on behalf of the ACS.

Tyler Hughes, MD FACS, KUMC Salina, presented an update on the Maintenance of Certification changes from the American Board of Surgery.

The Resident Trauma presentations included: (trauma presentation winner is highlighted in blue) “Smart Trauma: Improving Delivery of Evidence-Based Trauma Care” - Charlene J. Dekonenko, MD
“Limitations in Aggressive Management of Gunshot Wounds to Brain” - Leigh Anna Robinson, MD
“Outcomes Following Blunt Traumatic Splenic Injury Treated with Conservative or Operative Management” - Sarah Corn, MD
“Outcomes of Rural Trauma Patients Who Undergo Damage Control Laparotomy” - Paige A. Harwell, MD
“Injury Patterns and Subsequent Intervention of Hanging Mechanism Patients: Is Trauma Activation warranted?” - David M. Berke, MD
“Should Infants with Blunt traumatic Brain Injuries and Intracranial Hemorrhage Have Routine Repeat Imaging?” - Bradon Bitter, MD
“Comparisons of Medical Student Knowledge Regarding Life-Threatening CT Images Before and After Clinical Experience” - Brady Werth, MD
“Proximal Humerus Fractures in the Elderly: Concomitant Fractures and Management” - Kelly Zachariasen, MD
“Pediatric Tracheostomy: Review of 30 Day Readmission Post-Insertion” - Gina Berg, PhD, MBA

The following Resident Cancer and Education presentations include: (overall presentation winner is highlighted in blue)
C “Epigenetics and Stem Cell Signaling in Melanoma” - Patrick Elliot
C “ACS NSQIP Surgical Outcomes in HIPEC Based on Preoperative Hypoalbuminemia and BMI: What Carries the Most Weight?” - Kara Hessel, DO
E “Are Rural General Surgeons of Kansas Prepared to Perform Specialty Procedures in Practice?” – Roxanne Stiles, MD
E “Efficacy of Intravenous Acetaminophen as Adjunct Post-Operative Analgesic After Median Sternotomy: A Retrospective Study” - Omar A. Almoghrabi, MD
E “Evaluation of General Surgery Residency Program Websites” - Hadley Freeman

Governor's Report 2017 Clinical Congress - Scott Coates, MD FACS
The Governors, representing the American College of Surgeons’ Domestic Chapters (of which
Kansas is one), International Chapters, and Specialty Societies convened with the Regents for a
joint session on October 22 during this past 2017 Clinical Congress.
Kansas’ very own Susan Mosier, MD FACS, Lawrence completed her term of Governor at large
for the American Academy of Ophthalmology. She served as the Secretary of the Executive
Council of the Board of Governors and was Advocacy Pillar lead.
Highlights of the Meeting include reports from each Pillar which include Education, Advocacy,
Member Services, and Quality.
-Advocacy: Supported 12 Physician Members of Congress, Disbursed $324,670 to more
than 80 candidates (61% Republican, 39% Democrat, in line with Congress party ratio).
-Member Services: Domestic and International workgroups: Creating chapter toolkit and
guidebook, conducting annual chapter survey used to form chapter metrics, YFA/RAS
involvement
-Scholarship Awards for the FY 2019 of $1,530,500
-Dues. Policy not to exceed 3% per year and Can be Suspended by the Board of
Regents discretion for any given year.
The Board of Governors take an annual survey where current topics are asked of the
Governors. Revealed from the 2017 Board of Governors Survey: 38% have implemented
community stop the bleed campaign; 91% of Governors feel the ACS should take a leadership
role in addressing the Opioid crisis; 26% have had work related injuries; 70% use Advanced
Practice Providers (APP’s); 20% APP’s take night call.

Highlights from the Annual State of the College Address - David Hoyt, MD FACS
-Executive Board retreat focus: Education, Gun Violence, Value of ACS to each member
-Financial status of ACS improved by refinancing all debt to 1.5%; Debt remains less
than 10% of ACS assets.
-New SSR launched in April 2017 with 4580 Views/387K cases
-ACS hears that Communication to members is not as successful as it would like
-Social Media Standards Guidelines compiled and published by YFA/RAS
-Optimal Resources for Surgical Quality and Safety, the “Red Book” gives the surgeon
the ability to take a leadership role in the arena of Surgical Safety within the Hospital
-Stop the Bleed has been taught to Congress and has registered 7316 instructors
-American College of Surgeons is currently using $27 million in grants
-Education: Resident training; Telemedicine
-Advocacy: May 19-22 2018 is Advocacy and Leadership Conference; National
discussion on documentation coupled with interoperability which the ACS is leading




2017 Leadership & Advocacy Summit
Joshua Broghammer MD, Aaron Nilhas MD, Joshua Mammen MD, Kyle Vincent MD, Tyler Hughes MD and Scott Coates MD.

Great representation from Kansas this year at the Leadership & Advocacy Summit in D.C. last week! These dedicated physicians took time out of their schedules to engage in advocacy efforts on Capitol Hill.

The group visited the offices of Congressman Ron Estes, Roger Marshall, Kevin Yoder, Congresswoman Lynn Jenkins, Senators Jerry Moran and Pat Roberts.

A few of the asks this year included:

1. Repeal of the Independent Payment Advisory Board
– The Independent Payment Advisory Board (IPAB), created by the Affordable Care Act (ACA), threatens the ability of the people’s elected representatives in Congress to ensure seniors have access to the health care they need, when they need it. Fewer than half of the IPAB members can be health care providers, and no member can be a practicing physician or otherwise employed. The group asked the leaders to cosponsor legislation to repeal the IPAB.

2. Support Access to Colorectal Cancer Screening
– Under current law, Medicare waives co-insurance and deductibles for preventative colonoscopies. However, when a polyp is discovered and removed, the procedure is reclassified as therapeutic for the purposes of Medicare billing and patients are therefore required to pay the coinsurance. This bipartisan legislation would waive Medicare’s cost-sharing requirement for preventative colonoscopies, even if a polyp or tissue is removed. This legislation would help to ensure that the threat of unanticipated costs do not deter a patient from having the screening performed. By removing this financial barrier, Congress would help increase screening rates and reduce the incidence of colorectal cancer.

3. Ensuring an Adequate Surgical Workforce in Underserved Areas
– The group encouraged the congressional delegation to support this forthcoming legislation which would direct the Secretary of the Department of Health and Human Services (HHS), through the Health Resources Services Administration HRSA), to conduct a study on general surgery workforce shortage areas and provide a general surgery shortage area designation.

4. Improve Liability Protections for Trauma Providers
– The Emergency Medical Treatment and Labor Act (EMTALA) mandates that physicians provide care to stabilize any patient who presents at a hospital emergency department, regardless of their ability to pay. The heightened liability risk associated with such circumstances along with an increased likelihood of providing uncompensated care are broadly acknowledged as key factors contributing to the growing shortage of specialists participating in emergency on-call panels. The problem is notably severe for surgeons who provide complex, high risk surgical care for severely injured patients. This legislation will address this growing problem by providing Public Health Service Act liability protections for physician providing EMTALA mandated services.

Your colleagues are working to benefit the environment for surgeons and their patients in Kansas. Thank you!!



Welcome Dinner
Welcome to our New Initiates!!

On April 19, 2017, a welcome dinner for the new initiates to the Kansas Chapter, American College of Surgeons was held at Seasons 52 on the Plaza. The event promoted wonderful conversation and a fantastic meal. Dr. Joshua Broghammer, President, and Dr. Scott Coates, Governor, personally welcomed the new initiates to the organization by hosting dinner in their honor. Dr. Amanda Amin and Dr. Bart Kane, both of Kansas City were available to attend. Other new initiates are Robert Aragon, MD of Lenexa; Justin Bond, MD of Mission; Juan Carlos Correa, MD of Overland Park; Andrew Hentzen, MD of Wichita; and Eugene Lee, MD of Kansas City.

Please welcome our new initiates!!

From left to right: Joshua Broghammer, MD; Robin Coates; Scott Coates, MD; Denise Lantz; Amanda Amin, MD; Bart Kane, MD.



Leadership & Advocacy Summit 2016
Several of the Chapter members attended meetings and visited the Kansas Congressional Delegation at the American College of Surgeons Leadership & Advocacy Summit in Washington, D.C. in April. A special thank you to Dr. Joshua Broghammer of Kansas City, Dr. Scott Coates of Chanute, Dr. James Hamilton of Topeka, Dr. Tyler Hughes of McPherson, Dr. Lyndsey Kilgore of Kansas City, Dr. Joshua Mammen of Kansas City, Dr. Susan Mosier of Lawrence, and Dr. Robert Winfield of Mission Hills, for their efforts in making a difference in the environment of healthcare in Kansas.

The Chapter leadership visited with the House and Senate leaders from Kansas about several issues. Some of the issues discussed were:

Recognizing CoC Accreditation: the group asked for support of H. R. 487, recognizing the importance of voluntary accreditation by the Commission on Cancer in assuring patients have access to high quality cancer care.

Removing Barriers to Colorectal Cancer Screening Act: the Chapter leadership urged support of H.R. 1220/S. 624, which would waive co-insurance under Medicare Part B for colorectal cancer screening tests, or for the removal of tissue or other procedures in connection with the test. The group also urged support for increased funding for NIH and CDC Cancer Programs.

Health Care Safety Net Enhancement Act: support of H.R. 836/S. 884 was requested, which would extend the liability protections of the Public Health Service Act to physicians providing care under the federal mandate of the EMTALA.

Good Samaritan Health Professional Act: similarly, H.R. 865 would ensure that health care professionals who wish to provide voluntary care in response to a federally-declared disaster are able to do so and not face uncertainty about potential liability.

Ensuring Access to General Surgery Act of 2016: the leadership urged support for this forthcoming legislation which would direct the Secretary of the Department of Health and Human Services (HHS) to conduct a study on the designation of surgical Health Professional Shortage Areas (HPSA).

Responsible Data Transparency Act: this important legislation would maintain the accurate transparent avenues provided by the existing Qualified Entry program in the Medicare system, while protecting data submitted under the physician quality reporting system from being accessed via FOIA requests. This legislation protects physicians’ right to privacy by safeguarding sensitive information that is submitted to the Medicare program while still facilitating robust transparency and provider accountability.

MACRA (Medicare Access and CHIP Reauthorization Act) and MIPS (Merit-based Incentive Payment System) Implementation: the group encouraged support for Congress to exercise its oversight authority to encourage CMS to adopt long needed improvements to quality programs including adoption of stakeholder developed measures and refocusing the meaningful use program on the use of data from EHRs and multiple other sources to improve patient care. The group also urged Congress to encourage CMS to release reasonable and flexible guidance on qualified APM (Alternative Payment Model) requirements as soon as possible, and urge CMMI (Centers for Medicare and Medicaid Innovation) to implement APMs approved by the PTAC (Physician-Focused Payment Model Technical Advisory Committee).

Please contact Denise Lantz at dlantz@kmsonline.org with any questions.



Ks ACS Advocacy Day
Thank you to those who attended Advocacy Day 2016!!

The Kansas Chapter, American College of Surgeons was represented at Advocacy Day by five physicians as well as Justin Rosen, State Affairs Associate, from the ACS. 

The day was filled with great information and opportunity.  It began with an advocacy briefing by Tom Bell and Chad Austin with the Kansas Hospital Association.  An overview of the tanning bed issue and the importance of our efforts toward this was presented by the Kansas Chapter, ACS President, Joshua Mammen, MD, PhD, FACS.  Jerry Slaughter, KMS Executive Director and Dodie Wellshear, KAFP Legislative Liaison, updated the group on expectations of the 2016 Legislative Session. The group also heard an informative presentation on MACRA: Medicare's Shift to Value-Based Delivery & Payment Models, by Amy Mullins, MD, CPE, FAAFP, AAFP Medical Director for Quality Improvement.

After lunch, the attendees took advantage of the opportunity to visit directly with their senators and representatives about legislation affecting health care issues this session.  

Toward the end of the day, the group heard perspectives from Representative Jim Ward, Representative Daniel Hawkins, Senator Jeff King and Senator Laura Kelly. 

 

State Surgery Legislative Action Center
The American College of Surgeons provides links to two sites that offer information on elected officials, issues & legislation, elections & candidates and media guides. These sites allow searching for officials, issues, candidates and media outlets.

Please select the Other Links tab and choose either the State Surgery Legislative Action Center link or the CQ State Tracker link to begin your search.



Welcome Dinner
March 31st brought about a wonderful meal and amazing comradery with a welcome dinner for the new initiates to the Kansas Chapter, American College of Surgeons. Dr. Josh Mammen, President, and Dr. Scott Coates, Governor, personally welcomed the new initiates to the organization by hosting dinner at Seasons 52 Grille on the Plaza. Dr. Peter DiPasco of Kansas City, and Dr. Usiakimi Igbaseimokumo, also of Kansas City were available to attend. Other new initiates are Kenneth Boyd, DO of Topeka; Christopher Lewis, DO of Paola; and Kimberly Swan, MD of Kansas City.

Welcome to our new initiates!!

Top row, left to right: Peter DiPasco, MD; Joshua Mammen, MD
Bottom row, left to right: Robynn Coates, Scott Coates, MD, Usiakimi Igbaseimokumo