Newsletter
100 May 2008
Contents
Malpractice
Filings Against Health Care Providers, Jan 2001 – Mar 2008
Installation Dinner Sponsorship
Opportunity
Southern Nevada Health Officer Report
President’s Message May
By Weldon E Havins, M.D. J.D, 2007-2008, CCMS President
Update on
Gastroenterology Litigation
All the cases filed
regarding the potential infections resulting from alleged contamination
occurring in gastroenterology clinics have been referred to Department 19 of
the District Court for coordination of discovery and consideration of pretrial
motions. Floyd Hale, Esq. has been
selected to be the special master.
Attorneys for plaintiffs and defense have met several times to move the
cases along.i At the time of
writing this article, the cases have been placed into two groups.ii A motion to certify a class action lawsuit
has been filed regarding those plaintiffs (patients of the clinics) who have
tested negative for Hepatitis B, C, and HIV.
The process in controversy at the moment is selection of representative
plaintiffs for the class action. The
plaintiff attorneys are to provide a list of 150 patients from which the
defense attorneys will select 28 to depose (conduct questioning under
oath). The plaintiffs must establish
sufficient “typicality and commonality” among the “negative test” patients to
convince the court that a common class of similarly affected plaintiffs
exists. Department 19’s Judge Allan Earl
will select a lead law firm for the class action lawsuit, assuming he finds a
single class exists among those who tested negative.
Judge Earl will likely
rule on the motion to certify the class in the next few months. Regardless of Judge Earl’s ruling, either
party may appeal the ruling to the Nevada Supreme Court on an “extraordinary
writ” motion. The Supreme Court doesn’t
often grant hearings on extraordinary writ motions, preferring to wait until
cases are finalized in District Court before considering any issues on
appeal. Class action lawsuits are
different in that they involve unusually large costs and a large number of
plaintiffs. Because a Nevada Supreme
Court reversal of a District Court class action certification would involve
repeating the case from the beginning, with the attendant huge costs and
inconvenience to many, the Supreme Court often will grant the motion to review the
District Court’s action and rule of the validity of the class
certification. Once this has occurred
negotiations for a settlement amount will begin in earnest.
If the District Court,
or the Nevada Supreme Court, finds that one class is not adequate, the Court
may order the class action be divided into subclasses depending on factors they
define. This will delay the process of
resolution, as each subclass will negotiate its own settlement. Class action lawsuits are attractive to
plaintiff attorneys because legal fees and expenses, which can be huge, are
paid before any of the plaintiffs are paid.
Because of the large number of plaintiffs in a class action, each
individual plaintiff’s award is usually nominal.
The second group of
plaintiffs is the seven plaintiffs who have tested positive and are considered
by the Health District to have acquired their infection at the Endoscopy
Center.iii It appears that
no law firm has more than two of these plaintiffs. The Chief Judge of the District Court in
By the terms of the
provisions passed in A.B. 1 of 2002, the special session medical tort reform
legislation, cases filed after October 1, 2005 must go to trial within two
years of the date of filing or be dismissed, unless good cause is shown.iv
In these cases, there are two
arguable reasons for good cause. First,
the plaintiffs will contend that concealment and gross malpractice is involved,
along with other causes of action, making these cases more than simple medical
malpractice. Second, the medical records
are still in the hands of Metro Police and have not been made available to
patients or their attorneys.v
The plaintiff attorneys can argue that the delay in availability of
medical records constitutes good cause to justify the court waiving the “two
year to trial” statute. Complicating the
availability of medical records is the issue of ownership of the medical
records.vi Special master
Mr. Hale has suggested that medical records be placed in a secure repository to
which attorneys would have access for copying rather than returning the medical
records to their physician owners. Thus
far, there has been no agreement on this among the attorneys and there has been
no ruling by the court.
Why does this matter?
Plaintiff attorneys
have made clear their intention to obtain medical records from referring
physicians, positing that referring physicians should have copies of all the
relevant medical records from the Endoscopy Centers. Physicians can expect letters requesting all
medical records. Medical records include
all consultations, laboratory and pathology reports, in addition to records
created by the referring physician.
Physicians should assure that the request for medical records includes a
HIPAA valid authorization signed by the patient or the patient’s legal
representative. Medical records
containing genetic information require an additional consent form to authorize
inspection or copying of that information.vii
Local physicians have
been asked and will be asked to provide expert testimony about these cases. Each asked physician must decide if he or she
wishes to become involved as an expert.
Out of state expert testimony, in particular plaintiffs' experts, has
been obtained.
Where do the cases go from here?
As you will note on the
chart and graph of defendant health care providers in cases of medical
malpractice, March 2008 witnessed a massive increase in number. There are more health care provider defendants
in March 2008 than in any combination of three years since CCMS has been
keeping records (Jan 2001). The number
of defendants listed in a medmal action was 3126 at the time of writing this
article with additional defendants still being amended into the complaints.viii One law firm represents legal
representatives and survivors of the estates of three decedents who are each
suing for wrongful death, claiming death due to Hepatitis C contracted at the
Endoscopy Centers on
Public information and communication
Last month’s article
contained an example of a case filed in District Court. Plaintiffs names were listed along with
defendant physicians and defendant entities (clinics, LLCs, etc.). That one case named a large plurality of gastroenterologists
in our community. Almost all these
physicians have been previously named in local newspapers. CCMS has no original source information about
any of the alleged causes of action.
CCMS has no knowledge of the degree of liability, if any, of any
specific individual defendant physician.
Many of the named physicians are personal friends of our members, many
are physicians with whom we have entrusted, and continue to entrust, the health
and lives of our patients, our own families, and ourselves. CCMS reminds all that being named as a
defendant in a medical malpractice lawsuit does not imply any wrongdoing on the
part of the defendant. Lawsuits simply
make allegations against defendants, and establish or prove nothing. For cases that proceed that far, the finder
of fact, a jury or judge, ultimately makes a determination of liability. Anyone inferring guilt or liability on the
basis of being named a defendant in a civil lawsuit is simply incorrect. Mr. Bob Byrd, the
From public information,
CCMS maintains a list of all claims filed in which an element of the claim is
medical malpractice against a health care provider. We obtain that information on the internet
from the website of Clark County. From
the general website, we proceed to the District Court and then to case
information. Details of all cases filed
in District Court in
i In addition to local law firm
attorneys, at least one local law firm has associated itself with a
ii The group
of patients who have tested positive, but do not have active disease, has not
yet been addressed. This group is likely
to be the most problematic. The Health
District expects 1600 individuals (4% of 40,000) to test positive. Each of these individuals will need to be
contacted for interviews as to risk factors.
The Health District and other officials have reported that many of these
individuals have been counseled by their own attorneys to refuse to talk to
anyone about their case. From a
plaintiff attorney’s perspective protecting his client’s case, this makes
sense. From a public health perspective,
this is a disaster. Sooner or later, the
Court will need to address this problem.
iii One law firm at the master’s hearing
stated that they had obtained a copy of their client’s medical records in the
possession of Metro. That firm’s
attorney stated that Metro has identified the medical records of all seven
infected individuals identified by the Health District. If this is true, attorneys representing the
other infected patients will obtain copies of the medical records
preferentially and proceed to discovery and trial in an expedited manner. The cases will be expedited because the
attorneys at the hearing all claimed that their infected clients were in
advanced stages of their disease or were terminal.
iv See NRS
41A.061(1)(b).
v The Review Journal
has reported that Metro has 2,200 boxes of charts and has not begun to organize
them. Charts are not organized even
according to the particular office and clinic from which they were taken. Most of those charts allegedly are those of
patients who did not have procedures at any of the Endoscopy Centers. Those patients are having difficulty finding
a gastroenterologist to assume their care because the gastroenterologists want
past medical records. Without past
medical records, the new gastroenterologist must re-order all labs and other
tests as if the patient never had received treatment. This wastes the gastroenterologist’s time and
creates unnecessary expense for which the patient’s insurance company will likely
balk at paying. When Metro grabbed the
charts, they did not take unfiled stacks of lab and path reports because they
were “not part of the charts.” Thus,
even when the charts become available, they may not be complete because they
lack recent lab and path reports.
vi By law,
the treating physician has the responsibility of maintaining medical
records. Under Nevada Statutes, NRS 629, medical records must be kept for 5
years. Records of the Outpatient Centers
are the responsibility of the physician owners of the Centers. Having these medical records available for
inspection and copying by licensing authorities and others as required by law
is now impossible because the medical records are in the possession of
Metro. When the records become available
from Metro, plaintiff attorneys at the Special Masters’ hearing indicate they
intend to take possession of the original medical records. If this is permitted, it will be contrary to
vii The medical record release
form of the Health District can be found in Nevada Administrative Code, NAC
629.110. Releasing medical records
containing genetic information, except as provided in NRS 629.151 – 181, will
subject the physician to conviction of a criminal misdemeanor. See NRS 630.405.
viii Each of these defendants will be
required to answer the complaint within 20 days of service. Just the costs associated with the volume of work
placed on defense attorneys will likely have some adverse effect on
professional liability premiums when PLI contracts renew.
sss
Clark County District Court Medical Malpractice Filings
2001 2002 2003 2004 2005 2006 2007
2008
Jan 39 33 108 61 41 50 109 64
Feb 20 14 98 72 63 61 41 77
Mar 35 30 169 123 64 38 70 3126
Apr 37 34 111 81 70 58 60
May 37 35 126 65 14 71 84
Jun 27 24 103 90 65 83 56
Jul 19 100 114 45 66 74 84
Aug 54 51 76 67 33 82 74
Sep 20 65 105 79 36 51 62
Oct 37 83 110 59 26 74 78
Nov 38 184 59 78 73 50 53
Dec 9 170 67 47 30 28 53
Sum 372 823 1246 867 581 720 824 3267
Member News
Congratulations and Welcome to the
·
Andrew Eisen,
MD – Pediatrics,
·
Raji Venkat,
MD - Internal Medicine, 2629 W
Horizon Rdg Pkwy 140, Henderson, NV 89052
Congratulations and Welcome to the
·
Allen Ozeran –
Applicants to Go Before Credentialing Committee
·
·
Brian Vicuna,
MD - Internal Medicine
·
Matthew Fouse,
MD - Orthopaedic Surgery
If you have any pertinent information about the
membership candidates listed above, please contact:
For
information on becoming a member of the
CME Calendar
American Lung Assoc 431-6333
May 12,
13 - "Advances in Respirtory Care"
(awaiting
approval of CME's for 11 hours)
Bechtel
NV Chapter AACE 434-8400
Pri-Med Institute (877) 4PRI-MED
Sierra Health Services 242-7735
Mar 8 -
“Headaches”
Apr 12
- “Why Hospice”
Southwest Medical Associates 242-7735
May 2 -
"Neurovascular Case Discussion 1.5 CME Credits
May 10
- "
May 23
- "Fast-Tracking Recovery of GI Function in Surgery Patients" 1.5 CME
Credits
UMC 383-2604
May 2 -
"Extra Renal Transplant - Liver & Small Bowel"
May 9 -
"Recommendations for Immunizations..."
May 30
- "Metabolic Syndrome"
Education Opportunities for Practice
Managers, Call the NV Medical Group Management Association: 697-5471 ext 134
Only
CME Activities
held at the
Ballot
Installation Dinner
Sponsorship Opportunity
SNHD Health Officer Report
By
National
Public Health Week is recognized each year during the first week in April and
is an opportunity to celebrate the many achievements of public health and an
ideal time to recognize the people whose efforts have helped us make great
strides as we protect and promote the health of our community. To this end
Public Health Hero Awards are presented each year as a part of the Southern
Nevada Health District’s celebration of public health week in order to honor
individuals and organizations whose extraordinary contributions help further
public health in our community.
George Botta
George Botta, a
certified pest control operator, showed tremendous initiative by alerting the
health district environmental health office of a public health hazard at a food
warehouse. The warehouse contracted with the company that employs Mr. Botta for
pest control services. When Mr. Botta responded to the call he noted there was
significant roach and rodent infestation. He alerted the health district and
provided information regarding the facility, including the fact that employees
had sprayed pesticides around the food products, the warehouse contained
spoiled food including fish and meat products, and there was a lack of adequate
refrigeration units.
The health district
immediately responded and determined the facility did not have a health permit
or a business license. Because of Mr. Botta’s actions health district staff was
able to notify food establishments not to accept any products from the
warehouse and supervised the destruction of approximately 22 tons of
adulterated food product and witnessed the destruction of compromised food
product that had been delivered to other facilities. Mr. Botta’s initiative to
report the unsanitary conditions at this facility helped to eliminate the
potential for food borne illnesses in our community.
Mike Cushman, Boyd Gaming
Mike Cushman has
worked to become of the industry leaders in the prevention and control of
norovirus outbreaks in
His efforts to
control the spread of norovirus extend beyond his property. During a norovirus
outbreak at the
Coach Lon Kruger,
Coach Lon Kruger is
the driving force behind, “The Coach’s Challenge,” a new program implemented by
the health district in 63 elementary schools, including 530 classrooms and over
14,500 children. This program encourages elementary school children to eat healthy
and be physically active. Coach Kruger has made a personal commitment to this
program that includes making time to attend planning meetings, visiting winning
classrooms, writing letters on the importance of physical activity and
nutrition that are distributed to all students that participate, and
contributing UNLV resources including 500 tickets to a UNLV game and posters
for each of the participating classrooms.
Coach Kruger paid
special attention to participants from the Children’s Heart center attending a
pre-season scrimmage and took the time to speak about the program, be
photographed with the children and sign autographs. Coach Kruger has shown a
willingness to take on these additional responsibilities and make a commitment
to improving the health of our community’s children.
John Willian, Venetian/Venezia
and Palazzo
John Willian, safety
manager for the Venetian/Venezia and Palazzo has shown an ongoing commitment to
public health issues in our community. Mr. Willian not only adheres to industry
standards, he goes above and beyond to promote safety and public health
standards. Mr. Willian has promoted hepatitis B vaccination for staff members
and as a result almost 1,000 team members have received the vaccine. In
addition he has implemented a requirement that members of housekeeping, guest
services, priority services and meeting services obtain a health card from the
health district and this is now a condition of employment for these positions.
Mr. Willian shares
his “real-world” knowledge with engineering students, relating safety issues at
resort properties with the field of engineering and providing information on
the role of safety programs and chemical, biological and other emergency
situations. He has been proactive in his response to norovirus incidents by
ensuring guests who are ill receive the necessary resources to self-isolate
until they are well enough to return home and by placing team members on paid
leave until cleared to return to work by a physician.
This year’s awardees
have all shown tremendous initiative to ensure the conditions necessary to
protect the health of
sss
SNHD Disease Stats
Alliance
By Wendy Agrawal & Estela Hansen, 2007-08 CCMS
Pucci ‘The
Prince of Prints,’ H .Stern and Hearts on Fire will Showcase their Collections
to Benefit The Shade Tree on April 9th at the Four Seasons
Each year, the CCMSA
president chooses a worthy organization to benefit from their fundraising
efforts. This donation is given by CCMSA on the stipulation that the funds are
used for a health-related effort and that the entire donation stays in
"The CCMSA has
been a strong supporter of The Shade Tree during the past year and we are
extremely grateful for their involvement in our community," said Marlene
Richter, executive director, The Shade Tree.
"Thanks to the hard work and dedication of the fashion show
committee as well as the generosity of the attendees and sponsors, we will
receive a substantial donation that will directly affect the lives of the women
and children who look to The Shade Tree for assistance."
About Pucci
Emilio Pucci gained
fame in the 1950s for his graphic abstract designs which swirled in a
kaleidoscope of color and liberated women from heavy and rigid clothing with
lighter, free-flowing lines. The fashion house, today, is partly owned by
French luxury group LVMH, with Emilio's daughter, Laudomia, as image director
and vice-president, and celebrated designer Matthew Williamson as creative
director.
About M.J. Christensen
Since 1939, M.J.
Christensen has withstood the myriad of changes
About CCMSA
The Clark County
Medical Society Alliance is a non-profit, tax-exempt service organization. It
has been officially chartered with the Nevada State Medical Association
Alliance and the American Medical Association Alliance since 1949. The CCMSA is
composed of spouses of members of the Clark County Medical Society and the American
Medical Association. Its mission is to represent the family of medicine and to
improve the health-related needs of the community by providing volunteers to
local health organizations and monetary assistance to local charities.
For additional information,
call Jacqueline Nguyen-Lee, Fashion Show Chairperson at 702-302-6157or visit
www.ccmsa-lv.org.
sss
CCMSA Annual Installation and Hat Luncheon
Ceres Restaurant at JW Marriott Resort
Tuesday, May 20, 2008 11:30 AM
STARTER
SOUP OF THE DAY Chef’s
Choice
ENTREE (Choice of One) SMOKED
Smoked
STEAK SALAD FLATBREAD
Sirloin Steak, Spinach & Sautéed Mushrooms, Mustard
Vinaigrette Or
SALMON & PESTO FETTUCCINI
Salmon, Kalamata Olives, Tomato, Arugula Pesto, Crumble Feta
Cheese
(VEGETARIAN PASTA ALSO AVAILABLE)
DESSERT (Choice of One)
SORBET Or CHEESECAKE served with Fresh Berries
$40 Members, $45 Non-members
February 19, 2008
I.
Call to Order
The
meeting was called to order by Dr. Havins at
II. Action
Items
A. Minutes
from the January 15, 2008 meeting were unanimously approved.
B. Financial
report was presented by Dr. Havins:
§
General Revenue – Actual for 7 months of Fiscal
Year 2007-08 is $348,776.40 compared to $371,890.26 in Fiscal Year 2006-07 for
a decrease of $23,113.86 over last year at this time.
§
Operating Expenses – Actual for 7 months of Fiscal Year
2007-08 is $232,763.38 compared to $226,129.88 for an increase of approximately
$6,633.50 over last year at this time.
§
Overall,
for the first seven months of our fiscal year, revenues exceeded our expenses by
$116,013.02. The bank balance for the
end of January was $598,554.84 compared to $538,517.95 last year at this time.
III. Committee
Reports
A.
Membership Count
Dr. Adashek presented the
Membership Report:
§
As
of January 31, 2008, total dues-paid membership is 679, compared to 737 last
year at this time. This is a net decrease
of 58 members.
§
Total
CCMS members is 964, including 196 dues exempt members.
§
There
are 28 new members, 0 new student members and 11 reinstatements in the Fiscal
Year 07-08.
§
There
are 89 Student members in the Fiscal Year 07-08.
B.
Credentials Committee Report
Janice Poblete presented
the Credentials Committee Report. Candidates
for membership were unanimously approved.
|
Applicant Names |
Specialty |
|
Kellie
Anne DeLozier, MD |
OB-Gyn |
|
William
Jacks, MD |
Family
Practice |
|
|
|
Reinstated Members
Howard Mason, MD
C.
Community
Health/Community Relations Committee
Dr. Teijeiro presented
the report.
§
Dr.
Teijeiro stated that the committee is continuing to look for opportunities to
make our organizaton known to the community.
§
There
are two volunteer/subsidized clinics being considered by the Committee: Dr.
Abdulla is working on a project with a focus on pre-natal care; and, Dr.
Jameson’s VIMI clinic project is moving forward.
§
Dr.
Jameson reported that a meeting at the Las Vegas Country Club was held February
18. Progress to date includes:
1. A new website is being designed. $3,100 has been raised to start the website
2. Funding is coming from the Las
Vegas Community Foundation’s 501(c) (3)
until the VIMI’s 501(c) (3) is complete
3. Met with Rory Reid who confirmed that the
Paradise Clinic is available and a lease may be negotiated for $1.00 per
year. It will cost approximately
$225,000 to build out.
4. Dr. Jameson advised Mr. Reid that the
vision of the clinic is to be similar to the Los Angeles Free Clinic and the
Orange County SOS Clinic. The location,
ideally, would be downtown near the potential UNSOM center. Mr. Reid stated that he understands the
magnitude of the project, and thinks he can find us land and grants, and if we
match them with private funds, we will be able to have the large the
building/facility we desire.
5. Met with Heather Muren who reviewed with
us her set-up of NCI and talked with us about how she acquired her land, and is
aware of many parcels available. Dr.
Jameson and Heather Murren are going to meet with the Mayor to discuss some of
those other parcels.
6. Next month, the organizing committee will
be flying out to
7. In April, they will conduct an open
house. A power point presentation about
VIMI for our community will be shown. Dr.
Jameson hopes to have the location defined by that timeframe. Many different entities have already
confirmed interest in the project. Marge
Haveril from VIMI will be present at the open house event.
8. A fund raising event will be held in
September, and
9. The founders of ebay have, as a sign of
their commitment to the project, offered their 70,000 square foot facility for
which to hold the fund raising event.
10. The feasibility study cost has been
reduced to $22,000. The Board determined
that the Community Relations Committee will need to formally select one project
and make a recommendation to the BOT for a vote. After that, formal invoices will need to be
submitted to the BOT for a vote before reimbursement of funds available under
AB 629 can be requested from the Lelgislative Counsel Bureau.
D. Remodeling Committee
Dr. Fathie presented
the report.
§
Dr.
Fathie visited Home Depot to obtain an estimate. Unfortunately, each phase of work will
require a separate estimate at $100/each.
§
Dr.
Fathie is working with independent builders/craftspersons to obtain separate
quotations. Current estimates are being
obtained for exterior beautification, interior paint, baseboards, etc. on a
phase basis.
IV. Delegate Chair Report
Dr. Forman presented the report.
§
The
first meeting was conducted January 15, 2008, to orient the committee to its
function, and to prioritize issues to be discussed at the annual NSMA meeting.
§
The
nominations for the Distinguished Physicians and the Community Service Award
will be determined at the second meeting, immediately following the BOT
meeting.
§
Dr.
Forman requested the BOT to participate in the delegation process, and to
encourage colleagues to join the Delegation Committee.
V.
Wendy Agrawal and Estela Hansen were not present; Beverly
Daly Dix (President-Elect) was present and provided the Alliance Report.
§
The
Greeting Card Project was a great success, with 14 scholarships ($1,000/each) being
awarded to recipients at three schools; UNLV, CSN, and Nevada State College
students. Awards will be presented at a
luncheon at Spanish Trails Country Club March 4, 2008 at 11:30 am. Anyone who wants to attend can get the
detailed information on the CCMSA website.
§
The
Annual Fashion Show will be held April 9, 2008 at the Four Seasons. Tickets are $150/each. Proceeds from the show funds the
§
A
member recognition luncheon will be held at Cili’s restaurant.
VI.
Dr. Sands was not present; the report is in the meeting
packet for review.
VII.
§
Dr.
Bar-on reported that two students went through the “early match” process. The match day will be March 20, 2008.
§
ACP
meeting January 26, 2008 – UNSOM students received 1st place in the
research paper and 3rd place in the clinical vignette. First place winners will be going to the
national ACP meeting in April.
§
Six
pediatric residents presented at the Western Society for Pediatric Research in
§
The
psychiatry program director in
VIII.
§
Dr.
Lenhart was not present; therefore, no report was provided.
IX.
Dr. Forman presented the Touro
Report.
§
The
AOA matches occur earlier than the ACGME match.
There were 24 students who participated; others typically apply through
the allopathic match training programs.
§
At
the ACP meeting two students received awards for participation in research
protocols.
§
Touro
continues to build out additional programs, including a library and clinical
research center. There is an additional
350,000 square feet to build out and develop other programs.
§
A
clinical practice plan will be up and running within the next 60-90 days
utilizing a 100% electronic medical records program.
X. Scholarship
Fund Report
Dr. Ellerton was not present and there was no report;
however, there will be an annual meeting of the Scholarship Fund Corporation in
March.
XI. NSMA
Report
Larry Matheis presented the report:
§
The
J-1 Visa waiver issue is being resolved with reforms to be in place within the
next couple of months.
§
The
United Health Care issue continues with a press conference held last week with
Dr. Plested of the AMA, Assembly Speaker Barbara Buckley, Commissioner Rory
Reid, and the SEIU. All parties spoke of
the
§
Thursday,
February 21st, Larry will be co-convening a meeting with Mike Leavitt
of the HHS to talk about electronic health records and the possibility of
getting a grant project into
XII. MedPAC
Report
Dr. Evins presented the report.
§
At
the last CCMS BOT meeting, four MedPac Directors were selected.
§
There
is an election currently in process to select four more Directors. The poles close February 27, 2008.
§
The
ninth Director appointed is Annette Mohs of the
§
The
tenth Director appointed is Dr. Kingsley as the highest ranking NSMA officer in
the south.
§
The
eleventh Director appointed is a representative from NEMPAC. Historically, Dr. Shreck has been the
appointed Director, however, it is undetermined at this time if he will
continue in that position.
§
The
first meeting will be held in March.
There are a number of new requests for funds, including Judge Cynthia
Diane Steele, and Justice Mark Gibbons.
§
Senator
Bob Beers is having another fund raiser.
XIII. AMA Report
§
Dr.
Nelson reminded the BOT that it is their duty to be a Delegate to the NSMA annual
meeting. She encouraged everyone to
submit resolutions for consideration at the annual meeting.
§
The
next AMA meeting will be held in June.
XIV. NBME
Report
Dr. Rodriguez was not present; therefore, no report was
provided.
XV. President’s
Report
The President’s
Report was merged with the Administrative Report (below).
XVI. Administrative
Report
Dr. Havins provided the
Administrative Report.
§
The
annual performance evaluations were attached to the meeting packets. No discussion or personnel session was
requested.
§
A
request was made by Bob Beers (via Annette Mohs) for a set of labels for his
fund raiser. A motion was made and unanimously passed to
provide a set of free labels to MedPAC for their use, at their discretion.
§
Health
Insight is requesting we provide a letter of support for their 9th
scope of work. Dr. Shreck detailed the
reasons for the requested letter of support.
A motion was made and unanimously approved to provide the letter of
support to Health Insight.
XVII. New Business
§
The Nomination
Committee Chair, Dr. Jameson, announced the nominees chosen for the slate. The slate will be published in the March
County Line along with “write-in” nomination instructions.
§
Dr. Evins
suggest a possible bylaws change to require any ex-officio member to the BOT be
an active member of CCMS. The suggested
bylaws change was amended to say “if eligible”, they must be a member of
CCMS. A motion was made to bring the
proposed bylaws change to the membership for a vote. After much discussion, the motion was
withdrawn and issue tabled until next month’s BOT meeting.
§
Dr. Fathie
created a template for writing resolutions.
She distributed the template copies to BOT members. Further discussion was directed to the
Delegation Committee meeting.
§
Dr. Jones stated
that Wolfson’s property on Tonopah provided a final offer of $694,000 which did
not include any space for NSMA.
§
Dr. Jones will
meet with the Las Vegas Chamber of Commerce Board of Directors Thursday at 4:00
pm. They are interested in our physician
referral program, a speaker’s bureau, and cross-advertising.
§
MGM Mirage has
implemented a healthy living program. If
CCMS endorses this program, we will be included on their stationary, and can be
a part of their physician referral.
§
The purpose of
the meetings with the Las Vegas Chamber of Commerce and MGM Mirage is to
develop relationships with prominent companies in the
XVIII. Old
Business
None to report.
XIX. Future
Meetings
Next
meeting is scheduled for Tuesday, March 18, 2008 at
XX. Adjournment
Meeting adjourned at 7:35 pm.
Classifieds
Add another zip code to your letterhead by sharing office space near Summerlin. Westside “Timeshare space” for lease. New medical office building (full or half days available). Convenient to 215 near Flamingo & Hualapai. Call 458-4263 ext 209.
Sublet
- full service medical office space including reception, exam room,
doctors office, MA, scheduling, telephones.
Multi-lingual staff, English, Spanish and Vietnamese. Central location behind
NEW
CLASS - A CENTENNIAL HILLS MEDICAL office
space for sublease. Located minutes
from the new
Physician
Assistant needed for busy Infectious Disease Practice.
FOR
LEASE: Summerlin, any specialty short or long term, brand new, 2
miles from
Equipment
Needed: Power Operating/procedure room chair/bed. Please call
Sub-lease
available: 9280 Sunset Rd (at
general
& laparoscopic surgery: We strive to provide high quality &
timely general & laparoscopic surgery services. Inpatient, outpatient, emergent &
elective consultations. Kevin Rayls, MD,
FACS & Stephen Horsley, MD. Mountain
West Surgical 796-0022, 9280 W Sunset,
laparoscopic
surgery: Obesity (weight loss), lap band, gastric bypass, antireflux
(Nissen), gall bladder, colon, splenectomy, stomach, rectum, wounds, PEGS,
amputations, hernia, trachs, poracaths.
Bernadine A. Hanna, MD 384-1160, 501 S Rancho, Suite F-38, 89106.
County Line
BJC Investments, LLC ……228-7464 …. www.priorityonecommercial.com
Bozell & Jacobs for MX Secure ….402-965-4300 www.mxsecure.com
Comprehensive Cancer Centers of NV ……952-3400
Consultants in Marketing for Hutchison & Steffen ……944-2464 www.wemarketo.com
Desert Billing ….702-374-9981
E & S Medical Billing … 362-9494
MassMedia for Territory ……7 02-433-4331
Medical Group Management Association ….. 697-5471 ext. 134
Medicus……..512-467-2800 ……. www.medicusinsurance.com
Nevada Docs Support Association, Inc ….. 702-215-4894… www.nvdocs.com
Nevada Mutual Insurance Company ….. 798-6001 ….. www.nevadamutual.com
Nevada State Bank …. 800-693-7695 www.nsbank.com/treasurymanagement
Pioneer Healthcare ….702-921-6823 …. www.pioneernv.com
Premier Physicians Insurance Company…..860-6130 ... www.ppicmedmal.com
SK+G for NV Cancer Institute … 478-4122 … www.skgadv.com
Sunset Health Realty, LLC …. 310-273-2277
Tom Willer … 702-501-6360