Pennsylvania medicine : official publication of the Pennsylvania Medical Society

384 Pages·1991·40.4 MB·English

by  Pennsylvania Medical Society

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Ffennsylvani
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—
. 1 ,
TENTS JANUARY 1991
VOLUME 94 • NUMBER 1
Medigram
Division Plays Pivotal Role 4 Late newsatpresstime
hhh
In Society's Priorities
Features
As State Society lobbyists pre- 10 Division plays pivotal role in Soci-
pare to pack their briefcases for ety's priorities—GovernmentAffairs
a new year of regulatory and Division Staff
legislative footwork, they pause 22 Forensic pathology's dilemma: state
to brief members on the Soci- death certificate Frec/r/c N. Heilman
MD
ety’s legislative priorities, suc-
cesses, and strategies. 44 PMS Directory of Officials and Organi-
zations—guidefor 199
Coverphotography:ThePennsylvaniaCapitol,by 55 Proceedings of the 1990 Meeting of
BlairSeitz©,Harrisburg
the PMS House of Delegates—official
minuteshhhhbh
Proceedings of the
Opinion
PMS Annual Meeting
6 Letters to the Editor—Fourwriteon
diverse matters
16 President's Page—Singlepostwould
simplifySocietyleadership—ocallfor
rethinkingstructure
18 Editorial—Ane—wmodel vehiclefor
communications introducingthe
redesignedpublication
84 Discharge Summary—Newcommunica-
tion strategydependson physician
input—newoutwardsigns reflectdeeper
changes
Departments
Complete text of the House of Delegates proceedings is
published annually in Pennsylvania Medicine. A directo- 20 Public Health—Areeggs hazardousto
ry ofState Society officials, councils, and related organi- yourhealth?
zations appears on page 44. 24 Newsmakers
26 Peer Review—Sourceand selection of
22 hospital recordsfor PRO review
Forensic Pathology's Dilemma: 28 Economics—SomeAMA success seen in
State Death Certificate federal budgetbill
28 Advertisers index
Pathology resident Fredric N.
30 Law and Medicine—State'scodere
Heilman, MD, a member of the mains silenton living will lawdespite
State Society’s Resident Physi- Cruzan case
cian Section, offers solutions for 32 Newsfronts—AMA leaderaddresses
the continuing problems associ- medical-legal group/Health care in fish-
ated with death certificates. bowl themeofApril conference/Philadel-
phia CMS honors itsphysicians/Doctor
fraining stops more smokers/Dauphin
CountySocietycreates public service
ads/HouseofDelegatescreates new
section for specialties
CourtesyofthePhiladelphiaMuseumofArt 38 Medical Office Management—Stepsto
control the precertification hassle
PENNSYLVANIAMEDICINE (ISSN0031-4595)ispublishedmonthlybythePennsylvaniaMedical Society, 41 Obituaries
777EastParkDrive,Harrisburg—, PA 17111 —
SUBSCRIPTIONS: $20peryear UnitedStatesandCanada; $30 allothers.Singleissues$3.00percopy 42 New members
prepaid;special issuescostmore.
POSTMASTER:SendaddresschangestoPENNSYLVANIAMEDICINE,777EastParkDrive,POBox8820, 80 Classified advertising
Harrisburg, PA 17105-8820. SecondclasspostagepaidatHarrisburg, PA 17105.
Fgcsiooia.rnlcBsesutoatwbmieneloittimynaTvlihespenrataeMcldetedipgicreceoanfldceasrPisrrniiooeotnreusacr,ltiievlniaedasbuCiyslotirctmyypo.camoAnevyne.dmreaOhaguanerstafbteienataeshnnye- tcDouoonrnnnt’aitnosfuguaratlehmAebth+lcieenn(gytSouuaurpneyrdr.ipcoNarrli)elnmeroiatutuyrimngygeednfoalerrlrosaamrlsiA.nagbPMeuu.ntstBiyentoseoutsdraspyrm.aoonvndeeiyat.
^um-^rmyjl
VifatHCtfAfi~
NO DOOBT.
Allentown Pittsburgh CampHill PlymouthMeeting
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:
_ , -EPIGRAM
DR. RICHARDS RESIGNS HEALTH DEPT: During the second week in
January, N. Mark Richards, MD, resigned from his post as secretaryof
the Deparment ofHealth forthe Commonwealth, stating that he wished
to pursue otherprofessional interests. A successor had notyet been
named at press time.
MEDICAL EDITOR NAMED: Ninth District Trustee John W. Mills, MD,
PENNSYLVANIAMEDICINE
has been appointed by the PMS Board ofTrusteesas the new medical
777EastParkDrive
editor for Pennsylvania Medicine. Dr. Mills is a gynecologist practicing P.0 Box8820
in Indiana, PA. Harrisburg, PA 17105-8820
Telephone[phone]
FIRST KEPRO BOARD CHAIRMAN ELECTED: The Keystone PeerReview Fax[phone]
Organization Board ofDirectors has elected Frederick G. Brown, MD,
as its first chairman. A nephrologist from Danville, Dr. Brown has PUBLICATIONCOMMITTEE
served the board as vice president. The Society's Board ofTrustees JohnW. Mills, MD, Chairman
recently called on KePRO to name both a presidentand a board GeorgeR. FisherIII,MD
chairman because ofthe increasing responsibilities ofKePRO leaders. SCatrelveAn. SFi.riNo,emMeDrson
Donald E. Harrop, MD, Phoenixville, remains KePRO president. Martin Ferdinand L.SoissonJr., MD
A. Murcek, MD, ofGreensburg was re-elected KePRO treasurer;
Richard Martin Gash, MD, Wyncote, was elected secretary. STAFF
MedicalEditor:
MEDICARE PARTICIPANTS HAVE OPT-OUT PERIOD: Although the Health JohnW. Mills, MD
Care Financing Administration did not extend the December31
wMheidicchaprheyseincrioalnlsmemnatyde"addilsiennreo,llit"ifsrpormovtihdeinpgroagnra"omp,tuonutti"l wFeibnrduoawr,yb1y5, MMaarnyagLi.nUgehEldeitionr:
1991. The Society had asked HCFA to extend the participation deadline AssistantManaging Editor:
beyond December31 because profiles were not available and because ElaineS. Herrmann
no ruling has been issued in the Society’s suit challenging the state ArtDirector:
Medicare Fee Control Act. Blue Shield has said itwill mail new fee DonnaR.Jones
information to physicians on January 31. Advertising Representative:
GordonV. Hamilton
CRUZAN SUCCUMBS; RIGHT-TO-DIE WON: Nancy Cruzan, the subject of AdvertisingAssistant:
a landmark right-do-die legal battle, died December26, 1990, 12 days Lori Rusinko
after her feeding tube was removed. The tube sustained herfor eight
years in what doctors described as irreversible vegetative state. Her PENNSYLVANIAMEDICINE,estab
parents’ three-year legal battle to have the feeding tube removed lishedin 1897,istheofficialpublicationof
produced the U.S. Supreme Court’s first right-to-die ruling. A related thePennsylvaniaMedicalSociety.Alledito-
article appearson page 30 ofthis issue. The ethical aspectsofthe case rialandadvertisingcorrespondenceshould
bedirectedtotheManaging Editor.
were discussed in the December issue.
Allmaterialsubjecttothiscopyrightmaybe
NEW AMA GUIDELINES ON DRUG INDUSTRY GIFTS: The AMA in tpihfioctoorcoedpuiceadtioonnlaylfoprurnpoonsceosm.meTrhceiaolpisnciioenns-
December issued "tough new guidelines” on the ethics of ofauthorsdonotnecessarilyrepresentthe
pharmaceutical and medical equipment industry promotional practices. policyofthepublisher.Theappearanceof
The guidelines require that physicians: not accept any gift ofsubstantial advertisingdoesnotguaranteeorendorse
theclaimsoftheadvertisers.
value even if it is educational in nature; not accept payment forthe
costs oftravel, lodging, orotherpersonal expenseswhen attending Thepublisherreservestherighttorefuse
conferences or meetings; reject any gift when strings areattached; taonyapapdrvoevratli.sAedmveenrtt.isAellraadnvderatigseinncgyiswasrubrjaenctt
disclose publicly any financial support forconferences. thattheyareauthorizedandentitledtoad-
vertisecopyfurnished;andherebyagreeto
indemnifyandholdthepublisherharmless
YEAR'S HEALTH CARE SPENDING ALARMING: Health and Human againstallclaims,demands,damages,lia-
Services Secretary Louis Sullivan, MD, called the growth in health care bilities,andcostsincludingcounselfees,
costs alarming following a HCFA report ofrecord health care spending arisingoutoforinanywaycausedbyor
last yearof more than $604 billion. Health spending in 1989 accounted connectedwiththeprintingandpublishing
oftheadvertisingcopyfurnishedbythead-
for 1 1.6 percent ofthe gross national product, and was 11.1 percent vertiser.
higherthan in 1988. The gross national product rose 6.7 percent over
the same period. Federal spending on health programs in 1989
amounted to 14.7 percent ofthe total federal budget, up from 14.1 Copyright1991
PennsylvaniaMedicalSociety.
percent the previous year.
4 PENNSYLVANIAMEDICINE