KAFP Weekly
Dec. 31, 2013

APRN scope of practice expansion bill threatens safety of patients — Speak out
From Dec. 3: The 2014 Legislative session is around the corner. You may recall during the 2013 Legislative session, the APRNs introduced a bill (HB 2251) which would dissolve the collaborative practice agreement between a physician and an APRN. The bill did not advance but the bill is getting attention for the 2014 Legislative session. This proposal eliminates any requirement that APRNs work with physician supervision or collaboration and would allow nurses to practice medicine and surgery without any statutory limitation on the functions they could perform.More

Dr. Debra Doubek named 2013 Kansas Family Physician of the Year — follows in her father's footsteps
From May 28: Twenty-one years ago, KAFP congratulated Dr. Herb Doubek (Belleville) as the 1992 Kansas Family Physician of the Year. Today, it is his daughter, Dr. Debra Doubek, (Manhattan) who we have proudly selected as our 2013 Kansas Family Physician of the Year. This is the first time in KAFP history this has happened — parent and offspring are both Kansas FPOY recipients!More

Physician shortage expected to worsen
Wichita Business Journal
From June 25: As millions of Americans become newly insured when the Affordable Care Act kicks begins in earnest Jan. 1, a shortage of primary care physicians is expected to worsen.More

Report: Many Kansans without health insurance are above federal poverty level
The Kansas City Star
From April 23: More than two-thirds of Kansas families without health insurance are significantly above the federal poverty level, according to a new report by the Kansas Health Institute that analyzes 2010-2011 data. And minority populations, especially Hispanics, are much more likely to not have health insurance coverage. The rate of uninsured Hispanic people, for example, is more than two and a half times that of non-Hispanic whites.More

What's next now that the AMA has declared obesity a disease?
American Medical News
From July 9: Within a day of the American Medical Association declaring it a disease, obesity also captured attention on Capitol Hill. Lawmakers introduced bipartisan bills in the Senate and House to lower healthcare costs and prevent chronic diseases by addressing the nation's obesity epidemic.More

KU-Wichita ranks 6th nationally for producing primary care physicians
Wichita Business Journal
From Aug. 6: The University of Kansas School of Medicine-Wichita ranks sixth nationally for the percentage of its residents who go into primary care. An article in Washington Monthly magazine looked at residency programs with at least 200 medical graduates from 2006 to 2008 to determine how many graduates were in primary care three to five years after completing their residencies.More

Accountable care organizations in rural America
Rural Health Research & Policy Center
From July 23: This policy brief reports that Medicare ACOs currently operate in 17.5 percent of all U.S. non-metropolitan counties, including Medicare ACOs operating exclusively in nonmetropolitan counties. Furthermore, Medicare ACOs operate in nonmetropolitan counties in every U.S. Census Region. The implications for rural providers are significant. ACO participants — principally hospitals and physicians — and their competitors can no longer rely exclusively on a business model that prioritizes service volume as an operational priority. Instead, they must direct attention and resources to increasing clinical quality, improving patient experience and lowering the cost of care.More

Deadline looming for state's patient record exchange
Kansas Health Institute
From Aug. 27: Clock ticking on data-sharing agreement needed to give doctors ability to access digital patient records statewide. Kansas' health information exchange has been years and millions of dollars in the making but because of an ongoing dispute between its two networks, it still lacks the capability to handle the exchange of digital patient records across the entire state.More

The 10 most in-demand career specialties in healthcare
From Sept. 3:The family doctor is the most highly recruited health care provider for the 7th year in a row, according to physician staffing firm Merritt Hawkins, a subsidiary of AMN Healthcare (AHS). Family physicians, including those family doctors who deliver babies, are part of a rising wave of top recruits to hospitals, clinics and other medical care centers because they are part of the primary care profession, which treats patients generally in outpatient settings where medical care costs are less expensive. This trend is driven by pressures from employers and insurers trying to keep a lid on costs as well as the Affordable Care Act, which emphasizes lower cost medical care.More

AAFP Program of Excellence Awards recognize 17 family medicine interest groups including KU on Kansas City and Wichita campuses
From July 23: The American Academy of Family Physicians has named 17 medical school Family Medicine Interest Groups as winners of the 2013 Program of Excellence Award for their outstanding activities in generating interest in family medicine. Award winners will be honored during an Aug. 1 ceremony at the AAFP National Conference of Family Medicine Residents and Medical Students in Kansas City.More