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WOEMA NEWS

WOEMA Legislative Committee Update
WOEMA
  • California legislative session ended; bills followed by WOEMA included
    • SB 809: CURES (tracks controlled Rx's) upgrade signed by governor.
    • AB 1000: compromise bill = allows PT services without physician Rx for 45 days but physician Rx needed after that; medical corporations can directly employ PT’s.
    • SB 670: Medical Board can restrict a physician's ability to Rx meds during investigation by the Board; requires appearance before the Board when asked.
    • SB 352: Allows MAs to work under PA, NP, or nurse-wife supervision in medical offices (current law requires physician in the building)
  • New RBRVS-based fee schedule starts Jan. 1; E&M payments increase significantly.
  • Over 5,600 Independent Medical Review requests last month.
  • Members of the Legislative Committee will be meeting with DWC in the next month.
  • COEH/ CDPH meeting November 13, Berkeley, RE: new lead standards. Leslie Israel will be on the panel. More info: http://www.cdph.ca.gov/programs/olppp/Pages/LeadStdRecs.aspx
  • Medical Board's Prescribing Task Force has started meeting; WOEMA will be represented.
  • WOEMA participated in October 2013 CMA House of Delegates as Specialty Delegates.
  • Hawaii, Arizona, Nevada: brief meetings at WOHC, special WOEMA call upcoming in November for legislative/ regulatory issues in those states.
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ALOHA — The Thread That Hold Us Together (A Recap of WOHC 2013)
WOEMA
Back in January 2012, the WOEMA Executive Team and Board voted in favor of holding WOHC 2013 in Waikiki, Hawaii. The leadership was aware of the potential risks: financial, willingness to travel by attendees/ speakers/ supporters; commitment to educational endeavor; etc.

As we reflect back on the experience we are reminded of the strength and power of our partnership, we can achieve and exceed every goal. Way to go Occ Docs & WOEMA!

We had a record number of CME & MOC credits and had attendees present & participatory in courses from 7 a.m. until 5:30 p.m. on Friday and Saturday, Sept. 27-28. We asked for attendees to walk away with at least three educational pearls from each session, and everyone had many more. Evidence based medicine was highlighted in each session — from causation to treatment management to outcomes. Moreover, science and strength of evidence became practical and applicable to our day-to-day practices; for many of us that science didn't exist when we finished our training. Medicine will always be an art as well as a science; we had challenging case studies to remind us when/how to weave in our experience.

The future of health care requires innovation and interdisciplinary care. Our colleagues shared first hand examples of both, from integrated PT and physician visits to telehealth and ACO. For 57 years WOHC has been one of the most practical CME venues; we continued in that tradition with Power Ortho, subspecialty updates and site visits. Eager for more? Join us in 2014 in San Diego, CA for more (we do get better and stronger every year).

Finally, WOEMA has a camaraderie not found in other organizations. The spirit of ALOHA shall hold us together always. We welcome our many new friends and colleagues to join us each year, and welcome back those who might have had to miss 2013.

Mahalo nui loa!!!!!
WOHC 2013 Planning Committee
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Rutherford T. Johnstone and Jean Spencer Felton Award
Recipients Announced

WOEMA

Rutherford T. Johnstone Award


T. Warner Hudson III, MD, FACOEM, FAAFP, Medical Director, Occupational and Employee Health UCLA Health System and Campus was the recipient of this year's Rutherford T. Johnstone Award. Dr. Hudson received the award on September 28 during the 2013 Western Occupational Health Conference in Waikiki, Hawaii where he gave a Memorial Lecture: Lessons Moving from OHS Concepts to Front Line Applications.

The Johnstone Memorial Lecture is presented annually to a current or past member of WOEMA who has contributed significantly to the furthering of occupational and environmental medicine.

Click here to view his lecture.

Click here to see previous award recipients.
Jean Spencer Felton Award


Rupali Das, MD, MPH, FACOEM, Executive Medical Director, Division of Workers' Compensation was recognized and awarded the Jean Spencer Felton Award for Excellence in Scientific Writing. The Jean Spencer Felton Award is presented annually to a current or past member of WOEMA who has contributed significantly to the body of knowledge in the field of occupational and environmental medicine.

Click here to see previous award recipients.
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The Med Tech Corner with Dr. Dean Gean
WOEMA
AliveCor Heart Monitor — almost an EKG in your pocket!

C. Roades said in 1855 to "Be neither the first to adopt the new nor the last to abandon the old" — this conundrum is now yours to decide. FDA has granted 510(k) clearance for sale to medical professionals (and prescribed patients) of AliveCor's smartphone heart monitor and associated app. This is a clinical-quality, single-channel Lead I ECG recorder attached to popular smartphones (it's an external back to the phone with two electrode bumps protruding). An ECG is made by putting fingers from each hand on the electrodes (or electrodes directly on the chest).
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WOEMA Webinar: Chronic Upper Back and Neck Pain in Workers
Dr. David Rempel — October 30th

WOEMA
In collaboration with WOEMA and the UC COEH, please join us on Wednesday, October 30th for the WOEMA webinar. Dr. David Rempel will be speaking on "Chronic Upper Back and Neck Pain in Workers: Stretching, Strengthening, or Ergonomics? The Answers are In."

Registration is required for this meeting. Visit the WOEMA webinar calendar for more information.

In the past 4 years, a number of high quality randomized controlled trials, have been conducted in Europe that evaluate the effectiveness of strengthening, stretching or standard care on the treatment chronic neck and upper back pain in workers. The successful interventions can be incorporated into worksite health promotion programs. In addition, recent laboratory and field studies have identified workstation interventions that can reduce neck and shoulder pain among computer users. These interventions may be especially important for your laptop and mobile device users.

Participants will be able to understand the new, evidence based findings on the value of focused strengthening exercises and be able to make recommendations for workstation, while understanding the basic mechanisms of effectiveness of strengthening and ergonomic interventions for managing chronic upper back and neck pain

For more information, please visit the WOEMA website.
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Save the Date for WOHC 2014!
WOEMA
Sponsored the Western Occupational and Environmental Medical Association, the Western Occupational Health Conference is our signature annual meeting and appreciated as an exceptional educational event by attendees from across the country.

WOHC 2014, the 58th Annual Conference of the Western Occupational & Environmental Medical Association, will be held in San Diego, Calif., September 17-20, 2014 at the Coronado Island Marriott Resort and Spa.

NOTE: If you are interested in being part of the WOHC 2014 Planning Committee, there is an in-person planning meeting on Saturday, November 16th at the Coronado Island Marriott. Contact woema@woema.org for more details.


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FEATURED ARTICLE
TRENDING ARTICLE
MOST POPULAR ARTICLE
Study: Confirmation Employee Health Programs Boost Productivity
Occupational Health & Safety
Employee wellness and health promotion programs are more important than ever, both because the new Affordable Care Act includes incentives for them and because they provide huge savings.

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HIV Occupational Exposure: USPHS Updates Guidelines
Medscape
After any occupational exposure to HIV, healthcare personnel should immediately receive a postexposure prophylaxis regimen containing at least 3 antiretroviral drugs.

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FDA Announces New Labeling Guidelines For Longer Acting Painkillers
Forbes
In response to increasing numbers of deaths, injuries, and addiction stemming from prescription painkiller abuse, the FDA has issued new labeling guidelines for medical providers who prescribe longer acting painkillers.

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INDUSTRY NEWS


California Limits Workers' Comp Sports Injury Claims
Los Angeles Times
After more than a year of intense lobbying by professional sports leagues, California has slammed the door on most athletes looking to file injury claims in the state, including those with serious brain injuries. Gov. Jerry Brown recently signed legislation that significantly limits workers' compensation claims by pro players.
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Experiment Reveals The Ugly Side Of Open-Source Journal Industry
By Pamela Lewis Dolan
Over the past 10 months, Harvard researcher John Bohannon, Ph.D., has created more than 300 versions of a phony research paper describing the anticancer property of a chemical extracted from a lichen. Despite Bohannon’s efforts to make the papers flawed and unpublishable, nearly 160 medical journal publishers accepted the paper for publishing, despite each one claiming to have a peer review process. It was never Bohannon's intent to actually get the papers published. Rather, his goal was to expose the growing trend of predatory practices among open-source journal publishers that charge fees to publish an author's work.
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Curved Soles 'No Better' Than Trainers For Back Pain
BBC
Shoes with curved unstable soles are no better than traditional trainers for reducing lower back pain, suggests a study from King's College London. But previously published research has shown that the shoes can have a positive impact on posture, back and joint pain.
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1 In 4 With Back Pain Suffer Depression
Workplace Savings & Benefits
One in four people suffering from back pain have reported feeling depressed as a result of their condition, research has found. A Friends Life survey of 2,000 people, carried out to mark Backcare Awareness Week, has revealed that a quarter (25 percent) of those surveyed become depressed after suffering back pain.
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Looking to share your expertise?
MultiBriefs
In an effort to enhance the overall content of the WOEMA Window, we’d like to include peer-written articles in future editions. As a member of WOEMA, your knowledge of the industry lends itself to unprecedented expertise. And we’re hoping you’ll share this expertise with your peers through well-written commentary. Because of the digital format, there’s no word or graphical limit and our group of talented editors can help with final edits. If you’re interested in participating, please contact Ronnie Richard to discuss logistics.
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TRENDING ARTICLES
Missed our previous issue? See which articles your colleagues read most.

    FDA Announces New Labeling Guidelines for Longer Acting Painkillers (Forbes)
Dangers Pesticides Pose to Workers Force Farmers to Look for Alternatives
(The Associated Press via Fox News)
How a Simple Notepad Enhances Patient-Centered Care (Becker's Hospital Review)
Proposed OSHA Rule on Silica Exposure Could Have Significant Impact on Fracking Industry (Corporate Law Report)

Don't be left behind. Click here to see what else you missed.


FDA Issues Final Mobile Medical App Guidance
By Pamela Lewis Dolan
The U.S. Food and Drug Administration recently issued its final guidance on mobile health apps, ending a two-year wait for developers. The FDA, which issued a draft guidance in July 2011, said it intends to exercise its enforcement discretion and not regulate apps except for those that present a risk to patients if they do not work as intended. While some industry groups were happy the FDA made good on its promise to release the document before the end of fiscal year 2013, others say the FDA should have waited a little longer.
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Study: Confirmation Employee Health Programs Boost Productivity
Occupational Health & Safety
Employee wellness and health promotion programs are more important than ever, both because the new Affordable Care Act includes incentives for them and because they provide huge savings. A study published in the October 2013 issue of ACOEM's Journal of Occupational and Environmental Medicine is further evidence of the payoffs. The study involves a program in which wellness coaches provided telephone support to help employees address health problems or risk factors.
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Health Officials Confirm Arizona's First Flu Case Of Season
KTVK-TV
Health officials have confirmed Arizona's first flu case this season. Arizona Department of Health Services and the Maricopa County Department of Public Health said the infected person is an unvaccinated child with influenza type B. The child wasn't hospitalized.
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Opioid Use Increases In Some Patients After Bariatric Surgery
Medscape
While it might make sense that losing weight lessens the need for pain relief because some pain syndromes are related to obesity, a new study showed that chronic opioid users not only continued to take these drugs after bariatric surgery but also increased their use.
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Colby Horton, Vice President of Publishing, 469.420.2601
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