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Data Breaches Cost Healthcare Industry $6.5 Billion

The frequency of data breaches in healthcare organizations has increased by 32 percent, with hospitals and healthcare providers averaging four data breaches, says a report on the subject. The second annual benchmark study by Ponemon Institute found that employee negligence is the primary culprit.

According to 41 percent of healthcare organizations surveyed, data breaches involving protected health information (PHI) are caused by sloppy employee mistakes. Half of respondents do nothing to protect mobile devices that are in use in 80 percent of healthcare organizations, the report says. Based on the experience of the healthcare organizations surveyed, data breaches could be costing the U.S. healthcare industry an estimated $4.2 billion to $8.1 billion annually—an average of $6.5 billion—enough to hire more than 81,000 registered nurses nationwide or fund 216 million flu vaccinations.

According to the report,

  1. Data breaches represent a 32 percent increase, with compromised patient records in benchmarked organizations increasing an average of 46 percent. According to the research, 55 percent of healthcare organizations say they have little or no confidence they are able to detect all privacy incidents. About 61 percent of organizations are not confident they know where their patient data is physically located. Third-party mistakes, including business associates (BAs), account for 46 percent of data breaches reported in the study. According to 49 percent of respondents, lost or stolen computing or data devices are the reason for healthcare data breach incidents.
  2. More than 80 percent of healthcare organizations use mobile devices that collect, store and/or transmit some form of PHI. Yet, half of all respondents do nothing to protect these devices, the report says.
    1. 73 percent of respondents reported lacking sufficient resources to prevent or detect unauthorized patient data access, loss or theft. 53 percent of organizations cite lack of budget as their biggest weakness in preventing data breaches. The increased use of outside resources and business associates—associated with the downsizing of hospital staff—is having a direct impact on privacy and security. 69 percent of organizations say that they have little or no confidence in business associates ability to secure patient data.

    The report recommends that healthcare organizations can minimize their data breach risks with three basic steps:

    1. Take an inventory of PHI/PII. An inventory provides a complete accounting of every element of personally identifiable information (PII) and PHI that an organization holds, in either paper or electronic format. It helps determine how an organization collects, uses, stores and disposes of its PHI. A PHI inventory reveals the risks for a data breach, so organizations can strategically protect PHI data and best plan for a response based on real information.
    2. Develop an Incident Response Plan (IRP). An IRP is an effective, cost-efficient means for helping organizations meet HIPAA and HITECH requirements and develop guidelines related to data breach incidents. The IRP designates roles and provides guidelines for the response team’s responsibilities and actions.
    3. Review contracts and agreements with business associates.

    Business associates are a growing cause of data breaches. These contracts between healthcare organizations and business associates authorize and define business associates’ use of the PHI they share with healthcare providers. Keeping these contracts up-to-date demonstrates compliance to regulators and helps maintain consistency in how PHI is managed in a healthcare ecosystem.

    Slow Down This Season to Minimize Credit Card Fraud

    Traffic is picking up for businesses now that the holiday season is here. In the coming weeks, it is as important as ever to safeguard against fraud. Just because some shoppers are in a hurry doesn’t mean you should rush through a sale without taking reasonable measures to protect your business from fraud. We want to remind you of some steps you can and should take to keep your transactions safe.

    Credit cards require some scrutiny. The first and most important thing you should do is compare every credit card customer’s signature with the signature that appears on the back of the card. If it is not signed, ask for a driver’s license to make the comparison. By making sure the two signatures match, the possibility of your store accepting a stolen credit card is drastically reduced.
    Equally important is making sure the account numbers embossed on the card are the same as those being read off the magnetic stripe. Your terminal should automatically prompt for you to enter the last four digits of the account number. Once entered, the terminal will indicate whether or not they are a match. If not, the terminal won’t allow you to go forward with the transaction. Please remember: manually entering a transaction after you have received a “no match” message is not advised.
    While these two simple comparisons are probably the most important things you can do, knowing the security measures individual card companies take and how you can spot a fake are invaluable. Examine cards to be sure they meet these criteria:

    Visa, MasterCard and Discover each have a hologram on the front of their card. They should appear three-dimensional, changing shape when rotated in the light. Visa’s hologram is a dove, MasterCard’s a globe, and Discover’s a coin.

    The embossed account number on the front of the card should be clear and straight. If the card has been re-embossed, the numbers may appear fuzzy. Pay special attention to the last four numbers located in the hologram.

    Right below the embossed account numbers is a pre-printed bank identification number. It should match the first four numbers of the account number. All MasterCards begin with the number 5, Visas the number 4, Discover cards the numbers 6011 and American Express cards the numbers 37.The card should also have an expiration date above the cardholder name.

    The signature panel on the back of the cards can vary. MasterCard always has an angled repetitive pattern of the brand name of the card. American Express uses a wavy line, Visa horizontal lines and Discover has the account number printed in reverse. A blank signature line on the back of any card is an indication that the card may have been altered.

    No one wants to lose a sale or spend time fixing a transaction that has been compromised. Remind your staff members of the tools mentioned here and encourage them to make time for these important checks. Better yet, print a copy of this article and keep it by your credit card terminal as a reference.

    Happy Holidays!

    Ask Anne from MTG

    Question: Traffic is picking up for my business now that the holidays are here and I want to make sure we secure all our sales. Can you tell me how to avoid problems with people trying to use fraudulent or stolen credit cards?

    Answer: Unfortunately, the holidays can be prime time for credit card fraud. The frantic nature of the season can cause sales staff to be lax in the interest of saving time. In the coming weeks, it is as important as ever to be vigilant. We want to remind you of some steps you can and should take to keep your transactions safe.

    Credit cards require some scrutiny. The first and most important thing you should do is compare every credit card customer’s signature with the signature that appears on the back of the card. If it is not signed, ask for a driver’s license to make the comparison. By making sure the two signatures match, the possibility of your store accepting a stolen credit card is drastically reduced.

    Equally important is making sure the account numbers embossed on the card are the same as those being read off the magnetic stripe. Your terminal should automatically prompt for you to enter the last four digits of the account number. Once entered, the terminal will indicate whether or not they are a match. If not, the terminal won’t allow you to go forward with the transaction. Please remember: manually entering a transaction after you have received a “no match” message is not advised.

    While these two simple comparisons are probably the most important things you can do, knowing the security measures individual card companies take and how you can spot a fake are invaluable. Examine cards to be sure they meet these criteria:

    Visa, MasterCard and Discover each have a hologram on the front of their card. They should appear three-dimensional, changing shape when rotated in the light. Visa’s hologram is a dove, MasterCard’s a globe, and Discover’s a coin.

    The embossed account number on the front of the card should be clear and straight. If the card has been re-embossed, the numbers may appear fuzzy. Pay special attention to the last four numbers located in the hologram.

    Right below the embossed account numbers is a pre-printed bank identification number. It should match the first four numbers of the account number. All MasterCards begin with the number 5, Visas the number 4, Discover cards the numbers 6011 and American Express cards the numbers 37.The card should also have an expiration date above the cardholder name.

    The signature panel on the back of the cards can vary. MasterCard always has an angled repetitive pattern of the brand name of the card. American Express uses a wavy line, Visa horizontal lines and Discover has the account number printed in reverse. A blank signature line on the back of any card is an indication that the card may have been altered.

    No one wants to lose a sale or spend time fixing a transaction that has been compromised. Remind your staff members of the tools mentioned here and encourage them to make time for these important checks. Better yet, print a copy of this article and keep it by your credit card terminal as a reference.

    Happy Holidays!

    MTG Tips

    Traffic is picking up for businesses now that the holiday season is here. In the coming weeks, it is as important as ever to safeguard against fraud. We want to remind you of some steps you can and should take to keep your credit card transactions safe. Take time to:

    Compare every credit card customer’s signature with the signature that appears on the back of the card. If it is not signed, ask for a driver’s license to make the comparison.

    Make sure the account numbers embossed on the card are the same as those being read off the magnetic stripe on the back of the card. Follow your terminal’s prompt by entering the last four digits of the account number. Once entered, the terminal will indicate whether or not they are a match. If not, the terminal won’t allow you to go forward with the transaction. Do not manually enter a transaction after you have received a “no match” message.

    Even safer – know how to spot a fake. Examine cards to be sure they meet these criteria:

    Visa, MasterCard and Discover each have a hologram on the front of their card. They should appear three-dimensional, changing shape when rotated in the light. Visa’s hologram is a dove, MasterCard’s a globe, and Discover’s a coin.

    The embossed account number on the front of the card should be clear and straight. If the card has been re-embossed, the numbers may appear fuzzy. Pay special attention to the last four numbers located in the hologram.

    Right below the embossed account numbers is a pre-printed bank identification number. It should match the first four numbers of the account number.

    The card should also have an expiration date above the cardholder name.

    A blank signature line on the back of any card is an indication that the card may have been altered. The signature panel on the back of the cards can vary. Look for MasterCard’s angled repetitive pattern of its brand name, American Express’s wavy lines, Visa’s horizontal lines and Discover’s reverse printing of the account number.

    Remind your staff members of the tools mentioned here and encourage them to make time for these important checks. Better yet, print a copy of this article and keep it by your credit card terminal as a reference.

    Happy Holidays!

    Ask Anne at MTG

    Visa Helps Bring Cool Technology to the U.S.

    A world in which a people can simply point their iPhones at a terminal to make a purchase is closer than you think. There are some amazing technological changes happening, and the payments industry is on the cutting edge. Smart cards, near field communications (NFC) and Google Wallet are some advances that will usher us into an age of convenience and heightened security that is both exciting and practical.

    EMV (Europay, MasterCard and Visa) is a global standard that has been used widely around the world for years and authenticates debit and credit card transactions via “smart” or “chip” cards. The cards have chips imbedded, containing information that allows for the execution of transactions by inserting them into a terminal reader, much like a key card at a hotel. A chip can also be embedded into a smart phone, which can be held up to the reader to be scanned, as is the case with the Google Wallet. Both of these options allow banking data to stay in the possession of the account holder, which improves security. In addition, the chips are both costly and difficult to skim or copy, helping to reduce fraud.

    Visa is at the forefront of bringing these technologies to the U.S. markets. They are offering a big incentive to merchants to move them in the direction of accommodating the new technologies: those who process 75% of their Visa transactions through a terminal that can handle the new smart cards, including contactless mobile payments, by October, 2012, will not be required to validate their PCI compliance, eliminating yearly paperwork that can be both costly and time consuming for businesses. They have given processors until April, 2013, to get on board. They are also planning to shift fraud liability from card issuers to merchants unwilling to update their equipment by October, 2015.

    Because the banking community is realizing the importance of issuing smart cards and consumer interest in the convenience of mobile payments is on the rise, these changes are definitely on the horizon. It will take a fair amount of cooperation from all the major players – card issuers, processors and merchants -  but it will pull the U.S. payments industry into a more modern, low-risk environment which will benefit all. As always, MTG will actively research this technology and do our best to offer the most cost effective, reliable and easy-to-use options available.

    Question: I have been hearing a lot about EMV, “smart” and “chip” cards and ways to pay for products with your phone. How do they work and will we be seeing more of them?

    Answer: A world in which a people can simply point their iPhones at a terminal to make a purchase is closer than you think. There are some amazing technological changes happening, and the payments industry is on the cutting edge. Smart cards, near field communications (NFC) and Google Wallet are some advances that will usher us into an age of convenience and heightened security that is both exciting and practical.

    EMV (Europay, MasterCard and Visa) is a global standard that has been used widely around the world for years and authenticates debit and credit card transactions via “smart” or “chip” cards. The cards have chips imbedded, containing information that allows for the execution of transactions by inserting them into a terminal reader, much like a key card at a hotel. A chip can also be embedded into a smart phone, which can be held up to the reader to be scanned, as is the case with the Google Wallet. Both of these options allow banking data to stay in the possession of the account holder, which improves security. In addition, the chips are both costly and difficult to skim or copy, helping to combat fraud.

    Visa is at the forefront of bringing these technologies to the U.S. markets. They are offering a big incentive to merchants to move them in the direction of accommodating the new technologies: those who process 75% of their Visa transactions through a terminal that can handle the new smart cards, including contactless mobile payments like Google Wallet, by October, 2012, will not be required to validate their PCI compliance, eliminating yearly paperwork that can be both costly and time consuming for businesses. They have given processors until April, 2013, to get on board. They are also planning to shift fraud liability from card issuers to merchants unwilling to update their equipment by October, 2015.

    Because the banking community is realizing the importance of issuing smart cards and consumer interest in the convenience of mobile payments is on the rise, these changes are definitely on the horizon. It will take a fair amount of cooperation from all the major players – card issuers, processors and merchants -  but it will pull the U.S. payments industry into a more modern, low-risk environment which will benefit all. As always, MTG will actively research this technology and do our best to offer the most cost effective, reliable and easy-to-use options available.

    MTG Tip

    A world in which a person can simply point his iPhone at a terminal to make a purchase is closer than you think. Visa is at the forefront of bringing cutting edge technologies to the U.S. markets.

    The technology:

    Smart cards have chips imbedded, containing information that allows for the execution of transactions by inserting them into a terminal reader, much like a key card at a hotel.  Google Wallet embeds the chip into a smart phone, which can be held up to the reader to be scanned, using near field communications (NFC) to execute transactions.

    How Visa is involved:

    Visa is offering an incentive to merchants: those who process 75% of their Visa transactions through a terminal that can handle the new smart cards, including contactless mobile payments, by October, 2012, will not be required to validate their PCI compliance. (Compliance is still required, however the paperwork involved with validating it yearly would be eliminated, saving businesses time and money.)

    Visa is imposing a deadline for processors: processors will be required to support chip card transactions by April 2013.

    Visa has constructed a penalty: They are planning to shift fraud liability from card issuers to merchants unwilling to update their equipment by October, 2015.

    It will take cooperation from all the major players – card issuers, processors and merchants -  to update the system, but will pull the U.S. payments industry into a more modern, low-risk environment which will benefit all. As always, MTG will actively research this technology and do our best to offer the most cost effective, reliable and easy-to-use options available.

    GIST MiniGrant Opportunity

    Want to Get More Bang for Your Asthma Buck?

    The Michigan Department of Community Health is seeking health care practices to adopt the Asthma Guideline Implementation Steps & Tools (GIST) materials starting Fall 2011. GIST contains simple tools to help clinicians make decisions based on the 2007 NAEPP asthma guidelines by incorporating these tools into their everyday practice. Each practice will implement the tools and then track their implementation progress for six months. In six months, one practice that used GIST doubled the number of patients with asthma action plans, and saw a 25% increase in number of patients with appropriate asthma prescriptions.

    Benefits of participation

    • Technical assistance from asthma experts to help them meet practice goals for asthma
    • Financial incentives for participation ($2,000)
    • Participation in on‐site learning sessions at start‐up and as needed
    • Evaluation and implementation support throughout the pilot period
    • Opportunities to learn more about state and local asthma resources

    Participation Requirements

    • Convene office and medical staff for short meeting with MDCH asthma program staff to discuss GIST implementation and evaluation.
    • Provide baseline de‐identified summary data on measures below and agree to review and provide monthly data reports on these three measures.
    • % of asthma patients with current asthma action plan
    • % of asthma patients with assessment of asthma control at last office visit
    • % of asthma patients with appropriate prescription of ICS
    • Additional, optional measures such as ED visit and severity level data are welcome.
    • Complete brief surveys regarding barriers and factors leading to successful implementation midway and at the end of the project.

    Eligibility Criteria

    • Must provide the name and contact information of a physician champion who will lead the practice in implementing best asthma practices as outlined in the GIST program.
    • Must have capacity to incorporate GIST materials into current system, and track changes in asthma care.
    • Must provide the name and contact information of an office staff champion who will help integrate GIST materials, provide data and act as liaison with MDCH.
    • Must be able to implement GIST materials in practice system by October 31. Use GIST materials at all visits with diagnosed asthma patients/potential/new asthma patients for six months, November 1 to April 30, 2012.
    • Must be able to track the 3 patient measures listed above.

    Preference will be given to safety net practices and those in high asthma burden areas (Genesee, Ingham, Saginaw and Wayne Counties).

    Want to learn more about this opportunity? Contact Tisa Vorce, Michigan Dept. of Community Health: VorceT@michigan.gov or 517.335.9463

    Visit GetAsthmaHelp.org/GIST to see the materials and learn more about this program.

    Ask Anne at MTG

    Simple Checkout is an Easy E-Commerce Option

    If you are looking for an easy and inexpensive way to accept payments on the web, this could be the perfect solution. Authorize.Net’s Simple Checkout is just that – simple. It is so easy to configure that you will save time and money bypassing a web designer. Though Simple Checkout won’t work for everyone, it is a great option for those who: have a limited number of items to sell, wish to accept donations or offer clients another way to pay invoices.

    Authorize.Net is a subsidiary of Visa and the world’s largest provider of secure gateway services. They manage the routing of billions of transactions each year through the
    internet. Their Simple Checkout option offers you the ability to add a “Buy Now” or “Donate” button to your web page quickly and easily, as well as the capability to accept payments for invoices.

    An account with Authorize.Net is all you need to begin. Clients of MTG are extended preferred rates – literally less than half the cost of going directly through Authorize.Net. The buttons for your web site are created by filling out a basic form with information about your products and merging it with the Authorize.Net Merchant Interface.

    When selling an item, Simple Checkout allows you to customize several settings for each one, including a description of the item, quantity desired and shipping options along with the “Buy Now“ button. If your business sells a limited selection of specialty items, it will allow you to take orders without the work of creating a shopping cart on your page.

    If you are a nonprofit organization, you can specify suggested donation amounts and display the “Donate” button. This could be a real money-saver and will allow donations to be collected easily via the web.

    The invoice payment feature allows you to get your clients’ information so they may “Submit” a payment. MTG uses Simple Checkout for this very purpose.

    Whatever your needs, you will also be provided an Authorize.Net verified merchant seal to display on your page, which is promptly recognized and verifies the safety of the transactions.

    Whether you are taking orders or collecting money, Simple Checkout gives you the ability to secure your presence on the web and secure your transactions, without spending a lot of hours or dollars to do so. Visit www.authorize.net and search Simple Checkout to see how truly easy it is.

    Question: My business sells a few specialty items and I would like for clients to be able to order from me on-line. Putting together a shopping cart for my page is time-consuming and expensive. Is there an easier way?

    Answer: Yes! If you are looking for an easy and inexpensive way to sell your merchandise on the web, Authorize.Net’s Simple Checkout could be the perfect solution. Simple Checkout is just that – simple. It is so easy to configure that you will save time and money bypassing a web designer. It is a great option for those who: have a limited number of items to sell, wish to accept donations or allow clients to pay invoices.

    Authorize.Net is a subsidiary of Visa and the world’s largest provider of secure gateway services. They manage the routing of billions of transactions each year through the internet. Their Simple Checkout option offers you the ability to add a “Buy Now” to your web page quickly and easily.

    An account with Authorize.Net is all you need to begin. Clients of MTG are extended preferred rates – literally less than half the cost of going directly through Authorize.Net. The buttons for your web site are created by filling out a basic form with information about your products and merging it with the Authorize.Net Merchant Interface.
    Simple Checkout allows you to customize several settings for each item, including a description, quantity desired and shipping options along with the “Buy Now” button. Because your business sells a limited selection of specialty items, it allows you to take orders without the work of creating a shopping cart on your page.

    You will also be provided an Authorize.Net verified merchant seal to display on your page, which is promptly recognized and verifies the safety of the transactions.

    Simple Checkout gives you the ability to secure your presence on the web and secure your transactions, without spending a lot of hours or dollars to do so. Visit www.authorize.net and search Simple Checkout to see how truly easy it is.

    Question: I am looking for a way to allow my customers to pay their invoices at my web site. Is there a cost-effective way to do this, without involving a web designer?

    Answer: Yes! If you are looking for an easy and inexpensive way to take payments on the web, Authorize.Net’s Simple Checkout could be the perfect solution. Simple Checkout is just that – simple. It is so easy to configure that you will save time and money bypassing a web designer. It is a great option for those who: have a limited number of items to sell, wish to accept donations or allow clients to pay invoices.

    Authorize.Net is a subsidiary of Visa and the world’s largest provider of secure gateway services. They manage the routing of billions of transactions each year through the internet. Their Simple Checkout option offers you the capability to accept payments for invoices.

    An account with Authorize.Net is all you need to begin. Clients of MTG are extended preferred rates – literally less than half the cost of going directly through Authorize.Net. A “Submit” button for your web site is created by filling out a basic form with information about your business and merging it with the Authorize.Net Merchant Interface.

    The invoice payment feature allows you to collect your clients’ information so they may submit a payment. MTG uses Simple Checkout for this very purpose. Visit our web page for an example if you wish: www.midtrans.com.

    You will also be provided an Authorize.Net verified merchant seal to display on your page, which is promptly recognized and verifies the safety of the transactions.

    Simple Checkout gives you the ability to secure your presence on the web by allowing clients the option of paying an invoice on-line and secures your transactions, without spending a lot of hours or dollars to do so. Visit www.authorize.net and search Simple Checkout to see how truly easy it is.

    MTG Tips

    If you are looking for an easy and inexpensive way to accept payments on the web, Authorize.Net’s Simple Checkout could be the perfect solution. It is so easy to configure that you will save time and money bypassing a web designer.

    Simple Checkout is great for those who:
    • have a limited number of items to sell
    • wish to accept donations
    • want to allow clients to pay invoices.

    Buttons offered by Simple Checkout for your page:
    • “Buy Now”
    • “Donate”
    • “Submit”

    What you need to get started:
    • an account with Authorize.Net. Clients of MTG are extended preferred rates – literally less than half the cost of going through them directly.

    Whatever your needs, you will also be provided an Authorize.Net verified merchant seal to display on your page, which is promptly recognized and verifies the safety of the transactions.

    Whether you are taking orders or collecting money, Simple Checkout gives you the ability to secure your presence on the web and secure your transactions, without spending a lot of hours or dollars to do so. Visit www.authorize.net and search Simple Checkout to see how truly easy it is.

    New Patient Education Brochure: Hearing Loss, Genetics & Your Child

    When was the last time you were asked about genetics and hearing loss? Read on…. a new resource can help you respond to these questions, and it’s free!

    The National Coordinating Center for the Regional Genetic and Newborn Screening Services Collaboratives (NCC), housed at the American College of Medical Genetics (ACMG), is excited to share with you a new free brochure, Hearing Loss, Genetics and Your Child.

    The goal is to have the brochures available at the point of care, especially those settings where infants and children with newly diagnosed hearing loss are being evaluated (such as waiting rooms in primary care settings and ENT and Audiology centers), as well as in the hands of those parents seeking more information, especially when anxious or confused.

    Why this brochure is so important: Most parents, and even some health professionals, are surprised to learn that 50% of hearing loss has a genetic basis. Furthermore, a child can have a genetic-related hearing loss even if no one in his or her family has hearing loss. Therefore, it is very important that parents follow through with referrals to a clinical geneticist—even as they are addressing their child’s hearing and communication issues. The Hearing Loss, Genetics and Your Child brochures are designed both to connect families with genetics professionals, and to prepare them for a genetics appointment, if deemed necessary. The brochure also answers other questions families may have, such as who will pay for genetic testing, and contains basic facts on genetics-related hearing loss.

    Brochure development: Kathleen Arnos, PhD, FACMG, Professor of Biology and Genetics Program Director at Gallaudet University in Washington DC, led a team of medical geneticists, genetic counselors, audiologists, parent advocates, and health science information specialists to develop Hearing Loss, Genetics and Your Child. Dr. Arnos has been involved in providing genetics education to hearing loss professionals for nearly her entire career (and more recently to EHDI professionals) so you may be familiar with her educational programs and commitment to genetic services as part of the etiologic evaluation of hearing loss.

    More about the free brochures and how you can get them: Hearing Loss, Genetics and Your Child is available in printed and downloadable pdf formats and has space for both individuals and professionals to input local resources. It is written at a low-literacy level and is available in both English and Spanish. Please take time to review the both the English and Spanish brochures attached to this email; they can also be accessed electronically at no cost at www.nccrcg.org under the “Resources” tab—and you may make copies. Print copies may also be ordered by contacting Matthew Tranter (mtranter@acmg.org). The minimum order for printed copies is 100 brochures for $15.00, plus shipping and handling.

    How you can go beyond the brochures and become part of the NCC/RC System: The NCC and the seven Regional Genetics and Newborn Screening Services Collaboratives are formed as cooperative agreements with the Maternal and Child Health Bureau of the Health Resources and Services Administration (MCHB/HRSA), Genetic Services Branch (GSB), to improve the health of children and their families by promoting the translation of genetic medicine into public health and health care services and making these services accessible to local communities. More information about the NCC and the HRSA Regional Genetics Collaboratives can be found on the web at www.nccrcg.org.

    If you and the families you serve are not already involved with the NCC/RC system, we would be eager to work with you and serve as a “go to” resource for your public health genetics needs, as well as a conduit for building connections between public health, genetic specialists, primary care providers/Medical Home, and families.

    Questions? If you have any further questions about the hearing loss brochures, or would like to connect with the National Coordinating Center, please contact us at 301-718-9603 or by email at jbenkendorf@acmg.net. We thank you for your support and efforts to broaden the dissemination of this important parent education tool so that more infants and children with hearing loss receive important genetic services.

    Hearing Loss, Genetics & Your Child Brochure in English >>

    Hearing Loss, Genetics & Your Child Brochure in Spanish >>

    Debit Fee Reductions Mean Savings for You

    Last year congress passed legislation commonly known as the Durbin Amendment, charging the Federal Reserve Board to determine a standard interchange fee for processing a debit card transaction.  They decided the new interchange fee would be capped at 0.05% + 21 cents. This fee will go into effect on October 1 of this year. It is not often that government involvement means lower costs for business owners, but this time you could realize some significant savings, particularly if you accept a fair amount of debit cards.

    There are a couple of things you should keep in mind as this new fee is implemented. 

    As with many legislative-based reforms, there are complexities. In this case, the cap only applies to debit cards issued by very large banks – it does not include those issued by smaller, community banks or credit unions. While large banks issue the overwhelming majority of debit cards, the fact remains that some debit card interchange fees will not change. 

    Processors aren’t required to pass through these new lower interchange fees, so the best way to ensure that you are going to get them is to move to the Interchange Plus pricing model. The Interchange Plus pricing model is the only model that will automatically pass through the interchange fees at their exact cost, including the new lower debit card fee.

    As an added bonus, when you move to Interchange Plus pricing, the new debit fee is not the only fee that can be effected. This model gives processors the ability to better analyze data and potentially offer you even more savings.

    As the Michigan Academy of Family Physicians’ endorsed processor, we want you to know that this move can be very easy. If you are already processing with Midwest Transaction Group, all you need to do is call us at 888.599.2209. We can quickly review your statement project the savings you can expect.  If you are not processing with us, we encourage you to contact your current processor and ask to be moved to the Interchange Plus pricing model. Again, it is the only way you and your business can realize the full savings of this debit fee cap. If they are unwilling to make that move an easy one, we can help.

    Self Assessment Module Group Study Workshop FAQs

    What is a SAM Group Study Workshop?

    Get credit for the Self Assessment Module of your American Board of Family Medicine (ABFM) Maintenance of Certification though the SAM Group Study Workshops offered by MAFP Foundation. At the workshop, moderated by a MAFP board member, attendees will discuss and complete the 60-question Knowledge Assessment portion of the module. Everyone in attendance for the workshop will be logged into the ABFM site as a group and all answers will post to each person’s individual account.

    How do I know if I am eligible?

    Participants will receive credit if they are currently eligible and enrolled in the ABFM MC-FP process, haven’t completed the current MC-FP stage, paid the MC-FP fees to the ABFM prior to completing the Clinical Simulation, completed the Clinical Simulation, and attended and fully participated in the educational discussion for the entire session. To check your status with ABFM, call (877) 223-7437.

    How many hours CME credit do I get for the SAM?

    MAFP does not accredit and therefore cannot provide CME for participating in the SAM Group Study Workshop or the Clinical Simulation. ABFM does award 12 credits to diplomats upon completion of the module.

    Can I do the Clinical Simulation on the same day?

    Yes. Attendees will be eligible to complete the Clinical Simulation online after the conference. Because it is an individual activity, it cannot be completed in the group format.

    What does the fee cover?

    The SAM Group Study Workshop fee is $300 and covers the following:

    • Breakfast, lunch, and breaks during the workshop
    • A copy of the 60-question Knowledge Assessment for review and discussion

    When is the next SAMs Group Study Workshop in my area?

    Heart Failure SAM Group Study Workshops will be held at teh following dates and locations:

    • September 28 – Frankenmuth
    • October 12 – Bay Harbor
    • October 26 – Grand Rapids
    • November 10 – Troy
    • November 16 – Lansing

    Register now for a SAMs Group Study Workshop

    This SAM Group Study Workshop series is presented by the MAFP Foundation.MAFP Foundation logo

    Family Medicine Political Action Committee

    Family Medicine PAC

    The political voice for your specialty and patients in Lansing.

    Support Your Voice in Lansing! Donate Today!

    The Family Medicine PAC is the political voice for family physicians and their patients in Michigan.  Your contribution today can help MAFP continue to fight for your specialty and better advocate for the needs of you and your patients in Lansing. 

    Healthcare is a hot political issue and in order to protect the needs and interests of family medicine, members must contribute to the Family Medicine PAC.  This political reality – while perhaps unfortunate – is understood by your colleagues and competitors alike.  Here are some of the top PACs in Michigan:

                   MI Trial Lawyer Association – $1,062,264
                   Blue Cross Blue Shield of Michigan – $870,435
                   MI Health and Hospital Association – $518,160
                   MI State Medical Society – $167,777
                   MI Association of Health Plans – $142,825
                   MI Dental Association – $111,520
                   MI Osteopathic Association – $100,202
                   MI Chiropractic Society – $51,715
                   MI Association of Nurse Anesthetists – $39,287
                   Family Medicine PAC – $15,000

    In order to maintain relevance among so many powerful competing interests, the Family Medicine PAC needs members to make a contribution no matter how small.  The goal for 2011 is to be listed among the top 150 PACs in Michigan. 

    The Family Medicine PAC allows MAFP to fight for payment reform to enhance reimbursement for primary care services, continue to protect our tort reform laws, and battle against scope expansion by non-physician extenders like Advance Practices Nurses (APNs) and physical therapists.

    Do your part and give what you can today. Any amount makes a difference, but if every MAFP member gave $100, we could be among the most powerful interest groups in Lansing. The stronger the Family Medicine PAC becomes, the stronger we can fight for family physicians.

    Support your specialty and your patients. Click Here to make a pledge TODAY.

    2011 Family Physician of the Year

    Meet Dr. Don Fitch: Small Town Icon and MAFP’s “Family Physician of the Year” for 2011

    If Hollywood’s Central Casting put out a call for the ideal family physician—one who was devoted to his patients, his family, his community, his calling as a healer, and who consistently exhibited such traits as unlimited patience, a sense of humor, superb listening skills, and enthusiasm—the search would stop with Dr. Donald Fitch.

    The Escanaba family practitioner is—and always has been—that kind of doctor: The kind of physician Baby Boomers will remember from the movies they watched as kids. The cinema doctor who was a friend of the family, frequent guest for dinner, compassionate dispenser of care and wisdom, golf partner, and community leader—someone who was there to rejoice with at the beginning of a new life, and to shed a tear with when one ended.

    Dr. Fitch is the family physician we all wish we had, and that so many residents in Escanaba in Michigan’s Upper Peninsula are glad they did have.

    So it’s no surprise that Dr. Fitch, who recently retired after 49 years of serving patients, is a natural choice for the MAFP “Family Physician of the Year” for 2011.

    The philosopher Pascal said that “the strength of a man’s virtue should not be measured by his special exertions but by his habitual acts,” and Dr. Fitch’s colleagues, neighbors, friends, and patients would agree. Throughout the years that he practiced family medicine and led his life in this small town, they’ll tell you that he habitually exhibited the virtues of the Eagle Scout and Boy Scout leader that he is.

    Dr. Fitch’s Escanaba and Upper Peninsula friends and colleagues universally describe him as “caring, committed, enthusiastic, patient, dedicated, humorous, one-of-a-kind, an icon, respected, dependable, kind, strong, loyal, compassionate, a small town hero, humble, always positive…” Even what others might view as a tiny fault could really be seen as a virtue. “He was always running a little late because he never cut anyone off when they wanted to tell their story,” says a co-worker. “He always made time to listen.”

    Dr. Frederick Hoenke, vice president and medical director for Marquette General Health System, who’s known Fitch for more than 15 years, says he spent some time thinking about all the positive adjectives he could use to describe his friend. “There are so many it’s ridiculous.”

    He refers to Dr. Fitch as “the last of a breed that you won’t likely see again—a truly dedicated, small town family physician. I think of him as the epitome of a small town hero like George Bailey in the film ‘It’s A Wonderful Life.’”

    The big difference between the two is that— unlike George Bailey, who was itching to get out of Bedford Falls to make his mark on the world— Dr. Fitch wholeheartedly embraced small town life.

    A native of Minneapolis, Dr. Fitch obtained his medical degree from the University of Michigan. He met his wife, Paddy, on a blind date in the 1950s. They married in 1960 and headed west, where the young physician served a stint with the U.S. Public Health Service before a new opportunity came knocking. A friend and colleague, Dr. Ramond Hockstad suggested that Fitch join him in putting a practice together in Michigan’s Upper Peninsula.

    With a population nowadays of just over 13,000, Escanaba seemed like heaven on earth to the young Fitches, who enjoy the great outdoors. It’s a place where a couple can raise a family, work hard, and make a difference in the lives of the people who live there.

    That’s exactly what they did, launching Doctors Park Family Physicians in 1962, and then building a practice that over the years has served thousands of patients and generations of families. The Fitches—who raised three sons, Bob, Russ and Gordy— were also instrumental in bringing a YMCA to the community, active in Boy Scouts, and long-time members of the First Presbyterian Church.

    Over the years, Dr. Fitch was also an active member of the Delta County Medical Society, a Diplomate of the American Board of Family Practice, and a member of both the Rampart Board of Directors and the Home Health and Hospice Advisory Board of the Marquette General Health System.

    In recognition of another of his passions—helping kids—Dr. Fitch received the Boy Scouts’ Hiawathaland Council’s Hall of Leadership award in 2010. More than 7,000 leaders are nominated nationally and only 300 are chosen for this recognition.

    Both Dr. and Mrs. Fitch agree that Escanaba proved to be the ideal place for them. “We were so at home here immediately—it just sold itself to us,” Dr. Fitch recalls. “The best part of living here is the people. They’re wonderful to work with and be with. It’s always been that way.”

    After almost a half century of serving the community as a family physician, Boy Scout leader, colleague, friend and neighbor, Dr. Fitch has made a lasting impression on generations of folks in his small town.

    His pastor, Scott White, remembers a few years ago when the church hosted a missionary who came up from one of the Pacific Islands. He had poor sight because of cataracts. “Dr. Don—you could just see the wheels spinning in his head, laying out a plan,” says White. “Don gave him a lot of care to get him ready for surgery and to promote his cause within the medical community. The missionary got his sight back and the community was overjoyed to be of help.”

    The fact that he was a small town family practitioner didn’t mean, however, that Dr. Fitch wasn’t a forward-thinking medical professional, always keeping abreast of advances in medicine and technology.

    “He and his partners brought what we now consider as health care reform to this area—looking at the population as a whole, proactively addressing wellness, disease prevention, and management of chronic conditions—these were things Dr. Fitch was doing back in the 1960s,” says Dr. Thomas Noren, chief medical officer at Marquette General Health System & Superior Health Partners. “The only thing they didn’t have then was the information technology infrastructure that we have now that allows for better connectedness among providers.”

    Dr. Noren, like so many others who’ve found themselves in his orbit, has a special place in his heart for Don Fitch.

    As a senior medical student at the University of Michigan, Dr. Noren was intent on becoming a surgeon, but a 10-week externship with Doctors Park Family Physicians in 1973 changed his career trajectory. “During the time I worked with Dr. Fitch, I saw a man who was the portrait of integrity. He was compassionate, a brilliant physician and a tireless mentor—just a superb human being.”

    In fact, Dr. Noren saw in Dr. Fitch everything he aspired to be as both a physician and human being. So much so that, after he completed his residency at the University of Colorado, he returned to Escanaba and practiced medicine for 11 years at Doctors Park. “I’ve continued to try to emulate him in the 38 years I’ve known him,” he says.

    In “It’s A Wonderful Life,” George Bailey needed the help of a fledgling angel to show him how each man’s life touches so many other lives. Dr. Fitch doesn’t need additional guidance to know the difference he’s made in the lives of the patients he’s treated, the friends he’s made, the colleagues he’s mentored, the Boy Scouts he’s influenced, and his children, seven grandchildren, and beloved wife. Most have already told him so.

    “Don is really a sterling example for younger physicians of what you can make of a career and a life,” says Dr. Hoenke. “You always hope that your life is going to matter. Don Fitch’s has. This man will leave a legacy for this community that’s second to none.”