Archive for January, 2019

In Memoriam: Emmett “Lee” Taylor Jr., M.D., 1938-2018

In Memoriam: Emmett “Lee” Taylor Jr., M.D., 1938-2018

SPANISH FORT — Emmett Lee Taylor, Jr. (“Lee”), a resident of Spanish Fort, AL, passed away on Dec. 12, 2018, surrounded by his loving family.

Lee was born in Sheffield, AL, on Dec. 10, 1938. He was a retired U.S. Navy captain, physician, and educator who devoted his professional life to his patients in private practice and later to the training and education of medical students and Navy medical officers. Lee was a lifelong mentor to many aspiring and successful physicians, and he was committed to improving access to primary care, especially in rural communities. He valued hard work, family, service, and duty to God and country, and passed these values on to his beloved children.

Lee graduated from Florence State College (now The University of North Alabama) in 1963 and received his medical degree from the University of Alabama in 1967. He completed 27 years of honorable military service, spanning three branches of the Armed Forces: the U.S. Air Force, Army National Guard (AL), and U.S. Navy Medical Corps, from which he retired as a captain in 1993.

After medical school, Lee started a private practice in the foothills of the Appalachians and later practiced in Richmond, VA. During his distinguished career, Dr. Taylor went on to lead the Department of Family Medicine at Naval Air Station Pensacola, FL, was the Director of Navy Medical Education programs in Washington, D.C., and served as Chairman of the Department of Family Medicine at the University of Alabama School of Medicine in Birmingham. He later served as Associate Dean of the Amarillo campus of Texas Tech School of Medicine and finished his career as the Chairman of the Department of Family Medicine at the University of South Alabama in Mobile.

He has received numerous honors and awards, including two Presidential Meritorious Service Medals and two Navy Commendation Medals. He also received the American Academy of Family Physicians Award of Merit for his contributions to American medicine. Lee was especially proud to be recognized as Teacher of the Year by his 2003 class of family medicine residents at the University of South Alabama.  He was named 2001 University of North Alabama Alumnus of the Year. And in 2008, he was appointed by Governor Bob Riley to the Alabama Family Practice Rural Health Board, serving until his death.

Lee was active in his church and enjoyed spending time with his children and grandchildren at the family’s lake house.  He was a loyal and loving husband to his wife, Dianne. He enjoyed fishing and was an avid golfer.

He was preceded in death by his parents, Emmett Lee and Eleanor McDaniel Taylor, and his infant daughter, Donna Lynn Taylor.  He is survived by his wife of 51 years, Dianne White Taylor, of Bay Minette, AL; son David Lee (Kerri) Taylor of Kennesaw, GA; daughter Kaye Taylor (Jerry) Balentine of Florence, AL; son Michael Edison Taylor of Savannah, GA; son Bryan McDaniel (Jessica) Taylor of Prattville, AL; and 13 grandchildren and 14 great grandchildren who will always remember him affectionately as “Papa Lee.”

A service in celebration of Lee’s life will be held at 1:00 pm on Friday, Jan. 4, 2019, at Providence United Methodist Church in Spanish Fort, AL. The family will receive friends prior to the service starting at 12:00 pm. Following the service, military funeral honors will be rendered at a brief service at the Alabama State Veterans Memorial Cemetery at Spanish Fort.  The family requests that in lieu of flowers donations be made to The Salvation Army or Providence United Methodist Church of Spanish Fort. Expressions of condolence may be offered at www.hughesfh.com. Hughes Funeral Home in Daphne, AL, is assisting the family.

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Medicaid to Host Regional Meetings With Primary Care Providers

Medicaid to Host Regional Meetings With Primary Care Providers

Patient First primary medical providers and other primary care providers are invited to attend one of seven upcoming meetings to learn more about Medicaid’s proposed Alabama Coordinated Health Networks (ACHNs).

ACHNs are designed to create a single care coordination delivery system that effectively links patients, providers and community resources within each of seven regions. In coordination with ACHN, there will be a new way of paying primary care providers which will be discussed at these regional meetings. If ACHN is approved by the federal government, the networks are expected to be implemented on October 1, 2019.

All meetings will be from 5:30 p.m. to 6:30 p.m.  An online session will be scheduled in February.

Muscle Shoals
Thursday, January 24
NW Shoals Community College – Hospitality Center
800 George Wallace Blvd, Muscle Shoals, AL 35674

Mobile
Tuesday, January 29
Ben May Main Library – Bernheim Hall
701 Government Street, Mobile, AL 36602

Birmingham
Thursday, January 31
Hoover Public Library – Fitzgerald Room
200 Municipal Drive, Hoover, AL 35216

Montgomery
Tuesday, February 5
Vaughn Park Church of Christ
3800 Vaughn Road, Montgomery, AL 36106

For more information, go to http://www.medicaid.alabama.gov/content/2.0_Newsroom/2.7_Special_Initiatives/2.7.6_ACHN.aspx.

Posted in: Medicaid

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Is Your Corporate Compliance Plan Up-to-Date?

Is Your Corporate Compliance Plan Up-to-Date?

As 2019 kicks off, it is wise to review various aspects of your practice to ensure everything is up to date and continues to operate in compliance with applicable laws. One area of focus for such review is your corporate compliance plan.

Compliance plans are written policies and procedures, adopted by a health care provider, to assist in its day-to-day compliance with applicable laws and business policies. Health care providers who participate in a federal health care program are required to implement a corporate compliance plan.

A compliance plan that is drafted without further review, revision, or implementation carries the same effect as having no compliance plan at all. Thus, to be effective and beneficial, all compliance plans should be periodically reviewed and revised to address changes in the law, operational changes, and past experiences.

As you revise your corporate compliance plan consider the following:

  • The Office of Inspector General (“OIG”) has published guidance on effective compliance plans for many types of healthcare providers, including physician practices. While the OIG allows flexibility in developing a compliance plan, this guidance provides a good insight into the various areas and topics that might be included in an effective compliance plan. The OIG compliance plan guidance can be accessed at https://oig.hhs.gov/compliance/compliance-guidance/index.asp.
  • A main component of a corporate compliance plan is the written policies and procedures that set forth the day-to-day compliance expectations of the provider. Among other things, the policies should include a review of the applicable laws and regulations (g., Stark, Anti-Kickback, False Claims Act, Civil Monetary Penalties, etc.), what is expected in terms of complying with such laws, the consequences of noncompliance, and ways to report non-compliance.
  • Compliance plans should address the risks associated with a particular practice. Risk areas common to physician practices include coding and billing, medically necessary services, proper documentation, record retention, fraud and abuse concerns, and conflicts of interest.
  • Compliance plans should address monitoring and auditing processes that detect compliance violations and ways to respond to such violations. Among other things, there should be a mechanism for reporting compliance plan violations, investigating such reports, correcting compliance plan violations, and imposing disciplinary action.
  • An effective compliance plan should include a training component, pursuant to which employees and contractors are periodically educated and trained on the various elements of the plan. Training should occur both when an employee or contractor is hired and periodically thereafter (g., every year or every six months). Many providers have found monthly “reminders”, whether at a staff meeting or via e-mail distribution, to be effective.
  • The corporate compliance plan should be made available to all employees and contractors to which it applies. If your compliance plan is lengthy, you may want to consider also having a summary available that hits the main points of the plan.
  • Any revisions you make to the compliance plan as a result of your review should be formally adopted by the practice’s Board of Directors or similar Governing Body. Employees and contractors should be promptly updated on any revisions.

Kelli Fleming practices with Burr & Forman LLP and works exclusively within the firms Health Care Industry Group. Burr & Forman LLP is a partner with the Medical Association. 

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Following Your Passion with Peter Strogov, M.D.

Following Your Passion with Peter Strogov, M.D.

FORT PAYNE – It’s not uncommon for physicians to have an unusual path to medicine. Like many professionals, not all physicians start out wanting a career in medicine but someone – or something – along the way changed their minds. That’s what happened to Fort Payne pediatrician Peter Strogov. It happened on the one day that changed the world forever.

After graduating from high school, Dr. Strogov admitted to having “absolutely zero direction” and no idea what he wanted to do with his life. He worked construction, painting, or as he put it, “everything under the sun,” before he decided to go back to school at his local community college. Headstrong and determined, his intent was to graduate and transfer to one of the most competitive four-year colleges in the country.

“The administrators told me right out of the gate that I was crazy,” he laughed. “They said nobody ever transfers to those top schools from here, but I became the first person to ever transfer to Harvard from my community college.”

At Harvard, Dr. Strogov completed his degree in economics and thought he had found his calling in the world of finance. That all changed on Sept. 11, 2001.

“My wife and I just started volunteering around the Twin Towers to help with water and food. We were really involved in the recovery efforts. During that time, reflecting on what life’s about, I found the pursuit of economics, finance and money to be actually very unimportant,” he said.

He was soon looking for a different path and found it in medicine. But finding a specialty would prove challenging.

“I was 100 percent sure I was going into surgery, without question. But something clicked when it came time for his obstetrics and pediatrics rotations, and Dr. Strogov finally found his calling.

“I love empowering parents and building rapport with them,” Dr. Strogov said. “I’m such a kid at heart that just working with kids to me is like the ultimate in not going to work every day. I get to come to work and play with kids and make them feel better. What’s a better day than that?”

Empowering parents is also part of his business model at Fort Payne Pediatrics. The clinic nestled in the heart of DeKalb County has continued to grow to a point at which a new facility is necessary and with it will come some much needed and wanted TLC for patients and their families as well. The clinic already hosts an asthma clinic, which has been tremendously successful and has opened the door for so much more such as Dr. Strogov’s Infant Safety Initiative, Diabetes Prevention initiative, and nutrition and lifestyle modification initiatives. Dr. Strogov and his staff are beginning with the basics, such as car seat safety classes and SIDS education, while future plans include a community garden and educational initiatives to improve the lifestyle of not only pediatric patients, but the community at large.

“When we move over to our next facility, we’re going to have a conference room where we can have educational classes and health fairs. We’ve already decreased ER visits from our asthmatic patients in one year. Our ER admission rates and visit rates have dropped dramatically for asthma patients because they’re much better controlled, they’re much more compliant with medications, and they understand the disease process better, so we know our education model is working. “Think what we can do for obesity if we expand this education model to a lifestyle modification clinic using the same principle?” Dr. Strogov asked. “We can educate patients and parents about nutrition, exercise and the detrimental health effects of obesity. We can track patients weight and lifestyle choices a little bit more closely and finally give the patients and families small goals to achieve while encouraging them as much as possible to reach each of those goals?”

His energy is contagious, which is just one reason why he was chosen as Alabama’s 2018 Community Star to help celebrate National Rural Health Day 2018 by the National Organization of State Offices of Rural Health.

“We have really been pushing hard this past couple of years to reach out in the community and do more than just see patients. We have created partnerships in other communities to give providers ownership in clinics in rural communities. Our clinic in Fort Payne is the largest, but we have four, and we’re starting to spread our practice model around hoping we can continue to grow to cover as many rural areas as we can with at least one physician and a nurse practitioner or two in each location. It’s not easy, but we’re trying to recruit more physicians to Alabama in these rural north Alabama areas. We’ve got great hope for the future.” he said.

Posted in: Physicians Giving Back

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