You are invited to our meeting of the Missouri Chapter at Lake Ozark on Saturday, July 15!

Come enjoy great food, networking with your colleagues, and presentations and discussion on topics relevant to you and your practice.

Detailed agenda below. Hope to see you there!

TIME:
11:30am to 2:30pm
Saturday, July 15, 2023

LOCATION:
JB Hook’s
“Legendary Steaks and Seafood”
2260 Bagnell Dam Blvd
Lake Ozark, MO 65049

RSVP to aaps@aapsonline.org or text/call 520-270-0761. No charge for AAPS members and their guests. Non-members will be accommodated on a space-available basis and at $25 per person. Seating is limited so please RSVP asap.

PRESENTATIONS:

CME Lecture: Cardiac Biomarkers in Amyloidosis: How are these helpful? Presented by Daniel Lenihan, MD

Update on the Future of  the Assistant Physician License, led by Lyman Wostrel, MD. Dr. Wostrel recently was a panelist in a CATO Institute forum examining how Missouri’s leadership in creating this type innovative opportunity for unmatched medical school graduates can help address training and clinician shortages across the U.S.

Jeff City Roundup! Patrick Ishmael, Director of Government Accountability at the Show-Me Institute, will join us to give an update on the Good, the Bad and the Ugly from the recently concluded 102nd General Assembly of the Missouri Legislature.

RSVP: Email jersnav@gmail.com. You can also call or text AAPS Business Manager Jeremy Snavely at 520-270-0761 to RSVP or with questions.

Topic: Office-Based Treatment of Covid Infections

We are pleased to announce the next in-person meeting of the Missouri Chapter of AAPS will be held Saturday, Nov. 6 in the St. Louis area!

Come and learn while enjoying great food, networking, and … 
1.0 Hour of CME. 

Details copied below. Hope to see you there!

COST:

• No charge for AAPS Members (includes lunch)
• $25 non-members (includes lunch)

RSVP at: https://aaps.wufoo.com/forms/qei31zl14b9lli/

TIME:
11:30am to 2:30pm
Saturday, November 6, 2021

LOCATION:
Walnut Grill—Ellisville
1386 Clarkson Clayton Center
Ellisville, MO 63011
(in Dierbergs Clarkson Clayton Center)
(636) 220-1717
https://eatwalnut.com/location/ellisville-mo/

PRESENTATION:

Office-Based Treatment of COVID-19

This presentation will feature a panel of Missouri physicians who are successfully caring for COVID patients in their office-based clinics. Learn what is (and isn’t) working to help these patients as well as the challenges and rewards of offering early treatment.

Panelists:

• Steve Crawford, DO – DeSoto, MO
• Helen Gelhot, MD – Creve Coeur, MO
• and others TBA.

BRING YOUR QUESTIONS for the panel! This will be an interactive session.

RSVP: https://aaps.wufoo.com/forms/qei31zl14b9lli/.

Questions about the event? Call or text AAPS Business Manager Jeremy Snavely at 520-270-0761 or email aaps@aapsonline.org.

Continuing Medical Education: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Michigan State Medical Society (MSMS) through the joint providership of MNI Great Lakes ECHO, LLC (MGLE) and (name of program sponsor). MGLE is accredited by MSMS to provide continuing medical education for physicians.

MGLE designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Each physician should claim only the credit commensurate with the extent of their participation in the activity.

Don’t miss out on the Summer Missouri Chapter meeting!

Come and learn while enjoying great food, networking, and … 
1.0 Hour of CME. 

Details copied below. Hope to see you there.

TIME:
11:30am to 2:30pm
Saturday, July 27, 2019 

LOCATION:
JB Hook’s
“Legendary Steaks and Seafood”
2260 Bagnell Dam Blvd
Lake Ozark, MO 65049 
Click here for map.

ENJOY:  Meal and drinks provided by AAPS. Update on AAPS past and future activities, plus the fellowship of your colleagues!

PRESENTATIONS:

The Truth about Prescription Drug Monitoring Programs: John Lilly, DO, MBA will join us in Lake Ozark to present his original analysis revealing the failures of PDMPs. The Wall Street Journal, Reason, TownHall, Conservative Review, and others, have cited Dr. Lilly’s work and his conclusion that the improper targeting of physicians and patients ignores the true culprits of the illicit opioid overdose crisis. He has taken a deep dive into the hard data and you won’t want to miss Dr. Lilly’s talk.

Legal Update: AAPS General Counsel Andrew Schlafly will join the meeting by Skype to provide an update of how AAPS is fighting the latest attacks on patients and physicians and answer your questions. Mr. Schlafly is leading the legal fight against onerous and counterproductive Maintenance of Certification (MOC) mandates in addition to his daily advocacy to curb the many encroachments on freedom in medicine, from overzealous medical boards, anti-competitive payers and hospitals, government bureaucrats, and others who seek to interfere in the patient-physician relationship.

RSVP: Reply to this email or email aaps@aapsonline.org. You can also call or text AAPS Business Manager Jeremy Snavely at 520-270-0761 to RSVP or with questions.

**Accreditation Statement: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the New Mexico Medical Society (NMMS) through the joint providership of Rehoboth McKinley Christian Health Care Services (RMCHCS) and the Association of American Physicians and Surgeons. Rehoboth McKinley Christian Health Care Services is accredited by the New Mexico Medical Society to provide continuing medical education for physicians.

Credit Statement: RMCHCS designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Don’t miss out on the First Missouri Chapter meeting of 2018!

Come and learn how AAPS has your back, while enjoying great food, networking, and … 1.0 Hour of CME. 

Details copied below. Hope to see you there!

TIME:

11:30am to 2:30pm
Saturday, February 9, 2019 
(meet and greet
starting at 11:30am,
meeting starting at 
12:00 PM noon).

LOCATION:

44 Stone Public House
“Columbia’s Gastropub:
Quality Food,
Fine Ales
& Good Whiskey.”

Private Dining Room
3910 Peachtree Drive
Columbia MO 65203
click here for map

PRESENTATIONS will include a video presentation by Dr. Kris Held on MACRA.

ENJOY:Meal and drinks provided by AAPS. Update on AAPS past and future activities, plus the fellowship of your colleagues!

RSVP: Reply to this email or email aaps@aapsonline.org. You can also call or text AAPS Business Manager Jeremy Snavely at 520-270-0761 to RSVP or with questions.

**Accreditation Statement: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the New Mexico Medical Society (NMMS) through the joint providership of Rehoboth McKinley Christian Health Care Services (RMCHCS) and the Association of American Physicians and Surgeons. Rehoboth McKinley Christian Health Care Services is accredited by the New Mexico Medical Society to provide continuing medical education for physicians.

Credit Statement: RMCHCS designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The meeting was called to order by Dr Jenny Powell, President of the Missouri chapter of AAPS at 12:33 p.m. at the Hereford House in Independence, Missouri. Dr. Powell presented a brief introduction of AAPS policies and member benefits. Dr Jenny Powell introduced us to a new class of physicians termed Assistant Physicians that include medical school graduates that have not been accepted into a residency program. Apparently there are many more graduates than residency slots available. Dr Powell also reported the recent AAPS meeting, Thrive, Not Just Survive is a workshop for cash based practices. Dr Powell was a speaker on the panel of cash-based practices, and AAPS attorney, Andrew Schafly presented an update on the legal front.

The last meeting minutes were read and approved. Motion to approve was by Dr Helen Gelhot and seconded by Dr Todd Rice.

Vice president Dr Phil Dean was not in attendance and no report was presented.
Treasurer’s report by Dr Todd Rice stated there are no dues for the state AAPS chapter and the meeting meals are provided by AAPS.
Secretary’s report by myself, Dr Nancy Russell requested a copy of attendees to add to the minutes and asked if anyone would not want their name to be in the minutes.

Wes Powell, Citizen representative for AAPS at the State level in Missouri reported that Dr John Lilly, who was present, is President of the Locke and Smith Foundation which reviews pre-bills at the state level to assess for constitutionality of each bill. Mr Powell noted that this was a slow year for bill in the state legislature with 99 bills presented by the House regarding health care out of the 1300 total bills. Mr Powell reported no active bills to act on at the present time. Mr Powell hosted a table for Physician’s day at the State Capitol in Jefferson City representing AAPS and found a few interested physicians in the organization.

Old Business

Dr Powell reminded us of the importance of reaching out to medical students and residents to make them aware of the AAPS and get literature to them. We were also reminded that we can gift any physician a one year free membership to AAPS.

Dr John Lilly reported that he had published his research on physician drug monitoring programs in a national publication recently and copies were available if we are interested in this analytical evaluation. He reported physician prescribed opioid deaths have leveled off. Illicit fentanyl from China and Mexico deaths have increased 635% from 2014 to 2016 causing many deaths. Regarding the bill to institute physician drug monitoring statewide is not under review at this time. Missouri is the last state that does not have a statewide physician drug monitoring program and he reiterated that this type of program does not reduce patient deaths. Dr Lilly reported we are close to having a national drug prescribing data base. Medicare recommendations for 2019 may become rules that could hurt a lot of chronic pain patients.

The anonymous complaint case that was presented to us has been closed without action. AAPS wants to go forward to present a bill to make it illegal to investigate anonymous complaints.

Election of Officers: We decided that our Missouri Chapter does not need a treasurer position. The floor was opened for nominations and the slate is as follows:
President- Dr Jenny Powell
Vice President- Dr Sam Gupta
Secretary-Dr Helen Gelhot
Motion to accept the slate of officers was offered by Dr Todd Rice and seconded by Dr Nancy Russell. Vote to accept the slate was unanimous and the slate passed.

New Business- none

CME presenters were 1. Andi Roths, PharmD from Custom Rx Pharmacy in Wichita, KS , “Clinical Applications of LDN.” and 2. Jane Orient, MD from the AAPS Headquarters, “Population Health versus Hippocrates Health”. All attendees received CME credit for these presentations.

Next Missouri Chapter AAPS meeting will be Saturday, July 21st at Lake of the Ozarks.
Next Annual National AAPS meeting will be October 3-6th in Indianapolis, Indiana.

The meeting adjourned at 2:45 P.M.

Minutes respectfully submitted by Dr Nancy Russell.

AAPS Missouri Chapter meeting minutes

Meeting was called to order at 12:35pm on Saturday, April 22nd, 2017 by President, Dr Jenny Powell. The meeting was held at The Hereford House in Independence, MO. Minutes were read by myself, Secretary, Dr Nancy Russell. Motion to approve was made by Dr Phil Dean and seconded by Dr Helen Gelhot. Minutes were approved.

Vice President, Dr Phil Dean introduced his 2 guests; Lisa Rose, LPC and Cindy Hubbard, BS. Dr Jenny Powell encouraged all guests to join AAPS and donate to the legal fund to promote Andrew Schafly’s work and the AAPS council.

Secretary, Dr Nancy Russell asked if everyone received the email for this meeting. Dr Jim Dennighoff, M.D. states his email needs to be added to the list and will be done. Dr Russell reminded members that they can gift a one year membership to any physician by contacting the national office. If anyone does not have their name on the National AAPS email list, please contact Dr Russell at nancy@nancyrussellmd.com and your name will be added.

Old Business

Gene Trait lab that performs pharmacogenetics for physicians has been very helpful for Dr Phil Dean. Dr Dean reminded us that it is helpful to know the patient’s status of the MTHFR gene if the patient has heart disease, blood clots or history of miscarriages as they may need high dose methylfolate. This testing may also help with third party reimbursement for a certain drug category based on the patients pharmacogenetics.

New Business

Dr Powell reminded us that AAPS legal counsel is available to members if they are in need of assistance with a State Board of Healing Arts complaint. If a member is asked to be interviewed by the State Board for a complaint against them, Andrew Schafly, Attorney, states to record the conversation with their permission and ask how they received the complaint. If there is a subpeona for medical records. comply with this request and inform the board representative that the patient will be informed. In 2015, the Texas State board of Healing Arts ruled that an anonymous complaint cannot be accepted  for consideration, It was discussed to introduce a state bill in Missouri regarding anonymous complaints.

State Legislative Update

Wes Powell, Citizen representative for Missouri Chapter of AAPS gave the report.

Anti-MOC with Dr Frederick went to a public committee hearing on February 8th, 2017. It is presently sitting in committee and may or may not be voted on. This bill is probably dead at this point but could be re-introduced next year.

The personhood amendment is at a stand still and may go away as Right to Life came out against it as they could lose donations.

HB 90 & 68 for Prescription Drug Monitoring passed through committee and passed the House. The Senate added 7 amendments and sent it to conference. The House then repealed it and now it goes back to the Senate to look at again in its original form. Our Missouri Chapter of the AAPS is opposed to this bill due to privacy issues and as it is against the Constitution to collect this information on patients.

The end of State sessions for voting on Bills is 5-12-17.

Our guest speaker was Kirk Umbehr of Atlas MD, a direct primary care medical office in Wichita, KS with 5 physicians that began its operation in 2010. There is an annual or monthly fee charged to patients that includes unlimited office visits with no co-pays and small fees for lab work and prescriptions. Atlas MD offers an EMR system that supports direct primary care practices for $300 per month with excellent security and a step above HIPPA requirements. Atlas MD consults with physicians to help them convert or start a medical practice based on this model and has assisted 250 physicians in this process.

Upcoming dates:

1. Thrive, Not Just Survive, Hebron, KY Friday, June 9th, 2017.
2. Missouri AAPS Chapter Meeting, Saturday, July 15th, 2017 at Vandervort Hotel, Springfield, MO around 12 noon. Dr Bill Graham will be attending and bringing guests.
3. Annual AAPS conference, Tucson, AZ, October 5th to 9th, 2017.

The meeting was adjourned by Dr Jenny Powell.

Minutes Respectfully Submitted,

Dr Nancy Russell

The MO AAPS chapter meeting was held on 02-11-17 at 44 Stone Public House in Columbia, MO. The meeting was called to order by President, Dr Jenny Powell at 12:01 P.M. Guests were welcomed.

Minutes were read by secretary, Dr Nancy Russell; motion to approve by Dr Phil Dean, seconded by Dr Helen Gelhot and approved by majority vote.

Legislative report by Wes Powell, Citizen representative for AAPS MO Chapter

Anti-MOC- a public hearing was held this past week in the MO House of Representatives. Representative Dr Frederick stated this bill had been passed last year and additions to make it more stringent were presented and a hearing is to follow. Additions to the current bill are to have MOC-maintenance of board certification not be used as a requirement for hospital privileges or insurance company panels. The bill originally was passed to not allow MOC to be necessary for MO licensure.

Prescription drug monitoring bill was in the House of Representatives this past week. Wes Powell and 3 others testified against this bill and 40 persons spoke for the bill. MSMA and AAFP representatives spoke in favor of the bill. Opponents to this bill cited that it is against the law to gather data on patients without a subpoena. DrJohnLily.com is a website that shows that drug monitoring does not help with drug abuse problems. Missouri ranks in the middle of drug abuse cases. Unintended consequences presented by Wes Powell included physicians dropping out of pain management.

House Joint Bill for Amendment HJR-18 is a bill to grant personhood to fetuses; life begins at conception. If passed, discussion regarding tubal pregnancy, miscarriage, in-vitro fertilization, etc could have some unintended consequences. If passed through both the state senate and house and signed by the Governor would still go to the people for a vote.

Simon’s Law has not been assigned to committee but could be brought up as a MSMA resolution. This bill would give parental rights to newborns in the NICU situation.

Old Business

If you have an issue you would like to bring to the State Legislature, contact Wes Powell at Wes@dpcareclinics.com.

New Business

Andrew Schafly, our AAPS general counsel’s work now is focused on the Supreme Court nominee.

Rand Paul, M.D., Senator and AAPS member has a repeal and replace bill established for the ACA; the affordable health care act or Obamacare.

Treasurers report: Dr Todd Rice

There are no dues to be a member of the Missouri Chapter of AAPS.

Secretary report: Dr Nancy Russell

New member emails and email requests have been updated to the Missouri Chapter email list.

VP report: Dr Phil Dean

TEN healthcare lab in St Louis does an extensive and accurate urine drug screen at a reasonable cash price. Dr. Dean has used this lab and is very confident in their results and does a screening and ongoing testing for all patients in his practice on controlled pharmaceuticals. A representative from the lab explained the ease of sending the test kits and a 24-48 hour turn around time on results.

Gene Trait labs in Columbia, Missouri gave a presentation regarding their testing on pharmacogenetics and how genetic testing can be helpful in determining and assessing what drug categories would be best for a patient based on DNA results. It is most helpful with narcotics, anti hypertensive, diabetic and ADHD medications. A full report is kept on file and sent to the physician to assist with medication management. Their website is updated regularly as new drugs come on the market and the patient’s report can be updated if their medications change.

Upcoming Dates:

• Thrive, Not Survive meeting in Hebron, KY on June 9th, 2017 from 1-9 PM.
• Annual AAPS meeting in Tucson, AZ, October 5-7th, 2017.
• MO Chapter AAPS meeting in Independence, MO on Saturday, April 22nd, 2017 at the Hereford House, 19721 E. Jackson Drive at 12:00 P.M.
• MO Chapter AAPS meeting in Springfield, MO on July 15th, 2017.

Meeting was adjourned by President, Dr Jenny Powell at 2:15 pm.

Respectfully submitted,
Nancy Russell, M.D., AAPS MO Chapter Secretary