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  • May 31, 2016

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  • New Medical Legal Guidelines: Negligent Credentialing and Access to Medical Records

    gavelAs an ISMIE policyholder, you're entitled to timely, thorough resources to help you improve and protect your practice. Our latest entries:

    "Negligent Credentialing: What it is and How to Avoid It" weighs the aftermath of Klaine v. Southern Illinois Hospital Services, the Illinois Supreme Court's recent ruling that applications submitted in a hospital's confidential credentialing process, and certain other credentialing processes, are discoverable in lawsuits. Though there is no single "correct" or "perfect" way to credential physicians and other health care professionals, this resource lays out an efficient, detailed action plan for building a better credentialing system that can minimize disclosure related to such claims.

    "Individual and Third-Party Access to Medical Records" offers new guidance from the U.S. Department of Health and Human Services (HHS) on medical record copying and delivery fees and individuals' access to protected health information. More importantly, this resource also explains how practices can reconcile this federal update with Illinois law. The HHS guidance may significantly impact how physicians understand the timeliness requirements for fulfilling medical record requests and the limitations on what fees can be charged to provide those records. This essential resource closes with a helpful FAQ offering specific situational guidance for physicians and office staff.

    These resources were developed by the Illinois State Medical Society and other Illinois stakeholders. They are provided as a courtesy to ISMIE Mutual policyholders.



  • Time's Running Out: Register Today for ISMIE's Can't-Miss June Risk Management Events!

    bullhornNational Experts Lead "Dissecting Diagnostic Error:" June 7 in Northbrook, June 8 in Naperville

    "Dissecting Diagnostic Error" is a single-day seminar presenting two of the leading national experts in detecting and preventing diagnostic error. Physicians and staff can improve their accuracy and skills with a choice of two locations: June 7 at the Hilton Chicago/Northbrook in Northbrook, or June 8 at the NIU Conference Center in Naperville.

    Featured speakers:

    • Mark Graber, M.D., a member of the panel behind last year's "Improving Diagnosis in Health Care" report, will discuss major findings and how electronic medical records (EMRs) can improve diagnostic practices.

    • Gurpreet Dhaliwal, M.D., a practicing emergency medicine physician, hospitalist, and author of "Blueprint for Diagnostic Excellence," will offer guidance on diagnostic tracking and feedback systems as well as practical skill development. 


    Register to attend one of the dates.

    Policyholders may be eligible to earn a premium discount and AMA PRA Category 1 Credit™ for attending "Dissecting Diagnostic Error."


    Gain a Better Understanding of 'The Patient Experience:' Multiple Dates and Locations

    Do you and your team fully understand how your patients view the care and services you offer?

    Case studies and real-life situations fuel ISMIE Mutual's "The Patient Experience: What Is It Like to Be the Patient?" held through November at locations throughout Illinois:

    • June 22, The Sangamo Club in Springfield
    • July 12, The Hyatt Lodge at McDonald's Campus in Oak Brook
    • Oct. 18, Holiday Inn Hotel & Suites in East Peoria
    • Nov. 15, ISMIE Mutual Insurance Company in Chicago


    Register to attend one of the dates.

    Policyholders may earn AMA PRA Category 1 Credit™ for attending any one session of "The Patient Experience."

    If you have further questions on either of the above ISMIE Risk Management programs, email the Risk Management Team or call 800-782-4767 ext. 3300.



  • Illinois Physicians: 2017 is a License Renewal Year. Is Your IDFPR Information Up to Date

    keyboardEarlier this year, the Illinois Department of Financial & Professional Regulation (IDFPR) announced a switch to a paperless licensing system. Physicians should take note because 2017 is a medical license renewal year.

    Online renewal means that it's never been more important to have all your contact and professional data current with the IDFPR. Having your primary email address in the database is particularly important - missing an IDFPR notice can lead to financial penalties and the risk that you'll miss renewing your license. It is recommended you visit two areas of the IDFPR website to check and update your information:

    • Contact information: To confirm or update your latest contact information, sign in at the "Address Change - Lookup" page and type in the information requested. This is the page associated with your medical license.  Illinois law requires IDFPR notification when your contact information changes, so make a point to ensure your information is current.

    • Professional profile information: IDFPR maintains a separate database for the information that displays through the physician profile page, which is viewable by the general public. Sign in to the "Profession Profile Update" page to make any changes to the required or optional sections of your profile. Here are examples of the data you'll need for each:

    1. Required: Your primary office location; hospital affiliations; your program information for Medicare and Medicaid; board certification; and medical school and post-graduate education data.

    2. Optional: Any additional office locations, previous practice locations, insurance plans, professional positions, affiliations, publications, honors, awards and community activities.

    For questions, the IDFPR's main number is 888-473-4858. For email inquiries, write FPR.LMU@Illinois.gov.



  • Working to Improve Your Prescription Monitoring Practices? Resources from ISMIE and ISMS Can Help

    pillsThe Illinois Prescription Monitoring Program (PMP) is an important tool that allows doctors to track their patients' prescription history before prescribing controlled substances. A new ISMS case study explains best physician practices for using the PMP system, and covers updates to the system secured in part by ISMS advocacy.

    If you prescribe controlled substances, you also might consider using a pain management agreement with your patients. ISMIE's Risk Management Resource library features the ISMS' Model Pain Management Agreement outlining specific requirements patients must agree to if their physician prescribes a controlled substance. This agreement, once signed by the patient, should be kept with their other medical records.



  • Are You Renewing Soon? Watch for Your ISMIE Renewal Documents

    Many ISMIE physicians renew their coverage July 1 - so if you're scheduled to renew soon, look for the large white envelope with the words "Important Documents from ISMIE Mutual for You to Read and Keep" on the front. Policyholders receive this material 30 to 60 days prior to their renewal date.

    If you have questions, contact the ISMIE Underwriting Department at 800-782-4767 ext. 3350, or email us. If you utilize an insurance broker, you may also wish to contact him or her.

    And remember, you can pay your premium anytime on the ISMIE website.