Title: Colorado Physician Health Program Annual Report July 2004 - June 2005
1Colorado Physician Health ProgramAnnual Report
July 2004 - June 2005
- Executive Director Sarah R. Early, PsyD
- Medical Director Michael H. Gendel, MD
-
The mission of Colorado Physician Health Program
is to assist physicians, residents, medical
students, physician assistants and physician
assistant students who may have health problems
which if left untreated, could adversely effect
their ability to practice medicine safely.
2Table of ContentsAnnual ReportJuly 2004 - June
2005
- Referral Summary Page 3
- Number of New Referrals - Program History Page 4
- Source of New Referrals - Year-to-Date Page 5
- Primary Presenting Problem -Year-to-Date Page 6
- Specialty of New Referrals - Year-to-Date Page 7
- License Status of New Referrals -
Year-to-Date Page 8 - New Referrals Geographical Area -
Year-to-Date Page 9 - Referrals Reactivations 1993 - 2004 Page 10
- Reactivations - Year-to-Date Page 11
- Inactivations (Reasons/Outcome) -
Year-to-Date Page 12 - Participants Documentation Requests Page 13
- Program Highlights Pages 14-15
- Community Outreach Page 16
- Services Provided by CPHP Page 17
- CPHP Board of Directors and Staff Page 18
- APPENDIX
- Definition of Terms Page 19
3Referral Summary July 2004 - June 2005
- New Referrals CPHP continued to receive steady
New Referrals throughout Fiscal Year 2004-05 with
216 New Referrals, representing the highest
number of New Referrals for a medical license
Non-Renewal Year. When compared to Fiscal Year
2002-03 (the last fiscal year that was not a BME
license renewal year), CPHP experienced an actual
growth of 12 cases, an increase of 6. When
compared to Fiscal Year 2003-04, CPHP experienced
an actual reduction of 6 cases, a decrease of 3.
Fiscal year 2004-05 represents the second
highest number of New Referrals in CPHP history!
- Caseload The average active caseload at any
given period during Fiscal Year 2004-05 was 373
clients. This represents an increase of 2
compared to Fiscal Year 2003-04 (365 active
client caseload). - Overview Significantly, 47 of New Referrals
came to CPHP voluntarily. 53 were mandatory
referrals. This is a slight decrease (6) of
voluntary New Referrals when compared to Fiscal
Year 2003-04 (with 53 voluntary New Referrals).
Of the total New Referrals this year, 63 had an
active Colorado license, 16 had a Colorado
Training License, 12 were Applicants and 6 did
not have a license, which included medical
students, physician assistant students and
out-of-state clients. CPHP served New Referral
clients from 22 counties of residence throughout
Colorado during Fiscal Year 2004-05. - Referral Source The highest single source of New
Referrals was Self referrals, representing 39 of
New Referrals. The second highest source of New
Referrals was the BME (24). Administration
(13) was the third highest category of referral
source. - Primary Presenting Problem of New Referrals The
three most common primary presenting problems
among the New Referrals were Substance Abuse and
Psychiatric each at 21, followed by Behavioral
(20). - Specialty of New Referrals Family Practice
(21) is the most frequent specialty of New
Referrals, followed by Anesthesiology (15) and
Internal Medicine (14). This representation is
similar to Fiscal Year 2003-04 with the same
three most frequent specialties of Internal
Medicine (22), Family Practice (17) and
Anesthesiology (13). However, when compared to
last fiscal year, this fiscal year CPHP had an
increase of Family Practice physicians by 5, an
increase of Anesthesiologists by 2 and a
decrease of Internal Medicine physicians by 8. - Reactivations Of the 216 New Referrals, 46 were
Reactivations. This represents 21 of the total
New Referrals. The percentage of Reactivations
continues to increase in recent years at CPHP
when compared to Fiscal Year 2003-04
Reactivations (17) and Fiscal Year 2002-03
Reactivations (14). - Outcome For Fiscal Year 2004-05, CPHP
inactivated 189 participants and opened 216 new
cases, resulting in a net gain of 27 cases. Of
189 inactivations, 29 (27) Declined Evaluation,
2 Relocated, 3 were Referred in Error and 3
unfortunately died therefore, 152 clients were
evaluated. Of the 152 evaluated, 143 (94) were
inactivated with an outcome considered successful
and/or satisfactory. - Total Referrals in CPHP History Since the
inception of the program in 1986, CPHP has
received 2,649 referrals and has served 2,250
participants. Of 2,649 referrals, approximately
15 were referred more than once.
4Annual Number of New Referrals Program History
1986 - Present
- This graph shows the continued overall growth of
New Referrals in the history of the program. CPHP
continued to receive steady New Referrals
throughout Fiscal Year 2004-05 with 216 New
Referrals, representing the highest number of
New Referrals for a medical license Non-Renewal
Year. When compared to Fiscal Year 2002-03 (the
last fiscal year that was not a BME license
renewal year), CPHP experienced an actual growth
of 12 cases, an increase of 6. When compared to
Fiscal Year 2003-04, CPHP experienced an actual
reduction of 6 cases, a decrease of 3. Fiscal
year 2004-05 represents the second highest number
of New Referrals in CPHP history! The average
active caseload at any given period during Fiscal
Year 2004-05 was 373 clients. This represents an
increase of 2 compared to Fiscal Year 2003-04
(365 active client caseload). - BME License Renewal Years
5Source of New Referrals July 2004 - June 2005
Continued High Self Voluntary Referrals
Client Medical Profession
Other DPM, DDS
N216
Other CPEP, Family, Friend, Tx Prov, Spouse PCP
- During Fiscal Year 2004-05, the highest single
source of New Referrals was Self referrals,
representing 39 of New Referrals. This is a
slight increase (1) when compared to last year
(38). CPHP continues to be proud of the number
of Self Referrals to the program demonstrating
trust and confidence in CPHP. - Significantly, 47 of New Referrals came to CPHP
voluntarily. 53 were mandatory referrals. This
is a slight decrease (6) of voluntary New
Referrals when compared to Fiscal Year 2003-04
(with 53 voluntary New Referrals). Despite this
slight decrease in voluntary referrals, CPHP is
proud of the high percentage of referrals that
are voluntary, as this reflects the respect for
the program among physicians within the state and
medical community. CPHP attributes this high
level of voluntary referrals to the relationship
building efforts made in the community, the
positive and caring approach of CPHPs staff and
provision of educational materials that
normalizes physician experiences and illness.
The increase in mandatory referrals appears to
correlate with an increase (10) in BME referrals
from last fiscal year of 14 to this fiscal year
of 24. - The second highest source of New Referrals was
the BME (24). Administration (13) was the
third highest category of referral source. CPHP
appreciates the referrals received from the BME
to assist physicians in evaluating potential
health issues that may effect their ability to
practice medicine safely. - For definitions of referral source categories,
see page 19. - The pie chart on the right reflects the medical
profession of CPHP clients. The majority of
clients are Physicians without a resident status
(67). Residents (17) comprise the second
largest group served and Osteopathic Physicians
(7) comprise the third largest group.
6Primary Presenting Problem of New Referrals
July 2004 - June 2005
Other Emotional, Family, License Status
N164
- In an effort to better understand the relevancy
of the primary presenting problem data, CPHP has
removed cases that are in process or have not
yet been assigned a primary presenting problem.
Of the 216 New Referrals received during Fiscal
Year 2004-05, 52 were in process at the time of
this report, thus 164 were assigned a primary
presenting problem. - A primary presenting problem area which best
represents the participant is identified by the
clinical team following the completion of the
initial intake interview. This does not mean
that other problem areas are not present or being
addressed with the participant at CPHP. Rather,
the primary presenting problem is identified for
data collection and reporting purposes. - The three most common primary presenting problems
among the 164 New Referrals were Substance Abuse
and Psychiatric each at 21, followed by
Behavioral (20). - Using the same methodology of data collection,
this representation is similar to Fiscal Year
2003-04 with the same top three categories of
Psychiatric (18), Behavioral (16) and Substance
Abuse (12). Noteworthy is the primary
presenting problem of Substance Abuse increasing
from 12 last fiscal year to 21 this fiscal
year. This may be attributed to an increase of
education and awareness of substance abuse issues
within the medical community.
7Specialty of New Referrals July 2004 June
2005
Other Dermatology, Gastroenterology, Neurology,
Occupational Med, Otolaryngology, Pain Mgmt,
Pathology, Preventive Med, Pulmonary Disease,
Urology N/A Student
N164
-
- In an effort to reflect the true representation
of specialties served, CPHP is reporting on cases
where specialty information has been collected.
The data on specialty is collected at the time of
intake. Of the 216 New Referrals received during
Fiscal Year 2004-05, 52 had not completed an
initial intake session at the time of this
report, thus for 164 New Referrals, specialty
information had been collected. - For Fiscal Year 2004-05 Family Practice (21) is
the most frequent specialty of New Referrals,
followed by Anesthesiology (15) and Internal
Medicine (14). - This representation is similar to Fiscal Year
2003-04 with the same three most frequent
specialties of Internal Medicine (22), Family
Practice (17) and Anesthesiology (13). However,
when compared to last fiscal year, this fiscal
year CPHP had an increase of Family Practice
physicians by 5, an increase of
Anesthesiologists by 2 and a decrease of
Internal Medicine physicians by 8. - The specialty statistics among CPHP participants
are only meaningful if there is a deviation from
the specialty populations of practicing
physicians in Colorado. CPHP does not posses
current information to determine the significance
of this data.
8License Status of New Referrals July 2004 - June
2005
Other Active with pract limit, Probation,
Suspended
N216
-
- This pie chart shows the medical license status
of each New Referral to CPHP at the time of
referral. - Of the total New Referrals this year, 63 had an
active Colorado license, 16 had a Colorado
Training License, 12 were Applicants and 6 did
not have a license, which included medical
students, physician assistant students and
out-of-state clients.
9Colorado Counties Served by CPHP July 2004 -
June 2005
N
County Served
Other Other includes counties that contain
less than 10 physicians, based on a BME listing
(obtained in September 2004) of Colorado licensed
physicians. These counties are grouped into one
category (Other) to protect the confidentiality
of clients residing in those counties. Counties
in this category include Baca, Cheyenne,
Crowley, Custer, Dolores, Hinsdale, Jackson,
Kiowa, Mineral, Phillips, Saguache, San Juan and
Sedgwick.
Region Number Percent
Adams 2 1.0
Alamosa 1 .5
Arapahoe 23 14.0
Boulder 10 6.0
Broomfield 1 .5
Denver 50 30.5
Douglas 9 6.0
Eagle 2 1.0
Region Number Percent
El Paso 11 7.0
Grand 1 .5
Jefferson 15 9.0
La Plata 1 .5
Lake 1 .5
Larimer 4 3.0
Las Animas 1 .5
Logan 1 .5
Region Number Percent
Mesa 3 2.0
Moffat 1 .5
Montezuma 1 .5
Montrose 1 .5
Pueblo 5 3.0
Summit 1 .5
Out-of-State 19 12.0
YR 2004-05 164 100
In Process 52 -
Broomfield County is not indicated on this
map due to recent designation as a county.
- CPHP served New Referral clients from 22 counties
of residence throughout Colorado during Fiscal
Year 2004-05. CPHP is pleased with the efforts
to assist clients throughout the state. These
results illustrate the effective promotion and
utilization of CPHP services state-wide. - The most frequent county of residence among New
Referrals was Denver County at 30.5, followed
by Arapahoe County at 14 and Jefferson County at
9.
10Referrals Reactivations1993 - 2005
- Of the 216 New Referrals, 46 were Reactivations.
This represents 21 of the total New Referrals.
The percentage of Reactivations continues to
increase in recent years at CPHP when compared to
Fiscal Year 2003-04 Reactivations (17) and
Fiscal Year 2002-03 Reactivations (14).
11Reactivations July 2004 - June 2005
Primary Presenting Problem
Referral Source
N46
- Reactivation refers to when a participant
returns to CPHP after having been inactivated. - Referral sources of reactivated clients are
depicted on the left pie chart. Of 46
participants who were reactivated, 34 Self
Referred. This represents a decrease when
compared to Fiscal Year 2003-04 when 42 of
Reactivations Self Referred. - The second most frequent referral source among
reactivated clients was the BME (30). This is
an increase of 14 when compared to last fiscal
year in which BME Referrals comprised 16 of the
Reactivation Sample. - 37 of Reactivations voluntarily returned to CPHP
during Fiscal Year 2004-05. There is a decrease
of voluntary referral Reactivations when compared
to Fiscal Year 2003-04 which had 55 voluntary
Reactivations. The decrease in voluntary
Reactivations appears to correlate with an
increase in BME Referrals, which are mandatory.
- Primary presenting problems of reactivated
clients are illustrated on the right pie chart.
These statistics reflect that Reactivations most
commonly present with Behavioral problems (28),
followed by Psychiatric (21) and Legal (15)
issues. This distribution varies from Annual New
Referrals (three largest categories Psychiatric,
Substance Abuse and Behavioral). The primary
presenting problem of Behavioral was 8 higher
for Reactivations (28) compared to Annual New
Referrals (20). The percentage was the same
(21) for the primary presenting problem of
Substance Abuse for both Reactivations and Annual
New Referrals. Interestingly, the primary
presenting problem of Substance Abuse was 12
less for Reactivations (9) compared to Annual
New Referrals (21). Legal was 8 higher in
Reactivations (15) when compared to Annual New
Referrals (7).
12228 Participants Inactivated (Reasons/Outcome)
July 2004 - June 2005
Length of Active Status at CPHP
N189
- Inactivation refers to when a case is closed at
CPHP. Definitions of inactivation reasons are on
page 19. - For Fiscal Year 2004-05, CPHP inactivated 189
participants and opened 216 new cases, resulting
in a net gain of 27 cases. - Of 189 inactivations, 29 (15) Declined
Evaluation, 2 Relocated, 3 were Referred in Error
and 3 unfortunately died therefore, 152 clients
were evaluated. Of the 152 evaluated, 143 (94)
were inactivated with an outcome considered
successful and/or satisfactory. CPHP improved
its high success rate in comparison to Fiscal
Year 2003-04 (which was 90). CPHP is pleased
with our continued high rate of satisfactory
outcomes! - Length of Active Status at CPHP is depicted on
the right pie chart. The majority of
participants (61) completed the necessary
involvement with CPHP in one year or less. During
Fiscal Year 2003-04, 56 of participants
completed the necessary involvement with CPHP in
one year or less.
13Participants Documentation Requests July 2004
- June 2005
N 939
-
- CPHP processed 939 report requests during Fiscal
Year 2004-05. This is consistent with Fiscal
Year 2003-04 at 933 report requests.
14Program HighlightsJuly 2004 - June 2005
- Expansion of CPHP Team
- CPHP Welcomes New CPHP Board Directors At the
May 17, 2005 Board of Directors meeting, CPHP
welcomed four new Board Directors beginning their
three year term. - Stephen Dilts, MD is a retired psychiatrist, one
of CPHPs founders, and CPHP Medical Director
Emeritus. - Warren Johnson, MD serves as a family practice
physician in private practice in Brighton. - Dennis OMalley is the President of Craig
Hospital in Englewood. - Larry Varner, DO works as an orthopedic surgeon
through his private practice in the metro Denver
area. - We are proud of the caliber of
experience and talent that is represented by the
newest additions to the CPHP team.
Welcome! - CPHP hires two Associate Medical Directors CPHP
is pleased to announce Jay H. Shore, MD, and Mary
Ellen Caiati, MD, as the newest Associate Medical
Directors. - Dr. Shore received his bachelors degree in
anthropology from Macalester College and his
medical and public health degrees (MD, MPH) from
Tulane University School of Medicine and Public
Health. He completed an internship in psychiatry
at State University of New York at Buffalo and
received his general training in Psychiatry at
the University of Colorado Health Sciences
Center, where he currently serves as an Assistant
Professor in the Department of Psychiatry. Dr.
Shore has a long-standing interest in addiction
and the health issues of indigenous peoples. He
is Board Certified in Psychiatry. - Dr. Caiati received her bachelors degrees in
English and mechanical engineering from the
University of Notre Dame. She received her
medical degree from the University of Washington
School of Medicine and completed an internship in
community medicine and a residency in Psychiatry
at the University of Colorado Health Sciences
Center. Dr. Caiati serves as Staff Psychiatrist
at Boulder Mental Health Center and maintains a
private practice in general Psychiatry. She is
Board Certified in Psychiatry. - CPHP promotes Cae Allison, LCSW, to Director of
Clinical Services Ms. Allison joined the CPHP
staff in February 2000 as a Clinician,
responsible for clinical support functions in
consultation with the clinical team and was
promoted to Director of Clinical Services in
August 2004. Ms. Allisons recent professional
experiences prior to joining CPHP were as a case
manager on the Adult Protection Unit at the
Jefferson County, Colorado Social Services
Department and prior to that, she served for
three years as the Director of Social Services at
a local residential Hospice. Ms. Allison
received her Master of Social Work degree from
the University of Denver, and completed a
Certificate in Gerontology at the University of
Denver. She is licensed as a clinical social
worker (LCSW) by the Colorado Board of Social
Work Examiners. - CPHP Newsletter Distributed The Summer 2005
edition of CPHP News was mailed to all active
Colorado licensed physicians and physicians
assistants and various other medical entities
throughout the state. CPHP is proud of this
initiative in an effort to provide the Colorado
medical community with informative physician
health articles and to promote CPHPs mission and
services. Given the importance of this
educational and outreach venture, we have
committed to publishing CPHP News annually. CPHP
News is also available for download from our
website at www.cphp.org.
15Program Highlights continued July 2004 - June
2005
- Federation of State Physician Health Programs
(FSPHP) CPHP continued active national
involvement with the FSPHP during Fiscal Year
2004-05 with CPHP Medical Director, Michael H.
Gendel, MD, serving as President of this
organization. As always, CPHP welcomes FSPHP
meetings as a forum for education and exchange of
information among state physician health
programs. - Western Region of the Federation of State
Physician Health Programs (FSPHP) Annual Meeting
CPHP Medical Director, Executive Director,
Director of Clinical Services and Associate
Medical Director attended the Western Region of
the FSPHP Annual Meeting in Albuquerque, New
Mexico October 1-2, 2004. Doris C. Gundersen,
MD, Associate Medical Director, and Sarah R.
Early, PsyD, Executive Director, presented on the
topic Women in Medicine to highlight the context
and culture of gender issues in medicine, various
differences and similarities between male and
female physicians, and the most effective ways
physician health programs can successfully work
with physicians of both genders. - International Meeting of the Federation of State
Physician Health Programs (FSPHP) CPHP Board of
Directors Chair, Medical Director, Executive
Director, and Associate Medical Directors
attended the International Meeting of the FSPHP
in Chicago, Illinois October 14-16, 2004.
Michael H. Gendel, M.D., Medical Director,
presented on two topics Fitness to Practice
Medicine The Roles of the Evaluating Physician
and Do Data Obtained from Admissions Interviews
and Resident Evaluation Predict Later Personal
and Practice Problems? - Federation of State Physician Health Programs
(FSPHP) Annual Meeting CPHP Medical Director,
Executive Director and Associate Medical
Directors attended the FSPHP Annual Meeting in
Dallas, Texas May 9-11, 2005. Michael H. Gendel,
MD and Doris C. Gundersen, MD presented Assessing
the Ability to Work. Elizabeth Libby Stuyt, MD
presented Recent Advances in the Neurobiology of
Addictions with a Focus on Nicotine Research.
Dr. Gendel completed his two-year term as FSPHP
President at the conclusion of this meeting.
Appreciation was expressed for his role as a
leader in the FSPHP and the field of physician
health in addition to his ambitious goals during
his tenure and ultimately the maturity of the
FSPHP under his leadership. Dr. Gendel concluded
his term by stating his hope that the Federation
will continue to grow as a diverse, scientific
and professional organization which others view
as a credible source of information about
assisting and monitoring physicians with health
problems. Susan McCall, MD, Oregon Physician
Health Program Medical Director, will succeed Dr.
Gendel. He will continue to serve the FSPHP as
Immediate Past President. Congratulations Dr.
Gendel on a successful term. - Spirit of Medicine Fundraising Campaign CPHP
completed the annual Spirit of Medicine
fundraising campaign with successful results!
CPHP utilizes fundraising efforts to supplement
expenses that exceed the Peer Assistance Budget.
CPHP Board of Directors along with the
Development Specialist and Staff work together to
cultivate and extend fundraising efforts
throughout the Colorado medical community. This
year, CPHP hosted our first Spirit of Medicine
Donors Tribute breakfast and awards presentation.
CPHP hopes to continue the tradition of success
for Fiscal Year 2005-06. We are thrilled with the
show of support for CPHP and we plan to utilize
the funds raised for continued improvement of
client services and community outreach. - Finance and Peer Assistance Budget CPHP finished
the Fiscal Year ending June 30, 2005 with a
program operations Year-to-Date Net Loss of
30,078.91. Revenues, which continued to be
higher than anticipated, were largely due to
Fee-For-Service revenue which is comprised of
evaluation fees for out-of-state-clients.
Year-to-Date expenses were largely on target with
Year-to-Date budget with the exception of
increased expense in physician hours and purchase
of unbudgeted office and computer equipment. The
Net Loss was supplemented with cash reserves from
the annual Spirit of Medicine fundraising
campaign.
16Community Outreach Highlights July 2004 - June
2005
- CPHP Responds to Medical Community Tragedies
- On November 11, 2004, Michael H. Gendel, MD,
Medical Director and Sarah R. Early, PsyD,
Executive Director visited Penrose/St. Francis
Health Services in response to recent physician
deaths in the Colorado Springs area. Dr. Gendel
presented Depression in Times of Stress in an
effort to normalize mental health issues in
physicians, identification of warning signs in
colleagues and utilization of CPHP as a resource.
CPHP was pleased to have the opportunity to
provide education to the Colorado Springs medical
community in an effort to prevent future untimely
physician deaths. - On December 1, 2004, Michael S. Sturges, MD,
Associate Medical Director Sarah R. Early, PsyD,
Executive Director and Lynne Klaus, LCSW,
CACIII, Clinician met with the UCHSC Neurology
Residents following a recent death of a resident.
The CPHP team allowed time for debriefing and
processing this tragic event in addition to
providing information on prevention and CPHP
services. CPHP is honored to have been able to
respond to the needs of this select group of
residents. - Physician Stress and Stress Management Seminars
CPHP and Copic successfully completed the third
series of Physician Stress Seminars to educate
physicians about the importance of stress
management to attain good health. These seminars
were met with overwhelming success throughout
Colorado. Locations of the third series of
presentations included Canon City, Colorado
Springs, Denver, Greeley, Longmont, Thornton,
Vail and Wheat Ridge. CPHP and COPIC have again
partnered to continue a fourth series of
educational presentations for Colorado
physicians. Due to the success of the Physician
Stress and Stress Management Seminars, CPHP will
continue to provide this informative presentation
topic in addition to two other presentation
topics Professional Boundaries and Physicians
in Relationships and Families. CPHP is delighted
with the expansion of presentation topics to
assist Colorado physicians in maintaining a
healthy lifestyle. - Unique Community Outreach Initiatives
- Women in Medicine Colorado Permanente Medical
Group representatives and CPHP representatives,
Sarah Early, Psy.D., Doris Gundersen, MD and
Susan Swern collaborated to host a half day
workshop addressing the issues faced by Women in
Medicine. Doris C. Gundersen, MD, Associate
Medical Director, presented on the History of
Women in Medicine Context and Culture. Issues
such as effective communication, prioritization
and balance were addressed with the overall
workshop goal of presenting concrete, effective
tools to utilize in everyday life. Feedback has
been overwhelmingly positive and CPHP hopes to
continue to provide education in this area to
Colorado physicians. - Resident Student Alliance Collaboration CPHP was
honored to be asked to participate in the
Resident Student Alliance two-part series
addressing the importance of a healthy marriage
among physicians. Michael S. Sturges, MD,
Associate Medical Director, presented Medical
Marriages on March 16, 2005. On March 23rd,
Sarah Early, PsyD, Executive Director and a CPHP
representative participated in a panel discussion
on the successes and pitfalls of medical
marriages. CPHP was pleased to assist Colorado
physicians early in their profession to achieve
balance between family and career. - Additional Community Presentations In addition
to the presentations on Physician Stress, CPHP
conducted presentations and exhibits about CPHP
and related physician health topics. Audiences
included Residency Programs, Medical and
Physician Assistant Programs, Medical and
Professional Societies, Medical Staff Offices,
Group Practices and Treatment Providers. - Community Meetings Referral source meetings were
held with community entities including hospital
administration and medical staff offices medical
and physician assistant training programs
residency programs and affiliate organizations.
Issues addressed included how CPHP and the
organization may work best together, building
relationships with referral sources and improving
CPHP services. Workplace consultation continues
to be an important element of CPHP services.
CPHP participants or participants potential
workplaces seek assistance from CPHP on
identifying problems, intervention strategies,
how to make referrals, and documentation. - Participant Monitoring Visits CPHP Medical
Director and Associate Medical Directors traveled
to various areas in the state for client
appointments outside of Metro Denver including
Boulder, Fort Collins, Grand Junction and Pueblo.
17Services Provided by CPHP
- Client Services
- Assessment
- Treatment referral
- Monitoring and support
- Family support
- Documentation
- Workplace and Referral Source Services
- Consultation on identifying physicians who need
assistance - Consultation on making referrals
- Workplace consultations
- Educational presentations
- Medical Community Services
- Promote physician health awareness
- Educational presentations
- Partnership with organizations to meet special
needs - Develop meaningful research on physician health
18CPHP Board of Directors and Staff
Board of Directors Board of Directors-
continued Medical Director and Associate
Medical Directors Officers Board
Directors Chair Bruce Wilson, MD George
Dikeou, Esq Michael H. Gendel, MD Medical
Director Executive Vice President Medical
Director Rocky Mountain Health Plans Copic
Companies Grand Junction Denver Mary
Ellen Caiati, MD Associate Medical
Director Vice Chair Stephen Dilts, MD
Theodore (Ted) Zerwin, MSW Retired Doris C.
Gundersen, MD Retired, President CPHP Medical
Director Emeritus Associate Medical
Director Arthritis Foundation, Rky Mtn Chptr
Denver Westminster David A. Iverson,
MD Caroline Gellrick, MD Associate Medical
Director Secretary Exempla Occupational
Medicine Michael Michalek, MD Occupational
Medicine Jay H. Shore, MD Retired Wheat Ridge
Associate Medical Director Denver Carol
Goddard Michael S. Sturges, MD Treasurer
Owner and CEO Associate Medical
Director James Borgstede, MD Goddard Associates
Penrad Imaging Englewood Elizabeth Libby
B. Stuyt, MD Radiology Associate Medical
Director Colorado Springs Warren Johnson,
MD Private Practice Professional and
Administrative Staff Director-at-Large Family
Practice Maureen Garrity, PhD
Brighton Associate Dean, Student Affairs
Sarah R. Early, PsyD Univ. of Colo Health
Science Ctr Debbie Lazarus Executive
Director Denver Past -President Colo.
Medical Society Alliance Cae Allison,
LCSW Director-at-Large Greenwood Village
Director of Clinical Services Larry Schafer, MD
Private Practice Sandra Maloney Teresa
Bajorek, CPCS Oncology/Hematology Community
Member Executive Assistant/Office
Administrator Wheat Ridge Littleton Karen
Chipley, MBA Dennis OMalley Director of
Finance President Craig Hospital Brian
Ellis Englewood Receptionist/Program
Assistant Lawrence Varner, DO Lynne Klaus,
LCSW Private Practice Clinician Orthopedic
Surgery Aurora Shari Lewinski,
LPC Clinician Naomi Palumbo,
MSW Clinician Jill Sample,
BS Clinical Coordinator Natalie Van
Note, LPC Clinician
19APPENDIX
20Definition of Terms
REFERRAL SOURCES For the purpose of this report,
the following definitions are applied Self
Voluntary referrals who request services on their
own and there are not consequences with other
entities or organizations if they do not follow
through. Board of Medical Examiners (BME)
Any written referral made by the BME or required
evaluations as part of the application or renewal
process to Colorado Administrative (Admin)
Dept. Heads, Directors, Partners, Presidents,
CEOs (which are not part of a hospital system).
For example, Vail Clinic, CFO of a Radiology
group, managed care such as Kaiser
Permanente Hospital MEC, Medical Staff
Offices, Quality Management, Chief of Staff,
Credentialing Committees Resident Program
(Res Prog) Any referrals made by Residency
Directors and personnel Peer Any MD, DO, or
PA that does not fit into another
category Treatment Provider (Tx Prov)
Professionals in community that provide treatment
to CPHP participants Malpractice A
malpractice company Attorney Referrals made
by a physicians attorney Medical School Any
referrals made by the Medical School Faculty,
administration and personnel Physician
Assistant Program Any referrals made by a
Physician Assistant School Faculty,
administration and personnel REASONS FOR
INACTIVATION Treatment Completed (Tx Comp)
Client has completed the CPHP recommended
treatment and/or monitoring Evaluation
Completed (Eval Comp) Client referred for
evaluation, no treatment or monitoring
recommended. Used for most out of state
referrals Evaluation Declined (Eval Declined)
Client referred for evaluation and refused or
declined to have evaluation. Client self-referred
and did not follow through with evaluation and/or
cannot be located Relocated Client relocated,
typically out of state Client Request (Client
Req) Client is self-referred or voluntarily
referred for evaluation. Client does not follow
through with treatment because the circumstances
have changed and the client does not feel
services are necessary Declined Treatment
(Declined Tx) Client declined the treatment
recommendations. Typically used for self
referrals who have an evaluation, treatment is
recommended however client does not follow
through Other Any reason that does not fit
another category License Denied Client was
involved with CPHP as license applicant and
license was denied Non-Compliance Client
inactivated by CPHP because client did not comply
with CPHP treatment and/or monitoring
recommendations. Typically used for voluntary
referral with no concern for patient safety
issues. Admin Completed Used historically
for reactivations who are opened for
documentation requests