Colorado Physician Health Program Annual Report July 2004 - June 2005 - PowerPoint PPT Presentation

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Colorado Physician Health Program Annual Report July 2004 - June 2005

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Title: Colorado Physician Health Program Annual Report July 2004 - June 2005


1
Colorado 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.
2
Table 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

3
Referral 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.

4
Annual 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

5
Source 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.

6
Primary 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.


7
Specialty 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.

8
License 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.

9
Colorado 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.

10
Referrals 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).

11
Reactivations 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).

12
228 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.

13
Participants 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.

14
Program 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.

15
Program 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.

16
Community 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.

17
Services 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

18
CPHP 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
19
APPENDIX
20
Definition 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
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