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  • 19 Jul 2017 12:56 PM | Anonymous

    The Illinois State Medical Society prevented the Illinois Society for Advanced Practice Nursing (ISAPN) from moving its top priority this year i.e., to allow APRNs to practice completely independent of a physician.

    After numerous negotiating sessions and intense advocacy from physicians throughout Illinois an agreement has been reached on this topic.

    ISAPN introduced legislation that would have granted APRNs full independent practice, including full prescriptive authority, after completing additional clinical training under the supervision of either another APRN or physician. ISMS opposed this legislation.

    There is strong support within the Illinois legislature for bills that would grant APRNs independent practice. Instead of voting against us, legislators asked ISMS to draft an alternative.

    ISMS offered alternative language that was eventually accepted by the APRNs. Our language:

    1. Maintains the requirement that APRNs have a written collaborative agreement, unless the APRN receives substantial post-graduate training under the direct supervision of a physician (4,000 clinical training and 250 hours in additional educational/training components). The physician then must sign a written attestation confirming that the training was completed.
    2. Does not change current practice within a hospital setting; APRNs must still be recommended for credentialing by the hospital medical staff.
    3. Requires APRNs to maintain a formalized relationship with a physician that must be noted in the state’s prescription monitoring program (PMP) if that APRN wishes to prescribe schedule II opioids and benzodiazepines. The opioids to be prescribed must be specifically noted in the PMP and APRNs and the consulting physician must meet at least monthly to discuss the patient’s care.
    4. Says that APRNs are prohibited from administering opiates via injection. APRNs are also prohibited from performing operative surgery.
    5. Prohibits APRNs from advertising as “Dr.,” which is extremely misleading to patients. APRNs who have doctorate degrees must tell patients that they are not medical doctors or physicians.
    6. Makes clear that CRNAs are not included in the agreement; nothing changes as to how CRNAs currently must practice.

    In most other states, advanced practice nurses already have full practice authority to diagnose and treat patients including full prescriptive authority. Some 24 states and the District of Columbia don't require any physician involvement for APRNs to diagnose, treat, or prescribe. In addition to those, eight states allow APRNs to diagnose and treat independently but require physician involvement for APRNs to prescribe.

    ISMS physicians are committed to ensuring that care is centered on each patient’s needs and that each patient receives high-quality care by a well-trained team of professionals. These important provisions will be amended to HB 313 in the Senate this week. We would not have been able to make these important changes without all of your assistance.

  • 28 Feb 2017 2:48 PM | Anonymous

    The 2017 MCMS Annual Dinner Meeting was held on Thursday, February 16, 2017. Approximately 80 doctors and guests were in attendance to enjoy a wonderful evening of appetizers, cocktails, conversations, dinner and a great presentation by Dr. Peter Orris on a physician plan for a single payer system of healthcare. We thank all of our Business Supporters for making this event possible.

    2017 Annual Dinner Meeting & Business Reception

  • 17 Feb 2017 1:22 AM | Anonymous

    The Voice of Physicians is Growing. McHenry County Medical Society welcomes the following new members:

    Centegra Physician Care

    Greg Jun, MD

    Lisa Messinger, MD

    Baby Min Than, MD

    Centegra Physician Care-Cardiology

    Asim Zaidi, MD

    Centegra Physician Care—Surgical Associates

    Daniel Farrugia, MD

    Sherwin Parungao, MD

    Sherazuddin Qureshi, MD

    Jenny Yoo, MD

    Centegra Physician Care—Aesthetics Plastic & Reconstructive Surgery

    Saeed Chowdhry, MD

    Centegra Physician Care—Emergency Medicine

    Aaron Farber, DO

    Illinois Pain Institute

    Asghar Rizvi, MD

    Mercy Health System

    Michael Jacoby, MD

    Mercy Health System—Immediate Care

    Abby Von Heimburg, MD

    Ejjaz Khan, MD

    Oaklund Medical Group

    Gilbert Egekeze, MD

    Cardiac Surgery Associates

    Thomas Hinkamp, MD

  • 29 Jan 2017 11:00 AM | Anonymous

    IL Medicaid Managed Care: A Physician Survey

    The state’s initiative to transition the majority of Illinois Medicaid patients to managed care organizations (MCOs) is causing significant confusion and unease among health care professionals and patients.

    As a result, ISMS conducted a survey of physicians’ views on the subject. The survey findings show that in order to expand patient access and reduce physician burdens, Illinois’ Medicaid managed care system needs:

    • A common credentialing system, to reduce hassles and duplication of effort by busy physicians;
    • A baseline state-maintained drug manual, to protect patients by requiring MCOs to abide by the coverage guidelines and product offerings included on the existing Medicaid drug manual and preferred drug list;
    • Greater transparency, including reliable staff contacts within the MCOs, to help physicians determine patient eligibility, clarify complex issues, and discuss coverage of medically necessary treatment and drugs; and
    • Widespread public reporting on the quality and effectiveness of MCOs.

    We have shared these results with policymakers and other key stakeholders, and will keep you informed about any further developments.

  • 29 Jan 2017 2:10 AM | Anonymous

    ISMS has revised our Medical Cannabis medical legal guideline to comply with changes to Illinois law.

    Here’s the scoop. Senate Bill 10 was signed into law in late June, modifying Illinois’ Compassionate Use of Medical Cannabis Pilot Program Act. ISMS-backed changes in the law impact the process of physicians certifying patients for medical cannabis.

    Previously, physicians would certify that they believed the patient would benefit from the use of medical cannabis; now, physicians certify that a bona fide physician-patient relationship exists, and the patient has a qualifying condition. New qualifying conditions were also added to the roster of debilitating medical conditions.

    Questions? Call 800-782-4767 or email

  • 3 Aug 2016 1:57 AM | Anonymous

    The ISMS legislative team is active on your behalf every day, tackling dozens of issues in the legislature and elsewhere in state government. ISMS is the only organization that represents physicians of all specialities throughout Illinois. When leaders anywhere in the state want to know where physicians stand, they call ISMS.

    The 2016 ISMS Legislative Activity Report is now available. Read what ISMS has been doing for YOU!

  • 8 Jul 2016 11:17 AM | Anonymous

    ISMS recently asked for physician feedback on the CMS proposed MACRA rules. Numerous practices provided feedback which allowed ISMS to communicate those concerns to CMS.

    ISMS joined other state and national medical associations in a letter to CMS's Acting Administrator Andrew Slavitt, outlining and detailing concerns about the proposal and requesting considerable modifications.

    If you would like to weigh in on MACRA and it's implications to your practice, you are encouraged to contact ISMS Advocacy at 800-782-4767 x 1470 or email

  • 8 Jul 2016 1:44 AM | Anonymous

    The Department of Veterans' Affairs (VA) recently published a proposed rule that would give full practice authority to four categories of advanced practice nurses (APNs) in an effort to reduce wait times in the VA health system. The rule would allow APNs working as VA employees to provide services without the clinical oversight of a physician!

    ISMS has weighed in on this controversial subject and has urged both the VA and Congress to maintain physician supervision with APNs.

    ISMS urges VA to maintain APN supervision requirements

    ISMS urges Congress to maintain APN supervision requirements

    Your comments on this important decision are being solicited. Voice your opinion by submitting comments by July 25th.

  • 30 May 2016 12:21 PM | Anonymous

    The ISMS House of Delegates meeting was held in Springfield from April 15-17, 2016. For a recap on the weekend events and outcomes of resolutions go to

    Thank you to Dr. Steven Campau, MD; Dr. Vikram Patel, MD; and Dr. David Stumpf, MD for representing the physicians of McHenry County at this year's HOD meeting.

  • 23 May 2016 3:00 PM | Anonymous

    A confirmed case of measles has been reported in Illinois. Healthcare providers and facilities should be alert for possible measles cases. Measles should be considered in any patient with a maculopapular rash that starts on the head/hairline and spreads down the body, fever, conjunctivitis, cough, cold symptoms, and malaise.

    Please read the entire communique from the Illinois Department of Public Health: Measles Exposure in Northern Illinois.

    To contact the McHenry County Health Department call 815-334-4510

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