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Press Release
For Immediate Release: Oct. 2, 2019

Contact: Chery Law, Chief Executive Officer
[email protected] | 719-281-6073

Pueblo, CO – Oct. 2, 2019 - The Pueblo County Medical Society Board of Directors announced today they have named Dr. Marcel Junqueira, MD, as the Society’s interim president. Dr. Thomas Greidanus, MD, who has served as PCMS president since 2017, recently began a needed leave of absence due to health issues. Dr. Junqueira, who has served as PCMS secretary, will undertake Dr. Greidanus’ official executive duties during his leave.

The Board of Directors unanimously recommended that Dr. Junqueira become the interim president immediately until elections take place at the society’s annual meeting on Nov. 13.

“Dr. Junqueira will be an influential thought leader for this medical Society,” Cheryl Law, CEO, said. "He is an individual of great integrity, vision and commitment to his colleagues in the medical profession who has, on more than one occasion, stated he would serve Society members even if he had no professional title associated with his name. He is the perfect choice to advance our mission to create a medical Society that serves as a venue for collaboration for the betterment of health care in Pueblo County. The Board expects a very smooth and successful transition period under his guidance.”

Dr. Greidanus was president of PCMS from 2017 to 2019 and has been an exceptional president and leader of the Society. He will remain an officer of the Society during the interim period. The Board and executive staff wish Dr. Greidanus a swift and full recovery and look forward to his return.

During his tenure Dr. Greidanus renewed the Society’s legacy of serving members, collaboration, and providing community support that has served the organization well. Under his leadership he set the momentum for PCMS to plan our third annual symposium on primary care updates, and to host continuous education and social events throughout next year for physician members and guests. His vision for an enhanced, complementary relationship with the city and county of Pueblo has led to the society spending time and resources in collaboration with the medical community and other community organizations to improve the practice of medicine and life of medical professionals, locally and throughout southern Colorado.

Due to Dr. Greidanus’ strong leadership ability, PCMS now has a greater focus on promoting sustainability through igniting change and elevating relevance in the lives of our membership and local community. Thank you, Dr. Greidanus and Dr. Junqueira!

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The Pueblo County Medical Society is a membership association comprising 300 physicians in the city and county of Pueblo. Learn more at www.pueblocms.org.

PCMS was proud to partner with the Pueblo Department of Public Health and Environment (PDPHE) to present the Cannabis Community Forum on Aug. 8. Speakers included two emergency room doctors – our PCMS representative to the CMS Brad Roberts, MD, and Karen Randall – and an addiction psychiatrist, Libby Stuyt, MD. All from Pueblo, the speakers shared their considerable education, experience and knowledge. As PDPHE said in their post-event report, the story they told is indeed a local one, but like the opioid story, there is a cautionary message for us all.

If you missed it, you can view the archived Facebook video live stream here. And here is a link to a peer-reviewed article written by Brad Roberts, “Legalized Cannabis in Colorado Emergency Departments: A Cautionary Review of Negative Health and Safety Effects.”

PCMS will soon send a letter to Pueblo Mayor Nick Gradisar requesting a meeting with him and the city council about this issue.

Thanks to all of the physicians who attended the forum and continue to make an impact for patients in Pueblo.

Photos:
Top: Karen Randall presents "Myths and Realities of Cannabis
Middle: Brad Roberts presents "Legalized Cannabis in Colorado Emergency Departments"
Bottom: Physician speakers from left: Libby Stuyt, Randall, Roberts and myself (Greidanus)

By Brad A. Roberts, MD, PCMS representative on the CMS Board of Directors

At the July 12 Colorado Medical Society Board of Directors meeting, board members heard from Paul Presken with the Colorado Health Institute on nine emerging themes in health care. Paul’s environmental scan analyzed trends in the Colorado health care system and national trends that will impact the state. Nearly all of them were related to health care costs. His report preceded a board discussion on what should be included in the 2020 CMS operational plan.

Here are the emerging trends he identified:

  1. Health care costs for consumers have reached a tipping point. The most obvious example of increased attention on health care costs is Gov. Jared Polis’s Office of Saving People Money on Healthcare, headed by Lt. Gov. Dianna Primavera.
  2. Prescription drug costs are increasing and legislators are crafting bills to control them. Prescription drug costs continue to outpace inflation at a rate of two to nine times for brand-name oral drugs and generic oral drugs, respectively. Bills were passed in 2019 to address costs and more are coming in 2020.
  3. Hospital costs are in the crosshairs. Bills to add transparency and control of hospital costs were also passed in 2019 as hospitals are subject to increased scrutiny for profit margins.
  4. Payment reform is affecting physician payment. Health plans are increasingly moving from up-side risk only to up-side and down-side risk arrangements and government programs like the Merit-based Incentive Payment System (MIPS) and Alternative Payment Model (APM) are starting to have an impact.
  5. The physician workforce is shifting. 2018 marks the first time there were fewer physician owners than employees in the United States: 45.9 percent vs. 47.4 percent, respectively. This has been slowly changing over time and it looks like the trend will continue.
  6. Colorado has expanded substance use and regulation and is seeing the effects. Colorado continues to “experiment” with legalization. Colorado now has some of the highest rates of substance use in the country, with the third-highest rate of illicit drug use in the country, the nation’s highest rate of youth vaping, and a three-fold increase in cannabis-related ER visits, according to a UCHealth study. Overdose deaths from opioids have declined significantly in the past year but deaths from cocaine and methamphetamine have risen.
  7. Investment in technology and disruption of current models are growing. Venture capital firms invested record amounts in health care technology in 2018, and investment focused on “disruptive” technologies that hold significant promise.
  8. The business community is and will continue to be engaged. Pressure from the business community is increasing and specific to Colorado. Locally, employers in Summit County “finally had enough,” and formed Peak Health Alliance to negotiate lower insurance premiums directly with providers. This will increase thanks to a new law allowing for health care cooperatives in Colorado.
  9. The government has an increasing role as a payer. The 2019 Colorado legislature passed laws exploring options for increasing the state’s role in providing coverage, including a current effort to develop a proposal for an option for a state-sponsored health care plan.

Watch for more on these trends in 2020.

Our July 17th Atrial Fibrillation event was another great success! Guest speakers Kathleen Hayes Brown, MD, and Charles W. Stout, MD, spoke with 33 physicians, physician assistants and nurse practitioners about the new procedure for atrial fibrillation and the long-term use of Warfarin.
 
This new procedure called the Watchman is a permanent implant that reduces the risk of stroke and the risk of bleeding that can come from the long-term use of Warfarin.
 
Thanks to our sponsor Boston Scientific, we had another free CME event offered to PCMS members and guests. Medical professionals were once again updated about a new procedure and collaborations between attendees were formed and strengthened!

PCMS members were wined and dined at our summer social on June 14, 2019. The Rusted Poppy Inn B&B provided a relaxing setting and enjoyable evening for our 12 guests. This was the second annual Wine and Dine event where members were treated to a combination of quality wines including Promesses de France Pinot Noir and Zestos Rosado. Along with the wines provided, guests were treated to a variety of cheeses, fruits, vegetables and red meat appetizers. Making food pairing recommendations for guests, our barista matched foods with selected wines to make the entire dining experience more enjoyable.

PCMS is grateful for the opportunity to provide events for our members and inspired to give our absolute best to attendees and guests. We’re empowered by members who attend and take time out of their busy schedules to create memorable moments with one another. Socializing, storytelling from the field, laughing and interesting conversations made this event well worth it and more!