Transcript Colorado Board of Medical Examiners Annual Report July

Colorado Physician Health Program
Annual Report
July 2007 - June 2008
Executive Director:
Medical Director:
Sarah R. Early, PsyD
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 affect their ability to practice medicine safely.
Table of Contents
Annual Report
July 2007 - June 2008
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Referral Summary
Number of New Referrals - Program History
Source of New Referrals - Year-to-Date
Primary Presenting Problem -Year-to-Date
Specialty of New Referrals - Year-to-Date
License Type of New Referrals - Year-to-Date
New Referrals – Geographical Area - Year-to-Date
Referrals & Reactivations 1993 - Present
Reactivations - Year-to-Date
Inactivations (Reasons/Outcome) - Year-to-Date
Participants Documentation Requests
Program Highlights
Community Outreach Highlights
Services Provided by CPHP
CPHP Board of Directors and Staff
APPENDIX
•
Definition of Terms
Page 3
Page 4
Page 5
Page 6
Page 7
Page 8
Page 9
Page 10
Page 11
Page 12
Page 13
Page 14
Page 15
Page 16
Page 17
Page 19
2
Referral Summary
July 2007 - June 2008
•
New Referrals: CPHP continued to receive steady New Referrals throughout Fiscal
Year 2007-08 with 276 New Referrals, representing a 15% increase compared to last
Fiscal Year (241 New Referrals). Total New Referrals from 2007-08 represents a 5%
decrease in the number of New Referrals for a medical license Renewal Year (compared
to 290 in 2005-06).
•
Caseload: The average active caseload at any given period during Fiscal Year 2007-08
was 457 clients. This represents an increase of 6% compared to Fiscal Year 2006-07
(433 active client caseload).
•
Overview: Significantly, 60% of New Referrals came to CPHP voluntarily. 40% were
mandatory referrals. Of the total New Referrals this year, 60% had an active Colorado
Medical License, 15% had a Colorado Resident Training License, and 5% held
Physician Assistant Licenses. 20% did not hold any license which includes 11%
Applicants, 7% students and 2% out-of-state/non-medical licensed clients.
•
Demographic Data Collected at time of Intake:
–
–
Age: 1% (20-25), 11% (25-29), 13% (30-34), 13% (35-39), 14% (40-44), 16% (45-49), 13%
(50-54), 11% (55-59), 6% (60-64), 2% (65+)
Gender: 39% female and 61% male
•
CPHP served New Referral clients from 22 counties of residence throughout Colorado
during Fiscal Year 2007-08.
•
Referral Source: The highest single source of New Referrals was Self referrals,
representing 38% of New Referrals. The second highest source of New Referrals was
the Board of Medical Examiners, BME (13%). Administration (11%) and Hospitals
(11%) were the third highest categories of referral source.
•
Primary Presenting Problems of New Referrals: The three most common primary
presenting problems among the 276 New Referrals were: Psychiatric at 26%, followed
by Behavioral at 13% and lastly Substance Abuse and Work Stress at 8%.
•
Specialty of New Referrals: Family Practice (21%) is the most frequent specialty of
New Referrals, followed by Internal Medicine (16%) and lastly General Surgery and
Anesthesiology (both at 7%).
•
Reactivations: Of the 276 New Referrals, 58 were Reactivations. This represents 21%
of the total New Referrals.
•
Outcome: Of 246 inactivations, 30 declined referral, 11 declined evaluation, 3 withdrew
license application, 17 completed a consultation, 5 relocated, and unfortunately 2 died;
therefore, 174 clients were evaluated. Of the 174 evaluated, 161 (93%) were
inactivated with an outcome considered successful and/or satisfactory. CPHP is
pleased with our continued high rate of satisfactory outcomes!
•
Documentation Requests: CPHP processed 1,331 report requests during Fiscal Year
2007-08.
•
Total Participants in CPHP History: Since the inception of the program in 1986, CPHP
has served 2917 participants.
3
Annual Number of New Referrals
Program History 1986 - Present
350
300
250
200
150
100
50
0
85*86
8687
87*88
8889
89*90
9091
91*92
9293
93*94
9495
95*96
9697
97*98
9899
99*00
0001
01*02
0203
03*04
0405
05*06
0607
•
New Referrals: CPHP continued to receive steady New Referrals throughout Fiscal Year 2007-08 with 276
New Referrals, representing a 15% increase compared to last Fiscal Year (241 New Referrals). Total New
Referrals from 2007-08 represents a 5% decrease in the number of New Referrals for a medical license
Renewal Year (compared to 290 in 2005-06).
•
When compared to Fiscal Year 2006-07, CPHP experienced an increase of 35 cases, or 15%. In addition,
the average active caseload continues to grow. The average active caseload at any given period during
Fiscal Year 2007-08 was 457 clients. This represents an increase of 6% compared to Fiscal Year 2006-07
(433 active client caseload).
4
* = BME License Renewal Years
07*08
Source of New Referrals
July 2007 - June 2008
Self & Voluntary Referrals Remain High!
Peer
2%
Attorney
1%
BME
13%
Other
1%
Adm in
11%
Med School
1%
PA Prog
1%
Client Medical Profession
PA
PA
Student
6%
2%
Fam ily
2%
Med
Student
4%
DO
4%
Res Program
9%
Proactive
10%
Res
18%
Self
37%
Other
1%
MD
65%
Other = Podiatrist
Hospital
11%
Tx Prov
1%
Other = PHP, Other
Regulatory Boards
N=276
•
During Fiscal Year 2007-08, the highest single source of New Referrals was Self referrals,
representing 37% of New Referrals, which is similar to last year. CPHP continues to be proud of
the high number of Self Referrals to the program demonstrating trust and confidence in CPHP.
•
Significantly, 60% of New Referrals came to CPHP voluntarily. 40% were mandatory referrals.
CPHP continues to be 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 CPHP’s staff, and provision of educational
materials that normalizes physician experiences and illness.
•
The second highest source of New Referrals was the BME (13%). This is less than 2005-06,
the last medical license renewal year, where 24% of New Referrals were from the BME. (Last
year comprised 18% of BME New Referrals.) This is likely due to the Safe Haven language
on Medical and Physician Assistant License Applications and Reapplications which afford
confidentiality for certain health conditions if the individual is “Known to CPHP.”
•
Administration and Hospitals (both at 11%) were the third highest categories of referral source.
CPHP appreciates the referrals received from Colorado workplaces to assist physicians in
evaluating potential health issues that may effect their ability to practice medicine safely.
•
Please note definitions of referral source categories. See Page 19.
•
The pie chart on the above-right reflects the medical profession of CPHP clients. The majority of
clients are Physicians without a resident status (MD and DO)(69%). Residents (18%) comprise
the second largest group served and Physician Assistants (6%) comprise the third largest group.
5
Primary Presenting Problem
of New Referrals
July 2007 - June 2008
Domestic
Violence
1%
Other
Career DUI/DWAI
5%
1%
6%
Stress
7%
Prof Bound
3%
Substance
Abuse
8%
Psyc/Sub
5%
N=190
Legal
7%
Physical/
Medical
5%
Emotional
2%
Behavioral
13%
Work Stress
8%
Psychiatric
26%
Family
3%
Other=
Credentialing Matter
•
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 276 New Referrals received during Fiscal Year 2007-08, 86 were in process
at the time of this report, thus 190 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 190 New Referrals were:
Psychiatric at 26%, followed by Behavioral at 13% and lastly Substance Abuse and Work
Stress both at 8%.
•
This representation is similar to Fiscal Year 2006-07 with the top three categories of
Psychiatric at 32%, followed by Behavioral at 12% and Substance Abuse at 11%.
6
Specialty of New Referrals
July 2007 – June 2008
Radiology
4%
Anesthesiology
7%
Psychiatry
6%
Medical Genetics
1%
Opthom ology
3%
Em ergency
Medicine
4%
OB/GYN
7%
Other Surgery
1.5%
Occupational
Medicine
1.5%
Orthopedic
Surgery
4%
N/A
7%
General Surgery
7%
Physical
Medicine/Rehab
1.5%
Internal Medicine
16%
N=190
Fam ily Practice
21%
Otolaryngology
1%
Pathology
1.5%
Pediatrics
6%
Other Surgery= Neurological
Surgery, Plastic Surgery
N/A = Student
•
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 276 New Referrals received during Fiscal Year 2007-08, 86 had not completed
an initial intake session at the time of this report, thus for 190 New Referrals, specialty
information had been collected.
•
Specialty of New Referrals: Family Practice (21%) is the most frequent specialty of New
Referrals, followed by Internal Medicine (16%) and lastly General Surgery and
Anesthesiology (both at 7%).
•
The percentage representation is similar to Fiscal Year 2006-07 with the two most frequent
specialties of Internal Medicine (16%), followed by Family Practice (14%).
•
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.
7
License Type of New Referrals
July 2007 - June 2008
None-Student
7%
Other
2%
Applicant
11%
Training
15%
Medical
60%
PA
5%
N=276
Other = Out of State
and PhD
•
This pie chart shows the medical license type of each New Referral to CPHP at the time of
referral.
•
Of the total New Referrals this year, 60% had an active Colorado Medical License, 15% had a
Colorado Training License and 5% held Physician Assistant Licenses. 20% did not hold any
Colorado license which includes 11% Applicants, 7% students and 2% out-of-state/nonmedical licensed clients.
8
Colorado Counties Served by CPHP
July 2007 - June 2008
N
= Other
= County
Served
Other includes counties that contain less than 10 physicians, based on a BME listing (obtained in
September 2005) 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, Conejos, Crowley, Custer, Dolores, Hinsdale, Jackson,
Kiowa, Mineral, Park, Phillips, Rio Blanco, Saguache, San Juan and Sedgwick.
Region
Number
Percent
Region
Adams
6
3%
El Paso
Number
Percent
Region
Number
Percent
7
4%
Morgan
2
1%
Alamosa
2
1%
Garfield
1
.5%
Ouray
1
.5%
Arapahoe
24
12%
Grand
1
.5%
Other
4
2%
Boulder
13
7%
Jefferson
14
7%
Out-of-State
14
7%
Broomfield
1
.5%
Larimer
9
5.5%
Pitkin
1
.5%
Delta
1
.5%
Logan
1
.5%
Pueblo
4
2%
Denver
63
33%
Mesa
5
3%
Weld
2
1%
Douglas
9
5.5%
Montezuma
2
1%
Route
1
.5%
Eagle
1
.5%
Montrose
1
.5%
YR 2007-08
N= 190
100%
In Process
86
• CPHP served New Referral clients from 22 counties of residence throughout Colorado during Fiscal
Year 2007-08.
• The most frequent county of residence among New Referrals was Denver County at 33%.
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Referrals & Reactivations
1993 - Present
Referrals
Reactivations
19
93
-
19 199
94 4
19 199
95 5
19 199
96 6
19 199
97 7
19 199
98 8
19 199
99 9
20 200
00 0
20 200
01 1
20 200
02 2
20 200
03 3
20 200
04 4
20 200
05 5
20 200
06 6
20 200
07 7
-2
00
8
350
300
56
250
58
47
45
200
29 38 46
47
150
21 24 22 18
32
18
16
234
100
194 218
187
184
175
170
153
137 143 119 130 112
132
50 110
0
•
Of the 276 New Referrals, 58 were Reactivations. This represents 21% of the total New Referrals,
which is consistent to last year.
10
Reactivations
July 2007 - June 2008
Referral Source
Primary Presenting Problem
Domestic
Violence
4%
Hospital
16%
Stress
4%
Admin
14%
Proactive
12%
Psychaitric/
Substance
7%
DUI/DWAI
2%
Emotional
2%
Sub Abuse
14%
Psychiatric
25%
Career
11%
Self
33%
Res Prog
3%
Peer
5%
Work Stress
2%
Behavioral
7%
BME
17%
Physical/
Medical
9%
Prof
Boundaries
4%
Legal
9%
N=58
N = 45
•
“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 58 who reactivated, 33%
Self Referred. This represents a decrease when compared to Fiscal Year 2006-07 when 41% of
Reactivations Self Referred.
•
The second most frequent referral source among reactivated clients was the BME (17%). This is a
decrease of 9% when compared to last Fiscal Year in which BME Referrals comprised 26% of the
Reactivation sample.
•
Reactivation referrals increased 10% in both the Hospital and Administration categories compared to
Fiscal Year 2006-07.
•
50% of Reactivations voluntarily returned to CPHP during Fiscal Year 2007-08. This is a decrease of
16% when compared to Fiscal Year 2006-07 which had 66% voluntary Reactivations.
•
Primary presenting problems of reactivated clients are illustrated on the right pie chart. These
statistics reflect that Reactivations most commonly present with Psychiatric issues (25%), followed by
Substance Abuse (14%). This distribution was similar to last year’s Reactivation primary presenting
problems.
11
246 Participants Inactivated
(Reasons/Outcome)
July 2007 - June 2008
Consultation
Complete
3%
Referral
Declined
7%
NonCompliant
1%
Monitoring
Declined
8%
Evaluation
Complete
25%
Monitoring
Complete
40%
Deceased
1%
Length of Active Status
at CPHP
Application
Withdrawn
2%
Evaluation
Declined
10%
Relocated
3%
4-5 Yrs
3%
3-4 Yrs
4%
2-3 Yrs
8%
5+ Yrs
7%
0-3 Mos
13%
4-6 Months
20%
1-2 Yrs
15%
N=246
10-12 Mos
9%
7-9 Months
21%
•
“Inactivation” refers to when a case is closed at CPHP.
inactivation on Page 19.
•
Of 246 inactivations, 17 declined referral, 25 declined evaluation, 2 did not complete
evaluations (noncompliant), 5 withdrew license application, 7 completed a consultation, 6
relocated, and unfortunately 3 died; therefore, 182 clients were evaluated. Of the 182
evaluated, 160 (88%) were inactivated with an outcome considered successful and/or
satisfactory. 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 (63%) completed the necessary involvement with CPHP in one year or less. Last
Fiscal Year 2006-07, 71% of participants completed the necessary involvement with CPHP in
one year or less.
See definitions of Reasons for
12
Participants Documentation Requests
July 2007 - June 2008
BME Evaluation
4%
One-Tim e
Status
Request
23%
BME Interim /
Addendum
7%
BME Quarterly
21%
Credentialing
12%
Standing
Status
33%
N= 1331
•
CPHP processed 1,331 report requests during Fiscal Year 2007-08.
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Program Highlights
July 2007 - June 2008
•
CPHP Welcomes New CPHP Board Director: At the May 13, 2008 Board of Directors meeting, CPHP
welcomed back Board Director, James Borgstede, MD. Dr. Borgstede previously served on the CPHP
Board of Directors from 2002-06 serving in Officer positions of Director-at-Large, Treasurer and Chair. He
left Colorado to complete a fellowship in California in Magnetic Resonance Imaging and returned to
Colorado in 2008 to serve as Vice Chair of Radiology at the University of Colorado Health Science Center.
We welcome back Dr. Borgstede to CPHP!
•
Availability of Services: In addition to CPHP providing services to Colorado licensed physicians and
physician assistants, contracts exist to provide services for residents, medical students and physician
assistant students. CPHP is proud to assist medical professionals early in their training and career to
promote personal good health and well-being. CPHP currently serves the following programs:
Residency Programs
•
University of Colorado Health Sciences Center
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St. Joseph Hospital Residency Program
•
St. Anthony Family Medicine Residency
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Southern Colorado Family Medicine Residency
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St. Mary’s Family Practice Residency Program
•
Colorado Health Foundation Transitional Residency Program at Presbyterian/St. Luke’s
Hospital– New this year!
Physician Assistant Training Programs
•
University of Colorado Health Sciences Center
•
Red Rocks Community College Physician Assistant Program
Medical School
•
University of Colorado Health Sciences Center
•
Federation of State Physician Health Programs (FSPHP): CPHP continued active national involvement
with the FSPHP during Fiscal Year 2007-08 with CPHP Medical Director, Michael H. Gendel, MD, serving
as Immediate Past 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, and Associate Medical Directors attended the Western
Region of the FSPHP Annual Meeting at Jackson Hole, Wyoming September 6-8, 2007. CPHP
representatives provided a panel presentation on the topic Assessing and Monitoring Illness in
Physicians. We welcomed the opportunity to network with colleagues from other Physician Health
Programs and gain valuable information about physician health related issues.
FSPHP Annual Meeting: CPHP Medical Director, Associate Medical Directors and Executive Director
attended the FSPHP Annual Meeting in San Antonio from April 28-May 1, 2008. Doris C. Gundersen,
MD presented on Addressing Anger, Violence and Security in the Workplace and coordinated a panel
on The Evolution of Physician Health Programs. Michael H. Gendel, MD co-presented on Research
Initiatives. Sarah R. Early, Psy.D. co-presented on Defining Physician Health Program Evaluations and
Audits.
FSPHP and Federation of State Medical Boards (FSMB) Collaboration: Michael H. Gendel, MD and
Sue Kim, Esq, Assistant Attorney General for the Colorado Board of Medical Examiners served on a
joint panel session with FSPHP and FSMB addressing How Physician Health Programs Work, Value to
the Profession, and Their Relationship with State Medical Boards on May 1, 2008. CPHP is pleased
with the collaboration of these two Federations to best assist physicians and provide public protection.
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. We
appreciate all of our generous contributors and especially want to recognize our donors who provided gifts
over $5,000:
–
Centura Health
–
Exempla Good Samaritan Medical Center
–
St. Mary’s Hospital and Medical Center
–
The Medical Center of Aurora
–
Colorado Permanente Medical Group (CPMG) – We extend special appreciation to CPMG
as a charter organizational member of the LivingWell Giving Society who pledged to give a
gift for five years.
14
Community Outreach
Highlights
July 2007 - June 2008
•
COPIC Financial Assistance Fund: COPIC Companies provided the 2007-2008 Fiscal Year
Financial Assistance Fund to directly assist CPHP physician clients that would otherwise be
unable to afford our services. Their generous donation of $20,000 is greatly appreciated. Thank
you!
•
CPHP and COPIC Continue Educational Collaboration: CPHP and COPIC have again
partnered to continue the seventh series of educational presentations for Colorado physicians.
Presentations are provided throughout Colorado on Physician Stress and Stress Management,
Professional Boundaries, Physicians in Relationships and Families, and Women in Medicine.
•
Community Presentations: CPHP conducted various presentations about CPHP and related
physician health topics. Audiences included Residency Programs, Medical and Physician
Assistant Programs, Medical and Professional Societies, Medical Staff Offices and Group
Practices. 37 presentations were conducted this past year!
•
CPHP Outreaches to Hospitals across Colorado: Over the past year Sarah Early, PsyD,
Executive Director along with other CPHP representatives traveled throughout Colorado to meet
hospital administration and medical staff in an effort to educate regarding the breath and depth of
CPHP services in order to make effective referrals to assist Colorado physicians. CPHP visited
61 hospitals during the past Fiscal Year! In addition, CPHP provided informative packets on
how to best facilitate a formal referral to all Colorado Hospitals and Medical Groups (comprimised
of 15 people or more).
•
CPHP Exhibits at Numerous Conferences throughout Colorado: CPHP utilizes these
conferences to cultivate relationships with the medical community and provide education about
our resources and services.
–
–
–
–
–
–
–
–
–
–
–
–
Colorado Rural Health Conference
Colorado Society of Osteopathic Medicine Summer Conference
Colorado Academy of Physician Assistants Annual Summer Metro Meeting
Colorado Hospital Association Annual Conference
Colorado Society of Anesthesiologists Conference
Colorado Medical Society Annual Meeting
Colorado Academy of Physician Assistants Mid-Winter Conference
Colorado Society of Osteopathic Medicine Annual Meeting
Colorado Chapter of American Academy of Pediatrics
University of Colorado Medical School Panel Meeting
Colorado Association of Medical Staff Services Conference
University of Colorado Medical School Graduate Medical Education Orientation
•
CPHP Newsletter Distributed: The Summer 2008 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 articles pertaining to physician health and to promote CPHP’s mission and
services. Given the importance of this educational and outreach venture, we are committed to
publishing CPHP News annually. CPHP News is also available for download from our website at
www.cphp.org.
•
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 Fort Collins,
Greeley, Grand Junction, Durango, Steamboat Springs and Pueblo.
15
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
•
Presentation Topics:

Colorado Physician Health Program services

Physician stress and stress management

Substance abuse, addiction

Professional boundaries

Self-care and physician health issues

Disruptive physician management

Women in medicine

Physicians in relationships and families
16
CPHP Board of Directors and Staff
Board of Directors
Officers:
Chair
Stephen Dilts, MD
Psychiatry
Retired
CPHP Medical Director Emeritus
Broomfield
Vice Chair
James Borgstede, MD
Radiology
UCHSC Vice Chair of Radiology
Denver
Secretary
Caroline Gellrick, MD
Occupational Medicine
Exempla
Wheat Ridge
Treasurer
Larry Schafer, MD
Oncology/Hematology
Exempla Westview
Wheat Ridge
Director-at-Large
Maureen Garrity, PhD
Associate Dean, Student Affairs
Univ. of Colo. Health Science Center
Denver
Director-at-Large
Bruce Wilson, MD
Internal Medicine
Retired
Grand Junction
Directors:
Michael Calvin, PA
Physician Assistant
Colorado Asthma and Allergy Centers
Lakewood
Thomas Currigan, Jr.
Director/Community and
Local Government Relations
Kaiser Permanante
Denver
Directors Continued:
George Dikeou, Esq
Consultant
COPIC Companies
Denver
John Genrich, MD
Pediatrician
Private Practice
Colorado Springs
Alfred Gilchrist
Chief Executive Officer
Colorado Medical Society
Denver
Debbie Lazarus
Colo. Medical Society Alliance
Greenwood Village
Michael Michalek, MD
Psychiatry/Addiction Medicine
Retired
Lakewood
Lawrence Varner, DO
Orthopedic Surgery
Private Practice
Aurora
Professional and Administrative
Staff:
Sarah R. Early, PsyD
Executive Director
Cae Allison, LCSW
Director of Clinical Services
Karen Chipley, MBA, CPA
Director of Finance
Toni Gaddis
Administrative Assistant
Lynne Klaus, LCSW, CACIII
Clinician
Carly Lesser, BA
Compliance Coordinator
Christine Lewis, EdS, LPC
Clinician
Sally Moody, MSW, LCSW,
Clinician
Amanda Parry, BBA
Executive Assistant
Medical Director and
Associate Medical Directors:
Naomi Richards, LCSW
Clinician
Michael H. Gendel, MD
Medical Director
Tracy Sue Walters
Receptionist/Program Assistant
Mary Ellen Caiati, MD
Associate Medical Director
Todd Weiss, BA
Development Specialist
Doris C. Gundersen, MD
Associate Medical Director
Jay H. Shore, MD
Associate Medical Director
Michael S. Sturges, MD
Associate Medical Director
Elizabeth “Libby” Stuyt, MD
Associate Medical Director
19
APPENDIX
Definition of Terms
REFERRAL SOURCES
For the purpose of this report, the following definitions are applied:
Administrative (Admin): Dept. Heads, Directors, Partners, Presidents, CEO’s (which are not part of a hospital
system). For example, Vail Clinic, CFO of a Radiology group, managed care such as Kaiser Permanente
Attorney: Referrals made by a CPHP client’s attorney
Board of Medical Examiners (BME): Any referral made by the BME or required evaluations as part of the
application or renewal process to Colorado
Hospital: MEC, Medical Staff Offices, Quality Management, Chief of Staff, Credentialing Committees
Malpractice: A malpractice company
Medical School: Any referrals made by the Medical School Faculty, administration and personnel
Peer: Any MD, DO, or PA that does not fit into another category
Physician Assistant Program: Any referrals made by a Physician Assistant School Faculty, administration and
personnel
Proactive: Self referral who request services who will have or would likely have consequences with other entities
or organizations if they do not follow
Resident Program (Res Prog): Any referrals made by Residency Directors and personnel
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
Treatment Provider (Tx Prov): Professionals in community that provide treatment to CPHP participants
REASONS FOR INACTIVATION
Application Withdrawn: Individual decides not to pursue a Colorado license after the application was submitted.
Or, individual decides not to submit a Colorado license application.
Consultation Complete: Referral Source other than self was provided program information, referral guidelines and
options regarding specific new referral. Initial intake not completed at this time. No potential safety or patient
safety issues identified.
Deceased: Client deceased.
Evaluation Completed (Eval Comp): Client completed evaluation, no treatment or monitoring recommended. Also
used for out of state clients who will follow-up with treatment and/or monitoring in own state.
Evaluation Declined (Eval Declined): Client referred for evaluation. Refused or declined to have evaluation or
cannot be located. No patient safety issues identified.
Evaluation Incomplete (Eval In Comp): Client begins evaluation process but does not comply with completion of
CPHP evaluation. No potential safety or patient safety issues identified.
Monitoring Completed (Mon Comp): Client has followed CPHP recommendations for treatment and/or
monitoring. Monitoring no longer warranted.
Monitoring Declined (Mon Declined): Client completed evaluation. Client declined CPHP recommendations for
treatment and/or monitoring. No patient safety issues identified.
Non-Compliance: Client did not comply with the completion of CPHP evaluation and/or did not comply with CPHP
treatment and/or monitoring recommendations. Potential safety or patient safety issues identified.
Other: Any reasons that does not fit another category
Referral Declined: Self referral was provided program information, referral guidelines and options regarding
specific circumstance. Initial intake not completed at this time. No potential safety or patient safety issues
identified.
Relocated: Client relocated after evaluation completed. No patient safety issues identified.
Rescinded Order: BME rescinded the order for CPHP evaluation and individual is no longer required to have one.
Client may or may not have completed an initial intake or received monitoring services.
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