Colorado Physician Health Program Annual Report July 2003 - June 2004

1
Colorado Physician Health ProgramAnnual Report
July 2003 - June 2004

• Executive Director Sarah R. Early, PsyD
• Medical Director Michael H. Gendel, MD

2
Table of ContentsAnnual ReportJuly 2003 June
2004

• 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 Pages
  7-9
• License Status of New Referrals
  Year-to-Date Page 10
• New Referrals Geographical Area
  Year-to-Date Page 11
• Referrals Reactivations 1993 2004 Page 12
• Reactivations Year-to-Date Page 13
• Inactivations (Reasons/Outcome) -
  Year-to-Date Page 14
• Participants Documentation Requests Page 15
• Program Highlights Pages 16-17 Community
  Outreach Page 18
• Services Provided by CPHP Page 19
• CPHP Board of Directors and Staff Page 20
• APPENDIX
• Definition of Terms Page 22

3
Referral Summary July 2003 - June 2004

• New Referrals CPHP continued to receive steady
  New Referrals throughout Fiscal Year 2003-04 with
  222 New Referrals. When compared to Fiscal Year
  2002-03, CPHP experienced an actual growth of 18
  cases which is an increase of 9. The Colorado
  Board of Medical Examiners (BME) made
  modifications within the licensing application
  that CPHP suspects will effect New Referral
  growth projections. Specifically, the BME License
  application now contains wording that allows
  respondents to keep their medical and psychiatric
  histories confidential if they are known to CPHP.
  This language has been used on the BME licensing
  reapplication with success. CPHP predicts that
  growth of New Referrals will be a continued
  steady incline, instead of previous elevations
  and reductions that corresponded to the BME
  licensing renewal application cycle. CPHP is
  pleased with the overall continued growth of New
  Referrals throughout our program history.
• Case Load The average active caseload at any
  given period during Fiscal Year 2003-04 was 365
  clients. This represents an increase of 3
  compared to Fiscal Year 2002-03 (356 active
  client caseload).
• Primary Presenting Problem of New Referrals A
  primary presenting problem area which best
  represents the participant is identified by a
  CPHP clinician 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 problem is identified for reporting
  purposes. The three most common primary
  presenting problems among the 222 New Referrals
  were Psychiatric (14), Behavioral (13) and
  Substance Abuse (10).
• Specialty of New Referrals During Fiscal Year
  2003-04, the specialty most frequently seen at
  CPHP was Internal Medicine (22.4), followed by
  Family Practice (17.2) and Anesthesiology
  (13.4). In an effort to better understand the
  specialty of CPHP New Referrals, CPHP located a
  comparison data set that represents physicians of
  Colorado. See pages 7-9. Overall, CPHP has
  relatively similar New Referral Client Specialty
  percentages when compared to Colorado Physicians,
  with the exception of slightly more prevalent
  CPHP New Referral clients with the specialty of
  Anesthesiology.
• Overview Of the 222 New Referrals, 53 were
  voluntary and 47 were mandatory. Of the total
  New Referrals this year, 65 had active Colorado
  licenses, 14 had Colorado Training Licenses, 12
  were applicants, 3 had lapsed or inactive
  licenses, and 2 were under investigation or
  probation. The remaining 3 of New Referrals did
  not have licenses, which included medical
  students, physician assistant students and
  out-of-state clients. CPHP served New Referrals
  from 22 counties of residence throughout Colorado
  with the most frequent county of residence among
  New Referrals being Denver County (24.8).
• Outcome Year-to-date, CPHP inactivated
  (closed) a total of 228 cases. Of the 195
  evaluated, 175 (90) were inactivated with an
  outcome considered successful and/or
  satisfactory. CPHP is pleased with our continued
  high rate of satisfactory outcomes!
• Total Referrals in CPHP History Since the
  inception of the program in 1986, CPHP has
  received 2,437 referrals and has served 2,082
  participants. Of 2,437 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 2003-04 with 222 New
  Referrals. When compared to Fiscal Year 2002-03,
  CPHP experienced an actual growth of 18 cases
  which is an increase of 9. The BME made
  modifications within the licensing application
  that CPHP suspects will effect New Referral
  growth projections. Specifically, the BME License
  application now contains wording that allows
  respondents to keep their medical and psychiatric
  histories confidential if they are known to CPHP.
  This language has been used on the BME licensing
  reapplication with success. CPHP predicts that
  growth of New Referrals will be a continued
  steady incline, instead of previous elevations
  and reductions that corresponded to the BME
  licensing renewal application cycle.
• BME License Renewal Years

5
Source of New Referrals July 2003 - June 2004
Continued High Self Voluntary Referrals
Client Medical Profession
N222
Other DPM, PA Student
Other DEA, Physician Health Program, Medical
School, Friend, CPEP, Out-of-State, BME,
Anonymous

• During Fiscal Year 2003-04, the highest single
  source of New Referrals was Self referrals,
  representing 38 of New Referrals. This is a
  slight increase (5) when compared to last year
  (33). CPHP continues to be proud of the amount
  of Self referrals to the program which
  demonstrates trust and confidence in CPHP.
• Significantly, 53 of New Referrals came to CPHP
  voluntarily. 47 were mandatory referrals. Once
  again, CPHP is proud of the high percentage of
  referrals that are voluntary, as this reflects
  the respect for the program among physicians in
  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 second highest single source of New Referrals
  was Administration (17), and the BME (14) was
  the third highest category of referral source.
• For definitions of referral source categories,
  see page 22.
• The pie chart on the right reflects the medical
  profession of CPHP clients. The majority of
  clients are physicians without a resident status
  (69). Residents (16) comprise the second
  largest group served and osteopathic physicians
  (7) comprise the third largest group.

6
Primary Presenting Problem of New Referrals
July 2003 - June 2004

N222

• 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 222 New Referrals were Psychiatric
  (14), Behavioral (13) and Substance Abuse
  (10). This representation is similar to Fiscal
  Year 2002-03 with the same top three categories
  of Psychiatric (23), Behavioral (20) and
  Substance Abuse (12).

7
Specialty of New ReferralsJuly 2003 - June 2004

• In an effort to better understand the specialty
  data about CPHP New Referrals, CPHP created a
  data table comparing the statistics of Fiscal
  Year 2003-04 CPHP New Referral Client Specialties
  with statistics from from Peregrine Management
  Systems. CPHP appreciates the donation of this
  data to CPHP in an effort to better understand
  Colorado physician specialty demographics.
• Peregrine Management Systems collected specialty
  data on 9,420 Colorado physicians. This data set
  is continually updated and it is current as of
  March 2004. The Peregrine data set includes only
  Colorado physicians and does not include any
  physicians identifying themselves as residents.
  To date, CPHP has been unable to locate a source
  that collects complete state-wide statistics
  regarding specialties of all licensed or
  practicing physicians within Colorado. This is
  the most complete and representative data set
  CPHP has found which collects specialty
  information on Colorado physicians.
• In order to best compare the two data sets, CPHP
  modified to standardize specialty. Specifically,
  CPHP grouped specialty according to American
  Board of Medical Specialties. However, due to
  the overlapping of several subspecialties, CPHP
  identified the most frequent specialty for the
  particular subspecialty and assigned the
  subspecialty accordingly. The specialties
  utilized and their incorporated subspecialties
  are listed below.
• Allergy Immunology (includes Pediatric)
• Anesthesiology (includes Critical Care Medicine,
  Pediatric, Pain Management)
• Colon Rectal Surgery
• Dermatology (includes Dermatopathology,
  Pediatric)
• Emergency Medicine (includes Toxicology,
  Undersea Hyperbaric Medicine, Urgent Care)
• Family Practice (includes General Practice)
• Internal Medicine (includes Cardiovascular
  Disease, Clinical Laboratory Immunology,
  Diabetes, Endocrinology, Gastroenterology,
  Geriatrics, Hematology, Hospitalist, Infectious
  Disease, Nephrology, Medical Oncology, Pulmonary
  Disease, Rheumatology)
• Medical Genetics
• Neurological Surgery (includes Pediatric, Spine)
• Nuclear Medicine
• Obstetrics Gynecology (includes Gynecological
  Oncology, Infertility, Maternal Fetal Medicine,
  Women's Health)
• Ophthalmology (includes Eye Surgery, Pediatrics,
  Retinal Surgery)
• Orthopaedic Surgery (includes Hand Surgery,
  Pediatrics, Sports Medicine, Total Joint)

8
Specialty of New Referrals July 2003 - June 2003
Data Table
Specialty Peregrine Data Percent CPHP Data Percent
Administrative 52 0.6 0 0
Allergy/Immunology 83 0.9 0 0
Anesthesiology 604 6.4 21 13.4
Colon Rectal Surgery 8 0.1 0 0
Dermatology 135 1.4 1 0.6
Emergency Medicine 611 6.5 8 5.1
Family Practice 1661 17.6 27 17.2
Internal Medicine 1898 20.2 35 22.4
Medical Genetics 9 0.1 0 0
Neurology Surgery 66 0.7 0 0
Nuclear Medicine 3 gt.01 0 0
Obstetrics/Gynecology 539 5.7 5 3.2
Ophthalmology 250 2.7 3 1.9
Orthopaedic Surgery 417 4.4 5 3.2
Osteopathic Medicine 34 0.4 0 0
Otolaryngology 146 1.6 3 1.9
Pathology 175 1.9 6 3.8
Pediatrics 696 7.4 10 6.4
Physical Medicine Rehabilitation 141 1.5 3 1.9
Plastic Surgery 124 1.3 1 0.6
Preventative Medicine 119 1.3 1 0.6
Psychiatry Neurology 692 7.3 11 7
Radiology 454 4.8 6 3.8
Surgery 379 4.0 9 5.8
Thoracic Surgery 11 0.1 1 0.6
Urology 108 1.1 1 0.6
Subtotal 9415 100 157 100
Unknown/Not Applicapable 5 4
In Progress 61
Total 222
9
Specialty of New ReferralsJuly 2003 - June 2004

• Cautionary Notes
• CPHP notes caution in interpretation of this data
  for several reasons. First, the CPHP data set
  includes all clients referred during the fiscal
  year (residents, physician assistants,
  out-of-state clients, etc.) while the Peregrine
  data set contains strictly Colorado physicians.
  Secondly, the data sets were collected from
  different time frames. The Peregrine data set is
  current through March 2004 and the CPHP data set
  is from July 2003 through June 2004. Lastly,
  while the Peregrine data set is not all inclusive
  of the total number of all Colorado physicians,
  CPHP is utilizing this data to assist in
  hypothesizing about CPHP clients as compared to
  the general Colorado physician population.
• Results
• In analyzing the specialty table (previous page)
  comparing the statistics of Fiscal Year 2003-04
  CPHP New Referral Client Specialties with
  statistics from the Peregrine data set, some
  interesting information is gleaned.
• When examining the percent of clients seen at
  CPHP during Fiscal Year 2003-04, the specialty
  most frequently seen at CPHP is Internal Medicine
  at 22.4, followed by Family Practice at 17.2,
  and Anesthesiology at 13.4. This is similar to
  the physicians of Colorado (as represented in the
  Peregrine data set) with the largest specialty
  being Internal Medicine at 20.0, followed by
  Family Practice at 17.6. However the third
  largest specialty for Colorado physicians is
  Pediatrics at 7.4. (Anesthesiology is the sixth
  largest specialty for Colorado at 6.4.)
• Overall, CPHP has relatively similar New Referral
  Client Specialty percentages when compared to the
  Colorado physicians. All of the CPHP New
  Referral specialties are represented within 5
  percent of the Peregrine data set specialties
  except for Anesthesiology.
• The CPHP New Referral specialty of Anesthesiology
  is slightly more prevalent at 13.4 when compared
  to the Peregrine data set at 6.4. This is a
  difference of 7.0. It is hypothesized that
  more Anesthesiologists are seen at CPHP when
  compared to other Colorado physician specialties
  due to Anesthesiology being considered a high
  risk specialty for substance abuse. CPHP is
  pleased that Anesthesiologists are utilizing CPHP
  services and currently targets this specialty
  group for provision of educational information.

10
License Status of New Referrals July 2003 - June
2004
N222

• 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, 65 had
  active Colorado licenses, 14 had Colorado
  Training Licenses, 12 were applicants, 3 had
  lapsed or inactive licenses, and 2 were under
  investigation or probation. The remaining 3 of
  New Referrals did not have licenses, which
  included medical students, physician assistant
  students and out-of-state clients.

11
Colorado Counties Served by CPHP July 2003 -
June 2004







N

































Other Other includes counties that
contain less than 10 physicians, based on 2001-02
BME listing 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 Archuleta, Baca, Cheyenne,
Conejos, Crowley, Custer, Dolores, Hinsdale,
Jackson, Kiowa, Lake, Mineral, Park, Phillips,
Rio Blanco, Saguache, San Juan and Sedgwick.

County Served

Region Number Percent
Adams 3 1.3
Alamosa 1 .5
Arapahoe 20 9.0
Boulder 7 3.1
Broomfield 1 .5
Denver 55 24.7
Douglas 9 4.0
Eagle 4 1.8
Region Number Percent
El Paso 10 4.5
Fremont 2 .9
Garfield 1 .5
Gunnison 1 .5
Jefferson 14 6.3
La Plata 1 .5
Larimer 4 1.8
Logan 2 .9
Region Number Percent
Mesa 2 .9
Prowers 2 .9
Other 1 .5
Pueblo 5 2.2
Routt 1 .5
Weld 5 2.2
Out-of-State 10 4.5
In Process 61 27.5
YR 2003-04 222 100
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 2003-04. CPHP is pleased with the efforts
  to assist clients throughout the state. These
  results demonstrate the effective promotion and
  utilization of CPHP services state-wide.
• The most frequent county of residence among New
  Referrals was Denver County at 24.8, followed by
  Arapahoe County at 9.0 and Jefferson County at
  6.3.

12
Referrals Reactivations1993 - 2004

• CPHP continued to receive steady New Referrals
  throughout Fiscal Year 2003-04 with 222 New
  Referrals. When compared to Fiscal Year 2002-03,
  CPHP experienced an actual growth of 18 cases
  which is an increase of 9. The BME made
  modifications within the licensing application
  that CPHP suspects will effect New Referral
  growth projections. Specifically, the BME License
  application now contains wording that allows
  respondents to keep their medical and psychiatric
  histories confidential if they are known to CPHP.
  This language has been used on the BME licensing
  reapplication with success. CPHP predicts that
  growth of New Referrals will be a continued
  steady incline, instead of previous elevations
  and reductions that corresponded to the BME
  licensing renewal application cycle. CPHP is
  pleased with the overall continued growth of New
  Referrals throughout our program history.
• Of the 222 New Referrals, 38 were reactivations.
  This represents 17 of the total New Referrals.
  This percentage is a slight increase when
  compared to Fiscal Year 2002-03 (14).

13
Reactivations July 2003 - June 2004
Primary Presenting Problem
Referral Source
N38

• 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 38
  participants who were reactivated, 42 Self
  referred. This is an increase when compared to
  Fiscal Year 2002-03 when 35 Self referred.
• 55 of Reactivations came voluntarily to CPHP
  during Fiscal Year 2003-04. Voluntary referrals
  of Reactivations have increased when compared to
  Fiscal Year 2002-03 which had 41 voluntary
  reactivations. CPHP is pleased with the increase
  in voluntary referrals as this demonstrates trust
  and confidence in CPHP services.
• Primary presenting problems of reactivated
  clients are illustrated on the right pie chart.
  These statistics reflect that Reactivations most
  commonly present with problems of Substance Abuse
  (16), followed by Legal (13) and Psychiatric
  (11) issues. This distribution varies from
  total CPHP New Referrals (three largest
  categories listed in descending order
  Psychiatric, Behavioral and Substance Abuse). The
  distribution of primary presenting problem areas
  was proportionately higher for Reactivations in
  the category of Substance Abuse (16) when
  compared to percentages of total New Referrals
  for the 2002-03 Fiscal Year (10). Legal was
  also significantly higher in reactivations (13)
  when compared to Annual New Referrals (5). The
  percentage of Reactivations and New Referrals
  with the primary presenting problem of
  Psychiatric was similar at 11 and 14
  respectively.

14
228 Participants Inactivated (Reasons/Outcome)
July 2003 - June 2004
Length of Active Status at CPHP
N228

• Inactivation refers to when a case is closed at
  CPHP. Definitions of inactivation reasons are on
  page 22.
• For Fiscal Year 2003-04, CPHP inactivated 228
  participants and opened 222 new cases, resulting
  in a net loss of 6 cases.
• Of 228 inactivations, 23 (11) Declined
  Evaluation, 3 unfortunately were Deceased, and 7
  Relocated therefore, 195 clients were evaluated.
  Of the 195 evaluated, 175 (90) were inactivated
  with an outcome considered successful and/or
  satisfactory. CPHP maintained its high success
  rate when compared to Fiscal Year 2002-03. 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 (56) completed the necessary
  involvement with CPHP in one year or less.

15
Participants Documentation Requests July 2003
June 2004
N 933

• CPHP processed 933 requests for reports during
  Fiscal Year 2003-04.

16
Program Highlights

• Physician Peer Health Assistance Contract CPHP
  successfully completed the Request for Proposals
  process and was awarded the five year Physician
  Peer Health Assistance Contract. CPHP is looking
  forward to continue to provide the peer
  assistance services to the physicians and
  physician assistants of Colorado.
• CPHP Medical Director and Associate Medical
  Directors
• CPHP Medical Director Emeritus Retires Stephen
  L. Dilts, MD, Medical Director Emeritus, retired
  from CPHP on May 1, 2004 after 18 years of
  service. A CPHP-sponsored luncheon was held on
  April 20th to recognize Dr. Dilts and the pivotal
  role he has played in helping to create one of
  the countrys premier physician health programs.
  Dr. Dilts plans to continue in his role as a Park
  Ranger at Roxborough State Park. CPHP wishes him
  the best in his future endeavors.
• CPHP hires new Associate Medical Director CPHP
  is pleased to announce Elizabeth Libby Stuyt,
  MD, as the Associate Medical Director for the
  southern Colorado region. She received her Doctor
  of Medicine degree from Texas Tech University
  Health Sciences Center and is certified by the
  American Board of Psychiatry and Neurology with
  added qualifications in Addictions. Dr. Stuyt
  was a member of the Texas Medical Association
  state committee on Physician Health and
  Rehabilitation for ten years working with
  physicians in areas of education, intervention
  and monitoring. Dr. Stuyt is currently the
  medical director for the Circle Program, a 90-day
  inpatient dual-diagnosis treatment program at the
  Colorado Mental Health Institute at Pueblo. She
  is a senior instructor in the Department of
  Psychiatry at the University of Colorado Health
  Sciences Center. She is active in research and
  is very interested in the effects of all
  addictive drugs, including nicotine, on the
  addiction process, treatment and recovery. CPHP
  is welcomes Dr. Styut to CPHP.
• CPHP Medical Director and Medical Director
  Emeritus Honored Colorado Psychiatric Society
  (CPS) bestowed distinguished awards to both CPHP
  Medical Director and Medical Director Emeritus at
  the CPS Spring Dinner Meeting on March 23, 2004.
  Michael H. Gendel, MD, CPHP Medical Director,
  received an Outstanding Achievement Award.
  Stephen L. Dilts, MD, Medical Director Emeritus
  received a Lifetime Achievement Award. CPHP
  applauds the professional accomplishments of Dr.
  Gendel and Dr. Dilts. Congratulations!
• CPHPs Website Goes Live CPHP was proud to
  announce our website to the medical community of
  Colorado in September 2003. The website has
  improved accessibility of information about CPHP
  services and procedures. Check out the CPHP
  website at www.CPHP.org.
• Availability of Services In addition to CPHP
  providing services to Colorado licensed
  physicians and physician assistants, contracts
  exist to provide services for University of
  Colorado Health Sciences Center Residency
  Program, Medical School, and Physician Assistant
  Program, St. Josephs Residency Training Program
  and Red Rocks Community College Physician
  Assistant Program. CPHP was excited to also
  begin providing services to St. Anthonys
  Residency Training Program for the 2003-04
  academic year. CPHP welcomed the opportunity to
  expand our services to serve this Denver-based
  training program.

17
Program Highlights continued

• 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 expanded the campaign to highlight
  Women in Medicine. In addition the LivingWell
  Giving Society (which honors multiple year
  donors) and the Eternal Life Legacy Program
  (which honor donors who provide a bequest) were
  developed. CPHP hopes to continue the tradition
  of success for Fiscal Year 2004-05. We are
  thrilled with the show of support for CPHP and we
  are planning to utilize the funds raised for
  projects to continue improvement of client
  services and community outreach.
• Federation of State Physician Health Programs
  (FSPHP) CPHP continued active national
  involvement with the FSPHP during Fiscal Year
  2003-04 with CPHP Medical Director, Michael H.
  Gendel, MD, serving as President of this
  organization.
• Annual Federation of State Physician Health
  Programs Annual Meeting CPHP Medical Director,
  Executive Director and Associate Medical
  Directors attended the FSPHP Annual Meeting in
  Arlington, Virginia, April 26-28, 2004. Dr.
  Sarah R. Early presented on CPHPs Fundraising
  History and Spirit of Medicine Campaign on a
  Panel to discuss various Physician Health Program
  fundraising efforts. Additional presentation
  topics addressed at this meeting included
  innovations in toxicology, boundary crossings and
  violations, challenges to re-entry for physicians
  and healthcare professionals, Federation of State
  Medical Board overview, and health of women and
  men physicians. CPHP representatives welcomed
  the opportunity to network with colleagues from
  other Physician Health Programs and gain valuable
  information about physician health related
  issues.
• Western Region of the Federation of State
  Physician Health Programs Annual Meeting CPHP
  Medical Director, Executive Director and
  Associate Medical Directors attended the Western
  Region of the FSPHP Annual Meeting in Canon
  Beach, Oregon September 25-27, 2003. In
  addition, Michael Gendel, MD, CPHP Medical
  Director attended the Northeast Region of the
  FSPHP Annual Meeting in Cape Cod, Massachusetts
  on September 12, 2003. CPHP is pleased to have
  an active role with physician health colleagues.
• Finance and Peer Assistance Budget CPHP
  finished the fiscal year ending June 30, 2004,
  with an actual Year-to Date Program Operations
  Net Loss of 21,171.58 versus an anticipated
  Year-to-Date budgeted Net Loss of 94,856.00.
  The substantial decrease in the net loss can be
  attributed to increased Fee-for-Service
  Revenue and a decrease in physician fees related
  to a temporary reduction in contracted physician
  hours.  The Net loss was supplemented with cash
  reserves from the annual Spirit of Medicine
  campaign.

18
Community Outreach Highlights

• Physician Stress and Stress Management Seminars
  CPHP and Copic successfully completed the second
  series of Physician Stress Seminar 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 second series of
  presentations included Pueblo, La Junta, Denver,
  Sterling, Loveland, Englewood, Boulder,
  Louisville and Steamboat Springs. Due the
  success of this educational venture, the third
  series of Physician Stress and Stress Management
  Seminars commenced this fiscal year.
• 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 and
  Group Practices.
• 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, Colorado Springs, Durango, Fort Collins,
  Grand Junction and Pagosa Springs.

19
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

20
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 Doris C.
Gundersen, MD Associate Medical Director Vice
Chair John Drabing, DO Theodore (Ted)
Zerwin, MSW Retired David A. Iverson,
MD Retired, President Orthopedic Surgery
Associate Medical Director Arthritis Foundation,
Rky Mtn Cptr Colorado Springs Westminster
Jay H. Shore, MD Caroline Gellrick, MD
Associate Medical Director Secretary Exempla
Occupational Medicine Michael Michalek, MD
Occupational Medicine Michael S. Stuges,
MD Medical Director Wheat Ridge Associate
Medical Director Addiction Recovery Unit
Presbyterian/St. Lukes Hospital Carol
Goddard Elizabeth Libby B. Stuyt, MD Denver
Owner and CEO Associate Medical
Director Goddard Associates Treasurer
Englewood Professional and Administrative
Staff James Borgstede, MD Penrad
Imaging Debbie Lazarus Sarah R. Early,
PsyD Radiology President Executive
Director Colorado Springs Colorado Medical
Society Alliance Greenwood Village Cae
Allison, LCSW Director-at-Large
Clinician Maureen Garrity, PhD Sandra
Maloney Associate Dean, Student Affairs
Community Member Teresa Bajorek, CPCS Univ. of
Colo Health Science Ctr Littleton Executive
Assistant/Office Administrator Denver
Judith Beshel, LCSW Director-at-Large Cl
inician Larry Schafer, MD Private Practice
Karen Chipley, MBA Oncology/Hematology
Director of Finance Arvada Brian
Ellis Receptionist/Program Assistant Shar
i Lewinski, LPC Clinician D.Jo
Lowell, MDiv Director of Clinical
Services Jill Sample, BS Clinical
Coordinator Susan Swern, BS Development
Specialist
21
APPENDIX
22
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