The Weekly Dose           Bexar County Medical Society

Week of March 24,  2013 

Vol. 2, No. 28

The convenience

of the episode


By John K. Wisniewski

BCMS CEO/Executive Director


We've seen a dramatic increase in ER capacity; both hospital expansions and a proliferation of free-standing facilities.  Much of the care they render is not truly emergent.


This would be a good week to consider why some folks prefer an ER.  For many patients, it's because ERs can't ask them for money, but for others, it's flexible hours and perhaps most importantly an expectation for a complete episode of care with one visit.


While it's impossible to replicate the diagnostic tools that support an ER, evaluate ways to make your patients' entire episode of care more convenient. 





Sign up now to ride the BCMS bus

April 2 for

First Tuesdays


BCMS wants you to join us at First Tuesdays at the Capitol so we are arranging bus transportation from San Antonio to Austin!


To secure a seat on the BCMS bus,

click here.


We're at a critical point in the legislative process and need as many physicians and Alliance members as possible to join us at the April First Tuesdays event.



must register with TMA

to attend First Tuesdays. 








Sunday, April 7

10 a.m. to 3 p.m.


Family-friendly event turns a stretch of Broadway temporarily car-free so pedestrians have a safe, fun place for walking, bicycling, jogging and enjoying outdoor activities.


Free community event organized by the YMCA of Greater San Antonio, H-E-B and the City of San Antonio.


For information,

click here.




San Antonio...

The Gateway to South Texas

BCMS looks to enhance partnership

with Border Health Caucus


By Mary E. Nava, MBA

BCMS Chief Governmental and

Community Relations Officer


Last week, several BCMS physicians gathered in a phone conference to discuss BCMS' partnership with the Border Health Caucus (BHC), including ideas to recruit more physicians from San Antonio to participate in BHC meetings and activities and to reaffirm our society's commitment to the BHC.


Many thanks to the following BCMS members who participated in the call: M. Antonieta Gonzalez, MD; David Henkes, MD; Jesse Moss Jr., MD; John Nava, MD, and BCMS President Gabriel Ortiz, MD.


Eleven years ago, this coming May, the BHC was established in San Antonio. Antonio Cavazos Jr., MD, was one of the founding members of the BHC, an informal, ad-hoc caucus composed of several county medical societies, currently representing approximately 9,000 physicians, including: El Paso CMS; Val Verde CMS; Maverick CMS; Tri-County (Webb, Jim Hogg, Zapata) CMS; Hidalgo-Starr CMS;  Cameron-Willacy CMS; Nueces CMS; and BCMS.


The BHC was created in an effort to bring special attention to the myriad of health issues and concerns that patients and physicians along the border face each day and how these border health concerns eventually travel north. Manuel Acosta, MD, a general surgeon in private practice in El Paso and also chairman of the BHC, stated: "The leadership potential in South Texas and the border is virtually limitless. To survive in tough practice areas with a myriad of challenges is what helps this region of Texas to thrive."


San Antonio is unique in the sense that it most closely mirrors many of the same patient-physician issues currently affecting our friends along the border. In effect, the border has a cultural, symbiotic relationship with San Antonio. Adding to San Antonio's uniqueness is the fact that back in 2003, the passage of tort reform was won by 30,000 votes; from El Paso to Brownsville and from Corpus Christi to San Antonio, more than 15,000 of the positive votes came from below IH-10 south and IH-37. Perhaps for some of these reasons, San Antonio is referred to at times as "the gateway to South Texas."


A number of things are affecting San Antonio in a positive way; for example, the Eagle Ford Shale project, trade from Mexico, etc. The success of activities such as these is what's going to drive San Antonio to a larger presence statewide and beyond. Add to that the number of patients who may travel from the border to San Antonio for medical care, and you have an economic impact to this city coming from South Texas and the border. This further heightens San Antonio and Bexar County's presence and importance to effectively communicate the geographic mind-set of the Border Health Caucus and how it translates to the border area and the rest of the state and to Washington, DC.


Some exciting events are on tap, including the Eighth Annual Border Health Conference, which will be in McAllen in August. Congressman Henry Cuellar, who hails from Laredo, is leading the conference and, as his congressional district includes San Antonio, this, too, further defines San Antonio as a developing force within the BHC.


Stay tuned to this column for more information on the upcoming Border Health Conference.


For more information on the BHC,

contact Mary Nava  by email at





TPC San Antonio offers special BCMS membership pricing



 TPC San Antonio, home of the Valero Texas Open, is proud to extend special membership pricing and incentives to BCMS members.

 Just approved by PGA TOUR headquarters, and here only through April 8, ask us about the "5475" membership offer, in celebration of the upcoming TOUR event.

 For full information on this special membership offer or to allow us to host you during the Valero Texas Open as a member candidate,

contact Matt Flory, membership director, at 210-491-5816

or by email to



Circle of Friends web logo 


This information is sent on behalf of a valued BCMS Circle of Friends sponsor at the Bronze level, but it is not an endorsement. Donations from Circle of Friends sponsors help keep down the cost of dues and allow BCMS to continue to provide quality service to its members. The society continues its pledge to you and only will involve itself in services and programs that benefit you, the member, and your patients.












 About The Weekly Dose 

  The Weekly Dose is a service of the Bexar County Medical Society.

Some of the suggestions conveyed may not be applicable to your practice today,
 but the goal is to offer information over time that returns value in excess

of the cost of your membership.

If you would like to recommend future topics to share with your colleagues,

please submit them to the BCMS executive director at

All rights reserved. Unauthorized use prohibited.

Copyright © 2013
 Bexar County Medical Society, San Antonio, Texas.



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