Federation of State Physician Health Programs

FSPHP Homepage About the FSPHP State Programs Meetings Publications Contact Us	Illinois Demographics and staff - member Program Name: Illinois Professinals Health Program Address: 701 Lee Street, Suite 100 Des Plaines, IL 60016-4545 Telephone:  (847) 795-2810 or (800) 215-4357 Fax:  (847) 795-2847 E-mail:   martin.doot-md@advocatehealth.com Web site: http://www.iphp.medem.com Staff: Martin C. Doot, MD, Medical Director Carole Hoffman, LCSW, CSADC, Manager, Case Management Services Janet Pickett, RN, CADC, Case Manager Russell Romano, LCPC, CADC, Case Manager Mimi Meiselman, APN, CS, CADC, Case Manager Pat Barth, Administrative Assistant Ruthanne Orsini, Financial and Toxicology Services Coordinator Caroline Hille, Toxicology and Administrative Assistant Program structure The program is operated by: not-for-profit organization Do you have a formal contractual relationship with the state medical board? No Program services Types of disease, illness, or conditions monitored: Chemical dependency Mental health Behavioral health problems Sexual misconduct and/or boundary violations Physical illness Stress management Services provided to which populations: Physicians - MD Physicians - DO Families of physicians Medical students Dentists Residents Psychologists Podiatrists Nurses Physician assistants Pharmacists Veterinarians Other Funding Please indicate the primary sources of funding for your program: State licensing agency Malpractice insurance companies Participant fees: $110 per month Monitoring requirements Chemical dependency Length of contract: 5 years Random urine drug screen frequency: Year 1: 45-55 tests per year Year 2: 12-16 tests per year Year 3: 12-16 tests per year Year 4: 12-16 tests per year Year 5: 12-16 tests per year   Support (self help) group requirements: AA NA Caduceus Professionally facilitated Other: psychotherapy Support (self help) group frequency: Year 1: 2 times per week Year 2: 2 times per week Year 3: 2 times per week Year 4: 2 times per week Year 5: 2 times per week Note: or as prescribed Therapy or treatment requirement: approved structured program Work or practice monitor requirement: involved when appropriate Other provisions: Monthly contact with case manager Mental health Length of contract: 5 years Support (self help) group requirements: as prescribed by treater Support (self help) group frequency: as prescribed Therapy or treatment requirement: as prescribed by treater Work or practice monitor requirement: Other provisions: monthly case manager contact first year; quarterly contact thereafter or physician recovery network Please describe any other monitoring services provided: