Federation of State Physician Health Programs

FSPHP Homepage About the FSPHP State Programs Meetings Publications Contact Us	Pennsylvania Demographics and staff - member Program Name: Physicians’ Health Programs Address: 777 East Park Drive, PO Box 8820 Harrisburg, PA 17105-8820 Telephone: (717) 558-7819 Fax: (717) 558-7818 E-mail: php.foundation@pamedsoc.org Staff: John W. Martyniuk, PhD, MD, Medical Director Gregory K. Gable, PsyD, Senior Director Robert B. Wolf, Case Manager Shirley M. Stuppy, Administrative Director Beth Ann Fromm, Case Management Assistant Wendie Dunkin, Monitoring & Billing Assistant Linda Fortney, Administrative Secretary Program structure The program is operated by: The Foundation of the PA Medical Society Do you have a formal contractual relationship with the state medical board? Yes We monitor any phsycian that is reported to the State Board for a monthly fee We also have a Memorandum of Understanding with the State Board Program services Types of disease, illness, or conditions monitored: Chemical dependency Mental health Behavioral health problems Physical illness Stress management Other: Cognitive deficits, disruptive physician Services provided to which populations: Physicians - MD Physicians - DO Residents Medical Students Physician assistants Dentists (per contract) Dental Hygienists (per contract) Podiatrists - DPM Funding Please indicate the primary sources of funding for your program: State medical society State licensing agency Hospital and private contributions Participant fees: We charge an initial "case initiation fee" and for advocacy letters Monitoring requirements Chemical dependency Length of contract: 5 years Random urine drug screen frequency: Year 1: 50-60 times per year Year 2: 30-40 times per year Year 3: 20-30 times per year Year 4: 10-20 times per year Year 5: 10-20 times per year Support (self help) group requirements: AA NA Caduceus Support (self help) group frequency: Year 1: 3-4 times per week Year 2: 3-4 times per week Year 3: 3-4 times per week Year 4: 2-3 times per week Year 5: 2-3 times per week Therapy or treatment requirement: Group for 2 years minimum, individual if needed Work or practice monitor requirement: Yes Mental health Length of contract: 3 years Support (self help) group requirements: as recommended Support (self help) group frequency: as recommended Therapy or treatment requirement: Individual or group for entire period as indicated Work or practice monitor requirement: Yes Other provisions: Please describe any other monitoring services provided: Cognitive deficits - facilitate re-entry by following progress and monitoring work through clinical review by volunteer physicians. Disruptive physician