WELCOME TO THE MPHP

Taking care of our Missouri Physicians

 

 An Update About Bob Bondurant's Health

 

 

Starting August 15th, 2019, we will be moving to a new office!
 
The MPHP will relocated to,
1023 Executive Parkway, Suite 16
St. Louis, MO 63141

 

 

The formation of the Missouri Physicians Health Foundation in 1985, by the Missouri State Medical Association was due in large measure to the crusading efforts of Donald McIntosh, MD, a Kansas City anesthesiologist. In 1977 the MSMA formed an Ad hoc Committee on the Impaired Physician. The committee, which Dr. McIntosh chaired, was mandated to study the incidence of the problem of impairment in Missouri. The committee issued “The Mcintosh Report” in 1978 which was instrumental in the establishment of the first physician hotline, and subsequently the eventual formation of the MPHP. Dr. McIntosh once stated, “we have a responsibility to our colleagues to be concerned enough about them to respond to their problems.” 

 

Dr. McIntosh saw each physician as a valuable resource who had dedicated long years of study and financial resources in order to practice medicine. He also knew that in most cases these physicians could be helped and enabled to return to their chosen profession, after a period of rehabilitation. The MPHP strives to keep his vision alive by serving today’s physicians in need. We are proud to honor his memory and strive to uphold the high standard which he set.

 

Let us share with you how we have implemented a program that carries forward the dream of Dr. Don McIntosh. We will begin with the form that we use for all new participants in our program (2019). It is titled, “Welcome to the Missouri Physicians Health Program (MPHP)”.  This document is what we provide to each new participant:

 

 Welcome to the MPHP Form

 

The Missouri Physicians Health Program is a 501c (3) not-for-profit organization. We have no statutory authority and are not part of the regulatory system. We receive no governmental funding. This is why we reach out to the medical community for support. This is part of our effort to keep the cost of our program at a minimum. When we assist physicians, it is our intention to help them in any way we can.

 

The Missouri Physicians Health Program has a Memorandum of Understanding with the Missouri Board of Healing Arts. It is our desire to work closely with them, but not for them. They set the standards for what is required when a physician is being investigated and are rendering their decision. Their website provides a list of approved treatment and evaluation programs which we utilize. We primarily utilize this resource. Please note that there are a few approved programs available in Missouri. At this time, however, there are no residential programs for professionals in this state. To meet the standards of the board, we usually refer to programs outside of Missouri, which increases the cost to that physician. What we offer are recommendations, not demands.

 

The MPHP does use local practitioners for individual treatment. We partner with the physician in making this referral. Some may choose to use their own physician or therapist, and we will work with them as well.

 

The MPHP strives to keep our costs to the physician at a minimum. The major cost comes from third party providers for treatment, evaluation, and legal assistance. We provide a sliding scale for monitoring services for medical students and residents, due to their limited income. There is no charge for all initial meetings and consultations. These sessions may involve days, weeks or months but until the monitoring begins, there is no charge.

 

A physician who is referred to us by a third-party almost always has to provide some type of feedback to that referral source. With written consent from the participant, we will provide that feedback. The regulatory agencies have requirements as do employers, as well as other sources of the referral. Requirements of the referral sources usually involve a financial cost. These costs are for drug testing, medical or mental health evaluations, or treatment. These programs and their costs are not mandated by the Missouri Physicians Health Program but are requirements of the referral source. However, the self-referred physician is able to assist in developing his own plan for help. That physician can obtain their own services, request second opinions, as well as consult with their own attorney.

 

Often, we are asked to assist very troubled people. No matter what assistance they receive, it may not be acceptable to them. This represents a very small number of referrals, but it can be very problematic for the MPHP. These clients do have options, but options are often limited by the demands of the referral source.

 

The MPHP, with consent of the referred physician, will provide a report to the referring organization. No report is made to anyone if it is not requested by the self-referred physician.

 

Just as mental health practitioners, we, like the physicians we serve, must report homicidal or suicidal ideations, sexual abuse of children or the abuse of the elderly. This is a legal and professional requirement.

 

Even if an outside agency reports erroneous information or attempts to manipulate us to provide them with protected information, we will not do it. Unless we have a signed consent from the physician, we cannot reveal any information. We have professional restraints, while others may not share those concerns.

 

However, confidentiality and anonymity are fundamental to our mission to serve Missouri physicians, physicians-in-training and medical students. We carefully guard and protect the information we obtain from our clients.

 

We must be able to protect the privacy of our clients. Unless a potential client feels safe, they will not reach out to the Missouri Physician Health Program.

 

Financial cost is always a concern. The Missouri Physicians Health Program will recommend options. The final selection of resources is usually dictated by what is necessary to satisfactorily resolve an issue with a referral source. The physician is able to consult with their attorney, physician or other source of consultation. We welcome their input. We cannot demand or force anyone to comply. That is not our role. We do not have any power in that regard. Only the referral source is able to exercise that type of leverage. The client does have a choice. The outcome is decided by the referral source and how the client wants to respond to that entity.

 

There are many physician health programs around the United States. We belong to the Federation of State Physician Health Programs and share the common goal of being of help to physicians. But each program is unique in that it is based on their individual state governments, regulatory agencies and governing bodies. You cannot assume that all physician health programs are the same. As many say, “when you have seen one PHP, you have seen one PHP.”

 

The formation of the Missouri Physicians Health Foundation in 1985, by the Missouri State Medical Association was due in large measure to the crusading efforts of Donald McIntosh, MD, a Kansas City anesthesiologist. In 1977 the MSMA formed an Ad hoc Committee on the Impaired Physician. The committee, which Dr. McIntosh chaired, was mandated to study the incidence of the problem of impairment in Missouri. The committee issued “The Mcintosh Report” in 1978 which was instrumental in the establishment of the first physician hotline, and subsequently the eventual formation of the MPHP. Dr. McIntosh once stated, “we have a responsibility to our colleagues to be concerned enough about them to respond to their problems.” 

Dr. McIntosh saw each physician as a valuable resource who had dedicated long years of study and financial resources in order to practice medicine. He also knew that in most cases these physicians could be helped and enabled to return to their chosen profession, after a period of rehabilitation. 
The MPHP strives to keep his vision alive by serving today’s physicians in need. We are proud to honor his memory and strive to uphold the high standard which he set.

 

 

 

Meet Our Team
Lisa Thomas
MD, MA, Medical Director
Robert Bondurant
RN, LCSW, Executive Director
Mary C. Fahey
LCSW, Program Director
Kay O'Shea
MA, CADC, Clinical Coordinator

 

Jane MacGreevy
MSW, LCSW, Case Manager
Nancy Morton
Hospital Services Coordinator/Editor, The Physician Lifeline

Jamie Hilkenkamp
Client Service Coordinator

 

 

  • Physicians' Health Committee Members:


    • Scott Groesch, M.D.

      Richard Kenney, DO

      Carlos A. Maitz, MD

      Michael O'Dell, MD

      Bruce Parsa, DO

      J. Chris Perryman MD FACP

      Charles H Sincox, MD, FAAFP


    • Chairman:

    • William L. Woods, MD, FACC


  • Associate Medical Directors:

    • Richard G. Kenney, D.O.

    • James B. Reynolds, M.D., F.A.P.A.


  • Regional Coordinators:

    • Marty J. Dressman, MSW, LCAC, LCSW

    • Jeremy Duke, MA, LPC

    • Tracy Ellman, LCSW

    • Maria L. Evans, MD

    • Cathy Hodgson, Ed.D

    • Jayne E. Niskey, Ph.D