Current Healthcare Issues

ISMA e-Reports

In the 2016 General Assembly, LGBT issues will absorb a major portion of time, along with infrastructure concerns, like improvements to our highways. But for the ISMA, efforts to protect the state's Medical Malpractice Act will dominate.
Posted: January 13, 2016, 8:00 pm
Last summer, Elizabeth Struble, MD, invited State Sen. Jim Banks, R-Columbia City, to visit her office. With no particular agenda, the meeting presented an opportunity for Sen. Banks to understand what Dr. Struble's day-to-day life is like practicing in rural Indiana.
Posted: January 13, 2016, 8:00 pm
As part of the ISMA's ongoing education on controlled substance prescribing, we asked Indiana Attorney General Greg Zoeller to respond to questions about opioid use in Indiana and the state's response. Zoeller, who was re-elected to a second term in November 2012, created and serves as co-chair of Indiana's Prescription Drug Task Force. He earned his law degree from the Indiana University School of Law at Bloomington in 1982.
Posted: January 13, 2016, 8:00 pm
Last year's Medicare Access & CHIP Reauthorization Act (MACRA) ended the much maligned Sustainable Growth Rate formula, but also enacted changes in how you will be paid for Medicare patients in the future. Learning about new and unfamiliar acronyms offers a great first step to prepare for these coming changes.
Posted: January 13, 2016, 8:00 pm
Healthy Hearts in the Heartland (H3) is a federally funded research program working with small practice clinics in the Midwest to implement and evaluate quality improvement strategies for cardiovascular care.
Posted: January 13, 2016, 8:00 pm
One of our trustees mentioned at an ISMA board meeting that he had attended a district meeting where another doctor, noting the sparse attendance, asked whether the ISMA was still relevant to Indiana physicians.
Posted: January 13, 2016, 8:00 pm
Consider where you fall in a recent Merritt Hawkins survey in which 77.8 percent of Indiana physicians rated themselves as "at full capacity" or "overworked and overextended." Are you among the 22.2 percent with time to see more patients or the 77.8 percent at their limit or overextended
Posted: January 6, 2016, 8:00 pm
As another year passes, the ISMA reflects on 12 months of challenges, but also achievements and victories. Looking back at 2015, we can celebrate these milestones in our nation and our state
Posted: January 6, 2016, 8:00 pm
You may already have some familiarity with the ISMA's Physician Assistance Program (PAP), which has been involved in physician health and advocacy for decades. However, a review of the program for some - and an introduction for others - starts with understanding that the program is confidential and its staff is experienced. Most program personnel have been working as a team for 25 years.
Posted: January 6, 2016, 8:00 pm
Your office staff is likely starting to see more HIP Power Account debit cards and usage may rise quickly for patient office visits. MHS and Anthem cards are similar; however, rather than a card, MDwise has a prepayment tool on its website for use at patient checkout. The new cards/services allow you to receive payment in real time when providing care to HIP patients.
Posted: January 6, 2016, 8:00 pm
Prior to adjourning for the holidays, Congress adopted legislation, S. 2425, the Patient Access and Medicare Protection Act. The measure included a provision granting the Centers for Medicare & Medicaid Services (CMS) authority to expedite applications for exemptions from Meaningful Use Stage 2 requirements for the 2015 calendar year.
Posted: January 6, 2016, 8:00 pm
On Dec. 31, 2015, the Vital Records Division of the Indiana State Department of Health (ISDH) changed the reporting process for terminated pregnancies in Indiana. According to state law, the new process requires all terminated pregnancies performed in 2016 to be reported electronically, rather than on a paper form.
Posted: January 6, 2016, 8:00 pm
If you complete applications for disability license plates or parking placards for patients. Be sure to use the new, updated form. According to the Indiana Bureau of Motor Vehicles (BMV), old applications are no longer accepted.
Posted: January 6, 2016, 8:00 pm
If a picture is worth a thousand words, a picture in full color is worth even more! In January, ISMA Reports will be delivered to your mailbox monthly in an all new size and format.
Posted: December 15, 2015, 8:00 pm
The ACCME presented the 2015 Howard W. Rutledge, MD, Award for Outstanding Collaboration between accreditors to the ISMA and its affiliated CME providers this month. The award acknowledges exemplary efforts in helping state CME providers. It recognizes excellent working relationships between the ISMA and CME providers across the state, as well as collaboration in leadership, initiative and innovation.
Posted: December 15, 2015, 8:00 pm
At the AMA Interim meeting in November, Indiana members were pleased about AMA action on several resolutions that originated at the ISMA House of Delegates last September. Two ISMA resolutions were adopted unchanged and one was amended and adopted.
Posted: December 15, 2015, 8:00 pm
Chronic pain continues to be one of the most difficult medical management problems. At the Indianapolis Roudebush VA Medical Center, we are changing our pain management culture from a bio-medical model to bio-psych-social model, using a multi-modal approach, and have seen increasing success.
Posted: December 15, 2015, 8:00 pm
If you complete applications for disability license plates or parking placards for patients, be sure to use the new updated form. According to the Indiana Bureau of Motor Vehicles (BMV), old applications will not be accepted after Dec. 15.
Posted: December 15, 2015, 8:00 pm
New Albany physician G. Stan Schooler, MD, was named Team Physician of the Year by the ISMA Commission on Sports Medicine. The award was presented during the Indiana Athletic Trainers Association banquet in Indianapolis. It is given to an ISMA member in good standing with 20 years experience as a team physician for an Indiana high school or organized sports team.
Posted: December 15, 2015, 8:00 pm
On behalf of nearly 8,000 ISMA members, we welcome our new physicians. The ISMA's efforts to advocate for patients and medical practice are strengthened with each new member. To our new colleagues, thank you for improving our ability to meet the challenges ahead.
Posted: December 15, 2015, 8:00 pm
The ISMA Medical Mission Sponsorship will help Dr. Kamer-Thompson provide medical and surgical supplies. "I am so honored to have been chosen for this sponsorship," she said. "I can't tell you how excited I am to go back to Nicaragua next year. This money will change the lives of so many women."
Posted: December 15, 2015, 8:00 pm
ISMA members participate in the Physician of the Day program during every legislative session at the Indiana Statehouse. For more than 30 years, physicians have treated minor ailments of legislators and staff during session.
Posted: December 15, 2015, 8:00 pm
This year's symposium, "In the Trenches, A Community Approach," offered sessions on arming communities with strategies for curtailing abuse and providing treatment.
Posted: November 11, 2015, 8:00 pm
Since the implementation of ICD-10 on Oct. 1, only minor complaints, no major issues have surfaced - yet, according to ISMA members around the state.
Posted: November 11, 2015, 8:00 pm
Out of tens of thousands of procedures, 114 adverse events were reported statewide in 2014 compared to 111 in 2013. The Indiana State Department of Health (ISDH) received data from 287 hospitals, ambulatory surgery centers, abortion clinics and birthing centers from Jan. 1 through Dec. 31, 2014. The report is based on the National Quality Forum's standards for 28 serious adverse events.
Posted: November 11, 2015, 8:00 pm
Last January, Medicare began reimbursing fee-for-service physicians, particularly those in patient-centered medical home practices, a monthly reimbursement of $40.90 per patient when chronic care management (CCM) services are delivered to patients with multiple chronic conditions.
Posted: November 11, 2015, 8:00 pm
The Overdose Prevention Therapy-Indiana (optIN), developed by the Indiana State Department of Health, allows pharmacies, health departments, addiction treatment facilities, correctional facilities and other entities to register as providers of naloxone.
Posted: November 11, 2015, 8:00 pm
A resolution introduced during the ISMA annual convention last September, emphasized the need for doctors to inform patients about the benefits of the human papillomavirus (HPV) vaccine.
Posted: November 11, 2015, 8:00 pm
More patients will have help paying for diagnostic breast and cervical cancer tests under new guidelines adopted by the Indiana Breast and Cervical Cancer Program (BCCP).
Posted: November 11, 2015, 8:00 pm
Patients with high deductible health plans who have no prescription coverage or whose drugs aren't covered by their health plans are likely becoming choosy about the medications they will buy. Those patients can get some help with the increasing cost of their drugs.
Posted: November 11, 2015, 8:00 pm
ISMA members participate in the Physician of the Day program during every legislative session at the Indiana Statehouse. For more than 30 years, physicians have treated minor ailments of legislators and staff during session. As a volunteer, you benefit as much as the legislators you serve:
Posted: November 11, 2015, 8:00 pm
The percentage of ISMA dues attributable to lobbying efforts for the 2016 dues year is 26 percent.
Posted: November 11, 2015, 8:00 pm
A study in the March 2015 issue of reported more than 60 percent of 168 health care providers surveyed said they lacked training in identifying human trafficking victims.
Posted: October 21, 2015, 8:00 pm
The Indiana Medical Licensing Board acted on a variety of cases at its June meeting including several prescribing-related ones.
Posted: October 21, 2015, 8:00 pm
The ISMA wants to know about any ICD-10 coding issues you may be experiencing. Our coding professionals and practice advisors are available to help you resolve them. Call the ISMA for assistance at (800) 257-4762 or (317) 261-2060.
Posted: October 21, 2015, 8:00 pm
Relief of pain and suffering may be considered the major goal of medical therapeutics. From the late 1990s until recently, providers were given instructions - perhaps even directives - to use opioids in chronic pain. This message was heard, followed and lethally expanded. Sadly, we did not effectively communicate the need for treatment goals and safety monitoring as well.
Posted: October 21, 2015, 8:00 pm
ISMA President Rhonda Sharp, MD, talks about the Physician Leadership Program with Gerry Dick and Barbara Lewis, hosts of "Inside Indiana Business." The interview aired on WFYI in Indianapolis and on other public broadcasting radio and TV stations throughout the state.
Posted: October 21, 2015, 8:00 pm
Each year, influenza strikes one group particularly hard, individuals 65 and older. Annually, this cohort makes up about 90 percent of flu-related deaths and more than 60 percent of seasonal flu-related hospitalizations.
Posted: October 21, 2015, 8:00 pm
The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices updated its recommendations for flu vaccination for the 2015-2016 flu season.
Posted: October 21, 2015, 8:00 pm
U.S. Department of Transportation Secretary Anthony Foxx presented Marilyn Bull, MD, with the White House Transportation Champions of Change award Oct. 13 in Washington, D.C. Dr. Bull was among 10 others who received the award during a ceremony at the White House.
Posted: October 21, 2015, 8:00 pm
The Indiana State Department of Health (ISDH) issued an advisory in light of the increased incidence of HIV and hepatitis C cases related to injection drug use (IDU).
Posted: October 21, 2015, 8:00 pm
You have a few more days to comment on the Request for Information for the Medicare Access and CHIP Reauthorization Act of 2015. The Centers for Medicare & Medicaid Services (CMS) is extending the deadline to Nov.17, 2015.
Posted: October 21, 2015, 8:00 pm
Fewer illegal opioids are on Grant County streets today, thanks in part to the hard work and determination of county medical society members. Physicians there took action nine years ago after learning from local law enforcement that black market opioids were coming from their colleagues.
Posted: October 7, 2015, 8:00 pm
WPS Medicare has noted a trend in medical record documentation and issued a warning. The Centers for Medicare & Medicaid Services (CMS) will pay a negative payment adjustment in 2016 to the following entities that did not satisfactorily report under the Physician Quality Reporting System in 2014. By year's end, the new Provider Healthcare Portal will replace Web interChange for Indiana Health Coverage Programs (IHCP).
Posted: October 7, 2015, 8:00 pm
The Indiana Medical Licensing Board acted on a variety of cases at its June meeting including several prescribing-related ones.
Posted: October 7, 2015, 8:00 pm
The Professional Licensing Agency (PLA) sent renewal notices to those with valid email addresses on file; but even if you did not receive a notice, you must renew by Oct. 31. Apply by Nov. 1 for the ISMA's Medical Mission Sponsorship to receive up to $3,000.
Posted: October 7, 2015, 8:00 pm
The Interim Study Committee on Courts and the Judiciary has been examining the state"s Medical Malpractice Act, and the ISMA has been adding expertise. ISMA President Rhonda Sharp, MD, testified on Sept. 10 and ISMA Director of Government Relations Mike Rinebold testified Sept. 24, along with Jon M. Pinnick, defense attorney with Pogue and Schultz in Indianapolis, whom the ISMA invited to speak.
Posted: October 7, 2015, 8:00 pm
As health care providers, we are in a crisis where people with chronic pain have become iatrogenically opiate addicted. Evidence from the late 1980s and early 1990s suggested addiction would not likely occur while treating pain. Opiate liberalization was touted as "evidence-based treatment" for chronic pain management, and the term "pseudoaddiction" was coined and accepted as science. In hindsight, it was the perfect storm of good intention.
Posted: October 7, 2015, 8:00 pm
If you are experiencing problems with ICD-10-CM, we can help. Complete a complaint form on the ISMA website, and we'll work with the appropriate organization on your behalf.
Posted: October 7, 2015, 8:00 pm
Deliberations on resolutions at the 166th Annual Convention began Saturday morning, Sept. 12, with Reference Committee hearings, but the work was sandwiched between two memorable events. On Friday, delegates were energized by the keynote speaker and on Saturday, Presidents' Night provided physicians some well-deserved fun and relaxation.
Posted: September 23, 2015, 8:00 pm
The ISMA Board of Trustees is pleased to announce the selection of a new executive vice president (EVP) for the ISMA. Julie Reed, current general counsel, will take over management in January of 2016 upon the retirement of current Executive Vice President Jim McIntire, who has served in that capacity since 2006.
Posted: September 23, 2015, 8:00 pm
Rhonda Sharp, MD, a family medicine physician with Parkview Physicians Group - Sharp Medical in LaGrange, began her presidential year by telling her colleagues: "We - not just me or so-called leaders - but ALL Indiana physicians have a responsibility or a stewardship to the mission of the ISMA."
Posted: September 23, 2015, 8:00 pm
The ISMA honored two leaders in public health during the 166th Annual Convention. The ISMA-Alliance installed co-presidents to lead them in the upcoming year.
Posted: September 23, 2015, 8:00 pm
Check out the events of the 166th Annual Convention.
Posted: September 23, 2015, 8:00 pm
Starting in October, your Healthy Indiana Plan (HIP) patients covered by managed care entities will begin presenting POWER account debit cards to pay their deductibles for services you provide.
Posted: September 23, 2015, 8:00 pm
This month, the Centers for Medicare & Medicaid Services (CMS) issued a report to every group and solo practitioner nationwide who reported at least one quality or cost measure - with at least one eligible case - during the performance period January through December 2014.
Posted: September 23, 2015, 8:00 pm
Each year, a couple dozen ISMA members agree to serve on one of four Reference Committees during convention weekend. Maybe they do it because they want to help their physician organization, or enjoy the discussion and interaction with their colleagues, or are interested in the issues presented by the resolutions.
Posted: September 23, 2015, 8:00 pm
Patients with high deductible health plans who have no prescription coverage or whose drugs aren't covered by their health plans are likely becoming choosy about the medications they will buy. Those patients can get some help with the increasing cost of their drugs.
Posted: September 23, 2015, 8:00 pm
If you're planning a medical mission trip from September 2015 through 2016, you can apply for the ISMA's Medical Mission Sponsorship, an annual award that provides up to $3,000 to defray costs of a trip.
Posted: September 23, 2015, 8:00 pm
Adequate pain management seems to be a big issue today; opiate addiction rates seem to be increasing. Can you offer some risk management tips to employ?
Posted: September 2, 2015, 8:00 pm
The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices has updated its recommendations for flu vaccination for the 2015-2016 flu season.
Posted: September 2, 2015, 8:00 pm
Less than 30 days remain until the Oct. 1 deadline for ICD-10 implementation! By now all physicians and other providers should have tested with vendors and payers. You should have talked to your vendors and health plans, updated your processes and trained your staff.
Posted: September 2, 2015, 8:00 pm
This year, the ISMA is honored to welcome at our convention Vice Admiral Vivek H. Murthy, MD, MBA, the 19th U.S. surgeon general - and the first Indian-American to hold the prestigious position. Dr. Murthy will address the opening session of the House of Delegates on Friday evening, Sept. 11.
Posted: September 2, 2015, 8:00 pm
Attendees of the ISMA Physician Leadership Program are pleased with what they are learning. Butler University faculty are teaching the executive-level sessions that are designed to prepare physicians to lead and manage their organizations.
Posted: September 2, 2015, 8:00 pm
Between 1999 and 2009, Indiana experienced a 500 percent increase in accidental poisoning, largely due to prescription opioids, and more than a 10-fold increase in unintentional heroin overdose deaths between 2005 and 2013 (13 vs.152).
Posted: September 2, 2015, 8:00 pm
Indiana University School of Medicine recently opened its doors to the largest class in the institution's 112-year history, and Marian University's College of Osteopathic Medicine (MU-COM) welcomed its third class of 162 new students.
Posted: September 2, 2015, 8:00 pm
Any arrival of U.S. Drug Enforcement Administration (DEA) agents triggers self-doubt and panic. What exactly should you do if DEA agents arrive at your practice?
Posted: January 1, 1970, 12:00 am
Any arrival of U.S. Drug Enforcement Administration (DEA) agents triggers self-doubt and panic. What exactly should you do if DEA agents arrive at your practice?
Posted: January 1, 1970, 12:00 am
Any arrival of U.S. Drug Enforcement Administration (DEA) agents triggers self-doubt and panic. What exactly should you do if DEA agents arrive at your practice?
Posted: January 1, 1970, 12:00 am
Any arrival of U.S. Drug Enforcement Administration (DEA) agents triggers self-doubt and panic. What exactly should you do if DEA agents arrive at your practice?
Posted: January 1, 1970, 12:00 am
Any arrival of U.S. Drug Enforcement Administration (DEA) agents triggers self-doubt and panic. What exactly should you do if DEA agents arrive at your practice?
Posted: January 1, 1970, 12:00 am
Any arrival of U.S. Drug Enforcement Administration (DEA) agents triggers self-doubt and panic. What exactly should you do if DEA agents arrive at your practice?
Posted: January 1, 1970, 12:00 am
Any arrival of U.S. Drug Enforcement Administration (DEA) agents triggers self-doubt and panic. What exactly should you do if DEA agents arrive at your practice?
Posted: January 1, 1970, 12:00 am
Any arrival of U.S. Drug Enforcement Administration (DEA) agents triggers self-doubt and panic. What exactly should you do if DEA agents arrive at your practice?
Posted: January 1, 1970, 12:00 am
Any arrival of U.S. Drug Enforcement Administration (DEA) agents triggers self-doubt and panic. What exactly should you do if DEA agents arrive at your practice?
Posted: August 5, 2015, 8:00 pm
You are busy seeing patients when your receptionist interrupts you to tell you there are two U.S. Drug Enforcement Administration (DEA) agents in the lobby to see you. They show their badges and credentials and tell you they've come to inspect your controlled substance prescriptions and ask some questions.
Posted: August 5, 2015, 8:00 pm
The Accreditation Council for Continuing Medical Education (ACCME) has notified the ISMA that our organization will receive the 2015 Rutledge W. Howard MD Award for Outstanding Collaboration between accreditors and providers.
Posted: August 5, 2015, 8:00 pm
In a first phase that began July 1, United Healthcare (UHC) began collecting data electronically from physician practices. Specifically, the insurer said it is targeting hemoglobin A1c results for Medicare Advantage patients.
Posted: August 5, 2015, 8:00 pm
Nominations for ISMA officers may be made from the floor at either the Friday or Sunday House of Delegates session. New this year, nomination speeches will be allowed for the President-Elect position only. Delegates making a nomination for other positions need state only the name and office of the candidate they are nominating. Here is information about the announced candidates to date.
Posted: August 5, 2015, 8:00 pm
The Centers for Medicare & Medicaid Services (CMS) has announced an ICD-10-CM "grace-period" for the first year.
Posted: August 5, 2015, 8:00 pm
One Indiana county employed a communitywide effort to reduce narcotic-seeking behaviors, and they are sharing their ideas to help others. When the Quality Assurance Department at Grant County Memorial Hospital in Marion saw steep increases in patients requesting narcotics in 2012, they realized it would take the whole community to solve the problem.
Posted: August 5, 2015, 8:00 pm
The ISMA is a member-driven organization. That means YOU and each dues-paying ISMA member can direct how the organization uses its resources. Resolutions adopted at convention each year determine priorities and actions for ISMA leadership and staff over the next 12 months.
Posted: July 22, 2015, 8:00 pm
This summer, the ISMA is monitoring four legislative study committees on your behalf.
Posted: July 22, 2015, 8:00 pm
ISMA President Heidi M. Dunniway, MD, has formed a long-term task force, called the ISMA Future Directions Task Force, to determine what changes the ISMA needs to make to continue to be relevant, improve member engagement and ensure member value. This new task force evolved from a short-term task force formed in 2013 to study ISMA governance issues raised by Resolution 13-33.
Posted: July 22, 2015, 8:00 pm
The Centers for Medicare & Medicaid Services (CMS) and the AMA announced July 6 a commitment to work through the transition to ICD-10-CM with education, communication and, most importantly, "added flexibility" in the CMS claims audit and quality reporting process.
Posted: July 22, 2015, 8:00 pm
If you plan to represent a small county at convention, one with fewer than six delegates, don't miss two important meetings. Both will be held during the ISMA Annual Convention, Sept. 11-13 at the Indianapolis Marriott Downtown
Posted: July 22, 2015, 8:00 pm
The Indiana State Department of Health (ISDH) is managing a publically funded Adult Vaccine Program that will increase the number of vaccinated adult patients and protect communities from vaccine-preventable diseases.
Posted: July 22, 2015, 8:00 pm
Officials at the World Health Organization are concerned about the Middle East Respiratory Syndrome Coronavirus (MERS-CoV) outbreak in South Korea. To stem transmission, U.S. physicians are urged to ask patients for travel history and exposure if they present with a fever and acute respiratory illness, with or without pneumonia.
Posted: July 22, 2015, 8:00 pm
Any primary care practice can tell you the impact of adverse drug events (ADEs), but few can suggest how to reduce their $3.5 billion annual cost to the nation. One practice in Bloomington, however, enhanced the team-based patient-centered medical home (PCMH) model, improving medication management and patient health - and growing closer to the triple aim.
Posted: July 8, 2015, 8:00 pm
By a 6-3 vote, the U.S. Supreme Court (SCOTUS) recently upheld the availability of federal tax credits in all health insurance exchanges created under the Affordable Care Act (ACA).
Posted: July 8, 2015, 8:00 pm
In May, a Florida oncologist was charged in a 21-count federal indictment for health care fraud and receiving misbranded drugs.
Posted: July 8, 2015, 8:00 pm
HB 1093, which became law this month, requires you to provide written information to expectant patients when they receive a prenatal diagnosis of Down Syndrome or other disorder.
Posted: July 8, 2015, 8:00 pm
The large-employer mandate, or "Employer Responsibility" as it is called in the Affordable Care Act, requires employers with 50 or more full-time equivalents (FTEs) to offer health coverage that meets certain standards or pay a penalty. This penalty has commonly been referred to as "pay or play;" however, many think of it more as "pay or pay."
Posted: July 8, 2015, 8:00 pm
What suggestions can you offer for developing effective telephone procedures?
Posted: July 8, 2015, 8:00 pm
With just a few short months until ICD-10 implementation, debate continues about whether or not it should be delayed. At this point, the ISMA does not anticipate any delays and urges you to prepare for the Oct. 1, 2015, compliance deadline or face nonpayment of claims.
Posted: July 8, 2015, 8:00 pm
Many physicians and others in Southern Indiana were surprised by the sudden spread of HIV in their area. Now you can stay informed about and respond appropriately to some disease spikes in their early stages.
Posted: July 8, 2015, 8:00 pm
In Indiana, telehealth is redefining the practice of medicine. The technology fills gaps where access to care is limited. It reduces patient wait time and drive time for physicians. Further, physicians and providers who see patients via telehealth have improved compliance rates and reduced no-show appointments.
Posted: June 24, 2015, 8:00 pm
Kentucky's Steven Stack, MD, has become the first emergency physician to serve as AMA president and is also the organization's youngest president in 160 years. A nationally recognized expert in health information technology, Dr. Stack addressed meeting attendees about health system changes and challenges.
Posted: June 24, 2015, 8:00 pm
On June 9, 2015, the federal Office of Inspector General (OIG) issued an uncharacteristic fraud alert about physician compensation. The alert was apparently triggered by recent federal settlements with 12 individual physicians who entered into "questionable medical directorship and office staff arrangements."
Posted: June 24, 2015, 8:00 pm
With a declared end to the Ebola outbreak, the Centers for Disease Control and Prevention (CDC) and Indiana State Department of Health (ISDH) have issued new guidelines for patients returning from Liberia
Posted: June 24, 2015, 8:00 pm