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SEMINARS and PUBLICATIONS

 

SEMINARS OFFERED

1.  Basic and Advanced Equipping for Disasters, Sheltering at Home Hands-on Seminars

2.  Basic and Advanced Practicing Medicine by Physician House Calls Seminars

SEMINARS

Basic and Advanced Equipping for Disasters, Sheltering at Home Hands-on Seminars

(Revision Date: July 21, 2023)

Dear Neighbor,

 

We all must obediently become prepared and always ready to care and love one another as Good Neighbors during these very dangerous and perilous times.   We have all been warned.

 

I have Good News to share.  After COVID-19, I have resumed confidentially training in private homes and at work.  This is hands-on skills training, not a lecture, from my service overseas. 

 

For years, our neighbors and co-workers have successfully practiced hands-on how to become fully-equipped to care for their families and neighbors by safely sheltering at home, plus how to safely remain on-the-job, during and recovering from any disaster, natural or man-made.    

 

We all have fun practicing these hands-on skills to meet Six Basic Needs: 1. Food, 2. Water, 3. Home or Shelter, 4. Clothing, 5. Medicine and Surgery, and 6. Visitation, explained, below.

 

In Western New York (WNY) state, our nationally recognized weather emergencies include deep snow storms especially with high winds (blizzards), and ice or wind storms. Our winter snow storms can result in sustained losses of electricity, driving bans, and closed streets.  With the rest of our nation, WNY faces Real World threats of the next pandemic, loss of electricity, loss of public utilities, reduced or loss of critical first-responders and public utility services, acts of terrorism, and either conventional and asymmetric warfare, or tactical/strategic nuclear warfare. 

 

Our biggest threat to life in WNY is loss of electricity resulting in a catastrophic loss of home heating during our published 5 ½-months of winter weather (National Weather Service-NWS).  This is from a sustained power failure or by destruction of our weak electrical power grid by storm, terrorism, or warfare.  Unheated homes and other residences (e.g., nursing homes) become uninhabitable in the dead of winter in as little as four hours for all those at greatest risk of hypothermia (elderly, disabled, and young children).  Sustained power failure causes supply chain disruptions and shut-downs, sudden lack of food, lack of chlorination for drinkable water, loss of prescription medications, and a shut-down of hospitals and emergency departments (EDs, ‘ERs’) after their usual three-day supply of diesel runs out to power hospital standby generators.

 

Do not be afraid.   I will share how we can trust and love our LORD, our families, and our neighbors, anytime and anywhere.  Jesus sent me to tell you about Him and to equip all of you.  This is based on my field service on what we routinely and successfully did overseas during and recovering from natural and man-made disasters.  This explained below. 

 

Post COVID-19, Saved by Grace Ministry, Inc. again offers at-home evening Seminars, Basic and then Advanced Equipping for Disasters, Sheltering at Home after work, 6:30 pm - 8:00 (9:00) pm. These  Seminars are conveniently hosted at people's homes, or in the work place, for a minimum of three households (every person, or couple, or household) to practice together all the hands-on skills with me. 

 

Rest assured.  All names are kept strictly confidential of those who took the Seminars, Basic and Advanced Equipping for Disasters, Sheltering at Home.  There is no list of anybody’s names.

 

We are all Good Neighbors.  We obediently follow the two most important Commandments from God spoken by Jesus in the Word of God, The Holy Bible.  This happened when an expert in the Law of Moses, a so-called ‘religious attorney,’ confronted and questioned Jesus whether He knew the most important Commandment of God.  This expert did not believe Jesus was the Son of God, the Messiah, the Savior,

 

"Jesus replied: “ ‘Love the Lord your God with all your heart and with all your soul and with all your mind.  This is the first and greatest commandment.  And the second is just like it: ‘Love your neighbor as yourself.’  All the Law and the Prophets hang on these two commandments.” (Matthew Chapter 22: verses 37-39)

 

In your Seminars, Basic and Advanced Equipping for Disasters. Sheltering at Home, we will all have fun practicing the hands-on skills together as Good Neighbors.  This includes how to wisely and economically prepare our homes, families, neighbors and co-workers based on the Bible’s Six Basic Needs, which were spoken by Jesus, who's name is “Word of God” in the Holy Bible: 

 

“For when I was hungry, you gave me something to eat, I was thirsty and you gave me something to drink, I was a stranger and you invited me in, I needed clothes and you clothed me, I was sick and you looked after me, I was in prison and you came to visit me.” (Matthew Chapter 25: verses 35-36)

 

We all practice together as Good Neighbors how to prepare and to always be ready with:

  1. Food that is inexpensively purchased and wisely stored long-term.

  2. Water that has been reliably filtered and chlorine-treated at-home to be safe-to-drink.

  3. Home or Shelter that is safe, secure, and warm with safe heat.  In addition, we discuss long-term daily safe use of home-generators, and practice the hands-on skills of how to properly preserve and store gasoline (two-years), how to refuel a gasoline generator even at night or in the worst of weather, dual fuel generators, and oil/filter maintenance.

  4. Clothing that is shared with “those in greater need” during a disaster or in time of need (e.g., household clothing, hats, coats, gloves, shoes/boots, baby clothing, and diapers).

  5. Medicine and Surgery to “care for those in greater need” during a disaster who are sick or injured using tested and evaluated 45 home-care instructions by me, an emergency physician, missionary, former special operations U.S. Navy Medical Officer (‘Navy doctor’), and inventor of the Federally-Registered PORTABLE ER® and Trademarked Emergency Physician House Calls.

  6. Visitation to safely travel using preserved gasoline “caring for those in greater need” who are imprisoned at-home alone, unprepared, with little or no family to help them during a power outage or disaster.

 

"The Textbook of Equipping for Disasters. Sheltering at Home"

 

In your Seminars, Basic and Advanced Equipping for Disasters. Sheltering at Home, it is required that all three households (every person, or couple, or household) must study their own copy of the Fifth Revised Edition (© March 27, 2020), "Textbook of Equipping for Disasters. Sheltering at Home".  Cost is below.

 

This is a hands-on skills lab.  Everyone must study and write down three important questions or concerns in advance on the back page Notes section.   This is required for all three households before I will agree to schedule either their Basic or Advanced Seminars.

Being prepared takes commitment to first study, then we all can practice together, as neighbors. 

 

During the Seminars Basic and Advanced Equipping for Disasters. Sheltering at Home, all three households will take notes and become familiar with all the forms to prepare Disaster Plans specific for their home or work.  This will easily customize each person’s copy of the field-tested, 252-page “Textbook of Equipping for Disasters. Sheltering at Home,” Fifth Revised Edition, © 2020”.  

 

For details on the required “Textbook of Equipping for Disasters,” please see our website, www.PhysicianHouseCalls.org, under the Tab, “Seminars and Publications.” Please know that no one can use our older “Textbook of Equipping for Disasters” Kindle eBook on a tablet, phone, or laptop.  It does not work at these Seminars.  Plus, it will not work electronically during a true disaster. 

 

At these Seminars, Basic and Advanced Equipping for Disasters. Sheltering at Home, everyone learns fast and efficiently by first turning to that section of their "Textbook of Equipping for Disasters.” 

 

Supervised hands-on skills training is overseen by me, 'Dr. John' (John A. Sterba, M.D., Ph.D., FACEP, FACCWS).  I am a practicing emergency physician, missionary, and former special operations U.S. Navy Medical Officer (Commander, Medical Corps, USNR).  All your hands-on skills were done and tested overseas by me during military and civilian emergencies and disasters, respectively.

 

Your hands-on skills for the Basic Seminar all include:

  1. How to inexpensively buy and safely store food long-term using double-freezer bags and evacuating air from the bags.  How to set up an inexpensive Food Pantry with labeling system, inexpensive see-through bins, and inexpensive five-level shelving units fully Tested and Evaluated and published in Chapter Five of the “Textbook of Equipping.”

  2. How to safely use a lab-tested water filter in common use overseas, plus how to safely use household bleach (e.g., Clorox™), both regular and extra strength chlorine bleach, to purify dirty water.  How to safely label safe-to-drink water jugs, and how to remove chlorine smell and taste prior to drinking purified drinking water (“potable water”).

  3. How to select the smallest possible, least expensive, and most efficient gasoline, or natural gas, or dual fuel (gasoline or liquid propane-LP) generators by actual adding up the running Watts and start-up (surge) Watts for only essential items at home (e.g., furnace blower, refrigerator/freezer, sump pump, key lights, washer, kitchen outlets), plus considering using coffee makers, hairdryers, air conditioners, pools, hot tubs, etc.

  4. How to correctly use three proven gasoline additives to store gasoline up to two-years.  

  5. How to mark, safely store plastic gasoline cans, timely rotate gasoline keeping gasoline fresh to prevent engine damage from old gas, and when you should use ethanol-free gas.

  6. How a person can safely maintain and refuel a home gasoline generator using a gasoline-funnel and gasoline-approved hose for refueling at night, in the rain, using a headlamp.

  7. How to set up a Disaster Plan of families and neighbors caring for each other, especially “caring for those in greater need” in your neighborhood.  This is done overseas, daily.

 

Host Responsibilities:  The Seminars, Basic and Advanced Equipping for Disasters. Sheltering at Home, host responsibilities include arranging the group meeting of at least three households (5-10 people max) at the host’s home.  The host must confirm with me that all three households (every person, or couple, or household) had already pre-purchased and thoroughly studied their “Textbook of Equipping” writing down their three key questions or concerns worrying them. 

 

Costs, Basic Seminar 

 

The required “Textbook of Equipping” must be pre-purchased by first making a tax-deductible donation of $60.00 by check payable to “Saved by Grace Ministry, Inc.” and mailing your “Textbook of Equipping” request and check to Dr. and Mrs. John and Janice Sterba, 226 Center Rd., East Aurora, NY 14052.  Or, people can electronically purchase the “Textbook of Equipping” on-line by PayPal or credit card making their tax-deductible electronic donation of $60.00 to “Saved by Grace Ministry, Inc.” using our website's "Home" page donate button at www.PhysicianHouseCalls.org

 

Also, please call me, ‘Dr. John’ at (716) 655-6854 (office), (716) 998-7474 (cell, txt), or email me at PhysicianHouseCalls@roadrunner.com explaining how many “Textbooks of Equipping” you want mailed out and to please confirm your mailing address.

 

The “Textbook of Equipping” will be mailed out USPS Priority Mail, or personally dropped off by me with your tax-deductible Receipt and Thank You letter. 

 

After the three households pre-purchased their “Textbook of Equipping,” the Basic Seminar donation of $200.00 is required per each of the three households (every person, or couple, or household), totally $600.00.  Likewise, it can be donated by mailed check or electronically, as per above.

 

Therefore, the total donation is $260.00 donation per household for the Basic Seminar to the Public Charity, "Saved by Grace Ministry, Inc." A minimum of three households is required to run this at-home Basic Seminar.  All tax-deductible donations made to the Public Charity, "Saved by Grace Ministry, Inc.", are used 100% to "care for those in greater need", not any salary.

 

Dr. Sterba can either email or handout everyone’s tax-deductible Receipts and Thank You Letters at the Basic Seminar, Equipping for Disasters. Sheltering at Home. 

 

Advanced Seminar, Equipping for Disasters. Sheltering at Home

 

The hands-on skills in the Advanced Seminar are tailor-made answering questions that came from those who already took the Basic Seminar. 

 

The Advance Seminar usually last two+ hours, 6:30 pm to 8:30-9:00 pm. 

 

As with the Basic Seminar, there is a minimum of three households (every person, or couple, or household).  These three households already have their "Textbook of Equipping for Disasters". 

 

Cost, Advanced Seminar

 

Suggested donation for the Advanced Seminar is $300.00 per each of the three households, totally $900.00.  (Special consideration is given for only one household with a $500.00 suggested donation and for two households, $700.00).  All tax-deductible donations made to the Public Charity, "Saved by Grace Ministry, Inc.", are used 100% to "care for those in greater need", not any salary.

 

For example, in the Advanced Seminar, we have all practiced these hands-on skills and others:

1.  Food. 25-year shelf-life food in sealed buckets; Making freshly ground wheat by using electrical and hand-cranking grinders of non-GMO ancient grain wheat (Einkorn Wheat) that is long-term stored in buckets; and Solve specific problems with Food Pantries.

2.  Water. Advanced water purification of contaminated creek with commonly used 0.1 micron filter, filter flushing and maintenance, and making chlorine stock solutions using granular swimming pool chlorine compounds (sodium hypochlorite, tri-chlor., etc.) using U.S. Army, U.S. Navy, and missionary methods to make safe-to-drink water (potable water) from dirty water.

3.  Shelter.  Advanced generator long-term use (hook-up and safe operations) simulating common disasters, refueling, and maintenance for all types of portable and stand-alone back-up generators (e.g., portable generators using gasoline, or liquid propane (LP), or dual-fuels (gasoline switching to/from LP), and stand-alone automatic natural gas generators).  Practicing using fuel-less deep-cycle lithium-battery generators (400-600 Watt) with charging by linking up 100 Watt solar panels in series.  Places to buy much less expensive re-furbished fuel-less deep-cycle lithium-battery generators with new batteries.

4.  Shelter.  Home defense questions of gun safety, authorized defensive gun training and permitting, gun maintenance, and all the common home safety disaster scenarios from overseas including anarchy. 

5.  Medical and Surgical Care.  Long-term procurement and storage of prescription and OTC medications, 

Basic Wound Care hands-on training, and medical care of people's specific medical and surgical problems at-home.

6.  Visitation. Transportation done overseas during travel bans, loss of fuel and public services, during disasters, and anarchy.  

 

For more information, or if you have any questions about your hands-on Seminars, Basic and Advanced Equipping for Disasters. Sheltering at Home, please call me at (716) 655-6854 (office) or (716) 998-7474 (cell/txt), Monday-Friday, 9:00 A.M.-5:00 P.M., or Email me at PhysicianHouseCalls@roadrunner.com.

 

Rest assured, as mentioned above, all names are kept strictly confidential of everyone who has taken these Seminars, Basic and Advanced Equipping for Disasters, Sheltering at Home.  And, there is no list of anybody’s names.  I am experienced protecting this confidential and protected information about anyone.

 

I apologize in advance; I do not have time to teach over the internet, by email, over-the-phone, or casually.  People’s questions are most often found in our Fifth Revised Edition © March 27, 2020 of “Textbook of Equipping for Disasters. Sheltering at Home.”  For any new questions, I am preparing the Sixth Revised Edition.  I welcome your written suggestions, which I will personally research and Test & Evaluate for consideration.

 

Sincerely,

‘Dr. John’

John A. Sterba, M.D., Ph.D., FACEP, FACCWS

President & CEO; Medical & Scientific Director; NYS DOH Clinical Laboratory Director,

Saved by Grace Ministry, Inc. Emergency Physician House Calls™ using the PORTABLE ER®

Commander, Medical Corps, U.S. Navy-Reserves (Hon. Disch), Undersea & Arctic Warfare, Operational Medicine

Missionary Physician, trained at Loyola University Medical Center, Maywood, IL and in St. Lucia, West Indies

Clinical Assistant Professor of Emergency Medicine and Paediatrics, College of Medicine & Allied Health Sciences,

        University of Sierra Leone, Freetown, Sierra Leone, West Africa

Board-Certifications: American Board of Emergency Medicine (ABEM), American Board of Wound Medicine and

       Surgery (ABWMS), American Board of Urgent Care Medicine (ABUCM), and Undersea Medicine Board-

       Certified Equivalency-U.S. Navy

Fellow, American College of Emergency Physicians (FACEP); and Fellow, American College of Clinical Wound

       Specialists (FACCWS)     

Member, American College of Emergency Physicians (ACEP), American College of Clinical Wound Specialists

       (ACCWS), American Academy of Family Physicians (AAFP), and American Academy of Urgent Care

      Medicine (AAUCM)

SEMINAR

Practicing Medicine by Physician House Calls 
Basic Seminar
 plus Hands-On Advanced Skills Seminars
Revision Date: July 19, 2023

 

Hello Providers (Physicians, Nurse Practitioners and Physician Assistants),

We are pleased to offer all of you our Basic Seminar, Practicing Medicine by Physician House Calls.  This Basic Seminar has been very well received.  It has steadily been updated including suggestions resulting in its current updated 16th Revision (© 2023).  

 

The Basic Seminar is confidentially taught often at night in the privacy of provider's homes, or in their offices.  During SARS-CoV-2, it was conveniently taught only by the Take-Home Version PowerPoint thumb drive mailed out with all the Seminar’s referenced handouts.  Now, it is again taught in-person, or by the Take-Home Version.

 

Providers are fully-equipped to “care for those in greater need", at-home.  They report back to me being grateful to return to the “old-fashioned days with the joy of practicing medicine.”  Providers learn how to accurately code and bill, and how to successfully chase-down hard-earned income.  I teach how to reduce overhead costs, reduce medical malpractice risk and premiums, and reduce many other costs (e.g., how I purchase either at near-wholesale or get free medical, surgical, and pharmaceutical supplies paying only S&H).

 

After their Basic Seminar, I teach the hands-on Advanced Skills Seminar detailed below (e.g., phlebotomy, IV’s, Point of Care (POC) labs, and advanced medical and surgical wound care procedures done at-home with very high insurance reimbursement).

 

Rest assured; I am not recruiting or hiring.  So, why am I teaching others?  As a condition of receiving a 2015 equipment grant (The Margaret L. Wendt Foundation of Buffalo, NY), I was wisely encouraged to share what we have learned in order to help others start-up or improve their own Physician House Calls.

This began in 2015 with University at Buffalo medical students who were most enthusiastic.  

 

To date, I have trained medical students, nurses, physicians, nurse practitioners (NPs), and Physician Assistants (PAs) from Western New York State (WNY), out-of-state, Canada, and NASA.  

 

The Basic and Advanced Seminars are Real World based on my out-of-hospital acute and urgent care of over 10,000 emergency patients treated in my solo private practice of Physician House Calls.  This included 150 emergency patients overseas (US Navy, Greenland and North Pole region, 1989), 4,300+ emergency patients on overseas missionary trips (Sierra Leone, Honduras, Dominican Republic, 2004-2008) and 6,000 emergency, urgent care, and advanced wound care patients in WNY from insurance credentialing with very high reimbursements. (2009-present).

For details, please see www.PhysicianHouseCalls.org, under the Tab, “History of the Portable ER.”  Our Physician House Calls (Emergency Physician House Calls) use America’s first community-based and Federally-Registered PORTABLE ER®.


Basic Seminar Outline

If interested in the Basic Seminar Outline, I am happy to Email it to you.  Please contact me at PhysicianHouseCalls@roadrunner.com .  


Basic Seminar PowerPoint Full Notes, Handouts and Textbook

After the Basic Seminar’s tax-deductible donation is received by Saved by Grace Ministry, Inc., (see below), the 22-page, highly-referenced Seminar’s Full Notes covering everything in the 179-slide PowerPoint Presentation, plus all handouts (detailed below) and the Textbook are promptly mailed out.

 

The Textbook is the Fifth Revised Edition © 2020, “Textbook of Equipping for Disasters.”  It has the 101-page Chapter Ten, the full inventory of “The Community-Based Portable ER” plus other key Chapters in: 
Sterba, JA and JE Sterba.  Textbook of Equipping for Disasters, Sheltering at Home.  Revised & Expanded, Fifth Edition.  Saved by Grace Ministry, Inc., 226 Center Rd., East Aurora, NY 14052, March 27, 2020; 250 pages.

 

In the Basic Seminar, the current literature, accelerating national trends and local research on Physician House Calls in (Western New York (WNY) are reviewed and discussed.  Physician House Calls are published to be “faster, better, and cheaper” than hospital-based emergency departments (ED).  Well known by the public and replicated in peer-reviewed medical literature, hospital EDs are becoming too expensive, under-staffed, over-crowded, most-stressful with provider burn-out, and are research-confirmed to be the major source of nosocomial (hospital) infectious diseases.   Physician House Calls helps patients, family members, care-givers and providers to avoid all these accelerating hospital-based problems. 


Physician House Calls: Medical & Surgical Wound Care Done At-Home 

 

Our first prospective Institutional Review Board (IRB)-approved clinical research study documented that in 45 patients treated by Physician House Calls in WNY, all of whom required advanced wound care (e.g., pressure injury surgical debridement, closure, and medical care), nine-out-of-ten (91%) of these 45 patients never needed to go to the hospital ED.  All 45 Physician House Calls were cared for at-home at only 25% of the average patient-care allowable insurance-charge of the hospital ED.  

In this study, I first had to appeal Corporate Medical Directors of National Government Services (NGS), administrators of Medicare Part B.  They reviewed our patient’s charts and preliminary research results in this novel research study investigating surgical advanced wound care provided at-home on Physician House Calls.  The NGS favorably ruled on my behalf adding over 300 highly-reimbursed Integumentary billable precure codes for physician reimbursement when done at-home for all U.S. practicing physicians conducting Physician House Calls (e.g., Current Procedural Terminology-CPT Codes including surgical advanced wound care) .  

 

In this 2011-2012 wound care study, patient-care, allowable insurance-reimbursement for surgical advanced wound care (e.g., pressure injury/ulcer debridement, other surgical care) plus other necessary medical care was a reimbursement range of $600-$800 per Physician House Call.  These payments were dependent on depth, surface area and severity of the pressure injuries/ulcers being debrided, plus all other surgical and medical care requiring extra direct (face-to-face) patient contact beyond the usual Evaluation & Management (E&M) service of just the medical Physician House Call (CPTs 99341-99350).  


Physician House Calls: Medical Care (Non-Surgical) Done At-Home 

In our follow-up IRB-approved clinical research study sponsored in-part by the Margaret L. Wendt Foundation of Buffalo, NY, we prospectively investigated 100 successive patients who medically required Point of Care (POC) Labs immediately done and interpreted real-time, at-home.  

 

In this study, as in our wound care study, nine-out-of-ten (89%) of these 100 patients treated on medical Physician House Calls safely stayed at-home never needing to go to the ED, or ever needing to be admitted over the next three days as confirmed by close follow-up. 

 

There were no adverse events or complaints. Everyone was happy and encouraged from patients, family members, and care-givers to patients’ 22 Primary Care Physicians/Providers (PCPs), their medical/surgical specialists and Emergency Medicine emergency physicians working at regional hospital ED’s and Urgent Care Centers in Western New York State (WNY).  
 

In this medical study, we documented that in 100 patients who medically required immediate POC labs with bedside explanation at-home, the average patient-care allowable insurance-charge was $375.53 per patient. These 100 medical Physician House Calls were done at 1/10th (9.8%) of the patient-care allowable insurance-charge vs. the hospital ED using nationally-reported ED statewide statistics ($3,808/single ED visit, FL, 2012).


Physician House Calls: Provider Burn Out

 

Physicians and mid-level healthcare providers are burning out. This is well-known by the public and has been a key complaint in private medical practices of Primary Care (Family Medicine, Internal Medicine, Pediatrics and OB/GYN), medical and surgical specialties, and particularly in Emergency Medicine in today’s high-stress, fast-paced hospital EDs and Urgent Care Centers.  

 

It is my professional opinion from my clinical training and experience (not published) that this Basic Seminar, Practicing Medicine by Physician House Calls will help to treat and prevent provider burn-out.

 

Plus, the actual practice of medicine by Physician House Calls should allow more people to experience the joy of practicing medicine every day.  

 

For example, you can conduct your own Physician House Calls conveniently on your own time.  You can also leave the busy clinic a little early and see someone in greater need, at-home, and still make it home for supper, on-time, adding hundreds of extra dollars into your private medical practice.  

 

Patients are so very grateful knowing that a someone has taken time to come, listen and medically care for them suffering at-home.  You can aim to likewise try and keep nine-out-ten of your patients from needing to be sent to the ED. Patients dread the ED waiting room, which has had a reported very long wait-time in NY State of 6.1-hr., before being medically treated (not just RN triaged) by a provider.  


Cost, Basic Seminar, Practicing Medicine by Physician House Calls

 

Basic Seminar at-home or in-office is usually scheduled in the evenings (6:30 pm - 8:00 pm) or whenever the time is convenient for everyone.  The Basic Seminar at-home or in-office suggested tax-deductible, receipted donation is $260.00 per each physician, NP, PA, or staff member (minimum 3) payable to “Saved by Grace Ministry, Inc.”, by mailed check or using the donate button (credit/debit card, PayPal) at www.PhysicianHouseCalls.org.  

 

This $260.00 donation, which supports the Ministry, includes each person receiving the required reference “Textbook of Equipping for Disasters”, plus each person gets their full copy of all handouts, listed here:
1.    Seminar Notes with References (22-pages), so no need to take notes as I go through all 179-PowerPoint slides.
2.    VistaPrint Brochures and Business Cards for both our Medical and our Surgical Wound Care Physician House Calls as your guide.  They all work very well.
3.    Research Article: Sterba, JA. Wound Care on the Go. ‘Portable ER’ Allows Physician to Reinvent House Calls. Today’s Wound Clinic.2012,September:18-21
4.    “Medical/Surgical Basic Kit G Inventory” to get you started for your first Physician House Call immediately with your own medical/surgical basic stock supplies
5.    “Common Procedure Codes (CPTs) and Medical Insurances on Surgical and Medical Physician House Calls.”  
6.    “Coding by Procedures (CPTs).  Suggested CPTs (Highlighted in Yellow) for Physician House Calls Depending on Training and Clinical Experience” in an easy-to-modify, 43-page Spread Sheet in Microsoft Word emailed to you to be easily updated by you with your own current Fee Schedule and any CPT and current Modifier changes.
7.    “Insurance Reimbursement for Medical and Surgical Physician House Calls: Coders & Biller, Choose Wisely,”
8.    “Billing Extra Time CPT Codes on Physician House Calls,”
9.    “Advanced Skills Training Seminar Outline.”
 
Cost, B
asic Seminar Take-Home Version 

 

The Basic Seminar Take-Home Version suggested tax-deductible, receipted donation is $260.00 per each physician, NP, PA, or staff member (no three person minimum) payable to “Saved by Grace Ministry, Inc.”, by mailed check or using the donate button (credit/debit card or PayPal) below and on the "Home" page of www.PhysicianHouseCalls.org.

 

This $260.00 donation, which supports the Ministry, includes each person receiving the required reference “Textbook of Equipping for Disasters” plus each person gets their full copy of everything, listed here:
1.    PowerPoint thumb drive of 179 PowerPoint slides mailed out (16th Revised Edition © 2023),
2.    Seminar' Notes with References (22-pages), to add your own notes,
3.    VistaPrint Brochures and Business Cards for both our Medical and our Surgical Wound Care Physician House Calls as your guide.  They all work very well.
4.    Research Article: Sterba, JA. Wound Care on the Go. ‘Portable ER’ Allows Physician to Reinvent House Calls.  Today’s Wound Clinic. 2012, September: 18-21.
5.    Medical/Surgical Basic Kit G Inventory to get you started for your first Physician House Call immediately with your own medical/surgical basic supplies,
6.    “Common Procedure Codes (CPTs) and Medical Insurances on Surgical and Medical Physician House Calls,”  
7.    “Coding by Procedures (CPTs).  Suggested CPTs (Highlighted in Yellow) For Physician House Calls Depending on Training and Clinical Experience” in an easy-to-modify, 43-page Spread Sheet in Microsoft Word emailed to you easily updated by you with your own current Fee Schedule and any CPT and current Modifier changes.
8.    “Insu
rance Reimbursement for Medical and Surgical Physician House Calls: Coders & Biller, Choose Wisely,”
9.    “Billing Extra Time CPT Codes on Physician House Calls,”
10.    “Advanced Skills Training Seminar Outline.”


Hands-on Advanced Skills Training Seminar

 

Since the SARS-CoV-2 (COVID-19) emergency is reported to be over, for all those providers that took or will take the Basic Seminar, whether in-person with me or the Take Home Version, I am grateful to announce that I am again teaching, in-person, the hands-on, follow-up Advanced Skills Training Seminar.  

 

It is fast-paced, lasting about two-plus hours.  Supplies and handouts provided by me include hands-on training in phlebotomy, IV/IO (chicken/turkey legs), POC Labs and RDT supplies, Personal Protective Equipment-PPE (gloves, goggles, masks, COVID-19 methods), the seven-page highly-referenced Advanced Skills Training Notes, four-page highly-referenced Health Insurance Information Sheets, six-page Surgical Kit H5 Inventory, and other practical handouts.  

 

Cost, Hands-on Advanced Skills Training Seminar

 

The Hands-on Advanced Skills Training Seminar suggested tax-deductible, receipted donation is $300.00 per each physician, NP, PA, or staff member (minimum 3 people) payable to “Saved by Grace Ministry, Inc.”, by mailed check or using the donate button (credit/debit card, PayPal) found below or on the "Home" page of www.PhysicianHouseCalls.org.  

 

Advanced Skills Training Seminar includes the following: 


1.    Phlebotomy setting up all bedside supplies and methods; 
2.    Bedside Blood Testing using our BMP, CMP disks and actual blood in our portable Point of Care (POC) Abaxis Piccolo Xpress Blood Chemistry Laboratory, or learning how to drop off patient’s vacutainers to local Labs; 
3.    Intravenous/Intraosseous (IV/IO) Fluid Therapy Lab, Tricks-of-the-Trade; 
4.    Rapid Diagnostic Testing (RDTs) using our (expired) common RDT's; 
5.    Clinical Laboratory Improvement Amendments of 1988 (CLIA) and CLIA-Waived Tests.  
6.    How to Apply to New York State (NYS) Department of Health (DOH) for Limited Services Laboratory Registration and Certificate of Qualification to be authorized to run your own POC Laboratory or conduct bedside RDTs; 
7.    Using the Hand-Carried Advanced Surgical & Medical Wound Care Kits.  You will tear-down and inventory our hand-carried surgical advanced wound care Kits for pressure injuries (‘bed-sores’), lacerations, and burns with basic surgical advanced wound care (AWC) methods, charting, coding and billing.  
8.    Advanced Wound Care.  You will review wound photographs, comprehensive documentation and CMS-required charting, coding and billing using an actual patient’s chart (with permission) with name, address, member I.D., etc. redacted.
9.    Actual Charting of a Typical Patient.  Includes common CPT procedures done.
10.    Quality Assurance (QA) CMS Audit Tool.  Checking off all your work actually done (history, physical exam and other categories, and start-stop times) to honestly determine the appropriate, justifiable Physician House Call procedure code using the Common Procedural Terminology Code (CPT Code) with the current insurance fees. 
11.    Coding Books for All Procedures (CPTs) and Diagnoses (ICD-10). Using the Optum CPT and ICD-10 two spiral-bound coding books, which are excellent (very intuitive, easy-to-use and most helpful). 
12.    Populating an Actual CMS-1500 Pink Medical Insurance Claim Form. Hands-on practice using the templated, computerized system (~$99) downloaded on our computer, populated for printing-off CMS-1500 pink medical insurance claim form (CMS-1500 Form) for a typical medical or advanced wound care patient for an insurance reimbursement check to be mailed to you or to your bank.  
13.    Health Insurances:  Key contacts and phone numbers are provided.  How to transfer or get new insurance credentials, get fee schedules, PaySpan, etc.
14.    Western New York HealtheLink, HealtheCommunity Portal and WNYHealtheNet:  On-line to check patient eligibility and when you’ll be paid.
15.    National Provider Identifier (NPI): How to get your NPI & Tax I.D. #’s faster.
16.    Contracting with a Group Purchasing Organization (GPO): Reduced prices.
Page Seven

17.    National Distributor:   On-line GPO ordering with next-day delivery to you.
18.    e-Prescribing Waiver (NYS Health Commerce System-HCS): Forms needed.

 

We gratefully Email or U.S. Mail everyone’s tax-deductible donation receipt with our Thank You Note for your tax purposes.  

 

Saved by Grace Ministry, Inc. is a Public Charity founded in 1998.  

 

Please know that 100% of all donations and all medical insurance money go to our Public Charity’s mission, “caring for those in greater need”, and not for any salary.

It would be my honor to speak with you to help you.  

 

My office is 655-6854, (9:00 A.M. – 5:00 P.M., Monday – Friday) and my cell is (716) 998-7474.


Sincerely,
'Dr. John'

John A. Sterba, M.D., Ph.D., FACEP, FACCWS


President & CEO; Medical & Scientific Director; NYS DOH Clinical Laboratory Director, 
             Saved by Grace Ministry, Inc.  
Emergency Physician House Callsusing the PORTABLE ER®
Board-Certificatio
ns: American Board of Emergency Medicine (ABEM), American Board of Wound Medicine 
      and Surgery (ABWMS), American Board of Urgent Care Medicine (ABUCM)
Fellow, American College of Emergency Physician (FACEP); Fellow, American College Clinical Wound 
      Specialists (FACCWS)
Member, American College of Emergency Physicians (ACEP), American College of Clinical Wound Specialists
      (ACCWS), American Academy of Family Physicians (AAFP), American Academy of Urgent Care Medicine
      (AAUCM) 
Commander, Medical Corps, U.S. Navy-Reserves (Hon Disch), Undersea & Arctic Warfare, Operational Medicine


 

PUBLICATIONS

Peer-Reviewed Institutional Review Board (IRB)-Approved Clinical Studies

Sterba, JA. Wound Care on the Go. ‘Portable ER’ Allows Physician to Reinvent House Calls. Today’s Wound Clinic. 2012, September: 18-21.

Author

John A. Sterba, M.D., Ph.D., FACEP, FACCWS

President & CEO, Medical & Scientific Director,

New York State Department of Health Clinical Laboratory Director

Saved by Grace Ministry, Inc.

Some conclusions we published include:

“From our ongoing Institutional Review Board-approved clinical study that measures patient convenience of house calls, the time from ordering a blood chemistry test until lab results are explained is 13.8 minutes, (+ 5.2 minutes, SD, n = 45 patients).” (pg. 20)

“Our insurance billing is approximately 25% percent of the cost for similar services from the hospital-based ED (Emergency Department). Of all patients seen during house calls, 91 percent are not clinically indicated to be sent to the ED. The remaining nine percent require to be transported to the ED for further lab/radiology studies, but are rarely admitted”. (pp. 20-21)           

“In conclusion, Physician House Calls using the Community-Based Portable ER provides faster, better and cheaper care – including advanced wound care - when compared to the hospital-based ED or urgent care facility.” (pg. 21)

If interested in receiving a free copy, please Email me at PhysicianHouseCalls@roadrunner.com

Our Office Phone Number is (716) 655-6854

John A. Sterba, M.D., Ph.D., FACEP, FACCWS

RESEARCH STUDY

WHITE PAPER

Emergency Physician House Calls™:

Point of Care (POC) Laboratories Used

© December 11, 2017

Saved by Grace Ministry, Inc., East Aurora, NY

Author

John A. Sterba, M.D., Ph.D., FACEP, FACCWS

President & CEO, Medical & Scientific Director,

New York State Department of Health Clinical Laboratory Director

Saved by Grace Ministry, Inc.

We are happy to Email a color .pdf file or U.S. Mail you a printed and bound color copy of this WHITE PAPER each for a suggested tax-deductible donation of $40.00 to "Saved by Grace Ministry, Inc.", which we will gratefully receipt. Please note that 100% of all donations are used to "care for those in greater need".

For ON-LINE PURCHASING the "WHITE PAPER. Emergency Physician House Calls™: Time, Outcome Benefits and Cost of Point of Care (POC) Laboratories Used with Community-based PORTABLE ER®", please make your tax-deductible donation to "Saved by Grace Ministry, Inc." with PayPal or Credit Card, here:

 

Conclusions. Private practice EM by EPHCs™ using the PORTABLE ER® provided very fast EP Response-Time and faster Triage and Seen-Times vs. PCP, UCF or ED. Emergency Physician POC-Labs were conducted, received and explained much faster (< 14 min) vs. labs by PCP, UCF, or ED. After 100-EPHCs™, 89% of patients remained safely at-home never needing admission with no problems, complaints or adverse events. Patient-care insurance-charge (cost) for 100 EPHCs™ with POC-labs using PORTABLE ER® was ten-fold-less ($375.53, 9.8%) vs. 7.4 million Florida hospital-ED patient-care insurance-charges ($3,808.00) during 2012-2013.

Therefore, these medical Emergency Physician House Calls (EPHCs™) using the PORTABLE ER®, which required POC portable labs, saved Medicare B and all other medical insurances $3,432.47 per patient for those patients that never had to go to the hospital ED. 

RESEARCH STUDY

WHITE PAPER

Two-Way UHF Business Radios during

Transporting the PORTABLE ER®

© April 18, 2018

Saved by Grace Ministry, Inc., East Aurora, NY

Authors

John A. Sterba, M.D., Ph.D., FACEP

President & CEO, Medical & Scientific Director,

New York State, Department of Health Clinical Laboratory Director,

and

Janice E. Sterba

Vice President; Secretary/Treasurer; Medical Transcriptionist/Editor

For ON-LINE PURCHASING the "WHITE PAPER. Test and Evaluation of Two-Way UHF Business Radios during Emergency Physician House Calls™ Transporting the PORTABLE ER® in a Hilly, Rural Environment", please make your tax-deductible donation to "Saved by Grace Ministry, Inc." with PayPal or Credit Card, here: 

Background: Relying on a cell phone to receive patient requests for Emergency Physician House Calls was discovered to be unreliable. Missed cell phone calls, messages and texts were due to three reasons: 1. Very weak or even no cell phone service in hilly, rural areas of Western New York (WNY), 2. In-coming cell phone calls, recorded messages and texts were blocked when inside certain insulated homes later found to have metal-foil insulation or with heavy brick-masonry construction, and 3. In-coming cell phone calls, messages and texts were occasionally blocked inside Saved by Grace Ministry’s Emergency Medicine emergency vehicle due to heavy-gauge ballistic steel in this armored (B6) Tactical Chevrolet Suburban.

Therefore, we hypothesized these occasional cell-phone reception problems could be avoided using powerful two-way business radios, thus allowing Dr. Sterba to remain in reliable communication with the office, whether in or out of the armored emergency vehicle, or inside certain insulated homes using two-way UHF (403-512 mHz) radios.

Conclusions and Recommendations: There were seven conclusions with recommendations from this 30-day T&E Trial using two-way radios for actual patient-care on Emergency Physician House Calls™ using the PORTABLE ER® and while traveling throughout the hilly, rural medical service area. 

Summary. Two-way radio communications equipped an emergency physician to reliably and securely communicate while conducting Emergency Physician House Calls™ transporting the PORTABLE ER® caring for those in greater need in a hilly, rural environment.

REFERENCE TEXTBOOK

"TEXTBOOK of EQUIPPING FOR DISASTERS. SHELTERING AT HOME"

Revised & Expanded, Fifth Edition.

Authors

John A. Sterba, M.D., Ph.D., FACEP and

Janice E. Sterba 

TEXTBOOK of EQUIPPING FOR DISASTERS,

Fifth Edition, Copyrighted 2020

“This 252-page Reference Book has been expanded & fully field-tested to teach us how to best care 

for each other

Since 1998,‘Dr. John’ and Mrs. Janice E. Sterba have told people about Jesus Christ, while caring for people’s needs through Saved by Grace Ministry, Inc., East Aurora, NY. They encourage us to remain obedient to the LORD’s commands, “Love your neighbor as yourself.” (Leviticus 19:18) and “This is my command: Love each other.” (John 15:17).

“This 252-page Reference Book has been expanded & fully tested to teach us how to best care for each other as Good Neighbors, during and recovering from all disasters.”

  • Prayer and Community Based Home-Care Ministry: TheSafe Haven Home; Determining needs in your neighborhood; Medically-trained people as our neighbors; Volunteers; Planning ahead & Using the Emergency Information Sheet
  • Food Pantry for the Home and Community-Based Disaster Shelters: Economical shopping; Balanced-diet; Long-term safe storage of food
  • Home Preparation Guide and Mini-Guide: 25 Home Systems (heating, electrical systems, etc.); Making & storing drinking water; Safety & well-being.
  • Emergency Physician-written, Home Care Instructions for 45 Common Illnesses & Injuries: East-to-understand teaching by a doctor.
  • Community-Based, DISASTER SHELTERS: Loss of power; Complete care.
  • Community-Based, PORTABLE ER: “The Portable ER” in 101-pages; 92 Medical & Surgical Kits and Cases with full inventory including ordering I.D. numbers and Portable Dispensary Cabinets-PDCs for all medications from all drug categories; Inventories of economical, essential antibiotics & pain meds.
  • Community-Based, MOBILE ER: Motor homes; Staffing; Disaster care

Since 1998, Saved by Grace Ministry, Inc. faithfully provides for those in greater need. Its Corporation’s Purposes include: “To relieve poverty, hunger, illness, homelessness and other forms of suffering in the world; to assist underprivileged people to improve their living conditions; to offer hope, comfort and aid those in need, particularly widows and orphans; to respond to natural and man-made disasters; to testify to the good news of the Gospel of Jesus Christ;”

Dr. John A. Sterba is a missionary doctor and former operational Medical Officer (Navy Commander). He clinically practices and teaches Emergency Medicine in NY State. He is Board-certified in Emergency Medicine, Wound Medicine and Surgery and Urgent Care Medicine for children and adults. Dr. Sterba is a Fellow of the American College of Emergency Physicians (FACEP) and Fellow of the American College of Clinical Wound Specialists (FACCWS). He has academic appointments from the University of Sierra Leone, West Africa and the Women & Children's Hospital of Buffalo (recently renamed to the John R. Oishei Children's Hospital), University of Buffalo, NY School of Medicine.

Please make your tax-deductible donation to "Saved by Grace Ministry, Inc." with PayPal or Credit Card, here: 

Previous Research Articles

1.  Sterba, JA, BT Rogers, AP France, DA Vokes. Horseback riding in children with cerebral palsy: effects on gross motor function. Developmental Medicine & Child Neurology 2002, 44: 301-308.

2.  Sterba, JA. Adaptive downhill skiing therapy in children with cerebral palsy: effect on gross motor function. Pediatric Physical Therapy. 2006 Winter; 18(4):289-96.

3.  Sterba, JA. A Review: Does Horseback Riding Therapy or Therapist-Directed Hippotherapy Rehabilitate Children with Cerebral Palsy? Developmental Medicine & Child Neurology 2007, 49: 68-73.

4.  Sterba, JA, D Safar-Riessen, M DeForest. Effect of aquatic therapy on Gross Motor Function Measure in children with cerebral palsy. Developmental Medicine & Child Neurology 2004: No. 99 (suppl), Vol. 46, page 47-48.

Mission Guide

Sterba, JA. Mission Guide: Caribbean and Central America. Saved by Grace Ministry, Inc., East Aurora, NY, 2009.

Please contact us and we will happily Email or U.S. Mail you a copy of this Instructional Missionary Booklet for free, no donations requested.  

Our Email is PhysicianHouseCalls@roadrunner.com and our Office Phone Number is (716) 655-6854.

May the LORD Jesus bless, protect and provide for you and your family. Amen!

Dr. and Mrs. John and Janice Sterba

(Ephesians 2: 8-10)

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