The vClinician: Mom and Babies Opioid User Disorder App

JBS International is a proud Phase 1 and Phase 2 winner of the Health Resources and Services Administration (HRSA) Maternal and Child Health Bureau Grand Challenge: Addressing Opioid Use Disorder in Pregnant Women and New Moms. Their response to HRSA’s Challenge provides a mobile decision-support application (i.e., vClinician: M&B OUD [Moms and Babies Opioid Use Disorder]) or “virtual clinical guide” to health care providers and educators in diverse medical settings.

You are invited to utilize this app where content focuses on one the following:

To download this free mobile app, go to the App Store (for iPhones) and Google Play Store (for Android phones) and search for vClinician: M&B OUD. For more information, please download vClinician: M&B OUD App Guide in the link.

COVID-19: Nursing Home Reporting, Updated Telehealth Video, Pharmacies & Other

CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS)

Special Edition – Friday, May 8, 2020

New Guidance Available on Requirements for Notification of Confirmed and Suspected COVID-19 Cases Among Residents and Staff in Nursing Homes

Nursing homes are now required to report the first week of COVID-19 data to the Centers for Disease Control and Prevention (CDC) beginning May 8 but no later than May 17. For the first time, all 15,000 nursing homes will be reporting this data directly to the CDC through its reporting tool. This reporting requirement is the first action of its kind in the agency’s history. On April 19, CMS announced the agency would be requiring facilities to report COVID-19 information to the CDC and to families. Within three weeks of that announcement, on April 30, CMS issued an Interim Final Rule with Comment Period with the new regulatory requirements. As nursing homes report this data to the CDC, we will be taking swift action and publicly posting this information so all Americans have access to accurate and timely information on COVID-19 in nursing homes.

CMS has a longstanding requirement for nursing homes to report cases of communicable diseases, such as COVID-19, to the appropriate state or local health department. This new requirement not only helps health departments intervene when needed but serves to provide awareness to the public (e.g., families) and surveillance for public health agencies and the CDC. The importance of ongoing transparency and information sharing has proven to be one of the keys to the battle against this pandemic. Building upon the successes of the Trump Administration prior to COVID-19, CMS has strongly supported transparency, such as the work done over the past several years to improve public access and understanding of nursing home inspection reports and expand the information available to consumers on Nursing Home Compare. The agency remains committed to greater transparency and plans to publicly release new data by the end of May. CMS will never stop working to give patients, residents, and families the clearest and most accurate information possible.

Guidance and Frequently Asked Questions

Telehealth Video: Medicare Coverage and Payment of Virtual Services

This updated video provides answers to common questions about the expanded Medicare telehealth services benefit under the 1135 waiver authority and Coronavirus Preparedness and Response Supplemental Appropriations Act.

Medicare Pharmacies and Other Suppliers May Temporarily Enroll as Independent Clinical Diagnostic Laboratories to Help Address COVID-19 Testing MLN Matters® Article

A new MLN Matters Special Edition Article SE20017 on Medicare Pharmacies and Other Suppliers May Temporarily Enroll as Independent Clinical Diagnostic Laboratories to Help Address COVID-19 Testing is available. Learn how to temporarily enroll to be an additional laboratory resource to meet the urgent need to increase COVID-19 testing capability.

COVID-19: IRF Flexibilities During the PHE

CMS is exercising regulatory flexibilities for Inpatient Rehabilitation Facilities (IRFs) during the COVID-19 Public Health Emergency (PHE) to waive the 60 percent rule.

We are also waiving IRF coverage and classification requirements if all of these criteria are satisfied:

  • Patient is admitted to a freestanding IRF to alleviate acute care hospital bed capacity issues
  • IRF is located in an area that is in Phase 1 or has not entered Phase 1; see Guidelines for Opening Up America Again

Add the following letters at the end of your unique hospital patient identification number (the number that identifies the patient’s medical record in the IRF) to identify patients eligible for each waiver:

  • D- 60 percent rule
  • DS- Coverage and classification requirements
  • DDS- Both 60 percent rule and coverage and classification requirements

For More Information:

COVID-19: IRF Interdisciplinary Team Meetings During the Pandemic

CMS expects Inpatient Rehabilitation Facilities (IRFs) to hold in-person weekly interdisciplinary team meetings to discuss Medicare Part A fee-for-service patients. During the public health emergency, it may be safest to conduct meetings electronically. We will accept all appropriate forms of social distancing precautions.

N95 and PPE Decontamination by the National Guard

National Guard protocol for collecting and decontaminating N95 masks and PPE  Residential treatment programs can coordinate pick-up and return with the County Local Emergency Management Agency (EMA). 

Programs  can coordinate pick-up and return with the County Local Emergency Management Agency (EMA) – here is a link to the phone numbers for each county agency.

New Marshall ECHO Clinics to Focus on Treatment of Endocrinology and Cardiology Issues in West Virginia

 

Marshall University has launched a new program to help primary care providers treat conditions associated with endocrinology and cardiology issues.

ECHO Clinics, in partnership with Project ECHO (Extension for Community Healthcare Outcomes) will be held the first Tuesday of each month at 12 p.m. with alternating endocrinology and cardiology sessions.

Project ECHO uses a telehealth model to bridge the gap in health care for rural and underserved communities.

Contact Jennifer Plymale at plymale@marshall.edu to learn more or if you are interested in participating in ECHO clinics.

Participation in teleECHO clinics is free. Participants who join teleECHO clinics receive free Continuing Medical Education credits for the total time spent participating, including didactics and patient-case presentations.

What is Project ECHO?

The ECHO model is not ‘traditional telemedicine’ where the specialist assumes care of the patient, but instead a guided practice model where the primary care provider retains responsibility for managing the patient.

During a teleECHO clinic, using video technology, primary care providers in multiple locations present patient cases to a multidisciplinary team of specialists to determine treatment. These specialists serve as mentors, training community providers to provide care in clinical areas that were previously outside their expertise.

Over time the primary care providers operate with increased independence as their skills and self-efficacy grow. A teleECHO clinic is, essentially, virtual grand rounds. Primary care providers from multiple locations connect at regularly scheduled times with a team of specialists using low cost, multi-point videoconferencing.

During teleECHO clinics providers present patient cases to specialist expert teams who mentor the providers to manage patients with common, complex conditions. These case based discussions are supplemented with short didactic presentations to improve content knowledge and share evidence based best practices.

Geriatrics ECHO

Elderly patients are a unique and growing population in Central Appalachia and can benefit tremendously from advanced treatment techniques.

Marshall Health’s Geriatrics ECHO will provide education and support to rural and suburban providers on the challenges faced by these important patients.

Shirley Neitch, MD, FACP, AGSF, Chief of Marshall’s Section of Geriatrics, will provide didactic instruction on emerging issues in geriatrics care and lead discussions on sample case studies provided by real clinics.

The initial ECHOs will focus on responsible benzodiazepine administration and deprescribing and future events will explore other areas of geriatric care, including dementia.

Geriatric ECHOs will be held via videoconference on the third Tuesday of each month starting Feb. 19.

For more information or to register your organization to participate, contact J.T. Schneider at 304-691-8982 or schneider7@marshall.edu.