The care team at the Cystic Fibrosis Center at Women and Children's Hospital of Buffalo successfully implemented mental health screening for patients by developing educational materials, treatment algorithms, and referral patterns. The entire multidisciplinary team was involved in the screening process and received training on depression prevalence and effects. They created a plan that identified roles and responsibilities for conducting screens, scoring them, responding to positive screens, and entering data. Initially concerned that screening would disrupt clinic flow, the team found after implementation that clinic time was not impacted. The Buffalo team is sharing their resources to help other centers adopt similar screening processes.
This document summarizes research on PrEP (pre-exposure prophylaxis) conducted by various providers in Philadelphia. It finds that while awareness and willingness to use PrEP is high among at-risk groups, many barriers still exist including lack of provider knowledge, concerns about side effects and adherence, and lack of insurance coverage. Expansion of PrEP programs in health centers and community education efforts that address stigma are recommended to increase uptake among groups with highest HIV rates like black MSM and transgender women. Ongoing data collection is needed to evaluate PrEP's effectiveness in real-world settings.
This document summarizes PrEP outreach campaigns in multiple cities. It provides details on campaigns launched in New York, Chicago, Washington, San Francisco, and Ohio. The campaigns aimed to increase awareness and access to PrEP for at-risk groups like MSM of color through media campaigns, websites, community partnerships, and PrEP provider directories. Key elements included community input, diverse representation, simple educational materials, and collaboration between organizations.
Trauma Informed Primary Care for Women Living with HIV ANAC Webinar May 2014Carol Dawson-Rose
This document presents a conceptual model for a trauma-informed primary care environment. The three core components of the model are:
1. A trauma-informed environment that is safe, calm, and empowering for patients and staff. Providers are educated about trauma's impacts and the clinical flow reduces triggers to promote trust and healing.
2. Universal screening for current and lifelong trauma, including abuse, as well as consequences like complex PTSD, depression, and substance abuse. Screening is patient-led but routine.
3. Screening is directly linked to on-site and community interventions. For recent trauma, safety and autonomy are prioritized. For lifelong abuse, longer-term evidence-based group interventions address
This study analyzed data from 2009 on newly reported HIV cases and their sexual partners in Dallas County, Texas. Of the 530 sexual partners tested who were contacts of people newly diagnosed with HIV, 74.7% (396 people) were previously aware of their positive HIV status, while 25.3% (134 people) were newly diagnosed. Although contact investigations are still effective, the majority of contacts for people newly diagnosed were already aware of their HIV positive status. Increasing HIV testing and early diagnosis can help lower transmission rates by decreasing the number of unaware infections.
This document outlines the stages of rapid HIV testing and care at a health center, including diagnosis, linkage to care, engagement and retention, treatment, and viral load suppression. It then analyzes patient data from January to March, finding an 11.4% increase in engaged patients and a 3.33% increase in viral load suppression, from 90.02% to 93.35%. Outreach to 214 patients resulted in 24 being unreachable.
Daily telephone counseling can maintain medication compliance in patients with schizophrenia. A study compared patients who received daily telephone compliance counseling to those who did not, finding that telephone counseling decreased medication noncompliance and psychiatric hospitalizations. The intervention involved nurses providing counseling to assess medication adherence and address any issues through a structured tool. Evidence from multiple studies showed telephone counseling improved compliance from 20-45% to over 80% and reduced costs associated with hospitalizations from noncompliance.
A Tool to Engage the Patient in Web-based Coordinated Treatment of Opioid Add...Clinical Tools, Inc
Tanner B, Metcalf F. A Tool to Engage the Patient in Web-based Coordinated Treatment of Opioid Addiction with Buprenorphine. Poster presented at the 2015 IPS: The Mental Health Services Conference, October 10, 2015, New York, NY.
This document summarizes research on PrEP (pre-exposure prophylaxis) conducted by various providers in Philadelphia. It finds that while awareness and willingness to use PrEP is high among at-risk groups, many barriers still exist including lack of provider knowledge, concerns about side effects and adherence, and lack of insurance coverage. Expansion of PrEP programs in health centers and community education efforts that address stigma are recommended to increase uptake among groups with highest HIV rates like black MSM and transgender women. Ongoing data collection is needed to evaluate PrEP's effectiveness in real-world settings.
This document summarizes PrEP outreach campaigns in multiple cities. It provides details on campaigns launched in New York, Chicago, Washington, San Francisco, and Ohio. The campaigns aimed to increase awareness and access to PrEP for at-risk groups like MSM of color through media campaigns, websites, community partnerships, and PrEP provider directories. Key elements included community input, diverse representation, simple educational materials, and collaboration between organizations.
Trauma Informed Primary Care for Women Living with HIV ANAC Webinar May 2014Carol Dawson-Rose
This document presents a conceptual model for a trauma-informed primary care environment. The three core components of the model are:
1. A trauma-informed environment that is safe, calm, and empowering for patients and staff. Providers are educated about trauma's impacts and the clinical flow reduces triggers to promote trust and healing.
2. Universal screening for current and lifelong trauma, including abuse, as well as consequences like complex PTSD, depression, and substance abuse. Screening is patient-led but routine.
3. Screening is directly linked to on-site and community interventions. For recent trauma, safety and autonomy are prioritized. For lifelong abuse, longer-term evidence-based group interventions address
This study analyzed data from 2009 on newly reported HIV cases and their sexual partners in Dallas County, Texas. Of the 530 sexual partners tested who were contacts of people newly diagnosed with HIV, 74.7% (396 people) were previously aware of their positive HIV status, while 25.3% (134 people) were newly diagnosed. Although contact investigations are still effective, the majority of contacts for people newly diagnosed were already aware of their HIV positive status. Increasing HIV testing and early diagnosis can help lower transmission rates by decreasing the number of unaware infections.
This document outlines the stages of rapid HIV testing and care at a health center, including diagnosis, linkage to care, engagement and retention, treatment, and viral load suppression. It then analyzes patient data from January to March, finding an 11.4% increase in engaged patients and a 3.33% increase in viral load suppression, from 90.02% to 93.35%. Outreach to 214 patients resulted in 24 being unreachable.
Daily telephone counseling can maintain medication compliance in patients with schizophrenia. A study compared patients who received daily telephone compliance counseling to those who did not, finding that telephone counseling decreased medication noncompliance and psychiatric hospitalizations. The intervention involved nurses providing counseling to assess medication adherence and address any issues through a structured tool. Evidence from multiple studies showed telephone counseling improved compliance from 20-45% to over 80% and reduced costs associated with hospitalizations from noncompliance.
A Tool to Engage the Patient in Web-based Coordinated Treatment of Opioid Add...Clinical Tools, Inc
Tanner B, Metcalf F. A Tool to Engage the Patient in Web-based Coordinated Treatment of Opioid Addiction with Buprenorphine. Poster presented at the 2015 IPS: The Mental Health Services Conference, October 10, 2015, New York, NY.
Web rx16 prev_tues_330_1_lawal_2warren_3huddleston_4pershingOPUNITE
This document discusses the role of health departments in preventing neonatal abstinence syndrome (NAS). It notes that NAS rates have increased significantly in recent years, disproportionately affecting women. Health departments engage in surveillance to monitor NAS trends, partner with other organizations, support treatment and recovery programs, and provide education to prevent NAS, which is entirely preventable. The document outlines specific strategies health departments use across these areas to address the opioid epidemic and protect maternal and infant health.
This document summarizes a study examining the availability of evidence-based disease self-management programs and promising practices for older adults in Orange County, California. The study found that while 16 of the 21 organizations surveyed provide such programs, 15% are unable to meet demand. Barriers to implementation included lack of funding and trained leaders. The document concludes that efforts to provide these programs are currently segmented and that future research should explore ways to improve coordination and fill service gaps.
This document discusses neonatal abstinence syndrome (NAS) and universal maternal drug testing. It provides background information on NAS including trends showing large increases in incidence and costs associated with NAS. It outlines objectives related to describing NAS trends, identifying legislative activities impacting NAS, describing family planning for women in substance abuse treatment, and explaining a hospital program using universal drug testing. The document then covers topics including NAS symptoms, incidence and geographic trends, costs of NAS, opioid use in women of childbearing age, unintended pregnancy rates, contraceptive use among opioid users, and maternal drug exposure sources.
Public Health HIV/STD Control in the US in the Era of TASP: 90-90-90 and Beyond
Matthew Golden, MD, MPH
February 2nd, 2018
UCSD HIV & Global Health Rounds
Linking and mapping PDMP data can provide several benefits but also faces challenges. Linking PDMP and clinical data allows for evaluating the impact of PDMP interventions on outcomes and prescribing decisions. However, obtaining permissions and data is difficult due to legal and resource barriers. Mapping PDMP data using GIS tools in Washington identified areas for targeting overdose prevention efforts by visualizing patterns in prescribing risks, treatment availability, and overdoses. Stakeholders used these maps to guide education and funding decisions. Sustaining these tools requires ongoing funding and expanding included data sources.
HCV and HIV Co-Infection among Adolescents and Young Adults in Massachusetts:...CDC NPIN
This document discusses HCV and HIV co-infection among adolescents and young adults in Massachusetts. It finds that reported HCV cases have increased significantly among those aged 15-25 since 2002, likely due to injection drug use. A data match found a small number of HIV/HCV co-infections in this age group, indicating potential for HIV prevention. Effective integrated prevention programs for both viruses are needed to address this emerging public health issue.
This document summarizes the opioid crisis in the United States from 2000 to 2014. It shows that the number of opioid-related overdose deaths more than tripled during this period, increasing from about 8,000 to over 28,000. Additionally, 7.9 million Americans aged 12 or older met the criteria for an illicit drug use disorder in 2013-2014 but only 20% received treatment. The document outlines actions by the Obama administration to address the crisis and increase funding for treatment. It emphasizes that stories can help reduce stigma and that recovery is possible through working together.
Opportunities for Expanding HIV Testing through Health ReformCDC NPIN
The document discusses opportunities to expand HIV testing through recent US health reform efforts. It notes that Medicaid expansion, Medicare improvements, and private health insurance reforms will require coverage of preventive services rated A or B by the US Preventive Services Task Force. This includes HIV testing for those at increased risk. While routine HIV testing is not currently covered, many people could now receive testing through these revised policies. Advocates may still need to work on regulations and state-level decisions to maximize expanded HIV testing opportunities through health reform implementation.
Klickitat County Community Health Needs Assessment Data and Findings Septem...healthypeoplealliance
The document summarizes findings from a community health needs assessment conducted in Klickitat County, Washington. It describes the data collection process, demographics of the county population, survey results on access to and satisfaction with healthcare, and top health issues. Key findings include the county population is older and growing older than the state average, over 80% of residents have a primary care provider but access is lower in East County, and over 70% of residents gave high ratings to their healthcare in the last year.
The survey assessed the knowledge of 46 attendees of a community event on sexual health issues. The key findings were: 1) 64% correctly identified Syracuse as having the highest rate of syphilis infections. 2) 83% correctly said all populations are at risk for HIV/AIDS. 3) 61% would get tested at a doctor's office. 4) 98% knew the main service provided is HIV/AIDS education. 5) 56% understood PrEP prevents HIV. However, the small sample limits generalizing the results.
View only rx16 prev tues_1230_1_duwve_2adams_3proescholdbell-sachdevaOPUNITE
This document summarizes a presentation on preventing hepatitis C and HIV outbreaks. It includes learning objectives about informing attendees of risks of infectious disease outbreaks related to injection drug use and describing collaborations between injury and infectious disease programs. The presentation features four speakers from Indiana and North Carolina public health departments and focuses on lessons learned from an HIV outbreak in Indiana linked to injection drug use.
Program Collaboration & Service Integration Michigan NhpcCDC NPIN
The document summarizes the organizational structure of disease prevention and control efforts within the Michigan Department of Community Health. It describes the Division of Health, Wellness and Disease Control which oversees HIV/AIDS, sexually transmitted diseases, and minority health. It provides details on collaboration between units to integrate information on related issues into training. Challenges and opportunities for further integration across the department are also discussed.
Intro to Prevention: Psychopharmacology Guest LectureJulie Hynes
Current A&D Conditions in lane County: And why we need prevention. Guest lecturer: Julie Hynes, MA, RD, CPS - PreventionLane at Lane County Public Health
Advancing a Sexual Health FrameworkFor Gay, Bisexual and Other MSMIn the Unit...CDC NPIN
Richard J. Wolitski presented on advancing a sexual health framework for gay, bisexual, and other men who have sex with men (MSM) in the United States. He noted that over 30,000 new HIV infections occurred among MSM in 2009, showing that current efforts are not effective. A sexual health approach considers broader health issues, relationships, discrimination and stigma. It emphasizes wellness, prevention, and respectful relationships. Structural changes are needed to address homophobia and improve health care and education to reduce HIV transmission and promote sexual health for all.
Web only rx16 pharma wed_200_1_hagemeier_2fleming_3vernachioOPUNITE
Community pharmacists are well positioned to help address the growing problem of opioid and benzodiazepine addiction but face challenges. Early identification of at-risk patients, supportive benefit structures, and intervention training could empower pharmacists. While many recognize their responsibility, behavioral engagement in prevention is often lacking due to practice barriers, lack of patient information, and fear of responses. Standardizing communication expectations and screening tools could help pharmacists better fulfill their role on the treatment team.
The document discusses the opioid crisis in the United States, including rising rates of prescription opioid misuse and abuse, as well as heroin use and overdose deaths. It outlines how research can help address this crisis through developing less abusable analgesics, expanding access to treatment medications like naloxone and buprenorphine, and exploring new treatment approaches such as immunotherapies and precision medicine targeting genetic factors. The National Institute on Drug Abuse is supporting these research efforts and working to disseminate findings to improve prevention and intervention programs.
This document summarizes a presentation on technologies to reduce prescription drug diversion, fraud, and abuse through electronic prescribing and drug deactivation systems. It discusses Delaware's pilot program with an at-home drug deactivation system. The presentation describes how electronic prescribing of controlled substances can reduce diversion and fraud while improving patient satisfaction. It also outlines DEA requirements for electronic prescribing and discusses Cambridge Health Alliance's experience implementing electronic prescribing of controlled substances with Epic and Imprivata. Finally, it summarizes the results of Delaware's pilot program, which provided at-home drug deactivation systems to specific pharmacies to promote safe disposal of unused prescription drugs.
The Health Home project is evaluating a new program that is part of healthcare reform in New York State. The program identifies individuals with substance use disorders who have other medical and psychiatric problems and offers them a new form of integrated care. The evaluation will study whether this program results in better quality of care and a reduction in health care costs for this vulnerable and chronically ill population.
Dr. Edward Wagner, Director (Emeritus) MacColl Center, Senior Investigator, Group Health Research Institute addresses the 2014 Weitzman Symposium on The Future of Primary Care
Anche il mese di Dicembre 2011 si chiude positivamente per AIXAM ITALIA con una quota di mercato del 34,85% con un distacco verso il nostro primo concorrente di oltre il 50%
Web rx16 prev_tues_330_1_lawal_2warren_3huddleston_4pershingOPUNITE
This document discusses the role of health departments in preventing neonatal abstinence syndrome (NAS). It notes that NAS rates have increased significantly in recent years, disproportionately affecting women. Health departments engage in surveillance to monitor NAS trends, partner with other organizations, support treatment and recovery programs, and provide education to prevent NAS, which is entirely preventable. The document outlines specific strategies health departments use across these areas to address the opioid epidemic and protect maternal and infant health.
This document summarizes a study examining the availability of evidence-based disease self-management programs and promising practices for older adults in Orange County, California. The study found that while 16 of the 21 organizations surveyed provide such programs, 15% are unable to meet demand. Barriers to implementation included lack of funding and trained leaders. The document concludes that efforts to provide these programs are currently segmented and that future research should explore ways to improve coordination and fill service gaps.
This document discusses neonatal abstinence syndrome (NAS) and universal maternal drug testing. It provides background information on NAS including trends showing large increases in incidence and costs associated with NAS. It outlines objectives related to describing NAS trends, identifying legislative activities impacting NAS, describing family planning for women in substance abuse treatment, and explaining a hospital program using universal drug testing. The document then covers topics including NAS symptoms, incidence and geographic trends, costs of NAS, opioid use in women of childbearing age, unintended pregnancy rates, contraceptive use among opioid users, and maternal drug exposure sources.
Public Health HIV/STD Control in the US in the Era of TASP: 90-90-90 and Beyond
Matthew Golden, MD, MPH
February 2nd, 2018
UCSD HIV & Global Health Rounds
Linking and mapping PDMP data can provide several benefits but also faces challenges. Linking PDMP and clinical data allows for evaluating the impact of PDMP interventions on outcomes and prescribing decisions. However, obtaining permissions and data is difficult due to legal and resource barriers. Mapping PDMP data using GIS tools in Washington identified areas for targeting overdose prevention efforts by visualizing patterns in prescribing risks, treatment availability, and overdoses. Stakeholders used these maps to guide education and funding decisions. Sustaining these tools requires ongoing funding and expanding included data sources.
HCV and HIV Co-Infection among Adolescents and Young Adults in Massachusetts:...CDC NPIN
This document discusses HCV and HIV co-infection among adolescents and young adults in Massachusetts. It finds that reported HCV cases have increased significantly among those aged 15-25 since 2002, likely due to injection drug use. A data match found a small number of HIV/HCV co-infections in this age group, indicating potential for HIV prevention. Effective integrated prevention programs for both viruses are needed to address this emerging public health issue.
This document summarizes the opioid crisis in the United States from 2000 to 2014. It shows that the number of opioid-related overdose deaths more than tripled during this period, increasing from about 8,000 to over 28,000. Additionally, 7.9 million Americans aged 12 or older met the criteria for an illicit drug use disorder in 2013-2014 but only 20% received treatment. The document outlines actions by the Obama administration to address the crisis and increase funding for treatment. It emphasizes that stories can help reduce stigma and that recovery is possible through working together.
Opportunities for Expanding HIV Testing through Health ReformCDC NPIN
The document discusses opportunities to expand HIV testing through recent US health reform efforts. It notes that Medicaid expansion, Medicare improvements, and private health insurance reforms will require coverage of preventive services rated A or B by the US Preventive Services Task Force. This includes HIV testing for those at increased risk. While routine HIV testing is not currently covered, many people could now receive testing through these revised policies. Advocates may still need to work on regulations and state-level decisions to maximize expanded HIV testing opportunities through health reform implementation.
Klickitat County Community Health Needs Assessment Data and Findings Septem...healthypeoplealliance
The document summarizes findings from a community health needs assessment conducted in Klickitat County, Washington. It describes the data collection process, demographics of the county population, survey results on access to and satisfaction with healthcare, and top health issues. Key findings include the county population is older and growing older than the state average, over 80% of residents have a primary care provider but access is lower in East County, and over 70% of residents gave high ratings to their healthcare in the last year.
The survey assessed the knowledge of 46 attendees of a community event on sexual health issues. The key findings were: 1) 64% correctly identified Syracuse as having the highest rate of syphilis infections. 2) 83% correctly said all populations are at risk for HIV/AIDS. 3) 61% would get tested at a doctor's office. 4) 98% knew the main service provided is HIV/AIDS education. 5) 56% understood PrEP prevents HIV. However, the small sample limits generalizing the results.
View only rx16 prev tues_1230_1_duwve_2adams_3proescholdbell-sachdevaOPUNITE
This document summarizes a presentation on preventing hepatitis C and HIV outbreaks. It includes learning objectives about informing attendees of risks of infectious disease outbreaks related to injection drug use and describing collaborations between injury and infectious disease programs. The presentation features four speakers from Indiana and North Carolina public health departments and focuses on lessons learned from an HIV outbreak in Indiana linked to injection drug use.
Program Collaboration & Service Integration Michigan NhpcCDC NPIN
The document summarizes the organizational structure of disease prevention and control efforts within the Michigan Department of Community Health. It describes the Division of Health, Wellness and Disease Control which oversees HIV/AIDS, sexually transmitted diseases, and minority health. It provides details on collaboration between units to integrate information on related issues into training. Challenges and opportunities for further integration across the department are also discussed.
Intro to Prevention: Psychopharmacology Guest LectureJulie Hynes
Current A&D Conditions in lane County: And why we need prevention. Guest lecturer: Julie Hynes, MA, RD, CPS - PreventionLane at Lane County Public Health
Advancing a Sexual Health FrameworkFor Gay, Bisexual and Other MSMIn the Unit...CDC NPIN
Richard J. Wolitski presented on advancing a sexual health framework for gay, bisexual, and other men who have sex with men (MSM) in the United States. He noted that over 30,000 new HIV infections occurred among MSM in 2009, showing that current efforts are not effective. A sexual health approach considers broader health issues, relationships, discrimination and stigma. It emphasizes wellness, prevention, and respectful relationships. Structural changes are needed to address homophobia and improve health care and education to reduce HIV transmission and promote sexual health for all.
Web only rx16 pharma wed_200_1_hagemeier_2fleming_3vernachioOPUNITE
Community pharmacists are well positioned to help address the growing problem of opioid and benzodiazepine addiction but face challenges. Early identification of at-risk patients, supportive benefit structures, and intervention training could empower pharmacists. While many recognize their responsibility, behavioral engagement in prevention is often lacking due to practice barriers, lack of patient information, and fear of responses. Standardizing communication expectations and screening tools could help pharmacists better fulfill their role on the treatment team.
The document discusses the opioid crisis in the United States, including rising rates of prescription opioid misuse and abuse, as well as heroin use and overdose deaths. It outlines how research can help address this crisis through developing less abusable analgesics, expanding access to treatment medications like naloxone and buprenorphine, and exploring new treatment approaches such as immunotherapies and precision medicine targeting genetic factors. The National Institute on Drug Abuse is supporting these research efforts and working to disseminate findings to improve prevention and intervention programs.
This document summarizes a presentation on technologies to reduce prescription drug diversion, fraud, and abuse through electronic prescribing and drug deactivation systems. It discusses Delaware's pilot program with an at-home drug deactivation system. The presentation describes how electronic prescribing of controlled substances can reduce diversion and fraud while improving patient satisfaction. It also outlines DEA requirements for electronic prescribing and discusses Cambridge Health Alliance's experience implementing electronic prescribing of controlled substances with Epic and Imprivata. Finally, it summarizes the results of Delaware's pilot program, which provided at-home drug deactivation systems to specific pharmacies to promote safe disposal of unused prescription drugs.
The Health Home project is evaluating a new program that is part of healthcare reform in New York State. The program identifies individuals with substance use disorders who have other medical and psychiatric problems and offers them a new form of integrated care. The evaluation will study whether this program results in better quality of care and a reduction in health care costs for this vulnerable and chronically ill population.
Dr. Edward Wagner, Director (Emeritus) MacColl Center, Senior Investigator, Group Health Research Institute addresses the 2014 Weitzman Symposium on The Future of Primary Care
Anche il mese di Dicembre 2011 si chiude positivamente per AIXAM ITALIA con una quota di mercato del 34,85% con un distacco verso il nostro primo concorrente di oltre il 50%
Nestlé ha estado presente en Ecuador por casi 60 años, llegando al país en la década de 1950. Desde entonces, ha crecido para estar presente en miles de hogares ecuatorianos a través de productos como Nescafé, leche en polvo y cereales. Nestlé también ha apoyado a los productores de cacao ecuatorianos a través de su programa Plan Cacao, mejorando las prácticas agrícolas y las condiciones de vida.
Unitywater Business Review September 2016Simon Taylor
The document discusses the results of a study on the impact of COVID-19 lockdowns on air pollution. Researchers analyzed satellite data from NASA and the European Space Agency and found that nitrogen dioxide levels decreased significantly during lockdown periods in major cities around the world as traffic and industrial activities slowed. The lockdowns provided a glimpse of what cleaner air could look like if societies transitioned to more sustainable practices in transportation and energy long-term.
This document discusses C. Annalisa Miller's personal and academic explorations, including a sweatbath experience and using the body as a way to understand the world. It also mentions her creative explorations of a one man temple project.
Printemps des Réseaux Sociaux - Découvrez le potentiel de FacebookYhoanis Obando
Présentation sur Facebook donnée dans le cadre du colloque Printemps des Réseaux Sociaux 2012 - #PRSQC.
Conférencière : Yhoanis Obando (@yhoanis), conseillère en médias sociaux chez ARP conseils.
www.yhoanisobando.com
www.arpconseils.com
The document outlines key events in Canada's path to independence and nationhood, including:
1) The War of 1812 united French and English Canadians in defending their land from U.S. invasion and increased a sense of Canadian nationalism.
2) After the war, Canadians grew frustrated with British rule and sought more autonomy. This led to the joining of Upper and Lower Canada into the Province of Canada in 1841.
3) The British North America Act of 1867 created the Canadian Confederation by joining together four colonies, establishing the foundations for Canada as an independent nation.
How are advances in social science being used to improve HCAHPS scores? Join Carol Packard, PhD, for key actions you can take to improve patient satisfaction scores, while improving clinical outcomes and reducing costs.
The planning phase of the Family Medicine for America's Health initiative is complete. Implementation is beginning, with $20 million pledged over 5 years to support strategic and communication plans. An Implementation Committee has been formed, chaired by Glen Stream, to drive the next phase. The strategic plan focuses on patient-centered care and family medicine's leadership role in primary care reform. The communications plan aims to position family physicians as leaders through an integrated campaign around prevention, health disparities, patient engagement and chronic disease management.
Assessment of the Genitalia and RectumStudent Na.docxgalerussel59292
Assessment of the Genitalia and Rectum
Student Name
University
Course
Instructor
Date of Submission
Assessing the Genitalia and Rectum
Overview
Regularly, care providers are faced with various challenges that require knowledge and skills to address. As indicated by McBain, Pullon, Garrett, and Hoare (2016), it is not easy to evaluate the genitalia and make use of the evaluation in making and influencing a medical conclusion. Genitalia assessment is challenging at the point when a client visits a care facility giving unclear subjective information. Care providers should be equipped with adequate assessment and communications capabilities to enable them to gather objective data which is critical it the determination of the correct diagnosis (McBain, Pullon, Garrett & Hoare, 2016). This assignment aims to disintegrate the subjective and objective data that is provided and recommending additional information that ought to be included in the SOAP note. The process ought to match the present-day intuitive literature. Besides, the current literature-based proof will be availed. Analytic evaluation that is critical in the evaluation process will be assessed, and the patient's subjective data will be documented. This is aimed at supporting or disproving the evaluation. The care provider will uphold an analytical test by making use of pertinent health support regarding the importance of making an appropriate diagnosis. Finally, the paper will distinguish practical conclusions to take into consideration and justify each outcome, including the current diagnosis.
Analysis of subjective data
In this part, I will assess the subjective data regarding the subject situation. Subjective information incorporates the data that is availed by the client regarding his or her symptoms. Under normal circumstances, it incorporates perceptions, feelings, and concerns. Subjective information is critical since it provides the care provider with the patient's background concerning the purpose of the presentation. The therapists can understand the whole matter by giving ear to the patient (Colby et al., 2017). When the client is giving subjective information, the therapist is expected to take notes to have a better understanding of the patient's problem. The notes enhance the illustration of the patient's account. Patients have a better understanding of them thus listening giving ear to their problems will potentially facilitate a better outcome. Listening enhances the therapist to promote for the patients' needs appropriately. The client's objective data is as indicated below:
. CC: “There are bumps in my bottom which is would like to be assessed”
• HPI: MD is aged 21, and she is a BB college student. She presents at the care facility complaining of external bumps around her genital region. As per her report, the bumps are not painful but they are firm. She expresses that she is active sexually and that she had been involved in numerous sexual relationships ov.
Assessment of the Genitalia and RectumStudent Na.docxfestockton
This document provides an analysis of the subjective and objective data for a case involving a 21-year-old female college student presenting with bumps around her genital region. The summary analyzes the patient's history and physical exam findings. Differential diagnoses are discussed, including epidermal cysts, Bartholin cysts, and primary syphilis (chancre). Laboratory tests are recommended to confirm or rule out infections like HSV and STDs. The most likely diagnosis given the presentation of painless bumps on the external labia is chancroid (primary syphilis), but further diagnostic testing is needed before making a definitive diagnosis.
This document provides an annual report highlighting various programs and initiatives at Cincinnati Children's Hospital that demonstrate excellence in patient care. It describes the establishment of a Transgender Health Clinic to provide treatment, support and community for transgender youth, addressing an important need given high suicide rates among this group. The clinic offers medical and psychosocial services ranging from puberty blockers and hormones to legal and family support.
This webinar discussed how to educate Nurse Practitioners who have completed Community Health Center. Inc’s NP Residency or NPs who have significant experience as a Primary Care Provider on the integration of specialty care for key populations, including:
• HIV care
• Hepatitis C management
• Medication-assisted treatment for opioid use and other substance use disorders
• Sexually transmitted disease (STI) screening and management
• Lesbian, Gay, Bisexual, Transgender, Questioning, Intersex, Asexual (LGBTQIA+) health, including hormone replacement therapy and gender affirming care.
Panelists:
• Charise Corsino, MA, Program Director, Nurse Practitioner Residency Programs, Community Health Center, Inc.
• Marwan Haddad, MD, MPH, AAHIVS, Medical Director, Center for Key Populations, Community Health Center, Inc.
• Jeannie McIntosh, APRN, FNP-C, AAHIVS, Family Nurse Practitioner, Center for Key Populations, Community Health Center, Inc.
NURS 412 Incivility in Nursing Practice in a Hospital.pdfbkbk37
This document discusses a scholarly paper assignment on analyzing a current nursing practice issue using the PICOT process. It provides definitions and examples of PICOT statements addressing problems, interventions, comparisons, outcomes, and timeframes. It also discusses evidence that patients have lower mortality rates when treated by nurses with BSN degrees compared to associate's degrees. Some legislators and nursing educators advocate for requiring all nurses to obtain a BSN due to increasing complexities in healthcare. However, some unions oppose this, claiming a BSN is unnecessary and funding should be provided to RNs obtaining their BSN under new legislation.
Plainfield Health Connections (PHC) is a program run by JFK Health that aims to connect uninsured and underinsured residents in Plainfield, NJ to health and social services to improve their health and reduce costs for emergency services. The program enrolls patients who have had 5 or more emergency room visits and are uninsured or underinsured. So far, 175 patients have enrolled with 51 graduating, 38 not graduating, and 86 still in the program. PHC patients have seen a 67% decrease in emergency room utilization compared to only a 4% decrease for non-enrolled patients, showing the program is effective at lowering avoidable emergency costs.
This document discusses quality improvement efforts around breast and colorectal cancer screening at CommunityHealth, a nonprofit health center providing free healthcare to low-income, uninsured residents in Chicago. For breast cancer screening, opportunities for improvement include developing patient reminder systems, better use of EMR tools to flag overdue patients, and providing more education. For colorectal cancer screening, a tiered approach using fecal immunochemical tests for average-risk patients and colonoscopies for high-risk patients was implemented. Additional strategies to boost screening rates include intensive provider and staff education and targeted patient outreach. Success will be measured by benchmarking screening rates over time.
NTTAP Webinar Series - April 13, 2023: Quality Improvement Strategies in a Te...CHC Connecticut
Join us for a webinar on quality improvement in team-based care!
Building a quality improvement (QI) infrastructure within team-based care is an organizational strategy that will establish a culture of continuous improvement across departments and improve quality in all domains of performance.
Participants will learn about:
• QI infrastructure
• Facilitating QI committees
• Coach training within health centers
Faculty will also provide an example of how trained coaches use QI tools to test and implement changes within an organization.
Tami Frazier Initial Discussion PostNURS 6052 – Essentials of .docxperryk1
Tami Frazier
Initial Discussion Post
NURS 6052 – Essentials of Evidence-Based Practice
Week 8 Initial Discussion Post
Planning for Data Collection
Evidence-based practice is a theory that consists of using research to guide decision making in clinical and nursing settings. For research to be reliable and have validity a significant amount of data collection must first be collected. Whether a research project is using quantitative, qualitative, or mixed-methods design, it is essential to determine what types of information is needed. Due to the emphasis on patient satisfaction in the healthcare world at this time, it is crucial to evaluate how that care is being delivered (Krietz, Winters & Pedowitz, 2016). In this post, I will discuss using a survey method to obtain information representative of the population within a clinic setting.
In the example, I am a nurse working in a local primary care facility which sees thousands of patients annually. To make better clinical decisions regarding patient care and satisfaction, five questions have been created to elicit feedback. The questions are as follows:
1. Did you feel the wait time to be seen in the office was appropriate?
2. During your visit, did you feel the nurses and staff listened to your concerns and treated you with courtesy and respect?
3. Did the provider spend enough time listening, discussing care, and answering your questions?
4. Based on your experience today, would you recommend our clinic to someone you know?
5. In your opinion, what could our clinic have done better?
To obtain structured data that is self-reported and applicable to the clinic’s objectives, it is vital to determine which instrument would work best for the clientele. Self-report methods can extract information from patients that might otherwise be difficult to get (Polit & Beck, 2017). Allowing the freedom to report their experiences and feelings increases confidence in the clinic’s desire to meet their needs. If researchers know what data they want to obtain, a structured approach with some open-ended and closed questions can garner the information needed to make significant changes (Polit & Beck, 2017). Using a mixture of questions is an attempt to include all patients.
For this scenario, the questionnaire is a sampling of both types of questions and is the most popular method (Keough & Tanabe, 2011). The study will be given to individuals 18 and over. The questionnaire and a pen will be given to the patient by the nurse prior at the start of their appointment with the physician. An explanation of the questionnaire will be provided with instructions to return their questionnaire to the drop-box on the countertop in the room after their exam. The goal for participation is 500 patient responses over six months. Responses will be collected and responses logged into the computer on Fridays by the nurse manager. After the six months, results will be calculated, and staff will be informed of the result.
The meeting discussed increasing rates of early-age onset colorectal cancer (EAO CRC) and summarized efforts to address this trend. Major topics included identifying priority risk factors for EAO CRC like diet, antibiotics and obesity during childhood for further study. Participants agreed to explore relationships between these factors and the microbiome, and develop prospective cohort studies to examine incidence and adenoma outcomes. Next steps involve continued collaboration to seek funding and publish findings to inform further research.
2021-2022 NTTAP Webinar: Fundamentals of Comprehensive CareCHC Connecticut
Join us as we discuss the core concepts of team-based care and introduce elements of team-based care that builds upon these basics to support your teams in advancing their capability to provide satisfying and effective care to complex patient populations. .
We will be joined by Margaret Flinter, Senior Vice President/Clinical Director for Community Health Center, Inc., and both Thomas Bodenheimer, MD, Physician and Founding Director, and Rachel Willard Grace, Director, from the Center for Excellence in Primary Care.
Implementation of Timely and Effective Transitional Care Management ProcessesCHC Connecticut
Join us to discuss best practices for integrating daily follow-ups for patients recently hospitalized for health emergencies. Effectively following up with patients is a critical responsibility for integrated care teams.
Experts will share how their teams respond to patients to identify care gaps and support the transition of care. Workflow descriptions will provide participants with the tools to support their work to adapt specific steps into their model of team-based care.
Panelists:
• Mary Blankson, DNP, APRN, FNP-C, FAAN, Chief Nursing Officer, Community Health Center, Inc.
• Veena Channamsetty, MD, FAAFP, Chief Medical Officer, Community Health Center, Inc.
• Bibian Ladino-Davis, Behavioral Health Coordinator, Weitzman Institute
1) The document describes a study that implemented and evaluated a promotora-led cervical cancer education program in the South Philadelphia Latino community.
2) The intervention consisted of two 3-hour workshops taught by paired promotoras focusing on cervical cancer epidemiology, pathogenesis, and screening guidelines.
3) Outcomes measured at baseline and 12 months post-intervention included up-to-date Pap smear screening, cervical cancer knowledge, and self-efficacy. Preliminary results found community excitement about the study and investment in health promotion.
The Community Health Center, Inc. and its Weitzman Institute will provide education, information, and training to interested health centers in Transforming Teams and Training the Next Generation. They offer national webinars and learning collaboratives focused on advancing team-based care, post-graduate residency programs, and health professions students in Federally Qualified Health Centers. The Community Health Center has a long history, serving over 145,000 patients across 203 sites through integrated clinical care, research, and training programs.
SLC CME- Evidence based medicine 07/27/2007cddirks
Saint Luke's Care, a quality improvement organization within Saint Luke's Health System, presents a CME presentation by Dr. Brent Beasley on Evidence Based Medical Care.
This study assessed the effectiveness of a breaking bad news training program for primary care physicians through a pre-post objective structured clinical examination (OSCE). The OSCE consisted of 8 simulated patient encounters requiring physicians to break bad news. Standardized patients rated physicians' communication skills. 17 physicians received the training (intervention group) while 17 others participated in a control group. Results showed the intervention group significantly improved their average OSCE score from pre- to post-test, while the control group showed minimal improvement. This provides evidence the training program improved physicians' ability to break bad news.
1. Network News
SUMMER2015
A Publication for the CF Foundation’s Care Center and Clinical Research Networks
Integrating Mental Health Screening into CF Care:
One Center’s Successful Approach
Care teams are preparing for the publication of the recommendations for depression
and anxiety screening by strategizing about ways to effectively integrate mental
health screening into CF care.
The care team at Women and Children’s Hospital of Buffalo, N.Y., has successfully
prepared for the recommendations by developing treatment algorithms, referral
patterns and educational materials. The team also developed a guide for depression
screening in CF centers that is being adapted as a supplement to the CF Foundation
and European Cystic Fibrosis Society’s (ECFS) mental health guidelines.
The secret, according to the center’s psychiatrist, Beth Smith, M.D., is the
involvement of the entire team in the screening process. “Our motto is, ‘it takes a
village,’” Smith says.
Putting a Process in Place
The first step toward implementation was to ensure that all team members received
baseline knowledge about depression, its prevalence in CF and its effect on disease
management and health outcomes.
By acknowledging a shared belief that screening for depression is important for the
health and well being of their patients, the multidisciplinary team had full ownership.
This enabled them to better support each other through the process and, in turn,
successfully implement mental health screening.
Continued on page 2
The multidisciplinary team at the Cystic Fibrosis Center at Women and Children’s Hospital of Buffalo
Table of Contents
Clinical Research Resources 2
OneCF Center Update 2
CF by the Numbers 3
Recruiting Adult and Family Advisors 3
Publication Watch 4
Town Hall Webinars 4
Updated CFRD Manual 4
Registry Roundup 5
Mentorship Work Group 5
President Highlights CF Advances 6
Meeting to Improve CF Care 6
Clinical Trials Legislation 6
Clinical Care Guidelines Update 7
State-Level Advocacy 7
In the Spotlight 7
Achievement Awards Recipients 8
Care Model of the Future Update 8
Award Program Deadlines 9
Great Strides 9
Important Fundraising Reminder 9
2015 NACFC News 10
Golf Events 10
Cycle for Life Events 10
CF Finest Events 10
Communications to Patients and Families 11
Patient Resources Update 11
2. N E T W O R K N E W S PAGE 2 S U M M E R 2 0 1 5
Continued from page 1
The team created a plan that identified which person would conduct the
screens, score them, respond to positive screens and enter the data into the
charting system. The knowledge and skills needed to effectively carry out the
new roles were clearly outlined, helping the team assign the new roles to the
appropriate team member.
Barriers to Implementation
The team was originally concerned that the additional time required for mental
health screening would pose a barrier to implementation. However, this concern
dissipated after the planning phase. “Prior to the start of screening, we had
strategic meetings to establish protocols and to determine the most efficient
way to screen in our busy center,” explains Dr. Smith. Once the screening
process began, the team found that clinic time and flow was not disrupted.
Many thanks to the team at Buffalo for developing and sharing their resources
to help other care centers implement mental health screening. These tools will
be posted on PortCF when the recommendations are published. Feel free to
contact any member of the Buffalo team with questions on implementing a
similar screening process at your center:
Carla A. Frederick, M.D. cfrederick@upa.chob.edu
Lynn M. Fries, P.A.-C., M.P.A.S., D.P.T. lmfries@buffalo.edu
Danielle M. Goetz, M.D. dgoetz@upa.chob.edu
Kimberly Rand, L.M.S.W. krand@upa.chob.edu
Christine M. Roach, R.N., B.S.N. croach@upa.chob.edu
Beth A. Smith, M.D. balucas@buffalo.edu
OneCF Center Update
The second OneCF Center
Learning and Leadership
Collaborative (LLC2) kicked off in
November 2014 and will run until
March 2016.
Six teams and six quality coaches
convened as a group in Baltimore
for a face-to-face meeting with
teams from the first OneCF Center
LLC, and coaches have conducted
a site visit with their participating
teams. Teams will travel to the
University of Minnesota in June 2015
and the groups will convene again
at the 2015 North American CF
Conference.
For more information, please
email Margie Godfrey
at margiegodfrey@gmail.com.
Clinical Research Resources
Never before in the history of CF have there been so many research opportunities. This year, nearly 20 clinical trials will
be conducted across all categories of the pipeline. This means that 2,500 people are necessary to reach target
enrollment for these upcoming trials.
You Can Help!
Please spread the word about the many opportunities to participate in CF clinical trials using the using the I am the Key
materials. You can order these materials via resources@cff.org.
The Foundation also has many great online resources for people interested in clinical research:
• Clinical Trial Search Tool: Conduct a tailored search for clinical trials based on various fields
• Drug Development Pipeline: See the status of drugs currently in the pipeline
• Clinical Trial Email Alert: Receive an email notification of all new trials posted
If you have any questions, please email Christina Román at croman@cff.org.
3. N E T W O R K N E W S PAGE 3 S U M M E R 2 0 1 5
Patient Registry Data: CF by the Numbers
AssociationsBetweenAnxiety andDepressionwithCFOutcomes
The interdependence of physical and mental health has been well established.
The association between these domains in individuals with CF was assessed by
evaluating health outcomes by age and by whether anxiety, depression or both
were documented as complications.
In pediatric patients, documentation of anxiety, depression or both was 1
percent, 2 percent and 0.5 percent, respectively; in adult patients, it was 4
percent, 15 percent and 7 percent, respectively. The true prevalence of anxiety
and depression may be underreported due to the variability of mental health
screening protocols.
The figures to the right show the data for adults with CF. Similar patterns were
observed in pediatric patients. Patients with any indication of a mental health
disorder had lower FEV1
percent predicted, more exacerbations and lower BMI
and were more likely to have CF-related diabetes (CFRD).
Overall, depression appears to have a more significant impact on outcomes
than anxiety. This cross-sectional look at the data does not allow us to attribute
causality or disentangle the direction of the effect — e.g., does depression lead
to more CFRD or does CFRD result in depression? Nonetheless, these data do
highlight the importance of considering both physical and mental health in the
care of individuals with CF.
If you are interested in obtaining aggregate or record-level data from the
Foundation’s patient registry, please email datarequests@cff.org. If you have
any questions about this figure or using patient registry data for research, please
contact Aliza Fink at afink@cff.org.
55
60
65
70
Neither Anxiety Depression Both
FEV1PercentPredicted
FEV1 Percent Predicted
18+ years
0.5
1
1.5
2
Neither Anxiety Depression Both
NumberofExacerbaƟons
Number of ExacerbaƟons
18+ years
25
30
35
40
45
50
55
Neither Anxiety Depression Both
PercentwithCF-RelatedDiabetes
Percent Diagnosed with CFRD
18+ years
22
22.2
22.4
22.6
22.8
23
23.2
23.4
Neither Anxiety Depression Both
BodyMassIndex
BMI Value
18+ years
Recruiting Volunteers: CF Adult and Family Advisors Program
Help us get the word out! The CF Foundation is still looking for volunteers to provide input and feedback on a variety
of projects and topic areas. If you know a person within the CF community who may be interested in providing his or her
unique perspective on CF care, research or quality of life, please refer them to the CF Adult and Family Advisor group.
We have received over 145 applications since the beginning of the year and are looking forward to furthering our
collaboration with the CF community.
The application link will be sent to clinic coordinators and center directors, so keep an eye out! For more information
about this recruitment process or the projects and topic areas we are recruiting for, please email communityaffairs@cff.org.
4. N E T W O R K N E W S PAGE 4 S U M M E R 2 0 1 5
Publication Watch
This column highlights recently published work derived from the Foundation’s
care center network or patient registry data. We congratulate the authors of
these manuscripts and sincerely thank the many contributors who made this
work possible.
Development and Evaluation of a Palliative Care Curriculum for Cystic
Fibrosis Healthcare Providers
Linnemann RW, et al.
Journal of Cystic Fibrosis, in press, available online March 25, 2015
This single-center study reports on the impact of a newly developed palliative
care curriculum tailored to the nuances of CF. Using a pre- and post-training
survey, researchers found that the 18-hour, CF-specific palliative care training was
well received by CF health care providers and significantly improved self-assessed
comfort with core skills, including the use of supportive care resources, pain
management, non-pain symptom management, communication and
psychosocial skills.
Air Contamination with Bacteria in Cystic Fibrosis Clinics: Implications for
Prevention Strategies
Zuckerman JB, et al.
American Journal of Respiratory and Critical Care Medicine 191.5 (2015): 598-601.
This study assessed the contamination of air with bacteria in exam rooms and
spirometry rooms at seven CF Foundation-accredited care centers across the
country. Environmental samples were compared to respiratory culture results
from 308 subjects with CF ages 6 years and older. Air contamination was most
frequently observed in association with spirometry, with a trend towards
higher cough frequency at those encounters with documented air
contamination. These findings support the greater emphasis on mitigating
safety risks in PFT labs in the recently published Infection Prevention
and Control Guidelines.
Experience of Care From the Perspective of Individuals with Cystic Fibrosis
and Families: Results from 70 CF Foundation Accredited Programs in the USA
Homa K, et al.
Journal of Cystic Fibrosis, in press, published online Jan. 30, 2015
This study reports the aggregate findings of an experience of care survey
deployed at 40 pediatric and 30 adult Foundation-accredited CF programs in
the U.S. Twenty-nine percent of potential respondents completed the survey,
for a total of 2,090 people. Both adults with CF and parents of children with CF
reported the same five positive attributes of experience of care: courtesy and
respect shown, easy to understand explanations, involved in decision-making,
their questions were answered and enough time with providers. Potential areas
for improvement included assessing mental health and improving patient
hospital staff’s knowledge of CF. Results of this study suggest that the
experience of care survey will provide a means to systematically collect and
learn from individuals with CF about their impression and observations of CF
health care delivery.
Continued on page 5
Town Hall Webinars
Thank you for your enthusiastic
response and positive feedback
regarding our care center town hall
webinars. This format has proven to
be an effective way to communicate
about exciting initiatives and
programs available to the CF
community, and we look forward to
sharing more information with you in
the next webinar on June 4.
Invitations to the town halls are sent
via email to all center directors,
coordinators and listservs. All team
members are invited to join and
encouraged to submit any questions
they may have. Watch the March 3
town hall here.
If you have any questions, email
Paula Lomas at plomas@cff.org.
Now Available: Updated
CFRD Manual
The 6th edition of the Managing
Cystic Fibrosis-Related Diabetes manual
is now available to download and
order. The manual is a guide to
treatments and daily management
of CFRD for people with CF and
their families.
To view the manual on PortCF, go
to the PortCF “Resources” tab, then
click on the “Education/Nutrition”
folder.
To order a hard copy, send your
request to resources@cff.org.
Please provide the name of the
resource, your name, street address
(including building/room number),
phone number and quantity requested.
5. N E T W O R K N E W S PAGE 5 S U M M E R 2 0 1 5
Continued from page 4
Cystic Fibrosis Foundation and European Cystic Fibrosis Society Survey of
Cystic Fibrosis Mental Health Care Delivery
Abbott J, et al.
Journal of Cystic Fibrosis, in press, published online Jan. 12, 2015
The CF Foundation and ECFS mental health guidelines committee sought
input from care center personnel to assess the current provision and barriers
to mental health care. Many centers reported not having someone on staff
trained in mental health issues and 20 percent had no one on their team whose
primary role was focused on assessing or treating these issues. Insufficient
resources and a lack of competency were reported in relation to mental health
referrals. Seventy-three percent of respondents had no experience with mental
health screening.
Prevalence of Symptoms of Depression and Anxiety in Adults With Cystic
Fibrosis Based on the PHQ-9 and GAD-7 Screening Questionnaires
Quon B, et al.
Psychosomatics, in press, published online June 1, 2014
The investigators of this study conducted at a single large Foundation-accredited
adult program used the Patient Health Questionnaire – 9 (PHQ-9) and General
Anxiety Disorder – 7 (GAD-7) survey to screen their patient population for
depression and anxiety, respectively. Based on the “symptom definition”
(moderate-to-severe symptoms as defined by > 10 on the PHQ-9 or GAD-7
survey), 15 of the 153 patients (10 percent) had clinically-significant depression
or anxiety symptoms. Using the “composite definition” (i.e. moderate-to-severe
symptoms on PHQ-9 or GAD-7 or the long-term and active use of psychiatric
medications for the treatment of depression or anxiety), 42 of 153 patients
(27 percent) had clinically-significant depression or anxiety symptoms, and seven
patients (5 percent) had evidence of co-morbid, clinically significant depression
and anxiety symptoms. Of the 153 patients surveyed, 5 percent expressed
suicidal ideation. This study supports the recommendation in the CF Foundation
and European CF Society guidelines on mental health: systematic screening for
depression and anxiety using the PHQ-9 and GAD-7 symptom questionnaire.
Registry Roundup: Updates to PortCF
A section titled “Mental Health” was added to the 2015 annual review form under “Socioeconomic Status” with the
following questions:
• Was the patient screened for symptoms of classic depression using the PHQ-9 or other valid depression screen-
ing tools?
• Was the patient screened for anxiety disorder using GAD-7 or a similar tool?
A new field was added in the “Medications” tab of the encounter form to capture open-label combination therapy
ivacaftor/lumacaftor (i.e., Kalydeco/VX-809). The corresponding drug frequency responses are Full Dose BID,
Half-Dose BID and Other Regimen.
On the “Complications” tab of the encounter form, the functionality that carries forward previously entered
complications into the current form was changed to only apply for chronic or permanent complications. For further
details, please refer to the PortCF announcements page.
If you have any questions about PortCF or the implemented changes, please email reghelp@cff.org.
Mentorship Work Group
A workgroup has been established
to develop a pilot peer-to-peer
formalized mentorship program
for adults with CF. The workgroup
consists of clinicians, Foundation
staff and people with CF. We expect
to pilot this program early next year.
For more information, contact
Danielle Lowe at dlowe@cff.org.
Have Comments?
If you have comments or
suggestions for Network News,
please contact Jackie Thompson at
jthompson@cff.org. We welcome
your comments and ideas.
6. N E T W O R K N E W S PAGE 6 S U M M E R 2 0 1 5
President Obama Highlights Advances in CF Research
It has been an exciting year for cystic fibrosis advocates across the country. The
incredible progress in CF treatments and research was highlighted nationally by
President Obama during the 2015 State of the Union address, as well as at an event
introducing the White House’s Precision Medicine Initiative.
William Elder, Jr., a medical student with cystic fibrosis and long-time advocate for the
CF community, was invited to both events. The president shared Elder’s personal story
and described the role ivacaftor has played in changing the face of drug development,
not just for CF but for many other diseases with an underlying genetic cause.
Learn more about the Precision Medicine Initiative.
CF Foundation Spearheads Meeting to Improve CF Care
On Feb. 4, the Foundation hosted an event for private insurers, state Medicaid officials, care center providers, health
experts and people with CF and their families to discuss innovative ways to continue improving the quality of CF care.
The group identified opportunities for greater collaboration, improved utilization of the CF patient registry, supporting
access to treatment and care, standardizing improvements to care, and minimizing administrative burdens placed on
care center providers and people living with CF.
Various themes, such as the cost of care, the importance of shared accountability among patients, families, providers,
payers (including private insurers and Medicaid) and the Foundation, and quality improvement metrics were identified
as potential avenues for exploration. Each stakeholder at the meeting agreed that the ultimate goal is effective, quality
care delivered in a timely manner.
The CF Foundation will continue to collaborate with payers and providers to find ways to work together to create better
patient outcomes and improve the quality of care. Read more here.
Legislation to Remove Barriers to Clinical Trial Participation
The Improving Access to Clinical Trials Act (IACT) is scheduled to expire in October 2015. This important law allows
those with rare diseases, like cystic fibrosis, to participate in clinical trials without fear of losing vital health benefits. In
response to the pending expiration, members of the U.S. House and Senate have introduced the Ensuring Access to
Clinical Trials Act of 2015, which would remove the expiration date from IACT and allow it to become a permanent law.
The bill has not yet been scheduled for a vote, but the Foundation is cautiously optimistic that it will progress
successfully through the legislative process. The CF Foundation will continue working with partners in the House and
Senate to ensure the bill passes before IACT expires in October.
7. N E T W O R K N E W S PAGE 7 S U M M E R 2 0 1 5
Foundation and Care Centers Advocate in States
As state governments across the country began crafting their budget
agenda, the CF Foundation reached out to decision–makers to advocate for
robust funding for health care programs that help people with CF access
specialized CF care and treatments.
State legislators in Ohio, Texas, Illinois, New Hampshire, Oregon, Georgia,
Wisconsin, Colorado and New York have been engaged by the Foundation
through advocates to protect Medicaid, Children with Special Health Care
Needs programs and CF adult assistance programs. This effort will continue in
all 50 states.
In addition, the Foundation and care center providers have advocated for
open access to life-saving therapies on behalf of people with CF in 20 states
this year. Providers and the Foundation have presented both written and oral
testimonies before Medicaid’s Drug Review programs to ensure all
FDA-approved drugs remain on Medicaid’s Preferred Drug List.
Clinical Care Guidelines Update
Nontuberculous Mycobacteria (NTM)
The Nontuberculous mycobacteria consensus statements have been
submitted to Thorax for peer review.
Screening and Treatment of Depression and Anxiety
The depression and anxiety manuscript is being finalized for submission.
Clinical Care for Preschool Age (2-5 years old) Children
The committee, chaired by Stephanie Davis and Thomas Lahiri, has reviewed
the public comments and has submitted the manuscript to Pediatrics®
for
peer review.
GI/Nutrition-Related Topics
The enteral feeding committee, chaired by Sarah Jane Schwarzenberg and
Amanda Leonard, met for the first time at the end of March. Also meeting
for the first time was the colorectal cancer screening committee, chaired by
Albert Lowenfels and Alexander Khoruts; they met in April. Consensus
statements from both committees are a joint collaboration between the
CF Foundation and the American Gastroenterological Association.
For more information about the clinical practice guidelines, contact
Sarah Hempstead at sarah.e.hempstead@dartmouth.edu.
In the Spotlight
Chris Kvam, an adult with CF, shared
his experience as a member of the
mental health task force and
international guidelines committee
with Network News.
“I was invited to join the guidelines
committee as a person with CF in
2013. The writing of the guidelines
themselves was left to the
professionals on the committee, but
it was a collaborative process and
when I read them, I see my
fingerprints on many parts of the
end result.
“I viewed my role on the committee
as using my personal story to
elevate the profile of mental health
issues, generate buy-in from
clinicians and illustrate the need for
resources from the Foundation to
enact the guidelines and enable
clinicians to provide the best
possible care for all people with CF.
These issues cannot be ignored, and
I am incredibly proud and humbled
to have had the chance to
contribute to that conversation.”
8. N E T W O R K N E W S PAGE 8 S U M M E R 2 0 1 5
Three CF Care Professionals Honored with Achievement Awards
The 9th annual CF Nutrition and Social Work Consortium was held in St. Louis, where three CF
care center professionals were recognized for their excellence in CF care.
CF Dietitian Achievement Award
Congratulations to Eileen Potter, M.S., R.D., L.D.N., for receiving the CF Dietitian
Achievement Award! Eileen has served as a CF nutritionist, center coordinator and research
coordinator at Ann and Robert H. Lurie Children’s Hospital of Chicago since 1998. She is
active in Foundation intiatives, serving as a CF mentor in the nutrition mentoring program and
a member of the adherence project steering committee and patient engagement advisory
committee. Additionally, she is the contributing editor for the continuing medical education
program, “Cystic Fibrosis @Point of Care.” Eileen is known for her expertise in tube feedings,
patient- and family-centered care and constipation/distal intestinal obstruction syndrome.
Social Work Achievement Award
This year, two CF Social Work Achievement Awards were presented. Congratulations to
Charlotte Lemming, M.S.W., L.I.S.W.-S., and John Nash, M.S.W., L.M.S.W.!
Charlotte Lemming, of the CF center at the Children’s Medical Center in Dayton, Ohio, has
been a senior medical social worker for more than 35 years. She is a member of the
multidisciplinary pulmonary team that treats patients with CF and asthma, and is also part of
the pulmonary treatment team for children with tracheostomies and ventilator support.
Charlotte was the psychosocial chair for NACFC and a board member of the Foundation’s
Greater Cincinnati/Dayton Chapter, and is currently the social work representative for the CF
patient assistance advisory board.
John Nash has worked as a medical social worker and clinical instructor of pediatrics in Albany
Medical Center’s pediatric CF and genetics programs since 2001. He has been credentialed
as a quality improvement consultant and coach through the Dartmouth Institute Microsystem
Academy coaching program, and has provided coaching and education in quality improvement
to hundreds of health care team members across the country. John is also a mentor in the
Foundation’s social work mentoring program and has been active with NACFC in
multiple capacities.
CF Care Model of the Future: Project Update
As mentioned in the Winter 2015 issue of Network News, Cincinnati Children’s Hospital Medical Center and the
Dartmouth Institute are leading a pilot project sponsored by the CF Foundation to co-design a peer-produced Learning
Health System. This system would enable individuals with CF, families, clinicians and researchers to collaborate and learn
from every interaction, conduct research and implement the findings to produce optimal health.
Since the January meeting at the Foundation’s national office, the workgroups have added new members, with 60-plus
stakeholders now participating in the design process. An empathy building exercise, “CF for a Day,” and ethnography
research were also completed. A second meeting was convened in May at the National Office and the design team
completed a prioritized roadmap and developed recommendations for pilot testing a CF care model of the future. Look
for more details in the next issue.
If you are interested in participating or learning more about the roadmap and pilot testing, contact Michael Seid, Ph.D.,
at Michael.Seid@cchmc.org.
9. N E T W O R K N E W S PAGE 9 S U M M E R 2 0 1 5
Help us Make Great Strides
Calling all CF friends, families,
caregivers and companies
throughout America: We want you
to help us make Great Strides! With
walks around the country, you can
be a part of the largest and most
successful community activity for
CF in the world. There is a place for
everyone — whether you are a
long-time participant or you are
interested in organizing your first
walk team. Visit greatstrides.cff.org
and help us continue to do
great things!
An Important
Fundraising Reminder
Please keep in mind when
fundraising that, as a care center
employee, you should follow the
rules and guidelines set by your
organization regarding solicitation,
patient privacy and other related
issues. If you’d like to share a photo
of a person with CF that was not
provided by the Foundation, it is
important to always obtain their
written consent prior to using the
photo.
Thank you for everything you do
to better the lives of all people
with CF. We hope to see you at a
Foundation fundraiser!
Upcoming Deadlines: CFF and CFFT Award Programs
Award Program Letter of Intent
(LOI) Deadline
Application
Deadline
Research Grant 4/1/2015 9/2/2015
Pilot and Feasibility Grant 4/1/2015 9/9/2015
Clinical Research Award – Fall Cycle 6/15/2015 10/6/2015
Utilizing the CFFT Biorepository to
Identify and Validate CF Biomarkers
6/1/2015 9/15/2015
Newborn Screening
Quality Improvement Program
- 6/1/2015
Repairing CFTR Genetic Mutations for
Research Tools and Therapeutics –
Research; Pilot and Feasibility;
and Postdoctoral
- 7/15/2015
Delivery Technologies for CFTR Gene
Replacement and Repair – Research;
Pilot and Feasibility; and Postdoctoral
- 7/15/2015
3rd, 4th, and 5th Year
Clinical Fellowships
- 9/2/2015
Postdoctoral Research Fellowship - 9/2/2015
Leroy Matthews
Physician/Scientist Award
- 9/10/2015
Harry Shwachman
Clinical Investigator Award
- 9/10/2015
Therapeutic Development Award
(Rolling deadline)
1/1/2015 –
10/31/2015
1/1/2015 –
10/31/2015
CFF/NIH-Unfunded Grant Award
(Rolling deadline)
1/1/2015 –
10/31/2015
1/1/2015 –
10/31/2015
1st and 2nd Year Clinical Fellowships
(Spring 2016 cycle)
- To be
announced.
Applications are accepted online. Locate the listing under “Cystic Fibrosis
Foundation” or “Cystic Fibrosis Foundation Therapeutics.” Guidelines may be
downloaded on that page by clicking on the document icon next to the
program name.
For more information, call the Foundation’s Grants and Contracts office at
301-841-2637, or email grants@cff.org with the name of the program
in the subject line.
10. N E T W O R K N E W S PAGE 10 S U M M E R 2 0 1 5
NACFC News
The 29th
annual North American Cystic Fibrosis Conference (NACFC) will be held in Phoenix, Oct. 8-10, with
pre-conference sessions beginning Oct. 7.
Start planning your adventure to Phoenix. Visit www.nacfconference.org for information about housing,
programming, special classes, short courses and much, much more!
Mark Your Calendars!
• Housing will open on June 8. Register and book your
hotel rooms early to ensure your participation in a short
course or special class (held Oct. 7), limited attendance
sessions and the official conference hotel of your choice! It is
critical that you book your hotel room at one of the official
conference hotels and through the NACFC housing website
to guarantee the CF Foundation’s credit for room blocks.
• Fellows case submission will open on June 15, and cases
must be submitted no later than July 13.
• Registration will open on July 14. Attendees from the
past four years will receive an email notification with
registration login information on July 14. If your email
address has changed, please send updated information to
nacfc@cff.org.
Those who are unable to attend the conference in person will have
the opportunity to view the live-streamed plenary sessions and
select workshops and symposiums online. For more information
about which sessions will be available and how you can join a session,
please visit www.nacfconference.org.
For more information, please email nacfc@cff.org or call 301-907-2513.
Like to Golf?
Join the Foundation for a fun-filled
day of beautiful courses and friendly
competition. Every chapter hosts a
golf program; with 70 golf events
across the country, there’s bound to
be an event near you! To learn more,
contact your local chapter.
Actavis + Allergen
CF Cycle for Life
Start your own national cycle
team by signing up as a national
team leader! Teams can consist of
co-workers, friends and family
members. To learn more visit
cycle.cff.org and click on the
“National Team” tab.
Honor Worthy
Young Professionals
Finest events honor up-and-coming
young professional leaders.
Honorees are selected based on
their extraordinary contributions
in their place of employment and
through philanthropic endeavors in
their community. To learn more or
nominate a candidate, visit
finest.cff.org.
11. N E T W O R K N E W S PAGE 11 S U M M E R 2 0 1 5
Communications to Patients and Families
“Share with Those Who Care” Animation
Inspired and informed by the CF Adult Advisory Council, the Foundation released an
animation that helps adults with CF explain to family and friends why health reasons may
keep them from attending certain social gatherings. “Share with Those Who Care” is the
third animation in the “Get Germ Smart” educational series.
Video Release for “Living Today, Adding Tomorrows”
The “Living Today, Adding Tomorrows” video series gives a glimpse into the everyday lives
of adults with CF and the remarkable people in our community who help add more tomorrows
for those with the disease. Following the initial video, which featured Kaitlyn, a 25-year-old
whose buoyant spirit helps her overcome personal challenges with the disease, are the stories of
39-year-old Brent, 17-year-old Mara and 20-year-old Rachel.
2014 Annual Report
The theme of the Foundation’s 2014 annual report — Courage. Innovation. Focus. — is a
tribute to the collective efforts of the care center teams, researchers, volunteers and people
living with CF and their families, to continuously drive improvements in the length and quality of
life for those with CF. Copies of the annual report will be distributed to all center directors and
can be accessed online at CFF.org.
Re-Envisioning CFF.org
Coming out of the Foundations’s strategic plan to better address the needs and concerns of
the CF community is the launch of an expanded and empowering online experience through
CFF.org. The site has been re-envisioned based on what we’ve heard matters most to people
living with the disease and how CFF.org can help.
Not only will the site be more intuitive, with an improved search function so visitors have an easier time finding the
information they’re looking for, it will also support print-friendly pages while delivering a more dynamic experience with
the integration of education, news, blogs, community comments, videos and photography.
With a summer launch date, the site will continue to incorporate updates to existing information as new material is
created. Select patient resources may not be available at the time of launch, but will be saved on PortCF until the
migration of all relevant topics has been completed. For more information, contact Paula Lomas at plomas@cff.org.
Patient Assistance Resource Center Update
Cystic Fibrosis Patient Assistance Foundation (CFPAF) Expansion
As of May 15, the CFPAF, a non-profit organization that provides financial support to people with CF, has expanded its
assistance to include all CF-specific, FDA-approved drugs and paired devices. In an effort to make financial assistance
available to more people with CF, the maximum amount of assistance that will be provided for each enrollee is $15,000
per enrollment year. This amount is subject to change upon review and is contingent upon the availability of funds.
Case Management Help
Did you know the Patient Assistance Resource Center (PARC) helps care centers locate in-network providers, request
network exceptions and file appeals? Contact the PARC to learn more at 1-888-315-4154, Monday – Friday,
8:30 a.m. – 5:30 p.m. ET, or email parc@cff.org.
Community Outreach
In 2015, the PARC expanded its community outreach efforts to care centers. Through site visits and webinars, the PARC
is assessing care centers’ needs and providing informational trainings on the Foundation’s access programs. For more
information, contact Sierra Stites at sstites@cff.org.