The Role of the Emergency Department in the Opioid Crisis


Opioid Alternatives and medication-assisted Treatment 

 Thursday, January 24, 2019

3:00 p.m. to 4:15 p.m. ET   I   2:00 p.m. to 3:15 p.m. CT

An estimated two million Americans are currently abusing or misusing prescription opioids. When patients present to the ED, practitioners are accustomed to prescribing opioids for acute pain. However, many non-opioid options are available.

When patients with opioid use disorder present to the ED in withdrawal, ED physicians can do more than just manage symptoms. The ED physician can play a role in improved access to evidence-based medication-assisted treatment options.

Join Dr. Alexis LaPietra, Medical Director of the Emergency Medicine Pain Management Program and founder and creator of the Alternatives to Opioids (ALTOSM) program at St Joseph’s Health in Paterson, NJ and Dr. Reuben Strayer, emergency physician at Maimonides Medical Center, Brooklyn, NY to learn how to minimize opioid exposures and maximize medication-assisted treatment opportunities in the ED. Do not miss this opportunity to interact with our esteemed experts live.

Registration is required, so please register today. Once registered you will receive a confirmation email which will contain the login details.

Target Audience:  If you are a physician, nurse, pharmacist or other health care team member in the states of Delaware, Louisiana, New Jersey, Pennsylvania, and West Virginia who works to improve care coordination, we encourage you to register today for this informative program.

1.0 Free CEUs

Quality Insights is working with Pittsburgh Regional Health Initiative (PRHI)* to obtain 1.0 free CNE, CME or CPE contact hours for attending this session and completing the post-session evaluation. If you are unable to attend, the presentation will be offered as an enduring material that will offer CNE, CME and CPE contact hours on My Quality Insights.

*This activity has been submitted to the Pittsburgh Regional Health Initiative, Center for Perfecting Patient Care

SM for approval to award contact hours. PRHI, Center for Perfecting Patient Care is an approved provider of continuing nursing education by the Pennsylvania State Nurses Association, an accredited approver by the American Nurses Credentialing Centers Commission on Accreditation.

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the University of Pittsburgh School of Medicine and the Jewish Healthcare Foundation. The University of Pittsburgh School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits ™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

 The University of Pittsburgh Center for Continuing Education in the Health Sciences is accredited by the Accreditation Council for Pharmacy Education as a Provider of continuing pharmacy education. The assigned universal program number(s) is pending.

This knowledge-based activity provides 1.0 contact hours (0.1 CEU) of continuing education credit. Credit will be awarded upon successful completion of this program including: attending the full session, completing and submitting a self-graded post-test with an 80% pass rate, completing and submitting a program evaluation and CPE Verification and Designation Form.

 Faculty Disclosure

Faculty for this activity have been required to disclose all relationships with any proprietary entity producing health care goods or services, with the exemption of non-profit or government organizations and non-health care related companies.

Contact Us Today

Delaware: Jami Jones, 877.987.4687, Ext. 116

Louisiana:  Kym Herrin, 225.248.7068

New Jersey: Nicole Skyer-Brandwene, 732.238.5570, Ext. 2099

Pennsylvania: Carol Hann, 877.346.6180, Ext. 7826

West Virginia: Carol Matheny, 304.346.9864, Ext. 4230


First Annual Rehab One, Ltd. Scholarship

Rehab One Ltd., a rehabilitation company that provides professional therapy and management services at Boone Memorial Hospital since 1998, has established The Rehab One Scholarship.

This year’s recipient, Lindsay Brown is a Therapy Technician in the Physical Therapy Department at Boone Memorial. She received $1,500, which must be utilized at one of the state vocational/ technical schools or universities in West Virginia. Lindsay is enrolled in the nursing program at Southern West Virginia Community & Technical College.

Criteria for the award includes; Literary and scholastic attainment, aptitude, and intellectual promise; Moral qualifications of honesty, truthfulness, temperance, fortitude, and prudence and justice; Qualities of leadership, unselfishness, and social fellowship; and Physical vigor as evidenced by an interest in community events and or sporting activities.

“We are thrilled to present Lindsay with our first scholarship and look forward to selecting future recipients,” said Owner of Rehab One, Ltd., Shannon Snodgrass, PT.


January is Cervical Cancer Awareness Month

January is Cervical Cancer Awareness Month, an opportunity to raise awareness about the disease, its cause, prevention, diagnosis, treatment and cure. 

West Virginia has the highest incidence of cervical cancer in the nation. Although HPV vaccines have been shown to be highly effective in protecting against the HPV types targeted by the vaccines, HPV vaccination rates remain low in West Virginia. In fact, in 2017, only 44% of teens between the ages of 13 and 17 years of age in West Virginia were fully vaccinated against HPV.

The Centers for Disease Control and Prevention (CDC) estimate that increasing HPV vaccination rates from current levels to 80 percent would prevent an additional 53,000 future cervical cancer cases in the United States among girls who now are 12 years old or younger over the course of their lifetimes. Thousands of cases of other HPV-associated cancers in the U.S. also likely would be prevented within the same time-frame. A growing proportion of these cancers – most notably, oropharyngeal cancers -will occur in males if their HPV vaccination rates remain low as well.

HPV Vaccination Tools & Resources

CDC HPV Vaccination Tools :  The Centers for Disease Control and Prevention website hosts a variety of HPV vaccination materials for Parents and Public, Healthcare Professionals, and other Partners and Programs.

Cervical Cancer Awareness Month Toolkit:  The George Washington University Cancer Center has designed a Cervical Cancer Awareness Month Social Media Toolkit to help healthcare and public health professionals establish a social media strategy built around Cervical Cancer Awareness Month.  The toolkit is designed to help healthcare and public health professionals: understand the functions and benefits of social media; establish a cervical cancer awareness month social media strategy; manage social media accounts; implement Facebook and Twitter best practices; disseminate messaging on breast cancer prevention, screening and treatment; and evaluate social media efforts. The toolkit also includes tips and evidence-informed sample messaging along with other social media resources and tools. Click here to access the toolkit.

QI Tools from HPV IQ:  Teams of researchers and public health professionals at the UNC Gillings School of Global Public Health developed quality improvement tool kits and tested them in clinics across the country. The kits are designed to be effective, easy to use, and easy to adapt to practitioners’ local needs and resources. Click here to view the resources.

Immunization and Practice-Change Tools Available from the AAP:  Check out the American Academy of Pediatrics’ practice change tools and comprehensive Immunization Training Guide. The practice-change tools cover standing orders to improve immunization rates, contraindications, and use of Vaccine Information Statements.

The National HPV Vaccination Roundtable:  The National HPV Vaccination Roundtable (HPV Roundtable) is a trusted coalition of public, private, and voluntary organizations and experts dedicated to reducing incidence of and mortality from HPV cancers in the United States. Click here to view their tools and resources.

Additional Tools and Resources


Advanced Nursing Education Nurse Practitioner Residency (ANE-NPR) Funding Opportunity


Application Due Date: March 4, 2019

The Health Resources and Services Administration (HRSA) is accepting applications for the fiscal year (FY) 2019 Advanced Nursing Education Nurse Practitioner Residency (ANE-NPR) funding opportunity. The application cycle closes on March 4, 2019.

The purpose of this new program is to prepare and increase the number of new nurse practitioners (NPs) in primary care practice in community-based settings through clinical and academic focused 12-month nurse practitioner residency (NPR) programs. Preference will be considered for projects that benefit rural or underserved populations.

For this program, specialties that have a primary care focus may include Family, Adult Family, Adult-Gerontology, Pediatric, Women’s Health Care, Nurse Midwife, Psychiatric Mental Health, and Psychiatric-Mental Health Family.

Applicants are required to address their use and adoption of telehealth and other health care technology, as applicable, which increase readiness to practice and prepare advanced NPs in primary care to expand access to high quality care where it’s most needed. 

A total of $20 million will be available to fund approximately 20 awards. Applicants can apply for up to $500,000 in year one and up to $1,000,000 in years 2, 3 and 4.

Technical Assistance

Date:Tuesday, January 8, 2019
Time: 1:30 – 3:30 pm ET
Call-In: 888-917-8043
Pass-code: 2778084
Web link:

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Opioid Prescription Changes Are Here


The Centers for Medicare & Medicaid Services (CMS) implemented a new opioid policy for Medicare drug plans on January 1. The new policies include:

  • Improved safety alerts when patients fill opioid prescriptions at the pharmacy
  • Drug management programs for patients at-risk for misuse or abuse of opioids or other drugs

CMS posted new training materials, including slide decks and tip sheets for prescribers, pharmacists and patients.

CMS also recently released an MLN Matters® Article: A Prescriber’s Guide to the New Medicare Part D Opioid Overutilization Policies for 2019. Visit the Reducing Opioid Misuse webpage for more information on CMS’ overall strategy.

Contact Us

Contact Biddy Smith at 1.800.642.8686, ext. 3252

or visit us online at

This material was prepared by Quality Insights, the Medicare Quality Innovation Network-Quality Improvement Organization for West Virginia, Pennsylvania, Delaware, New Jersey and Louisiana under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.


Medicaid Work Requirement – Coming Soon to West Virginia?

[Photo: Carol Von Canon/FlickrCC]

The West Virginia Rural Health Association will host a free webinar at 12 p.m., Jan. 22 on the potential impacts of a Medicaid Work Requirement in West Virginia.

In 2018, the Centers for Medicare & Medicaid Services (CMS) issued a new policy allowing states to implement work and community engagement requirements for certain Medicaid enrollees.

Since then, 16 states, including West Virginia’s Appalachian neighbors Virginia, Kentucky, Ohio and North Carolina have either implemented or proposed new laws requiring people receiving Medicaid to verify their participation in approved activities, such as employment, job search, or job training programs, in order to receive health coverage.

The effort to institute Medicaid Work Requirement in Kentucky was embroiled in federal litigation, and efforts in other states have been similarly contentious.

With the West Virginia legislative session approaching in January, there is some speculation that West Virginia could be the next state to adopt a Medicaid Work Requirement.

Given the importance of Medicaid in West Virginia’s rural communities, a Medicaid Work Requirement would have a profound impact on coverage and the provision of health services.


Register now for the webinar using the form below. The webinar is free, will begin at 12 p.m. and will run for approximately 1 hour.

Registration for the webinar will close on Friday, Jan. 18 at 5 p.m.

Presenting on the webinar will be:

• Simon F. Haeder, Ph.D., M.P.A., the author of the WVU report, Making Medicaid Work in the Mountain State.
• Ted Boettner, Executive Director of the West Virginia Center on Budget and Policy.
• Kat Stoll, Policy Director, West Virginians for Affordable Health Care.
• Susan Jo Thomas, Executive Director, Covering Kids and Families of Indiana.


Haeder’s report, released by the John D. Rockefeller School of Policy and Politics at WVU, found that any changes that limit Medicaid enrollment or reimbursement “will have significant detrimental effects on the health and well-being of West Virginians.”

In order to help health professionals, students and advocates learn more about the potential impacts of a Medicaid Work Requirement in this state, the West Virginia Rural Health Association is hosting a free webinar on January 22 featuring experts on the work requirement proposal and representatives of health care providers in West Virginia.

“About a third of West Virginians rely on Medicaid, and the program has become the backbone of the state’s health infrastructure,” Haeder wrote.

Haeder’s research estimates that, if a Kentucky-style approach (a work requirement applicable to the entire Medicaid population from ages 19 to 65, with certain exemptions for the disabled, students, caregivers of children or people with disabilities) was instituted in West Virginia coverage losses for nonexempt individuals alone could range from 66,000 to 112,000 West Virginians.

“Great care must be taken by policymakers to avoid unintended consequences and inequities,” the report finds. “While crucial for these individual beneficiaries, Medicaid also serves as the backbone of the larger health care infrastructure in the state, including for hospitals, Federally Qualified Health Centers, and Rural Health Clinics, as well as major health systems like West Virginia University Medicine and CAMC Health System.”

“Any changes, including the implementation of work requirements, block grants, or a reversal of the Medicaid expansion, that limit enrollment or reimbursement will have significant detrimental effects on the health and well-being of West Virginians.”

The WVRHA webinar is a unique and vital opportunity for anyone interested in healthcare in West Virginia to ask questions about the potential impact of a Medicaid Work Requirement, and to network with health providers and advocates with a vested interest in the state’s Medicaid system.

Register for the webinar now using the form below.

Congress Passes Farm Bill that Protects SNAP, West Virginia Communities

Media Contact: Caitlin Cook (304) 543-4879

(Charleston, WV) – Following Congress passing the 2018 farm bill, Kelly Allen, Policy Outreach Coordinator at the West Virginia Center on Budget and Policy, released the following statement:

“The farm bill agreement reached this week and passed by Congress today will help hundreds of thousands of West Virginians put food on the table while boosting our local economies. The Supplemental Nutrition Assistance Program (SNAP) is our nation’s most effective anti-hunger program and protecting and strengthening SNAP is key to moving shared prosperity forward in the Mountain State.

With both Senate and House chambers rejecting the partisan House-passed bill that proposed reducing food assistance from those in need through cuts and harmful changes, the bill awaits President Trump’s signature.

Congress passed a farm bill that ensures that SNAP will continue to help feed children and their parents, seniors, people with disabilities, and working people with low pay and inconsistent hours who struggle to make ends meet. That includes 1 in 5 people right here in West Virginia.

We commend House and Senate leaders for working together, across party lines, to continue the bill’s bipartisan tradition of ensuring no American goes hungry. A special thanks to West Virginia’s congressional members Senator Capito, Senator Manchin and Representative McKinley for voting to protect food assistance for the hundreds of thousands of West Virginians.”

The West Virginia Center on Budget and Policy is a public policy research organization that is nonpartisan, nonprofit, and statewide. The Center focuses on how policy decisions affect all West Virginians, especially low- and moderate-income families.

Responding to Hep A Outbreak, Volunteers Needed to Administer Vaccine

Photo: Direct Relief/FlickrCC

The Bureau for Public Health (BPH) is seeking medical volunteers to administer Hepatitis A vaccine at several clinics that will be conducted throughout the state, in response to a Hepatitis A outbreak in West Virginia.

Health care professionals are especially needed to administer Hepatitis A vaccine at the Charleston Treatment Center on 1/11/2019.

If you are interested in volunteering, please contact Tony Leach, Volunteer Coordinator with the West Virginia Center for Threat Preparedness (CTP) as soon as possible at or by phone at 304-558-6900 to be placed on a vaccination strike team roster.

Since March 2018 West Virginia has seen an unprecedented increase in the number of confirmed cases of acute Hepatitis A virus (HAV) across the state.

The HAV outbreak in West Virginia includes over 2,000 confirmed cases in 40 counties.The BPH is working with the Centers for Disease Control and Prevention (CDC) to provide HAV vaccine to at-risk populations and are assisting Local Health Departments to implement vaccination strategies across the state.

As part of this statewide initiative, BPH will be coordinating and participating in a series of vaccination clinics in January 2019. It is currently targeting 7 Medication Assisted Therapy (MAT) Comprehensive Treatment Centers located in Raleigh, Harrison, Wood, Mingo, Kanawha, Ohio and Cabell counties.

The clinics will take place from 5 a.m. to 1 p.m., with the first taking place in Cabell County on Jan. 4, 2019.

Medical volunteers are needed to help administer HAV vaccine at these clinics. Prior experience in vaccine administration and/or participating in mass vaccination clinics is preferred, but not required. Just In Time (JIT) training will be offered to interested volunteers.

Confirmed clinics dates are as follows:

  • Huntington Treatment Center – 1/4/2019
  • Williamson Treatment Center – 1/7/2019
  • Beckley Treatment Center – 1/8/2019
  • Charleston Treatment Center – 1/11/2019
  • Parkersburg Treatment Center – 1/22/2019

If you are interested in volunteering, please contact Tony Leach, Volunteer Coordinator with the West Virginia Center for Threat Preparedness (CTP) as soon as possible at or by phone at 304-558-6900 to be placed on a vaccination strike team roster.

Just because you are placed on the volunteer roster, does not mean you will be required to participate in the clinics. We will work around schedules to make sure you are available before assigning to a clinic. Once all logistical information is confirmed, Mr. Leach will follow up to coordinate JIT and clinic coverage dates to ensure it fits your schedule.

Primary Care Training and Enhancement: Integrating Behavioral Health and Primary Care Program

NOTICE OF FUNDING OPPORTUNITY (HRSA-19-086) Fiscal Year 2019 Application Due Date: January 28, 2019

Apply for this grant on

The Health Resources and Services Administration (HRSA) is accepting applications for the fiscal year (FY) 2019 Primary Care Training and Enhancement (PCTE): Integrating Behavioral Health and Primary Care (IBHPC) funding opportunity. The application cycle closes on January 28, 2019.

The purpose of this program is to fund innovative training programs that integrate behavioral health care into primary care, particularly in rural and under-served settings with a special emphasis on the treatment of opioid use disorder.

This program supports HRSA’s priority around combating the opioid crisis, as well as priorities around enhancing access to mental health services, by transforming the health workforce.

Applicants are tasked with enhancing primary care training using the Framework for Levels of Integrated Healthcare, establishing or enhancing training in opioid and other substance use disorders and developing and implementing a systematic approach to improve trainee and provider wellness.

Approximately $4 million will be awarded to fund up to 10 grants. Applicants can apply for up to $250,000 per year for single projects and up to 400,000 for collaborative projects per year.