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

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

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

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

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

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

What is Project ECHO?

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

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

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

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

Geriatrics ECHO

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

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

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

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

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

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

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

NOTICE OF FUNDING OPPORTUNITY (HRSA-19-001) Fiscal Year 2019

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:  https://hrsa.connectsolutions.com/ane_nurse_practitioner_residency/

Apply for this grant on Grants.gov.

 

Healthcare Dive: VA Proposes Innovative Telehealth Strategy To Treat Veterans

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By Shannon Muchmore/Healthcare Dive

Dive Brief:

  • The U.S. Department of Veterans Affairs has released a proposed rule that would allow its healthcare providers to treat patients anywhere through telehealth, regardless of state laws.
  • The proposed rule would bring about change more quickly than legislation introduced earlier this year that would also waive state telemedicine laws for VA physicians. The Veterans E-Health and Telemedicine Support (VETS) Act has been referred to the Senate Veterans’ Affairs Committee.
  • Health IT Now Executive Director Joel White said he supports both the proposed rule and the VETS Act. “This proposed rule will be instrumental in breaking down geographic barriers that, for too long, have prevented our nation’s heroes from accessing the care they need where they need it,” he said in a statement.

The VA says its proposed rule is needed for the agency to continue growing its telehealth services, which are particularly crucial for veterans who need mental health care.

The VA has been quite active on the telehealth front recently, as it works to improve care for veterans in rural areas and remove hurdles to accessing care. It comes in the wake of the agency’s scandals from the past few years, which included care quality lapses, excessive appointment wait times and falsified records…

Read the full story at www.healthcaredive.com

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Washingtonian: Virtual Reality is Coming Soon to a Hospital Near You

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By Caroline Cunningham/Washingtonian

The patient is lying on the table in front of me, bright fluorescent lights shining down on her blood-stained clothes. I know she’s been in a car accident, but I have no idea of the extent of the damage yet.

I step closer to the table and glance at her vitals on the screen next to her. My scrubs-clad team stands nearby, waiting for my instructions. I wonder where to begin, trying to shut out the sounds of the emergency room around me.

Suddenly, the patient begins to convulse—she’s vomiting. If I don’t make a move soon, she’ll choke and die. Her skin is turning a sickly bluish-gray.

Finally, I remember what I’m supposed to say: “Check for breathing.” One of the doctors jumps forward to follow my command.

Gently, I lift the goggles off my eyes, blinking as I come back to reality. The ER, the patient, and the other doctors have all vanished, and I’m standing in the MedStar Institute for Innovation office, surrounded by the people who built this virtual-reality program from scratch.

With the help of headphones, a microphone, VR goggles, a handset controller, and laser sensors on the wall that followed my every move, I’d been thrust into an “emergency” where the commands I gave and the clinical decisions I made determined whether the patient lived or died…

Read the full story at www.washingtonian.com

HealthCare Dive: 3 Steps We Can Take to Transform the Health Care Industry

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By Constance Sjoquist/HealthCare Dive

It will come as no surprise that the healthcare ecosystem is disorganized and increasingly destabilizing.

Key stakeholders have made countless claims that healthcare is broken. Payers, providers, employers, government, pharma, startups and investors have competing interests, priorities and methods of working.

Three steps that healthcare stakeholders can take to drive healthcare transformation.

There is much discussion about the innovation and transformation that needs to materialize, as the necessary collaboration amongst stakeholders to achieve this is rare.

There is no one magic bullet to revolutionize the industry, but there are strategies that can result in significant change.

Following are three steps that healthcare stakeholders – and the industry collectively – can take to drive healthcare transformation:

1. Learn from other industries
Healthcare lags in comparison to other industries when it comes to integrating and deploying innovative technologies. To catch up, healthcare must take pages out of other industry playbooks, particularly the playbooks that finance, travel and retail have used to radically change and improve the way they operate…

Read the full story at www.healthcaredive.com

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MILLION HEARTS 2022 CARDIAC KIT AVAILABLE NOW

Have you visited My Quality Insights lately? If not, you’re missing out on our latest tool to help you combat cardiac disease in your patient population.

The Million Hearts® 2022 Cardiac Kit is the first in a series of electronic packages that includes a recorded educational message, the slide deck shown in the recorded message, a transcript of the recording and any relevant patient and staff educational resources.

This first Cardiac Kit features Million Hearts® Executive Director Dr. Janet Wright discussing how preventing a million heart attacks and strokes is possible. The 19-minute recording is accompanied by links to sample blood pressure protocols and the printable 7 Simple Tips to Get an Accurate BP Reading flyer.

Visit the Cardiac Health Community of My Quality Insights today to check out our first Cardiac Kit. Don’t have a My Quality Insights login? See the list of state-based team members below – your local contact can help you get access.