Don't Miss June's Lunch & Learn Webinar: Navigating the Healthcare Workforce

 

June Lunch & Learn Webinar


Navigating the Healthcare Workforce:
Insights into Employee Turnover and Retention Trends

Tuesday, June 18 | 12:00 PM - 1:00 PM EDT | Zoom

 

Dive deep into the heart of healthcare operations with our illuminating session, “Navigating the Healthcare Workforce: Insights into Employee Turnover and Retention Trends.” In today’s ever-evolving healthcare landscape, the ability to decipher the nuanced patterns of employee turnover and retention is not just advantageous; it’s essential for organizational longevity and the delivery of exceptional patient care. This session is your gateway to the latest data-driven insights and emerging trends that are reshaping the dynamics of the healthcare workforce.

Delve into the intricacies of turnover analysis, uncovering the pivotal drivers behind employee departures. But we don’t stop there. We’ll guide you through a landscape of innovative retention strategies, equipping you with actionable knowledge to fortify your workforce and foster a culture of resilience and engagement within your healthcare institution.

From identifying key pain points to implementing best practices, this session promises to empower you with the tools and strategies necessary to thrive in the competitive realm of healthcare staffing. Don’t miss out on this opportunity to elevate your workforce management skills and drive sustainable success in healthcare delivery.

Registration

This webinar is free, but you must be registered to attend. Space is limited so register early! After you register, you will receive an emailed confirmation with webinar and phone-in instructions. Please check your spam/junk folder if you do not see the confirmation email after you register.

Questions

Please contact the NCMGMA offices at info@ncmgm.org.

Continuing education credit may be granted through your professional organization (MGMA, PAHCOM, AHIMA, etc.). Please self-submit for these organizations.


BSBSNC Foundation Announces Funding Opportunity for Youth Mental and Behavioral Health

 

Blue Cross and Blue Shield of North Carolina Foundation is issuing a funding opportunity to expand access to youth mental and behavioral health services supporting near-term opportunities which leverage a trained workforce that goes beyond specialty trained clinical and professional roles and which provides initial support and connection to resources that can assist youth in getting the support they need.

Grants ranging from $75,000 to $500,000 per year for up to three years will support models that are effective in the short-term (1-3 years) in supporting better access to care and resources for youth navigating mental and behavioral health challenges, as well as increasing accessibility to services that can lead to greater prevention and earlier intervention.

Learn more about this opportunity here.


Discuss Vaping Prevention and Support for NC Youth at NCDHHS Live Fireside Chat and Tele-town Hall

 

The North Carolina Department of Health and Human Services will host a live fireside chat and tele-town hall, TODAY, Wednesday, May 29, from 6 to 7 p.m., to discuss vaping prevention and resources for youth in North Carolina as well as ways parents and caregivers can support their families.

Event participants below include state and local experts on vaping prevention and support, as well as a parent with firsthand experience of how devastating the consequences of youth vaping can be:

  • Shayla Hayes, Youth Engagement Coordinator, Tobacco Prevention and Control Branch, Division of Public Health, NCDHHS
  • Ray Riordan, Director of Local Policy and Programs, Tobacco Prevention and Control Branch, Division of Public Health, NCDHHS
  • Tricia Howard, MSN, MHA, PMHNP-BC, Lead Nurse, Durham Public Schools
  • Charlene Zorn, Parent Advocate and Solomon’s Stepmom

E-cigarettes — also known as vapes — are the most commonly used tobacco product among middle and high school students in the United States. More than two million students currently use vapes and one in four of these students vape every day. However, most middle and high school students who vape want to quit and have tried to quit.

Fireside chat and tele-town hall panelists will discuss the following:

  • Signs a child or teen may be vaping and how to help
  • Ways parents and caregivers can talk to youth about vaping
  • How to find health information, care and providers for youth
  • Resources to help prevent youth from vaping or help them quit

It’s important to talk to kids about vaping early, even before they are teens, as most tobacco use starts during youth. Resources are available across the state to help parents and caregivers navigate conversations with youth about vaping, access vaping prevention tips and guidance, and find support for their family if a young person is vaping.

The fireside chat will stream live from the NCDHHS Facebook, Twitter (X) and YouTube accounts, where viewers can submit questions. The event also includes a tele-town hall, which invites people by phone to listen in and submit questions. People can also dial into the event by calling 855-756-7520 Ext. #106458.

The North Carolina Department of Health and Human Services will host a live Spanish-language Cafecito and tele-town hall on Thursday, May 30, from 6 to 7 p.m. Get the details here.


Upcoming Webinar Highlights the Crucial Role of a Diverse Workforce in Achieving Health Equity

Diversifying the Health Center Workforce: Elevating Cultural Humility & Equitable Care

Wednesday, June 5 | 3:00 pm

Connect with the Association of Clinicians for the Underserved (ACU) STAR² Center, the Migrant Clinicians Network (MCN) and The National LGBTQIA+ Health Education Center for a collaborative two-part webinar highlighting the crucial role of a diverse workforce in achieving health equity.

The first session will focus on how to integrate principles of Justice, Equity, Diversity, and Inclusion (JEDI) into recruitment and retention efforts within a healthcare setting. The second session will shine a light on the specific needs and challenges faced by migrant populations and LGBTQIA+ communities.

Don't miss this opportunity to learn strategies for building diverse, culturally humble healthcare teams that are essential for advancing health equity across diverse communities.


New Coronavirus Variant Becomes Dominant Strain in US.

 

According to Centers for Disease Control and Prevention (CDC), a new coronavirus variant, KP.2, a member of the so-called FliRT variants, has become the dominant coronavirus strain in the United States. While FliRT variants have certain mutations in common, they are still part of the Omicron family of the coronavirus.

There are many questions surrounding this new variant:

  • What should people know about this new variant?
  • What are the symptoms of infection?
  • Do vaccines still work against the new strain?
  • Is a home test still reliable?
  • How long should people isolate if they contract KP.2?
  • Who should take antiviral treatments if they contract this type of Covid-19?
  • And what is the guidance for immunocompromised individuals — should they start masking again?

Get the answers to these concerns here.


Meningococcal Disease Cases Linked to International Travel

The Centers for Disease Control and Prevention (CDC) recently issued a Health Alert Network Health Advisory to alert clinicians to cases of meningococcal disease linked to travel to the Kingdom of Saudi Arabia (KSA). Since April 2024, 12 cases of meningococcal disease linked to KSA travel: United States (5 cases), France (4 cases), and the United Kingdom (3 cases).

Recommendations for Healthcare Clinicians

  • Recommend vaccination with MenACWY conjugate vaccine for people considering travel to KSA to perform Hajj or Umrah (pilgrims) in addition to routine meningococcal vaccination for adolescents and other people at increased meningococcal disease risk
  • Maintain a heightened index of suspicion for meningococcal disease among symptomatic people who have recently been in KSA and among close contacts of people who have recently been in KSA, regardless of vaccination status
  • Immediately notify state, tribal, local, or territorial health departments about any suspected or confirmed cases of meningococcal disease in the United States
  • Preferentially consider using rifampin, ceftriaxone, or azithromycin instead of ciprofloxacin as prophylaxis for close contacts in the United States of meningococcal disease cases associated with travel in KSA

Got a Minute? Respond to the Maternal and Child Health Survey

 

On behalf of the North Carolina Title V Program, you are invited to respond to this survey as part of the 2025 Title V Needs Assessment, a requirement of the Maternal and Child Health (MCH) Block Grant application and a critical element of the MCH program planning process for the NC Department of Health and Human Services.

The mission of the NC Title V Maternal and Child Health (MCH) Block Grant Program is to support and promote the health and well-being of NC individuals including mothers, infants, children, youth, and their families to reduce inequities and improve outcomes.

The findings of the assessment are used to identify priorities and to guide resource allocation and program planning within the following five MCH domains, acknowledging that many issues are cross-cutting or related:

  • Women/Maternal Health
  • Perinatal/Infant Health
  • Child Health
  • Adolescent Health
  • Children with Special Health Care Needs

Please take a moment to complete this quick survey. We also welcome you to share this survey opportunity with your patients.

Thank you for your time.

A Spanish-version of the survey is available here.


Federal Trade Commission Announces Webinar on Noncompete Rule

 

On May 31, 2024, at 1:00 PM ET, the FTC will host an online overview of the final rule banning noncompetes, focused on healthcare.

Chair Lina Khan will kick off the session before turning it over to the Office of Policy Planning. The briefing will include a summary of the rule with a focus on healthcare and time for answering questions submitted in advance using the email address provided below. The briefing is free and expected to last 30 minutes.

The FTC invites you to submit questions in advance by email at asknoncompete@ftc.gov. In the subject line, please include “Healthcare Briefing”.

If you are interested in attending, please register in advance using this link. After registering, you will receive a confirmation email containing information about joining the webinar.

Resources, guides, and multi-language model notices are available on the Noncompete Rule page at www.ftc.gov/noncompetes.


NCMS at Work for You: AI Regulations and Healthcare Outreach

During the May meetings of the North Carolina Medical Board (NCMB), a range of pressing issues in healthcare regulation were discussed, with a particular focus on the integration of artificial intelligence (AI) and outreach initiatives.

NCMS staff attended these meetings. Below is an outline of what was discussed:

Navigating AI in Healthcare

The Policy Committee delved into the complexities surrounding the incorporation of AI technologies in medical practice, spurred by the introduction and discussion of a report from the Federation of State Medical Boards (FSMB). Emphasizing the need for proactive regulation, the FSMB underscored NCMB's obligation to develop clear guidelines for the ethical and effective utilization of AI. Despite the rapid evolution of AI technology, the committee stressed the importance of upholding professional standards and patient safety, irrespective of technological advancements.

Recognizing the absence of established benchmarks in this rapidly evolving field, the committee grappled with the challenge of creating novel guidelines tailored to AI implementation. Drawing parallels to the approach taken with telemedicine, the committee proposed a broad yet adaptable policy framework, echoing the sentiment that informed consent, transparency, and accountability are paramount in AI utilization. Dr. Jan Rhyne's presentation shed light on the multifaceted applications of AI in healthcare, from predictive analytics to clinical documentation, prompting discussions on delineating the responsibilities of physicians and AI systems.

The board is not currently drafting a policy but doing more research and having more discussion on this topic.

Regulatory Updates and Outreach Efforts

In addition to AI regulation, the Policy Committee addressed various regulatory updates and outreach initiatives aimed at engaging diverse stakeholders in healthcare. Revisions to policies regarding conflicts in healthcare settings, licensee use of innovative treatments, and contact protocols before prescribing were approved, reflecting the committee's commitment to adaptability and responsiveness.

The Outreach Committee highlighted efforts to enhance public engagement and educational outreach. From presentations to medical societies to the exploration of mobile phone application feasibility, the committee is actively seeking innovative avenues to connect with communities and disseminate vital healthcare information.

Looking Ahead

As the landscape of healthcare continues to evolve, the NCMB remains dedicated to navigating complex regulatory challenges while prioritizing patient care and safety. With AI regulation and outreach initiatives at the forefront of its agenda, the NCMB Policy Committee is poised to drive meaningful change in North Carolina's healthcare landscape, fostering innovation, inclusivity, and excellence in medical practice.


Expansion of 'Right To Try' Law Passes NC Senate committee

 

State lawmakers want to expand North Carolina's "Right To Try" law that allows some patients to try experimental drugs or medical treatments.

The legislature passed the first "Right To Try" law in 2015. It allows doctors to provide some medications and treatments that aren't approved by the Federal Drug Administration. Only patients with terminal or life-threatening conditions are eligible.

A bill that passed its first Senate committee vote Wednesday would expand the law to new genomic and genetic treatments.

"These are treatments that are still in research and experimental phases," said Sen. Benton Sawrey, R-Johnston, the bill's sponsor. "So they have not gone through some of the necessary trials. There's an example of a medication to treat a rare brain disorder that's been approved in Europe since 2020. Patients are currently leaving the United States to go to Europe to receive that genetic treatment and then coming back here."

The bill would not require insurance to cover any of the experimental treatments, and the producer of the drug or treatment wouldn't be legally responsible if the patient dies. No one spoke against the bill. (source)


Local Health System Performs Landmark Heart Valve Surgery

(image credit: Atrium Health)

 

Minimally invasive procedure promises faster recovery and alternative to open-heart surgery

 

CHARLOTTE, N.C. – Atrium Health Sanger Heart & Vascular Institute has successfully completed the first commercial tricuspid clip procedure in the Carolinas, performed in May at Atrium Health Carolinas Medical Center. This achievement marks a significant milestone in the treatment of tricuspid regurgitation (TR), offering new hope to patients who are not candidates for traditional open-heart surgery.

Tricuspid regurgitation is a condition where the tricuspid valve, located between the right atrium and right ventricle of the heart, fails to close properly, allowing blood to flow backward. This can lead to symptoms such as severe shortness of breath, swelling in the legs and abdomen and a significant reduction in quality of life. Until recently, treatment options for TR were limited to medical management or high-risk open-heart surgery.

"This is an exciting day for our team and our patients," said Dr. Michael Rinaldi, an interventional cardiologist and the medical director of the structural heart program at Atrium Health Sanger Heart & Vascular Institute. "We have been eagerly anticipating the opportunity to bring this innovative technology to our community. The tricuspid clip offers a life-changing option for patients who previously had limited treatment choices.”

The tricuspid clip procedure is a minimally invasive technique designed to address this condition. Performed through a catheter inserted into the vein, the device is guided to the heart using advanced imaging technologies. Once in place, the clip grasps and pulls the leaflets of the tricuspid valve together, reducing the regurgitation and significantly improving the patient's symptoms and quality of life.

Rinaldi and Dr. Markus Scherer, director of cardiac CT and structural heart imaging at Atrium Health Sanger Heart & Vascular Institute, along with a team of cardiac imaging experts, successfully guided the tricuspid clip into place using the latest technology in cardiovascular care.

The recent approval of the tricuspid clip device by the U.S. Food and Drug Administration (FDA) was based on the positive results of the TRILUMINATE pivotal trial. Atrium Health Sanger Heart & Vascular Institute was a key participant in this landmark study, which has set a new standard for the management of severe tricuspid regurgitation.

The tricuspid clip procedure offers numerous benefits over traditional surgical methods. It is a same-day procedure, allowing patients to return home the next day. Recovery times are significantly shorter, with most patients resuming normal activities within one week. Additionally, the risks associated with the procedure are much lower compared to open-heart surgery.

Sanger Heart & Vascular Institute has established itself as a global leader in pioneering innovative heart treatments. Nearly 20 years ago, the institute distinguished itself by becoming one of the first centers worldwide to perform the groundbreaking mitral clip procedure as part of an early feasibility study. This procedure has since become a cornerstone in the field of structural heart interventions. Today, Sanger remains a leader in structural heart interventions, training other institutions in these advanced techniques.

"This is an important project for our entire institution," said Rinaldi. "We were one of the first 10 centers in the world to perform mitral clip procedures, and now we are leading the way with the tricuspid clip. This is an addition to a number of regional firsts. We were the first to perform tricuspid clip in the Carolinas, the first to perform tricuspid clip and trans-catheter tricuspid replacement in the Carolinas as part of clinical trials and we are authors on multiple publications on trans-catheter mitral and tricuspid therapies.”

“Sanger Heart & Vascular Institute remains committed to advancing heart care through cutting-edge technologies and multidisciplinary collaboration,” said Rinaldi. “As a leader in structural heart interventions, Atrium Health Sanger Heart & Vascular Institute will continue to pioneer new treatments and train other physicians ensuring that patients receive the best possible care.” (source)


NCMS Opposes Attempt to Put North Carolinians' Safety at Risk

NCMS Opposes Proposals on House Bill 681 That Continue to Promote NP Pathways to Independent Practice

The situation over House Bill 681 continues to evolve. The NCMS lobbying team learned on Tuesday that a third Proposed Committee Substitute (PCS) would be introduced at the Wednesday meeting of the Senate Health Care Committee.  Each version continues to put patient safety at risk and demonstrates the the proponents of this effort are more concerned with financial gain than they are about quality healthcare in North Carolina. Each version has also sought to progressively  limit and even remove physician involvement from patient care.

 

At their core, these changes:

  • Sever the critical role of physicians from the healthcare process, undermining the very foundation of medical care.

  • Devastate access to essential healthcare for North Carolinians residing in rural and underserved areas, leaving these communities vulnerable and neglected.

  • Jeopardize the safety of every citizen in North Carolina, creating a perilous healthcare landscape fraught with risk and uncertainty.

 

The changes promote pathways for Nurse Practitioners to practice independently. The second version removed the increased requirements for supervision and further restricted anesthesia care by anesthesiologists and AAs, while allowing CRNAs to work independently.  These are topics that have been debated for years.

The NCMS has been able to acquire bipartisan opposition to this effort, as demonstrated over the past two weeks, when Democrats and Republicans came together in the best interest of North Carolinians.

NCMS Members Dr. William Ferrell and Dr. Bryant Murphy worked with the NCMS team yesterday, speaking with individual members of the Senate Healthcare Committee. Our allies in the Senate continue to give us valuable guidance to refine our strategy for opposing these proposals.

NCMS VP of Advocacy John Thompson says "The NCMS maintains the stance that opposing changes to legislation which jeopardizes patient safety is crucial for upholding the integrity of a healthcare delivery system. The NCMS  firmly advocates prioritizing the welfare and safety of patients above all considerations, thereby ensuring that any legislative adjustments maintain stringent standards of care and safeguard individuals from potential harm."

YOU CAN HELP!

Plan now to attend the North Carolina Medical Society White Coat Advocacy Day June 12

 

The North Carolina Medical Society continues to monitor and work on House Bill 681.  Look for a Political Pulse on May 31 with more in-depth analysis of what is happening in Raleigh.

 


CDC Warns Deadly Mpox Outbreak Abroad Poses Global Threat

The Centers for Disease Control and Prevention is warning Americans about a deadlier form of mpox that’s spreading rapidly through the Democratic Republic of the Congo (DRC), saying it “poses a global threat.” MPox cases in the U.S. have declined since their peak in August 2022, but health officials are urging caution. So far, no cases of this deadlier strain have been detected in the U.S., but the CDC is ramping up surveillance for mpox and advising people at high risk of infection to get vaccinated and take precautions.

The deadlier of two forms of the mpox virus — known as clade I — has driven cases in the DRC to a record high. Nearly 20,000 suspected mpox cases were diagnosed there between January 1, 2023, and April 14, 2024, according to a recent CDC report. Almost 1,000 people died of the infection and more than two-thirds of those were children.

For now, the deadlier clade is chiefly affecting countries in Central Africa, including the DRC and Cameroon. None of the 343 samples taken from people with mpox in the U.S. that the CDC tested between December 1, 2023, and April 14, 2024, belonged to clade I.

Continue to the full article here.


Update from the Office of Congressman Greg Murphy, M.D.

 

Washington, D.C. — Congressman Greg Murphy, M.D. issued the following statement:

"As a physician I have, for the last 30 years, taken care of thousands and thousands of patients. It is now my turn to be one. After a series of tests and scans, I have been diagnosed with a base of skull tumor called a pituitary macroadenoma. It is thought to be a benign tumor, however, given its size and location, and its subsequent ability to affect vital structures in the brain, I am scheduled to have it surgically removed. As every patient should, I have the utmost faith in my physicians and surgeons to get me through this and back on the road to full recovery.

I have been, and will continue to be, a tireless advocate for those who take care of patients. The doctors, nurses, and medical staff who train and sacrifice for years and years to care for others have answered the highest call of humanity and should be appreciated for such. They are not compensated or appreciated enough. I am blessed to have the supportive love of my wife Wendy and our entire family, as well as my incredible staff, in addition to the wonderful, amazing, and patriotic constituents of North Carolina’s Third District.

The prognosis is excellent, and I hope to be back to work full-time soon. I am, as are all things, in the hands of God and am at absolute peace. I appreciate your thoughts and prayers and hope everyone understands our desire for privacy at this time."


Self-Screening HPV Tests Aim to Make Cervical Cancer Screenings More Accessible

 

According to the CDC, human papillomavirus (HPV) virus is the main cause of cervical cancer, which affects about 12,000 women in the United States each year. But now, there may be a way to assure cervical cancer screenings are more accessible.

The FDA has approved a new method of self-screening for HPV. The approval for self-screening is reserved for the doctor's office currently, but at-home tests may be available in the future.

The new self-screening option helps make HPV testing more accessible, but it does not replace regular physical exams, including Pap smears, according to Joshua G. Cohen, MD, FACOG, FACS, the medical director of the gynecologic cancer program and a board-certified gynecologic oncologist at City of Hope Orange County in Irvine, California.

The American Cancer Society recommends cervical cancer screenings starting at age 25. Women ages 25 to 65 have the option to get the HPV test or a combined HPV and Pap smear test every five years or a Pap smear alone every three years.

Find the full article here.


Got a Minute? Respond to the Maternal and Child Health Survey

 

On behalf of the North Carolina Title V Program, you are invited to respond to this survey as part of the 2025 Title V Needs Assessment, a requirement of the Maternal and Child Health (MCH) Block Grant application and a critical element of the MCH program planning process for the NC Department of Health and Human Services.

The mission of the NC Title V Maternal and Child Health (MCH) Block Grant Program is to support and promote the health and well-being of NC individuals including mothers, infants, children, youth, and their families to reduce inequities and improve outcomes.

The findings of the assessment are used to identify priorities and to guide resource allocation and program planning within the following five MCH domains, acknowledging that many issues are cross-cutting or related:

  • Women/Maternal Health
  • Perinatal/Infant Health
  • Child Health
  • Adolescent Health
  • Children with Special Health Care Needs

Thank you for your time.


NCDHHS Shares Safety Practices for a Healthy Summer Ahead of Memorial Day Weekend

 

Ahead of the Memorial Day weekend, the North Carolina Department of Health and Human Services is emphasizing the importance of safe swimming, heat safety and safe grilling practices to help prevent illness, injury and death.

Swimming:

Drowning remains the leading cause of death for children between ages 1-4 nationwide and is preventable. NCDHHS urges everyone to adopt the following safety measures while enjoying North Carolina’s many beaches, lakes, rivers and pools:

  1. Active Supervision: Always keep an eye on children near water. Drowning often occurs quickly and quietly without the dramatic signs seen on TV.
  2. Secure Pool Areas: Ensure gates or doors to pool areas are securely closed and locked when not in use. Never prop open gates or remove pool ladders when the pool is unattended.
  3. Water Awareness: Stay informed about local water conditions, including the presence of strong currents, undertows or sudden depth changes.
  4. Health Precautions: Avoid swimming if you or a family member has diarrhea to prevent the spread of illness.
  5. Water Disinfectant: Make sure any pool or spa water is treated with the proper chemicals to prevent spread of waterborne illness. Local health departments check water disinfectant levels and safety equipment at all public pools, spas and splash pads during the annual pool permitting and inspection process.

Heat Safety:

According to the 2020 North Carolina Climate Science Report, most parts of the state are expected to see at least two to three additional weeks of very hot days (maximum temperature of 95°F or higher) in the coming years. Prolonged exposure to heat can lead to dehydration, overheating, heat illness and even death. Last year, North Carolina had more than 3,900 emergency department visits for heat-related illness from May to September.

To protect yourself and others from heat-related illness, take the heat seriously and do not ignore danger signs like nausea, headache, dizziness or lightheadedness, confusion, and rapid or erratic pulse. Get to a cool place, drink water slowly and seek medical help if conditions don’t improve. Children, adults 65 and older, pregnant women, athletes, outdoor workers, people without access to air conditioning and those with chronic health conditions are most vulnerable to the health effects of extreme heat.

Grilling

Most of the top foodborne illnesses reported each year statewide happened May through August. By adhering to the following safety guidelines, North Carolinians can help ensure their gatherings are healthy and enjoyable:

  1. Hygiene First: Always wash your hands with soap and water for at least 20 seconds before and after handling any food or operating the grill.
  2. Avoid Cross-Contamination: Keep raw meats, poultry and seafood separate from cooked and ready-to-eat foods to prevent bacterial spread.
  3. Cook Thoroughly: Use a food thermometer to check meats are cooked to the correct internal temperatures to kill harmful bacteria.
  4. Proper Food Storage: Promptly refrigerate or freeze leftovers to slow the growth of bacteria. Consume or discard leftovers within three to four days to prevent foodborne illness.
  5. Regular Cleaning: Clean and sanitize grill surfaces and utensils before and after each use to avoid cross-contamination.

Working to Improve the Mental Health of North Carolina Clinicians

Healthcare leaders in North Carolina have made a new commitment to improve the mental health of clinicians.

 

Following last month’s launch of the ALL IN: Caring for NC Caregivers initiative between The North Carolina Clinician and Physician Retention and Well-being Consortium (NCCPRW) and The Dr. Lorna Breen Heroes’ Foundation, NCMS CEO Chip Baggett, JD & The Foundations CMO Stefanie Simmons, MD, FACEP joined Ron Southwick, senior editor of Chief Healthcare Executive for a conversation around the ALL IN initiative, the impact of the Consortium, the Foundation’s efforts on a national level, and removing administrative burdens.

Find the full article and video here.

Text taken from the article:

Baggett and Simmons spoke with Chief Healthcare Executive in a joint conversation, and Simmons had a realization as Baggett recited some of the administrative burdens on clinicians.

“The thing that stands out to me the most is none of those were actual patient care issues,” Simmons says. “These are all of the things that get in between healthcare workers and their relationship and their ability to care for patients.”

“Some of those administrative burdens are inescapable, but some of them are changeable,” she says. “And some of them can be addressed by organizations and others can be addressed at the state level. And so where we can get those barriers out of the way of a healthcare worker and their patient, having that connection and that healing relationship, it has a huge impact on burnout and also ability to have effective, efficient patient care.”


Dr. Karyn Hargett Posthumously Honored with Samuel L. Katz, M.D. Excellence in Immunization Award!

 

The late Dr. Karyn Hargett, medical director of the Old North State Medical Society (ONSMS) COVID Project, was posthumously honored with the Samuel L. Katz, M.D. Excellence in Immunization Award at the 2024 North Carolina Immunization Conference held on May 9, 2024, at the Sheraton Imperial Hotel at Research Triangle Park, NC.

The purpose of this award is to recognize outstanding individuals or agencies/organizations that have developed innovative strategies, projects, or programs to increase childhood, adolescent, and adult immunization coverage rates. Nominees were assessed based on tenets such as effectiveness, innovation, and project replication ability.

Under the expert direction of Dr. Hargett, ONSMS was able to get into rural communities and make a tremendous difference. During the course of the COVID Project, ONSMS vaccination teams provided over 31,000 vaccinations and 3500 tests at over 1500 events.

Dr. Karen Smith, an active member of the Downeast COVID team and the 2023 NC Rural Leadership Award warmly remembers Dr. Hargett with these words, "(She) was methodically meticulous to ensure ONSMS reports were correct, public vaccination was done with safety in mind and the reputation of physicians who believe in and care for the community was echoed throughout North Carolina.


Mark Your Calendar for the Next DOCMS Meeting!

Join DOCMS at the University Club!

Wednesday, June 5, 2024 | 6:00pm - 8:00pm

University Club, 3100 Tower Boulevard, Suite 1700 - Durham, NC 27707

AGENDA: 

  • 6:00pm- 6:30pm – Socializing & Housekeeping
  • 6:30pm- 7:30pm – Dinner & Guest Speakers
  • 7:30pm- 7:45pm – Q&A
  • 7:45pm- 8:00pm – DOCMS 2024 Business


“The Criminal Legal System, Incarceration and Health Disparities.”

 

Speakers:

Evan Ashkin, MD | Professor of Family Medicine UNC Chapel Hill and founder of the North Carolina Formerly Incarcerated Transition (FIT) Program

Dr. Evan Ashkin is a professor of Family Medicine at the University of North Carolina at Chapel Hill. His work is focused on addressing health disparities and gaps in care for marginalized populations. Dr. Ashkin founded the North Carolina Formerly Incarcerated Transition (FIT) Program in 2017 to help address the absence of linkages to care for people released from incarceration with chronic disease, mental illness and/or substance use disorder. The FIT Program now operates in 7 counties across North Carolina. Dr Ashkin also directs the North Carolina Technical Assistance Center, supporting programs for people at risk for incarceration and overdose.

Tommy Green | FIT Program Community Health Worker

Tommy Green, hailing from Oxford, North Carolina, overcame an 11-year, 8-month sentence at 22 years old. Emerging from North Carolina's toughest prisons, he transitioned from freelance security to Assistant Operations Manager of a $20 million company. Now, as Lead Community Health Worker for NC Formerly Incarcerated Transition Program and Program Manager for Orange County Health Department, Tommy is also an Adjunct UNC Family Medicine Instructor, co-owns Success While In Transition INC, and co-directs a nonprofit called Wounded Healers. His impactful work, is featured in the Washington Post, Health Affairs, and other local media, focuses on supporting post-incarceration transition and aiding substance abuse recovery.


1 CME Credit is available! Click here for how to claim your credit.

DOCMS Members & Prospective Members - FREE to attend

Guests - $25 to attend (will be collected at meeting site)


2024 AMPAC Campaign School Now Open for Registration

 

 

AMPAC is excited to announce that the 2024 Campaign School will be returning in-person July 25-28 at the AMA offices in Washington, DC and registration is now open!

Running an effective campaign can be the difference between winning and losing a race. That's why the Campaign School is designed to give you the skills and strategic approach you will need on the campaign trail. Our team of political experts will teach you everything you need to know to run a successful campaign. Under the direction of our lead trainers, participants will be broken into campaign staff teams to run a simulated congressional campaign using what they’ve learned during group sessions on strategy, vote targeting, social media, advertising and more.

Attendees may include physicians, spouses of physicians, residents and medical students and state medical society staff interested in becoming more involved in politics. Participants range from those attracted to grassroots efforts to those considering becoming a candidate for public office. No matter where you are in the process, you will develop a new understanding of how campaigns are run. As a graduate of the AMPAC program, candidates will rely on you to give them advice on strategy, message, and campaign plans.

Please note the following:

  • The Candidate Workshop is open to AMA physician members, member spouses, residents, medical students and state medical society staff.
  • Registration fee is $350 for AMA members and member spouses/$1000 for non-AMA members. This fee is waived for AMA residents and students; however, space is limited and the AMPAC Board will review and select four participants from the pool of qualified resident and student applicants.
  • Faculty, materials, and all meals during the meeting are covered by the AMA. Participants are responsible for their registration fee, travel to/from Washington, DC and hotel accommodations (AMPAC staff will provide you with a list of nearby hotels within walking distance of the AMA offices).
  • Participants will be required to bring a laptop or Wi-Fi enabled tablet with them.

Space is limited and the deadline to register is July 1 (or sooner if maximum capacity is reached).

Learn more about the 2024 AMPAC Campaign School and how to register here.

For additional information on the 2024 Campaign School, contact us at politicaleducation@ama-assn.org or (202) 789-7455.


New Report: US FDA Clears Neuralink's Brain Chip Implant in Second Patient

 

Wall Street Journal reports Elon Musk's Neuralink can implant brain chip in 2nd person

May 20 (Reuters) - The U.S. health regulator has allowed billionaire Elon Musk's Neuralink to implant its brain chip in a second person after it proposed to fix a problem that occurred in its first patient, the Wall Street Journal reported on Monday.
Earlier this month, Neuralink said tiny wires implanted in the brain of its first patient had pulled out of position. Reuters reported last week, citing sources, the company knew from animal testing that the wires might retract.
The company intends to fix the problem by embedding some of the device's wires deeper into the brain, the WSJ report said citing a person familiar with the company and a document it had viewed.
Neuralink expects to implant its device in the second patient in June and a total of 10 people this year, the report said, adding that more than 1,000 quadriplegics had signed up for its patient registry.
The company also aims to submit applications to regulators in Canada and Britain in the next few months to begin similar trials, according to the report.
The FDA said it cannot discuss or disclose information related to any particular company's human trial application or study related to it.
Neuralink did not immediately respond to a Reuters request for comment.
The company said in February the first patient implanted with the brain chip was able to control a computer mouse using their thoughts with "no ill effects".
The study uses a robot to surgically place a brain-computer interface implant in a region of the brain that controls the intention to move, according to Neuralink

Mark Your Calendar for LEAD 2024! It's Our 175th Anniversary!

SAVE THE DATE

2024 Marks the 175th Anniversary of the
North Carolina Medical Society!

We're planning a sensational celebration in honor of this milestone occasion, and we want you to be a part of it!

November 1-2, 2024
Grandover Resort, Greensboro, NC 

Get more details at www.ncms-lead.com.

Stay tuned for more information at www.ncmedsoc.org and watch your Morning Rounds newsletter for the latest details.

 


AMA Issues Call for AMPAC Board of Directors Applicants

 

The American Medical Association is currently soliciting applications to fill three vacancies on the AMPAC Board of Directors.

In 2024, two members of the AMPAC Board will reach maximum tenure and one member has resigned creating three vacancies. New members will be appointed by the AMA Board of Trustees at the September 2024 meeting. Members of the AMPAC Board serve a two-year term and may be eligible to serve three additional terms for a maximum tenure of eight years.

Applicants must submit the Board-approved application, a three-page (maximum) executive CV, and may submit one letter of recommendation. For additional information on the application process and to download the most current AMPAC application form (pdf), please visit our website.

All applicants must also complete a Conflict of Interest (COI) disclosure statement. This process has been automated by the AMA Office of the General Counsel, and a secure link will be emailed to each applicant. Application materials will not be considered until the COI disclosure has been completed.

Please submit AMPAC applications to bot@ama-assn.org no later than Thursday, August 15, 2024 @5:00 PM Central Time.


Funding Opportunity: Behavioral Health Service Expansion Funding

 

This Notice of Funding Opportunity (NOFO) announces the opportunity to apply for funding under the fiscal year (FY) 2024 Behavioral Health Service Expansion (BHSE) program. BHSE will support health centers to increase access to behavioral health services through starting or expanding mental health and substance use disorder (SUD) services.

Health Resources and Services Administration (HRSA) is making available $240 million to increase support for HRSA-funded health centers to respond to the need for mental health and substance use disorder (SUD) services.

HRSA extended the Grants.gov deadline to Friday, May 24. The deadline for applying in HRSA’s Electronic Handbooks (EHBs) is unchanged — it remains Friday, June 21.

Visit the Apply for FY 2024 Behavioral Health Service Expansion webpage for additional information, including how to apply.

HRSA has posted frequently asked questions for additional guidance.


Side-by-Side Webinar with NCDHHS' Mental Health Division

 

Join staff from NCDHHS' Division of Mental Health, Developmental Disabilities and Substance Use Services on June 3 at 2 p.m. to learn more about policies and programs that affect the Mental Health, Intellectual and Developmental Disabilities, Substance Use Services and Traumatic Brain Injury community.

The goal of these monthly webinars is to bring everyone together in one (virtual) place to share ideas for public policy that will improve the lives of North Carolinians. This group includes consumers, families, advisory groups, LME/MCOs, community members and partner organizations. Side by side, we will work together to improve our system.

Register for the webinar on June 3 via Zoom and see a flyer for more information.


Capitol Chronicle: NC Internal Medicine Physicians Convey Patient Care Priorities to Congress

 

North Carolina Internal Medicine Physicians Convey
Patient Care Priorities to Congress

 

On May 15, 2024, a contingent of North Carolina internal medicine physicians traveled to Capitol Hill to meet with North Carolina’s members of US Senate, US House and their staff. The occasion was the American College of Physicians’ 2024 Leadership Day and participants included:

The group’s trip to Capitol Hill included visits to all 14 House offices and 2 Senate offices.  The issues presented included:

  • Medicare physician payment reform
  • Need for increased residency slots
  • Step therapy relief

NC Group with Rep./Dr. Greg Murphy

Do you know your state and federal legislators? More importantly, do your legislators know you?
The NCMS can help you connect with policy makers as a constituent and advocate!

Thank you for making a difference!


Don't Forget to Register for AMA Advocacy Insights Webinar

What’s exacerbating the physician shortage crisis—and what’s needed to fix it

Wednesday, May 22, 2024
2:00 PM-3:00 PM CT

 

The U.S. is facing a shortage of between 13,500 and 86,000 physicians by 2036—a deficiency that is almost certain to be compounded by rising rates of physician burnout and early retirement. The physician workforce, like our general population, is aging, with nearly 45% of active physicians in the U.S. aged 55 and older. Addressing the physician workforce issue is crucial to ensuring patients have access to care where and when they need it.

Register for this Advocacy Insights webinar on May 22 at 2 p.m. CT to learn about how increasing residency training slots, addressing visa issues for international medical graduates, ensuring access to care in rural areas, and addressing factors impacting physician burnout—including Medicare physician payment instability and administrative burdens—can help bolster the physician workforce.

Moderator:

  • Jesse M. Ehrenfeld, MD, MPH, president, American Medical Association

Speakers:

  • John Andrews, MD, vice president of graduate medical education innovations, AMA
  • Alexis Pierce, JD, senior attorney, Division of Legislative Counsel, AMA
  • Christopher Sherin, assistant director, Division of Congressional Affairs, AMA


CMS Call for Comment: Intention to Collect Public Information

 

The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public.

Under the Paperwork Reduction Act of 1995 (PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information (including each proposed extension or reinstatement of an existing collection of information) and to allow 60 days for public comment on the proposed action.

Interested persons are invited to send comments regarding our burden estimates or any other aspect of this collection of information, including the necessity and utility of the proposed information collection for the proper performance of the agency's functions, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden.

DATES:

Comments must be received by July 15, 2024.

ADDRESSES:

When commenting, please reference the document identifier or OMB control number. To be assured consideration, comments and recommendations must be submitted in any one of the following ways:

  1. Electronically. You may send your comments electronically to http://www.regulations.gov. Follow the instructions for “Comment or Submission” or “More Search Options” to find the information collection document(s) that are accepting comments.
  2. By regular mail. You may mail written comments to the following address: CMS, Office of Strategic Operations and Regulatory Affairs, Division of Regulations Development, Attention: Document Identifier/OMB Control Number: __, Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

To obtain copies of a supporting statement and any related forms for the proposed collection(s) summarized in this notice, please access the CMS PRA website by copying and pasting the following web address into your web browser: https://www.cms.gov/?Regulations-and-Guidance/?Legislation/?PaperworkReductionActof1995/?PRA-Listing.

FOR FURTHER INFORMATION CONTACT:

William N. Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION:

Contents

This notice sets out a summary of the use and burden associated with the following information collections. More detailed information can be found in each collection's supporting statement and associated materials (see ADDRESSES ).

CMS-10123/10124 Fast Track Appeals Notices: NOMNC/DENC

Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. The term “collection of information” is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and includes agency requests or requirements that members of the public submit reports, keep records, or provide information to a third party. Section 3506(c)(2)(A) of the PRA requires federal agencies to publish a 60-day notice in the Federal Register concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection of information, before submitting the collection to OMB for approval. To comply with this requirement, CMS is publishing this notice.

Information Collection

  1. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Fast Track Appeals Notices: NOMNC/DENC; Use: The purpose of the NOMNC is to help a beneficiary/enrollee decide whether to pursue a fast appeal by a Quality Improvement Organization (QIO) and informs them on how to file a request. Consistent with §§ 405.1200 and 422.624, SNFs, HHAs, CORFs, and hospices must provide notice to all beneficiaries/enrollees whose Medicare-covered services are ending, no later than two days in advance of the proposed termination of service. This information is conveyed to the beneficiary/enrollee via the NOMNC.

If a beneficiary/enrollee appeals the termination decision, the beneficiary/enrollee and the QIO, consistent with §§ 405.1200(b) and 405.1202(f) for Traditional Medicare, and §§ 422.624(b) and 422.626(e)(1)-(5) for MA plans, will receive a detailed explanation of the reasons services should end. This detailed explanation is provided to the beneficiary/enrollee using the DENC, the second notice included in this renewal package. Form Number: CMS-10123/10124 (OMB control number: 0938-0935); Frequency: Yearly; Affected Public: Private sector, Business or other for-profits and Not-for-profit institutions; Number of Respondents: 32,384; Number of Responses: 21,322,379; Total Annual Hours: 3,962,194. (For policy questions regarding this collection contact Janet Miller at janet.miller@cms.hhs.gov.)


Researchers Wrestle with Accuracy of AI Technology Used to Create New Drug Candidates

 

Artificial intelligence (AI) has numerous applications in healthcare, from analyzing medical imaging to optimizing the execution of clinical trials, and even facilitating drug discovery.

AlphaFold2, an artificial intelligence system that predicts protein structures, has made it possible for scientists to identify and conjure an almost infinite number of drug candidates for the treatment of neuropsychiatric disorders. However recent studies have sown doubt about the accuracy of AlphaFold2 in modeling ligand binding sites, the areas on proteins where drugs attach and begin signaling inside cells to cause a therapeutic effect, as well as possible side effects.

In a new paper, Bryan Roth, MD, PhD, the Michael Hooker Distinguished Professor of Pharmacology and director of the NIMH Psychoactive Drug Screening Program at the University of North Carolina School of Medicine, and colleagues at UCSF, Stanford, and Harvard determined that AlphaFold2 can yield accurate results for ligand binding structures, even when the technology has nothing to go off of. Their results were published in Science.

Continue to the full article here.


2024 NCMS Board of Directors, Foundation Board of Trustees, & Leadership Team Hold Spring Workshop

 

Members of the NCMS Board of Directors and Foundation Board of Trustees Celebrate 175 Years!

RALEIGH -- The North Carolina Medical Society hosted its Board of Directors and Foundation Board of Trustees for a weekend of learning, strategic planning, Society updates, and fellowship.  Over the course of three days, members and staff enjoyed a presentation from North Carolina Department of Health and Human Services Secretary Kody Kinsley, had a day of learning about practice management and artificial intelligence, and strategic planning.

In addition to Kinsley, speakers included Janelle Rhyne, MD and Cheryl Walker McGill, MD who spoke on artificial intelligence and how it is affecting the healthcare community and the future impacts it is likely to have.  The offered an excellent article how on how artificial and augmented intelligence is already creating wide-reaching medical implications. Click here for a link to the AMA article and CME opportunities.

The AI discussion continued with a presentation from Lyle Gravatt and Justin May of Michael Best & Friedrich, LLP.  They discussed the legal and regulatory environment that has been created by artificial intelligence.  NCMS CEO Chip Baggett then moderated a panel discussion with all presenters that drew great discussion and many difficult questions.

Ron Howrigon, President and CEO of Fulcrum Strategies, led a long conversation on Practice Capitalization.  He offered suggestions on managing a medical practice during difficult financial times and tips for improving your bottom line.

Saturday afternoon was followed by a two hour on strategic planning that focused on the NCMS goals for 2024.  The session was moderated by Glenn Newsom of  Pilgrimage Partners.

Board members and staff discussed ways to move forward including increasing our membership numbers and the importance of our Leadership College.

Saturday evening was the 1849 Society Dinner and Induction Ceremony.  The NCMS Foundation's most prestigious giving society, the 1849 Society, recognizes individuals' cumulative lifetime cash gifts.  Initial membership in the 1849 Society is set at a minimum of $10,000.  This year, former NCMS President Dr. Arthur Apolinario was inducted into the 1849 Society.  Guests were entertained by soprano Rush Dorsett and pianist Daniel Spiegel.

On Sunday, the Board of Directors Meeting covered updates on strategic plans, a treasurer's report, the latest on the LEAD Gala and 175th Anniversary Celebration, an update on the NC General Assembly and Uniform Credentialing and was followed by President Eileen Raynor going over the Consent Agenda.

The Foundation Board of Trustees Meeting was led by Dr. Timothy Reeder, with reports from Treasurer Dr. Osi Udekwu, a KIPL update, Chip Baggett speaking on the ONSMS Grant Partnership with NCDHHS, a NCCPRW update and additional board business.

 

Look for a special e-mal this week from NCMS President Eileen Raynor with a mid-year report on how well the NCMS is doing. 

 


NCMS At Work For You - Commission for Public Health

 

Last week, the Commission for Public Health held their second meeting of 2024. Significant updates and concerns were discussed, providing crucial insights into the state's public health landscape. Below are the key takeaways:

Attorney General Update: Senate Bill 512 Alterations

Senate Bill 512 has reshaped the Commission for Public Health, prompting legal challenges from the Attorney General's office. Despite the challenge, the court ruled in favor of the bill, reducing gubernatorial appointees from 9 to 5, allocating 4 appointees to the General Assembly, and eliminating the mandated soil scientist position. The AG's office is appealing this decision, though the law is currently in effect post-failed challenge.

Public Health Updates:

  • H5N1 in Dairy Cows and Milk: DHHS noted detections of the virus in a dairy herd in NC, which has now tested negative. While pasteurization has been deemed effective against the virus, there have been two human cases detected in other US states.
  • Congenital Syphilis: A concerning increase with 73 cases reported in 2023 in NC while only 57 were reported in 2022, marking a steady rise over the past decade.
  • Measles Preparedness: While NC currently has no reported cases, global and national increases necessitate readiness measures such as testing capacity and provider literature creation.

Rulemaking Proposals:

Dr. Wilson, a Medical Epidemiologist for Communicable Diseases, proposed updates to the list of reportable communicable diseases. Key points include:

  • Expanding reporting requirements for Cronobacter Infection in infants and Carbapenemase bacteria conditions.
  • Updating the term "monkey pox" to "mpox" as per FDA changes.
  • Updating Typhoid terminology to specify Salmonella Typhi and Salmonella Paratyphi bacteria.
  • Approval for rulemaking was granted, with estimated costs around $90,000 for electronic system updates and education.

These updates and discussions underscore the ongoing efforts to safeguard public health in North Carolina amidst evolving challenges and regulatory changes.


Health Experts Warn Against Consuming Raw Milk

 

Raw milk was once a major health issue in the U.S. In 1938, before pasteurization was broadly introduced, milk was responsible for about 25% of all food- and drink-related disease outbreaks, according to the Food and Drug Administration’s 1990 guidance on milk safety.

Fastforward, health agencies are, again, warning about the dangers of consuming raw milk. Yet, despite these repeated warnings, sales of raw milk continue to rise, even amid the ongoing outbreak of bird flu among dairy cattle.

Raw milk is “kind of a wild card; there could be all types of bacteria,” says Alex O’Brien, quality coordinator at the Center for Dairy Research.

According to the Center for Disease Control and Prevention (CDC), the most common pathogens found in milk are campylobacter, cryptosporidium, E. coli, listeria, brucella and salmonella.

The risk of bird flu to humans remains low, according to the CDC, thanks in part to pasteurization, which inactivates the virus in the commercial milk supply. But non-infectious fragments of the virus have been detected in even pasteurized milk, raising concerns that untreated milk could pose a greater potential risk to those drinking it. And, experts say, you shouldn’t be drinking raw milk to begin with.

Read the full article here.


Register Now! A Conversation on Substance Use.

 

A Conversation on Substance Use

Wednesday, May 29 - 7pm

COMMA Performing Arts Center

401 S. College Street

Morganton, NC 28655

Free Community Event. General Admission seating.

Doors open at 6pm, Event begins at 7pm.


Getting to Know Our Partners: Janelle White, MD

Getting to Know Our Partners:

Janelle White, MD

 

The North Carolina Medical Society partners with people across the state to make the practice of medicine easier for physicians and PAs. We are also happy to meet professionals who share our commitment to quality healthcare.

Dr. Janelle White is the new Chief Medical Officer of NC Medicaid. She is a pediatrician in Charlotte with a long list of things she wants to accomplish. She also shares where she likes to travel and what she's got on her playlist.

Enjoy this introduction to Janelle White, MD.

 


New Transgender Research Opportunity Available for NC Family Physicians

 

UNC Family Medicine is inviting family physicians to participate in an online research survey to better understand current clinical practices in caring for transgender and gender diverse individuals in North Carolina.

Please note that you will be asked to complete a series of screener questions in order to determine if you meet the survey eligibility. If you qualify and complete the entire survey, you will receive a $25 gift card within four to six weeks of the study closing. You may earn only one payment per survey. The survey will take five to 15 minutes.

If you are interested in participating or have questions, please email Dr. Victoria Boggiano at victoria.boggiano@unchealth.unc.edu.


NC Soon to See Contraceptive Services at Pharmacies Statewide

 

Soon people statewide will be able to receive contraceptive services at pharmacies without a prescription from another medical provider, including counseling and education from a pharmacist about options for contraception and other preventive services, dispensing of contraception and connection to ongoing care if needed.

State and local leaders attended an event on Tuesday, May 14, to recognize this milestone of improved access to contraception services during Women’s Health Week. This work is critical in addressing the rising maternal and infant mortality rates in North Carolina.

"Expanding access to reproductive health care improves health outcomes for mothers, babies and families in North Carolina," said NC Health and Human Services Secretary Kody H. Kinsley. "Thanks to the many pharmacies across the state that stepped up to ensure the people in their communities have access to contraception, pre-natal vitamins and other health care resources they need to thrive."

More than half of all pregnancies in North Carolina are unintended, which can unfortunately lead to poor maternal and infant outcomes. Expansion of contraceptive services improves the health of moms, babies and families across the state.

Retail and independent pharmacies in North Carolina are now providing contraceptive services in 84 counties across the state. To fill coverage gaps, Ingles Markets Pharmacies will begin contraceptive services at pharmacies in select counties in the western part of the state by the end of May 2024, and Walgreens will begin providing services in select counties in the central and eastern part of the state by the end of June 2024. This expanded access is particularly beneficial in rural areas that have fewer providers and are considered maternal health and contraceptive deserts. North Carolina residents can view the participating pharmacies closest to them using this map.

This statewide expansion builds upon prior work to ensure more families have access to access to reproductive health services. North Carolina Session Law 2021-110/HB 96 grants authority to pharmacists to prescribe a variety of contraception under protocols approved by the NC Board of Pharmacy and the NC Medical Board. NCDHHS has partnered with the UNC School of Pharmacy and the North Carolina Association of Pharmacists who have been leading efforts to support pharmacies adopting these protocols. NC Medicaid started enrolling pharmacists as providers and paying a counseling code in January 2024.


Mark Your Calendar! 2024 NC Medicaid Quality Symposium: Partnering for Performance

 

The NC Medicaid 2024 Quality Symposium highlights topics that coincide with NC Medicaid quality improvement priorities. The presenters will share the quality improvement initiatives they have implemented to improve outcomes for Medicaid members. Click on each link below to learn more and register:

 

Collaboration During Pregnancy and Postpartum: Health Plans, Providers, and Care Managers Combine to Improve Care

May 21, 2024 | 1 p.m. to 2 p.m. EDT


Promoting High Quality Pediatric Care Management: Lessons from the NC Integrated Care for Kids Care Model

June 4, 2024 | 1 p.m. to 2 p.m. EDT


Problematic Proposed Revisions to HB 681 Heard by Senate Healthcare Committee, NCMS Members at Meeting to Answer Questions

NCMS members Dr. Timothy Reeder and Dr. Kristin Baker attend meeting of Senate Healthcare Committee

RALEIGH -- The North Carolina Senate Health Care Committee met Wednesday morning with Senator Kevin Corbin presiding. Proposed revisions to House Bill 681 was considered.  The bill is sponsored by North Carolina Medical Society members Dr. Timothy Reeder and Dr. Kristin Baker, who were both in attendance.  Additional sponsors are Representatives Donny Lambeth and, Larry Potts, and Senators Jim Burgin, Senator Kevin Corbin, and Senator Joyce Krawiec, all Co-Chairs. Senator Jim Bergin of Harnett county proposed changes that drastically alter the substance of original bill.

The NCMS considers HB 681 revisions problematic for the following reasons:

Creates An Undefined Scope of Practice for Nurse Practitioners

  • The proposed PCS to HB 681 lacks clarity on nurse practitioner scope, allowing them to conduct surgery, interpret complex imaging, and manage patients with multiple chronic conditions without physician oversight.

Creates An Unsafe Practice Environment That Puts A Patient’s Safety at Risk

  • Lack of physician supervision compromises patient safety.  Nurse practitioners, with substantially less training than physicians, could treat severely ill patients with complex conditions under the proposed law.
  • A physicians' rigorous training equips them to handle complex medical cases effectively.  If nurse practitioners are allowed to work without physician oversight it puts patients at risk of inadequate care if they have complicated conditions, raising the likelihood of misdiagnosis, treatment errors, and unnecessary testing.

Creates a Siloed and Inadequate Health care Delivery System

  • Removing physician supervision undermines team-based care. The proposed changes to HB 681 would allow nurse practitioners to work independently, eliminating collaboration among healthcare professionals and potentially leading to inferior health outcomes.

Creates Access To Care Barriers

  • HB 681 would drastically limit access to surgical care by reducing the number of anesthesiologist providers one anesthesiologist can supervise from four to one, the most extreme restriction in the nation. This could decrease safe surgical capacity statewide by up to 75%.

NCMS Chief Legal Officer Ashley Rodriguez says the meeting resulted in a win for members.  "It was a great hearing," Rodriguez says, "with a great deal of acknowledgment that team-based care is best for patients and several positive references to prior authorization."

 

 

 

 

The Senate Health Care Committee held the proposal up for continued discussion and a potential vote as early as next week.

To see the full video click here.

 

 


In Memoriam: NCMS Life Member Assad Meymandi, M.D.

Assad Meymandi, M.D.

MAY 11, 1934 – MAY 10, 2024

 

NCMS Life member Dr. Assad Meymandi died Friday, May 10.
He was 89 years old.

 

Dr. Assad Meymandi, a philanthropist whose generosity helped advance the cultural life of Raleigh and North Carolina for more than a quarter century, died early on the morning of May 10 after a lengthy illness.

Meymandi was a psychiatrist and also held doctorates in philosophy and biochemistry. He attended medical school at George Washington University. A senior professor convinced him to become a surgeon, but he found the work uninspiring.

Psychiatry was different, allowing him, he felt, to use more of his spiritual and intellectual resources, and he loved it. He moved his young family to Stancil Street on Dix Hill in 1963 for his residency at Dorothea Dix Hospital.

After practicing for nearly 25 years in Fayetteville, Meymandi found his place in the Capital City, where he immersed himself in the cultural life of the city and then worked to enhance it.

Dr. Meymandi joined the NCMS in 1968.

The North Carolina Medical Society extends its deepest condolences.

Read Dr. Meymandi's full obituary here.


Scientists Discover Surprising Details about Xylazine/Fentanyl Combination

 

In a recent research discovery published in the journal Addiction Neuroscience, scientists at the University of North Carolina at Chapel Hill found that xylazine is a kappa opioid receptor agonist, meaning it activates kappa opioid receptors in the same way fentanyl activates opioid receptors. This result was surprising because previously xylazine was thought to only bind to the α2-adrenergic receptor, and this finding could hint as to why withdrawal from fentanyl in combination with xylazine is so severe.

This research, led by the lab of Zoe McElligott, PhD, associate professor of psychiatry and pharmacology at the UNC School of Medicine, provides important insights into the subtle cellular mechanisms underlying opioid use – especially in light of the added anesthetic xylazine to fentanyl – and naloxone, the leading treatment used to prevent death from fentanyl overdose. She is senior author of the Addiction Neuroscience paper.

“Many people thought xylazine operated exclusively through a different mechanism in the nervous system,” said McElligott, who is also a member of the UNC Bowles Center for Alcohol Studies. “But because we show xylazine is an agonist at kappa opioid receptors in the brain and body, in addition to acting at other targets, we may have gleaned insight into why withdrawal from the combination of fentanyl and xylazine is so harsh.”

Read the full article, detailing this research here.


Several NC Hospitals Earn Top Rank for Delivering Exceptional Maternity Care

 

Newsweek has released its third annual list of best maternity hospitals in the U.S., and several North Carolina hospitals made the list, including six earning top rank.

The ranking is based on a nationwide online survey of hospital managers and medical professionals (regarding areas like perinatal care and operative obstetrics) as well as publicly available data from hospital surveys addressing the patient experience (including topics such as cleanliness and communication about medication).

Data on hospital quality metrics—like the number of elective deliveries and level of personnel vaccination—was provided from several sources, including nonprofit hospital accreditation organization The Joint Commission, the Centers for Medicare and Medicaid Services, and the Health Resources and Services Administration.

Here are the top ranked maternity hospitals in North Carolina:

Atrium Health Cleveland (Shelby)

Cone Health Moses Cone Hospital (Greensboro)

Mission Hospital McDowell (Marion)

UNC REX Hospital (Raleigh)

WakeMed Cary Hospital

WakeMed Raleigh Campus

 

Click here for the full list.


The Wait is Over! NCMS 2024 NCMS Photo Contest is Now Open!

Photo submissions are currently being accepted for 2024!

Now in its 16th year, the NCMS Photo Contest is an annual tradition that has gained national recognition, and we want you to be a part of it! Submissions are currently being accepted for the 2024 contest. Think you have the perfect picture to send in?

Check out the rules here.

We've already received several breathtaking submissions! Keep them coming!

 

Deadline to submit is Friday, June 14, 2024

 


It's a Three-peat! NCMS CEO Chip Baggett Makes Business NC's Power List Third Year in a Row!

 

 

Congratulations to our very own Chip Baggett for making Business North Carolina’s 2024 Power List in the Health Care category. This is Chip's third year receiving this well-deserved honor!

Business NC's goal is to identify the people who lead North Carolina, based on interviews with business community officials, research and reader suggestions. Their emphasis is on those who have made a particularly noteworthy impact in the last year.

Be sure to send Chip your congratulations in the comments!


Several NC Counties Awarded Funding to Prevent Youth Substance Use

 

More than 1.2 million people in North Carolina have a substance use disorder, and increasing access to prevention, treatment and recovery services is crucial

 

The North Carolina Department of Health and Human Services recently announced the distribution of $6,250,000 to seven counties to provide youth substance use prevention within their communities. NCDHHS applied for and was awarded the funding through the U. S. Substance Abuse and Mental Health Services Administration, as part of its National Drug Control Strategy. North Carolina was one of only 12 states to receive funding for its efforts to invest in behavioral health care prevention.

"Prevention and early intervention are important, especially for our young people," said NC Health and Human Services Secretary Kody H. Kinsley. "With more than 62,000 youth struggling with substance use in our state, there is an urgent need for services that prevent those at risk from reaching a point of crisis. The department is committed to transforming the behavioral health system to ensure all North Carolinians have access to the right care at the right time for the best outcome."

North Carolina counties receiving this award experience high levels of economic distress, have a higher-than-average level of substance use among youth and young adults and have a higher number of youths who primarily identify as a racial or ethnic minority. The counties and organizations selected are:

  • Duplin County – NC Cooperative Extension 4-H
  • Halifax County – Insight Human Services
  • Hoke County – Tia Hart Community Recovery Program
  • Martin County – Martin Tyrrell Washington District Health Department
  • Robeson County – Robeson Health Care Corporation
  • Tyrrell County – Martin Tyrrell Washington District Health Department
  • Washington County – Martin Tyrrell Washington District Health Department

Read the full press release here.


Updates for Certain Clinicians Serving Dually Eligible Beneficiaries

 

 

Starting January 1, 2024, the Centers for Medicare & Medicaid Services (CMS), Medicare began covering certain services for dually eligible beneficiaries (those enrolled in both Medicare and NC Medicaid Direct) who receive NC Medicaid coverage. This includes services furnished by the following providers: Marriage and Family Therapists (MFT) or Mental Health Counselors (MHC), as well as Intensive Outpatient Program (IOP) services furnished by Hospital Outpatient Departments, Community Mental Health Centers (CMHC), Rural Health Clinics (RHC), Federally Qualified Health Centers (FQHC), or Opioid Treatment Programs (OTP).

CMS noted in the informational bulletin regarding this update that not all providers of these services will be enrolled with Medicare as of January 1, 2024. To prevent any disruption in services for dually eligible beneficiaries, CMS provided options to State Medicaid Agencies to facilitate a smooth transition. As a result, NC Medicaid adheres to the following expectations:

All providers enrolled in Medicare should start billing Medicare for these services immediately. While NC Medicaid will continue to pay for these services as though Medicaid is the primary payer for a period of time as described below, it will be more efficient for all parties if providers bill Medicare as soon as possible.

Providers not enrolled with Medicare may, but are not required to, hold claims for the provision of these services until becoming enrolled with Medicare. Providers newly enrolled in Medicare may request a retrospective billing date for up to 30 days prior to the effective date of their Medicare enrollment, but no earlier than January 1, 2024.

Regardless of a provider’s Medicare participation status when provider submits claims to NCTracks, NC Medicaid will:

  • Continue to reimburse for these services through May 31, 2024, as primary payer.
  • Deny claims for these services beginning June 1, 2024, if billed as the primary payer.
  • Adjudicate claims beginning June 1, 2024, as the secondary payer for these services.

Information about how to enroll with Medicare is available on the CME Become a Medicare Provider or Supplier webpage and MFT and MHC Provider Enrollment Frequently Asked Questions.

For question, contact NCTracks Call Center: 800-688-6696


NCTracks: Reverification Timeliness and Requirements Clarification

States must revalidate the enrollment of all providers at least every five years to ensure the information on record is accurate and current.

 

Pursuant to 42 CFR 455.414, Medicaid states must revalidate the enrollment of all providers at least every five years to ensure the information on record for each provider is accurate and current. As part of this process, the provider’s credentials and qualifications are evaluated to ensure they meet the ongoing conditions of participation. The re-credentialing process also includes a criminal background check on all owners and managing relationships associated with the provider record.

When reverification is due, providers receive a reverification notice in their Message Center Inbox on the secure NCTracks Provider Portal. Due dates for reverification are specific to each provider; therefore, not all providers will receive notices simultaneously.

  • The initial reverification notification instructs the provider to complete the federally mandated reverification by a specific date, which is 70 days from the date of the notice to avoid suspension and possibly termination.
  • The requirement is to complete the reverification process, so providers are encouraged to watch for notices in their message center inbox and act promptly upon receipt of the initial notification in order to avoid suspension of claims and termination from the Medicaid program.
  • Suspension and termination are automated NCTracks system actions which allow for no intervention.

A review of reverification history to date reveals that many providers take no action until after they learn their claims have been suspended and they are unable to receive payment. These are non-compliant providers who place themselves at risk. The Division of Health Benefits finds that most reverification failures that result in a provider’s termination from NC Medicaid apply to non-compliant providers. Once a suspension is in place, two scenarios are possible:

  1. An application can be submitted (lifting the suspension) and processed through the system to completion with no errors, resulting in a successful reverification; or,
  2. An application can be submitted (lifting the suspension), but errors or omissions cause delays that result in the reverification being abandoned, withdrawn, or denied, ultimately resulting in termination.

With respect to processing time frames referenced in Medicaid Bulletin articles and NCTracks Provider announcements, there are references to 70-day and 50-day requirements. (For example: (https://www.nctracks.nc.gov/content/public/providers/provider-recredentialing.htm). Information can also be found on NCTracks to assist providers with the recredentialing/reverification process (Provider Re-credentialing/Re-verification - Provider Re-credentialing/Re-verification (nc.gov))

The 70-day timeframe referenced in publications applies to all providers and is the date by which reverification is to be completed by the provider, which is 70 days from the date of the initial notification.

The 50-day timeframe, which allows for an additional 50 days from the date claims are suspended to submit a reverification application, is applicable to non-responsive providers. Non-responsive providers are providers who take no action whatsoever to initiate the reverification process. This is not applied in the same manner to providers who submit delinquently.

In the case of a delinquent submission, the NCTracks system enforces the due date on the initial Reverification Notice. This is because the system voids the 50-day extension immediately upon the submission of a reverification application, regardless of whether the submission is timely or not. A provider who is delinquent in submitting their reverification is considered a non-compliant provider, that is, one who fails to act in accordance with a requirement. This is not the same as “taking no action.” A delinquent submission meets the definition of “taking action;” however, it is non-compliant in that required deadlines have not been met.

More information about reverification can be found on the NCTracks Provider Re-credentialing/Re-verification webpage.

For additional question, contact NCTracksprovider@nctracks.com or 800-688-6696


WFU School of Medicine Selected as Host Site for 2024 Oncology Summer Internship

 

Wake Forest University School of Medicine has been selected by the American Society of Clinical Oncology (ASCO) as one of the host sites for their 2024 Oncology Summer Internship. Wake Forest University School of Medicine is one of only four medical schools across the U.S. chosen to join 11 other medical schools who already participate in the program.

The summer internship is a program designed to strengthen and diversify the oncology workforce by introducing rising second-year medical students to training and career options in oncology. The application to participate as a host site was led by the Atrium Health Wake Forest Baptist Comprehensive Cancer Center’s Office of Cancer Research Training and Education Coordination (CRTEC).

“As Atrium Health Wake Forest Baptist Comprehensive Cancer Center celebrates 50 years of National Cancer Institute designation, we are thrilled to have the opportunity to participate in this prestigious program that is raising interest in the field of oncology,” said Dr. Ruben Mesa, president of Atrium Health Levine Cancer, executive director of Atrium Health Wake Forest Baptist’s Comprehensive Cancer Center and vice dean for cancer programs at Wake Forest University School of Medicine.

Read the full article on the American Society of Clinical Oncology Summer Internship program here.


Questions about Opioid Settlement? NCMS Has Your Resources.

 

The North Carolina Medical Society is committed to helping members in all aspects of their practice.

 

With North Carolina receiving $1.5 billion in national opioid settlements, NCMS has created a one-stop location for you to get information. Our Opioid Settlement Fund page on the NCMS website is now live. Go there for all your settlement questions and feel free to reach out to us for help.

Click here to see the latest.


Don't Miss This Attendinghood Readiness Masterclass!

 

The Attendinghood Readiness Masterclass is a free 1-hour virtual class, hosted by The Early Career Physicians Institute.

 

By the end of this Masterclass participants will learn how to:

  • Create confidence as a new attending.
  • Effectively communicate with your patients, staff, peers, admin staff, and other team members.
  • Approach this career transition and mitigate your burnout risk.
  • Navigate your inbasket and EMR
  • Start the process of Boundary setting

And so much more

This Class is for you if you are:

Finishing residency or fellowship and starting independent medical practice.

Details: May 21st, 12-1pm EST, virtual

Click here to learn more and register for this exciting learning opportunity!