maappn-meeting

MAAPPN December 2016 Quarterly Meeting Announcement

Join MAAPPN for an evening of colleagueship, networking, education, job opportunities, legislative
updates and a great dinner. The Massachusetts Association of Advanced Practice Psychiatric
Nurses (MAAPPN) will hold our next quarterly meeting on Monday, December 5, 2016 at Tuscan Kitchen in Burlington, Massachusetts from 5:45pm – 9pm.

About MAAPPN

MAAPPN (The Massachusetts Association of Advanced Practice Psychiatric Nurses) is a non- profit organization in the state of Massachusetts that exclusively represents the interests of advanced practice psychiatric nurses – both psychiatric clinical nurse specialists and psychiatric nurse practitioners.

Our mission includes legislative goals promoting access to sustainable fiscal policies that support the advanced practice psychiatric nurse as high quality, affordable and accessible providers.

MAAPPN Quarterly Meeting Announcement | December 5, 2016

5:45 pm – 7:00pm – Networking, appetizers, and visit the display tables!
7:00pm – 7:15pm – Welcome & Introductions
7:15pm – 7:45pm – Dinner and Speaker TBA*
7:45pm – 9:00pm – Business Meeting

* CEU’s offered

Location: Tuscan Kitchen
Date: Monday, December 5, 2016
Time: 5:45pm – 9:00pm

Please register early as space is limited.

December 5th membership meeting registration for members is $25.00, to register click on the following linkMEMBER MEETING RATE.

December 5th membership meeting registration for non-members is $75.00. to register click on the following link – NON-MEMBER/GUEST MEETING RATE.

MAAPPN Quarterly Meeting Announcement

If you have items that you would like to have addressed at the meeting, please contact MAAPPN Chair, Diane Grimaldi at dlgrimaldi@comcast.net so she can add them to the agenda.

If you are a company interested in having a display table at the MAAPPN quarterly meeting go to MAAPPN Meeting Sponsorship Booth Space.

To sign up and pay for your membership meeting please click on the following link MAAPPN.
For more information visit our website at http://maappn.com/.

We are interested in having new and existing members join our committees, volunteer as guest speakers and make recommendations for topics you would like to hear about at future meetings.  Please help us spread the word by encouraging others to become members and by inviting colleagues to attend quarterly MAAPPN member meetings.

We look forward to seeing you at the MAAPPN Quarterly meeting at Tuscan Kitchen in Burlington, Massachusetts on Monday, December 5, 2016.

 

Problem of Medicaid Provider Status vs QMB Reimbursement

I have been reimbursed at my private practice as PMHNP as a Medicare/Medicaid QMB (Qualified Medicare Beneficiary) provider for about 5 years.

When I first applied to MassHealth, a psychiatric NP could not become a MassHealth provider, that only a primary care provider could be.

Thus the QMB status has worked well to cover whatever Medicare does not for dual eligible persons.

Problem of Medicaid provider status vs QMB reimbursement

Last July, the clinic where I am employed part time strongly encouraged me to become an actual MassHealth provider. I do not know what policy change occurred to allow this.

I believe this is limited to NPs.

I was led to believe that this would be better for my private practice, as well as for the clinic, as they are working on Meaningful Use (MU) incentives.

I hoped that this would cover those times that my patients had a lapse in their mental health plan (MCO), but still had masshealth standard.

They had to credential me, in order for them to certify my work for MU.

Much effort, many phone calls, many signings of paperwork went into this, and I was approved as of December 2015.

Masshealth provider enrollment told me where I could see the rates for the codes on the mass.gov website, nurses getting 85% of MD rate. They did not look bad compared to Medicare.

However, it seems to be a minor disaster.

It has become clear that most of what was covered under QMB is NOT covered by masshealth.

They do not pay co-insurance, and they only pay a percentage of the Medicare deductible. Neither my billing service, nor my contact at the clinic expected this to happen.

This status would be best if I was planning to run a business for primarily straight masshealth clients, which is not at all my population. Most, of course, have an MCO for mental health.

Has anyone else run into this, or have any suggestions what to do?

Thanks in advance!

Sandy Thomaier PMHNP

Greenfield MA

Limited Space Available December MAAPPN Meeting

If you plan to attend the MAAPPN Quarterly meeting at Tosca in Hingham on Tuesday, December 8, 2015 please register today, space is limited and is filling up fast.  We plan to start a bit earlier to maximize the opportunity to access our sponsor tables (Sunnovian, Arbor, Genomind) as well as to have more networking time.  We also are offering free wine and appetizers!

 

 When: December 8, 2015

(New) Time: 5:45 PM – 9 PM

Location: Tosca Restaurant, Hingham, MA

Cost: $25 (Complimentary Wine and Appetizers)

 

MAAPPN (The Massachusetts Association of Advanced Practice Psychiatric Nurses) is a non- profit organization in the state of Massachusetts that exclusively represents the interests of advanced practice psychiatric nurses – both psychiatric clinical nurse specialists and psychiatric nurse practitioners.

Our mission includes legislative goals promoting access to sustainable fiscal policies that support the advanced practice psychiatric nurse as high quality, affordable and accessible providers.

Our speaker for the December MAAPPN meeting will be Kathy Adolina, PMHCNS, BC.  Kathy has a private practice in the Back Bay and specializes in treatment of adults and students with affective and anxiety disorders. She is a graduate of Boston College and long time member of NURS, MAAPPN Board Member and current Treasurer.   Kathy will be speaking about Psychogenomics in Clinical Practice.

 

Psychogenomic testing allows the opportunity to introduce precision into our prescribing practices. Patients who like personalized medicine, like the idea and payers are looking carefully at cost savings. Yet testing is not without caution. In this presentation, the opportunities and challenges are reviewed as these work in a private practice setting.  Payer policies, patient education and how treatment selection presents new opportunities in prevention are reviewed.

December MAAPPN Meeting Agenda

 

5:45pm – 7:00pm – Networking, appetizers, complimentary wine, and visit the display tables

7:00pm – 7:15pm – Welcome & Introductions

7:15pm – 7:45pm – Dinner and Speaker Kathy Andolina, PMHCNS, BC*

7:45pm – 9:00pm – Business Meeting

 

* CEU’s offered

If you are a company interested in having a display table at the MAAPPN quarterly meeting go to MAAPPN Meeting Booth Space.

To sign up and pay for your membership meeting please click on the following link MAAPPN.
For more information visit our website at http://maappn.com/.

 

Please send agenda items to: MAAPPN Chair, Diane Grimaldi at dlgrimaldi@comcast.net

Please help us spread the word by encouraging others to become members and by inviting colleagues to attend quarterly MAAPPN member meetings.  We are also interested in having new and existing members join our committees, volunteer as guest speakers and make recommendations for topics you would like to hear about at future meetings.

Other ways you can support MAAPPN is with Membership Dues.  We are moving to January dues cycles with a very easy way to pay online! Go to MAAPPN ANNUAL MEMBERSHIP.

Limited Space available confirm your attendance today for the December 8th meeting. 

MAAPPN Needs Members with Expertise on The Following

MAAPPN Needs Members With Expertise Who Can Consult on the Following.  MAAPPN sits at the table on the influential MA Mental Health Coalition and we meet monthly.  In this group, legislation, policies and regs are reviewed as these could impact each of our groups. The Mental Health Coalition consists of representatives from the behavioral health professions, policy, government, advocacy, administration and legal groups in the state.

MAAPPN Needs Members with Expertise Who Can Consult on the Following

  • Executive Order (Gov. Baker) to review all regs in the state – what works for us what doesn’t? Who has worked with the Board of registration in Nursing (BORN) and can consult on this issue for MAAPPN?
  •  Mass Assoc of Behavioral Health Systems (MABHS) wants to work with MAAPPN to support regs that allow Psych APRNs to admit patients to hospitals and write orders for restraint and seclusion. We need your input into these and othe regs that benefit our roles in systems
  • H.3817 – Opiate Crisis and Governor Baker’s proposed legislation: Can someone look at the pros and cons for Psych APRNs?
  • H 786 – supports parity in disability policies for employees with behavioral health disorders equal to those with employee’s physical disorders.   The bill now sits in Financial Services Committee   MAAPPN has supported this bill and the Mental Health Legal Advisors Committee (MHLAC) asks for support again. We need your comments about experiences with clients with behavioral health disability issues and any other questions or comments about how BH disability has been administered compared to physical disorder disability.
  • Telehealth bills are also being discussed – pro? con? Thoughts, experiences appreciated!

 

Please send comments and questions to Kathy Andolina .  The Mental Health Coalition seeks our input into these important policy issues. Thanks for your feedback!

About MAAPPN

The Massachusetts Association of Advanced Practice Psychiatric Nurses (MAAPPN) is the only organization in the state of Massachusetts that exclusively represents the interests of advanced practice psychiatric nurses – both psychiatric clinical nurse specialists and psychiatric nurse practitioners.

We are dedicated to the delivery of high quality, affordable, accessible psychiatric treatment for the clients we serve.

MAAPPN Quarterly Meeting Announcement | September 2015

 

Join us for an evening of colleagueship, networking, education, job opportunities, Legislative updates and a great dinner.  The Massachusetts Association of Advanced Practice Psychiatric Nurses (MAAPPN) will hold our quarterly meeting on Thursday, September 17, 2015 at Royal Sonesta Cambridge Hotel, Cambridge, MA from 6pm – 9pm.

Visit the display tables of GenOMind – leaders in personalized medicine and psychogenomic testing  and Arbor Pharmaceuticals,  makers on Zenzedi and Evekeo,  new treatments for ADHD.  More displays to come!

MAAPPN Quarterly Meeting Announcement | September 2015

6:00pm – 7:00pm – Networking
7:00pm – 7:15pm – Welcome & Introductions
7:15pm – 7:45pm – Dinner and Speaker TBA
7:45pm – 9:00pm – Business Meeting

Location: Royal Sonesta Cambridge Hotel, Cambridge, MA
Date:  Thursday, Sept 17, 2015
Time: 6:00pm – 9:00pm

About MAAPPN

The Massachusetts Association of Advanced Practice Psychiatric Nurses (MAAPPN) is an organization in the state of Massachusetts that exclusively represents the interests of advanced practice psychiatric nurses – both psychiatric clinical nurse specialists and psychiatric nurse practitioners.

The new mission includes legislative goals promoting access to and sustainable fiscal policies that support the advanced practice psychiatric nurse as high quality, affordable and accessible provider.

MAAPPN Quarterly Meeting Announcement

Please help us spread the word by encouraging others to become members and by inviting colleagues to attend quarterly MAAPPN member meetings.  We are also interested in having new and existing members join our committees.

If you have items from your area that you would like discussed, please contact Diane Grimaldi at dlgrimaldi@comcast.net so she can add them to the agenda.

If you are a company interested in having a display table at the MAAPPN quarterly meeting please contact Diane Grimaldi at dlgrimaldi@comcast.net.

To sign up and pay for your membership meeting please click on the following link http://maappn.com/product/maappn-meeting-thursday-september-17-2015/.  Choose MAAPPN Member Meetings.  The cost is $25.00.

For more information visit our website at http://maappn.com/.

We look forward to seeing you at the MAAPPN Quarterly meeting on Thursday, September 17, 2015.

 

MAAPPN sadly notes the passing of Dezra Kenney, Past President, NE Chapter Psychiatric Nurses Association

Dezra L. Kenney, age 56 years of Lynn, formerly of Arlington and Quincy, died unexpectedly at her home. Born in Arlington she was the daughter of the Linda (Zwink) Peluso of Lynn. She attended schools in Quincy and graduated from North Quincy High School, Class of 1976. Dez graduated from Lemuel Shattuck Hospital School of Nursing, as a LPN, class of 1978, graduated from Catherine Laboure School of Nursing in Dorcester as a Registered Nurse. Dez earned her Nurse Practioners Degree, specializing in psychiatry and addiction, from Harvard College in Cambridge.

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She was the owner of Kenney & Associates in Salem. Dez was a psychopharmacologist, and was a national speaker for a number of pharmaceutical companies and spoke all over the United States. She was Past President of the Psychiatric Nurses Association. Dez enjoyed traveling to Aruba and Barbados.

In addition to her mother she is survived by one brother Alan and his wife Dawn Kenney of Quincy, and two nephews Alex and Adam Kenney of Quincy.

Services Details: Dez’s visiting hours will be held at the Parker Funeral Home 35 Franklin St. Lynn on Saturday from 3:00 – 8:00 PM, to which relatives and friends are invited to attend. Funeral services will be private. Please make memorial donations to the Northeast Animal Shelter 347 Highland Ave. Salem, MA 01970.

Wellesley Hills Office Space

MAAPPN Quarterly Meeting Announcement

The Massachusetts Association of Advanced Practice Psychiatric Nurses (MAAPPN) will hold our quarterly meeting on Thursday, September 17, 2015 at The Royal Sonesta Hotel, Cambridge, MA from 6pm – 9pm

MAAPPN Quarterly Meeting Announcement

 

Location: The Royal Sonesta Hotel Cambridge, MA

Date:  Thursday, Sept 17, 2015

Time: 6:00pm – 9:00pm

6:00pm – 7:00pm – Networking

7:00pm – 7:15pm – Welcome & Introductions

7:15pm – 7:45pm – Dinner and Speaker TBA

7:45pm – 9:00pm – Business Meeting

 

Agenda:

Legislative Committee and Update

Peggy Chapman discusses the Committee activity involving the CNS Supervision bill, Psych NP bill, Affiliate bill activity (Telehealth initiative, disability parity), fund raiser attendance, activity related to hearings, giving testimony and any calls to action.  Mary Ann Hart, our MAAPPN Legislative Advocate, will give an update on the progress of the bills we have filed and the strategies employed to further the bill

Practice Committee and Update

Ginny Tay discusses the Practice Committee research and writing of H 1801, the bill filed for independent practice, and the fact sheet and how to use it.

Membership Committee and Update

Michelle Malnati discusses the membership numbers, growth in 2015, and dues drive.

Insurance and Reimbursement Issues

Diane Grimaldi and Sharon Reynolds will discuss reimbursement issues and strategies for rate negotiation.

Treasurer Report

Kathy Andolina reports on MAAPPN revenues and expenses.

Technology and Networking Committee and Update

Kathy Andolina discusses the web site evolution, features, and revenue generating activities associated with social media, advertising campaigns and postings. She will also discuss opportunities for networking through the ad hoc peer supervision groups across the state, social media, Google groups, and client referral mechanisms, and Constant Contact emails and website.

Organizational Update

Diane Grimaldi, Chair, MAAPPN discusses nomination process, form to nominate and elect officers, invitations to join Board, Committees, name change and alignment across of MA Division of Corporations, IRS and MA Dept of Revenue.

If you have items from your area that you would like discussed, please contact Diane Grimaldi at dlgrimaldi@comcast.net so she can add them to the agenda.

To sign up and pay for your membership meeting please click on the following link http://maappn.com/product/join-maappn/.  Choose MAAPPN Member Meetings.  The cost is $50.00.

For more information visit our website at http://maappn.com/.

The Recovery Enhancement for Addiction Treatment Act (TREAT Act) Senator Edward J. Markey (D-Mass.)

Maappn members we would like to hear your thoughts on the Treat Act. You can read about it below.

 

Overdoses from opioids, including prescription pain relievers and heroin, have increased dramatically in the United States. Nationwide, drug overdoses now claim more lives than car accidents. Opioid addiction is a chronic disease that, untreated, places a large burden on the healthcare system. Roughly 480,000 emergency room visits each year are attributable to the misuse and abuse of opioid pain killers. Effective medication-assisted therapy for opioid addiction, such as buprenorphine, combined with social and behavioral supports, can decrease overdose deaths, be cost-effective, reduce transmissions of HIV and viral hepatitis, and can reduce other social harms such as criminal activity.

 

Unfortunately, of the approximately 2.4 million Americans who abused or were dependent on opioids in 2013, only half received treatment for their condition. That’s because access to effective and evidence based treatments to help treat opioid addiction in outpatient and primary care settings, remains limited in part due to current federal restrictions.

 

More than ten years of experience in the United States with buprenorphine (Suboxone) to help treat opioid addiction has informed best practices for delivering successful, high quality care for patients with opioid use disorders. Thoughtfully expanding existing federal restrictions, with a focus on expertise and quality will help increase the number of patients who have access to life-saving treatment and will decrease long waiting lists that currently exist for many treatment facilities.

 

Unlike any other treatment regimen for any other disease, under current law in order for physicians to prescribe and use certain opioid addiction medicines, they must meet specific conditions and apply for a special federal waiver. Even with such a waiver, physicians are severely limited in the number of patients they can treat, contributing to long waitlists and the inability of patients to get treatment for their addiction when they need it.

 

The Recovery Enhancement for Addiction Treatment Act (TREAT Act):

 

  • Increases the number of patients a provider is initially allowed to treat from 30 patients to 100 patients per year.
  • Allows certain nurse practitioners and physicians assistants to treat up to 100 patients per year, provided they:
    • Are licensed in a state that already allows them to prescribe controlled substances
    • Complete approved training on opioid addiction treatment and
    • Are supervised by a physician who is approved to prescribe opioid addiction medicine, or are certified addiction treatment nurse practitioners who practice in collaboration with such a physician in a “qualified practice setting,” where allowable by state law.
  • Allows certain physicians, after one year, to request removal of the limit on the number of patients they can treat. To be eligible:
    • Physicians must be substance abuse treatment specialists, as recognized by specific board or society certifications, or
    • Non-specialist physicians must complete approved training and practice in a “qualified practice setting.”
  • “Qualified practice settings” are named in the legislation and include clinical settings that have defined oversight, performance metrics, or quality review, or that are part of systems serving populations with high need.
  • Requires the GAO to examine changes in treatment availability and utilization; quality of treatment programs; integration with routine healthcare services; diversion; impact on state-level policies and legislation; and use of nurse practitioner and physician’s assistant prescribers.

The TREAT Act is supported by the following organizations:

 

  • American Medical Association (AMA),
  • American Society for Addiction Medicine (ASAM),
  • Trust for America’s Health (TFAH),
  • American Association of Nurse Practitioners (AANP),
  • Association of American Medical Colleges (AAMC),
  • Harm Reduction Coalition,
  • Big Cities Health Coalition,
  • National Association of State and Territorial AIDS Directors (NASTAD),
  • Drug Policy Alliance,
  • Association of State and Territorial Health Officials (ASTHO),
  • National Association of County and City Health Officials (NACCHO),
  • Massachusetts Sheriffs’ Association,
  • Association for Behavioral Healthcare Massachusetts,
  • Connecticut Certification Board, Inc.,
  • Massachusetts Medical Society,
  • Massachusetts Association of Behavioral Health Systems, Inc.
  • The Massachusetts Hospital Association

Once Again It’s Time For Our Annual Maappn Membership Drive

Dear Friends and Supporters,

Once again it’s time for our annual membership campaign drive. Your support really means a lot to us and allows us to continue to represent the interests of advanced practice psychiatric nurses and the clients we serve.

Our members have enabled us to accomplish so much this year. We were able to redesign our website http://maappn.com/. The new website features a completely redesigned layout in addition to several new pieces of functionality. Among the new changes are:

  • Online Streamlined Membership Enrollment – The new website includes membership enrollment through a “create and join MAAPPN” form. The new website design is user-friendly, educational, and informative. We want to ensure that our members are equipped with the latest information.
  • Career Center Services – Thanks to this new feature, for a small fee, employers can post employment and internship opportunities and job candidates can post their resumes.
  • Opportunities for Advertising – We are nothing without our loyal sponsors who support our efforts and advertise with us. Our new website provides for advertising opportunities on myriad levels.

In the coming year we will continue our work on behalf of our members on a number of projects including strategic lobbying at the state level, providing resources for psychiatric mental health nursing, continually improving our website, supporting self-advocacy, creating networking opportunities, gaining sponsorships, and membership recruitment.

This year we are celebrating our 40th anniversary as an organization, and our goal is to double our membership. As an incentive for joining MAAPPN we are offering 20% off of quarterly membership meeting fees (use coupon code: maappndiscount) , along with the opportunity to post your resume or post a job opening on our website for 1-month duration free of charge. For more information on current initiative on members behalf please see the following link https://malegislature.gov/Bills/189/House/H1801.

Funds that we raise through our membership campaign help us to continue to pay for legislative consultation and representation, fund our membership drive, make more improvements to our web site, and to create and disseminate brochures and handouts, used to communicate with advocates and supporters.

Thanks again for helping to make this a successful membership fund-raising campaign. Please continue to share the goals and work of MAAPPN with people you know in your workplace and community. You can help us spread the word by encouraging others to become members and by inviting colleagues to attend quarterly MAAPPN member meetings. We are also interested in having new and existing members join our committees. Financial donations are always welcome as another form of support for the work ahead.

New members please click on the following link to register and start the process in becoming a MAAPPN member. If you are renewing your membership please click on this link.

Thanks again for your generous support!

Diane Grimaldi, DNP, PMHCNS, BC
Chair, MAAPPN

In July 2013 APNA released a position statement supporting expansion of APRN prescriptive authority

In July 2013 APNA released a position statement supporting expansion of APRN prescriptive authority to include buprenorphine/naloxone for the treatment of opioid addiction: APNA Supports the Expansion of APRN Prescriptive Authority to Include Prescription of Buprenorphine & Buprenorphine/Naloxone (Suboxone)

This week, U.S. Senators Markey and Paul were joined by bipartisan group of Senators, as well as sponsors in the House of Representatives, to introduce legislation that would expand treatment for heroin and prescription drug addiction, including prescriptive authority of buprenorphine/naloxone for APRNs. The legislation, the TREAT Act, would increase access to evidence-based medication-assisted treatment according to this press release issued by Senator Ed Markey’s office. You can view a one page summary of the legislation here.

Please educate your U.S. legislators about the ability of APRNs to provide safe, evidence-based care for opioid dependent patients with approved medication assisted treatment.  In combination with behavioral therapy, medication-assisted treatment for opioid addiction can decrease opioid overdose deaths, reduce transmission of HIV and hepatitis C, and reduce other social harms such as criminal activity and recidivism.

Now is a critical time to advocate for health care policy that will improve access to care and improve health and social outcomes for patients we serve.

Sincerely,

Susie Adams, PhD, RN, PMHNP, FAANP
President
American Psychiatric Nurses Association
3141 Fairview Park Drive, Suite 625
Falls Church, VA 22042
www.apna.org

Mitt Romney and some of his top aides used private email accounts

Some of the emails obtained by AP describe Romney’s internal deliberations on his health care policy and the state’s 2006 budget crisis: “I hate appearing as if I am just playing national politics,” Romney wrote in November 2006 during sensitive negotiations on state budget cuts, when he was preparing his 2008 presidential campaign. Romney chose to use his full name as his Hotmail username.

The emails can be viewed here http://apne.ws/xkUTFl .

The private email accounts raise questions about why Romney and his aides sometimes bypassed Massachusetts‘ official communications system — and how many of those emails remain and whether they could be disclosed to the public. Late last year, Romney acknowledged that near the end of his governor’s term in 2007 he approved a sweeping purge of executive emails from the state government’s computer servers, and the removal of top aides’ hard drives and computers. Romney justified the purge as legal, prompted by privacy worries.


Read more:
http://www.businessinsider.com/governor-mitt-romney-used-personal-email-like-secretary-of-state-clinton-2015-3#ixzz3UNzZWR5k

APNs should be very concerned about this legislation and cannot afford to be complacent.

Our opposition has unlimited financial, organizational, and institutional resources. If we are to have any chance at advancing our legislation and preventing further restrictions to APN practice in Massachusetts, we need your engagement.

We will be holding town-hall style meetings with legislators across the state over the coming months, and we ask you to be on the lookout for invitations and attend these meetings in your region. We have received news that the Massachusetts Medical Society is already doing this in support of their Physician-Led Team Based Health Care legislation.

Please read the text of this legislation copied below and let this motivate you to get involved and advocate for your practice!

https://mcnpweb.site-ym.com/news/216524/Massachusetts-Medical-Society-Files-Legislation-Proposing-Further-Restrictions-on-APN-Practice.htm

State employees protest proposed health insurance changes

BOSTON – A union representing state employees is asking the Legislature to reconsider Gov. Charlie Baker’s proposal to increase health insurance premiums for some employees.

“Shifting these additional costs onto the backs of state workers who have sacrificed greatly, and given back consistently throughout the fiscal crisis, is not the answer,” wrote David Holway, president the National Association of Government Employees, in a letter to House Speaker Robert DeLeo, D-Winthrop, and House Ways and Means Committee Chairman Brian Dempsey, D-Haverhill.

The budget Baker, a Republican, proposed on Wednesday counts on saving the state $125 million from changes made through the Group Insurance Commission, the organization that provides health insurance for state and municipal employees and retirees.

For the complete story:

http://www.masslive.com/politics/index.ssf/2015/03/massachusetts_state_employees.html

Eileen McAnneny, president of the Massachusetts Taxpayers Foundation, a business-oriented fiscal policy group, said the increase in premium co-pays to 25 percent is not unreasonable compared to private sector health plans. “Employees are being asked to pay more, but what they’re asked to pay is in line with the private sector,” McAnneny said

Please Join Us for Speaker DeLeo

Please join us at an intimate breakfast for Speaker
DeLeo.

April 9, 2015
8:30 – 10:00 AM
Emmet's
6 Beacon Street

RSVP:
Krisglynn@gmail.com

Suggested Contribution: $100.00 per
person


Please make donations payable to the Committee for Bob
DeLeo.Corporate checks prohibited by law. $500 maximum per person
percalendar year. $200 annual maximum for registered lobbyists and
executiveagents.


Political contributions are not tax deductible.

 

AN ACT TO INCREASE ACCESS TO MENTAL HEALTH SERVICES

AN ACT TO INCREASE ACCESS TO MENTAL HEALTH SERVICES

SECTION 1. Subsection (g) of said section 7 of chapter 94C of the general laws, as appearing in the 2010 Official Edition, is hereby amended  in the second paragraph by striking out, in lines 129 and 130,  and in lines 138 and 139, the words “and psychiatric nurse mental health clinical specialists”.

SECTION 2. Subsection (g) of said section 7 of chapter 94C of the general laws, as appearing in the 2010 Official Edition, is hereby amended by adding at the end thereof the following paragraph;-

The commissioner shall promulgate regulations which provide for the registration of psychiatric nurse mental health clinical specialists  as defined in section 80 B of chapter 112, to issue written prescriptions in accordance with regulations pursuant to section 80I of chapter 112. Prior to promulgating such regulations, the commissioner shall consult with the board of registration in nursing with regard to those schedules of controlled substances for which psychiatric nurse mental health clinical specialists may be registered.

SECTION 3. Section 80E of Chapter 112 is hereby amended by striking out, in lines 1 and 2 and in lines 7 and 8, the words “or psychiatric nurse mental health clinical specialist”.

SECTION 4. Chapter 112 is hereby amended by adding section 80I: –

Section 80I. A nurse authorized to practice as a psychiatric nurse mental health clinical  specialist  pursuant to section 80B, may order and interpret tests, therapeutics and prescribe medications in accordance with regulations promulgated by the board and subject to the provisions of subsection (g) of section 7 of chapter 94C.

MAAPPN Lends Support to MHLA Legislative Priorities

MAAPPN plays an active role in supporting legislation from other MA mental health groups.   As a member of the Mental Health Coalition, MAAPPN has the opportunity to hear of the legislative priorities from the professional groups (the guilds), advocacy and other mental health policy groups.  Susan Fendell, Senior Attorney for Mental Health Legal Advisors Committee announced MHLAC’s legislative priorities for 2015-16 and has asked MAPPN’s support.  MAAPPN will be lending support and endorsement to the following initiatives:

Susan can be reached at  24 School Street, 8th Floor, Boston, MA 02108, 617-338-2345 x129, 617-338-2347 (fax)

Prescription Monitoring Program – FAQ

Massachusetts Online Prescription Monitoring Program Frequently Asked Questions

What is the Massachusetts Online Prescription Monitoring  Program?

 The Massachusetts Online Prescription Monitoring Program (PMP) is a secure website hosted by the Massachusetts Department of Public Health.

The PMP is a database for a patient’s prescription history for controlled substance prescription medications. The PMP shows a patient’s prescription history for the prior 12 months. Data is reported into the PMP by all Massachusetts pharmacies and by out-of-state pharmacies delivering to people who live in Massachusetts.

 Why is the Prescription Monitoring Program Important?

 Controlled substance medications can play an important role in a patient’s medical treatment and care. When not properly prescribed, however, they can lead to patient harm from duplicate drug therapy, prescription drug misuse or abuse, and illegal use.

Having this information available to prescribers before they prescribe a controlled substance prescription helps them to make the best possible clinical decision for their patient.

 Who is (the) allowed to use the Prescription Monitoring Program  (Important)*?

 Physicians, dentists and podiatrists have been automatically enrolled in the PMP since January 1, 2013. The Massachusetts Department of Public Health’s Drug Control Program (DCP) automatically enrolls these providers when they obtain a new Massachusetts Controlled Substance Registration (MCSR) or have their existing MCSR recalled (renewed).

Beginning on January 1, 2015, the Drug Control Program began automatically enrolling nurse practitioners and physician assistants as participants in the PMP. This will be done when they obtain a new MCSR or renew their MCSR.

Physicians, dentists, and podiatrists also can now grant access to the PMP to users under their direct supervision, such as a registered nurse or medical assistant working in their office.  Known as delegates, these individuals will be enrolled in the PMP and have access to view a patient’s controlled substance prescription history.

Though voluntary, pharmacists may also enroll in the PMP.

*this question contains errors in syntax as issued by the DPH  

 When does my physician have to use the  PMP?

 A registered individual practitioner (physician, dentist, podiatrist, nurse practitioner, physician assistant) must utilize the PMP, prior to prescribing a narcotic prescription drug in Drug Enforcement Agency (DEA) Schedule II or III, or a prescription drug containing a benzodiazepine, to a patient for the first time.

“First time” refers to patients who have not received a narcotic prescription drug in Schedule II or III, or a drug containing a benzodiazepine, from another authorized prescriber within the previous 12 months.

Medications considered Schedule II or III are defined as drugs with a high potential for abuse, with use potentially leading to psychological or physical dependence.

Benzodiazepines are a broad class of medications commonly referred to as tranquilizers.

Authorized prescribers are, however, encouraged to utilize the PMP each time they are prescribing a controlled substance prescription to a patient.

 Where is the PMP and how do I access it  PMP?

 The Massachusetts Online Prescription Monitoring Program (PMP) is a website hosted by what’s known as the Virtual Gateway – the. The Virtual Gateway is the secure web portal of the Executive Office of Health and Human Services (EOHHS).

To access this system, you need to obtain a user name and password to login into the Virtual Gateway and you need to be granted access to the PMP.

This process begins when the prescriber completes an application for enrollment into the PMP and sends it to the DPH Drug Control Program for processing.

Because the PMP is a web-based application, you can access it from any computer.

How is the information in the PMP  used?

 To guarantee patient confidentiality and ensure absolute privacy of patient health information, the PMP operates exclusively on a secure web portal and requires nothing more than the entry of basic patient demographic information (name, date of birth, gender, and address). Additional information such as prescriber name, name of the medication, directions for use, and quantity to be dispensed are also required.

PMP data about a patient’s controlled substance prescription history is viewable by the prescriber at the time he or she is considering prescribing a controlled substance medication to that patient. Prescribers will also receive automatic electronic notifications advising them of concerns in their prescribing.

This information is also available to select DCP staff to help develop statistical reports such as the number of prescriptions prescribed for a certain medication. These reports contain no patient specific information (i.e. patient name, address).

Select DCP staff also develops analyses for Department of Public Health such as comparing the number of controlled substance prescriptions prescribed in each county in Massachusetts each year or comparing the total number of controlled substance prescriptions prescribed from one year to the next. Again, these analyses contain no specific patient information.

APRNs to be automatically Enrolled in Massachusetts Prescription Monitoring Program

Sharon Reynolds, MAAPPN Board member, recently checked with DPH and the Fact Sheet that came out in January was not accurate in that all APRNS and PAs  are supposed to be automatically enrolled this year (not just NPs and PAs).  As they are having a difficult time implementing the change, it won’t be happening until May renewal dates. We don’t have to wait to enroll in the PMP program but once enrolled we are expected to comply with “first time” user checks.  For more info: http://www.mass.gov/eohhs/docs/dph/quality/drugcontrol/pmp-faq-public.pdf