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MAAPPN April 2017 Quarterly Meeting Announcement

MAAPPN April 2017 Meeting

The Massachusetts Association of Advanced Practice Psychiatric Nurses (MAAPPN) is happy to announce that Senator Jennifer Flanagan will be our speaker at the Thursday, April 6th MAAPPN quarterly member meeting at Papa Razzi 16 Washington Street, Wellesley, MA.  She will be sharing news about the opioid crisis and giving an update about the progress and the work that lies ahead.

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 2017 efforts will be on supervisory independence, signatory equivalence of CNS/NPs; collaboration with other organizations to make advances in continuity of care, parity, telehealth, relief from excess paperwork, independent prior auth and medical necessity determination from Psych BH providers who best know the patient, and so much more!

MAAPPN Quarterly Meeting Announcement | April 6, 2017

5:45 pm – 7:00pm – Networking, appetizers, and visit the display tables!
7:00pm – 7:15pm – Welcome & Introductions
7:15pm – 8:00pm – Dinner and Speaker Senator Jennifer Flanagan
8:00pm – 9:00pm – Business Meeting

* CEU’s offered

Location: Papa Razzi
Date: Thursday, April 6, 2017
Time: 5:45pm – 9:00pm

Please register early as space is limited.

SPECIAL non-member rate for students attending the April 6, 2017 quarterly meeting is $25.00, to register click on the following link – NON-MEMBER STUDENT QUARTERLY MEETING RATE. Student ID required at the door.

April 6th membership meeting registration for members is $25.00, to register click on the following linkMEMBER MEETING RATE.

April 6th 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.

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  Papa Razzi in Wellesley, Massachusetts on Thursday, April 6, 2017.

 

Bridgewater Overhaul

NAMI Responds to Governor Baker and DOC on Bridgewater Overhaul

Bridgewater State Hospital is targeted for an overhaul.  Over the past several years, there has been a groundswell of support for separating the incarcerated mentally ill from the genreral prison populations as well as transferring the care, treatment and oversite of this populations from the Department of Correctiions to DMH.

A Request for Response RFR) was issued September 13, 2016 for just such a move, but there was no provision to move the treatment from a prison environment. As such NAMI responded as below:

Introduction: Bridgewater State “Hospital” is a medium-security prison that evaluates and treats men who have mental illness. For people with histories of trauma and mental illness, being confined in a prison is uniquely harmful, inhumane and punishing. Bridgewater has had a complicated history riddled with decades of negative media attention about the treatment of the men held at the facility resulting in senseless tragedies like those of Joshua Messier and Leo Marino. On September 13, 2016 the Department of Correction publicly announced at an informational hearing held by the Joint Committee on Mental Health and Substance Abuse that it would be rebidding and reconfiguring services provided at Bridgewater State Hospital. The deadline for submissions is November 1, 2016 and the anticipated start date for the new changes is February 1, 2017. Several important changes will be carried out by the Department of Correction regardless of the Vendor chosen for the Contract.

  • Uniformed correctional staff will no longer remain inside of the main Bridgewater State Hospital Facility.
  • A small portion of correctional staff (approximately 36 officers) will continue to guard the perimeter of the facility.
  • The other 180 correction officers not selected to stay at Bridgewater State Hospital will be reassigned elsewhere.
  • All patients identified as state sentenced inmates (about 50 individuals) will be transferred to a new Bridgewater State Hospital Annex located at Old Colony Correctional Center.

This makes space for the 200 or so inmates currently housed at Bridgewater State Hospital who have been sent there for forensic evaluation, treatment, or as the result of “civil commitment”. Extensive provisions were made in the Request for Response for how the new Contractor would operate Bridgewater State Hospital. Below are a few provisions of interest:

Good Provisions:

1)  Included in the specifications for the coordination of services between the Department of Correction and Bridgewater State Hospital, is a statement that the new Contractor will collaborate with the Department of Mental Health on topics including “prevention of seclusion and restraint” to “foster a culture that places the Patient first”.

2)  Notable staff members included in the Request for Response are: o Medical Director of Bridgewater State Hospital – a Board Certified Psychiatrist, preferably with a subspecialty in forensic psychiatry; o Hospital Administrator; o Director of Forensic Services – a Designated Forensic Psychiatrist or Designated Forensic Psychologist who will oversee all court-ordered forensic and clinical evaluations.

3) Forensic evaluations will be carried out by designated forensic psychiatrists, psychologists, and other professionals; o Chief of Social Work; o Director of Intensive Treatment Planning – will consult, as necessary, with the Department of Mental Health and other agencies, to identify and complete plans for patients who have required emergency use of seclusion and restraint; o Family Engagement Clinical Specialist – will serve as a point of contact for families and be responsible for giving them information about their loved one. They will also facilitate semi-annual family meetings and Family Support Groups. One complaint several family members of patients voiced was the lack of communication with Bridgewater State Hospital. Family serves as an important source of support for many individuals with mental illness; hopefully, the Family Engagement Clinical Specialist will help family stay well-informed and involved in their loved one’s treatment.

4)  Every patient will receive an initial treatment plan at the time of admission, a review of that treatment plan will occur within ten (10) days, and a formal treatment plan will be developed no more than thirty (30) days from admission.

Bad Provisions:

1)  According to the Department of Correction, when selecting the new Contractor, bidders with “experience providing forensic mental health, mental health, medical and dental services in a correctional setting (i.e. prisons or jails) will be preferred”. This could perpetuate a punitive culture that is at odds with the therapeutic milieu necessary for treatment to be successful.

2)  The Medical Director of Bridgewater State Hospital and Hospital Administrator will report to the Superintendent. Furthermore, the Superintendent of Bridgewater State Hospital will maintain oversight of day-to-day operations of the facility in addition to securing the perimeter. We have heard from several stakeholders that medical personnel at Bridgewater are too intimidated by Correction staff to intervene on behalf of their patients when they feel their needs are not being met. It is possible that this same feeling of intimidation will continue if the Medical Director and Administrator report to the Superintendent.

3)  The Department of Correction will evaluate the quality and efficiency of the provision of services under the Contract to ensure that “evidence-based clinical criteria/pathways and best practices from within forensic mental health” are utilized. NAMI Mass believes this would be best accomplished by the Department of Mental Health who possesses the knowledge and qualifications necessary to carry the evaluation of services.

Too Soon to Tell Provisions:

1)  Every story we have heard about violence related to Bridgewater State Hospital has occurred inside of the facility, not at the perimeter or in the surrounding communities. This violence is the result of conflict between patients who are not only mentally ill, but have also been given inadequate treatment in a stressful environment. Maintaining the elements of a medium-security prison, even just at the perimeter of the campus, may  hinder the development of the therapeutic milieu necessary for successful treatment. Security should be approached in a way that guarantees the safety of the patients and staff at Bridgewater State Hospital, but does not perpetuate the current punitive climate.

2) The Contractor is required to provide all personnel with annual training in areas including: introduction to mental illness; prevention and reduction of seclusion and restraint; trauma informed care; and de-escalation. While the RFR states “the department of Mental Health is available for consultation regarding training content and materials,” there is no requirement for the Contractor to include the Department of Mental Health in personnel training. A stronger inclusion of the Department of Mental Health would ensure that the training provided to personnel would fit the needs of the population at Bridgewater State Hospital. 

3)  The Department of Correction leaves program construction and security, staffing patterns, the range of disciplines represented in lower-level staff and staff schedules to the discretion of the bidders. While the Request for Response outlines criteria for what laws need to be met and what kind of qualifications upper-level staff members must carry, there is not a tremendous amount of direction given in any other area. This could allow important programming decisions to be determined by a knowledgeable and well qualified Vendor, but if a poor Vendor is selected it could lead to poor programming and substandard treatment.

While we welcome change to Bridgewater State Hospital and appreciate many of the proposed changes laid out in the Request for Response, NAMI Mass believes that any improvements will be limited by the Department of Correction’s continued responsibility for the evaluation and treatment of men with mental illness.

As long as the Department of Correction maintains oversight of the facility, Massachusetts will stand alone in the country by requiring its state prison authority to assume responsibility for men who, in any other state, would fall under the jurisdiction of the Department of Mental Health. The entire Request for Response can be found at the following link:

https://www.commbuys.com/bso/external/bidDetail.sdo?bidId=BD-17-1025-DOCFS-FISCM- 00000009793&parentUrl=activeBids

maappn

MAAPPN Reaches Out To DPS on Inclusion of Pscyh CNS for Marijuana Prescribing Privileges

MAAPPN Board Member, Sharon Reynolds reaches out to Bryan Harter, DPH on certification of patients for use of medical marijuana.

Sharon Reynolds reached out to Bryan Harter, LICSW, Director Medical Use of Marijuana Program, Bureau of Healthcare Safety and Quality, Department of Public Health following review of the DPH initiative on expanding prescriptive authority of medical marijuana to NPs. Reynolds noted that it did not include the Psychiatric CNS and provided a written inquiry to Harter. It was pointed out that we had concern for the omission of the Psychiatric CNSs in the proposed regulatory amendment and would support the inclusion before the amendments were finalized. Harter acknowledged that the amendment did apply to certified NPs and encouraged participation int he 60 day public comment period now in progress.

Proposed Amendments to 105 CMR 725

See articles as reported in the press: State Moves to Ease Access to Medical Marijuana 

Bryan has provided his contact information for further questions.

Bryan Harter, MBA, LICSW | Director
Medical Use of Marijuana Program
Bureau of Healthcare Safety and Quality
Massachusetts Department of Public Health
bryan.harter@state.ma.us | T: 617.753.8187  | Mass.gov/MedicalMarijuana

Buprenorphine Waiver Course for Providers

Buprenorphine Waiver Course for Providers

Legislation to permit buprenorphine prescribing by PA’s and NP’s is currently being finalized.

NO FEE, 8 Hours of Free CME’s and CE’s

Date: Saturday, October 29th
Location: Pittsfield Crowne Plaza

Registration 7:30-8:00 am, Training 8:00 am-5:00 pm
Refreshments will be provided

This training is intended for Physicians, Nurses, Nurse Practitioners and Physician Assistants working with Medication Assisted Treatment

Register at this site:

http://www.cvent.com/events/buprenorphine-waiver-course-for-providers-105-/event-summary-acf88d458867460cb2317f9f1d6f114e.aspx

Paste this link into your browser & find the registration button on the lower right of BSAS flyer or contact Ann McDonald, RN MN (amcdonald@bhs1.org) or Jennifer Michaels, MD (jmich@briencenter.org) with questions

Course Description: Opioid use disorders are at epidemic levels in the United Sates. Medication assisted treatment is the most effective treatment for opioid use disorders. Buprenorphine is approved for treatment in office-based settings. Buprenorphine can only be prescribed by physicians who complete an approved, standardized 8 hour training course as outlined in the Drug Addiction Treatment Act of 2000. Legislation to permit buprenorphine prescribing by PA’s and NP’s is currently being finalized.

Objectives: 

Upon completion of this training the participants will:

  •     Have the training to apply for a waiver to prescribe buprenorphine
  •     Identify and assess patients who are appropriate for buprenorphine
  •     Have specific knowledge concerning the use of buprenorphine to manage opioid use disorder
  •     Discuss the psychiatric and medical co-morbidities associated with opioid use disorders
MA Health Provider

Paperwork to Become a MA Health Provider

For the meaningful use incentive program, you are required to be a MA Health Provider.  If you are not currently enrolled as an active MA Health Provider (most of us are not), you will require a special enrollment to continue the attestation process.

Complete the forms in the link and returned along with a copy of the current Medical License to the MassEHR email address: MassEHR@masstech.org

****Please note that some forms require hard copies with signed signatures i.e. a voided check, W-9 form – You would be better off mailing in the packet of forms to the address below.

http://mehi.masstech.org/sites/mehi/files/documents/Medicaid/Special_Enrollment/Special%20Enrollment%20Checklist%20updated%207-18-16.pdf

Should you have any questions or concerns, please do not hesitate to contact the EHR Operations department at 1-855-627-7347. They are very helpful!!

MeHI Medicaid EHR Operations Department
Massachusetts eHealth Institute; Massachusetts Technology Collaborative
100 North Drive, Westborough, MA 01581
P: 855-627-7347, F: 508-898-3211
MassEHR@MassTech.org

MeHi

Meaningful Use/EHR Incentive Program Update

MAAPPN welcomed Al Wroblewski as our speaker at the September Member Meeting. Information about how to participate in the EHR incentive program was reviewed and deadlines identified. You can access the  presentation slides on the MeHi website under the Education menu in either PDF or PowerPoint format.

For detailed step-by-step instructions as to how to register for the Medicaid EHR Incentive Program, visit our MU Toolkit.

Reminder: Program Year 2016 is your last chance to initiate program participation. Start the registration process now, purchase a certified EHR system/upgrade by December 31, 2016, and submit your attestation by March 31, 2017.

http://mehi.masstech.org/news/psychiatric-clinical-nurse-specialists-are-now-eligible-medicaid-ehr-incentive-program

 

For Questions Contact:

Al Wroblewski , PCMH, CCE, (Patient Centered Medical Home, Certified Content Expert).

Client Services Relationship Manager from eHealth Services & Support at the Massachusetts eHealth Institute, MA Technology Collaborative.

wroblewski@masstech.org

508-870-0312 ext. 603 or cell 774-262-4154

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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.

 

September 19th MAAPPN Meeting | New Speaker Announcement

MAAPPN is announcing a last minute change in our September 19th meeting schedule.  Unfortunately Dr. Maureen Beirne Streff, EdD, RN, MSN, PMHCNS, BC, our keynote speaker, fractured her ankle and won’t be able to speak at the meeting as scheduled.

Instead, we will have a timely presentation by Al Wroblewski of the Massachusetts eHealth Institute on how to apply for the lump sum $21,250 per provider incentive for using or switching to electronic health records, with an additional lump sum of $8,500 per year possible for up to 5 more years.  If just over 30 percent of your billed visits during a 90-day period in the past year were for patients with Mass Health-subsidized plans (including Neighborhood Health Plan and other Beacon plans) you may qualify. Deadline is end of 2016.

Our meeting will be on Monday, September 19, 2016 at Scarlet Oak Tavern in Hingham, Massachusetts.

***  REMINDER: Pre-registration is necessary due to space limitations. ***

Agenda

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 Al Wroblewski *
7:45pm – 9:00pm – Business Meeting

* CEU’s offered

 

Location: Scarlet Oak Tavern, 1217 Main Street, Hingham, MA
Date: Monday, September 19, 2016
Time: 5:45pm – 9:00pm

 

September 19th membership meeting registration for members is $25.00, to register click on the following link – MEMBER MEETING RATE.

September 19th membership meeting registration for non-members is $75.00. to register click on the following link – NON-MEMBER/GUEST MEETING RATE.

Thanks to our wonderful and generous sponsors!  We extend our sincere appreciation to our sponsors, who play an integral role in our quarterly meetings.  Please be certain to visit them during the event and join us in thanking the following organizations (click the link to learn more about each contributor).  Together we are all helping to make a difference in the lives of many.

Takeda Pharmaceuticals U.S.A., Inc. & Lundbeck
Sunovion Pharmaceuticals Inc.
Shire Pharmaceuticals

We look forward to seeing you at the MAAPPN Quarterly meeting at Scarlet Oak Tavern in Hingham, Massachusetts on Monday, September 19, 2016.

Together we are all helping to make a difference in the lives of many.

September 19th Meeting Reminder | MAAPPN

This is a quick reminder that our next meeting will be on Monday, September 19, 2016 at Scarlet Oak Tavern in Hingham, Massachusetts.

***  REMINDER: Pre-registration is necessary due to space limitations. ***

This meeting we have the pleasure of having one of our very own founding MAAPPN members Dr. Maureen Beirne Streff, EdD, RN, MSN, PMHCNS, BC, joining us to discuss the earlier challenges, and historical accomplishments of the organization and share insights about our current mission and aspirations

*** Great networking opportunities as well as appetizers, wine and visiting with sponsors from 5:45 – 7:00 prior to dinner and speaker. ***

Agenda

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 Dr. Maureen Beirne Streff *
7:45pm – 9:00pm – Business Meeting

* CEU’s offered

Location: Scarlet Oak Tavern, 1217 Main Street, Hingham, MA
Date: Monday, September 19, 2016
Time: 5:45pm – 9:00pm

September 19th membership meeting registration for members is $25.00, to register click on the following linkMEMBER MEETING RATE.

September 19th membership meeting registration for non-members is $75.00. to register click on the following link – NON-MEMBER/GUEST MEETING RATE.

Thanks to our wonderful and generous sponsors!  We extend our sincere appreciation to our sponsors, who play an integral role in our quarterly meetings.  Please be certain to visit them during the event and join us in thanking the following organizations (click the link to learn more about each contributor).  Together we are all helping to make a difference in the lives of many.

Takeda Pharmaceuticals U.S.A., Inc. & Lundbeck
Sunovion Pharmaceuticals Inc.
Shire Pharmaceuticals

We look forward to seeing you at the MAAPPN Quarterly meeting at Scarlet Oak Tavern in Hingham, Massachusetts on Monday, September 19, 2016.

Opportunity for APRNs with Geripsych Background

Dear MAAPPN Member:

Optum would like to contract with Prescribing Psychiatric Nurse Practitioners and Clinical Nurse Specialists with both mental health and geriatric experience to see their members in the nursing home setting on an urgent crisis intervention basis. The purpose of such interventions would be the provision of a thorough clinical assessment and to prevent worse outcomes, loss of placement and moving someone who may already be confused to an unfamiliar setting, all as a result of unnecessary hospitalization. Ultimately, the goal of the intervention is to allow the patient to receive treatment where they are residing whenever this is clinically possible.

The practitioner would evaluate the patient, help identify any active medical issues, medication side effects or other conditions that might be adequately addressed and treated in their current setting. The practitioner will implement therapeutic medication protocols and behavioral changes as indicated and help caregivers identify any unmet needs of the patient. Utilization of Advanced Practice Psychiatric Nurses on an urgent basis has proven to allow patients to stay in their current residential setting while receiving high quality and cost effective care and treatment.

Remuneration for these services is competitive and considers the factors of travel time to the facility and the unpredictable timing of clinical crises. If you are interested in discussing the position, please contact:

David Nefussy
781-419-8437
david.nefussy@optum.com

Thank you,

Diane Grimaldi
MAAPPN Chair

MAAPPN Quarterly Meeting

MAAPPN Meeting Reminder | Thursday, April 7, 2016

This is a reminder that the next MAAPPN Quarterly Meeting will be held this Thursday (April 7) at the Tuscan Kitchen in Burlington, MA at 5:45 pm.  Representative Kay Khan who is a Clinical Specialist in Psychiatric Nursing as well as a state legislator serving in the Massachusetts House of Representatives will be our speaker.

Seating is limited; if you are interested in attending the April 7th meeting please pre-register no later than Wednesday, April 6th with the links provided below.

April 7th membership meeting registration for members is $25.00, to register click on the following link http://maappn.com/product/maappn-meeting-april-7th-2016/

April 7th membership meeting registration for non-members is $75.00, to register click on the following link http://maappn.com/product/non-member-registration-for-maappn-quarterly-meeting-april-7th-2016/

MAAPPN Meeting Reminder | Thursday, April 7, 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 Kay Khan*
7:45pm – 9:00pm – Business Meeting

* CEU’s offered

Location: Tuscan Kitchen
Date: Thursday April 7th, 2016
Time: 5:45pm – 9:00pm

We look forward to seeing you there.