Mount Sinai Health Partners
Clinically Integrated Network Newsletter
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Provider Spotlight:
Dr. Greg Dodell, Endocrinologist and PCP
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Managing Stress and Burnout as a Physician Today: MSHP Spotlight on CIN Provider Dr. Greg Dodell
It’s no secret that stress and burnout are serious challenges physicians face daily. CIN Endocrinologist and PCP, Dr. Greg Dodell, found that his mind was always on what he had to do next, how to fulfill his patient’s needs, and not on what was happening in the moment. He decided to take up mindfulness practices to help him manage these stressors, and in fact it has helped him channel that energy into really hearing his patients during the limited time he has with each of them. This has helped him find peace in his practice and rediscover the joy of practicing medicine.
Read more
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Dr. Fields returns to the frontlines in this episode with Dr. Greg Dodell, an endocrinologist in private practice on the Upper West Side. Dr. Dodell shares how he creates a family atmosphere with staff and patients and why he thinks meaningful personal relationships with his patients are important to positive health outcomes. He also discusses his interest in mindfulness and meditation as a doctor and a business owner dealing with stress and how mindfulness helps him be present in the moment with his patients.
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Dr. Fields welcomes Dr. Kevin Munjal, Medical Director for Mount Sinai’s Community Paramedicine program, to discuss how community paramedicine programs are central to population health goals, some of the challenges in launching the Mount Sinai program, and some directions it may go in the future. As Dr. Munjal explains, EMS services are an amazing field of applied population health: the regionalization of care, what response modality is sent to given complaints, options for providers, training, equipment, payers, and more. The interplay between all of those decisions sets the framework for Dr. Munjal’s alternative model, the “beginning of a virtual emergency department” that is potentially game changing from a population health perspective.
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Make Opioid Prescribing a Patient-Specific Practice
In order to minimize the risks of opioid misuse following surgery, the CDC recommends that providers make opioid prescribing a
patient-specific
practice. Instead of including opioids with a set dose, frequency, and duration for all patients as a medication routinely prescribed on discharge, consider the following each time you identify a patient who may require pain relief medications:
- Ask your patient if they have needed opioids for pain relief in the past. Which pain medications have successfully treated their acute pain previously?
- Are there any evidence-based or operation-specific opioid prescribing recommendations that apply to this patient and their expected level of pain?
- How soon is the patient scheduled to follow up with a provider who can reassess their pain?
Acute pain is expected after certain injuries and surgeries,
but not all cases require treatment with opioids
. The CDC emphasizes that clinicians must use their judgment to determine whether an opioid is required on a patient-specific basis. Thank you for your help as we work together to help end this crisis.
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May is Hepatitis Awareness Month – Have Your Patients Been Screened?
This month the CDC and its public health partners work to raise awareness of viral hepatitis and encourage priority populations to get tested. MSHP supports HCV screening to improve the health of our population.
We are asking all providers to screen their patients born between 1945 and 1965 and those with specific risk factors (history of intravenous drug use, tattoos, blood transfusion prior to 1992, etc.) for HCV using the HCV antibody with reflex RNA test. Only patients with a positive HCV antibody will then go on to get RNA testing.
Any patients testing RNA positive can be referred to our Liver Patient Navigator Lidia Funes via email (
lidia.funes@mssm.edu
) or phone (212-824-9715) and she will reach out to the patient and connect them with one of our CIN liver specialists for management.
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Stay on Track to Complete Your 2019 CIN Requirements
As we near the halfway point of the program year now is a good time to revisit the 2019 CI Program requirements. As a reminder, these differ slightly for PCPs and Specialists.
MSHP has identified the following provider-types as PCPs
: Pediatricians, Geriatricians, Ambulatory Internal Medicine, and Family Medicine physicians
.
Click here to view the full, printable requirements for
PCPs
and
Specialists
.
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MSHP Resources for Your Practice
Our team at MSHP
is available to support you and your practice to achieve population health and clinical quality goals. Learn more about our care management services, provider engagement team, and much more. For all questions, be sure to contact the Provider Engagement Team.
Download this brochure
for more information.
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Transitional Care Management for Patients with High Medical Complexity
Transitional Care Management (TCM) services should be offered to patients with medical and/or psychosocial problems requiring moderate or high-complexity medical decision making. These services are performed after transitioning patients from various hospital settings including inpatient acute care hospital, inpatient psychiatric hospital, long-term care hospital, and more.
Click here to learn more
and find out if your patients qualify for TCM and how you can bill and code for TCM services appropriately.
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Innovations in Care for Patients with IBD
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Mount Sinai Center Offers Services for Patients with IBD
We are pleased to launch a new mini-series to highlight some of the resources and services available to you at Mount Sinai. We start with one of our most unique and state-of-the-art care centers, the Susan and Leonard Feinstein IBD Clinical Center at Mount Sinai. Over the next several months we will explain what makes this center unique and how you can utilize its resources to ensure your patients with IBD receive the highest quality care. This month, we introduce the Center and provide a brief overview of the services offered.
The Susan and Leonard Feinstein IBD Clinical Center at Mount Sinai provides comprehensive and innovative care to patients living with IBD, including Crohn’s disease and ulcerative colitis. Clinicians take a flexible approach grounded in a deep understanding of the interaction between the disease and the patient’s specific needs, regardless of their age. They partner with primary care physicians and gastroenterologists to provide seamless transitions of care for our patients.
The Center also offers several
unique programs
including a pre-pregnancy planning clinic, the COMPASS program for newly diagnosed patients, and the GRITT-IBD program, which promotes patient resiliency. Together, these programs are designed to empower patients to manage these chronic conditions.
For more information, please go to this
website
or to refer a patient, please call 212-241-8100.
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Cigna Precertification Updates
Effective April 1, 2019 Cigna has added six new Healthcare Common Procedure Coding System (HCPCS) codes and eight new revenue codes to the precertification list. Effective April 1, 2019 Cigna has also added 16 existing CPT codes and six existing HCPCS codes to the precertification list.
Click here
to view the changes.
To view an online list of monthly precertification updates, as well as the complete list of services that requireprecertification of coverage, log in to the Cigna for Health Care Professionals website (
CignaforHCP.com
) and click Precertification Policies under Useful Links. If you are not registered for the website, go to
CignaforHCP.com
and click Register Now.
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Tips for Working with Bright Health
As a provider in the CIN, you participate with Bright Health’s Medicare Advantage and/or Dual-Eligible Special Needs Plan (D-SNP). We hope you’ve had a chance to see some Bright Health members already and wanted to share the below tips with you to ensure seamless and in-network care for your Bright Health patients.
- Access the Bright Health Provider Portal at Availity.com to view valuable member services tools and resources from Bright Health.
- Contact Provider Services to Verify Member Eligibility, review schedules of benefits, obtain general information and assistance, determine claims status, and record a member’s personal data change.
- HMO, PPO Provider Services: Phone: (844) 201-1912
- DSNP Only Provider Services: Phone: (844) 202-4028
- Ensure Care is Delivered In-Network for your Bright Health patients. Access the Bright Health Provider Finder Tool to confirm in-network provider eligibility. Use this tool to find the right doctor, specialist, or facility. This can be used for either Medicare Advantage or D-SNP members.
- Contact Bright Health Provider Relations. Your local Bright Health representative, Lily Ward, can answer questions quickly, offer educational events at your practice, or help on-board a new provider to Bright Health. Call 646-793-3501 or email providerrelationsNY@brighthealthplan.com.
- Review the Bright Health Provider Quick Reference Guide that contains ID card samples, important phone numbers, and resources.
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Population Health in the Literature & Media
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Study Finds Medically Tailored Meals (MTM) Reduce Inpatient and SNF Admissions
Medically tailored meals (MTM) were found to reduce inpatient and skilled nursing admissions in Massachusetts, according to a new study published in JAMA Internal Medicine. The authors estimated that the intervention brought down health care costs ~$750 per month in this cohort.
Read more
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P: 877-234-6667
F: 646-537-1481
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