Mount Sinai Health Partners
Clinically Integrated Network Newsletter
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Not Finances, But Freedom: Interview with Dr. Julie Nissim, Internist
We sat down with Dr. Julie Nissim, an internist in MSHP’s Clinically Integrated Network (CIN) with an unorthodox journey and a palpable passion for delivering quality care to her patients. After finding her professional calling where she least expected it and leaving academic practice to open a solo practice without a backup plan, a second income, or any idea of how to run a business, Dr. Nissim’s commitment to providing the best care to her patients and fearlessness in identifying diagnoses has made her practice thrive. She speaks to some of the challenges she faced along the way, her motivations, and her experience as a CIN member.
Read more
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As we step into 2020, we reflect upon 2019—
a year where we focused on building a more connected network and creating resources to help you better understand your patients. This included:
- Launch of regional pod meetings, which has created opportunities for you to talk through common issues you face in daily practice with your colleagues in the same geographic region. These meetings promote best-practice sharing, quality and efficiency improvements, and encourage open sharing and learning.
- Enhancements of resources and tools such as our website filled with practice resources, our monthly newsletters, podcasts, provider spotlights, how-to videos, and most notably the new provider search directory where you can download lists of providers by specialty, health plan, and county/zip code in PDF or Excel.
- Launch of our clinical pharmacy program, which has supported more than 400 Annual Wellness Visits, and will continue to support our providers in offering patients disease management, medication review, and other support
- Publicly and formally recognizing our outstanding providers through our Provider Spotlight Series
- Welcoming 4 newly-elected physicians to the Board of Managers. We sincerely thank all who participated in the election for your commitment to physician-led governance.
- Piloted the launch of admission and discharge summaries with a small cohort of your peers; rollout to the larger network coming in 2020
We are excited about 2020 and we look forward to your continued collaboration. If you have suggestions on what you’d like to see in 2020, please don’t hesitate to reach out to your Provider Engagement Manager or please reach out to us at
mshp@mountsinai.org
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February 13, 2020
Free MSHP CME Event: Clinical Success in Managing CHF and COPD
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Join Us Thursday, February 13 — Complimentary MSHP CME Event: Clinical Success in Managing CHF and COPD
Please join us on the evening of
Thursday, February 13 from 5:30-8:00pm
for a complimentary CME event on achieving clinical success in managing CHF and COPD.
Dr. Sean Pinney
, Professor of Medicine, Cardiology at the Icahn School of Medicine at Mount Sinai and
Dr. Stacey-Ann Brown
, Assistant Professor of Medicine, Pulmonary, Critical Care, and Sleep Medicine at the Icahn School of Medicine at Mount Sinai will share their expertise with you in identifying and managing CHF and COPD, and when to refer your patients to a specialist.
Dinner will be served. Registration is required through the Mount Sinai CME Portal.
If you do not have an account, you must create one by
visiting here
and then clicking on the yellow button that says “Sign Up Now.” Once you have done so, or if you already have an account,
click here
to register for this event.
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MSHP Providers Participating with Empire Now in “Top Tier” for Mount Sinai South Nassau Employees
Effective January 1, 2020, MSHP’s clinically integrated network providers (both employed and voluntary) who participate with Empire BlueCross BlueShield will be in Mount Sinai South Nassau’s Top Tier network and able to service Mount Sinai South Nassau employees and their eligible dependents. No action on your part is needed.
We encourage you to inform your staff on this change and instruct them to check member ID cards at each visit so that accurate copays are charged. This Top Tier network provides health care services to Mount Sinai South Nassau employees and their eligible dependents at a level of coverage that has the least out-of-pocket costs. For any questions, please contact
mshp@mountsinai.org
or call us at 877-234-6667.
Please note that Mount Sinai Health System’s Top Tier network remains in place for Mount Sinai Health System faculty, staff and eligible dependents and is administered by UMR, a division of United Healthcare. Click on the images below to access the Quick Reference guides, also available on our
Payer Contracts page
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MSHP's CMO, Dr. Rob Fields, at Healthcare Financial Management Association's Evening Educational Series
Dr. Fields will be joined by 3 other speakers and a moderator for a panel on Case Management & Revenue Cycle: The Upstream Approach at HFMA's Evening Educational Series on January 21, 2020 from 6:00pm - 8:30pm. The panelists will discuss how to connect the clinical and finance teams to align shared goals of delivering higher clinical quality care and ensuring a positive patient experience.
Click here for more information.
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Private practice in NYC can be a lonely place. We don’t often discuss the professional isolation of small independent doctors, but one of the understated benefits of creating a network is the connection we’re able to facilitate between doctors facing similar problems. In the latest episode of the Mount Sinai Health Partners podcast, Dr. Fields sits down with Dr. Julie Nissim, an internist near Washington Square Park who left her job as an employed physician to open a private practice. The two discuss her passion for community health, access, and primary care, as well as the challenges and rewards of leaving academic medicine for solo practice. From learning how to handle the mundane business tasks of ordering gauze and needles and the resourcefulness required to succeed, to getting to truly know her patients as people and develop loyal relationships with them, Dr. Nissim shares a refreshing, realistic, and ultimately optimistic view of the state of primary care in New York City.
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MSHP’s Chief Population Health Officer, Niyum Gandhi, joins Lumeris Senior Vice President Nigel Ohrenstein to discuss organizational transformation and executing population health initiatives, as well as physician engagement and building a highly effective primary care model purposely built to transition to value-based care.
Click here
to listen.
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EmblemHealth Reduces Preauthorization Requirements
Effective January 1, 2020, EmblemHealth has reduced the number of procedure codes that require preauthorization.
Learn more here.
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Now Available: Bright Health Provider Manual
Click here for a New Year greeting from Bright Health.
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Print & Share: COPD Fact Sheets for Your Patients
The American Thoracic Society offers a wide variety of clinical resources on COPD and other illnesses on their website including patient fact sheets to help them understand the medications you may prescribe, therapies, and exacerbations. Click the links below to view selected fact sheets, or
click here
to explore the main COPD page.
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Innovations in Population Health
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A Simple Methodology to Identify Patients with Undiagnosed COPD
Underdiagnosed in primary care, COPD is frequently only identified after the patient loses significant lung function or experiences an exacerbation. Researchers developed a new process, CAPTURE (COPD Assessment in Primary Care to Identify Undiagnosed Respiratory Disease and Exacerbation Risk), which is a simple, 5-question patient self-report screener plus peak expiratory flow (PEF) with an inexpensive and easy to use device. They found that this method is “able to differentiate cases and control subjects with remarkable precision.” In this methodology, PEF is used only for midrange questionnaire results; high or low scores do not require further testing.
Click here
to read the full article.
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Practice Tips and Transformation
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Facing and Challenging Health Stigma
Individuals with chronic diseases and disabilities gathered in Illinois for the first Rude2Respect Summit to discuss the stigmatization of their illnesses. With over 30 million people estimated to be living with COPD, 117 million adults in the US with a chronic health condition, and 53 US Americans with a disability, treating patients without stigma is a fundamental skill regardless of specialty.
Click here
to learn more about the November 2017 Summit, or
browse the Rude2Respect website
for resources on confronting health stigma.
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P: 877-234-6667
F: 646-537-1481
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