Mount Sinai Health Partners
Clinically Integrated Network Newsletter
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Provider Spotlight: Dr. Sonia Gidwani, Pediatrician
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Technology, Access, and Efficiency in Pediatric Care: MSHP Spotlight on Dr. Sonia Gidwani, Pediatrician and Member of MSHP’s Clinically Integrated Network (CIN)
After practicing pediatrics at St. Luke’s Roosevelt Hospital where she rose to Chief of Ambulatory Pediatrics, Dr. Sonia Gidwani opened a private practice on the Upper West Side and joined MSHP’s CIN. We spoke with her about how she leverages technology to manage her practice efficiently and provide her patients with enhanced access to care.
Read more
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Dr. Fields continues speaking with frontline providers about their work in private practice today. In this episode he and Dr. Sonia Gidwani, a pediatrician on the Upper West Side, discuss how she uses her staff to maximize her practice efficiency, how embracing technology has been key to her success, managing quality reporting, and more.
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Check Out MSHP’s New Website Look and Key Resources
We are pleased to share the
upgraded MSHP website
with a new look and feel to its homepage and behind log-in provider portal landing page. This means you’ll be able to access resources and information quickly and easily.
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What’s new?
- A new navigation and layout on our homepage for easier access to key resources
- A Quick Links button on our home page for quick access to our care management and MSHP support services
- A rotating carousel on our home page highlighting our latest provider spotlights, podcasts, newsletters, and information about MSHP
- A new design for the provider portal where you can more easily click on resources that you need as a CIN physician including practice tools and online courses.
For more information about available resources for CIN providers, please click
here.
We hope these changes will help make your experience on our website better. If you have any questions or suggestions, please reach out to
tiffany.cheng@mountsinai.org.
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Mount Sinai Health Partners Meets with Delegates from the National Healthcare Group of Singapore
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Three MSHP executives, Dr. Robert Fields, Chief Medical Officer, Denise Prince, Senior Vice President and Chief Operating Officer for Population Health, and Edward Lucy, MA, Chief Contracting Officer met with delegates from the National Healthcare Group of Singapore on June 21st. The Singapore Health System is currently under-bedded and looking to build the right number of hospital beds into their system. MSHP shared insights with the delegates on population health management and their views on where the United States health care system is going. Thank you to the delegates for their visit, we enjoyed meeting with you!
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Innovations in Care for Patients with IBD
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I-PrePP Program for IBD Patients Planning a Family
Women with Inflammatory Bowel Disease (IBD) face innumerable challenges managing their disease while trying to conceive, during pregnancy, and in the post-partem period. Since IBD commonly affects women in their reproductive years, we have developed a high-quality, interdisciplinary program designed to help them.
The Marie and Barry Lipman IBD Preconception and Pregnancy Planning (I-PrePP) program brings together our specially trained gastroenterologists and obstetricians who specialize in high-risk reproductive health care for women with IBD. They prepare an individualized plan for each mom-to-be to help minimize flares and provide adequate nutrition for both mother and baby. Our doctors are also experts in the impact of IBD on fertility and pregnancy outcomes as well as the safety of medications used to treat IBD.
If you have an IBD patient who is pregnant or planning to become pregnant, we encourage you to refer them to our I-PrePP program.
For more information please go to
this website
. To refer a patient, please call 212-241-8100.
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Practice Tips & Transformation
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Charter on Physician Well-Being
Mount Sinai’s own Dr. Jonathan Ripp, Senior Associate Dean for Well-Being and Resilience, is co-founder and co-director of the Collaborative for Healing and Renewal in Medicine (CHARM), which created a Charter on Physician Well-Being. The Charter outlines guiding principles and commitments for physicians to address well-being among providers and health care professionals. Learn more and sign on to the charter
here
. Listen to Dr. Ripp’s podcast interview with Dr. Fields
here
.
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Population Health in the Literature
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Health as More than Illness: A Panel on Social Determinants and Trauma in Healthcare
A panel at the National Alliance of Healthcare Purchaser Coalitions’ 2019 Summit discussed how socioeconomic drivers such as education, income, community health, social connections, and health behaviors impact health. MSHP offers
care management services
to help providers address known risk factors such as housing instability, language barriers, medication adherence, and health literacy among their patients. Panelists also discussed the impact of trauma and loneliness in healthcare and the need for person-centered and compassionate care. Click
here
to read more.
Do you have any tips for providing person-centered care to your patients? We’d love to hear them. Email us at
mshp@mountsinai.org
.
Need assistance in addressing risk factors impacting your patients’ health? Refer them to Care Management by calling 212-241-7228 or emailing
MSHPCMReferral@mountsinai.org
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Find the Missing Millions: World Hepatitis Day
July 28th is
World Hepatitis Day
, an
annual initiative from the World Health Organization to diagnose the millions of people across the world who are living with viral hepatitis unaware and eliminate the disease. Watch a short video about the initiative
here
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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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EmblemHealth Updates: Pre-Authorization Changes, Medicaid Children’s Behavioral Health Services, and Long-Term Support Services
Pre-Authorization Changes
Beginning August 1, HIP’s Commercial and Medicaid lines of business will have 99 codes with site-of-service rules which identify procedures that do not require pre-authorization if performed in certain office settings or in an ambulatory service center.
Medicaid Children’s Behavioral Health Service
Beginning July 1, the EmblemHealth Enhanced Care plan covers more behavioral health services for children and youth.
Long-Term Support Services
EmblemHealth has a new fax number and email address for requests for Long-Term Support Service (LTSS) for Medicaid patients. Email LTSS at
longtermsupportservices@emblemhealth.com
or send a fax to 212-510-5248.
For more information about any of these EmblemHealth updates, please click
here.
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New to Empire Blue Cross Interactive Care Reviewer: Check Clinical Appeal Status
You can now check the status of your request to appeal a denied authorization through the Availity portal. Once logged in, select Patient Registration | Authorizations and Referrals | Auth Referral Inquiry. From the ICR top menu bar select Check Appeal Status. Type the Appeal Case ID and Member ID in the allocated fields. You will find the Appeal Case ID on the acknowledgement letter mailed to your organization. Key in the case ID exactly as it appears on the letter, including dashes.
For more information on how to use the Empire BCBS Interactive Care Reviewer, click
here
.
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P: 877-234-6667
F: 646-537-1481
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