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|August 9, 2018
TRAINING THIS FALL TO MEET THE REQUIREMENTS OF THE SMMC CONTRACT
Medicaid New Five-Year Contract Begins January 1, 2019
In preparation of the new standards and specifically related to the re-credentialing requirements, we will provide training in the fall on best practices for lowering anti-psych percentages. FAHA H&S Medical Directors Ken Brummel-Smith, MD, and Paul Katz, MD, will provide insight and the latest documented successes in reducing antipsychotics. This training will include tools such as policies and procedures and example corrective action plans. These tools are important because, they are tools the health plans understand and utilize in their business activities. The health plans are likely to request your policy and procedures and your corrective action plan to bring the percentage into compliance.
If you have questions, please contact Dana McHugh via email or by calling her at (850) 339-2909.
Reducing the Use of Antipsychotics in Nursing Homes
Paul Katz, MD
Table 1: Interventions to Decrease the Use of Antipsychotics in Nursing Homes2
• Distribution of educational materials
A recent report of antipsychotic use in Australia offers additional insights. This initiative, referred to as the HALT study, sought to reduce the use of antipsychotic medication in the nursing home through two key interventions3:
Deprescribing was facilitated by the creation of an “individualized” deprescribing protocol by a pharmacist which stipulated dose reductions of specific medications over a two (2) week period. Physicians could restart antipsychotic medication if deemed appropriate as well as prescribe the use of short acting benzodiazepine as needed. At twelve (12) month follow-up, antipsychotic use declined by 81.7 percent without a concomitant change in BPSD or other adverse outcomes such as falls or hospitalizations.
RIPPED FROM THE HEADLINES
‘Post-Hospital Syndrome’ Blamed for Readmissions. Many hospitals likely would get terrible reviews on a hotel rating site like TripAdvisor. The noise, harsh lights, disrupted sleep, unpalatable food, and other negatives that can come with a hospital stay are not only unpleasant, they may be sending some patients home in a state that resembles post-traumatic stress disorder. Read more...
Health plan updates
CIGNA provides webinar training for provider portal CignaforHCP.com. This guide explains how to access their provider portal and all the capabilities within the portal. Read more...
UnitedHealthcare Community Plan Medical Policy, Medical Benefit Drug Policy and Coverage Determination Guideline Updates. Page 29 of the August 2018 UHC network bulletin addresses the Medicaid updates. Read more...
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