14th Annual Autumn Scientific Convention
Grand Rapids, November 16-18
New Emergency Rules on Reporting Opioid overdoses

Michigan Lt. Gov. Brian Calley signs emergency rules to improve reporting of overdoses 
To gain a better understanding of how the opioid epidemic is impacting Michiganders, Lt. Gov. Brian Calley has signed emergency rules that require health professionals and facilities to report overdoses, including deaths, to the Michigan Department of Health and Human Services. These rules take effect upon filing with the Secretary of State (Oct. 26, 2018) and shall remain in effect for 6 months. 

The MOA has links below to the MDHHS Rules (PDF document), resources and the official announcement from Lt. Gov. Brian Calley. 
The new rules will give MDHHS more accurate records and better track the toll that the opioid epidemic is taking in Michigan. Currently, the agency lacks timely and accurate information on overdoses, making it difficult to track the epidemic, investigate increases, and target programs and interventions to areas most at risk. With these new rules in place, health professionals and facilities are required to report overdoses, including deaths, within five days of MDHHS requesting the data.  
UPDATE: In meeting with MDHHS the MOA has learned the new Emergency rules are in a preliminary stage. Software to enable reporting is currently being developed.  
The MDHHS has also announced several efforts to combat the opioid crisis, including:  
  • A new one-stop shop website (Michigan.gov/opioids) with all helpful information and resources on the epidemic.
  • Providing online resources for patients, health professionals and communities about prevention and treatment of opioid abuse.
  • Ensuring the life-saving overdose reversal drug, Naloxone, is available to residents statewide through a standing order.
  • The Michigan Automated Prescription System, which provides real-time prescription data and resources to better assess a patient's risk for substance use disorder.
  • Assistance with proper drug disposal of unwanted medications.
  • Michigan State Police posts serving as drug take-back sites and providing the Angel Program for individuals struggling with addiction.
Surveys for DEA Waivered Providers 
Barriers to Counseling for People Receiving Medication-Assisted Treatment
Healthcare providers (e.g., physicians, nurse practitioners, physician assistants) who meet certain criteria can qualify to receive a waiver from the US Drug Enforcement Administration (DEA) to provide Medication-Assisted Treatment (MAT) outside of an Opioid Treatment Program (OTP). These providers are often referred to as Office Based Opioid Treatment providers, or OBOTs.  
Under federal law and Michigan Medicaid prior authorization requirements, any patient receiving MAT for addiction is also required to participate in therapeutic substance use disorder (SUD) counseling. However, it has been discovered that provider and patient access to therapeutic counseling services can vary across the state. In a time where the opioid epidemic continues to rattle Michiganders and their families, access to evidence based treatment and therapeutic counseling services is imperative.
In light of the above, the Michigan Department of Health and Human Services (MDHHS) has partnered with Public Sector Consultants (PSC) to survey DEA-waivered providers and licensed substance abuse therapists to help assess access to services and identify potential barriers. Responses to these surveys will inform MDHHS of the provider experience, from the MAT prescriber and SUD therapist perspectives, and any barriers that may hinder access to care. The vision is to utilize this information in conjunction with evidence-based practices to improve access to counseling services for people receiving MAT.

MDHHS and PSC is hoping to get as many responses as possible to ensure the data is meaningful. Each survey-there is one for DEA-waivered providers and one for SUD therapists- is brief and should take about five to ten minutes to complete.
They are hoping to receive all responses by Friday, November 16, 2018.
DEA-waivered provider survey: http://bit.ly/DEAWaiverProviderSurvey
SUD therapist survey: http://bit.ly/TherapistMATSurvey
Info/support on the surveys, Amanda Menzies, PSC: amenzies@publicsectorconsultants.com
Stephen Bell, DO, Appointed to the Michigan Board of Osteopathic Medicine and Surgery

Congratulations to Stephen Bell, DO!  Michigan Governor Rick Snyder has appointed Dr. Bell to the Michigan Board of Osteopathic Medicine and Surgery.

Dr. Bell will join the Michigan Osteopathic Association President Elect Dr. Craig Glines in serving the people of our great state on this highly respected board.

"The MOA congratulates Dr. Bell on this appointment. We truly appreciate his efforts in leadership roles, previously on the Michigan Prescription Drug and Opioid Abuse Task Force, and now on this influential board," said Kris Nicholoff, Executive Director of the MOA.

Originally formed in 1903, the Michigan Board of Osteopathic Medicine and Surgery consists of 11 voting members: 7 osteopathic physicians, 1 physician's assistant, and 3 public members.

Advocacy in Action  

CMS responds to physician concerns, delays payment changes until 2021
A proposed 50 percent pay cut for OMT is delayed, and at the same time, burdensome documentation requirements are going away.

The Centers for Medicare & Medicaid Services (CMS) released for public inspection the Medicare Physician Fee Schedule  Final Rule for calendar year 2019, announcing modifications to its proposals for office and outpatient Evaluation and Management (E/M) visits for new and established patients.
MSUCOM: Intro to Governmental Affairs with the MOA

East Lansing- The Michigan Osteopathic Association (MOA) presented a primer on governmental affairs to the students of the Michigan State University College of Osteopathic Medicine (MSUCOM). The annual event linked the three MSUCOM campuses, East Lansing, Macomb and Detroit Medical Center, via teleconferencing. Lunch was served as the MOA Governmental Affairs consultant, Kevin McKinney, offered an overview of his role in legislative efforts in health policy.

In addition to describing what the MOA does on behalf of physicians, McKinney gave a summary of the three ballot proposals and his insight on a few of the key races.

With elections taking place on Tuesday, the timing was perfect. The annual event had a record turnout of over 100 MSUCOM students between the 3 campuses.

The MOA values the student input through events like this, offering free MOA membership, maintaining a Student Liaison group and reserving a seat on the MOA Board of Trustees for a DO student. 
Best Practices  
CAHQ Best Practices Checklist
Are your patients getting correct directory information?

CAHQ is offering a best practices checklist below to help ensure you are making accurate directory information available.

"In my CAQH ProView® profile":
☐ I list all practice locations where patients can make an appointment.
☐ I specify whether I am accepting new patients at each location and with each insurer.
☐ I provide the office phone number a patient can use to make an appointment.
☐ I correctly enter suite numbers whenever applicable.
☐ I include the practice hours of each location.
☐ I review and accurately respond to any health plan-specific questions.
☐ I identify and archive old practice locations.
☐ I appropriately classify the practice locations where patients cannot make an appointment - e.g., those where I cover or fill in for colleagues; read tests, etc.
☐ I update and attest to my directory information any time there is a change, and review my information at least every 120 days.
☐ I ask all my network health plans to access CAQH ProView for my up-to-date directory information.

Unchecked boxes? Address these areas to help improve patient satisfaction.

Learn more about using CAQH ProView to manage your directory updates.
Link: www.caqhproviderdirectory.org

The autumn issue of the TRIAD includes news from our Advocates at the AMOA, Autumn convention session highlights, the President's update from OMED, a round-up of awarding winning health systems and more.
BeRxSAFE alliance Promotes Drug Take Back Day with Twitter Chat

As part of the " BeRxSAFE" coalition, the Michigan Osteopathic Association (MOA) joined in a Twitter Chat on October 24, just a few days before the DEA event on Oct. 27. Twitter chats are a great way to highlight a particular issue, generate valuable discussions and feedback, and demonstrate leadership. The MOA has participated in National Prescription Drug Take Back Day Twitter Chats in the past and the events have shown to generate lively conversations and helped to show a united front on an issue that is one of the most urgent community health issues of our time.
The hour-long Twitter Chat reached 252,387 accounts with 2,228,593 impressions. This effort led to greater awareness for keeping medications safe and safely disposing prescriptions when not needed.  

MiHIN Update

The Michigan Health Information Network Shared Services is Michigan's state-designated entity to improve healthcare quality, efficiency, and patient safety through the sharing of electronic health information statewide. By connecting their electronic health record systems with the statewide network, healthcare providers can share information with other systems throughout the state, keeping everyone on a patient's care team on the same page and well-informed.
  • MiHIN is a nonprofit, public-private collaboration that includes stakeholders from the State of Michigan, health information organizations that serve Michigan, health systems and providers, health plans/payers, pharmacies, and the Governor's Health Information Technology Commission.
  • MiHIN currently connects more than 150 hospitals, 4,700 practices, 40,500 organizations, and almost 140,000 healthcare professionals; truly uniting Michigan's healthcare community.
  • MiHIN has many services and data-sharing "use cases" to help Michigan's healthcare community and patients exchange important information. Each service focuses on specific types of health information that can be exchanged through the network among members of a care team. For example, admission notifications that are sent to doctors and other members of a care team through the statewide network when one of their patients is admitted to a hospital.
  • With MiHIN, Michigan's health information technology community is working to build solutions to help combat the opioid epidemic; for example, MiHIN is pursuing population level surveillance projects with partners to identify opioid overdose density across Michigan zip codes.
  • MiHIN is currently developing the Medical Information Direct Gateway (MIDIGATE®), a service that collects easy, affordable tools in one consistent, centralized location to help healthcare professionals find, view, use and exchange health information for their patients. The tools available through MIDIGATE ensure that electronic health information is more accurate and complete and improves care coordination among members of the care team. More information is available at https://mihin.org/midigate
  • MiHIN is also looking into opportunities to help Michigan patients use available technology to take more ownership of their own healthcare in consistent and dependable ways, which includes viewing their doctors, tests and test results, immunization records, and providing consent for sharing information.
For more than ten years, MiHIN has hosted the Connecting Michigan for Health conference in Lansing, Michigan, bringing together thought leaders and highlighting accomplishments from across the national health information technology community to help inform efforts in Michigan.

For more information about MiHIN and opportunities to improve health information sharing throughout the state, please visit https://mihin.org
Autumn Scientific Convention 
MOA Offerings Fulfill LARA Requirements for Healthcare Providers

Autumn Convention LARA sessions: 
Friday, Nov. 16, 11 am - 12 pm Human Trafficking Training  
Andrea Rocafort, MSN, RN, CPEN, TCRN, Helen DeVos Children's Hospital Supervisor 
Meahgan Pear, Chair, Kent County Human Trafficking Task Force
Sunday, Nov. 18, 7:30 - 10:30 am Pain & Symptom Management 
David Best, DO, MS, ABAM; Pam Lynch, Social Worker;
William Morrone, DO, MS, FACOFP; Panel Discussion
Michigan Osteopathic License Requirements
For your Michigan license requirements, visit the  Michigan Board of Osteopathic Medicine and Surgery (PDF) or contact them directly at 517-335-0918

SoFi is doubling the rate discount for MOA members

Fall is a great time of year to tackle your student loans and refinancing is a great way to save thousands! That's why SoFi is offering our members a special double rate discount when applying through SoFi.com/MOA
From now until 12/20/18, SoFi is doubling your discount. Meaning you'll pay 0.5% less in interest when you refinance at SoFi.com/MOA
Market interest rates are on the rise, check to see what you can save today at SoFi. Residents can refinance as well and pay as little as $100/Month through the end of your residency.
If you have questions about SoFi student loan refinancing, please visit  SoFi.com/MOA or contact SoFi directly at ask@sofi.com or  855-456-7634 !

Member Survey: Paper vs. Electronic Health Records

As the issues, policies and regulations regarding Electronic Health Records (EHR) continue to impact physicians in their practice. Please take a 60 second survey to help us gain knowledge of the numbers of physicians using paper records vs. EHR. Concerns? Obstacles? Let us know if EHR is presenting problems in your practice.

Michigan Osteopathic Association - EHR vs. Paper records
 Upcoming Events

Advocates for Michigan Osteopathic Association (AMOA)
AMOA Membership meeting
Date: November 13, 2018
Time: 10:00 am - 1:00 pm
Location: MOA Okemos Office

14th Annual Autumn Scientific Convention
Date: November 16-18, 2018
Location: Amway Grand Plaza,  187 Monroe Ave NW, Grand Rapids, MI ( Map)
More information and registration available at: www.domoa.org/gr2018

MSU Student Advocate Association & AMOA present:
Conflicts & Relationships in Medical School and Residency

Dr. John Taylor, MSUCOM faculty, will be discussing healthy medical school relationships and how to successfully navigate stressors.
Date: November 28, 2018
Time: 6:00 pm
Location: MOA Offices, 2445 Woodlake Circle, Okemos, MI ( Map)
RSVP via text: 520-990-0182 or email: msucom.saa@gmail.com

120th Annual Spring Scientific Convention: May 16-19, 2019 | Southfield, MI
Location: Westin Southfield Detroit
More information will be available January 2019

November 1, 2018, saw the passing of Stephen Mihalich, DO
Click here for a local obituary 
August 23, 2018, saw the passing of Spencer L. Ballard, DO 
Click here for a local obituary
June 29, 2018 saw the passing of H. John Barkay, DO 
June 9, 2018 saw the passing of Richard W. Adams, DO
May 31, 2018 saw the passing of Steven Pitt, DO
April 22, 2018 saw the passing of Henry Gonte, DO
Click here for a local obituary  
April 9, 2018, saw the passing of Paul Thomas, DO
March 15, 2018, saw the passing of Alice Kathleen Shanaver, DO
Join us on social media:
The MOA Pulse connects our DO family with our partners, followers and the healthcare communities of Michigan. If you have any news or events you would like to us share, or if you have any questions or concerns, please feel free to contact:
Todd Ross
Manager of Communications
Michigan Osteopathic Association
Michigan Osteopathic Association | 800.657.1556 | www.domoa.org