| first-two-episodes-of-better-prescribing-better-treatment-podcast-now-available | First Two Episodes of Better Prescribing, Better Treatment Podcast Now Available | Latest_News | Shared_Content/News/Membership_Memo/2023/june-9/first-two-episodes-of-better-prescribing-better-treatment-podcast-now-available | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2023/june/wsma-bpbt-seafoamevergreen-logo-645x425px.png" class="pull-right" alt="Better Prescribing, Better Treatment logo" /></div>
<h5>June 9, 2023</h5>
<h2>First Two Episodes of Better Prescribing, Better Treatment Podcast Now Available</h2>
<p>This week, the WSMA is launching a 14-episode podcast featuring conversations with experts on an array of topics about how we can reduce the dependence on opioids for pain management where appropriate, help those suffering with chronic conditions safely, and help those with addiction. A sole production of the WSMA and hosted by Nathan Schlicher, MD, JD, the podcast is available at no cost to all physicians, physician assistants, and health professionals, and supports the goals of the <a href="[@]wsma/resources/opioids/better_prescribing_better_treatment/wsma/resources/opioids/better-prescribing-better-treatment.aspx?hkey=b6fb0ec0-8bc2-4e53-bf4c-9f148599cbeb">Better Prescribing, Better Treatment safe-prescribing program</a>.</p>
<h3>About the podcast</h3>
<p>Through the course of the series, the WSMA Better Prescribing, Better Treatment Podcast will address the gaps in practice that exist between the current state of prescribing and the best practices surrounding opioid and controlled substance prescriptions. The risks of both short- and long-term administration of opioids in combination with and separately from sedative medications impose risks that cross specialties and systems. </p>
<p>Each podcast episode is available to all physicians and health professionals either as audio or audio and video. Episodes will be posted on the <a href="[@]wsma/resources/opioids/better-prescribing-better-treatment-podcast/wsma/resources/opioids/better-prescribing-better-treatment-podcast.aspx?hkey=5d4ff39d-6d34-45da-a94f-d95e682b2863">WSMA Better Prescribing, Better Treatment Podcast webpage</a> approximately every two weeks through the summer months, with the first episode now available. Creation of the podcast is made possible through funding from the federal Bureau of Justice Assistance and the Washington State Department of Health.</p>
<h3>About the host</h3>
<p>Nathan Schlicher, MD, JD, MBA, FACEP, is an emergency room physician with TeamHealth Northwest and St. Joseph Medical Center and is a past president of the WSMA. Dr. Schlicher is the physician lead for the Better Prescribing, Better Treatment safe-prescribing program.</p>
<h3>About the first episode: The Future of the Better Prescribing, Better Treatment Program at the WSMA</h3>
<p>In this podcast, Dr. Schlicher is joined by WSMA Program Manager Monica Salgaonkar, MHA, CPHQ, and WSMA Director of IT Troy Brown to discuss the new areas of development in the Better Prescribing, Better Treatment program at the WSMA.</p>
<p>Learning objectives:</p>
<ul>
<li>Recall the history and background of Better Prescribing, Better Treatment.</li>
<li>Describe the areas of expansion of Better Prescribing, Better Treatment.</li>
<li>Using data components, determine how the data may be used to drive improvement.</li>
<li>Get more involved in Better Prescribing, Better Treatment and know who to contact for questions or coaching.</li>
</ul>
<p>This activity is approved for <em>AMA PRA Category 1 Credit</em><sup>TM</sup>. <a href="[@]wsma/resources/opioids/better-prescribing-better-treatment-podcast.aspx">Access the podcast from the WSMA website</a>.</p>
<h3>About the second episode: The History of Opioid Prescribing Legislation</h3>
<p>In this podcast, Dr. Schlicher sits down with WSMA Policy Director Jeb Shepard to discuss the history of opioid prescribing in the state, the origins of BPBT, and its overall impact on prescribing.</p>
<p>Learning objectives</p>
<ul>
<li>Summarize the history and background of opioid prescribing legislation over the years.</li>
<li>List the stakeholders involved in addressing the opioid use public health crisis in Washington state.</li>
<li>Understand the effects of HB 1427 and SB 5380 on opioid prescribing in Washington state and have strategies to comply with them.</li>
<li>Get engaged in Olympia and testify on rules and regulation of important medical issues.</li>
</ul>
<p>This activity is approved for <em>AMA PRA Category 1 Credit</em><sup>TM</sup>. <a href="[@]wsma/resources/opioids/better-prescribing-better-treatment-podcast.aspx">Access the podcast from the WSMA website</a>.</p>
</div> | 6/9/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |
| volunteers-needed-to-pilot-training-program-on-caring-for-ukrainian-refugees | Volunteers Needed to Pilot Training Program on Caring for Ukrainian Refugees | Latest_News | Shared_Content/News/Membership_Memo/2023/june-9/volunteers-needed-to-pilot-training-program-on-caring-for-ukrainian-refugees | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2023/june/ukrainian-flag-645x425px.jpeg" class="pull-right" alt="Ukrainian flag" /></div>
<h5>June 9, 2023</h5>
<h2>Volunteers Needed to Pilot Training Program on Caring for Ukrainian Refugees</h2>
<p><em>The pilot period is July 1-15.</em></p>
<p>The Washington State Department of Health is looking for physicians or physician assistants willing to help pilot a one-hour training for health professionals on connecting Ukrainian refugees with key services.</p>
<p>The one-hour training will consist of six modules presented by content experts. The pilot period is July 1- 15. Volunteer pilot testers would go through the material at a time convenient for them during that window, then complete a short survey afterward.</p>
<p>The training is titled, "Connecting with Ukrainian refugees: Meeting their needs with better care and key services." It covers how to work with Ukrainian refugees and connect them to key services. The training addresses:</p>
<ul>
<li>Strategies for building positive relationships with Ukrainian arrivals.</li>
<li>Working with them to ensure they have met their vaccine and tuberculosis requirements.</li>
<li>Screening for physical and mental health needs.</li>
<li>Orienting them to the U.S. health care system.</li>
<li>Providing information about available benefits and services.</li>
</ul>
<p>Once this course launches, it will be available online and offer continuing education credits.</p>
<p>If you would like to volunteer as a tester, please contact Danielle Koenig with the Washington State Department of Health at <a href="mailto:Danielle.Koenig@doh.wa.gov">Danielle.Koenig@doh.wa.gov</a> or 360.280.4192.</p>
</div> | 6/9/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |
| wsma-2023-interim-policy-agenda-takes-shape | WSMA 2023 Interim Policy Agenda Takes Shape | Latest_News | Shared_Content/News/Membership_Memo/2023/june-9/wsma-2023-interim-policy-agenda-takes-shape | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2023/june/ls-2023-02-005-645x425px.jpeg" class="pull-right" alt="Washington state capitol building" /></div>
<h5>June 9, 2023</h5>
<h2>WSMA 2023 Interim Policy Agenda Takes Shape</h2>
<p>While the Washington state legislative session has concluded, rulemaking season is just ramping up, along with new opportunities for direct advocacy for physicians and physician assistants.</p>
<p>Bills that are signed into law, as well as executive orders, often require <a href="https://wsma.org/wsma/advocacy/legislative_regulatory/understanding-the-regulatory-process.aspx?WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927">public rulemaking for implementation</a>. State agencies, boards, commissions, and the federal government all use rulemaking to decide the finer details of policies-details that may ultimately decide how the new law or order impacts physicians, physician assistants, and practices.</p>
<p>The WSMA's policy department staff monitors and engages on rules impacting the house of medicine. During this year's rulemaking season, the WSMA will seek to implement our <a href="[@]WSMA/About/Policies/Whats_Our_Policy/Policy_Index.aspx">policy goals</a> through advocacy on a number of rulemakings at both the state and federal levels. These include:</p>
<ul>
<li>Improving patient safety by requiring accessible labeling for prescription medication.</li>
<li>Civil and criminal protection for reproductive health care professionals.</li>
<li>Critical flexibilities for medical assistants entering and reentering the workforce.</li>
<li>A diaper benefit for families receiving temporary assistance.</li>
<li>Improving interoperability and prior authorization process at the Centers for Medicare and Medicaid Services.</li>
<li>Health equity continuing medical education for physicians and physician assistants.</li>
<li>Telemedicine prescribing flexibilities for buprenorphine and other controlled substances.</li>
<li>Scope of practice proposals for licensed midwives, dentists, naturopaths, and medical assistants.</li>
</ul>
<p>While not exhaustive of all the rulemakings on which WSMA's policy team engages, <a href="[@]wsma/advocacy/legislative___regulatory/regulatory-priorities/wsma/advocacy/legislative_regulatory/regulatory-priorities.aspx?hkey=562242c2-5e6b-4b10-887d-7b7efce4645c">a list of our top regulatory priorities is available on the WSMA website</a>.</p>
<p>The WSMA will keep you apprised of opportunities to comment on our top regulatory priorities. If you have thoughts on our advocacy efforts or feedback on any of our regulatory engagement, please contact <a href="mailto:policy@wsma.org">policy@wsma.org</a>.</p>
</div> | 6/9/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |
| weekly-rounds-june-2-2023-help-keep-the-wsma-physician-driven-by-telling-us-what-you-think | Weekly Rounds: June 2, 2023 - Help Keep the WSMA Physician Driven by Telling Us What You Think | Latest_News | Shared_Content/News/Weekly_Rounds/2023/weekly-rounds-june-2-2023-help-keep-the-wsma-physician-driven-by-telling-us-what-you-think | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/Weekly%20Rounds/Weekly-Rounds-Article-Graphic-2022-645x425px.png" class="pull-right" alt="Weekly Rounds logo" /></div>
<h5>June 2, 2023</h5>
<h2>Help Keep the WSMA Physician Driven by Telling Us What You Think</h2>
<p>Jennifer Hanscom, CEO</p>
<p>
One of my favorite things about WSMA's events is that I can connect face to face, once again, with our members. It's a great way to get feedback, hear your concerns, and learn more about what matters to you. The downside is that I can only hear from the folks who attend!
</p>
<p>
As we round out the first half of 2023, I'd like to check in with you. I know there's no way our thousands of members can all attend WSMA's in-person events, so as an alternative, I'm inviting you to share your opinions <a href="https://www.surveymonkey.com/r/DHZ6GK5">via a quick survey</a>. It shouldn't take too much time to complete, and your answers will most definitely help shape WSMA's work on your behalf.
</p>
<p>
The WSMA is a physician-driven organization. Your voice matters as we strive to ensure that our work is focused on issues and activities that matter to you.
</p>
<p>
Your feedback will be closely reviewed and considered. The WSMA Executive Committee will meet soon to reflect on WSMA's current strategic plan, achievements to date, and consider where our attention and resources should be focused in the future.
</p>
<p>
Let us hear from you! Please take a moment to <a href="https://www.surveymonkey.com/r/DHZ6GK5">raise your voice and be heard</a>. The reliability of the survey results depends on a strong response. Your responses will be anonymous and confidential. Please complete the survey by Friday, June 23.
</p>
<p>
Thanks for taking time to offer your feedback. As always, thanks for all you do!
</p>
</div> | 6/2/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |
| cigna-delays-implementation-of-modifier-25-policy | Cigna Delays Implementation of Modifier 25 Policy | Latest_News | Shared_Content/News/Membership_Memo/2023/may-26/cigna-delays-implementation-of-modifier-25-policy | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2023/may/billing-invoice-645x425.jpeg" class="pull-right" alt="Billing invoice" /></div>
<h5>May 26, 2023</h5>
<h2>Cigna Delays Implementation of Modifier 25 Policy</h2>
<p>The Cigna Group, one of the country's largest health insurers, has announced that it is delaying implementation of a concerning <a href="https://static.cigna.com/assets/chcp/secure/pdf/resourceLibrary/clinReimPolsModifiers/Notifications/Modifier_25_Significant_Separately_Identifiable_Evaluation_and_Management.pdf" target="_blank" rel="noreferrer">policy</a> that would have required the submission of medical records with all evaluation and management claims with CPT 99212-99215 and modifier 25 when a minor procedure is billed. The policy, that was due to go into effect on May 25, would have added significant, unnecessary administrative burden and compliance costs to physician practices, disincentivized physicians from providing unscheduled services, and created duplicate requests.</p>
<p>In addition to the WSMA executive committee meeting with Cigna's market medical executive for the Pacific Northwest, the WSMA signed onto <a href="https://wsma.informz.net/WSMA/data/images/AMA-Cigna-modifier-25-signon-040323.pdf" target="_blank" rel="noreferrer">an American Medical Association letter</a> urging Cigna to rescind the policy. We also submitted <a href="https://wsma.informz.net/WSMA/data/images/WSMA-Cigna-Letter-April-2023.pdf" target="_blank" rel="noreferrer">our own letter</a> to Cigna outlining the negative impact the policy will have on Washington state physicians if it is enacted as proposed.</p>
<p>Cigna is currently reevaluating this reimbursement policy update. The WSMA has urged Cigna to work collaboratively with the physician community to ensure any future policy under consideration is not administratively burdensome and is focused on education to ensure modifier 25 is being billed appropriately.</p>
</div> | 5/26/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |
| house-of-delegates-resolutions-due-by-aug-4-for-inclusion-in-delegate-handbook | House of Delegates Resolutions Due by Aug. 4 for Inclusion in Delegate Handbook | Latest_News | Shared_Content/News/Membership_Memo/2023/may-26/house-of-delegates-resolutions-due-by-aug-4-for-inclusion-in-delegate-handbook | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2023/may/venticinque-221001-9210-645x425px.jpeg" class="pull-right" alt="WSMA House of Delegates speaker" /></div>
<h5>May 26, 2023</h5>
<h2>House of Delegates Resolutions Due by Aug. 4 for Inclusion in Delegate Handbook</h2>
<p>Resolutions are one of the key drivers of legislative and regulatory policy for the WSMA. The following guidance and key dates will help you succeed in creating and submitting your resolutions for consideration by the WSMA House of Delegates. And don't forget to mark your calendars: The 2023 Annual Meeting of the WSMA House of Delegates will take place Sept. 23-24 at the Westin Bellevue. This yearly conference is WSMA's primary policymaking event, where resolutions will be debated by WSMA members and considered for adoption by the association's House of Delegates.</p>
<h3>First steps</h3>
<p>If you have an idea for a policy that you'd like the House of Delegates to adopt, take a moment and consult the <a href="[@]wsma/about/policies/whats_our_policy/policy_index.aspx">WSMA Policy Compendium</a> to make sure the subject isn't already addressed in current WSMA policy. Alternatively, you may seek to modify existing WSMA policy. If you'd like to advance a change in the governance and regulation of the WSMA, review the <a href="javascript://[Uploaded files/News and Publications/newsletters/2023/wsma-bylaws-2022.pdf]">WSMA Bylaws</a>&nbsp;for reference.</p>
<h3>Check for health equity impact</h3>
<p>Policies may disparately impact communities, particularly various disadvantaged or marginalized communities. Before submitting your policy proposal in the form of a resolution, use this <a href="javascript://[Uploaded files/News and Publications/newsletters/2023/health-equity-polices-evaluation-tool.docx]">equity evaluation tool</a>&nbsp;to consistently assess the diversity, equity, and inclusion impacts of potential new WSMA policy. The <a href="http://www.wsma.org/wsma/about/who_we_are/dei-committee.aspx">WSMA DEI Committee</a> will be using the tool as it evaluates resolutions before the House and will add a health equity note as appropriate.</p>
<h3>Formatting and submitting your resolution</h3>
<p>After you've completed the preceding steps, you must then <a href="[@]wsma/events/annual_meeting/how_to_write_a_resolution/wsma/events/annual_meeting/How_to_Write_a_Resolution/how_to_write_a_resolution.aspx?hkey=a22cd977-aaed-4445-9ee2-6fc4716a7136#howto">organize your policy proposal as a resolution</a>, the required format for consideration by the House of Delegates. Resolutions must be sponsored by at least two members of the House of Delegates (which includes delegates, alternate delegates, and members of the board of trustees), and must be submitted in writing by one of those sponsors. If you are interested in authoring a resolution but are not a delegate or board member, the WSMA will work with you to develop your resolution idea and find sponsors. Contact us at <a href="mailto:hod@wsma.org">hod@wsma.org</a> or 206.441.9762 for assistance.</p>
<h3>Resolution deadlines</h3>
<p>Resolutions must be submitted to the WSMA for review at <a href="mailto:hod@wsma.org">hod@wsma.org</a> by the following deadlines:</p>
<ul>
<li>Aug. 4 - Deadline for resolutions and reports to be submitted for publication in delegate handbook.</li>
<li>Aug. 24 - Final deadline for resolutions and reports. Resolutions received after this date must have the consent of two-thirds of the House at the opening session to be considered.</li>
<li>Aug. 24 - Delegate handbook will be available for download.</li>
<li>Sept. 23-24 - The 2023 WSMA Annual Meeting.</li>
</ul>
<p>After submission, WSMA staff will review the resolution for any legal or legislative concerns and will work with you to establish a fiscal note (the cost, if any, to implement the resolution if adopted).</p>
<h3>More information</h3>
<ul>
<li><a href="[@]wsma/events/annual_meeting/wsma/events/annual_meeting/annual_meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f">WSMA Annual Meeting</a></li>
<li><a href="[@]WSMA/Events/Annual_Meeting/How_to_Write_a_Resolution/How_to_Write_a_Resolution.aspx">How to Write a Resolution</a></li>
<li><a href="[@]wsma/about/policies/whats_our_policy/policy_index.aspx">What's Our Policy?</a> - <em>make sure your resolution isn't already a policy!</em></li>
</ul>
<p>Should you have additional questions on the meeting or resolution drafting, contact the WSMA policy department at <a href="mailto:policy@wsma.org">policy@wsma.org</a>.</p>
</div> | 5/26/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |
| register-now-virtual-training-on-treatment-and-management-of-oud-sud | Register Now: Virtual Training on Treatment and Management of OUD, SUD | Latest_News | Shared_Content/News/Membership_Memo/2023/may-26/register-now-virtual-training-on-treatment-and-management-of-oud-sud | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2023/may/shutterstock_2036344241-for-web-645x425px.jpg" class="pull-right" alt="physician holding a patient's hand" /></div>
<h5>May 26, 2023</h5>
<h2>Register Now: Virtual Training on Treatment and Management of OUD, SUD</h2>
<p>
<em>Save the dates: June 16-17. Free.</em>
</p>
<p>
Participation in this no-cost, virtual training will meet the federal Drug Enforcement Administration's new one-time, eight-hour training requirement on the treatment and management of opioid use disorder and other substance use disorders, as <a href="https://deadiversion.usdoj.gov/pubs/docs/MATE_Training_Letter_Final.pdf">outlined in the Consolidated Appropriations Act of 2023</a>. This activity has been approved for <em>AMA PRA Category 1 Credit<sup>TM</sup></em>.
</p>
<p>
The WSMA, the Washington Society of Addiction Medicine, the Women and Addiction Group, and CHOICES Education Group have planned a robust two-part program on compassionate addiction medicine on Friday, June 16, and Saturday, June 17. Offering comprehensive education on the treatment and management of opioid use disorder and other substance use disorders, this event will bring together physicians and health care professionals from all specialties to engage in an important conversation on compassionate care that fosters a nonjudgmental, trauma-responsive, and patient-centered response.
</p>
<p>
Topics covered:
</p>
<ul>
<li>Education on stigma, myths, and truths.</li>
<li>Evidence-based treatments, including initiation of buprenorphine and methadone.</li>
<li>Appropriate care for various populations.</li>
<li>Pharmacotherapy.</li>
<li>Drug-related policies and harm-reduction efforts.</li>
<li>Caring for pregnant, postpartum, and parenting people with opioid or substance use disorders.</li>
</ul>
<p>
In order to register for this free event, please complete this <a href="https://www.surveymonkey.com/r/G7VKM8R">survey</a>, which will provide event planners a foundational understanding of your experience in treating individuals with opioid and/or substance use disorder. Upon completion of the survey, a registration link will be provided for you to complete the registration process. Contact Shelby Wiedmann at <a href="mailto:shelby@wsma.org">shelby@wsma.org</a> with questions.
</p>
</div> | 5/26/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |
| weekly-rounds-may-19-2023-meeting-the-challenge-of-improving-access-to-physician-services | Weekly Rounds: May 19, 2023 - Meeting the Challenge of Improving Access to Physician Service | Latest_News | Shared_Content/News/Weekly_Rounds/2023/weekly-rounds-may-19-2023-meeting-the-challenge-of-improving-access-to-physician-services | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/Weekly%20Rounds/Weekly-Rounds-Article-Graphic-2022-645x425px.png" class="pull-right" alt="Weekly Rounds logo" /></div>
<h5>May 19, 2023</h5>
<h2>Meeting the Challenge of Improving Access to Physician Services</h2>
<p>Jennifer Hanscom, CEO</p>
<p>
In case you missed it:
</p>
<ul>
<li><a href="https://www.seattletimes.com/seattle-news/health/wa-hospitals-close-labor-and-delivery-units-raising-fears-for-new-parents/">WA hospitals close labor and delivery units, raising fears for new parents</a></li>
<li><a href="https://www.kitsapsun.com/restricted/?return=https%3A%2F%2Fwww.kitsapsun.com%2Fstory%2Fopinion%2Fcolumnists%2F2023%2F05%2F05%2Flow-reimbursement-rates-are-crippling-healthcare-in-kitsap-and-beyond%2F70188239007%2F">Obstetrics canary in coal mine</a></li>
<li><a href="https://www.beckershospitalreview.com/strategy/confluence-health-cuts-coo-role.html">Confluence Health cuts COO role</a></li>
<li><a href="https://www.thenewstribune.com/news/local/article274517126.html">Tacoma hospital's latest issue: 'Anesthesia doctors have been leaving for several months'</a></li>
</ul>
<p>
These headlines are just the latest from recent media reports that demonstrate the growing need for investments in health care. Cutting costs alone will not fix this problem, at least not in the short term. The WSMA has been focused in several areas to improve access to physician services in Washington state: This past legislative session, we were successful in getting additional dollars for Medicaid professional services (although more must be done) and we made <a href="[@]Shared_Content/News/Weekly_Rounds/2023/weekly-rounds-may-5-2023-progress-on-improving-prior-authorizations?_zs=B3aFd1&amp;_zl=HVU19">improvements to the prior authorization process</a>. Additionally, Washington lawmakers appropriated dollars toward residency programs, loan repayment for health care professionals, and public health. However, while all of these investments are appreciated, they aren't enough to stem the tide of continuing workforce shortages, growing expenses, and the unfortunate situation of patients losing access to critical services in their local communities.
</p>
<p>
Over the legislative interim, the WSMA will continue to strategize on solutions we can put into action to both ensure access to affordable care and that our members are paid appropriately for their services and their time spent on patient care, rather than on inefficient processes.
</p>
<p>
While we will be working with our members to shape and drive our success, I thought I would also ask the A.I. community for some ideas. Here's what ChatGPT had to say when I asked, "Got any ideas for improving access to physicians in Washington state?":
</p>
<p>
"Improving access to physicians in Washington state can be a multifaceted challenge, but there are several potential strategies that could help enhance access to health care services. Here are some ideas:
</p>
<ol>
<li>Telemedicine expansion: Promote and expand telemedicine services to allow patients to remotely consult with physicians. This approach can help overcome geographical barriers and improve access for individuals in rural or underserved areas.</li>
<li>Incentives for rural practice: Implement programs that offer financial incentives or loan forgiveness for physicians who choose to practice in rural or underserved areas. This approach can help attract health care professionals to regions with limited access to medical services.</li>
<li>Increase medical school capacity: Expand the capacity of medical schools in the state to train and graduate more physicians. By increasing the number of medical students and residency positions, Washington can address the physician shortage and improve access to health care services.</li>
<li>Enhanced scope of practice for non-physicians: Review and consider expanding the scope of practice for nurse practitioners, physician assistants, and other non-physician practitioners. Allowing these professionals to practice to the full extent of their training and capabilities can help meet the increasing demand for primary care.</li>
<li>Collaborative care models: Develop and promote collaborative care models that involve interdisciplinary teams of health care professionals. This approach encourages shared responsibilities, with physicians focusing on complex cases while other health care practitioners handle routine and preventive care. This can help optimize physician resources and improve access to care.</li>
<li>Streamline licensing and credentialing: Simplify the licensing and credentialing processes for physicians, especially those trained out of state or internationally. Reducing bureaucratic barriers can expedite the entry of qualified physicians into the workforce and increase access to care.</li>
<li>Community health centers: Invest in and expand community health centers, particularly in underserved areas. These centers often provide comprehensive primary care services, including preventive care, chronic disease management, and mental health services, improving access for vulnerable populations.</li>
<li>Health information technology: Invest in robust health information technology infrastructure, including electronic health records and health information exchanges. Seamless sharing of patient information across health care settings can improve coordination and continuity of care, making it easier for physicians to provide timely and efficient services.</li>
<li>Public health initiatives: Implement public health initiatives focused on preventive care, health education, and disease management. By promoting healthier lifestyles and preventing diseases, the demand for physician services may decrease, enabling physicians to dedicate more time to complex cases.</li>
<li>Physician workforce planning: Conduct comprehensive physician workforce planning to identify areas of need and develop targeted recruitment and retention strategies. This approach ensures a balanced distribution of physicians across the state, addressing access disparities."</li>
</ol>
<p>
Well done, ChatGPT. With the exception of No. 4, these strategies align with WSMA's advocacy agenda in recent years and encapsulate many of our successes (see numbers 1, 2, 3, 5, 7, 8, and 9).
</p>
<p>
The WSMA continues to grapple with No. 4 and remains committed to using teams to their fullest potential. Our stated policy, however, is clear that absent commensurate education and training requirements to ensure patient safety and a demonstrable and compelling societal need, the WSMA opposes efforts of non-physician practitioners to expand the scope of their practice to include additional services currently performed by physicians.
</p>
<p>
During this interim, the WSMA will be working on No. 10, with a particular focus on workforce in the outpatient ambulatory community. We'll work with physician leaders, the Washington State Medical Group Management Association, and other experts on workforce issues to put forward solutions to improve access to care and physician services in communities throughout Washington.
</p>
<p>
Speaking of solutions, we continue to be vexed by decreasing <a href="[@]wsma/advocacy/legislative_regulatory/issue-briefs/medicaid-professional-services-rate-increase.aspx?WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927&amp;_zs=B3aFd1&amp;_zl=IVU19">Medicaid</a> and <a href="[@]Shared_Content/News/Membership_Memo/2023/may-12/wsma-urges-washingtons-congressional-delegation-to-support-medicare-payment-reform?_zs=B3aFd1&amp;_zl=KVU19">Medicare</a> payments. While not addressed by ChatGPT, we remain committed to improving payment via these public programs. We continue our efforts at both the state and federal levels to draw attention to the need to pay physicians adequately to ensure patients have access to care in their communities.
</p>
<p>
At the closing of my inquiry with ChatGPT, the program noted:
</p>
<p>
"Collaboration between policymakers, health care organizations, and communities is crucial for successful implementation."
</p>
<p>
Agreed! Together, no matter how tired the message may seem, we need to continue to advocate for change if we are to make Washington the best place to practice medicine and receive care.
</p>
</div> | 5/19/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |
| gov-inslee-signs-wsma-prior-authorization-modernization-bill | Gov. Inslee Signs WSMA Prior Authorization Modernization Bill | Latest_News | Shared_Content/News/Membership_Memo/2023/may-12/gov-inslee-signs-wsma-prior-authorization-modernization-bill | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2023/may/hb1357-bill-signing-2023-645x425px.jpeg" class="pull-right" alt="Governor signing bill" /></div>
<h5>May 12, 2023</h5>
<h2>
Gov. Inslee Signs WSMA Prior Authorization Modernization Bill
</h2>
<p>
Gov. Jay Inslee this week signed <a href="http://wsma.informz.net/z/cjUucD9taT0xMTA2MzQ4MyZwPTEmdT0xMDc4MTA4MzYwJmxpPTEwMTg2OTgxMA/index.html">House Bill 1357</a>, WSMA prior authorization legislation, into law. The bill signing is the result of a years-long effort by the WSMA on behalf of its physician and physician assistant members to reduce the administrative burdens and care delays associated with the insurance carrier practice.
</p>
<p>
The reforms contained in HB 1357, which passed the House and Senate unanimously during the 2023 state legislative session, will help establish Washington state as a leader in prior authorization reform. The bill expedites turnaround times for determinations and mandates the implementation of electronic prior authorization processes that integrate into electronic health records, which has been proven to reduce administrative burden. Importantly, the bill applies as broadly as possible on the state level, covering all state-regulated health plans, both for health care services and prescription drugs.
</p>
<p>
The new law will go into effect Jan. 1, 2024, and applies the following timelines for prior authorization determinations:
</p>
<ul>
<li>For prior authorizations submitted through electronic processes such as web portals:</li>
<ul>
<li>One calendar day for expedited requests</li>
<li>Three calendar days for standard requests (excluding holidays)</li>
</ul>
<li>For prior authorizations submitted through non-electronic processes such as faxes:</li>
<ul>
<li>Two calendar days for expedited requests</li>
<li>Five calendar days for standard requests</li>
</ul>
</ul>
<p>
During the legislative process, WSMA's government affairs team worked with lawmakers to amend HB 1357 to build on <a href="https://www.cms.gov/regulations-and-guidance/guidance/interoperability/index">federal prior authorization rulemaking</a> initiated by the Centers for Medicare and Medicaid Services on the eve of the state legislative session. The WSMA will be actively engaged in the implementation of HB 1357, as well as in the associated federal rulemaking from CMS.
</p>
<p>
<em>Pictured (from left to right): Rep. Marcus Riccelli (D-Spokane); Matt Helder, government relations director for the American Cancer Society; Gov. Jay Inslee; Rep. Tarra Simmons (D-Bremerton); Sean Graham, director of government affairs for the WSMA; Teresa Girolami, MD, WSMA Board of Trustees.</em>
</p>
</div> | 5/12/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |
| telemedicine-prescribing-flexibilities-extended-for-six-months-after-public-pushback | Telemedicine Prescribing Flexibilities Extended for Six Months After Public Pushback | Latest_News | Shared_Content/News/Membership_Memo/2023/may-12/telemedicine-prescribing-flexibilities-extended-for-six-months-after-public-pushback | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2023/may/telemedicine-illustration-645x425px.png" class="pull-right" alt="telemedicine illustration" /></div>
<h5>May 12, 2023</h5>
<!-- **************************NEW ARTICLE****************************** -->
<h2>
Telemedicine Prescribing Flexibilities Extended for Six Months After Public Pushback
</h2>
<p>
Despite the end this week of the federal public health emergency and associated flexibilities, physicians, physician assistants, and other licensed prescribers may continue to prescribe controlled substances virtually as the federal government gives itself more time to consider rulemaking related to telehealth prescribing.
</p>
<p>
After <a href="https://www.dea.gov/documents/2023/2023-05/2023-05-03/statement-dea-administrator-anne-milgram-covid-19-telemedicine">announcing last week</a> that the federal agency had "received a record 38,000 comments on its proposed telemedicine rules," the U.S. Drug Enforcement Administration, together with the Substance Abuse and Mental Health Services Administration, on Tuesday issued a temporary rule extending telemedicine flexibilities adopted during the COVID-19 public health emergency for six months, or through Nov. 11, 2023. For any practitioner-patient telemedicine relationships that have been or will be established up to Nov. 11, 2023, the full set of telemedicine flexibilities regarding prescription of controlled medications established during the public health emergency will be extended for one year, or through Nov. 11, 2024.
</p>
<p>
As the WSMA has <a href="[@]Shared_Content/News/Membership_Memo/2023/march-24/dea-proposes-extending-telemedicine-flexibilities-for-prescribing-controlled-substances.aspx?_zs=A3aFd1&amp;_zl=ToAt8">previously</a>&nbsp;<a href="[@]Shared_Content/News/Membership_Memo/2023/april-14/wsma-provides-feedback-on-dea-rulemaking-extending-telemedicine-flexibilities?_zs=A3aFd1&amp;_zl=5fJv8">reported</a>, the DEA has proposed rulemaking to expand telemedicine flexibilities adopted during the COVID-19 public health emergency. The <a href="http://www.wsma.org/Shared_Content/News/Membership_Memo/2023/march-24/dea-proposes-extending-telemedicine-flexibilities-for-prescribing-controlled-substances.aspx?_zs=A3aFd1&amp;_zl=ToAt8">proposed rules</a>, intended to provide safeguards for a narrow subset of telemedicine and audio-only consultations that result in the prescribing of a controlled substance, including buprenorphine for treatment of opioid use disorder, have been widely criticized by the medical community for their restrictions on access to needed treatments. The WSMA, in collaboration with the American Medical Association, submitted <a href="[@]Shared_Content/News/Membership_Memo/2023/april-14/wsma-provides-feedback-on-dea-rulemaking-extending-telemedicine-flexibilities?_zs=A3aFd1&amp;_zl=5fJv8">comment letters</a>&nbsp;outlining various concerns with the rules and requesting that the DEA amend these elements of the proposed rules to avoid a lapse in patient care, promote patient safety, and avoid nonoptimal treatment options.
</p>
<p>
The WSMA will keep you apprised of the progress of these rules and will review final language to determine its impact on physician practices. Reach out to WSMA Policy Analyst Shelby Wiedmann at <a href="mailto:shelby@wsma.org">shelby@wsma.org</a> with any questions or concerns.
</p>
</div> | 5/12/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |
| the-covid-19-public-health-emergency-ends-what-you-need-to-know | The COVID-19 Public Health Emergency Ends: What You Need to Know | Latest_News | Shared_Content/News/Membership_Memo/2023/may-12/the-covid-19-public-health-emergency-ends-what-you-need-to-know | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2023/may/doctor-patient-masks-645x425px.jpeg" class="pull-right" alt="Doctor and patient in masks" /></div>
<h5>May 12, 2023</h5>
<!-- **************************NEW ARTICLE****************************** -->
<h2>
The COVID-19 Public Health Emergency Ends: What You Need to Know
</h2>
<p>
The public health emergency issued in response to the COVID-19 pandemic formally ended this Thursday, May 11. Many flexibilities at both the state and federal levels will be discontinued, while others will stay in place for a bit longer. If your practice has utilized these pandemic flexibilities, here is what you need to know.
</p>
<h3>
HHS COVID-19 public health emergency transition roadmap
</h3>
<p>
For an overview of flexibilities that will and will not be impacted at the end of the federal public health emergency on May 11, review the U.S. Department of Health and Human Services <a href="https://www.hhs.gov/about/news/2023/02/09/fact-sheet-covid-19-public-health-emergency-transition-roadmap.html">COVID-19 Public Health Emergency Transition Roadmap</a>.
</p>
<h3>
Telehealth platforms must be HIPAA-compliant by Aug. 9
</h3>
<p>
During the public health emergency, the HHS Office for Civil Rights exercised enforcement discretion allowing physicians, physician assistants, and other licensed health professionals to use telehealth in good faith, even if their platforms or software were not compliant with the Health Insurance Portability and Accountability Act. The federal government has granted a 90-day transition period - until Aug. 9, 2023 - for practices to come into compliance with HIPAA requirements as they pertain to telehealth platforms.
</p>
<p>
During this <a href="https://www.hhs.gov/about/news/2023/04/11/hhs-office-for-civil-rights-announces-expiration-covid-19-public-health-emergency-hipaa-notifications-enforcement-discretion.html">90-day transition period</a>, the Office for Civil Rights will continue to exercise its enforcement discretion and will not penalize covered health care professionals for noncompliance with the <a href="https://www.hhs.gov/about/news/2023/04/11/hhs-office-for-civil-rights-announces-expiration-covid-19-public-health-emergency-hipaa-notifications-enforcement-discretion.html">HIPAA rules</a> that occurs in the course of the good faith provision of telehealth services. The agency has also published clarifying <a href="https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/hipaa-audio-telehealth/index.html">guidance</a> on when and how HIPAA applies to telehealth.
</p>
<h3>
State-regulated health insurance plans must continue to pay at parity for telemedicine services
</h3>
<p>
WSMA-supported <a href="https://app.leg.wa.gov/billsummary?Year=2019&amp;BillNumber=5385">legislation</a> requiring health insurance plans regulated by the Washington State Office of the Insurance Commissioner to pay at parity for service delivered via telemedicine has taken effect permanently. This requirement will not end with the public health emergency unwinding. The law does not apply to plans not regulated by the OIC, including certain self-insured and ERISA plans.
</p>
<p>
WSMA-supported <a href="https://app.leg.wa.gov/billsummary?BillNumber=1196&amp;Year=2021&amp;Initiative=false">legislation</a> requiring insurers to provide the same coverage and reimbursement for audio-only telemedicine services as they would for care delivered in-person or via audio-visual telemedicine will also remain in effect. The law does not apply to plans not regulated by the OIC, including self-insured and ERISA plans. Effective Jan. 1, 2023, an <a href="https://lawfilesext.leg.wa.gov/biennium/2021-22/Pdf/Bills/Session%20Laws/House/1821-S.SL.pdf?q=20220609145159">"established relationship"</a> is required for audio-only telemedicine services:
</p>
<ul>
<li><a href="https://www.wsha.org/articles/audio-only-telemedicine-law-changes-hospital-facility-fees-prohibited-and-established-relationship-requirement-modified/">For behavioral health services</a>, including substance use disorder treatment, a physician or PA can establish a relationship with the patient with one in-person visit or audio-visual telemedicine visit within the past three years. This change is permanent.</li>
<li><a href="https://www.wsha.org/articles/audio-only-telemedicine-law-changes-hospital-facility-fees-prohibited-and-established-relationship-requirement-modified/">For all other health care services</a>, for calendar year 2023, a physician or PA can establish a relationship with the patient with one in-person visit or one audio-visual telemedicine visit within the past two years. For calendar year 2024 and beyond, a physician or PA must have at least one in-person visit with the patient within the past two years to establish a relationship.</li>
</ul>
<h3>
Additional telemedicine considerations: Medicare and Medicaid
</h3>
<p>
Apple Health (Medicaid) will no longer reimburse for services provided over email or text. The HHS Office for Civil Rights announced that the Notification of Enforcement Discretion for Telehealth Remote Communications during the COVID-19 public health emergency will end on May 11. Effective for dates of service on and after May 11, the Washington State Health Care Authority will no longer cover emailing or texting as an option for providing services via telemedicine. See <a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMDAsInVyaSI6ImJwMjpjbGljayIsInVybCI6Imh0dHBzOi8vd3d3LmhjYS53YS5nb3Yvbm9kZS8zMDEiLCJidWxsZXRpbl9pZCI6IjIwMjMwNDIxLjc1NTY5NTQxIn0.Ic9j7fnRjwtVv67euOJV83a_q4aNSlXMOOga5EsvRFk/s/704563189/br/161173941441-l">HCA's billing guides and fee schedules</a>&nbsp;under Telehealth for more information; email questions to <a href="mailto:HCAAppleHealthClinicalPolicy@hca.wa.gov">HCAAppleHealthClinicalPolicy@hca.wa.gov</a>.
</p>
<p>
The Centers for Medicare and Medicaid Services is developing an FAQ resource to answer many questions associated with telemedicine billing and coding. WSMA staff will add this FAQ, along with other guidance related to the transition out of the public health emergency, on our <a href="[@]wsma/resources/covid-19_response/wsma/resources/COVID-19/covid-19_response.aspx?hkey=958ce791-54b8-4eba-892f-54924db26b60">COVID-19 professional resources webpage</a>.
</p>
<p>
In the meantime, you may review the below resources on telemedicine:
</p>
<ul>
<li><a href="https://www.cms.gov/coronavirus-waivers">Information on CMS waivers and flexibilities</a>&nbsp;- includes fact sheets providing information about which waivers and flexibilities have been terminated, have been made permanent, or will end at the conclusion of the public health emergency.</li>
<li>CMS hosted a forum on April 12 where policy staff addressed questions related to billing and coding. The transcript and recording will be posted to this webpage: <a href="https://www.cms.gov/outreach-and-education/outreach/opendoorforums/podcastandtranscripts">Physicians, Nurses, and Allied Health Professionals</a>.</li>
<li><a href="https://telehealth.hhs.gov/providers/policy-changes-during-the-covid-19-public-health-emergency/telehealth-policy-updates">HHS telehealth policy updates</a>&nbsp;- includes information on telemedicine for rural health, behavioral health, and extensions of telemedicine access options.</li>
</ul>
<h3>
DEA requirements for prescribing buprenorphine via telemedicine are changing
</h3>
<p>
During the federal public health emergency, the U.S. Drug Enforcement Administration waived the requirement that a physician or PA must have an established relationship with a patient prior to prescribing controlled substances to ensure patient continuity of care. In anticipation of the end of the public health emergency, the DEA has <a href="https://www.federalregister.gov/documents/2023/03/01/2023-04217/expansion-of-induction-of-buprenorphine-via-telemedicine-encounter">proposed rules</a> that would allow practitioners to prescribe a 30-day supply of non-narcotic controlled medications, including buprenorphine, via telemedicine or audio-only telemedicine encounters without an in-person medical evaluation. Prescribing controlled substances beyond the initial 30-day supply will only be authorized for practitioners who have conducted an in-person medical evaluation. After receiving extensive feedback from organized medicine on concerns with the proposed telemedicine rules, the DEA and the Substance Abuse and Mental Health Services Administration this week issued a temporary rule extending the pandemic telemedicine flexibilities for six months while the agencies continue to consider the rulemaking.
</p>
<h3>
Reimbursement for personal protective equipment ending
</h3>
<p>
In the spring of 2021, WSMA's <a href="https://app.leg.wa.gov/billsummary?BillNumber=5169&amp;Year=2021">first-in-the nation legislation</a> requiring state-regulated commercial insurance carriers to reimburse $6.57 per patient encounter for personal protective equipment through the federal public health emergency is set to expire on May 11.
</p>
<h3>
HCA, DSHS redetermining Medicaid client renewals
</h3>
<p>
The Health Care Authority and Department of Social and Health Services resumed normal operations on April 1, 2023, which means they have <a href="https://www.hca.wa.gov/about-hca/programs-and-initiatives/apple-health-medicaid/apple-health-and-public-health-emergency">begun the process of redetermining client renewals</a>. Termination of coverage for non-renewals will resume May 31, 2023. Most individuals on Apple Health can apply for or renew their coverage through WA Healthplanfinder. Additionally, WA Healthplanfinder will attempt to auto-renew individuals' coverage 60 days prior to the end of their renewal date.
</p>
<p>
If you see Apple Health clients in your practice, <a href="https://wsma.informz.net/WSMA/data/images/Attachments/Apple-Health-Renewals-2023.pdf" target="_blank" rel="noreferrer">consider posting this printable flyer</a>, which urges patients to ensure their contact information is up to date so they can be contacted about the Medicaid coverage renewal process. You may also direct your Apple Health clients to HCA's <a href="https://www.hca.wa.gov/free-or-low-cost-health-care/i-need-medical-dental-or-vision-care/update-my-income-or-address-report-change">Report a Change</a> webpage where they can review and update their contact information.
</p>
<p>
With questions on these or any other items related to the end of the public health emergency, contact the WSMA policy team at <a href="mailto:policy@wsma.org">policy@wsma.org</a>.
</p>
</div> | 5/12/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |
| wsma-urges-washingtons-congressional-delegation-to-support-medicare-payment-reform | WSMA Urges Washington's Congressional Delegation to Support Medicare Payment Reform | Latest_News | Shared_Content/News/Membership_Memo/2023/may-12/wsma-urges-washingtons-congressional-delegation-to-support-medicare-payment-reform | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2023/may/medicare-barcode-645px.jpeg" class="pull-right" alt="Medicare barcode" /></div>
<h5>May 12, 2023</h5>
<!-- **************************NEW ARTICLE****************************** -->
<h2>
WSMA Urges Washington's Congressional Delegation to Support Medicare Payment Reform
</h2>
<p>
Organized medicine is united in support of a long-term Medicare payment solution that centers on annual inflationary updates. Legislation currently before Congress, H.R. 2474, is such a solution. If passed by Congress, the legislation would advance the ongoing need to provide financial stability to physician practices and help preserve access to care for Medicare beneficiaries.
</p>
<p>
H.R. 2474 would provide an annual inflation update equal to the Medicare Economic Index for Medicare physician payments. As reported in the last Membership Memo, the WSMA signed on to an <a href="[@]Shared_Content/News/Membership_Memo/2023/april-28/action-alert-urge-congressional-support-of-medicare-annual-inflation-update.aspx?_zs=A3aFd1&amp;_zl=OIqw8">AMA comment letter commending the introduction of H.R. 2474</a>. Since then, the WSMA has contacted Washington's congressional delegation urging their support. In our <a href="javascript://[Uploaded files/News and Publications/newsletters/2023/wsma-comment-support-hr-2474-04282023-cantwell.pdf]">comment letter</a>, the WSMA shared that physicians treating Medicare patients experienced a drop in payments by 22% (adjusted for inflation) between 2001 and 2021 and as such, have been providing care under increasingly thin operating margins, further exacerbated by the COVID-19 pandemic and inflation. By providing an annual inflation update to Medicare physician payments, H.R. 2474 would ease financial strain felt by physicians and ensure the delivery of high-quality health care among Washington's Medicare patients.
</p>
<p>
As a result of WSMA outreach, at least one congressional office will be co-sponsoring H.R. 2474. If you haven't yet done so, take a moment to <a href="https://physiciansgrassrootsnetwork.org/be-heard?vvsrc=%2fCampaigns%2f103669%2fRespond">contact your legislators</a> and urge them to help fix the flawed Medicare physician payment system by supporting H.R. 2474.
</p>
</div> | 5/12/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |
| weekly-rounds-may-5-2023-progress-on-improving-prior-authorizations | Weekly Rounds: May 5, 2023 - Progress on Improving Prior Authorizations | Latest_News | Shared_Content/News/Weekly_Rounds/2023/weekly-rounds-may-5-2023-progress-on-improving-prior-authorizations | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/Weekly%20Rounds/Weekly-Rounds-Article-Graphic-2022-645x425px.png" class="pull-right" alt="Weekly Rounds logo" /></div>
<h5>May 5, 2023</h5>
<h2>Progress on Improving Prior Authorizations</h2>
<p>Jennifer Hanscom, CEO</p>
<p>When the WSMA surveys our members on the most pressing advocacy issues we face, reforming prior authorization almost invariably is at the top of the list. It's easy to see why-prior authorization can delay care for patients, increase administrative burden and costs for physicians, and divert scarce health care workforce from care delivery.</p>
<p>The reforms contained in <a href="https://app.leg.wa.gov/billsummary?BillNumber=1357&amp;Year=2023&amp;Initiative=false">House Bill 1357</a>, which passed the House and Senate unanimously during the 2023 state legislative session, will help establish Washington state as a leader in prior authorization reform. The bill expedites turnaround times for determinations and mandates the implementation of electronic prior authorization processes that integrate into electronic health records, which has been proven to reduce administrative burden. And importantly, the bill applies as broadly as possible on the state level - to all state-regulated health plans and not only to health care services, but also to prescription drugs.</p>
<p>I'd like to take a moment to thank the following WSMA members who joined our prior authorization task force last summer to develop legislation for the 2023 session:</p>
<ul>
<li>Katina Rue, DO</li>
<li>Carrie Horwitch, MD</li>
<li>Garrett Jeffery, DO</li>
<li>Nathan Schlicher, MD, JD</li>
<li>Rodney Anderson, MD</li>
</ul>
<p>Task force members drew from their own firsthand experiences, as well as from insights shared at the WSMA Annual Meetings and policy changes on prior authorization proposed by Teresa Girolami, MD; Hal Quinn, MD; Jeffrey Frankel, MD; and the King County Medical Society via the resolution process. Through this highly member-driven process, HB 1357 was drafted, and Rep. Tarra Simmons (D-Bremerton) signed on as the prime sponsor of the bill.</p>
<p>As history often shows, the legislative process demands patience and tempered expectations. This year was no exception with the Centers for Medicare and Medicaid Services releasing a <a href="https://www.cms.gov/regulations-and-guidance/guidance/interoperability/index">draft prior authorization rule</a> on the eve of the state legislative session.</p>
<p>Undeterred by the federal announcement, WSMA's government affairs team worked with Rep. Simmons to amend HB 1357 to build on the CMS rulemaking, expediting the implementation of integrated prior authorization requirements for health care services (to take effect in 2025, rather than 2026 as proposed by CMS) and extending the requirements to prescription drugs beginning in 2027.</p>
<p>Passing both the House and the Senate unanimously and now awaiting Gov. Jay Inslee's signature, the new law will go into effect Jan. 1, 2024 for all state-regulated health plans across health care services and prescription drugs. The bill applies the following timelines for prior authorization determinations:</p>
<ul>
<li>For prior authorizations submitted through electronic processes such as web portals:
<ul>
<li>One calendar day for expedited requests</li>
<li>Three calendar days for standard requests (excluding holidays)</li>
</ul>
</li>
<li>For prior authorizations submitted through non-electronic processes such as faxes:
<ul>
<li>Two calendar days for expedited requests</li>
<li>Five calendar days for standard requests</li>
</ul>
</li>
</ul>
<p>Throughout the recent legislative session, HB 1357 faced strong opposition from insurance carriers who argued that the bill would prove costly and the timelines proposed were overly aggressive. Legislative leaders such as Rep. Simmons, Rep. Marcus Riccelli (D-Spokane), and Rep. Joe Schmick (R-Colfax) convened negotiations and worked toward compromise. Support from patient groups and the hospital community was integral in maintaining momentum for the bill throughout the process. And to their credit, insurance carriers negotiated in good faith on a difficult issue and ultimately moved to neutral on the final bill.</p>
<p>The WSMA will be actively engaged in the implementation of HB 1357, as well as in the associated rulemaking from CMS. There's more work to be done on the issue of prior authorization-this year's successes represent important steps forward, rather than the finish line. But we're proud of this work and deeply appreciative of the physician leaders who helped develop and advocate for House Bill 1357, and for the support of legislators such as Rep. Simmons who helped shepherd the bill through the legislative process.</p>
</div> | 5/5/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |
| 2023-legislative-session-adjourns | 2023 Legislative Session Adjourns | Latest_News | Shared_Content/News/Latest_News/2023/2023-legislative-session-adjourns | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><a href="https://vimeo.com/821841811"><img src="/images/Newsletters/latest-news/2023/may/legislative-update-final.png" alt="WSMA Legislative Update Final Edition for 2023 logo" /></a></div>
<h5>May 1, 2023 </h5>
<h2>2023 Legislative Session Adjourns</h2>
<p>
With the 2023 legislative session now adjourned, WSMA's Associate Director of Legislative and Political Affairs Alex Wehinger gives an update on how and when bills passed by the Legislature are signed by the governor. <a href="https://vimeo.com/821841811">Watch the video</a>.
</p>
</div> | 5/1/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |
| action-alert-urge-congressional-support-of-medicare-annual-inflation-update | Action Alert: Urge Congressional Support of Medicare Annual Inflation Update | Latest_News | Shared_Content/News/Membership_Memo/2023/april-28/action-alert-urge-congressional-support-of-medicare-annual-inflation-update | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2023/april/medicare-barcode-645px.jpeg" class="pull-right" alt="Medicare bardode" /></div>
<h5>April 28, 2023</h5>
<h2>Action Alert: Urge Congressional Support of Medicare Annual Inflation Update</h2>
<p>The WSMA joined the American Medical Association and nearly 120 national physician specialty societies and state medical associations in <a href="https://searchlf.ama-assn.org/letter/documentDownload?uri=%2Funstructured%2Fbinary%2Fletter%2FLETTERS%2Fltrf.zip%2FHR-2474-AMA-Federation-Letter-of-Support-4-19-23.pdf" target="_blank" rel="noreferrer">a letter</a> commending Reps. Raul Ruiz, MD (D-CA), Larry Bucshon, MD (R-IN), Ami Bera, MD (D-CA), and Mariannette Miller-Meeks, MD (R-IA), for introducing H.R. 2474, bipartisan legislation that would tie annual Medicare physician fee schedule updates to the Medicare Economic Index. If passed by Congress, the legislation would help provide financial stability to physician practices and preserve access to care for Medicare beneficiaries.</p>
<p>Unlike virtually all other health professionals participating in the Medicare program, physician services do not receive an annual inflationary update. Providing an annual inflation update <a href="[@]Shared_Content/News/Membership_Memo/2023/march-24/medpac-recommends-tying-physician-payment-update-to-inflation">equal to the MEI for Medicare physician payments is essential</a> to enabling physician practices to better absorb payment distributions triggered by budget neutrality rules, performance adjustments, and periods of high inflation. It will also help physicians invest in their practices and implement new strategies to provide high-value care.</p>
<h3>Contact your members of Congress</h3>
<p>Organized medicine is united in support of a long-term payment solution that centers on annual inflationary updates. To help this effort, take a moment to <a href="https://physiciansgrassrootsnetwork.org/be-heard?vvsrc=%2fCampaigns%2f103669%2fRespond">contact your legislators</a> and urge them to help fix the flawed Medicare physician payment system by supporting H.R. 2474.</p>
<p>The AMA provides the following charts, which may be used in conversations with members of Congress to let them know the Medicare physician payment system needs reform to become a more sustainable, value-based system that better meets the needs of patients and physicians:</p>
<ul>
<li><a href="https://www.ama-assn.org/system/files/medicare-provider-updates-chart-2023.pdf" target="_blank" rel="noreferrer">Medicare payment updates for 2023</a> </li>
<li><a href="https://www.ama-assn.org/system/files/medicare-updates-inflation-chart-cumulative.pdf" target="_blank" rel="noreferrer">Medicare updates compared to inflation (with comparison)</a> </li>
<li><a href="https://www.ama-assn.org/system/files/medicare-updates-inflation-chart.pdf" target="_blank" rel="noreferrer">Medicare updates compared to inflation (without comparison)</a> </li>
<li><a href="https://www.ama-assn.org/system/files/key-measures-medicare-economic-index-chart.pdf" target="_blank" rel="noreferrer">Key measures of practice expense in the Medicare Economic Index</a> </li>
<li><a href="https://www.ama-assn.org/system/files/medicare-spending-enrollee.pdf" target="_blank" rel="noreferrer">Medicare spending per enrollee</a> </li>
<li><a href="https://www.ama-assn.org/system/files/real-inflation-adjusted-spending-enrollee.pdf" target="_blank" rel="noreferrer">Real (inflation-adjusted) Medicare physician spending per enrollee</a> </li>
</ul>
</div> | 4/28/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |
| ian-morrison-phd-turning-the-corner-whats-next-for-health-care | Ian Morrison, PhD: Turning the Corner: What's Next for Health Care? | Latest_News | Shared_Content/News/Membership_Memo/2023/april-28/ian-morrison-phd-turning-the-corner-whats-next-for-health-care | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2023/april/2023-ldc-graphic-morrison-645x425px.png" class="pull-right" alt="2023 LDC Conference Keynote Speaker Ian Morrison, PhD" /></div>
<h5>April 28, 2023</h5>
<h2>Ian Morrison, PhD: Turning the Corner: What's Next for Health Care?</h2>
<p>The annual WSMA Leadership Development Conference returns once again to the shores of Lake Chelan on May 19-20 at Campbell's Resort. This year's theme is leading transformational change, with keynote presenter and health care futurist Ian Morrison, PhD, recently featured in an <a href="https://wsma.org/Shared_Content/News/Latest_News/2023/ian-morrisons-crystal-ball.aspx">in-depth interview in WSMA Reports</a>, on hand to kick things off with his presentation on "Turning the Corner: What's Next for Health Care?"</p>
<p>Morrison is an internationally known author, consultant, and futurist specializing in long-term forecasting and planning with particular emphasis on health care and the changing business environment. During his keynote address, you'll hear from Morrison on his predictions for health care based on observations and data from 40 years of working with physicians, health care organizations, and related nonprofits. With top-notch research and consulting skills, combined with an <a href="[@]Shared_Content/News/Latest_News/2023/ian-morrisons-crystal-ball.aspx">incisive Scottish wit</a>, Morrison's insights are designed to help organizations plan their longer-term future.</p>
<p>For more a full conference agenda, faculty, and registration information, visit the <a href="[@]WSMA/Events/Leadership_Development_Conference/WSMA/Events/LDC/leadership_development_conference.aspx?hkey=c7532c38-057a-4568-8a3c-078182469222">Leadership Development Conference webpage</a>. This activity has been approved for <em>AMA PRA Category 1 Credit</em>â„¢.</p>
<h3>Accommodations </h3>
<p>The WSMA Leadership Development Conference will be held at Campbell's Resort on Lake Chelan, 104 W. Woodin Ave., Chelan, WA 98816. Please call the resort directly to make your room reservations: 800.553.8225. If no rooms are available for your preferred dates at Campbell's Resort, they can assist with reservations at their sister property, the Midtowner.</p>
</div> | 4/28/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |
| mips-hardship-exception-due-to-covid-19-continues-in-2023 | MIPS Hardship Exception Due to COVID-19 Continues in 2023 | Latest_News | Shared_Content/News/Membership_Memo/2023/april-28/mips-hardship-exception-due-to-covid-19-continues-in-2023 | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2023/april/stethoscope-numbers-645x425px.jpeg" class="pull-right" alt="stethoscope on a spreadsheet" /></div>
<h5>April 28, 2023</h5>
<h2>MIPS Hardship Exception Due to COVID-19 Continues in 2023</h2>
<p>In response to advocacy from the American Medical Association, the WSMA, and others in organized medicine, the Centers for Medicare and Medicaid Services will <a href="https://qpp.cms.gov/resources/covid19">continue</a> to allow physicians and group practices to apply for a MIPS Extreme and Uncontrollable Circumstances hardship exception to avoid up to a -9% MIPS penalty in 2025 based on 2023 performance. The exception will not be automatic, and interested physicians and groups must request reweighting of one or more MIPS performance categories due to the COVID-19 public health emergency. Requesting reweighting of all four MIPS performance categories will avoid a MIPS penalty in 2025. CMS expects to release the hardship exception application in spring 2023.</p>
<p>This is a big relief for physicians and their patients because CMS estimated in the final rule that up to one-third of MIPS-eligible clinicians would have received a penalty due to the increasingly stringent requirements to participate in MIPS in 2023. It is also likely that small, rural, and practices serving underserved populations would have been disproportionately impacted by thesepenalties.</p>
</div> | 4/28/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |
| prior-authorization-reform-bill-among-successes-for-the-physician-community-as-2023-session- | Prior Authorization Reform Bill Among Successes for the Physician Community as 2023 Session | Latest_News | Shared_Content/News/Membership_Memo/2023/april-28/prior-authorization-reform-bill-among-successes-for-the-physician-community-as-2023-session- | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2023/april/2023-legislative-session-updates-645x425px.png" class="pull-right" alt="2023 Legislative Update logo" /></div>
<h5>April 28, 2023</h5>
<!-- **************************NEW ARTICLE****************************** -->
<h2>Prior Authorization Reform Bill Among Successes for the Physician Community as 2023 Session Adjourns </h2>
<p>The 2023 legislative session adjourned "sine die" on Sunday, April 23, after legislators adopted a two-year state operating budget that takes effect July 1. The 105-day session saw numerous patient-focused policies passed of interest to physician and physician assistants, including WSMA's prior authorization standardization legislation and provisions addressing abortion access and gun violence, and a two-year spending plan adopted by legislators that includes substantial investments in health care workforce, behavioral health, abortion access, and public health.</p>
<p>The WSMA tracked and engaged on hundreds of bills during session, with health policy at the forefront of many of session's biggest conversations. Notable wins included:</p>
<h3>Prior authorization </h3>
<p>Reforming insurance carriers' prior authorization practices has regularly been cited by WSMA members as the paramount administrative challenge faced by physicians and practices. This session, priority legislation introduced by the WSMA was passed unanimously by both legislative chambers. <a href="https://urldefense.com/v3/__https:/app.leg.wa.gov/billsummary?BillNumber=1357&amp;Year=2023&amp;Initiative=false__;!!K-Hz7m0Vt54!nPeLTkE81nZg7kIhcc5Vk_D5Cvag8w62hQV2-KC4A2qhOZRYA8_WKfoCkOPWhyG-qj6tgMy_zQ$">House Bill 1357</a> will help ensure timely access to care by shortening turnaround times for decisions and mandating insurance carriers implement electronic prior authorization processes that integrate into electronic health record systems.</p>
<p>The passage of HB 1357 is a significant step in reducing the burdens posed by prior authorization and a major win for Washington's physician community. Thanks to the many physicians and physician assistants over the years who have helped inform WSMA's position and engaged in our advocacy on the issue.</p>
<h3>Abortion access </h3>
<p>Protecting access to abortion, reproductive health, and gender-affirming care services and protecting the patients and health care professionals seeking and providing those services was also at the top of WSMA's legislative agenda during the 2023 legislative session.</p>
<ul>
<li><a href="https://app.leg.wa.gov/billsummary?BillNumber=1340&amp;Year=2023&amp;Initiative=false">House Bill 1340</a> clarifies that providing reproductive health and gender-affirming care services consistent with Washington state standards of care, even in a state where such services are prohibited, does not constitute unprofessional conduct under Washington's Uniform Disciplinary Act.</li>
<li><a href="https://app.leg.wa.gov/billsummary?BillNumber=1469&amp;Initiative=false&amp;Year=2023">House Bill 1469</a> establishes criminal and civil liability protections for patients and health care professionals receiving or delivering abortion services and gender-affirming care.</li>
<li><a href="https://app.leg.wa.gov/billsummary?BillNumber=5242&amp;Initiative=false&amp;Year=2023">Senate Bill 5242</a> prohibits cost sharing (e.g., copays, deductibles) for abortion services.</li>
</ul>
<h3>Gun violence </h3>
<p>The WSMA successfully supported priority legislation recognizing and addressing the growing public health threat posed by gun violence.</p>
<ul>
<li><a href="https://app.leg.wa.gov/billsummary?BillNumber=1240&amp;Initiative=false&amp;Year=2023">House Bill 1240</a> prohibits the manufacture and sale of semiautomatic "assault weapons," including firearms such as the AR-15 and AK-47.</li>
<li><a href="https://app.leg.wa.gov/billsummary?BillNumber=1143&amp;Initiative=false&amp;Year=2023">House Bill 1143</a> requires individuals to have recently completed a firearm safety training program and undergo a background check and 10-day waiting period to be eligible to purchase firearms.</li>
<li><a href="https://app.leg.wa.gov/billsummary?BillNumber=5078&amp;Initiative=false&amp;Year=2023">Senate Bill 5078</a> establishes a right of action against the firearm industry in circumstances where violence results from their conduct, such as advertising targeted at minors and promoting the illegal conversion of firearms. </li>
</ul>
<h3>Scope of practice … and an action alert</h3>
<p>The WSMA defeated all but one of the scope expansion proposals we opposed. The exception was <a href="https://app.leg.wa.gov/billsummary?BillNumber=5389&amp;Year=2023&amp;Initiative=false">Senate Bill 5389</a>, which expands optometrists' scope to include surgical procedures, injections, and increased prescriptive authority. The bill is currently pending the consideration of Gov. Jay Inslee. The stakes established in SB 5389 call for exceptional action, and the WSMA is urging the governor to use his veto pen and prevent the bill from becoming state law. Add your voice to ours by <a href="https://votervoice.net/WSMA/Campaigns/104453/Respond">sending a message to the governor from the WSMA Action Center today</a>.</p>
<h3>Inside the 2023-2025 state budget</h3>
<p>Totaling nearly $70 billion, the two-year spending plan passed by the Legislature makes substantial investments in health care workforce, behavioral health, abortion access, and public health. The budget increases state spending by around $5 billion, with major areas of new investments including climate change, housing and homelessness, and special education. The budget also funds more than $2 billion in pay increases for state workers collectively bargained by the governor and labor unions.</p>
<p>WSMA's top budget priorities for the 2023 session were increasing Medicaid rates and bolstering health care workforce. To the latter, the budget increases investments in physician residencies, health professional loan repayment, and nurse education and training. And while the final budget does make provisions for Medicaid rate increases, it only partially funds WSMA's ask of <a href="[@]wsma/advocacy/legislative_regulatory/issue-briefs/medicaid-professional-services-rate-increase.aspx">across-the-board increases to at least the rates paid by Medicare</a>. Continued advocacy will be needed to ensure the state is fully funding the Medicaid program and supporting access to care for patients.</p>
<p>The budget does fund Medicaid rate increases in other contexts, most notably for hospitals. In the case of hospitals and certain other entities, Medicaid funding is augmented by a "safety net assessment," which is levied on the entities to leverage additional federal funds that can be used for rate increases. By contrast, WSMA's request for professional services rate increases would be funded from the state's general fund (and also bolstered by leveraged federal dollars). The final budget and associated legislation extend the hospital safety net in perpetuity and expand it to fund rate increases. The WSMA was supportive of the hospital safety net assessment proposal that was brought forward by the Washington State Hospital Association. We are pleased to see the Legislature help ensure the financial stability of our hospital systems by extending this levy and look forward to working with lawmakers to ensure our outpatient practice community is prioritized similarly at the next opportunity.</p>
<p>Highlights of WSMA's priorities in the final budget include:</p>
<ul>
<li><strong>Medicaid reimbursement</strong>: $31.2 million for rate increases for Medicaid professional services delivered by physicians, physician assistants, and ARNPs, effective July 1, 2024. An additional $3.1 million is dedicated to primary care rate increases and $6.2 million for certain behavioral health service rates.</li>
<li><strong>Physician residencies</strong>: $18 million for physician residencies through the state's Family Medicine Residency Network. An additional $5 million is appropriated for psychiatric residencies.</li>
<li><strong>Health professional loan repayment</strong>: The budget provides increased funding for the state's <a href="https://wsac.wa.gov/washington-health-corps">Health Professional Loan Repayment Program</a>, as well as for the loan program dedicated to behavioral health professionals.</li>
<li><strong>Reproductive health care services</strong>: $15.5 million to maintain access to abortion, including funding for patient outreach, workforce retention, and security investments.</li>
<li><strong>Foundational Public Health Services</strong>: More than $300 million for continued support of the state's public health system.</li>
<li><strong>Opioid epidemic</strong>: Among numerous appropriations seeking to help address the opioid epidemic, $1.8 million for opioid education, including an expansion of the <a href="[@]wsma/resources/opioids/better_prescribing_better_treatment/wsma/resources/opioids/better-prescribing-better-treatment.aspx?hkey=b6fb0ec0-8bc2-4e53-bf4c-9f148599cbeb">Better Prescribing, Better Treatment</a> initiative of the WSMA and the Washington State Hospital Association.</li>
</ul>
<p>No significant tax increases were included in the final budget. During the 2023 session, there was consideration of replacing the state's business and occupation tax with a "margin" tax, the establishment of a "wealth tax," and increasing property taxes to fund housing, with none of those efforts making it across the finish line.</p>
<h3>A special session?</h3>
<p>Another bill that failed to make it through the process was <a href="https://app.leg.wa.gov/billsummary?BillNumber=5536&amp;Year=2023&amp;Initiative=false">Senate Bill 5536</a>, which sought to address the state Supreme Court's 2021 "Blake" decision that effectively decriminalized personal drug possession. In the 2021 session, the Legislature passed a temporary fix setting possession as a misdemeanor. That law expires June 30, so in the absence of further legislative action, personal drug possession would be decriminalized at the state level on July 1, leaving municipalities the option to adopt drug possession regulations.</p>
<p>SB 5536 was negotiated extensively throughout session, as lawmakers sought an approach that balanced public health and public safety, but on the final day of session a compromise bill was voted down by the House of Representatives. There's talk in Olympia of a forthcoming special session to address the issue, which would mark the first time since 2017 the Legislature has required extra time to complete its work.</p>
<h3>What's next for our advocacy on behalf of the physician community</h3>
<p>The engagement of physicians and physician assistants played a central role in WSMA's advocacy through the 2023 session. More than 100 WSMA members attended the Legislative Summit, convening in person at the Capitol during session for the first time since the pandemic. WSMA leaders testified on bills in person and remotely, and through our calls to action, hundreds of WSMA members sent thousands of messages to their legislators this session. Thank you all for joining us in advocacy.</p>
<p>Looking forward, we have further work to do on Medicaid reimbursement in support of fully funding the state's Medicaid program to ensure access to care for patients and fair reimbursement for physicians and physician assistants. And we know there continues to be significant workforce needs, both in terms of increasing the supply of physicians and health care professionals in our state, as well as ensuring that our existing workforce is adequately supported.</p>
<p>If there are initiatives in those areas or beyond that you think the WSMA should consider for inclusion in our legislative agenda, or if you have questions about the final budget or anything pending in Olympia, contact WSMA Government Affairs Director Sean Graham at <a href="mailto:sean@wsma.org">sean@wsma.org</a>. </p>
</div> | 4/28/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |
| a-call-to-climate-action | A Call to Climate Action | Latest_News | Shared_Content/News/Latest_News/2023/a-call-to-climate-action | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/Reports/2023/may-june/heartbeat-website-image-mzfy-badger-do-645x425px.png" class="pull-right" alt="WSMA Reports Heartbeat logo with Mary Badger, DO's name on it" /></div>
<h5>April 25, 2023</h5>
<h2>A Call to Climate Action</h2>
<p>
By Mary Badger, DO
</p>
<p>
My interest in the outdoors and sustainability started as far back as my time in the Girl Scouts, with its emphasis on community betterment, and those many days and weekends spent with friends or on my own hiking and backpacking, carefully and thoughtfully following the "leave no trace" ethic of good wilderness stewardship. These interests only grew as I became an adult, then a practicing (and now retired) physician, and rapidly expanded to include health as I saw firsthand the increased vulnerability of my older patients and my patients with chronic diseases to climate change.
</p>
<p>
The 2022 Intergovernmental Panel on Climate Change impacts report states that climate and health care are inseparable, that addressing climate change is the greatest public health opportunity of the 21st century, and that failure to adequately address it could undo most of the progress in global health over the past century. Climate change is putting increased pressure on vulnerable systems, populations, and regions, compounding existing medical conditions and health disparities. A host of medical societies, including the WSMA, the American Medical Association, the American College of Physicians, the American Osteopathic Association, and the American College of Osteopathic Internists, have position papers on climate and health (ACOI, AMA, and ACP are members of the Medical Consortium on Climate and Health).
</p>
<p>
But what can we do as individual physicians?
</p>
<p>
Educate ourselves: Sixty percent of physicians cite lack of knowledge about climate as a reason they don't address climate-related health concerns with patients. There are free webinars available from the <a href="https://medsocietiesforclimatehealth.org/educate">Medical Consortium on Climate and Health</a>, <a href="https://www.hhs.gov/climate-change-health-equity-environmental-justice/climate-change-health-equity/actions/health-care-sector-pledge/webinar-series/index.html">Office of Climate Health Equity</a>, and <a href="https://www.publichealth.columbia.edu/research/centers/global-consortium-climate-health-education">Global Consortium on Health</a>. "Global Climate Change and Human Health, from Science to Practice," second edition by Lemery and Sorrenson, is a great resource. Several institutions now offer fellowships in climate and health.
</p>
<p>
Educate our trainees: Medical schools are implementing either required or voluntary lectures on climate and health, and residencies are including patient-specific climate discussions during rotations. According to colleagues in several climate groups, rumors are that the Accreditation Council for Graduate Medical Education may be considering adding climate to competencies in the future.
</p>
<p>
Educate our patients: Even though patients trust their physicians more than anyone else, when it comes to discussions on climate change, 40% of physicians report lack of time as a reason they don't do this. You can briefly review their individual risks as part of disease prevention strategies. To save time, give them printed information, available from the <a href="https://mygreendoctor.org/waiting-room-brochures/">My Green Doctor website</a>, which can be set up with your practice information and emailed or printed for patients in English or Spanish; from the <a href="https://climatehealthconnect.org/resources/posters/">Public Health Institute</a>; and from websites such as <a href="https://www.ready.gov/kit">ready.gov/kit</a>, for emergency preparedness, and <a href="https://www.airnow.gov/">airnow.gov</a>, for air quality.
</p>
<p>
Serve as an example: Use the Native American "seventh generation" principle, which says that in every decision, be it personal, governmental, or corporate, we must consider how it will affect our descendants seven generations into the future.
</p>
<p>
Reject, reuse, and recycle: The health care sector is responsible for about 10% of U.S. greenhouse gas emissions. We need to address this in our places of work. The U.S. government has provisions to help with this.
</p>
<p>
Finally, be sure that vulnerable populations are specifically included-visit the <a href="https://www.epa.gov/cira/social-vulnerability-report">U.S. Environmental Protection Agency website</a> for a social vulnerability report.
</p>
<p>
It's said that weather is what is happening where you are at a given moment and that climate is how you got there over time. I would add that climate change is adversely affecting that journey. Addressing climate change will help our patients' and our own health and the health of our planet. We must all do our part to "leave no trace." Please start now!
</p>
<p>
<em><strong>Mary Schaefer Badger, DO, FACOI, FAWM</strong>, is an emeritus member in Spokane and chair of the American College of Osteopathic Internists Committee on Climate and Health.</em>
</p>
<p>
<em>This article was featured in the May/June 2023 issue of WSMA Reports, WSMA's print magazine.</em>
</p>
</div> | 4/25/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |
| weekly-rounds-april-21-2023-make-a-difference-by-leading-and-serving-the-profession | Weekly Rounds: April 21, 2023 - Make a Difference by Leading and Serving the Profession | Latest_News | Shared_Content/News/Weekly_Rounds/2023/weekly-rounds-april-21-2023-make-a-difference-by-leading-and-serving-the-profession | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/Weekly%20Rounds/Weekly-Rounds-Article-Graphic-2022-645x425px.png" class="pull-right" alt="Weekly Rounds logo" /></div>
<h5>April 21, 2023</h5>
<h2>Make a Difference by Leading and Serving the Profession</h2>
<p>Jennifer Hanscom, CEO</p>
<p>
<em>Nominate yourself or a colleague by next Friday, April 28
</em></p>
<p>
Leadership is one of WSMA's strategic priorities-perhaps an obvious choice, as we strive to influence and shape the future of the medical profession. We've heard, loud and clear, from our members that leadership development is one aspect of our work that they highly value. That's another reason why we work hard to offer top-ranked educational opportunities to the medical community through our leadership courses and <a href="http://wsma.org/ldc?_zs=B3aFd1&amp;_zl=dM4w8">Leadership Development Conference</a>.
</p>
<p>
We're so committed to strong physician leadership that it's called out specifically in our motto: "Physician Driven, Patient Focused." With the ever-shifting landscape of health care, the unpredictable direction of regulation and policy, and the need to preserve the sanctity of the physician-patient relationship, we know that physicians must be directly involved in leadership to navigate a healthy way forward for patients and the profession.
</p>
<p>
Another way to grow your leadership skills is to serve in a leadership position with the WSMA. We depend on your engagement so that we are equipped to represent your voice, and those of patients, as we seek to shape the future of health care in Washington state. Your voice, your leadership, and your service with the WSMA do make a difference.
</p>
<p>
I am personally inviting you to consider stepping into WSMA leadership by nominating yourself or a colleague for consideration for a position on the WSMA board of trustees, executive committee, or as a delegate to the American Medical Association.
</p>
<p>
More information about the desired qualifications, a roster of current board members, a nomination form, conflict of interest disclosure statement, and candidate information sheet <a href="[@]wsma/about_us/who_we_are/board-of-trustees/wsma/about/who_we_are/board-of-trustees.aspx?hkey=57dca355-fca4-4f4e-9c83-6e35aa4baabe&amp;_zs=B3aFd1&amp;_zl=fM4w8">are available here</a>.
</p>
<p>
Here are a few more things to know about the nomination process:
</p>
<ul>
<li>The WSMA Nominating Committee will meet in late May to prepare a slate of nominees.</li>
<li>The slate will be presented to the House of Delegates during the 2023 WSMA Annual Meeting, scheduled for Sept. 23-24 at The Westin Bellevue (all are welcome to attend the meeting-save the dates).</li>
<li>The deadline for nominations is next Friday, April 28, although additional nominations may be made from the floor of the House of Delegates.</li>
<li>In considering yourself or colleagues for the board of trustees, consider whether you or they are:
<ul>
<li>Well-informed.</li>
<li>Forward-thinking.</li>
<li>Committed to the future of the profession.</li>
<li>Committed to service and the profession above oneself.</li>
<li>Experienced, enthusiastic, credible, and open-minded.</li>
<li>Able to put the WSMA above personal desires or agenda.</li>
<li>Capable of serving as a future president of the WSMA.</li>
</ul>
</li>
</ul>
<p>
It takes bold leadership and a strong sense of service to tackle the challenges facing the profession, your patients, and our communities. If you believe in our mission to provide strong physician leadership and advocacy to shape the future of medicine and advance quality of care for all Washingtonians, I hope you will consider this opportunity.
</p>
</div> | 4/21/2023 12:00:00 AM | 1/1/0001 12:00:00 AM |