| closure-of-seattle-obgyn-underscores-need-for-reimbursement-reform | Closure of Seattle OBGYN Underscores Need for Reimbursement Reform | memo | Shared_Content/News/Membership_Memo/2023/november-22/closure-of-seattle-obgyn-underscores-need-for-reimbursement-reform | <div class="col-md-12">
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<h5>November 22, 2023</h5>
<h2>Closure of Seattle OBGYN Underscores Need for Reimbursement Reform and Support for Independent Practice</h2>
<p>After 73 years serving patients and its community, Seattle OBGYN <a href="https://www.kiro7.com/news/local/definitely-blindsided-thousands-families-scrambling-after-sudden-seattle-obgyn-closure/3D6IK5VTRBBUTHKYUWVGY4BVRA/">recently announced</a> it will permanently close at the end of the year. Practice physician Judy Kimelman, MD, wrote in <a href="https://www.seattletimes.com/opinion/closure-of-seattle-clinic-after-73-years-adds-to-health-care-pain/">an op-ed to The Seattle Times</a> that the closure will impact more than 16,000 patients including more than 300 who are currently pregnant. Dr. Kimelman cited low reimbursement, especially from Medicaid and Medicare, as well as difficulty recruiting physicians as causes contributing to the independent practice's closure.</p>
<p>The WSMA is deeply saddened by the pending closure of Seattle OBGYN and we extend our condolences to all of the physicians and patients who are impacted. We're also redoubled in our resolve to address some of the root causes of the closure, such as subpar Medicaid and Medicare reimbursements that strain physician organization finances and contribute to staff recruitment challenges.</p>
<ul>
<li>The WSMA is continuing our work in Olympia to raise all Medicaid reimbursement rates for physician services at least up to the equivalent paid by Medicare to better reflect the cost of care delivery. Legislators need to hear from you on how low Medicaid reimbursement rates impact your practice and ability to serve Medicaid patients. Lend your voice to the cause <a href="https://takeaction.wsma.org/?vvsrc=%2Fhome">here</a>. For those interested in advocating in person on Medicaid rates and other priority issues, <a href="[@]wsma/events/legislative_summit/wsma/events/wsma_legislative_summit/legislative_summit.aspx?hkey=795731a5-79ba-45b0-b78b-b9dfbfc336e5">register to attend the 2024 WSMA Legislative Summit</a> in Olympia on Wednesday, Jan. 24, 2024.</li>
</ul>
<ul>
<li>At the federal level, the WSMA is working both to <a href="[@]Shared_Content/News/Membership_Memo/2023/november-8/contact-your-member-of-congress-today-to-stop-year-end-medicare-cuts.aspx?_zs=lfaFd1&amp;_zl=nPsI9">stop the pending cuts proposed by CMS and also to support long-term reform</a>. Learn more and contact your congressional representatives today to support these efforts.</li>
</ul>
<p>As we lament the loss of a venerable physician practice, it's imperative that the physician community does all that it can to improve operating conditions and promote the viability of independent physician practice. Please join us in providing condolences to all impacted by the closure of Seattle OBGYN and in advocating for our state's physicians and patients.</p>
</div> | 11/28/2023 10:08:58 AM | 11/22/2023 3:58:58 PM | 11/22/2023 12:00:00 AM |
| register-today-to-attend-the-2024-wsma-legislative-summit | Register Today to Attend the 2024 WSMA Legislative Summit | memo | Shared_Content/News/Membership_Memo/2023/november-22/register-today-to-attend-the-2024-wsma-legislative-summit | <div class="col-md-12">
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<h5>November 22, 2023</h5>
<h2>Register Today to Attend the 2024 WSMA Legislative Summit </h2>
<p>
<em>Wednesday, Jan. 24, 2024. Free.</em>
</p>
<p>Bring your white coat and join your physician and physician assistant colleagues for our annual doctors' day on the hill. The 2024 WSMA Legislative Summit in Olympia will take place on Wednesday, Jan. 24. <a href="https://wsma.org/wsma/events/legislative_summit/wsma/events/wsma_legislative_summit/legislative_summit.aspx?hkey=795731a5-79ba-45b0-b78b-b9dfbfc336e5">Registration</a>, free for WSMA members, is now available.</p>
<p>The Summit is a great opportunity to connect with Washington state officials and health care leaders and to share your experiences on how policies and regulations impact your practice. WSMA's government affairs team will provide a legislative overview, and we'll also bring in key policymakers to share their perspectives, such as Sen. Andy Billig (D-Spokane), majority leader of the state Senate and recipient of WSMA's 2023 Legislator of the Year award. There will also be opportunities to meet with your local legislators. Breakfast and lunch will be provided. This event is free for WSMA members.</p>
</div> | 11/28/2023 10:08:58 AM | 11/22/2023 3:00:21 PM | 11/22/2023 12:00:00 AM |
| reminder-contact-your-member-of-congress-to-stop-year-end-medicare-cuts | Reminder: Contact Your Member of Congress to Stop Year-End Medicare Cuts | memo | Shared_Content/News/Membership_Memo/2023/november-22/reminder-contact-your-member-of-congress-to-stop-year-end-medicare-cuts | <div class="col-md-12">
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<h5>November 22, 2023</h5>
<h2>Reminder: Contact Your Member of Congress to Stop Year-End Medicare Cuts</h2>
<p>With the Centers for Medicare and Medicaid Services proposing a 3.4% reduction in Medicare's physician payments for 2024, the WSMA is urging all members to contact their congressional representatives today and call on them to stop the cuts. There's less than two months left in the year, so please make this a priority. Everyone agrees the Medicare physician payment system is broken, and it's time for Congress to do something about it. <a href="https://physiciansgrassrootsnetwork.org/be-heard?vvsrc=%2fCampaigns%2f108965%2fRespond">Please contact your representative and senators and urge them to cancel the cuts.</a></p>
<p>The WSMA is also urging Washington's congressional delegation to sign on to H.R. 2474, the Strengthening Medicare for Patients and Providers Act. The legislation applies a much-needed permanent inflation-based update to the Medicare Physician Fee Schedule conversion factor. <a href="[@]Shared_Content/News/Membership_Memo/2023/november-8/contact-your-member-of-congress-today-to-stop-year-end-medicare-cuts">Learn more about how you can help our advocacy on this long-term Medicare payment reform</a>.</p>
</div> | 11/28/2023 10:08:58 AM | 11/22/2023 2:41:33 PM | 11/22/2023 12:00:00 AM |
| sign-up-to-be-a-wsma-social-media-ambassador | Sign Up to Be a WSMA Social Media Ambassador | memo | Shared_Content/News/Membership_Memo/2023/november-22/sign-up-to-be-a-wsma-social-media-ambassador | <div class="col-md-12">
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<h5>November 22, 2023</h5>
<!-- **************************NEW ARTICLE****************************** -->
<h2>Sign Up to Be a WSMA Social Media Ambassador</h2>
<p>If you are a social media user, you can help amplify WSMA's calls to action, legislative priorities, public health messages, and more with your peers and the public online by becoming a WSMA social media ambassador.</p>
<p>Ambassadors will receive periodic email prompts to promote WSMA's most strategically important content. We'll provide links to articles, sample posts, graphics (if available), and relevant hashtags or partner organizations to tag. We'll also keep you apprised of opportunities for more enhanced social media engagement-social media "takeovers," short videos, and more.</p>
<p>You can choose which content you want to promote based on your interests, and you can opt out of the program at any time. Use our <a href="https://forms.office.com/Pages/ResponsePage.aspx?id=CgN5_wMfNU66xEvN3PBcAFbXjQTErcBIm97a5r4IigdUQ1pBQ0pSNFVFVk9INVlYTExJUlNNMURTVy4u">online sign-up form</a> to become a WSMA ambassador; all we need is your name and preferred email address. If you are a social media user, we hope you'll join us in advocating on behalf of Washington medicine.</p>
</div> | 11/28/2023 10:08:58 AM | 11/22/2023 2:41:40 PM | 11/22/2023 12:00:00 AM |
| contact-your-member-of-congress-today-to-stop-year-end-medicare-cuts | Contact your Member of Congress Today to Stop Year-End Medicare Cuts | memo | Shared_Content/News/Membership_Memo/2023/november-8/contact-your-member-of-congress-today-to-stop-year-end-medicare-cuts | <div class="col-md-12">
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<h5>November 8, 2023</h5>
<!-- **************************NEW ARTICLE****************************** -->
<h2>Contact your Member of Congress Today to Stop Year-End Medicare Cuts</h2>
<p>Recently the Centers for Medicare and Medicaid Services announced final plans for payment schedules for physicians, approving a 3.4% reduction in Medicare's physician payments for 2024. We are urging all members to contact their representatives today to urge them to stop the cuts. There's less than two months left in the year so please make this a priority. Everyone agrees the Medicare physician payment system is broken, and it's time for Congress to do something about it. <a href="https://physiciansgrassrootsnetwork.org/be-heard?vvsrc=%2fCampaigns%2f108965%2fRespond">Please contact your representative and senators and urge them to cancel the cut today!</a></p>
<p>The WSMA is also urging Washington's congressional delegation to sign on to H.R. 2474, the Strengthening Medicare for Patients and Providers Act. The legislation applies a permanent inflation-based update to the Medicare Physician Fee Schedule conversion factor, which will provide much-needed stability to the Medicare payment system as our members contend with an increasingly challenging environment providing Medicare beneficiaries with access to timely and quality care.</p>
<p>Congress has taken action to mitigate some of the recent MPFS cuts on a temporary basis, however, reimbursement continues to decline. According to an American Medical Association analysis of Medicare trustees data, when adjusted for inflation, Medicare payments to clinicians have declined by 26% from 2001-2023. The failure of the MPFS to keep pace with the true cost of providing care, combined with year-over-year cuts resulting from the application of budget neutrality, sequestration, and a paucity of available alternative payment models and value-based-care models, clearly demonstrates the Medicare payment system is broken. The addition of an inflationary update will provide budgetary stability as clinicians, many of whom are small business owners, contend with a wide range of shifting economic factors, such as increasing administrative burdens, staff salaries, office rent, and purchasing of essential technology.</p>
<p>A full list of congressional representatives who have signed on to H.R.2474 can be found <a href="https://www.congress.gov/bill/118th-congress/house-bill/2474/cosponsors?r=38&amp;s=1&amp;q=%7B%22search%22%3A[%22actionDate%3A%5C%22118%7C2023-04-14%5C%22+AND+%28billIsReserved%3A%5C%22N%5C%22+OR+type%3A%5C%22AMENDMENT%5C%22%29%22]%7D">here</a>. If you need help connecting with your congressional representatives, contact the WSMA policy department at <a href="mailto:policy@wsma.org">policy@wsma.org</a>. More information on the Medicare payment cuts can be found at <a href="https://fixmedicarenow.org/resources">fixmedicarenow.org/resources</a>.</p>
</div> | 11/22/2023 2:40:11 PM | 11/7/2023 10:20:47 AM | 11/8/2023 12:00:00 AM |
| its-time-for-action-on-unsustainable-medicaid-payments | It's Time for Action on Unsustainable Medicaid Payments | memo | Shared_Content/News/Membership_Memo/2023/november-8/its-time-for-action-on-unsustainable-medicaid-payments | <div class="col-md-12">
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<h5>November 8, 2023</h5>
<h2>It's Time for Action on Unsustainable Medicaid Payments</h2>
<p>This week, the WSMA sent an action alert to Washington's physician community encouraging physicians, clinics, and medical groups to share stories with their legislators of how low Medicaid reimbursements, particularly for specialty care, impact their practices and patient access to care. If you haven't yet shared your perspective, <a href="https://takeaction.wsma.org/">do so today</a>.</p>
<p>The WSMA is working on a solution that will help draw down federal dollars and increase Medicaid rates across the board for the physician community. We will have more information on our proposal in the weeks ahead. The WSMA will be engaging stakeholders from across the health care spectrum-specialty societies, medical groups, county medical societies, clinics, systems, and more-to mobilize on this issue in anticipation of the state legislative session that begins in January. The state is long overdue in making needed investments to ensure that Medicaid patients have access to not only health coverage, but also health care. This can't wait.</p>
<h3>How you can help with our Medicaid effort</h3>
<p>While WSMA staff will be working hard to advocate on your behalf with legislators and in the media, there is no substitute for the expertise and perspective of those physicians, practices, and clinics witnessing "on the ground" how low Medicaid reimbursements are impacting their ability to provide care to their patients. Your experiences and knowledge of your community can be invaluable to local legislators and media-and may change minds.</p>
<p>If you'd like to help with this effort, visit our <a href="https://takeaction.wsma.org/get-engaged/">campaign page to volunteer</a>. WSMA staff will be in touch with more information about how you can help.</p>
</div> | 11/8/2023 3:10:44 PM | 11/8/2023 3:10:20 PM | 11/8/2023 12:00:00 AM |
| register-now-for-the-2024-wsma-legislative-summit | Register Now for the 2024 WSMA Legislative Summit | memo | Shared_Content/News/Membership_Memo/2023/november-8/register-now-for-the-2024-wsma-legislative-summit | <div class="col-md-12">
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<h5>November 8, 2023</h5>
<h2>Register Now for the 2024 WSMA Legislative Summit</h2>
<p>
<em>Join us Jan. 24 in Olympia. Free for WSMA members.</em>
</p>
<p>Registration is <a href="[@]wsma/events/legislative_summit/wsma/events/wsma_legislative_summit/legislative_summit.aspx?hkey=795731a5-79ba-45b0-b78b-b9dfbfc336e5">now open</a> for the 2024 WSMA Legislative Summit, which will be held at the Capitol on Wednesday, Jan. 24. This is your opportunity as a WSMA member to learn about what's happening in Olympia and connect with your local legislators in meetings scheduled by WSMA staff.</p>
<p>At the Summit, we'll provide updates on WSMA's priority issues, including increasing Medicaid reimbursement rates for all specialties and supporting physician and health care workforce issues. We'll also bring in key policymakers to share their perspectives, including Sen. Andy Billig (D-Spokane), majority leader of the state Senate and recipient of WSMA's 2023 Legislator of the Year award.</p>
<p>Register today to join us in Olympia on Jan. 24, 2024! Visit the <a href="[@]wsma/events/legislative_summit/wsma/events/wsma_legislative_summit/legislative_summit.aspx?hkey=795731a5-79ba-45b0-b78b-b9dfbfc336e5">event webpage</a> for more details and to register.</p>
</div> | 11/8/2023 1:41:52 PM | 11/7/2023 10:20:54 AM | 11/8/2023 12:00:00 AM |
| share-your-workforce-issues-with-washingtons-health-workforce-sentinel-network | Share Your Workforce Issues with Washington's Health Workforce Sentinel Network | memo | Shared_Content/News/Membership_Memo/2023/november-8/share-your-workforce-issues-with-washingtons-health-workforce-sentinel-network | <div class="col-md-12">
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<h5>November 8, 2023</h5>
<h2>Share Your Workforce Issues with Washington's Health Workforce Sentinel Network</h2>
<p>Do you have enough health care workers with the skills you and your patients need? Are workforce issues impacting your ability to provide health care in your corner of the state? Add your voice to Washington's Health Workforce Sentinel Network to help workforce planners understand the health workforce needs in Washington state and craft relevant and appropriate solutions.</p>
<p>The fall 2023 <a href="https://redcap.iths.org/surveys/?s=9NFAYP4HPJYRTFJW">Sentinel Network questionnaire</a> is now open. The survey takes about 15 minutes and can be completed by a staff person at your practice or organization. Details you provide, including recruitment challenges, are confidential so you can share freely and securely.</p>
<p>The Sentinel Network is an initiative of Washington's Health Workforce Council, conducted collaboratively by Washington's Workforce Board and the University of Washington's Center for Health Workforce Studies. Funding to initiate the Sentinel Network came from the Healthier Washington initiative, with ongoing support from Gov. Jay Inslee's office. Visit the <a href="https://wa.sentinelnetwork.org/findings/">Washington's Health Workforce Sentinel Network website</a> to learn more about the network and access previous survey findings. Email the <a href="mailto:healthworkforce@wasentinelnetwork.org">Sentinel Network</a> with questions.</p>
</div> | 11/8/2023 3:11:11 PM | 11/8/2023 3:10:49 PM | 11/8/2023 12:00:00 AM |
| wsicc-annual-meeting-reckoning-with-serious-illness-in-challenging-times | WSICC Annual Meeting: Reckoning with Serious Illness in Challenging Times | memo | Shared_Content/News/Membership_Memo/2023/november-8/wsicc-annual-meeting-reckoning-with-serious-illness-in-challenging-times | <div class="col-md-12">
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<h5>November 8, 2023</h5>
<h2>WSICC Annual Meeting: Reckoning with Serious Illness in Challenging Times</h2>
<p><em>Event is Friday, Nov. 17, in Kirkland. Virtual-only option available.</em></p>
<p>The 2023 Washington Serious Illness Care Coalition Annual Meeting provides an excellent opportunity to network with others who share a passionate interest in serious illness care. This year's theme is "Reckoning with Serious Illness in Challenging Times." Plan on joining colleagues and meeting new people from across the state for a day of thought-provoking learning on end-of-life issues.</p>
<p>Sessions will address:</p>
<ul>
<li>Innovations in Coverage of Serious Illness Care</li>
<li>Medical Aid in Dying (MAiD) Update</li>
<li>Voluntary Stopping of Eating and Drinking (VSED): Clinical Guidelines</li>
<li>Advance Care Planning, POLST, Updates</li>
<li>Disability &amp; Access in Health Care: How Can We Do Better?</li>
<li>Grief, Reckoning, and Hope</li>
</ul>
<p>This activity has been approved for <em>AMA PRA Category 1 Credit</em>â„¢. <a href="[@]wsma/resources/advance_care_planning/washington_serious_illness_care_coalition/wsma/resources/Advance_Care_Planning/washington-serious-illness-care-coalition.aspx?hkey=407d0412-a186-437d-9790-b690c0f6da91">Register online</a>.</p>
</div> | 11/8/2023 3:04:58 PM | 11/8/2023 3:03:07 PM | 11/8/2023 12:00:00 AM |
| enroll-in-the-2024-health-equity-leadership-development-and-action-collective | Enroll in the 2024 Health Equity Leadership Development and Action Collective | memo | Shared_Content/News/Membership_Memo/2023/october-27/enroll-in-the-2024-health-equity-leadership-development-and-action-collective | <div class="col-md-12">
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<h5>October 27, 2023</h5>
<h2>Enroll in the 2024 Health Equity Leadership Development and Action Collective </h2>
<p>Join a collective of health care leaders to gain education, guidance, and support in addressing inequities that exist within your sphere of influence. WSMA member and nonmember physicians, physician assistants, and health care professional leaders who are ready to act on the understanding that systemic racism exists within health care, and who are positioned to lead and facilitate change in their organizations and beyond, are invited to join.</p>
<h3>Course schedule </h3>
<p>The collective will meet virtually in six two-hour sessions. Sessions are held every other month from January through November 2024.</p>
<h3>Enrollment </h3>
<p>The 2024 cohort is limited to 12 enrollees. The deadline to register is Jan. 5, 2024. If you are committed to making lasting, equitable change in your organization, then this course is here to support you on that path. We look forward to building this collective with you. <a href="[@]wsma/physician_leadership/health_equity_leadership_development_and_action_collective/health_equity_leadership_development_and_action_collective.aspx?hkey=17f095ae-34e3-407f-9877-3b0f79264c0a&amp;WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927&amp;_zs=lfaFd1&amp;_zl=QXvE9">Learn more and register on the course webpage</a>.</p>
<h3>Instructor </h3>
<p>This course is led by Edwin Lindo, JD, health equity consultant to the WSMA and the WSMA Foundation, and assistant dean of social and health justice in the Office of Healthcare Equity at the University of Washington School of Medicine.</p>
<h3>Objectives </h3>
<ul>
<li>Identify common health equity issues.</li>
<li>Outline principles to advance health equity through culture, policy, and clinical changes.</li>
<li>Identify the need for change within your organization.</li>
<li>Strategize how to bring people within your organization together to create change toward equity.</li>
<li>Learn how to create change through a culture of health equity.</li>
<li>Solicit strategic guidance from the collective.</li>
<li>Share your change plan and progress with members of the collective.</li>
</ul>
<p>This activity has been approved for <em>AMA PRA Category 1 Credit</em><sup>TM</sup>.</p>
</div> | 10/26/2023 4:50:28 PM | 10/26/2023 4:43:06 PM | 10/27/2023 12:00:00 AM |
| new-episodes-of-better-prescribing-better-treatment-cme-podcast | New Episodes of Better Prescribing, Better Treatment CME Podcast | memo | Shared_Content/News/Membership_Memo/2023/october-27/new-episodes-of-better-prescribing-better-treatment-cme-podcast | <div class="col-md-12">
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<h5>October 27, 2023</h5>
<h2>New Episodes of Better Prescribing, Better Treatment CME Podcast </h2>
<p><em>Now available via Apple, Google, and Spotify</em> </p>
<p>We hope you've enjoyed the first eight episodes of WSMA's new Better Prescribing, Better Treatment Podcast; episodes 9 and 10, hosted by Nathan Schlicher, MD, JD, are now available. In these new episodes, Dr. Schlicher speaks with Liz Wolkin, MS, RN, about the Washington State Health Care Authority's new bridge program, and Rae Wright, MD, an addiction medicine physician in Vancouver, Washington on how opioid use disorder interfaces with equity issues.</p>
<h3>About the podcast </h3>
<p>Through the course of this 18-episode series, host Nathan Schlicher, MD, JD, talks with experts on an array of topics addressing the gaps in practice that exist between the current state of prescribing and the best practices surrounding opioid and controlled substance prescriptions. A sole production of the WSMA and offering continuing education credit for physicians and physician assistants, the podcast is available at no cost to all physicians, PAs, 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>How to access the podcasts </h3>
<p>Access the podcasts via the links in the episode descriptions below, or subscribe to WSMA Podcasts, WSMA's new podcast channel available on <a href="https://podcasts.apple.com/us/podcast/wsma-podcasts/id1702920307">Apple Podcasts</a>, <a href="https://podcasts.google.com/feed/aHR0cHM6Ly93c21hLm9yZy9wb2RjYXN0cy93c21hLnhtbA">Google Podcasts</a>, and <a href="https://open.spotify.com/show/0PBMBLgHr6e0X3OaMjyJON?si=52073329b89c4af1">Spotify</a>.</p>
<h3>About episode 9: Opioids and the Bridge Program </h3>
<p><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#episode9">In this episode</a>, Dr. Schlicher talks Liz Wolkin, MS, RN, NPD-BC, CEN, program administrator of the Washington State Health Care Authority's emergency department support, clinical quality and care transformation program, about the new state bridge program to support emergency departments and acute care hospitals in the initiation of medications for opioid use disorder and providing best practice care for patients with substance use disorder.</p>
<h3>About episode 10: Opioids and Health Equity </h3>
<p><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#episode10">In this episode</a>, Dr. Schlicher talks with Rae Wright, MD, an addiction medicine physician in Vancouver, Washington, about what equity in health care looks like, and how addiction and opioid use disorder interface with equity issues (e.g., pain management, the justice system, and access to care).</p>
<p>These activities are approved for <em>AMA PRA Category 1 Credit</em><sup>TM</sup>.</p>
<h3>Previous episodes </h3>
<p>Episode 1: <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#episode1">The Future of the Better Prescribing, Better Treatment Program at WSMA</a> </p>
<p>Episode 2: <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#episode2">The History of Opioid Prescribing Legislation</a> </p>
<p>Episode 3: <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#episode3">Prescribing Opioids in a Rural Setting</a> </p>
<p>Episode 4: <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#episode4">Opioids in Obstetrics</a> </p>
<p>Episode 5: <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#episode5">Opioids in Pediatrics</a> </p>
<p>Episode 6: <a href="[@]wsma/resources/opioids/better-prescribing-better-treatment-podcast.aspx#episode6">Opioids and Hospice</a> </p>
<p>Episode 7: <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#episode7">Opioids in Family Medicine</a> </p>
<p>Episode 8: <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#episode8">Opioids in Cancer-Related Pain</a> </p>
</div> | 10/26/2023 4:38:16 PM | 10/25/2023 2:22:59 PM | 10/27/2023 12:00:00 AM |
| nirsevimab-shortage-interim-guidance-to-protect-infants-from-rsv | Nirsevimab Shortage - Interim Guidance to Protect Infants from RSV | memo | Shared_Content/News/Membership_Memo/2023/october-27/nirsevimab-shortage-interim-guidance-to-protect-infants-from-rsv | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2023/october/stock-image-2017-doctor-with-toddler-645x425px.jpg" class="pull-right" alt="Doctor with a toddler" /></div>
<h5>October 27, 2023</h5>
<h2>Nirsevimab Shortage: Interim Guidance to Protect Infants from RSV </h2>
<p>Due to high demand and limited supply, state ordering is paused for nirsevimab, the long-acting monoclonal antibody immunization product recommended for preventing respiratory syncytial virus-associated lower respiratory tract disease in infants. The Centers for Disease Control and Prevention has placed additional orders of nirsevimab with the manufacturer and plans to reopen ordering once allocations are in place.</p>
<h3>CDC advisory: Options for clinicians to protect infants from RSV </h3>
<p>In the context of a <a href="https://www.news.sanofi.us/Sanofi-Beyfortus-Statement">limited supply of nirsevimab</a> during the 2023-2024 RSV season, the CDC recommends prioritizing available nirsevimab 100 mg doses for infants at the highest risk for severe RSV disease: young infants (age &lt;6 months) and infants with underlying conditions that place them at highest risk for severe RSV disease. Recommendations for using 50 mg doses remain unchanged. Avoid using two 50 mg doses for infants weighing ≥5 kilograms (≥11 pounds) to preserve supply of 50 mg doses for infants weighing &lt;5 kilograms (&lt;11 pounds). Physicians and practitioners should be aware that some insurers may not cover the cost of two 50 mg doses for an individual infant.</p>
<p>The CDC further recommends that physicians suspend using nirsevimab in <a href="https://publications.aap.org/pediatrics/article/152/1/e2023061803/192153/Palivizumab-Prophylaxis-in-Infants-and-Young?autologincheck=redirected">palivizumab-eligible children</a> aged 8-19 months for the 2023-2024 RSV season. These children should receive palivizumab per <a href="https://publications.aap.org/pediatrics/article/152/1/e2023061803/192153/Palivizumab-Prophylaxis-in-Infants-and-Young?autologincheck=redirected">American Academy of Pediatrics (AAP) recommendations</a>. Nirsevimab should continue to be offered to American Indian and Alaska Native children aged 8-19 months who are not palivizumab-eligible and who live in remote regions, where transporting children with severe RSV for escalation of medical care is more challenging or in communities with known high rates of RSV among older infants and toddlers. Prenatal care providers should discuss potential nirsevimab supply concerns when counseling pregnant people about RSVpreF vaccine (Abrysvo, Pfizer) as maternal vaccination is effective and will reduce the number of infants requiring nirsevimab during the RSV season.</p>
<p>For the full health advisory: <a href="https://emergency.cdc.gov/han/2023/pdf/CDC_HAN_499.pdf" target="_blank" rel="noreferrer">Limited Availability of Nirsevimab in the United States-Interim CDC Recommendations to Protect Infants from Respiratory Syncytial Virus during the 2023-2024 Respiratory Virus Season</a>.</p>
<h3>Other respiratory illness vaccine updates and resources </h3>
<ul>
<li>The Food and Drug Administration has <a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMDQsInVyaSI6ImJwMjpjbGljayIsInVybCI6Imh0dHBzOi8vd3d3LmZkYS5nb3YvbmV3cy1ldmVudHMvcHJlc3MtYW5ub3VuY2VtZW50cy9mZGEtYXV0aG9yaXplcy11cGRhdGVkLW5vdmF2YXgtY292aWQtMTktdmFjY2luZS1mb3JtdWxhdGVkLWJldHRlci1wcm90ZWN0LWFnYWluc3QtY3VycmVudGx5IiwiYnVsbGV0aW5faWQiOiIyMDIzMTAxNy44NDE5NTkzMSJ9.adZL-1S9qFXtBMrZo5ZE7NYINmV4WiiLX3vmgQNTNfc/s/690743948/br/228465103105-l">authorized updated Novavax COVID-19 vaccine</a> to protect against new variants and the original Novavax COVID-19 is no longer authorized. <a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMDUsInVyaSI6ImJwMjpjbGljayIsInVybCI6Imh0dHBzOi8vd3d3LmZkYS5nb3YvbWVkaWEvMTU5ODk3L2Rvd25sb2FkP2F0dGFjaG1lbnQiLCJidWxsZXRpbl9pZCI6IjIwMjMxMDE3Ljg0MTk1OTMxIn0.Q7USHqAKEsJcSjM__QVqRfl92cs50hNykNlwgHoL8gg/s/690743948/br/228465103105-l">Updated administration guidance</a> is available.</li>
<li>The Washington State Department of Health has a new <a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.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.NR3TD1D5g_eU_IOC3JZrRHzjkGePfQkcwSWM3eB2ppk/s/690743948/br/228465103105-l">Respiratory Illness Data Dashboard</a> to track COVID-19, seasonal influenza, and respiratory syncytial virus disease activity by region across the state.</li>
<li>Fall 2023 marks the first time that vaccines for those three respiratory illnesses will be available simultaneously. Review the most recent expert consultation from the National Academies' Societal Experts Action Network, <a href="https://nap.nationalacademies.org/read/27261/chapter/1">Promoting Uptake of COVID-19, Influenza, and RSV Vaccines for Fall 2023</a>, which addresses communication strategies and practical strategies for overcoming accessibility challenges to promote uptake of the COVID-19, flu, and RSV vaccines this fall.</li>
</ul>
<ul>
<li>The Department of Health has also updated its popular <a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMTQsInVyaSI6ImJwMjpjbGljayIsInVybCI6Imh0dHBzOi8vZG9oLndhLmdvdi9zaXRlcy9kZWZhdWx0L2ZpbGVzLzIwMjItMDcvODI1MDQ3LUNPVklEMTlWYWNjaW5lc1RhYmxlLnBkZiIsImJ1bGxldGluX2lkIjoiMjAyMzEwMTcuODQxOTU5MzEifQ.5mMptVFvvO4iK2qz9hxB6NyX_HpWUBubKOXNHl6vSCI/s/690743948/br/228465103105-l">COVID-19 Vaccine Product Characteristics and Information table</a> to include the 2023-2024 vaccines.</li>
</ul>
<p>As supply chain constraints have caused delays to the roll out of updated COVID-19 vaccines, some of your patients may have concerns about limited availability. It may help to reassure patients that availability is expected to improve within the next few weeks.</p>
<p>Here are some resources to support your patients in locating updated COVID-19 vaccines: </p>
<ul>
<li><a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.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.gQXAvrG6MVOvnfiHxowT6FivojRuYrg6Bu2STAwCFXg/s/690743948/br/228465103105-l">Map</a> of Washington practices, clinics, and other organizations enrolled in the Department of Health's <a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMTYsInVyaSI6ImJwMjpjbGljayIsInVybCI6Imh0dHBzOi8vZG9oLndhLmdvdi9wdWJsaWMtaGVhbHRoLWhlYWx0aGNhcmUtcHJvdmlkZXJzL3B1YmxpYy1oZWFsdGgtc3lzdGVtLXJlc291cmNlcy1hbmQtc2VydmljZXMvaW1tdW5pemF0aW9uL2NoaWxkaG9vZC12YWNjaW5lLXByb2dyYW0iLCJidWxsZXRpbl9pZCI6IjIwMjMxMDE3Ljg0MTk1OTMxIn0.1ePk7PH1IlL5ZyLYmI6OhT04kJsJ73HXzY_VYXemp6A/s/690743948/br/228465103105-l">Childhood Vaccine Program</a> and <a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMTcsInVyaSI6ImJwMjpjbGljayIsInVybCI6Imh0dHBzOi8vZG9oLndhLmdvdi9wdWJsaWMtaGVhbHRoLWhlYWx0aGNhcmUtcHJvdmlkZXJzL3B1YmxpYy1oZWFsdGgtc3lzdGVtLXJlc291cmNlcy1hbmQtc2VydmljZXMvaW1tdW5pemF0aW9uL2FkdWx0LXZhY2NpbmUtcHJvZ3JhbSIsImJ1bGxldGluX2lkIjoiMjAyMzEwMTcuODQxOTU5MzEifQ.soZbyGybBicHhu6hA8VBlvTbqlREluobBgrBM4-2Rm4/s/690743948/br/228465103105-l">Adult Vaccine Program</a>.</li>
<li><a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.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.Qd6RBA2tLJxibcqnxAKG1rrvrDT9cVgkA9c4b0UCcTA/s/690743948/br/228465103105-l">Map</a> of Washington Federally Qualified Health Centers.</li>
<li><a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMTksInVyaSI6ImJwMjpjbGljayIsInVybCI6Imh0dHBzOi8vZG9oLndhLmdvdi95b3UtYW5kLXlvdXItZmFtaWx5L2NhcmUtdmFuLW1vYmlsZS1oZWFsdGgtc2VydmljZXMjZXZlbnQtbGlzdCIsImJ1bGxldGluX2lkIjoiMjAyMzEwMTcuODQxOTU5MzEifQ.NHvcMRUCu4iKooN2jBQOH8WKAyNj3YExyHqjfWUubdM/s/690743948/br/228465103105-l">Care-A-Van</a> Mobile Clinic Locations.</li>
</ul>
</div> | 10/26/2023 4:50:28 PM | 10/26/2023 4:45:46 PM | 10/27/2023 12:00:00 AM |
| wsma-urges-washingtons-congressional-delegation-to-take-action-to-prevent-medicare-payment-c | WSMA Urges Washington's Congressional Delegation to Take Action to Prevent Medicare Payment | memo | Shared_Content/News/Membership_Memo/2023/october-27/wsma-urges-washingtons-congressional-delegation-to-take-action-to-prevent-medicare-payment-c | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2023/october/medicare-barcode-645px.jpg" class="pull-right" alt="Medicare barcode" /></div>
<h5>October 27, 2023</h5>
<h2>WSMA Urges Washington's Congressional Delegation to Take Action to Prevent Medicare Payment Cuts </h2>
<p>For the third year in a row, physicians face a <a href="https://wsma.org/Shared_Content/News/Membership_Memo/2023/july-28/more-medicare-physician-payment-cuts-on-the-horizon.aspx?_zs=A3aFd1&amp;_zl=VWD89">Medicare payment cut on Jan. 1, 2024</a>. Congress must act immediately to avert the looming 3.36% physician payment cut, which, if allowed to go into effect, would further destabilize physician practices already struggling economically.</p>
<p>Congress is no doubt running out of time and has a lot of work to achieve before December's recess, but the WSMA remains committed to bringing attention to this issue by advocating for immediate solutions and long-term reform in the years ahead. The WSMA recently submitted a <a href="javascript://[Uploaded files/News and Publications/newsletters/2023/wsma-letter-medicare-payment-cuts-2024-final.pdf]">comment letter to Washington's congressional delegation</a>&nbsp;requesting immediate action.</p>
<p>Averting the pending payment cut is a high priority for the WSMA and the physician community. We will continue monitoring the forthcoming cut as the year comes to an end and keep members apprised of opportunities to engage on the issue.</p>
<p>The WSMA also continues to monitor <a href="[@]Shared_Content/News/Membership_Memo/2023/may-12/wsma-urges-washingtons-congressional-delegation-to-support-medicare-payment-reform">broader Medicare reform efforts</a> and looks forward to opportunities to work with congressional offices and partners to improve the Medicare physician fee schedule. For an American Medical Association overview of reform efforts, <a href="https://click.e.ama-assn.org/?qs=2847594f13e1d2e02dc1463dc5fb82b35912a817072a9ea5b7c0db7d323a374e8c76142d2c0f65a30437c9a524231e84fc25de3201b4d53f075848a60b07d9f1bc6925b4aee505c4">register now</a> for "What's next with Medicare payment reform," on Friday, Nov. 3 at 11 a.m. PDT for more on how the AMA, alongside state and national medical specialty societies, is pushing for permanent payment reform and how you can get involved. Speakers include G. Ray Callas, MD, president elect, Texas Medical Association; Katie Orrico, senior vice president, health policy and advocacy, American Association of Neurological Surgeons/Congress of Neurological Surgeons; and Todd Askew, senior vice president, advocacy, American Medical Association.</p>
</div> | 10/26/2023 4:38:17 PM | 10/26/2023 4:26:33 PM | 10/27/2023 12:00:00 AM |
| call_for_comments_on_latest_naturopath_scope_expansion_effort | Call for Comments on Latest Naturopath Scope Expansion Effort | memo | Shared_Content/News/Membership_Memo/2023/october_13/call_for_comments_on_latest_naturopath_scope_expansion_effort | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/February/mortar_pestle-645x425px.jpg" class="pull-right" alt="Naturopaths" /></div>
<h5>October 12, 2023</h5>
<!-- **************************NEW ARTICLE****************************** -->
<h2>Call for Comments on Latest Naturopath Scope Expansion Effort</h2>
<p>For the past several years, the naturopathic profession in Washington state has made an effort to&nbsp;<a href="https://wsma.org/wsma/advocacy/legislative_regulatory/regulatory-priorities.aspx">expand naturopaths' scope of practice through legislation and rulemaking</a> without stipulating specific additional education requirements or training. At each juncture, the WSMA has opposed these efforts on the grounds that a&nbsp;naturopath's education and training do not include the comprehensive medical and pharmacological background needed to safely prescribe controlled substances and perform additional procedures.</p>
<p>In the latest chapter of this years-long effort, the Washington State Department of Health will be conducting a sunrise review of the naturopathic scope of practice as <a href="https://doh.wa.gov/sites/default/files/2023-10/NaturopathySunriseAppReport2023.pdf?uid=65208b53a2046">requested by the Washington Association of Naturopathic Physicians</a>. The DOH will review <a href="https://app.leg.wa.gov/billsummary?BillNumber=5411&amp;Year=2023&amp;Initiative=false">Senate Bill 5411</a> from last legislative session. As a reminder, SB 5411 makes several updates to the naturopathic practice act including:</p>
<ul>
<li>Expanding prescriptive authority to include controlled substances schedules II-V. This change would include opioids. Naturopaths currently have a very narrow prescriptive authority that is limited to legend drugs, codeine, testosterone, hormones, and other substances consistent with the practice of naturopathic medicine.</li>
<li>Allowing a naturopath to sign and attest to any certification cards, forms, or required documents that a physician can sign.</li>
<li>Changing the definition of “minor office procedure†to include primary care services and treatment of minor injuries. This “minor office procedure†has been interpreted by the naturopathic association to include things like in-office abortions.</li>
</ul>
<p><strong>The WSMA strongly believes that this proposal is a threat to the entire physician community.</strong> Most recently, the naturopathic community has expressed interest in the scopes of practice for obstetrics and gynecology, urology, ophthalmology, dermatology, plastic surgery, and anesthesiology. The applicant report expresses interest in treating behavioral/mental health conditions, performing in-office abortions, and treating opioid use disorder, among other things.</p>
<h3>All specialties urged to provide feedback on proposal</h3>
<p>As part of its sunrise review and to help DOH make informed recommendations to the Legislature on this proposal, the&nbsp;department is accepting public comments at <a href="mailto:sunrise@doh.wa.gov">sunrise@doh.wa.gov</a>&nbsp;through 5 p.m. on&nbsp;Nov. 20, 2023.<strong> </strong>Given the naturopaths' wide-ranging interest in scope expansion, WSMA staff have routed a call to action to our specialty society partners urging opposition to this proposal. WSMA’s policy team is in the process of reviewing the application, and we will share our draft comment as a model for WSMA members from all specialties to work from.</p>
<p>The proposal under review consists of the following documents DOH received from the Legislature and applicant group:</p>
<ul>
<li><a href="https://doh.wa.gov/sites/default/files/2023-10/NaturopathySunriseRequest2023.pdf?uid=65208b53a13ea">Letter from Senate Health and Long Term Care Committee</a></li>
<li><a href="https://doh.wa.gov/sites/default/files/2023-10/SenateBill5411-NP.pdf?uid=65208b53a1ad1">Senate Bill 5411</a></li>
<li><a href="https://doh.wa.gov/sites/default/files/2023-10/NaturopathySunriseAppReport2023.pdf?uid=65208b53a2046">Applicant report submitted by WANP</a></li>
</ul>
<p>Learn more about the DOH <a href="https://doh.wa.gov/about-us/programs-and-services/executive-office-prevention-safety-and-health/health-systems-quality-assurance/sunrise-reviews">sunrise review process</a>. </p>
</div> | 10/20/2023 2:44:47 PM | 10/12/2023 12:23:35 PM | 10/20/2023 2:44:47 PM |
| rsv_vaccine_available_at_no_cost_to_washington_s_vaccine_providers | RSV Vaccine Available at No Cost to Washington's Vaccine Providers | memo | Shared_Content/News/Membership_Memo/2023/october_13/rsv_vaccine_available_at_no_cost_to_washington_s_vaccine_providers | <div class="col-md-12">
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<h5>October 12, 2023</h5>
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<h2>RSV Vaccine Available at No Cost to Washington's Vaccine Providers</h2>
<p>Physician practices and organizations participating the state's Childhood Vaccine Program will be able to order and administer nirsevimab at no cost to babies at risk for severe respiratory syncytial virus illness, the result of an agreement by the Washington Vaccine Association to fund the monoclonal antibody product.</p>
<p>What you should know:</p>
<ul>
<li>Practices and organizations participating in the vaccine program should be able to order nirsevimab within two to three weeks.</li>
<li>Ordering will be completed in the Immunization Information System in the same manner as childhood vaccines.</li>
<li>Product should arrive in offices one to two weeks after placing an order. If you are not part of the vaccine program, you can enroll by visiting the <a href="https://doh.wa.gov/public-health-healthcare-providers/public-health-system-resources-and-services/immunization/childhood-vaccine-program">CVP webpage</a>.</li>
</ul>
<h3>Important note on billing for RSV vaccine</h3>
<p>Due to a technical barrier in current state law supporting the state's vaccine program, the RSV vaccine cannot be procured by the usual process as it doesn’t meet the law’s definition of "vaccine." The Washington State Department of Health is pursuing a solution with the governor’s office for the next legislative session that would make the state law more inclusive of immunization products.&nbsp;DOH is advising that commercial carriers and third-party administrators should not be billed a dosage-based assessment for nirsevimab until July 1, 2024. Only administration fees should be billed. DOH staff has reassured WSMA staff that practices will be reimbursed the same amount that they otherwise would during this period.</p>
<p>DOH offers an <a href="https://doh.wa.gov/you-and-your-family/immunization/diseases-and-vaccines/respiratory-syncytial-virus-rsv">RSV webpage</a>, which goes over RSV disease and products. The Centers for Disease Control and Prevention also has a variety of helpful resources around RSV. Visit the CDC’s RSV landing page <a href="https://www.cdc.gov/rsv/index.html">here</a>.&nbsp;</p>
</div> | 10/12/2023 2:19:49 PM | 10/12/2023 12:58:25 PM | 10/12/2023 2:19:49 PM |
| update-on-new-covid-19-vaccine-recommendations-and-availability | Update on New COVID-19 Vaccine Recommendations and Availability | memo | Shared_Content/News/Membership_Memo/2023/september-22/update-on-new-covid-19-vaccine-recommendations-and-availability | <div class="col-md-12">
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<h5>September 22, 2023</h5>
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<h2>Update on New COVID-19 Vaccine Recommendations and Availability</h2>
<p>The Advisory Committee on Immunization Practices met to vote on recommendations for the 2023-24 COVID-19 vaccines. It voted in favor of recommending these new monovalent COVID-19 vaccines including the XBB.1.5 component:</p>
<ul>
<li>Everyone 5 years and older without immunocompromise is recommended to receive one dose of the 2023-2024 COVID-19 vaccine regardless of prior vaccination history.</li>
<li>Children ages 6 months-4 years should complete a multidose initial series (two doses of Moderna or three doses of Pfizer mRNA COVID-19 vaccine) with at least one dose of the 2023-2024 COVID-19 vaccine.</li>
<li>People who are moderately or severely immunocompromised should complete a three-dose initial series with at least one dose of the 2023-2024 COVID-19 vaccine and may receive one or more additional 2023-2024 COVID-19 vaccine doses.</li>
<li>Bivalent mRNA COVID-19 vaccines are no longer recommended (or authorized for use) in the United States.</li>
</ul>
<p>Detailed guidance is available on the Centers for Disease Control and Prevention's <a href="https://www.cdc.gov/vaccines/covid-19/clinical-considerations/covid-19-vaccines-us.html">Interim Clinical Considerations for Use of COVID-19 in the U.S. webpage</a>.</p>
<h3>COVID-19 vaccine allocations in Washington state</h3>
<p>The COVID-19 vaccines are available to order and are currently under allocation through the Washington State Childhood Vaccine Program and Adult Vaccine Program. Vaccine orders will be reduced initially to accommodate for the limited number of doses currently available. The state Department of Health advises practices and clinics enrolled as vaccine providers to order small amounts more frequently initially as DOH transitions these vaccines into the agency's routine vaccine distribution programs.</p>
<h3>There is still time to enroll in the Adult Vaccine Program</h3>
<p>There is still time to enroll in Washington's Adult Vaccine Program to be eligible to request COVID-19 vaccine for your patients. Practices and clinics that enroll now will also be eligible to request <a href="https://doh.wa.gov/public-health-healthcare-providers/public-health-system-resources-and-services/immunization/adult-vaccine-program/publicly-supplied-vaccines">other routine vaccines</a> in the next AVP vaccine order cycle in spring 2024. Use the <a href="https://doh.wa.gov/sites/default/files/2023-08/348-976-WAStateAdultVaccineProgramEnrollmentGuide.pdf?uid=64fb53a04dd88">Adult Vaccine Provider Enrollment Guide</a> to help you through the enrollment process. </p>
</div> | 11/27/2023 4:12:57 PM | 9/21/2023 11:54:49 AM | 9/22/2023 12:00:00 AM |
| 2023-wsma-annual-meeting-online-registration-ends-midnight-sept-19 | 2023 WSMA Annual Meeting: Online Registration Ends Midnight, Sept. 19 | memo | Shared_Content/News/Membership_Memo/2023/september-7/2023-wsma-annual-meeting-online-registration-ends-midnight-sept-19 | <div class="col-md-12">
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<h5>September 8, 2023</h5>
<h2>2023 WSMA Annual Meeting: Online Registration Ends Midnight, Sept. 19</h2>
<p>Join your colleagues from across the state Sept. 23-24 for the 2023 Annual Meeting of the WSMA House of Delegates, held in person at The Westin Bellevue. <a href="https://wsma.org/wsma/events/annual_meeting/wsma/events/annual_meeting/annual_meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f&amp;_zs=A3aFd1&amp;_zl=FiBB9">Online registration</a> closes at midnight on Tuesday, Sept. 19. The meeting is free for WSMA members. Walk-in registration will be available at the meeting site.</p>
<h3>Delegate handbook now available </h3>
<p>The delegate handbook is now available for download from the <a href="https://wsma.org/wsma/events/annual_meeting/wsma/events/annual_meeting/annual_meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f&amp;_zs=A3aFd1&amp;_zl=FiBB9">Annual Meeting webpage</a>. The handbook contains the reports and resolutions that will be considered by delegates at the 2023 WSMA Annual Meeting as well as other meeting information.</p>
<h3>CME sessions</h3>
<p>Join us for two general CME sessions on Saturday, Sept. 23, during the meeting:</p>
<ul>
<li>Stephen Bezruchka, MD: How Can Doctors Make America Healthy Again? <br />
Dr. Bezruchka's presentation will consider what it would take for Washington to become the healthiest state in the nation.</li>
<li>Ed Walker, MD, MHA: Are You Reacting to Crisis or Leading Transformational Change? <br />
Dr. Walker will present a session focused on the importance of burnout recognition and treatment from a system-level perspective rather than a self-care, wellness model.</li>
</ul>
<p>These activities have been approved for <em>AMA PRA Category 1 Credit</em><sup>TM</sup>.</p>
<h3>WAMPAC luncheon featuring key legislative leaders</h3>
<p>WAMPAC, the nonpartisan campaign arm of the WSMA, is hosting its annual luncheon event on Saturday, Sept. 23 at 12:30 p.m. We are excited to be joined by House Majority Leader Rep. Joe Fitzgibbon (D-Burien) and new House Minority Leader Rep. Drew Stokesbary (R-Auburn). Together, the House leaders will discuss policy and campaign priorities of their respective caucuses and answer questions from the audience. The luncheon will also include a raffle for WAMPAC Diamond Club contributors with fantastic prizes, lovely food and dessert, and the opportunity to participate in a game of political trivia! Tickets for the luncheon are $50 and can be purchased when <a href="[@]wsma/events/annual_meeting/wsma/events/annual_meeting/annual_meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f&amp;_zs=A3aFd1&amp;_zl=FiBB9">registering for the Annual Meeting</a>. Tickets to the luncheon are free for WAMPAC Diamond Club members.</p>
<h3>New president's reception</h3>
<p>Directly following the presidential inauguration on Saturday at 5:15 p.m., we'll kick off a reception at 5:30 p.m. in honor of WSMA's newest president, Nariman Heshmati, MD.</p>
<h3>Reception for WSMA leadership courses alumni with Ed Walker, MD, MHA </h3>
<p>All alumni of WSMA's leadership courses are invited to attend a special reception with Dr. Walker at 5:30 p.m. on Saturday to network, reconnect, and mingle with fellow leadership course graduates. Tickets not required.</p>
<h3>Thank you to our corporate partners </h3>
<p>Thank you to our corporate partners for their generous support: Physicians Insurance; Optum, The Polyclinic, and The Everett Clinic; and the UW Psychiatry Consultation Line.</p>
</div> | 9/7/2023 4:48:31 PM | 9/7/2023 4:48:06 PM | 9/8/2023 12:00:00 AM |
| board-of-naturopathy-moves-forward-with-nonsurgical-cosmetic-procedures-rulemaking | Board of Naturopathy Moves Forward with Nonsurgical Cosmetic Procedures Rulemaking | memo | Shared_Content/News/Membership_Memo/2023/august-25/board-of-naturopathy-moves-forward-with-nonsurgical-cosmetic-procedures-rulemaking | <div class="col-md-12">
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<h5>August 25, 2023</h5>
<h2>Board of Naturopathy Moves Forward with Nonsurgical Cosmetic Procedures Rulemaking</h2>
<p>During its Aug. 11 meeting, the Board of Naturopathy approved a CR-102 that would allow naturopaths to perform nonsurgical cosmetic procedures, the last step in their years-long effort to increase their scope of practice to include the performance of these procedures. While disappointing, the CR-102 is specific to the use of botulinum toxin, not dermal fillers - a direct result of WSMA advocacy. The CR-102 also requires naturopaths to complete training on aesthetic injectable technique, but there is no hourly requirement or required number of procedures to be performed under supervision. The rule will take effect later this year.</p>
<p>The WSMA, partnered with the Washington Academy of Eye Physicians and Surgeons, the Washington State Dermatology Association, American Dermatology Association and Washington Society of Plastic Surgeons opposed this rulemaking at every opportunity citing patient safety concerns. We've also shared that this procedure is inconsistent with naturopathic medicine and that this rulemaking subverts the legislative process, as the Legislature sets scopes of practice. Most recently, our organization submitted the attached letter opposing the CR-102.</p>
<p>Should you have questions on this rulemaking, contact WSMA Associate Policy Director Billie Dickinson at <a href="mailto:billie@wsma.org">billie@wsma.org</a>.</p>
</div> | 8/24/2023 12:51:01 PM | 8/24/2023 12:50:41 PM | 8/25/2023 12:00:00 AM |
| proposed-federal-rule-addresses-mental-health-payment-parity | Proposed Federal Rule Addresses Mental Health Payment Parity | memo | Shared_Content/News/Membership_Memo/2023/august-25/proposed-federal-rule-addresses-mental-health-payment-parity | <div class="col-md-12">
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<h5>August 25, 2023</h5>
<h2>Proposed Federal Rule Addresses Mental Health Payment Parity </h2>
<p>The U.S. Department of the Treasury, Department of Labor, and Department of Health and Human Services have published long-awaited <a href="https://www.federalregister.gov/documents/2023/08/03/2023-15945/requirements-related-to-the-mental-health-parity-and-addiction-equity-act">proposed regulations</a> intended to clarify and improve compliance with the federal mental health parity law known as the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008. </p>
<p>The federal agencies also released their latest <a href="https://www.dol.gov/agencies/ebsa/laws-and-regulations/laws/mental-health-parity/report-to-congress-2023-mhpaea-comparative-analysis">comparative analysis report to Congress</a>, which focuses on the agencies' efforts to enforce the comparative analysis requirements established by Section 203 of the Consolidated Appropriations Act of 2021, and a <a href="https://www.dol.gov/agencies/ebsa/employers-and-advisers/guidance/technical-releases/23-01#:~:text=This%20Technical%20Release%20sets%20out,Act%20(MHPAEA)%20and%20seeks%20public">technical release</a> that provides further guidance on the types of data that are particularly relevant to network composition and adequacy.</p>
<p>More information on the proposed rule can be found in <a href="https://www.manatt.com/insights/newsletters/health-highlights/first-look-at-proposed-new-federal-mental-health-p">this newsletter</a>, which includes: </p>
<ul>
<li>Changes to the core rules regarding non-qualitative treatment limits </li>
<li>New design and application requirements </li>
<li>Required use of outcomes data </li>
<li>Information for ERISA plans and service providers </li>
</ul>
<ul>
<li>More information on the mental health parity law's comparative analysis report to Congress </li>
</ul>
<p>WSMA policy staff is reviewing this rulemaking to determine WSMA's level of engagement. Comments are due Oct. 2, 2023, and can be submitted on <a href="https://www.federalregister.gov/documents/2023/08/03/2023-15945/requirements-related-to-the-mental-health-parity-and-addiction-equity-act">the federal register</a>.</p>
</div> | 9/1/2023 12:04:35 PM | 8/22/2023 9:55:51 AM | 8/25/2023 12:00:00 AM |
| registration-open-for-2023-2024-health-equity-leadership-development-and-action-collective | Registration Open for 2023-2024 Health Equity Leadership Development and Action Collective | memo | Shared_Content/News/Membership_Memo/2023/august-25/registration-open-for-2023-2024-health-equity-leadership-development-and-action-collective | <div class="col-md-12">
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<h5>August 25, 2023</h5>
<h2>Registration Open for 2023-2024 Health Equity Leadership Development and Action Collective </h2>
<p>The WSMA has opened registration for the second cohort of the <a href="https://wsma.org/wsma/resources/health-equity/action-collective/wsma/physician_leadership/health_equity_leadership_development_and_action_collective/health_equity_leadership_development_and_action_collective.aspx?hkey=85fbc5bb-514b-44bf-a5d6-e883a07bd191">Health Equity Leadership Development and Action Collective</a>. This collective is for leaders in health care organizations who are ready to act on the understanding that racism exists in health care, and who are positioned to create change in their organization and beyond.</p>
<p>This course is led by Edwin Lindo, JD, health equity consultant to the WSMA and the WSMA Foundation, and assistant dean of social and health justice in the Office of Healthcare Equity, an associate teaching professor in the department of family medicine, and an adjunct associate teaching professor in the department of bioethics and humanities at the University of Washington School of Medicine. He teaches, presents, and writes on issues of race and racism within the field of medicine and greater society. He is internationally recognized as a conscious voice for racial and social justice.</p>
<p>In this activity, Lindo will help attendees learn, hone, and practice the skills needed to effectively address issues of inequity within their practice, medical group, or health system. This course will help learners to:</p>
<ul>
<li>Identify common health equity issues.</li>
<li>Outline principles to advance health equity through culture, policy, and clinical changes.</li>
<li>Identify the need for change within your organization.</li>
<li>Strategize how to bring people within your organization together to create change toward equity.</li>
<li>Learn how to create change through a culture of health equity.</li>
<li>Solicit strategic guidance from the collective.</li>
<li>Share your change plan and progress with members of the collective.</li>
</ul>
<p>The course costs $1,800 for WSMA members, and $2,400 for non-members. This activity has been approved for <em>AMA PRA Category 1 Credit</em><sup>TM</sup>.</p>
<h3>CQIP Confidentiality Notice</h3>
<p>Each session is protected under WSMA's CQIP as recognized by the Washington State Department of Health and pursuant to RCW 70.225.040. By registering, you agree to maintain the confidentiality of the discussions pursuant to RCW 43.70.510, RCW 70.41.200, and RCW 4.24.250.</p>
<p>Click <a href="[@]Shared_Content/Events/Event_Display.aspx?eventkey=HLTHEQ2324">here</a> to register.</p>
</div> | 9/1/2023 12:04:36 PM | 8/22/2023 9:55:54 AM | 8/25/2023 12:00:00 AM |