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Wednesday Weekly 
DPHHS WMHS Newsletter 
In This Issue
Family Planning Reports Now Available
WMHS Scheduled Trainings
An Evidenced-based Approach to Addressing Risk in Contraception
Medicaid Reimbursement for Postpartum LARC Insertion
Maternal Mortality Prevention Project Webinar
NFPRHA's January Service Delivery Call
Effect of HPV on Sexual Behavior
FDA Approves New HPV Vaccine
Contraceptive Status Among Women 15-44
ARHP: Thinking (Re)Productively
ACOG Steps Up Advocacy for Access to Contraception
Some STDs Decreasing, but Others Increasing
2015 Webinar Series
Who's Leading the Leading Health Indicators
DPHHS Health Education Specialist Position
Life is Short - Smile!
Calendar of Events
1/12-Ahlers Billing Session-1
1/15-Ahlers Billing Session-2
1/15- Health Education Progress Reports Due
1/15- PREP Quarterly Reports Due
1/22- Ahlers Scheduling
1/26- Ahlers CVR Entry
1/28- Title X and Plan First Orientation
1/29- Ahlers Web Reports
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January 7, 2015

Quote of the Week 

Family Planning Reports Now Available
Family Planning Logo WMHS 2014 Reports Now Available 
  
The 2014 Family Planning Report and Teen Birth and Pregnancy Report have been printed and are ready for distribution.  You can access both of the reports online.  Each Title X Delegate Agency will receive their hard copy reports in the next weeek.  If you would like a copy of the report please contact Kimberly Koch at [email protected] or 406.444.4348
WMHS Scheduled Trainings

Family Planning LogoWMHS Trainings

 

WMHS will be hosting five optional training sessions on Ahlers. These will be done by WebEx and recorded. Below is the training schedule. A reminder will be sent out the week before each of the trainings and will be sending out Outlook calendar requests.

 

Monday, January 12, 10-11am - Billing Session 1

Thursday, January 15, 10-11 am - Billing Session 2

Thursday, January 22, 10-11 am - Scheduling

Monday, January 26, 10-11 am - CVR entry

Thursday, January 29, 10-11 am - Web Reports

 

WMHS will be hosting a Title X & Plan First Orientation Webinar on Wednesday, January 28th from 9-10 am. This will be recorded for future use. This training is optional and available to all Title X Staff. 

 

If you have any questions please contact A.C. Rothenbuecher at 406.444.3775 or [email protected].
An Evidenced-based Approach to Addressing Risk in Contraception
Risk Made Real: An Evidence-Based Approach to Addressing Risk in Contraception

  

Presented by Lee Shulman, MD
Wednesday, January 7 
12:00 - 1:00 pm ET

 

Register Now

At the conclusion of this presentation, participants should be able to:

  • Identify factors that influence patients' perceptions of risk
  • Define absolute risk, attributable risk, relative risk, and odds ratio
  • Discuss the specific risks associated with sterilization
  • Demonstrate effective risk communication strategies
  • Counsel to reduce the risk of decision regret with sterilization
  
Medicaid Reimbursement for Postpartum LARC Insertion

IUDPostpartum LARC Insertion

 

As you know, long-acting reversible contraceptives (LARCs) are one of the most highly effective, yet under-utilized, methods with a <1% failure rate. 

 

The immediate postpartum period is a particularly favorable time for IUD or implant insertion.  Women who have recently given birth are often highly motivated to use contraception, they are known not to be pregnant, and the hospital setting offers convenience for both the patient and the health care provider.

 

Provision of LARCs to adolescents during the postpartum period is also linked to a reduction of repeat pregnancy as well as a reduction in the overall teen birth rate. 

 

For all of these reasons, we are very excited that effective January 1, 2015, Montana Medicaid will reimburse LARC insertion during the postpartum period.

 

What can you do?  Please encourage the use of LARCs among appropriate candidates, including teens.  Whenever possible, educate other providers of this change in Medicaid policy.  We are proud that Montana joins only seven other states that have made or plan to make this change to Medicaid reimbursement.

 

If you have any questions please contact Helen McCaffrey at 406.444.0983 or [email protected].

  
Maternal Mortality Prevention Project Webinar
Maternal Mortality Prevention Project Webinar

 

We hope you can join us - and please forward to others who work with pregnant and postpartum women!

 

This webinar presentation will highlight Colorado's efforts to identify what works for pregnant or postpartum women who are experiencing severe pregnancy related depression, substance abuse or intimate partner violence.

 

Hosted by the Region VIII Federal Women and Children's Health Task Force and Substance Abuse and Mental Health Association (SAMHSA)

 

Date:  January 21, 2015

Time: 1:00-2:30 p.m. MT (3:00-4:30 p.m. ET)

To register:  click here

 

Colorado's maternal mortality data and Title V needs assessment efforts have identified gaps in mental and behavioral health systems within the state, specifically with regards to pregnant and postpartum populations.   With funding from a recent Every Mother Initiative (EMI) grant from the Association of Maternal and Child Health Programs (AMCHP)., Colorado conducted a pilot project to identify what worked for women who experienced severe pregnancy-related depression (PRD), substance use (SA) or intimate partner violence (IPV) but were able to get help. While a review of mortality data can clearly identify what could have been done differently, there is limited available research or standardized practice focusing on what worked well for women who experienced severe PRD, SA or IPV but were able to obtain the support or help needed. Colorado's EMI project set out to obtain this information from three key audiences: women who had been through a severe PRD, SA, or IPV experience during pregnancy or postpartum; providers who work with these women; and loved ones who observed the experiences or were connected to the woman throughout this time in her life. The presentation will explore these findings and include opportunities for future action.

  
NFPRHA's January Service Delivery Call
Register for NFPRHA's January Service Delivery Call
Wednesday, January 21, at 3:00 p.m. ET 

 

Third-party payers (TPPs) represent a growing source of revenue for many publicly funded family planning providers. This trend will continue as more Americans access the expanded benefits made possible by health care reforms. As a result, it is increasingly important to health center sustainability that the family planning network hones its skills related to working with TPPs.

 

Join NFPRHA's January Service Delivery call on Wednesday, January 21 to gain insight about building relationships with TPPs from the participants of the Life After 40 project case study, Building Blocks for Effective Relationships with Third-Party Payers. Presenters on the call will identify techniques for engaging in negotiations with TPPs and discuss tools and resources to help streamline an agency's interaction with TPPs. 

 

Register now for NFPRHA's January Service Delivery Call on Wednesday, January 21, at 3:00 p.m. ET.To join, please RSVP by completing the online registration form. If you have any questions about registering, please contact Catherine Fish at [email protected] or 202-293-3114, ext. 218.

  
Effect of HPV Vaccine on Sexual Behavior 
Effect of HPV Vaccine on Sexual Behavior 
A new study finds that, despite concerns, vaccinating young girls against HPV doesn't affect sexual behavior. Using administrative health databases, researches identified 260,493 girls who were in grade 8 in the two years before and after implementation of Ontario's grade 8 HPV vaccination program. Teen girls in the study who received the HPV vaccine were no more likely to become pregnant or contract another sexually transmitted infection (STI) than girls who were not vaccinated. These results suggest HPV vaccination does not have any significant effect on sexual behavior and that concerns over increased promiscuity following HPV vaccination are unwarranted and should not deter from vaccinating at a young age. In the US, only 38% of girls and 14% of boys received all three doses of the HPV vaccine. 
FDA Approves New HPV Vaccine 
FDA Approves New HPV Vaccine
 
The US Food and Drug Administration (FDA) recently approved Gardasil 9 for the prevention of certain diseases caused by nine types of HPV. This vaccine covers five more HPV types than Gardasil (previously approved by the FDA), including two types of HPV that cause approximately 90% of genital warts cases. Gardasil 9 has the potential to prevent approximately 90% of cervical, vulvar, vaginal and anal cancers. The vaccine was approved for use in females ages 9 through 26 and males 9 through 15. 
Contraceptive Status Among Women 15-44
New Report: Contraceptive Status Among Women 15-44
 
A new National Center for Health Statistics report shows that the birth control pill remains one of the most popular methods for women, along with female sterilization and condoms. Among the 62% of women aged 15 to 44 who used birth control between 2011 and 2013, approximately 16% used the pill. Female sterilization (where the fallopian tubes are closed or blocked) was used by 15.5% of women, while 9.4% used male condoms. According to the report, intrauterine devices (IUDs) and implants, both types of long-acting reversible contraceptives, are becoming more popular as their use nearly doubled since the last report five years ago. 
ARHP: Thinking (Re)Productively
Counseling for emergency contraception: time for a tiered approach 

 

Typical counseling for emergency contraception (EC) does not take into account the relative effectiveness of the methods or client characteristics; new data and lessons from contraceptive counseling research suggest that it is time for this approach to change. The number of EC options available in the United States has grown in the last decade and now includes levonorgestrel (LNG) pills, ulipristal acetate (UPA) pills and a copper intrauterine device (IUD). Understanding of the relative effectiveness of EC options has also grown and is the subject of ongoing research. Similar to other contraceptive methods, there is a range of effectiveness for ECs, and user adherence impacts effectiveness.

 

Read more

ACOG Steps Up Advocacy for Access to Contraception

ACOG Steps Up Advocacy for Access to Contraception

 

The American College of Obstetricians and Gynecologists (ACOG) issued new and revised recommendations December 22 on providing more women with access to contraception.

 

The committee opinion, issued by ACOG's Committee on Health Care for Underserved Women, and published in the January issue of Obstetrics and Gynecology, contains 18 new or revised recommendations, including advocating for full implementation of the Affordable Care Act requirement that private health insurance cover all contraception approved by the US Food and Drug Administration without cost sharing.

The benefits of contraception are widely accepted, but recent legal rulings and legislative actions have become barriers to access for many women, particularly low-income women, the committee writes. The present rate of unintended pregnancies is 49% in the United States.

 

To read the full article click here.

 

The recommendations include:

  • access to acceptable alternative contraceptive coverage for women whose health insurance plans exclude contraceptive coverage;

  • age-appropriate and medically accurate education programs;

  • prompt referral to appropriate care by clinicians, religiously affiliated hospitals, and others who do not provide contraceptive care; and

  • payment and practice policies that support 3- to 13-month supplies of hormonal methods to provide contraceptive continuation, rather than a restriction to a month's supply at a time. 

  Obstet Gynecol. 2015;125:250-255.
Some STDs Decreasing, but Others Increasing
CDC Report 
A new federal report shows a mix of both increasing and decreasing rates of reportable sexually transmitted diseases. Chlamydia was a success story with its rate decreasing for the first time since national reporting began. The rate of gonorrhea saw very slight decline from 2012-2013, but saw an overall increase of 8.2% from 2009-2013.  The rates of primary and secondary syphilis increased by nearly 11% from 2012-2013 after having been stable in 2011. These data indicate that more needs to be done to address sexually transmitted diseases in the United States. Men who have sex with men and young women under age 24 are key groups that should be screened regularly.  
  
2015 Webinar Series
Addressing Health Disparities through the National Prevention Strategy Partnership
 

The National Prevention Strategy (NPS) is a guide for improving the health and

well-being of every American by shifting the nation from a focus on sickness and disease to one based on prevention and wellness. One of the four key Strategic Directions of the NPS is the elimination of health disparities. This webinar series will highlight successful programs and initiatives from partner groups that are critical to the elimination of health disparities.

 

February 19: Individuals and Families share how they have developed and led health promotion and prevention efforts in their communities.

 

March 19: Community Non-Profit & Faith-Based Organizations bring together representatives and multi-sector professionals to meet health needs in a culturally, linguistically, and age appropriate manner.

 

May 21: Early Learning Centers, Schools, & Higher Education

increase diversity in health care and careers, and improve conditions that affect school attendance.

 

July 16: Health Care Systems, Insurers, & Clinicians recruit from underrepresented groups to improve representation and cultural and communication competencies.

 

September 17: Businesses & Employers foster a health focus in the workplace, including preventive screenings and access to reliable health information.

 

November 19: State, Local & Territorial Governments coordinate to engage community leaders in health promotion and prevention and use data to identify high risk populations.

 

Presented by the Region VIII Federal Partners.

All webinars are scheduled for Thursdays from 2 - 3:30pm (MT).

 

Transcripts and recordings will be made available.  

 

Continuing education credits from the Centers for Disease Control and Prevention for this activity are pending.

For more information or to be added to the mailing list, contact: [email protected]  

Who's Leading the Leading Health Indicators 

Webinar: Access to Health Services

 

Register Now | January 22, 2015 | 12:00 to 1:00 p.m. ET

 

Access to and utilization of quality health care can greatly affect a person's health. Increasing access to both routine medical care and medical insurance are vital steps in improving the health of all Americans. Regular and reliable use of health services can prevent disease and disability, detect and treat illnesses or other health conditions, and increase life expectancy.

DPHHS Health Education Specialist Position
Position Title: Health Education Specialist-Quality Improvement

Position Number(s): 69100801

Openings: 1

Location(s): Helena

Job Status: Full-Time Permanent

Shift: Daytime

Date Posted: 12/24/2014

Closing Date: 1/7/2015

Department: Public Health and Human Services

Division: Public Health and Safety

Bureau: Family and Community Health

Union: MPEA

Band/Grade: 6

State Application Required: Yes

Salary: $35,360.00 - $44,200.00

Salary Unit: Yearly

 

Listing Number:14639-14166

For more information contact:

 

State Agency:

Public Health and Human Services

Human Resources P.O. Box 4210

Helena, MT 59604

Phone:(406)444-3136

Fax:(406)444-0262

TTY:(406)444-2590

E-mail:[email protected]  

 

Duties:

This position is the Fetal, Infant, Child, and Maternal Mortality Review (FICMMR) Coordinator and will coordinate the Montana Infant Mortality Collaborative Improvement and Innovation Network (CoIIN) Initiative. Responsibilities include:

 

Quality Improvement:

  • Research and analyze national health care guidelines and the published literature to determine appropriate strategies, tools, and systems to develop and implement quality improvement activities
  • Review and abstract information from medical records to support provider quality improvement activities
  • Develop and recommend quality improvement plans to providers
  • Monitor quality improvement activities among participating providers through site visits, and analysis of performance information
  • Provide technical assistance and training to providers to support implementation of quality improvement activities
  • Develop reports and action plans to inform providers of their current performance and to support implementation of quality improvement activities
  • Outreach, Training, and Program Support
  • Assess ongoing program activities to identify education and training needs such as new requirements (e.g., new/revised clinical guidelines)
  • Plan and coordinate meetings and presentations to provide education, outreach and networking opportunities. Develop and deliver presentation, outreach material, websites, manuals or other program contents
  • Develop or coordinate special studies to assess current issues for clinical and public health education and outreach
  • Respond to inquiries concerning clinical and public health programs

Competencies:

 

Required for the first day of work:

  • Knowledge of clinical and public health education and disease prevention
  • Knowledge of grant administration
  • Knowledge of contract development
  • Knowledge of managing and monitoring a budget
  • Skill in public speaking
  • Skill in research and developing health training material and program content
  • Excellent written and verbal communication skills
  • Ability to operate a personal computer and general office equipment as necessary to complete the essential functions including using word processing, database and e-mail, internet and other computer programs
  • Education/Experience:
  • Bachelor's degree in health sciences, clinical sciences or a related field
  • One year of job related experience in health education or health programming
  • Other combinations of directly related education and experience may be considered on a case-by-case basis
  
Life is Short - Smile!

  

             
                     

Please forward this on to any parties that may be interested.