WMHS, in collaboration with the Title X grantees from North Dakota, South Dakota, and Wyoming will be hosting 4 webinars in July and August on ICD-10 and family planning. These webinars will be available to all Title X staff in Montana free of charge. Here are the details:

Webinar Dates and Content

Webinar 1 - July 6 from 12 - 1 pm  - "The Revenue Cycle"

Webinar 2 - July 20 from 12 - 1 pm - "CPT coding and compliance"

Webinar 3 - August 3  from 12 - 1 pm - "Diagnosis coding and ICD-9"

Webinar 4 - August 23 from 12 - 1 pm - "Diagnosis coding and ICD-10"

Webinars will include case studies. For webinar #2, a coding and compliance handout will be provided. In Webinar #4, an ICD-10 Forward Map (Cross-walk from ICD-9 - ICD-10) will be provided.

Webinar Recording

Trainings will be recorded for staff who are unable to attend.

Capacity

The capacity for the web-based system will be approximately 100-125. The webinars will be recorded for those who cannot attend on the days offered. It is absolutely ok for staff to share logins so that multiple staff can view the webinars on one computer. Login information will be sent out as the dates approach.

If you have questions please contact A.C. Rothenbuecher at 444.3775 or arothenbuecher@mt.gov. 

The Health Resources and Services Administration (HRSA) Office of Pharmacy Affairs is required to recertify all participating covered entities enrolled in the 340B program to ensure covered entities are appropriately listed on the 340B database and are in compliance with 340B program requirements. The recertification period for Title X-funded health centers participating in 340B begins today and runs through June 10.

Please note: All covered entities must be recertified by midnight PT on June 10 (3 a.m. ET, June 11). Any entities not recertified by the deadline will be removed from the 340B program, and would need to reapply to participate in the 340B program. The next open registration period will be July 1-15, 2015, for an October 1, 2015, start date. Thus, these decertified sites would be out of the program for a minimum of one quarter. 

To ensure a smooth recertification, you are encouraged to visit the 340B program database and verify that your health center's address is correct and that listed sites are still open and eligible to participate in 340B. It is the 340B Covered Entities' responsibility to keep their 340B database records up to date. Most importantly, verify that the 340B program contact information for the Authorizing Official and Primary Contact is up to date. The Authorizing Official will be responsible for completing the recertification process online. If your Covered Entities' Authorizing Official record is incorrect, please download a change request form (available here).

If you encounter any issues with the 340B program database or have questions about recertification, please contact Apexus Answers at ApexusAnswers@340bpvp.com or 1-888-340-2787.

Providing Youth Friendly Sexual and Reproductive Health Services in Clinics  Tuesday, May 26, 2015 2:00 - 3:30 p.m. ET
Learn more about the importance of having youth-friendly sexual and reproductive health services and hear from grantees from ACF, CDC, OAH, and OPA. Join this webinar
Phone Number: 800-369-1945
Passcode:  6776021 

Widening Our Lens: Co-Occurring Risk Behaviors During Adolescence  Thursday, May 28, 2015 2:00-3:00 p.m. ET
 Learn more about the relationships between co-occurring risk and protective behaviors and the implications for TPP and other adolescent health programs.

 Conference call-in: 888-390-1454         

Participant Passcode: 5282015
Webinar info:

https://www.mymeetings.com/nc/join.php?i=PW3762619&p=5282015&t=c

Archived Webinar on OAH Website

Sexual Orientation Influences HPV Vaccination Uptake

Diane E. Judge, APN/CNP Reviewing Agénor M et al., Ann Intern Med 2015 May 12;

Compared with heterosexual and bisexual women, lesbians were as likely to know about the HPV vaccine but less likely to initiate vaccination.

Human papillomavirus (HPV), responsible for most cervical cancers, is transmitted through skin-to-skin or genital contact with a partner of any sex; thus, all sexually active women - regardless of sexual orientation - are at risk for acquiring the infection. In an analysis of data from the 2006-2010 U.S. National Survey of Family Growth, researchers examined whether sexual orientation affects knowledge about and likelihood of HPV vaccination in girls and women.

Among 3253 girls and women (age range, 15-25), 2914 identified as heterosexual, 235 as bisexual, and 62 as lesbian (42 did not report orientation). Compared with heterosexual or bisexual women, lesbians were older and more likely to be employed and to have higher income but were less likely to be insured or to have received services for contraception and sexually transmitted infection in the last year. Adjusted for demographics, socioeconomics, insurance, and receipt of services, similar percentages of heterosexual (84%), bisexual (86%), and lesbian (92%) participants reported ever hearing about HPV vaccination. Among participants aware of the vaccine, 790 (28%) had received at least one dose; rates were similar for heterosexual (28%) and bisexual (33%) women and girls, but lower for lesbians (8%).

Diane E. Judge, APN/CNP Reviewing Daniel H and Butkus R., Ann Intern Med 2015 May 12;

The ACP recommends measures to enhance the provision of "culturally and clinically competent" care for lesbian, gay, bisexual, and transgender individuals.

The American College of Physicians (ACP) has published a position statement for eliminating disparities in healthcare provided to and policies experienced by lesbian, gay, bisexual, and transgender (LGBT) individuals.

Citing discrepancies in care (e.g., lower mammography rates in lesbians, insurance exclusions on transgender health services) received by the LGBT community compared with the general population, the ACP recommends:

• Including gender identity (distinct from sexual orientation) in nondiscrimination and antiharassment policies at medical schools, hospitals, physicians' offices, and other medical facilities.
• Including comprehensive transgender healthcare services in public and private health benefit plans and providing transgender individuals with all services available to other beneficiaries.
• Including all those who maintain ongoing emotional relationships, regardless of legal or biological relationships, in the definition of "family."
• Allowing patients in hospitals and medical facilities to determine who may visit and act on their behalf regardless of sexual orientation, gender identity, or marital status.
• Incorporating LGBT health issues into medical education curricula, recruiting LGBT individuals into medical practice, and supporting LGBT medical students, residents, and practicing physicians.

The statement supports civil marriage rights for same-sex couples; research about the demographics of the LBGT population, causes of health disparities and best practices for reducing such discrepancies; and evidence-based review of blood donation deferral policies for men who have sex with men. The ACP opposes "conversion," "reorientation," or "reparative" therapy for LGBT individuals.

It's Teen Pregnancy Prevention Month! This year, President Obama marked the occasion in a presidential message underscoring the importance of "comprehensive, age-appropriate, evidence-based initiatives." Additionally, commentaries in this month's Public Health Reports by Surgeon General Vivek Murthy and the Office of Adolescent Health (OAH) Director Evelyn Kappeler further emphasize how critical it is that we continue to support and invest in efforts to promote adolescent sexual health.

Throughout the month of May, help SIECUS spread the word about the importance of comprehensive sexuality education not only to prevent unintended pregnancy, but to equip young people with the information and skills they need to ensure their health and well-being throughout their lives.

Here are some ways you can be part of the conversation:

• Follow and share the Division of Adolescent and School Health's (DASH) and the Division of Reproductive Health's (DRH) tweets at https://twitter.com/DrZazaCDCand https://twitter.com/CDCChronic
   
• Help promote the Personal Responsibility Education Program's (PREP) efforts to advance adolescent sexual health by pledging to support the Family and Youth Services Bureau (FYSB) Adolescent Pregnancy Prevention Program's Thunderclap by May 20th.
   
• Celebrate OAH's 5th year milestone and commit to support the "TAG in for Adolescent Health" Thunderclap by May 28th.
   
• Join the National Clearinghouse on Families and Youth on Twitter for a #NCFYtalk to discuss preventing unintended pregnancy among young people as a part of supporting overall adolescent health and development on May 28 at 2pm ET.

In addition, great new resources to stay informed are available:

• Check out the U.S. Department of Health and Human Services' National Teen Pregnancy Prevention Month Webpage.
   
• Read FYSB's blog to learn and share more about disparities in adolescent pregnancy among youth involved in juvenile justice and child welfare systems.
   
• Register for the FYSB webinar to be held on May 21, 2015 at 3:30 pm EDT that will address Effective Strategies for Implementing Adolescent Pregnancy Prevention Services Among Youth Involved in the Juvenile Justice and Foster Care Systems.
   
• Check out the new research brief Design for an Impact Study of Four PREP Programs to be released on May 21, 2015 on the FYSB website.
   
• Utilize the latest resources available from OAH, including  A Checklist for Putting Positive Youth Development Characteristics into Action in Teen Pregnancy Prevention Programs and Evidence-Based Teen Pregnancy Prevention Programs at a Glance.

Rates of teen pregnancy and childbearing have plummeted over the past two decades and are at record lows.  There have also been impressive declines in all 50 states. 

Still, many disparities remain, including the fact that teen childbearing remains far higher in rural areas than in urban areas.  New research released by The National Campaign to Prevent Teen and Unplanned Pregnancy helps explain why.

Teen childbearing in rural counties is nearly one-third higher than the rate in the rest of the country and rates have been falling more slowly in rural areas compared to metropolitan areas.  According to the new research report, Sex in the (Non) City: Teen Childbearing in Rural America, there are several factors that explain the gap between rural and metropolitan teen birth rates:

Poverty and low college enrollment are major drivers of the rural/metropolitan disparity in teen birth rates.

• Other prominent factors include access to health services and whether the county was losing rather than attracting residents.
• Factors such as transportation barriers played only a minor role in explaining the disparity between rural and metropolitan counties.
• Difference in the racial/ethnic composition of the population also accounted for very little of the disparity, as did marriage among teens.

"Teen childbearing among rural youth is neither culturally entrenched nor intractable," says report co-author Kelleen Kaye, Senior Director of Research at The National Campaign. "Improving access to clinical services and evidence-based teen pregnancy prevention programs that help teens plan and postpone childbearing may offer the most concrete, actionable opportunities for reducing teen pregnancy in rural areas."