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Important Dates
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1/28 - MFPA Conference Call
1/28 - PREP RFP webinar
1/29- I&E materials due
2/25 - I&E Committee WebEx
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Quote of the Week
Perseverance is not a long race; it is many short races one after the other.
-Walter Elliot
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| WMHS Program Specialist Position-Re-Advertised | |  WMHS Program Specialist Position-Re-Advertised
Are you interested in working in the DPHHS Women's and Men's Health Section? The WMHS is looking for a dynamic person to work as the Title X Family Planning Program Specialist. This position provides support, outreach, training and technical assistance to contractors providing Title X services, as well as those working in Affordable Care Act outreach and enrollment. Additional program management responsibilities include development and implementation of program evaluation and data collection systems.
Click Here for complete job description |
| Montana Family Planning Training | | 
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| Health in the 406 | |
 DPHHS introduces Health in the 406 messages
The Department of Public Health and Human Services (DPHHS) is introducing a new series of health messages called Health in the 406 that will focus on various public health topics designed to raise awareness and help Montanans live healthier lives.
"Public health is a partnership of individuals and organizations and all Montanans have a role," said DPHHS State Medical Officer Dr. Greg Holzman. "We want Montanans to become more aware of issues that impact their daily lives so that they can improve their health and enhance their quality of life for themselves and loved ones."
There will be a wide range of topics covered including chronic pain, mental health and tobacco use, birth defects, colorectal screening, and more.
Health in the 406 is regular communication by DPHHS on a variety of wellness topics designed to raise awareness of issues that impact the daily lives of Montana's. Public health is a partnership of individuals and organizations and all Montana's have a role so they can improve their health and enhance their quality of life for themselves and loved ones.
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| Caring4Women Veterans and Preconception Care Mobile Apps | |  Caring4Women Veterans and Preconception Care Mobile Apps
The Department of Veterans Affairs (VA) Office of Women's Health Services has released two mobile applications (apps): PreconceptionCare and Caring4Women Veterans. These apps are part of a series of free VA-developed apps under the Mobile Health Provider Program. The program is an effort to equip VA care teams with mobile technology to enhance the way they deliver care.
The Caring4Women Veterans app provides teams with information to help address the unique physical and mental health issues that affect women Veterans. Women Veterans may have health care needs that differ from both male Veterans and the general female population. Because many women Veterans seek health care outside of the VA network, it is important that both their VA and non-VA providers have the resources necessary to provide informed and comprehensive care; the Caring4Women Veterans App provides this. Additional training materials and resources such as a user manual, slideshow and frequently asked questions (FAQs) can be found here.
The Preconception Care app provides care teams with information to support the integration of preconception care into comprehensive primary care, thereby optimizing the health of women Veterans and their unborn children.The app provides a single, easy access point for provider-centered resources that address a variety of factors, including birth control usage, reproductive history, health status, family and genetic history and risks, vaccinations received and lifestyle factors. Additional training materials and resources such as a user manual, slideshow and FAQs can be found here.
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| Health Insurance Reimbursements Typically Do Not Cover Title X Providers' Full Cost of Care | | |
HEALTH INSURANCE REIMBURSEMENTS TYPICALLY
DO NOT COVER TITLE X PROVIDERS' FULL COST OF CARE
New Findings Underscore Need for Higher
Reimbursement Rates, Show Enduring Importance of
Title X and Other Grant Programs
Among the study's key findings:
- For patient visits, the median Medicaid fee-for-service rates were 45-49% of the actual cost of providing that care. Medians for insertion and removal of long-acting reversible contraceptive (LARC) methods, like the IUD or contraceptive implant, were somewhat higher (49-74%).
- Reimbursement under Medicaid managed care was typically lower than under Medicaid fee-for-service. Medicaid plans paid a median of 41-46% of actual costs for patient visits and 27-33% of costs for IUD insertion and removal.
- Private insurance reimbursement was typically slightly higher than Medicaid fee-for-service reimbursement. Private plans paid a median of 55-58% of actual costs for patient visits, and 53-74% of costs for LARC method insertion and removal.
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National Campaign Highlights
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Online, Up to Date, and at Your Fingertips.
The National Campaign's popular online national and state data portal has been updated to include just-released national and state data on teen births. Whether you need an overview of relevant national and state data, prefer to get into the weeds regarding data from your state, or just want printable, accessible, facts sheets, come pay us a visit. Just click on your state and watch the magic.
What's Teen Pregnancy Got to Do with It?
The age of first-time moms continues to increase in all states and among all racial/ethnic groups, according to a new report from the National Center for Health Statistics. Fifteen years ago the mean age a woman first gave birth was 24.9 years; in 2014 the age was 26.3. Many attribute to increased age to the steep declines in teen births. This National Public Radio piece has all the details. |
| New Webinar Series: Update on Emergency Contraception | |
 New Webinar Series: Update on Emergency Contraception
Did you know 18% of sexually active women in the U.S. have used emergency contraception? Join ARHP in a free two-part CME/CE webinar series to learn the latest evidence-based research in emergency contraception.
January 27, 2016 at 1:00pm EST
Presented by James Trussell, PhD, and David Turok, MD, MPH
Learning Objectives
By the end of this webinar, you will be able to:
- Describe the importance of emergency contraception (EC) in the method mix
- Describe EC options available in the U.S.
- Provide evidence-based information about the efficacy of EC
- Discuss issues around providing hormonal contraception after use of EC pills
Register now to reserve your spot, space is limited. Free CME/CE credit will be available.
Save-the-Date for Part 2
Update on Emergency Contraception: Mechanism of Action, Safety, and Side Effects and Access
February 18, 2016 at 1:00pm EST
Presented by Beth Kruse, MS, CNM, ARNP, and Donald F. Downing, RPh.
Click here to register today. Part 2 will address the following learning objectives:
- Discuss the mechanism of action of ECPs
- Provide evidence-based information about safety and side-effects
Describe the current state of access to EC in the U.S.
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| Teen Dating Violence Awareness Month | |  Join us in February for Teen Dating Violence Awareness and Prevention Month!
February is Teen Dating Violence Awareness and Prevention Month and we have a lot of great activities planned.
Take Action
- It's Time to Talk begins - February 2nd - Start the conversation with your friends, family members or coworkers on this day. Listen to this podcast of Laila Leigh, Break the Cycle's very own Legal Services Manager and host Kristen Rowe-Finkbeiner on Mom's Rising to prepare for your day of discussion. Available now for download on iTunes or listen to the segment titled 'Kicking Off 2016 With Good News'. Do you know the facts of dating violence? Share them with those you care about and commit to setting a time to talk throughout the month. Let Break the Cycle know you had a conversation we want to share your conversation success with the entire community.
- Like to Hang Out? Raising awareness is as easy as hanging out with your friends. As you're walking the mall, sipping on your favorite warm drink or taking a break from the daily grind - join us by recognizing that everyone deserves a healthy relationship. Seriously! Set up a hang out to talk about healthy relationships and share your hang out selfies with us on Twitter. BTC Staff will be hosting hangouts in LA & DC follow us on Twitter to learn where we'll be and join us!
- #ChalkAboutLove - February 14 & 29 - Don't just talk about it CHALK about it! Take your message a step further (by getting permission of course) to chalk a sidewalk, your campus, a small board with a message of what love means to you. Share your photos and videos with us by tagging @breakthecycleDV on Twitter @breakthecycle on Instagram.
- UTalk DC/Know Your Rights - U TALK is an event for college students in the DC area to speak up about the information and resources they need to create healthy relationships. Follow us on Facebook to learn more about the event details.
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Help Teens #KTFF About STDs
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Help Teens #KTFF About STDs
About 1 in 4 teens in the U.S. has a sexually transmitted disease (STD). We created Know The Facts First because teens need a place where they can get accurate, reliable straightforward information about STDs and how to protect themselves. We aim to provide teen girls with information about STDs and STD prevention so that they can make informed decisions about sexual activity. Do your part by sharing this Thunderclap and use the hashtag #KTFF.
We can all support #KTFF and #STD prevention among teens. Here's what you can do:
- Click "Support with Twitter" and get the word out to your followers and friends. Be sure to ask them to sign up for Thunderclap too.
- Visit KnowTheFactsFirst.gov to learn how you can raise awareness and find more information about STD prevention.
- On Monday, February 1, watch as everyone's messages are shared all at once.
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| Primary Care Physicians' Perceptions About HPV Vaccination- Another Missed Opportunity? | |  January 20, 2016
Louis M. Bell, MD Reviewing Allison MA et al., Pediatrics 2016 Feb 137:e20152488
Pediatricians and family physicians often did not strongly encourage patients (and parents) about receiving the HPV vaccine.
Vaccination against human papillomavirus (HPV) is recommended beginning at age 11 to 12. However, only 40% of U.S. girls and 22% of boys aged 13 to 17 years receive all three doses of vaccine. As HPV is a sexually transmitted infection, discussions with families can be challenging. Researchers conducted a national survey of 829 pediatricians and family physicians (FPs) to gauge opinions about and barriers to HPV vaccination. Participants were queried about their habits in recommending the HPV vaccine, how commonly parents requested deferral of HPV vaccination, and why they or parents might not want to discuss the need for vaccination.
The overall response rate was 70%, with more pediatricians (82%) than FPs (56%) answering. Almost all pediatricians and 87% of FPs reported administering the HPV vaccine to girls aged 11 to 18 years, whereas 98% of pediatricians and 81% of FPs did so for boys. In general, the vaccine was more strongly recommended to patients aged 13 to 15 years than to those aged 11 to 12 years, and girls were more strongly encouraged to receive HPV vaccination than boys. More than half of physicians reported that ≥25% of parents deferred vaccinations for their 11-to-12-year-old children. White, suburban families with private insurance had the highest frequency of postponement. One third of pediatricians and one half of FPs did not always discuss HPV vaccination at the 11-to-12-year visit. Among physicians who chose not to discuss HPV vaccination at this age, 54% thought the patient was not sexually active, 38% thought the patient was too young, 35% noted that the patient was already receiving other vaccines, and 29% expected the parents to refuse.
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Resources for Cervical Cancer Awareness Month
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Annual pap tests are no longer recommended? Updated cervical cancer screening guidelines released within the past few years recommend extended screening intervals for average-risk women to provide a reasonable balance between benefits and potential harms of screening. The current available screening tests and recommended intervals for average-risk women are as follows: - First Pap test (screen with cytology) age 21
- Pap test every 3 years between ages 21-29
- Pap test every 3 years or Pap test + HPV co-testing every 5 years for women ages 30-65
- Primary stand-alone HPV testing is also available for women 25 and older (alternative to pap test or cotesting)
Learning Objectives
By the end of this webinar, participants will be able to:
- Describe the natural history of human papillomavirus and the development of cervical cancer.
- Understand the difference between transient and persistent infection.
- Explain the rationale for an extended screening interval for cervical cancer.
- Describe the elements of an annual Well Woman visit that does not include an annual Pap test.
- Apply knowledge of cervical cancer screening to the management of various test results.
- Explain how the Affordable Care Act may increase opportunities for women to receive screening for cervical cancer.
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