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Important Dates
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8/17- Standardized forms meeting
8/22- Cost Analysis Webinar
8/23- I&E Committee Meeting
9/8- Front Desk Billing Call
9/14-15- MFPA Meeting (Helena)
9/27-28- MPHA Conference (Billings)
10/5-6- Glendive Program Review
10/25- Health Education Conference Call
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Quote of the Week
"Do your own thing on your own terms and get what you came here for."
~ Oliver James
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| Bridgercare is Hiring Nurse Practitioner | |
 Bridgercare is Hiring
Bridgercare is seeking a Nurse Practitioner to provide quality patient care, follow-up, and referrals. Our services include a range of reproductive and general health services including: Family Planning, Breast & Cervical screening, Teen Clinic, Colposcopy, and LGBTQ services.
Responsibilities:
- Coordinate and deliver comprehensive reproductive and related health assessment, diagnosis and treatment of teens, women and men per Title X and local medical protocols.
- Orient and/or train new staff as requested.
- Assist in patient triage for medical problems & acute vs. routine appointments.
- Contribute to achieving health center productivity goals and customer service standards.
- Follow Standardized Procedures for: contraception, EC, STI screening, immunizations, patient education and referrals.
- Document patient data accurately and completely in electronic medical record.
- Learn skills need to provide comprehensive reproductive health services including insertion of intrauterine devices and contraceptive implants within 90 days of hire, hormone therapy for trans patients within 180 days of hire and colposcopy within 365 days of hire. (Bridgercare will provide necessary training and mentorship.)
- Share Saturday shifts and be available to work Mondays and/or Fridays.
You can find this full description at www.bridgercare.org/get-involved/work-here.
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| Long-Acting Reversible Contraception Webinar | |
 New 3-Part Online Course:
Comparative Contraception Webinar Series
Comparative Contraception Webinar Series: Long-Acting Reversible Contraception
August 30, 2016 at 1pm EST
Presented by Wendy Grube, PhD, CRNP
By the end of this presentation, you will be able to:
- Describe the benefits, risks, and side effects of long-acting reversible contraceptive methods
- Identify potential candidates for long-acting reversible contraception
- Discuss myths and other potential barriers to the use of long-acting reversible contraception
Click to Register
Comparative Contraception Series: Permanent Contraception
September 14, 2016 at 1pm EST
Presented by Jamila Perritt, MD, MPH, FACOG
By the end of this presentation, you will be able to:
- Describe the benefits, risks, and side effects of permanent contraceptive methods
- Identify potential candidates for permanent contraception
- Discuss myths and other potential barriers to the use of permanent contraception
- Describe coercive history of permanent sterilization in the US
- Describe shared decision making and informed consent strategies that help patients fully understand permanent contraception
Comparative Contraception Series: FAQ Roundtable
October 11, 2016 at 1pm EST
Presented by Mark Nichols, MD, and Jamila Perritt, MD
By the end of this presentation, you will be able to:
- Describe the benefits, risks, and side effects of long-acting reversible and permanent contraceptive methods
- Identify potential candidates for long-acting reversible and permanent contraception
- Discuss myths and other potential barriers to the use of long-acting reversible and permanent contraception
- Describe coercive history of permanent sterilization in the U.S.
- Describe shared decision making and informed consent strategies that help patients fully understand permanent contraception
Click to Register
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| Zika Topic of the Week | |  Zika Topic of the Week
"Zika Topic of the Week" is a coordinated communication approach to highlight a simple prevention message each week. The prevention message will be featured on the CDC.gov homepage, throughout the Zika website, and through social media. Social media messages will be developed for release during the week. The messages will be shared with our partners to encourage them to post for their audiences. When possible, the Zika prevention message will intersect with an established communication plan (i.e., Summer Olympics).
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| NFPRHA Reports | |
 New NFPRHA Report on Title X Funding Sources
Burke Hays is a Manager of Advocacy & Communications at NFPRHA who handles work related to the discretionary funding sources that support the publicly funded family planning network. For more information, feel free to contact him at bhays@nfprha.org or 202-293-3114 ext. 224.
NFPRHA's New National-Level Impact Map
On top of existing state-level impact maps, which provide a detailed look at how funding cuts impact the provider network and the patients it serves in each state, NFPRHA recently produced a national-level impact map (PDF) that shows how Title X funding has changed for the country over time, how many patients have been lost along with the loss in funding, and the types of service sites in each state. The new document also features a national map with plotted service sites for a visual perspective on the network. Check out NFPRHA's Title X in Your State web page for more.
NFPRHA Analysis of New Medicaid Regulations and Guidance Now Available
In recent months, the Centers for Medicare & Medicaid Services (CMS) has issued important regulations and sub-regulatory guidance that clarify and strengthen existing requirements governing the provision of family planning services and supplies under Medicaid, and also implement important new requirements designed to improve the quality of and access to family planning care.
NFPRHA is providing a new analysis of some of the key provisions contained in the recent regulations and guidance that may be of significant benefit to family planning providers and their patients, to help family planning providers and advocates better understand the regulations and guidance and bring new policies to fruition in meaningful ways around the country.
This analysis was created as part of NFPRHA's new Health Care Strategy & Analysis concentration, which is focused on identifying new developments shaping health care and translating those developments into strategies that will strengthen the family planning safety net.
NFPRHA is working on additional tools to assist family planning providers and administrators in navigating these new policies and in helping state officials in their implementation efforts, and will make them available in the coming weeks.
The analysis is available here.
If you have questions about the analysis or Medicaid, please contact Robin Summers, Vice President of Health Care Strategy & Analysis, at 202-293-3114 ext. 227 or rsummers@nfprha.org.
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| Know the Facts First STD Prevention Campaign | |  Know the Facts First STD Prevention Campaign
In collaboration with the National Alliance of State & Territorial AIDS Directors and the National Coalition of STD Directors, OWH launched Know The Facts First. This new public health awareness and education campaign addresses the high rates of STDs (sexually transmitted diseases) among teens. The campaign provides teen girls (ages 13-19) with accurate and up-to-date facts about STDs, dispels common myths, and highlights how to prevent getting them. The goal is to empower teen girls to make informed decisions about engaging in sexual activity.
The campaign encourages teens to visit the campaign website, Know the Facts First, which also provides teens with a way to find local STD testing centers. Public service announcements are being placed in malls, magazines, schools, and movie theaters; on television; and online.
National campaign partners are helping us maximize the number of teen girls we reach. They include federal government agencies, national advocacy groups, and local grassroots organizations. Our partners are vital to the success of the campaign, because their expertise includes reaching teen girls and boys, especially those considered most at risk, and understanding what influences teenagers. |
| Financial Sustainability Calculator | |  Guttmacher Launches Financial Sustainability Calculator for Safety-Net Family Planning Centers
Guttmacher Launches Financial Sustainability Calculator for Safety-Net Family Planning Centers
A new online tool created by the Guttmacher Institute will help safety-net health centers that provide family planning services assess their financial sustainability in an evolving U.S. health care system. Specifically, it will enable centers to estimate the extent to which they are maximizing reimbursement from Medicaid and private insurance. The Guttmacher Institute's Financial Sustainability Calculator for Safety-Net Family Planning Centers is designed to help these centers estimate two key indicators of their financial sustainability:
- the percent of contraceptive visits that receive reimbursement from Medicaid or private insurance, and
- the percent of the total cost of providing contraceptive visits that is recovered from Medicaid or private insurance.
With this calculator, users can do the following:
- generate estimates for different types of health centers (using Guttmacher Institute data);
- compare estimates for different types of health centers;
- input data from their own health center(s) to see estimates for their program;
- compare estimates for their own health center(s) with those for others; and
- estimate the potential impact that changing key inputs could have on sustainability.
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| Overcoming Lower-Income Patients' Concerns About Trust And Respect From Providers | | Overcoming Lower-Income Patients' Concerns About Trust And Respect From Providers
By Chris Duke and Christine Stanik, Altarum Institute
For our Right Place, Right Time research initiative, launched in January 2016, we interviewed vulnerable patients, including low-income patients, the uninsured, family caregivers, and non-English speakers, to learn their most urgent concerns about the health care system and the information they need to make health decisions. We expected to hear that health care information was too confusing and price information was difficult to find-and we have-but the issue lower-income participants were most passionate about surprised us...Read Full Post
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| HPV Vaccine Rates Still Low | |  HPV Vaccine Rates: Why are they still so low?
The human papillomavirus (HPV) is the most common acquired sexually transmitted infection in the United States. The Centers for Disease Control and Prevention (CDC) estimates that at least half of all sexually active men and women will get HPV in their lifetimes. Almost 80 million Americans currently have HPV, and about 14 million are newly infected each year. This virus is associated with nearly all cancers of the cervix and anus, and a majority of vaginal and throat cancers.
Fortunately, several vaccines exist that target various HPV strains, including the most virulent, which are typically associated with cancer. Yet HPV vaccination rates in the U.S. are well below the rates for other conditions such as tetanus/diphtheria/pertussis or meningitis. A 2015 report from the CDC found that about 60 percent of girls ages 13-17 had received at least one HPV vaccine dose, while just 42 percent of boys had.
Those numbers do represent increases over previous years, but the report stresses that much more can be done to help vaccination rates. In geographic areas that saw more HPV vaccination improvement, public health professionals and health care providers used combinations of strategies to achieve success. Immunization programs highlighted incorporating HPV vaccination in cancer control plans; public communication campaigns were instituted; and clinicians were educated about providing strong vaccination recommendations at ages 11-12, among other strategies.
A 2016 Medscape survey found that parents were less likely to let their adolescents receive the HPV vaccine than any other vaccine. About 70 percent of parents said they did not perceive their children to be at immediate risk of contracting a sexually transmitted infection. About half said they worried about potential side effects from the HPV vaccine, and nearly half said they worried that getting the vaccine would promote sexual activity.
Some studiessuggest that better clinician-to-parent communication could greatly increase HPV vaccination rates by improving parent education. Title X grantees therefore have a unique opportunity to help ameliorate the current situation. FPNTC offers several resources about teens, STIs, and patient communication, including:
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