House Bill Seeks to Address Mental Health Workforce Shortage

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A new bill would establish a loan repayment program for mental health care providers that commit to working in designated high-needs communities. Representatives John Katko (R-NY) and Grace Napolitano (D-CA) introduced the bipartisan legislation, called the Mental Health Professionals Workforce Shortage Loan Repayment Act of 2018 (H.R.6597), to address a critical shortage in the number of mental health care providers across the country.

Under the proposed program, the Health Resources and Services Administration would be responsible for repaying up to $250,000 of an individual’s student loans if they are not already receiving similar benefits from other federal programs. Eligible providers include any person working full-time in a direct treatment or recovery support capacity for patients recovering from a mental illness, broadly speaking.

Currently, over 100 million Americans live in areas where there is a defined shortage of mental health professionals, a disparity that leaves many individuals living with mental illness without access to needed care. “This bipartisan legislation will incentivize students and professionals pursuing careers in mental health care to work in areas of our country desperately in need of more options for care,” said Rep. Katko.  “It will go a long way towards addressing the current critical shortage in the workforce and ensure more people nationwide struggling with mental illness have access to the care they need.”

The National Council applauds Reps. Katko and Napolitano for their leadership on this issue and looks forward to supporting the bill through to passage.

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What Killed Bob — Lack of Care or Lack of Caring?

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The hospitalization

Bob became ill with a chest infection and was treated as an outpatient. After treatment, he was admitted to the hospital in a confused state.

I see spiders,” he said to Glyn as he picked at the air from his hospital bed.

Glyn told Bob’s doctors he had been a perfectly coherent, a spry 88-year-old before his hospital admission. The doctors seemed indifferent.

As often happens with old people, after his acute hospitalization, Bob was transferred to a nursing home. When he arrived, the staff immediately returned him to the hospital, saying he was too sick to be in a nursing home and suggested further evaluation and treatment.

I flew from Denver to California to be with Bob and his family and see what I could do to sort out Bob’s medical care. He died before I got to his bedside.

On the surface, this might seem to be just another death of an elderly man. Often when elderly spouses are separated, one will die. As I sat with the family the day after Bob died, with his granddaughter Ann, in her final year of medical school, she and I reconstructed the details of Bob’s final days.

Bob’s physicians had started him on antibiotics a few weeks before his death. As we listened to the course of his illness and the timing of events, Ann and I began asking questions.

Tell me again how he was acting,” I asked.

Bob was seeing people who weren’t there and talking nonsense,” Glyn said.

I recalled the spiders. These hallucinations sounded like liver failure, usually caused by chronic alcohol use, but also caused by certain medications with a similar effect on the liver, especially in the elderly. Bob wasn’t a drinker.

Was he yellow?,” I asked.

Yes, at the end.”

Another sign of liver failure.

Do you remember what antibiotics he was taking?,” I asked.

No.”

Was he getting regular blood tests while on the antibiotics?

I don’t know. He had blood drawn when he was in the hospital.”

Too few facts, but Ann and I looked at each other. I mentioned medication-induced liver failure.

Ann nodded her head and said, “That’s what I’ve been thinking.”

As near as we could tell from the limited facts, it appeared the antibiotics had damaged Bob’s liver, leading to his confusion, jaundice, and death. In general, medications are processed by the liver or the kidneys before being excreted. Some medications have well-known side effects on the organs. Specific antibiotics are notorious for this, especially in the elderly. The standard of care is to check the liver enzymes in the blood. If the levels are up, it means the liver cells are being damaged. It was not clear to me Bob’s liver enzymes had been regularly checked.

It appeared to me his physicians paid no attention to Glyn and considered Bob to be a confused old man who was grieving over separation from his wife, perhaps even thinking him an old geezer not worth saving.

A couple of days before Bob died, his physicians recognized he was jaundiced — yellow because of liver failure. Bob was confused because of the build-up of ammonia from his liver’s inability to process it. Bob probably died of the side effects of medications toxic to his liver.

Had Bob been cared for by clinicians who remembered to check his liver enzymes, he might have lived through his illness.

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Budget Proposal Would Allow States To Drop Medicaid Transportation Benefits Across The Entire Program

This should cut the number of medical services provided and kill off expensive PWD....

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The Trump administration’s fiscal year 2019 budget request signals that the Centers for Medicaid and Medicare Services (CMS) intends to use regulatory authority to allow states to drop the Medicaid non-emergency medical transportation (NEMT) benefit. This benefit has been part of Medicaid since the program’s inception in 1966. Changing that would be a stunning precedent, reversing more than 50 years of Medicaid policy. 

Many low-income individuals do not have access to affordable transportation to get to and from medical appointments. For them, transportation issues can be a major barrier to needed health care. The requirement for states to provide NEMT benefits in Medicaid was established based on the premise that the Medicaid entitlement is meaningless if patients are unable to get to and from their necessary health care appointments. That premise has not changed. 

In 2013, a systematic literature search of peer-reviewed studies on transportation barriers to health care access concluded that transportation barriers to access are common and greater for low-income and chronically ill patients. Two peer-reviewed studies reported that 25 percent of patients missed an appointment due to transportation problems, and 25 separate studies found that 10–51 percent of patients reported transportation was a barrier to health care access. 

Information from the largest manager of Medicaid NEMT services indicates that the most frequently cited reasons for using NEMT are accessing behavioral health services (including mental health and substance abuse treatment), dialysis, preventive services (including doctor visits), specialist visits, physical therapy/rehabilitation, and adult day health care services (see Exhibit 1).


Trump Signs Bill Delaying EVV

Whew! Any possibility of rationality in regards to this issue?....

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President Donald Trump late Monday officially signed off on H.R. 6042, a widely supported bill to delay the nationwide deadline for electronic visit verification (EVV) in Medicaid-reimbursed personal care services.

The 21st Century Cures Act, signed into law in 2016 under the Obama Administration, originally required home care providers and state agencies to begin adopting EVV systems by Jan. 1, 2019. H.R. 6042, sponsored by Rep. Brett Guthrie (R-Kentucky), pushes that deadline back to Jan. 1, 2020.

The bill passed through both the U.S. House of Representatives and Senate without opposition.

Monday’s news of H.R. 6042 becoming law comes with little surprise, as most industry stakeholders anticipated President Trump signing the bill.

In addition to delaying the previously set deadline, H.R. 6042 delays potential penalties providers may have otherwise incurred for failure to fully adopt or at least make progress toward the implementation of EVV in their operations.

The two-page bipartisan bill was presented to the president on July 19. It was co-sponsored by Rep. Diana DeGette (D-Colorado), Rep. James Langevin (D-Rhode Island) and Rep. Greg Walden (R-Oregon).

As enrolled, H.R. 6042 also encourages the Centers for Medicare & Medicaid Services to convene at least one public meeting in 2018 to give Medicaid stakeholders the opportunity to provide any necessary feedback related to the implementation process.

Supporters of the bill say it will give officials and providers more time to prepare for a significant change in how care is authenticated. Even so, not all state Medicaid offices plan on taking advantage of the extra leeway.

The Ohio Department of Medicaid, for example, plans to stick to the original timeline, according to The Columbus Dispatch. The decision to move forward as planned was made despite a “firestorm” of complaints lodged when EVV initially started to roll out in the state.

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Why Informed Consent Needs to be Reinvented

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“I never imagined that this could happen.”

In just a few months, I have heard more than a few of my patients say this to me after undergoing an operation.

In these moments, I cannot help but ask myself, what did we fail to communicate to these patients during informed consent such that they are blindsided by an outcome? I wonder, what could we have done differently such that patients can better understand the choices they face?

In our current model, the physician and the patient meet in an office or inpatient setting to discuss consent for an upcoming procedure or clinical trial. Often filled with medical jargon, the conversation rarely assesses the patients’ baseline level of knowledge or their degree of comprehension afterward. 

For instance, given the advances in computer software and even social media, we no longer need to be limited to a single place or time.

The patient can be engaged in informed consent as soon as he or she makes an appointment.

Using a virtual platform, the patient can find all essential information related to the intervention in one location prior to the hospital admission or office visit. Its content, organized by the provider, will walk the patient through the traditional components of informed consent. While the basic components stay the same, the fundamental difference here is that social media has the potential to render it more dynamic, interpersonal, and equitable.

To optimize patient learning, medical jargon can be linked to background articles or easy-to-understand media. Occasional quiz questions can pop-up to ensure the patient comprehends the crucial details. Because interactions are not restricted by office space and one-on-one time, patients can spend as much time as needed to review the content and even pose questions to the provider-team directly, to be answered during the upcoming appointment.

The platform should enable patients to learn from each other

One of the fundamental limitations of informed consent is that no matter how much we optimize the process, the patient cannot fully understand the implications of an intervention until he or she experiences them firsthand. For instance, no words from a physician could ever hope to illustrate the feelings of post-operative pain, or the day-to-day limitations of living with stroke deficits. Physicians may know the science, but we have not experienced the day-to-day realities of patients. It is oftentimes our failure to convey these types of information that patients often find themselves blindsided by the aftermath.

However, they may be able to get some of these perspectives from other patients who have gone through them. If mutually desired, the platform can help connect patients to share their experiences or organize meetings, so they may be able to better understand the realities of potential benefits and complications. In these instances, we need to believe that patients, not just physicians, may also know best, and enable them to empower each other.

The platform will not only help patient learning but also help providers become better communicators

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