Next Available For Those Who Really Need It!

More elderly patients with substance abuse issues are using the emergency department for their only means of intervention.

New Information on Naloxone Prescribing in NH

New Hampshire HB 271, an act relative to possession and administration of an opioid antagonist for opioid-related overdoses went into effect on June 2, 2015.

This means that New Hampshire physicians can now prescribe, dispense or distribute naloxone not only to patients at risk for opioid overdose, but also to family members or friends concerned about risk of overdoese in a loved one who is not a patient of the physician.

Pay Attention to Heard Mentality- Don’t Believe Everything You Hear (or Read)

There is a voluminous amount of information describing the risks of vaccinations that really has no consistent evidence based support. There is a myriad of shock and awe anecdotal correlates of how lifelong debilitating disorders are connected to childhood vaccines.  The word is “heard.”  So and so heard it causes…, and they told two friends, who read and said and more and more heard that there is no need to vaccinate children or those at greatest risk of contracting some of the most deadly and communicable diseases.  Those are the diseases that killed millions, with real data supporting the prevention of spreading the same diseases and saving many more lives through vaccine programs.  Meanwhile, thousands of people are dying yearly who are not fortunate enough to receive vaccinations, but would line up with their families for the opportunity if available.  What a shame it is.

CMS and AMA Help for ICD-10

Today, the American Medical Association and Centers for Medicare and Medicaid Services (CMS) jointly announced that agreement has been reached on important elements of a “grace period” for the October 1, 2015, implementation of the ICD-10 diagnosis code set.  They will work jointly to provide educational opportunities in the upcoming months.  CMS has released guidelines regarding flexibility in the claims audit and quality reporting process during the transition.  In addition, at AMA's request, CMS will name a CMS ICD-10 Ombudsman to triage and answer questions about claim submission. 

Arboviral Disease in NH - Preparation for 2015 Season

The NH DHHS issued a health alert on July 1 regarding preparation for arboviral disease.

NH Division of Public Health Services (NH DPHS) recommends:

Hand in Hand

It is not getting any easier to adequately address the needs of patients with mental illness.  The challenge is exponentially heightened for those in acute need, who turn to community health centers or office based practices, only to be redirected to the ultimate repository for many more these days-- the emergency department.  In fact, the circumstances are getting murkier.  With the addiction epidemic remaining at full throttle, more patients are in need of timely resources suited to help on more than one front as the two frequently go hand in hand. 

Drug Money

There are several perplexing circumstances pushing the cost of healthcare further into the stratosphere.  However, one entity in particular has a notable historic record of being incredulously bold in taking advantage of the greatest number of those most in need, for decades.  Pharmaceutical manufacturers are taking liberties to make billions at the expense of creating outrageous financial hardship and jeopardizing the health of millions of people.  Following a blog of several weeks ago, I have continued to share in discussions, with many providers and patients, of how devastating the impact from price fixing by several pharmaceutical companies is.

It's Playoff Time for Hockey, Basketball & the NH Legislature

This week, legislators have been meeting in committees of conference (C of C) to resolve House and Senate differences on many bills including four bills being followed closely by NHMS.

Last week, pathologists contacted NHMS after identifying a potential problem in the genetic counseling bill, SB135. Via emails, phone calls and live testimony, NHMS was able to explain the problem to key legislators and offer amended language. At Monday’s C of C, House and Senate conferees unanimously adopted the amendment.