Opioid Crisis Management Training | October 2, 2018 Columbia, MO

May 2, 2018

What is the Opioid Crisis Management Training?
The Missouri Department of Mental Health, in partnership with the University of Missouri, St. Louis – Missouri Institute for Mental Health (MIMH) and the Missouri Coalition for Community Behavioral Healthcare, is providing a free half-day training on managing the opioid crisis and the Medication First model in the state of Missouri as part of Missouri’s State Targeted Response to the Opioid Crisis (Opioid STR) grant (www.missouriopioidstr.org).

When and where is the next training?
Tuesday, October 2, 2018, 1pm – 5pm
Holiday Inn Executive Center
Picadilly Room
2200 Interstate 70 Dr. SW
Columbia, MO 65203

Who should attend?
Staff from those DMH-contracted agencies who intend to deliver Opioid Use Disorder services under the Opioid STR grant, as well providers and partners in other sectors looking to improve their standard of care for Opioid Use Disorder.

Physicians, Nurse Practitioners, Physician Assistants, Nurses, Administrators, Peers, Community Support Specialists, Family Support Providers, Counselors, and any other professional involved in substance use treatment teams and programming are encouraged to attend.

The focus of the trainings will be on the Medical, Psychosocial, and Administrative aspects of implementing evidence-based opioid treatment programs. Each event will include brief presentations, followed by topic-specific breakout sessions and group dialogue about barriers and solutions.

How do I register?
Register here: https://katiehorst.wufoo.com/forms/m1wqeb3f0eivrsn/

Opioid Crisis Management Training | June 26, 2018 KC, MO

May 2, 2018

The next Opioid Crisis Management Training will be held in Kansas City, Missouri. Please register at the link below, and please send this to colleagues who you think would be interested:

What is the Opioid Crisis Management Training?
The Missouri Department of Mental Health, in partnership with the University of Missouri, St. Louis – Missouri Institute for Mental Health (MIMH) and the Missouri Coalition for Community Behavioral Healthcare, is providing a free half-day training on managing the opioid crisis and the Medication First model in the state of Missouri as part of Missouri’s State Targeted Response to the Opioid Crisis (Opioid STR) grant (www.missouriopioidstr.org).

When and where is the next training?
Tuesday, June 26, 2018, 1pm – 5pm
The Aladdin Holiday Inn Hotel
Roof Garden Ballroom 16th Floor
1215 Wyandotte Street
Kansas City, MO 64105  

Who should attend?
Staff from those DMH-contracted agencies who intend to deliver Opioid Use Disorder services under the Opioid STR grant, as well providers and partners in other sectors looking to improve their standard of care for Opioid Use Disorder.

Physicians, Nurse Practitioners, Physician Assistants, Nurses, Administrators, Peers, Community Support Specialists, Family Support Providers, Counselors, and any other professional involved in substance use treatment teams and programming are encouraged to attend.

The focus of the trainings will be on the Medical, Psychosocial, and Administrative aspects of implementing evidence-based opioid treatment programs. Each event will include brief presentations, followed by topic-specific breakout sessions and group dialogue about barriers and solutions. 

How do I register?
Register here: https://katiehorst.wufoo.com/forms/mfumvbb0m3phgd/

Rural Health Clinic Educational Sessions

May 1, 2018

River City Hotel & Casino, St Louis, MO

Featuring Rural Health Clinic Sessions
Managed Medicaid Payors from IL & MO will be present

May 18, 2018
8 am – 12:30 pm
$89 (Fri) before 4/30/18, $99 (Fri) after

Friday, May 18, will feature Kurt Mosley discussing the rise of convenient care, retail clinics, health apps an robotics.

The day will also feature dedicated Rural Health Clinic sessions, physician integration and commingling space issues. Managed Medicaid payors from Illinois and Missouri will be present, too, to participate in roundtable discussions on RHC billing.

Click here for more details on conference
Register now before rates increase!

Announcements from the Federal Office of Rural Health Policy

April 19, 2018

What’s New

Experts Meet to Discuss Rural Health.  The National Advisory Committee on Rural Health & Human Services convenes this week for its first meeting of 2018.  This panel of experts from both public and private sectors will conduct site visits and hold discussions on two subjects: the challenges to rural health insurance markets and the impact of adverse childhood experiences.  Policy briefs, with recommendations to the Secretary of Health & Human Services, typically come out about three months after each meeting.  See the events section below for a webinar discussion of the committee’s December 2017 brief on suicide in rural America.

Medicaid Spending on Overdose Treatment.  Policy researchers at the Urban Institute looked at state-by-state Medicaid spending on prescription drugs for opioid use disorder.  They found that the average annual spending increase on these drugs between 2011 and 2016 was 19 percent.  Most was spent on buprenorphine, a drug that reduces cravings, for which spending increased 98 percent in that time period.  More dramatic spending increases went to naltrexone, which blocks the effects of opioids (up 1,072 percent) and naloxone, a drug that reverses overdose effects, for which spending increased 90,205 percent in that five-year period.  The report includes spending tables for each state and comparison charts for states with the five highest drug overdose mortality rates, including the mostly rural states of West Virginia, Kentucky, and Ohio.

Burden of Disease Among US States.  New research published in the Journal of the American Medical Association examined state-level data on factors affecting health, life expectancy and mortality and found that, while overall death rates declined between 1990 and 2016, the likelihood of dying young increased in some states.  The primary risk factors for morbidity and mortality were those most common in rural areas – poor diet, smoking, high blood pressure and obesity.  One significant change was found in the metrics for disability-adjusted life years, or DALYs, defined by the World Health Organization as years of healthy life lost due to disease or disability.  The two leading causes of DALYs for 1990 and for 2016 were ischemic heart disease and lung cancer. The third leading DALY cause in 1990 was low back pain; in 2016, it was chronic obstructive pulmonary disease, something that’s more common in states with large rural areas.

Continue reading “Announcements from the Federal Office of Rural Health Policy”

Announcements from the Federal Office of Rural Health Policy

March 22, 2018

What’s New

2018 County Health Rankings.  The Robert Wood Johnson Foundation (RWJF) and the University of Wisconsin Population Health Institute released their annual report on the place-based factors influencing health outcomes.  Among the key findings: rural counties continue to have the highest child poverty rates, and teen birth rates are nearly twice the rate for teens in suburban counties.  RWJF will host a webinar on Tuesday, March 27 at 3:00 pm ET to discuss how these factors impact population health outcomes and evidence-based actions that can be taken.

Funding Opportunities

Grants and Loans for Renewable Energy in Rural America – April 30.  Agriculture producers and rural small businesses are eligible to apply for grants and guaranteed loans for renewable energy systems and energy efficiency upgrades.  The Rural Energy for America Program (REAP) funds may be used for systems of hydrogen, wind or solar generation, and for energy efficiency improvements to heating, ventilation and air conditioning systems, lighting, insulation and replacement doors and windows.  Note that the U.S. Department of Agriculture has its own definition of eligibility for rural development programs and that each state has a Rural Development Energy Coordinator to answer questions and assist with the application process.

Farmers Market Promotion Program – May 7.  The US Department of Agriculture (USDA) offers grants to projects that assist in the development, improvement, and expansion of domestic farmers markets, roadside stands, community‐supported agriculture (CSA) programs, agritourism activities, and other direct producer‐to‐consumer market opportunities.  Eligible applicants are public and private entities, including tribal governments, agriculture cooperatives and businesses, and economic development corporations.  For rural communities with limited grocery options, farmers markets increase access to fresh, local food.

USDA Community Connect Grants – May 14.  Public, private and non-profit entities, including Federally-recognized tribal organizations, are eligible to apply for grants funding broadband deployment in rural communities lacking existing broadband service with speed of at least 10 Mbps downstream and 1 Mbps upstream. Grant funds may be used for construction, acquisition, or leasing of facilities, spectrum, land or buildings used to deploy broadband service for all residents, businesses and community facilities within the proposed funding service area.  Matching funds of at least 15% from non-federal sources are required.

CDC Funding for Opioid Overdose Prevention Research – May 15.  The Centers for Disease Control and Prevention (CDC) will make awards of up to $750,000 each to public and/or private organizations, including tribal governments and entities to find interventions that will work to prevent opioid overdose.  The funding is intended to encourage collaboration of scientists from a spectrum of disciplines including public health, epidemiology, law enforcement, social work, economics, and criminal justice to perform research that can identify ways to prevent opioid overdose more effectively. Interventions can be strategies, programs, or policies.  Because the opioid epidemic continues to pose a high burden on rural communities and providers, a challenge exacerbated by lack of prevention and treatment resources, it is important to ensure that this research includes and will have a focus on rural communities. Click the “Related Documents” tab to see the full Notice of Funding Opportunity (NOFO), and note that Letters of Intent are due on Thursday, April 12.

Tribal Colleges Extension Grant Program – June 6.  The National Institute of Food and Agriculture at the U.S. Department of Agriculture will provide total funding of $4.3 million to tribal colleges designated as (mostly rural) 1994 Land Grant Institutions to enhance community-focused research, education and outreach.  Awards will be made to support one or more of the following Extension base program areas: agriculture; community resources and economic development; family development and resource management; 4-H and youth development; leadership and volunteer development; natural resources and environmental management; and nutrition, diet and health.

Continue reading “Announcements from the Federal Office of Rural Health Policy”

No Cost | THREE LOCATIONS | MAT Waiver Training | 2018

March 19, 2018

Available MAT Waiver Training

No-Cost Half & Half | THREE LOCATIONS

Opioid STR, in partnership with the Missouri Coalition for Community Behavioral Healthcare, is providing an 8-hour MAT Waiver Course. This course is different from the traditional 8-hour live course, as the first 4 hours will be in person and second 4 hours will be individual online work. 

Once you complete the first 4-hour live training, you will receive an email from AAAP with a link for the other 4 hours of individual work. Once that work is completed, they will send you a certificate of completion.

Note that while medical residents can take the waiver training, they will not be able to apply until they have a personal DEA number and an unrestricted medical license. 

If you obtain your buprenorphine waiver following this course, you (or your agency) are likely eligible to receive $500 reimbursement for your time. 

Scheduled Trainings (all trainings are 8:00 a.m. – 12:30 p.m.):

  1. May 12, 2018 | Columbia, MO | Register online now: https://katiehorst.wufoo.com/forms/z1tvvupa07j2szu/
  2. June 2, 2018 | St. Louis, MO | Register online now: https://katiehorst.wufoo.com/forms/znhsvbd1udf6xj/
  3. September 29, 2018 | Kansas City, MO | Register online now: https://katiehorst.wufoo.com/forms/z1h3ax300k39net/

NP & PA’s – this coursework will go toward your 24 hours of training. If you complete this, you can go online and finish the other 16 hours of work to get your certificate. The link below will take you directly to the registration page for the other 16 hours of training
https://e-learning.apna.org/products/medication-assisted-treatment-mat-16-hour-waiver-training

After completion of the required training:

  • Participants must submit a Notice of Intent form (NOI; link provided after training)
  • Participants must submit their certificate of completion (provided after completing the training, verifies coursework completion)
  • Once participants receive their waiver, upload to https://katiehorst.wufoo.com/forms/z1fglcxq1u8h0fg/ to receive $500 reimbursement, if applicable, and connect with clinics in Missouri in need of your services

Ongoing mentorship and support:

  • PCSS-MAT has a comprehensive library of materials with continuing education, available at no cost for healthcare providers. PCSS-MAT also has a no-cost clinical coaching/mentoring program to provide one-on-one clinical expertise for primary care providers. You can post a question to a listserv with an addiction specialist and be matched with an addiction specialist.
  • Additionally, the Missouri STR team has local buprenorphine-waivered and experienced physician and NP consultants available to meet individually or respond to queries by phone or online. Email Philip Horn (philip.horn@mimh.edu), STR Project Manager, to connect with someone.

For questions or additional information please contact:

Katie Horstman
Training & Event Manager
Missouri Coalition for Community Behavioral Healthcare
221 Metro Drive | Jefferson City, MO 65109
Phone: 573.634.4626, ext. 110
KHorstman@mocoalition.org