CMS adds PDPM Implementation Webinars for MDS

To: Federally Certified Skilled Nursing Facilities Administrators, Directors of Nursing, MDS Coordinators, Billing and Coding Personnel, Licensed Nursing Facilities Administrators

From: The Health Facilities Education and Quality (HFEQ) Branch of the Health Facilities and Emergency Medical Services Division (HFEMSD)

The Patient-Driven Payment Model (PDPM) is coming for all MDS 3.0 submissions with an Assessment Reference Date (ARD, A2300) on or after October 1, 2019. This will have implications for submission to the Federal database (OBRA and optional Interim Payment Assessments) for Medicare reimbursements. There will be additional considerations for State reimbursements via Medicaid for using the Optional State Assessments (OSA).

CMS has provided videos of a recent training in Kansas City to assist with understanding this transition for Medicare Part A residents. The second video includes an example PDPM HIPPS code calculation.
– Patient Driven Payment Model: What is Changing and What is Not(72 min)
– Integrated coding & PDPM Case Study (58 min)

CDPHE will provide explanatory webinars to introduce these changes in Colorado and for Medicaid residents. Participants will identify State contacts for questions and further information.

Each CDPHE webinar will have course materials available before the sessions. It is important to register via Train.org, and to allow Train to send email notifications to receive the call-in times and URL. Multiple participants are welcome per phone line.

PDPM Practice Webinars (ID 1086630)
This series of 5 one-hour weekly webinars will compare and contrast the current Prospective Payment System (PPS) with upcoming PDPM concepts and requirements. 
– Intro – Adjustments and additions to the Item Set will be discussed. The new Interrupted Stay policy will be explained. A framework for the calculation of PDPM payments using the new HIPPS codes will be introduced. The webinar will be a prerequisite to further PDPM Practice Webinars because of terminology.
– Case 1 – Admit with Infection
– Case 2 – Admit for Procedure Aftercare
– Case 3 – Acute Infection becomes Pneumonia
– Case 4 – Complex Surgical Aftercare

Using the Optional State Assessment (OSA) for Medicaid Nursing Home Residents in Colorado (ID 1086621)
This will be a joint webinar between the Colorado Departments of Public Health and Environment (CDPHE) and Health Care Policy and Financing (HCPF) to clarify the use of OSA for nursing homes. Medicaid requirements and timelines will be explained, and practical examples of MDS 3.0 items will be reviewed. There will be time for Q&A. 

To see additional session details and register for session materials for one of these offerings:
1. Go to http://www.train.org/ 
2. Log in to your existing CO.TRAIN account, or new users click “Create an Account”.
3. Once you’ve logged in, or created an account, Search (top right) for the appropriate Course ID. (See above for desired training)
4. Click link for desired course. Note open session options.
5. Click the “Register” button for the session you wish to attend.
6. Remember to register separately for each desired course.

Detailed Instructions for Using Train.org (if needed) 

Questions?: Please email betty.metz@state.co.us

Here it Comes. The Healthcare Price Wars. Getting Ready Starts Now.

Healthcare price wars? Price Wars? The look on Marvin the Martian’s
face (image courtesy of Looney Tunes) says it all.
And much to the chagrin of healthcare provider leadership, who
have managed to convince themselves that healthcare pricing is a black box so complex that the healthcare consumer won’t understand, is now an emperor with no
clothes. That gross misconception sold to the unsuspecting patient and
healthcare consumer after all these years is coming to an end.
You can scream and yell, all you want to my friends. File
all the lawsuits you want to too. But sooner rather than later, price transparency
and price accountability are coming to healthcare.
Oh, and saying that it’s a great trade secret in negotiations
with payers to obtain maximum favorable reimbursement is just nonsense. Um, when
the patient receives the EOB from their payer, I guess the “cat is out of the
bag.” Your price is publicly known as well as the discounts, write-off, and
other tangential pricing items.
And the healthcare consumer bitches about it too.
The time to get ready is now.
Getting marketing ready for price transparency or pricing war
is not easy, but it is inevitable. It is no longer a question of if, but when.  But by taking the septs forward now, instead
of hiding the organizational head in the sand, healthcare providers can get
ahead of the price wars.
Don’t get ready or plan for it now, and you will be found
on the ash heap of healthcare consumerism.
Here are some initial marketing concepts for moving
forward.

1.      
Figure out your core service offerings. What pays
the bills and keeps the lights on? If you had to defend your core business in a
transparent price market, the healthcare organization would have to make some
painful decisions on strategy, focus, and market healthcare offerings. You can’t
be everything to everyone.

2.       Understand
that the big box hospital is obsolete. One only needs the hospital for a few things
– acute complex medical care, emergency care, and intensive care. Everything else
can be obtained in a higher-quality, lower-cost, and more convenient ambulatory
environment, not hospital-based. Price wars will only make defending the hospital
more difficult.

3.       Price
transparency starts today, not when you are told it begins. That means your marketing
needs to shift from those random unrelated acts of advertising services and the
all about us stuff promotions, or occasional newsletters to your primary and
secondary service area. The new healthcare marketing is about price, convenience,
access, and experience. 

4.       There’s
an app for that.  Well, maybe not now but
you can bet there will be.  Pricing tools
that will allow the consumer to shop for healthcare services by price are a click
away.

5.       Market
research baby. Better to know the needs of the market and how to price, rather than
to think you know it all and can throw whatever you want out there for consumer
consumption.

6.      
Prepare your Board, medical staff,
and employees.  All hands-on deck is moving
in the same direction, with the same message, at the same time. Can you say
culture change?

7.      
You must become the market focused
consumer-centric provider that you say you are. Most provider organizations aren’t,
and I can prove it to you. I refer to a previous blog post that outlines the
key indicators of what a consumer-focused healthcare enterprise functions. Based
on research, it’s not an opinion piece but a blog post based on facts. It may
be a few years old but still relevant today.  “What does a customer-focused hospital
or healthcare enterprise look like?” http://bit.ly/1Hy6O09

8.       Be
the first to your market. It’s not a question of if but when. Why not be the first?

9.       Pray.
You’re going places you never thought possible. The jury is fraught with twists,
turns, and danger. Be ready for the unexpected.

Exciting times we live in, eh? 

Michael is a healthcare
business, marketing, communications strategist, and thought leader.  As an
internationally followed healthcare strategy blogger, his blog, Healthcare
Marketing Matters is read in  52 countries and listed on the 
100 Top
Healthcare Marketing Blogs, and Websites
 ranked
at No. 3 on the list by Feedspot.com. Michael is a Life Fellow, American
College of Healthcare Executives. An expert
in healthcare business and marketing strategy, digital marketing & social
media, Michael is in the top 10 percent of social media experts nationwide and
is considered an established influencer. For inquiries regarding strategic
consulting engagements, call Michael at 815-351-0671. Opinions expressed
are my own.

Russell Ride 2019-Post and Video Clip

Excerpt from the 2019 Russell
Ride Journal followed by a Utube clip
Day 1-Following a grinding work
day on Friday the 21st, I opted to leave at 7:30 AM instead of 6:00.
This decision proved stressful as weekend traffic was thick, post summer solstice and
hitting the peak of tourist season in the Pacific Northwest. Luckily, I knew
the route, slamming along Route 3 past the navy ships mothballed on shore until
I exited onto “old Belfair Highway” and a bike lane. Then an easy mostly flat
10-mile ride into Belfair and a climb along the tree-lined highway towards
Shelton. Past Herron Island and the northern Puget Sound outposts of Allyn and Grapeview,
the route to the logging town of Shelton is preceded by a paved shoulder which
is 24 inches wide at most. This seemingly adequate safety zone fails to
consider the intrusion of mirrors which extend 18 inches from the passenger
side of the commercial trucks, pickups, and recreational vehicles. Consequently,
the cyclist must ignore the danger and ride a steady line.  
Aside from the late start I was
soon pelted by rain all of the way into Mason County’s largest town. Nathan
spotted me and did a quick pull over so we could take a photo to document the
conditions, wet and miserable. Shelton is a 2-hour ride from Bremerton and
entering the timber hub requires meandering around warehouses and various highway
intersections. I am always relieved when I see the “Welcome to Shelton” sign as
I leave town. There may be amenities here but they are opaque to the visitor,
even someone going 15-miles-an-hour. I do not even recall a park with a
restroom.
After a short highway jaunt on 108,
I turn off at the McCleary casino which is my half-way rest stop. No flush
toilets here, but a nice selection of porta pots and a picnic table with some
historical markers. Nathan meets me here, right on schedule and we chat for 20
minutes. From here, I am now riding on smooth pavement along country roads,
past farms and scaling a surprising number of hills. Once in the village of McCleary
I turn left onto a beautiful bike path all the way into Elma, a sweet little town
with some urban planning forethought including actual bike lanes. The land
becomes flatter here, but the headwind increased to 20 MPH. I wryly observed
my speed decrease on my odometer despite my best efforts. At one point I pulled
into a bus shelter for a respite. Luckily, the rain had abated and it was
sunny. I soldiered on to Montesano and the smiling face of my son, in the IGA
parking lot. 

Nathan rode from Montesano, with
a westerly crosswind and I waited for him 30 miles away in Raymond, a timber
town. Weyerhaeuser owns most of the land in the region, but the town is on a
river and is quite scenic with verdant hills all around. It even has sculptures
along the road, a sure sign of affluence. I don’t remember much about it from
last year, probably because I was so intent on getting into Astoria. South Bend
is a charming town just west of Raymond with a bike path along the water and a great bike tool station with restrooms! I waited for Nathan here. He seems to be a
strong rider and looks awesome in his made-in-the-US Borah gear! The goal is to
camp tonight, so I need to find a site before dark and then circle back and
find him. Destination-Cape Disappointment State Park on the Long Beach
Peninsula.
Having plenty of time to kill, I
decided to try and visit the man whom had helped me last year on the inaugural
Russell Ride. I drove to his humble home and the place looked fairly
deserted. I also saw a “for sale sign” off the road. I sure hope he didn’t die
from his diabetes induced dialysis. Anyway, I left him the articles about the
research the Russell Ride contributed to in 2018 and about this year’s ride. I
also left him a brochure from Benaroya Research Institute.

August, 2019, Update: How to Challenge Health Care Corruption Under a Corrupt Regime?

After a lull, a new report on conflicts of interest and corruption permeating the Trump administration has appeared, prompting us to again consider how one can challenge health care corruption under a corrupt regime.

Background: Health Care Corruption

As we wrote in August, 2017, Transparency International (TI) defines corruption as

Abuse of entrusted power for private gain

In 2006, TI published a report
on health care corruption, which asserted that corruption is widespread
throughout the world, serious, and causes severe harm to patients and
society.

the scale of corruption is vast in both rich and poor countries.

Also,

Corruption might mean the difference between life and death for
those in need of urgent care. It is invariably the poor in society who
are affected most by corruption because they often cannot afford bribes
or private health care. But corruption in the richest parts of the world
also has its costs.

The report got little attention.  Health care corruption
has been nearly a taboo topic in the US, anechoic, presumably because its discussion would offend the people it makes rich and powerful. As suggested by the recent Transparency International report on corruption in the pharmaceutical industry,

However, strong control over key processes combined with huge resources
and big profits to be made make the pharmaceutical industry particularly
vulnerable to corruption. Pharmaceutical companies have the
opportunity to use their influence and resources to exploit weak
governance structures and divert policy and institutions away from
public health
objectives and towards their own profit maximising interests.

Presumably the leaders of other kinds of corrupt organizations can do the same. 

When health care corruption
is discussed in English speaking developed countries, it is almost
always in terms of a problem that affects some other places, mainly 
presumably benighted less developed
countries.  At best, the corruption in developed countries that gets
discussed is at low levels. 
In the US, frequent examples are the “pill mills”  and various cheating
of
government and private insurance programs by practitioners and
patients.  Lately these have gotten even more attention as they are
decried as a cause of the narcotics (opioids) crisis (e.g., look here).  In contrast, historically the US government has been less inclined to address the
activities of the leaders of the pharmaceutical companies who have
pushed legal narcotics (e.g., see this post). 

However, Health Care Renewal has stressed “grand corruption,” or the
corruption of health care leaders.  We have noted the continuing impunity of top health care corporate managers.  Health care corporations have allegedly used kickbacks and fraud to enhance their revenue, but at best such corporations have been able to make legal settlements
that result in fines that small relative to their  multi-billion
revenues without admitting guilt.  Almost never are top corporate
managers subject to any negative consequences.

We have been posting about this for years at Health Care Renewal, while seeing little progress on this issue.

Health Care Corruption in the Context of a Corrupt Government

Instead, things now only seem to be getting worse, given the increasing evidence that
the Trump administration is corrupt at the highest levels.   In January,
2018, we first raised the question about how health care corruption could be pursued under a corrupt regime.  We noted sources that
summarized Trump’s. the Trump family’s, and the Trump administration’s
corruption..  These included a website, entitled “Tracking Trump’s Conflicts of Interest” published by the Sunlight Foundation, and two articles published in the Washington Monthly in January, 2018. “Commander-in-Thief,” categorized Mr Trump’s conflicted and corrupt behavior.  A Year in Trump Corruption,” was a catalog of the most salient cases in these categories in 2017.

In July, 2018, we addressed the Trump regime’s corruption again  By then, more summaries of Trump et al corruption had appeared.   In April, 2018, New York Magazine published “501 Days in Swampland,” a time-line of  starting just after the 2016 presidential election. In June, 2018, ProPublica reviewed
questionable spending amounting to $16.1 million since the beginning of
Trump’s candidacy for president at Trump properties by the US
government, and by Trump’s campaign, and by state and local governments. Meanwhile, Public Citizen released a report on money spent at Trump’s hospitality properties.

In October, 2018, we summarized the content of the Tracking Corruption and Conflicts of Interest in the Trump Administration from the Global Anti-Corruption Blog. The blog organized corrupt activities within the Trump administration into the following categories:

1. U.S. Government Payments to the Trump Organization

2. Use of the Power of the Presidency to Promote Trump Brands

3. U.S. Government Regulatory and Policy Decisions that Benefit Business Interests of the Trump Family and Senior Advisors

4. Private and Foreign Interests Seeking to Influence the Trump Administration Through Dealings with Trump Businesses

The voluminous 26 page report showed  that many examples of
corruption by Trump et al were not one-offs, but were long-term
activities.  For example, every time President Trump travels to on of
the properties he owns through the Trump Organization, like the
Mar-a-Lago resort in Florida, the US government is obligated to pay
the Trump Organization, hence Trump himself for expenses like the
Secret Service renting golf carts.  Each such payment seems to violate the “domestic emolument clause” of the US
Constitution, which prohibits state or US government payments to a
President for anything other than his salary.  Also, every payment made by a foreign government to the Trump Organization, such as for hotel accomodations or events at Trump Organization properties, appears to violate the “foreign emoluments
clause” of  the US Constitution, which prohibits payments by a foreign
government to the US President.

In April, 2019, we noted more new and updated sources on Trump administration corruption, including Bloomberg’s interactive guide, and updated versions of the Global Anti-Corruption Blog’s tracker (see above), and the Sunlight Foundation’s “Tracking Trump’s Conflicts of Interest” project.

Updates on the Corruption of the Trump Administration

The Trump regime continues to spin off a chaotic barrage of news and distractions, making it hard to concentrate on any one topic.  Unfortunately, discussion of conflicts of interest and corruption has been muted as news media, the pundit class, and everyone else has scrambled to keep up.  Nevertheless, there have been a few recent developments.

Updates of the Sunlight Foundation’s “Tracking Trump’s Conflicts of Interest”

 The Sunlight Foundation’s “Tracking Trump’s Conflicts of Interest” project is frequently updated, most recently in August, 2019.  Posts have appeared generally weekly, with the most recent examples focusing on: White House adviser KellyAnne Conway’s alleged violations of the Hatch Act, and the properties owned by Trump’s son-in-law Jared Kushner’s real estate company (look here); an ongoing lawsuit against the Trump Organization (look here); and the continuing battle to obtain financial disclosures from Trump and the Trump Organization (l.ook here)

New Source: the New CREW Report

CREW is the Citizens for Responsibility and Ethics in Washington, a non-profit watchdog organization formed after the 2016 election.  We noted their blog in the April, 2019 update.  Now CREW has published a report on Trump’s and colleagues’ conflicts of interest, headlined: Trump’s 2,000 Conflicts of Interest (and Counting).

The document was organized into these chapters:

– Visits to Trump properties by Trump, White House officials, members of Congress, foreign officials, and corporate executives

–  Political events and spending at Trump properties

– Blurring the line between the White House and the Trump Organization

– International travel and businesses

The report also included an updated summary of over 2300 of Trump’s, Trump’s family’s, and Trump’s business’ conflicts of interests and apparent corrupt activities, showing the huge scope of the problem:

The president has visited his properties 362 times at taxpayer expense during his administration, sometimes visiting more than one of them in a single day. In 2019 alone, he has visited his properties 81 times, helping to further establish them as centers of political power. The number of days where President Trump has spent time at a Trump-branded property account for almost a third of the days he’s been president.

One-hundred eleven officials from 65 foreign governments, including 57 foreign countries, have made 137 visits to a Trump property, raising the question of how much foreign money has been spent at Trump’s properties.

Additionally, CREW has recorded 630 visits to Trump properties from at least 250 Trump administration officials. This includes high-level White House staff, members of Trump’s cabinet, and individual agency employees. So far this year, CREW has recorded 198 visits by White House officials. Ivanka Trump—who has an ownership interest in the Trump hotel in D.C.—and her husband Jared Kushner, both senior White House advisors, are the most frequent executive branch officials to visit Trump properties, other than the president himself. Jared has made 28 known visits, while Ivanka has made 23.

Members of Congress have flocked to President Trump’s properties, despite their constitutional oversight responsibility to provide a check on the executive branch as it relates to President Trump’s conflicts of interest. Throughout his two and a half years as president, 90 members of Congress have made 188 visits to a Trump property.

Forty-seven state officials, including 20 Republican governors, have made 64 visits to Trump properties, sometimes resulting in state taxpayer funds being spent there.

President Trump has used the presidency to provide free publicity for his properties, which he still profits from as president. Over the course of his presidency, Trump has tweeted about or mentioned one of his properties on 159 occasions, and White House officials have followed suit: Members of Trump’s White House have mentioned a Trump property 65 times, sometimes in the course of their official duties.

Political groups have hosted 63 events at Trump properties since President Trump took office, selling wealthy donors access to the administration while also enriching the president. Seventeen of these have been for Trump-linked groups, and another six have been hosted by groups linked to Vice President Mike Pence. Trump Victory, the joint fundraising arm of Trump’s 2020 election committee and the RNC, has hosted six events at Trump properties just this year, four of which were attended by the President himself. In all, the RNC and other Republican Party groups have had 28 events at Trump properties.

Twenty Trump administration officials have attended 38 political events at a Trump property, giving wealthy donors who fund spending at the president’s businesses access to top officials to discuss their pet issues while they enrich President Trump personally.

Political groups have spent $5.9 million at Trump properties since President Trump took office. So far this year, political groups have spent $1.1 million at Trump properties. In more than a decade prior to his run for president, Trump’s businesses never received more than $100,000 from political groups in a single year.

The Trump Hotel in Washington, D.C. is the top beneficiary of this political spending. In just over two and a half years, the hotel has raked in $2.4 million in traceable political spending.

Foreign governments and foreign government-linked organizations have hosted 12 events at Trump properties since the president took office. These events have been attended by at least 19 administration officials.

Thus it appears that the Trump administration functions as a giant marketing operation for Trump and the Trump Organization.  Furthermore, elected officials, almost entirely from the Republican party, and appointed administration officials have had significant roles in enriching Trump and the Trump Organization.  This appears to be corruption at a breath-taking level unheard of in US history.

This amazing record should also be considered in light of Trump and family’s record of legal and ethical issues prior to the presidency.  Despite accusations of ties to organized crime, kickback, fraud, violations of gaming regulations, violations of rules governing non-profit organizations, violations of rules about money laundering, perjury, Trump and his family members often escaped investigation and always escaped any negative consequences, thus demonstrating impunity (look here). 

Summary

We now have had continuous reporting for years of massive conflicts of interest and extensive corruption permeating the executive branch of the US government.  Nonetheless, this topic has been virtually buried under the flood of chaotic news that emanates from the Trump administration every day.

To underscore what we wrote in October

So the driver of US health care corruption may now be the executive
branch of government and its relationship with the Trump family and
cronies, trumping even the influence of health care corporate
corruption.

That corruption appears to be ongoing, worsening, and remains largely anechoic

In November, 2017, we noted a report by
Transparency International of an international survey
of corruption perceptions showing substantial minorities of US respondents
thought that US corruption was increasing, and was a particular
affliction of the executive and legislative branches of the national
government, other government officials, and top business executives. 
There was virtually no coverage of these results in the US media, just
as there was virtually no coverage of a 2013 survey that showed 43% of US respondents believed that US health care was corrupt.

Similarly, despite, or perhaps because of their tremendous scale, the
reports about Trump related corruption listed above have generated
little discussion. 
Despite the extensive and ever-increasing list of apparently corrupt
acts by the Trump and cronies, grand corruption at the top of US
government, with its potential to corrupt not just health care, but the
entire country and society, still seems like a taboo topic.  The US news
media continues to tip-toe around the topic of corruption, in health
care, of top health care leaders, and in government, including the top
of the US executive branch.  As long as such discussion seems taboo, how
can we ever address, much less reduce the scourge of corruption?  The
first step against health care
corruption is to be able to say or write the words, health care
corruption.

So we welcome any additional attention to health care corruption, or the
larger corruption within the US government that is making health care
corruption even harder to address.

But even if we can take that step, when the fish is rotting from the
head, it makes little sense to try to clean up minor problems halfway
towards the tail. Why would a corrupt regime led by a president who is
actively benefiting from corruption act to reduce corruption?
The only way we can now address health care corruption is to excise the
corruption at the heart of our government.

It is now over 30 months since Trump was inaugurated, and there has been no real progress.  The fish is still rotting, and so is health care.  What will it take to make something happen?

HEALTH ALERT NETWORK BROADCAST

To: All Providers

From: Colorado Department of Public Health and Environment

HEALTH ALERT NETWORK (HAN) BROADCAST
Vaping cartridges potentially related to the severe acute pulmonary disease outbreak

– As of August 19th, more than 120 cases of severe acute pulmonary disease hospitalizations and respiratory support among previously healthy adults have been reported in at least 15 states. To date, one suspect case has been reported in Colorado.
– A reported common exposure among these patients is that they have been vaporizing or dabbing with cartridges or products, some containing cannabis (THC) or cannabindiol (CBD) oils, nicotine, synthetic cannabinoids, or a combination of these. At this time, no infectious cause has been identified.
Detailed background information, case definition and recommendations for providers is included on the HAN notice which accompanies this message.
– Clinicians and local health departments who become aware of cases similar to those described in the HAN notice are asked to report them to the Colorado Department of Public Health and Environment’s (CDPHE) Disease Reporting Line: 303-692-2700 or 303-370-9395 (after hours). 

HAN Advisory – Vaping cartridges potentially related to the severe acute pulmonary disease outbreak

Nursing Home Innovative Grant Board – Grant Proposal Announcement

To: NH providers, owners, administrators and other interested parties 

From: Jo Tansey, Section Manager, Nursing Facilities, HFEMSD

The Nursing Home Innovations Grant Board has issued a call for proposals for Grant Cycle 12. Proposals will be due on or before 5 p.m. MST on September 15, 2019. The grants are comprised of monies collected through nursing home civil monetary penalties (CMPs). 

You can find the Call for Proposals, instructions, application and deliverables worksheet at 

www.colorado.gov/hcpf/nursing-home-innovations-grant-board 

or 

https://www.colorado.gov/pacific/cdphe/nursing-home-innovations-grant-board-0

OASIS D Classes *FREE*

To: Federally Certified Skilled Home Health Facilities Administrators, Directors of Nursing, OASIS Coordinators, Billing and Coding Personnel, Licensed Home Health Facilities Administrators

From: The Education and Technical Assistance (ETA) Branch of the Health Facilities and Emergency Medical Services Division (HFEMSD)

ETA will offer classes on specific OASIS topics in Colorado Springs, Longmont and Denver featuring OASIS D items and guidance. Longmont is filling fast. You may choose to take sessions all at once or individually as your interest and needs dictate. All registration is first-come, first-served, even for sessions within a hosting facility.

ETA reserves the right to cancel classes with low registration. Early registration is helpful.

OASIS D Basics (One Session): Course ID 1082008
This beginning three-hour class is how to get started with OASIS D.

OASIS D Item-by-Item (2 Sessions): Course ID 1082009
This practical application class reviews item-by-item data set completion. We will follow Mrs. Green’s assessment, which will require two sessions to complete. Attendance at both sessions is required to complete this class.

OASIS Quality Measures (One Session): Course ID 1066910
This course assumes familiarity with the OASIS D Item Set, covering more advanced content and application.

To see additional session details and register for on-site attendance for one of these offerings:
1. Go to http://www.train.org/ 
2. Log in to your existing TRAIN account, or new users click “Create an Account”
3. Once you’ve logged in, or created an account, Search (top right) for the appropriate Course ID. (See above for desired training)
4. Click link for desired course.
5. Click the “Registration” tab.
6. Click the “Register” button for the session you wish to attend.
7. Remember to register separately for each desired course.

A detailed example of the above process(if needed)

Questions?: Please email betty.metz@state.co.us

1294 Stakeholder Meeting

To: All Health Facilities

From: HFEMSD

Meetings are open to the public.

When: August 1, 2019 from 10:30 am – 11:00 am 
Where: Colorado Department of Public Health and Environment
4300 Cherry Creek Dr. South
Denver, CO 80246
Conference room C1E
(visitors, please check in at the front desk in building A, doors near the flag pole) 

UPDATED Audio line: 669-900-6833, conference code: 882 201 285 
UPDATED Webinar: Zoom meeting (https://zoom.us/j/882201285

To view the 1294 Stakeholder meeting agenda go to:
https://drive.google.com/drive/folders/16yB5hbUM0uYZi6Z7EhHq9sN4GaQj26pi 

Meeting documents, schedules and archived agendas are available on the department website : 
https://www.colorado.gov/pacific/cdphe/health-facility-chapter-2-rule-revision-meeting 

For further info:

Email crystal.cortes@state.co.us

Chapter 2 Rule Revision Stakeholder Meeting

To: All Health Facilities

From: HFEMSD

Meetings are open to the public.

When: August 1, 2019 from 11:00 a.m. – 12:30 p.m. 
Where: Colorado Department of Public Health and Environment
4300 Cherry Creek Dr. South
Denver, CO 80246
Conference room C1E
(visitors, please check in at the front desk in building A, doors near the flag pole) 

UPDATED Audio line: 669-900-6833, conference code: 882 201 285 
UPDATED Webinar: Zoom meeting (https://zoom.us/j/882201285

To view the Chapter 2 meeting agenda go to:
https://drive.google.com/open?id=1ce7iObpAV7QUjaxEOu38b0dbWdzfxxm7 

To view the updated Chapter 2 schedule and communication go to:
https://drive.google.com/open?id=1ce7iObpAV7QUjaxEOu38b0dbWdzfxxm7

To view the latest Chapter 2 draft copy go to:
https://drive.google.com/open?id=1ce7iObpAV7QUjaxEOu38b0dbWdzfxxm7

Meeting documents, schedules and archived agendas are available on the department website : 
https://www.colorado.gov/pacific/cdphe/health-facility-chapter-2-rule-revision-meeting 

To sign up to receive email communications regarding Chapter 2 go to:
https://goo.gl/forms/eWns4V9OU0pXkSsp2

For further info:

Email crystal.cortes@state.co.us

Behavioral Health Entity Implementation & Advisory Committee: Applications Now Available

To: Behavioral Health Providers, Consumers of Behavioral Health Services, Advocates and Interested Parties

From: Jill Hunsaker-Ryan, MPH, Executive Director, Colorado Department of Public Health and Environment

The Health Facilities and Emergency Medical Services Division of the Colorado Department of Public Health and Environment (CDPHE) is currently accepting applications for the Behavioral Heath Entity Implementation and Advisory Committee (BHE-IAC). 

Per statutory requirements with the passage of House Bill 19-1237, specifically addressing the development of a licensing structure for Behavioral Health Entities (BHE), the Colorado Department of Public Health and Environment has a responsibility to establish, facilitate and streamline minimum standards and regulations for BHE’s in the State of Colorado. The intent of creating the Behavioral Health Entity License is to:

– Provide a single, flexible license category under which community-based behavioral health service providers can provide integrated mental health disorder, alcohol use disorder, and substance use disorder services and meet a consumer’s continuum of needs, from crisis stabilization to ongoing treatment;
– Provide a regulatory framework for innovative behavioral health service delivery models to meet the needs of both individuals and communities;
– Increase parity in the oversight and protection of consumers’ health, safety, and welfare between physical health and behavioral health regardless of the payment source; and to lastly,
– Streamline and consolidate the current regulatory structure to enhance community providers’ ability to deliver timely and needed services, while ensuring consumer safety. 

In order to accomplish such a charge, HB 19-1237 established the Behavioral Health Entity Implementation and Advisory Committee. The BHE-IAC is responsible to:

– Offer advice to CDPHE and the State Board of Health concerning the phased-in implementation of the BHE license, rules promulgated by the State Board pursuant to C.R.S. 25-27.6-101 et seq., and the implementation of the BHE licensing transition;
– Provide ongoing advice to CDPHE regarding Behavioral Health Entities and Behavioral Health Entity licensing; and
– Identify a coordinated and aligned process of sharing information across state departments to ensure behavioral health services are available to all residents of Colorado. 

The BHE-IAC meetings will occur on a recurring monthly basis, taking place on the second Thursday of each month, beginning October 10, 2019. Meetings are anticipated to be three hours in duration. If you are interested in serving as a committee member, please complete the application and supplemental documents located here: 

Behavioral Health Entity Implementation & Advisory Committee Application 

All applications are due no later than close of business Friday, August 30th. Any questions may be directed to Crystal Cortes at either 303.692.2917 or Crystal.cortes@state.co.us

Thank you in advance for your interest!