associatemedicaldirector - william james college...telepsychiatry: importance, opportunities and...

5

Upload: others

Post on 27-Jun-2020

3 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: associatemedicaldirector - William James College...Telepsychiatry: Importance, Opportunities and Challenges of Remote Care Steven E. Locke, MD, Chief Medical Officer, iHope Network,
Page 2: associatemedicaldirector - William James College...Telepsychiatry: Importance, Opportunities and Challenges of Remote Care Steven E. Locke, MD, Chief Medical Officer, iHope Network,
Page 3: associatemedicaldirector - William James College...Telepsychiatry: Importance, Opportunities and Challenges of Remote Care Steven E. Locke, MD, Chief Medical Officer, iHope Network,

Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org

Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org

MPS Bulletin - September 2016 www.psychiatry-mps.org 116apy as well as medication due to the median 200 days LOS. Work with an excellent and personable group of psychiatrists. 2. Salary: $213,000 same as above with no overnight/weekend on call.Contact Anthony Vagnucci, MD, Chief of Psychiatry, Tewksbury Hospital, 978-851-7321 x2863, [email protected]

Tewksbury HospitalHalf-time Psychiatrist (20 hours per week)Excellent salary and fringe benefits, signing bonus and generous leave time for half-time psychiatrists. Positions available on a DMH intermediate care unit working with a wide variety of patients with severe and persistent mental illness are available. No managed care or after hours on-call. Median LOS about 200 days. Work with an excellent and personable group of psychiatrists. Contact Anthony Vagnucci, MD, Chief of Psychiatry, Tewksbury Hospital, 978-851-7321 x2863, [email protected]

BROCKTON MULTI-SERVICE CENTER (BMSC)BROCKTON, MAATTENDING PSYCHIATRIST - (Full or Part-Time)Hospital Practice Psychiatry seeks BC/BE Psychiatrist in a Joint Commission Accredited CMHC with comprehensive outpatient, PACT, case management and a supportive interdisciplinary work environment. BMSC is part of the MA DMH Southeastern Area. Academic affiliations and involvement in training of residents’ available if interested. Responsibilities include; outpatient psychiatric evaluations, psychopharm, management, treatment planning and consultation to treatment teams. Competitive salary, outstanding benefits, daytime, flex schedule and no nightcall. Board certification required (can accept BE only if plan in place for board certification exams). Transitional age, youth or forensic experience and/or bi-lingual would be desirable. Please send CVs to: William Pariseau, Polaris Healthcare Services, PO Box 4007,

Taunton, MA 02780 or email to:[email protected]

The Massachusetts General Hospital (MGH) Charlestown HealthCare Center is recruiting board-eligible/certified psychiatrists who are committed to community health and mental health, integrated psychiatric/substance abuse/medical models of care, and residency training. The positions involve psychiatric clinical assessment, consultation and treatment, working in collaboration with a multidisciplinary mental health team of psychiatrists, psychologists, advance practice nurses and social workers. We also work closely with the adult and pediatric primary care providers of the health center and are involved in outreach services to the residents of the Charlestown neighborhood of Boston. The successful candidates will have staff appointments at MGH through the Department of Psychiatry. Massachusetts General Hospital is a major teaching hospital of Harvard Medical School and Partners HealthCare System, Inc. and a major teaching site for Harvard Medical School. The positions include opportunities for teaching residents and fellows. Women and underrepresented minorities, especially those who speak Spanish, are encouraged to apply. Harvard Medical School appointments at the level of Instructor or Assistant Professor are available, commensurate with experience. Both full and half-time positions are available. Please contact Lorenzo Lewis, M.D., Director/Medical Director of MGH Charlestown HealthCare Center by email [email protected] , including a statement of interest and CV. Gould Farm is seeking a Consulting Psychiatrist for their Monterey location in the Berkshires of Western MA, to work 1 day each week, 9am to 5:30pm. Office provided on site. This is an annual contract position. Full job description: http://www.gouldfarm.org/employment.htm. Please send resume and letter of interest to: [email protected] or mail to: Gould Farm, Attn: Director of Human Resources/Consulting Psychiatrist, P.O. Box 157, Monterey, MA 01245. Website: www.gouldfarm.org

Telepsychiatry: Importance, Opportunities and Challenges of Remote CareSteven E. Locke, MD, Chief Medical Officer, iHope Network, Inc.

PART TWOContinued from July/August Newsletter

Reimbursement IssuesTelemedicine cannot get significant traction without third-party reimbursement and CPT codes and fee schedules or active adop-tion by ACOs. Many payers, including MassHealth, have no stra-tegic plans to create or enable CPT codes for telecare. Instead they prefer to shift the treatment innovation options to value-based payment and alternative payment contracts with networks of pro-viders. How that will impact the few remaining solo practitioners (mostly psychiatrists) remains unclear but could be problematic. These reimbursement deficiencies threaten to exacerbate the problems contributing to unacceptable disparities in access to and quality of care in at-risk populations. The telemedicine reimbursement landscape is extremely complex and dynamic and the only way to get an up-to-date snapshot is to review the monthly updates provided by the Center for Connected Health Policy http://cchpca.org/ and the website of the American Telemedicine Association http://www.americantelemed.org/. Some private payers are beginning to reimburse for telemedicine and because of federal and state parity legislation, they must also reimburse for telemental health as well. The first payer in Mas-sachusetts to begin reimbursement for telemedicine is BCBS of Massachusetts (BCBSMA). They created a telemedicine modifier GT which when used with select CPT codes could be submitted for reimbursement. Providers need to register their practice with BCBSMA as offering telemedicine using a Practice Status Update form available on the Provider Central website. On January 1, 2016 codes were turned on for psychiatrists as well as social workers, psychologists and licensed mental health coun-selors (LMHCs). As of July 1, these permitted codes have been expanded and are listed in Table 1. As a matter of policy, the level of reimbursement has been set at 10% lower for face-to-face tele-medicine treatment than for in-person treatment. BCBSMA ex-plains that this is to take into account lower projected operating costs for providers of telemedicine. BCBSMA members are being advised of how they can access telemedicine. On their website it says that members and their fam-ilies who have Telehealth benefits can see doctors and therapists in the Blue Cross Blue Shield of Massachusetts network who choose to offer the service.

“To see if you are covered for Telehealth, log in to Mem-ber Central at www.bluecrossma.com/membercentral to review your plan benefits. Depending upon your plan de-sign, you may be billed your cost share after your visit.

If you are having trouble finding a doctor who offers Telehealth, you can try one of the following options: Ask your local doctor if he or she offers Telehealth.Find a local provider who offers Telehealth through the Telehealth providers tab above.Visit now with one of our national providers through our partner, American Well, an independent company. First-time users, enter Service Key: BCBSMA when register-ing to make sure you receive coverage.”

Harvard Pilgrim Health Care has carved out their mental health benefit to a managed behavioral healthcare organization, United

Behavioral Health, or Optum Behavioral Health. Optum will re-imburse for telemedicine. However, Optum-credentialed provid-ers must apply for authorization to be able to submit claims for telemedicine practice. https://www.providerexpress.com/content/ope-provexpr/us/en/clinical-resources/tmh.htmlFor further information, contact UBH/Optum Provider Relations.In May of this year, members of the MPS Healthcare Systems and Finance Committee met with Steven Kozak, LICSW, Director of Behavioral Services at Tufts Health Plan. We learned that THP is currently reviewing the issue of telemedicine reimbursement in MA but no timeline for a decision is currently known. Tufts does currently reimburse for telemedicine in NH in their Tufts Health Freedom Plan.Although MassHealth has no current plans to reimburse for telemedicine, the Group Insurance Commission which provides health insurance for MA state employees is monitoring a new in-novation initiative of the Health Policy Commission, the Telemed-icine Pilot Initiative. This month eligible carriers and health care providers submitted proposals for initiatives intended to imple-ment telemedicine-based services to enhance access to behavioral health care for any of the following populations in Massachusetts with unmet behavioral health needs: 1) children and adolescents; 2) older adults aging in place; 3) individuals with substance use disorders.

Platforms• The Telemental Health Institute (San Diego, CA) has a

comprehensive list of the various potential providers of secure videoconferencing solutions for telemedicine and telepsychiatry. See: http://telehealth.org/video/

• Some vendors who have offered free programs in the past now provide a subscription service along with a BAA for HIPAA-compliant, secure videoconferencing (e.g., Skype for Business). I use VSee because my usage level is low enough that I fall within the free subscription allowance. I have signed a BAA with VSee. VSee is also the videoconferencing engine for a vendor called Secure Video which is a subscription service, uses a BAA, and offers some nice features like a “waiting room” where the patient can log in and “park” while awaiting for you to log in and start the session. iHope Network, for which I am the CMO, uses SecureVideo.

Here are several popular HIPAA-compliant video-conferencing platforms:1. Zoom https://zoom.us/plan/healthcare2. Vidyo http://www.vidyo.com/solutions/health-

care/3. VSee https://vsee.com/hipaa/ (Free*)4. SecureVideo https://www.securevideo.com/5. Doxy.me https://doxy.me/ (Free*)

• Support: You and/or the patient may need some technical support when things don’t go according to plan. What if the video keeps freezing, or the program crashes? Or there is not enough bandwidth for full video and audio? You need to discuss these issues with your vendor and know what your support options are. Consider purchas-ing a subscription support option if needed, either from the vendor or from a technology support vendor like the Geek Squad (BestBuy) or similar service.

(continued on page 7)

associate medical directorThe Whittier Pavilion, a free standing psychiatric hospital in Haverhill, MA, is seeking a physician-leader to help innovate and lead the hospital’s transformation towards accountable, team-based care.

•Competitive Salary•Flexible Hours•Teaching Opportunities

Contact:Jameson Pinette, [email protected](978) 556-6233

a MeMber of the Whittier health NetWork:dedicated to your Well-beiNg

76 Summer Street, Haverhill, MA 01830 | www.whittierhealth.com

Page 4: associatemedicaldirector - William James College...Telepsychiatry: Importance, Opportunities and Challenges of Remote Care Steven E. Locke, MD, Chief Medical Officer, iHope Network,

Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org

Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org

MPS Bulletin - September 2016 www.psychiatry-mps.org 710

SPECIALIZED BILLING SERVICES

PSYCHIATRIC BILLING SPECIALISTS

♦ EXCELLENT COLLECTION RATES

♦ UNDERSTANDABLE REPORTING AND MANAGEMENT TOOLS

♦ STATE-OF-THE ART BILLING SOFTWARE

♦ BANKING SERVICES

♦ CREDENTIALING CONSULTATION AND ASSISTANCE

♦ CUSTOMER SERVICE, CUSTOMER SERVICE, CUSTOMER SERVICE !! Practice Medicine and We’ll Do the Rest.

Call us for more information at

(617) 244-3322 Ask about our discount program

www.specializedbillingservices.com

www.psychiatry-mps.org 9

Massachusetts Psychiatric Society ♦ 40 Washington Street, Suite 201 ♦ Wellesley, MA 02481-1802 781-237-8100 ♦ Fax: 781-237-7625 ♦ Email: [email protected][email protected]

Hea

Healthcare Billing Specialists, Inc.

Billing. . .

It’s what we do.

Every mental health

professional needs a great

billing service. For over 15

years, Healthcare Billing

Specialists has been

providing exceptional

service to over 100 practices

in Massachusetts.

Contact us for more information! Office: (781) 784-4123

Fax: (781) 784-0996

Email: [email protected]

Web: www.hcbilling.com

LEGAL ADVICE FOR PSYCHIATRISTS Milton L. Kerstein, Esq. Andrew L. Hyams, Esq.

Mr. Hyams, former General Counsel to the Bd. of Reg. in Medicine, and Mr. Kerstein provide legal services to psychiatrists and other health professionals in the following areas:

• Licensing Board Complaints and Applications

• Medicare/Medicaid Audits

• Patient Confidentiality

• Provider and Employer Contracts

• Civil/Criminal Litigation As a service to Bulletin readers, we offer one free 15-minute consultation to discuss any gen-eral legal concerns.

Kerstein, Coren & Lichtenstein, LLP 60 Walnut Street, Wellesley, MA 0248160 Walnut Street, Wellesley, MA 0248160 Walnut Street, Wellesley, MA 0248160 Walnut Street, Wellesley, MA 02481

www.KCLwww.KCLwww.KCLwww.KCL----law.comlaw.comlaw.comlaw.com (617) 969(617) 969(617) 969(617) 969----7139713971397139

BUSINESS SERVICES

Providing Billing Services to the Mental Health Community

OFFICE SPACE

THE DEADLINE FOR THE JANUARY 2014 MPS NEWSLETTER IS

DECEMBER 15, 2013. FOR ADDITIONAL ADVERTISING

INFORMATION, PLEASE CONTACT THE MPS OFFICE AT: (781) 237-8100

OR [email protected]

Brookline: Attractive, comfortable, quiet, reasonably priced 3 suite office near Coolidge Corner has opening for a full time or two 1/2 time clinicians as of January 2014. Street parking and near T. Call Jim Harburger MD, 617-232-3822 or email [email protected]

PSYCHIATRISTS

Tewksbury Hospital is looking for a full time inpatient psychiatrist. The position is on a DMH intermediate care unit working with a wide varie-ty of patients with severe and persistent mental illness. No managed care or after-hours on-call. Median LOS about 200 days. Competitive com-pensation. Work with an excellent and persona-ble group of psychiatrists. For information contact: Anthony Vagnucci, MD Chief of Psychiatry, Tewksbury Hospital 978-851-7321 x2863 [email protected] STAFF PSYCHIATRIST POSTIONS. Full and part-time positions are available for ADULT PSYCHIATRISTS in our outpatient clinics in Framingham, Marlboro and satellites. Advocates Inc is a full-service, non-profit system serving individuals with psychiatric and developmental disabilities and other challenges in a strength-based, person-centered and multi-disciplinary setting. Excellent physicians are honored, and we offer a warm, friendly practice environment. Compensation is competitive and benefits are available for 20 hours +. Contact in confidence Chris Gordon, MD, Medi-cal Director at 508.628.6652 or at [email protected]. Cambridge Psychiatric Services PSYCHIATRISTS:

Interested in flexible hours, competitive pay rates, and a schedule that fits your needs?

Qualified psychiatrists needed to provide over-night, weekend, and holiday moonlighting cover-age at area hospitals, clinics, and other psychiat-ric facilities.

For more information please call Jessica D’Angio at 617-864-7452 or at [email protected] Adult psychiatrist Adult psychiatrist Adult psychiatrist Adult psychiatrist for part or full time. Private Group Practice of MD’s & PhD’s. CBT exclu-sively. Services needed include diagnostics and med management. Contact: Peter W. Moran, Ph.D. Cornerstone Behavioral Health, 469 Chandler St., Worcester, MA 01602 or [email protected]

SPECIALIZED CREDENTIALING SERVICESSPECIALIZED CREDENTIALING SERVICESSPECIALIZED CREDENTIALING SERVICESSPECIALIZED CREDENTIALING SERVICES MEDICAL CREDENTIALING SPECIALISTSMEDICAL CREDENTIALING SPECIALISTSMEDICAL CREDENTIALING SPECIALISTSMEDICAL CREDENTIALING SPECIALISTS

♦ PROVIDER CREDENTIALING ♦ APPLICATION PROCESS ♦ HEALTH PLAN ENROLLMENT AND

LINKAGE ♦ NPI AND PROVIDER NUMBERS ♦ NATIONAL AND MULTI-STATE

SERVICES ♦ CAQH REGISTRY MAINTENANCE ♦ STATE OF THE ART SOFTWARE

Please call us to discuss fee arrangements. Credentialing Services are priced either by application or on a monthly flat fee basis depending on the scope of services requested. IN ADDITION TO OUR CREDENTIALING SERVICES, WE OFFER MEDICAL BILLING SERVICES TO PHYSICIANS, HOSPITALS, GROUP PRACTICES, CLINICS, ETC. FOR CLIENTS WHO PURCHASE OUR MEDICAL BILLING SERVICES, WE OFFER CREDEN-TIALING AS PART OF THAT PACKAGE. PRACTICE MEDICINE, WE DO THE REST. CALL US FOR MORE INFORMATION ATCALL US FOR MORE INFORMATION ATCALL US FOR MORE INFORMATION ATCALL US FOR MORE INFORMATION AT

(617) 244(617) 244(617) 244(617) 244----3322332233223322 www.sbscincorporated.com/www.sbscincorporated.com/www.sbscincorporated.com/www.sbscincorporated.com/

Office space available; desirable Derby St. Hingham location. Established multi-disciplinary South Shore practice.Call SSPPA 781-741-9991 or email at [email protected]

Brookline-Beacon St. Psychotherapy Office In A Comprehensive Psychotherapy Building.rent Includes All Utilities, Furnished Reception Rooms.office Cleaning + Receptionist. Oct.occupncy 617-416-8777 Or [email protected]

Winchester Center: Part-time furnished psychotherapy office with views of Winchester Common. Single office with separate client waiting area. 4-hour weekly block sublets @ $150/month (minimum rental of two weekly blocks). Contact [email protected] / 617-230-3002

Back Bay Office Sublet available starting September 1 - Spectacular location! Impeccably furnished! Amazing views! Available Saturday & Sunday with possible weekday options - minimum 16 hours required (48 hours per week possible). Fore more details call 617-784-3307 or email [email protected]

BUSINESS SERVICES

SPECIALIZED CREDENTIALING SERVICESMEDICAL CREDENTIALING SPECIALISTS

• PROVIDER CREDENTIALING• APPLICATION PROCESS• HEALTH PLAN ENROLLMENT AND LINKAGE• NPI AND PROVIDER NUMBERS • NATIONAL AND MULTI-STATE SERVICES• CAQH REGISTRY MAINTENANCE • STATE OF THE ART SOFTWARE

Please call us to discuss fee arrangements. Credentialing Services are priced either by application or on a monthly flat fee basis depending on the scope of services requested. IN ADDITION TO OUR CREDENTIALING SERVICES, WE OFFER MEDICAL BILLING SERVICES TO PHYSICIANS, HOSPITALS, GROUP PRACTICES, CLINICS, ETC. FOR CLIENTS WHO PURCHASE OUR MEDICAL BILLING SERVICES, WE OFFER CREDENTIALING AS PART OF THAT PACKAGE. PRACTICE MEDICINE, WE DO THE REST.

CALL US FOR MORE INFORMATION

AT(617) 244-3322

www.sbscincorporated.com/

OFFICE SPACE

Back Bay (Boston): beautiful office in prestigious psych/med Marlborough Street building near Copley Square, fireplace, large windows, high ceiling. Available Mondays for $325/month. For more information: [email protected].

Office sublet:Office space available at 1093 Beacon St. in Brookline. Sunny, top floor office suite in an old world, bay windowed corner office, with a fireplace and hard wood floors. Flexible hours in an outstanding location. Contact Dr. Martin Pildis at [email protected] or call 617 731-2678.

Back Bay (Boston): Part-time (furnished) psychotherapy offices with amazing Boston views available. Referrals opportunities. Shared waiting area, bathroom, and kitchenette. Part-time rate: 4-hour weekly block sublets @ $12+/hour (parking for additional fee). Contact [email protected] / 617-230-3002

PSYCHIATRIST

Cambridge Psychiatric Services PSYCHIATRISTS: Interested in flexible hours, competitive pay rates, and a sched-ule that fits your needs?Qualified psychiatrists needed to pro-vide overnight, weekend, and holiday moonlighting coverage at area hospitals, clinics, and other psychiatric facilities. For more information please call Jes-sica D’Angio at (617)864-7452 or at [email protected]

ATTENDING PSYCHIATRIST

Tewksbury Hospital is a Joint Com-mission accredited Public Health Hospital located about 23 miles north of Boston, MA near the intersection of Interstates 495 and 93.Two Life Style Choices 1. Salary: $237,650 base for board cer-tified psychiatrist with 1-2 overnight call shifts per month. Recent salary in-creases, generous signing bonus, excel-lent fringe benefits, generous allowance for license and board certification fees, CME fees and 6 weeks leave time for full or part time psychiatrists. You will work on a DMH intermediate care unit where you can treat people with chronic persistent mental illness with both ther-

SPECIALIZED BILLING SERVICESPSYCHIATRIC BILLING SPECIALISTS

♦ EXCELLENT COLLECTION RATES♦ UNDERSTANDABLE REPORTING AND MANAGEMENT TOOLS♦ STATE-OF-THE ART BILLING SOFTWARE♦ BANKING SERVICES♦ CREDENTIALING CONSULTATION AND ASSISTANCE♦ CUSTOMER SERVICE, CUSTOMER SERVICE ,CUSTOMER SERVICE !!

Practice Medicine and We’ll Do the Rest.Call us for more information at

(617)244-3322

WWW.SPECIALIZEDBILLINGSERVICES.COM

THE DEADLINE FOR THE OCTOBER 2016

MPS NEWSLETTER IS SEPTEMBER15, 2016. FOR

ADDITIONAL ADVERTISING INFORMATION, PLEASE CONTACT THE MPS OFFICE AT (781) 237-8100

OR [email protected]

• Informed consent: The standard of care has not been es-tablished with regard to informed consent for the use of telemedicine. Unfortunately, it may ultimately be deter-mined by case law, rather than by statute or regulations. Patients do have the right to be informed of the risks and benefits of a treatment and both are present for telepsy-chiatry. The MPS should consider providing a sample ICF that can be adapted for use by individual practitio-ners. Attorney James Hilliard, who represents the MPS, has a sample informed consent for use in telemedicine.

• Training: As you have been learning, there are some unique aspects to providing telecare, especially for telemental health. There are training resources that you should consider. The San-Diego based Telemental Health Institute (Marlene Maheu, PhD, founding direc-tor) offers an extensive online training curriculum. See: http://telehealth.org/The William James College (http://www.williamjames.edu/), formerly Massachusetts School of Professional Psychology, is preparing to offer training in telemen-tal health. WJC is planning a symposium, Telemental Health: Expanding the Frontier at the Newton Marriott on Friday, September 23, 2016, from 8:30 AM-3:30 PM. Information will soon be posted on their website.

Barriers to AdoptionSeveral additional barriers to telemedicine adoption have been identified.

1) Rapport Building and Adherence Challenges: Some mental health clinicians have expressed concern that tele-mental health solutions interfere with the ability to build a therapeutic relationship with their patients. They worry that this could translate into less effective treatment and reduced patient adherence to their treatment plans. They worry that computer-guided or tele-delivered treatment will be superficial. There is, however, no empirical evi-dence to support this. Furthermore, as tele-mental health is integrated into population health management, it will facilitate the delivery of structured, behavioral treat-ments as well as psychodynamic treatment.

2) Impact on Workflow, Productivity and Office Cost: Cli-nicians worry how telemedicine will affect office rou-tine, require workflow changes and how productivity would be impacted as they accommodate both face-to-face and tele-mental health patient encounters. In ad-dition, the demands of understanding the technology to make informed purchasing decisions and acquiring the knowledge to master and maintain the hardware and software for tele-mental health practice, are another source of concern.

3) Licensure, Credentialing and Reimbursement: Telemen-tal health practitioners need to be licensed in the state where they physically practice as well as in the state where each patient resides. Further, they must be creden-tialed in each hospital or clinic where they see patients. State laws differ, and navigating through a complex web of state and federal credentialing regulations can be con-

fusing, expensive and time consuming. Legislation and regulation governing telemedicine practice are very dy-namic. The shifting environment imposes a burden on the individual practitioner. Therefore, membership in organizations such as the American Telemedicine As-sociation, the American Association for Technology and Psychiatry and the Telemental Health Institute to keep current is quite useful for those interested in telepsychia-try and for those anticipating and preparing for modern practice.

Risk Management IssuesTreating patients remotely involves both legal and clinical risks. First you must determine if an additional medical license is re-quired if you are treating an out-of-state patient. Some states (e.g., Washington, Ohio) do not require a clinician licensed in another state to obtain a license to practice telemedicine in their state as long as the out of state clinician does not have an office in their state. I am currently treating two patients using telemedicine who have moved to states where this is the case. I have another pa-tient moving to California, where I am licensed and she prefers to continue in treatment with me rather than change to a new psy-chiatrist. I will establish a collaborative care relationship with her new PCP.There can be serious consequences (including insurance cover-age issues) if you are found to be practicing medicine without a license in another state. Courts are ruling that medical services are rendered where the patient is physically located, so you will need to check with the patient’s state medical board, as well as your own medical board, to determine what is required for you to legally treat the out of state patient. You also need to check with your malpractice insurance carrier to be certain that you are cov-ered for practice out of state.Another issue involves your ability to deliver good clinical care and meet the standard of care at a distance. For example, how could you arrange for hospitalization in an emergency if your pa-tient is in crisis? Utilizing telemedicine does not alter the standard of care to which you will be held – it is the same standard that would apply if the patient was seen in your office or facRisk Management Advice1. Determine licensure requirements from your state medical board as well as the medical board for the state where the patient is located (if different from your state and if you are not licensed in the patient’s state).2. Ensure compliance with all relevant states’ laws and guidelines related to telemedicine.3. Engage in thoughtful patient selection. This is critically impor-tant.4. Obtain and document informed consent. 5. Verify the patient’s location.6. Have a plan to response to technology failures.7. Have a plan to respond to clinical emergencies. 8. Become familiar with the local clinical resources.9. Understand that technology is a tool that can partially restore the lost abilities to evaluate and treat patients at a distance, but that by itself technology cannot completely restore all abilities.

(continued on page 8)

(continued from page 6)

27th Annual Psychopharmacology UpdateSaturday, October 22, 2016

MMS, Waltham MAVisit www.psychiatry-mps.org to register and view the detailed program brochure

Page 5: associatemedicaldirector - William James College...Telepsychiatry: Importance, Opportunities and Challenges of Remote Care Steven E. Locke, MD, Chief Medical Officer, iHope Network,

Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org

Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org

MPS Bulletin - September 2016 www.psychiatry-mps.org 98

Conclusion:Telehealth, including telepsychiatry and telemental health, is growing rapidly. While it is still a wild frontier, with all the op-portunity and danger associated with new worlds, there is broad agreement that telemedicine is an important part of the future of healthcare. And that includes the future of psychiatry. If inte-grated, collaborative care is where psychiatry ought to be headed, technology is what will transport us to that future. That is how we go from treating a small portion of the population suffering from mental illness to embracing a population health approach capable of addressing the 80% of persons with mental disorders who never seek treatment. Hopefully this article provides a guide to encour-age you to explore this new world.

RESOURCESBlue Cross Blue Shield of Massachusetts Fee Schedule for Tele-medicine – Effective July 1, 2016. To view the BCBSMA Fee Schedule, please log on to the MPS website at www.psychiatry-mps.org and click the Newsletters tab, Featured Columns.

Ternullo JL, Locke SE. Tackling changes in mental health prac-tice: the impact of information age health care. In: Maheu MM, Drude K, Wright S, editors. Career Paths in Telemental Health. New York: Springer, 2016.Locke SE, Gorrindo T. Technology in treatment and physician-patient communication. In: Greenberg DB, Fogel B, editors. Psychiatric Care of the Medical Patient. 3rd edition. New York: Oxford University Press, 2016.

Risks Associated With Specific Internet Activities: A Guide For Psychiatrists. http://medcomclassifieds.com/prms/assets/TTP_InternetBook_16Update.pdf. Accessed: June 4, 2016.

(continued from page 7)APA News & Notes

Monthly Free CMEEach month, APA members have access to a free CME course on the APA Learning Center. Less than 30 minutes in length, these courses can help you brush up on a trending topic over lunch - http://education.psychiatry.org

• September: Advances in Therapeutic Interventions in Geriatric Psychiatry: Neuromodulation in the Treatment of Geriatric Psychiatric Disorders

• October: Advances in Medications Development to Treat Alcohol Use and Psychiatric Disorders: Assessing the Efficacy of Varenicline Tartrate for Alcohol Dependence

• November: Advances in Therapeutic Interventions in Geriatric Psychiatry: Diagnosis and Treatment of Geriatric Depression• December: Childhood Precursors of Borderline Personality Disorder: Why are Childhood Precursors Important?

What’s New at the APA

• APA applauded the House of Representatives for passing the Helping Families in Mental Health Crisis Act, aka H.R. 2646. In light of the overwhelming support that H.R. 2646 received in the House vote, APA and 29 allied organizations sent a letter urging Senate leadership to take up the bill and pass it before the end of the year. You can read about the specific provisions of H.R. 2646 and the full text of the letter sent to Sens. Mitch McConnell and Harry Reid at www.psychiatry.org/newsroom/news-releases

• APA applauded the Senate’s overwhelming vote in favor of the Comprehensive Addiction and Recovery Act. The bill, which includes a range of measures to address the growing addiction problem, received broad bipartisan support in the Senate and is expected to be signed into law by President Obama. You can read about the specific provisions of the Comprehensive Addiction and Recovery Act at https://psychiatry.org/newsroom/news-releases/apa-applauds-congressional-passage-comprehensive-addiction-and-recovery-act

• The Centers for Medicare & Medicaid Services (CMS) announced plans to begin coverage and reimbursement for “Psychiatric Collaborative Care Management Services” as part of its proposed Medicare Physician Fee Schedule rule starting in 2017. APA President Maria A. Oquendo, M.D. wrote a blog applauding this news as a “huge win for psychiatry and collaborative care.” APA plans to continue to offer comments to CMS until the new rule comes into effect in 2017. You can read Dr. Oquendo’s blog about the CMS announcement at https://www.psychiatry.org/news-room/apa-blogs/apa-blog/2016/07/new-payment-codes-represent-a-big-win-for-psychiatry-collaborative-care

• In light of the wave of gun violence that has recently taken place across the nation, APA President Maria A. Oquendo, M.D. released a statement expressing sympathy and support for the victims of such events, while also highlighting resources for coping with such tragedies that are available for psychiatrists, patients and their families. Those resources can be accessed at https://www.psychiatry.org/news-room/apa-blogs/apa-blog/2016/07/apa-president-responds-to-wave-of-shootings

John MacIver, MD November 18, 1923 – June 8, 2016John MacIver, MD, aged 92, died of pulmonary fibrosis on June 8 at Broad Reach Rehabilitation Center in North Chatham.

Dr. MacIver was born in Irvine, Scotland in 1923 and emigrated, the youngest of four children, with his family in 1927, and grew up in Dorchester.

Dr. MacIver attended Boston Latin School for middle and high school and matriculated at Harvard College, Class of 1945, study-ing Philosophy. He was then drafted in 1943 into the 8th Armored Division at Fort Polk, La. After scoring at the top of his Bat-talion in a medical/dental school aptitude test, he was sent to Columbia University College of Physicians and Surgeons where he earned an MD in 1949.

After medical school, he specialized in Psychiatry in a residency at Yale University, where he also earned a Master’s Degree in Public Health in 1953, and pursued a fruitful and innovative career in corporate medicine, most lately at the United States Steel Corporation.

In 1972, Dr. MacIver opened a private practice in Hyannis, taking up residence at the family home in North Chatham. He found great fulfillment in the variety of clinical work he experienced on staff at Cape Cod Hospital as well as his leadership roles with the Massachusetts Medical Society and the Southeastern Massachusetts Psychiatric Society.

Husband of the late Shirley MacIver, MD, who he shared a happy and fulfilling marriage for 57 years until her death in 2007 from Alzheimer’s disease. Dr. MacIver is survived by two sons, John Robertson (Rob) and Janet Riggs of Voorhees, N.J.; Mathew and Diane of Hingham; four grandchildren, Andrew, Megan, Anne and Gregory; and many nieces and nephews. He is also survived by his companion Janice Wilson of Newmarket, N.H., with whom for the past 7 years he had enjoyed a devoted and fulfilled relation-ship, extended by her loving care.

Publication: Size: Notes: Job# IO#: Screen:Mechanical: Proofreader:

MPS Newsletter / MA Psychiatric Society b/w

mbb, mbb

3.5” x 5”

20722 20722-20722

Geriatric Psychiatry Division Inpatient Position

McLean Hospital is inviting applications for the inpatient position of Psychiatrist in Charge of SB II in our Geriatric Psychiatry Division. This is 1.0 FTE position. Duties will include the provision of direct clinical services to inpatients, participation in the program’s educational activities, program development, and quality improvement process.

Applicants must have an M.D. and board certification in Psychiatry. Added qualification in Geriatric Psychiatry is preferred. Applicants must be licensed or eligible for licensure in the Commonwealth of MA. The ideal candidate has expertise in diagnosing and treating psychiatric disorders in older adults, comfort with managed care, and one or more years of post-training clinical experience. The unit is a teaching rotation site for the Massachusetts General Hospital-McLean Hospital Adult Psychiatry Residents and Partners Geriatric Psychiatry Fellow. Co-Investigator participation in clinical research is also available. Qualified women and minority candidates are encouraged to apply.

Salary, recruitment package, and academic rank will be commensurate with qualifications and experience.

Applicants should submit a curriculum vitae along with the names and addresses of three references to the search committee chair:Brent Forester MD, MSc, Chief, Division of Geriatric Psychiatry Email: [email protected]

Review of applications will begin immediately and will continue until the position is filled.As an equal opportunity employer, McLean Hospital seeks qualified candidates for all posted employment opportunities without regard to race, color, age, religion, gender, national origin, disability or veteran status.

A member of the PARTNERS HealthCare System.

Attending PsychiatristsHospital Practice Psychiatry, Inc (HPP), a division of Polaris Healthcare Services, Inc., and in conjunction with the Southeast Area of the Massachusetts Department of Mental Health (DMH), seeks Board Certified or Board Eligible psychiatrists for full -time Attending Psychiatrist positions in general adult care psychiatric facilities. These facilities provide acute and continuing care treatment for DMH-eligible patients. Candidates should have a commitment to a recovery-based model and community first. All facilities are Joint Commission Accredited (JCAHO) and are located in Brockton, Fall River, Pocasset and Taunton, Massachusetts.

As public sector acute and intermediate care facilities, HPP/Polaris psychiatrists do not experience the pressures of managed care. This provides a unique opportunity for psychiatrists interested in providing treatment to a diverse population of psychiatric patients with severe and persistent mental illness in an acute and continuing care environments. The psychiatrist is the leader of a multidisciplinary team, and a wide range of treatment modalities are valued, including psychopharmacology, group therapy emphasizing skill-building, insight-oriented and cognitive behavioral psychotherapy, family interventions, and Dialectical Behavior Therapy.

The psychiatrist group is energetic, well trained, welcoming and very collegial. Most have trained in Boston-area psychiatric residency programs, including the Harvard/Cambridge Hospital, the Harvard/Longwood programs, Tufts University School of Medicine, and Boston University School of Medicine.

These outstanding opportunities offer competitive compensation packages and include an attractive employee benefit program. Night/weekend call is not required but is available for additional compensation if desired.

Interested candidates should send a Letter of lnterest and CV to William Pariseau at: [email protected].