NCMS Morning Rounds 7-11-19

Enjoy a mid-summer Thursday

NCMS Morning Rounds.

July 11, 2019

‘Book Club’ Selection for LEAD Health Care Conference

Similar to common reading assignments for college freshman, our LEAD Health Care Conference planning committee has selected a book we hope will generate some lively discussion — The Faces of Poverty in North Carolina by Gene Nichol, Boyd Tinsley Distinguished Professor of Law at the University of North Carolina at Chapel Hill. The discussion will be moderated by Kaye McGinty, MD, a professor in the Department of Psychiatry and Behavioral Medicine at the Brody School of Medicine at ECU.

Since 2012 Nichol has traveled throughout North Carolina, conducting hundreds of interviews with poor people and those working to alleviate the worst of their circumstances. In his book he tells their stories with the goal of looking beyond partisan divides and preconceived notions and to seek change. Only with a full commitment as a society, Nichol argues, will we succeed in truly ending poverty, which he calls our greatest challenge.

Don’t miss this opportunity to have a meaningful conversation with your colleagues on this important issue, which affects more than 1.5 million North Carolinians. Poverty has an impact on health in our state and likely on your practice. You have three months to read the book in advance of the LEAD Health Care Conference, Oct. 3-4 in Raleigh.

Learn more about The Faces of Poverty in North Carolina and Gene Nichol.

Report Details Health Status of NC Women

A recently released report from the NC Department of Administration titled, The Status of Women in North Carolina: Health and Wellness, analyzes data on women’s health, including chronic disease, physical health, sexual health, access to reproductive health services and experiences of sexual assault and intimate partner violence.

Findings include:
• Among the 50 states and the District of Columbia, North Carolina ranks in the middle or bottom on indicators of health and wellness.

  • Since the last such report published in 2013, the mortality rate for heart disease, stroke, diabetes, breast cancer, uterine cancer, cervical cancer and ovarian cancer all decreased among women in North Carolina. HIV/AIDS diagnoses and reported gonorrhea cases also decreased, but chlamydia rates increased.
  • There are wide disparities in North Carolina women’s disease mortality rates by race and ethnicity.
  • In 2016, the teenage pregnancy rate in North Carolina is 28.1 births per 1,000 women aged 15 to 19, which is higher than the national rate (20.3 per 1,000), yet, the teen pregnancy rate in North Carolina has decreased by nearly seven percent since 2014.
  • North Carolina has one of the highest infant mortality rates in the country, ranking 41st of 51 among all states and the District of Columbia. In North Carolina, black women are significantly more likely to have babies born with low birth weight (14.2 percent) and have a higher infant mortality rate (12.2 deaths per 1,000 live births) than women of all other racial and ethnic groups.

The report identifies changes in women’s health since the publication of the Institute for Women’s Policy Research’s (IWPR) 2013 Status of Women in North Carolina report and concludes with recommendations for policymakers, public health officials, advocates, and philanthropists.

Read the 2019 report.

The Latest on the Quality Payment Program

Thanks to our close relationship with the Physicians Advocacy Institute (PAI), which is led by NCMS CEO Robert W. Seligson, MBA, MA, you, as an NCMS member, have access to the many resources produced by this organization. PAI is dedicated to “advancing fair and transparent payment policies and contractual practices by payers and others in order to sustain the profession of medicine for the benefit of patients.”

One of those valuable resources is the monthly QPP Round-Up, which offers practices timely information on the Quality Payment Program (QPP) initiatives under MACRA including a summary of the recent and significant changes to the Merit-based Incentive Payment System (MIPS). The July issue also includes comments on the Centers for Medicare and Medicaid Services (CMS) proposed rules on interoperability, information blocking and patient access to their health information. Read July’s QPP Round-Up.

Learn more about PAI and its work.

In the News

Americans’ Self-reported Health in Decline. Inequality Growing, Becker’s Hospital Review, 7-1-19

Learning Opportunity

The NC Dermatology Association 2019 Summer Meeting will be held July 26-28 at the Hilton Head Marriott Resort on Hilton Head Island, SC. Learn more and register.


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