Medical Home and Pain Management Priorities
Ohio's two major public health intiatives include steming the tide of prescription drug abuse and transforming the delivery of healthcare through patient centered medical homes. The Ohio Patient Centered Primary Care Collaborative, which is focused on payment reform and engaging patients, and Primary Care Progress, which is targeting medical students and primary care residents, are leading Ohio's efforts to promote primary care. Richard J. Snow, DO, MPH and Ohio ACOFP are representing the OOA and Ohio ACOFP in these initiatives.
The Governor’s Cabinet Opioid Action Team (GCOAT) is spearheading efforts to stop prescription drug abuse and eliminate "pill mills" through five working groups: (1) Treatment--includes Medication Assisted Treatment; (2) Professional Education; (3) Public Education; (4) Enforcement; and (5) Recovery Supports. Cleanne Cass, DO, and Jon Wills are representing the OOA in important discussions involving prescribing guidelines and pain management.
Ohio Agency Monitoring
The OOA routinely attends meetings and reviews, analyzes and interprets agency regulations as they are promulgated. For rules and regulations and other information about health-related state agencies, visit the following websites:
- Governor's Office of Health Transformation (OHT)
- Ohio Bureau of Workers Compensation
- Ohio Department of Health
- Ohio Department of Job and Family Services/Medicaid
- Ohio Department of Insurance
- Ohio Patient Centered Primary Care Home Education Pilot
- Ohio State Medical Board
- Ohio State Pharmacy Board
Medicare in Ohio
Ohio DOs and OOA staff serve on the Medicare Carrier Advisory Committee and the Board of Trustees of Ohio's Quality Improvement Organization (Ohio KePRO, Inc). For helpful Medicare information, use these links.
- Ohio KePro, Inc. (Quality Improvement Organization)
- CGS, Ohio’s Medicare Administrative Contractor (Jurisdiction 15)*
- Current Ohio Part B Local Coverage Determinations
- CMS Medicare Physician Center
- Recovery Audit Contractor CGI Federal, Inc.
If you aren’t registered for the CGS ListServ, you may not have all the latest information concerning Medicare. CGS is committed to continuous communication and the OOA encourages you to take advantage of this free service. Click here to sign up and select your areas of interest: https://www.cgsmedicare.com/medicare_dynamic/ls/001.asp Upon registration, subscribers will receive critical and timely email notifications targeted towards the contracts they serve.
The Medicare Learning Network (MLN) is the home for education, information, and resources for the Medicare Fee-For-Service provider community. The MLN gives you access to the Medicare Program information you need, when you need it, so you can focus more on providing care to your patients. Serving as the umbrella for a variety of CMS education and communication activities, the MLN offers:
- Educational Products, including MLN Matters® Articles;
- National Provider Call Program;
- Provider Partnership Program;
- CMS MLN e-News; and
- Provider electronic mailing lists.
The Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) has a series of 11 short video and audio presentations for health care providers on top health care compliance topics. The newest step in OIG's Provider Compliance Training initiative, these free videos, average about four minutes each and cover major health care fraud and abuse laws, the basics of health care compliance programs, and what to do when a compliance issue arises. The site also includes audio podcasts with more detailed information on a variety of compliance topics. Click here to visit the OIG Provider Compliance Web Site: https://oig.hhs.gov/newsroom/video/2011/heat_modules.asp
Ohio Automated Rx Reporting System (OARRS)
OARRS is a free on-line tool for physicians and other prescribers to check to see if new or existing patients are potentially abusing dangerous drugs or obtaining prescriptions from multiple providers that could cause adverse drug interactions. Outpatient pharmacies that dispense controlled substances to Ohio residents are required to report information into the database at regular intervals.
Any prescriber can access OARRS to obtain detail prescription drug histories that includes the:
- Patients name, address and phone number
- Patient's date of birth and gender
- Quantity of drug
- Days supply of drug
- Date of dispensing
- Date prescription written or authorized
- Number of refills authorized
- Prescriber's DEA registration number
- Pharmacy's name and contact information
HB 93, passed in 2011, requires all Ohio prescribers to register for OARRS and query the system according to rules established by the Ohio State Medical Board. To establish an account with OARRS:
- Go to http://www.ohiopmp.gov and complete the online registration.
- Print the application and have your signature notarized
- Mail the application and a copy of your driver's license, medical license and DEA registration to the Ohio State Board of Pharmacy
- The registration process takes about two weeks.
Office of Health Transformation
The Ohio Office of Health Transformation has created a video page on its web site which contains testimonials from health care stakeholders speaking on the OHT's plans to rebalance long-term care, improve care coordination, integrate behavioral and physical health care and modernize reimbursements. Click here to hear what OOA representative Richard J. Snow, DO, MPH has to say.
CliniSync - Ohio Health Information Partnership
CliniSync, (also known as the Ohio Health Information Partnership) was designated by Governor Ted Strickland in August 2009, to oversee the adoption and use of electronic medical records by Ohio's health care providers. The founding five members include: BioOhio, the Ohio Hospital Association, the Ohio State Medical Association, the Ohio Osteopathic Association, and the State of Ohio. The partnership has received more than $43 million in state and federal funding and is charged with implementing and overseeing a statewide Health Information Exchange (HIE) that will improve access to data and patient information by authorized health care providers while ensuring patient privacy. CliniSync is collaborating with industry experts to provide educational, technical, and procurement services to health care providers who need to implement electronic medical records and achieve meaningful use to qualify for up to $63,750 in incentive payments from the federal government. OOA has a permanent seat on CliniSync's Executive Committee, which is currently held by OOA Executive Director Jon F. Wills. Gregg Alexander, DO of London, is serving a three-year term on the Board of Directors, while Martha Simpson, DO, is a member of the Privacy and Security Committee. For more information about how CliniSync and the Ohio Health Information Partnership is helping physicians and hospitals in Ohio, click here.
Public Health Initiatives
The OOA maintains ongoing relations with allied health associations and other healthcare organizations. The OOA provides representation on inter-professional coalitions such as the Ohio Tobacco Control Resource Group, Ohio Coalition for Civil Justice, State Planning Committee for Health Education in Ohio, Ohio Coalition of Primary Care Physicians, Ohio Medical Volunteer Corps, Health Policy Institute of Ohio, eHealth Ohio, and similar organizations.