WEEKLY / August 20, 2014, VOL. 4, NO. 37   Send Feedback l View Online
Psychiatric News Update
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Check Your 'Sunshine Act' Data Now

SunshineThe Centers for Medicare and Medicaid Services (CMS) has ended the temporary suspension of access to its new database, Open Payments, that keeps track of payments and gifts physicians receive from the pharmaceutical and medical-device industries. The database allows physicians who have registered with CMS to verify the accuracy of the information that these industries have reported. Because of the suspension, the deadline for physicians to dispute 2013 data has been extended from August 27 to September 8.

While the public website will still be launched as planned on September 30, it will not include the entire first round of submitted data. CMS continues to have concerns over physicians' intermingled data (the reason that CMS shut down the Open Payments portal on August 3) and is returning about one-third of the records to manufacturers and group purchasing organizations for correction; these records will be included in the next reporting cycle in June 2015.

If you have not yet done so, you are urged to register for access to the Open Payments system and review your information. Click here for instructions.

Medicare Providers: Time to Re-Up

medicareCMS is continuing its effort to have Medicare providers revalidate their enrollment information. If you receive a revalidation request from your Medicare administrative contractor, be sure to respond within the deadline; otherwise, your Medicare reimbursements will stop. For information on revalidation, click here.

Final Rule Released on Postponent of ICD-10 Adoption

cms The Centers for Medicare and Medicaid Services (CMS) has released a final rule making October 1, 2015, the new date by which physicians will be required to use the International Classification of Diseases, 10th Revision (ICD-10) for diagnosis coding. It marks the second postponement of the deadline; the original date had been October 1, 2013, later pushed back to October 1, 2014.

Importantly for psychiatrists, DSM-5 contains all of the information needed to assign HIPAA-compliant, valid ICD-10-CM codes to psychiatric diagnoses. DSM-5 contains both ICD-9-CM codes for immediate use and ICD-10-CM codes in parentheses. No "crosswalk" is necessary. Read more.

APA Offers Free CME Program on Off-Label Use of Atypical Antipsychotics

eFocusAPA has developed a free CME program on the effectiveness of off-label use of atypical antipsychotics. The goal of the program, "Understanding the Evidence: Off-Label Use of Atypical Antipsychotics," supported by the Agency for Healthcare Research and Quality (AHRQ), is to help physicians make informed treatment decisions based on the evidence for the off-label use of these medications. The clinical vignette "Eating Disorders Are Complicated, An APA eFocus Clinical Vignette: Understanding the Evidence" is now available. Register here.

Join Your Colleagues in APA's 'Engage 2014' and Make a Difference

Engage 2014Since the launch of APA's Engage 2014 initiative earlier this month, nearly 100 APA members have signed up to participate. Getting involved in the legislative and political process has never been easier: you can send an electronic message to your member of Congress; APA's Department of Government Relations (DGR) will help you schedule a meeting in your district with your representative; and DGR can provide you with talking points and tips for your activities. To obtain more information on Engage 2014 and to learn how you can get involved between now and Election Day, click here.

David Satcher, M.D., Ph.D., to Be Keynote Speaker at IPS

David SatcherFormer U.S. Surgeon General David Satcher, M.D., Ph.D., will be the keynote speaker at the opening session of APA's 2014 Institute on Psychiatric Services in San Francisco. The theme of this year's meeting, which is being held October 30 to November 2, is "Integrating Science and Care in a New Era of Population Health." To obtain more information and to register, click here.

Exhibit at the IPS

EhhibitorsAfter visiting the exhibit hall at APA meetings, have you ever thought, "I could have exhibited" or "I wish 'so and so' was here this year"? This is your opportunity. Plan your exhibit now or let your vendors, colleagues, and institutions know of exhibitor opportunities at APA's 2014 Institute on Psychiatric Services (IPS). This is an excellent opportunity to reach a professional audience composed of psychiatrists and other attendees from such fields as psychology, social work, nursing, and occupational therapy. More information is available at exhibitor opportunities.

Former Linebacker on NFL's Total Wellness Program

Dwight Hollier, L.P.C. Last month, National Football League (NFL) Director of the Transitions and Clinical Services Program Dwight Hollier, L.P.C., served as keynote speaker at "First and Goal: Moving the Conversation Forward," a Cincinnati-held program in celebration of the Bebe Moore Campbell National Minority Mental Health Awareness Month and APA's Diversity Mental Health Month. Hollier, a former a linebacker for the Miami Dolphins, explained to event participants that one of the toughest periods for a professional football player is the transition from being an active player to a retired one. Hollier told Psychiatric News that the NFL is addressing issues focusing on players' mental health issues through a project called Total Wellness, an initiative that uses a holistic approach to addressing players' mental well-being. To watch the interview, click here.

Visit the New APA Marketplace for Exclusive Member Benefits and Discounts

marketplace The APA Marketplace is a new member benefit that provides discounts for APA members, their families, and their businesses. The APA Marketplace can save you hundreds of dollars on insurance products (long-term care, life, accidental death and dismemberment, pet), a prescription drug program, identity-theft protection, discount office supplies through Office Depot, cash-back rewards through Online Shopping Mall purchases, and access to discounted hotels and cruises in the Travel Vacation Center. Visit the apa marketplace regularly for new additions to save you time and money.

Help Determine Tomorrow's APA Leaders

Checkbox APA is your Association. Who would you like to see lead APA at this crucial time in health care? Now's the time to speak up—APA is seeking nominations for the national offices of president-elect, secretary, early career psychiatrist (ECP) trustee-at-large, and resident-fellow member (RFM) trustee-elect. Members in Area 1, Area 4, and Area 7 are also invited to forward suggestions for their respective Area trustees. Please e-mail your nominations and letters of recommendation to election@psych.org. The deadline for nominations is October 1.

Give a Kick-Start to Your Job Search

Virtual Career Fair APA invites you to attend its JobCentral Virtual Career Fair! JobCentral has been connecting employers and exceptional psychiatrists since early 2012. By hosting this virtual event, APA wants to start that initial conversation between each recruiting department and those searching for that perfect career without having to leave their home or office. As a job seeker, you will be able to interact live with recruiters and HR departments at each virtual booth. You are able to share your resume and schedule second-round interviews. APA JobCentral is also offering a 20% discount coupon on all American Psychiatric Publishing products for fair attendees. The code to activate the coupon will be emailed to you after the conclusion of the fair. Register here.

WPA to Sponsor Scientific Meeting in Vancouver

Vancouver APA members are invited to join psychiatrists from around the world at the 16th Pacific Rim College of Psychiatrists Scientific Meeting in Vancouver, Canada, October 5 to 7. This annual meeting, cosponsored by the World Psychiatric Association, will offer multiple interest tracks, international keynote presenters, symposia, social events, and time to explore Vancouver. This year's theme is "Building Capacity in Mental Health During Challenging Economic Times." For more information, click here.

WPA to Hold 2015 Congress in Bucharest; Abstracts Invited

wpa 2015APA members are encouraged to attend the World Psychiatric Association's 2015 Bucharest International Congress. The theme of the congress, which will be held June 24 to 27, 2015, at the Palace of the Parliament in Bucharest, is "Primary Care Mental Health: Innovation and Transdisciplinarity." APA President Paul Summergrad, M.D., will be the plenary speaker, and he will present the address "Integrated Care: A Global Imperative." Abstracts are being accepted through December 1, and early-bird registration ends January 16, 2015. More information can be accessed here.

NIH Loan Repayment Programs Help Close Financial Gap for Researchers

LPR The National Institutes of Health (NIH) Loan Repayment Programs (LRPs) support scientific researchers by mitigating the burdens of student loan debt—the LRPs repay up to $70,000 of student loan debt over the course of a new, two-year contract. The application cycle will open this year on September 1 and close on November 17, so now is the time for interested candidates to think about applying.


Medicare to Start Paying Doctors Who Coordinate Needs of Chronically Ill Patients

MedicareThe Obama administration is taking a major step to support integrated care through the Medicare program, according to a report in the august 17 new york times. Starting in January, Medicare will pay monthly fees to physicians who manage care for patients with two or more chronic conditions like heart disease, diabetes, and depression. Physicians will draft and help carry out a comprehensive plan of care for each patient who signs up. Two-thirds of Medicare beneficiaries have at least two chronic conditions, and they account for 93 percent of Medicare spending, according to the Department of Health and Human Services. Look for details in a future issue of Psychiatric News.

UNC Health Care and Alignment Healthcare Launch Collaborative, Population Health Program for Medicare Beneficiaries

UNC logoUNC Health Care has announced the formation of a strategic partnership with Alignment Healthcare for population health management. The partnership will kick off with the offering of a new Medicare Advantage HMO plan for seniors in Wake County, N.C. "The clinical care model will tailor care for patients to improve outcomes and quality. For example, by identifying patients with chronic health problems, providers can proactively work with them to keep them out of the hospital and improve their overall health," said Allen Daugird, M.D., president of the UNC Physicians Network. Read more.

Publications From American Psychiatric Publishing

Psychiatric News
Collaborating With Neurologists Adds Benefits to Patient Care

David Hsu, M.D.David Hsu, M.D., an early career psychiatrist, says that his residency experience taught him the true meaning and importance of collaborative care. And now, as a geriatric psychiatrist, he puts that lesson to work by advising psychiatry residents to learn as much neurology as possible and team up with neurologist colleagues. Read more.

For other Psychiatric News articles on integrated care, click here.

Psychiatric Services
Weight Battle Worse for Veterans With PTSD

PS coverDespite average weights of more than 245 pounds, barely one-quarter of participants in a VA weight-loss program had lost a clinically meaningful amount of weight six months after enrollment. For veterans with PTSD, the results were particularly disappointing. While the researchers were uncertain as to why the veterans with PTSD and other mental illnesses lost less weight than veterans without mental illness, they noted that in the VHA, veterans with mental illness are treated within specialty mental health clinics. Prior research has suggested that integrating health behavior change programs within mental health clinics may help to reduce disproportionate morbidity facing individuals with mental illness. Read more.


Have Your Residency Training Program Join the APA 100% Club

100% ClubThe APA 100% club was established to encourage residents throughout the United States and Canada to join APA and to do so with other trainees in their programs. Visit the APA website for eligibility requirements and benefits for each level. Contact Neila Ariasaif in Membership if your program is interested in achieving 100% status for 2014-2015 and joining the ranks of this exclusive club.

Put Your Miles to Work for Others

From Lara Cox, M.D., APA's resident-fellow member (RFM) trustee:

Lara Cox, M.D., M.S.Are you a runner? During PGY-3, I decided to train for a half marathon. For many races, you can register through a charity and raise money while you run, and I thought it would be a great idea to run for the American Psychiatric Foundation—the Foundation does amazing things (check out its website for details). If you're interested in doing something similar, just pick a race, set up a fundraising page, and take off running! Check mine out here. If you have questions, please contact me at larajcox.apa@gmail.com. I'm also on Twitter and tweet about mental health-related issues and running at @DrLaraCox.


Participate in AJP's Journal Club

AJP CoverThe goal of the Journal Club is to facilitate the study of a major article in an APA scholarly journal and discuss it with other psychiatrists. A series of questions following a description of the article will help readers focus on its main points.

>>Randomized Trial of an Electronic Personal Health Record for Patients With Serious Mental Illnesses
Benjamin G. Druss, M.D., M.P.H. (March 2014)

What was the effect of an electronic personal health record on the quality of medical care in a community mental health setting?

Discussion Questions:

1. What seems to be the most predictive factor associated with a diagnosis of autoimmune diseases in people with schizophrenia?
2. How do personal health records help people with serious mental illnesses?
3. What factors most commonly prevented enrollment in this study?


• General News

• Integrated Care: What It Means to

• For Residents and Fellows

AJP Journal Club





>>ICD Codes for Some DSM-5 Diagnoses Updated

>>DSM-5 Updates Depressive, Anxiety, and OCD Criteria

>>Antipsychotic Studied as Potential Therapy for BPD

>>DSM-5 Fine-Tunes Diagnostic Criteria for Psychosis, Bipolar Disorders

>>New White House Drug Policy Focuses on Science of Addiction


>>Antipsychotic Studied as Potential Therapy for BPD

>>Circuit Courts Issue Conflicting Rulings on Crucial ACA Provision

>>Improving Sleep May Benefit Psychiatric Disorders

>>Patients Score Parity Victories in Two States
New York


>>Parents of Veterans Who Died by Suicide Criticize VA's Mental Health Care




American Psychiatric Publishing
Book of the Week

Book of the Week

Clinical Manual of Cultural Psychiatry, Second Edition

>>description and contents

>>order the book


Job Hunting Made Easy: Here’s Help

Job CentralFor current job opportunities from the job board at APA Job Central, click here. In addition to searching the site for available positions, APA members may post their resume, set up email job alerts, and access a "job seeker" account.


Check out the latest issues of
APA’s major periodicals.

American Journal of Psychiatry


AJP in Advance>>Enhanced Neurocognitive Functioning and Positive Temperament in Twins Discordant for Bipolar Disorder
Nonaffected co-twins of individuals with bipolar disorder exhibited unusually high levels of sociability and verbal functioning, possibly signifying that the risk for bipolar disorder could carry functional advantages for individuals who inherit risk but who fail to express the illness.

AJP in Advance>>Long-Term Effectiveness of Supported Employment
Broad and sustained long-term benefits for supported employment intervention were demonstrated in severely mentally ill adults in Switzerland who were randomly assigned to either a supported employment intervention or a traditional vocational rehabilitation program, highlighting the potential utility of similar approaches for clinicians.

AJP in Advance>>Association of Genetic Variants With Hippocampal Volume Loss and Cognitive Decline in Old Age
Studies of cognitive decline can provide important guides for research on the associations between individual genetic variants and clinical aspects of mental illnesses, since the neural correlates of cognitive decline have been mapped with some precision. In this study, specific genetic variants in the renin-angiotensin system were linked to both accelerated volume loss in the hippocampus and deficits in cognition using longitudinal data.

Psychiatric Services

Psychiatric Services

PS>>Online Training a Matter of Time
To explore use of distance learning to teach new skills, investigators analyzed the time clinicians spent on a Web-based platform about a popular evidence-based intervention. Clinicians who had no experience with the therapy spent significantly more time on the website than did those with prior training.

PS>>As Wars End, Do Guardsmen Seek Treatment?
As the number of Americans serving in Iraq and Afghanistan wanes, many National Guard soldiers face the unique challenge of transitioning quickly to civilian life. This study examines use of mental health services among members of the Ohio Guard in 2011, a year after they received a diagnosis of mental illness.

Journal of Neuropsychiatry and Clinical Neurosciences


PS>>Electroconvulsive Therapy in Obsessive-Compulsive Disorder
ECT may be effective in treating severe mood disorders in only select patients with OCD, and clinicians should consider the risk of worsening these symptoms.

PS>>Delirium and Hypovitaminosis D: Neuroimaging Findings
Abnormal cortical atrophy or cerebrovascular abnormalities in patients with hypovitaminosis D may suggest a tendency toward "delirium proneness" before a clinical diagnosis of dementia can be rendered.

PS>>High Prevalence of Antineuronal Antibodies in Tunisian Psychiatric Inpatients
A high prevalence of antineuronal antibodies was found in adult psychiatric inpatients, illuminating the possible contribution of neuronal autoantigens in the physiopathology of some psychiatric disorders.


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