News

September 22nd, 2017 | Clinical ConnectionsNews

By George Nasra, M.D., M.B.A. This is my first contribution to the AHP clinical newsletter as medical director for behavioral health (BH). In this role, I have been working closely with the AHP care management team and the newly formed AHP behavioral health integration team to think through and implement different models of BH integration…

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September 22nd, 2017 | Clinical ConnectionsNews

By Laura J. Shipley, MD Pediatrics is all about upstream prevention of illness and promotion of health. At AHP, we are focusing on children in our community and looking at innovative and collaborative approaches that address some of the most concerning risks to their health. We see AHP providing a strong platform for action that…

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September 22nd, 2017 | Clinical ConnectionsNews

By Daryl Sharp, PhD, PMHCNS-BC, NPP AHP’s care management team is working closely with our DSRIP colleagues to explore ways to strengthen support for vulnerable populations in our network. We currently provide centralized social work care management (based at Noyes Hospital) for 8 rural primary care practices. Earlier this summer, URMC social work, primary care…

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September 22nd, 2017 | Clinical ConnectionsNews

Jineane Venci, PharmD, MS-CI, BCACP Switching antidepressants requires balancing the risk of discontinuation syndrome with minimizing therapeutic gaps in efficacy. In general, direct switches (abruptly stopping the current agent and starting the new on the next day) may be considered when drugs have similar pharmacologic properties. In situations where drug interactions, discontinuation syndrome, or serotonin…

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September 22nd, 2017 | Clinical ConnectionsNews

By Matt Devine, D.O. It has been over nine years since the hospitals affiliated with the University of Rochester have adopted policies that ended the visitation, gifting of food and other rewards, as well as allowing pharm reps to supply medical samples. In reviewing these documents (below), I was also impressed to learn that the…

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September 22nd, 2017 | Clinical ConnectionsNews

By Cristina Demian, MD, MPH, FACOEM A few years ago, the dangerous lead contamination of Flint, Michigan’s water supply reminded the nation that this metal remains widespread in our environments (housing, water systems, soil, etc.). Lead poisoning, it turns out, is an environmental disease, but it is also a disease of life style. Lead gets…

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June 2nd, 2017 | Clinical Connections

Click here to download a Word version of this document.    

May 8th, 2017 | Clinical Connections

by Matt Devine, D.O. Below is a list of some of the 2017 key initiatives that are underway at AHP: Expanding Care Management resources for AHP’s primary care practices Providing Behavioral Health resources and support to AHP practices Finalizing an AHP/Excellus Medicaid ACQA contract. We have welcomed UR Medicine’s Safety Net practices to AHP and…

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May 8th, 2017 | Clinical Connections

Since last year’s highly publicized price hike, several new epinephrine auto-injector products have come to market, including a branded-generic of Mylan’s EpiPen. Brand and branded-generic EpiPen are both manufactured by Mylan, who proclaims on its website “the device functionality and drug formulation are identical to the branded medicine”. Product Name – – AWP* – –…

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May 8th, 2017 | Clinical Connections

by John D. Bisognano, MD, PhD The Sunshine Act and Open Payments Data During my presentation at Clinical Grand Rounds I talked about the “Physician Payment Sunshine Act”, enacted in 2010 and designed to increase transparency around the financial relationships between physicians, teaching hospitals, and manufacturers of drugs, medical devices and biologics. If you would…

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