President's Message, Health Policy Updates, Indications for 76811, Zika Resources

      

June 23, 2016


President's Message

SMFM goes to Washington

This past week, I had the pleasure of visiting Washington DC with members of the SMFM Health Policy and Advocacy Committee (HPAC). Dr. George Saade (chair of HPAC), Dr. Lisa Hollier (vice-chair of HPAC), Dr. Dan O'Keeffe (EVP of SMFM), Katie Schubert (SMFM Washington representative), Zara Day (Senior Policy Associate and Counsel at Cavarocchi Domenic Dennis), and I together visited a number of organizations and individuals to talk about SMFM and shared priorities. In addition to gaining insight into the activities of federal agencies and other groups, it was an opportunity to develop relationships, share ideas, and to emphasize our priorities for high-risk pregnancy care.

During the trip, we met with members of several agencies and organizations:

The conversations included a broad range of topics of interest to our members and our patients, including maternal mental health and peripartum depression, the Zika epidemic, disaster preparedness, the prenatal screening bill that is being considered by Congress, genetic education for patients and providers, and collaborative models of care. Some groups were quite familiar with SMFM, while others were not. But we were uniformly welcomed and left every meeting with many good ideas for further collaboration.

 

The Society's vision includes, among other things, leading the global advancement of women's and children's health through advocacy efforts, and the SMFM leadership visits Washington 2-3 times a year as part of our advocacy activity. As with our recent trip, the visits and priorities vary with what is happening in Congress and events such as the Zika outbreak. But it is a wonderful opportunity to meet stakeholders and collaborators in person, to ask how SMFM can help with their efforts, and to brainstorm ideas to effectively impact the health and well-being of pregnant women and children. 

 

Katie Schubert, our SMFM advocacy representative, does a superb job arranging these meetings and representing us on the Hill throughout the year. Her column later in this newsletter has more detail about this latest trip as well as other HPAC activities.

As always, feel free to contact me if you have thoughts or questions about these, or other,

SMFM activities.

Best,

Mary

HPACUpdate

Health Policy and Advocacy Committee (HPAC) Update

SMFM Leaders Visit Washington, DC to Spread SMFM Message

As Dr. Norton mentioned in her column, SMFM leaders visited Washington, DC

on June 7 and 8 to meet with key federal agencies, Congressional offices and other advocacy organizations in the maternal and child health space. SMFM has been engaging in these types of activities for several years, reaching out to collaborators to spread the message about research and public health activities related to MFMs and high-risk pregnancy.

This visit was particularly timely and enlightening, and included meetings with all the organizations listed above in Dr. Norton's letter. On the stakeholder side, SMFM discussed genetic screening with representatives from the American College of Genetics and Genomics, as well as representatives of the women and obstetrical nursing and nurse midwife community. These interactions were positive and lead to broad discussion about ways in which SMFM can collaborate with their communities.

The meetings will also inform SMFM's Health Policy & Advocacy Committee (HPAC) efforts related to federal policy agenda items over the next year. Currently the HPAC is tracking several pieces of legislation and working with federal agencies on the topics of medications in pregnancy, postpartum depression and quality maternity care, among others.

Senate Committee Moves Forward on Labor-HHS-Education Funding Bill

On June 9, 2016 the Senate Appropriations Committee approved its fiscal year 2017 spending bill for the U.S. Departments of Labor, Health and Human Services and Education. This bill received bipartisan support for the first time in seven years. Included in the report accompanying the bill was language related to research in preterm birth for which SMFM advocated. 

The bill would provide a $2 billion increase to the National Institutes of Health. Increases do come at the expense of other programs, with Committee Ranking Member Senator Barbara Mikulski (D-MD) noting that the bill cuts the CDC by $118 million. When the Budget Control Act was passed it put into place discretionary spending caps that Congress must adhere to or an across-the-board cut, known as sequestration, goes into effect. Therefore, any increase in funding in one place must be offset elsewhere.



PublicationsCommitteeUpdate

Publications Committee Update

Select 2016 Publications & Guidelines:

Read and/or search for more SMFM Publications & Guidelines online
AMFMMUpdate

AMFMM Update

AMFMM 8th Annual Business Meeting: September 22-23, San Diego, CA

The Association for Maternal Fetal Medicine Management, an affiliate group of the SMFM, is dedicated to assisting members in managing their MFM practices in an efficient and effective manner. While many think of this in terms of profit or revenue, effective practice management translates into a better experience for your patients-part of the Triple Aim of population health. Join your colleagues at ou8th Annual Business Conference, September 22-23, 2016 in San Diego, CA.

You and your office manager can enjoy this great educational and networking

opportunity while learning more about:

  • Leadership
  • Contracting
  • Office Efficiency
  • The Changing Health Care Environment
CodingUpdate

Coding Update

ICD-10 indications for 76811

The Consensus Report on the Detailed Fetal Anatomic Ultrasound Examination published in 2014 listed examples of ICD-9 indications for the 76811 examination. In October 2015, diagnosis coding in the United States transitioned to ICD-10. The SMFM Coding Committee translated the ICD-9 list of indications to ICD-10. The list, which again is not intended to be all-inclusive, is now published in the May 2016 edition of the Journal of Ultrasound in Medicine.
Surveys

Ferring Innovation Grant Pre-Applications

The Ferring Innovation Grants portal is open for the submission of pre-applications through July 15th, 2016.  The goal of the program is to fund research to identify novel extracellular targets addressable with peptide and/or small protein scaffolds in our core therapeutic areas: Gastroenterology, Urology, Endocrinology, and Reproductive Health.

 

To access the grant portal, go to , navigate to the Ferring Grants tab and clicl on the Apply Now button.  Pre-applications must contain the following information:  
  1. Applicant's contact information. 
  2. Title: This description should contain sufficient information to enable the reviewer to clearly know the therapeutic area and proposed target. (20 word limit)
  3. Overview of the project: Provide the background supporting the scientific hypothesis that is the basis for your proposal. (200 word limit)
  4. Scientific rationale and aims: In this section provide the scientific rationale for your hypothesis and 3-5 specific aims proposed to test the hypothesis, along with a summary of the potential application of the findings. (500 word limit)   

You will be notified by August 3, 2016 if the committee would like you to submit a full application.

Zika

MotherToBaby: Patient Resource on Zika

ThePregnancyFoundation

Support the Pregnancy Foundation

Ways You Can Support The Pregnancy Foundation in 2016:

  • Donate when you renew your SMFM membership dues  ---                 it's easy and can be done without leaving the SMFM website!
  • Honor Your Mentor  ---                  make a tribute donation in honor of someone who had an influence on your career!
  • Honor a Graduating MFM Fellow  ---                 recognize the efforts and achievements of MFM Fellows with donation in honor of a 2016 graduate!
  • Support the First Year Fellows Retreat  - --                 contribute to the success of this program which is co-funded by SMFM and The Pregnancy Foundation!
  • Impact maternal and child health around the world  ---                 support the Queenan Fellowships for Global Health!
  • Encourage mentoring and leadership development of residents interested in MFM  ---                support the Quilligan Scholars Program!
  • Shop on AmazonSmile and designate The Pregnancy Foundation as your charitable organization  ---                 Amazon donates 0.5% of the price of your eligible AmazonSmile purchases to the charitable organization of your choice! AmazonSmile is the same Amazon you know. Same products, same prices, same service.
Our mission is to advance care in pregnancy through research and education, and we rely on your support to sustain our programs. Thank you for your generosity!
FellowsCorner

Fellows' Corner

Pearls of Wisdom: "Should I pursue a niche?"

By Dr. Richard L. Berkowitz 

People choosing to specialize in Maternal-Fetal Medicine have already opted to develop a niche in the general world of Obstetrics and Gynecology. The question to be addressed in this essay is whether further sub-specialization is worth pursuing. 

Let me begin by saying that, in my opinion, there is no right or wrong answer to that question. I know many MFM physicians who are extremely successful generalists in our field, as well as comparable numbers who have achieved recognition for their skills and/or knowledge in relatively small but well-defined niche areas. Therefore, I think the choice of what path to pursue depends entirely on an individual's career objectives. 

Fellow Tip of the Week

Hepatocellular adenoma is an uncommon benign tumor of the liver that is rarely seen in pregnancy. Tumor size greater than 5cm is a good cutoff when thinking of increased maternal mortality, closer follow up and potential for intervention.

- Contributor: Anonymous

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