Telehealth Addiction Care

There is currently considerable interest in telehealth addiction care. Allina Health began offering it in February 2019 to address geographic voids in greater Minnesota. We were thus well-positioned for virtual care when the Covid-19 pandemic occurred about a year later.

Jeff Wagner interviewed me on WCCO Television on September 12th about our work at Allina. Please see here and here for previous media appearances.

WCCO Television

Many thanks to Sarah Jackson with Media Minefield for her partnership on this timely and important subject! ✸

Happy Hour

Well, about 48 minutes.

Janet Lewis Muth, Director of Health Promotion at Carleton College, and I were guests today on MPR News with Angela Davis. We discussed happiness. Please see my earlier posts (and here, here and here) for more context.

Many thanks to Tim Burke, External Communications Advisor at Allina Health, for his partnership on this timely and important subject! ✸

Acceptance Is the Answer

Linda Picone, the editor of Minnesota Medicine, tapped me for its “Joy of Medicine” feature. The extended interview appears in the September–October issue.

Minnesota Medicine

I’ll let Linda’s work speak for itself—it’s an absolute gem—but offer the following references for those who might want to go deeper:

Telehealth Addiction Care

Leah Beno interviewed me on KMSP Television yesterday morning about telehealth addiction care. Please see here and here for the context.

KMSP Television

Many thanks to Sarah Jackson with Media Minefield for her partnership on this timely and important subject! ✸

Telehealth Addiction Care

Mike Max interviewed me on WCCO Radio this morning about telehealth addiction care. Allina Health’s work that began at New Ulm Medical Center was the context

WCCO Radio

Here are some of my source documents

Many thanks to Sarah Jackson with Media Minefield for her partnership on this timely and important subject! ✸

Nicotine & Vaping WYNTK

I’m a longtime friend of the Hazelden Betty Ford Foundation and have frequently collaborated with Hazelden Publishing on various educational offerings. What You Need to Know (WYNTK) is the latest series

We filmed the Nicotine & Vaping program in late February, which seems like years ago because of Covid-19. It’s now available for preview and purchase

Hazelden Publishing

Many thanks to Wes Thomsen and his crew at Hazelden Publishing for involving me in this project. My previous appearances can be found here and here. ✸

New Drinking Limits

I appeared on WCCO Television this morning to discuss some new alcohol drinking limits. The context was a Lancet study that will likely be incorporated into the U.S. Department of Agriculture’s updated Dietary Guidelines

WCCO Television

Consistent with the Lancet study and traditional binge drinking definitions, my current advice regarding consumption is:

  • Men: Up to 7 drinks per week; no more than 4 drinks per occasion/sitting
  • Women: Up to 7 drinks per week; no more than 3 drinks per occasion/sitting

Key caveat: These recommendations are for people without a history of addiction. Those with a history of addiction should abstain from alcohol.

Many thanks to Sarah Jackson with Media Minefield for her partnership on this timely and important subject! ✸

Happy Camper

I appeared on KMSP Television yesterday morning to discuss happiness. Please see my earlier post for the context. I was again representing Allina Health

KMSP Television

Many thanks to Sarah Jackson with Media Minefield for her partnership on this timely and important subject! ✸

Be Here Now

[ Updated with links to the resulting on-air segment / and here ]

WCCO Television

I’m scheduled to appear on WCCO 4 News This Morning on Monday, June 22nd, at 5:45 a.m. The subject will be happiness. I’ll be representing Allina Health

We’ll be discussing a recent NORC at the University of Chicago study that found a historic decrease in happiness. NORC has been surveying Americans since 1972 with the following question:

Taken all together, how would you say things are these days—would you say that you are very happy, pretty happy, or not too happy?

Only 14% of people reported feeling “very happy,” which was a sharp drop from the usual run rate. In contrast, 23% of respondents indicated that they are “not too happy.” Both findings are unprecedented (red oval)

Norc at the University of Chicago

Correlation does not imply causation, however, the investigators pursued some provocative Covid-19-related explanations dealing with viral hotspots, loneliness and income. And while George Floyd was not mentioned in NORC’s report, his senseless death on May 25th occurred right in the middle of the survey period. I’d speculate that tragedy and the national reckoning which has followed was also on respondents’ minds

Regardless of the causes, what are some ways to improve happiness?

I generally recommend making peace with the present. This perennial wisdom that has strong, contemporary scientific support. For example, a seminal study by Matthew Killingsworth and Daniel Gilbert tracked happiness in real time using iPhone surveys. They found that people were happiest when their minds weren’t wandering—that is, when they were totally present in the now

In conclusion, a human mind is a wandering mind, and a wandering mind is an unhappy mind. The ability to think about what is not happening is a cognitive achievement that comes at an emotional cost

Science 2010;330:932

You can prove this to yourself by enrolling in the study, which is still running

Present moment awareness is sometimes called mindfulness, a trendy, frequently misunderstood word that I’ve avoided up until now. If you’re intrigued, I suggest snagging a copy of The Power of Now, the classic book by Eckhart Tolle. I often point people to “Wherever You Are, Be There Totally” (section), which starts on Page 82 in Google Books

I’ll try to mention other tips and tricks on the air, and hope to add them to my profile page at Allina Health later this week. ✸

Wild West of Waivers

Thank you for joining us for today’s legal/regulatory webinar related to the Covid-19 pandemic. This post contains links to the various resources that we discussed. Additional resources will be added after the event based on your questions

Disclosures
The webinar represents a partnership between Allina Health (David Frenz’s employer) and the Center for Practice Transformation. Please review Dr. Frenz’s disclosures, especially that bit about seeking counsel from experienced health lawyers like our panelists, Teresa Knoedler and Kit Friedemann


in partnership with

Questions to Ask Yourself

  1. Is the health care service permitted by law? (if yes, then go to #2)
  2. Is the health care service permitted by the patient’s health plan? (if yes, then go to #3)
  3. What is the claims submission process? For example, what CPT code and place of service code (Item Number 24B in the 1500 Health Insurance Claim Form) should be submitted for payment?


Introduction
High-level Explainer by Kit Friedemann, J.D.

Emergency Declarations
Federal
Minnesota
#StayHomeMN

HIPAA Enforcement
Office of Civil Rights resource page
Telehealth and Telemedicine Tool Kit

Medicare
Expansion of telehealth with 1135 waiver
CMS Interim Final Rule
MLN Booklet — Telehealth Services [requirements prior to Covid-19]
Medicare Coverage of Substance Abuse Services [prior to Covid-19]

Minnesota Department of Human Services
Waivers and modifications
MHCP Provider Manual

42 CFR Part 2
Substance Abuse and Mental Health Services Administration (SAMHSA)
Relationship to HIPAA enforcement discretion

Ryan Haight Act
Use of Telemedicine While Providing Medication Assisted Treatment (MAT)
Drug Enforcement Administration (DEA) Covid-19 Information Page