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Researchers at CHOP and Penn plan to enroll 2,500 Philly-area pregnant patients, tracking the health of their fetuses through early childhood.

by Tom Avril, The Philadelphia Inquirer
Published

The University of Pennsylvania and Children’s Hospital of Philadelphia have won a $50 million grant to study how environmental factors affect the health of fetuses, babies, and toddlers.

Researchers plan to enroll 2,500 pregnant patients and their partners over a 7-year period with the grant from the National Institutes of Health, as part of a larger study of more than 60,000 children.

The study will track harmful environmental exposures such as pollution, violence, and extreme temperatures, as well as beneficial ones like walkability and green space.

All are thought to have significant effects on pediatric health, but the grant will allow researchers to tease out the individual impact of each, said CHOP neonatologist Heather Burris, one of three leaders of the Penn-CHOP portion of the study.

“We really need to understand the relative importance of each of these environmental toxicants and also what can be done about it,” she said.

Philadelphia joins national study
The national study, called Environmental Influences on Child Health Outcomes (ECHO), has been underway since 2016, already yielding 1,200 peer-reviewed research articles, the NIH says.

The addition of Philadelphia to the mix will allow researchers to get a better sense of how environmental harms can have a disproportionate impact on children of color, who are underrepresented in some other participating locations, Burris said.

The other two project leaders are CHOP neonatologist Sara B. DeMauro and Sunni L. Mumford, a professor of epidemiology at Penn’s Perelman School of Medicine and the co-director of Penn’s Women’s Health Clinical Research Center.

The team plans to study the interplay between “macro” environmental factors like pollution and violence and the “micro” environment for each individual fetus: their parents’ diet, physical activity, stress, and sleep.

The researchers will monitor fetal health throughout pregnancy into the first three years of childhood, tracking preterm birth, asthma, obesity, and developmental delays.

The study seeks to enroll pregnant patients at the Hospital of the University of Pennsylvania and Pennsylvania Hospital.

The Office of Mental Health and Substance Abuse Services (OMHSAS) October 2023 Stakeholder Webinar is currently scheduled for Tuesday, 10/17/23 from 1:00 pm – 2:00 pm.

Please register here to participate. After registering, you will receive a confirmation email containing information about joining the webinar.

Call-in Number: 631-992-3221  •  Access Code: 332775346#

Please contact RCPA Mental Health Services Director Jim Sharp with any questions.

The Office of Developmental Programs (ODP) has shared the communication, ODPANN 23-080: Office of Developmental Programs (ODP) Residential Provider Survey for Selective Contracting. The purpose of this announcement is to notify ODP providers rendering residential services (including residential habilitation, LifeSharing, and/or supported living) that they are required to complete a survey. Please review the announcement and survey for additional information and detail. Contact ODP directly with any questions.

On Tuesday, Governor Josh Shapiro signed an executive order to create a Behavioral Health Council. The council aims to bring together state leaders, local governments, and community providers to develop a statewide action plan to address any gaps in access, affordability, or delivery of services, with the goal of removing silos across state agencies, health care providers, payers, state and local government sectors, and decreasing the wait time for services for Pennsylvanians in need.

Charged with setting the agenda for behavioral health under the Shapiro Administration, the council will be comprised of 33 members and include a diverse array of stakeholders with representation from state, county, and local governments, the provider community, advocacy groups, and individuals with lived experiences. A list of Council members is available online.

The executive order also creates an advisory committee that will share with the council industry knowledge, expertise, reports, findings, and feedback from the communities they serve to assist members in their work to improve the delivery of services. Read the complete press release.

Physical, Mental and Emotional words on a venn diagram to illustrate total balance of mind, body and soul or spirit health and wellbeing

On behalf of COMCARE, Pennsylvania’s 67 counties, and their partner Behavioral Health Managed Care Organizations (BH-MCOs), RCPA is pleased to distribute the following report highlighting more than two dozen Integrated Behavioral Health (BH) and Physical Health (PH) Care Models that are available to Pennsylvanians enrolled in Behavioral HealthChoices (BHC), the Commonwealth’s BH managed care program for Medical Assistance consumers. This is considered a “living” document and will be updated with additional models as they are identified.

The Drug Enforcement Agency (DEA) issued a temporary rule extending the allowance for physicians and practitioners to prescribe controlled medications to new patients based on a relationship solely established through telemedicine (live video or telephone for buprenorphine) until December 31, 2024. The extension will give the DEA time to consider permanent changes to their rules around prescribing controlled substances moving forward.

Key concerns from stakeholders expressed during the listening sessions were related to in-person visit requirements, the 30-day prescribing limit in the initially proposed rules, and adding various reporting requirements, such as notating on prescriptions that they were prescribed via telemedicine. The rule itself lists additional reasons the extension is being issued:

  • “Prevent a reduction in access to care for patients who do not yet have an existing telemedicine relationship;
  • For relationships established both during the COVID-19 PHE and those established shortly after, prevent backlogs with respect to in-person medical evaluations in the months shortly before and after the expiration of the telemedicine flexibilities;
  • Address the urgent public health need for continued access to the initiation of buprenorphine as medication for opioid use disorder in the context of the continuing opioid public health crisis;
  • Allow patients, practitioners, pharmacists, service providers, and other stakeholders sufficient time to prepare for the implementation of any future regulations that apply to prescribing of controlled medications via telemedicine; and
  • Enable DEA, jointly with HHS, to conduct a thorough evaluation of regulatory alternatives in order to promulgate regulations that most effectively expand access to telemedicine encounters in a manner that is consistent with public health and safety, while also effectively mitigating against the risk of possible diversion.

RCPA will continue its advocacy work in partnering with the National Council on Mental Wellbeing to support the flexibility becoming part of reimagined legislation. Also, RCPA will continue its efforts on the current appeal it has filed with the DEA and OMHSAS to provide regulatory clarification on the licensing classification for those provider members who submitted applications for DEA Site Registration to disseminate Controlled Substances under the titled Act of 1970.

If you have questions, please contact RCPA Policy Director Jim Sharp.

The Office of Developmental Programs (ODP) has shared the communication, ODPANN 23-079: Alerting Providers to Risk of Fraud and Encouraging Use of Electronic Funds Transfer (EFT). The purpose of this announcement is to alert providers to the risk of fraud associated with reliance on paper check payments and strongly encourage the use of EFT to receive payment for rendered services. Please review the announcement for additional information and contact ODP with any questions.