Washington, D.C.

Nashville, TN

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Strategies for Improving Opioid Management

  • February 06, 2019
  • 1:00 PM – 2:00 PM ET
  • online
about

According to data from U.S. Department of Health and Human Services (HHS) in 2016 and 2017, approximately 130 people died daily from opioid-related drug overdoses. Misuse and addiction to prescription opioid medications and heroin is a systemic and national crisis that affects every community. The Centers of Disease Control and Prevention (CDC) estimated the economic cost of opioid misuse in the United States is $78.5 billion per year. It is not only systemically impacting socioeconomic, health care, housing, and law enforcement, but it can lead to cross-generational risks for substance use disorders and poverty.

The webinar will expand your knowledge of different national approaches and strategies to help people with opioid addiction/misuse and their co-morbidities.

Participants will:

  • Expand your knowledge of different approaches and strategies to manage the complexity of opioid use.
  • Gain a better understanding of how evidence-based medicine and utilization criteria help to promote quality care and effective utilization management for patients with complex medical, substance use disorders and behavioral health co-morbidities across the continuum of care.

Speakers 


Victoria Pham, DO, MBA, FAPA, DFAACAP
InterQual Behavioral Health Medical Director
Change Healthcare

Dr. Pham is an InterQual Behavioral Health Medical Director and is responsible for the clinical integrity and accuracy of the product. She works with healthcare systems to solve systemic issues while implementing mission-driven and customized solutions. In addition, she is also currently an Assistant Professor at Columbia University, a consultant to the Office of Mental Health of New York State, and a peer reviewer at the Substance Abuse and Mental Health Services Administration (SAMHSA). Board Certified in Child & Adolescent Psychiatry and General Adult Psychiatry. Distinguished Fellow of the American Academy of Child & Adolescent Psychiatry. Fellow of the American Psychiatric Association.

Yale University: Master of Business Administration
Columbia & Cornell Universities: Child & Adolescent Psychiatry Fellowship
UPMC: Adult General Psychiatry Residency
Western University of Health Sciences: Medical School
University of Southern California: Bachelor of Science


Shelly DeVito, LCSW, MBA
Director of Behavioral Health & Shared Services
Excellus Health Plan

At Excellus Health Plan, Shelly is Director for the Behavioral Health Department and Shared Services. The Behavioral Health Department includes utilization management, case management, operations, analytics, program development, quality for all lines of business and compliance. Shared Services is a call center area responsible for making verbal notifications for providers and members for all prior authorization reviews within the health plan including medical specialty drugs and pharmacy. Shelly is also responsible for oversight of Behavioral Health for Medicaid. This oversight includes utilization management, case management and quality related to BH and all regulatory requirements of the NYS Medicaid Redesign.

In addition, Shelly works in tandem with Behavioral Health’s Chief Medical Officer, Dr. Ann Griepp, to drive various strategic initiatives for the health plan. Shelly is a licensed clinical social worker (1996) and also achieved her MBA in 2009. Shelly has 12+ years of direct behavioral health clinical experience. Shelly’s clinical expertise includes substance use disorders in various levels of care including residential and outpatient with adolescents and adults. In addition, Shelly also has experience in outpatient psychiatric care with adults.

Shelly joined Excellus Health Plan in 2007. In 2014, Shelly won the Executive Leadership Award for her work on implementing Federal Mental Health Parity. As complicated as the health care industry is with the current ever-changing landscape, Shelly leads her team to work hard to deliver excellence to every member and provider through evidenced based and quality care. At the end of the day, Shelly enjoys traveling with her wife Amanda, photography as an avid hobby, golf, yoga and stand up paddle boarding.