Category Archives: clinical care

Rural Infection and death rates on the decline

For the ninth week in a row, COVID-19 infection and death rates in rural locations have continued to fall, hitting lows that have not been seen in 9 months. Since their peak during the second full week of January, new weekly cases have dropped by 83%. The number of weekly deaths has fallen by two-thirds during the same period. For more information, please visit the link below!

Affordable Medications

One of the hard realities of serving in rural communities is that many of our patients have a hard time affording the medications they desperately need.

We’ve located a resource to help with that process.  The National Center for Farmworker Health has produced a series of easy-to-read fact sheets about the safest and most affordable medications to treat specific conditions or illnesses. Topics include diabetes, heart disease, menopause, depression, and many others.

Available in both English and Spanish, each fact sheet is based on extensive reports published by Consumer Reports Best Buy Drugs that share the results of research conducted to determine the most effective, safe and affordable medicines available in the market for each condition. Generic medicines, if available, were included in the analysis as well.

What other resources for affordable medications do you have?

ICD-10 Is Here – Now What?

Just like the coming of Y2K, the world did not implode when ICD-10 went live on October 1, 2015.  But that doesn’t mean there aren’t any glitches.

At Head for the Hills 2015  Debbie Poston from AMS Software talked about the challenges physicians face in making sure office staff can document patient visits correctly in her presentation, ICD-10 Is Here – Now What?

Poston reviewed how those challenges can be used to increase communication within a medical practice and assure claims can be paid in a timely manner.

Use this presentation as a starting point for making sure all of your diagnostic work is being recorded correctly to the benefit of your patients, your staff, and your cash flow.


Anxious Kids

What’s the difference between fear and anxiety?  What level of anxiety in a child is normal? At what stage does it need to be addressed?  When is medication appropriate for a child with anxiety?

C. Allen Musil, Jr., MD’s presentation at Head for the Hills 2015 answered these questions and reviewed risk factors for anxiety disorders, different types of anxiety disorders, treatment approaches and more.

Check out Anxious Kids: A Primary Care Approach by Dr. Musil!


Speaking of Billing…

One of the great presentations at Head for the Hills 2015 was Curbside Consults, Warm Handoffs, Team Meetings: How to Define and Discuss Billing and Coding Practices

Led by Joel Hornberger, MHA and J. David Bull, PsyD of Cherokee Health Systems, the session focused of the ‘how’ and ‘why’ of integrated care.  It noted:

Integration is a means to an end…

  • Improve the health of a population
  • Reduce healthcare disparities
  • Improve access
  • Focus on wellness and prevention
  • Patient centered care
  • Evidence based clinical and program decision making

The session also reviewed the financial aspect of integrated care, looking at how costs can be balanced with revenue.

So if you want,

“The care that results from a practice team of primary care and behavioral health clinicians, working together with patients and families, using a systematic and cost-effective approach to provide patient-centered care for a defined population”

Look into integrated care today!



Media headlines are full of ADHD information.  Recent examples include:

  • —“Study finds 17% of college students misuse ADHD drugs”
  • —“ADHD Medications Don’t Lead To Drug Or Alcohol Abuse”
  • —“Children with ADHD more likely to have eating disorder”
  • —“Is the Internet giving us all ADHD?”


One of the great presentations at Head for the Hills was Dr. Hofford’s Attention-Deficit Hyperactivity Disorder: What’s New and What is Our Data.

This session:

  • —Reviewed the diagnosis of ADHD
  • Reviewed the latest treatment options/algorithms for ADHD
  • —Reviewed recent Virginia Medicaid ADHD data and how do we compare with North Carolina and the United States

We hope you are able to use Dr. Hofford’s information as your starting point for finding solid ADHD references!