National Physician Suicide Awareness Day underscores urgent need to support physician wellness

National Physician Suicide Awareness Day (NPSA)—on Sept. 17—is a sobering reminder for physicians and others to ensure that we advocate for programs and initiatives to support physician health and wellness. Supporting physician wellness and reducing physician burnout are key elements of the AMA Recovery Plan for America’s Physicians.

Physicians have higher rates of death by suicide than the general population, and medical residents and students also experience depression at rates greater than the general population, according to the American Foundation for Suicide Prevention.

“AMA advocacy is focused on eliminating barriers that prevent physicians and medical students from seeking care for their own mental health,” said AMA President Jesse M. Ehrenfeld, MD, MPH. “National Physician Suicide Awareness Day is an important reminder of the tragedies in our profession—it is time, however, for licensing boards, health systems and credentialing organizations to take additional actions to ensure that we can support our physicians’ health and wellness and help prevent our colleagues from dying by suicide.”

Part of the AMA’s advocacy to support physician wellness has been direct engagement with state medical boards, hospitals and health systems to remove stigmatizing questions on applications related to mental health and substance use disorders. The AMA has worked with several dozen medical boards, hospitals and health systems alongside the Dr. Lorna Breen Heroes’ Foundation (PDF) and the Federation of State Medical Boards to urge boards and others to review, revise and/or remove all questions that may deter physicians from seeking treatment for mental illness or substance use disorder. In addition, the AMA has worked closely with the Medical Society of Virginia and Virginia Healthcare and Hospital Association to challenge all Virginia hospitals to ensure their credentialing applications are consistent with recommendations from the AMA, Federation of State Medical Boards and Dr. Lorna Breen Heroes’ Foundation…

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Virginia Department of Health Declares Statewide Outbreak of Meningococcal Disease

via VDH

Dear Colleague:

The Virginia Department of Health (VDH) is declaring a statewide outbreak of meningococcal disease caused by the bacterium Neisseria meningitidis serogroup Y. The sequence type associated with this outbreak was first identified in eastern Virginia in September 2022 and has since been detected in central and southwest Virginia. This letter provides an update to the most recent notice to clinicians that was issued in March 2023.

Meningococcal disease is a rare, but very serious illness. From June 2022 to August 2023, there have been 27 cases of meningococcal disease caused by Neisseria meningitidis serogroup Y reported in Virginia, with most cases (20) occurring in the eastern region. All isolates available for sequencing (22 out of 27) were found to be highly genetically related. This strain is susceptible to ciprofloxacin and penicillin, unlike other serogroup Y strains previously detected in Maryland and northern Virginia, and is known to be circulating more widely across the United States.

Five case-patients associated with this outbreak have died from complications of meningococcal disease, indicating that this strain might have a higher case fatality rate (19% CFR) than is commonly observed in serogroup Y cases (source). The majority of case-patients (18) developed septicemia, and not meningitis, with common symptoms including fever, nausea, vomiting, and muscle aches.

VDH has not yet identified a common risk factor among the cases. The majority of cases have occurred in Black or African American adults between 30-60 years of age. Twenty-six case-patients were unvaccinated for serogroup Y.

Early identification and prompt public health follow up remain key to preventing further transmission. VDH responds to reports of suspected meningococcal disease by rapidly identifying close contacts for whom short-term antibiotics are recommended for post-exposure prophylaxis. VDH is dedicated to increasing access to meningococcal conjugate vaccine (MenACWY), which provides protection against serogroup Y. In areas that have reported an outbreak-associated case, MenACWY vaccine is being made available through the local health departments for people at increased risk of meningococcal disease due to certain medical conditions and residents of localized areas with increased transmission. Additionally, VDH is offering vaccine to outbreak-associated close contacts in an effort to vaccinate individuals who may be part of an unknown social network at increased risk for meningococcal disease serogroup Y.

Please consider the following actions:

  • Maintain a high index of suspicion for meningococcal disease while this outbreak continues. The majority of case-patients have presented with symptoms of septicemia; several case-patients presented with meningitis, citing neck stiffness and photophobia. A petechial rash with pink macules might also be observed. This rash may appear purple, dark brown, or black on darker skin tones.
  • Immediately notify your local health department (LHD) if meningococcal disease is suspected based on clinical findings or laboratory results of gram-negative diplococci or Neisseria meningitidis from a normally sterile site. Please coordinate with your LHD to send specimens/isolates for newly identified cases to Virginia’s state public health lab, the Department of General Services Division of Consolidated Laboratory Services (DCLS), for serotyping.
  • Ensure that all patients who are at increased risk for meningococcal disease are up to date on MenACWY vaccine. People at increased risk include: people with HIV, those whose spleen is damaged or removed, people with sickle cell disease, anyone with a rare immune condition called “complement deficiency” or people taking “complement inhibitors.” A MenACWY booster is recommended every five years for people with increased risk due to medical conditions.
  • Continue to encourage routine administration of MenACWY vaccine in adolescents. As a reminder, a dose of MenACWY vaccine is required for students enrolled prior to 7th and 12th grade.

Thank you for your attention and cooperation.

Sincerely,

Karen Shelton, MD
State Health Commissioner

Quality Insights Announces 50th Anniversary Grant Program Winners

Quality Insights, a healthcare organization committed to improving healthcare and promoting health equity, recently celebrated its 50th anniversary by launching a grant program aimed at supporting innovative projects. After reviewing submissions, Quality Insights selected six winners who will collectively receive more than $100,000.

Quality Insights CEO, Sven T. Berg, M.D., expressed his gratitude to all applicants while congratulating the winners and looking forward to the successful implementation of their grants.

“We were impressed with the quality of all the applicants. These decisions were difficult to make, but we are thrilled to support these innovative programs that will make a significant difference in health and healthcare,” said Berg.

The winners of the grant program include:

  • Lori’s Hands Charm City Scholars Initiative, Baltimore, MD, will create specialized, stipend internships for black, indigenous, people of color (BIPOC), low-income, and/or first-generation college students who are pursuing careers in healthcare. Interns will advance Lori’s Hands’ unique community health service learning model that provides instrumental and social support to community members.
  • The Medical Society of Virginia Foundation, SafeHaven™ Coaching Network, Richmond, VA, will bolster the health and wellness coaching resources available to the healthcare community, building a foundation of peer health and wellness coaches for and increasing access to confidential and protected well-being coaching services.
  • Literacy Delaware, Demystifying the Healthcare Journey, Wilmington, DE, will develop a health literacy education program for dialysis patients and their families to close the health equity gap.
  • Think Kids, West Virginia Wraparound Intensive Support in Enrollment (WV WISE), Charleston, WV, will create a model of person-centered benefits enrollment assistance that overcomes stigma and galvanizes local programs to address health disparities.
  • Grassroots Health, College Athlete Health Education Program for Middle School Students, Baltimore, MD/Philadelphia, PA, will recruit and train 100 college athletes to deliver weekly sports-based health education modules in under-resourced middle schools, an investment in both preventive health education for middle school youth and volunteer/peer training in a health-related field for college student volunteer program facilitators.
  • West Virginia Osteopathic School of Medicine, Women Interested in Staying Healthy (WISH), Lewisburg, WV, will provide support, encouragement, nutrition education, and exercise opportunities for women in Greenbrier County, incorporating a professional dietician, a professional strength trainer/exercise physiologist, and physician counseling on weight loss and healthy lifestyle.

The grant program is part of Quality Insights’ commitment to improving healthcare and closing the health equity gap. The organization believes that by investing in innovative programs, it can make a significant impact in the lives of individuals and communities.

About Quality Insights

Founded in 1973, Quality Insights is celebrating 50 years of using quality improvement science, education and collaboration to develop and bring best practices to healthcare settings and communities. Learn more at www.qualityinsights.org.

Support for Maui Wildfire Relief

The Medical Society of Virginia and its members’ hearts go out to the families and communities affected by the Maui Wildfires. Many of our members are asking how they can support the many communities impacted. Below is information, resources, and ways you can currently support.

The Hawaii Medical Association (HMA) has been doing regular updates on the situation, here.

Other Resources:

The MSV will update this page as we learn more.

4 Big Ways Medical Students Benefit from Membership with MSV

 

By Jenny Young, Associate Vice President of Membership and Engagement

When entering medical school, your first few weeks of orientation are packed with lectures and activities from the dozens of clubs and organizations you’ve been given the opportunity to join; each with a unique value proposition and list of benefits.  Most clubs are clearly understood from their title such as the pediatric student interest group, yoga club, and women in medicine.  You know what you’re signing up for.

Then you come across The Medical Society of Virginia (MSV), and its joint membership package with The American Medical Association (AMA), which fall into the category of organized medicine.  You’ve probably heard of AMA in the news while reading how physicians were managing the COVID-19 pandemic.  But what does becoming a member of MSV and AMA mean?  And how can you take advantage of your membership to strengthen your medical school career?

The AMA represents physicians, medical students and patients on a national scope, lobbying Congress, while the MSV represents physicians, medical students and patients on a state scope, lobbying the Virginia General Assembly. The MSV and AMA are both led by their members: physicians, residents, and medical students. All policies, advocacy efforts, and organizational goals are debated and voted on by members – and medical students have a powerful voice and vote!

As a medical student member, you can take advantage of a combined membership with MSV and AMA for the duration of your medical school career.  You get to decide how you’ll use your membership.  Regardless of how engaged you become, the fact that you’re a member makes an impact in MSV and AMA’s advocacy work.  More members equal greater influence in achieving important goals such as increasing access to care for our most vulnerable populations, or ensuring physicians can do what’s best for their patients without legislators or regulators dictating how care should be provided.

For medical students looking for more from their membership, medical students can have a major impact on changing healthcare through AMA and MSV.

Crafting Policy

Virginia medical students have been successful in crafting state and national policy through authoring resolutions. Several examples include:

Access to Healthcare Influencers

Attending MSV and AMA meetings and events grant you with direct access to healthcare influencers and legislators.

  • MSV and AMA hold lobby days for you to meet with your state legislators in Richmond, Virginia (MSV) and federal legislators in DC (AMA)
  • Past speakers and attendees that students have met with at AMA and MSV conferences include leaders such as: national specialty society presidents, The Surgeon General, The Governor of Virginia, Virginia’s Health Commissioner and CEOs and Chief Medical Officers of hospitals and health tech companies.

Leadership Positions

Medical Student Members are given the opportunity to hold leadership positions through MSV and AMA. The leadership opportunities include:

  • Leading your school’s AMA/MSV chapter
  • Serving on a state or national medical student section (MSS) committee:
    • MSV has standing committees on advocacy, community outreach, and member engagement
    • AMA has committees focusing on topics such as bioethics and humanities, economics and quality in medicine, and minority issues. Take a look at the full list of AMA medical student standing committees
  • Leading the MSV MSS on the MSS Executive Committee
  • Joining AMA MSS’s Region 6 Leadership Board, leading medical students from VA, DC, MD, NJ, and PA
  • Representing medical students on one of MSV’s Boards: MSV Board of Directors, MSV Foundation Board of Directors, or MSV Political Action Committee Board of Directors

Connect with Students and Physicians

Woven throughout all MSV and AMA events and leadership opportunities is the opportunity to connect with passionate medical students seeking to positively impact healthcare at your school, throughout Virginia, and throughout the nation. The friendships and professional relationships formed will have a lasting impact!  The community powerfully galvanizes around doing what is right for patients and physicians.

You’ve earned the opportunity to join the hundreds of thousands of physicians and medical students who are members of AMA and MSV.  Take advantage of a joint MSV + AMA membership to support our efforts to make Virginia and America the best place to practice medicine and receive healthcare!

Important Message for DEA-Registered Practitioners

As you may be aware, the new MATE law requires DEA-registered practitioners who are renewing their license or any first-time registrants to complete eight hours of training on the treatment and management of patients with opioid or other substance use disorders. 

The University of Virginia is pleased to provide an 8-hour training course that meets these requirements to Virginia-based providers at no cost.  This course, titled “Substance Misuse and Opioid Use Disorders – A National Problem: An Interprofessional Solution” will be available beginning July 31 on the UVA Continuing Education website at CMEVillage.com.  Participants may complete some or all of the eight (8) modules, based on their interests and needs.  Credit will be awarded based on participation, with one content hour per module.

This course is designed for Physicians, Advanced Practice Providers, Nurses, Psychologists, Social Workers, Pharmacists and other healthcare professionals who care for patients with substance abuse disorders.  

For more information on this course, including accreditation details and the MATE law requirements, please review the attached announcement for the course or contact [email protected]. 

Melina Davis, MSV’s CEO and EVP, Honored with Virginia Business Women in Leadership Award

via Virginia Business

Throughout her 35-year career, Melina Davis says that her favorite — and greatest — challenge has been learning to understand people’s motivations and goals.

“Whether we are in a family room or a boardroom, women have to command a leadership position to make sure progress continues,” she says. “Creative solutioning is a superpower for most women I know.”

Davis has imparted this wisdom to dozens of men and women she has mentored over the years while leading MSV, the professional association representing more than 30,000 physicians, residents, medical students, physician assistants (PAs) and PA students across Virginia.

“While it is important to be real about your capabilities and gaps as you learn and grow, it is imperative that we trust in ourselves and know we can figure elements out along the way and work with a team to fill in gaps we personally may not have,” she says. “Embrace your confidence, ladies, and be bolder.”

Previously serving as CEO of the American Lung Association of the Atlantic Coast, Davis also founded PlanG Holdings Inc., a consumer platform that allows people to donate to causes including schools, churches and charities.

She also serves on the media business Fast Company’s executive board and the American Medical Association’s Advocacy Resource Center’s executive committee. Additionally, she’s vice chair of the Virginia Credit Union and is governance chair for the Virginia Commonwealth University School of Business Foundation’s board.

Congratulations to Melina and to the 2023 class of Virginia Business Women in Leadership Award winners. Read more about them all here.

Money Matters: Unlocking Financial Literacy as a Medical Student or Resident

Written by MSV’s Partner, 1752 Financial

Embarking on a journey in medicine is exciting, but it also means facing unique financial challenges. As a medical student or resident, it’s essential to develop some financial know-how to handle your money wisely.

This post dives into three high-level key aspects of financial literacy: budgeting, insurance, and retirement planning. By grasping these concepts, you’ll be on your way to building a solid financial foundation for a successful future.

Related: Watch the Money 101 Webinar

Budgeting for Medical Students and Residents

Budgeting is the secret sauce to financial stability. As a medical student or resident, keep these budgeting tips in mind:

  1. Know Your Income and Expenses: Figure out how much money you have coming in every month from income, scholarships, grants, part-time gigs, etc. Then, identify your essential expenses like tuition, rent, utilities, and groceries. Tack on your less essential expenses like gym memberships and dining out, and you’ll have a good baseline for your budget. There are budgeting-specific apps, but a Google Spreadsheet is also a simple way to keep track of your monthly budget.
  2. Create an Emergency Fund: An emergency fund is money you set aside for unexpected expenses, like unanticipated illness or injury. Start by saving whatever you can, while working your way up to a fully funded emergency fund that can cover three to six full months of your expenses.
  3. Tackle Your Debt: Med school and residency often mean hefty student loans. Develop a plan to manage your debt responsibly. Look into income-driven repayment plans, loan forgiveness programs, or refinancing options to ease the burden over time. Many people have success with Dave Ramsey’s Debt Snowball for organizing and paying off debts from multiple sources.

Insurance

Insurance acts as a safety net, protecting you from unexpected financial hurdles. As a resident or medical student insurance is particularly important. Consider the following insurance types:

  1. Malpractice Insurance: Medical malpractice insurance shields you in case of a lawsuit related to medical negligence. It is often provided by the group or hospital that employs you, but you may need to seek out coverage if it’s not offered or you open your own practice.
  2. Disability Insurance: For residents, your ability to earn an income is one of your most important assets. Disability insurance pays you if you’re unable to work due to illness or injury. Residents should be looking for own-occupation coverage that protects you in your specific specialty, and a policy that moves with you if you change jobs. Many doctors have group coverage as an option from their employer and choose to add on an individual policy to fill in the gaps of the group coverage.
  3. Life Insurance: Life insurance provides essential protection if anyone relies on your income. Term coverage is the least expensive the younger you are, and can help your family pay their mortgage and expenses should you ever pass away.

Retirement Planning

Starting early with retirement planning offers significant benefits. Consider the following:

  1. Employer-Sponsored Plans: A 401(k) is a benefit that’s sponsored by your employer. The money you save is taken out of your paycheck and then invested within the retirement plan. Because the money is typically contributed before taxes are taken out, it can lower your current taxable income. Contribute at least the amount that your employer will match and increase your contributions as your income allows.
  2. Individual Retirement Accounts (IRAs): Traditional IRAs are retirement plans that allow your money to grow, tax-deferred, until you reach retirement age. They are similar to a 401(k), but they are not sponsored by your employer and have more flexibility in where your money is invested. Everyone can open a traditional IRA and there are yearly contribution limits. If you have a 401(k) from an old employer, you can often roll it over to an IRA to have better consolidation and control over the account.

Financial Literacy for Medical Students and Residents

By understanding budgeting, insurance, and retirement planning, you can build a strong financial foundation. The beginning of your career is a perfect time to take the time to learn about these topics, seek advice from financial professionals when needed, and make informed decisions that align with your financial goals. With a solid financial footing, you can focus on your medical career with confidence, knowing that you’re also setting yourself up for a prosperous financial future in the medical field.

If you have any questions about financial planning while in residency or medical school, don’t hesitate to contact the MSV or 1752 Financial. We specialize in helping medical professionals navigate their unique financial situations and can help equip you with tools necessary to make informed financial decisions that align with your long-term goals.

Virginia Medicaid PDL/CCF and 90-Day Supply List Changes, FDA Approval of OTC Naloxone, and DUR Board Approved Drug SAs

Medicaid Memo | July 6, 2023

The purpose of this memorandum is to notify providers about updates to the Virginia Medicaid’s fee-for-service (FFS) Preferred Drug List (PDL) Program, 90-day supply list, naloxone FDA approval status, and drug service authorization (SA) requirements for drugs reviewed by the Department’s Pharmacy and Therapeutics Committee (P&T) and the Drug Utilization Review (DUR) Board.

See the full memo here, or download the PDF here.

Davis to speak on much-needed support for overburdened healthcare providers

Via chqdaily | by Deborah Trefts

During the worst of the COVID-19 pandemic, photos and videos circulated that revealed how healthcare workers were heroically striving to save lives, yet inadequately protected and stretched far beyond their capacities.

The pandemic has had a profound effect on the essential healthcare providers who have survived. The nurses, physician assistants, doctors, emergency medical technicians have endured, despite repeated exposure to a highly infectious disease — and to death and dying — during exceedingly long work shifts over an exceptionally prolonged period of time.

It is no surprise then that an epidemic of burnout and suicides has been plaguing healthcare professionals who not only risked their own lives, but also those of family members and friends, in order to treat and care for COVID-19 patients. They did so despite not having previously known most, if not all, of the patients under their care.

Thanks to the Medical Society of Virginia — headed by CEO and Executive Vice President Melina Davis — there is a way through this national epidemic, and she is keen to share it.

At 3 p.m. Saturday at the Hall of Philosophy, Davis will open the Chautauqua Women’s Club’s 2023 Contemporary Issues Forum series with “How to Save a Life: Leading the Revolution to Fix Our Broken Healthcare System.”

“Problems are solvable,” she said. “The first key is identifying what they are and bringing smart people to the table, which is what we did.”

Davis did not awaken one morning brimming with problem-solving savvy. She has honed this skill by immersing herself in foreign cultures; listening to, learning from and appreciating experienced mentors; taking calculated risks; and moving forward after inevitable moments of failure.

“I’m an embassy brat,” she said. “I grew up all over, but … Richmond (Virginia) is where I have lived the longest.” Based in Australia from ages 2 to 7, she moved with her parents to Washington, D.C. At 17, she accompanied her family to southeast Asia, including Thailand and Japan, for 20 months.

“I went over to Asia in a bubble and I came back with a soap box,” Davis said, “especially regarding women; it started me on a social impact bent.”

It was there that she “realized that while there are stark challenges negatively affecting people all around us, there are also solutions somewhere else that can be applied or designed by the willing, innovative and passionate.” Davis has been guided and motivated by this conviction ever since.

College came next. Her mother hailed from South Carolina, and she enrolled at the University of South Carolina while her parents continued to travel. Until she was 24, she visited them overseas.

“Thank goodness I had a good roommate and her family almost adopted me; the same of the dean of students,” Davis said. “I was so lucky. I always felt I had a couple of homes to go to.”

Academically, the University of South Carolina was a good fit for Davis because it was “building one of the most important programs for social work in the country.” She majored in international studies.

Professionally, the university afforded her the experience of leading a large organization. When she was just 19 and 20, she served as president of the Carolina Program Union.

The CPU focused on student issues and entertainment, and worked with the student government. She said she managed a budget of $1 million, chose the bands and speakers that came to campus, and learned how to use a computer.

Davis sought to “push and challenge” students by presenting them with engaging and timely issues and speakers. She met so many leaders – including Henry Kissinger and Sam Nunn – that she cannot name all of them.

“It was a great experience to be at every table,” she said.

Graduating a semester early, Davis moved to Northern Virginia, where her family had settled after returning from abroad. Although she tried to pursue a master’s in international development at American University, when her new husband got a job in Florida she moved there with him.

“I worked for United Way of Pinellas County, covering (St. Petersburg) and Tampa,” Davis said. “I met the most dynamic woman from Rhode Island, who taught me to fundraise. There are so many issues in the United States and I learned how United Way was trying to tackle them. There was a business mindset. … I was lucky to spend a lot of time with CEOs. This boss took me to their meetings.”

Consequently, Davis became “very good at raising money” and “learned to engage people where they were.”

After United Way in Richmond, Virginia – which was larger than that of Pinellas County – recruited her, she and her husband moved there in 1996. Eventually Davis became the head of marketing, and in 2000 she earned her Master of Business Administration at Virginia Commonwealth University.

“I could see where so many solutions could be applied … by design,” Davis said. “I believe that there is this beautiful, perfect space between smart business and harnessing people’s passion, (where you can) make a difference faster.”

Armed with her MBA and invaluable on-the-job experience, she has been “looking for solutions across the fence, between business and not-for-profits, and across different industries, and hopping back and forth between business and nonprofits” ever since.

“I care about finding solutions,” Davis said. “The nonprofit realm gave me a belief in the idea that nothing is impossible, whereas business people … have trouble getting out of their box. We swing for the fences.”

Interested in “testing (her) theories,” Davis “jumped over to run the National Multiple Sclerosis Society of Central Virginia.” She said that during her five-year tenure there, she tripled its revenue and doubled its membership.

“What an incredible organization doing terrific work; they know what they’re doing,” she said.

Recruited as the CEO of a newly established union of three struggling state organizations – the American Lung Association of the Atlantic Coast – she sought to “turn them around.”

When there was an opportunity to leave the ALA and move forward on an idea for a startup in the “microfinance space for fundraising for not-for-profits,” Davis co-founded PlanG Holdings.

Through PlanG’s unique platform – built on the “loyalty model” – nonprofits could use the internet and marketing to link major corporate brands with specific nonprofits that people care about.

“For example, if someone spends $100 at The Gap, it will give $5 to a nonprofit, such as my daughter’s school or the Girl Scouts,” Davis said.

Within six to nine months, about $7 million was raised from a diverse group of corporations.

“It was exciting; I learned a ton; I made a lot of mistakes; and I found that it took nine to 12 months to sell a company on the idea,” she said. “So, I ended up selling the platform, which was good, but I’m afraid I didn’t become a millionaire.”

“Failure teaches you a lot,” Davis said. “Make your mistakes small and make them fast. It requires a great deal of resiliency. You have to pick yourself up. Entrepreneurs are no joke.

“I know I wouldn’t be (at the Medical Society of Virginia) without PlanG,” she continued. “(Do) risk-taking with smart, risky moments. Try to go bold, but do it smartly, with good people around (you, and with) entrepreneurial spirit and innovation.”

At MSV, which Davis said is a combination of a for-profit, a non-profit and a holding company, she has tried to “get the most juice toward the mission.”

Recognizing an urgent need to protect and care for healthcare professionals confronting burnout and suicides of epidemic proportions triggered by the pandemic, she employed strategic visioning and collaborative approaches that led to the creation of a life-saving program in Virginia called SafeHaven™.

Now more than ever before, over the arc of one’s lifetime, the well-being of virtually everyone’s overall health — and that of their family and community — is substantially enhanced by the well-being of healthcare providers near and far.

If not for reasons of compassion and fairness, then for reasons of self-interest, “one good turn deserves another.” Throughout each day of the global COVID-19 crisis, many good turns have been done by healthcare professionals despite their suffering from ongoing pandemic-related pressures and haunting memories.

During her talk, Davis will point Chautauquans to SafeHaven’s unique program of reciprocity. Although it is designed primarily for the benefit of healthcare providers, its success is also a boon for their patients and communities.