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According to the National Survey of Family Growth, approximately 12% of “women of childbearing age” have a disability, and yet our educational and training programs devote little to no time in preparing us to provide accessible, appropriate, quality services to these populations. This webinar will define the population, identify the sexual and reproductive health needs, barriers to health care and health care disparities for people with disabilities, and present best practices for providing accessible, equitable sexual and reproductive health care for people with disabilities. This webinar will also discuss actionable items providers can immediately implement in their practices to make them disability accessible.
Learning Objectives:
Develop an inclusive definition of the populations that comprise people with disabilities
Identify sexual and reproductive health needs, barriers to health care and healthcare disparities for people with disabilities
Outline best practices for providing sexual and reproductive health care for people with disabilities
Identify concrete actions providers can take to improve access to and quality of sexual and reproductive health care for people with disabilities
Become knowledgeable on language, culture, and medical equipment suggestions
Speakers:
Erica Monasterio, MN, FNP-BC-Retired Clinical Professor Emerita at University of California, San Francisco 35 years of clinical experience in primary care for youth and families at UCSF and the San Francisco Department of Public Health Works in collaborations with organizations at the local, state, and national level providing training and technical assistance
Robin Wilson-Beattie, B.A Disability Sexual and Reproductive Health Educator Certified by the American Board of Sexology and City College of San Francisco as a Sexual Health Educator Member of the American Association of Sexuality Educators, Counselors and Therapists (AASECT), the Women of Color Sexual Health Network (WOCSHN), and a graduate of the San Francisco Sexuality Information Training (SFSI) Sex Educator Training Speaker, writer, and advocated for disability and sexuality
This webinar is presented by Gayge Maggio, FNP-BC, AAHIVS and will focus on the reproductive and sexual health needs/considerations of transgender and gender non-conforming people. There will be a focus on learning to approach sexual health in a culturally sensitive, non-judgmental manner and how to deliver family planning needs and contraceptive options for patients who identified as transgender and/or non-binary.
Learning Objectives:
Discuss and perform a culturally sensitive sexual health inventory with transgender patients
Describe how to provide culturally sensitive, trauma-informed cervical cancer screening and the impact of testosterone on testing
Discuss options for contraception in assigned female at birth transgender and gender non-conforming patients
Speaker:
Gayge Maggio (She/They) FNP-BC, AAHIVS Nurse practitioner at Callen-Lorde Community Health Center in New York City She also works in the FlexCare program, providing walk-in primary care to patients
Quality contraceptive care is more than just knowing the facts about all available birth control methods. In order for clients to select methods and get what they want from their birth control, it is crucial to provide contraceptive counseling that helps people identify their preferences in the context of their lives, values, and beliefs. This webinar will review best practices in person-centered contraceptive counseling and offer practical tools for providers to employ in their clinical encounters.
Learning Objectives:
Demonstrate skillful, efficient, person-centered questioning for contraceptive care visits
Discuss reproductive desires with clients of any gender and sexual orientation
Identify 3 examples of plain language to explain characteristics of contraceptive methods
Demonstrate Affirm-Share-Ask cycles for person-centered communication
Speakers:
Joely Pritzker, MS, FNP-C Nurse Practitioner at Vista Community Clinic National Trainer for Envision SRH & the PATH Framework Sexual and Reproductive Health Trainer and Consultant Contributing author for the upcoming 22nd Edition of Contraceptive Technology
Patty Cason, RN, MS, FNP-BC Assistant Clinical Professor UCLA School of Nursing President, Envision SRH
Since the first HPV vaccines were introduced in 2006, rates of cervical cancer and other HPV-related cancers have decreased in immunized populations. Family PACT will add HPV immunization as a benefit in July 2022 and will utilize guidelines developed by the CDC Advisory Committee of Immunization Practices (ACIP). This webinar will provide information about the effectiveness and safety of the HPV vaccine, review the current CDC recommendations for the use of the 9-valent HPV vaccine, and provide advice on how to have effective shared decision-making conversations with clients about being immunized. In addition, new Family PACT policies about coding and billing for HPV immunization services will be discussed. There will be ample time for your questions at the end of the presentation.
Learning Objectives:
List 2 effective strategies for engaging with patients who have vaccine hesitancy
Demonstrate a person-centered technique for providing a strong recommendation without coercion
Describe the impact of HPV vaccination on the natural history of HPV
Discuss the safety profile of HPV vaccines
Speakers:
Patty Cason, RN, MS, FNP-BC Assistant Clinical Professor UCLA School of Nursing President, Envision SRH
Michael Policar, MD, MPH Professor Emeritus, UCSF Senior Medical Advisor, CAPTC and California OFP Clinical Fellow, NFPRHA
Over the last year, the Family PACT Program has added several new benefits. These include three new contraceptive methods, a diagnostic test for Mycoplasma genitalium, and modifications in STI treatments based on the 2021 CDC STI Treatment Guidelines. In this webinar, a description of the new benefits will be provided and the Family PACT policies that relate to their utilization will be discussed. There will be ample time to ask questions regarding these and other Family PACT benefits.
Learning Objectives:
Describe and explain the three new contraceptive methods and explain how to discuss the advantages and disadvantages of each with Family PACT clients
List three circumstances when the use of the diagnostic test for Mycoplasma genitalium is clinically indicated
Describe four modifications in STI treatments based on the 2021 CDC STI Treatment Guidelines
Speakers:
Michael Policar, MD, MPH Professor Emeritus, UCSF Senior Medical Advisor, CAPTC and California OFP Clinical Fellow, NFPRHA
The long-awaited 2021 CDC Sexually Transmitted Infections Treatment Guidelines were published in MMWR on July 22, 2021. This webinar will focus on significant changes from the 2015 CDC STD Treatment Guidelines, including updated guidelines for the screening, diagnosis and treatment of gonorrhea, chlamydia, syphilis, pelvic inflammatory disease, genital herpes, Mycoplasma genitalium, and vaginal trichomoniasis. To assist health care providers in obtaining a sexual history, the updated “Five P’s” approach will be reviewed. In addition, current Family PACT benefits for each type of sexually transmitted infection discussed in the program will be explained.
Learning Objectives:
List 3 examples of sexual history questions for each the “Five P’s” of sexual history taking
Explain why the treatment guidelines for both chlamydia and gonorrhea genital tract infections were updated in the 2021 Guidelines
List the indications for obtaining chlamydia and gonorrhea samples from the anus and the oropharynx
Describe the consequences of Mycoplasma genitalium genital infection in males and females
List 2 updates in the 2021 Guidelines regarding vaginal trichomoniasis
Speakers:
Ina Park, MD, MS, Co-author of the CDC STI Treatment Guidelines, 2021
Michael Policar, MD, MPH Professor Emeritus, UCSF Senior Medical Advisor, CAPTC and California OFP Clinical Fellow, NFPRHA
The long-awaited new ASCCP Management Guideline App is now available, as well as the print version of the 2019 Guidelines. The new guidelines are streamlined for ease of use and can be significantly more individualized than the 2012 guidance by integrating information about an individual’s previous screening test and biopsy results, and personal factors such as age and immunosuppression. The guidelines now provide recommended follow up for all 3 available cervical screening strategies. This webinar will briefly explain the rationale used in developing the Guidelines, discuss how various abnormalities should be managed, and provide interactive demonstrations of how to use the app. In addition, specific considerations for the application of Family PACT benefits, including coding and billing, will be discussed. Learning objectives: At the end of this session, the learner will be able to:
Learning Objectives:
Describe the risk-based paradigm for managing abnormal cervical cancer screening test results.
Explain how risk-thresholds guide the clinical actions of immediate treatment, colposcopy, and short-interval follow up.
Demonstrate use of the ASCCP app to apply the new guidelines to patient care.
Speakers:
Patty Cason, RN, MS, FNP-BC Assistant Clinical Professor UCLA School of Nursing President, Envision SRH
Michael Policar, MD, MPH Professor Emeritus, UCSF Senior Medical Advisor, CAPTC and California OFP Clinical Fellow, NFPRHA
The CPT rules for the use of problem-oriented E/M office visit codes changed significantly on January 1, 2021. Since then, office visits are coded based on levels of medical decision-making or “total time” and the prior rules for using the “three key components” no longer apply. Consequently, Family PACT E/M coding policies were updated in February 2021, as well as the publication of a new policy on coding and billing for counselor services.
Learning Objectives:
List at least six activities that can be counted in the “total time” of a visit when computing E/M level
List each of the 3 elements used in medical decision-making, and give examples of each
Describe the Family PACT policy for coding for a clinician visit and counselor services on the same date of service
Speaker:
Michael Policar, MD, MPH Professor Emeritus, UCSF Senior Medical Advisor, CAPTC and California OFP Clinical Fellow, NFPRHA
This webinar features two new Family PACT Clinical Practice Alerts.
Cervical Cancer Screening
Topics in this portion of the webinar will include benefits through Family PACT that have been expanded to include high-risk HPV-alone screening, use of this test, alternative cervical cancer screening options, and new guidelines regarding cervical cancer screening for females who are HIV positive or who are immunocompromised.
Emergency Contraception
Topics in this portion of the webinar will include the relationship between body weight and emergency contraception failure rates, when oral contraceptives can be started with females who have used ulipristal acetate, options for accessing emergency contraceptive pills and the use of the copper IUD as emergency contraception.
Presenters will also address your clinical questions, as well as your questions about Family PACT benefits related to these topics.
Speakers:
Michael Policar, MD, MPH Professor Emeritus, UCSF Senior Medical Advisor, CAPTC and California OFP Clinical Fellow, NFPRHA
Nicole Economou, MD Complex Family Planning Specialist at UC Davis School of Medicine
