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DECEMBER 2022
The Western States Regional Hemophilia Network (WSRHN)/Region IX represents the 13 federally recognized Hemophilia Treatment Centers (HTC) in California, Guam, Hawaii, and Nevada, serving over 10,200 individuals with suspected and diagnosed bleeding and clotting disorders that are genetic, rare and complex. We belong to a nationwide network of over 140 Centers that serve over 35,000 individuals, using team-based integrated care per National Hemophilia Foundation (NHF) recommendations and guidelines to fulfill Centers for Disease Control and Prevention (CDC) and Health Resources and Services Administration (HRSA) goals and objectives.  

Our goals are to strengthen communication across our region, engage, educate, and link HTCs with stakeholders locally, regionally, and nationally to join us in improving the health of the inherited blood disorders community.  

Interested in sharing your updates in our next quarterly newsletter?
Email Tran Le, Grants and Program Coordinator, at tle@cibd-ca.orgThe upcoming 2023 deadlines for submission of any updates are March 17, June 16, September 15, and December 15. 

IN THIS NEWSLETTER, WE ARE INCLUDING:
National Updates

Regional Updates

Upcoming Webinars & Training

Publications & Resources
NATIONAL UPDATES

CDC Updates

Institutional review documentation, participant resources, and additional HTC guidance for the Community Counts COVID-19 Data and Specimen Collection are delayed and will not be sent until January 2023. Some of these documents are still undergoing approval and Spanish language translation at CDC. HTCs will be emailed these documents as soon as possible.  

For more information on project details and forthcoming documents, please see COVID-19 CC Registry Information for HTC Providers and Staff and the newly added COVID-19 Antibody Testing FAQs Information for HTC Providers and Staff. 

Hemostasis and Thrombosis Data Set (HTDS) Reporting is due on February 1, 2023. The HTDS is a summary report of all patients receiving care at federally funded US HTCs. The HTDS is compiled and generated using ATHN’s Clinical Manager. The report must be completed annually and submitted to each HTC's designated Regional Core Center. ATHN (American Thrombosis and Hemostasis Network) posted the recorded webinar on the ATHN Support website in the HTDS Reports section. Questions regarding the completion of this report can be sent to Nicole Crook at ncrook@c3dibd.org

340B Recertifications 

The 2023 Health Resources and Services Administration (HRSA), Office of Pharmacy Affairs (OPA) 340B Program Recertification period for HRSA Grantees and Indian Health Service is scheduled for January 30-February 27, 2023. There will be a recertification webinar held the week prior to the start date.  

In order to recertify, Authorizing Officials (AOs) and Primary Contacts (PCs) must set up a user account in the 340B Office of Pharmacy Affairs Information System (340B OPAIS). Failure to set up user accounts will result in not being able to view accounts or conduct recertification, thus removal from the 340B Program. AOs and PCs must create individual user accounts, and they will not be able to share access. All active 340B IDs associated with an AOs user account must be updated in order for recertification to be completed by the established deadline. HRSA also has information and tutorials available at https://www.hrsa.gov/opa/340b-opais/index.html. For regional supports, contact Lori Gillespie at LGillespie@c3dibd.org.  

Grant Opportunity

Hemophilia Alliance Foundation 2023 Project and Patient Assistance Grants application deadline is January 31, 2023. The application must be submitted directly on the Hemophilia Alliance Foundation website. The cycle of funding currently available is for the following two types of grants: (1) Project grants meant to enable eligible organizations to build on their capacity to achieve and expand their mission, (2) Patient assistance grants meant to render direct patient/family financial assistance through eligible organizations to alleviate financial hardship due to, or which impacts, the management of a bleeding or thrombotic disorder. For more information and to apply go to: https://hemophiliaalliancefoundation.org/grant-information-main/project-patient-assistance-grant-information 

The United States Hemophilia Treatment Center Network (USHTCN) announced the launch of the USHTCN Website. It is now live at www.ushtcnetwork.org. USHTCN represents the providers, administrators, staff members, and affiliates of the HTCs. USHTCN invites you to be the first to view the NEW website. A separate alert will be sent to non-HTC partners very soon.  

The USHTCN works collaboratively with HTCs and external partners to harmonize policies and procedures, respond to urgent issues, promote HTC sustainability, and meet patient and family needs. The USHTCN represents all HTCs outside of specific requirements of federal grants and partner organizations. That way, the USHTCN amplifies the voice of individual HTCs and creates an identifiable entity for stakeholders and others who want to seek HTC input, get HTC feedback, or propose collaborative projects. 

The mission of the USHTCN is to represent, support, and advance national initiatives with the federally designated Hemophilia Treatment Centers (HTCs), the USHTCN Regions, and related stakeholders to promote efforts in delivering integrated, comprehensive, multidisciplinary, optimal care to individuals and families affected by hemophilia and related bleeding and clotting disorders. 

Should you have any questions, have content you would like to include on the website, or would like to discuss the USHTCN website further, please reach out to USHTCN Administrator Christina Ashburner at info@ushtcnetwork.org 

REGIONAL UPDATES

The WSRHN welcomed new co-chairs to the Data Manager/Clinical Research Data Coordinator, Physical Therapist, Nurses and Nurse Practitioners Working Group. Below are the updated list of co-chairs. 

340B/Pharmacy 

  • Lori Gillespie, LGillespie@c3dibd.org  
  • Marisa Ng, MNg@stanfordchildrens.org  
  • Mindy Chuang, MChuang@stanfordchildrens.org  
  • Binh Ngo, b7ngo@ucsd.edu  

Administrators 

  • Kim Schafer, klschafer@ucdavis.edu  
  • Sachi Suzuki, sachiko.suzuki@ucsf.edu  

Data Managers/Clinical Research Coordinator 

  • Christina Ashburner, cashburner@c3dibd.org  
  • Jacquie Limjoco, jlimjoco1@rchsd.org 

Nurses and Nurse Practitioners 

  • Mary Lesh, LeshM@ucsf.edu  
  • Jennifer Foster-Fausett, Jennifer.Foster-Fausett@ucsf.edu 
  • Jennifer Donkin, jdonkin@chla.usc.edu 
  • Judith Lea, jlea@stanfordchildrens.org 
  • Katrina Unpingco, Katrina.Unpingco@ucsf.edu 

Physical Therapy 

  • Pattye Tobase-Zimmerman, Patricia.Tobase@ucsf.edu  
  • Grace Hernandez, GHernandez@c3dibd.org 
  • Cindy Bailey, cbailey@mednet.ucla.edu 

Social Work 

  • Damia Dillard, djdillard@@ucdavis.edu  
  • Denise Lowery, dnlowery@ucdavis.edu  

Grace Hernandez, PT, Center for Inherited Blood Disorders, was the co-Chair of the Unite for Bleeding Disorders walks with the Hemophilia Foundation of Southern California. The team raised more than $600 for the walk. For more information, contact Grace Hernandez at ghernandez@c3dibd.org

Peter Aguero, DPT, Hemophilia and Thrombosis Treatment Center at UC San Diego, collaborated with GutMonkey in October 2022 to present at the Hemophilia Surf Camp on the importance of exercise and balance. For more information, contact Peter Aguero at paguero@health.ucsd.edu. 

RECOGNITION

Congratulations to the Orthopaedic Hemophilia Treatment Center at Orthopaedic Institute for Children on their designation as an International Hemophilia Training Centre (IHTC) of the World Federation of Hemophilia (WFH) for over 50 years! The HTC provided distinguished services to advance the welfare of people with hemophilia and other inherited bleeding disorders around the world.

After 30 years of service dedicated to the bleeding disorders community, Judith Baker, DrPH MHSA, Regional Public Health Director for the Center for Inherited Blood Disorders and Public Health Policy Director for Networking California for Sickle Cell Care, will retire on December 31, 2022.

Dr. Baker is a national leader in bleeding disorders and sickle cell healthcare networks. As Regional Public Health Director for the Center for Inherited Blood Disorders, she co-directed federal CDC and HRSA grants that support the Western States/Region IX Hemophilia Network’s 13 specialty centers serving California and Hawaii, Nevada, and the US Pacific Islands. Dr. Baker led the development of the first Hemophilia Treatment Centers in Hawaii, Nevada, and Guam. Her work was recognized through the National Hemophilia Foundation Meritorious Service Award.  

In California, her passion, expertise and leadership has been instrumental in the access to comprehensive care for patients across blood disorders – including hemophilia, vonWillebrand’s disease and sickle cell. At the national level, Dr. Baker has Co-Chaired the Steering Committee of the National Patient Satisfaction Survey for the US Hemophilia Treatment Center Network, a huge undertaking and significant to understanding patients’ needs and demonstrating the value of the US Hemophilia Treatment Center Network. Her other research also examined quality, cost, outcomes, and equity for the patients she served. We will miss Dr. Baker’s partnership, guidance, and expertise. 

OUR HTC NETWORK IS GROWING! 

Please welcome these HTC & Hemophilia Foundation Chapter staff that joined us since September 2022: 

Center for Comprehensive Care & Diagnosis of Inherited Blood Disorders 

  • Sandra Visger, Nurse Care Coordinator 

Hemophilia and Thrombosis Treatment Center at Rady Children's Hospital-San Diego 

  • Mandy Wallen, Registered Nurse 

Hemophilia and Thrombosis Treatment Center at University of California, San Diego 

  • Odon Luvsanjambaa, Data Administrator 

  • Sai Jannamaraju, Financial Analyst 

  • Azusa Naga, MD, Visiting International Scholar 

  • Claudia Ehrhart, MD, Visiting International Scholar 

Hemostasis and Thrombosis Center at Children's Hospital Los Angeles 

  • Sibgha Zaheer, Coagulation Fellow 

Kapiʻolani Medical Center for Women & Children 

  • Kelly Meyer, Interim Physical Therapist 

UPCOMING WEBINARS & TRAINING

The WSRHN continues to host robust monthly telementoring sessions where healthcare providers can discuss challenges and successes in patient care. The sessions consist of a case presentation and a didactic lecture. If you are interested in participating in or presenting, please email Shalini Vora, Director of Grants Administration, at svora@c3dibd.org

To view previously recorded sessions, click here

Please join our upcoming sessions. To view the full calendar, click here.

The Nurses and Nurse Practitioners Workgroup hosts bi-monthly webinars to create a forum where hemophilia treatment center (HTC) nurses and nurse practitioners can discuss cases and the challenges and successes they experience when providing patient care. Each session is one hour long, and attendees can claim one hour of continuing education. If you are interested in participating in or presenting, please email Mary Lesh at LeshM@ucsf.edu.  

To view previously recorded sessions, click here

Please join our upcoming sessions. To view the full calendar, click here

The Hematology-Focused POCUS Training presented by UC San Diego School of Medicine is an online curriculum (6 hours) developed to provide training in POCUS to evaluate deep venous thromboembolism (DVT) and various manifestations of hematologic conditions. The online course's main objective is to enable physicians and other care providers to use POCUS as a POC imaging tool to help diagnose and treat hematologic conditions. The course will cover imaging fundamentals and the basic physics of ultrasound, the scope of POCUS, vascular anatomy, and sono-anatomy as well as equipment considerations with respect to handheld devices. For more information, contact Marlene Zepeda at ucsdmskus@health.ucsd.edu

The Hemophilia and Thrombosis Treatment Center at UC San Diego announces the 2023 MSKUS Training Dates: 

  • Jan 25-27 (3 days with joint injection) 
  • April 26-27 (2 days w/o joint injection) 
  • June 7-9 (3 days with joint injection) 
  • November 8-9 (2 days w/o joint injection) 

CME certification is pending. Please feel free to reserve your slot in advance by emailing ucsdmskus@health.ucsd.edu

PUBLICATIONS & RESOURCES

Best Practices for Accessing Residential Substance Use Disorder Treatment for Individuals with Bleeding Disorders is a product of the Bleeding Disorders Substance Use and Mental Health Access Coalition (BD SUMHAC), whose mission is to advocate for access to appropriate residential substance use disorder and mental health (MH) treatment facilities for all individuals with bleeding disorders. Historically, many residential substance use disorder facilities have denied admittance to individuals with bleeding disorders. The lack of access to residential addiction treatment facilities can have severe, even fatal, outcomes for bleeding disorder patients in acute need of help with their addiction. This document provides best practices and resources for HTCs endeavoring to refer a BD patient successfully. 

Lee D, Le AO, Meganck M, Chamberland S, Pai A. Adding a Clinical Hemophilia Pharmacist to the Hemophilia Comprehensive Care Model Improves Health Care-Related Outcomes and Drug-Related Costs in an Integrated Health Care System. Perm J. 2022 Sep 14;26(3):90-93. doi: 10.7812/TPP/21.192. Epub 2022 Aug 21. PMID: 35989427; PMCID: PMC9683744. 

Roberts JC, Kulkarni R, Kouides PA, Sidonio RF Jr, Carpenter SL, Konkle BA, Wu J, Ullman MM, Curtis R, Baker JR, Crook N, Nichol MB. Depression and anxiety in persons with Von Willebrand disease. Haemophilia. 2022 Dec 14. doi: 10.1111/hae.14725. Epub ahead of print. PMID: 36516311. 

Partners in Bleeding Disorders Education offers comprehensive education, both in person and online, for HTC staff, including disciplines such as nursing, physical therapy, and social work. Continuing education credits are offered for selected courses. For more information, click here.  

We encourage all our HTCs to share news and updates with the network through this quarterly newsletter. Please send images you want to share in conjunction with a brief blurb of your organization's/discipline’s updates to Tran Le at tle@cibd-ca.org.

The upcoming 2023 deadlines for submission of any updates are: March 17, June 16, September 15, and December 15.

Editors: Tran Le, Shalini Vora, MPH, Nicole Crook, RN
Copyright © 2022 WSRHN, All rights reserved.
Western States Regional Hemophilia Network

This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number H30MC24045 entitled “Western States Hemophilia Treatment Centers” in the amount of $500,000.  This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

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