NASHIA: Washington Weekly Update

Nashia

Committee
Updates

 

 

 

NASHIA Plans 2012
SOS Meeting

Amy Flaherty,
Conference Chair

Planning continues
for our annual conference; you won’t want to miss this dynamic event! The 2012
meeting will be held in conjunction with the 28th Home and Community-Based Services (HCBS)
conference,
sponsored by the National Association of
States United for Aging and Disabilities (NASUAD), which showcases promising
practices in long-term services and supports. This year’s conference will be
held September 10 -13 at the Hyatt
Regency Crystal City
in Arlington, Virginia.


Day 1 (Sept. 10)
will focus on TBI topics only, both plenary and workshops, as well as the NASHIA
membership meeting. Topics will include Public Policy, Return to Learn and
Innovative Uses of Technology in TBI Recovery. Sept. 11-13 will include
workshops and plenary sessions on federal programs and home and community-based
services, including sessions on TBI, aging, developmental disabilities,
substance abuse and mental health.


The conference fee
will cover all days (Sept. 10-13) and
registration is now
open!
The early bird
registration fee is $525 for government and non-profit entities, $750 for
corporate entities. Early bird registration closes August 3, 2012. Hope to see
you there! Register now by clicking the link:


SOS
Registration



Again this year
NASHIA will be holding a silent auction and raffle. We would welcome your
donation! If you are interested in donating an item please contact Carol Hansen
at HansenC1@michigan.gov

 

 

Membership
Judy Dettmer,
Committee Chair



It is an exciting
time to be a member of NASHIA. With your membership, you will have access to
your peers and national leaders throughout the country to help you in both your
current role and your professional growth. Equally important is your access to
representation of state government through the organization’s collective
interest with regard to policies impacting brain injury services and funding.


It has never been
a more important time to join NASHIA. This year the TBI Act is up for
reauthorization. NASHIA, along with other partners, are working extremely hard
to ensure that this critical legislation is passed. NASHIA is the only
organization dedicated to ensuring the voices of states are heard regarding
brain injury. NASHIA is the premier source of information and education for
State Agency employees and stakeholders responsible for public policies,
programs, and services affecting individuals with brain injury and their
families.


You can support
NASHIA in the following ways:

  1. Become a
    member!
  2. If you are a member, recruit three
    of your state public and private partners to join!
  3. Take a more active role in NASHIA
    by joining a sub-committee!

Thank you for all
that you do to improve the lives of individuals with brain injury and for your
support and commitment to NASHIA. Together we will have an
impact!
For membership
information please visit our website.

 

 

Public Policy
Corner

Bill Ditto &
Susan Vaughn




While staff and
committee continue to pursue TBI Act reauthorization and funding, NASHIA also
supports other issues affecting TBI, and is a member of several coalitions to
work towards that end. The American Brain Coalition (ABC) supports overall
brain research and was key in the recent House Resolution commending the
Administration for supporting the Office of Science and Technology Policy
Interagency Working Group to coordinate federal investments in neuroscience
research. The resolution lists all of the organizations comprising the ABC,
including NASHIA, that support coordinated research.


ABC has also been
instrumental in working on behalf of the “One Mind for Research: A Ten Year
International Campaign for Brain Disease Cure” initiated by former Rep. Patrick
Kennedy. The One Mind for Research’s plan is to work smarter and share
resources through public and private partnerships in order to make more progress
on every brain disorder from schizophrenia to TBI. Retired US Army General
Peter Chiarelli is Chief Executive Officer, and along with Rep. Kennedy,
appeared on the Today show in March to discuss One Mind. PricewaterhouseCoopers
is currently working on an incidence and prevalence study, and ABC will help
provide publications and methodology.


Rebeccah Wolfkiel
attends meetings and briefings hosted by ABC, Congressional Neuroscience Caucus
and One Mind on behalf of NASHIA. The Congressional Neuroscience Caucus made its
inaugural meeting last June and is holding a briefing again June 13, 2012. The
Caucus also collaborates with the Congressional Brain Injury Task Force on TBI
issues.

 

 

Updates From
Our Partners

 

 

National
Association of States United for Aging and Disabilities
(NASUAD)



Martha
A. Roherty, Executive Director



On April
16, 2012 the Administration announced its decision to launch a new
Administration for Community Living (ACL) within the U.S. Department of Health
and Human Services (HHS). The Administration on Aging, the Office on
Disability, and the Administration on Developmental Disabilities will join
together to form this a new HHS agency, which will pursue improved opportunities
for older Americans and people with disabilities to enjoy the fullest inclusion
in the life of our nation.

Lauding
this announcement, National Association of States United for Aging and
Disabilities (NASUAD) Executive Director Martha Roherty said “By formalizing
partnerships between federal aging and disability agencies, the Administration
is taking a critical step forward in its efforts to protect and advance the
rights and needs of all Americans, regardless of age or ability. As an
Association, we commend the creation of the Administration for Community Living,
and we look forward to working with our partners in the aging and disability
communities to support this new agency.”


Under the
new structure, the Assistant Secretary for Aging will simultaneously serve as
the Administrator for the U.S. Administration for Community Living. This
position will be supported by the Principal Deputy Administrator, who will
continue to advise the HHS Secretary directly on disability policy. The
Administration on Aging (AoA) and the Administration on Intellectual and
Developmental Disabilities (AIDD), two operating divisions within the new
agency, will report directly to the Administrator, as will the Center for
Disability and Aging Policy (CDAP) and the Center for Management and Budget
(CMB).



Speaking to
parallel state efforts to strengthen the provision of long-term services and
supports, NASUAD President and Director of the Oklahoma Aging Services Division,
Lance Robertson, said “Notably, these structural changes within HHS largely
mirror the transformation that has been taking place at the state level over the
past several years, as the role of state agencies has expanded to include the
administration of programs that serve both older adults and individuals with
disabilities.”


Since 2009,
nearly half of all NASUAD member states have either restructured their agencies,
or developed plans to do so, in part to internally absorb the losses ushered in
by a lingering economic downturn. In 2010, the Association’s membership voted to
change its name to reflect these state-level realignments. Currently, 76 percent
of NASUAD members administer programs or operate Medicaid waivers that serve
both populations.


Given the
synergy between state-led reorganization efforts and the Administration’s plan
to formalize the corresponding partnerships at the federal level, the
Administration for Community Living will facilitate the delivery of long-term
services and supports through a seamless, coordinated system that supports
population-crossing initiatives as well as those specific to the unique needs of

individual groups. NASUAD fully supports the Administration for Community
Living, and thanks the Obama Administration for its commitment to ensuring the
dignity and independence of older adults and individuals with disabilities in
whatever place they call home.


HHS
Press Release

Administration
on Community Living

NASUAD
Press Release


NASUAD’s
letter to Sebelius for decision to create the ACL:
NASUAD
Letter


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~



Brain
Injury Association of America
(BIAA)



Susan
Connors, Executive Director

Laurie
Kusek, Director of Communications

BIAA
successfully launched a new campaign for Brain Injury Awareness Month this past
March:

Anytime,
Anywhere, Anyone, Brain Injuries Do Not
Discriminate.


This same
theme will carry through for the next few years.


BIAA joined
NASHIA and the Congressional Brain Injury Task Force March 21 to celebrate Brain
Injury Awareness Day on Capitol Hill, which kicked off with the Brain Injury
Fair. Later that day, Reps. Bill Pascrell, Jr. (D-NJ) and Todd Platts (R-Pa.),
co-chairs of the Congressional Brain Injury Task Force, held a news conference
on the Traumatic Brain Injury (TBI) Act (H.R. 4238), followed by a briefing on;
“Traumatic Brain Injury, Anytime, Anyone, Any Age.” After the briefing, The
Brain Injury Association of America presented Rep. Platts with an award for his
service as co-chair of the Congressional Brain Injury Task Force since 2005.
Rep. Platts plans to retire at the end of this Congress after serving the 19th
district of Pennsylvania since

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2001. The day ended in celebration at a reception
hosted by Reps. Pascrell and Platts in the Rayburn House
Office Building.

Also in
March, the House Committee on Energy and Commerce’s Subcommittee on Health held
a hearing on “A Review of Efforts to Prevent and Treat Traumatic Brain Injury.”
Dr. Mark Ashley testified on behalf of the Brain Injury Association of America.
During March, staff and members of BIAA’s Business and Professional Council met
with several key agencies and organizations that will be involved in
implementing aspects of the Patient Protection and Affordable Care Act,
including:

BIAA has a
number of webinars coming up, including: Resource Facilitation May 10; TBI in
Prisoners May 22; Use of Amantadine in Severe TBI June 11; and Get Things Done
& Have Some Fun with Smart Devices July 19. CEUs will be awarded for
participation. Go here for more information and to register:

BIAA
Webinars

Posted in Uncategorized | Leave a comment

News from the National Assoc. of State Head Injury Administrators

IOM Releases Report on Cognitive Rehab Therapy

Last week, the Institute of Medicine (IOM) released its report, “Cognitive Rehabilitation Therapy for Traumatic Brain Injury: Evaluating the Evidence”, after studying whether existing research provides a conclusive evidence base to support using cognitive rehabilitation as an intervention for members of the military and veterans. The US Department of Defense (DoD) sponsored the study.

In its press release IOM said there is some evidence about the potential value of cognitive rehabilitation therapy for treating TBI, but overall research is not sufficient to develop definitive guidelines on how to apply these therapies and to determine which type of cognitive rehab will work best for a particular patient. However, since the methodological shortcomings in the evidence do not rule out potential meaningful benefits for patients, the committee supported the ongoing use of cognitive rehab while improvements are made in the standardization, design, and conduct of studies. The committee recommends an investment in research to further define, standardize, and assess the outcomes of cognitive rehab interventions. For a copy of the report go

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to: http://www.iom.edu/Reports/2011/Cognitive-Rehabilitation-Therapy-for-Traumatic-Brain-Injury-Evaluating-the-Evidence.aspx.

Posted in Uncategorized | Leave a comment

NASHIA Washington Weekly: DoD announces TBI research initiatives

The Department of Defense (DoD) just announced two separate research initiatives specifically designed for Traumatic Brain Injury research. The first is a new DoD/VA collaborative effort to better understand TBI as a chronic issue, Chronic Effects of Neurotrauma Consortium (CENC) Award. As such, it is creating a new publically funded consortium of researchers to focus on that issue. Applicants
will include group researchers working at a variety of VA sites, all operating under the coordination of one entity to better develop treatment for TBI survivors. The Consortium Objectives:

. To determine whether there is a causative effect of chronic mTBI/concussion on neurodegenerative
disease and other comorbidities.

3. To identify diagnostic and prognostic indicators of neurodegenerative disease and other comorbidities
associated with mTBI/concussion.

 

4.
To develop and advance
methods to treat and rehabilitate chronic neurodegenerative disease and comorbid
effects of mTBI/concussion.

 

 

For

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more information
go to: http://www.grants.gov/search/search.do?mode=VIEW&oppId=198473

 

 

Independent of this
project, DoD has also announced a new behavioral health program related to the
link between TBI and PTSD. DoD and VA have authorized up to $45 million to
create a separate consortium to dedicate effort to the identification,
collection, storage, and use of clinically

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relevant biomarkers to advance
diagnosis, prognosis, and treatment of PTSD. The structure of the two consortia
are exactly the same and are focused on the research aspect of developing new
treatments, rather than the service or care administration side. For more
information go to: http://www.grants.gov/search/search.do?mode=VIEW&oppId=198533

Posted in Recent TBI News, TBI Resources and Links | Leave a comment

Federal Rules and Regulations

CMS Issues Rule on Transparency and Medicaid and CHIP Demonstration Projects

On Feb. 22, the Centers for Medicare & Medicaid Services (CMS) issued a final rule in the Federal Register, which establishes a process to promote State and federal transparency for Medicaid and Children’s Health Insurance Program (CHIP) demonstrations. The rule is designed to ensure public input in the development, review, and approval (or extension) of Medicaid and CHIP demonstration projects under Section 1115 of the Social Security Act.

Effective April 27, 2012, CMS is modifying Section 1115 demonstration information on www.Medicaid.gov and developing a demonstration application template that States can use to submit to CMS. CMS will extend a forthcoming invitation to State Medicaid and CHIP agencies to participate in an all-State call on Tuesday, February 28, 2012, from 3-4 pm ET, to provide a more detailed overview of the final rule related to Section 1115 demonstration and answer questions.

This final regulation codifies the provisions of Section 10201(i) of the Affordable Care Act of 2010, and is posted at http://www.access.gpo.gov listed under the publication date of February 22, 2012, or you can access it at http://medicaid.gov/Federal-Policy-Guidance/Federal-Policy-Guidance.html. A fact sheet on the rule is available at: http://www.cms.gov/apps/media/press/factsheet.asp?Counter=4284. For more information about approved and pending Section 1115 demonstrations, please see: http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/Section-1115-Demonstration.html.

DOL Extends Comment Period on Companionship Regulations

Today, the Department published a notice to extend the comment period on compansionship and live-in worker regulations to March 12, 2012, because of requests received to extend the period for filing public comments and the Department’s desire to obtain as much information about its proposals as possible. Interested parties are invited to submit written comments on the proposed rule on or before March 12, 2012 at www.regulations.gov.

On December 27, 2011 the Department published a Notice of Proposed Rulemaking (NPRM) to revise the companionship and live-in worker regulations for two important purposes:

While Congress expanded protections to “domestic service” workers in 1974, these Amendments also created a limited exemption from both the minimum wage and overtime pay requirements of the Act for casual babysitters and companions for the aged and infirm, and created an exemption from the overtime pay requirement only for live-in domestic workers.

Although the regulations governing exemptions have been substantially unchanged since they were promulgated in 1975, the in-home care industry has undergone a dramatic transformation. There has been a growing demand for long-term in-home care, and as a result the in-home care services industry has grown substantially. However, the earnings of in-home care employees remain among the lowest in the service industry, impeding efforts to improve both jobs and care. Moreover, the workers that are employed by in-home care staffing agencies are not the workers that Congress envisioned when it enacted the companionship exemption (i.e., neighbors performing elder sitting), but instead are professional caregivers entitled to FLSA protections. In view of these changes, the Department believes it is appropriate to reconsider whether the scope of the regulations are now too broad and not in harmony with Congressional intent.

Reports and Resources

KFF Releases Brief on Medicaid Managed Care for People with Disabilities
Last week, the Kaiser Family Foundation (KFF) released a new issue brief related to Medicaid managed care for people with disabilities. This issue brief looks at issues related to the development and implementation of managed care programs with the capacity to serve Medicaid beneficiaries with disabilities. Drawing on existing research on Medicaid managed care and people with disabilities, the brief highlights policy considerations related to setting plan payment rates, developing adequate provider networks and delivery systems, and ensuring sufficient beneficiary protections and plan oversight. The brief also notes the expected growth of managed care beginning in 2014, when the ACA expands Medicaid eligibility to uninsured, low-income adults, including people with disabilities. To read the brief, go to: http://www.kff.org/medicaid/upload/8278.pdf.

AAHD Publishes Weekly Alert on Disability and Public Health

The American Association on Health and Disability (AAHD) publishes an overview

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of the prior week’s media coverage on topics related to disability and public health each Tuesday. The goal is to keep colleagues and friends informed of disability and public health topics in the media at the local, State and national level. To view recent publications go to: http://www.aahd.us/page.php?pname=media/archives/media/2012volii.8&PHPSESSID=5a0e593dde6943afcc914b26702f3fd0.

AHRQ Releases Report on Care Coordination Accountability Measures

As a result of the 2011 the Agency for Healthcare Research and Quality (AHRQ) report, the Care Coordination Measures Atlas, a compendium of existing measures of care coordination, AHRQ funded the report, Care Coordination Accountability Measures for Primary Care Practice. This report presents measures selected systematically from the Atlas that are well suited for use by health plans and insurers to assess the quality of coordination in primary care practices and by primary care practices themselves to assess their own performance. Care coordination has been recognized as an important aspect of high quality, patient-centered care. Measures of care coordination processes can be used to generate evidence about care coordination and its outcomes; evaluate current practices; design, implement, and assess improvement activities; and support payment initiatives that target care coordination. To view the report go to: http://www.ahrq.gov/qual/pcpaccountability/pcpaccountability.pdf.

Other

HHS Takes Action to Ensure Equal Access for the Deaf and Hard of Hearing

Last Week, HHS’ Office for Civil Rights (OCR) entered into a settlement agreement with Advanced Dialysis Centers in Randallstown Maryland (“ADC”), to ensure individuals who are deaf and hard of hearing have equal access to programs and activities as required under Section 504 of the Rehabilitation Act (Section 504) and the Americans with

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Disabilities Act (ADA). This settlement follows an OCR investigation into a complaint filed by the sister of a deaf patient at ADC who alleged that the facility repeatedly failed to provide adequate sign language interpreter services essential to her brother’s understanding of important medical decisions and treatment options.

OCR found that ADC engaged in unlawful discrimination on the basis of disability by repeatedly failing to provide the patient who was deaf, a sign language interpreter while he was receiving treatment at the facility. In addition, OCR also found that ADC did not have any policies or procedures in place to address how to communicate with patients who are deaf or hard of hearing, and had not developed resources or auxiliary aids to assist in effectively communicating with these patients.

ADC has agreed to take several steps to come into compliance with Section 504 and ADA, including ensuring patients are provided interpreters in a timely manner and drafting policies and procedures which ensure effective communication with deaf or hard of hearing patients and/or companions. ADC has also agreed to train all staff on their non-discrimination obligations and provide patients notice of their right to appropriate auxiliary aids and services free of charge and the process for filing and resolving grievances about such services. The HHS Settlement Agreement can be found on the OCR website at:www.hhs.gov/ocr/civilrights/activities/agreements.

People who believe that an entity receiving federal financial assistance has discriminated against them (or someone else) on the basis of disability, may file a complaint with OCR at: http://www.hhs.gov/ocr/civilrights/complaints/index.html.

Posted in Uncategorized | Leave a comment

Ian Mattoch, Hawaii’s personal injury attorney, received January 2013’ Federal TBI Program Listserv Digest. In this issue, the Federal TBI Program highlighted the following:
1. Parking Permits for Individuals with a Permanent Disability: Melinda Montovani (CT) asks: Is having a brain
injury, or having a cognitive disability, a qualifying disability for handicap parking permits in your state? Under CT statute a person must have a physical disability to be eligible for the permit and CT reports this is part of the federal code.


 

Melissa
Slater (AL) writes: Our son, who has a
tbi was able to get a “handicap hangtag” due to the fact that he is
almost totally blind from his tbi. He uses a white/red cane. Personally he does
not drive but we are able to use in whatever car he is riding in.

 


 

  1. 2.
    Assistive Technology

Amanda
Wilson (WV) asks: Is there any states
that can offer suggestions of successful tools and technology that they are
currently using for consumers? We are trying to update our Assistive Technology
program and looking for any good suggestions.

 


 

Dr. William
Svihla (IN) writes: I used “Inspiration”
software, an object mapping software, during my recovery to help organize my
writing projects. I had great difficulty in organizing projects and the
software helped me considerably. IU Speech

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installed the software on my
notebook for free. I believe it costs around $70. There are open source
applications available for free, but this one is certainly easy to use. It is
targeted to 6th graders. To help me organize tasks and appointments, I used an
iPhone app called “SmartTime.” You enter your tasks with priorities and
estimated time and appointments in the calendar. SmartTime then optimizes /
assigns the tasks based on their importance and the available time. It helped
me tremendously In organizing my day.

 


 

Shell Bowne
(IN) writes: In Indiana, we have a great
provider Easter Seals Crossroads in Indianapolis.
Look at their website to get an idea of the products and services that they
provide. I assume you are accessing the JAN network, that is certainly a good
resource for assistive technology.

 


 

  1. 3. Evidence Mounts Linking Head Hits to
    Permanent Brain Injury

Researchers
at Boston University have found more evidence
supporting a link between repeated knocks to the head and chronic brain
disease. The results, just published in the journal Brain, add weight to
concerns about the effect of repeated mild head trauma in athletes, whether
they’re pros or peewees. To read the NPR
news story about this study, please click here: http://www.npr.org/blogs/health/2012/12/03/166406662/evidence-mounts-linking-head-hits-to-permanent-brain-injury. To read a Boston Globe news story that cites this study,
please click here: http://www.bostonglobe.com/lifestyle/health-wellness/2013/01/14/kids-may-take-longer-heal-from-concussions-than-previously-thought/B2eA8Ut4KsmQEVkY0mJDIN/story.html

 

To read the
full Brain journal article, please click here: http://brain.oxfordjournals.org/content/early/2012/12/02/brain.aws307.full

 


  1. 4. The Journal of Head Trauma
    Rehabilitation
    – Focus on the Military and TBI

 

Researchers
are making new strides in understanding the health consequences and treatment
and rehabilitation needs of combat veterans and other service members affected
by traumatic brain injury (TBI). The January-February issue of The Journal
of Head Trauma Rehabilitation
, official journal of the Brain Injury
Association of America, is a special issue devoted to new research in military
TBI. To read a free article entitled,
“Self-Reported Mild TBI and Postconcussive Symptoms in a Peacetime Active Duty
Military Population: Effect of Multiple TBI History Versus Single Mild TBI”,
please click here: http://journals.lww.com/headtraumarehab/Fulltext/2013/01000/Self_Reported_Mild_TBI_and_Postconcussive_Symptoms.4.aspx

 

To read the
rest of the January-February issue, please click here: http://journals.lww.com/headtraumarehab/pages/currenttoc.aspx


TBISERV
is the listserv for the Federal TBI Program. TBISERV is moderated by the
Federal TBI Program’s Technical
Assistance Center. To post to the list, email TBISERV@list.nih.gov. To search the TBISERV archives, visit https://list.nih.gov/archives/tbiserv.html

Ian
Mattoch, Hawaii’s personal injury attorney, received January 2013’ Federal TBI
Program Listserv Digest. In this issue, the
Federal TBI Program highlighted the following:

  1. 1.
    Parking Permits for Individuals with
    a Permanent Disability

 

Melinda
Montovani (CT) asks: Is having a brain
injury, or having a cognitive disability, a qualifying disability for handicap
parking permits in your state? Under CT statute a person must have a physical
disability to be eligible for the permit and CT reports this is part of the
federal code.


 

Melissa
Slater (AL) writes: Our son, who has a
tbi was able to get a “handicap hangtag” due to the fact that he is
almost totally blind from his tbi. He uses a white/red cane. Personally he does
not drive but we are able to use in whatever car he is riding in.

 


 

  1. 2.
    Assistive Technology

Amanda
Wilson (WV) asks: Is there any states
that can offer suggestions of successful tools and technology that they are
currently using for consumers? We are trying to update our Assistive Technology
program and looking for any good suggestions.

 


 

Dr. William
Svihla (IN) writes: I used “Inspiration”
software, an object mapping software, during my recovery to help organize my
writing projects. I had great difficulty in organizing projects and the
software helped me considerably. IU Speech installed the software on my
notebook for free. I believe it costs around $70. There are open source
applications available for free, but this one is certainly easy to use. It is
targeted to 6th graders. To help me organize tasks and appointments, I used an
iPhone app called “SmartTime.” You

enter your tasks with priorities and
estimated time and appointments in the calendar. SmartTime then optimizes /
assigns the tasks based on their importance and the available time. It helped
me tremendously In organizing my day.

 


 

Shell Bowne
(IN) writes: In Indiana, we have a great
provider Easter Seals Crossroads in Indianapolis.
Look at their website to get an idea of the products and services that they
provide. I assume you are accessing the JAN network, that is certainly a good
resource for assistive technology.

 


 

  1. 3. Evidence Mounts Linking Head Hits to
    Permanent Brain Injury

Researchers
at Boston University have found more evidence
supporting a link between repeated knocks to the head and chronic brain
disease. The results, just published in the journal Brain, add weight to
concerns about the effect of repeated mild head trauma in athletes, whether
they’re pros or peewees. To read the NPR
news story about this study, please click here: http://www.npr.org/blogs/health/2012/12/03/166406662/evidence-mounts-linking-head-hits-to-permanent-brain-injury. To read a Boston Globe news story that cites this study,
please click here: http://www.bostonglobe.com/lifestyle/health-wellness/2013/01/14/kids-may-take-longer-heal-from-concussions-than-previously-thought/B2eA8Ut4KsmQEVkY0mJDIN/story.html

 

To read the
full Brain journal article, please click here: http://brain.oxfordjournals.org/content/early/2012/12/02/brain.aws307.full

 


  1. 4. The Journal of Head Trauma
    Rehabilitation
    – Focus on the Military and TBI

 

Researchers
are making new strides in understanding the health consequences and treatment
and rehabilitation needs of combat veterans and other service members affected
by traumatic brain injury (TBI). The January-February issue of The Journal
of Head Trauma Rehabilitation
, official journal of the Brain Injury
Association of America, is a special issue devoted to new research in military
TBI. To read a free article entitled,
“Self-Reported Mild TBI and Postconcussive Symptoms in a Peacetime Active Duty
Military Population: Effect of Multiple TBI History Versus Single Mild TBI”,
please click here: http://journals.lww.com/headtraumarehab/Fulltext/2013/01000/Self_Reported_Mild_TBI_and_Postconcussive_Symptoms.4.aspx

 

To read the
rest of the January-February issue, please click here: http://journals.lww.com/headtraumarehab/pages/currenttoc.aspx


TBISERV
is the listserv for the Federal TBI Program. TBISERV is moderated by the
Federal TBI Program’s Technical
Assistance Center. To post to the list, email TBISERV@list.nih.gov. To search the TBISERV archives, visit https://list.nih.gov/archives/tbiserv.html

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NASHIA: Washington Weekly Update, 2/15/2013

Ian Mattoch, Hawaii’s personal injury lawyer, receives weekly updates on administrative news from Washington DC from the National Association of State Head Injury Administrators (NASHIA). NASHIA assists State government in promoting partnerships and building systems to meet the needs of individuals with brain injuries and their families. This week’s update was prepared by Susan Vaughn, NSHIA’s director of public policy. She reports the following:

HUD and HHS Provide Permanent Housing and Services for People with Disabilities: To prevent thousands of people with disabilities from experiencing homelessness or unnecessary institutionalization, the U.S. Department of Housing and Urban Development (HUD) and the U.S. Department of Health and Human Services (HHS) announced this week that nearly $98 million in funding was awarded to 13 State housing agencies for rental assistance to extremely low-income persons with disabilities, many of whom are transitioning out of institutional settings or are at high risk of homelessness. The 13 States which will receive the FY 2012 awards for the Section 811 Supportive Housing for Persons with Disabilities Program are: California, Delaware, Georgia, Illinois, Louisiana, Massachusetts, Maryland, Minnesota, Montana, North Carolina, Pennsylvania,
Texas and Washington.

The announcement reinforces the guiding principles of the Americans with Disabilities Act and the landmark 1999 Supreme Court ruling in Olmstead v. L.C., which require State and local governments to provide services in the most integrated settings appropriate to meet the needs of individuals with disabilities. The rental assistance announced also supports the Obama Adminsitration’s long term strategy to prevent and end homelessness. The Dedicating Opportunities to End Homelessness (DOEH) Initiative is a joint effort by HUD and the U.S. Interagency Council on Homelessness (USICH) designed to help communities match their homeless supports with other mainstream resources such as housing choice vouchers, public housing, private multifamily housing units, and other federally funded services. The initiative is beginning in 10 critically important communities: Atlanta, Chicago, Fresno County, Los Angeles County, Houston, New Orleans, Philadelphia, Phoenix/ Maricopa County, Seattle, and Tampa.

CMS Issues Guidance on Conflict-free Case Management to BIP Grantees: This week, the Centers for Medicare and Medicaid Services (CMS) issued a new guidance regarding conflict-free case management to Balancing Incentive Program (BIP) grantees. The following 9 points reflect updated conflict-free case management guidance regarding design elements States should consider when designing this structural change for BIP:
1) Clinical or non-financial eligibility determination is separated from direct service provision;
2) Case managers and evaluators of the beneficiary’s need for services are not related by blood or marriage to the individual; to any of the individual’s paid caregivers; or to anyone financially responsible for the individual or empowered to make financial or
health-related decisions on the beneficiary’s behalf;
3) There is robust monitoring and oversight;
4) Clear, well-known, and accessible pathways are established for consumers to submit grievances and/or appeals to the managed care organization or State for assistance regarding concerns about choice, quality, eligibility determination, service provision and outcomes;
5) Grievances, complaints, appeals and the resulting decisions are adequately tracked and monitored;
6) State quality management staff oversees clinical or non-financial program eligibility determination and service provision business practices to ensure that consumer choice and control are not compromised, both through

direct oversight and/or the use

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of contracted organizations that provide quality oversight on the State’s behalf;
7) Track and document consumer experiences with measures that capture the quality of care coordination and case management
services;
8) In circumstances when one entity is responsible for providing case management and service delivery, appropriate safeguards and firewalls exist to mitigate risk of potential conflict;
9) Meaningful Stakeholder Engagement Strategies are implementedwhich include beneficiaries, family members, advocates, providers, State leadership, managed care organization leadership and case management staff.

Coordinated Transportation Partnership Project Issues RFP: The Community Transportation Association of America, with support from the U.S. Administration for Community Living (ACL) and in collaboration with the Federal Transit Administration and national partners, has published an opportunity for grants of up to $20,000 for up to 20 organizations for a six month period.

Recipients will be expected to share their practices at the national level through the project’s Knowledge Sharing Network. Qualified organizations, including non-profit or county or city governmental agencies, regional planning organizations, councils of government and Tribal Nations/Tribal Organizations that are involved in the administration, delivery or coordination of transportation, aging and/or disability services are encouraged to apply by March 20, 2013. To see the full Request for Proposals click here. A teleconference for interested applicants will be held on March 5, 2013 at 2 p.m. Eastern Time. Call in number: 1-800-245-1683 – Pass code: 267438.

NIDRR Proposes Priorities for RRTCs: On Tuesday, the Assistant Secretary for Special Education and Rehabilitative Services (OSERS) announced in the Federal Register (Volume 78, Number 29, Pages 9869-9876) the proposed four priorities for the Rehabilitation Research and Training Center (RRTC) Program administered by the National Institute on Disability and Rehabilitation Research (NIDRR).

The Assistant Secretary may use one or more of these priorities for competitions in FY 2013 and later years. Comments must be
received on or before March 14, 2013. Address all comments about this notice to Marlene Spencer, U.S. Department of Education, 400 Maryland Avenue SW., Room 5133, Potomac Center Plaza (PCP), Washington, DC 20202-2700. If you prefer to send your comments by email, use the following address: marlene.spencer@ed.gov. You must include the phrase “Proposed Priorities for Combined RRTC Notice” in the subject line of your electronic message.

Upcoming Webinars:
Alabama Offers Webinar on Concussions: On Wednesday, February 27th, the Alabama Head Injury Task Force, along with UAB Medicine (Pediatrics and Ophthalmology), Alabama’s Disability Advocacy Program, and Children’s of Alabama, is hosting a free webinar on “Concussions: Now What? Tackling the Concussion Commotion in Alabama” from 1:00 – 2:00 pm (CST). CME credit is offered for watching the live broadcase only. Non-MD’s may print a certificate of attendance. To participate click on this link: https://www.childrensal.org/live-stream. Log on at 12:50 pm the day of the webinar to ensure that any technical difficulties can be worked out. Video will be available after the webinar at www.childrensal.org/concussion and www.AlabamaTbi.org. For more information contact either Maria Crowley at Maria.Crowley@rehab.alabama.gov. (204-290-4590) or Tiffany.Kaczorowski@ChildrensAL.org (205-638-6916).

ACL Webinar Series on the Affordable Care Act on Feb. 26th: On Tuesday, February 26, the Administration for Community Living (ACL) will continue its series of webinars on the Affordable Care Act and its impact on older adults, people with disabilities and the aging and disability networks, focusing on integrated care and managed long-term services and supports. The webinar, “Managed Long-Term Services and Supports: Measuring Outcomes”, will be held at 3:00 pm-4:30 pm Eastern). To register for the online event:
1. Click here.
2. Click “Register.”
3. On the registration form, enter your information and then click
“Submit.”

Once your registration is approved, you will receive a confirmation email message with instructions on how to join the event. As space is limited, persons interested should register as early as possible.This webinar will also be recorded and posted on the ACL Affordable Care Act: Opportunities for the Aging
Network webpage
soon after the webinar.

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Hawaii’s Dept. of Educ. Concussion Management Program: 8-25-11

The State of Hawaii’s Department

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of Education released its 8-25-11 Concussion Management Program.

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As of August 1, 2011, it had administered 4,683 baseline tests and 446 concussions were reported from the following

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Lawyer of the Year-Medical Malpractice Attorney Hawaii shares results from concussion study

Lawyer of the Year - Medical Malpractice Attorney Hawaii shares results from concussion study

Lawyer of the Year – Medical Malpractice Attorney Hawaii shares results from concussion study

Lawyer of the Year – Medical Malpractice Hawaii – and Best Lawyer Hawaii, Ian Mattoch, received a link to a New York Times article from neuropsychology expert, Claude Munday, Ph.D.

NY Times reporter Jeff Kleinfeb stated that a series of studies published yesterday in the Journal of Neurosurgery. The study revealed that the forty-five men and women hockey players who sustained concussions during the 2011-2012 season had acute microstructural changes in their brains. These changes were seen as inflammatory and white matter changes on imaging studies conducted before, during and after season to measure the effects of concussions on

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athletes. Researchers concluded that the radiographic changes in the brain microstructure may reflect micro-hemorrhaging, neural injury, or other inflammatory responses due to the brain trauma.

“We’ve seen evidence of chronic injuries later in life from head trauma, and now, we’ve seen this in current players,” said Dr. Paul Echlin, an Ontario sports concussion specialist who conducted the study in collaboration with doctors from Brigham and Women’s Hospital and researchers from Harvard Medical School, Massachusetts General Hospital, and Western University of Canada.

All 45 players were given M.R.I. scans before and after the season. The 11 who received a concussion diagnosis during the season were given additional scans within 72 hours, two weeks and two months of the incident.

Researchers concluded that the imaging techniques used in the study might provide a model for monitoring acute and cumulative brain injury sustained by athletes. The incidence of concussion observed in this study was 3-5 times higher than previously reported in medical literature. This finding is consistent with other recent studies showing that concussion in hockey players occur more frequently than previously believed.

Echlin said further research was needed on larger populations of athletes in other contact and noncontact sports and on non-athletes to validate the results. To read the complete article, click on the following link:

http://www.nytimes.com/2014/02/04/sports/hockey/study-finds-changes-in-brains-of-hockey-players-who-had-concussions.html?_r=0

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Lawyer of the Year – Medical Malpractice announces 1st Mtg. at Brain Injury Resource Ctr.

Brain Injury Assoc. of Hawaii President Ian Mattoch, named Lawyer of the Year - Medical Malpractice - shares the first meeting at the new Brain Injury Resource Center.

Coffee Talk – 1st Meeting at Brain Injury Resource Center, Brain Injury Assoc. of Hawaii, 200 N. Vineyard, Honolulu, HI

Named Lawyer of the Year – Medical Malpractice and Best Lawyers in Hawaii – Personal Injury in Dec ’13 Honolulu Magazine, attorney Ian Mattoch shares: Here is the first meeting “Coffee Talk” at the new Brain

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Injury Resource Center/BIA-Hi office. Hawaii’s clubhouse’s doors are open at last!

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Injury Attorney Mattoch named Honolulu Magazine’s Lawyer of the Year

Brain injury attorney Ian Mattoch named Honolulu Magazine’s 2014 Lawyer of the Year and Best Lawyers in Hawaii.Honolulu Magazine's Lawyer of the Year - Medical MalpracticeIan Mattoch is honored to have been selected by his peers to be Honolulu Magazine’s 2014 “Lawyer of the Year” in the category of Medical Malpractice. The news of this award was received as the firm was approaching what turned out to be a grueling six week medical malpractice trial. The jury returned a verdict in excess of $12 million dollars.

Ian Mattoch has a reputation for giving back to Hawaii, the community where he grew up, through support of many charitable organizations as well as community, cultural, school education, and athletic programs. Ian has provided legislative support through board level work with the Brain Injury Association of Hawaii and the State of Hawaii’s Neurotrauma Advisory Board. He has sponsored numerous statewide seminars bringing in world-renowned experts in the area of brain injury research treatment, neuroradiology, pharmacology, and neuropsychology.

The most recent community project that Ian Mattoch and the Brain Injury Association of Hawaii Board are working on is the opening of Hawaii’s first Brain Injury Resource Center. Through generous grants by the State of Hawaii’s Department of Health and the Weinberg Foundation, the Brain Injury Resource Center will provide a safe and enriching environment for persons with TBI in the State of Hawaii. The Brain Injury Resource Center is truly a culmination of all of the work Ian and the Brain Injury Association of Hawaii has done over the

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The Law Offices of Ian Mattoch has physical offices in Honolulu, Hilo, Waimea, Kailua-Kona, Wailuku, and Lihue. The Law Offices of Ian Mattoch consists of a team of four associate attorneys, six paralegals, and a full office staff of experienced and caring individuals under Ian Mattoch’s direction.

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