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Fall 2019 | Issue 1

Looking Back on NICA’s Inaugural Meeting

The Future of Infusion is You. “Attending the first NICA meeting was such an exciting experience because for the first time we were able to share best practices and collaborate across the industry.” Katie Thackston, JD, MBA IVX Health

Inside this issue: Peter Morley: Patient Advocate Best Practices for In-Office Infusion Interview with Chuck DiTrapano, RPh

DENT Infusion Center Spotlight Get Involved with NICA

Message From The


Greetings, Welcome to the National Infusion Center Association’s first print newsletter! As a NICA provider member, partner, or supporter, it is our hope that this semi-annual newsletter will help keep you up to date on what NICA, the nation’s advocate for in-office infusion, has been up to the past six months. It has been a dynamic time for the NICA team, which continues its commitment to advocating for patient access to the in-office infusion channel. In 2019, we have focused our efforts to combat high-level patient access issues such as Non-Medical Switching protections, shifting medical benefits drugs to the pharmacy benefit, specialty pharmacy mandates, the International Pricing Index (IPI) Model, Step Therapy in Medicare Advantage plans, and other potential medical benefit reform measures on behalf of patients and their in-office infusion providers. NICA hosted its inaugural meeting in June, where we welcomed close to 550 attendees, speakers and exhibitors from around the country to our home city of Austin, TX. I am grateful to everyone who took time away from their families, patients, infusion centers, businesses, and other responsibilities to spend the weekend with us to address some of the most pressing challenges facing the infusion industry. Whether you stayed the entire weekend during NICA’s meeting or took a moment out of your day to send us positive thoughts, your support is much appreciated. I am confident that with passionate leaders such as yourselves in the fight, we are just beginning to make an impact in the lives of patients. If you would like to view photos from the event, I encourage you to visit NICA’s Facebook page here: facebook.com/infusioncenter/photos. As many of you may know, creating minimum standards for outpatient infusion has been a high-priority goal

for the past couple of years. With input from leaders in the infusion industry,

I am excited to announce that we have created the first resource that outlines

minimum standards of care for outpatient infusion providers to promote patient

safety and consistent quality of care. I highly encourage all of you to view this

free resource at infusioncenter.org/bestpractices.

It’s because of supporters like you that we can continue to achieve our

mission, expand capacity, develop more resources, and increase

our ability to preserve and expand access to the infusion delivery chan-

nel for some of our nation’s sickest and most vulnerable patients. Thank you for your time and ongoing support,

Inside This Issue

Looking Back on NICA’s Inaugural Meeting

In June, NICA welcomed 550 leaders and professionals in the in-office infusion industry to its inaugural meeting at the JW Marriott in downtown Austin, TX.


Minimum Standards for In-Office Infusion


These FREE standards were created by infusion providers for infusion providers to establish foundational standards of practice for the administration of intravenous and injectable medication in an outpatient setting.

Interview with Chuck DiTrapano, RPh The president and founder of RxTOOLKIT ™ discusses his background in pharmacology and the need within the infusion industry for consistent,


standardized care

Peter’s Journey to Patient Advocacy Known by over 50,000 followers on Twitter as @morethanmySLE, Peter has gained his large, organic following in only a few years by openly sharing the


daily struggles faced by someone with a chronic autoimmune disease.

Infusion Center Spotlight: DENT DENT Infusion Center provides its patients with personalized care in a comfortable atmosphere while being part of one of the most comprehensive neurologic centers in the United States.




Brian Nyquist, Bryan Johnson, Dan Duran, and Mark Elliott participate on the “Future of Infusion” panel during NICA’s meeting.

The Future of Infusion Is You As decision-makers increasingly focus on strategies to control medical benefit drug spend, there’s a need for collaboration among thought-leaders, subject matter experts, and infusion providers big and small to ensure that patients have reliable access to an economical and compassionate delivery channel that provides the safe, high-quality infusion care they need. NICA has long recognized the need for more collaboration among professionals in the infusion industry and facilitated an opportunity for infusion professionals to meet and experience NICA’s home city of Austin, Texas. “The delivery channel is hungry for a venue in which they can come together, connect with stakeholders, talk about issues and learn from each other’s mistakes,” says Brian Nyquist, MPH, executive director of NICA. “In these learning experiences, we can identify how we can collaborate to move the [infusion] delivery channel forward.” In June, NICA welcomed nearly 550 leaders and professionals in the in-office infusion industry to its inaugural meeting at the JW Marriott in downtown Austin, TX. During the two-day event, attendees participated in 13 breakout sessions lead by members of executive leadership from some of the largest and most reputable organizations in the industry. “What set this meeting apart from others is the diversity of professionals in attendance,” said Bryan Johnson, chairman of NICA Board of Directors during The Future of Infusion panel. “I am optimisitic about the future of infusion because of the diversity of talent and expertise in this room that will be able to address patient access problems... the future of infusion is you.” Attendees also had the opportunity to network with peers and colleagues during educational dinner programs, complimentary receptions, and exhibit hours. We are already looking forward to our second meeting to further facilitate connection and education within the infusion industry!


To view all the photos from the meeting, visit our Facebook page at: facebook.com/infusioncenter/photos

Looking back on #NICA2019

Final Thoughts... “Immediately upon returning from the NICA conference, we started incorporating what we learned at every level of our operation. [After] Attending this conference and meeting all the NICA staff, speakers, other attendees and exhibitors, we felt quite empowered and hopeful for a better future.” May Azem, M.D., NICA Meeting Attendee

“The fact that we had 500 people attend this meeting with rooms overflowing with people who are so interested in this industry is incredible. When we all come together, it’s not about our individual companies or organizations. It’s about NICA. We represent NICA when we are here, and we are all working for the betterment of patient care. Gary Cooper, MHA, NICA Meeting Attendee and NICA Advisory Committe Member

“For the RxTOOLKIT team, the best part of the meeting was the people: the attendees, the speakers, and other exhibitors. We were fortunate to be part of many lively and productive discussions about issues facing the infusion market today: medication safety, operational costs, quality of care, clinical excellence, patient satisfaction, and staff training.” Chuck DiTrapano, RPh, NICA Meeting Exhibitor

“Many of their tips and suggestions affirmed the direction for which I am taking our infusion center and provided insight to things I may not have considered. NICA also rolled out their new ‘Minimum Standards for Infusion Centers’ that provides excellent guidance on policies and procedures that every infusion center should have.” Karen McKerihan, NP, NICA Meeting Attendee 6

2020 NICA Meeting Dallas Marriott City Center June 26-27, 2020

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Minimum Standards A threshold for minimum standards of infusion practice and quality of care


Minimum Standards for In-Office Infusion These FREE standards were created by infusion providers for infusion providers to establish foundational standards of practice for the administration of intravenous and injectable medication in an outpatient setting. NICA’s Minimum Standards for In-Office Infusion provide guidelines for the following: R Institutional policies R Patient-specific assessments and drug orders R Health data collection R Education and skill training for clinical staff R Medication storage and preparation 8

New Standards Set for ‘Wild West’ Infusion Centers By Marcia Frelick Originally published in Medscape Medical News AUSTIN, Texas — The first minimum standards of care for in-office infusion providers, which will help set the bar for safety and care quality in the industry, have been issued by the National Infusion Center Association (NICA). The standards come as the outpatient infusion and injection market is rapidly expanding and as the number of “med-spas,” “hydration clinics,” and mobile services promising hangover cures and vitamin-cocktail drips is escalating. “It’s the wild, wild west on the vitamin-infusion side,” Reece Norris, JD, cofounder of NICA, told Medscape Medical News. “We wanted to make sure there are at least some guidelines for our constituency.” That core constituency is providers who deliver biologic and infusion therapy and treat autoimmune diseases in nononcology, nonhospital clinics, he explained here at the NICA 2019 Meeting. By establishing standards when the outpatient side of the industry is still young, the organization has a chance to be proactive, rather than having to react after a tragedy, said Kaitey Morgan, RN, an infusion nurse and director of clinical operations at OI Infusion Services in Portsmouth, New Hampshire, who helped develop the standards. “I feel that we got ahead of that in this case. We’re not always able to do that in healthcare. The concern is that, in the absence of standards, we would have one of those tragic events and that would...


create access barriers and excessive regulation or the wrong regulation in response to that,” she told Medscape Medical News. The goal is to remove discrepancies in care, regardless of the setting in which the infusion happens. The best practices are based on current evidence and industry standards, Morgan said.

Preparation, Storage, and Skills One thing the standards address is where medications should be prepared. “I’ve seen that done next to lab specimens, next to sinks,” she explained. “The standards say it has to be done in a separate area free from possible contaminants, like water from a sink, fluid specimens, food, or drink.” Prepared medications should not be stored for future use, the standards state, and administration should begin within 1 hour of preparation. If extenuating circumstances make that impossible, manufacturer guidelines on stability and storage must be followed, but storage should never exceed 4 hours. The standards require that medications, supplies, and equipment be immediately available in the case of a hypersensitivity reaction. They also address the ratio of clinicians to patients and the skills and proficiencies every provider should have. For instance, all personnel involved in preparing or administering the medications must have current Basic Life Support certification, the document states. The standards will help insurers know which infusion centers are committed to following basic best practices, and that could help when contracts are negotiated, said Norris. Because infusion centers do not go through an accreditation process, proof of excellence rests mostly with the individual licenses of the providers, he explained. The hope is that providers who are operating centers, or plan to, will see where a particular center falls behind and address the shortcomings, said Morgan. Now that basic standards have been established, the next step is to develop standards for excellence, she reported. “There’s never a ceiling to quality, but these would be a way for infusion centers to provide the highest levels of care,” she said. As stated in the standards, they are meant as a reference and do not supersede state regulations, including scope of practice, insurance demands, or boards of nursing rules. View and download NICA’s Best Practices for In-Office Infusion here: infusioncenter.org/bestpractices 10

For more information, visit STELARAhcp.com

Janssen Biotech, Inc. © Janssen Biotech, Inc. 2015



NICA Spotlight Chuck DiTrapano, RPh “Most of us in the healthcare industry chose this profession because we wanted to help people. It feels amazing to know I have a part in making both patients and providers safer. It really doesn’t seem like work.”

When Chuck DiTrapano, RPh was a pharmacy manager for a 700-bed teaching hospital, he observed his colleagues struggling with providing consistent, standardized care to a large volume of patients. His penchant for problem solving lead to the founding of RxTOOLKIT ™, a diverse set of applications that support clinical excellence in pharmacy practice. What do you do for a living and where do you work? I am a pharmacist and the president and founder of RxTOOLKIT and RxTOOLKIT eLEARNING in Ephrata, PA. How long have you been in the industry? Over 40 years. What catalyzed your decision to become an entrepreneur and start RxTOOLKIT? After becoming a pharmacy supervisor for a 700-bed teaching hospital, I observed many of my colleagues having a tough time just trying to keep up with the volume of information necessary to do their jobs properly. I also recognized uncertainty, on the part of management, about how to provide consistency, standardization, and training for our staff. I came up with the idea of creating a repository of standardized information and tools provided via the internet. In 2004, we launched RxTOOLKIT.com with our flagship Information and Communication apps including RxDOCUMENT™ a searchable and secure document management system and RxCONNECT™ providing real-time distraction-free communications in a HIPAA compliant message board. A few years back we also initiated what we call our integrated development model combining process, technology, and competency. This has really helped to strengthen and focus our development process as well as improve many of our existing apps. Following our success in hospital pharmacy, we realized there was a real need for our tools in many other areas of healthcare especially nursing, physician’s offices, and of course infusion centers! 12

In your opinion, what is the most challenging aspect of working in the infusion industry? Two of the largest issues I see facing the infusion industry are establishing standardization of practice and staff competency education. Standardization is especially challenging because often times we are looking at multiple locations with multiple staff members as well as numerous and very complex drug products. It can be a real challenge to get everyone on the same page and many of our tools were developed for exactly that purpose! Drugs are regularly prepared and administered by nursing staff, who may not be as familiar with their parameters as those of us in the pharmacy. We have developed tools such as RxWORKFLOW for IV Safety™ and our Year-Round Competency Tracking Program courses to specifically support nursing staff and help infusion center management establish standardization in practice and staff training in the preparation and administration of IV infusions. We want to give everyone the resources, ability, and confidence to safely prepare and administer any drug. What do you like most about your job? Solving problems! It is really important for us to take the time to get to know our clients and their individual practice settings. We want to know as much about their specific operations as we can, so we are able to customize our existing products or develop new solutions to make their practices safer and more efficient. Some of our most popular tools today have either resulted from or been greatly improved by suggestions directly from our clients. We always encourage clients to give us their candid feedback.

Get 15% Off RxTOOLKIT NICA provider members are eligible for an exclusive 15% discount off the RxTOOLKIT system. Visit ivsafety.rxtoolkit.com to get a quote and claim your discount 13

#ShareYourChair The purpose of #ShareYourChair is to improve awareness for in-office infusion by providing patients with an opportunity to share why they are thankful for their infusion center by taking a selfie in their infusion chair with the hashtag #ShareYourChair and upload to social media.

Want a #ShareYourChair poster for your infusion facility? Email us at ShareYourChair@infusioncenter.org with B:8.75” T:8.5” your centers’ mailing address. S:8”

Even without pain, tophaceous gout can continue to cause damage, like bone erosion.1-10 Don’t believe what gout is presenting. See what science is revealing about gout’s underlying nature.

References: 1. Schett G, et al. RMD Open. 2015;1(suppl 1):1-5. 2. Edwards NL. Primer on the Rheumatic Diseases. 13th ed. New York, NY: Springer; 2008:241-249. 3. Doghramji PP, et al. Postgrad Med. 2012;124:98-109. 4. Khanna D, et al. Arthritis Care Res (Hoboken). 2012;64:1431-1446. 5. Dalbeth N, et al. Ann Rheum Dis. 2015;74:1030-1036. 6. Edwards NL. ACP Medicine. 2012:1-14. 7. Yu KH, et al. Rheumatology (Oxford). 2004;43:191-194. 8. Park JJ, et al. BMJ Open. 2014;4:1-6. 9. McQueen FM, et al. Rheumatology (Oxford). 2014;53:95-103. 10. Rees F, et al. Nat Rev Rheumatol. 2014;10:271-283.


© 2019 Horizon Therapeutics plc DA-UNBR-01250 08/19

Patients are at the heart of your mission.

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© 2019 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, METRO MEDICAL and the metro medical LOGO are trademarks of Cardinal Health and may be registered in the US and/or in other countries. All other marks are the property of their respective owners. Lit. No. 1SS19-1011072 (08/2019)

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The Infusion Advocate

Peter’s Journey to Patient Advocacy

It Just Takes One Story By Amy Rios

In July of 2017, Peter Morley gave himself an unusual birthday gift: a trip to the United States Capitol. As the country awaited the Senate’s vote on the “skinny repeal” of the Affordable Care Act (ACA), Peter made the first of many trips to Washington D.C. to share his story and highlight the importance of the ACA in protecting patients like him with pre-existing conditions. “I think people were really moved by seeing me walking in and out of offices sharing my story,” Peter says of that first trip to the Capitol. At 5:15 pm on July 27, the last office Peter met with was the late Sen. John McCain’s, where he spoke with the legislative aide and shared what was at stake for him and millions of patients like him without the ACA’s protections around preexisting conditions. Early the next morning, Sen. McCain delivered a dramatic thumbs-down vote that halted the repeal of the ACA. Peter doesn’t take credit for swaying Sen. McCain’s decision. “I think that Senator McCain was going to vote ‘No’ regardless, and I think he heard a lot of stories that convinced him, as well as his own health. I was very proud of him.” However, seeing how his story could make it to the offices of critical decision-makers awakened the advocate in Peter. Our phone conversation takes place shortly after Peter’s sixteenth trip to D.C., and while the exhaustion is apparent in his voice, once he begins talking about past and present advocacy efforts, his passion is evident. 16

Empowering Himself Known by over 50,000 followers on Twitter as @morethanmySLE, Peter has gained his large, organic following in only a few years by openly sharing the daily struggles faced by someone with a chronic autoimmune disease. The “SLE” in his Twitter handle refers to Systemic Lupus Erythematosus, which is the most common type of Lupus that affects many parts of the body. Since his diagnosis in 2013, Peter had always paid attention to healthcare reform but decided to be more active when the ACA began facing political opposition from the Republican-controlled Congress. Since then, Peter has vowed not to be defined by his disease and started his Twitter account in December 2016 to provide peer support and illustrate how the ACA protects patients. “I felt really secure with the previous administration, but when it became apparent the Affordable Care Act was in jeopardy, I decided to get involved, and that’s when I started my Twitter account.” As a self-described private person and “accidental advocate,” Peter was hesitant about sharing his life with strangers. “I don’t know how I resonated with people, other than to be really myself and be honest,” says Peter. “To share pictures of myself before cancer surgery or during an infusion was very difficult, but I saw how it impacted people.” A cursory glance through Peter’s Twitter profile highlights his dedication to empowering other patients battling chronic diseases, protecting the coverage of preexisting conditions, and frequent appearances made by his 15-year-old silky terrier Natasha, or as she is affectionately referred to as “Smooch Monster,” who illustrates the vital role that loyal caretakers play in the lives of patients. Peter participating in #ShareYourChair

“I just keep doing what I do, and hopefully the people out there listen,” said Peter. “More importantly, I want to effect real change and not just get retweeted.”

Empowering Others Peter’s message to other patients who want to advocate for their care is both simple and profound: “It just takes one story to make a person listen to the issue. You never know what that story will be.” After Peter saw how vulnerability resonated with other patients suffering from autoimmune conditions, he began encouraging his followers to do the same. “I carry thousands of stories with me [to D.C.], and I encourage everyone to contact their representatives,” says Peter. “It’s the most powerful thing they can do.” While Peter has devoted nearly three years to patient advocacy, made 22 trips from New York to D.C., and has met with over 150 offices in Congress, he hopes to convey that it takes far less effort for others to get 17

noticed by legislators and other decision-makers. “I used to think that thousands of calls had to be made [on an issue] before it would reach a legislator, but I’ve been told that it takes much fewer calls than that before it gets their attention.” Peter has also learned that people can contact Senate and House members who are appointed to positions of influence, even if they are not a member of their constituency.

“It just takes one story to make a person listen to the issue. You never know what that story will be.” -Peter Morley, Patient Advocate

“I know this from working with the Senate for almost three years. The senators who sit on the Senate Help Committee, for instance, will take your calls even if you are outside their jurisdiction,” says Peter. “I’ve learned these little things along the way.”

Creating a Community One of Peter’s most poignant moments as a patient advocate didn’t happen in the halls of Congress or the office of a Senator. It happened when a patient recently diagnosed with Lupus reached out to Peter when they were afraid, not only of their diagnosis but of potential disruptions in their care and coverage. “The Hospital for Special Surgery has a wonderful resource called ‘Lupus Line,’ and I was able to share that with her…She sent me a direct message thanking me, and we still keep in touch to this day. I’ll never forget that.” In addition to helping fellow Lupus patients find the resources they need, Peter frequently tweets encouraging messages and calls-to-action to his followers asking them for their stories to share with decision-makers in D.C. before planning a trip. “I believe it is a privilege and an honor when a follower of mine entrusts me with their story and asks that I relay it to their legislator…Giving people a voice and an opportunity to share their story is what keeps me going and gives me purpose.” He adds, “When I start talking about it, I feel so gratified and fulfilled. To bring people together is such a beautiful thing.” To learn more about Peter and his ongoing advocacy efforts on behalf of patients with preexisting conditions, follow him on Twitter (@morethanmySLE) or visit his website at: https://morethanmysle.com/ It just takes one story, and you can share yours with Peter at: https://morethanmysle.com/submit-your-story/ 18

Why should you be an advocate? Can you make a difference? ?




Teach your patients to advocate for their health! We have created an educational module to help patients and healthcare providers connect with their local, state, and national legislators to let them know why having access to care is important.


Other Educational Modules: Non-Medical Switching

Non-Medical Switching is a strategy that health insurers use to control their costs by forcing stable patients to switch from their current, effective medications to drugs that might not be as effective, for reasons unrelated to health.

How to Prepare for Your Infusion

Patients’ first infusion appointment can be intimidating, but NICA has put together some helpful tips and tricks to help infusion patients prepare for their appointment!

How to Purchase Health Insurance

Don’t let the healthcare enrollment process stress you out! We ‘ve created an educational module that reviews types of plans, insurance terminology, and how your costs will be determined so you can make your coverage selection with confidence!


Involved Are you an infusion expert with a passion for professional growth? NICA has several opportunities available to thought leaders and subject matter experts within the in-office infusion market. NICA SUBCOMMITTEES As NICA expands its presence in the infusion industry, we need leaders to help guide and advise on our efforts. There are four subcommittees: Clinical Standards, Education & Resources, Partnerships & Development, and Advocacy.

FORUM MODERATORS NICA’s InfusionConfusionTM forum is in need of moderators who can reliably answer and engage with questions that are posted within the forum, as well as vet questions that frequently arise when operating an infusion center.


ADVOCATE NETWORK NICA’s growing network of advocates exist so that when an access issue arises, advocates within the state(s) impacted will contact pertinent representatives through NICA’s advocacy portal to ensure the voices of patients and health care providers are heard.

Apply online: infusioncenter.org/get-involved

Infusion Center Software

Take the confusion out of infusion.

WeInfuse was designed by infusion center operators for infusion center operators. Our software aims to reduce confusion, limit financial mistakes and prevent clinical burnout, all while improving patient care. Some of our software features include: automatic electronic insurance verification, chair-driven scheduling, medication-specific nursing notes, and inventory management.

To learn more about how WeInfuse can help you infuse better, request a demo today.




The Infusion Advocate

Infusion Center Spotlight

DENT Infusion Center provides its patients with personalized care in a comfortable atmosphere while being part of one of the most comprehensive neurologic centers in the United States. History: In 1962, Harry M. Dent, a Buffalo-area entrepreneur, and philanthropist was diagnosed with Parkinson’s disease. Because of his illness the Dent Family Foundation, under the leadership of his son Harry M. Dent, Jr., elected to support the work of a renowned neurologist, Dr. William R. Kinkel, and his efforts in treating Parkinson’s disease. Through their leadership, the Dent Neurologic Institute became a leader in the treatment of neurologic diseases. Since its founding in 1998, the DENT Infusion Center has quickly become one of the most comprehensive infusion centers in the country.

Mission: The philosophy of the DENT Neurologic Institute is to show our patients and each other the same respect for human dignity, and level of kindness, that we would seek for our families and loved ones. Nothing else is acceptable.

Leadership: Laszlo L. Mechtler, MD, Medical Director Christine Mann, MBA, COO, Director-Infusion Operations 22

Amenities: DENT Infusion Center offers convenient hours, including Saturday appointments to accommodate their patients’ schedules. During their infusion, patients can enjoy heated massage chairs and complimentary Wi-Fi.

Accolades: In early 2017, the DENT Infusion Center was awarded the Intalere Healthcare Achievement Award in the category of Quality and Patient Care Delivery and Patient Satisfaction. In maintaining its commitment to quality patient care, DENT has remained at the forefront of advances in infusion therapy. DENT was one of the first sites in the country to offer Ocrevus, a multiple sclerosis therapy. It was also the first site to administer Radicava, the first treatment for ALS or Lou Gehrig’s disease and Sublocade, a breakthrough therapy in the treatment of opioid addiction.

Contact DENT Infusion Center

For patients who wish to schedule an infusion center at DENT, call their office at (716) 250-2011. For physicians who wish to refer a patient to DENT, contact their office at (716) 250-2011 or submit a referral online at www.dentinstitute.com




DENT Neurologic

Welcome Thank you to the following infusion centers who have chosen to support NICA’s mission through Provider Membership this year!

NEW PROVIDER MEMBERS: • • • • • • • • • • • • • • • • • • • • • • • • • • • • • 24

Abington Neurological Associates Alabama Neurology Associates, PC Arise Infusion Therapy Services Arthritis & Osteoporosis Center, Inc. Arthritis & Rheumatology of Georgia Arthritis and Osteoporosis Center Arthritis Care Center Oklahoma, PLLC Arthritis Center of North Georgia Arthritis, Rheumatic and Back Disease Associates Arthritis Treatment Center of the Low Country Augusta Arthritis Center BrookWell Health Brownsville Infectious Diseases, PA Carondelet Rheumatology Centers for Gastroenterology Central Louisiana Rheumatology and Infusion Center Coastal Rheumatology Columbia Arthritis Center of PA Crossroads Medical Group Deliverit Pharmacy Infusion Center LLC Emkey Arthritis & Osteoporosis Clinic Evolve Health First Choice Neurology FlexCare Infusion Center Fort Bend Rheumatology Associates Greater Houston Digestive Disease Consultants HealthQuest Infusion Services Horizon Infusions ID Consultants, Inc.

• Infusion Center of Pennsylvania • Infusion Center of St. Augustine (St. Augustine Foot & Ankle) • Intramed Plus • IV Infusion Treatment Center • LifeCare Specialty Pharmacy • Low Country Rheumatology • Marin Wellness Pharmacy • Midwest Immunology Clinic • Mosaic Infusion Solutions • Neurology Center of New England, P.C. • Neurology Specialists/MS Center of Tidewater • NeuroMedical Center of Central Louisiana, LLC • Northwest Infusion Center • Noran Neurological Clinic • NuCara Infusion Services • Oak Clinic for Multiple Sclerosis • Philip A. Waller, MD PA • Premier HealthCare Associates, Inc. • Premier Partners • Riverhills Neuroscience • Ruth E Gonzalez, MD • Rx Solutions TX • San Diego Infusion Center • San Mateo Rheumatology • Specialty Infusion • TLC Infusion • Vasco Infusion • Virtis Health • Woodlands Arthritis Clinic

Thank you to the following infusion centers that have continued to support NICA by renewing their Provider Membership this year!

RETURNING PROVIDER MEMBERS: • • • • • • • • • • •

Advanced Pain Care Big Sky IV Care Cohen Medical Centers Columbus Arthritis Center Digestive Disorders Associates Kansas City Physician Partners Kare Infusion Center Lake Norman Neurology ReinHealth Rheumatology Associates, PLLC Wasatch Infusion

Become an NICA Provider Member! In addition to supporting a charitable organization with a mission to encourage growth within the infusion industry by fighting for your patients’ access to care, we also provide several high-value benefits for our members. NICA Provider Members enjoy access to restricted resources and tools, and receive discounts with industry partners that we’ve negotiated exclusively for members.

Who Can Join? Provider Member Qualifications: • Infusion facility is not owned and/or operated by a hospital, health system or medical center • Facility operates as a physician’s office or office-based infusion center • Facility provides non-chemotherapeutic IV/injectable medications

What is the Cost to Join? $250 annually per infusion facility, capped at $2,500 annually.

Contact Morgan Grubbs, Membership Development Manager morgan.grubbs@infusioncenter.org

Even without pain, tophaceous gout can continue to cause damage, like bone erosion.1-10 Don’t believe what gout is presenting. See what science is revealing about gout’s underlying nature.

References: 1. Schett G, et al. RMD Open. 2015;1(suppl 1):1-5. 2. Edwards NL. Primer on the Rheumatic Diseases. 13th ed. New York, NY: Springer; 2008:241-249. 3. Doghramji PP, et al. Postgrad Med. 2012;124:98-109. 4. Khanna D, et al. Arthritis Care Res (Hoboken). 2012;64:1431-1446. 5. Dalbeth N, et al. Ann Rheum Dis. 2015;74:1030-1036. 6. Edwards NL. ACP Medicine. 2012:1-14. 7. Yu KH, et al. Rheumatology (Oxford). 2004;43:191-194. 8. Park JJ, et al. BMJ Open. 2014;4:1-6. 9. McQueen FM, et al. Rheumatology (Oxford). 2014;53:95-103. 10. Rees F, et al. Nat Rev Rheumatol. 2014;10:271-283.

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Infusion Express has rebranded as IVX Health,

better aligning its name with its mission to redefine the care experience for patients with complex chronic conditions. IVX Health opened two new centers in Nashville, TN in August and will open new centers in Ohio and Pennsylvania later in 2019.

Metro Infusion Center will be celebrating its 25th anniversary. In honor and celebration of this occasion, Metro Infusion Center will be holding a fundraising gala in Chicago to support the I AM ALS Foundation, The Alzheimer’s Foundation, and Rise Above-the Mike Adamle Project.

Palmetto Infusion Services, which will be celebrating 20 years in business this fall, recently partnered with Charlotte-based private equity firm, Carousel Capital, to expand its current footprint into GA, NC, and beyond. Recent openings include Raleigh, Winston-Salem and Charlotte with several more markets set to open in 2019-2020, including Greensboro and Augusta.

Wasatch Infusion will be supporting its medical and patient community by sponsoring the Utah Podiatric Medical Association’s Annual Conference September 6-7 as well as the Salt Lake Senior Expo October 10-11. Email your infusion center’s news and accolades to Amy Rios at amy.rios@infusioncenter.org


Sending hope one box at a time


The J|B BOX just breathe. Jessica & Brooke shared anxiety and frustration that often come with infusion day. There are many moving parts like insurance authorizations, financial stress and the physical limitations while receiving treatment. The J|B Box was born to ease the worry and remind others to just breathe. When the mindset is strong the body will follow. Enjoy the gift of entertainment,


relaxation and just breathe!


Brooke 27

The National Infusion Center Association 3307 Northland Dr., Ste 160 Austin, TX 78731

NICA Ad 8-19-2019.ai 1 8/19/2019 11:07:38 AM

Join the network, realize the potential NeuroNet GPO is a group purchasing organization focused on serving the needs of outpatient clinical practices and their ancillary services. GPO members partner with practices nationwide to leverage purchase power, resulting in discounted pricing on drugs and supplies. Members also gain access to valuable information and resources, which helps maximize operating performance.

To learn more on how NeuroNet GPO can help your practice: Call us at (716) 558-5494 Email at info@neuronetgpo.com

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The Infusion Advocate | Fall 2019  

In the first issue of The Infusion Advocate, NICA looks back on its inaugural meeting, where 550 leaders and professionals in the in-office...

The Infusion Advocate | Fall 2019  

In the first issue of The Infusion Advocate, NICA looks back on its inaugural meeting, where 550 leaders and professionals in the in-office...