CHC Digest
March 30, 2016                                                                              Digest Issue 77
Wednesday, March 30, 2016 - In This Issue:
SAVE THE DATE!!! 



Trainings & Meetings 
 
April 19, 2016
 
Forum - Workplace Security
9:30 am
Indiana CPA Society
8250 Woodfield Crossing Blvd
Indianapolis, IN  46240
 

Contact Jason Bundy at jbundy@indianapca.org  or 317-630-0845 for more information
 
May 2 & 3, 2016
 
Annual Conference 2016 Beyond the Four Walls Addressing the Social Determinants of Health

8:00 am
Indianapolis Marriott North
3645 River Crossing Pkwy Indianapolis, IN  46240
 

Contact Jason Bundy at jbundy@indianapca.org  or 317-630-0845 for more information

June 27, 2016

Motivational Interviewing for Primary Health Care

Indiana CPA Society
8250 Woodfield Crossing Blvd
Indianapolis, IN  46240
 
Contact Jason Bundy at jbundy@indianapca.org  or 317-630-0845 for more information

July 21-22, 2016

Federal Torts Claim Act University
 
8:00 am
Holiday Inn Indianapolis Airport
8555 Stansted Drive
Indianapolis, IN  46241
 
Contact Jason Bundy at jbundy@indianapca.org  or 317-630-0845 for more information





















News and Notices
Jessica Ellis Recognized as a Geiger Gibson Program Emerging Leader
Jessica Ellis, the Indiana Primary Health Care Association's Outreach and Enrollment Program Director, was one of 15 young professionals recognized by the Geiger Gibson Program in Community Health Policy in the Milken Institute School of Public Health (Milken Institute SPH) at the George Washington University.  "The Emerging Leaders Award recognizes outstanding young men and women serving on the front lines of community health," said Sara Rosenbaum, JD, the Harold and Jane Hirsh Professor of Health Law and Policy and founder of the Geiger Gibson Program at the Milken Institute SPH.  The 15 Emerging Leaders selected in the award's 10th year were recognized on March 19th, 2016, during the annual meeting of the National Association of Community Health Centers in Washington, DC.   Congratulations Jessica! 
To view the full press release

2016 P&I Hill Visits
This year health center advocates from across the state met with all eleven of Indiana's Congressional offices on Hill Day, March 17. We discussed three topics at each of the meetings, maintaining level funding for FY17, the need for solutions to address CHC workforce challenges, and specific health center innovations. The meetings were successful with four members of Congress from our state signing on to "dear colleague" letters to show their support for continued funding of the community health centers program. Thank you to everyone who attended Hill visits this year, we couldn't have done it without you!
Don't forget to follow up with your member of Congress to schedule a tour of your health center this summer or invite them to your National Health Center Week event!
Webcasts Scheduled for the Federal Tort Claims Act Redeeming (FTCA) and Initial Application Process
The Bureau of Primary Health Care has announced three technical assistance webinars related to the FTCA redeeming and initial applications. The Electronic Hand Book System will open to accept Redeeming and Initial applications on April 22, 2016.  FTCA Redeeming applications are due May 24, 2016 . Information and links to each webinar follow:
2016 FTCA Deeming Application Technical Assistance:
General Information and Risk Management - March 31st, 2016, 2:00 p.m. to 3:30 p.m. ET
General Information and Credentialing and Privileging - April 6th, 2016, 2:00 p.m. to 3:30 p.m. ET
 
The Indiana Primary Health Care is hosting the FTCA University on July 21 and 22, 2016.  This 2-day conference will dive deeper into FTCA and health center's risk management processes. To register for the FTCA University visit: http://www.indianapca.org/events/event_list.asp and scroll down to the July 21 heading.
Resources for Providers Regarding the Zika Virus
The Center for Disease and Control and Prevention (CDC) has developed a website that contains the most current information regarding the Zika virus: http://www.cdc.gov/zika/index.html.  There is an entire section devoted to Health Care Providers that contains information on Clinical Evaluation and Testing; Diagnostic Testing; US Zika Pregnancy Registry; Tools for Health Care Providers; Q/A: Pregnant Women and Women of Reproductive Age; and Q/A: Infants and Zika Virus Infection.  While there has been no locally acquired cases reported in the US, there have been 258 travel-associated infections.  With the onset of spring break and travel to the countries with active disease outbreaks which include; all of Central America, a large portion of South America, and most of the Caribbean Islands.  For a map of the countries with active transmissions go to: http://www.cdc.gov/zika/geo/active-countries.html
Social Determinants of Health (SDH) Data Users Group Spotlight
IPHCA's data users group on social determinants of health learned about the work being done in Indiana to address maternal/child health. The Goodwill Industries Nurse-Family Partnership program presented on their nurse home visiting program and the successes the program has on impacting social determinants of health as well as prenatal health outcomes. Nurse-Family Partnership (NFP) is a national program that operates in 43 states. Currently, NFP has nurse home visitors in 6 counties in Indiana including: Lake County, Tippecanoe County, White County, Madison County, Delaware County, and Marion County. NFP captures first time mothers early in pregnancy to encourage breast feeding, healthy behaviors, and connect them with resources and support around housing, education, and employment. To learn more about Nurse-Family Partnership visit their website at goodwillindy.org/nfp.
To learn more about social determinants of health and organizations working to address them in Indiana, join the SDH Data Users group at our next meeting! More information about the next meeting is forthcoming.
2016 County Health Rankings Key Findings Report
The 2016 County Health Rankings Key Findings Report was released on Wednesday, March 16.  This new report ranks the health of nearly every county in the nation and provides maps and charts depicting gaps between urban and rural health.  Defining rural counties as those with less than 50,000 people, the report states on the first line of its key findings that "rural counties have had the highest rates of premature death for many years, lagging far behind other counties." The rankings use publicly available data to measure health outcomes, health factors and the policies and programs that affect them.  Three new measures in this seventh annual edition highlight the impact of racial segregation, deaths due to drug overdoses and the negative effects of insufficient sleep.  A copy of the report can be found at http://www.countyhealthrankings.org/reports/key-findings-2016?utm_campaign=hrsa&utm_medium=email&utm_source=govdelivery.  To find out how healthy your county in Indiana is and explore factors that drive your health, click on this link: http://www.countyhealthrankings.org/app/indiana/2016/overview.

Revised Opioid Overdose Toolkit Now Available

The Substance Abuse and Mental Health Services Administration (SAMHSA) has released a revised version of the Opioid Overdose Prevention Toolkit, designed to educate first responders, physicians, patients, family members, and community members on ways to prevent opioid overdose.  The Toolkit now includes information on the first FDA-approved nasal spray version of naloxone hydrochloride, a life-saving medication that can reverse the effects of an opioid overdose.
New Training Opportunity From the National Association of Community Health Centers
The National Association of Community Health Centers is currently recruiting a limited number of health centers to participate in Project ECHO┬« LGBT.  Health center clinicians who have no or little experience with this patient population are encouraged to enroll.
Starting April 7th, videoconference sessions will be held on the FIRST and THIRD Thursday of each month from 2 p.m. to 4 p.m. EST for a year.  Registrants are expected to attend a majority of the sessions over the year.
Designed for primary care providers by primary care providers, participants will receive specific recommendations on challenging cases from expert, multidisciplinary faculty and build knowledge on topics such as HIV prevention and care, taking a comprehensive sexual health history, conceiving and raising families, and behavioral health.
Enrollment is limited. Please see additional details in the attached flyer and contact Ashley Barrington at abarrington@nachc.com for additional information.

J1/ NHSC Updates
NHSC Scholarship Program Application Cycle Now Open!
Accepting applications  through April 28, 7:30 p.m. ET
2016 Application and Program Guidance (PDF - 433 KB) has the detailed information you need to apply. Please read carefully before you start your Scholarship
Program application. You can apply to the Scholarship Program if you are committed to primary care and accepted to or enrolled in an accredited U.S. school in one of the following primary care disciplines:
  • Physicians (MD or DO)
  • Dentists
  • Nurse Practitioners (post graduate degree with clinical practice focus)
  • Certified Nurse-Midwives
  • Physician Assistants
The scholarship pays tuition, fees, other educational costs, and provides a living stipend in return for a commitment to work at least 2 years at an NHSC-approved site in a medically underserved community. For each year of financial support (up to four years), the student agrees to serve one year (minimum two years) at an NHSC-approved site in a high-need urban, rural, or frontier community across the nation.
 
Service begins upon graduation (and completion of primary care residency training for doctors and dentists). The NHSC helps scholars find a practice site that is right for them. When in service, scholars earn a market-rate salary, paid by the employing facility. Scholarship payments other than the living stipend are federal income tax-free.
 
The Scholarship Program accepts applications once each year. Applicants chosen to receive the scholarship are notified no later than September 30.
Resources:
 
NHSC Scholarship Program Technical Assistance Conference Call
April 14, 2016 from 7:00 - 9:00 p.m. ET
Number: 1-888-566-6151 Passcode: 9730122
2016 NURSE Corps Scholarship Application Cycle Now Open!
The 2016 NURSE Corps Scholarship Program application cycle is now open and will close on May 5, 2016 at 7:30 p.m. Eastern Time (ET). Please refer to the 2016 Application and Program Guidance for all of the program requirements. NURSE Corps Scholarship Program enables students accepted or enrolled in a diploma, associate, baccalaureate or graduate nursing programs, including RN to BSN, RN to MSN-NP, Direct Entry MSN-NP program to receive funding for tuition, fees and other educational costs in exchange for working at an eligible NURSE Corps site upon graduation.

Eligible Applicants
  • U.S. citizens (born or naturalized), nationals or lawful permanent residents
  • enrolled or accepted for enrollment in a professional nursing degree program (baccalaureate, graduate, associate degree, or diploma) at accredited school of nursing located in the U.S.
  • begin classes no later than September 30
  • free from any Federal judgment liens
  • free from existing service commitments
  • not delinquent on a Federal debt
Selection Criteria
Preference is given to qualified applicants with the greatest financial need who are enrolled or accepted for enrollment in an accredited nursing program or nurse practitioner program as full-time students.
Participants receive:
  • tuition
  • eligible fees
  • other reasonable costs, such as books, clinical supplies/instruments and uniforms.
  • monthly stipend of ($1,330 for the 2016-2017 academic year)
Technical Assistance
Applicants are encouraged to participate in the application technical assistance conference call with program staff detailed below. Applicants are also encouraged to view the NURSE Corps Scholarship Program 2016-2017 Application Technical Assistance Webinar with more information on the application process and service requirements. 
Live Q & A Conference Call
Saturday, April 30, 2016
2:30pm to 4:30pm ET
Dial in: 1-888-790-3148 
Passcode: 2128624

National Health Service Corps Offers Free Online Jobs Center
The National Health Service Corps (NHSC) Jobs Center is a free, online resource that Health Center Program award recipients and Look-Alikes that are NHSC approved sites can use to create a marketable profile and post job vacancies. The profile allows you to include imagery, brochures, and videos that highlight your site and surrounding community. The Jobs Center is the only place job seekers can go online to look up vacancies by HPSA, site type, and geography. It averages more than 23,000 visitors each month and can be a key recruitment tool. Don't miss this opportunity to find health care providers who are looking for you!

Complete your site profile today and start posting and marketing your job vacancies .

NHSC Loan Repayment Application Now Open
Accepting applications through April 5, 7:30 p.m. ET
2016 Application and Program Guidance  has the detailed information you need to apply. Please read carefully before you start your Loan Repayment Program application.
Loan Repayment for Clinicians
Primary care medical, dental and mental/behavioral health clinicians can get up to $50,000 to repay their health profession student loans in exchange for a two-year commitment to work at an approved NHSC site in a high-need, underserved area. The payment is free from Federal income tax and is made at the beginning of service so you can more quickly pay down your loans. Approved sites are located across the U.S., in both urban and rural areas.
After completing your initial service commitment, you can apply to extend your service and receive additional loan repayment assistance.
The amount you receive and length of your commitment depends on where you serve (service at sites in higher need areas yields greater loan repayments). It also depends on whether you select the full-time or half-time option. See the 2016 Application and Program Guidance (PDF - 401 KB) for details. See if your site is already approved at the NHSC Jobs Center.
The NHSC gives priority consideration to eligible applicants whose NHSC-approved site(s) has a HPSA score of 26 to 14, in descending order, until funding is exhausted.
Finance and Operations Updates
340B Update
Reviews for IPHCA's 340B (A to Z) with guest speaker Sue Veer were very positive. IPHCA received feedback from the attendees requesting an additional 340B presentation that covers 340B auditing and specific policies and procedures. IPHCA anticipates this presentation will occur early calendar year 2017 and will be presented by Sue Veer. At June's Forum (June 21st), FSSA's Chris Johnson will be present to answer IHCP/340B related questions and clarify any ambiguity surrounding duplicate discounts. Please see IPHCA's event calendar to register for the forum and other training opportunities.
 
IHCP clarifies the dental benefit period for HIP members
HIP dental benefit limits are calculated within a member's "benefit period." A member's benefit period depends on when the member enrolls in the HIP program. Once an individual is enrolled in HIP, the 12-month benefit period begins. A benefit period can begin in any month of the year, but will always start on the first day of a month and end on the last day of a month. Providers can determine a member's benefit period and any dental benefits already utilized in a given benefit period by contacting the HIP Dental Benefit Manager, DentaQuest, by telephone at 1-855-453-5286 or online via the DentaQuest web portal.
 
IHCP defines age ranges for policies or code descriptions that do not specify an age
When a policy or a procedure or diagnosis code description does not designate a specific age range, the IHCP will apply the age range adopted by the World Health Organization.
 
Providers may resubmit Family Planning Eligibility Program claims that denied incorrectly
The IHCP has identified a claims processing issue that caused fee-for-service claims for certain family planning codes billed for Family Planning Eligibility Program members to deny incorrectly.
 
IHCP to cover CPT code 90687
Effective April 8, 2016, the IHCP will cover CPT code 90687 - Influenza virus vaccine, quadrivalent (IIV4), split virus, when administered to children 6-35 months of age, for intramuscular use. Coverage applies to all IHCP programs, subject to limitations established for certain benefit packages. Coverage applies retroactively to dates of service on or after July 1, 2015.
 
IHCP to cover HCPCS code Q9980
Effective April 8, 2016, the IHCP will cover HCPCS code Q9980 - Hyaluronan or derivative, Genvisc 850, for intra-articular injection, 1 mg. Coverage applies to all IHCP programs, subject to limitations established for certain benefit packages. Coverage applies retroactively to dates of service (DOS) on or after January 1, 2016.
 
Additional first-quarter provider workshop added in Indianapolis
The IHCP has scheduled an additional first-quarter workshop in the Indianapolis area to accommodate provider demand. The new workshop will be on May 4, 2016, from 9:00 a.m. to 3:00 p.m. at the following location:
St. Vincent Hospital
Cooling Auditorium
2001 W. 86th Street
Indianapolis, Indiana
The session will follow the same format as the other first-quarter workshops. The schedule and details about the information to be covered are available on the First-Quarter IHCP Workshops page.
 
IHCP replaces provider manuals with new IHCP Provider Reference Modules
The IHCP has given the IHCP Provider Manual and the supplemental provider manuals a major face-lift. Provider manuals have been replaced with a set of IHCP Provider Reference Modules intended to be more user-friendly. Information previously published in manuals has been reorganized into shorter, topic- and service-specific reference modules. The new format is designed to help providers find information easily and to allow the IHCP to update content more quickly.
 
IHCP clarifies Provider Enrollment revalidation requirements
Pursuant to federal law, all providers enrolled with the IHCP before January 1, 2012, must revalidate their provider enrollments by March 26, 2016. The CMS has directed states to disenroll any provider that fails to revalidate. The IHCP has received questions from providers regarding various aspects of the revalidation process.
 
IHCP clarifies W-9 requirements for provider enrollment transactions
Inconsistencies between the home office address on a provider's enrollment profile or on a provider enrollment transaction, when compared to the home office address on a submitted W-9 form, are a common reason for enrollment paperwork being returned to providers for correction. These returns delay processing of enrollment transactions. The IHCP Provider Enrollment Unit offers tips to help providers meet IHCP requirements related to the W-9.
Trainings

Interested in Measuring and Addressing the Social Determinants of Health of Your Patients? 

Attend a webinar on Wednesday, April 20th from 3:00 - 4:30 pm EST to learn about the Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences (PRAPARE), a national effort led by NACHC, the Association of Asian Pacific Community Health Organizations, the Oregon Primary Care Association, and the Institute for Alternative Futures to help health centers better document and understand the complexity and socioeconomic circumstances of their patients to provide care and services that are needed to truly improve health outcomes and reduce health disparities.
This webinar will provide an introduction to PRAPARE, how it was developed, how it has been used in clinical settings and in the Electronic health Record, how it fits in health centers' workflows, and how it has been used to develop interventions to address the social determinants.  Click here for more information and here to register.
Indiana Perinatal Educators Conference
The Indiana Perinatal Network has issued a "Save the Date" announcement for their upcoming Indiana Perinatal Educators Conference scheduled for April 21, 2016 from 8am to 4pm at IU Health Methodist in Indianapolis.  The conference title is Plan of Attack for Successful VBAC.  More information will be coming soon.
Internet of Things Conference: The Technology Revolution in Healthcare & Wellness
On May 19, Ball State University is hosting an "Internet of Things" (IoT) conference to examine the growing prevalence of networked physical objects and environments (think: smart homes, smart cars, smart cities) and their impact on health-related fields. The conference is backed by Ball State, Cisco Systems, and TechPoint, Indiana's Technology Growth Initiative.
Thursday, May 19
Fishers, Indiana
Cost: $50.00 per person
Conference sessions will include:
  • The Impact of IoT on Health and Wellness: We will set the groundwork for understanding the possibilities afforded by IoT in health and wellness fields.
  • IoT Architecture: This session will serve as a primer of the systems and tools required to successfully implement IoT solutions.
  • Legal Aspects of IoT in Today's World: Explore the legal concerns that arise from IoT implementation in health-related settings and learn how to address them.
  • Is IoT Secure?: This session will discuss the potential vulnerabilities associated with IoT implementation and how to mitigate those threats.
  • Entrepreneurial IoT: This interactive ideation session is designed to stimulate ideas, questions, and theories about implementing innovation in your organization.
For more information on the conference and how to register: http://indi.iweb.bsu.edu/conference.html
National Conference for Immunization Coalitions and Partnerships
Indianapolis will be the site for the next National Conference for Immunization Coalitions and Partnerships.  The conference is scheduled for May 25-27, 2016 at the Hyatt Regency Indianapolis, IN.  The conference is a gathering of coalition leaders, staff and board members; public health workers and experts; and community advocates and only occurs every two years. The goal of the 12th NCICP is to improve community health by enhancing the effectiveness of immunization coalitions and their partners.  For more information visit the Conference Website. 
To receive early bird pricing register now! Click Here to Register
 
Hotel information:
Hyatt Regency Indianapolis
1 South Capitol Avenue
Indianapolis, IN 46204
To reserve a hotel room:  Click Here
FTCAU Indianapolis, Indiana July 21-22, 2016
The Federal Tort Claims Act University (FTCAU): Indiana Campus is an innovative and new training conference that is being offered to members of the health center community. FTCAU provides a great opportunity for seasoned quality and risk management professionals and new professionals to learn from experts, leaders, and government officials about FTCA, healthcare quality and risk management, and related subjects. Over the course of two days, attendees will participate in interactive presentations and exercises that are specially geared toward health center grantees in the state of Indiana .  Click here to read more. 

Thursday & Friday July 21 & 22
Federal Torts Claim Act University
Holiday Inn Indianapolis Airport
8555 Stansted Dr,
Indianapolis, IN 46241

Indiana Primary Health Care Association   I 429 N. Pennsylvania St., Ste. 333  I  Indianapolis, Indiana 46204 I
  (317) 630-0845  I  www.indianapca.org    
 
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