March 2019 edition

Note from DCPCA CEO, Tamara Smith

DCPCA will host its 2019 Annual Meeting/ Health Summit on May 16, 2019 at the Kellogg Conference Center at Gallaudet University Our theme is "Using Technology and Health Information to Transform Health Care Systems and Impact Communities" and will bring together DCPCA clinical and community partners, industry experts and the business community to foster best practices and better health in our community. I hope you will join us for this very exciting opportunity to celebrate the work you do every day to promote health and health equity in the District of Columbia.

Member Spotlight

Bread for the City Client Advisory Council (CAC) hosted First Town Hall Bread for the City’s (BFC) Client Advisory Council (CAC) hosted its first Town Hall on March8, 2019, at the Anacostia Neighborhood Library. The CAC includes BFC clients who guide the organization's growth to better serve its community. At the Town Hall, attendees shared their most memorable moments at BFC along with feedback to improve the client experience. The CAC will host a Town Hall every six months to continue the dialogue as BFC grows.

DCPCA Department Round-Up

DC Connected Care Network (DC CCN) Highlighted Article Regarding Primary Care Transformation As we continue to build the CCN, we are looking to learn from models used across the U.S. This article in Health Affairs   shows how developing new primary care initiatives requires coaching, training, investment, and change leadership. The authors present key challenges and lessons learned from primary care transformation efforts across NYC Health + Hospitals, the nation’s largest public health care system.

HIT/Technology eHealthDC Collaborates with DC Hospital Association to Advance e-Referrals On January 21, 2019, eHealthDC joined with the DC Hospital Association (DCHA) to convene a meeting with health system leaders to discuss available options for implementing a common e-Referral process in DC. After an introductory message from DCHA leadership, eHealthDC team members delivered a presentation on the need to establish an e-referral infrastructure to support effective Transitions of Care and Stage 3 Meaningful Use objectives in DC, and engaged with health system representatives to share e-referral process experiences and concerns. As a next step, eHealthDC will be meeting with designated teams at each health system to provide customized technical assistance services to enable them to meet their e-referral process objectives.

CPC-HIE Operating Committee Meets to Establish 2019 Agenda On March 1, 2019, DCPCA and designated representatives from participating provider organizations convened the first meeting of the expanded CPC-HIE Operating Committee in the new year. This Committee was initially established to guide the implementation of the CPC-HIE and its integration with the CRISP HIE. The Committee, which continues to support CPC-HIE expansion and enhancement initiatives while providing oversight for governance and management activities, agreed to meet twice-monthly to address a broad agenda. The next meeting of the Committee is scheduled for Friday, March 22 nd , at 2 PM. That meeting will focus on a review of the sets of procedure codes, diagnosis codes, lab tests and medications that should remain defined as sensitive and, therefore, subject to HIE data blocking procedures to comply with District and federal privacy and security regulations. For more information contact Donna Ramos-Johnson at dramosjohnson@dcpca.org .

Quality Improvement Convening of Patient Navigators for Cancer Peer Group DCPCA facilitated their quarterly Patient Navigators for Cancer Peer Group meeting on February 19th , hosted by Breast Care for Washington. The meeting included 20 staff from DC and Maryland, representing health centers, hospitals, and providers as well as government partners and community-based organizations including the American Cancer Society, and Prince George’s County Cancer Consortium. Health center staff presented on best practices for cancer screening and coordination, including Patient Navigators Inna Scurtu (Community of Hope), Allison Meads (Bread for the City), and Marquita Iddirisu (Family and Medical Counseling Service).  The Peer Group is open to all navigators/care coordinators/referral coordinators in the DMV who assist patients in their cancer screening and care journey. In providing a forum for peers to meet and collaborate, we aim to achieve two goals: 1) Advance the best practices of patient navigation to improve cancer screening and care; 2) Collaborate to create systems-level solutions to current challenges.  If you’d like to participate, contact meeting facilitator Megan Loucks at mloucks@dcpca.org.

QI Tips of the Month To understand our role in emergency preparedness, check out this article on Medical Surge and the Role of Practice-Based Primary Care Providers The Pharmacy Quality Alliance has developed a Medication Access Framework for Quality Measurement to address the social determinants of health that hinder patient medication access and contribute to poor health outcomes. CMS recently mailed letters providing guidance on reducing opioid misuse to all Medicare fee-for service providers. This information is pertinent to all providers of care for patients receiving opioids to understand the access to opioid medications and management plans through Medicare Part D drug coverage Plans.  PCMH 2017 Standards and Guidelines Overview Videos: Free videos provide an overview of the PCMH 2017 Standards and the six concepts that make up PCMH Recognition. A Look Inside the Six PCMH Concepts: A Comprehensive Overview: This 5-hour, self-paced on-demand training takes a closer look at the six concepts that make up PCMH Recognition and reviews examples to aid practices with the transformation process.

Policy and Advocacy Health Sector Budget Dialogue DCPCA announces the 6th Annual Health Sector Budget Briefing on Friday, April 5, 2019, from 10 AM to 12 PM at the Wilson Building 1350 Pennsylvania Avenue NW, Suite G-9. Hosted by DCPCA, the DC Hospital Association, DC Behavioral Health Association, and the DC Health Care Association, the event will be an opportunity to engage directly with health sector department leaders regarding policy, priorities, and partnerships in the FY20 budget. Register Now! For more information contact David Poms at dpoms@dcpca.org.

DCPCA Launching Maternal Health Equity Innovation Lab In spring 2019, DCPCA will launch our Maternal Health Equity Innovation Lab. Based on IDEO’s human-centered design approach and the Institute for Health Improvement’s equity action model, the Innovation Lab will bring frontline providers of maternal care and women in the District impacted by maternal health inequity to a shared table to prototype and test innovative solutions identified in DCPCA’s Human-Centered Solutions to Improve Reproductive and Maternal Health Outcomes in Washington, DC. If you know of a patient, friend, or colleague with recent experience of DC’s maternal health system, please contact Patricia Quinn pquinn@dcpca.org.

Funding Opportunities

Opioid Workforce Expansion Program (OWEP) – Professionals and Paraprofessionals OWEP’s purpose is to build upon existing HRSA investments to enhance community-based experiential training focused on Opioid Use Disorder (OUD) and other Substance Use Disorders (SUDs). Application is due May 5, 2019. Click here for more details.

Centering Healthcare Institute (CHI) RFP for Clinical Practices to Expand Centering Model Centering Healthcare Institute (CHI) launched an aggressive plan in October 2017 to expand access to the Centering model of group healthcare in the communities where group care can have the greatest impact. CHI is pleased to offer free implementation support and facilitation training to 130 eligible sites - primarily in FQHCs and community health centers. The goal of this initiative is to increase patient access to Centering care, specifically Centering Parenting family-centered well-child care. Application is due May 31, 2019. Click here for more details.

News - District

Wayne Turnage Appointed Permanent Deputy Mayor for Health and Human Services in District of Columbia Mr. Turnage is currently the Director of the District Department of Health Care Finance (DCHF) and concurrently serves as Interim Deputy Mayor for Health and Human Services. Mr. Turnage has spearheaded efforts to reform several of DHCF’s major provider reimbursement systems, established a program of accountability for the agency’s redesigned managed care program, and organized and oversaw the implementation of a plan to reduce fraud in the Medicaid home care program. Prior to his administration appointment, he served as Chief of Staff at Virginia Commonwealth University and as Deputy Secretary of Health and Human Resources for Virginia Governor Mark Warner. Read more

DHCF Opens State Level Repository Site for Program Year 2018 Medicaid Promoting Interoperability Program Attestation DHCF was pleased to announce the opening of Program Year 2018 for the DC Medicaid Promoting Interoperability/ Meaningful Use Program on January 15, 2019. Program Year 2018 will close promptly by close of business on April 15, 2019. DHCF will not grant an extension to this deadline.  To collect annual incentive payments available under the District’s Medicaid EHR Incentive Program (MEIP), providers must attest to meeting program requirements through the new State-Level Repository (SLR). As needed, providers may contact eHealthDC to obtain free assistance with the submission of Program Year 2018 attestation data and supporting documentation.

Urgent Care in East of the River By November 2019, MBI Health Services plans to open a 24/7 urgent care center on Grant Street NE near the Minnesota Avenue Metro. MBI’s request to open a primary care clinic connected to their urgent care clinic was not approved.  Read More

Providence Health System Creates Vision for the Future Providence Health System has embarked on an exciting transformation to better meet the changing needs of members of its neighborhood and communities. Far from abandoning the District, Providence is building on its history and charting a new course that allows them to express their Mission in a more meaningful way. As Providence embarks on this innovative approach to improve the health of the community, its focus will be inclusive of both health and services not traditionally considered part of healthcare but that have an impact on the health of individuals and communities.    Providence is actively engaging with the community to gain input on its concept of a Healthy Village. A Healthy Village is the creation of a community resource that socially integrates healthcare and non-healthcare partners to optimize the physical, mental and financial health and well-being of a defined community. Moving forward, continued services at Providence will include Carroll Manor, hospice care, pharmacy, and primary care services. They also plan to include urgent care and a whole host of new initiatives and partnerships on the campus as part of this vision. “We want Providence to be the model for future Healthy Villages across Ascension,” says Dr. Tamarah Duperval-Brownlee, Senior Vice President and Chief Community Impact Officer for Ascension.

FY20 Budget/Hearings - Wilson Building

Attend the Health Equity Conversation hosted by the Commission on Health Equity and DC Health’s Office of Health Equity DC Health is taking the Health Equity Report on the road! The Health Equity Report details how health is largely determined by factors beyond healthcare and health behaviors such as education, employment, housing, and transportation. Health Equity Community Conversations are a way to bring the report to District stakeholders and begin the conversation about health equity: the concept that all people can reach their full health potential and have the opportunity to be healthy regardless of where they live, learn, work, play or age. Please join the Commission on Health Equity and the Office of Health Equity at a conversation in April on one of the dates below: Wednesday, April 3, 2019 Community Preservation and Development Corporation Mayfair Mansions - Bridging the Gap 3744 1/2 Hayes Street, NE 6:00 pm - 7:30 pm Monday, April 8, 2019 Turkey Thicket Recreation Center 1100 Michigan Avenue, NE 6:00 pm - 7:30 pm Tuesday, April 9, 2019 Shaw/Watha T. Daniel Branch Library 1630 7th Street, NW 6:00 pm - 7:30 pm Thursday, April 18, 2019 Kaiser Permanente Center for Total Health 700 Second Street, NE 6:00 pm - 7:30 pm Contact Makeda Vanderpuje, MPH, CPH a Makeda.Vanderpuije@dc.gov for more information.

HRSA News and Resources

One Week Until New Access Points Grants.gov Deadline

2018 Million Hearts® Hypertension Control Champions Webinar Last month HRSA hosted a webinar featuring three 2018 Million Hearts® Hypertension Control Champions sharing their best practices. Watch it now to learn how they achieved at least 80% blood pressure control (blood pressure reading <140 mmHg/<90 mmHg) among their hypertensive population aged 18 to 85.

HRSA has kicked off a National Learning Series Diabetes in Special & Vulnerable Populations. Fourteen HRSA-funded National Cooperative Agreements (NCAs) have partnered to create a four-part national learning webinar series for health centers, PCAs, and Health Center Controlled Networks (HCCNs). The series’ goal is to increase foundational knowledge of effective strategies to prevent, treat, and manage diabetes among special and vulnerable Health Center Program populations. It focuses on co-morbidities associated with diabetes (e.g., oral health, behavioral health, SUD, obesity, and social risk factors). The next two webinar is a part of this series will be held in April. The webinar information is listed below: Diabetes Continuum of Care: Using Behavioral Health and Substance Use Disorder Integration to Address Older Adults with Cognitive Impairments and Diabetes. Learning Series on Tuesday, April 9, 2019 at 2:00-3:30 p.m. ET. Learn more and register for individual webinars. Diabetes Continuum of Care: Using the CHW and Enabling Services Workforce to Address SDOH and Diabetes. Learning Series on Tuesday, April 23, 2019 at 2:00-3:30 p.m. ET Register here

Updating Your Accreditation and Patient-Centered Medical Home Recognition (PCMH) Information Need to update your health center’s accreditation or PCMH recognition information? Submit updates from your EHBs Grant Folder by clicking the “HRSA Accreditation/PCMH Initiative” link and choosing either the “Request Accreditation Update” or “Request PCMH Recognition Update” button. We will send an email confirmation once we have reviewed your request. Contact HRSA’s Accreditation and PCMH Initiative with questions.

Check out the latest edition of the Bureau of Primary Health Care, Primary Care Digest ! All previous HRSA digests are located here: https://bphc.hrsa.gov/phc-digest.html

DCPCA Training and Events Spotlight

Join us on May 16th for the 2019 DCPCA Health Summit and Annual Meeting. This all day health summit will provide workshops and speakers on various topics related to technology, quality improvement, health equity and workforce development. We will be hosting this event at Gallaudet University. Be on the look out for registration information soon!

Partner Conference Save the Date: ACU Annual Conference July 28-31, 2019, Washington, DC To learn more information and to register, click here.

Upcoming events and trainings sponsored by DCPCA are on our website at http://dcpca.org/events . These are group trainings, often available to all members. Trainings specific for a member organization will not appear on our website.

DCPCA offers an array of on-site trainings, customized to member needs, which include the following opportunities: Quality Improvement Techniques and Tools Blood Pressure Control  Billing & Coding Trauma-Informed Care Emergency Preparedness, including active shooter/active threat, stop-the-bleed, de-escalation, and CPR/First Aid/BLS. EHR Optimization Data Analytics via BridgeIT Data Visualization via Tableau Meaningful Use There are numerous ways for our members to engage in our ongoing trainings and technical assistance opportunities, which include our DCPCA-facilitated Peer Groups - so many opportunities that it warrants a separate newsletter! See the latest edition of our monthly Training and Technical Assistance Newsletter! For more information, contact Emily Long at elong@dcpca.org

We Want to Hear From You!

Do you have a great article, story, or health center highlight that you would like to be included in next month’s newsletter? Please send to Emily Long, Training and Program Manager at elong@dcpca.org .

| DC Primary Care Association (DCPCA) | http://www.dcpca.org This publication is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $565,223. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.

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