February 2018 - In This Issue:
Upcoming Events

Quarterly meetings held in five regions, open to all non-clinical staff who may benefit from the agenda. Invitations and agendas are sent prior to each meeting. 

Pisgah Legal Services to speak about Medical-Legal partnerships and the relationship between Housing and Health at April 2018 Practice Resource meetings.

Saturday, March 17, 2018 9am-2pm
133 Livingston Street, Asheville, NC

Medicaid Pharmacy Update

Effective 2/3/18, Flovent HFA Inhaler has moved to a preferred status on the NC Medicaid and Health Choice Preferred Drug List. QVAR is being discontinued and replaced by QVAR Redi-haler, which is non-preferred. See more about this policy change, as well as a QVAR to Flovent Conversion chart to assist with transitioning patients.

CCWNC's 15 county network has 1,515 Medicaid enrollees who have filled QVAR in the last 3 months. Patient lists are available for network practices, and CCWNC Pharmacy Team is available to help with this transition. Contact Dana Arrington with questions.

Legislative Updates

The National Academy for State Health Policy has recently provided an Overview of how state health programs may be impacted by the federal budget process currently underway, including a nearly $18 billion reduction in Health & Human services-administered programs.

Informational Quick Links

New care management platform via Virtual Health; Community Care Physician Network (CCPN) enrollment growth and Annual Clinician Conference Registration; Pediatric Oral Health Efforts detailed in NC Medical Journal, and more...

QI Minute

Welcome to the QI Minute, short segments to introduce the pay-for- performance model. Each segment will focus on core concepts that build the foundation for CCWNC network practice support.Topics include population health management, care coordination, team-based care, quality improvement and more. See our next installment:

What Data Are Practices Collecting?

Contact Carrie Petler, QI Team Lead for more information.

For More Information

Visit us at ccwnc.org to find out more about who we are, what we do, and how we help patients, providers and our communities across 15 counties of western North Carolina.

Questions or suggestions about our newsletter content? Interested in one of our programs? Contact us at info@ccwnc.org

With 2018 officially underway, we look forward to the opportunities this year will bring. Our partners in providing high quality patient care can expect to see further integration and alignment of our network with CCNC, Inc., as well as with  networks across the state. New technologies, new business partnerships, and continued local innovation will be propelling us towards the future, one in which western North Carolina communities are prepared for the tasks and challenges of healthcare reform. Please stay in touch with your questions, ideas, and  your voice along the way...
Jennifer Wehe-Davis
Care Management Spotlight: Patient Thrives with Senior Companion Program  

Bonnie Euston, Senior Companion with Helen Warner
Helen Warner may have "graduated" from medical care management needs, but she is not done setting goals. For one thing, she is saving and planning for a trip to visit her older sister in Louisiana. As her Senior Companion volunteer, Bonnie, described it, "Helen is very responsible, conscientious, caring, and concerned about the welfare of others." It has made for an easy friendship between the two, initiated through the Land of Sky Regional Council 's  formal collaboration with CCWNC Care Management.

While working with Jennifer Massey, CCWNC RN Care Manager on medical follow-up and pharmacy issues, Helen was referred to both a literacy program and to the Senior Companion program. She began  receiving weekly visits from Bonnie to help sort through mail and organize bills, which progressed on to additional literacy tutoring, financial management guidance and social engagement. Helen and Bonnie take care of business, but also have fun eating out, playing mini-golf, and researching information about cockatiels, Helen's beloved pets. Helen names Bonnie as a reason she has been able to excel in her Blue Ridge Community College Literacy Program, and for gaining the savings skills she needed to purchase a car that will get her to her sister's.

CCWNC recognizes that stabilizing health needs must be combined with engaging community services for our patients to truly thrive. In this case, the results have been inspiring. Bonnie says,  "It's not just opening up her mail, it's opening up life, and encouraging her to experience the fullness of her world ."  

In December 2017
and January 2018 ,
3128 unique patients received  interventions from our Complex Care Management Team
Aetna and CCNC Announce Medicaid Collaboration
Aetna and Community Care of North Carolina. Inc. (CCNC) announced a new agreement  to combine Aetna's expertise in Medicaid managed health care services with CCNC's medical home and care management services and the Community Care Physician Network, LLC (CCPN). See the Press Release for more information.

"Both Aetna and CCNC understand that local, community-embedded health professionals and a national carrier working together can help North Carolinians live healthier lives. CCNC is ready to partner with Aetna, a health plan committed to improving quality and access to care and to build on CCNC's strong provider infrastructure."~ Allen Dobson, Jr., MD, President and CEO of CCNC, Inc.

MATCH Mobile Health Clinics Aim to Increase Access to Care
The McDowell Access to Care and Health (MATCH) collaborative program partners with primary care, behavioral health, dental programs, transportation, food providers and a myriad other health and social service resources to ensure access to coordinated care for McDowell County's low-income, uninsured residents. 

We are pleased that funding provided by a grant from The Community Foundation of Western North Carolina will allow MATCH to continue bringing these providers together via Mobile Health Clinics, community-based events located in familiar sites throughout the county such as  food pantries, churches, shopping centers, and worksites.  We kick off the 2018 series of Mobile Health Clinics in partnership with the YMCA Food Market on Thursday, March 15th, 4:00-6:00 pm in the Marion YMCA parking lot. Contact Haley Suskauer for more information.
Provider Spotlights: Making the Most of Our Partnerships
Cherokee Indian Hospital Models Community Engagement
Cherokee Indian Hospital Authority
As a leader in health care, Cherokee Indian Hospital Authority(CHIA ) continues to model high quality care for Western North Carolina as well as Native-Owned Health Systems. The mission of CIHA is to be the partner of choice for the community by providing accessible, patient and family centered, quality healthcare with responsible management of the tribe's resources. Governed by the EBCI Tribal Council-appointed board which consists of community leaders, tribal member health care professionals and other professionals, the organization's driving force is rooted in the community they serve.

Establishing Integrated Care Teams within their primary care setting is just one of the ways CIHA's unique model enhances the experience of care.  To further establish community voice within the organization, CIHA also has a Patient and Family Advisory Council (PFAC) which provides a venue for primary stakeholders to voice their opinions,  participate in positive change, and influence policy throughout the hospital.  The PFAC has achieved numerous accomplishments throughout the organization such as improved signage in the well/sick child areas and elevator areas as well as obtaining additional wheelchairs for incoming patients.

"Cherokee Indian Hospital has welcomed the Quality Improvement Team of CCWNC with open arms," says Krystina Ford, CCWNC QI Specialist who has been learning from their leading methods as we do our part in studying and sharing best-practices in patient-centered healthcare delivery.
To the following practices who joined our CCWNC network in 2017:

* Park Ridge Health Biltmore Park
* Dale Nash, MD
* Sylva Health Center (Blue Ridge Health)
* Transylvania Women's Care (Mission)
* Mission Women's and Children's Center-Franklin 

CCWNC currently partners with 159 practices in  the 15 counties of western North Carolina and upstate Georgia. For more information about joining our network, contact Kathi Slack, Director of Quality and Clinical Services.

Congratulations to Peachtree Pediatrics in Murphy, NC for successfully completing their improvement goals through partnership with CCWNC's Practice Transformation Network (PTN) program!
Resiliency Education Spreads to Support the Healthcare Workforce 
Hendersonville Pediatrics staff take part in a CCWNC-led resiliency skills training.
Working in healthcare today can be stressful as well as deeply rewarding. Thanks in part to a grant from the  Blue Cross Blue Shield of North Carolina Foundation, CCWNC's Resiliency Educator has been teaching primary care staff from across our western region about ACEs, and how we can protect ourselves from chronic stress and trauma through the use of simple, biologically-based wellness skills that help us reset our nervous system and bounce back when times are tough.
Providers and care managers have begun to pass this information about brain science, neurobiology, and wellness skills on to patients.  Our primary goal, however, is that we first use these skills to support workforce resilience. Providers and practice staff in Jackson, Haywood, Transylvania, Henderson and Buncombe counties are currently participating in a 6-part lunch and learn series that can help staff to stay well, reclaim joy in the work that they love, and experience increased productivity and empathy.
For more information contact Susanne Walker Wilson,LCSW, CCWNC Resiliency Educator 

Our Mission: A catalyst for patient-centered, provider-led, community-oriented quality healthcare in WNC.

Our Vision: Healthy Individuals. Healthy Communities.

Our Values: Accountability * Integrity * Innovation * Collaboration