Hello, just a reminder you are receiving this email because you expressed an interest in the West Virginia Primary Care Association. Don't forget to add paula.beasley@wvpca.org to your address book, so you don't miss any issues of the WVPCA Weekly Outlook!
WVPCA Weekly Outlook
A Newsletter on Community Centered Healthcare
November 13, 2020
In This Issue...
Emergency Management News - WVPCA News - PCMH Corner
O/E - State News - National News - Funding Opportunities
News Flash!
US election security groups call 2020 election 'most secure in American history'
Read the entire article from CNET here.

Twenty seven additional deaths discovered missing from state COVID-19 counts
Read the entire article from WVNews here.

Biden rolls out COVID-19 advisory board
Read the entire article from CBSNews here.
U.S. Coronavirus Hospitalizations Hit Three-Month High 
The number of coronavirus patients in U.S. hospitals breached 50,000 on Tuesday, the highest level in nearly three months, as a surge in infections threatens to push the nation’s healthcare system to the edge of capacity. While daily infections are rising in all but three states, the surge was most pronounced in the Midwest and Southwest.
New Data Drills Down on Comorbidities
with Highest COVID-19 Risks
COVID-19 patients who have developmental disorders are three times more likely to die from the virus. Sanford Health's analysis of the around 44,000 COVID-19 patients it has treated revealed some patterns that have helped the health system get ahead of the virus.

Many of the patients who have a harder time fending off COVID-19 also battle underlying chronic conditions, the Sioux Falls, S.D.-based system found. While that has been corroborated by other providers and researchers, new data from FAIR Health show which comorbidities present the most risk to COVID-19 patients. The findings could help risk-stratify patients—particularly as COVID-19 cases are on the rise—and prioritize interventions and vaccination distribution, providers said. 

"It is tremendously important to say this is the stratification of patients that we need to take a hard look at to try to keep them out of the hospital, or if they are in the hospital, optimize treatment as soon as possible," said David Pearce, president of research and innovation at Sanford, who lauded FAIR's research and noted that it matched up with Sanford's.
Dr. Amjad: County Alert System Not
Meant to be 'Stoplight' for Counties
The West Virginia Department of Health and Human Resources’ County Alert System map is an important instrument for state officials and residents, but it isn’t meant to be the only tool in use.

That’s according to Dr. Ayne Amjad, commissioner of the DHHR’s Bureau for Public Health and the state health officer.

She spoke during a state pandemic briefing to caution individuals against trying to use their county’s color alone to determine how to act or determine whether certain things are or are not safe to do.
WVPCA News
WV COVID-19 Vaccination Plan Update
Please join the WVPCA, WVDHHR, and WV Local Health Inc. for an information session for the latest update regarding the WV State COVID-19 Vaccination Plan. Members of the state COVID-19 vaccine planning committee and Vaccine Medical Advisory Group will provide guidance and answer your questions about COVID vaccine, vaccine messaging, the storage and handling of the vaccine, and the plan for distribution. If you would like to submit questions prior to the session, please email them to  Emma White

At the conclusion of this webinar participants will:

  • Have an understanding of the COVID-19 vaccine candidates that are likely to be approved for use
  • Learn more about the vaccine development and approval process
  • Gain knowledge regarding the vaccine distribution plan including timelines
  • Understand the role of Health Departments and Community Health Centers to distribute and administer the vaccine
  • Understand the importance of standardized vaccine messaging
  • Learn ways to communicate the benefits of a COVID-19 vaccine

TARGET AUDIENCE:  

  • Health Center CEOs, CMOs, COOs, and Nursing Directors. 
  • Health Department Medical Directors, and Nurses.

There is no cost for health centers for this training event.

Registration must be received by November 17th at 5:00PM EST.  
FINANCIAL MANAGEMENT: Forecasting & Strategic 
You’re a master of your craft, and we’re big fans! Please join BKD & The West Virginia Primary Care Association for the next installment of our Financial Management Training Series. Our healthcare pros will review data used for financial forecasting and discuss the effect of strategic planning on the financial health of a community health center (CHC).. 

Upon completion of this program, participants will be able to:
·      Recognize and be familiar with the process for financial planning
·      Describe required financial data needed for forecasting and strategic planning
·      Analyze key performance indicators and how they affect decision making
·      Identify components of a market demand assessment

Presenters: BKD Trusted Advisors

Target Audience: CFOs, COOs, Controllers, Accounting Managers, Financial Staff, and Grants Management Personnel.

CPE Information: Up to 1.5 CPE credits in the Specialized Knowledge field of study may be awarded upon verification of participant attendance, during live broadcast.

There is no cost for health centers for this training event.

Registration must be received by November 18 at Noon.  
Modifications to PCMH Annual Reporting Requirements 
NCQA updates Recognition publications periodically to clarify guidance, revise resources and refine criteria expectations. Updates are now available for the PCMH Annual Reporting publication.

Recognition Programs publications are available for download by going to the My Downloads section of My NCQA. Log in using your email address and password. Refer to the information below to access the publication download. 

Program - PCMH Annual Reporting (2021)

The modifications made to PCMH Annual Reporting 2021 clarify expectations to reduce the number of returned submissions. The goal of these modifications is to expedite both your submission and NCQA’s review process.

Changes include:

  • Expanded the list of multiple-choice options and removing “other” as a multiple-choice option. 
  • Changed the AR-KM 2 “Denominator Definition” from a text answer to yes/no. 
  • Practices no longer need to enter the “Patients at the Practice—Definition” for AR-CM 1.  

Modifications
Removed “other” as an option from the following multiple-choice questions: 
  • AR-TC 1
  • AR-KM 1*
  • AR-KM 2*
  • AR-AC 1
  • AR-AC 2
  • AR-AC 3
  • AR-CM 2
  • AR-QI 4
*Additional answer choices added to provide a greater selection of options for practices

In addition, NCQA has added two new Annual Reporting 2021 resources, the Annual Reporting Preparation Guide for 2021 and a measure reporting tip sheet which is a new tab in the Quality Improvement Worksheet.

If you should have any questions, please contact Shannon Parker.
Find Answers to 300 FAQs About Health Coverage
Find Answers to 300 FAQs About Health Coverage here.
Temporary Suppression of CareSource Plans on Healthcare.gov
On October 30, CMS confirmed that an issuer submitted inaccurate pricing information for a subset of their plans. These include CareSource in Georgia, Indiana, Kentucky, Ohio, and West Virginia. CMS protocol is to suppress these plans such that they will not appear on HealthCare.gov or through certified enrollment partners until the data is corrected and reloaded by the issuers. Currently, there are other plan options still available in the affected areas, including other plans offered by CareSource. CMS is working with the issuer and will update HealthCare.gov plan data so that these plans are available for consumers as soon as possible during Open Enrollment after we receive corrected pricing information.

CMS sent an email and the call center is available to assist consumers currently enrolled in these plans and looking to re-enroll. Customer service channels will let them know that the CareSource plan they were enrolled in for 2020 is correcting some pricing information for 2021, and isn’t available right now to compare or enroll in. Consumers can wait to see if that plan becomes available during Open Enrollment or consumers are able to select a different plan now. CMS will email re-enrolling consumers letting them know when the plans become available during Open Enrollment so re-enrollees can decide if it may be a better option. Consumers have until December 15 to make their final enrollment decision. CMS is anticipating the update on November 13, 2020. If this date changes, we will notify you.

Contact your CAC Project Director, Ruby Piscopo, with any questions, comments or concerns.
State News
National News
Supreme Court Justices Seem Unlikely to Strike Down Full ACA
The justices focused on issues including whether challengers had legal standing and whether the entire law would have to fall if the individual mandate were unconstitutional.
It's not too late to submit your application!
Don't miss this opportunity to apply for the National Health Service Corps Students to Service Loan Repayment Program (NHSC S2S LRP)! The application deadline has been extended to Thursday, December 3 at 7:30 p.m. ET. 

Applicants may qualify for up to $120,000 in loan repayment for their medical, nursing and dental school student loans. Eligible health professional students in their final year of school receive the award in exchange for a three-year service commitment in a high-need rural, tribal, or urban community. Read the 2021 Application and Program Guidance carefully before you start your application
  • Students must be U.S. citizens or nationals and enrolled or accepted in an eligible medical (MD or DO), dental (DDS or DMD), NP or CNM degree program at a U.S. accredited school.
  • Installments are paid to students annually in a tax-free lump sum.
  • NHSC S2S LRP award recipients are eligible to continue service through the NHSC Loan Repayment Program.

Need Additional Help?
For additional information, including a program fact sheet, visit the NHSC website. Find NHSC-approved sites on the Health Workforce Connector.

For other issues, contact the Customer Care Center at 1-800-221-9393, Monday through Friday from 8:00 a.m. to 8:00 p.m. ET (excluding federal holidays).
Resources for World Diabetes Day
The prevalence of diabetes in the U.S. continues to rise among many groups, and complications commonly associated with diabetes can present diagnostic, treatment, and care coordination challenges. To honor World Diabetes Day, November 14, 2020, use these resources (with your ECRI login) to promote safe, quality care for patients with diabetes:

Upcoming National Training Opportunities
Integrating Smoking Cessation Services in Community-Based
Primary Care
Join the National Nurse-Led Care Consortium for a one-hour webinar about promising practices in smoking cessation for health center patients, including special considerations for care during the COVID-19 pandemic. Sue Flocke, Ph.D., Professor in the Department of Family Medicine at Oregon Health & Science University, will share her research and perspective on the Teachable Moment Communication Process for smoking cessation, including replicable success stories based on emerging best practices.

Dr. Flocke will be joined by Sean McCormick, Ph.D., Assistant Director of Tobacco Control and Prevention Services at Health Promotion Council, who will outline the importance of offering smoking cessation services and pragmatic takeaways for clinical implementation.

Thursday, November 19, 2020
3:00 PM EST
The Importance of Social Connection for Older Adults during COVID-19 
Physical distancing and loss of social supports during the COVID-19 pandemic may result in situations where vulnerable older adults experience emotional distress and poorer health outcomes. This webinar will help participants to understand the importance of early identification of ways to identify and support socially isolated and lonely older adults. 

Participants will be able to: 
· Explain the physical and mental health effects associated with social isolation and loneliness in older populations.
· Identify possible indicators of institutional ageism in messages that devalue the lives of older adults and heighten isolation and loneliness 
· Develop approaches to assessing patient risk factors and coordinating outreach efforts in the context of the COVID-19 pandemic 

 Tuesday, November 17, 2020
1:00 PM - 2:00 PM ET 
Funding Opportunities
Improving Social Determinants of Health - Getting Further Faster
The National Association of City and County Health Officials (NACCHO) has partnered with the Association of State and Territorial Health Officials (ASTHO) to offer Improving Social Determinants of Health – Getting Further Faster. The aim is not to fund new innovation, but rather identify existing projects that could benefit from a thorough evaluation – leading to a rural-specific evidence base. Applications are due Tuesday December 8, 2020 at 5:00pm ET. For questions about this opportunity, email chronicdisease@astho.org.
FCC Connected Care Pilot Program – Applications now being accepted
The Connected Care Pilot Program will provide up to $100 million from the Universal Service Fund (USF) over a three-year period to selected applicants to support the provision of connected care services. The Pilot Program will provide funding for selected pilot projects to cover 85% of the eligible costs of broadband connectivity, network equipment, and information services necessary to provide connected care services to the intended patient population. The Pilot Program will not fund end-user devices or medical equipment.

  • New FCC Program to provide financial support to certain types of health care providers – including FQHCs – to provide “connected care” services.  
  • Target populations are low-income and/or veteran patients, with issues such as diabetes management, opioid dependency, high-risk pregnancies, and mental health conditions.
  • All FQHCs are eligible, regardless of whether they are urban or rural.
  • Funding will cover 85% of eligible costs, including broadband connectivity, network equipment, and information services necessary to provide connected care services to the intended patient population.

Applying to the FCC Connected Care Pilot Program
  • PCAs and HCCNs can apply on behalf of multiple FQHCs.
  • Groups who received funding under the FCC’s COVID telehealth program can apply for this pilot program.
  • Applications are due Monday, December 7, 2020, at 11:59pm est.
  • $100 million in funding available.

Frequently Asked Questions (FAQs): Connected Care Pilot Program FAQs
Community Health Center Resources
Jackson Kelly attorneys provide limited consultation to all members of the WVPCA at no charge, as part of the WVPCA contract. There is no limit to the number of calls which any member may make. All inquiries within the scope of professional competence of firm attorneys will be addressed. Inquiries which require expertise not available through the firm will be promptly identified and, when requested, Jackson Kelly will assist in referring the matter to accounting firms, insurance agents, or others as circumstances warrant.

All inquiries, responses and consultation services provided by the firm lawyers will be provided without additional charge beyond the retainer amount, except for matters which require formal opinions, representation of record in litigation, transactional work, e.g. the purchase or sale of real property, or matters which require continued representation, research or consultation beyond a single inquiry or document review.

Justin M. Harrison is a labor & employment lawyer with Jackson Kelly PLLC. He is available for consultation through a special retainer relationship with the WVPCA. Justin can be reached at 304.340.1358 and via email at justin.harrison@jacksonkelly.com.
Jackson Kelly attorneys provide limited consultation to all members of the WVPCA at no charge, as part of the WVPCA contract. There is no limit to the number of calls which any member may make. All inquiries within the scope of professional competence of firm attorneys will be addressed. Inquiries which require expertise not available through the firm will be promptly identified and, when requested, Jackson Kelly will assist in referring the matter to accounting firms, insurance agents, or others as circumstances warrant.

All inquiries, responses and consultation services provided by the firm lawyers will be provided without additional charge beyond the retainer amount, except for matters which require formal opinions, representation of record in litigation, transactional work, e.g. the purchase or sale of real property, or matters which require continued representation, research or consultation beyond a single inquiry or document review.

Justin M. Harrison is a labor & employment lawyer with Jackson Kelly PLLC. He is available for consultation through a special retainer relationship with the WVPCA. Justin can be reached at 304.340.1358 and via email at justin.harrison@jacksonkelly.com.
Risk Management Manual for Health Centers Now Available!
The Risk Management Manual for Health Centers is now available on the ECRI Institute Clinical Risk Management Program website! Designed to support a proactive approach to risk management at health centers and free clinics, the Manual provides background, tips, and how-tos in a manageable format.
Specific areas that are covered include:
Risk Management Programs & Plans
Claims and Lawsuits
Role of the Risk Manager
Patient Grievances and Complaints
Communication with Patients
Credentialing and Privileging
Communication among Providers, Staff, and Community Partners
Tracking Systems for Diagnostic Tests, Referrals, and Hospitalizations

View an archived webinar that provides a guided tour of the Manual and key features. For access to the ECRI Institute Clinical Risk Management Program website or any other questions, email clinical_rm_program@ecri.org.
COVID-19 Resources for Health Centers
ECRI Institute 
Federally qualified health centers and free clinics are on the front line in testing and treating patients who may have been exposed to COVID-19. Use these resources to keep your staff and patients safe:


In addition, ECRI's COVID-19 Resource Center includes free resources addressing the provision of clinical care and managing the supply chain. Updated several times per week, highlights include:


Additional guidance is available directly from the Health Resources and Services Administration (HRSA), including:
WVPCA Staff
Sherri Ferrell, MBA | Chief Executive Officer
Debra Boyd | Chief Financial/Chief Operations Officer
Staci Arnold, MBA | Data Service & Integration Specialist
Jennifer Boyd, PA-C, PCMH-CCE | Clinical Consultant
John Kennedy, MA | School-Based Health/Behavioral Health Coordinator
Pam Moore | Member Relations Coordinator
Shannon Parker, MBA, PCMH-CCE | Director of Health Center Operations
Amanda West | Staff Accountant
Emma White, RN | Clinical Quality Improvement Coordinator
Paula Beasley | Education & Communication Coordinator
Ruby Piscopo| Outreach & Enrollment Coordinator
To sign up to receive the WVPCA Weekly Newsletter:
1700 MacCorkle Avenue, SE
Charleston, WV 25314
Phone: 304.346.0032
Toll Free: 1.877.WVA HLTH
This project is/was supported partially/fully by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U58CS06834 State and Regional Primary Care Associations. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.