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 Newsletter
A Newsletter on Community Centered Healthcare
October 2, 2020
In This Issue...
Emergency Management News - WVPCA News
School-Based Health - O/E - State News - National News
Financial and Funding Resources
News Flash!
President Trump and first lady Melania test positive for COVID-19
Read the entire article from CBSNews here.

AFT West Virginia expresses lack of confidence in state's school reopening metrics
Read the entire article from WVNews here.

COVID-19 cases rising among US children as schools reopen
Read the entire article from WSAZ here.

Portion of West Virginia college population to be tested weekly for COVID-19
Read the entire article from WVNews here.

Harrison County Schools receives project grant for expansion of mental health supports
Read the entire article from WVNews here.
CDC Updates Revised Guidance for COVID-19 Testing
The Centers for Disease Control and Prevention updated its previously revised guidance for coronavirus testing on Friday to say that testing asymptomatic people who were exposed to COVID-19 is recommended for treatment and contact tracing.
Addressing Declines in Well Child Visits Due to COVID-19
The Health Resources Services Administration (HRSA) is looking to address the decline in Childhood Immunizations and well child visits due to COVID-19. Health centers are encouraged to use appointment reminders, phone calls, social media, letters, their websites, text messaging, and any other resource available to message their patients. 

Data from the CDC show that fewer children are receiving timely immunizations this year compared to last year. Declines in vaccination coverage can leave young children and communities vulnerable to otherwise preventable diseases like measles. To further assist, HRSA has launched a social media campaign with the hashtag #WellChildWednesdays
Safely Deliver Flu Vaccines to Your Patients
Due to COVID-19, it’s more important than ever to protect patients and communities from influenza. CDC is working to make sure patients can get vaccinated in a safe setting that minimizes risk of exposure to COVID-19 or other diseases. See their “Interim Guidance For Immunization Services During The COVID-19 Pandemic.”

The Advisory Committee on Immunization Practices recently updated its recommendations for prevention and control of seasonal flu with vaccines for the 2020-2021 flu season, recommending influenza vaccination of persons aged ≥6 months.
Aunt Bertha: Addressing SDoH by Connecting Patients with Resources in their Community Demo Webinar
Due to an increased interest in a social services referral platform, the WVPCA has again partnered with Aunt Bertha to bring you a live demonstration.
We invite you to join us on Tuesday, October 13th at 1:00pm, as we review the social services referral platform Aunt Bertha as a possible partner for the PCA/Health Centers. We are currently in the process of reviewing platforms that assist health centers with their social determinants efforts, specifically, community linkages. The Aunt Bertha platform was created to provide a social care network that connects people and programs — making it easy for people to find social services in their communities, for nonprofits to coordinate their efforts, and for Community Health Centers to integrate social care into the work they already do. Thousands of nonprofits and social care providers serve their communities. But for most people, navigating the system to get help has been difficult, time consuming, and frustrating. Too many patients are suffering, and they don’t need to. Aunt Bertha’s network connects people seeking help and the verified social care providers that serve them. After the demonstration, we will evaluate health center interest in the system and group purchasing options by asking you to complete a short survey.

Time will be allotted for Q&A and you may also send Emma your question beforehand to ensure they are addressed during the presentation.

Participants will learn:

1. How using Aunt Bertha to refer patients with social needs can assist with closing referral loops.
2. How resources are continuously updated in Aunt Bertha and how health centers can rely on having up-to-date referral resources.
3. How the data from social determinants of health and subsequent referrals can assist your health center with advocacy, quality improvement, PCMH, and increased patient satisfaction.

Target Audience: CEO, COO, CFO, CMO, Medical Directors, Behavioral Health Directors, Social Workers, Care Managers, Care Coordinator, Quality Directors, Nursing Directors, and any staff involved with referring patients for social services

This event is intended only for Community Health Center Staff.

Registration Closes October 12, 2020 at 12:00pm
2021 E/M Documentation Guidelines: 
Prepare for the Changes Webinar
Please join the WVPCA and Shellie Sulzberger for our 2021 E/M Documentation Guidelines: Prepare for the Changes webinar. During this presentation we will discuss the upcoming changes, how to document E/M services and utilize your staff to help streamline processes to be more efficient related to seeing the patient and documenting. Major changes to office and outpatient evaluation and management (E/M) codes will take effect Jan. 1, 2021.
Objectives of the Presentation:
  • E/M changes for 2021
  • Selection of new and established patient visit codes based on medical decision making (MDM) or time.
  • New guidelines for using time 
  • Revised MDM guidelines

Targeted Audience: Physicians, Non-Physician Practitioners (NP, PA), Psychiatrist, Psych NP, or Psych PA (if they are billing E/M codes 99201-99205 and 99212-99215), Any provider that bills Evaluation and Management (E/M) codes, Coding Staff, and Billing Staff.

This event is intended only for Community Health Center Staff at no cost for participants.

To maximize participation for health center staff this training is being offered on two separate dates. You ONLY need to attend one.

After attending one of these presentations health centers will have the opportunity to have a customized Learning Lab conducted by Shellie Sulzberger.
The Learning Lab will allow providers to send the presenter examples of patient encounters to discuss what level of service would be appropriate and what elements would not be required (unless the provider needed the information for clinical or other reasons). For example, the presenter can discuss how a new patient level 4 can be obtained without documenting a complete review of systems, PFSH and complete exam if not medically indicated.
This webinar will be interactive to help the providers understand how to select the appropriate E/M level based upon the work and complexity.
There will be a separate fee for health centers for the Learning Lab and this opportunity is only available to health centers after attending one of the above webinars. Please contact the WVPCA for more details.

Registration closes October 22 and November 3 at noon.

2020 Uniform Data System Training Registration Now Open
Please join the WVPCA in conjunction with HRSA/BPHC as we will be hosting the 2020 UDS Virtual Training event, presented by Jillian Maccini, JSI, Inc.  This four-day virtual training will cover the preparation of the 2020 Uniform Data System (UDS Report). 

This training is targeted toward those who are responsible for gathering and reporting the data elements included in the UDS Report, as well as management, finance, and clinical staff who need to understand the definitions and concepts used, and those who use the data in their program management and quality improvement activities. The Uniform Data System virtual training will be made up of three live 90-minute training sessions and one live 90 minute instruction and Q&A session. Participants should plan to attend all sessions for a full and comprehensive understanding of the complete UDS report. 
The annual training will be conducted virtually, via ZOOM, in a series of 4 trainings as follows (tentative agenda can be found here):
  • Session 1 - 10/27/20 | 10:00 - 11:30 AM EST
  • Session 2 - 10/29/20 | 10:00 - 11:30 AM EST
  • Session 3 - 11/02/20 | 10:00 - 11:30 AM EST
  • Session 4 - Instruction and Q&A 11/05/20 | 10:00 - 11:30 AM EST

As a large number of participants are anticipated, attendees are asked to join the ZOOM link starting at 9:45 am to ensure timely connectivity to the event.

Registration must be received by October 20 at Noon.  

There is NO COST for the training this year. 

Please feel free to contact Pam Moore should you have any questions or comments.
IPHCA Announces All Virtual Leadership Conference
The Illinois Primary Health Care Association, representing the state's 51 community health centers, announced its 2020 Annual Leadership Conference will be held online Oct. 28-30 during the coronavirus pandemic.

IPHCA is using the virtual conference to connect its attendees with an outstanding roster of speakers:
  • Kareem Abdul-Jabbar, pro basketball's all-time leading scorer and Presidential Medal of Freedom Winner for his work to improve education in underserved communities
  • Regina Benjamin, the 18th U.S. Surgeon General
  • Maria Hinojosa, an Emmy-winning anchor and executive producer of NPR's "Latino USA"
Anyone interested is welcome to attend the virtual conference.
Five Ways to Foster Purpose in Adolescents
Leading a life of purpose has been shown to increase one’s hope and happiness, yet it is a challenge to find one’s purpose as teenagers and young adults. As supportive adults, we can help them cultivate their purpose. A caring adult in an adolescent’s life has been shown to be the number one protective factor.  Here are five empirical based approaches to help youth discover a meaningful path in life. 
October 6 Monthly Assister Coalition Meeting
The WVPCA is happy to invite you to participate in the relaunch of our monthly assister coalition meetings. This meeting will be held Tuesday, October 6, 2020 via Zoom.

This meeting is to provide Assister and Stakeholders a chance to come together to discuss Federal and State updates. This will also provide an opportunity to share on-going efforts and strategies.
State News
Complete Your Registration TODAY-
2020 Recruitment & Retention Academy
The West Virginia State Office of Rural Health in partnership with 3RNET invites you to take advantage of the 2020 Recruitment and Retention Academy. Your facility has been PREPAID and all fees will be waived with the code WVSORH20. Complete your FREE Registration ($500 Value) here.
*Your facility may register multiple attendees individually at no additional charge, please feel free share this invitation with all relevant staff.
The Academy begins October 6, 2020 (2:30pm EST)

This “virtual” workshop provides an agenda specifically tailored to Recruitment & Retention of Health Care Providers in Rural Areas and Safety-Net Facilities.

Benefits of Your FREE Registration
  • Access to six live 90 minute webinars featuring national experts on rural/underserved retention
  • Password protected portal to gain access to the webinar recordings, session materials, & more
  • Ability to ask questions to other Academy attendees and 3RNet members via the Academy listserv
  • A certificate of completion
  • Supporting 3RNet’s mission to ensure quality healthcare access to the nation’s rural & undeserved communities
National News
Supreme Court ACA Overturn Could Impact 340B, Gut HRSA Enforcement
On Nov. 10, the Supreme Court is scheduled to hear arguments over whether Congress, in scuttling the Affordable Care Act's (ACA) individual mandate to buy health insurance, rendered the entire health care reform law unconstitutional. The ACA extended 340B eligibility to rural and free-standing cancer hospitals.

It also told the U.S. Health and Human Services (HHS) secretary to recertify providers' 340B eligibility annually, develop guidance on avoiding duplicate 340B discounts and Medicaid rebates, create a 340B ceiling price database, impose fines on drug manufacturers and providers for 340B program violations, develop a formal 340B dispute resolution process and conduct selective audits of drug manufacturers for 340B program compliance.

The ACA also required a Government Accountability Office study of 340B that led to 340B covered entity audits. It also said the newly eligible 340B hospitals could not get 340B pricing on orphan drugs. All the health care reform law's 340B provisions would be wiped out if the Supreme Court strikes down the entire law. Ruth Bader Ginsburg's replacement with a conservative justice by Nov. 10 could increase the odds that the court will declare all of the ACA unconstitutional.
Take the Next Step in your Career with the NHSC Students to Service Loan Repayment Program
The 2021 Application Program and Guidance for the National Health Service Corps Students to Service Loan Repayment Program (NHSC S2S LRP) is now open and includes new nursing disciplines. In response to health workforce needs for quality primary and maternity care, the FY21 program includes Nurse Practitioners (NPs) and Certified Nurse Midwives (CNMs). The application cycle closes on November 5 at 7:30 p.m. ET.

About the Program: NHSC S2S LRP applicants may qualify for up to $120,000 in tax-free 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 (HPSA 14 or above) rural, tribal, or urban community. Read the 2021 Application and Program Guidance (PDF-1.2 MB) 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 lump sum which, when applied to qualified health professional student loans, can significantly lower the overall debt by reducing accrued loan interest amounts.
  • NHSC S2S LRP award recipients are eligible to continue service through the NHSC Loan Repayment Program, and could potentially pay off all of their educational debt with continued service at an approved NHSC site.

Online Q & A Sessions 
Monday, October 26 | 10:00 AM - 5:00 PM ET
Upcoming Training Opportunities
Dying to Connect: Addiction Is an
Attachment Disorder
The Association for Addiction Professionals (NAADAC) is hosting this free webinar on studying addiction as an attachment disorder. Participants will learn about the various attachment styles, will gain knowledge on the similarities between addiction and attachment disorders and will be able to identify appropriate treatment methods for patients. 

Friday, October 16, 2020
12:00 PM EST
Non-Exposure Treatment 
for Trauma Webinar
The Association for Addiction Professionals (NAADAC) is hosting a free webinar on Post Traumatic Stress Disorder (PTSD) and utilizing non-exposure treatment for patients in a treatment setting. This webinar will introduce practitioners to Cognitive Restructuring (CR) for a PTSD model and will review utilizing this method when working with individuals.

Wednesday, October 14, 2020
3:00 PM EST
Increasing Flu Vaccine Confidence Within African American Communities
With continued COVID-19 activity, ensuring communities are protected from the flu this season will be more important now than ever. Outreach to African American communities, which have been disproportionately impacted by the COVID-19 pandemic, will be especially critical. Join the WV Immunization Network (WIN) to learn about recent research on flu vaccine uptake trends within the African American communities, examples of public health partnerships supporting vaccine confidence, and how these findings and strategies can be applied to immunization work.

Thursday, October 15, 2020 
12:00 PM EST
CDC COVID-19 Partner Update: Wear it, Don't Share it - Optimizing
Mask Protection
Dr. Cliff McDonald, CDC’s Acting Chief Medical Officer will share updates on CDC’s COVID-19 response, including the latest scientific information and what everyone should know about protecting themselves and others.

 Monday, October 5, 2020
3:00 PM - 4:00 PM ET 
Financial and Funding Resources
2020 Center for ActiveWV Mini-Grant Program
Announcing the launch of the application for the second year of mini-grant funding to increase physical activity in West Virginia. The Center for ActiveWV, at West Virginia University College of Physical Activity and Sport Sciences, through a partnership with West Virginia Health Promotion and Chronic Disease, is funding projects statewide to increase physical activity. These one-time mini-grants range from $1000-$5000.
Successful mini-grant applications will propose a plan to improve the health of communities in West Virginia through increased opportunities for physical activity in the following areas:

  • Increase physical activity opportunities for children throughout the school day and beyond
  • Increase and/or improve pedestrian and bike infrastructure within West Virginia
  • Implement programming and/or create opportunities for physical activity through clinical practice and community outreach

Projects should include changes or improvements to policies, systems, or environments, and have a plan for sustainability. Additionally, assuming that there will be continued restrictions and impacts due to COVID-19, projects must be feasible and include a plan to successful complete the project with current restrictions and plans for possible shutdowns.

Upon completing this pre-application survey, the Project Coordinator will contact applicants to discuss their project and give the grant guidelines and a link for the full application, if approved. The full application closes on October 16, 2020, at 11:59 pm.

For more information contact the Project Coordinator, Rachel Byrne, at rbyrne2@mail.wvu.edu, or 304-293-6981.
Follow this link to the Survey: Take the Survey
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.
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:
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.