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WVPCA Weekly Outlook
A Newsletter on Community Centered Healthcare
May 7, 2021
In This Issue...
WVPCA News - Outreach and Enrollment News
Emergency Management News - State News - National News
Funding Opportunities - Upcoming Training Opportunities
Cabin Creek Health Systems Taking
COVID-19 Vaccine to Miners
In 1973, a group of union coal miners in Eastern Kanawha County formed Cabin Creek Health Systems to care for and serve families living in the region’s mining communities.

It was the first clinic of its kind in West Virginia. While the clinic has expanded to become a health system with 11 sites throughout the Kanawha Valley, its mission has remained the same.

“It’s still the mission, and it really does feel — especially standing on the coal mine in Cabin Creek, right near where that mission started — that, today, we’re living the mission,” Dr. Jessica McColley, head of medical services at Cabin Creek Health Systems, said. “It’s poetic, so many years later, to still be at the mines.”

Over the past month, McColley and her colleagues have been working to vaccinate coal miners specifically. They show up at the mines between shifts, and catch workers coming and going.
News Flash!
Mon Health and Minnie Hamilton Health systems enter clinical affiliation
Read the entire article from WVNews here.

State now trailing nation in first dose vaccinations and vaccinations among seniors
Read the entire article from WVNews here.

‘Turning the Corner’: U.S. Covid Outlook Reaches Most Hopeful Point Yet
Read the entire article from The New York Times here.

India's gov't eases hospital oxygen shortage as demand jumps
Read the entire article from WVNews here.
WVPCA News
Celebrate National Nurses Week
National Nurses Week takes place from Thursday, May 6 to Wednesday, May 12. It’s a week each year to honor the commitment, dedication, and hard work of those in the nursing profession. 

This year, honoring our nurses is more important than ever. The West Virginia Primary Care Association joins the celebration for nurses for their dedication and resilience in taking care of patients.  

The first National Nurses Week occurred in October 1954 and commemorated the hundredth anniversary of Florence Nightingale’s work during the Crimean War, where she selflessly tended to wounded soldiers. Nightingale was a famous British nurse who fought to improve conditions for the sick and whose advocacy set the standard for modern nursing today. In 1982, President Reagan declared May 6 National Recognition Day for Nurses. Then, in 1990, the American Nurses Association extended that day into a week of celebrations, culminating on Nightingale’s birthday on May 12. 

SHOW SUPPORT ON SOCIAL MEDIA: Take a moment to write about a nurse that inspires you or why you are celebrating Nurses Week in general. You can share the post on Facebook, Instagram, or Twitter and tag nurses so they see it! These words of encouragement can go a long way for a nurse working long hours to know that they are appreciated. #NursesWeek2021
HHS Secretary Becerra Announces Nearly 940,000 Americans Have Signed Up for Health Coverage through HealthCare.gov During Special Enrollment Period
U.S. Department of Health and Human Services (HHS) Secretary Xavier Becerra announced that nearly 940,000 Americans have signed up for health insurance through HealthCare.gov as a result of the Biden administration’s Special Enrollment Period (SEP) for the COVID-19 Public Health Emergency. The 2021 SEP, along with the additional financial assistance afforded by the American Rescue Plan, offers individuals and families an opportunity to take advantage of reduced premiums, increased savings, and quality, affordable health coverage through HealthCare.gov.
HHS and National Partners Mark Asian Pacific Heritage Month by Encouraging Asian Americans and Pacific Islanders to Enroll in Quality, Affordable Health Coverage through HealthCare.gov 
U.S. Department of Health and Human Services (HHS) Secretary Xavier Becerra kicked off Asian Pacific Heritage Month by announcing that HHS will be partnering with select, national organizations the first week in May to support and enhance outreach and enrollment efforts for this population during the HealthCare.gov Special Enrollment Period (SEP). During the Asian American and Pacific Islander (AAPI) Week of Action, which runs May 3-7, 2021, HHS and partnering organizations will provide education and enrollment assistance to AAPI consumers and use social media to encourage them to enroll in affordable, quality health coverage available through HealthCare.gov.
COVID-19 Uninsured Program Fact Sheets
The Health Resources and Services Administration (HRSA) has developed two fact sheets to help both patients and providers better understand their rights and responsibilities regarding access to COVID-19 vaccines. They address concerns about barriers to getting health care, particularly among people who are uninsured, such as undocumented immigrants.

The fact sheets underscore the point that COVID-19 vaccines are free to all individuals living in the United States regardless of their immigration or insurance status. Click below to learn more about the Spanish and English fact sheets.
Health Center COVID-19 FAQs
HRSA continues to add new questions and answers to their COVID-19 FAQs webpage, and they recently added a new FAQ webpage on the American Rescue Plan – Funding for Look-Alikes.

Other resources:
State News
Make Plans to Attend the May 19 Appalachian Communities Opioid Response Summit
The State Rural Health Associations in Kentucky, Pennsylvania, Tennessee, Virginia, and West Virginia have teamed up to gather ideas and resources for addressing the opioid crisis and other Substance Use Disorders in the Appalachian Region.

The online Appalachian Communities Opioid Response (ACOR) Summit will take place on May 19th. Registration is just $15. This will be your opportunity to (virtually) learn from experts in the field, hold discussions about specific topics related to Substance Use Disorders and meet other stakeholders in the region.

Did you know ACOR has funds available for local Substance Use Disorder Coalitions to engage in strategic planning? Whether you are just a small group of concerned citizens that want to do more or a large organization with full-time staff, this is an opportunity for you to plan your future impact. 
Stimulant Use Disorders and Contingency Management Presentation
The West Virginia Department of Health and Human Resources (DHHR) Bureau for Behavioral Health (BBH) received a grant award from the U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA) to support the State’s response to opioid use. The State Opioid Response Grant (SOR) funding was used to expand the availability of medication for opioid use disorder (MOUD) treatment and evidence-based services that identify and engage individuals in treatment and provide supports to help keep them in treatment and long-term recovery.

The intent of SOR funding is to reduce/prevent Opioid Use Disorder (OUD) related morbidity and mortality by expanding access to prevention, treatment, and recovery services. SOR funding is time limited and focuses on expanding the West Virginia’s service delivery infrastructure, funding mechanisms, and relationships internal to the organization that will help sustain the system. Services are trauma informed and staffed by individuals with effective client engagement skills who are prepared to link individuals—or their loved ones—with Opioid Use Disorder to a full array of early intervention, treatment, and recovery resources.

Treatment is ultimately a decision between doctor and patient; therefore, individuals must be able to make an informed decision. Increasing access to and retention in Treatment with Medication, an evidence-based treatment, using the three FDA-approved medications for OUD is a key factor in the opioid continuum of care. Implementation of evidence-based approaches, such as contingency management, is essential to individuals diagnosed with Stimulant Usage Disorder.
This presentation to be held on May 24, 2021 is to learn more about stimulant use disorders and contingency management. Please register to attend this presentation by Dr. Patrick Marshalek and Dr. Josh Carter.
National News
May is Mental Health Awareness Month
National Mental Health Awareness Month in May focuses on bringing tools, resources, and education to the general public

Each year Mental Health America, National Alliance on Mental Illness, and other mental health organizations across the country organize events, webinars, and more to improve mental health access across the country
New Resource: Community Health Worker Checklist
The Association of Clinicians for the Underserved is excited to announce the release of a new resource produced by their colleagues at the National Association of Community Health Workers! This new checklist is designed to help health center administrators, managers, and care teams effectively leverage the skills and experience of Community Health Workers as part of vaccine rollout efforts. Health center teams have employed CHWs in essential roles throughout the pandemic response and this resource will help onboard and incorporate them as part of the next stage.
National Health Service Corps New Site Application Open, Inactive Sites May Apply
The 2021 National Health Service Corps (NHSC) new site application cycle is now open for eligible health care sites that have never been approved as NHSC sites. This year’s application is also open to formerly approved NHSC sites that have become inactive. Eligibility includes health care sites that provide outpatient, ambulatory and primary healthcare services (i.e., medical, dental, and behavioral health) in Health Professional Shortage Areas. Additional eligible site types include facilities providing general substance use disorder treatment, a medication-assisted treatment program, or an opioid treatment program. Applications are due at 11:59 p.m. ET on Tuesday, May 25. Click below to learn more about the NHSC new site application. 
2021 NHSC Scholarship Program Application Cycle Open
The 2021 National Health Service Corps Scholarship Program (NHSC SP) awards scholarships to students pursuing an education in eligible primary care health professions. 

About the Program: 

The NHSC Scholarship Program applicants include health professional students studying to become physicians, dentists, nurse practitioners, nurse midwives or physician assistants with a commitment to practice in underserved communities. In exchange, they commit to serve a minimum of two years in high-need, underserved communities. Scholars receive one year of financial support (up to four years) for each year of service at an NHSC-approved site. Accepting applications through May 11, 2021, at 7:30 PM EST.
Funding and Financial Opportunities
HHS Announces $1 Billion from American Rescue Plan for Construction and Renovation Projects
HHS has announced the availability of $1 billion for HRSA-Health Center Program funded health centers to support major construction and renovation projects across the country. The funding builds on President Biden’s commitment to ensuring equity in access to COVID-19 response efforts and high quality primary health care services.

Health centers that receive this funding will be able to use it for COVID-19 related capital needs and to construct new facilities, renovate and expand existing facilities, and purchase new equipment. Read the press release.

Applications are due in HRSA’s Electronic Handbooks (EHBs) by 5:00 p.m. ET on Thursday, June 24. Visit the American Rescue Plan funding for Health Center Construction and Capital Improvements technical assistance (TA) webpage for award submission guidance, information about upcoming question and answer sessions, and other resources.
PPP Application Deadline Moved to May 31
Applications for the Paycheck Protection Program (PPP) will now be accepted through May 31, 2021. Health centers are eligible for First Draw PPP Loans if they have 500 or more employees but fewer than 500 employees per location. Existing PPP borrowers that did not receive loan forgiveness by Dec. 27, 2020, can reapply for a First Draw PPP loan.

If borrowers previously returned some or all of their First Draw PPP loan funds, they may request to modify their First Draw PPP loan amount if they did not accept the full amount for which they were eligible. Second Draw PPP Loans are only available to entities that have received, plan to use, or have used the First Draw PPP loan for authorized uses in its entirety. Entities must have no more than 300 employees per location and can demonstrate at least a 25 percent reduction in gross receipts between comparable quarters in 2019 and 2020. 
Upcoming Training Opportunities
SAVE THE DATE
Today with Macrae: Health Center Program Updates 
Join Jim to hear the latest information on funding, the Health Center COVID-19 Vaccine Program, and more.

Thursday, May 27, 2021
2:00 - 3:00 PM EST
Access details coming soon.
Cut the Cameras:
Utilizing Media to
Talk about Unhealthy Relationships with
Young People 
Media has the power to influence how young people view, think, and act in relationships. Join the School-Based Health Alliance for a youth-led webinar where together, we will analyze unhealthy relationships and behaviors portrayed in popular media, deconstruct patterns of abuse, and discuss how to utilize media portrayals when talking with young people in a health center setting.

This webinar will be facilitated by Youth Advisory Members Audrey Gabriel and Baila Salifou and Anna Casalme, Founder of Novelly, an organization that utilizes the power of stories to create courageous conversations on taboo topics.

Thursday, May 20, 2021
2:00 PM EST
Social Determinants of Health Community of Practice 
This community of practice offers a deep dive into the myriad of social and economic factors that contribute to health outcomes. Participants will discuss strategies and resources they can employ to identify and screen for social determinants of health (SDOH), as well as ways to mitigate their impact.

Participants can earn 1.5 CE credits for each session they attend, with a maximum of 9 CEs for participation in all six sessions. Register now for the series, which starts in June.

Starts June 8, 2021
2:30 PM EST 
Going Viral for Hepatitis: Getting Back to the Basics 
Join HRSA and CDC to hear about updated HCV testing guidelines and recommendations, and why changes were needed (epidemiological and treatment). Speakers will also share how others are implementing the updated HCV testing recommendations.

Tuesday, May 11, 2021
1:00 PM EST
Access to advanced and even basic stroke care is limited in Appalachia, a Kaiser Health News investigative report found. In West Virginia specifically, a quarter of the state’s population lives more than 45-minutes away from a basic or advanced stroke center. That is the third worst rate in the country.

What is TechQuity, scholars ask in a recent issue of the “Journal of Health Care for the Poor and Underserved?” Simply put, it is the development and deployment of technology in health care to achieve health equity. This centers on four goals: 1. workforce diversity; 2. data trust; 3. equity dashboards and 4. transparent AI. 

A column by Douglas Burns, VP for News and co-owner at Herald Publishing Co., urges those living in rural areas to see themselves as part of America’s diversity. Burns argues rural people should work with other marginalized populations to build empathy and common cause. 
 
If you come across something worth sharing, please feel free to forward to Joshua Austin, WVPCA Policy and Communications Director, at joshua.austin@wvpca.org.
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.
ECRI Institute
Pandemic Operational Recovery Guide
Operational disruptions to ambulatory care during and after a pandemic are significant. These disruptions may change many aspects of care delivery in ways that impact providers, staff, and patients alike.
 
Care may be temporarily limited or delivered in nontraditional ways, and recovery of operations may represent a "new normal."
 
The Pandemic Operational Recovery Guide for Health Centers and Free Clinics was written to assist health centers and free clinics in identifying and minimizing risks as they recover from operational disruptions related to a pandemic.
 
The handbook contains links to tools as well as links to additional resources for a more comprehensive discussion of individual topics. Readers can refer to descriptive "Strategy" headings in each section, and consult the recommendations, tools, and resources that follow for more detailed information. Although some tools and resources focus on the COVID-19 pandemic, they can be adapted to respond to other public health emergencies.
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.
WVPCA Staff
Sherri Ferrell, MBA | Chief Executive Officer
Debra Boyd | Chief Financial/Chief Operations Officer
Staci Arnold, MBA | Data Service & Integration Specialist
Joshua Austin | Policy & Communications Director
Paula Beasley | Education & Communication Coordinator
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
Ruby Piscopo | Outreach & Enrollment Coordinator
Amanda West | Staff Accountant
Emma White, RN, PCMH-CCE | Clinical Quality Improvement 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.