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WVPCA Weekly Outlook
A Newsletter on Community Centered Healthcare
February 5, 2021
In This Issue...
Emergency Management News - WVPCA News - Outreach & Enrollment
School Based Health Corner - What We're Reading - State News
National News - Funding Opportunities
Coplin Health Systems Vaccinating Wood County Community
Coplin Health Systems partnered with the Mid Ohio Valley Health Department in vaccinating community members at the Wood County COVID-19 Vaccine Clinic last month.  

The state has initiated a statewide pre-registration system, the West Virginia COVID-19 Vaccine Registration System, for vaccination appointments at vaccinate.wv.gov.

All clinics require appointments and walk-ins will not be accepted. The community vaccination clinic model will continue to be used each week and additional locations will be added as vaccine supply increases.
News Flash!
WV groundhog predicts early spring in pandemic ceremony
Read the entire article from The Herald Dispatch here.

Got vaccinated? Don't post your vaccine card online
Read the entire article from WOWKTV here.

CDC requires face masks on airlines, public transportation
Read the entire article from WCHS here.

The second COVID-19 shot is a rude reawakening for immune cells
Read the entire article from The Atlantic here.
States Get Another Boost of Weekly Vaccine Shipments 
Jeff Zients, the White House's COVID-19 response coordinator, said the federal government will increase its weekly vaccine supply to states by 5 percent for three weeks, on top of the 16 percent increase the Biden administration announced last week, The Wall Street Journal reported. 

The increase will bring the weekly vaccine supply sent to states to 10.5 million doses. 

The administration also announced plans to send 1 million more vaccine doses to thousands of retail pharmacies starting Feb. 11, on top of the 10.5 million doses sent to states weekly. 

States have urged the federal government to send them more vaccine doses. Some areas have been running out of vaccines with demand outstripping supply. 
Considerations for COVID-19 Vaccine Public Health Messaging
COVID-19 vaccine public health messaging should focus more on the shot’s effectiveness at preventing the illness and promise to bring back normal life and less so on the rare allergic reactions it might elicit, according to a new report from the Kaiser Family Foundation.

In this most recent Vaccine Monitor poll, KFF found that an increasing number of people are expressing vaccine enthusiasm as they see their friends and family members receive the vaccine.
WVPCA News
National Wear Red Day
The first Friday in February (February 5) is National Wear Red Day. On this day in February, which is considered American Heart Month, everyone across the country dons the color red in order to raise and spread awareness in hopes to help eradicate heart disease and stroke in millions of women all over the nation. So put on your reddest red — whether it be a lipstick, a pair of pants, or your favorite hat — and paint the city red.

We want to hear about how you celebrated National Wear Red Day! Tell us (or show us!) what you did. Email your story to us at events@wvpca.org and remember to include detailed information of who and what is in your pictures and videos! With your permission, we’ll use your story in future publications.
2021 UDS Resource –O&E Assists Reporting 

HRSA has new guidance on Outreach and Enrollment Assists reporting including responses to questions related to Outreach and Enrollment assists. A new webpage provides guidance on what qualifies for UDS reporting, health insurance coverage options, and where to report this information in the UDS.
HHS Announced Marketplace Special Enrollment Period for COVID-19 Public Health Emergency
In accordance with the Executive Order issued by President Biden, the Department announced a Special Enrollment Period (SEP) for individuals and families for Marketplace coverage in response to the COVID-19 Public Health Emergency, which has left millions of Americans facing uncertainty and exceptional circumstances while millions of Americans have experienced new health problems during the pandemic. This SEP will allow individuals and families in states with Marketplaces served by the HealthCare.gov platform to enroll in 2021 health insurance coverage. Beginning February 15, 2021 and through May 15, 2021, these Marketplaces will operationalize functionality to make this SEP available to all Marketplace-eligible consumers who are submitting a new application or updating an existing application. State-based Marketplaces (SBMs) operating their own platform have the opportunity to take similar action within their states.

"The Department is committed to ensuring that we deploy every available resource during the Public Health Emergency. This Special Enrollment Period will ensure that more individuals and families have access to quality, affordable health coverage during this unprecedented time," said HHS Acting Secretary Norris Cochran.
February is School-Based Health Center Month
Ever Hear of A School-Based Health Center? 

West Virginia was a founding member of the National School-Based Health Alliance over 20 years ago. Today, West Virginia has over 182 School-Based Health Centers (SBHCs) in 42 counties that provide the opportunity for 87,000+ students to receive health care at their school. Here are five things you should know about SBHCs.
Instead of what we’re reading, it is what we’re listening to with this selection. The “Us & Them” podcast from West Virginia Public Broadcasting takes a look at the divides in society. Host Trey Kay visits Huntington and Charleston, WV, to highlight the struggles of people experiencing homelessness and unstable housing, as well as the essential workers serving them during the COVID-19 pandemic.

An editorial in the British medical journal “The Lancet” lays out what governments owe health care workers during the pandemic and beyond. The editorial contends that this ranges from addressing understaffing to vaccination priority to sufficient personal protective equipment.

Is access to communication infrastructure—such as social media and enabling services like broadband—a social determinant of health? Two communications scholars make that argument in an opinion piece in “The Milbank Quarterly” this month. This is interesting and timely to consider given COVID-19 vaccination raising health equity issues at the state and national levels. 

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.
State News
COVID-19 Vaccination Clinics in All 55 Counties
The West Virginia Department of Health and Human Resources announced the formation of vaccination clinics across all 55 of West Virginia’s counties. The announcement comes with West Virginia continuing to lead the nation in vaccine administration.

The vaccine clinics are being formed through Operation Save Our Wisdom. The events are available for all West Virginia residents aged 65 and older. Clinic availability will run from Feb. 3 through Feb. 6, 2021.
Multiple Funding Opportunities to Reduce Prevalence of Diabetes from Marshall University
The Marshall University Division of Community Health is pleased to announce multiple funding opportunities available for healthcare systems and diabetes/health coalitions to improve health disparities in West Virginia by reducing the prevalence of diabetes and cardiovascular disease through chronic disease prevention and self-management education programs. 

The following funding opportunities are available:
1.    $2,500 value - Increase access to and participation in the National Diabetes Prevention Program through incentives and marketing materials. 
2.     $10,000 – Increase access to and participation in evidence-based programs for community-based organizations and diabetes-health coalitions on healthy eating, physical activity, chronic disease prevention and self-management education programs.
3.     $10,000 - Increase access to and participation in Self-Measured Blood Pressure Monitoring Programs (SMBP) by providing technical assistance and funding to healthcare systems to establish SMBP monitoring programs.
4.     $10,000 - Increase access to and participation in Diabetes Self-Management Education and Support Programs (DSMES) by providing technical assistance and financial support to healthcare systems to establish new programs.

Please contact Regina Knox at knoxr@marshall.edu or Shelia Plogger at splogger@ marshall.edu for more information and any questions.
National News
340B Program Recertification Reminder
The 340B Program HRSA Recertification Period for HRSA and IHS grantees (except STD, TB, and FP) is February 1 to March 1, 2021. 

Before certifying, Authorizing Officials and Primary Contacts must set up user accounts in the 340B Office of Pharmacy Affairs Information System (340B OPAIS). Failure to set up accounts will result in removal from the 340B Program. AOs and PCs must create individual accounts. All active 340B IDs associated with an AO’s account must be updated for recertification and completed by the deadline. 

For assistance with the 340B OPAIS, please utilize the online help that is available. HRSA also has information and tutorials available on the OPA website here. For further assistance, please contact the 340B call center at apexusanswers@340bpvp.com or 1-888-340-2787 (Monday – Friday, 9 a.m. – 6 p.m. Eastern).

Important: If you do not recertify, you will not be an eligible 340B entity!
President’s COVID-19 Plan Calls for “New Partnership” with Community Health Centers
President Biden has unveiled a 100-plus page national strategy and signed 10 Executive Orders for defeating COVID-19. In the plan the President proposes to “Launch a new partnership with Federally Qualified Health Centers nationwide” (see page 43.)

Highlights of this proposed partnership include: 
  • Explicitly naming FQHCs as partners in vaccination efforts, and in efforts to ensure access for underserved populations. 
  • Giving FQHCs direct access to vaccines, instructing HRSA and the CDC to “launch a new program to ensure that FQHCs can directly access vaccine supply where needed.” 
  • Encouraging jurisdictions to include FQHCs in their overall jurisdictional plans for battling the pandemic. 
  • Providing TA and “other resources” to support FQHCs’ vaccination efforts by instructing HRSA to “launch a new program to provide guidance, technical assistance and other resources to prepare and engage [FQHCs] nationwide” on vaccination efforts. 
  • Charging FQHCs with caring for COVID “long-haulers.” The Executive Order “Improving and Expanding Access to Care and Treatments for Covid-19" instructs HRSA and SAMHSA to expand “access to programs and services designed to meet the long-term health needs of patients recovering from COVID-19, including through technical assistance and support to community health centers.” Note that FQHCs are the only provider type explicitly named for this purpose. 
  • “Increased funding” for FQHCs generally. Under the heading of “Expand access to high-quality health care,” the President proposes “efforts to increase funding for community health centers.” (p. 99) 

Multiple elements of the plan will require Congressional action.
Mid-Atlantic Telehealth Resource Center Deadlines Extended
The Mid-Atlantic Telehealth Resource Center will be going ALL VIRTUAL this year. They are committed to providing a great virtual experience and one way to do that is to break up the normally packed full days into smaller blocks of time across multiple days. The draft agenda is now available and will become even more detailed in the upcoming weeks. Stay tuned – they will be sharing periodic updates about the innovative things they will be doing to make sure it’s not “just another Zoom meeting”!

Since we waited until the last possible minute to make the call to go all virtual, they have extended all of the deadlines!
  • Discounted Early Bird Registration has been extended to midnight on Monday, February 22, 2021.
  • Scholarship Request Submissions have been extended to midnight on Monday, February 22, 2021.
  • Call for Poster Abstract Submissions have been extended to Monday, February 15, 2021.

And in case you missed it, we have a Group Registration rate this year for non-profits/government entities. 
HHS Leverages Public Feedback to Advance Landscape Analysis on Emerging Technologies for Aging, Underserved Populations 
Addressing inequities in healthcare delivery and service is crucial to achieving equitable healthcare for all populations. Underserved areas such as rural communities (when compared to urban areas) are characterized by a higher percentage of older adults, higher rates of all-cause mortality, and lower density of healthcare infrastructure - PDF . Available evidence suggests that these poor health outcomes and inequities – further exacerbated by the COVID-19 pandemic – are driven in part by social risk factors (e.g., the social determinants of health) and biological risk factors (e.g. older age and chronic disease).

While COVID-19 has had a profound impact in exacerbating healthcare inequities, it has provided opportunity to identify, develop, deploy, and evaluate innovative technological advances such as AI, 5G, biosensors, apps, and beyond that can improve health access and outcomes in older adults, especially those from underserved populations (e.g. low-income, Medicaid-eligible, and rural communities).
Uniform Data System 2020 Reporting Season Underway
The Uniform Data System (UDS) reporting period for calendar year 2020 is now underway. All HRSA-funded health centers are required to submit complete and accurate UDS reports by Monday, February 15.

Upon successful submission, they will assign your UDS report to a UDS reviewer who will work with you throughout March to finalize your data submission. They will not allow changes after Wednesday, March 31.

The 2020 UDS Manual and other resources are available on HRSA’s website to help you complete an accurate report. The manual includes an introduction to the UDS, instructions for completing each of the tables, and information on how to submit the UDS through EHBs.
Have You Taken the RTAT? Time is Running Out!
The WVPCA invites you to complete the Readiness to Train Assessment Tool (RTAT) survey before February 28, 2021. This survey tool was developed to assess organizational readiness to implement Health Professions Training (HPT) programs in health centers across the country and is strongly encouraged by HRSA. 
 
Every FQHC and FQHC look alike in the country is being invited to participate—make sure YOUR health center’s input is included!
 
So far, we have had a 55% completion rate among WV CHC’s! Thanks to all those who have completed the survey and to those who have not, please do so before the survey closes!
 
Every staff person is invited to complete an initial set of questions about general readiness to engage in health professions training. In addition, if you feel you can comment on your health center’s readiness to engage in one or more specific health professions training program(s), we welcome you to continue on and share your opinions on a wide range of programs, from medical assistant or dental assistant training, to NP and PA students, to postgraduate residents and fellows in multiple disciplines—and more.  
 
Once the survey results are compiled, the WVPCA can help you develop a workforce plan to include health professions trainings and/or pipeline programs, as well as offering T/TA to help you achieve your workforce goals.

Please contact Shannon Parker, WVPCA Director of Health Center Operations at Shannon.parker@wvpca.org should you have any questions or concerns.
Upcoming Training Opportunities
Partnering for the COVID-19 Vaccine: Lesson from the Flu-LEAD Project 
Join the National Nurse-Led Care Consortium, the National Center for Health in Public Housing, and subject matter experts from the U.S. Department of Housing and Urban Development (HUD) for an hour long webinar about leveraging health center and housing authority partnerships for COVID vaccine distribution.

Speakers will discuss lessons learned from the HUD/HRSA Flu-LEAD (Linkages to End Access Disparities) project.

Attendees must complete the evaluation to receive 1 CNE certificate.

Wednesday, February 10, 2021
1:00 - 2:00 PM EST
FTCA OFFICE HOURS
NACHC, in collaboration with Feldesman Tucker Leifer Fidell (FTLF), will be holding three virtual FTCA Office Hours to answer health center clinical leaders’ specific questions.

Topics covered include coverage for COVID-19 related activities, navigating telehealth, coverage for virtual services, issues related to COVID-19 vaccine delivery, deeming of volunteer health professionals, preparing for a virtual site visit, and risk management. Follow-ups will include a FAQ and links to additional resources.

The most up-to-date FTCA FAQ is available here; go to “FTCA Requirements.” 

Submit your questions in advance to Klaepke@nachc.com.
Addressing the Impact of COVID-19 on Behavioral Health Patients and Staff 
The COVID-19 pandemic has forced behavioral health programs to alter many of the traditional tools of behavioral healthcare delivery at a time when such services within community health centers are in high demand. 

As we hope and plan for a post-pandemic future, these key values and strategies must be at the core of our efforts: The patient is at the center, the integrated primary and behavioral health workforce is the foundation of our system, and the way forward must incorporate a serious appreciation of the resources required to rebuild and enhance these systems to support patients.

 Tuesday, February 9, 2021
3:00 PM - 4:30 PM ET 
SAVE THE DATE
Today with MACRAE
The HRSA Bureau of Primary Health Care will provide health center program updates in “Today with Macrae”.

Next week’s session will be the first using the Zoom platform. To join the webcast you’ll simply click the link below; there is no longer a call-in number or passcode. They’re excited about this change because Zoom is more attendee-centered: you’ll have control over how you see presenters and slides. You will still be able to submit questions via Zoom’s Q&A feature. 

 Tuesday, February 9, 2021
2:00PM - 3:00PM EST
Funding and Financial Opportunities
Integrated Substance Use Disorder Training Program
The Integrated Substance Use Disorder Training Program (ISTP) program will integrate mental health and substance use treatment services in primary care settings. Grantees will train practicing professionals to provide addiction prevention, treatment, and recovery services in underserved communities. Practicing professionals include the following disciplines: nurse practitioners, physician assistants, health service psychologists, and social workers. Approximately $6.5 million will be available in FY 2021 to fund two grantees. The application deadline is Wednesday, February 24, 2021.
Fiscal Year 2021 Ending the HIV Epidemic - Primary Care HIV Prevention Funding Now Available
HRSA released the fiscal year (FY) 2021 Ending the HIV Epidemic - Primary Care HIV Prevention (PCHP) Notice of Funding Opportunity (HRSA-21-092). HRSA will invest approximately $83 million in health centers located in the 57 geographic locations identified by Ending the HIV Epidemic: A Plan for America, with the goal of increasing the number of health centers in the geographic locations that are focused on HIV prevention.

FY 2021 PCHP will support expanding HIV prevention services that decrease the risk of HIV transmission, focusing on supporting access to and use of pre-exposure prophylaxis (PrEP). Health centers with service delivery sites in the geographic locations that did not receive FY 2020 PCHP funding will be eligible to apply. Technical assistance (TA) resources are available on the PCHP TA webpage.

FY 2021 PCHP applications are due in:
• HRSA’s Electronic Handbooks: Monday, March 1, 2021 (5:00 p.m. ET).
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 | 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.