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WVPCA Weekly Outlook
A Newsletter on Community Centered Healthcare
October 9, 2020
In This Issue...
Emergency Management News - WVPCA News - PCMH Corner
School-Based Health - O/E - State News - National News
Financial and Funding Resources
News Flash!
Governor Justice and President Trump at odds on COVID-19 stimulus
Read the entire article from WOWKTV.com here.

Officials confirm the deaths of 2 nurses from COVID-19
Read the entire article from MetroNews here.

WV COVID-19 deaths rise; over all cases dropping
Read the entire article from NEWSBREAK here.

N95 mask manufacturing plant to open in Jackson, Ohio
Read the entire article from WSAZ.com here.
Physician Assistant Week 2020: PAs are Essential
Every year from October 6-12, we celebrate National PA Week, which recognizes the Physician Assistant (PA) profession and its contributions to the nation’s health. This PA Week is especially significant as it falls during a global pandemic. PAs have stepped up in major ways, including serving on the front lines of the COVID-19 response. Whatever your specialty or setting, you have put your health at risk every day to care for your patients.

The WVPCA would like to recognize the PA’s that work across the Mountain State in our Community Health Centers. Every day you make a difference, one patient at a time!
Governor Justice allocates $50 million for 'Aggressive Testing;' Portion of college populations to be tested weekly
The state has dedicated $50 million from its federal CARES Act funds to facilitate additional free COVID-19 testing opportunities, according to Gov. Jim Justice.

The funds will be used to pay members of the West Virginia National Guard, who will set up and operate testing sites, and to help local health departments pay for testing supplies, Justice said.

“We set aside $50 million additional dollars to do additional testing through the CARES Act,” he said. “We’ve got the monies to be able to do this, to pay our National Guard and everything. We’ve got the money to do that. We just need to move forward and get on with it.”
Age Distribution of the COVID-19 Pandemic Is Changing
The Centers for Disease Control and Prevention (CDC) released an MMWR on the Changing Age Distribution of the COVID-19 Pandemic in the U.S. between May and August, 2020. A key finding is that during June-August 2020, COVID-19 incidence was highest in persons aged 20-29 years, who accounted for >20% of all confirmed cases. Strict adherence to community mitigation strategies and personal preventive behaviors by younger adults is needed to help reduce infection and subsequent transmission to persons at higher risk for severe illness.
Officials: West Virginia COVID-19 task force not yet named, but planning has been underway for months
Although a formal vaccine task force has yet to be named, state officials say working groups have been meeting for months to plan for eventual COVID-19 vaccination efforts.

A month ago, on Sept. 4, Gov. Jim Justice announced in a COVID-19 press briefing the creation of a vaccine task force to coordinate roll out of a vaccine for COVID-19.

As of last week, that task force had yet to be named by the governor, but DHHR officials said “plans are underway to announce that soon.”

However, DHHR Director of Communications Allison Adler said a Vaccine Core Planning Group formed under the DHHR has been holding meetings and planning for a vaccine since August.

Sub-workgroups have broken off of this planning group to focus on several aspects of vaccine planning. These include communications and messaging, data systems and tracking, and a Vaccine Medical Advisory Group, Adler said.

“It’s expected that this group will report its efforts to the Task Force once it’s formed,” she said.
Mortgage and Housing Assistance During COVID-19
The Consumer Financial Protection Bureau (CFPB), in partnership with FHFA and HUD, launched and news webpage devoted to mortgage and housing assistance during the coronavirus national emergency. This joint website consolidates the CARES Act mortgage relief, protections for renters, resources for additional help, and information on how to avoid COVID-19 related scams. It also provides lookup tools for homeowners to determine if their mortgage is federally backed, and for renters to find out if their rental unit is financed by FHA, Fannie Mae, or Freddie Mac.  
WVPCA News
GRANTS MANAGEMENT: Preparing for the Federal Audit of the Future
Please join the West Virginia Primary Care Association (WVPCA) on Tuesday, October 13th at 10:0 am with BKD in the next installment of our Financial Management Training Series for health centers. While working to respond to the COVID pandemic, health centers received a tremendous amount of support through various funding programs. During this presentation, we will review all of the funds available to health centers and discuss the “Federal Audits of the Future” to assist health centers with preparing and maintain auditable records related to the stimulus funds they received while responding to the COVID-19 pandemic.

Learning Objectives:
  • Upon completion of this program, participants will be able to: 
  • Review previous audit workplans of HHS Office of Inspector General and Division of Financial Integrity of grant funds
  • Discuss financial statement audit considerations after FASB works through and provides guidance to financial statement auditors in regards to stimulus grant funds
  • Review financial management requirements of health center financial records

Presenters: BKD Trusted Advisors: Justin Kensinger, CPA Partner and Catherine Gilpin, CPA Director

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.

This event is intended only for Community Health Center Staff. There is no cost to health centers for this training event

Registration Closes October 12, 2020 at 12:00pm
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.
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.
National Bullying Prevention Month
October is National Bullying Prevention Month, a time to focus and raise awareness on bullying. What is Bullying? Bullying is unwanted, aggressive behavior among school-aged children that involves a real or perceived power imbalance. Bullying can also take place through technology, known as cyberbullying. The role of the health care provider is extremely important today in our schools. They are great allies in determining if a child is being bullied or why bullying behavior may have surfaced. Find out ways for parents to partner with health care providers to protect students.
October is Health Literacy Awareness Month
Here's what you can do:
  • Review your communications materials for clear communciation

Use these tools to help:
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
HHS Announces Phase 3 Provider Relief Funding
On October 1, 2020, the U.S. Department of Health & Human Services (HHS), through the Health Resources and Services Administration, announced $20 billion in new phase 3 provider relief funding. This funding is available to "frontline" providers -- including those who have already received the full amount they were eligible for under the General Distribution. (This amount was 2% of 2018 net patient revenues.) It is unclear how much any provider will be eligible for; it will likely depend on total requests received.  

Providers can submit their application from Monday, October 5, 2020, through November 6, 2020. HHS urges providers against waiting to apply until the last week of the application window, and to apply early to help expedite the review process and distribution of funds to as many providers as possible.
Quarterly 340B Program Registration Open
Quarterly 340B Program site registration is open from October 1 to 15. Health centers will be able to register a site that has been verified as implemented and with a site status reflected as “active” in EHBs Form 5B through Friday, November 27. After that date, the system will close to prepare for the January 1, 2021 start.

Email the 340B Prime Vendor Program or call 888-340-2787 (Monday-Friday, 9:00 a.m.-6:00 p.m. ET) to register a new site or ask questions. You will need to provide the following information when calling:

  • Health center name.
  • Site/clinic name.
  • Site IDs for all sites.
  • HRSA/BPHC grant number.
  • Contact name and email address.
  • Authorizing official name and email address.

The authorizing official will receive an email message that the account is unlocked and a registration may be submitted.
2020 UDS Reporting Manual Re-Released 
Changes have been made to the 2020 UDS Reporting Manual to reflect the current health care landscape. These changes include:
  • Updated coding for human trafficking.
  • Updated coding for SARS-CoV-2-related testing.
  • Statement alignment for depression remission scoring.
  • Additional reporting lines added to Table 9E for COVID-19-related funding.
  • Addition of COVID-19 vaccination question in Appendix E.

This version, dated August 21, 2020, supersedes any previous version of the 2020 UDS manual. Please be sure to use the updated manual in preparing 2020 UDS reports due in EHBs by February 15, 2021. For additional UDS reporting resources, visit the UDS Resources webpage.
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 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 National 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
National Diabetes
Prevention Program: Lessons Learned for PCAs and
Health Centers Webinar 
The Association of Asian Pacific Community Health Organizations (AAPCHO) and National Nurse-Led Care Consortium (NNCC) will have federal updates from HRSA and CDC leaders as well as highlight lessons learned and diabetes prevention best practices for health center and PCA colleagues.

 Wednesday, October 15, 2020
1:00 PM - 2:30 PM ET 
Funding Opportunities
Healthy Communities Initiative Applications - October 15 Deadline
To assist nonprofit organizations administer health-related programming and enhance their own internal capacity to work effectively, the Pallottine Foundation of Huntington is pleased to announce the Fall 2020 Healthy Communities Initiative. This Initiative is open to nonprofits providing health-related services in one or more of the Foundation’s twenty counties in the Tri-State region.

The Fall 2020 Healthy Communities Initiative supports two types of projects:  

  1. Health and wellness programming directed at an organization’s clients or communities served
  2. Capacity building projects that enhance the effectiveness of an organization’s internal operations 

Key Information for this Initiative include:

  • Award Range – $3,500 - $50,000
  • Grant Period – December 1, 2020 – November 30, 2021
  • Application Opens – September 15, 2020
  • Application Submittal Deadline – October 15, 2020

Initial Eligibility Criteria for Foundation grant funding is available on their website. Additional details for this Initiative, including a technical assistance webinar, can also be found here and on and on the Request for Proposal (RFP).

Please contact Jana Stoner, Health Program Officer, at 304-397-5955 ext. 105, with questions about potential projects. Please contact Brooke Estep, Grants Manager, at 304-397-5955 ext. 102, with technical questions related to the Foundation’s grant management system.
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:
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.