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WVPCA Weekly Outlook
A Newsletter on Community Centered Healthcare
May 28, 2021
In This Issue...
WVPCA News - Emergency Management News - PCMH Corner
SBH Corner - State News - National News - Funding Opportunities
Upcoming Training Opportunities - What We're Reading
News Flash!
Can employers make COVID-19 vaccination mandatory?
Read the entire article from APNews here.

Marshall University relaxes mask requirements
Read the entire article from WVMetroNews here.

West Virginia closing in on 65% vaccination goal
Read the entire article from WVNews here.

WVU allowing people to go without masks outdoors
Read the entire article from WVMetroNews here.
AZARA ACADEMY Webinar Series Announced
Ready to take your Azara DRVS utilization to the next level? Want to learn more about maximizing the Azara tools for performance improvements? Need to refresh your knowledge of the basic concepts DRVS? If so, please join the West Virginia Primary Care Association (WVPCA) and Azara Healthcare for the exciting AZARA ACADEMY webinar series. During these ninety minute webinars, health centers will have the opportunity to learn more about Azara DRVS, digging deeper into functionality and tools. Azara DRVS experts will demonstrate how DRVS can be leveraged for value based initiatives, care management, efficient patient visit planning, quality improvement, and other important functions and uses.  

Each webinar will have a separate registration (links included) for the upcoming sessions:

Here are just a few of the topics to be covered:
  • Leveraging clinical, payer and HIE data to improve your performance.
  • Exploring the continuum of care management tools to support population health and PCMH.
  • DRVS Patient Visit Planning Best Practices
  • Implementation of the Care Management Passport amongst the Care Team
  • Development and optimization of scorecards and dashboards
  • How to use DRVS to track patients with chronic conditions
  • Overview of Social Determinants of Health in DRVS  

Click below for details of the webinar series.

After attending these sessions health centers will have the opportunity to schedule their NO-COST ninety-minute WVPCA AZARA ACADEMY Learning Lab session hosted by an Azara Coach. The Learning Lab will offer hands on training to assist the health center in further exploring the topics covered in the DRVS Academy sessions within their own organization. Please contact the WVPCA for more details.

Target Audience: All levels of DRVS users including but not limited to: CHC Leadership, Clinical Managers, Quality and Care Management Staff, Nurses, IT/EHR Managers, Behavioral Health and School Based Health Directors.

This event is intended for Community Health Center Staff at no cost for participants.
Trauma Informed Care in School-Based Health Centers: Moving from Awareness to Practice
Please join the West Virginia Primary Care Association for Trauma-Informed Care in School-Based Health Centers: Moving from Awareness to Practice on Thursday, June 10, 2021, presented by Dr. Audrey Stillerman. Being trauma aware has been promoted for several years. As a result, there is an increase of awareness of the effects of stress, adversity, and trauma on people’s lives. The evidence is clear that the effects of child neglect and abuse, as well as other forms of traumatic stress, impact the health, mental health, and behavior of individuals.

This virtual learning opportunity will describe the challenges in moving from being trauma aware to implementing trauma-informed care in SBHCs. There will be a short review of the lifelong effects of trauma while identifying the steps in becoming a trauma-informed SBHC. The discussion will also include the benefits of integrated care in SBHCs and how to identify and overcome barriers to the integrated care model. Finally, the presenter will discuss the implications for trauma-informed care for staff.

The presenter, Dr. Stillerman has extensive experience in delivering trauma-informed education and services directly in SBHCs. This webinar will guide SBHCs through the process of moving from trauma-informed to trauma-responsive care in the context of an integrated care model.

By practicing trauma-informed care, SBHCs can implement effective practices to support students with trauma exposure. In doing this, it increases student resilience and hope for a more healthy and productive life.

Following this webinar, participants will:

  • Describe the lifelong effects of trauma, recovery needs, and implementation of trauma-focused treatment interventions.
  • Identify steps in the process of becoming a trauma-informed SBHC.
  • Identify and overcome barriers to integrated care model in SBH.
  • Will learn about the implications of trauma-informed care for staff.

TARGET AUDIENCE: Primary Care and Behavioral Health staff in School Based Health Centers.

This event is intended only for Community Health Center Staff.
Registration closes on June 9, 2021 at NOON.
Emergency Preparedness Workshop Series
Please join the WVPCA and BOLDplanning, as we are excited to offer our members a four (4) part webinar series of Emergency and Continuity Planning (ECP) Workshops. Health centers and their staff play a key role in emergency preparedness efforts for all types of events, including natural or man-made disasters, pandemic outbreaks, or terrorist attacks. To further strengthen health center emergency preparedness, BOLDplanning experts will cover plan fundamentals along with specific details. Each workshop builds off the next.

Webinar Series includes:

Thursday, June 3, 2021 | 10:00 AM - 12:00 PM
Plan Basics: People, Places, and Things

Thursday, June 10, 2021 | 10:00 AM - 12:00 PM
Policies, Procedures, and Plan Activation

Thursday, June 17, 2021 | 10:00 AM - 12:00 PM
Reporting, Gap Analysis, and Plan Maintenance

Thursday, June 24, 2021 | 10:00 AM - 12:00 PM
Hazards and Risk Assessment

After attending these presentations health centers will have the opportunity to have a customized ECP consultation by a BOLDplanning expert free of charge!

Developing strong emergency preparedness plans are a critical part of effectively serving the community. The ECP is designed to help healthcare organizations of all types and sizes create practical and compliant plans. Providing you the tools, skills, and experience to develop these plans is a mission of the WVPCA. BOLDplanning is a market leader in developing preparedness plans for healthcare and is proud to be your partner.

TARGET AUDIENCE: Emergency Management Personnel

This event is intended only for Community Health Center Staff.

Registration closes on June 2, 2021 at 5:00 PM EST.
Change, Inc. Family Medical Care Earns National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home (PCMH) Recognition
Change, Inc. Family Medical Care recently earned new NCQA PCMH Recognition for their Newell and Weirton sites. Change, Inc. serves northern West Virginia (Hancock, Brooke, Ohio, and Marshall Counties) and Jefferson County, Ohio as well as surrounding communities by providing various programs and services to those in need. 

PCMHs improve quality, and the patient experience, and increase staff satisfaction while reducing health care costs. Practices that earn recognition have made a commitment to continuous quality improvement and a patient-centered approach to care.
Teens and Anger
We are beginning to see light at the end of this COVID-19 pandemic tunnel that we have been experiencing for over a year. While there is hope for the future, if we are honest with ourselves, most of us have experienced some level of anger over the significant changes that we have dealt with as a result of the pandemic. Teenagers have been in that same predicament but moving forward it may be a greater challenge for them to let that anger go since they have had less life experiences with loss and disappointment. Parents and professionals can model healthy coping skills to support those teenagers who are struggling to let their anger go. Click below to learn more.
HRSA Health Center COVID-19 FAQs
The Health Resources and Services Administration (HRSA) continues to update and add new questions to their COVID-19 FAQs webpage. Last week these two questions we added:

  • What types of documentation are health centers required to maintain and report for COVID-19 vaccinations?
  • What is HRSA’s guidance for optimizing the provision of on-demand vaccine, understanding there is an increased potential for vaccine wastage?

Other resources:

New West Virginia COVID-19 Vaccines Communication Toolkit Version 7 & More
The WV Joint Information Center for COVID-19 Vaccines has shared the updated COVID-19 vaccines communication toolkit version 7 to assist in responding to questions about COVID-19 vaccines. They have updated the FAQs to include new information from the CDC on various COVID-19 vaccines related topics, including Johnson & Johnson's Janssen vaccine updates as well as information for authorized use of the Pfizer vaccine for ages 12 and older, and adapted key messages for use.

They continues to update social media and printable content within the Community Immunity WV Social Press Kit, found at this link: https://thesocialpresskit.com/communityimmunitywv

Also the Frequently Asked Questions (FAQs) for Caregivers of Teens about COVID-19 Vaccination, in English and Spanish. These have been updated to reflect the availability of COVID-19 vaccines for those 12 years of age and older.
State News
CDC: Half of State’s Total Population has Received at least One Dose of COVID Vaccine
New vaccination numbers show 50% of all West Virginia residents have received at least one dose of COVID-19 vaccine while more than 83% of residents over the age of 65 have received at least one dose. The Centers for Disease Control and Prevention reports 46.7% of residents over the age of 12 in the state have been fully vaccinated.
2021 West Virginia Addiction Conference
Save the Date: October 28-29, 2021
Appalachian Addiction and Prescription Drug Abuse Conference:
Pain and Addiction Best Practices and Proper Prescribing
2-Day Virtual Event!
National News
June is National Men's Health Month
June is National Men’s Health Month and is all about encouraging the men in your life (including you, men out there!) to take care of their bodies by eating right, exercising, and working to prevent disease. The official symbol for the month is a blue ribbon and the purpose of Men’s Health Month is to heighten the awareness of preventable health problems and encourage early detection and treatment of diseases including cancer, heart disease, and depression.

In a Cleveland Clinic survey in 2019 found that 82% of men report trying to stay healthy and live longer for those who rely on them, yet only 50% engage in preventive care. Men cited embarrassment, lack of convenience, not wanting to hear a bad diagnosis, and being told as children not to complain about medical problems as reasons for pushing off a visit to their health care provider.

Men of every age need to be taking the time to focus on their mental and physical well-being. From 19 to 90, even if they is in “ perfect” shape, a man should still be making routine appointments with his providers.
Community Health Centers Help Mark National Milestone in Vaccinations; 61% of Vaccines Have Gone to Racial and Ethnic Minorities
The U.S. has reached a “landmark day” in the COVID-19 pandemic as 61 percent of American adults have received at least one dose of a COVID-19 vaccine, cases continue to decrease, along with hospital admissions and deaths, according to Rochelle P. Walensky, MD, Director of the Centers for Disease Control and Prevention (CDC) and part of the White House COVID-19 Response Team. At a White House Briefing, White House officials marked progress in the national effort to vaccinate populations against COVID-19. Dr. Marcella Nuñez Smith, MD, Co-Chair of the COVID-19 Health Equity Task Force, singled out the work of Community Health Centers in these efforts and noted that “approximately 60 percent of shots have been administered to people of color. And since our Community Health Center program started, about 70 percent of shots administered through those centers have gone to people of color as well.” 

Community Health Centers, which serve 30 million people, have been central to ensuring equity and access in the COVID-19 response and vaccination program. They have administered more than 10 million vaccine doses and have increased the number of vaccines they initiate each week by almost five-fold from January 8 to May 7.  
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.
Upcoming Training Opportunities
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, June 17, 2021
3:00 - 4:00 PM EST

Thursday, July 8, 2021
3:00 - 4:00 PM EST
Strategies for Addressing Health Disparities in Medication-Assisted Treatment for Opioid Use Disorders 
This webinar will focus on understanding these health disparities and will outline strategies to enhance access to all treatment services, including
buprenorphine and naloxone along with methadone. The webinar will briefly review the physiology/neurobiology of opioid use disorder, the evidence in support of MAT, and how MAT fits within an integrated care model.

Wednesday, June 2, 2021
3:00 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 
Maternal Health Webinar Series: Substance Use Disorder and Pregnancy
The Health Resources and Services Administration’s (HRSA), Office of Regional Operations (ORO) in Regions 5, 6, and 7 invite you to a webinar on Substance Use Disorder and Pregnancy. This webinar is part of ORO Regions 5, 6, and 7’s Maternal Health Webinar Series. The series’ goal is to highlight innovations and promising practices as well as resources to promote and further maternal health and well-being across the lifespan.

Tuesday, June 22, 2021
12:00 PM EST
Gena Cox and David Lancefield, both leadership strategists, propose five strategies to incorporating diversity and inclusion into organizational culture. Their article in the “Harvard Business Review” provides a roadmap for moving from mission statements and slogans to action on diversity and inclusion. 

Gift cards, savings bonds, lottery winnings and even free donuts are all incentives for people to get their COVID-19 vaccine. But are these incentives effective or desirable in vaccination efforts? Two academics in a recent “New England Journal of Medicine” opinion piece argue that they are, especially when incentives are geared toward groups with low vaccination rates. However, the authors also contend that these incentives should be implemented with other strategies.
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.
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.