January 2018
  WVPCA Weekly Outlook Newsletter
     A Newsletter on Community Centered Healthcare

We offer this publication as a member service of the West Virginia Primary Care Association (WVPCA).

If you have questions regarding our organization, WVPCA membership, or if you have content to suggest for this newsletter, please contact Kelsey Clough, Education and Communications Coordinator, by email or by phone at (304) 346-0032.


West Virginia Primary Care Association
1700 MacCorkle Avenue
Charleston, WV 25314-1518
Quick Links: In This Issue.....


Justice bill would limit opioid prescribing, could penalize doctors  
Read the entire article, originally from the   
Charleston Gazette-Mail 

From emergency to excess, lawmakers question DHHR funding 
Read the entire article, originally from MetroNews  here

Medicaid paying for methadone, addiction screening and naloxone in WV 
Read the entire article, originally from the Charleston Gazette-Mail  here

Tax credits for new medical school grads could help recruit physicians, avert shortage 
Read the entire article, originally from the Exponent Telegram  here
Register Today! February 8 ACEs Training for Charleston
Childhood experiences, both positive and negative, have a tremendous impact on future violence, victimization and perpetrations, and lifelong health and opportunity.  These early experiences are an important public health issue; in fact, ACEs (Adverse Childhood Experiences) have been linked to risky health behaviors, chronic health conditions, low life potential and early death. 

This workshop, Identifying Tomorrow's Issues In Students Today: Making Use of ACEs in SBHCs will be held in Charleston on February 8 from 1:00 - 4:00 PM at the Columbia Gas Building.  The workshop will focus on how School-Based Health Centers (SBHCs) can improve the health of students through increasing the awareness of ACEs and the far-reaching impact they have on West Virginia's children. 

Please note - this training is identical to the ACES workshop held in Beckley in August 2017.
For more information, or to register, click here
State NewsStateNews
Opioid Response Plan for the State of West Virginia 
The West Virginia Department of Health and Human Resources (DHHR) released the opioid response plan developed through public engagement and expert input. The preliminary report was prepared by an expert panel after review of more than 300 public comments, a public meeting on December 21, 2017, and input from state agencies. 
"This crisis has plagued our state for too long," said Bill J. Crouch, DHHR Cabinet Secretary.  "Governor Jim Justice has asked that we utilize all resources at our disposal to combat this epidemic. The effects of the drug problem are impacting all parts of DHHR including - Behavioral Health, Children and Families, Medical Services, and Public Health.  Beginning today, our primary focus is to fight this problem on all fronts, and this plan is a crucial step in meeting that goal.  Governor Justice has pledged his full support to DHHR to battle this ever-growing issue." 
The plan notes that West Virginia suffers from the highest rate of drug overdose mortality in the United States, with more than 880 deaths in 2016. Driving this public health crisis is the opioid epidemic, a dual challenge involving both prescribed opioids, such as oxycontin, and illicit opioids, including heroin and fentanyl.
The opioid response plan includes high-priority, short-term recommendations in six areas:
  • West Virginia should expand the authority of medical professional boards and public health officials to stop inappropriate prescribing of pain medications.
  • West Virginia should limit the duration of initial opioid prescriptions.
Early Intervention:           
  • West Virginia should expand awareness of addiction as a treatable disease by developing a public education campaign to address misinformation and associated stigma. 
  • West Virginia should expand promising law-enforcement diversion programs, such as the LEAD model, to help people experiencing a drug problem access treatment and achieve sustained recovery.
  • West Virginia should strengthen support for lifesaving comprehensive harm reduction policies by removing legal barriers to programs that are based on scientific evidence and by adding resources.
  • Reflecting the need for all patients to have access to multiple options for treatment, West Virginia should require a statewide quality strategy for opioid use disorder treatment and remove regulatory barriers to the expansion of effective treatment.
  • West Virginia should expand access to effective substance use disorder treatment in hospital emergency departments and the criminal justice system in order to reach people at key moments of opportunity. 
Overdose Reversal:         
  • West Virginia should require all first responders to carry naloxone and be trained in its use, support community-based naloxone programs, and authorize a standing order for naloxone prescriptions to improve insurance coverage.
  • West Virginia should require hospital emergency departments and Emergency Medical Services to notify DHHR's Bureau of Public Health of nonfatal overdoses for the purpose of arranging for outreach and services.
Supporting Families with Substance Use Disorder:            
  • West Virginia should expand effective programs that serve families, including Drug Free Moms and Babies, home visitation programs, and comprehensive services for the families of children born with Neonatal Abstinence Syndrome such as Lily's Place.
  • West Virginia should expand access to long-acting reversible contraception and other contraceptive services for men and women with substance use disorders in multiple settings.           
Recovery :            
  • West Virginia should continue pursuing a broad expansion of peer-based supports.
Find the complete Opioid Response Plan  here
West Virginia Rural Health Plan 2018-2022 Approved 
This plan, developed by the Rural Health Advisory Council and staff from the State Office of Rural Health, represents the vision and goals for the health and well-being of the people in rural West Virginia. Advocates for the best healthcare for the people of West Virginia have offered their ideas through surveys, conference calls, meetings, and email correspondence. This plan focuses on key health problems, identifies objectives, and associated actions intended to address those problems.
Please take the time to review the objectives and strategies, and even to prioritize what you feel are the most important for further discussion and collaboration.  Click here for a copy of the State Rural Health Plan.
WV Office of Epidemiology and Prevention Services unveils new Harm Reduction Program interactive  map 
The West Virginia Department of Health & Human Resources, Office of Epidemiology & Prevention Services (OEPS) has created a Harm Reduction Program (HRP) page on their website. On this page, they have created an interactive map that lists all of the Harm Reduction Programs in the state. By clicking on each map point, the location and hours of the HRP is available. OEPS is working with the Great Rivers Harm Reduction Coalition and others to ask other HRPs to contact the office with their information so the map can be updated appropriately. The HRP page is located at www.harmreductionwv.org. 

Click here to be linked directly to the interactive map. 
Registration Open for WVPBRN Retreat 
Registration for the 5th Annual West Virginia Practice-Based Research Network (WVPBRN) Retreat is now open. This year's retreat activities will include poster and oral presentations highlighting current WVPBRN projects, a PBRN successes and challenges panel, and networking opportunities to discuss future projects and initatives. Deadline to register for the retreat is February 13, 2018. Please feel free to contact Andrew Denny, Network Coordinator (304-581-1922) or Stacey Whanger, Network Manager (304-581-1821) if you have any questions.

Click here for more information. 
Hepatitis C Overview Webinar Scheduled Feb. 27 
The WVU Health Sciences Office of Continuing Education recently announced a new webinar, Hepatitis C Overview. The webinar is scheduled for February 27 from 12:00 - 1"30 PM. 

An estimated 3 million to 4 million persons in the United States are chronically infected with Hepatitis C, which if left untreated, may cause advanced liver disease and/or hepato cellular cancer. Given the sheer number of persons infected, familiarity and comfort with caring for patients infected with HCV is vital. With the recent introduction of new medications, HCV treatment paradigms are rapidly evolving, offering a potential cure for many more patients than had been previously possible.

This program is designed for local/regional health care providers, specifically physicians, residents, physician assistants, nurse practitioners, and nurses.

Click here to view the flyer and here to register. 
National NewsNationalNews
NACHC Sponsoring Red Alert Day for Health Centers - February 6 
The next opportunity for Congressional action to fix the Health Center Funding Cliff is February 8, 2018. It's time for us to rally the troops and send a message Congress can't ignore! On Tuesday, February 6, we ask that the Health Center Advocacy Network participate in a Day of Demonstration - Red Alert for Health Centers. There are LOTS of ways to demonstrate and demand immediate action to fix the Health Center Funding Cliff - check out suggested formats here - but at a minimum you can join the demonstration by wearing red in support of health centers and the patients they serve. Make sure to share your pictures and events on social media with the #RedAlert4CHCs hashtag demanding immediate action to fix the cliff. Don't forget to ask your friends, partners, colleagues and others to wear red too. For more information and resources for the Day of Demonstration, here.
HRSA's New Site Visit Protocol Scheduled to Go into Effect This Month 
HRSA's new Health Center Program Site Visit Protocol (SVP), which aligns with the Health Center Program Compliance Manual issued in August 2017, is scheduled to go into effect at the end of January. The new SVP will serve as the tool for assessing health center compliance with the Health Center Program requirements during Operational Site Visits (OSVs) and on-site reviews for initial FQHC Look-Alike Designations.  Read more
CMS Kicks off New Medicare Card Campaign
The Centers for Medicare & Medicaid Services (CMS) has kicked off the New Medicare Card campaign, designed to promote awareness to beneficiaries, their families, caregivers, and advocates, with a reminder to be wary of scam artists and provide tips for protecting themselves. 
What you need to know:
In April 2018, CMS will begin a year-long process of sending Medicare beneficiaries a New Medicare Card that will have a unique Medicare Beneficiary Identifier (MBI), thereby removing the social security number from the Medicare card.    Medicare will automatically mail the new card at no cost to the address on file with Social Security. There's nothing Medicare beneficiaries need to do!  If they need to update their official mailing address, they should contact Social Security Administration by visiting the online my Social Security account .
CMS has materials that you can order FREE of charge and FREE delivery.  If you click on https://www.cms.gov/Medicare/New-Medicare-Card/Partners-and-Employers/Partners-and-employers.html   you will see flyers in English, Spanish, Vietnamese, Japanese, Arabic and Korean that partners can download and print, or click on the link there that lets you ORDER these products.  Instructions on How To Order are available here.   It's an easy 2 step process to open an account, find any Medicare publication, order and it will be shipped to your address on the account!
What we are asking :
We ask your organization to do what it can to help inform and protect people with Medicare.   CMS has provided new resources that you can use.  Below are direct links to the new materials. 
How you can help :
  • Share the resources with your consumers, your colleagues, partners and community.  Email this to your distribution lists!
  • Display a poster
  •  Provide flyers at strategic locations in your office, center, at check-out locations
  • Add Social Media Graphics - see toolkit above
  • Add widget to your signature or website
  • Use the Public Service Announcement (PSA) scripting for any newsletters, bulletins, or public service announcements
  • Share the information at community meetings, staff meetings
If there is additional information you need, or any feedback you can share, contact  debbie.feierman@cms.hhs.gov    
Improving Diabetes Outcomes Toolkit 
As of CDC's 2017 National Diabetes Statistics Report, 30.3 million people, or 9.4% of the total U.S. population, have diabetes. Of these 30.3 million, only 23.1 million are diagnosed-while the other estimated 7.2 million are undiagnosed. Additionally, more than 1 in 3 adults or 84.1 million people in the U.S. have prediabetes. Among adults age 65 and older, nearly half have prediabetes.

According to 2016 UDS data,  an estimated 14.3% of Federally Qualified Health Center patients nationwide have diabetes . Of these 2 million plus patients living with diabetes, approximately 32% have uncontrolled diabetes, with HbA1c equal to or above 9% or have had no test in the prior year.

These numbers illustrate the need for targeted quality improvement and identifying promising practices to address diabetes and the needs of diabetic patients in the health center population.
You can find the full guide here.
The Community Health Center Story 
A new video, Changing Care, Changing Lives: The Community Health Center Story, features interview segments with health center leaders across the U.S. who reflect upon the history, mission and growth of their organizations and the community health center movement as a whole.  View the video to be informed, inspired and proud of the great services that health centers in West Virginia provide.
CMS Update FQHC/RHC Policy Manual 
The 2018 update of Chapter 13 of the Medicare Benefit Policy Manual - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) services - provides information on requirements and payment policies for RHCs and FQHCs, as authorized by Section 1861(aa) of the Social Security Act. This chapter now includes payment policy for Care Management Services in RHCs and FQHCs as finalized in the Calendar Year (CY) 2018 Physician Fee Schedule Final Rule. All other revisions serve to clarify existing policy.  Updated Policy Manual for RHCs and FQHCs.
Calories, Cavities and Kids: The Role of Dental Professionals in Addressing Childhood Obesity
The National Network for Oral Health Access, a HRSA-funded national cooperative agreement is hosting a webinar, Calories, Cavities and Kids: The Role of Dental Professionals in Addressing Childhood Obesity, Monday, Feb. 5 at 2:00 - 3:00 pm EST.  Oral healthcare providers have an excellent opportunity to promote healthy weight in children due to their contact with pediatric patients and conversations with parents about sugar-containing beverages, the single largest category of caloric intake in children. Robin Wright, PhD, Director of the Research and Policy Center of the American Academy of Pediatric Dentistry, will discuss the barriers that prevent oral health professionals from providing interventions related to childhood obesity and offer effective strategies for oral health professionals to address childhood obesity in collaboration with other health professionals.  Register here .   Continuing Dental Education (CDE) credit is available.
Hepatitis C Infection: Updated Information for Front Line Workers in Primary Care Settings 
The National Center for Health and Public Housing is hosting a one-hour webinar on February 14 at 2 PM to discuss Hepatitis C. This webinar will review the ABCs of HCV infection as well as HCV drug therapy management in primary care.

For more information, or to register, click here
New Webinar Opportunity: Cardiovascular Disease in Women and Minority Populations 
The Health Resources and Services Administration (HRSA), Office of Regional Operations, and the U.S. Department of Health & Human Services, Office of the Assistant Secretary for Health - Region 7, are offering a webinar titled Cardiovascular Disease in Women and Minority Populations as part of the Public Health Webinar Series. This one-hour webinar is scheduled for Thursday, February 1 at 12:30 PM. 

The webinar will discuss the following:
1. Differentiate how women and men present with cardiovascular disease (CVD).
2. Analyze how risk factors for atherosclerotic cardiovascular disease (ASCVD) differ in women and  men.
3. Distinguish differences in care patterns and patient outcomes across various populations with CVD (i.e., women, older adults, ethnic/racial groups).

For more information, or to register, click here
Health Center Strategies for Diabetes Screening and Prevention for Children, Adults and the Elderly 
 Many health centers struggle to properly diagnose patients of all ages with diabetes. HRSA-BPHC recently announced a new webinar, scheduled for Monday, January 29 that will focus on diabetes screening and prevention across the lifespan. Presenters will discuss standards of care in screening and prevention for children, adults, and the elderly, sharing experiences from the field. Presenters will also engage participants around case examples of successful diabetes prevention programs, adult clinical treatment, and geriatrics care focused on vulnerable populations of children and adults of all ages. Presenters will connect participants with resources to outreach opportunities and tools they can apply and adapt for their own health centers.

The webinar will begin at 1:00 and will conclude at 1:30 PM EST.
For more information or to register, click here.
Live 5-Part BPHC Compliance Webinar Series offered 
Beginning today, January 23, and ending February 20, NACHC and Feldsman Trucker Leifer Fidell (FTLF) are offering an updated live session of the popular webinar series, The New Health Center Compliance Manual & Its Impact on the Program Requirements.  The series is designed to provide FQHCs with technical assistance on implementation of the manual - and now includes tips for the new Site Visit Protocol, which is BPHC's assessment process beginning January 22, 2018.

(Complete Webinar Series) Health Center Compliance Manual & Its Impact on the Program Requirements Webinar Series
January 23 through February 20, 2018 | 1:00 PM - 2:30 PM ET

Introduction to the Compliance Manual; The Heart of Your Health Center: Need, Services, Service Delivery Model and Continuity of Care (Chapters 3, 4, 6, 7, 8 and 12)
January 23, 2018 | 1:00 PM ET - 2:30 PM ET
Making Care Affordable While Maximizing Reimbursement: The Sliding Fee Discount Program & Billing and Collection (Chapters 9 and 16)
January 30, 2018 | 1:00 PM  
2:30 PM ET
Quality & Personnel Dynamics: Ensuring Appropriate Clinical Staffing to Provide High Quality Care (Chapters 5 and 10)
February 6, 2017 | 1:00 PM ET 
- 2:30 PM
Internal Controls: Managing Your Grant Funds (Chapters 12, 13 and 15)
February 13, 2017 | 1:00 PM  
- 2:30 PM ET

Understanding the Roles of Management & Governance (Chapters 11, 19, and 20); the OSV Process As it Stands Today
February 20, 2017 | 1:00 PM  
2:30 PM ET
340B Updates
New Webinar: Realizing the Full Potential of 340B Pharmacy Benefits 
Sage Growth Partners is offering a one-hour webinar on February 15 from 2-3 PM EST. The webinar will discuss the following:
  • The pros and cons of three approaches to delivering 340B pharmacy services
  • How one FQHC with 21 locations and 180,000 annual medical encounters benefited from using a 'global managed services' model
  • How to select a 340B partner that will best serve your health center and your patients
For more information, or to register, click here

NACHC Launches Office Hours on Pharmacy and 340B Issues - focus on operational issues, not policy

We're excited to be launching monthly "Office Hours" on 340B, on the third Thursday of each month at 2:00 ET, starting Jan. 18.  Please note that Office Hours will focus on operational and technical issues, rather than policy developments.  (For example, this month Sue Veer will discuss the treatment of clinic-administered drugs under 340B, and then we'll have lots of time for Q&A.)  These Office Hours will be a good place to direct people who have specific operational questions   During tomorrow's Office Hours, we will also briefly discuss the operational issues outlined belowTo register; please click here here; also feel free to submit questions in advance  

Mandatory Re-certification Period Will be Feb7 - March 7, 2018
Health   centers are required to recertify the accuracy and completeness of yourinformation on the HRSA 340B database (OPAIS) annually; failure to recertify by the deadline will result in loss of 340B eligibility for at least 3 months. 

New Health Center Sites Can Register Through March 5 to Start 340B Eligibility on April 1
HRSA is again extending the deadline for health centers to register their new delivery sites in order for these sites to become eligible to participate in the program on April 1, 2018.  While other types of providers faced a January 15 deadline, health centers have until March 5 to register.  At this time, health centers should contact Apexus directly to register a new site.  Note that the extended deadlines do not apply to new contract pharmacy arrangements, and that sites registered after the March 5 deadline will not be eligible until at least July 1.
Resources to Aid Care for Veterans 
According to the 2016 UDS, health centers nationally served more than 330,000 veterans; in West Virginia, more than 10,300 received care at an FQHC.  Here are some resources that can assist health centers in caring for veterans.
  • The Community Provider Toolkit assembled by the National Center for Post-traumatic Stress Disorder (NC-PTSD) and the Department of Veterans Affairs (VA) supports behavioral health providers serving veterans and includes information related to how to screen for military service, information and training on military experiences and culture, and how to access benefits and resources.
  • Military Culture Training Curriculum for health care professionals, a partnership between the VA and the Department of Defense (DoD) trains health professionals in providing culturally competent care to veteran populations. The Veterans Health Administration (VHA) has numerous other courses available for clinicians and public health providers focused on topics such as military culture in primary care and PTSD military culture. Learn more about VHA TRAIN .
  • The PTSD Consultation Program  targets providers, especially those practicing in rural communities, who treat veterans with PTSD. The program offers free access to mental health professionals to discuss PTSD-related assessments, treatments, medications, and referral questions.  An expert clinician can be contacted at PTSDconsult@va.gov or 866-948-7880. The typical response time is less than a day.
  • The VA recently launched the Be There campaign, which includes education and outreach to VA employees and community partners to #BeThere for veterans and to take action to help prevent suicide. Health centers are in a position to help veterans who may be at risk for suicide. 
Community Health Center ResourcesCHCresources 
ECRI Institute 
The  ECRI Institute  offers numerous policy templates that can be used as guidance consistent with the needs of community health centers. To take a look at their library of policy templates, click  HERE .
If you are not an ECRI member, creating a free account before accessing these materials is required. ECRI Institute resources are provided for free on behalf of HRSA.

To Access Policies: 
  • From the main page, click on the clinical risk management link on the left hand side of the page
  • Click sample policies and tools listed under tool-kits on left side of page
Click on the + sign to access individual templates.
Tracking and Referral Resources Available at ECRI
ECRI has released a Test Tracking and Follow-Up Toolkit and the Get Safe! Communication Ensuring Care Coordination of the Medically Complex Patient.  All resources are provided for free by ECRI Institute on behalf of HRSA.  If you do not currently have access and would like to set up an account, just email them or call (610) 825-6000.  For those who have already registered on the site, the links will take you to these tools.  

Chief Executive Officer
Chief Financial/Chief Operations Officer
Clinical Consultant
Director of Health Center Operations
John Kennedy  
School-Based Health Coordinator
Staff Accountant
Education & Communications
Member Relations Coordinator
Outreach & Enrollment Coordinator 
Data Analyst
Data Services & Integration  Speci alist
Quality Improvement Coordinator
To sign up to receive the WVPCA Weekly Newsletter, click HERE

Pharmacy change? Action is needed to ensure uninterrupted 340B eligibility
West Virginia Primary Care Association
  1700 MacCorkle Ave. Charleston, WV 25314| (304) 346-0032 | WWW.WVPCA.ORG