August 28, 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.....

 State  News


Valley Health recognizes 'Healthcare Heroes'
Read the entire article from the Herald-Dispatch here

Manchin: U.S. health care coverage at a crossroads
Read the entire article from The Journal  here

Dan Foster named Kanawha Valley YMCA's 2018 Spirit of the Valley recipient
Read the entire article from the Charleston Gazette-Mail here .
West Virginia CHCs Receive $2,200,186 in Quality Improvement Awards
Last week, the U.S. Department of Health & Human Services (HHS) awarded $125 million to 1,352 health centers in all U.S. states, territories and the District of Columbia as an investment in quality improvement . The announcement came in the midst of National Health Center Week, the annual celebration of the high-quality, affordable, primary care health centers have been providing for more than 50 years. Awards were given in the categories of EHR Reporter, Clinical Quality Improver, Health Center Quality Leader, National Quality Leader, Access Enhancers, High Value Health Centers, PCMH Recognition and Addressing Health Disparities.  
All West Virginia Community Health Centers received awards in one or more of the following categories:
  • EHR Reporting - 20 awards
  • Clinical Quality Improvement - 21 awards
  • Health Center Quality Leader  - 9 awards
  • National Quality Leader - 1 award
  • Enhancing Access to Care - 10 awards
  • Advancing Health Information Technology (HIT) for Quality - 27 awards
  • Addressing Health Disparities - 3 awards
  • PCMH Recognition - 19 awards
For a list of West Virginia awardees,  click here .
Bluestone Health Center Achieved NCQA PCMH 2017 Recognition 
Congratulations to Bluestone Health Center for achieving NCQA PCMH 2017 Recognition for all four site locations! 

This is a great accomplishment as they applied under the New NCQA Redesigned PCMH Recognition program. As you may know, the redesigned program includes ongoing, sustained recognition status with Annual Reporting instead of a 3-year recognition cycle and concentrates more on performance and quality improvement.
Bluestone Health Center is a non-profit organization operated by Bluestone Health Association, Inc. Since 1979, they have been providing the best healthcare needs to the children and adults in Princeton and surrounding towns.
Wellness Tip of the Week: Do You Get 10,000 Steps a Day?
Getting exercise is important, and walking is one of the easiest ways to rack up "active" minutes. The only things you need are a comfortable pair of shoes and time.

A brisk walking pace should equal 3,000 steps in 30 minutes, according to a study published in the American Journal of Preventive Medicine. At that rate, to get the often-recommended 10,000 steps per day, you'd have to dedicate roughly an hour and a half of your day to walking. That may feel like a challenge for people with busy lives and jobs that require sitting for most of the day.

So, where did the 10,000-steps-per-day recommendation come from, and is it really that important?

The 10,000-step goal wasn't created by a health organization or through extensive research. According to Harvard Medical School, it gained notoriety in Japan during the mid-1960s when a company created a pedometer with a name that, roughly translated, means "10,000 steps meter." In other words, the number was chosen in part because it had a catchy name.

Science has not found anything magical about the number 10,000. In fact, according to a study published in the journal International Journal of Behavioral Nutrition and Physical Activity, healthy adults can take anywhere from 7,000 to 13,000 steps per day. 

The number that is magical, at least according to health organizations such as the American Heart Association and the Centers for Disease Control and Prevention, is 150 - the number of minutes of moderate physical activity you need every week. You can easily exceed that number with a daily, 25-minute, briskly paced walk.

If you are looking to see if 10,000 steps a day is a goal you can reach, get a simple pedometer or a smartphone app with a step counter that can tell you how many steps you average every day. After a week, you can see what your daily average is and use that number to set an achievable goal, whether that's 10,000 steps a day or something even higher.
Assister Coalition Meetings Kicking Off  for OE 6 
The West Virginia Primary Care Association invites Certified Application Counselors and Navigators to attend the September Assister Coalition Meeting on September 11. The meeting will be held at the WVPCA offices and via WebEx and will begin at 10"00 AM. 

This meeting will provide both federal and state updates. It will give assisters and partners an opportunity to discuss and share ongoing efforts and strategies for OE6.

For more information, or to register, click here or contact Ruby Piscopo at 304.346.0032.
Mental Health First Aid
If we are honest with ourselves, being an adolescent or a young adult today is more difficult than in previous generations. Social media alone has added many challenges to growing up such as counting the number of "likes" someone else gets, checking out who is on others' friends list and even being the victim of online bullying. Often, when we think about school-based health centers (SBHC), we think physical health, but providers today also engaging our students about their mental health. We recognize that physical and mental health are intertwined and so SBHCs work diligently to address these needs.

The West Virginia Primary Care offers Youth Mental Health First Aid Training to our SBHCs to help address these needs. YMHFA is designed to teach not only providers and health center staff, but also parents, caregivers, teachers, school staff, how to help an adolescent who is experiencing a mental health challenge or is in crisis. YMHFA is designed for adults who regularly interact with young people. The course introduces common mental health challenges for youth, reviews typical adolescent development, and teaches a 5-step action plan for how to help young people in both crisis and non-crisis situations. Topics covered include anxiety, depression, substance use, disorders in which psychosis may occur, disruptive behavior disorders (including AD/HD), and eating disorders. Mental Health First Aid is an evidenced based public education program and prevention tool. While improving the public's knowledge of mental health problems it also connects people with care for their mental health problems.

The WVPCA is committed to providing Youth Mental Health Training to our SBHCs and their schools to better meet the growing challenge of the needs our students are facing. To find out more about how this training can be provided to you, please contact John Kennedy at the West Virginia Primary Care Association or by emailing him at
State NewsState
Prescribers for Medicaid Members Must Register with West Virginia Medicaid
On and after October 17, 2018, West Virginia Medicaid will begin to deny all claims for prescriptions written by any prescriber not enrolled with West Virginia Medicaid. This includes hospital residents and interns, advanced practice nurse practitioners, physician assistants and pharmacists who administer vaccines.   Even though the facility you are employed by (clinic, hospital or pharmacy) is currently enrolled, individual prescribers must also be enrolled. Failing to enroll with West Virginia Medicaid as a prescribing provider could cause serious consequences for your patients.

The requirement for prescribers to enroll is a provision of the Patient Protection and Affordable Care Act of 2010. All prescribers serving Medicaid patients MUST enroll and their name and national provider identifier (NPI) must be recorded on claims for prescription medications submitted for Medicaid members on and after October 17, 2018. Providers may enroll as a billing provider or an "ordering, referring, or prescribing" (ORP) provider." "ORP only provider" is a category for prescribers who write orders, refer, or prescribe medications, but do not actually submit claims to Medicaid for their services. "ORP only providers" may not bill Medicaid for services.

If you are not already enrolled, you may go to the website of the West Virginia Medicaid claims processor, Molina Medicaid Solutions, at and enroll online as a billing provider or as an "ORP only provider." The quickest enrollment option is the ORP-only online application process, if applicable. Provider application approval is 5 days from receipt of a completed application. All required documentation can be uploaded to the portal.

A paper application can be requested by calling Molina Provider Enrollment at 888-483-0793.

To prevent interruptions in Medicaid members' access to needed prescription medications, prescribers must make sure they are enrolled with West Virginia Medicaid.
For questions, please contact Molina Provider Enrollment at 888-483-0793 or the Molina Pharmacy Help Desk at 888-483-0801.
West Virginia Webinar and Training Opportunities 
Social Work License Exam Prep Course
When: September 8-9
Where: Charleston, WV
What: Join Dr. Sophia Dziegielewski through the National Association of Social Workers, West Virginia Chapter for a Social Work License Exam Preparation Course.  

For more information, visit For information call 304.345.6279 or email:

2018 WVGS Scientific Assembly
When September 13
Where: University of Charleston
What: Registration is now open for the 2018 WVGS Scientific Assembly, "Caregiving: Challenges and Solutions." This conference is planned for an interdisciplinary audience of healthcare professionals, including physicians, nurses, pharmacists and social workers.  Registration is available here

26th Annual WV Rural Health
Conferenc e
When: October 17-19
Where : Pipestem State Resort
WhatThis conference features national and state best practices speakers, provides continuing education to physicians, attorneys, nurses, social workers, pharmacists, dentists, community health educators and others, and is an unparalleled opportunity to network with others interested in improving rural health care in West Virginia.  Registration is available  here

Appalachian Addiction & Prescription Drug Abuse Conference
When: October 18-20
Where : Embassy Suites in Charleston
What: Registration is available here

Southern Obesity Summit 
When: October 22-24
Where: Charleston, WV 
What The Southern Obesity Summit (SOS) is the largest regional obesity prevention event in the United States, drawing hundreds of participants from 16 Southern States.  12.5 Continuing Education Credits for Physician, Nursing, Dietitian, Social Work and CHES are available. 

How: Registration is available at
National NewsNational
PCMH Self-Assessment Tool (2017) Available
For those centers who will be applying for NEW 2017 PCMH Recognition, please know that HITEQ has developed this 2017 Patient Centered Medical Home self-assessment that is intended to help health centers gauge their readiness for meeting the

If you are just beginning or ready to begin, please plan for 3 to 12 months to implement transformation processes. 

Please contact Shannon Parker at with any questions!
Are You Ready to Submit for the 2018 Medicaid Promoting Interoperability (PI) Program?
Here are a few quick tips to prepare for  reporting:
  1. Review the Medicaid PI requirements for 2018 Modified Stage 2 or Stage 3 here.
  2. Verify your provider's eligibility here
  3. Run your Core Objective and Clinical Quality Measures (CQM) reports and compare them to the performance threshold requirements here
  4. Update your Security Risk Assessment and meet other Yes/No attestation measures. For Modified Stage 2 and Stage 3:  Eligible professionals (EPs) must attest YES to conducting or reviewing a security risk analysis and implementing security updates as necessary and correcting identified security deficiencies to meet this measure.
Below is additional information for reporting in 2018:
  • Option to attest using EHR technology certified to the 2014 edition, 2015 edition or a combination of the two.
Reporting Period
    • Core Objectives - 90 continuous days between Jan. 1, 2018 and Dec. 31, 2018
    • CQMs -  Full Year.  (All EPs in their first year of meaningful use have a CQM reporting period of any continuous 90 days.)
Program Requirements
  • 10 core objective measures
  • 12 CQM requirements (6 Attestation; 6 Electronically)
  • Option to attest using EHR technology certified to the 2015 edition or a combination of the 2014 and 2015 CEHRT editions, if the EHR technology can support the functionalities, objectives and measures forStage 3.  A provider who has technology certified to a combination of the 2015 Edition and 2014 Edition may potentially attest to the Stage 3 requirements, if the mix of certified technologies would not prohibit them from meeting the Stage 3 measures. A provider who has technology certified to the 2014 Edition may not attest to Stage 3.
Reporting Period
  • Core Objectives - 90 continuous days between Jan. 1, 2018 and Dec. 31, 2018
  • CQMs - Full Year.  (All EPs in their first year of meaningful use have a CQM reporting period of any continuous 90 days.)
Program Requirements
  • 8 core objective measures
  • 12 CQM requirements (6 Attestation; 6 Electronically)
The deadline to submit has been extended to March 31, 2019.  Please contact Shannon Parker at with questions.
Community Health Center ResourcesResources
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 PatientAll 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
Data Services & Integration  Speci alist

 Jennifer Boyd  PA-C, PCMH-CCE Clinical Consultant
Education & Communications

 Warne Dawkins, MBA
Health Data Analyst
J ohn Kennedy
School-Based/Behavioral Health Coordinator

Member Relations Coordinator
Shannon Parker, 
Director of Health Center Operations

Special Programs Coordinator
Staff Accountant
Clinical Quality Improvement Coordinator
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West Virginia Primary Care Association
  1700 MacCorkle Ave. Charleston, WV 25314| (304) 346-0032 | WWW.WVPCA.ORG