June 26 , 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.....

In Southern WV, counties face health care deficiencies 
View the photo, originally from the Charleston Gazette-Mail 

Researchers tackle low colorectal cancer screening rates in W.Va.  
View the article, originally from the 
Dominion Post 

Cavity Country: Rural America has too few dentists and too few patients who can pay
Read the entire article, originally from The Washington Post, here

'Any of us... could be at risk': Suicides increase in state and county
Read the entire article, originally from the   Exponent Telegram 
WVPCA Hosts 2018 CHC Leadership Retreat 
Top Left: Dr. Donovan Beckett; Richard Crespo, PhD;  Kim Barber Tieman; and Brenda Cappellini present a model for chronic care management of high-utilizer patients. Bottom Left: Craig Hostetler leading a discussion on payment reform. Top Right: Participants working in groups. Bottom Right: WVPCA Board President, John Schultz, facilitates a discussion with WV DHHR Cabinet Secretary Bill Crouch and Deputy Secretary Jeremiah Samples.

Thank you to everyone who helped make this year's CHC Leadership Retreat a huge success! Nearly 60 Community Health Center leaders joined together to discuss innovative models in chronic care management, integration of services and payment reform. We are looking forward to the coming year with renewed energy and focus! 
During the sessions, participants heard from a panel comprised of Dr. Donovan Beckett, CEO and Medical Director for Williamson Health & Wellness Center; Brenda Cappellini, Director of Clinical Analytics and Outcomes for the Health Plan; Dr. Richard Crespo, Department of Family and Community Health at Marshall University; and Kim Barber Tieman, MSW, ACSW, Program Director Health and Human Services for the Benedum Foundation, on the topic of Innovative Models: Care Coordination for High Risk Diabetic Patients. Our speakers presented a model for chronic care management of high-utilizer patients that includes community health workers as members of the care management team, as well as strategies for sustainable funding. 
The retreat also featured Craig Hostetler, Principal of the Hostetler Group and Jonathan Watson, Executive Director of the Minnesota Association of Community Health Centers who discussed payment reform options and strategies.
Behavioral health staff and Chief Medical Officers had the opportunity to discuss the integration of behavioral health and primary care. Behavioral health providers also heard from Dr. Scott Fields regarding integration of chronic care into behavioral health and strategies to support chronic care management.
Finally, WV DHHR Cabinet Secretary Bill Crouch and Deputy Secretary Jeremiah Samples joined our group and  discussed DHHR Initiatives and payment reform considerations. 
The WVPCA would like to offer special thanks to our partners for their sponsorship and attendance:  Medline Industries, Inc., Community Health Ventures VIP, and LabCorp.
Connected to Broadband and Health in Williamson, WV
In early June, the community of Williamson launched "Greater Williamson Wi-Fi Weekends" with a ribbon cutting event highlighting free Wi-Fi access for residents and tourists downtown during weekend hours. The initial downtown access point is installed at the Williamson Health & Wellness Center clinic building.

This article was originally published by the Appalachian Regional Commission. To read the full article, click here
Registration Now Open! Quality Improvement Reboot: New Beginnings and Innovation in WV Health Centers
Please join the West Virginia Primary Care Association for a one-day Quality Improvement Workshop. This in-person training will be held on July 17 at Stonewall Resort in Roanoke, WV. 

During the workshop, participants will have the opportunity to utilize the Model for Improvement to discuss and address process and quality improvement challenges facing West Virginia's Community Health Centers.

The training is $125 and Nursing CEs will be available. Registration and additional information is available  here
Tips for Increasing HPV Vaccination Rates 
According to the Center for Disease Control and Prevention (CDC), the human papillomavirus (HPV) causes 32,500 new cases of cancer each year. As a healthcare provider, it is more important than ever to create a culture of immunization in your practice. This means getting your entire health center involved in HPV cancer prevention through effective communication with parents about the HPV vaccine and building systems to ensure your preteens are being vaccinated. The Centers for Disease Control recommend these 5 tips to increase vaccination in health centers:
  1. Recommend HPV vaccine the same way, same day as other adolescent vaccines
  2. Create a culture of immunization in your center
  3. Implement systems to ensure you never miss an opportunity to vaccinate
  4. Share how your family has been vaccinated
  5. Learn how to answer some of parents' most common questions about HPV vaccine
For more information about how to implement these tips please visit https://www.cdc.gov/hpv/hcp/vacc-coverage/5-ways-to-boost-hpv-vaccination-rates.html
Certified Application Counselor Program Refresh
The Certified Application Counselor Designated Organization (CDO) invitations were distributed to West Virginia organizations on Friday, June 8, 2018. 

The process works as follows:
  • CMS sends invitation emails to marketplace contacts currently listed in each CDO's CMS record.
  • This email will include a link to the online application (This link is to a non CMS website).
  • Submit only one application per Organization.
  • CMS will review each application and determine if it meets CAC program requirements. If approved, CMS will send an preliminary approval email
  • The preliminary email will contain a link to the organizational maintenance web form and directions for submitting a signed CMS-CDO agreement.
*make sure pages 1-12 are uploaded correctly. *Have your current CDO number available.
Also all CAC's will receive new CAC numbers from this process as you will get a new CDO number
These are to be completed by June 22, 2018. it is extremely important this deadline is met.
If you incurred any issues in meeting the deadline, please feel free to contact Ruby Piscopo. If you do not receive the invitation please email CACquestions@cms.hhs.gov (make sure to check spam/junk folder first).
Treating Trauma Today Improves WV's Economy Tomorrow 
One challenge that West Virginia faces in moving towards an improved quality of life is having a workforce that is healthy, educated and ready to meet the demands of being a productive citizen. Is that not the dream for all parents? However, our children are encountering adverse experiences in their childhood that are not only creating long-term health and behavioral issues, but limiting their ability to achieve some of the very same dreams their parents may have had. Research has demonstrated that childhood trauma is a major factor in the health, education and overall quality of life determinant. It is important that we focus on building resilience in our children if we are to produce a work force that is capable of creating a good economy. 

In a recent editorial in the Charleston Gazette-Mail, social worker Allison Jackson delves deeper into the subject. To read the article, please click  here
State NewsStateNews
Parent's Guide Released to Assist Families Seeking Insurance for their Children
Attention children's advocates! Please download and use this guide to assist families seeking insurance for their children. This guide was supported by WV KIDS Count, WVU School of Public Health and WVU Rockefeller School of Public Policy and Politics, with underwriting by the Benedum Foundation. 

The two-page publication is available here
Save the Date
West Virginia Webinar and Training Opportunities 
26th  Annual  WV Rural Health Conference
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

Save the Date: 12th Annual Southern Obesity Summit
When: October 22-24
Where: Charleston, WV
WhatThe Southern Obesity Summit (SOS) is the largest regional obesity prevention event in the United States, drawing hundreds of participants from 16 Southern States consisting of Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Mississippi, Missouri, New Mexico, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia and West Virginia.  Together, these states join forces to fight obesity.
National NewsNationalNews
New Funding Opportunity to Expand Access to Quality Substance Use Disorder and Mental Health Services
 On June 15, HRSA announced the availability of fiscal year (FY) 2018 Expanding Access to Quality Substance Use Disorder and Mental Health Services (SUD-MH) supplemental funding. $350 million is available to help HRSA-funded health centers implement and advance evidence-based strategies to:
  • Expand access to quality integrated substance use disorder (SUD) prevention and treatment services, including those addressing opioid use disorder (OUD) and other emerging SUD issues; and/or
  • Expand access to quality integrated mental health services, with a focus on conditions that increase risk for or co-occur with SUD, including OUD.
Applications are due Monday, July 16, at 5:00 p.m. ET. If you are a currently funded health center, please stay tuned for an email with instructions on how to start your application in HRSA's Electronic Handbooks (EHBs).

Visit the SUD-MH Technical Assistance website for more information and contact sud-mh@hrsa.gov with questions.
Preventing Suicide Among Service Members, Veterans, and Their Families: Why We Need to Consider Lethal Means and What We Can Do Webinar | June 28
SAMHSA's Service Members, Veterans, and their Families Technical Assistance Center presents "Preventing Suicides Among Service Members, Veterans, and their Families: Why We Need to Consider Lethal Means and What We Can Do". This two-hour webinar is scheduled for June 28 at 2:00 PM ET

This will serve as the first session in the 
Suicide Prevention Virtual Event Series focusing on strategies to prevent suicide amoung our service members, veterans, and their families (SMVF).  This series will be hosted by SAMHSA's SMVF Technical Assistance (TA) Center, in partnership with the U.S. Department of Veterans Affairs (VA).  These sessions are designed to be both interactive and informative.

As part of the webinar, participants will:
  • Identify strategies for working collaboratively with SMVF for safe storage of firearms and medications
  • Detail successful military culture-informed strategies for working collaboratively with veterans and their loved ones to develop individualized plans for the safe storage of medications and firearms
  • Discuss available resources for veterans and families to minimize risk
The target audience for this training includes representatives serving SMVF from state, territory, and tribal behavioral health systems; community health care providers; suicide prevention coordinators; mental health and addiction peers; military family coalitions and advocates. 

Click here to register for this webinar. 
For questions regarding registration, please contact Philip Paty at (518) 439-7415, ext. 5272, or by email at ppaty@prainc.com
SAMHSA Announced $930 Million Funding Opportunity to Combat the Opioid Crisis
The Substance Abuse and Mental Health Services Administration (SAMHSA), an agency within the Department of Health and Human Services (HHS), is now accepting applications for $930 million in State Opioid Response Grants. SAMHSA will distribute funds to states and territories in support of their ongoing efforts to provide prevention, treatment and recovery support services to individuals with opioid use disorder.

The State Opioid Response Grants aim to address the opioid crisis by increasing access to evidence-based medication-assisted treatment, reducing unmet treatment need and reducing opioid-related overdose deaths. "This large new grant program reflects President Trump's deep commitment to fighting the opioid crisis, and will provide extra support for the hardest-hit states," said HHS Secretary Alex Azar. "It demonstrates the emphasis we place on expanding access to treatment that works, especially medication-assisted treatment with appropriate social supports."
The grants will be awarded to the states and territories using a formula specified in the funding announcement. Fifteen percent of the total funds will be set aside to provide extra support to states that have been hardest hit by the crisis. States and territories will use the grants to design plans and conduct activities across the spectrum of prevention, treatment, and recovery.

These prevention, treatment, and recovery activities represent a comprehensive response to the opioid crisis and include action at the federal, state and local levels. "The State Opioid Response Grants were designed to meet the specific needs of communities within each state and territory," explained Assistant Secretary for Mental Health and Substance Use Dr. Elinore F. McCance-Katz. "The grants will expand capacity to provide much needed evidence-based care to people who haven't yet been reached."

Under President Trump, in April 2017, HHS unveiled a new five-point Opioid Strategy. The Strategy prioritizes efforts in five areas: 1) Improving access to prevention, treatment and recovery support services, including medication-assisted treatment; 2) Promoting the targeted availability and distribution of overdose-reversing drugs; 3) Strengthening public health data reporting and collection; 4) Supporting cutting-edge research on addiction and pain and 5) Advancing the practice of pain management. Over fiscal years 2017 and 2018, HHS will invest over $4 billion in opioid-specific funding, including funds to state and local governments as well as tribal, public, and nonprofit organizations to support treatment and recovery services, target availability of overdose-reversing drugs, train first responders and more.

For more information on how to apply, see
Financial Management Reviews
HRSA's Office of Federal Assistance Management (OFAM) has recently announced that some health center grantees will be subject to Financial Management Reviews (FMRs), with the goal of determining if their policies adequately incorporate HHS' " legislative mandates". These mandates are restrictions on the uses of Federal grant funds which are located in the annual Appropriations Acts. The mandates were signed into law March 23, 2018, and became effective immediately.

To assist health centers in ensuring that they are prepared for an FMR, NACHC -- in partnership with FTLF - has prepared a sample Policy and Procedure that addresses these mandates. This sample P&P along with general background information are available here.
Please contact our office should you have any questions or need any further clarification.
Patient-Centered Medical Home (PCMH) Recognition Quality Awards
Health centers that have PCMH recognition by July 1 of this year may be eligible to receive a 2018 Health Center PCMH Recognition Quality Award. View the table of health centers with a valid PCMH recognition status, and the number of sites with PCMH recognition.

If your health center's PCMH recognition is accurate, you do not need to take action. If it is inaccurate, please submit an update to your PCMH recognition information via HRSA's Electronic Handbooks (EHBs) no later than Friday, July 6. View instructions for submitting an update, including the acceptable forms of required documentation. If you have questions about your health center's PCMH recognition information, contact the HRSA Accreditation and Patient-Centered Medical Home Initiative.
CMS Updates for Health Centers
CMS recently released the following updates:
For health center Medicare questions, contact FQHC-PPS@cms.hhs.gov.
HHS Fact Sheets and FAQs Address Confidentiality Protections for Patients Treated for Substance Abuse Disorder
 The U.S. Department of Health and Human Services (HHS) has issued two fact sheets to help healthcare providers and health information exchange organizations understand how to appropriately access and share the records of patients seeking treatment for a substance use disorder. The fact sheets incorporate the provisions of a 2017 final rule, which updated regulation 42 CFR Part 2 to protect the confidentiality of patients with substance use disorder while supporting information exchange within new healthcare delivery models.

The fact sheets were prepared by HHS's Office of the National Coordinator for Health Information Technology and the Substance Abuse and Mental Health Services Administration (SAMHSA). The rule applies to so-called "Part 2 programs." These programs receive federal funding for the treatment of substance use disorders and are generally prohibited from disclosing information about a patient receiving treatment without the patient's consent. The first fact sheet,
Disclosure of Substance Use Disorder Patient Records: Does Part 2 Apply to Me? depicts different scenarios, such as those involving accountable care organizations and integrated care settings, to help providers determine whether the Part 2 confidentiality provisions apply to them. The second fact sheet, Disclosure of Substance Use Disorder Patient Records: How Do I Exchange Part 2 Data? describes how the updated rule applies to the electronic exchange of healthcare records with a Part 2 program. In a press release, SAMHSA advises that the fact sheets are not a substitute for legal advice and encourages providers to seek additional guidance. SAMSHA also posted with the fact sheets frequently asked questions (FAQs) about the Part 2 rule and HHS's responses.
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
 Debra Boyd
Chief Financial/Chief Operations Officer
Data Services & Integration  Speci alist

Clinical Consultant
Education & Communications
Data Analyst
J ohn Kennedy
School-Based Health Coordinator
Member Relations Coordinator
Director of Health Center Operation
Outreach & Enrollment 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