April 9 , 2019
  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


Cigna launches program to cap out-of-pocket insulin costs at $25/month
Read the entire article from Reuters here

Rideshare plan for those in addiction recovery coming to Cabell
Read the entire article from the Herald-Dispatch here

West Virginia Family Health elects not to renew its West Virginia Medicaid contract
Read the entire release from DHHR  here
Get Ready for National Infant Immunization Week - April 27-May 4!
This year marks the 25th anniversary of National Infant Immunization Week (NIIW)! 

From April 27-May 4, 2019, NIIW will highlight the importance of protecting infants from vaccine-preventable diseases and will celebrate the achievements of immunization programs in promoting healthy communities through the United States.
In advance, a variety of materials have been created in the newly launched 2019 NIIW digital media toolkit which includes the following:
  • Sample NIIW announcements and social media content including graphics
  • Links to multimedia materials - including animated videos, posters and info-graphics
  • Links to updated immunization slide decks for clincians
  • Details about the #ivax2protect Twitter Storm on April 30th and the Instagram Q&A event on May 2nd
A planning webinar was held on March 12 and archived here discussing resources, CDC digital events and ways to develop partnerships.

Additional information is available by emailing childhoodvaccines@cdc.gov
Registration Open for WV CHC Athena User Group Virtual Office Hours Webinar
The West Virginia Primary Care Association (WVPCA) is pleased to announce the next meeting of the WV CHC Athena User Group on Friday, April 12 at 1:00 PM. Participants will have the opportunity to discuss current system issues and future system considerations while partaking in peer-to-peer learning. Chris Perry, Athenahealth Customer Service Manager, will also be attending the User Group Meeting and providing system update information and discussion of current system conditions. This webinar is for Administrative, Billing/Financial, Clinical and Quality staff from CHCs who utilize Athena. 
Registration for this one-hour webinar is available here .

Please note - our registration process has changed and is now exclusively online. If you experience any difficulty with the registration process, please contact the WVPCA at 304.346.0032.
Connections Matter Training a Success

The West Virginia Primary Care Association (WVPCA) is excited to share the outcomes from last week's Connections Matter® training, which was held in partnership with the WV ACEs Coalition and the Claude Worthington Benedum Foundation.  This initiative is a research-driven, evidence-informed, strength-based community engagement and awareness training designed to foster meaningful social supports and develop resiliency among children, families and communities utilizing trauma-informed prevention and care approaches associated with Adverse Childhood Experiences (ACEs).

Among the nearly 60 training participants, 22 were from Community Health Centers across the state and also included John Kennedy, the WVPCA's School-Based Health and Behavioral Health Coordinator. Congratulations to these individuals who are now certified trainers of the Connections Matter Program.  These individuals will now be facilitating Connections Matter trainings in their own health centers and communities. There was energy and excitement from these trainers to begin implementing this program that promotes caring connections as the foundation for developing healthy brains, supportive relationships and strong communities.

In his role at the WVPCA, John Kennedy coordinates the development and advancement of school-based health and behavioral health services. John is also available to provide Connections Matter training at your health center. Please contact John at John.Kennedy@wvpca.org for more information about this program! 
State NewsState
15th Annual HIV in WV Conference Registration Now Open!
Join the MidAtlantic AIDS Education and Training Center for the 15th Annual HIV in WV Conference on Friday, May 10 at Stonewall Resort in Roanoke, WV. This training is targeted to physicians, physician assistants, nurse practitioners, advance practice nurses, social work and ancillary team members.  The one-day training will focus on the past, present and future of HIV. For more information, click here
Mark Your Calendars - Events/Trainings Across WV
Mid-Atlantic AIDS Education and Training Center Training Opportunities 

When: HIV Care, Prevention and Reproductive Choices for Women (South Charleston) |  April 10 8:30 AM - 4:30 PM  | Registration information available  here
When HIV Care, Prevention and Reproductive Choices for Women (Beckley) |  April 11 8:30 AM - 4:30 PM  | Registration information available  here

ER/LAOpoid REMS: Achieving Safe Use While Improving Patient Care Training

When April 25 in Bridgeport, WV; May 16 in Parkersburg, WV; May 23 in Elkins, WV; and June 13 in Wheeling, WV
Important Information: This program has been approved by the WV Board of Medicine and the WV Board of Osteopathic Medicine.

Registration: Contact Donna M.
Steigleder, (304) 462-6292.

Alzheimer's and Dementia Care ECHO Program

When: Every other Thursday beginning May 9, 2019 12-1 PM CST
Whoclinician, (physician or NP)and other care team members (e.g., PA, social workers, care coordinators, medical assistants, etc.).
RegistrationThis ECHO Program is hosted by the Alzheimer's Association and is an innovative distance - learning model to build workforce capacity and improve access to specifically care in local communities. For more information, click here

Community Healthcare Planning and Response to Disasters

When: June 18-19 at Cedar Lakes Conference Center in Ripley, WV
WhoThe West Virginia Division of Homeland Security and Emergency Management and Jackson County Health Department are coordinating an educational training, Community Healthcare Planning and Response to Disasters. 
RegistrationFor more information, click here
National NewsNational
2019 UDS Changes Webinar Scheduled for May 9
This webinar will provide an overview of the major changes for calendar year 2019 UDS data collection and reporting activities (to be reported Feb. 2020). The one-hour webinar begins at 1:00 PM EST. 

Target Audience:
  • Health center staff involved in the collection and reporting of UDS
  • Staff engaged with homeless programs and housing status
  • HIT/electronic health record (EHR) and data analytics staff
  • Clinical quality staff using nationally recognized eCQMs for clinical reporting
  • Staff engaged in provider trainings and with staff satisfaction (e.g., Human Resources staff)
  • System vendors
For additional information and to access the May 9 webinar, click here
Service Area Considerations Request for Information Available for Preview
HRSA is pleased to announce the release of the Health Center Program Service Area Considerations Request for Information (RFI). HRSA seeks input from the public on service area considerations that may inform HRSA decisions regarding Health Center Program expansion through an existing health center's addition of new service delivery sites.
These considerations include factors such as:
  • Parameters for unmet need;
  • Proximity;
  • Reasonable boundaries for the service area;
  • Consultation with other local providers;
  • Demonstrated capacity and performance in existing service area; and
  • Ensuring patient input/representation.
The Service Area RFI announcement will begin with a 30-day preview period. Instructions on how external stakeholders may submit feedback are forthcoming. Following the preview period, HRSA will accept public feedback for 60 days and plans to announce those details in a future Primary Health Care Digest newsletter. We look forward to receiving your feedback.
HEP Talks - Ideas on Viral Hepatitis Webcast
In recognition of Hepatitis Awareness Month (May) and Hepatitis Testing Day (May 19), HRSA will host "HEP Talks." Like TED Talks, these will be condensed and informative presentations focused on emerging and important viral hepatitis topics. Each session features a brief talk by a viral hepatitis expert followed by an opportunity for discussion and questions.

Hepatitis B Testing 
Robert Gish, a physician and leader in clinical research on viral hepatitis, will discuss best practices for hepatitis B testing and high-priority populations for screening. Dr. Gish serves as consulting faculty at La Maestra Community Health Services, a HRSA-funded health center in San Diego, and was featured as a speaker on HRSA's Perinatal Hepatitis B ECHO. 

Thursday, May 2  | 3:30-4:15 p.m. ET 
Call-in: 888-469-1381  | Passcode: 5689947

Hepatitis C and the Opioid Epidemic
Richard Moore II, a family practitioner and Director of HIV and Viral Hepatitis Programs for the Rural Health Group in North Carolina, will discuss hepatitis C treatment strategies for people who inject drugs. 

Thursday, May 16  | 3-3:45 p.m. ET 
Call-in: 888-566-5776 | Passcode: 3578414

Hepatitis C and the Cure 
Gish (also featured in the May 2 session) will discuss the role of primary care providers in treating and curing chronic hepatitis C. 

Thursday, May 23  | 3:30-4:15 p.m. ET 
Call-in: 888-324-9560 | Passcode: 5646605

Hepatitis B and Perinatal Transmission 
Amy Shen Tang, a primary care internist and Hepatitis B Program Director at Charles B. Wang Community Health Center in New York, will discuss preventing perinatal transmission of viral hepatitis and treating chronic hepatitis B during pregnancy. She was a featured speaker on HRSA's Perinatal Hepatitis B ECHO. 

Thursday, May 30 | 3:00-3:45 p.m. ET 
Call-in: 888-324-9560 | Passcode: 5646605
2019 Uniform Data System Approved Program Assistance Letter Released
 HRSA has released the Program Assistance Letter (PAL) to highlight approved changes to the Uniform Data System (UDS) for calendar year 2019. The approved changes in this PAL include:
  • Updating quality of care measures to align with CMS electronic-specified clinical quality measures (eCQMs)
  • Adding mental health and substance use disorder tables by provider
  • Adding a column in Table 5: Staffing and utilization to capture virtual visits
  • Removing Table 5A: Tenure for health center staff
  • Replacing coronary artery disease measure with statin therapy for the prevention and treatment of cardiovascular disease
  • Revising Appendix D: Health center electronic health record capabilities and quality recognition
  • Adding Appendix F: Workforce
Health Center Program awardees and look-alikes will use the reporting changes detailed in the PAL for reporting data beginning January 1, 2020. The 2019 UDS Manual, which we expect to release this spring, will include additional details regarding these changes.
Funding Opportunities
Oral Health Infrastructure

HRSA announces the availability of $76 million in one-time supplemental funding for Oral Health Infrastructure to support health center infrastructure enhancements that will increase access to new or enhanced high-quality, integrated oral health services, including those provided via telehealth and virtual dentistry.  Organizations currently receiving Health Center Program operational grant funding are eligible to apply for up to $300,000. 
Applications are due in Grants.gov by Monday, April 22 (11:59 p.m. ET) and HRSA's Electronic Handbooks by Tuesday, May 21 (5:00 p.m. ET). 
For more information, please:
If you have questions, contact the OHI
Technical Assistance Team

Small Health Care Provider Quality Improvement Program

Applications are due by Monday, April 22
for a HRSA 
Notice of Funding
  that will support up to 32
public or private nonprofit health care
providers located in rural areas to improve
patient care in their communities. 

HRSA expects to invest approximately $6.4 million for this program which aims to improve the quality of rural health care through an evidence-based approach to primary care that has proven effective in rural areas. 

FY 2019 Integrated Behavioral Health  Services (IBHS)

The fiscal year (FY) 2019 Integrated Behavioral Health Services (IBHS) funding opportunity is a non-competitive supplement for organizations currently receiving Health Center Program operational grant (H80) funding. IBHS funding will help health centers increase access to high quality, integrated behavioral health services, including the prevention or treatment of mental health conditions and/or substance use disorders (SUDs), including opioid use disorder.

Applicants must propose to:
  • Add at least 0.5 SUD and/or mental health service personnel full-time equivalent (contracted and/or direct hire) within 8 months of award to support expanded services; and
  • Increase new and/or existing patients receiving SUD and/or mental health services, as reported in the 2020 Uniform Data System (UDS) report.
For more information, click here

Opioid Workforce Expansion Program - Professionals and Paraprofessionals

HRSA is accepting applications for the FY
2019 Opioid Workforce Expansion
Porgram (OWEP)
Professionals and
Paraprofessionals funding

Apply on Grants.gov by Tuesday, May
7. HRSA anticipates awarding $39.3
million for approximately 29 OWEP for
Professionals awards and $29.8 million to
fund about 33 OWEP for Prarprofessionals
Webinar/Training Opportunity Reminders
Oral Health Infrastructure Toolkit Webinar

When: April 12 | Noon EST
Important InformationIn support of the Oral Health Infrastructure (FY19) funding opportunity, the National Network for Oral Health Access (NNOHA) has developed a toolkit as a guide for health centers in their efforts towards infrastructure enhancements to provide new or enhance existing integrated oral health services. 
RegistrationTo register, click here

HITEQ Highlights: Growing and Sustaining Data Driven Culture

This one-hour training is hosted by HITEQ, a HRSA-funded NCA  and will be available on  Tuesday, April 23  beginning at  3:00 p.m. ET . 

Registration Available for 3 HRSA  Grants Management Workshops

When: April 16-17, at HRSA's headquarters, located in Rockville, Md. Limited to 200 active HRSA grantees.

An Atlanta, Ga.,  Regional Grants Management Workshop is  May 15-16. Limited to 100 active HRSA grantees.

For more information, reach out to the workshop staff at  HRSAGrantsWorkshop@hrsa.gov .
Community Health Center ResourcesResources

By Justin M. Harrison, Esq.
This month's Legal Minute with Jackson Kelly PLLC picks up with the most difficult aspect of the employment relationship: the discharge.
Inevitably, every employer has to confront a painful reality -- some employment relationships cannot be salvaged. You have an employee whose performance is unsatisfactory, or perhaps he engaged in misconduct. You have chosen to terminate the employment relationship. What happens next?
First, you want to document the discharge decision. Why are you terminating the employment relationship? I usually encourage employers to prepare a discharge letter and give it to the employee during the discharge meeting. The reason is twofold: (1) You want to have a record of why the decision was made; and (2) you want to be able to give the employee something tangible for their records as well. I've had some clients over the years who try to avoid this. They believe that if you're terminating someone's employment, and that person is employed at-will, then you don't have to provide the employee with a reason. Technically, that's true. But if you don't tell someone why you're terminating their employment, they will come up with their own reason - and it's going to sound a lot like retaliation, discrimination, etc.
Second, give some consideration to when you're going to carry out the discharge meeting. If it's simply a performance issue, you're likely better off waiting until the end of the work day, and probably the end of the work week. If the issue involves misconduct like harassing or threatening behavior, then the discharge meeting should happen reasonably soon after the discharge decision is made. If the employee has not been suspended, you don't want that person continuing to appear for work after the discharge decision has been made.
Third, who will participate in the discharge discussion? Ideally, you will have two people meeting with the employee. One person should be an authority figure - typically a supervisor or manager, or maybe your human resources director. That individual should take the lead on the discussion and relaying the discharge information. The second person will serve as a witness and should take notes of the meeting.
Fourth, you should plan what you're going to say during the discharge meeting. The information that you share should be factual (e.g., "We have chosen to terminate your employment because of concerns regarding your performance."). You want to avoid debating the employee or making the employee feel unnecessarily bad about the encounter. Most employees will want the meeting to end as soon as possible. Some will want to vent a bit and that's ok. Listen. Take notes. But be firm in the information that you're relaying.
If the employee is acting professionally about their departure, allow them an opportunity to retrieve their personal belongings. If the employee is upset or acting inappropriately, ask him to leave the premises and you can forward their personal belongings to him at a later date.
These are just basic guidelines. Every discharge situation is unique, so it's important for employers to understand the process, rationale, and personalities that are involved in each discharge scenario. Some situations will be more complex and difficult to manage, but a little forethought and planning will help avoid aggravating an already uncomfortable encounter.


Justin M. Harrison is a labor & employment lawyer at 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 you can follow him on Twitter @wvhrlawyer.
Jackson Kelly PLLC
The WVPCA has retained the law firm of Jackson Kelly, PLLC to provide legal guidance to the WV Primary Care Association and its members.
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.  
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.

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
To sign up to receive the WVPCA Weekly Newsletter, click HERE
West Virginia Primary Care Association
  1700 MacCorkle Ave. Charleston, WV 25314| (304) 346-0032 | WWW.WVPCA.ORG