July 10 , 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.....

More Nurse Practitioners are pursuing residency training to hone skills 
View the article from WV Public Broadcasting here.

Health at the heart of 3rd District 
View the column from the Register-Herald  here

New WVU program aims to increase patient access and high paying jobs
View the article from MetroNews  here

Insurers likely to expand ACA exchange participation
View the article from Modern Healthcare  here
WVPCA Selected for PRAPARE Train the Trainer Academy 
The West Virginia Primary Care Association and two WV Health Centers - Williamson Health & Wellness Center and Valley Health Systems - are pleased to announce that they have been chosen by the National Association of Community Health Centers (NACHC) to participate in Round 2 of the PRAPARE Train the Trainer Academy. The Academy will consist of free training and technical assistance to implement the Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences (PRAPARE) in the chosen health centers. Along with the training and technical assistance from NACHC, the WVPCA and health center staff will have the opportunity to learn from health centers and PCAs across the country who have successfully implemented PRAPARE. Health Centers and PCAs are using the data to define and document the increased complexity of their patients, transform care with integrated services and community partnerships to meet the needs of their patients, advocate for change in their communities, and demonstrate the value they bring to patients, communities, and payers. The Academy will be a year-long learning and implementation program with the goal to assist other West Virginia Health Centers with PRAPARE assessments and utilizing the data to improve outcomes.

PRAPARE is a national effort to help health centers and other providers collect the data needed to better understand and act on their patients' social determinants of health. As providers are increasingly held accountable for reaching population health goals while reducing costs, it is important that they have tools and strategies to identify the upstream socioeconomic drivers of poor outcomes and higher costs.

PRAPARE has been a multi-year effort between NACHC, the Association of Asian Pacific Community Health Organizations, the Oregon Primary Care Association, and the Institute for Alternative Futures, along with a group of pioneer health centers and health center networks in Hawaii, Iowa, New York, and Oregon. PRAPARE was supported with funding from the Kresge Foundation, the Blue Shield of California Foundation, and the Kaiser Permanente Nation Community Benefit Fund at the Easy Bay Community Foundation.
Last Chance to Register!  Quality Improvement Reboot: New Beginnings and Innovation in WV Health Centers
Seating is limited for the West Virginia Primary Care Association's 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
The Impact of ACEs on Education 
The research on the impact of adverse childhood experiences on one's health is becoming more prevalent as time progresses. What is less talked about is the research that continues to demonstrate that adverse childhood experiences can disrupt many aspects of a child's development such as brain development, and cognitive functioning besides limiting social and emotional functioning which leads to a great degradation of educational performance.

ACEs are often the root cause of serious learning disabilities. According to Child Welfare Information Gateway, "For educators, students who have experienced multiple adversities can be more difficult to engage consistently, require additional supports and often need more attention thus reducing instructional time for other students." The long term effects are also documented. For instance, students with three or more ACEs are 2.5 times more likely to fail a grade. How many of our students here in West Virginia are failing a grade due to ACES? To read more about this subject, click here:  Education Brief: ACEs for Educators and Stakeholders.
What We're Reading
In "These Kids Are Watching Their Parents Die", The Nation examines the opioid crisis through the lens of some of its most vulnerable victims - children. Focusing on a grade school in Ravenswood, West Virginia, this article highlights the personal and educational challenges children are facing in the midst of the nation's opioid crisis. 
Updated Links: 2019 Certified Application Counselor and Non-Navigator Assister Certification Training is Available Beginning July 9, 2018
The Health Insurance Marketplace invites Certified Application Counselors and other non-Navigator assisters to take the 2019 Assister Certification Training beginning yesterday, July 9, 2018. 

The training is hosted by the Marketplace Learning Management System (MLMS); the online web-based training platform for assisters providing application and enrollment assistance to consumers in Federally-Facilitated Marketplaces (FFMs), including State Partnership Marketplaces (SPMs), and certain State-based Marketplaces using the Federal platform (SBM-FPs).  The training can be accessed through the CMS Enterprise Portal.
We hope that you are able to participate in the Wednesday, July 11 webinar at 2pm ET on the 2019 training and certification requirements. You can view the webinar slides here:  https://marketplace.cms.gov/technical-assistance-resources/training-materials/introduction-to-assister-training.pdf. 

You can find training presentations and additional resources, such as Frequently Asked Questions (FAQs), and MLMS Quick Reference Guides at the following link:  https://marketplace.cms.gov/technical-assistance-resources/training-materials/training.html.

Note: As a result of the Certified Application Counselor Designated Organization (CDO) Refresh[1], all CDOs assisting consumers for Plan Year 2019 will be assigned a new organizational designation ID. CDOs have been instructed to discontinue use of their old CDO IDs and use their newly issued CDO ID for official purposes moving forward (to generate and issue CAC IDs, take the annual certification training, and enter on the Marketplace Application when assisting consumers).

CACs should wait to take the 2019 CAC training until they have been issued their new CAC ID number by their organization. CACs should enter their new CAC ID number as the username on the MLMS training registration page. CACs in good standing may continue to assist consumers while awaiting their new CAC ID number.

For additional assistance with questions on the MLMS assister training, please submit inquiries to MLMSHelpDesk@cms.hhs.gov.  For assistance with CAC program questions, submit inquiries to CACQuestions@cms.hhs.gov. For assistance with Navigator program questions, submit inquiries to your CMS project officer.

[1] CMS is currently refreshing the CAC program by implementing an enhanced application and renewal process. The new application process will promote better engagement with our CDOs and provide the assister community with an improved user experience. ALL existing CDOs must reapply to continue participation in the CAC Program. Organizations that fail to reapply during the CAC Program re-application window will be de-designated as CDOs and will not be permitted to certify CACs or assist consumers. To learn more about the CAC Program, click here. To learn more about the CDO Refresh, click here.

For more information, or local assistance, contact Ruby Piscopo at 304-346-0032.
State NewsStateNews
Registration Open for 2018 WVGS Scientific Assembly
Registration is now open for the 2018 WVGS Scientific Assembly, "Caregiving: Challenges and Solutions." The Assembly will be held on Thursday, September 13 at the University of Charleston. This conference is planned for an interdisciplinary audience of healthcare professionals, including physicians, nurses, pharmacists and social workers,

Exhibitor opportunities available and Poster Competition.  For more information, visit www.wvgeriatrics.org to view the announcements or download from the website. 

View the brochure 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
Medication-Assisted Treatment for Opioid Use Disorder Resource
The ECRI Institute recently shared the below information regarding Medication-Assisted Treatment for Opioid Use Diisorder.

"Opioid use disorder and opioid overdose have escalated into a complex, widespread-and increasingly deadly-public health crisis.

However, there is reason to be cautiously optimistic: evidence-based approaches, such as medication-assisted treatment (MAT), have been shown to improve patient outcomes.

While the need for MAT has never been greater, access has been difficult or impossible for many individuals. Federally qualified health centers play a vital role in addressing the opioid crisis, including providing MAT to patients who are medically underserved, geographically isolated, and vulnerable-all of whom are at greater risk of opioid use disorder.

Health centers and free clinics that have MAT programs, or that are considering developing an MAT program, can use this Practice Alert to balance increased access to much-needed treatment with processes that also support patient safety and risk management."
CDC: High-Risk Patients Not Tested for HIV Often Enough, 2006-2016
 Between 2006 and 2016, patients from high-risk populations were not being tested for HIV infection as often as Centers for Disease Control and Prevention (CDC) guidelines recommend, according to an article in the June 22, 2018, issue of Morbidity and Mortality Weekly Report.

Since 2006, CDC has recommended that all patients ages 13 to 64 years be screened for HIV infection routinely, and that those at high risk be screened at least once per year. High-risk populations include persons who inject drugs, and their sex partners; persons who exchange sex for money or drugs; sexual partners of those who are HIV infected; sexually active gay, bisexual, or other men who have sex with men; and heterosexual persons who either have had-or have a sex partner who has had-more than one sex partner since their most recent HIV test. The median interval between testing across all populations with recent HIV risk was 512 days. However, patients with recent risk of HIV infection were more likely to have ever been tested at all, and also to have been tested more recently than patients who are not considered at high risk. The longest median interval between screenings was for patients with no recent HIV risk, at 1,360 days, while the shortest median interval was for women at high risk, at 416 days. Men who have sex with men had a median interval of 459 days, and other high-risk men had a median interval of 610 days.

Health centers and free clinics can access a
Test Tracking and Follow-Up Toolkit on the Clinical Risk Management website, including an Algorithm for Outpatient Testing Process, a sample policy for Reporting Test Results , as well as a Test Tracking Log for Physician Practices, as well as resources for reporting critical test results.
New Categories of Outpatient Services Eligible for NHSC Funding 
The National Health Service Corps (NHSC) received $105 million for future NHSC Loan Repayment Program awards that expand and improve access to quality opioid and substance use disorder treatment in rural and underserved areas.
New categories of outpatient services may be eligible for funding. NHSC-approved sites are eligible to opt-in if your site provides any of these services:
  • General Substance Use Disorder Treatment
  • Medication Assisted Treatment (MAT)
  • Opioid Treatment Program (OTP)
To opt-in and take advantage of this opportunity, submit an inquiry through your Customer Service Portal account with the following:
1. From your sites list, select the site you want to opt-in for this program.
2. Submit an inquiry with the following parameters:
  • Category: Substance Use Disorder (SUD) Documentation
  • Subject: Opt-in SUD Expansion
3. Upload the required documentation related to the type of SUD program your site offers. If your site has not already provided a Behavioral Health Checklist*, you must submit one at this time.
4. If you have multiple sites, repeat these steps for each you want to opt-in; you must submit a separate inquiry for each site.
The deadline to upload this information is Tuesday, July 10, 2018 at 11:59 p.m. ET. If you have additional questions, submit an inquiry through the Customer Service Portal.
* Auto-Approved Sites are not required to complete a checklist. Auto-Approved Sites include:  Federally Qualified Section 330 Community Health Centers, Indian and Tribal Unit Facilities, Federal Bureau of Prisons Facilities, and Federal ICE Facilities.
Webinar Opportunities 
Medicaid/Medicare Reimbursement for Behavioral Health Integration Services Roundtable Discussion for Health Centers
When: Thursday, July 12 | 3 -4 p.m. ET
What  The roundtable format is a virtual place for us to provide each other with support and discussion. Different from a webinar, it is much more interactive and provides direct access to experts in the field for questions and consultations.
How:  Register here

The SAMHSA-HRSA Center for Integrated Health Solutions (CIHS) is hosting an interactive roundtable discussion on the key components of behavioral health integration, with a special focus on Medicaid/Medicare reimbursement services.

Service Area Needs Assessment Methodology Prototype Webinar
When: Monday, July 16 |  3:30-5 p.m. ET
What: Join us for a webinar that will describe the SANAM process to date and the prototypes under consideration, followed by an open feedback and Q&A session.
How:  Register here |   Call-in: 877-913-1008 |  Passcode: 322114

HRSA is exploring the feasibility of developing a Service Area Needs Assessment Methodology (SANAM) that would leverage public data sources to calculate an unmet need score that considers access to primary care services and the health status of a given ZIP code and/or service area. The SANAM would support the quantification of need to potentially support HRSA decision-making. A number of SANAM prototypes have been developed and tested by the MITRE Corporation, and HRSA is considering options for implementation.
Funding Opportunities 
MONDAY DEADLINE - New Funding Opportunity to Expand Access to Quality Substance Use Disorder and Mental Health Services 

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.

SAMHSA Announced $930M 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.

For more information on how to apply, see
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/Behavioral Health Coordinator
Member Relations Coordinator
Director of Health Center Operation
Outreach & Enrollment 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