July 19 , 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.....

Wyoming County has new in-patient women's recovery center
Read the article from  WVVA  here

Dr. Dominic Gaziano, Janet Briscoe: Hepatitis C is a medical juggernaut 
Read the Letter to the Editor from the Charleston Gazette-Mail here

CMS Proposes streamlining Medicare provider application
Read the article from Modern Healthcare here
Pendleton Community Care, Inc. Home Visits Program 

Pendleton Community Care, Inc. began its Home Visit Program in January 2015, by receiving funding through a HRSA Expanded Services opportunity. The program is staffed with a Care Manager (Whitney Hedrick, LPN) and Physician Assistant (Martha Williams, DHSc, MS, PA-C) who go into elderly patients' homes that cannot make it to the Health Center due to lack of transportation or mobility. 

Patients were delaying being seen as often as they should to monitor their chronic conditions due to their inability to get to the Health Center. In addition to removing the transportation barrier, treating the patient in their home setting and evaluating the home environment enhances the team's delivery of preventative care, education, and patient monitoring. Our provider consults with the Health Center Physicians to coordinate care plans and patient progress. This program began utilizing in-home monitoring equipment for its high risk patients in January 2017 and has seen a reduction in the number of ED visits, hospitalizations, and significant illnesses by 50 percent from the previous year when there was not monitoring equipment in the home.   They make their visits by region to optimize the number of patients seen and minimize the time traveled.
School-Based Mental Health Programs Proving Effective
The number of youths with mental health challenges is simply staggering. One-half of all lifetime diagnosable mental health conditions begin by the age of 14 and one in five adolescents in this country shows significant symptoms of emotional distress.  That means in a classroom of 25 students, there will be five whose learning is impeded and possibly the learning of the other twenty children.

It is well researched that the presence of mental illness in children and adolescents, if not properly diagnosed and treated, increases the likelihood of significant health issues for them as adults and greatly limits their ability to become productive members of society.
For children, the first signs of mental illness or emotional distress can emerge in the school environment as the greater demands are placed on them. It's well known that mental health issues such as anxiety, depression, and family problems often are the root causes of poor academic performance, disciplinary issues, and truancy.  School-based mental health programs offer the opportunity to provide children with mental health related prevention, early identification and treatment. The ongoing research shows that the growing number of school-based mental health programs are effective in helping students.  Click here to read more from the Harvard Review of Psychiatry.
Funding Available for Asthma Management and Prevention for School-Based Health Centers
The National School-Based Health Alliance, California School-Based Health Alliance and Regional Asthma Management & Prevention are pleased to share a funding opportunity for school-based health centers. Eight school-based health centers (SBHCs) across the country will be selected to receive $8,000 to conduct activities aimed at reducing environmental asthma triggers, as part of a National School-Based Health Center Asthma Demonstration Project Collaborative. Participating SBHCs will receive technical assistance from content experts, opportunities for peer learning with other SBHCs, and tools and resources to better support students with asthma, over a two-year period. Applications are due August 17th, but we highly encourage you to complete and submit the very short application before heading out for summer break. For more information visit, www.rampasthma.org.
CMS Announces New Funding Opportunity Announcement for the Federally-Facilitated Exchange Navigator Program 
Last Tuesday, the Centers for Medicare & Medicaid Services (CMS) announced release of the Funding Opportunity Announcement (FOA) for the Federally-facilitated Exchange Navigator Program for 2018.  Under this FOA, CMS expects to award $10 million for a 1-year project period and a minimum of $100,000 will be available in each of the 34 Federally-facilitated Exchange states to provide assistance to Marketplace consumers.

To access the Funding Opportunity Announcement, visit: http://www.grants.gov, and search for CFDA # 93.332. 

Applications are due August 9, 2018 by 3:00pm EST and must be submitted through  http://www.grants.gov.
For more information about Navigators and additional resources for potential applicants, visit:  http://www.cms.gov/CCIIO/Programs-and-Initiatives/Health-Insurance-Marketplaces/assistance.html   
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."
Webinar Opportunity | Topics in Public Health: Current Utilization and Payment Trends in Medication Assisted Treatment (MAT) Therapies for Opioid Misuse and Overdose
This activity is intended for physicians, pharmacists, nurses, and other public health medical professionals interested in learning more about the initiatives and other advances in public health.

What You Need to Know:
When: Friday July 20, 2018 from 2:00 - 3:00 pm EDT
Presented by CDR Matthew Febbo, RPh, MBA |  Jean Bennett, PhD, MSM, MSN, RN |  Hooshang Shanehsaz, RPh
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.
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
Health Data Analyst
J ohn Kennedy
School-Based/Behavioral Health Coordinator
Member Relations Coordinator
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