September 18, 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.

Sincerely,

West Virginia Primary Care Association
1700 MacCorkle Avenue
Charleston, WV 25314-1518
304-346-0032
1-877-WVA-HLTH
Quick Links: In This Issue.....

 State  News

News 
Flash!

Gupta to be March of Dimes senior vice president, health officer
Read the entire article from the Charleston Gazette-Mail here.

Health board official: KCHD needle-exchange program not coming back
Read the entire article from the Charleston Gazette-Mail  here

Fewer West Virginians insured in 2017 than 2016
Read the entire article from the Register-Herald  here

Survey: Healthcare organizations report gaps in Disaster Preparedness Plans
Read the entire article from Healthcare Informatics  here
WVPCA NewsWVPCA
Registration Open! WVPCA Offers 1.5  Day Training: Care Management/ Care Coordination - A Deep Dive
Please join the West Virginia Primary Care Association (WVPCA) as we welcome back Jennifer Calohan, with CURIS Consulting, to present Care Management/Care Coordination- A Deep Dive. This 1.5 day training will be begin at 9:00 AM on Thursday, September 27 and conclude at 4:30 PM and will resume at 9:00 AM on Friday, September 28, with a noon dismissal. On-site registration each day will be held at 8:30 AM. 

For further information and registration, please click 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.
Wellness Tip of the Week: The Diabetes Dilemma 
High blood sugar levels affect how quickly and how well the body heals wounds, according to the American Diabetes Association. For one, high blood sugar can hinder the immune system's ability to fight off infection. High blood sugar may also cause arteries to stiffen and grow more narrow, reducing blood flow through those arteries, especially in the feet and lower legs. With less blood, those areas get less oxygen and fewer nutrients critical to wound healing. Additionally, individuals with diabetes can lose sensation in affected areas due to a condition called diabetic neuropathy, which occurs when the nerves in your extremities are affected by decreased blood flow.
 
As a result of all these factors, approximately 15 percent of people with diabetes experience foot ulcers, open wounds that typically form on the bottoms of the feet, according to the Agency for Healthcare Research and Quality. These foot ulcers can be slow to heal and may require amputation if left untreated, so identifying and treating them with dressings and topical medication as quickly as possible is key.
Caring for Young Victims of the Opioid Crisis
 The opioid crisis is a complicated problem that requires a comprehensive approach that has to involve the different sectors of the problem such as health care, education, law enforcement, workforce etc. Early childhood is one important sector that can reap benefits because it serves as a powerful two generation method of helping families who have been affected by this crisis.

About half of opioid overdose deaths occur among people ages 25-44 and a percentage of these are childbearing-aged women.  Research has shown that providing home visiting programs that offer coaching on a voluntary basis to vulnerable parents who are expecting or have a child younger can reduce children's exposure to ACEs by half.  By doing this, it thereby reduces the likelihood of opioid abuse and other negative outcomes later in life.  To read more about this topic, click here.
Therapeutic Tremoring - Shake off Stress and Trauma
Did you ever meet a stressed out zebra? Many animals in the wild live with the ongoing challenge of being the next meal for some other animal. That high intensity stress doesn't have the lasting effects for animals like it does humans. Why? There have been several books written on how animals have learned to shake off the stress and dissipate its effects so they can get back to living in the present. We as humans are very aware of what happens when there is a repeated activation of the stress response.   It contributes to many health issues such as such as cardio vascular problems, depression and even addiction. Learn how in engage in tension and trauma release exercises by clicking here.
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 https://www.wvmmis.com 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.
WV Oral Health Coalition Former Chair Celebrates 60th Anniversary 
Sister Jane Harrington, a former chair of the WV Oral Health Coalition, recently celebrated her 60th Anniversary with the Congregation of St. Joseph. 

USDA Opioids & Transportation Livestream Workshop and Opioid Community Forum: Judiciary & Medical Partnerships Approaching
Please join the United States Department of Agriculture and the Federal Transit Administration (FTA) for the "Opioids Misuse: Increasing access to transportation in rural communities" workshop. The USDA and FTA have agreed to provide a workshop at WVSOM that will cover the resources and options available to communities to assist with transportation needs.  Participants are welcome to join us here at the school, but in case you cannot, the workshop will be livestreamed nationally.  In addition, the workshop will be taped and will be made available online. If you want to ask questions through livestream, be sure to set up for a free livestream account - it is the only way you can ask questions remotely.
 
In addition to USDA, FTA and SAMHSA officials, invited guests include HRSA, DOJ, and DHHS federal partners.  Please pass on the livestream link to anyone you think would be interested.  There will be an opportunity for Q & A.
 
Where: WV School of Osteopathic Medicine, 400 Lee Street N. Lewisburg, WV  24901
When: September 20, 2018
Time :  9:30 am to 1:00 pm.
Log on at the time of the event.
 
In addition, following the Workshop, from 2:00-4:00pm, Judge Will Thompson will facilitate an Opioid Community Forum: Judiciary and Medical Partnerships. Panelists include:
  • Judge James Rowe, Greenbrier County Drug Court (invited)
  • Gordon Smith, MD, WVU Rural Response to Opioids: from data to action Principal Investigator
  • Bruce Sloan, Sheriff
  • Tim Stover, Police Chief (invited)
  • Tonya Hoover, Chief Probation officer
The purpose of this forum is to engage community in the discussion of how the judiciary and the medical community can work together to significantly reduce substance abuse in West Virginia.  Everyone is welcome to stay and provide input and engage in the discussion.
WV Division of Infectious Disease Epidemiology Seeking Sentinel Providers
 Flu season is right around the corner, and the West Virginia Division of Infectious Disease Epidemiology (DIDE) needs your help in conducting flu surveillance throughout the season. Located in the Department of Health and Human Resources, DIDE tracks statewide flu activity year-round through a variety of methods and strives to provide accurate and timely updates about this activity to healthcare providers and the general public.

One method of surveillance that DIDE utilizes to monitor flu activity is its long-standing influenza sentinel provider program. Influenza sentinel providers are outpatient healthcare providers of any specialty who voluntarily report the total number of their patient visits and the number of patient visits for influenza-like illness (ILI) by age group every week. Weekly reports, which should take 10 minutes, are forwarded to the state health department and to the CDC, where the percentage of patient visits for ILI are calculated and utilized to determine the length and severity of flu season. Nationwide, there are more than 2,800 providers in all 50 states, Puerto Rico, the District of Columbia, and the U.S. Virgins Islands who are participating in this effort.

DIDE is seeking outpatient providers in West Virginia to serve as sentinel providers for the 2018-19 flu season. The benefits of participating in this surveillance program include:
  • Free influenza vaccine for staff immunization
  • Free influenza testing for respiratory specimens submitted to DHHR's Office of Laboratory Services
  • Weekly updates from DIDE on statewide influenza activity
  • The opportunity to participate in a nationwide effort that will inform influenza prevention and control activities, including influenza vaccine composition
DIDE is especially in need of sentinel providers located in Barbour, Boone, Braxton, Calhoun, Fayette, Gilmer, Grant, Greenbrier, Hampshire, Kanawha, Logan, McDowell, Mercer, Mingo, Morgan, Putnam, Randolph, Tucker, Tyler, Webster, and Wood counties. The only exclusion in eligibility is that sentinel providers must not be hospital emergency departments or urgent care offices that already report to the ESSENCE syndromic surveillance system.

If you are interested in this opportunity or would like to learn more, please contact Lauren Spadafora, DIDE's Influenza Surveillance Coordinator, at lauren.j.spadafora@wv.gov or at 304-356-4039. The deadline to enroll as a sentinel provider is Friday, September 21st.
WV Project ECHO Launching Endocrinology ECHO
WV Project ECHO would like to invite Community Health Centers to participate in the newest WV Project ECHO on Endocrine. This new ECHO is an expansion of the WV Project ECHO program which will utilize multi-point video conferencing to bring specialized Endocrine education to providers all across West Virginia.
 
For more information on participating, please do not hesitate to contact Jay Mason or Kayetlyn EdingerPlease click 
here 
for the Participation Agreement and additional information. 
Time is Running Out! Register Today for the Appalachian Addiction & Prescription Drug Abuse Conference
There is still time to register for the Appalachian Addiction & Prescription Drug Abuse Conference: Pain & Addiction, Best Practices & Proper Prescribing. The conference will be held October 18-20 at the Embassy Suites in Charleston, West Virginia. 

Room reservations at the Embassy Suites are discounted until October 1stUse Code AAC when reserving online at
www.EmbassySuitesCharlestonWV.com or call 1-800-EMBASSY.
 
Conference registration deadline is October 12th.  You can register online here.  

           
The program meets the 3-hour CME Best Practices Prescribing of Controlled Substances requirement for physicians, physician assistants, nurses, pharmacists and dentists under West Virginia law19.25 CME/CEUs/CLEs approved forMOC-American Board of Addiction Medicine; MOC-Internal Medicine & MOC-Family Practice;Physicians, Physician Assistants, Nurses, Pharmacists, Dentists, Social Workers, WVCBAPPP-Addiction Professionals, Psychologists, LPC & Lawyers (23.30 MCLE credits, including 7.5 Ethics/Office Mgmt/Substance Abuse/Elimination of Bias Credits).
  

Meeting Topics Include :
  • West Virginia - The Current "STATE" of Affairs
  • The Prescription Drug Abuse Crisis - 2018 Update on Proper Prescribing
  • Obesity, Sugar and Addiction
  • Luncheon Program: Spirituality in Medicine and Recovery
  • Extended Release Naltrexone
  • WV Laws, Rules & Regulations and the CSMP
  • ASAM Patient Placement Criteria & Continuum
  • Adolescent Addiction - Where it all Starts
  • Addiction and the Older Adult: An Epidemic of Misuse and Abuse with the Ethical Duty to Prudently Treat Pain
  • Luncheon Program: Mindfulness as a Super Power
  • Self-Care: Stop Preaching & Start Doing
  • Sex Addiction:  The "Silent" Concern
  • Lost in the Weeds:  Making Sense of Medical Marijuana
  • Opioids, Addiction & the Treatment of Pain:  Uncoupling a Deadly Triad
West Virginia Webinar and Training Opportunities 
Practitioner Diversion Awareness Conference 
When:  September 29 & 30
Where:  Charleston Marriott, Town Center

What For more information, click  here.  

26th Annual WV Rural Health Conference
When: October 17-19
Where: Pipestem State Resort
What:  Registration is available 
here
National NewsNational
Using Telemedicine to Combat the Opioid Epidemic

HHS has developed materials to help clarify how clinicians can use telemedicine as a tool to expand buprenorphine-based MAT for opioid use disorder treatment.

More information is available here
New Resources Aim to Improve How We Discuss Medicine with Patients
The National Committee for Quality Assurance (NCQA), with financial, scientific, and educational support from Merck, developed a suite of resources, downloadable and free, to assist doctors and other clinicians who want to improve medication adherence with better communication and patient education.

Why We Need to Communicate Better
According to a 2017 Centers for Disease Control and Prevention report, nonadherence related expenses are estimated to be $100 to $300 billion per year in medical costs.
The reasons patients give for why they may be not taking their medications are broad-ranging and multifaceted. They include patients not understanding the benefits of medication, forgetfulness, believing medications were not working or no longer needed.

Medication Education Resources for Your Team
The research-based tools identify processes that, when implemented, may help improve how clinical practices identify and address medication non-adherence. The aim is to provide patient-focused tools to foster communication about medications, what they are for, and how to take them properly. The resources provide practical tips to assist providers who want to improve how they talk to patients about their medicines. It includes and a checklist for patients, too.

  • Patient Education Medication Initiative, an interactive deck designed for doctors, clinicians and practice managers. It explains all the reasons why a medication education quality improvement project may be helpful.
  • How to Implement the Patient Medication Education Initiative, an interactive deck with recommendations and practical tips for how to set up a medication quality improvement program.
  • Patient Medicine Education Guide (for the patient), a template checklist of recommended topics for the provider to discuss with their patients. There is room for the provider to take notes for follow-up.
  • Patient Medicine Education Guide (for the provider), a template checklist of topics providers should discuss with patients during follow-up calls after the initial appointment and prescription. This is a patient-focused tool to foster communication about medications, what they are for, and how to take them properly.
  • Discussion Guide for Patient Follow-Up Call, a sample discussion guide to assist practices and providers with topics that may arise during follow-up calls. It helps the practice assess whether a patient filled the new prescription and is following the regimen as directed by their clinician.
The Measurement Value Chain: Patient Data, Measurement & Quality Improvement

The Summit convenes quality improvement stakeholders including senior decision makers, measure development experts, clinicians, government agencies, public health officials, data intermediaries, vendors and payers to advance measure interoperability solutions.
Summit participants will work together to improve coordination across disciplines and communication of health care information systems through quality measurement as the use case.

Registration is available here
Webinar and Training Opportunities 
Evidence-Based Communication Strategies for Improving Child and Adolescent Vaccine Update Webinar
When - September 19
WhatFor more information, click here.  To register, click here

BPHC All-Programs Webcast
When - September 25 | 2:30-3:30 PM ET
What To submit questions in advance, send an email to bphcta@hrsa.gov by Thursday, Sept. 20, with the subject line "BPHC All-Programs Question." 
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.  
WVPCA Staff

Chief Executive Officer

Chief Financial/Chief Operations Officer
Data Services & Integration  Speci alist

 Jennifer Boyd  PA-C, PCMH-CCE Clinical Consultant
Education & Communications
Coordinator
 Warne Dawkins, MBA
Health Data Analyst
J ohn Kennedy
School-Based/Behavioral Health Coordinator
Member Relations Coordinator
Shannon Parker, 
MBA, PCMH-CCE 
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
STAY CONNECTED: