March 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.....








Kanawha-Charleston needle exchange participation already dropping 
Read the entire article, originally from 
the Charleston Gazette-Mail  here
 
Senate lays groundwork for 340B reporting legislation
Read the entire article, originally from Modern Healthcare 
here

Dan Hawkins on Community Health Centers' Role in Health Care 
View the entire interview, originally from  C-Span   
here
March is National Colorectal Cancer Awareness Month
  • Colorectal Cancer is the second leading cause of cancer death in the U.S. when men and women are combined, but it doesn't have to be.
  • About 1 in 3 adults between 50 and 75 years old - about 23 million people - are not getting tested as recommended.
  • Screening can save lives, but only if people get tested.
Colorectal cancer is a cancer that starts in the colon or the rectum. These cancers can also be named colon cancer or rectal cancer, depending on where they start. Cancer starts when cells in the body start to grow out of control. Cells in nearly any part of the body can become cancer, and can spread to other areas of the body. Most colorectal cancers start as a growth on the inner lining of the colon or rectum. These growths are called polyps and can be discovered through routine screening.

 Please visit the American Cancer Society website for more information and downloadable resources for health professionals and patients. 
WVPCA NewsWVPCA
Health Centers "On the Hill" 
Health center leaders and WVPCA staff  gathered together this week in Washington D.C. at the National Association of Community Health Centers (NACHC) Policy & Issues Forum (P&I). Legislative visits on Thursday focused on: delivering a big "Thank You!" for resolution of the health center funding cliff; discussion on the importance of Medicaid and the significant number of patients in the expanded Medicaid program, changing federal law to allow CHCs to bill for either originating or distant telehealth site visit,  federal resources to address the substance use disorder crisis in WV and protecting the 340B program.  The passion our leaders have for the health center mission was evident! Thank you to all who joined us in DC and those who were unable to travel to DC, but reached out to their legislators to deliver the health center messages.
Register Now Open: Open Enrollment 5 Debrief
Join the West Virginia Primary Care Association (WVPCA) as we host an open enrollment 5 (OE5)debrief and Health Literacy Workshop. The meeting will provide an opportunity for CACs and Navigators to discuss the post enrollment period following OE5, share success stories and discuss strategies for Special Enrollment. Participants will discuss what steps can be taken to capture the remaining uninsured population within the state and what open enrollment may look like in 2018.

CACs and Navigators have shared stories about communication challenges when working with individuals. These challenges often resulted from limited literacy capabilities of the individuals. The WVPCA has partnered with Mary Emmett, Ph.D. and Nancy Daugherty to provide CACs and Navigators with strategies to identify communication barriers and techniques to overcome them. Armed with new skills, CACs and Navigators will be more prepared to provide guidance to individuals during the 2018 open enrollment period and throughout the year when working with patients with low literacy skills.

For more information, and to register, click here.
State NewsStateNews
DHHR Awards Opiate Use Peer Recovery Coaches Funding
The West Virginia Department of Health and Human Resources (DHHR), Bureau for Behavioral Health and Health Facilities has recently awarded $2.08 million in funding to expand the State's capacity of opiate use peer recovery coaches. 

Peer Recovery Coaches initiate and sustain individuals in recovery and promote individuals' recovery by acting as a guide/mentor for overcoming personal and environmental obstacles that jeopardize their recovery. They also help individuals discover, access and utilize ways to remain drug and alcohol free or reduce the harm associated with their substance use behaviors; find resources for harm reduction, detoxification, treatment, family support and education, and local or online support groups; and create a change plan for their recovery.
 
"Peer Recovery Coaching, a vital component in West Virginia's recovery oriented continuum of care, addresses the unique needs of individuals in addiction recovery," said Nancy Sullivan, Acting Commissioner for DHHR's Bureau for Behavioral Health and Health Facilities. "An expansion of this intervention is an important step in the State's fight against the drug epidemic, led by Cabinet Secretary Bill J. Crouch under the direction of Gov. Jim Justice."

Sub-grantees receiving monies for these projects are:
            Drug Free Mother Baby in the Greenbrier Valley  $40,000 
            FMRS Health Systems Inc.                                   $120,000 
            Greenbrier Day Report Center                              $40,000 
            Harrison County Commission                                $40,000 
            Hampshire County Pathways                                $80,000 
            Living Free Ohio Valley                                         $120,000 
            Milan Puskar Health Right                                    $40,000 
            Morgantown Sober Living Inc.                              $160,000 
            Potomac Highlands Guild                                     $40,000 
            Prestera                                                                $240,000 
            Recovery Point                                                     $480,000 
            Seneca Health Care                                             $240,000 
            Synergy Health, Inc.                                             $120,000 
            The Lifehouse                                                      $40,000 
            Tug River Health Association, Inc.,                      $40,000 
            Westcare Foundation                                           $200,000 
            Youth Advocate Programs, Inc.                           $40,000 
 
New Peer Recovery Coaches will be hired and trained with a focus on offenders re-entering the community from incarceration in a correctional setting; pregnant and post-partum women and their infants/children; and, overdose survivors served by the emergency response system and emergency departments.  
 
"Providing services tailored to meet individual needs is essential to curbing West Virginia's opioid epidemic," said Dr. Michael R. Brumage, Director of DHHR's Office of Drug Control Policy. "It is through collaborative projects such as this that we will be able to make a significant difference in communities across the state."
Webinar Opportunity - Sleep & Suicide: Relationships & Opportunities for Intervention 
The WVU Injury Control Research Center is offering the next webinar in their ASYNCHRONOUS Webinar Series. Dr. Wilfred R. Pigeon, Associate Professor of Psychiatry and Director of the Sleep and Neurophysiology Research Lab at the University of Rochester Medical Center will discuss Sleep & Suicide: Relationships & Opportunities for Intervention, 

For more information, please find click here
CAMC Cancer Center Announces Breast Cancer Survivorship TeleECHO Clinic
CAMC Cancer Center, CAMC Institute, and Project ECHO ( Extension for Community Health Care Outcomes) is launching the "Breast Cancer Suvivorship TeleECHO Clinic".

The next TeleECHO clinic will be held on Tuesday, April 24, 2018. The clinic will consist of hour-long sessions that kick off at noon and will begin with a 20-minute lecture on a specific topic that is relevant to primary care. CME for health professionals is offered at no cost. 

More information is available here, on the Project ECHO webpage at echo.unm.edu, or by contacting the project coordinator directly at josh.kent@camc.org
Apply Now to Become a Presenter at the WV Rural Health Conference 
The WV Rural Health Conference is currently requesting presentations for their upcoming conference.  The conference theme is, "Revitalizing our Rural Communities for a Health West Virginia," and includes the following tracks:  Leadership/Policy, Clinical and Future of Health Care/Innovation.  This year's conference will be held October 17-19, 2018, at Pipestem State Park Resort. 
 
If you are interested in submitting a keynote presentation, or if there are any questions about the conference, contact WVRHA Executive Director Debrin Jenkins at debrinwvrha@gmail.com

Please click here to review the RFP for the conference. 
WVU Offering a Certified Tobacco Treatment Training Program | May 18 & 19 and June 1 & 2
The West Virginia University (WVU) School of Dentistry, in cooperation with the Office of Inter-professional Education presents "A Certified Tobacco Treatment Training Program (CTTTP)". The four-day course will run May 18-19 and June 1-2, 2018 at the West Virginia University Health Sciences Center in Morgantown. 

Professionals in the fields of medicine, dentistry, social work, pharmacy, nursing and public health will present evidence-based strategies to assist patients and clients interested in tobacco cessation. 

The training is recommended for physicians, physician assistants, dentists, dental hygienists, nurse practitioners, nurses, pharmacists, social workers, physical therapists and other health care providers who encounter tobacco using patients/clients. 

View the flyer here for additional information and continuing education credit information. Registration is available here
National NewsNationalNews
Health Centers are Making Substance Use Disorder Treatment More Accessible than Ever
NACHC has released a new, data-driven issue brief showcasing how health centers have responded to a rapidly growing need for substance use disorder services over the past two decades. The brief, Rising to the Challenge: Community Health Centers are Making Substance Use Treatment More Accessible than Ever, shows how health centers across the nation are breaking down barriers to care, integrating behavioral health with primary care, and providing community-level solutions to towns and cities hit hardest by substance use disorder, including opioids. The brief also lays out important policy supports to build on health centers' important contributions to battling SUD.
RAND Study: Embedding Written Exposure Therapy (WET) Into Collaborative Care for PTSD 
The California Primary Care Association, in partnership with the RAND Corporation and Boston University, is studying the implementation and effectiveness of embedding a new therapeutic intervention for PTSD within community clinics and health centers. Currently, they are seeking  interested health centers of various sizes for participation in this national study, which has important implications for the future of PTSD treatment in community health. A one-hour  overview webinar will introduce the audience to the Written Exposure Therapy (WET) intervention, describe the study parameters, and provide an opportunity to ask questions of the RAND research team.

Posttraumatic stress disorder (PTSD) affects over 10% of adults in the general population and is even more prevalent in primary care settings affecting up to 23% of patients. Integrating evidence-based psychotherapies (EBPs) for PTSD within primary care collaborative care interventions can be challenging. Common EBPs for PTSD such as cognitive behavioral therapy, prolonged exposure, or cognitive process therapy are time-intensive (e.g., 12 weeks duration, 60-90 minute sessions) making them difficult to deliver within primary care settings. Developed by researchers at Boston University, WET is a relatively new approach that has yielded positive outcomes among low-income individuals with PTSD. WET is a brief, low intensity intervention (only five, 40-minute sessions), requires minimal therapist training, and has evidence of high retention rates. Embedding WET within collaborative care interventions in primary care may be an effective strategy for disseminating evidence-based PTSD treatment to underserved populations.
 
LEARNING OPPORTUNITIES
  • Understand how WET compares to other evidence based practices for PTSD treatment
  • Learn more about the study design and inclusion/exclusion criteria
  • Review study involvement for health centers, CHC staff, and CHC patients
  • Have the chance to ask questions of the research team
The webinar is offered at no cost to participants and will be held on Wednesday April 11 at 1:00 PM and registration is available here
National Health Service Corps Accepting Applications for Loan Repayment
The National Health Service Corps (NHSC) seeks clincians who demonstrate an interest in serving the nation's medically underserved populations and remaining in Health Professional Shortage Area beyond their service commitment. The deadline for applications is April 23, 2018. The 2018 Application and Program Guidance has the detailed information to apply, including eligibility requirements, site information, documentation, and service requirements. Please read carefully before you start your Loan Repayment Program application. Approved sites are located across the U.S., in both urban and rural areas. Visit the WVPCA careers page and Health Workforce Connector to find jobs and explore information about employers. 
USPSTF Recommends Behavioral Intervention for Obese Adults
The U.S. Preventive Services Task Force (USPSTF) has issued a draft recommendation advising that clinicians refer patients with a body mass index (BMI) of 30 kg/m 2 or higher to a multicomponent behavioral program for weight management. The recommendation reaffirms the task force's 2012 final recommendation. Interventions that combined multiple activities and included group sessions were found most effective. A Feb. 21, 2018, AAFP news article recommends against using pharmacotherapy or bariatric surgery in all but the most severe cases.
Diagnostic Errors Top ECRI Institute's Patient Safety Concerns for 2018
The ECRI Institute's 2018 Top 10 Patient Safety Concerns for Healthcare Organizations is currently available and can aid healthcare organizations in identifying prioities and creating corrective action plans. The ECRI Institute is providing open access to the Executive Brief which can be downloaded here
New Safety Net Dental Clinic Manual Released 
The National Maternal and Child Oral Health Resource Center (OHRC) has released the 2nd edition of their  Safety Net Dental Clinic Manual This manual, developed by a team of experts , is designed to help safety net dental clinic directors, administrators, and others address a wide range of issues related to clinic development and operations and is divided into six units that be read in succession or as stand-alone units. The units consist of:
  • Unit 1: Essential Elements
  • Unit 2: Facilities and Staffing
  • Unit 3: Finances
  • Unit 4: Administrative Operations
  • Unit 5: Quality Management
  • Unit 6: Clinical Operations
The manual includes supply lists, floor plans, photographs, budget worksheets, quality-improvement plans, fact sheets, and websites as well as addresses topics such as clinic policies, clinic efficiency, professional standards, funding strategies, and clinic design. An interactive site index and additional resources are also included.
Webinar Opportunity: Preventing Diagnostic Errors in Ambulatory Care
As part of the Patient Safety Leadership Speaker Series, the ECRI Institute, on behalf of HRSA, will host a free live webinar featuring Hardeep Singh, MD, MPH. The webinar is on March 7 at 2:00 PM. 

Diagnostic error is a leading cause of adverse outcomes and liability claims in health centers and other ambulatory care settings. Making timely and accurate diagnoses requires fail-safe systems for tracking test results and referrals, effective communication, and patient follow-up.

Click here to register. 
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.  
WVPCA Staff

Chief Executive Officer
Chief Financial/Chief Operations Officer
Clinical Consultant
Director of Health Center Operations
John Kennedy  
School-Based Health Coordinator
Staff Accountant
Education & Communications
Coordinator
Member Relations Coordinator
Outreach & Enrollment Coordinator 
Data Analyst
Data Services & Integration  Speci alist
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: