January 29, 2020
  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 Pam Moore , Member Relations Coordinator, by email or by phone at (304) 346-0032. 


West Virginia Primary Care Association
1700 MacCorkle Avenue
Charleston, WV 25314-1518


'We Carry Naloxone': Businesses step up to carry lifesaving medication
Read the entire article, originally from the Charleston Gazette Mail  here.

WV sees highest average employment in over 10 years in 2019
Read the entire article, originally from WV News 

Second West Virginia county approves indoor vaping ban
Read the entire article, originally from WVNews  here.
National Wear Go Red for Women Day February 7th!
The WVPCA would like to encourage members to participate together with The American Heart Association, the leading voluntary health organization devoted to a world of longer, healthier lives, with its Go Red for Women movement, to 'wear red' to support Go Red for Women on National Wear Red Day: Friday, February 7, 2020.

Heart disease is the No. 1 killer of women, taking more lives than all forms of cancer combined. Someone you know and love may be affected - at any age. Heart disease and stroke claim the lives of 1 in 3 women - a third of our mothers, sisters and friends. It's time to change this fact.

The WVPCA  encourages each of our members to show your support by wearing red on Friday, February 7th to help raise awareness and save lives from heart disease.  Please email your photos to paula.beasley@wvpca.org to be shared in our Weekly Update.
Vaping: What We Need to Know

Vaping has been around for about a decade now and is experiencing tremendous growing in popularity, especially among teens and young adults. Originally marketed as smoking cessation device for traditional smokers to quit smoking, e-cigarettes were thought to be a safer alternative to smoking. It is clear today that there are many concerns with e-cigarettes, JUULs, and other vaping devices.
The West Virginia Primary Care Association recently hosted an interactive learning session, attended by 20 professionals from 13 different health centers, entitled, "Vaping: What we need to know". The purpose of this webinar was to educate healthcare professionals about the subject of vaping. Participants were taught to understand the differences between the devices, health risks associated with vaping, and how they compare to cigarettes. An emphasis was also placed on the importance of understanding the facts about vaping so that the School-Based Health Center staff could increase awareness of this issue with the students they interact with.
Julie Jackson, Program Manager for WV Oral Health Program led this interactive learning session. This session was well received and participants shared how this new information would directly impact their SBHC. If anyone needs more information regarding vaping and how it impacts health care, Julie Jackson can be contacted at Julie.A.Jackson@wv.gov  
For more information about understanding vaping, click here.
State NewsStateNews
Community Health Centers - 
The Past, Present and Future
Views & Visions with Craig Glover, President and CEO of FamilyCare.  
"To be successful in a value-based reimbursement environment, community health centers must redesign the delivery of care to a system that provides proactive care to patients."
                           Read full article here.

Confirmed case of coronavirus in West Virginia is routine, not dangerous

A case of coronavirus has been confirmed in West Virginia, but health officials say there's no reason to panic.

"The coronavirus is a common virus that's seen throughout the year but commonly in the winter," said Roane General Hospital Chief Clinical Officer Julie Carr. "It's transmitted by contact with others through sneezing or coughing, so it's important to practice good hand hygiene (and) good cough etiquette."

According to the WVDHHR, the case of coronavirus was confirmed in a patient at Roane General Hospital, but it is not the dangerous strain linked to the outbreak from China.
Officials say the case is routine. The patient has no travel history to China.

Health officials say most coronaviruses are not dangerous. It is a common virus that infects the nose, sinuses, or throat.

"We have plenty of cases of coronavirus and it manifests just like the common cold," said Dr. Thomas Rushton of St. Mary's Medical Center. "It's been around, it's a human pathogen (and) generally speaking, it's not that big of a deal."

Carr says there are multiple strains of the virus but only four common strains found in the United States. The patient at Roane General Hospital had one of the four.

"There's two other strains that cause more severe illness but the common winter illness we see from coronavirus are four common strains," Carr said. "That's what's being seen in the United States."

However, there are at least five confirmed cases of the Wuhan coronavirus in the U.S. That strain of coronavirus has sickened thousands and killed at lest 80 people in China. Despite its impact in China, the CDC maintains that the risk to Americans is low.

The five patients who've been confirmed had all recently returned from Wuhan, according to the CDC.
  • WVHAMP is a combined in-person and tele-mentorship training program designed to support primary care providers to diagnose, evaluate and manage their patients with chronic hepatitis C developed in consultation with West Virginia Medicaid
  • WVHAMP provides a mentorship platform accessible for primary care providers caring for high-risk individuals throughout West Virginia, especially in rural settings
  • This is crucial as West Virginia has the highest rate of new acute hepatitis C infections in the nation!
GOAL: to improve the health of individuals in underserved communities by building a primary care workforce trained by experts to screen, diagnose, offer curative treatment, and follow persons with chronic hepatitis C.

Participating WVHAMP primary care providers will receive training on hepatitis C epidemiology, diagnosis, management, curative treatment, follow-up and prevention. Thus, primary care providers throughout the state will be equipped with the skills needed to treat and cure patients with hepatitis C in their local communities. This will increase the number of individuals who are cured and help to reduce the number of West Virginians who can transmit hepatitis C to another person.

Interested providers will:
  • Attend an initial daylong in-person training (WVHAMP #1)- see registration form at the West Virginia Rural Health Association website
  • Make a commitment to participate in WVHAMP training for at least 12 months
  • Receive both a hard copy of WVHAMP training materials/toolkit and online access at the West Virginia Rural Health Association website via a designated link
  • Utilizing WVHAMP training, diagnose and evaluate patient for potential treatment/cure
  • Fax the Consultation Form to a secure, HIPAA-compliant site in the Cloud for specialist review and approval
  • Have access to WVHAMP mentors for consultation and backup for complicated cases
  • Participate in bimonthly WVHAMP educational webinars with access to special topic presentations and discussion of cases
  • Attend an in-person half-day (WVHAMP #2) approximately 6 months later to receive updated hepatitis C treatment information. Providers will present challenges and patient cases to their peers and the WVHAMP Mentoring Team for feedback and guidance
  • Receive a free annual membership to the West Virginia Rural Health Association
  • Receive free CME credits for participation
  • Be awarded a WVHAMP Scholar Certificate at the completion of WVHAMP
  • Continue to have access in the future to the Mentoring Team for guidance on specific cases as needed
  • Provide primary care providers with the satisfaction of having cured a chronic disease that can be fatal!
  • Ultimately, receive a designation as a recognized hepatitis specialist by West Virginia Medicaid after they have managed and cured a sufficient number of patients according to Medicaid
REGISTER NOW AT: https://wvrha.org/

  Full-day trainings:
March 5, 2020 - Quality Hotel, Bluefield
May 5, 2020 - Double Tree Hotel, Huntington
October 13, 2020 - Waterfront Place Hotel, Morgantown
December 3, 2020 - Days Inn Hotel, Flatwoods
Half-day trainings:
July 28, 2020 - Holiday Inn, Beckley
February 16, 2021 - Days Inn, Flatwoods

Supervision Training
Peer recovery is an individualized journey that offers a unique perspective and understanding of the difficulties associated with substance use disorder and its impact. Peer Recovery Support Specialists (PRSS) are an essential component to the Opioid Use Disorder (OUD) Continuum of Care. This training is on Best Practices of Peer Supervision and will benefit treatment and other facilities who employ Peer Recovery Support Specialists.
This event is sponsored by the Substance Abuse and Mental Health Services Administration State Opioid Response Grant and the West Virginia Department of Health and Human Resources, Bureau for Behavioral Health.
There is no cost to attend. Space is limited so be sure to register early!

Annual Reporting for PCMH 2014 Level 3 Recognized Practices - For Reporting Year 2020:

As a PCMH 2014 level 3 Recognized practice, you can maintain your Recognition through an Annual Reporting process. You have already shown that the structure and processes of a medical home are in place, so demonstrating that you have maintained supporting activities should not be difficult or require a lot of additional work.

If you have done a good job of maintaining your PCMH concepts and meet the Annual Reporting requirements, it should take you 25-40 hours or less to complete the Annual Reporting process.


Below is a comparison of the steps required to earn initial PCMH Recognition and how it compares to Annual Reporting:

PCMH 2014
Number of requirements
Report on 27 elements 
(6 must-pass elements).
  100 possible points.
Attest to current PCMH Standards and Guidelines.
  Report on 15 requirements.
What NCQA wants to see
Minimum of 6 must-pass elements, plus  optional elements (35-59 points for  Level 1 Recognition; 60-84 points for  Level 2; 85-100 points for Level 3
Recognition).  Documented processes, data, reports, screenshots, examples.
Answer questions about how your practice is maintaining PCMH activities associated with each concept.  
When applicable, provide evidence and reports.
Reporting process
Manual upload of all supporting evidence in ISS.     Renewing practices are required to show they have met the requirements for designated elements for at least two years.
Checklist or data entry in Q-PASS.
  Minimal documentation upload.
Flexibility with types of evidence.
review process
Extensive review by NCQA.
No review 
unless selected for audit).
  If you have any questions, please contact Shannon Parker at shannon.parker@wvpca.org or Emma White at emma.white@wvpca.org .
Funding OpportunitiesFundingOpportunities

The Take Your Best Shot project was developed to address the problems associated with low vaccination rates among adolescents throughout West Virginia. Adolescent immunization rates for Tdap and meningococcal vaccination have surpassed Healthy People 2020 goals; however, influenza and HPV vaccination rates are still lagging and a recommendation for meningococcal B vaccination was added to the adolescent vaccination schedule in the last few years. Thus, TYBS projects are focused on improving HPV, meningococcal B, and influenza vaccination rates among adolescents 11-21 years of age , in accordance with the Advisory Committee on Immunization Practices' recommendations. 
The Take Your Best Shot: WV Adolescent Immunization Project is now a Pay for Success (PFS) project, linking payment to performance in increasing immunization rates for influenza, HPV, and MenB. The PFS strategy will ensure that high-quality, effective immunization services are resulting in increased adolescent vaccination rates in West Virginia for the targeted vaccine-preventable diseases.
Eligible lead agency applicants include public and private entities, such as local health departments, community health centers, hospitals, school-based health clinics, private clinics or other organizations.
Up to 10 lead agencies will be selected to take part in the PFS project. Lead agencies will enroll in the project by submitting a workplan that describes the strategies the applicant plans to implement, stating how it will improve HPV, influenza, and Men B vaccination rates. Lead agencies are expected to include evidence-based and/or novel strategies in their workplan that focus on improving HPV, meningococcal B, and influenza vaccination rates among adolescents ages 11-21 years of age. The Take Your Best Shot review committee, an ad hoc subcommittee of the WIN Steering Committee, will then review applications and select lead agencies to be included in the project based on the (1) anticipated impact and (2) the sustainability and replicability, of the strategies described in their application. 

For application information about Take Your Best Shot: WV Adolescent Immunization Project, please contact Barb Thaxton, WIN Program Manager at barbara.thaxton@wvruralhealth.org.
National NewsNationalNews

NACHC is closely monitoring developments and reports from the  Centers for Disease Control and Prevention related to the outbreak of respiratory illness caused by a novel (new) coronavirus (termed "2019-nCoV") that was first detected in Wuhan City, Hubei Province, China. Chinese health officials have reported more than a thousand infections of this type of coronavirus in China. There are also a growing number of infections in international locations, including the United States, where 5 cases in travelers from Wuhan, China have been confirmed in four states (AZ, CA, IL, WA) as of January 26, 2020.
The CDC has determined that the immediate risk of this new virus to the American public is believed to be low at this time. However, the CDC also recommends the following actions so that everyone can do their part to help them respond to this emerging public health threat:
  • For everyone:  As it is currently flu and respiratory disease season, the CDC recommends people get vaccinated, taking everyday preventive actions (hand-washing, covering coughs, etc.) to stop the spread of germs, and taking flu antivirals if prescribed.
  • For health care professionals and health center staff: 
-  Be on the look-out for people with a travel history to Wuhan, China, with fever and respiratory symptoms. 

-    If you are a health care professional caring for a 2019-nCoV/coronavirus patient, take care of yourself and follow recommended infection control procedures.

The Supreme Court on Friday announced it will hear two cases on whether employer health plans should be allowed religious and moral exemptions from the Affordable Care Act (ACA) requirement to cover birth control. The Trump administration in November 2018 issued final rules to allow more employers to opt out of providing no-cost birth control, but federal judges stopped the rules from taking effect. The justices said Friday they would hear the administration's appeal of lower-court decisions that blocked the rules nationwide. In the case before the court, Pennsylvania and New Jersey sued the administration, arguing that its exemptions would unlawfully deny preventive health care to millions of women. The Supreme Court will decide whether the Trump administration may allow employers to limit women's access to free birth control under the ACA

Registration for the National Association of Community Health Centers (NACHC) March Policy and Issues Forum is now open. "Hill Day" for health center legislative visits will be on Wednesday, March 18. The full schedule, registration and other information can be found on the   NACHC 2020 P&I Website.
Health and Human Services Secretary Alex Azar lashed out on Monday at healthcare stakeholders critical of a proposed rule from the Office of the National Coordinator for Health IT meant to enable patient access to their electronic medical records.

Speaking at ONC's annual meeting on Monday, Azar charged that EHR systems today are "balkanized" and "segmented," creating data silos that prevent patients from accessing their health information. "Unfortunately, some industry stakeholders are defending the balkanized, outdated status quo," he said.
To read complete article from Health Data Management click here.

Upcoming National Training OpportunitiesUpcomingNationalTraining
Webinar:  Substance Use Prevention: ICE Collaborative & the Icelandic Prevention Model

In this webinar, Dr. Kristjansson will emphasize the role of community in decreasing the odds of substance use initiation and progression among youth and how Iceland, his home country, has altered the state of youth substance use through a collaborative model. 
Learning objectives: 
1. Elucidate how youth substance use is an ecological problem. 
2. Clarify the role of community-based risk and protective factors in youth substance use. 
3. To explain key elements in the Icelandic Model of Primary Substance Use Prevention. 
Speaker: Alfgeir L. Kristjansson, PhD, MSc, Associate Professor, Department of Social & Behavioral Sciences; Director, PhD Program, School of Public Health, West Virginia University. 
Dr. Kristjansson is an Associate Professor of Public Health at West Virginia University. The central focus of his work is on the health, behavioral development and well-being of children and youth with particular attention to substance use prevention and community health promotion. 
Continuing Education: CEU's pending approval from the Office of Maternal, Child and Family Health for Nursing through the WV Board of Examiners for Registered Nurses, License # WV1999-0297, Social Work through the WV Board of Social Work Examiners, License # 490089.

For more information about the training, click on the event linked above or contact The Center for Rural Health Development at 304-397-4071.

Substance Use Prevention: 
ICE Collaborative & the Icelandic Prevention Model
February 5, 2020 at Noon

Webinar: Using Health IT to Facilitate the Development and Administration of a PrEP Program

Hear from Your Peers! The HITEQ Center is launching a new webinar series for health centers to learn how their health center peers are using health IT to improve HIV prevention and care. For the first webinar, Using Health IT to Facilitate the Development and Administration of a PrEP Program, Robert Harris from the Community Health Center of Buffalo, Inc. will describe their whole system approach to develop an IT-supported PrEP program. Robert will present how they developed a viable and sustainable PrEP program maximizing the use of IT resources. He will describe the IT components to support the program which consisted of structured field algorithms, custom reporting, and process automation through the use of a clinical rules engine as well as lessons learned for PrEP program implementation and sustainability.

Using Health IT to Facilitate the Development and Administration 
of a  PrEP Program
Tuesday, February 18| 3 - 4:00 PM ET

Webinar:  Special Enrollment 
and Marketplace Appeals 

Health Reform Beyond the Basics, sponsored by the Center on Budget and Policy Priorities, will host two important webinars for enrollment assisters. The Special Enrollment Periods webinar will cover the circumstances that trigger a special enrollment period and the timing of coverage effective dates for different triggering events. This webinar will be Thursday, Feb. 6, 2:00 pm. Presented in partnership with the National Health Law Program, the Marketplace Appeals Process webinar will provide information on Marketplace appeals, detailing what decisions can be appealed, how to file an appeal, and ways to expedite the appeal process. 
Special Enrollment 
and Marketplace Appeals
Tuesday, Feb. 25, 2020 | 2:00 PM
CommunityHealthCenterResourceCommunity Health Center Resources
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 and via email at justin.harrison@jacksonkelly.com.
Risk Management Manual for Health Centers Now Available!
The Risk Management Manual for Health Centers is now available on the ECRI Institute Clinical Risk Management Program website! Designed to support a proactive approach to risk management at health centers and free clinics, the Manual provides background, tips, and how-tos in a manageable format.

Specific areas that are covered include:

Risk Management Programs & Plans
Claims and Lawsuits
Role of the Risk Manager
Patient Grievances and Complaints
Communication with Patients
Credentialing and Privileging
Communication among Providers, Staff, and Community Partners
Tracking Systems for Diagnostic Tests, Referrals, and Hospitalizations

View an archived webinar that provides a guided tour of the Manual and key features. For access to the ECRI Institute Clinical Risk Management Program website or any other questions, email clinical_rm_program@ecri.org.
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.

Sherri Ferrell, MBA | Chief Executive Officer
Debra Boyd | Chief Financial/Chief Operations Officer
Staci Arnold, MBA | Data Service & Integration Specialist
Jennifer Boyd, PA-C, PCMH-CCE | Clinical Consultant
Warne Dawkins, MBA | Health Data Analyst
John Kennedy, MA | School-Based Health/Behavioral Health Coordinator
Pam Moore | Member Relations Coordinator
Shannon Parker, MBA, PCMH-CCE | Director of Health Center Operations
Amanda West | Staff Accountant
Emma White, RN | Clinical Quality Improvement Coordinator 
Paula Beasley | Education and Communications 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