Hello, just a reminder you are receiving this email because you expressed an interest in the West Virginia Primary Care Association.  Don't forget to add paula.beasley@wvpca.org to your  address book, so you don't miss any issues of the WVPCA Weekly Outlook!  
February 19, 2020
  WVPCA Weekly Outlook Newsletter
    A Newsletter on Community Centered Healthcare

How Trump's Push for Medicaid Transparency Could Worsen Rural Hospital Crisis
Read the entire article, originally from the NBC New York 

Read the entire article, originally from WV News   here.

Collegiate Recovery Program Being Developed at Concord University
Read the entire article, originally from WOAY-TV  here.

Nearly 550 employees to be affected by hospital downsizing
Read the entire article, originally from  WSAZ   here.

Please join the WVPCA and Nell Stuart, MS, Registered Dietitian and Certified Diabetes Educator as we dive into the progressive nature of Type II Diabetes.  To better understand how to treat people with diabetes holistically, it is important to understand the pathophysiology of this chronic disease.  This webinar is appropriate for clinical providers who want to review diabetes and for those who want a better understanding of the disease. 1 Nursing CE will be available (pending)

Target Audience:  Physicians, PA-C, NPs, Nurses, Medical Assistants, Care Managers, Community Health Workers, and Social Workers.

1. Discuss the natural history of Type II Diabetes.
2. Discuss the implications of T ype II D iabetes as a progressive disease on treatment goals for the patient.
3. Be aware of the gaps in care that exist in the treatment of  T ype II D iabetes which results in confusion to the patient.

Registration closes March 4 at noon.

For detailed information click here.
National Wear Go  Red  for Women 

Health Centers and the WVPCA wear red in support of National Wear Go Red for Women Day.  Raising awareness to save lives from heart disease.

Shenandoah Community Health in Martinsburg  

MVA Health


The WVPCA would like to say thank you to all the members who participated in the Go Red for Women movement, on Friday, February 7th.  

We are excited to announce that we have partnered with Jennifer Calohan, and the team at CURIS Consulting, to offer our members a highly interactive learning collaborative focused on using LEAN/Six Sigma principles and practices to improve health outcomes.  The collaborative will be a combination of onsite training workshops, supported peer-to-peer networking, remote trainings, webinars, and individualized coaching sessions. Improving diabetes outcomes will be used as the case study for the learning collaborative. However, the principles learned can be applied to improve processes and outcomes throughout your health center. 

Please join the WVPCA & CURIS Consulting for an in depth Webinar and Q&A about this learning collaborative discussing topics such as: 
  • Purpose & ROI
  • Who Should Participate
  • Commitment
  • Participant Investment
To register click   here.

If you have any questions, please contact Shannon Parker at shannon.parker@wvpca.org  or Emma White at  emma.white@wvpca.org .
State NewsStateNews

We now have a name for the disease caused by the novel coronavirus: COVID-19. The disease, which was first identified in the Wuhan province of China, was renamed by the World Health Organization, to avoid stigmatizing any geographical location, animal or individual with the disease. The Centers for Disease Control and Prevention says that more cases of COVID-19 are likely to be identified in the coming days. There are 19 confirmed cases in the U.S. The CDC says it is probable that person-to-person spread will continue to occur, including in the United States. NACHC is directly communicating with the CDC Coronavirus Response Task Force on a regular basis.

"Our focus is to regularly communicate with the health center field and keep them up to date on CDC recommendations, " said Ronald Yee, MD, Chief Medical Officer of NACHC. "It is important that we educate and not alarm and above all else ensure that health centers have the tools they need to implement clinical protocols in response to COVID-19 if necessary, working in partnership with local public health departments, organizations and community stakeholders."

Among the challenges for health centers, is an increase of fears about the disease and walk-in visits. There have also been reported shortages of masks and protective gear. Health center staff are carrying out screening measures - both in exam rooms and over the phone - to assess a patient's potential risk. Patients who come in with respiratory infections and a history of recent travel to China require consultation with public health officials - and in some cases, immediate transportation to a hospital.

A previous NACHC Blog Post identified actions that can be taken to help respond to this global health threat. However, it's also important to note that influenza remains an even higher risk for communities. The CDC estimates that so far this season there have been at least 26 million flu illnesses, 250,000 hospitalizations and 14,000 deaths from flu. Health officials recommend a vaccination for the best protection against the flu.

Our Community Together:  A Collective Impact on HIV in West Virginia.   This conference is intended to address medical and first responder issues surrounding the recent HIV outbreaks that are currently impacting our residents and ourselves.  This can't miss event is offered at no cost and is being held on March 23, 2020 at the DoubleTree by Hilton hotel and offers medical educational credits.  For additional information and registration information click here.
Attendees will be provided the most recent information regarding HIV prevention to include impact of stigma, PrEP and NPEP, HIV case finding in the primary care setting and prevention in the setting of commercial sex work.  This conference will also address burnout and mental health among first responders.  
March 23, 2020
DoubleTree by Hilton Hotel - Huntington, WV
Click here to register.

Seating is limited and registration must be completed by March 23rd.  
6.2 CME will be available to participants. 

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.
Through shared understanding and respect, PRSS staff help link individuals to treatment and encourage them to stay engaged in the recovery process.
The West Virginia Department of Health and Human Resources, Bureau for Behavioral Health is hosting quarterly regional PRSS trainings to provide educational opportunities on important issues pertaining to addiction and recovery. Hopefully, the trainings will provide more "tools in their toolbox" when working with individuals in recovery.
Each participant will receive a copy of the agenda and a training certificate which can be used toward certification hours if approved by their respective credentialing boards or agencies.
Regional Training Dates and Locations are listed below. 
No charge to attend, but space is limited so register early!
Topics: Peer Ethics, Anti-Stigma Among Peers, and Compassion Fatigue
Wednesday, March 11, 2020 | Kanawha County (Charleston)
University of Charleston (Ballroom)
2300 MacCorkle Ave, SE, Charleston, WV 25304
Registration begins at 12:00 pm
Sessions from 12:30 pm - 4:00 pm
Wednesday, March 18, 2020 | Raleigh County (Beckley)
Beckley Raleigh County Convention Center
200 Armory Dr., Beckley, WV 25801
Registration begins at 12:00 pm
Sessions from 12:30 pm - 4:00 pm
Wednesday, March 25, 2020 | Randolph County (Elkins)
The Robert C. Byrd Center for Hospitality & Tourism (Conference Room B)
Davis & Elkins College
100 Campus Drive, Elkins, WV. 26241
Registration begins at 12:00 pm
Sessions from 12:30 pm - 4:00 pm
Wednesday, April 8, 2020 | Wood County (Parkersburg)
WVU Parkersburg - Multipurpose Room 1536
300 Campus Drive, Parkersburg WV, 26104
Registration begins at 12:00 pm
Sessions from 12:30 pm - 4:00 pm


Elementary school fighting the flu with smart thermometer technology

Some elementary schools are using the latest technology to fight against the flu with parent's help.  There is now a Bluetooth-enabled digital thermometer that connects to any smartphone. This thermometer has a free app that provides personalized tips and guidance on how and when to soothe symptoms, take meds, and call the doctor.  It also allows parents to quickly notify schools anonymously about sick students so the school is aware of the collective progression of the flu, thereby taking steps to reduce its' potential impact.  

To find out more about this how this technology works and how it is possible to become a participating school, click here.
CDC Releases 2020 Recommended Vaccine Schedules
Each year,   The  Advisory Committee on Immunization Practices (ACIP)  updates the immunization schedules to reflect current recommendations for licensed vaccines. The following 2020 schedules indicate the recommended ages for routine administration of currently licensed vaccines for children, adolescents and adults.

Immunization Schedules for Health Care Providers

Parent-Friendly Vaccine Schedules

The Business Case for PCMH

Milliman, the world's largest providers of actuarial services, provides the first comprehensive look at the business implications for earning PCMH Recognition.
Download the White Paper here:

Paper at a Glance:
  • Reviews the operational and financial motivations for PCMH.
  • Overview of revenue sources and revenue potential.
  • Modeling of a hypothetical practice found between a 2% to 20% increase in revenue (dependent on payment models).
If you have any PCMH questions, please contact Shannon Parker at shannon.parker@wvpca.org  or Emma White at  emma.white@wvpca.org.
Funding OpportunitiesFundingOpportunities

  The Health Resources and Services Administration's (HRSA) Federal Office of Rural Health Policy (FORHP) will be making approximately 89 awards of $1 million each to rural communities to enhance substance use disorder, including opioid use disorder service delivery.  Over the course of a three-year period of performance, grant recipients will implement a set of core prevention, treatment, and recovery activities that align with the U.S. Department of Health and Human Services' Five-Point Strategy to Combat the Opioid Crisis.  

Award recipients are strongly encouraged to leverage workforce recruitment and retention programs like the National Health Service Corps (NHSC).  All domestic public and private entities, nonprofit and for-profit, are eligible to apply, and all services must be provided in HRSA-designated rural areas (as defined by the Rural Health Grants Eligibility Analyzer).  

The applicant organization must be part of an established network or consortium that includes at least three other separately-owned entities.  At least two of these entities must be located in a HRSA-designated rural area.  

FORHP will hold an hour-long webinar for applicants on Tuesday, February 25, 2020 from 1-2 p.m., ET .  A recording will be made available for those who cannot attend.  

Please reference page (ii) in the NOFO for the dial-in and playback information for the webinar, and contact ruralopioidresponse@hrsa.gov with questions.
National NewsNationalNews
Trump's Budget Proposal Would Cut Nursing Programs

President Donald Trump's budget proposal for Fiscal Year 2021, released last week, would eliminate several nursing programs under the HHS and Department of Education.  
If the budget passes, most Title VIII Nursing Workforce Development Programs would be eliminated, with the exception of the Nurse Corps program, according to the American Association of Colleges of Nursing, which opposes the budget. 

"Federal funding for Title VIII Nursing Workforce Development Programs is essential to our nursing schools, students and the profession," said Ann Cary, PhD, RN,chair of the AACN's board of directors. "Without adequate funding for these programs, the health and well-being of all Americans will suffer." 

The AACN believes the budget cuts undermine the government's long-standing commitment to educating the future nursing workforce to meet healthcare needs in the U.S. 

 The plan would also cut Medicaid and ACA spending by a combined $1 trillion, according to The New York Times.
About two weeks are left for covered entities to recertify and retain their 340B participant status. Covered entities that do not recertify by the deadline of Monday, February 24, will be terminated from the  HRSA 340B Program  starting on Wednesday, April 1. They will require a new registration and not be eligible to participate in the 340B Program until July.
To recertify, Authorizing Officials and Primary Contacts must first set up user accounts by visiting the HRSA 340B Office of Pharmacy Affairs Information System (340B OPAIS) and choosing "I am a participant." It is the covered entity's responsibility to ensure they have created their accounts before recertification to allow successful completion of the process. For questions or assistance, email the 340B call center  or call 888-340-2787 (Monday-Friday, 9:00 a.m.-6:00 p.m. ET).

A federal appellate court Friday shut down the CMS' approval of Arkansas' Medicaid work requirement, dealing a major blow to the Trump administration's Medicaid policy centerpiece of requiring beneficiaries to work as a condition of receiving benefits.

In a unanimous ruling, a three-judge panel for the U.S. Court of Appeals for the District of Columbia Circuit upheld a lower court decision that HHS' approvals of Medicaid work requirements in Arkansas and Kentucky were arbitrary and capricious and not consistent with the primary objective of the Medicaid statute. Kentucky ultimately terminated its Medicaid work requirement program and withdrew from the appeal.

The opinion, written by Republican-appointed Judge David Sentelle, said the lower court "is indisputably correct that the principal objective of Medicaid is providing healthcare coverage."
The Trump administration in its approvals of Section 1115 waiver requests from Arkansas and Kentucky said requiring beneficiaries to report 80 hours a month of work of "community engagement" activities would lead to improved health outcomes and wellbeing for beneficiaries.
But the panel rejected that rationale.

"We agree with the district court that the alternative objectives of better health outcomes and beneficiary independence are not consistent with Medicaid," Sentelle wrote.

The CMS did not immediately comment on the ruling. It's unknown whether the administration or Kentucky officials will appeal the ruling to the Supreme Court.   CMS Adminstrator Seems Verma has aggressively promoted the administration's move to expand Medicaid work requirements. Nearly a dozen conservative-led states are seeking waiver approvals for such requirements. Michigan and Ohio currently are launching programs requiring Medicaid expansion beneficiaries to report work or community engagement activities.  

Jane Perkins, legal director of the National Health Law Program, which spearheaded the legal challenge to the work requirement waivers, praised the ruling on Friday.   "It means that thousands of low-income people in Arkansas will maintain their health insurance coverage - coverage that enables them to live, work, and participate as fully as they can in their communities," she said.

Arkansas's Republican leaders had hoped to reinstate the work requirement program, which was blocked by U.S. District Judge James Boasberg last March after more than 18,000 Arkansas Medicaid expansion enrollees lost coverage.   Kentucky's new Democratic Gov. Andy Beshear recently withdrew his state's work requirement waiver program.

Some experts believe this could dramatically impact other work requirement requests. Nicholas Bagley, a University of Michigan law professor who has closely followed the work requirements litigation, said Friday's ruling marks "the end of the road for work requirements at least until the Supreme Court has an opportunity to weigh in."   He said the opinion minces no words in saying the Trump administration can't approve waivers that would result in kicking tens of thousands of people off program. It might also block variations like Utah's waiver, which requires Medicaid expansion enrollees to report that they have applied for employment but does not require them to actually be employed.   "They might try to go ahead with something different like Utah," Bagley said. "But it's very difficult to see how any waiver whose adoption would result in loss of coverage could possibly be approved."
Please join WVPCA in Washington D.C. on Wednesday, March 18 during the NACHC Policy & Issues Forum (P&I) as we meet with the West Virginia congressional delegation to advocate for health centers and the people who count on you for access to care. We will need to again secure federal appropriations in the upcoming federal fiscal year to avoid an interruption in 330-grant funding. It is critical for health center needs to be heard in Washington and heard early so we don't get overlooked. We need to educate our Members of Congress on the value primary care centers offer and the need to protect this federal investment in access to quality affordable primary health care."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.  
Updated Resource for Health Centers Considering Mergers, Acquisitions, and Other Organizational Changes

HRSA has updated its technical assistance resource (TAR) on Health Center Mergers, Acquisitions and Other Organizational Changes and Related Successor-in-Interest Requests. It provides information for Health Center Program awardees considering changes to their organizational structure, such as mergers or acquisitions, that may impact the status of their federal award. Additionally, the TAR provides specific guidance regarding when a prior approval request to HRSA for recognition of a new Health Center Program award recipient, also referred to as the "Successor-in-Interest" (SII), is necessary. The TAR also provides information on the review criteria, timeline, and process HRSA will utilize in making decisions regarding requests for recognition of a SII.

As a reminder, decisions regarding changes to a health center's organizational or corporate status are the sole responsibility of the health center's governing board. Related questions may be directed to your designated Grants Management Specialist and the BPHC Project Officer listed on your Notice of Award.
Upcoming Training OpportunitiesUpcomingNationalTraining
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
 Register here
HITEQ Highlights | HIV Prevention and Treatment for patients with SUD/OUD in an Integrated Behavioral Health Setting

Join the HITEQ Center, in collaboration with the National Council for Behavioral Health, for a webinar on understanding how to integrate HIV screening into integrated behavioral health services, including how to identify patients at risk for HIV, facilitate screening, and prompting for rescreening at appropriate intervals.

Useful for: C-suite staff, Information technology leadership and staff, and clinical staff.

HITEQ Highlights | HIV Prevention and Treatment for patients with SUD/OUD in an Integrated Behavioral Health Setting
Thursday, February 27, 2020
3:00 PM - 4:00 PM ET

Webinar:  Promising Practices on Addressing Stigma and HIV in Primary Care Settings

Experts from the University of Alabama at Birmingham and the HRSA-funded Southeast AIDS Education Training Center will discuss various forms of stigma and how it impacts patient outcomes.   They will also share stigma reduction resources to assist health centers providing services to people living with HIV.

Promising Practices on Addressing Stigma and HIV in the Primary Care Settings  
Thursday, March 5, 2020
3:00 PM - 4:00 PM ET
Register here

  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.
Register here
West Virginia Cancer Resource Survivorship Summit 

The West Virginia Survivorship Resource Summit sponsored by the American Cancer Society through a grant from the West Virginia Bureau for Public Health/Division of Health Promotion and Chronic Disease/Comprehensive Cancer Control Program has announced registration is now open.  The goal of the Summit is to share the National Cancer Survivorship Resource Center survivorship guidelines toolkit and to describe aspects of clinical care for the post-treatment cancer survivor in both the cancer setting and primary care.

March 20, 2020
Event Registration-8:00 am - 8:25 am
Program - 8:30 am - 4:00 pm
Breakfast (light) and 
lunch will be provided.
Register here
Please bring a non-perishable food item to donate, all donations will be made to a WV Food Bank.
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
This project is/was supported partially/fully by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U58CS06834 State and Regional Primary Care Associations. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.