January 9, 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.

Sincerely,

West Virginia Primary Care Association
1700 MacCorkle Avenue
Charleston, WV 25314-1518
304-346-0032
1-877-WVA-HLTH

News 
Flash!


New Resources on Uniform Data System Modernization
The Uniform Data System (UDS) Modernization Initiative aims to reduce UDS reporting burden, improve data quality, and more fully measure the impact of Health Center Program. Check out these new resources to learn more:

UDS 2019 Reporting Season Begins Soon
The UDS 2019 reporting period begins on Wednesday, January 1, 2020. All HRSA-funded health centers and look-alikes are required to submit complete and accurate UDS reports by Saturday, February 15, 2020. Upon successful submission, your UDS report will be assigned to a UDS reviewer who will work with you to finalize your data submission.

The 
2019 UDS Manual and  other UDS reporting resources can help you complete an accurate report. The manual includes detailed instructions for completing each of the tables and appendices, and information on how to submit the UDS through HRSA's Electronic Handbooks (EHBs).

There are two helpful tools for health centers to complete their UDS report offline: an Excel file and an HTML file. They were created as part of the effort to move UDS reporting from a manual process to a more automated process.  Watch this video to learn more.

The UDS PRE is available now for health centers to enter available UDS data. Entering data in the PRE can help identify data errors and provide additional preparation time prior to the February deadline. Use of the PRE is optional. Health centers can still choose to enter their 2019 UDS data after Wednesday, January 1, 2020, during the traditional UDS reporting period.

Direct all EHBs or Health Center Program questions to Health Center Program Support  online or 877-464-4772. Direct UDS content and reporting questions to the UDS Support Center by email or 866-UDS-HELP (866-837-4357).
Update on UDS 2020 Reporting Changes
Earlier this year, we solicited your comments on the proposed UDS 2020 reporting changes. Based on that feedback, HRSA made adjustments to the draft instruments. For a summary of these changes and more information,  see the Federal Register Notice .

Once approved, we will issue a Program Assistance Letter (PAL) detailing the changes in 2020 UDS reporting requirements.  Visit the HRSA website for more information and resources on UDS reporting and UDS Modernization.
PCMH
The PCMH Experience: Medication Reconciliation in the Medical Neighborhood
Some practices try to combine KM 14 (Medication Reconciliation) and KM 15 (Medication Lists). Let's look first at how they differ, and why, and then we can consider the further opportunity to improve patient safety by coordinating medication reconciliation in the medical neighborhood.

Medication lists should be updated at least annually and are intended to include both prescription and nonprescription medications, over-the-counter medications and all those touted supplements-both evidenced-based and otherwise-that a patient has deemed useful to their nutrition and health (does a practice know how many of its patients use CBD oil?) or that were suggested by their clinician. The reason for these lists is therefore to be able to alert a patient if something is recalled, a recommended dose is revised or a study has discovered a new interaction. These need to be in a practice's system in such a way that the practice can search for all patients who are currently on a specific medication and so it can determine how often it should update lists.

The denominator should be all active patients in the practice; the nume rator should be all patients whose medication list was updated within the past year. For patients without any medications, a dated inquiry showing "none" can count in the numerator-but remember that "medication" in KM 15 is broadly defined and would includ e vitamins for a pediatric patient.
One difference between KM 14 and KM 15 is that medication reconciliation is a more defined process. While meeting the criterion does not require demonstrating the reconciliation process, an evaluator may need to delve into the practice's process to determine that it is doing more than merely updating the medication list. Certainly, updating the list is a starting point, but KM 14 focuses on prescribed medications, with an actual review of dosage, frequency and interactions. This criterion also focuses on the need for a review following a care transition: The patient's list may have been updated recently, but a transition from another source of care initiates anew need. 

Click here to read more.
WVPCA NewsWVPCA_news
Prescribe HIV Prevention: Pre-Exposure Prophylaxis (PrEP) Training with Dr. Judith Feinberg
January 16, 2020 | 12:15 PM - 1:15 PM
 
Please join the West Virginia Primary Care Association and Dr. Judith Feinberg, Professor of Behavioral Medicine & Psychiatry, WVU Medicine to learn more about Pre-Exposure Prophylaxis (PrEP) to prevent HIV in your communities. Given the current state of the rapid increase in HIV cases in West Virginia, now is the time to improve HIV screening as well as assessing patients for risk of HIV. Let's all work together to prescribe prevention of HIV.  Registration for this one-hour webinar is available  here.

Learning Objectives:
  1. Describe the components of a sexual history
  2. Name potential candidates for PrEP
  3. Name the tests that should be performed prior to initiating PrEP
  4. Describe the process to prescribe PrEP
  5. Identify the monitoring that should be conducted while someone is taking PrEP
Target Audience:  Doctors, Nurse Practitioners, Physician Assistants, Certified Nurse Midwifes
Vaping: What We Need to Know
January 21, 2020 | 12:00 PM - 1:00 PM
 
Please join the West Virginia Primary Care Association (WVPCA), along with Julie Jackson from the WV Dept. of Oral Health to learn more about the seriousness of vaping and it's impact on our adolescents. Vaping is becoming an increasing epidemic among teens. In 2018, e-cigarette use nearly doubled in high school students. 
 
Vaping is the act of inhaling and exhaling the aerosol, often referred to as vapor, which is produced by an e-cigarette or similar device. The term is used because e-cigarettes do not produce tobacco smoke, but rather an aerosol, often mistaken for water vapor, that actually consists of fine particles. Many of these particles contain varying amounts of toxic chemicals, which have been linked to heart and respiratory diseases and cancer.  Many teens have dangerous misconceptions that lead them to believe that vaping is harmless.
 
Join us for an hour long webinar that will provide a clear understanding of the challenges, dangers and information needed for support our students in making good choices.  Registration for this webinar can be found  here.
 
CEUs available for nursing, social work and dental.
 
After this webinar, participants will:
  • Understand the difference between E-cigarettes, Vape Pens and JUUL
  • Recognize the overall health risks related to electronic cigarettes
  • Identify potential negative effects that vapors and aerosols on one's health/environment
  • Learn the nicotine level in a JUUL and compare/relate this to the amount in cigarettes
 
Target Audience: Medical providers, Nurses, Behavioral Health providers, Dental Hygienists
State NewsStateNews
STAR Trainings

The WVU School of Social Work's Strengthening Training for Addiction Recovery (STAR) : 


REGISTER HERE


Intersection of Opioid Use Disorder and Social Work Practice (2 Category I CEUs)

A basic overview of Opioid Use Disorder and Medication Assisted Treatment is provided.  Etiology and diagnostic criteria will be covered, as well as basic information about medication assisted treatment options.  Stigma and the challenges a person diagnosed with the disorder faces will also be explored.  

Competent SW Practice with Clients Diagnosed with OUD (2 Category I CEUs)

A deeper look at best practices from SAMSHA and levels of treatment from the American Society of Addiction Medicine is provided.  The role of Adverse Childhood Experiences will be explored as well as public health approaches, including prevention strategies, harm reduction and overdose response.  


January 14, 2020 - Elizabeth
Intersection of Opioid Use Disorder and SW Practice 
Dora Bee Woodyard Library
411 Mulberry St, Elizabeth, WV 26143
8:00 a.m. to 10:00 a.m. 

Competent SW Practice with Clients Diagnosed with OUD
Dora Bee Woodyard Library 
411 Mulberry St, Elizabeth, WV 26143
10:30 a.m. to 12:30 p.m. 
 

January 16, 2020 - Huntington
Intersection of Opioid Use Disorder and SW Practice 
Huntington-Cabell Health Department
703 7th Ave, Huntington, WV 25701 
12:00 p.m. to 2:00 p.m.

Competent SW Practice with Clients Diagnosed with OUD
Huntington-Cabell Health Department
703 7th Ave, Huntington, WV 25701
2:30 p.m. to 4:30 p.m. 
 

January 17, 2020 (additional date in progress for March) - Morgantown
Intersection of Opioid Use Disorder and SW Practice 
Morgantown Public Library
373 Spruce St, Morgantown, WV 26505
9:00 a.m. to 11:00 p.m.


January 9, 2020 - Danville

Intersection of Opioid Use Disorder and SW Practice 
Boone County Health Department 
213 Kenmore Drive Danville, WV 25053
10:00 a.m. to 12:00 p.m.

Competent SW Practice with Clients Diagnosed with OUD 
Boone County Health Department 
213 Kenmore Drive Danville, WV 25053
1.00 p.m. to 3:00 p.m. 


Competent SW Practice with Clients Diagnosed with OUD
Morgantown Public Library
373 Spruce St, Morgantown, WV 26505
12:00 p.m. to 2:00 p.m.


January 21, 2020 - New Martinsville
Intersection of Opioid Use Disorder and SW Practice
New Martinsville Public Library
160 Washington St. New Martinsville, WV 26155 
3:30p.m. to 5:30 p.m.

Competent SW Practice with Clients Diagnosed with OUD
New Martinsville Public Library
160 Washington St. New Martinsville, WV 26155 
6:00 p.m. to 8:00 p.m.
 

January 23, 2020 - West Union

Intersection of Opioid Use Disorder and SW Practice
Doddridge County Public Library 
170 Marie Street West Union, WV 26456
 9:30 a.m. to 11:30 a.m.  

Competent SW Practice with Clients Diagnosed with OUD
Doddridge County Public Library
170 West Marie Street West Union, WV 26456
12:00 p.m. to 2:00 p.m. 

January 28, 2020 - Keyser
Intersection of Opioid Use Disorder and SW Practice
Mineral County Health Department 
1080 Co Rte. 220/5, Keyser, WV 26726
10:00 a.m. to 12:00 p.m.

Competent SW Practice with Clients Diagnosed with OUD
Mineral County Health Department
1080 Co. Rte. 220/5, Keyser, WV 26726
1:00 p.m. to 3:00 p.m. 

January 30, 2020 - Ripley
Intersection of Opioid Use Disorder and SW Practice
Jackson General Hospital 
122 Pinnell St, Ripley, WV 25271 
9:00 a.m. to 11:00 a.m.

Competent SW Practice with Clients Diagnosed with OUD
Jackson General Hospital
122 Pinnell St, Ripley, WV 25271
12:00 p.m. to 2:00 p.m. 

Upcoming Training OpportunitiesTraining_News

The WVHAMP program is based on the KHAMP program to train and educate rural physicians on treating Hep-C patients without a specialist. We met with WV Medicaid representatives and the Fibrosis level has been reduced to 0, so that Medicaid will now pay for the treatment of these patients by a local physician. The training will go through treatment, medications, billing and how to access cheaper medications from the pharmaceutical companies. We also know that Hep-C is becoming an epidemic in WV and is spreading quickest in young rural males ages 19-39 and pregnant women.
 
The training's are free and we will provide the physician with a room if they want. Additionally, we encourage clinics, practices', and hospitals to send a team to the training consisting of physicians, pharmacists and nurse practitioners, if possible. 
 
We have tentatively schedule the next WVHAMP training on May 5, 2020 in Huntington, then October 13, 2020 in Morgantown and December 3, 2020 in Flatwoods. We are also hosting a 1/2 day Hep-C training on July 28, 2020 in Beckley and February 16, 2021 in Flatwoods.
National NewsNatNewsNew
1 Year After Losing Its Hospital, A Rural Town Is Determined To Survive
Dr. Max Self grabs a sanitary wipe and cleans off the small flashlight in his hands. More than 20 years as a family doctor in rural Fort Scott, Kan., has taught him a few tricks for dealing with little kids: "I've got my flashlight. See? Look, you want to hold it?"

Two-year-old Taelyn's brown eyes grow round, and her tiny hand reaches out. But, first, Self makes sure the little girl opens her mouth wide, and he peers down. Behind him sits another staff member - a medical scribe. The scribe gives the doctor the ability to "focus on people," rather than toggling between a computer screen and the patient. It's a new perk Self didn't have when he worked at Mercy Hospital.

That beloved hospital closed one year ago, and in the passing months, the small town's anger and fear evolved into grief, nervousness and - lately - pragmatic hope. Most of the handful of physicians in town stayed, taking jobs at a regional federally qualified health care center that took over much of the clinic work from Mercy. The emergency department, after closing for 18 days, was reopened, at least for now, and is run by a hospital 30 miles south.

Continue reading the full article by WV Public Broadcasting, here
Funding OpportunitiesFunding_News

Five community non-profits have been awarded grants from Medline and the Medline Foundation for playing a key clinical role in providing care for underserved, underinsured and uninsured patients. Funding will support innovative initiatives around pertinent issues such as cancer, diabetes and prenatal care.

The five award recipients are:

  • Community Healthnet Center
  • Angel Harvey Family Health Center of the Infant Welfare Society of Chicago
  • Osceola Community Health Services
  • Virginia Garcia Memorial Health Center
  • Vista Community Clinic
Medline will announce the 2020 Grant Programs in the coming weeks. Visit the  Community Impact Grant Program website to learn more about all grant recipients and how to apply.
Community Health Center ResourcesCHCResources
 
With the arrival of the New Year, employers should consider reviewing and updating their employee handbooks. Many non-union employers are surprised to learn that their efforts to regulate employee conduct often implicate federal labor law. Section 7 of the National Labor Relations Act ("NLRA") guarantees employees the 
right to "engage in ... concerted activities for ... mutual aid or protection." The National Labor Relations Board ("NLRB") has held that employees are protected from discipline or discharge for engaging in social media activity that constitutes "concerted, protected activity." This statutory protection applies to both union and non-union workplaces.
 
Most employers have adopted rules and policies that discourage or prohibit their employees from engaging in certain types of conduct, but as you can see above, these policies need to be narrowly tailored so that they do not interfere with an employee's Section 7 rights.
 
Fortunately, the Office of General Counsel at the NLRB has issued some helpful guidance as to which policies are more apt to run afoul of the NLRA. The General Counsel has identified three categories of workplace rules. Category 1 includes workplace rules that are generally lawful to maintain. Category 2 consists of workplace rules that warrant "individualized" scrutiny. Category 3 covers rules that are simply unlawful to maintain.
 
Working in reverse order, Category 3 is clear and unequivocal. Employers may not adopt or enforce rules that require confidentiality regarding wages, benefits or workplace conditions. Likewise, employers may not prohibit employees from joining unions. These activities are expressly protected under the NLRA.
 
Category 2 rules are not obviously lawful or unlawful and must be evaluated on a case-by-case basis to determine whether they interfere with rights guaranteed by the NLRA. The General Counsel has identified several examples: broad conflicts-of-interest rules that do not specifically address fraud or self-dealing; confidentiality rules involving "employer business" or "employee information" (rather than patient information or proprietary information); rules prohibiting disparagement or criticisms of the employer; rules prohibiting false or inaccurate statements (rather than rules prohibiting defamatory statements).
 
Category 1 is perhaps the most helpful to employers in terms of providing practical guidance. The General Counsel has identified several examples of workplace rules that fall under this category: (a) civility rules; (b) no-photography and no-recording rules; (c) rules prohibiting insubordination; (d) disruptive behavior rules; (e) rules protecting confidential, proprietary and patient information; (f) rules prohibiting defamation or misrepresentation; (g) rules prohibiting use of intellectual property (e.g., employer logos); (h) rules requiring permission to speak on behalf of the employer; and (i) rules prohibiting competition, nepotism and self-enrichment.
 
The NLRB's approach to these issues typically seesaws based upon presidential appointments. Unless a new president is elected in 2020, employers will be well-served to follow the General Counsel's guidance when reviewing and updating their handbooks.
                                              ________________________________

Justin M. Harrison is a labor & employment lawyer at Jackson Kelly PLLC. He is available for consultation through a special retainer relationship with the WVPCA. Justin can be reached at (304) 340-1358.
 
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.
WVPCA Staff

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 
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
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