January 23, 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


Supreme Court denies quick review of Obamacare challenge
Read the entire article, originally from
Modern Healthcare  here.

As the World Faces One of the Worst Flu Outbreaks in Decades, Scientists Eye a Universal Vaccine
Read the entire article, originally from Smithsonian Magazine here.

Frontier Said to Tell Creditors It Seeks March Bankruptcy
Read the entire article, originally from Bloomberg  here.

Lewis County Schools Partner with Community Care to Offer School Based Health 
Read the entire article, originally from WVNews 
Williamson Health & Wellness Provides 
100 Free Flu Shots!

Submitted photo from Amy Reed with Williamson Health and Wellness
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.

It's Not Too Late for Flu Shots
Recent pediatric flu cases are a reminder of the critical role health centers play in protecting the most vulnerable patients from vaccine-preventable diseases. It is not too late for your patients to be vaccinated for the 2019-2020 influenza season.
What can health centers do?
By increasing vaccination rates, health centers can have a great impact on protecting our communities.
Featured resources
State NewsStateNews
STAR Trainings

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


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 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. 

  • 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!

Updated Annual Reporting Requirements

Please be aware that NCQA updated the Annual Reporting Requirements on December 16, 2019.

The updated 2020 Annual Reporting requirements can be found on the WVPCA PCMH webpage at here.

Please note: There are no new requirements. Modifications were based on feedback and questions to help clarify guidance, provide resources and refine criteria expectations.

See below for an overview of the updates:
  • Clarified language in the Manual Reporting Option method for practices that cannot run automated reports, adding an example. Added information in the notes to clarify expectations.
  • Clarified expectations for assessing current access methods in the notes to help distinguish between AR-AC 1 and PCMH QI 04A and ensure that practices prioritize assessing appointments. 
  • Modified language for each question. Added a note to question 1 regarding attestation. Clarified the question 2 note to state that practices only need to select 1 or 2 options. 
  • Revised the title from "Additional Quality Measures" to "Resource Stewardship Measures."
  • Revised the language in Item F to require 1 measure rather than 2 measures. 
  If you have any questions, please contact Shannon Parker at shannon.parker@wvpca.org or Emma White at emma.white@wvpca.org .

Nearly 1 in 5 adolescents aged 12 to 18 years, and 1 in 4 young adults aged 19 to 34 years are living with prediabetes, according to a new CDC study .  The condition increases the risk of developing type 2 diabetes, chronic kidney disease, heart disease, and stroke. Public health leaders call for strategies that promote healthy eating habits, physical activity, and stress management.  Read the CDC's full press release
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
The CDC estimates that so far this season there have been at least 13 million flu illnesses, 120,000 hospitalizations, and 6,600 deaths from the flu including the tragic deaths of 39 children. Please encourage your community to get the flu vaccine and share this link on what to do if they get the flu! 

Registration for the National Association of Community Health Centers (NACHC) March Policy and Issues Forum is now open. Early bird registration ends Feb. 24. "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
Where Do We Stand with Health Center Program Funding?
Late last month, just before the December 20, 2019, deadline, members of Congress agreed to another short-term extension of health center mandatory funding through May 22, 2020, and finalized the 12 annual spending bills, which will fund the federal government through FY20. 

This is a five-month extension to the mandatory funding for health centers, teaching health centers and the National Health Service Corps. The discretionary funding for health centers is extended through Sept. 30, 2020. The advocacy goal continues to be long-term stable funding.
The Consolidated Appropriations Act, 2020 provides full discretionary funding (approximately $1.6 billion); however, the Further Consolidated Appropriations Act, 2020 only provides a portion of the anticipated mandatory funding (approximately $2.6 billion of the anticipated $4 billion) through Friday, May 22.

At this time, HRSA anticipates providing health centers with nine months of continuation award funding. HRSA issued application guidance for FY 2020 Health Center Program continuation awards and is in the process of reviewing the applications.
Upcoming National Training OpportunitiesUpcomingNationalTraining
Webinar Series on Understanding Your Costs in  an Evolving Payment Environment 

The Delta Center for a Thriving Safety Net is sponsoring a four-webinar series to assist health center finance and accounting staff to adapt their business models to succeed in value-based payment environments. Capital Link, a HRSA-funded National Cooperative Agreement (NCA), will facilitate the webinars.

Cost Allocation: Getting the Basics Right
Tuesday, January 28  - 3:00-4:00 p.m. ET 

Cost Allocation: 
Getting the Basics Right
Tuesday, January 30|1:00-2:00 PM ET 
January is Cervical Health Awareness 
HRSA observes Cervical Health Awareness month each January. Join us for the next session in HRSA's Data for Decision-Making Speaker Series focused on cervical health. Speakers from CDC, the American Cancer Society, and a health center will share cervical health surveillance data, as well as promising practices and experiences promoting cervical health.
Supporting Cervical Health 
Through Data and Practice
Thursday, January 30|2:00-3:00 p.m. ET 

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:  HIV Prevention and Care

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 while minimizing the amount of staff resources needed to administer the program effectively. 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
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