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WVPCA Weekly Outlook Newsletter
A Newsletter on Community Centered Healthcare
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Quick Links: In This Issue.....
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Report: Harm reduction restrictions helped fuel Cabell County HIV outbreak
Read the entire article from
Charleston Gazette-Mail
here.
Sheetz to thank first responders, health care workers in WV, elsewhere, with free coffee
Read the entire article from
WVNews
here.
Read the entire article from WVNews
here.
The US reopening is coming, but 'normal' is still a ways off
Read the entire article from the WVNews
here.
WV stay-at-home order to become safer-at-home advisory Read the entire article from WV Gazette here.
Feds OK fix to Medicare billing issues at WV senators' urging
Read the entire article from the WV Gazette
here.
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COVID-19 UPDATE: Gov. Justice unveils plan to reopen state: "West Virginia Strong - The Comeback"
Jim Justice unveiled his comprehensive plan to reopen various aspects of the state and its economy, putting West Virginia on the road to recovery from the COVID-19 pandemic.
The plan is called "West Virginia Strong - The Comeback" and allows businesses in certain sectors to reopen in phases over the next six weeks if the rate of positive COVID-19 cases in the state remains low.
As the reopening process gets underway, West Virginians should continue to practice good social distancing, maintaining at least six feet of separation between each other.
Additionally, people are encouraged to continue wearing face coverings in public where other physical distancing measures are difficult to maintain.
The Governor's Stay At Home order will remain in place until lifted at a later date.
Individuals are also required to continue following all county health department regulations and businesses are encouraged to continue allowing employees to telework if possible. Read more here.
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Coronavirus may linger in air in patient bathrooms, medical staff areas, study finds
The new coronavirus can potentially be spread via fine airborne particles and may linger in patients toilet areas, medical staff areas and areas prone to crowding, a new study shows.
The study, published in Nature, examined the presence of the new coronavirus' genetic material in fine airborne particles, or aerosols, in different areas of two Wuhan hospitals during the COVID-19 outbreak in February and March.
Researchers found the concentration of the virus' genetic material in aerosols detected in isolation wards and ventilated patient rooms was very low. But it was high in the patients' toilet areas, as well as two public areas prone to crowding.
They also found that some medical staff areas initially had high concentrations of the virus' genetic material in aerosols, but these levels decreased until the virus was undetectable after rigorous sanitization procedures were implemented.
But, they said, the novel coronavirus "may have the potential to be transmitted via aerosols," and room ventilation, open space, sanitization of protective gear and proper use and disinfection of toilet areas can limit the concentration of the virus' genetic material in aerosols.
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COVID-19/ NOVEL CORONAVIRUS Pandemic
As you know, information on coronavirus is changing daily. The WVPCA is working with Federal, State, and local health officials in emergency preparedness activities as well as disseminating appropriate and current information to our Community Health Centers. This includes up-to-date resources and policies to ensure the continued health and safety of the communities we serve. Guidance and resource information can be found on the WVPCA website here and coronavirus.gov.
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WVPCA News
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Announcing HRSA's National Health Service Corps Loan Repayment Programs
HRSA's National Health Service Corps (NHSC) has extended the application deadline for all three loan repayment programs to Thursday, May 21, at 7:30 p.m. ET.:
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2017 Standards Training Update
Please be aware that due to COVID-19, the Kellogg Conference Hotel will not be opening back up for conferences until after August 1, 2020. We are currently working with HRSA/NCQA to determine next steps. We will communicate the plan as soon as we can.
If you have paid, you will be given a full refund. There is a possibility that this will be offered virtually, however that is just one option on the table at this point. We apologize for any inconvenience and will be in touch very soon!
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State News
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Ending the HIV Epidemic: Boot Camp for Community Health Centers Wednesday Webinar Series
The West Virginia Primary Care Association, the Pennsylvania Association of Community Health Centers, and the MidAtlantic AIDS Education and Training Center have created this six-part webinar series for Community Health Centers who have an integral role in Ending the HIV Epidemic. Participants will hear from fellow Community Health Centers and clinic leaders for a strategy-gathering information exchange to learn more about HIV Routine Testing, Implementation of Routine Testing, Importance of Pre-Exposure Prophylaxis (PrEP), and how to access funding for PrEP. The webinars will be an hour in length and will include Q&A as well as audience interaction via polling.
Wednesday June 3, 2020, 12:00-1:00pm ET
Vital Role of Community Health Centers in Ending the HIV Epidemic
Wednesday June 10, 2020, 12:00-1:00pm ET
HIV Routine Testing: Why It's Important
Wednesday June 17, 2020, 12:00-1:00pm ET
Implementation of HIV Routine Testing in your Community Health Center
Wednesday June 24, 2020, 12:00-1:00pm ET
Importance of PrEP in Primary Care - A Rural Clinic's Perspective
Wednesday July 8, 2020, 12:00-1:00pm ET
Importance of PrEP in Primary Care - An Urban Clinic's Perspective
Wednesday July 15, 2020, 12:00-1:00pm ET
Accessing Pre-Exposure Prophylaxis (PrEP): Billing and Coding
Register here.
Please refer to the event's registration page for credit information.
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National News
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"Stimulus Package 3.5" Adds Funds to CARES Act
This week, Congress passed another $484 billion stimulus package to add funds to provisions of the CARES Act, the third stimulus package. This package is not the "phase 4" stimulus package; however, health centers may potentially benefit from some of the additional funding given to select programs. The bill:
- Adds an additional $322 million to the Paycheck Protection Program.
- Adds another $75 billion to the $100 billion Provider Relief Fund, $30 billion of which was already dispersed to providers based on Medicare billings with the next distribution expected to happen April 24.
- The bill also includes $25 billion for testing, $385 million of which is targeted to FQHCs and RHCs
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Stimulus Package 4 to Assist with Effects of COVID-19
Congress is not expected back until May but is already discussing a fourth stimulus package to assist healthcare providers and others with the effects of the COVID-19 pandemic. NACHC is asking $73.2 billion for health centers, including $7.6 billion in emergency funding to assist with the impact of COVID-19 and $41.9 billion over five years for Health Center Program Fund reauthorization.
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Closed hospitals received part of $50B bailout
Some closed hospitals received grants under the Coronavirus Aid, Relief and Economic Security Act and are trying to return the funds to HHS.
The CARES Act, signed by President Donald Trump, included a $100 billion emergency fund to reimburse hospitals and other healthcare providers for expenses or lost revenue related to the COVID-19 pandemic. The first $30 billion of $50 billion in general grant funds was delivered between April 10 and April 17 based on historical share of Medicare revenue.
When the first slice of funding was sent, Irvine, Calif.-based Alecto Healthcare Services said it received $3.5 million in grants for two closed hospitals: Fairmont (W.Va.) Regional Medical Center and Ohio Valley Medical Center in Wheeling, W.Va.
The hospitals did not request the grants and are working with HHS to return the money to the federal government, an attorney for Alecto told Times West Virginian.
Alecto is also seeking information from HHS about whether it's entitled to any of the funds sent for Fairmont Regional Medical Center. HHS distributed the grants based on 2019 Medicare fee-for-service reimbursements, and Fairmont Regional remained open until March 19, 2020.
HHS has begun distributing the remaining $20 billion in general grant funds. The agency is also sending $10 billion to hospitals in the states hit hardest by the COVID-19 pandemic and another $10 billion to rural hospitals and clinics.
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Deadline Extensions
Applications for medical malpractice coverage under the FTCA are open in EHBs. We've extended the completion deadline to Monday, July 13. HRSA guidance for both new applications (deeming) and renewal of existing coverage (redeeming) for health center staff is available in Program Assistance Letter (PAL) 2020-02.
Details about coverage for health center volunteer health professionals are available in PAL 2020-03. The HRSA website has more details about the application process, including a recorded TA webinar.
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Empowerment and Self-Management of Diabetes: The Role of Pharmacists in Diabetes Care
The National Center for Health in Public Housing, a HRSA-funded NCA, presents a learning collaborative for pharmacists. It will equip them with the knowledge, skills, and confidence needed to provide effective, evidence-based diabetes care in Health Center settings. Learn more or register now.
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Budget Period
Progress Reports
In order to provide flexibility as health centers focus on the COVID-19 crisis, HRSA is extending the deadline of the fiscal year (FY) 2020 Budget Period Progress Report (BPR) non-competing continuation for award recipients with a September 1, 2020, budget period start date (5-H80-20-007).
Submissions are now due in EHBs by 5:00 p.m. ET on Friday, May 1. TA materials are available on the BPR TA webpage.
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Apply Now to the National Health Service Corps Scholarship Program
Medical and dental school students, do you want to provide care where you're needed most? We will support you by paying your tuition, fees, and other educational costs and by providing you a living stipend.
In exchange, you agree to serve at least two years at National Health Service Corps-approved sites in underserved rural, urban, and tribal communities.
Applications are now due Friday, May 15.
Learn more
.
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Upcoming Training Opportunities
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Join HRSA for a presentation on the changes to the calendar year 2020 Uniform Data System (UDS) reporting. (The reporting window will be open Friday, January 1, 2021, to Monday, February 15, 2021.) We will provide an overview of the changes and a question and answer session.
Key reporting changes include:
- Addition of HIV screening measure (CMS349v2);
- Addition of prescription for Pre-Exposure Prophylaxis (PrEP) International Classification of Diseases (ICD) 10 codes and Current Procedural Terminology (CPT) codes; and
- Revision of Appendix D to capture information on prescription drug monitoring programs (PDMPs) and social determinants of health.
Thursday, May 7, 2020
1:00 PM - 2:00 PM ET
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Many upcoming
trainings and events
have been canceled
or postponed due
to the COVID-19 emergency.
It
is best
to
call
ahead or check
with the organizer's
websites and
contacts
to
verify the status
of ALL events
and trainings
_________________
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Please join Substance Abuse and Mental Health Services Administration, Administration for Community Living, Veterans Health Administration, and National Coalition on Mental Health,and Aging for this webinar.
Thursday, May 7, 2020 |1:00 PM ET
COVID-19: A Clinic's Experience Incorporating Emergency Management Framework for Pandemic Response
In this webinar,learn how one medical clinic incorporated the Federal Emergency Management Agency's Incident Command System framework to efficiently and effectively handle staff communications, resource management, and patient care.
Thursday, May 7, 2020 | 2:00 PM ET
Register here
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Using the Health Center Dental Dashboard for Tracking, Measuring and Improvement
Join this webinar to learn about The Health Center Dashboard. The Health Center Dental Dashboard serves as a resource for what to measure to monitor performance in a dental setting, and includes 15 measures to drive operational, financial and clinical improvements over a period of time. One (1) Continuing Dental Education (CDE) credit will be offered.
Tuesday, May 19, 2020 | 1:00PM ET
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Financial and Funding Resources
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Additional CMS Changes for Telehealth
The Centers for Medicare & Medicaid Services (CMS) announced through a
press release and updated COVID-19 Waivers Summary Document and
provider-specific factsheets additional expansions in telehealth policy to address needs related to the COVID-19 public health emergency. CCHP has updated its
Federal Telehealth Policy and
FQHC/RHC factsheets to reflect these new policies. One of the five stated goals of the changes is to increase access to telehealth for Medicare patients so that they can access care safely from their homes.
The major telehealth changes in Medicare include the following:
- All health care professionals that are eligible to bill Medicare will be allowed to be reimbursed for telehealth-delivered services, including physical therapists, occupational therapists, and speech language pathologists. Previously these practitioners had been excluded from Medicare reimbursement for telehealth delivered services. Hospitals will also be able to furnish certain services remotely provided by hospital-based practitioners to Medicare patients registered as hospital outpatients (including those at home).
- Hospitals can qualify for the originating site facility fee for telehealth services furnished by hospital-based practitioners to Medicare patients registered as hospital outpatients when the patient is at home.
- CMS is waiving the requirement for use of video technology for interactive telecommunications system for certain services. This only applies to codes for audio-only telephone evaluation and management services and behavioral health counseling and education services. Other codes still require live video interaction. A list of eligible codes and whether or not they qualify for audio-only is available HERE. FQHCs and RHCs will also be able to bill these codes, although special billing requirements apply for these entities.
- CMS is increasing the payment amount for telephone visits to match payments for similar office and outpatient visits.
- There will be an expedited process to review services that can be furnished via telehealth and added to CMS' eligible telehealth list, as opposed to the usual process which takes almost a year.
Other topics addressed include increased flexibilities for Medicare Shared Savings ACOs, new Medicaid and Medicare rules aimed at expanding COVID-19 diagnostic testing, increasing hospital and workforce capacity and decreasing administrative burdens. To read more about the changes, see CMS' summary of their waivers and the most recent press release.
CMS also updated several of their provider-specific factsheets, which are listed below:
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Capital Link COVID-19 Funding & Financing Resources
Capital Link has added a COVID-19 Resources page to their website with a collection of organizations and lenders that are providing funding for health centers in immediate need of financial assistance. Their upcoming webinars and learning collaborative sessions that are scheduled over the next few weeks will include information that is tailored to the current circumstances health centers are currently experiencing in this pandemic, in-line with resources and guidance from NACHC and HRSA.
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WVCTSI announces COVID-19 funding opportunity
In response to the ongoing COVID-19 pandemic, the West Virginia Clinical and Translational Science Institute has released a request for applications (RFA) for research projects related to enhancing understanding of this public health crisis.
The Pop-Up COVID-19 funding opportunity will provide up to $30,000 for projects that show significant scientific merit and will enhance the understanding of the COVID-19 pandemic. Funding received must be utilized within a 12-month project period. Detailed instructions, eligibility information, and a complete RFA can be found on the
Pop-Up COVID-19 funding opportunity webpage.
Applications will be accepted on a rolling basis until April 21, 2020. Questions related to this funding opportunity should be directed to Camille Charlier, MS, WVCTSI pilot grant program coordinator, at [email protected].
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USDA Announces Second Application Window for Distance Learning and Telemedicine Grant Program Funding
The USDA Rural Development announced a second application window for funding under the Distance Learning and Telemedicine (DLT) grant program due to the current public health emergency. This program helps rural communities use the unique capabilities of telecommunications to connect to each other and to the world, overcoming the effects of remoteness and low population density. Eligible applicants include most entities that provide education or health care through telecommunications. Apply by Monday, July 13.
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Community Health Center Resources
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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 [email protected].
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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
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Claims and Lawsuits
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Role of the Risk Manager
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Patient Grievances and Complaints
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Communication with Patients
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Credentialing and Privileging
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Communication among Providers, Staff, and Community Partners
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Tracking Systems for Diagnostic Tests, Referrals, and Hospitalizations
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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 [email protected].
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COVID-19 Resources for Health Centers
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ECRI Institute
Federally qualified health centers and free clinics are on the front line in testing and treating patients who may have been exposed to COVID-19. Use these resources to keep your staff and patients safe:
In addition, ECRI's COVID-19 Resource Center includes free resources addressing the provision of clinical care and managing the supply chain. Updated several times per week, highlights include:
Additional guidance is available directly from the Health Resources and Services Administration (HRSA), including:
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WVPCA Staff
Debra Boyd | Chief Financial/Chief Operations Officer
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To sign up to receive the WVPCA Weekly Newsletter, click
HERE
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West Virginia Primary Care Association
1700 MacCorkle Ave. Charleston, WV 25314| (304) 346-0032 |
WWW.WVPCA.ORG
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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.
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