February 27 , 2019
  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 Kelsey Clough, Education and Communications Coordinator, by email or by phone at (304) 346-0032.


West Virginia Primary Care Association
1700 MacCorkle Avenue
Charleston, WV 25314-1518
Quick Links: In This Issue.....

 State  News


Thomas Memorial to open unit for babies with neonatal abstinence syndrome
Read the entire article from the Charleston Gazette-Mail here

W.V. House Health and Human Resources Committee advances HB 2953 regarding critical access hospitals 
Read the entire article from WVNews  here

Bill to raise smoking age draws mixed reaction in W.Va. 
Read the entire article from WSAZ here

WVRHA brings state health concerns to Charleston
Read the entire article from The Journal here

Health care costs rising for those with employer sponsored insurance
Read the entire article from WV Public Broadcasting here

Thomas Health awarded $1 million in funding to help addiction recovery
Read the entire article from MetroNews here
February is National Children's Dental Health Month
In addition to being National School-Based Health Care Awareness Month, February has the distinction of also being National Children's Dental Health Month, a chance to raise awareness about the importance of oral health. 

Although it is almost entirely preventable, tooth decay is the most common chronic disease in children. However, there are safe and effective preventive measures that can protect teeth. According to information from the School-Based Health Alliance:

Good oral hygiene practices such as thorough brushing with a fluoride toothpaste can help keep children from getting cavities. In addition, dental sealants and community water fluoridation are two other strategies that can help prevent tooth decay. 

Whether you're a health professional, teacher, or parent, NIDCR has free health education materials you can use for National Children's Dental Health Month events. To view or order these materials, see NIDCR's online publication order form.

For more on oral health and school-based health centers, check out the Alliance's School Oral Health Resource Library-a streamlined access point for resources from reputable oral health organizations and programs.

Additional resources, featuring current national guidelines and promising practices in maternal and pediatric oral health care include:

Coplin Health Systems Awarded for Immunization Efforts
Earlier this month, Coplin Health Systems was recognized with the Gold Award by the West Virginia Division of Immunization Services for outstanding efforts in regards to immunizations. Two Coplin sites, Parkersburg Family Care (PFC) - Camden Avenue and PFC Emerson, were honored for reaching the highest of standards for Pediatric Immunization Practices.
According to Interim CEO/COO Rob Dudley, "We are very proud to receive this award, which underscores the dedication of our staff to ensuring our communities receive the highest standards of care."
State NewsState
WV Immunization Network Accepting Application for "Take Your Best Shot" Project
The WV Immunization Network is now accepting applications for its Take Your Best Shot (TYBS): Adolescent Immunization Pay for Success Pilot Project. This year, the WV Immunization Network has revised TYBS into a Pay for Success (PFS) pilot project linking funding to performance in increasing immunization rates for influenza, HPV and Men B.  The purpose of this strategy is to ensure that high-quality, effective immunization services result in increased adolescent vaccination rates. 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.
The Request for Applications, which contains additional guidance, and the Application Form are also posted on WIN's website at http://immunizenow.org/WIN/MHCP/TakeYourBestShot/AdolescentProject/.
Applications are due by 5pm on March 15, 2019. If you have any questions about this project, please don't hesitate to contact Elaine Darling at elaine.darling@wvruralhealth.org.
2019 West Virginia Medicaid Spring Provider Workshop Registration
The 2019 Spring Provider Workshops are being offered at eight locations April 1 - 11, 2019.  RSVP by March 18, 2019 for the session(s) you wish to attend by completing a registration form or by registering online.  Review the Spring Provider Workshop Brochure for more information and to register by email or fax.  Click the following link to register online: 2019 Spring Provider Workshop Online Registration.
Registration Available for 6th Annual WVPBRN Retreat
Registration is now open for the 2019 Annual WVPBRN Retreat. The retreat is scheduled for May 16-17 at Stonewall Resort in Roanoke, WV.   The evening of Thursday, May 16 will feature a networking dinner on Stonewall Resort's Little Sorrel boat. The conference portion of the retreat will kick off early morning on Friday, May 17.  The deadline to register is April 1.   For more information, or to register, click here .
Marshall University Endo-Cardio ECHO 
Marshall University has partnered with Project ECHO® (Extension for Community Healthcare Outcomes). The goal of this program is to increase the capacity of primary care providers to safely and effectively treat chronic, common, and complex conditions. Participants who join teleECHO clinics receive free CME for the total time spent participating, including didactics and patient-case presentations.

For more information about this opportunity, click here
Marshall University Endo-Cardio ECHO 
Marshall University has partnered with Project ECHO® (Extension for Community Healthcare Outcomes). The goal of this program is to increase the capacity of primary care providers to safely and effectively treat chronic, common, and complex conditions. Participants who join teleECHO clinics receive free CME for the total time spent participating, including didactics and patient-case presentations.

For more information about this opportunity, click here
WV Project ECHO Chronic Pain Available 
The WV Project ECHO Chronic Pain series is scheduled for the first and third Thursdays from 12:15 - 1:15 PM. This series is targeted to Physicians, Physicians Assistants, Residents, Social Workers, and Psychologists who treat psychiatric conditions. Continuing Education credits are available. 

For more information click here
Announcement of Funding Availability- State Opioid Response: Peer Recovery Support Services 
The West Virginia Department of Health and Human Resources Bureau for Behavioral Health recently announced funding availability for State Opioid Response: Peer Recovery Support Services.  The grant opportunity is provided through the State Opioid Response funding and pertains to peer recover support services. Please click here for additional information.
National NewsNational
UDS Mapper Introductory Webinar on March 4
HRSA is offering a monthly webinar, Introduction to the UDS Mapper. The first will be held on March 4 at 2:00 PM with a live demo and a Q and A session. Registration is available here.  There will also be webinars on April 9, May 8 and June 6. If you're an experienced user and would like to sign up for an advanced webinar, visit  the website for dates and signup links.  If you plan to attend the National Association of Community Health Centers (NACHC) Policy & Issues Forum March 27-30, we will send information on additional UDS Mapper training opportunities at this event. 

Contact the UDS Mapper for questions or access the  UDS Mapper for more information. 
HHS Releases Final Title X Rule Detailing Family Planning Grant Program 
The U.S. Department of Health and Human Services (HHS) today issued the final rule to revise the regulations governing the Title X family planning program, which focuses on serving low-income Americans.

The final rule ensures compliance with statutory program integrity provisions governing the program and, in particular, the statutory prohibition on funding programs where abortion is a method of family planning. The final rule amends the Title X regulation, which had not been substantially updated in nearly two decades, and makes notable improvements designed to increase the number of patients served and improve the quality of their care.

More information is available here
NHSC Application Deadline Extended Until Thursday, February 28
The National Health Service Corps (NHSC) Loan Repayment Program (LRP) and NHSC Substance Use Disorder (SUD) Workforce LRP application deadline has been extended and will now close on Thursday, February 28 at 7:30 PM ET.  Complete your application here

For assistance, contact the Customer Care Center at 1.800.221.9393 Monday through Friday 8:00 AM - 8:00 PM ET. 
How Pharmacists Can Help Ensure That Patients Take Their Medicines
What if there was a way to significantly improve health outcomes, reduce hospital and nursing home admissions, and save $105 billion in health spending? There is one such compelling opportunity: a greater systemic focus on medication adherence. When health care professionals use the term "medication adherence," what we're really referencing is whether or not patients take their medicines as prescribed. Shockingly, about half the time, they don't. And the consequences of non-adherence are great. Read the full article from the Harvard Business Review here.
Diabetes and Heart Care Intersect
It's American Heart Month! In 2012, HHS established Million Hearts®, a five-year initiative co-led by CDC and CMS with the aim of preventing a million cardiovascular events over the next five years. The initiative continues with the same goal for 2022.

According to Million Hearts®, nearly a third of individuals across the nation have hypertension and 36% are obese, two risk factors for cardiovascular disease. One in three deaths in the U.S. is due to cardiovascular disease and one in six health care dollars is spent on cardiovascular disease. A focus on cardiovascular disease prevention and care very much complements the Health Center Program Diabetes Quality Improvement Initiative. Patients with diabetes are at increased risk for cardiovascular morbidity and mortality. The bottom line: prevention and management can save lives, improve quality of life, and save dollars.

The CDC Million Hearts® Hypertension Control Challenge is a competition to identify clinicians, practices, and health systems that have demonstrated exceptional achievements in working with their patients to control hypertension. Champions achieved at least 80% blood pressure control (blood pressure reading <140 mmHg/<90 mmHg) among their hypertensive population ages 18 to 85. In 2018, CDC recognized five HRSA-funded health centers as Hypertension Control Champions
MidAtlantic AETC February Event Update 
The MidAtlantic AIDS Education and Training Center has the following conferences scheduled. A printable webinar brochure and schedule is available here

HIV Care, Prevention and Reproductive Choices for Women will be held at the following three dates and locations in West Virginia:
  • March 28 in Morgantown - information and registration is available here
  • April 10 in  South Charleston - registration information available here
  • April 11 in Beckley - registration information available here
Mental Health is Public Health Conference will be held May 7, 2019 from 8 AM - 4:30 PM in Cranberry Township, PA. Registration is available  here

Additional trainings include the following:
HRSA Announces the Availability of $50 Million in New Access Points (NAP)
The purpose of the Health Center Program NAP funding opportunity is to provide operational support for new service delivery sites under the Health Center Program. Organizations can apply for up to $650,000 per year. Applications are due in Grants.gov by Tuesday, March 12 (11:59PM ET), and HRSA's Electronic Handbooks by Thursday, April 11 (5:00PM ET). HRSA expects to make approximately 75 awards in September. For more information, please read the Notice of Funding Opportunity and visit the NAP technical assistance webpage.
Registration Opens for Three 2019 HRSA Grants Management Workshops
 Registration is now open for three 2019 Health Resources and Services Administration (HRSA) Grants Management Workshops:
To register, visit the website of the workshop that you would like to attend (links above). Each site includes a registration link, a FAQ, logistics information, and more.

The workshops will focus on HRSA grants administration from pre-award through close-out; and will feature a variety of break-out sessions designed to help HRSA grantees successfully administer their grants.

For more information, reach out to the workshop staff at HRSAGrantsWorkshop@hrsa.gov.
Feldsman Tucker Leifer Fidell to host Patient Privacy and the Opioid Crisis Training in March
Feldsman Tucker Leifer Fidell LLP will be hosting a new training on Patient Privacy and the Opioid Crisis on March 18 - 21, 2019 in Washington, DC. Led by three FTLF attorneys, Dianne Pledgie, Molly Evans, and Elizabeth Karan, this training provides a comprehensive overview of the HIPAA Privacy, Security and Breach Notification Rules and risk management strategies in responding to the opioid crisis.  

There are three options for attending this training:
The Early Bird rate for attending both trainings will end and prices will rise on March 1, 2019. If you have any questions, please do not hesitate to reach out to the FTLF training team at learning@ftlf.com or (855) 200-3822.
Community Health Center ResourcesResources

This is month's Legal Minute with Jackson Kelly PLLC picks up with our review of the lifecycle of the employment relationship and reminds employers about the importance of managing and documenting employee performance. Given the regulatory environment in which FQHCs operate, and the critical nature of the services that FQHCs provide, conducting periodic performance evaluations can serve as an important tool in advancing the mission of FQHCs.
As a practical matter, employee performance evaluations serve three basic purposes: (1) providing formal feedback regarding employee performance; (2) providing the employer with a tool to measure and assess performance over time; and (3) creating a record to support compensation and promotion decisions. These considerations are reviewed below.
First, most employees want feedback in some form or fashion, and employers are well served to make sure that there exist formal and informal opportunities to do so. Obviously, formal feedback would include the periodic performance review, but what about informal feedback? I routinely encourage employers to provide immediate feedback regarding critical performance issues. Frankly, the annual performance evaluation is rarely the best time to raise an issue for the first time. If you have an employee whose performance needs addressed, it is better to do so as soon as possible to correct any deficiencies.
Second, performance evaluations represent a diagnostic tool, allowing employers to measure and assess performance over time. Doing so allows employers to create tangible goals for the employee, and it usually allows employers to develop reliance data points to set compensation. This helps limit the role of subjectivity in the compensation setting process.
Third, performance evaluations create a record and constitute a form of proof, and that's why you're reading an article about performance management written by an employment lawyer. Unfortunately, FQHCs are not immune from the proliferation of lawsuits involving claims of wrongful discharge or retaliation. A performance evaluation system will not prevent these type of lawsuits, but it will help to ensure that lawsuits are defendable. Developing a performance evaluation program will allow you to demonstrate how and why certain actions were taken.
When conducting performance reviews, you need to make sure that the information communicated to the employee is meaningful and descriptive. By that token, noted below are common mistakes that are typically made during performance reviews:
           1.   Vagueness (e.g., "You're doing good work!")
           2.     Providing consistently perfect ratings.
           3.     Focusing on recent episodes rather than entire review period.
           4.     Lack of preparation for the review (i.e., no message to the employee).
           5.     Minimal feedback (i.e., using a generic form; going through the motions).
           6.     Failing to provide recognition for good work.
            7.     Failing to be truthful.
            8.     Failing to set goals (i.e., no follow-up until next review cycle)
As these common mistakes indicate, adopting and implementing a performance review process will not be meaningful unless it involves the time and effort necessary to relay critical feedback to your workforce.
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, and you can follow him on Twitter @wvhrlawyer.
Jackson Kelly PLLC
The WVPCA has retained the law firm of Jackson Kelly, PLLC to provide legal guidance to the WV Primary Care Association and its members.
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.  
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.
Tracking and Referral Resources Available at ECRI
ECRI has released a Test Tracking and Follow-Up Toolkit and the Get Safe! Communication Ensuring Care Coordination of the Medically Complex PatientAll resources are provided for free by ECRI Institute on behalf of HRSA.  If you do not currently have access and would like to set up an account, just email them or call (610) 825-6000.  For those who have already registered on the site, the links will take you to these tools.  

Chief Executive Officer

Chief Financial/Chief Operations Officer
Data Services & Integration  Speci alist

 Jennifer Boyd  PA-C, PCMH-CCE Clinical Consultant
Education & Communications
 Warne Dawkins, MBA
Health Data Analyst
J ohn Kennedy
School-Based/Behavioral Health Coordinator
Member Relations Coordinator
Shannon Parker, 
Director of Health Center Operations
Special Programs Coordinator
Staff Accountant
Clinical Quality Improvement Coordinator
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West Virginia Primary Care Association
  1700 MacCorkle Ave. Charleston, WV 25314| (304) 346-0032 | WWW.WVPCA.ORG