January 2, 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


Flu activity increasing in West Virginia
Read the entire article from the Charleston Gazette-Mail here

Agency works to keep hep A under control
Read the entire article from the Herald-Dispatch here

Deadly Hepatitis A outbreaks are exposing crumbling U.S. public health infrastructure
Read the entire article from the Huffpost here

Few docs discuss social determinants of health with patients
Read the entire article from Patient Engagement HIT here

Affordable Care Act can stay in effect while under appeal, judge says
Read the entire article from WV Public Broadcasting here

Cigna-Express Scripts merger slated to close Thursday
Read the entire article from Modern Healthcare  here
January is Cervical Health Awareness Month
According to the Centers for Disease Control and Prevention (CDC), more than 12,000 women in the U.S. are diagnosed with cervical cancer each year. In 2017, more than 3.8 million female patients received cervical cancer screening from a HRSA-funded health center. Two screening tests (Pap test and Human papillomavirus (HPV) test) can help prevent cervical cancer or find it early. 

During Cervical Health Awareness Month, check out these federal resources:
WVPCA to Offer New Webinar Series - Registration Open NOW for 42CFR Part 2 
Please join the WVPCA and Dianne Pledgie, Feldesman Tucker Leifer Fidell LLP, for a 3-part webinar series discussing 42CFR - Part 2.
This webinar series is scheduled for January 15, 2019 - 1:00 pm-2:00 pm, January 17,2019  - 1:00 pm-2:00 pm, and February 1 , 2019 - 1:00 pm-2:30 pm.  Registration is available here.  This webinar series is intended for Community Health Center (CHC) staff involved in medical records management, including, but not limited to: CEOs, CFOs, COOs, CIOs, CMOs, Behavioral Health and Quality Improvement.  This educational series is intended only for Community Health Center staff.
The webinar series will provide an overview of the Part 2 regulations, including the new rules issued in 2017 and 2018.  The first webinar will focus on determining whether Part 2 applies to health center programs and when the health center may be required to comply with Part 2 based upon records it receives from other Part 2 Programs.  The second webinar will identify the required elements of a Part 2 patient consent form and determining whether records protected by Part 2 may be disclosed without patient consent under an exception; and identifying the required elements of the patient notice requirement.  The final webinar will include a series of case studies created from participant questions submitted as part of the webinar series.  Potential topics include determining whether Part 2 applies to various models of providing substance use disorder services in health centers, revising consent and authorization forms for purposes of Part 2 compliance, and determining how Part 2 information can be disclosed to health information exchanges. 
Please note - There is only a one-time $75 registration for the series of 3 webinars.  To ensure future access to the archived recording(s) and material(s), please assign someone to represent your health center as the recording(s) will only be available to those who participate on the call due to contractual obligation.
Please note - our registration process has changed and is now exclusively online. If you experience any difficulty with the registration process, please contact the WVPCA at 304.346.0032.
Value-Based Payment, Efforts to Lower Drug Costs would Continue to ACA is Repealed
According to this article by Modern Healthcare, even if the Affordable Care Act is ultimately deemed unconstitutional, stakeholders wouldn't allow the momentum surrounding value-based care models and biosimilars to stall, experts and provider groups said. 
HealthCare.gov Sign-Ups Come Up Nearly 400,000 Short
Despite a last-minute surge in enrollment, HealthCare.gov sign-ups drop 4.2 percent from last year. Read the entire article from ModernHealthcare here
Commentary: Lives are at Stake in ACA Litigation
Following the recent Texas ruling that found the Affordable Care Act unconstitutional, beyond the legalities, we need to look long and carefully at the potential human cost of this litigation.  Read the entire commentary from ModernHealthcare here
Registration Open for Telling the Story: Use of Genograms in Assessment & Treatment
Please join the WVPCA for a one-hour webinar, Telling the Story: Use of Genograms in Assessment & Treatment . Understanding how adolescent patients view their world is critical in having successful outcomes, although connecting with these patients can sometimes pose a challenge.  As part of this webinar, participants will learn ways to maximize the collection of information in the initial assessment through the use of storytelling by the patient and constructing a genogram to capture the information.  This training is targeted to West Virginia Community Health Center Behavioral Health Clinicians.
This webinar is scheduled for January 24, 2019 at noon at no cost to the participant. Registration is available here .
Please note - our registration process has changed and is now exclusively online. If you experience any difficulty with the registration process, please contact the WVPCA at 304.346.0032.
Surgeon General Released Advisory on E-Cigarette Epidemic Among Youth
According to a recent release from HHS, U.S. Surgeon General Vice Adm. Jerome M. Adams issued an advisory in December stressing the importance of protecting children from a lifetime of nicotine addiction and associated health risks by immediately addressing the epidemic of youth e-cigarette use.
E-cigarette use among youth has skyrocketed in the past year at a rate of epidemic proportions. According to data from the Centers for Disease Control and Prevention and the Food and Drug Administration's National Youth Tobacco Survey, the percentage of high school-age children reporting past 30-day use of e-cigarettes rose by more than 75 percent between 2017 and 2018. Use among middle school-age children also increased nearly 50 percent.
For facts about the risk of e-cigarettes, and how to protect our youth, visit:

Read the entire release here
State NewsState
Volunteers Needed to Support BPH Hepatitis A Vaccination Clinics
The Bureau for Public Health is seeking medical volunteers to administer Hepatitis A vaccine at several clinics that will be conducted throughout the state in response to Hepatitis A outbreak. They are particularly in need of health care professionals to administer Hepatitis A vaccine at the Charleston Treatment Center on 1/11/2019. Specific information about the clinic dates, locations, and times, along with information on how to sign up and volunteer at the clinics are included in the attached letter
National NewsNational
Quarterly 340B Program Registration
Quarterly 340B Program site registration is open from January 1 to 15. Health centers are still able to register a site that has been verified as implemented and with a site status reflected as "active" in HRSA's Electronic Handbooks (EHBs) Form 5B through Friday, February 22, after which the system will close to prepare for the April 1 start. Email the 340B call center or call 888-340-2787 (Monday-Friday, 9:00 a.m.-6:00 p.m. ET) to register a new site or ask questions.

You will need to provide the following information when calling:
  • Health center name,
  • Site/clinic name,
  • Site IDs for all sites,
  • HRSA/BPHC grant number,
  • Contact name and email address, and
  • Authorizing official name and email address.
The authorizing official will receive an email message that the account is unlocked and a registration may be submitted.
UDS 2018 Reporting Season Opens
Access to report Uniform Data System (UDS) data for calendar year 2018 is now available to health centers through HRSA's Electronic Handbooks (EHBs). All HRSA-supported health centers are required to submit complete and accurate UDS reports by Friday, February 15.

Upon successful submission, we will assign your UDS Report to a UDS Reviewer who will work with you to finalize your data submission through March. You are not permitted to change your center's UDS report after Sunday, March 31. It is critical that you submit your report on time and make sure that the data is verifiably accurate.

The 2018 UDS Manual and other resources are available on HRSA's website to help you complete an accurate report. The Manual includes an introduction to the UDS, instructions for completing each of the tables, and information on how to submit UDS data through EHBs
HRSA Offering Introduction to the UDS Mapper Training 
HRSA and the American Academy of Family Physicians is offering a one-hour Introduction to the UDS Mapper training on Thursday, January 3 at 2:00 PM EST.  Registration is available here
Using Health IT to Facilitate SBIRT Service Delivery in Health Centers
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an approach to the delivery of early intervention and treatment to people with substance use disorders and those at risk of developing these disorders.

To promote continuous quality improvement in SBIRT implementation, the Health Information Technology, Evaluation, and Quality Center (HITEQ), a HRSA-funded National Cooperative Agreement (NCA), will host a webinar on promising practices for the use of health IT to facilitate SBIRT workflow integration.

Thursday, January 17  | 3:00-4:00 p.m. ET  | Registration is available here
The discussion will focus on:
  • coding and billing for SBIRT services;
  • using health IT to enhance SBIRT screening, communication, data capture and documentation;
  • clinical decision support; and
  • information-sharing and reporting.
It will also feature the experiences and practices of health centers that are currently using health IT to facilitate SBIRT service delivery. For questions, please contact QualityDivision@hrsa.gov.
Review Process for Service Area Competition or Renewal of Designation  Applications
A few months ago, HRSA created this graphic, which illustrates what to expect after submitting a Service Area Competition (SAC) or Renewal of Designation (RD) application to HRSA. Take a look to learn more about the updated HRSA review process.

A new quick reference guide tells SAC and RD applicants how to manage correspondence requests from HRSA about their application. It will help you respond quickly to the 14-day turnaround time in EHBs.

National Health Service Corps Loan Repayment Opportunities
The  National Health Service Corps (NHSC) provides financial assistance to health care professionals in exchange for a commitment to work at approved sites in high-need, underserved areas. This week the NHSC opened the application cycle for two programs - its Loan Repayment Program (LRP) and a new Substance Use Disorder Workforce LRP (SUD Workforce LRP). Both applications close on Thursday, February 21, at 7:30 p.m. ET.
  • The NHSC LRP awards up to $50,000 toward student loans in exchange for a two-year commitment to work at approved sites in high-need, underserved areas.
  • The new NHSC SUD Workforce LRP provides up to $75,000 in exchange for a three-year commitment and expands eligible disciplines and site types for loan repayment. The program is open to health care professionals who provide SUD treatment services at NHSC-approved SUD sites.
Improving Cervical Cancer Screening Rates: Best Practices from a Health Center and a Health Center Controlled Network
Office of Quality Improvement in HRSA's Bureau of Primary Health Care invites you to learn about best practices, challenges, and successes related to improving cervical cancer screening rates. La Red Health Center, 2018 Clinical Quality Improvement Award Recipient for cervical cancer screening, will share activities that have significantly improved their screening rates. OCHIN (a Health Center Controlled Network) will present their quality improvement strategies related to Health IT and electronic health records (EHR) to strengthen the quality of care at health centers. All health centers, PCAs, HCCNs are invited to join this session.
Tuesday, January 29, 2019 | 1:00-2:00 p.m. ET
Call-in: 888-233-9404 |  Passcode: 9859485
Deadline Approaching - Request for Applications: Building a Breastfeeding Support Model for CHCs
With support from the CDC,  Division of Nutrition, Physical Activity and Obesity (DNPAO), the National Association of County and City Health Officials (NACCHO) is pleased to announce a funding opportunity to CHCs to pilot a breastfeeding support model. In addition to funding, NACCHO will provide technical assistance (TA) to CHCs as they explore and adopt policy system and environmental change solutions to increase their capacity to provide consistent and coordinated breastfeeding promotion and support services to the families they serve.
NACCHO will select three to six CHCs to design and implement a 6-month breastfeeding promotion and support project.  Organizations will be awarded up to $20,000 each. 

Online application submissions are due on January 6, 2019.
For more information about the application and to apply, please visit: https://application.naccho.org/Public/Awards/Detail/244 

You will be prompted to create a free NACCHO online account in order to apply.
Medicaid Coverage of Medication-Assisted Treatment for Alcohol and Opioid Use Disorders and of Medication for the Reversal of Opioid Overdose
A new SAMHSA report discusses Medicaid coverage of FDA-approved medications for treatment of alcohol and opioid use disorders, limitations on coverage (such as prior authorization requirements), federal laws and policies and state-level innovative practices and policies.
Pregnancy and Substance Use Disorder
If your providers have questions about how to treat pregnant or parenting women with substance/opioid use disorder, these resources may help:
Healthy People 2030 Public Comment
HHS is soliciting written comments on the proposed objectives for Healthy People 2030. The public can comment on the proposed objectives and also propose their own objectives. Previous public comments on the proposed Healthy People 2030 framework helped shape the vision, mission, foundational principles, plan of action, and overarching goals for Healthy People 2030. In this public comment period, HHS would like input on the proposed Core, Developmental, and Research objectives.

In response to stakeholder input, Healthy People 2030 will be a streamlined set of national health objectives guiding the nation in efforts to improve health. Heathy People 2030 will continue to represent critical public health priorities by addressing the leading causes of morbidity and mortality and driving action at the national, state, and local levels.

Submit comments on the proposed objectives before Thursday, January 17.
NIDCR to Host January 10 Webinar on Upcoming Surgeon General's Report on Oral Health 
NIDCR will host a webinar on Thursday January 10, 2019, from 12:00 pm to 12:30 pm EST  to update the public on the status of the new Surgeon General's Report on Oral Health, and to request public input to help guide development of the report.   The webinar is free and open to the public; no registration is required.  A link will be provided here: https://www.nidcr.nih.gov/news-events/webinar-surgeon-general-report-oral-health  . The webinar will also be recorded and archived for future viewing.

How to Submit Comments
Written comments on the upcoming Surgeon General's Report must be received on or before January 25, 2019.
  • Email: NIDCR-SGROH@nidcr.nih.gov
  • Mail: Ms. Michelle Pitt  | NIH/NIDCR, 31 Center Drive | Room 5B55  | Bethesda, MD 20892
Interested persons or organizations are invited to submit written views on oral health, including the importance of poor oral health as a public health issue, contemporary issues affecting oral health, new knowledge that may transform the oral health of the nation, and future directions.  Please note that comments received, including any supplemental material provided with the comments, are part of the public record and subject to public disclosure. Do not include any information in your comment or supporting materials that you consider confidential or inappropriate for public disclosure. NIDCR will carefully consider all comments submitted and may include relevant information in the upcoming Surgeon General's Report on Oral Health.

Information about the upcoming Surgeon General's Report on Oral Health was first published in a previous  Federal Register Notice  on July 27, 2018.
Community Health Center ResourcesResources
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