CHCANYS NEWS
CHCANYS President and CEO Rose Duhan Testifies Before New York City Council 
On November 15, 2018, CHCANYS President and CEO Rose Duhan testified before the New York City Council Committees on General Welfare, Immigration, and Health on the impacts of the proposed “public charge” rule on New York City’s health centers. CHCANYS asked the NYC Council to commit to protecting the health of immigrants and their families by:
  • providing financial support to community health centers city-wide that are likely to see an increase in the number of uninsured patients presenting for care;
  • publicizing community health centers as a safe resource for immigrants and their families that will provide care regardless of insurance status or ability to pay without reporting immigration status, and;
  • submitting comments on the Federal Register detailing the extreme negative consequences of the proposed public charge rule before the comment period deadline on December 10, 2018.

Read CHCANYS’ full written testimony here.
 
The Trump Administration published the proposed rule change on October 10, 2018. A person who is considered to be a public charge may be denied admission to the US or lawful permanent resident (green card) status. The Trump Administration’s proposed rule expands benefits considered in determining who is likely to become a public charge.
 
CHCANYS has uploaded a suite of resources related to public charge onto our website, including NYS specific public charge talking points and a list of resources for additional information and analysis. To view CHCANYS’ list of resources and talking points, click here

Comments on the proposed public charge rule must be submitted by December 10, 2018. CHCANYS will provide a template for use by health centers who wish to submit comments. To view the proposed rule, click here .

Feds Encourage Preparedness in Wake of Recent Hospital Shooting
In the wake of the active shooter incident at a Chicago hospital earlier this month, the Federal Office of the Assistant Secretary for Preparedness and Response tells CHCANYS they are encouraging all health care providers to review the FBI’s planning and response guide for active shooter incidents.
 
The shooting killed three people and injured others at Mercy Hospital and Medical Center. The hospital’s chief medical officer told the Chicago Tribune that the hospital had conducted an active shooter drill in October. The feds are encouraging all health care providers to take steps to prepare staff for a similar incident. Alex Lipovtsev from CHCANYS’ Emergency Management Team put together this list of resources and helpful information to help our health centers prepare:
  • Run. Hide. Fight. This simple sequence may save lives and is recommended by Department of Homeland Security and FEMA – to find out more – click here or watch Houston Ready’s training video on the Run.Hide.Fight. steps that can be utilized for staff training.
  • For exhaustive guidance on active shooter preparing and response, as well as sample policies and procedures, make sure to review “Active Shooter: Planning and Response in a Healthcare Setting” on the FBI’s website.
 
Additionally, you may find the following resources useful:
 
If you have additional questions, contact emteam@chcanys.org .
Help for Holiday Stress and Depression
The holiday season can be a time of joy, but it can also be a time of major stress. Financial worries, family expectations, and other causes of stress may lead to both mental and physical symptoms; such as depression, irritability, and digestive problems. Here are some resources, to help relieve stress during the holidays:
 
NEED HELP NOW?
Call the 24-hour, toll-free confidential National Suicide Prevention Lifeline at 1-800-273-TALK (8255) or go to www.suicidepreventionlifeline.org .
World AIDS Day 2018
Each year on December 1, people worldwide unite to mark World AIDS Day. It’s a day of education and commemoration marked by events designed to raise awareness about the fight against the spread of HIV, show support for those living with the disease, and mourn those who have died from an AIDS-related illness.
 
The New York State AIDS Institute’s 20 th Annual World AIDS Day event will be held at the Empire State Plaza in Albany on Tuesday, December 4 from 9:00AM to 4:00PM. For more information, click here . The third annual “Ending the Epidemic Summit” will also be held in Albany December 4-5. This year’s theme is “Making it Happen, Getting it Done.” To view the flyer, click here .

Department of Health Announces 1115 Waiver Downstate Public Comment Day
The NYS Department of Health has announced its downstate public comment day will be today, Thursday, November 29 th . Beginning at 10 am, the Delivery System Incentive Payment (DSRIP) Project Approval and Oversight Panel (PAOP) will hold a working session. A public comment period will follow. Any written public comments may be submitted to 1115waivers@health.ny.gov with “1115 Public Forum Comment” in the subject line. Comments will be accepted through December 7, 2018. To join live via webcast, click here

Extra! Extra! Read all about it: Data validation success achieved during diabetes T/TA work with New York City-based health centers
This week in QTI we are excited about the success that our incredible HCCN Project Mangers, Meital Fried-Almog and Cole Unger, have had working on data validation to improve diabetes scores.
 
The CHCANYS’ NYS-HCCN team and 6 New York City-based FQHCs have undertaken an intensive diabetes management project this fall that aims to bring patients missing an A1c test or with an A1c>9 back into care by the end of the year. CHCANYS practice facilitators and practice teams have focused on data validation to accurately identify patients for recall and outreach efforts. Ongoing validation to ensure trustworthy data is an integral component in any population health management strategy. Clean data also enables effective pre-visit planning at the point of care. Common inconsistencies CHCANYS practice facilitators and project teams found in the diabetes initiative include misdiagnoses, non-numeric or scanned lab results (thus showing patients untested despite having an A1c greater than 9), and patients missing proof of A1c tests and diabetes diagnoses despite receiving primary care services at their respective health center.
 
For more information about this initiative and other opportunities to work with CHCANYS on addressing diabetes care gaps, restructuring or streamlining workflows, and improving patient engagement, please contact hccn@chcanys.org . Please also note that an exploratory webinar with this cohort of health centers will be taking place on November 29 th , at which time workflows, sustainability and spread will be discussed. Stay tuned!
UPCOMING EVENTS
CHCANYS Hosts December 18th UDS Training – Remaining Spaces are Limited
CHCANYS final UDS Trainings in New York will take place December 18 th at Baruch College in Manhattan. To register, please click here . All grantees of BPHC-administered Section 330 primary care programs, including Community Health Centers, Migrant Health Centers, Health Care for the Homeless and Public Housing Primary Care, are required under the terms of their grant to report Uniform Data System (UDS) data, which then are analyzed by HRSA to ensure compliance with legislative mandates, report program accomplishments, and justify budget requests to the U.S. Congress. The UDS also helps HRSA to identify trends and establish or expand targeted programs and identify effective services and interventions to improve access to primary health care for vulnerable populations. Remaining spaces are limited. FQHCs that have not yet registered are encouraged to do so asap this week.
 
Last Chance to Register for CHCANYS and NYS Council for Community Behavioral Health Collaborative Forum
On Tuesday, December 4, the NYS Council for Community Behavioral Healthcare and CHCANYS are co-hosting a forum for members that will focus on community health center and behavioral health collaboration models, approaches to integrated care in VBP arrangements, and networking to share lessons learned and best practices. Participation is limited to 2 staff per health center and registration is free. Click here for the brochure and registration materials.
 
Diabetes Management Workshop
Join CHCANYS’ NYS Health Center Controlled Network project team on January 9 th for an intensive afternoon workshop dedicated to improving diabetes care for your patients through implementation of point-of-care management strategies, recall, and outreach. Our speaker for this event will be Dr. Natalie Levy, MD, Director of NYC Health + Hospitals/Bellevue’s Primary Care Diabetes Program and the Mobile Insulin Titration Intervention Program (MITI). During this 3-hour workshop in New York City, attendees will learn how to:
 
  • Create and operationalize registries for more targeted and effective outreach
  • Communicate patient care gaps and need related to diabetes efficiently to the provider and patient prior to the visit
  • Optimize the visit when the patient comes through your doors
  • Engage and motivate patients to manage their diabetes
 
The target audience for this event includes providers and care team members, staff tasked with creating and generating registry reports for population health management, and staff responsible for patient recall and outreach. Registration is limited to 2 individuals per health center, and space is limited. For more details and to register, click here . The last day to register is Friday, December 28, 2018. For any questions, please contact hccn@chcanys.org .

Hepatitis C Clinical Provider Training
The Empire Liver Foundation, in partnership with the NYC Department of Health and Mental Hygiene, is offering a Hepatitis C Clinical Provider Training for interested MD, DO, NP, PA, RN and PharmD clinicians. The 10 live weekly webinar sessions provide 10 free CME/CNE/CEU credits, and the first session convenes on November 29th. Topics to be explored include:
      i.         Pre-Treatment Assessment
    ii.         Role of Resistance Testing
   iii.         Overview of Fibrosis
   iv.         Treatment by Genotype
    v.         Side Effects and Drug-Drug Interactions 
   vi.         Treatment of HIV and Hepatitis C Coinfection
  vii.         Treating People with Mental Health Conditions and Substance Use 
  viii.         Monitoring, Prior, During and After Treatment 
   ix.         Management of Advanced and Complicated Disease 
    x.         Hepatitis C Medication Coverage and Prior Authorization 
 
Time and Dates: Thursdays from 4:30-5:30PM, November 29, 2018 through February 14, 2019. No training December 27 or January 3 .
 
Please contact Meg Chappell at megchappell@empireliverfoundation.org to register. Include the following information in your e-mail: Name; Professional Title; Training Level (MD, DO, PA, NP, RN, PharmD or other); Organization; and E-mail.
 
Upcoming Webinar: Mental and Behavioral Health Needs of the LGBT Community
Kate Filmore, LCSW and Dave Guggenheim, PsyD will join us to discuss meeting the behavioral health needs of LGBTQ+-identified people in a primary care setting, with a special focus on patients of transgender experience. Participants will learn about the work of Callen-Lorde Community Health Center, an FQHC with a special focus on LGBTQ+ populations. The presentation will focus on health disparities, specific mental health needs of the community, the role of clinicians in gender-affirming hormone therapy and surgery, behavioral health/primary care integration, and use of primary care as a vehicle for identifying and treating LGBTQ+ patients with mental health needs. Participants will learn about creating a safe, sensitive and affirming environment, and will gain some understanding of therapy modalities that are especially effective in work with LGBTQ+-identified people who’ve experienced trauma. The presentation will include “101” information about work with the LGBTQ+ community.
 
Sexual Reproductive Health Sub-Committee Learning Session
The Sexual and Reproductive Health Sub-Committee will be having a learning session on Wednesday, November 28 at 9:00 am. Carrie Watters, Assistant Director of Medical Social Work at Gouverneur Health Center, will present on providing psychosocial support to pregnant persons and new parents as a tactic to work to reduce maternal morbidity and mortality. For webinar and call-in information, click here .

Upcoming ECRI Webinar: HIPAA FAQs: Real-Life HIPAA Challenges in Primary Care
ECRI Institute will host a webinar to address frequently-asked questions related to HIPAA privacy and security. Using common themes and scenarios that health centers are likely to encounter, the program will identify tools and resources to anticipate and address real-life challenges. Register for one of the two options: December 12 at 12pm or December 13 at 2:00pm.
 
SAVE THE DATES: New Telehealth Webinar Series with FTLF, NACHC, and FLCH hosted by CHCANYS
Telehealth is emerging as a critical component for increasing access to care, promoting cost effective service delivery, and establishing connections with specialty or limited providers. As leaders in providing high-quality, accessible primary care, health centers are exploring the use of telehealth to meet the challenges of serving diverse patient populations with complex needs. This five-part webinar series will provide the latest information and insights from Feldesman Tucker Leifer Fidell (FTLF) , the NACHC Policy Team and Finger Lakes Community Health , an innovator in implementing telehealth in the health center setting. SAVE THE DATES: January 16 th & 26 th , February 7 th , March 13 th & 18 th . Topics covered will include Telehealth 101, Needs Assessment, Equipment, Operational and Financial Considerations. Registration coming soon; contact questions@chcanys.org for more information. 
QUALITY AND TECHNOLOGY NEWS
Nursing Subcommittee Presentation – Daily Operations and Safety Briefings
Presenters from Ryan Health discussed for the Nursing Subcommittee how health centers can institute a daily morning meeting, the Operations and Safety Briefing, to review the past day’s incidents and discuss any issues that need to be addressed in the coming workday. Following the Cleveland Clinic’s principles on becoming a High Reliability Organization, this presentation discusses how safety huddles can instill values of dependability and accountability. The health center huddles build teamwork through communication and cooperative problem solving, ensure common understanding of focus and priorities, and increase situational awareness among health center staff. Issues and outcomes are also logged to create useful operational data. To access presentation slides, click here .

Commissioner’s Grand Rounds
The third session of the 2018-2019 Commissioner’s Medical Grand Rounds series will take place on December 14 th , 2018.
 
As with previous Grand Rounds, this session will be streamed as a live webcast for those unable to attend in-person. DOH will also continue to offer this session on its webpage as an archived webinar. Participants may register for both the live webcast and in-person attendance by clicking the link embedded in the flyer .
 
As always, this is a free event and participation from providers all over the state of New York is encouraged. 

PCMH Office Hours
Join us for PCMH Office Hours with Karen Vest-Taubert, PCMH CCE at Qualis Health. Don’t miss out on the opportunity to learn from and share with your colleagues in relation to the NYS PCMH Recognition Program!
 
Find the latest recording and much anticipated sample documentation and materials from our November 15 th call regarding Q-Pass navigation, and meeting tough criteria, all which is now located on the CHCANYS website.
 
Please contact us with your questions, and click here to register for our next call taking place on Thursday, December 20 th from 12:00-1:00 p.m. at hccn@chcanys.org .
HEALTH CENTER SUPPORT NEWS
CHCANYS Continuous Compliance Webinar Series- Recordings Available for Purchase
In September, CHCANYS launched the 9-part Continuous Compliance Webinar Series with presenters from Cohn Reznick and Feldesman Tucker Leifer Fidell (FTLF) and HRSA Consultants. Throughout the series, industry experts presented detailed guidance and resources to enhance a health center’s organizational approach while providing insights and recommended strategies for achieving continuous compliance as outlined in the Health Center Program Compliance Manual. In the coming weeks, the full series of recordings will be made available here for a limited time, discounted pricing will be offered to series participants and CHCA NYS members. To inquire about purchasing access to the series re cordings please contact us at questions@chcanys.org. For webinar descriptions and more information on the series click here .

Preparing for the New Year? Let us Help You Save Money. 
More than forty FQHCs Statewide actively participate in CHCANYS’ unique partnership with the Commonwealth Purchasing Group (CPG) to save on operational expenses. With an expansive portfolio of vendors including telehealth, medical supplies and day-to-day business solutions to name a few, for 20 years CPG’s strategic contracts are designed to benefit FQHCs. To learn about a no-obligation assessment of current purchases or to discuss new site or specific project needs, please click here or contact rwynn@chcanys.org or (212) 710-3806. CPG’s next educational webinar is:  Advances in Health Center IT- How to Plan & Budget for Tomorrow December 5 at 11 am, to register click here .