CHCANYS NEWS
CHCANYS Submits Comments on Proposed Changes to Public Charge Rule
On December 10, 2018, CHCANYS submitted comments on the Trump Administration’s proposed changes to the Public Charge rule. The proposed changes, originally published on October 10, would greatly expand the list of benefits that would be considered in determining who is likely to become a public charge. A person who is considered to be a public charge may be denied admission to the US or lawful permanent resident (green card) status.
 
CHCANYS expressed grave concerns with the proposed changes to the public charge determination, summarized here:
  1. The proposed rule will lead to worse health outcomes and decreased productivity for immigrants, their families and communities. Immigrants considering applying for a green card will be deterred from participating in Medicaid, Medicare Part D, SNAP, and housing supports, putting their health and wellbeing at risk. 
  2. The chilling effect of these changes will likely spread far beyond the individuals and program directly impacted. In a recent CHCANYS survey, over half of NYS health center respondents already reported an increase in the number of individuals who are eligible but not enrolling in Medicaid, SNAP, Section 8 Housing, and WIC due to concerns over deportation, inability to attain a green card, or inability to sponsor a loved one to attain legal permanent status. NYS health centers have reported that the proposed changes to public charge have stoked fears over accessing Medicaid benefits, leading to: decreases in early access to prenatal care among expecting immigrant mothers, and; decreased medication adherence rates, including among high need populations (such as individuals with HIV).
  3. The proposed rule will discourage parents from seeking health care for their children. Including CHIP in public charge determinations will exacerbate this impact. Some NYS health centers have already reported that parents have refused benefits for their citizen children, fearing for their own ability to gain legal permanent status or the ability for other children in the family to gain legal permanent status.
  4. The proposed rule will increase uncompensated care costs for FQHCs and other safety net providers, putting their financial stability at risk. In one year, NYS health centers could see as many as 95,000 former Medicaid enrollees become uninsured with projected Medicaid revenue losses topping $100,000,000.
  5. The proposed rule’s cost-benefit analysis significantly underestimates the drop in participation in public benefits that will result from these proposed changes; it also fails to account for many significant costs that will result for safety net health care providers and other community organizations.
 
To read CHCANYS full comments, click here . To read CHCANYS president and CEO Rose Duhan’s previously-released statement on the proposed changes, click here .
 
CHCANYS Awarded New NYCT Grant
CHCANYS is excited to announce that it has been awarded a two-year grant from The New York Community Trust to help community health centers add social determinants of health (SDH) to newly created value-based payment systems.
 
This new funding provides CHCANYS the opportunity to provide community health centers additional training and technical assistance with capturing and addressing SDH in efforts to achieve better population health outcomes. The training will build upon prior NYCT-funded efforts to increase screening and use of data analytics to identify and address population needs.
 
CHCANYS looks forward to working with health centers in the next two years. Interested health centers can contact Ava Rose at arose@chcanys.org .  
Lieutenant Governor Cuts Ribbon on Oak Orchard’s New Hornell Office
CHCANYS President and CEO Rose Duhan joined Lieutenant Governor Kathy Hochul and other state and local leaders on November 29 for a ribbon cutting and celebration at Oak Orchard’s new offices in Hornell.
 
Patients will get their first glimpse of the new state-of-the-art facility when the Seneca Road North location officially opens . For more information, visit Oak Orchard’s website .

CHCANYS Dorothy Kartashevich Consumer Board Member Award – Nominate Today!
Each year, CHCANYS honors its trailblazers and those who are working today to ensure access to high quality health care for all. We will honor an outstanding consumer board member during our Community Health Center Grassroots Advocacy Day event on March 4, 2019 at the Empire State Plaza in Albany. The honoree will be recognized in front of hundreds of patient advocates. CHCANYS invites you to submit your nominations by January 25. To learn more click here .
 
CHCANYS Participates in First-in-Nation Hepatitis C Elimination Task Force
CHCANYS and NYS Community Health Centers participated in the NYS Hepatitis C (HCV) Elimination Task Force meeting in Albany on November 27, 21019. The meeting brought together a broad, multidisciplinary group of stakeholders to advance Governor Coumo's first-in-nation initiative to eliminate HCV infection in NYS by 2030. The task force oversees 5 workgroups charged with scaling up prevention, care and treatment access, testing and linkage to care, data monitoring and metrics, social determinants of health and supportive services statewide to eliminate HCV infection.
 
The task force is co-chaired by Christine Kerr, MD of HRHCare, with Luis Freddy Molano, MD of Community Healthcare Network serving as co-chair of the Care and Treatment Access workgroup. Representatives from Harlem United, Housing Works, Trillium Health and Jordan Health Center are participating on the task force and workgroups. Diane Ferran, MD MPH, CHCANYS' VP for Clinical Affairs and Performance Improvement, participated in the Task Force meeting, and Meital Fried-Almog, MPH, Project Manager and staff lead for CHCANYS' HIV/HCV/STI subcommittee, will participate in the Care and Treatment Access workgroup.
 
With a new generation of all-oral, highly effective and easy to tolerate curative treatments for HCV infection and proven harm reduction strategies (such as needle exchange programs and MAT for opioid use disorder) to prevent transmission, NYS's HCV epidemic can finally be controlled and eventually eliminated.
 
In 2017 there were more than 200,000 New Yorkers living with chronic Hepatitis C, with more than half of new chronic hepatitis C cases diagnosed outside of NYC. In NYS there has been a shift in age distribution of reported HCV cases from being primarily among persons aged 40-60 to include a second cohort of persons aged 20-40, reflecting an increased incidence of HCV infection in young people who inject drugs. Nationwide, Hep C now kills more people each year than AIDS. For more information click here .
UPCOMING WEBINARS AND EVENTS
CHCANYS and NYS Council for Community Behavioral Health Hosted Integrated Care Collaborative Forum
On December 4, members from CHCANYS and the NYS Council for Community Behavioral Health came together for a convening focused on community health center and behavioral health collaborative models and approaches to integrated care in VBP arrangements. Many thanks to the members of both associations who joined the convening and readily offered their own experiences with VBP and integrated care. Participants first heard from presenters Joshua Rubin (Health Management Associates) and Adam Falcone (Feldesman Tucker), who discussed the financial case for integration of behavioral health and primary care, barriers that must be addressed to reach integration, and potential models of care. Later, a panel discussion with representatives from the Community Health IPA (CHIPA), Finger Lakes IPA (FLIPA), and the Behavioral Health Care Collaborative (BHCC-IPA) discussed challenges, future opportunities, and lessons learned within their IPAs.
 
CHCANYS and the NYS Council for Community Behavioral Health look forward to future convenings, and plan to host a second, regional meeting in the New York City/Long Island area on Tuesday, February 26 th . More information on that meeting will follow. 
Registration Now Open! 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 National Association of Community Health Centers (NACHC) Policy Team and Finger Lakes Community Health , an innovator in implementing telehealth in the health center setting. Register today for individual webinars or the full series. Webinar recordings are available for purchase in addition to the live events. Discounted rates are available for CHCANYS members. For more information and registration click here .

CHCANYS Continuous Compliance Webinar Series Recordings on Learning.FTLF.com   
In September, CHCANYS launched the 9-part Continuous Compliance Webinar Series with presenters from Cohn Reznick , 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 . The full series of recordings is now made available on https://learning.ftlf.com . For a limited time, CHCANYS members can access the full series at discounted pricing. To inquire about purchasing access to the series recordings please contact us at questions@chcanys.org  For webinar descriptions and more information on the series, click here .
 
BPHC All-Programs Webcast Recording
On Tuesday November 27, the Bureau of Primary Health Care (BPHC) hosted an all-programs webcast, p rovidin g important updates on health center compliance, workforce, and quality initiatives, as well as the latest health center resources. Watch the recorded webcast by registering at this link .
 
NYS Office of the Medicaid Inspector General (OMIG) Certification Process Webinar 
On December 3 rd , NYS OMIG posted a webinar entitled OMIG’s Certification Process, which provides updates to the Social Services Law (SSL) Section 363-d and 18 NYCRR Part 521 compliance program certification form (SSL Certification) as well as tips for completing the 2018 form. The webinar can be accessed here  and the updated SSL Certification form and Frequently Asked Questions document is available here . Questions should be directed to the OMIG’s Bureau of Compliance at (518) 408-0401 or  compliance@omig.ny.gov .

HRSA Speaker Series: Journey to UDS Modernization
Date: Monday, December 17, 2018
Time: 2:00 p.m. - 3:00 p.m., ET
Phone: 888-390-0867; Passcode: 1039201
All staff are invited to join the Speaker Series to learn more about the journey to modernization. Participants will learn about new functionalities, a health center's perspectives, and next steps. Webinar speakers include Ming Fai Lam of Charles B. Wang Community Health Center . View the flyer here . Questions regarding this session can be directed to Victoria Oliver .
 
Addiction 101 Online Learning Academy
During the first quarter of 2019, the Weitzman Institute Learning Academy will present a series of 4 webinars covering key topics in addiction care. Their expert panel will discuss how best to connect with patients and help them battle against this crisis. Topics to be covered include: disease model of addiction, motivational interviewing, trauma-informed care, cultural transformation in organizations, and quality management basics. If you have any questions, please call 860-852-0828 or email opioidcrisis@chc1.com . Click here to register.

Clinical Climate Change: Patients, Populations, and Providers and the Impacts of Global Warming
The Icahn School of Medicine at Mt. Sinai is hosting a climate change symposium on January 12, 2019 at the New York Academy of Medicine. The full day CME conference will offer 8.25 AMA PRA Category I Credits™ and connect public health professionals, policy makers, physicians, nurses, front line staff, and allied health professionals with up-to-date evidence based information on the impact of climate change on the health of populations to inform patient treatment and care.
 
This symposium will address how changes in climate are impacting ecosystems and how that phenomenon is affecting human health. This symposium seeks to provide learners with an opportunity for exposure to up-to-date evidence based information on climate change impacts on the health of populations in the Northeastern US, which additionally has implications. For more information or to register, click here .
 
FREE TRAINING AVAILABLE - Emergency Management In-Person Training for Community Health Centers
CHCANYS Emergency Management (EM) team, through funding from the New York State Department of Health, is offering complimentary EM in-person on-site training to community health centers across New York State (except New York City). This training and technical assistance visit may be customized based on the current needs of the health center in emergency management.
 
This training is being offered on a first come, first served basis, until available funds are exhausted. If you are interested and would like to submit a request, please click here .
 
Any questions regarding this opportunity or the registration form may be directed to emteam@chcanys.org .
 
CHCANYS Emergency Management Virtual Meet-Up
CHCANYS Emergency Management (EM) team have set aside some dedicated time to answer questions, talk through relevant announcements, have an open conversation and provide a forum for exchanging ideas on the topic of Emergency Management. Join CHCANYS EM team in the ongoing conversation!
 
The upcoming 2019 meetings are as follows:

  • January 22, 2019
  • April 23, 2019
  • July 23, 2019
  • October 22, 2019
 
All meetings will be hosted virtually via Zoom and will run from 1:00 to 2:00 pm (EST). To register – please click here .
 
For additional information or with any questions, please contact us at emteam@chcanys.org .
 
SAVE THE DATE! - CHCANYS to Host its 5th Annual Emergency Preparedness Seminar on March 14, 2019
CHCANYS Emergency Management team, in partnership with NYC Department of Health and Mental Hygiene (DOHMH), will be hosting its 5th Annual Emergency Preparedness Seminar on March 14, 2019.
 
The Seminar, which will be taking place at Baruch College in Manhattan, is especially recommended for staff working in primary care settings, including federally qualified health centers (FQHCs) and Article 28 outpatient clinics. This event is free!
 
REGISTRATION COMING SOON! If you have any questions, please contact us at emteam@chcanys.org .

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 .  For any questions, please contact hccn@chcanys.org .

Training Across the Various Behavioral Health Disciplines Webinar 12/13/18 at 3pm
During this webinar, you will hear from the CHCI’s Chief Behavioral Health Officer and CHCI Behavioral Health Staff as they provide insight into the crucial components of effectively training behavioral health students working toward different behavioral health degrees. Sharing from their decades of experience supervising, our expert panel will discuss strategies to successfully navigate training and educating the next generation of the behavioral health workforce at your health center. Register here.

Sexual and Reproductive Health Sub-Committee Learning Session on Adolescent and Minor Reproductive Rights
The Sexual and Reproductive Health Sub-Committee will hold a learning session on Wednesday, December 19 at 9:00 – 10:00 am. Katharine Bodde, Senior Policy Counsel at New York Civil Liberties Union (NYCLU) will present on adolescent and minor reproductive rights. This workshop will explain minors’ rights to make their own medical decisions under New York State law, particularly focusing on sensitive health care services such as sexual and reproductive health care. Those who work with young people, such as social workers, counselors, teachers and medical providers will be provided with information related to the legal basis for minors’ ability to consent and receive confidential care, as well as exceptions to confidential care, such as child abuse reporting Click here to join .

Breast Density and Breast Cancer Risk Webinar
Dense breasts (or dense breast tissue) are very common. Under New York State law, women must be notified if their mammograms indicate they have dense breasts. Women who receive this notification may seek guidance from their primary care provider or other health care practitioners. Providers may lack expertise on the impact of breast density on breast cancer risk and follow-up screening recommendations. This free webcast on Dec 20 th from 9-10am EST, by the University of Albany School of Public Health , will provide an overview on these topics, and will address ways providers can identify how to calculate individual risk for breast cancer and how to communicate this information effectively to their patients. Click here to visit the program website and here for an informational flyer . Click here to register. Call 518.402.0330 or e-mail  coned@albany.edu  if you need assistance.
Registration is open for the 2019 Azara Healthcare Annual Conference
The 2019 Azara Healthcare Annual Conference will bring together over 350 Community Health Centers, Primary Care Associations, and Health Care Controlled Networks from across the country for learning, networking, and best practice sharing. There are three pre-conference workshops   to choose from a variety of breakout sessions to attend during the two-day conference.
 
Don’t miss the opportunity to gain further education and insight on DRVS capabilities and hear how others are transforming their practices and improving health outcomes.
 
Visit the conference website
Download brochure
Attendee pricing
 
Workshop seating is limited. Register early.
EMERGENCY MANAGEMENT NEWS
December Aware Prepare
Aware Prepare is a monthly electronic newsletter. It is your guide to upcoming trainings related to preparedness. These trainings may be provided in one or more of the following formats, including: live webcasts, webinars and in person training; archived webcasts, webinars and on demand eLearning. To view December 2018 issue, click here .

Webinar Series on CMS EP Final Rule is now available on CHCANYS Website
CHCANYS EM Team invites you to access the recordings of the 4-part webinar series on the CMS Emergency Preparedness Final Rule: 1 year later. This series of free webinars, hosted by CHCANYS, provided information and relevant updates about the origins and the structure of the Rule, its specific requirements for FQHCs as part of Conditions of Participation in the Medicare program, practical tips for implementation and operationalizing its elements, and specific considerations for New York facilities.
 
For additional information and to access the recordings and webinar slides, please visit the CHCANYS website.
QUALITY AND TECHNOLOGY NEWS
Call for Abstracts Now Open for the 2019 Integrating Quality Meeting
AAMC’s IQ Meeting call for abstracts for presentations, interactive workshops, and posters that showcase effective strategies to accelerate systems improvements in quality, patient safety, and high-value care across the academic medicine missions of care delivery, health professions education, and research. The Integrating Quality Conference will address efforts to achieve health equity and will be held June 6-7, 2019 in Minneapolis, Minnesota. The call for abstracts closes Thursday, December 27, 2018 at 11:59 PM (ET).

Webinar on Promoting Interoperability 2018+ and Using Health IT to Support Diabetes Care
CHCANYS HCCN Health IT team was happy to host a webinar on Meaningful Use and EHR Optimization around Diabetes care. This webinar provided participants with helpful workflow tips and updates around the Meaningful Use program, specifically a deep dive into Stage 3 objectives, and changes to program requirements. The presentation also covered EHR optimizations relating to the topic of improving your Diabetes outcomes. To view a recording of the webinar, click here .

Request for Applications: Building a Breastfeeding Support Model for Community Health Centers
With support from the Centers for Disease Control and Prevention (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 community health centers (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. Examples of activities may include implementation of evidence-based breastfeeding support policies, training of staff on basic and advanced lactation care, inclusion of breastfeeding support data into electronic medical records, implementation of supportive policies for breastfeeding employees and clients; enhancement of internal and external collaborations for breastfeeding continuity of care, and activities that connect breastfeeding mothers to relevant resources within their communities.
Online application submissions are  due on January 6, 2019 .
 
For more information about the application and to apply, please click here .
You will be prompted to create a free NACCHO online account in order to apply.

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 .

DSRIP PAOP Materials Online
Materials from the November 28, 2018 DSRIP Project Approval and Oversight Panel (PAOP) meeting have been posted on the Department of Health’s website, and may be accessed by clicking here .
Preparing for the New Year or an Expansion Project? We Can Help You Save Money
More than 40 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, 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. To learn about CPG past and upcoming educational webinars, e-mail bresendes@cwpurchasing.com