CHCANYS NEWS
Governor Announces 30 Day Amendments
Governor Andrew Cuomo has announced amendments to his FY2019-20 Executive Budget Proposal. The amended Proposal, announced February 15, reflects a previously announced decrease in State revenue due to reduced income tax collections. The revised Proposal would, among other things, reduce provider reimbursements in Medicaid, except for those reimbursements which are required by Federal Law, including reimbursements to community health centers, and reconvene the Medicaid Redesign Team to provide further recommendations to improve access to care and the financial stability of the Medicaid Program.
Less Than Two Weeks Until Advocacy Day, March 4! Register Now!
Calling all Community Health Care CHAMPIONS! Registration is now open for our annual Grassroots Advocacy Day in Albany on March 4, 2019. We need your help  to ensure that Community Health Centers have the resources they need to continue to provide high-quality comprehensive primary and preventive care to all who need it, regardless of insurance status or ability to pay. There is power in numbers -- please join us and recruit your co-workers, friends and family to come along! Click here  to register.

CHCANYS hosted an Advocacy 101 Webinar in preparation for Advocacy Day, download the slides here.

Does Your Health Center Have An Advocacy Coordinator?
CHCANYS asks that each FQHC appoint an Advocacy Coordinator to represent his/her health center during regularly-scheduled advocacy phone calls and to help coordinate participation in critical action alerts and events.
 
The Advocacy Coordinator is not just CHCANYS’ go-to person – he or she is the health center’s lead on all things advocacy. If you haven’t already, please click here to fill out the form and let us know who your health center's Advocacy Coordinator is. 
RSVP to Attend NACHC’s Policy & Issues Forum/Capitol Hill Lobby Day
NACHC’s Annual Policy & Issues Forum will take place in Washington, DC on March 27-30. At P&I, NACHC convenes thousands of health center professionals and health policy leaders to strategize and influence national primary health care policy. For more information on P&I, click here. CHCANYS and New York Health Centers will participate in Capitol Hill lobby visits on Thursday, March 28. CHCANYS will be scheduling all Congressional meetings on behalf of participating health centers. If you plan to participate in Capitol Hill visits, please RSVP to Hannah Woodman , CHCANYS’ new Advocacy and Outreach Manager, no later than Friday, March 1.
 
Health Centers Receive $44M in Statewide Health Care Facility Transformation Grants
On February 5, Governor Cuomo announced recipients of the Statewide Health Care Facility Transformation Funding (Statewide II). Fourteen health centers received over $44M, nearly a quarter of the total amount of funds awarded. These funds will be used to further access to primary care in communities across the State and support the State’s ambitious healthcare reform agenda. To read the full announcement, click here.
 
Governor Cuomo Announces $3.5M in Funding to Address Opioid Crisis
OASAs will issue up to 10 awards of up to $350,000 each to Federally Qualified Health Centers (FQHCs) to expand or establish opioid disorder services, including medication assisted treatment (MAT). One award will be issued to a FQHC in each of the 10 Empire State Development Regions. FQHCs must partner with at least one OASAS-certified provider , or be currently licensed as an Article 32 facility , to be eligible to receive funding. The RFA can be viewed here. Please note that applications are due by March 7, 2019. In order to ensure statewide participation in all 10 ESD regions, please let Suzanne Rossel know if you are planning to apply for funding, what region you are applying in, and whether you currently hold an Article 32 license or will partner with another organization. 
CHCANYS Member Health Centers Recognized as Exemplary Practices by CMS
In late January, CMS hosted its annual Quality Conference in Baltimore. Two CHCANYS member health centers were recognized as exemplary practices and invited to present on transformation work they have completed as a part of the Transforming Clinical Practices Initiative.
 
Callen-Lorde Community Health Center, joined the Transforming Clinical Practice Initiative as a part of the Greater New York City Practice Transformation Network (GNYC-PTN) in 2016. Anthony Fortenberry, Chief Nursing Officer, presented on Callen-Lorde’s work. Utilizing data that includes both clinical and social determinates of health, Callen-Lorde built a risk algorithm that allows them to target case management and preventative care services to their most at-risk patients. In addition to supportive services, Callen-Lorde’s FlexCare model of open access primary care has been an invaluable tool in improving access for patients who had otherwise not been engaged in care. For more information, please contact Anthony Fortenberry at afortenberry@callen-lorde.org
Tri-County Family Medicine Program, Inc. a FQHC LAL participates in the Transforming Clinical Practices Initiative as a part of the New York State Practice Transformation Network (NYSPTN). Kiera Kuhn, Director of Quality, Performance Improvement and Corporate Compliance, presented the center’s performance work in the area of population health management. Tri-County has demonstrated improvements in diabetic A1c and hypertension control through initiatives like Transitional Care Management (TCM). For more information, please contact Kiera Kuhn at kkuhn@tcfmedicine.com
 
The presentations were well received by CMS and other conference attendees, and all had a chance to learn from other practices from around the country.
UPCOMING WEBINARS AND EVENTS
Register Today! CHCANYS Telehealth Symposium - April 8 & 9 in Tarrytown
This two-day training event, presented by CHCANYS in partnership with Finger Lakes Community Health, Feldesman Tucker Leifer Fidell, and the National Association (NACHC), will provide attendees with an array of information and resources for developing telehealth capacity in the community-based setting. The agenda includes in-depth discussions with various industry experts and live simulations with telehealth equipment and providers. Special pricing for CHCANYS Members and a group rate for the hotel are now available. More information, including the preliminary agenda, can be found on the registration page.

Telehealth Webinar Series with FTLF, NACHC, and FLCH- Next Session 3/13 at 1pm EST  
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 . This series was launched on 1/16 but you can still register for the full series or individual sessions with reduced rates for CHCANYS members. Registrants for the full series will receive access to the recordings of previous webinars. 
 
Ticket Waitlist Available! 5 th Annual Emergency Preparedness Seminar – March 14, 2019
On March 14, 2019, in partnership with NYC Department of Health and Mental Hygiene (DOHMH), Community Health Care Association of NYS (CHCANYS) and its NYC-based emergency management initiative PCEPN, will host its Fifth Annual Emergency Preparedness Seminar for Primary Care.
 
The presenters for this year's Seminar will be covering the following topics:

  • Hurricane Harvey response and recovery - an FQHC perspective
  • Working with community health centers during emergencies - the Massachusetts model
  • Resources for community health centers via National Cooperative Agreement (NCA) holders with Health and Resources Services Administration (HRSA)
  • New York City health care coalition - news and updates
  • Priority communication programs 
  • Cybersecurity 101
  • Active shooter threats - building an effective policy and procedure 
 
You can view the FULL AGENDA here.

IMPORTANT: Please note that while all our available seats have been claimed, we will be releasing more seats closer to the date of the event! Please register for our waitlist and don’t lose the opportunity to attend! You can access the waitlist here
Additional Webinars and Events
HEALTH CENTER SUPPORT NEWS
340B Recertification Due February 25!
Health Centers have until February 25, 2019 to complete HRSA’s annual, mandatory 340B recertification process. All covered entities, including HRSA-funded health centers and look-alikes, who do not recertify by midnight on Monday, February 25 will be terminated from the HRSA 340B Program starting on Monday, April 1. You will require a new registration and be removed from the 340B Program until July 1 at the earliest.
 
To recertify, Authorizing Officials (AOs) and Primary Contacts (PCs) must first set up user accounts by visiting the HRSA 340B Office of Pharmacy Affairs Information System (340B OPAIS) and choosing “I am a participant.” It is the covered entity’s responsibility to ensure they have created their accounts before recertification to allow successful completion of the process.
 
For questions or assistance, contact the 340B call center at apexusanswers@340bpvp.com or 888-340-2787 (Monday-Friday, 9:00 a.m.-6:00 p.m. ET). Watch a recording of HRSA’s 340B Program Recertification webinar for reference.

New from HRSA: Compliance Resolution Opportunity (CRO)
HRSA recently announced that Health centers may no longer make quick fixes onsite during an operational site visit (OSV). Instead, they have the opportunity to submit documentation demonstrating compliance following an OSV through a streamlined process called Compliance Resolution Opportunity (CRO). If HRSA determines that a health center did not demonstrate compliance during their OSV, the agency will send them a Correspondence Request task in EHBs. Health centers will have 14 calendar days from the issuance of the EHBs task to submit documentation to resolve noncompliance findings, prior to the finalization of the OSV report. If the health center is able to provide acceptable evidence of compliance in response to the EHBs task, the element will be marked as compliant in the OSV report, and no condition will be applied. Learn more in a new quick reference guide .

2019 Federal Poverty Guidelines
The 2019 poverty guidelines are in effect as of January 11. Ensure your health center’s sliding fee discount schedule has been updated accordingly. See the new guidelines here .
EMERGENCY MANAGEMENT NEWS
Health Industry Cybersecurity Guidance Released
Cybersecurity threats to health care organizations and patient safety are real. Health information technology, which provides critical life-saving functions, consists of connected, networked systems and leverages wireless technologies, leaving such systems more vulnerable to cyber-attack. The U.S. Department of Health and Human Services (HHS) on January 2, 2019, released Health Industry Cybersecurity Practices: Managing Threats and Protecting Patients, which includes voluntary cybersecurity practices for healthcare organizations. The core of the document discusses the five most relevant cyber threats to healthcare organizations and 10 recommendations for tackling the threats.
 
To download the document, click here.
 
This publication includes a main document, two technical volumes, and resources and templates. Click here to access the full suite of documents.

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.
QUALITY AND TECHNOLOGY NEWS
Greater New York City Practice Transformation Network Meets
Six New York City area health centers are members of the Greater New York City Practice Transformation Network, an arm of CMS’s Transforming Clinical Practices Initiative . Throughout the month of December, CHCANYS convened three group meetings between these health centers. During this time, centers shared their successful transformation initiatives and discussed their ongoing challenges preparing for value based payment. Topics discussed included generating and maintaining high quality data for use in transformation work and traditional quality improvement, team based care models, care management, post-hospitalization follow-up and preventing re-admissions. Health Centers also brainstormed their transformation priorities for 2019. These included fine-tuning population health approaches, such as risk stratification methodologies and work to fill care gaps, and perfecting a team-based approach to clinical operations.

Promoting Public Health - Online Public Health Course
Johns Hopkins is offering a free course called “The Monday Campaigns: Lessons in Public Health Promotion” . It is a FREE 6-week series with 2-hour study sessions per week.
 
Find out how the principles behind the Monday Campaigns can be used to improve public health with this online health course from Johns Hopkins University.

HITEQ Webinar
Last week CHCANYS QTI Team partnered with HITEQ to present a webinar on Electronic Patient Engagement. This webinar focused on a discussion of the changing role of the consumer/patient within healthcare in which the point of diagnoses and care is shifting from the classical care provider setting to a more patient-centered model of health services. This shift, largely stimulated by a critical mass in personal health information technology innovation and development, includes leveraging patient portals, health apps, web-enabled medical devices, and personal fitness and home-based health monitors. The webinar also discussed the Objectives of Electronic Patient Engagement, Diabetes Self-Management Use Cases for Electronic Patient Engagement as well as Electronic Patient Engagement Assessment and Return on Investment. Thanks to all who participated and engaged in this webinar!
Attn: FQHC CEO & CFOs – Let Us Help You with Operational Savings
As an FQHC leader, you are looking for viable ways to save money and invest in your patient services. We can help. More than forty FQHCs Statewide actively participate in CHCANYS’ unique partnership with the Commonwealth Purchasing Group (CPG) to save on operational expenses. 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.