CHCANYS’ 2019 ADVOCACY DAY
Snow may have shrunk the crowd but it didn’t dampen spirits at CHCANYS’ 2019 Advocacy Day! The day kicked off with a rousing performance from the Albany Community Charter School Chimalsi Steppers (watch it here ), who got the day started on high note. Advocates then heard from Assembly Health Committee Chair Richard Gottfried and Senate Majority Leader Andrea Stewart-Cousins.

Dorothy Kartashevich Consumer Award
This year, CHCANYS presented two advocates with the Dorothy Kartashevich Consumer Award, which is presented annually to a consumer board member who, for at least three years, has worked tirelessly on his or her center's behalf.

Our downstate winner, Alice Surgeon, has served as a Consumer Advocate on the Board of Directors at the BMS Family Health and Wellness Centers for 25 years. Alice, as she is fondly known, has been a staunch advocate in her Brownsville, Brooklyn community – particularly in the areas of Nutrition Education and Healthy Eating Access. She was unable to join us due to the weather but her health center accepted on her behalf.

Our other winner, Kathleen Purdue, has been a member of the Community Health Center of Buffalo, Inc. since 1999. Ms. Purdue has served as a community advocate for health care and social justice for many years, and her advocacy efforts continue to help underserved children and families to get their basic needs met. Ms. Purdue is a retiree from General Motors -- where she was actually the first female plant leader! Congratulations to our winners!
Thank you to everyone who attended this year’s Advocacy Day! Check out our thank you video here !   We also invite you to follow us on Facebook , we will be uploading photos from Advocacy Day soon! Please share your photos with us there as well!
Finger Lakes Community Health and Metro CHC recognized by NACHC as Advocacy Centers of Excellence!
Congratulations are in order for Finger Lakes Community Health and Metro CHC! Both health centers have recently been recognized by the National Association for Community Health Centers (NACHC) as bronze-level Advocacy Centers of Excellence (ACE). ACEs demonstrate ongoing commitment to advocacy through organizational priorities and advocacy wins. To learn more about NACHC’s ACE program, or to become an ACE yourself, click here
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, ASAP.
 
NYS Department of Health Releases Telehealth Medicaid Update
On February 20 th , the Department of Health released the much anticipated Telehealth Medicaid Update for Article 28 providers. Starting January 1, 2019, FQHCs are able to be reimbursed by Medicaid for services provided via telehealth in the following circumstances:
1) FQHC acting as the Originating Sites (where the patient is located):
  • a.   When services are provided via telemedicine to a patient located at an FQHC originating site, the originating site may bill only the FQHC offsite services rate code (4012).
  • b.   When a separate and distinct medical service, unrelated to the telemedicine encounter, is delivered at the FQHC originating site, the originating site may bill the Prospective Payment System (PPS) rate in addition to the FQHC offsite services rate code (4012).
  • c.   If a provider who is onsite at an FQHC is providing services via telemedicine to a member who is in their place of residence or other temporary location, the FQHC should bill the FQHC off-site services rate code (4012) and report the applicable modifier (95 or GT) on the procedure code line.
2) FQHC serving as Distant Sites (where the provider is located) may bill their PPS rate.
 
The State will publish separate guidance for Article 31, 32, and 16 providers.

US Department of Health and Human Services Announces Final Title X Rule
On Monday, March 4, the US Department of Health and Human Services (HHS) published its final rule revising Title X family planning program regulations. Notably, the final rule indicates that any organization providing abortion services or referring to another provider for abortions will now be ineligible for all Title X funding. The final rule becomes effective on May 3, 2019.

Measles Outbreak Update: Provider Vigilance and Patient Screening Imperative
CHCANYS is sharing a recent health advisory from the New York City Department of Health and Mental Hygiene (DOHMH) with an update on the measles outbreak and detailed recommendations for provider screening and vigilance. According to the DOHMH advisory, there have been more than 5,700 exposures to measles in New York City related to the ongoing outbreak, and they have primarily occurred in health care facilities including in emergency departments, inpatient facilities, urgent cares, and outpatient clinics.

Health care providers are urged to screen all patients for rash with fever at the facility's point of entry. Individuals exhibiting these signs and symptoms should immediately be placed in negative pressure rooms for airborne precautions to prevent exposures. If measles is suspected, providers should not wait for laboratory confirmation of measles to begin infection control precautions. Additional guidance and resources for providers can be found at here .

Vaccine Myths: CHCANYS Nursing Subcommittee
Dr. Denise Benkel of the Bureau of Immunization at NYC Department of Health and Mental Hygiene joined the CHCANYS Nursing Subcommittee on February 26 for a presentation on vaccine myths and addressing parental concern about immunization safety. Dr. Benkel shared a brief history of vaccines as a public health accomplishment, information on the pervasiveness of vaccine hesitancy, eleven specific myths attributed to vaccines, and strategies for how to handle resistance. To access the presentation slides, click here . For more information or to join the CHCANYS Nursing Subcommittee, please email Cole Unger at cunger@chcanys.org.
Open Door Family Medical Center Receives HIMSS Davies Award 2018 for Improving Cancer Screening Compliance
Congratulations to Open Door Family Medical Center for Receiving the 2018 HIMSS Davies Award for Improving Cancer Screening Compliance! “As only the second community health center to be recognized two times by the HIMSS Davies Award Program, Open Door Family Medical Centers has demonstrated a commitment to using information technology to improve the population health of their community. Open Door leverages registry technology to ensure that the at-risk populations of Westchester County are screened for a variety of cancers and other diseases,” said Jonathan French, CPHIMS, senior director of quality and value-based care at HIMSS. “In addition, Open Door uses information technology to improve care delivery for underserved children with asthma by providing a high standard of care in local schools. For this, HIMSS is proud to recognize Open Door as a 2018 HIMSS Davies Community Health Award winner.” Click here to learn more.

Diabetes and Hypertension Funding Opportunities with March Deadlines
The CDC is collaborating with the American College of Preventive Medicine (ACPM) to offer 2 funding opportunities.
 
CHCANYS NEWS AND EVENTS
CHCANYS Finance University- EARLY BIRD REGISTRATION NOW OPEN!
CHCANYS is excited to bring together New York State health center finance staff at this two-day, in-person Finance University to be held on June 11th- 12th 2019 at Baruch College in New York City. CHCANYS, in collaboration with CohnReznick, Atria, NYS health center finance leaders, and other external partners will provide training and technical assistance on a variety of financial operations topics. The two days will offer sessions geared toward providing tools and support relative to the complicated world of health center finance offices. The agenda has a wealth of workshops planned for both new and seasoned health center finance staff. Specifically, the agenda will include sessions on: FQHC Finance 101; Critical Financial and Grants Management Activities and Regulatory Reporting; NYS-Specific Rate-Setting and Regulatory Reporting Requirements; NYS-Specific Billing Concerns; Maximizing 340b; HRSA OSV considerations; Revenue Cycle Management; and more. All levels of financial operations staff are encouraged to attend. Click here to learn more.
Register Today! CHCANYS Telehealth Symposium - April 8 & 9 in Tarrytown New Speakers Added & Group Discount Available- Register NOW!
T his 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 has been extended. CHCANYS is also offering a group discount to health centers sending three (3) or more staff. Contact questions@chcanys.org for details on the discount. More information, including the updated 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. 
 
NYS Outreach & Enrollment Update: Policy & Advocacy Webinar
Date : Wednesday March 13th 
Time: 11am-12pm
Join CHCANYS staff for a special O&E focused discussion of recent federal and state policy issues. We will review relevant provisions in the 2019 NYS Budget and share other policy updates relevant to NY State of Health. Please register in advance for this webinar. Please e-mail OEhelp@chcanys.org  with any questions or concerns. 

PRAPARE User Survey Deadline is March 15
A rising number of health centers are becoming interested in the PRAPARE assessment tool, or are already using PRAPARE to help assess and address patients’ social determinants of health. As more organizations use or consider implementing PRAPARE, our national PRAPARE partners (the National Association of Community Health Centers (NACHC), the Association of Asian Pacific Community Health Organizations (AAPCHO), and the Oregon Primary Care Association (OPCA)) would like to gain a better understanding of heath centers’ PRAPARE implementation needs, experiences, and challenges. NACHC, AAPCHO and OPCA, plan to use any information shared to refine PRAPARE trainings, resources and technical assistance. To help the national PRAPARE partners obtain your valuable feedback, CHCANYS is encouraging all health centers that are currently using, testing or considering implementing the PRAPARE tool to complete NACHC’s PRAPARE User Survey by March 15th.

To avoid multiple responses from the same health centers, CHCANYS recommends that one staff “champion” (who can speak to the organization’s experiences using PRAPARE and remaining needs) complete and submit this survey. The survey takes approximately 5 – 15 minutes to complete, depending on the health center’s activities. Please consider sharing your responses with the CHCANYS PRAPARE Team:  arose@chcanys.org .

To complete the survey online, click here . If you would like to review the full survey before completing it online, click here . If you have any questions regarding the survey, please contact NACHC’s PRAPARE Project Specialist Shel Lessington, MPH (202.331.4617).

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. Please contact us ( emteam@chcanys.org ) for a range of topics available.

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 .

WEBINAR RECORDING: Emergency Preparedness Communications
CHCANYS Emergency Management team has recently collaborated with the National Nurse-led Care Consortium , a national cooperative agreement holder with HRSA, on a webinar to introduce concepts of Emergency Preparedness Communications. This webinar described key communication strategies for utilization by health centers before, during and after an emergency and introduce an adaptable template to create an emergency preparedness communications plan.

To access the webinar recording, slides and linked resources, click here .

FREE COURSE: Certified Hospital Emergency Coordinator
The Certified Hospital Emergency Coordinator (CHEC) incorporates concepts of mitigation, preparedness, response, and recovery in an "all-hazards" approach to ensure that healthcare facilities are prepared to provide continued care during emergencies and disasters. Currently, CHEC is divided into a Basic and Advanced course and are taught integrating emergency management with the regulatory context in which healthcare facilities operate. The CHEC courses have been well received both domestically and internationally since the course's inception in 2008.

The Finger Lakes Regional Training Center is pleased to offer registration for this course, which will take place on May 29-30, 2019 in Rochester, NY. To learn more click here .

To register for Basic Course, click here .
To register for Advanced Course, click here .

NOTE: You will need to create a free LMS account in order to register for this course.

FREE TRAINING: Disaster Mental Health: Assisting Children Following Disasters and Large-Scale Traumatic Events
This web streamed training, produced by the New York State Department of Health in collaboration with the New York State Office of Mental Health and SUNY New Paltz Institute for Disaster Mental Health, will include two related segments. The first part will focus on how participants can support the needs of children following disasters and other collective traumatic events, in a developmentally appropriate and trauma-informed manner. The second segment will address the potential mental health consequences for responders when assisting or treating children following a traumatic event.

To enroll in the training, please go to www.NYLearnsPH.com  and either register or login to the LMS. Search Course Catalog for: OHEP-DMH-2019

To learn more, click here .
For additional enrollment instructions, click here .
Additional Webinars and Events
HEALTH CENTER SUPPORT NEWS
New from HRSA: Frequently Asked Questions for New Access Point Applications
HRSA recently released two Frequently Asked Questions (FAQs) documents to assist prospective New Access Point (NAP) applicants with questions about the application process. Check out the Unmet Need Score (UNS) FAQs and NAP Application FAQs and recordings from the NAP and UNS Q&A sessions on the NAP TA webpage.
QUALITY AND TECHNOLOGY NEWS
HRSA Resources for Cardiovascular Disease
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. Last fall, the American Diabetes Association (ADA) released updated Standards of Care . The ADA states that cardiovascular disease is the leading cause of death and disability for people with diabetes and so the new standards “aim to reduce heart attacks, strokes, heart failure.” A special diabetes-focused edition of the Digest was produced last fall, yet many of the lessons learned, promising practices, and resources may be applicable.

NY Medicaid EHR Incentive Program Now Accepting Payment Year 2018 Pre-Validations
Pre-validation enables EPs to submit their Medicaid Patient Volume data prior to attesting for Meaningful Use for preliminary review. Pre-validation prior to submitting the complete attestation may subsequently reduce the time of state review.
 
NOTE: NY Medicaid EHR Incentive Program Support cannot review data until 90 days have passed from the end date of the 90-day Medicaid Patient Volume (MPV) Reporting Period. This period is required to allow Medicaid claims to be processed and finalized. Therefore, providers initiating Pre-Validation with an MPV Reporting Period that ended within the last 90 days will receive notice from NY Medicaid EHR Incentive Program Support about the inability to review the data.
 
We recommend selecting an MPV Reporting Period using the prior calendar year method. This prevents the possibility of timing out of the 12 month prior to attestation method.
 
You can find and complete the forms here:
 
For more information about Pre-validation services, please contact hit@health.ny.gov
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.