Internal Controls Tip Sheet, Park Rx App, and More! HRSA PHC Digest

Digest Masthead

July 17, 2018

Internal Controls Tips Sheet

Internal Controls Tip Sheet Available
Find a new Internal Controls Tip Sheet on the Manage Your Grant webpage.

Effective internal controls are the basis for strong financial systems and processes that prevent fraud, waste, and abuse.

HRSA offers this tip sheet to help grantees effectively manage and protect federal funds.

Statutory Update
HRSA continues to assess changes made by the Bipartisan Budget Act (BBA) of 2018 to section 330 of the Public Health Service Act. We anticipate releasing an updated Compliance Manual and compliance-related tools (i.e., Site Visit Protocol, Conditions Library) to align with statutory changes by August. We will begin assessing compliance with these new requirements made by the BBA through fiscal year 2019 Service Area Competition applications and operational site visits occurring after release of the updated Compliance Manual.

Did You Miss It?
Here is the most popular story from the Digest in June:

UDS Manual

2018 Uniform Data System (UDS) Manual Now Available
The 2018 UDS Manual describes the annual UDS reporting requirements for all health centers that receive federal award funds (awardees) as well as for look-alikes under the Health Center Program.

The manual provides an understanding of the framework of reporting requirements, including data submissions on patients, operations, and clinical performance, and is used to reference the 2018 UDS tables when preparing the UDS report.

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What's New

Save the Date: BPHC All-Programs
Join us for the BPHC All-Programs webcast:

Tuesday, July 31
2:00-3:00 p.m. ET
Webcast information coming soon

HRSA Associate Administrator Jim Macrae will share updates, followed by Q&A. To submit questions in advance, please send an email by Thursday, July 26, with the subject line "BPHC All-Programs Question."

Telehealth Resources For Health Centers
Telehealth can be an important tool for improving access to quality health care, especially for underserved and medically vulnerable populations. Here are some resources for health centers interested in offering or expanding telehealth services:

Sexual Assault Nurse Examiners Program

Apply Now: HRSA’s Advanced Nursing Education-Sexual Assault Nurse Examiners
HRSA’s Advanced Nursing Education-Sexual Assault Nurse Examiners Program is accepting applications. The program goal is to train more providers to conduct sexual assault forensic examinations, which provide better physical and mental health care for survivors, better evidence collection, and higher prosecution rates. Learn if your organization is eligible to apply. Application deadline is Thursday, July 26.

More Providers at Your Site May Soon Be Eligible for NHSC Funding
Later this year, the National Health Service Corps (NHSC) will make available an additional $105 million in NHSC Loan Repayment Program awards that expand and improve access to quality opioid and SUD treatment in rural and underserved areas. You are eligible to opt in if your site provides any of these services:

  • Opioid treatment program  – Facilities certified by SAMHSA
  • Office-based opioid treatment – Outpatient facilities with providers eligible to administer Medication-Assisted Treatment (MAT)
  • Non-opioid outpatient SUD treatment facilities – Outpatient facilities that offer SUD treatment services (but do not provide MAT), as demonstrated on their website or other organizational materials.

All NHSC sites—including health centers and NHSC auto-approved sites—must opt in for their providers to be eligible for this additional SUD treatment funding. We have extended the deadline to Tuesday, August 14, at 11:59 p.m. ET.

Learn more, including how to opt in.

U.S. Preventive Services Task Force Update
The U.S. Preventive Services Task Force released a final research plan on interventions for tobacco cessation in adults, including pregnant women. The draft research plan for this topic was available for public comment from March 15 through April 11.


Park Rx

Park Rx America
Here is a resource for chronic disease prevention and management: prescribing outdoor time spent in our nation’s parks. Park Rx America is a nonprofit organization founded by a HRSA-funded health center clinical leader, Dr. Robert Zarr, from Unity Health Center in Washington, DC. Its primary mission is to encourage clinicians to prescribe parks to their patients in order to increase time spent outdoors.

Spending time in natural environments increases physical activity, thus decreasing the risk for chronic disease and supporting self-management for those with chronic disease. According to Dr. Zarr, there are over 400 scientific studies that show an improvement in chronic disease as a result of time spent outdoors.

There are nearly 2,600 parks that can be prescribed, and the Park Rx America website includes a "park formulary” (a park database) to help users identify nearby parks. To facilitate prescribing outdoor time at parks, several hospitals and health systems have integrated the database into their electronic health records.

Patient Safety Leadership Speaker Series: Caring for Diverse and Communication-Vulnerable Patients
Effective communication is essential for delivering high-quality health care and maintaining the provider-patient relationship. Potential vulnerabilities related to communication include low health literacy, language barriers, and cultural factors.

The third webinar in ECRI Institute’s Patient Safety Leadership Speaker Series, presented on HRSA’s behalf, will address communication challenges and strategies clinicians and organizations can implement to improve the quality of care for communication-vulnerable patients. The webinar will provide references to relevant resources and tools.

Tuesday, July 31
12:00-1:00 p.m. ET
Register here

Green Tobacco Sickness: Free Resources Help Reduce Risk
The National Advisory Council on Migrant Health urges health centers that serve migrant and seasonal agricultural workers in tobacco growing regions to become more knowledgeable about Green Tobacco Sickness (GTS).

Nicotine poisoning can occur in people who handle tobacco plants. Many young people work on tobacco farms, and children and adolescents seem to be particularly susceptible to the illness, which causes nausea, vomiting, dizziness, headaches and muscle weakness. GTS occurs most often when workers handle plants that are moist from dew or rain.

The National Institute for Occupational Safety and Health offers resources to help farmers, workers and health care professionals learn more about best practices to reduce the risk of GTS.

Now Available: 2018 Recovery Month Toolkit and PSAs
Each September, SAMHSA sponsors National Recovery Month to increase awareness and understanding of mental and substance use disorders, and to celebrate individuals living in recovery. Use the 2018 Recovery Month Toolkit and PSAs to organize events, issue proclamations, and increase public awareness.

In case you missed it: read last week’s Primary Health Care Digest.

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Technical Assistance & Training


Visit the training calendar to learn details about or register for events.


Stopping the Revolving Door: How Health Centers Can Serve Justice-Involved Populations
Hosted by the Corporation for Supportive Housing and the National Health Care for the Homeless Council, HRSA-funded National Cooperative Agreements (NCAs)
Wednesday, July 18
2:00-3:00 p.m. ET
Register here

UDS Mapper Advanced Topics: Assessing Your Community
Hosted by HRSA
Thursday, July 19
11:00 a.m.-12:00 p.m. ET
Register here

NACHC Pharmacy Office Hours: Is an In-House Pharmacy Right for Our Health Center?
Hosted by NACHC, a HRSA-funded NCA
Thursday, July 19
2:00-3:00 p.m. ET
Join office hours the day of the session
Submit a question in advance

The Health Information and Technology, Evaluation and Quality Center (HITEQ) Highlights: Opportunities to Improve Diabetes Outcomes through Electronic Patient Engagement
Hosted by HITEQ, a HRSA-funded NCA
Tuesday, July 24
3:00-4:00 p.m. ET
Register here


Risk Management and Prevention in the FQHC Dental Program
Hosted by DentaQuest Institute/Safety Net Solutions
Wednesday, July 25
1:00-2:00 p.m. ET
Register here

Clinicians’ Coffee Chat: Encampments
The National Health Care for the Homeless Council, a HRSA-funded NCA
Wednesday, July 25
1:45-3:00 p.m. ET
Register here

Patient Safety Leadership Speaker Series: Caring for Diverse and Communication-Vulnerable Patients
Hosted by ECRI Institute on HRSA’s behalf
Tuesday, July 31
12:00-1:00 p.m. ET
Register here

BPHC All-Programs Webcast
Tuesday, July 31
2:00-3:00 p.m. ET
Webcast information coming soon.
To submit questions in advance, send an email to by Thursday, July 26, with the subject line "BPHC All-Programs Question."

Integration of Oral Health and Primary Care Practice: Two Health Center Experiences
Hosted by the National Network for Oral Health Access, a HRSA-funded NCA
Wednesday, August 1
3:00-4:00 p.m. ET
Register here
(1.0) Continuing Dental Education (CDE) credit is available

Introduction to the UDS Mapper
Hosted by HRSA
Tuesday, August 7
11:00 a.m.-12:00 p.m. ET
Register here