All-Programs Recording, NAP Clarification, Patient Safety Event, and More! HRSA PHC Digest

HRSA BPHC Primary Health Care Digest

March 12, 2019

Webcast Tomorrow: Improving Diagnosis in Primary Care
This is Patient Safety Week, and tomorrow HRSA will host a webcast featuring Dr. Gordon Schiff, a general internist and Associate Director of Brigham and Women’s Center for Patient Safety Research and Practice, Associate Professor of Medicine at Harvard Medical School, and Quality and Safety Director for the Harvard Medical School Center for Primary Care. Dr. Schiff will speak on improving diagnosis in primary care.

Wednesday, March 13
1:00-2:30 p.m. ET
Join the webcast tomorrow


Suma Nair Patient Safety

Join the Conversation: I Keep Patients Safe By…
In recognition of Patient Safety Week, HRSA challenges all health center staff to think about how their work contributes to patient safety. Join the conversation in three easy steps:

  1. Think about how your job contributes to patient safety, and write it on this sign.
  2. Take a photo of you holding the sign.
  3. Email the photo and this signed photo release to BPHCpatientsafety@hrsa.gov. NOTE: If multiple people are pictured, we need a completed photo release for each person.

Your photo may be featured in an upcoming issue of the Digest. Thank you for keeping patients safe!

At left: Suma Nair, Director of the Office of Quality Improvement for the Health Center Program, shares how she keeps patients safe.


All-Programs

Watch the Recording of the March 5 All-Programs Webcast
Missed the recent All-Programs webcast? Watch it now for important Health Center Program updates.

Here are some of the resources mentioned during the webcast:

  • Apply to CDC’s 2019 Million Hearts® Hypertension Control Challenge by Monday, April 1. This competition identifies clinicians, practices, and health systems that have demonstrated exceptional achievements in working with their patients to control hypertension. Watch a recent HRSA webinar that featured health centers recognized as 2018 Million Hearts® Hypertension Control Challenge Champions.

  • Webinar tomorrow: Ending the HIV Epidemic, including presentations from HRSA Associate Administrator Jim Macrae and Health Center Program Chief Medical Officer Judy Steinberg, M.D., MPH.

  • Colorectal Cancer Awareness Month and the National Colorectal Cancer Roundtable 80% by 2018 Grand Prize Winner.

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Jump To:  Substance Use Disorder & Behavioral Health  |  HIV  |  Diabetes  |  Workforce  | 
                Oral Health
  |  Colorectal Cancer Awareness Month


What's New

HRSA Issues Fiscal Year 2019 New Access Points Funding Opportunity (HRSA-19-080) Clarification
HRSA issued a clarification (select the Related Documents tab in Grants.gov) of eligible New Access Points (NAP) sites. With regard to eligibility requirement #4, proposed NAP sites must not be located in the same building as any service delivery or administrative/service delivery site already in the approved scope of project of any Health Center Program award recipient or look-alike.

Reminder: The Grants.gov deadline for NAP applications is today at 11:59 p.m. ET. The second phase of the application process is due in HRSA’s Electronic Handbooks (EHBs) by Thursday, April 11 (5:00 p.m. ET).

For more information or if you have questions, please visit the NAP Technical Assistance (TA) webpage or contact Health Center Program Support.


Fiscal Year 2018 SUD-MH Supplemental Funding Reminders
If you received fiscal year 2018 Substance Use Disorder and Mental Health (SUD-MH) Services supplemental funding, please note these important reminders:

  • Staffing Requirement: You must add at least 1.0 FTE direct hire(s) and/or contracted personnel who will support SUD and/or mental health services within eight months of award—by Saturday, May 18. Failure to meet this requirement may impact Year 2 funding.

  • Minor Alteration and Renovation (A/R) Projects: You may not begin any minor A/R activities supported with SUD-MH funding without receiving prior approval from HRSA. You must submit a “Capital Update” via EHBs, and meet all additional conditions when applicable.

You should develop appropriate contingencies to ensure that delays in receiving HRSA approval of your minor A/R activities do not impact your ability to meet the staffing requirement and patient projections on time. Find information about the documentation you are required to submit on the SUD-MH TA website.


Meet Us at the NACHC P&I Forum!
We look forward to seeing you at the National Association of Community Health Centers (NACHC) Policy & Issues Forum in Washington, D.C. Please stop by the HRSA booth on Friday, March 29: booth 513 on the back wall of the exhibit hall. Health Center Program Support staff will be there to answer your questions in real time. We will also have representatives from our Loan Guarantee Program to address inquiries about that program.

In addition, staff from the National Practitioner Data Bank will be at booth 506 to share this valuable tool that prevents providers from moving across state lines without disclosure or discovery of previous damaging performance.

FTCA staff will be in the Park Tower 8206 from 9:00 a.m. to 4:00 p.m. ET. To reserve a time for deeming, health center/free clinic applications, policy, or risk management questions, call the Health Center Program Support line (by Friday, March 22) at 877-464-4772, option 1. We will need your H80 grant number, contact information, and your question.

HRSA Administrator George Sigounas, MS, Ph.D., will provide the Federal Update on Friday, March 29. HRSA Associate Administrator Jim Macrae as well as Health Center Program senior staff will speak about updates on policy and quality developments during the sessions, as well as what’s new with operational site visits. Check out the full conference schedule for more information.


Health Center Resource Clearinghouse

Technical Assistance Resources for Health Centers
HRSA and the NACHC, a HRSA-funded National Cooperative Agreement (NCA), developed the Health Center Resource Clearinghouse, which provides an up-to-date selection of high-quality TA resources relevant to health centers. The Clearinghouse collects, in a single location, resources on a variety of topics created by HRSA’s TA partners. Priority topics include:

  • Diabetes
  • Childhood Obesity Prevention
  • Behavioral health/Substance Use Disorder (SUD)
  • Special and vulnerable populations
  • Health IT/data
  • Finance
  • Workforce

The site is searchable by keyword, topic area, type of resource, and other search fields. Health centers can submit resources and promising practices to be considered for the site, ask questions about resources, and get connected with HRSA’s TA partners. Stay tuned for new resources and promising practices to be added soon.


Rural Communities Opioid Response Program Notice of Funding Opportunity
Last week, HRSA released the Rural Communities Opioid Response Program (RCORP) notice of funding opportunity (NOFO) for a new initiative called RCORP-Implementation (HRSA-19-082). HRSA will make approximately 75 awards of up to $1 million each to networks and/or consortia to enhance SUD service delivery in high-risk rural communities, including services for opioid use disorder (OUD). Over a three-year period, RCORP-Implementation grant recipients will implement a set of core SUD/OUD prevention, treatment, and recovery activities that align with HHS’ Five-Point Strategy to Combat the Opioid Crisis. Grant recipients are strongly encouraged to leverage workforce recruitment and retention programs like the National Health Service Corps. Applications are due by Monday, May 6, in Grants.gov.

Learn more at an upcoming webinar:

Wednesday, March 27
11:30 a.m.-1:00 p.m. ET
Reference page ii in the NOFO for dial-in and playback information


Call to Health Centers, Hospitals, and Other Clinical Providers Engaged in Community Health Assessment and Planning
Have you used the National Association of County and City Health Officials’ Mobilizing for Action through Planning and Partnerships (MAPP) framework for your community health needs assessment and health improvement planning efforts? The University of Illinois at Chicago MidAmerica Center for Public Health Practice is conducting an evaluation, funded by HRSA, of the MAPP framework.

If your health care organization has used MAPP and is interested and willing to participate in a 60-minute interview, please email tbonne5@uic.edu by Friday, March 15.


Substance Use Disorder & Behavioral Health

Opioid Use Disorder: The Role of Adverse Childhood Events and Motivational Interviewing
As the detrimental effects of OUD have been well described over the past 10 years, the dynamic health care landscape demands enhancing primary care provider knowledge on how to address and treat OUD. HRSA will host a webinar to provide actionable information for all members of the primary care clinic team on adverse childhood events (ACEs), the impact on and association with OUD, and how identifying ACEs provides a foundation for trauma-informed care. Additionally, we will address techniques for motivational interviewing with evidence-based literature supporting approaches for OUD. Finally, we will review case studies derived from practice for discussion of practical interventions.

Thursday, April 4
3:00-4:00 p.m. ET
Register here


HIV

National Women and Girls HIV/AIDS Awareness Day
In recognition of National Women and Girls HIV/AIDS Awareness Day (Sunday, March 10), HHS presents a webinar that is part of their Women, HIV, and Substance Use webinar series.

Bringing Healing to the Center of Care – An Integrated Trauma-Informed Behavioral Health Approach
Tuesday, March 12
2:00-3:00 p.m. ET
Join the webinar the day of the session


Ending the HIV Epidemic: A Plan for America
During the State of the Union Address last month, the Administration announced a bold new initiative, “Ending the HIV Epidemic: A Plan for America,” which aims to reduce new HIV infections to less than 3,000 per year by 2030. Join a webinar to learn about HRSA’s critical role in this initiative and about the goals and objectives that will be included. HRSA Associate Administrator Jim Macrae and Health Center Program Chief Medical Officer Judy Steinberg, M.D., MPH, are among the presenters.

Wednesday, March 13
2:00-3:00 p.m. ET
Join the webcast the day of the session


Promising Practices to Advance HIV Testing, Linkage to Care and PrEP Implementation Among Health Centers in the Southeastern United States
During this HRSA webinar, experts from the Southeast AIDS Education Training Center will share promising practices from the Southeast Practice Transformation Expansion Project (SEPTEP) to enhance the capacity of health professionals on HIV opt-out testing, cultural humility, stigma, and pre-exposure prophylaxis (PrEP) implementation.

Thursday, March 21
3:00-4:00 p.m. ET
Join the webinar the day of the session
Call-in: 888-233-9404
Passcode: 3111042


HIV Among Women: Resource for Health Professionals
Women of all ages, races, and ethnicities can contract HIV, but some women are at higher risk than others. CDC provides resources for health professionals and community members to learn more about caring for women living with or at risk of HIV.


Diabetes

Diabetes in Special & Vulnerable Populations: A National Learning Series
Diabetes affects more than 30 million people in the United States. Multi-tiered efforts to prevent, treat, and manage diabetes are critical in reducing the burden of diabetes, particularly for medically underserved racial and ethnic minority populations. In addition to higher prevalence, ethnic and racial minority patients with diabetes have higher rates of mortality and diabetic complications.

Fourteen HRSA-funded NCAs have partnered to create a four-part national learning webinar series for health centers, Primary Care Associations, and Health Center Controlled Networks. The series’ goal is to increase foundational knowledge of effective strategies to prevent, treat, and manage diabetes among special and vulnerable Health Center Program populations.

This series will focus on co-morbidities associated with diabetes (e.g., oral health, behavioral health, SUD, obesity, and social risk factors).

Learn more and register for individual webinars, including this Thursday’s session, “Using Referrals, Outreach, and Care Coordination to Address Oral Health and Diabetes.”


Workforce

Data Metrics Learning Collaborative
Would you like to start incorporating workforce data into your clinician recruitment and retention efforts? The Association of Clinicians for the Underserved’s (a HRSA-funded NCA) STAR2 Center invites health centers to apply to this 9-week-long immersive learning experience for a chance to explore different workforce metrics, identify ways to collect and analyze them in connection with your workforce efforts, and discuss the topic with experts and health center peers.


Oral Health

Infection Prevention and Control in Dental Settings
HRSA and CDC will host a webinar focusing on infection prevention and control for dental settings. We will review recent documented transmission of infectious agents in dental settings and discuss the implications, as well as standard precautions (emphasis on sterilization and disinfection of patient care items and devices). We’ll share infection prevention and control resources designed to increase adherence with existing recommendations.

Thursday, March 14
Noon-1:00 p.m. ET
Register here


Colorectal Cancer Awareness Month

Colorectal Cancer Screening: Different Paths to 80%
Colorectal cancer is the fourth most common type of cancer diagnosed and the second leading cause of death from cancer. HRSA invites you to join a webinar featuring a new campaign from the National Colorectal Cancer Roundtable (NCCRT) and two health centers that have made evidence-based systems changes to reach an 80% screening rate:

  • The NCCRT will introduce their new campaign, 80% in Every Community, and marketing research.
  • Ammonoosuc Community Health Services will discuss their usage of the iFOBT test, EMR preventative care form, and culture of quality improvement.
  • Columbia Basin Health Association will dive into their success with the FIT test, Azara Pre-Visit planning, and quality programs.

Monday, March 18
2:00-3:00 p.m. ET
Join the webcast the day of the session
Call-in: 888-233-9404
Passcode: 3790815


80% by 2018 National Achievement Award Grand Prize Winner: NOELA Community Health Center
The 80% by 2018 National Achievement Award recognizes individuals and organizations who dedicate their time, talent and expertise to advancing needed initiatives to reach the national goal of regularly screening 80% of adults age 50 or over for colorectal cancer. The NCCRT recently recognized six honorees with the 80% by 2018 National Achievement Award, including awarding HRSA-funded NOELA Community Health Center the grand prize.

NOELA Community Health Center, a nationally recognized Patient-Centered Medical Home (PCMH), provides comprehensive primary and preventive health care services to underserved communities in and around the New Orleans East area. In 2012, NOELA Community Health Center discovered that their colorectal cancer screening rate was 3%. They committed to making colorectal cancer screening a top priority and aimed for an 80% screening rate, aligning their goal with NCCRT’s target. They reached that goal in November 2018 after implementing several evidence-based changes:

  • Patient navigation
  • Patient and provider reminders
  • Practice assessment and feedback
  • Improved data analysis and reporting
  • Reduced colonoscopy wait times through an Open Access Endoscopy agreement with two area hospitals

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Technical Assistance & Training

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

Through March 19

Bringing Healing to the Center of Care – An Integrated Trauma-Informed Behavioral Health Approach
Hosted by HHS
Tuesday, March 12
2:00-3:00 p.m. ET
Join the webinar the day of the session

The Health Information and Technology, Evaluation and Quality Center (HITEQ) Highlights: Managing Data as a Strategic Asset: Data Governance Fundamentals
Hosted by HITEQ, a HRSA-funded NCA
Tuesday, March 12
3:00-4:00 p.m. ET
Register here

Patient Safety Week Webcast: Improving Diagnosis in Primary Care
Hosted by HRSA
Wednesday, March 13
1:00-2:30 p.m. ET
Join the webcast the day of the event

Ending the HIV Epidemic: A Plan for America
Hosted by HRSA
Wednesday, March 13
2:00-3:00 p.m. ET
Join the webcast the day of the session

Addressing Violence in Public Housing Communities
Hosted by The National Center for Health in Public Housing, a HRSA-funded NCA
Wednesday, March 13
2:00-3:00 p.m. ET
Register here

Virtual Training Series - Her Health, Her Housing: Improving Services for Women Experiencing Homelessness
Hosted by The National Health Care for the Homeless Council, a HRSA-funded NCA
Wednesday, March 13,
and Thursday, March 14
1:00-2:00 p.m. ET
**1.0 CME credit** per session
Register here for the series

Infection Prevention and Control in Dental Settings
Hosted by HRSA and CDC
Thursday, March 14
Noon-1:00 p.m. ET
Register here

Adolescent-Focused Motivational Interviewing
Hosted by the School-Based Health Alliance, a HRSA-funded NCA
Thursday, March 14
1:00-2:00 p.m. ET
Register here

Diabetes Continuum of Care: Using Referrals, Outreach, and Care Coordination to Address Oral Health and Diabetes
Part of the Diabetes in Special & Vulnerable Populations National Learning Series
Hosted by multiple HRSA-funded NCAs
Thursday, March 14
2:00-3:30 p.m. ET
Register here

CSH Opioid Series: State and Managed Care Organizations Responses to the Opioid Crisis
Hosted by the Corporation for Supportive Housing and the National Health Care for the Homeless Council, HRSA-funded NCAs
Friday, March 15
2:00-3:30 p.m. ET
Register here

Colorectal Cancer Screening: Different Paths to 80%
Hosted by HRSA
Monday, March 18
2:00-3:00 p.m. ET
Join the webcast the day of the session
Call-in: 888-233-9404
Passcode: 3790815


UPCOMING

UDS Mapper Advanced Topics
Hosted by HRSA
Wednesday, March 20
11:00 a.m.-noon ET
Register here

Identifying Adolescent Victims of Human Trafficking
Hosted by the School-Based Health Alliance, a HRSA-funded NCA
Wednesday, March 20
1:00-2:00 p.m. ET
Register here

Using Financial and Operational Data to Plan for Growth
Hosted by Capital Link, a HRSA-funded NCA
Wednesday, March 20
2:00-3:00 p.m. ET
Register here

Fundamentals of Health Center Dental Programs for Non-Clinicians: Workforce and Staffing
Hosted by the National Network for Oral Health Access, a HRSA-funded NCA
Wednesday, March 20
4:00-5:00 p.m. ET
Register here
**1.0 CDE available**

Public Housing Today: Trends, Changes, and Next Steps
Hosted by The National Nurse-Led Care Consortium, a HRSA-funded NCA
Thursday, March 21
2:00-3:00 p.m. ET
Register here

Promising Practices to Advance HIV Testing, Linkage to Care and PrEP Implementation Among Health Centers in the Southeastern United States
Hosted by HRSA
Thursday, March 21
3:00-4:00 p.m. ET
Join the webinar the day of the session
Call-in: 888-233-9404
Passcode: 3111042

Migratory and Seasonal Agricultural Worker Registration and UDS Reporting
Hosted by the National Center for Farmworker Health, a HRSA-funded NCA
Thursday, March 28
2:30-3:30 p.m. ET
Register here

Opioid Use Disorder: The Role of Adverse Childhood Events and Motivational Interviewing
Hosted by HRSA
Thursday, April 4
3:00-4:00 p.m. ET
Register here

Diabetes Continuum of Care: Using Behavioral Health and Substance Use Disorder Integration to Address Older Adults with Cognitive Impairments and Diabetes
Part of the Diabetes in Special & Vulnerable Populations National Learning Series
Hosted by multiple HRSA-funded NCAs
Tuesday, April 9
2:00-3:30 p.m. ET
Register here

Diabetes Continuum of Care: Using Health Promotion/Behavior Change to Address Childhood and Adult Obesity and Diabetes
Part of the Diabetes in Special & Vulnerable Populations National Learning Series
Hosted by multiple HRSA-funded NCAs
Thursday, April 18
2:00-3:30 p.m. ET
Register here

Using Health Information Technology to Enhance Opioid Use Disorder Treatment
Hosted by HITEQ, a HRSA-funded NCA
Thursday, April 18
3:00-4:30 p.m. ET
Register here

Diabetes Continuum of Care: Using the CHW and Enabling Services Workforce to Address SDOH and Diabetes
Part of the Diabetes in Special & Vulnerable Populations National Learning Series
Hosted by multiple HRSA-funded NCAs
Tuesday, April 23
2:00-3:30 p.m. ET
Register here