IBHS Funding Questions, New HIV and SUD Resources, and More! HRSA PHC Digest

A Newsletter from the Health Resources & Services Administration (HRSA)

HRSA BPHC Primary Health Care Digest

April 30, 2019

Fiscal Year 2019 Integrated Behavioral Health Services Questions of the Week
Fiscal year (FY) 2019 Integrated Behavioral Health Services (IBHS) funding will support new and expanded mental health and substance use disorder (SUD) services. Submit your application for this ongoing, non-competitive supplement by 5:00 p.m. ET on Monday, May 13. For the IBHS application module link within HRSA’s Electronic Handbooks (EHBs), see the email sent on Friday, April 5.

Here are answers to two of our most anticipated questions:

Q: In the EHBs application module, which application type should I select on the Grant Application-Create page?
A: Select “Revision (Supplemental)” as the application type. Step-by-step instructions for completing your IBHS application are provided in the IBHS EHBs User Guide.

Q: Can I use IBHS funds to purchase a mobile van or other vehicle?
A: No. IBHS is ongoing, service expansion funding that may not be used for the purchase or lease of vehicles, including mobile vans. HRSA clarified this guidance in the ineligible costs section of the IBHS notice of funding opportunity (NOFO). View the updated NOFO published on Thursday, April 18, on the IBHS technical assistance (TA) webpage.

Contact the IBHS TA Team with questions.


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                Oral Health
  |  National Infant Immunization Week  |  Additional Resources


What's New

New HRSA “Ending the HIV Epidemic” Webpage
During the 2019 State of the Union address, the Trump administration announced the new “Ending the HIV Epidemic: A Plan for America.” This will be a ten-year initiative beginning in FY 2020 to achieve the important goal of reducing new HIV infections to less than 3,000 per year by 2030. HRSA’s Ryan White HIV/AIDS Program and Health Center Program will play a leading role in helping diagnose, treat, prevent, and respond to end the HIV epidemic. Visit the new webpage to learn more about HRSA’s role.


Final Week for UDS Reporting Survey
As part of the UDS Modernization Initiative, new functionalities within the EHBs and new offline reporting features were introduced for the 2018 reporting period. We invite all health centers to provide feedback for improvement through a short survey, which should take no more than five minutes to complete. Participation is voluntary and all responses are anonymous. Thank you to those who completed the survey. If you haven’t yet, please take it soon—it will close on Friday, May 3.


2019 UDS Reporting Changes TA
HRSA presents a TA webinar that will provide an overview of the changes for the calendar year (CY) 2019 UDS data collection and reporting activities for reports submitted by February 15, 2020. We will also discuss possible changes for 2020 UDS and revised clinical measures resulting from continued alignment with electronic specified clinical quality measures. Read a summary of the approved changes in the UDS Changes Program Assistance Letter (PAL).

Thursday, May 9
1:00-2:30 p.m. ET
Join the webcast the day of the session
Call-in: 888-233-9404
Passcode: 6379668

Register here and we’ll send you presentation materials ahead of time.


Calendar Year 2020 Requirements for Federal Tort Claims Act Medical Malpractice Coverage
HRSA has issued PAL 2019-02 to describe the process for Health Center Program grantees to submit applications for Federal Tort Claims Act (FTCA) initial deeming and redeeming for CY 2019 and 2020.

HRSA has also issued the Health Center Volunteer Health Professional (VHP) FTCA Program PAL 2019-03 with the requirements for Health Center Program grantees to submit applications to sponsor VHPs for FTCA initial, supplemental, and redeeming for CY 2019 and 2020. Both PALs are available on the FTCA Program webpage.

Health Center and Health Center VHP FTCA Programs redeeming applications (for coverage for CY 2020) are due by 11:59 p.m. ET on Monday, July 1. The redeeming application period begins on Friday, May 17. We accept initial deeming applications year-round.


SUD-MH Recipients: Less Than Three Weeks Left
If you received FY 2018 Expanding Access to Quality Substance Use Disorder and Mental Health Services (SUD-MH) 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.


Rural Communities Opioid Response Program NOFO
HRSA released the Rural Communities Opioid Response Program (RCORP) NOFO for a new initiative called RCORP-Implementation (HRSA-19-082). Grant recipients are strongly encouraged to leverage workforce recruitment and retention programs like the National Health Service Corps (NHSC). Applications are due in Grants.gov by Monday, May 6.


Rural Communities Opioid Response Program: Medication-Assisted Treatment Expansion
HRSA released a NOFO last week for the RCORP-Medication-Assisted Treatment Expansion (RCORP-MAT Expansion). HRSA plans to invest approximately $8 million in rural communities as part of this funding opportunity. Successful RCORP-MAT Expansion award recipients will receive up to $725,000 for a three-year period of performance to establish or expand medication-assisted treatment (MAT) in eligible hospitals, health clinics, or tribal organizations located in high-risk rural communities. Applications are due in Grants.gov by Monday, June 10.


Centering Healthcare Institute Implementation Grants
Last year, Centering Healthcare Institute (CHI) launched a plan to expand access to the Centering model of group health care in communities where group care can have the greatest impact. They developed a program offering free implementation support and facilitation training to 130 eligible sites—primarily in health centers. These grants will address the financial barrier facing centers in resource-limited communities. CHI is awarding these grants in several waves over 2018-2019. Applications for the second wave of 2019 grants are due by Friday, May 31. Learn more and apply now.


Substance Use Disorder & Behavioral Health

Did You Check Out Our New SUD Page?
As a supplement to HRSA’s opioids webpage, we compiled resources to assist health centers in integrating SUD treatment services into primary care delivery. Our new Substance Use Disorders and Primary Care Integration page includes resources on MAT, trauma-informed care, and more.


MAT 101: Evidence-Based Practices in SUD Treatment
Experts from the HRSA-supported University of California San Francisco Clinician Consultation Center’s Substance Use Warmline will share evidence-based practices and resources on MAT for patients with SUD. They will discuss the MAT model from assessment and induction to management and monitoring, provide case-based examples, and answer provider questions about patient considerations during a 30-minute question and answer session.

Friday, May 10
2:30-3:30 p.m. ET
Register here

Providers can access free peer-to-peer clinical consultation on SUD assessment and treatment on the Substance Use Warmline. Expert clinical staff offer advice on patient-centered approaches and decision-making, use of evidence-based strategies, including MAT harm reduction, diversion mitigation, and treatment strategies for co-occurring behavioral health conditions and chronic pain. Connect by phone, toll-free at 855-300-3595, or upload patient cases securely. The Warmline operates from 9:00 a.m. to 8:00 p.m. ET, Monday to Friday.


Promising Practices in Behavioral Health Workforce Planning
Experts from the University of Michigan, the University at Albany-SUNY, and the Association of Clinicians for the Underserved (ACU), a HRSA-funded National Cooperative Agreement (NCA), will share promising practices and resources focused on behavioral health workforce planning, recruitment, and retention. This webinar will share evidence-based research to improve and design strategic investment in behavioral health workforce planning.

Wednesday, May 8
3:00-4:00 p.m. ET
Join the webcast the day of the session
Call-in: 888-989-4389
Passcode: 5589163


Suicide Prevention: Strategies That Work
National Children’s Mental Health Awareness Day is Thursday, May 9. On the preceding Monday (May 6), SAMHSA will host an event focusing on the impact that suicide has on children, youth, young adults, families, and communities. It will include suicide prevention experts and leaders of national mental health organizations, along with families and youth who will share stories about how evidence-based practices saved children’s lives and put them on a path to recovery.

Monday, May 6
3:00-5:00 p.m. ET
Join the webcast the day of the event


Opioid Workforce Expansion Program – Professionals and Paraprofessionals
HRSA is accepting applications for the FY 2019 Opioid Workforce Expansion Program (OWEP) Professionals and Paraprofessionals funding opportunities. Apply on Grants.gov by Tuesday, May 7. HRSA anticipates awarding $39.3 million for approximately 29 OWEP for Professionals awards and $29.8 million to fund about 33 OWEP for Paraprofessionals awards.


Free Continuing Education on Drug Overdose Deaths among Women from the CDC and Medscape
The CDC and Medscape are hosting a free continuing education (CE) credit activity to inform clinicians of overdose death rates among U.S. women aged 30-64 years during 1999-2017, overall and by drug subcategories, and clinical implications for members of the health care team. This activity is intended for health care personnel involved in influenza vaccination. The training activity is available from Medscape (free registration is required).


FY 2019 IBHS Questions of the Week
See announcement above.


SUD-MH Recipients: Less Than Three Weeks Left
See announcement above.


Rural Communities Opioid Response Program NOFO
See announcement above.


Rural Communities Opioid Response Program: Medication-Assisted Treatment Expansion
See announcement above.


HIV

Community Health Workers in HIV Care: Insights from the Field
Boston University, with support from HRSA, is presenting an interactive webinar series on the use of Community Health Workers (CHWs) in HIV delivery care systems. CHWs bridge health providers and communities and help to increase access and improve the quality of HIV care services. Learn about the role of CHWs and how they serve as an integral part of the HIV health care system in HRSA-supported organizations. CHWs will share real-world examples of caring for people living with HIV and linkage and retention in HIV care. This webinar series is part of the Secretary’s Minority AIDS Initiative-funded project entitled “Improving Access to Care: Using Community Health Workers to Improve Linkage and Retention in HIV Care.”

Thursday, May 2
2:00-3:00 p.m. ET
Register here


New HRSA “Ending the HIV Epidemic” Webpage
See announcement above.


Diabetes

Improving Chronic Disease Management for Older Adults Living with Diabetes: A Practice-based Learning and Quality Improvement Approach
Evidence is growing about the integral relationship between oral health and chronic diseases. There exists a bi-directional relationship between oral health and diabetes. An interprofessional, team-based approach in practice and quality improvement is important for improving patient and population health outcomes for older adults living with diabetes.

In May, The National Center for Equitable Care for Elders, a HRSA-funded NCA, will host a four-session learning collaborative to discuss an integrated approach to managing oral health for older adults with diabetes through a practice-based learning and quality improvement approach. Register here.


Diabetes Resource Hub
The National Center for Farmworker Health, a HRSA-funded NCA, has launched a Diabetes Resource Hub featuring their partnership with the American Association of Diabetes Educators (AADE). It provides resources and tools related to the prevention, management, and treatment of prediabetes and diabetes. It also offers information about AADE’s Prevention Network and the National Diabetes Prevention Program led by CDC.


Workforce

NHSC Scholarship Program
Eligible health profession students can receive payment for tuition, fees, and other educational costs, as well as a living stipend. In exchange, they serve at least two years at NHSC-approved sites in underserved rural, urban, and tribal communities. Applications are due Thursday, May 16. Learn more about the NHSC Scholarship Program.


Nurse Corps Scholarship Program

Nurse Corps Scholarship Program
Eligible nursing students may receive funding for tuition, fees, and other educational costs, as well as a living stipend. In exchange, they will serve upon graduation at an eligible facility with a critical shortage of nurses. Applications are due Tuesday, May 21. Find out more about the Nurse Corps Scholarship Program.


The Power of Resiliency: Unlocking the Quadruple Aim
Save the date for the next session in HRSA’s Workforce Grand Rounds Webinar Series. Speakers will provide resources for building a resilient health workforce to meet the demands of a dynamic health care landscape. Specific objectives:

  • Illustrate risk factors that impact workforce effectiveness and resilience in rural and underserved areas.
  • Highlight professional organizations and their strategies for increasing resiliency among health professionals and trainees.
  • Feature successful resilience initiatives among HRSA award grantees.

Wednesday, May 8
Noon-1:30 p.m. ET
Register here


Opioid Workforce Expansion Program – Professionals and Paraprofessionals
See the announcement above.


Promising Practices in Behavioral Health Workforce Planning
See the announcement above.


Community Health Workers in HIV Care: Insights from the Field
See the announcement above.


Oral Health

Use of Telehealth to Increase Access to Dental Care
HRSA invites you to a webinar to learn how telehealth can increase access to dental care. Speakers will cover:

  • Reducing oral health disparities in rural communities through dental therapy and telehealth innovations: Children’s Dental Services’ experience
  • Methodology and results of the Virtual Dental Home system developed in California and now deployed in multiple states

Thursday, May 2
1:00-2:00 p.m. ET
Register here


Download the Oral Health Infrastructure Toolkit
HRSA and the National Network for Oral Health Access (NNOHA), a HRSA-funded NCA, recently hosted a webinar to promote the FY 2019 Oral Health Infrastructure (OHI) funding opportunity and to highlight the new OHI toolkit. Download the toolkit and access the webinar recording.

The toolkit includes resources, tools, and promising practices to guide health centers in their work related to infrastructure enhancements that provide new or enhance existing high-quality, integrated oral health services. Speakers reviewed the toolkit, which includes a readiness assessment for expansion, relevant HRSA resources, and infrastructure enhancement and expansion strategies.


National Infant Immunization Week

This is National Infant Immunization Week: April 27-May 4
The Advisory Committee on Immunization Practices and the CDC recently approved the 2019 Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger in the United States. CDC also provides guidance on answering tough questions about infant and childhood immunizations in this short video.


Additional Resources

Risk Management Manual

The Risk Management Manual for Health Centers: A Guided Tour
Learn more about the soon-to-be-released Risk Management Manual for Health Centers at a webinar offered by ECRI Institute on HRSA’s behalf. The manual is designed to support a proactive approach to risk management at health centers and free clinics. It provides background, tips, and how-to’s in a manageable format. The webinar will cover the manual’s special features, how to use it efficiently and effectively, and when to use it in collaboration with colleagues.

ECRI Institute will offer the webinar at two times:

Tuesday, May 7
3:00-4:00 p.m. ET
Register here

OR

Wednesday, May 8
Noon-1:00 p.m. ET
Register here


Maternal Mortality Webinar
HRSA will host a maternal mortality webinar next month focused on federal projects, clinical research, and available resources to improve maternal mortality rates. HRSA will review agency level projects and funding. CDC, along with the Illinois Department of Public Health, will discuss their work to create or improve Maternal Mortality Reviews. Sarosh Rana, MD, MPH, will discuss her experience as a high-risk pregnancy provider and preeclampsia researcher.

Wednesday, May 15
1:00-2:30 p.m. ET
Register here


Improving Access to Health Care
Over 27 million people across the United States rely on HRSA-funded health centers for care. Between 2016 and 2017, the Health Center Program increased the number of patients served by more than 5%, the number of care delivery sites by more than 6%, and the number of health center staff by 8%. Review articles related to access to health care in the Health Center Library.


HEP Talks

In recognition of Hepatitis Awareness Month (May) and Hepatitis Testing Day (May 19), HRSA will host  “HEP Talks.” Like TED Talks, these will be condensed and informative presentations focused on emerging and important viral hepatitis topics. Each session features a brief talk by a viral hepatitis expert followed by an opportunity for discussion and questions.

  • Hepatitis B Testing
    Robert Gish, a physician and leader in clinical research on viral hepatitis, will discuss best practices for hepatitis B testing and high-priority populations for screening. Dr. Gish serves as consulting faculty at La Maestra Community Health Services, a HRSA-funded health center in San Diego, and was featured as a speaker on HRSA’s Perinatal Hepatitis B ECHO.

    Thursday, May 2
    3:30-4:15 p.m. ET
    Visit the TA Calendar for webinar access information

  • Hepatitis C and the Opioid Epidemic
    Richard Moore II, a family practitioner and Director of HIV and Viral Hepatitis Programs for the Rural Health Group in North Carolina, will discuss hepatitis C treatment strategies for people who inject drugs.

    Thursday, May 16
    3:00-3:45 p.m. ET
    Visit the TA Calendar for webinar access information

  • Hepatitis C and the Cure
    Gish (also featured in the May 2 session) will discuss the role of primary care providers in treating and curing chronic hepatitis C.

    Thursday, May 23
    3:30-4:15 p.m. ET
    Visit the TA Calendar for webinar access information

  • Hepatitis B and Perinatal Transmission
    Amy Shen Tang, a primary care internist and Hepatitis B Program Director at Charles B. Wang Community Health Center in New York, will discuss preventing perinatal transmission of viral hepatitis and treating chronic hepatitis B during pregnancy. She was a featured speaker on HRSA’s Perinatal Hepatitis B ECHO.

    Thursday, May 30
    3:00-3:45 p.m. ET
    Visit the TA Calendar for webinar access information

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Technical Assistance & Training

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

Through May 7

Medication-Assisted Treatment in the Healthcare for the Homeless Community: Strategies for Expanding Services
Hosted by the National Health Care for the Homeless Council (NHCHC), a HRSA-funded NCA
Wednesday, May 1
2:00-3:00 p.m. ET
Register here

Telehealth & Chronic Care Management
Hosted by The National Consortium of Telehealth Resource Centers, a HRSA grantee
Wednesday, May 1
2:00-3:00 p.m. ET
Register here

Use of Telehealth to Increase Access to Dental Care
Hosted by HRSA
Thursday, May 2
1:00-2:00 p.m. ET
Register here

Community Health Workers in HIV Care: Insights from the Field
Hosted by HRSA
Thursday, May 2
2:00-3:00 p.m. ET
Register here

HEP Talk: Hepatitis B Testing
Hosted by HRSA
Thursday, May 2
3:30-4:15 p.m. ET
Join the webcast the day of the session
Call-in: 888-566-5776
Passcode: 3578414

Suicide Prevention: Strategies That Work
National Children’s Mental Health Awareness Day event hosted by SAMHSA
Monday, May 6
3:00-5:00 p.m. ET
Join the webcast the day of the event

Developing a Community Health Center Capital Project Plan and Budget Webinars, Part One*
Hosted by Capital Link, a HRSA-funded NCA
Tuesday, May 7
2:00-3:00 p.m. ET
Register here
*Part Two is on Wednesday, May 22

Hepatitis A Vaccination Among Persons Experiencing Homelessness
Hosted by NHCHC, a HRSA-funded NCA
Tuesday, May 7
2:45-4:00 p.m. ET
Register here

The Risk Management Manual for Health Centers: A Guided Tour
Hosted by ECRI Institute on HRSA’s behalf
Tuesday, May 7
3:00-4:00 p.m. ET
Register here

OR

Wednesday, May 8
Noon-1:00 p.m. ET
Register here

Addressing the Emerging Hepatitis C Virus and Opioid Use Disorder Epidemics
Hosted by the National Nurse-Led Care Consortium, a HRSA-funded NCA
Tuesday, May 7
3:00-4:00 p.m. ET
Register here
**1 CME/CNE credit**


Upcoming

The Power of Resiliency: Unlocking the Quadruple Aim
Part of HRSA’s Workforce Grand Rounds Webinar Series
Wednesday, May 8
Noon-1:30 p.m. ET
Register here

Introduction to the UDS Mapper
Hosted by HRSA
Wednesday, May 8
2:00-3:00 p.m. ET
Register here

Promising Practices in Behavioral Health Workforce Planning
Hosted by HRSA
Wednesday, May 8
3:00-4:00 p.m. ET
Join the webcast the day of the session
Call-in: 888-989-4389
Passcode: 5589163

Using the Health Center Dental Dashboard for Tracking, Measuring, and Improvement
Hosted by NNOHA, a HRSA-funded NCA
Thursday, May 9
1:00-2:00 p.m. ET
Register here
**1.0 CDE available**

2019 UDS Reporting Changes TA
Hosted by HRSA
Thursday, May 9
1:00-2:30 p.m. ET
Join the webcast the day of the session
Call-in: 888-233-9404
Passcode: 6379668
Register here and we’ll send you presentation materials ahead of time.

Virtual Listening Sessions: Opportunities to Inform Development of an STD Federal Action Plan
Hosted by OHAIDP
Thursday, May 9
3:00-5:00 p.m. ET
Register here

MAT 101: Evidence-Based Practices in SUD Treatment
Hosted by HRSA
Friday, May 10
2:30-3:30 p.m. ET
Register here

Connecting SDOH Screening with MLP Interventions: Case Studies in Innovation
Hosted by the National Center for MLP, a HRSA-funded NCA
Friday, May 10
3:00-4:00 p.m. ET
Register here

BPHC All-Programs
Tuesday, May 14
2:00-3:00 p.m. ET
Webcast link coming soon
To submit All-Programs questions in advance, send an email by Friday, May 10, with the subject "BPHC All-Programs Question."

Maternal Mortality Webinar
Hosted by HRSA
Wednesday, May 15
1:00-2:30 p.m. ET
Register here

HEP Talk: Hepatitis C and the Opioid Epidemic
Hosted by HRSA
Thursday, May 16
3:00-3:45 p.m. ET
Join the webcast the day of the session
Call-in: 888-566-5776
Passcode: 3578414

Developing a Community Health Center Capital Project Plan and Budget Webinars, Part Two*
Hosted by Capital Link, a HRSA-funded NCA
Wednesday, May 22
2:00-3:00 p.m. ET
Register here
*Part One is on Tuesday, May 7

HRSA's Virtual Job Fair
Wednesday, May 22
6:45-10:15 p.m. ET
Employer registration closes Wednesday, May 1.
Job seekers may register until the event.

Assessing Risk and Providing Basic Services at Primary Care Settings
Part of HRSA’s Oral Health and Primary Care Integration for People Living with HIV Webinar Series
Thursday, May 23
2:00-3:00 p.m. ET
Registration information coming soon

HEP Talk: Hepatitis C and the Cure
Hosted by HRSA
Thursday, May 23
3:30-4:15 p.m. ET
Join the webcast the day of the session
Call-in: 888-566-5776
Passcode: 3578414

UDS Mapper Advanced Topics: Opioid Intervention
Hosted by HRSA
Friday, May 24
11:00 a.m.-noon ET
Register here

HITEQ Highlights: Addressing Childhood Obesity in Health Centers: Promising Practices and Lessons Learned
Hosted by HITEQ, a HRSA-funded NCA
Thursday, May 30
3:00-4:30 p.m. ET
Register here

HEP Talk: Hepatitis B and Perinatal Transmission
Hosted by HRSA
Thursday, May 30
3:00-3:45 p.m. ET
Join the session the day of the webcast
Call-in: 888-566-5776
Passcode: 3578414