2020 UDS Manual, Interim Guidance on Immunization Services, and More! HRSA PHC Digest

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

HRSA BPHC Primary Health Care Digest

June 16, 2020

2020_uds_manual

2020 Uniform Data System Manual Now Available
The 2020 Uniform Data System (UDS) Manual provides health centers with detailed reporting instructions to support calendar year 2020 UDS reports and each of the required data tables related to patients, operations, and clinical performance. 2020 UDS data reporting will take place between January 1, and February 15, 2021.

Key reporting changes include:

  • Addition of HIV screening measure (CMS349v2);
  • Addition of prescription for Pre-Exposure Prophylaxis (PrEP) International Classification of Diseases (ICD) 10 codes and Current Procedural Terminology (CPT) codes; and
  • Revision of Appendix D to capture information on prescription drug monitoring programs (PDMPs) and social determinants of health.

Given the historical impact of COVID-19, additional reporting changes, include COVID-19 ICD-10 and CPT clinical codes, as well as codes for acute respiratory illness due to COVID-19.


national-hiv-testing-day

Knowing that Together We Can End the HIV Epidemic
National HIV Testing Day is Saturday, June 27, and this year’s theme is “Knowing.” For health centers, that means keeping patients in-the-know about HIV testing, as well as prevention and treatment options. Get resources to help promote National HIV Testing Day.

See our bulletin about supplementing HIV prevention efforts with self-testing during the COVID-19 pandemic. In addition, the FDA released a fact sheet about the OraQuick In-Home test.


immunizations

Interim Guidance for Immunization Services During the COVID-19 Pandemic
The COVID-19 pandemic has caused health care providers to change operations. Ensuring that immunization services are maintained or reinitiated is essential for protecting individuals and communities from vaccine-preventable diseases and outbreaks and reducing the burden of respiratory illness during the upcoming influenza season.

The CDC’s recently released “Interim Guidance for Immunization Services During the COVID-19 Pandemic” can help your health center plan for safe vaccine administration during the COVID-19 pandemic. CDC will continue updating this guidance as the pandemic evolves.

Highlights include:

  • Considerations for routine delivery of all recommended vaccinations for children, adolescents, and adults, including pregnant women.
  • General practices for the safe delivery of vaccination services, including considerations for alternative vaccination sites.
  • Strategies for catch up vaccinations.

Health centers play a critical role in protecting the most vulnerable patients from vaccine-preventable diseases. We encourage you to take every opportunity to educate both parents and patients. Research shows the strongest predictor of whether a patient gets vaccinated is a recommendation from their health care professional.


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Jump To: COVID-19Substance Use Disorder & Mental Health  |  HIV  |  Workforce  | 
               Men's Health MonthAdditional Resources


What's New

New Fiscal Year 2020 Cooperative Agreements and Training and Technical Assistance for Health Centers
Last week, HRSA announced the new fiscal year (FY) 2020 awards to Primary Care Associations (PCAs) and National Training and Technical Assistance Partners (NTTAPs)* to support and expand training and technical assistance (T/TA) for health centers. (*These were formerly called National Cooperative Agreements or NCAs.)

As a part of these awards, PCAs serving the seven states identified in Ending the HIV Epidemic: A Plan for America as having a high rural HIV burden received funds to enhance T/TA activities to support health centers’ HIV prevention efforts in their states. All PCAs received workforce funding to enhance workforce T/TA activities to support the Health Professions Education and Training initiative at health centers in the PCA’s state/region.

HRSA also funded one new type of NTTAP, intimate partner violence, which was awarded to Futures Without Violence.

The following are TA sessions for NTTAP and PCA awardees:

New Project Period Webinar for NTTAP Awardees
Thursday, July 2
1:00-2:30 p.m. ET
Join the day of the session
Call-in: 800-779-5383
Passcode: 4213046
View the TA webpage for NTTAP awardees.

PCA New Project Period Kick-off Call
Thursday, July 16
2:00-3:30 p.m. ET
We will email connection information to participants.
View the TA webpage for PCA awardees.

Did you miss it?
Last week, HRSA also awarded $8 million to PCAs and NTTAPs to provide critical support and expertise to advance health centers’ ability to prevent, prepare, and respond to the COVID-19 pandemic.

Visit the Strategic Partners webpage to request T/TA for your health center.


Federal Tort Claims Act Health Center Program Updates and Important Reminders
Applications for medical malpractice coverage under the Federal Tort Claims Act (FTCA) are open in HRSA's Electronic Handbooks (EHBs). All health center and volunteer health professional redeeming applications for FTCA coverage for calendar year 2021 are due by 11:59 p.m. ET on Monday, July 13.

As a reminder, HRSA-funded health centers must register with the National Practitioner Data Bank (NPDB). In order to query or report to the NPDB, a health center must first apply to access NPDB information.

HRSA guidance for both new applications (deeming) and renewal of existing coverage (redeeming) for health center staff is available in Program Assistance Letter (PAL) 2020-02. Details about coverage for health center volunteer health professionals are available in PAL 2020-03. The HRSA website has more details about the application process, including a recorded webinar.

Need application assistance? Contact Health Center Program Support online or by phone: 877-464-4772, option 1.


checkmark

Less than One Month Left
Health centers that have Patient-Centered Medical Home (PCMH) recognition by Wednesday, July 1, 2020, may be eligible to receive the 2020 Health Center PCMH Recognition Quality Award. View the table of health centers with valid PCMH recognition status and the number of sites with PCMH recognition. If your health center serves multiple states, please be certain to check the number of sites for EACH state to calculate the total number of PCMH-recognized sites in HRSA’s EHBs.

  • If your health center’s PCMH recognition is accurate, no action is needed.
  • If it is inaccurate, please submit an update to your PCMH recognition information via the EHBs no later than Sunday, July 5. View instructions for submitting an update, including the acceptable forms of required documentation.

If you have questions, please contact us. To make sure you receive our reply email, add 'BPHCAnswers@hrsa.gov' to your address book.


Precision Medicine: All of Us Research Program Beta-Test New Data Platform
As an important step in the effort to accelerate new scientific discoveries, the All of Us Research Program at the National Institutes of Health has launched beta-testing for its Researcher Workbench. Investigators can now begin using the initial dataset and tools in studies and submit feedback to improve the platform. This early version of Researcher Workbench includes data from nearly 225,000 of the program’s first participants. 80% of All of Us participants are from groups that have been historically underrepresented in biomedical research. All of Us is a key partner in HRSA’s Advancing Precision Medicine Initiative.


COVID-19

Frequently Asked Questions
Today we updated our COVID-19 FAQ webpage adding:

  • What are the CMS emergency preparedness requirements for health centers?
  • What CMS flexibilities are available to health centers that open temporary sites due to the COVID-19 public health emergency?
  • May health centers contribute COVID-19 testing data to sentinel surveillance systems?

We also continually update our page for coronavirus-related funding FAQs. The resources and links on our COVID-19 Information for Health Centers and Partners webpage now include links to Provider Relief Fund FAQs/resources and to recent Today with Macrae sessions.


CMS Guidance for Patients Considering In-Person, Non-Emergency Treatment
CMS released a guide for patients considering in-person, non-emergency treatment. Many health care systems and patients have postponed non-emergency, in-person care during the pandemic. CMS provides these recommendations to ensure that non-emergency health care resumes safely (encouraging telehealth for patients with high COVID-19 risk) and that patients are receiving needed in-person treatment that may have been postponed due to the public health emergency.


CDC Guidance on Telehealth During and Beyond COVID-19
CDC’s guidance provides considerations for using telehealth services to provide virtual care during and beyond the COVID-19 pandemic. Health centers are specifically mentioned in the “Safeguards for Telehealth Services” section.


HRSA Fiscal and Grants Management Best Practices for Health Centers
BPHC and HRSA’s Office of Federal Assistance Management (OFAM) will host two sessions of a webinar highlighting key fiscal aspects to provide health centers with strategies to ensure compliance and properly manage all HRSA funding including each of your HRSA health center COVID-19 awards (H8C, H8D and H8E).

OFAM speakers will share best practices for managing your portfolio of HRSA funding and guidance on how to ensure all costs are allowable and support each respective grant and will discuss these key items:

  • Examples of adequate supporting documentation for allowable costs under the health center and fiscal year 2020 COVID-19 awards.
  • Budget and fiscal requirement reminders.
  • Financial management system best practices (e.g., separation of funding by source, internal controls, etc.).

Both sessions will cover the same information and will end with a question and answer session. Submit a question ahead of time.

Wednesday, June 17
12:30-1:30 p.m. ET
Join the day of the session
Call-in: 888-566-7701
Passcode: 9747226

OR

Tuesday, June 23
1:00-2:00 p.m. ET
Join the day of the session
Call-in: 888-628-9525
Passcode: 9747226


COVID-19 Survey and User Guide
As a reminder, the survey you received on Friday, June 12, is due by 11:59 p.m. ET today. We recently created a User Guide to assist you in completing the survey. See the bulletin we sent last Friday discussing the survey link.

THANK YOU to the health centers and look-alikes that complete these weekly surveys! You’re helping us track health center capacity and COVID-19’s impact on health center operations, patients, and staff. The survey results give us a better understanding of training and technical assistance, funding, and other health center resource needs.


Reimagining Care: Reducing Talent Burnout & Increasing Workforce Resiliency
The “Reimagining Care” series from the National Association of Community Health Centers (NACHC), a HRSA-funded NTTAP, focuses on how health centers will continue to lead the primary health care industry through flexibility and innovation in a post-COVID-19 world.

The next session will offer guidance on reducing burnout in a time of increasing stress. Subject matter experts will provide promising practices with “real world” perspectives, guiding tips, and resources to help meet the current and future demands of delivery of care.

Thursday, June 25
1:00-2:00 p.m. ET
Visit NACHC's website to register or view past recordings

Additional “Reimagining Care” sessions are planned for 1:00 p.m. ET on July 9, July 23, and August 6.


editor-note


Many federal organizations, HRSA-funded NTTAPs, and other partners are holding COVID-19-related webinars. Our Technical Assistance Calendar lists more of them and includes descriptions and registration information.


Resources


Strategies to Manage Financial Operations During COVID-19 Response and Recovery
NACHC is producing a five-part podcast series to help health centers manage their fiscal solvency during COVID-19 response and recovery. Podcast topics include managing your health center’s cash flow, paycheck protection, the Provider Relief Fund, grants management, and staffing. The first three sessions are available now:

  • Podcast 1: Staffing Considerations
  • Podcast 2: Provider Relief Fund, CARES Act, Paycheck Protection Program and Health Care Enhancement Act
  • JUST ADDED: Podcast 3: Funding Streams and the SBA Paycheck Protection Program Loan

NIH Research Opportunity: Digital Intervention During COVID-19
NIH supports digital health intervention research seeking to improve how we identify, treat, or provide services for health conditions secondary to the COVID-19 pandemic for NIH-designated health disparity populations and those with medical or social vulnerabilities (e.g., residents of chronic care facilities, community-dwelling older adults, pregnant women, homeless, incarcerated, health care staff on the front lines of pandemic, and workers in essential business operations).


dollars

Get My Payment Tool
The IRS launched the Get My Payment tool on April 17. This tool will provide you the status of your payment, including the date it is scheduled to be deposited into your bank account or mailed to you. Get additional information on the Economic Stimulus Payment.


Substance Use Disorder & Mental Health

Join a Community of Practice to Help Your Health Center Develop a Safe and Effective Opioid Prescribing  Strategy
Does your health center have a sound strategy for assessing and treating people with chronic pain who are at risk for opioid use disorder and substance use disorder (SUD)? Participants will develop skills to create an infrastructure to support the expansion of alternatives to pain management within your health center.

To apply, please create an account on the HRSA Center of Excellence for Behavioral Health Technical Assistance's website.


Webinar Recording Available: HIV PrEP for Patients with SUD
The HRSA-funded National Clinician Consultation Center recently held a webinar to help health centers overcome pre-exposure prophylaxis (PrEP) implementation challenges, assess PrEP eligibility, and identify strategies for addressing side effect and adherence concerns. Speakers covered:

  • National trends of PrEP use among different populations at risk for HIV, including persons with SUD.
  • Recent updates on new PrEP medications and dosing strategies, and unique considerations that may arise when counseling persons with SUD.
  • Strategies for health centers to increase PrEP education, initiation, and persistence.

View the webinar recording and resources.


Notice of Funding Opportunity for Rural Communities Opioid Response Program-Planning
HRSA will make approximately 50 awards of $200,000 each to rural communities to enhance capacity to address SUD, including opioid use disorder. Over the course of an 18-month period of performance, grant recipients will conduct a series of planning activities, engage multi-sector consortiums, and participate in the Rural Communities Opioid Response Program (RCORP)-Planning learning collaborative. Applicant organizations may be located in an urban or rural areas; however, all activities supported by this program must exclusively target HRSA-designated rural areas (per the Rural Health Grants Eligibility Analyzer). Learn more or apply by Monday, July 13.


HIV

Ready, Set, PrEP Updates
In light of the ongoing COVID-19 response, HHS is adapting the Ready, Set, PrEP program to help ensure patient retention in ongoing PrEP care and adherence to PrEP HIV prevention medications, and to reduce the burden on the nation’s health care providers and health care systems. This includes special override requests for 90-day fills in some cases and automatic extensions of eligibility. Read the full announcement.


Workforce

bhw-grand-rounds

TOMORROW: Latest Tools to Combat Health Care Provider Burnout in Clinical Settings
Workforce Grand Rounds Webinar Series: Combating Healthcare Provider Burnout in Clinical Settings. BHW’s Deputy Associate Administrator, Dr. Torey Mack, providing a federal perspective.

Wednesday, June 17
2:00-3:30 p.m. ET


nhsc-health-ctr

National Health Service Corps New Site Application Open
Health care facilities can now apply to be approved as a National Health Service Corps (NHSC) site. Eligible locations include health care sites that provide outpatient, ambulatory and primary health care services (medical, dental, and behavioral health) to populations residing in high-need urban and rural areas. Additional eligible site types include facilities providing general SUD treatment, a medication-assisted treatment (MAT) program, or an opioid treatment program. Applications are due Tuesday, July 21. Learn more about the NHSC new site application.


Men’s Health Month

mens-health

June is Men’s Health Month. Did you know that men make up 75% of patients waiting for a heart transplant, and about 60% of those waiting for a kidney or liver transplant? Although over half of deceased donors in 2019 were men, more organs are needed to meet the demand, especially since female organs are often too small for larger men (and women) in need of transplants. Celebrate Men’s Health Month by encouraging all men to sign up as organ, eye, and tissue donors at www.organdonor.gov or www.donaciondeorganos.gov.


Additional Resources

Webinar Series: Accountable Care Academy
NACHC’s Accountable Care Academy focuses on the fundamental considerations for risk-based contracts and how to prepare health centers for participation in arrangements with risk. Visit NACHC’s website for more information or to register for sessions (find this series under “Upcoming Operations Management Webinars.”)       


In case you missed it: Visit the Primary Health Care Digest archive.

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Technical Assistance & Training

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

Through June 23

Health Information Technology, Evaluation, and Quality (HITEQ) Center Highlights: Using the EHR for Routine HIV Screening
Hosted by HITEQ, a HRSA-funded NTTAP
Tuesday, June 16
2:00-3:00 p.m. ET
Register here

HRSA Fiscal and Grants Management Best Practices for Health Centers
Wednesday, June 17
12:30-1:30 p.m. ET
Join the day of the session
Call-in: 888-566-7701
Passcode: 9747226

OR

Tuesday, June 23
1:00-2:00 p.m. ET
Join the day of the session
Call-in: 888-628-9525
Passcode: 9747226

Submit a question ahead of time.

Returning to Primary Care: Diabetes Care During a Public Health Crisis
Hosted by NACHC, a HRSA-funded NTTAP

Part 2:
Wednesday, June 17
1:00-2:00 p.m. ET
Register here

Part 3:
Wednesday, June 24
1:00-2:00 p.m. ET
Register here

Leadership Office Hour – Reflections on Alternative Scenarios for Community Health Centers to Move Beyond COVID-19
Hosted by NACHC, a HRSA-funded NTTAP
Wednesday, June 17
2:00-3:00 p.m. ET
Register here

A Year On: Revisiting PrEP for HIV Prevention
Hosted by the National Health Care for the Homeless Council, a HRSA-funded NTTAP
Wednesday, June 17
2:00-3:00 p.m. ET
Register here

Workforce Grand Rounds: Combating Healthcare Provider Burnout in Clinical Settings
Wednesday, June 17
2:00-3:30 p.m. ET
Register here

General Considerations Under Federal Law/FQHC Payment Protections
Hosted by NACHC, a HRSA-funded NTTAP
Part of the Accountable Care Academy
Wednesday, June 17
3:00-4:00 p.m. ET
Visit NACHC’s site for registration information

Forward Together: A Virtual Symposium on Improving Access to Effective Care for People Experiencing Homelessness, Serious Mental Illness, and Substance Use Disorders
Hosted by SAMHSA’s Homeless and Housing Resource Network
Thursday, June 18
10:30 a.m.-4:45 p.m. ET
Register here
**CME Available**

Using Data to Identify Workforce Training and TA Needs
Part of the STAR2 Center’s Primary Care Association/Health Center Controlled Network’s Workforce Professional Development Series
Thursday, June 18
2:00-3:00 p.m. ET
Register here

Testing for COVID-19 in Homeless Shelters & Encampments: Discussing CDC’s New Health Department Guidance & the National Health Care for the Homeless Council’s Newest Issue Brief
Hosted by the National Health Care for the Homeless Council, a HRSA-funded NTTAP
Friday, June 19
1:00-2:00 p.m. ET
Register here

Virtual COVID-19 Conference: Opening Plenary Session
Hosted by Northwest Regional PCA
Friday, June 19
3:00-4:30 p.m. ET
Register here for the opening plenary

UDS Mapper Advanced Topics: Using the UDS Mapper for Service Area Mapping
Monday, June 22
2:00-3:00 p.m. ET
Register here

Taking Care of the Compassionate Care Team: Conversations about Moral Distress and Moral Injury
Hosted by NACHC, with funding from SAMHSA
Tuesday, June 23
Noon-1:00 p.m. ET
Register here

Manager Training for Employee Engagement
Hosted by the STAR2 Center (part of The Association of Clinicians for the Underserved, a HRSA-funded NTTAP)

Part 1:
Tuesday, June 23
1:00-2:00 p.m. ET

Part 2:
Tuesday, June 30
1:00-2:00 p.m. ET
Register here


Upcoming

Partnership Opportunities for Health Centers, EnVision Centers, and Public Housing Agencies
Hosted by the National Center for Health in Public Housing, a HRSA-funded NTTAP
Wednesday, June 24
1:00-2:00 p.m. ET
Register here

Rejuvenate Consumer Leadership: Lessons from the Updated Consumer Advisory Board Manual
Hosted by the National Health Care for the Homeless Council, a HRSA-funded NTTAP
Wednesday, June 24
3:00-4:00 p.m. ET
Register here

Reimagining Care: Reimagining Care: Reducing Talent Burnout & Increasing Workforce Resiliency
Hosted by NACHC, a HRSA-funded NTTAP
Thursday, June 25
1:00-2:00 p.m. ET
Visit NACHC's website to register or view past recordings
Additional sessions are planned for 1:00 p.m. ET on July 9, July 23, and August 6.

Today with Macrae: Health Center Program Updates
Monday, June 29
2:00-3:00 p.m. ET
Access details coming soon

New Project Period Webinar for NTTAP Awardees
Thursday, July 2
1:00-2:30 p.m. ET
Join the day of the session
Call-in: 800-779-5383
Passcode: 4213046

Dental Sealants in the COVID-19 World
Hosted by the National Network for Oral Health Access, a HRSA-funded NTTAP
Monday, July 6
2:00-3:00 p.m. ET
Register here
**1.0 CDE available**

PCA New Project Period Kick-Off Call
Thursday, July 16
2:00-3:30 p.m. ET
HRSA will email connection information to participants.

Webinars are hosted by HRSA unless otherwise noted.