Bridge Funding, PCA NOFO, TWM Next Week

HRSA Health Center Program Primary Health Care Digest

September 5, 2023

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Jim Macrae at NACHC

Jim Macrae Presents at the Community Health Institute and Expo in San Diego, California

Last week, BPHC’s Associate Administrator Jim Macrae presented at the National Association of Community Health Centers’ Community Health Institute (CHI). He described the Health Center Program’s growth, noting that 30.5 million people now rely on HRSA-funded health centers, including one out of every nine children in the United States.

Jim lauded health center staff for their remarkable performance. “You are all warriors, and should be recognized for that,” he said. He shared these noteworthy accomplishments by health centers:

  • Improved their performance on 12 of 19 clinical quality measures between 2021 and 2022, including cervical cancer screening and HIV screening.
  • Overcame obstacles in attracting skilled practitioners in a challenging job market. Employment increased 12% between 2020 and 2022, growing to nearly 285,000 health center employees.
  • Contributed to training the future workforce by hosting nearly 59,000 pre- and post-graduate trainees in 2022, a 12% increase over 2021. Most were medical trainees, with many dental and vision specialists.

Health center patients report being happy with the care they receive. An astonishing 97% of patients surveyed in 2022 said they would recommend their health center to family and friends.

Jim noted that Congress is currently considering the reauthorization of the Health Center Program as well as fiscal year (FY) 2024 appropriations, both of which will be critical for the future direction of the Program. Regardless of funding, health centers should expect to see a continuing emphasis on value-based care in the future. This is a health care delivery model that ties payment to patient outcomes. “We need to figure out how to make this work for health centers,” Jim said.


Bridge Funding

HRSA Awards FY 2023 COVID-19 Bridge Funding for Health Centers

HRSA awarded more than $81 million to over 1,460 health centers last week to continue providing equitable access to COVID-19 testing, vaccination, and treatment to patients and residents of their communities, including those who are uninsured or underinsured. This one-time funding supports the HHS Bridge Access Program and complements CDC’s Bridge Access Program.

Visit the Bridge Funding technical assistance (TA) webpage for award recipient information and other resources. We encourage award recipients to attend these upcoming sessions:

Bridge Funding Post-Award Submission Q&A
Thursday, September 14
Noon-1:00 p.m. ET
Join the day of the session

Bridge Funding Office Hours
Wednesday, September 20
2:00-3:00 p.m. ET
Registration page


Did You Miss It?

Here are some of our most popular items from August:

Missed an issue? Catch up in our online archive.


Jump To: HIV | Workforce | Oral Health | Additional Resources | Training Calendar


HRSA-funded National Training and Technical Assistance Partners (NTTAPs) host or developed many of these events and resources. For more from the NTTAPs, visit the Health Center Resource Clearinghouse.


What's New

Today With Macrae

NEXT WEEK: Today with Macrae: Health Center Program Updates

Join Jim for funding and program updates, plus hear from guests about the importance of folic acid supplementation in recognition of Hispanic Heritage Month.

Thursday, September 14
2:00-3:00 p.m. ET
Join the day of the session
Join by phone: 833-568-8864
Webinar ID: 160 345 8842


PCAs Funding

Funding Opportunity for Primary Care Associations

HRSA has released FY 2024 State and Regional Primary Care Association (PCA) Cooperative Agreements Notice of Funding Opportunity (NOFO, HRSA-24-080). HRSA will make available approximately $68 million for up to 52 awards.

PCAs who receive this funding will provide training and technical assistance (T/TA) to existing and potential Health Center Program award recipients and look-alikes. This T/TA will support health centers in improving the health of individuals and communities by:

  • Increasing access to comprehensive, culturally competent, high-quality primary health care services;
  • Recruiting and retaining a diverse health care workforce;
  • Preparing for, responding to, and recovering from emergent health events;
  • Implementing value-based care delivery and ensuring financial sustainability; and
  • Accelerating data-informed improvements to operations, clinical quality, and care coordination.

Applications are due in Grants.gov by 11:59 p.m. ET on Tuesday, October 31, and in HRSA's Electronic Handbooks (EHBs) by 5:00 p.m. ET on Thursday, November 30. TA resources are available on the PCA Cooperative Agreements webpage.

We will host a live Q&A session for applicants:

Thursday, September 28
Noon-1:00 p.m. ET
Join the day of the session


Service Area Competition Applications for March 1, April 1, and June 1 Starts

HRSA released the FY 2024 Service Area Competition (SAC) NOFO for service areas with a June 1, 2024, period of performance start date (HRSA-24-071). Find details for each announced service area on the Service Area Announcement Table.

Applications are due in Grants.gov by 11:59 p.m. ET on Monday, October 30, and in HRSA’s EHBs by 5:00 p.m. ET on Wednesday, November 29.

Deadline Reminders:

  • SAC applications for March 1 starts (HRSA-24-068) are due in EHBs by 5:00 p.m. ET on Wednesday, September 20.
  • SAC applications for April 1 starts (HRSA-24-069) are due in Grants.gov by 11:59 p.m. ET on Monday, September 18, and in EHBs by 5:00 p.m. ET on Wednesday, October 18.

TA materials are available on the SAC TA webpage.


Optimizing Virtual Care Briefs for Health Centers

HRSA announces the second of a four-part series of briefs developed through the Optimizing Virtual Care (OVC) award. They appear below the first set, which we posted at the six-month mark.

OVC awardees develop, implement, and evaluate innovative strategies to increase access and improve clinical quality for underserved communities through virtual care. Their work is intended to be adapted and scaled across the Health Center Program. These briefs are one way we ensure that happens.

The new briefs capture actionable tips on:

  • Adapting virtual care delivery.
  • Implementing virtual care in multiple delivery settings.
  • Measuring social determinants of health.

FY 2023 Primary Care HIV Prevention Awardees Q&A

We will host a Q&A for FY 2023 Primary Care HIV Prevention (PCHP) (HRSA-23-025) awardees. The PCHP TA webpage includes slides and a recorded presentation that awardees can review ahead of time.

Thursday, September 7
2:00-3:00 p.m. ET
Registration page

For immediate programmatic questions or concerns, awardees should use the BPHC Contact Form (Funding > Supplemental Grant Award).


UDS Logo

2023 Uniform Data System Reporting Webinars

These TA webinars will help you submit accurate, timely, and complete 2023 Uniform Data System (UDS) reports. Learn about:

  • Key terms and resources
  • Counting visits and patients
  • Clinical, financial, and operational tables
  • Preliminary Reporting Environment access
  • Strategies for successful submission

See our training flyer (PDF) for details and registration. Sessions kick off in mid-September.


DUE THURSDAY: Expanding COVID-19 Vaccination (ECV) Reporting Requirement

Health centers using Expanding COVID-19 Vaccination (ECV) funds must complete the monthly Health Center COVID-19 Survey. It went out last Friday (September 1) and is due by 11:59 p.m. your local time on Thursday, September 7.

Our Health Center COVID-19 Survey webpage links to tools that can help you: a preview and a user guide. If you still have questions, use the BPHC Contact Form (COVID-19 > COVID-19 Surveys).


Policy Did You Know

Policy Tip: Key Management Staff

Health centers are required to directly employ the Project Director or CEO. To comply with Health Center Program requirements, the health center's Project Director/CEO is an individual who:

  • Is directly employed by the health center;
  • Is selected by the health center's governing board;
  • Reports to the health center's governing board; and
  • Is responsible for overseeing other key management staff in carrying out the day-to-day activities necessary to fulfill the HRSA-approved scope of project.

Learn more in the Health Center Program Compliance FAQs.


Biden Harris Administration Invests More Than $80 Million to Help Rural Communities Respond to Fentanyl and Other Opioid Overdose Risks

Last week, HRSA announced more than $80 million in awards to rural communities in 39 states to support key strategies to respond to the overdose risk from fentanyl and other opioids. These awards help advance President Biden’s commitment to beat the opioid epidemic as part of his Unity Agenda for the nation. Read more.


Reaching Children and Families in School-Based Settings

New Toolkit for School-Based Outreach on Medicaid and CHIP Renewals

CMS released a toolkit (PDF) to support school-based outreach to families about renewing Medicaid or Children’s Health Insurance Program (CHIP) coverage. It includes ready-to-use resources, like email and text message scripts, to spread the word about Medicaid/CHIP coverage renewal in schools and early education or care settings.

The back-to-school toolkit (PDF) we recently shared (from the HHS Insure Kids Now campaign) also supports these efforts.

We also strongly encourage you to join this final population-specific train-the-trainer webinar on Medicaid/CHIP renewal:

Reaching American Indian and Alaska Native Populations
Thursday, September 7
3:00-4:00 p.m. ET
Registration page


HIV

78th Presidential Advisory Council on HIV/AIDS (PACHA) Meeting

The Presidential Advisory Council on HIV/AIDS (PACHA) will convene a full council meeting this month.

Wednesday, September 20
9:00 a.m.-6:00 p.m. ET
Watch live on HHS' livestream webpage

Organizers will post the agenda on HIV.gov’s “About PACHA” webpage, which offers direction for anyone who would like to make a public comment during the meeting.


Workforce

Open Now: Common Application for Clinical Workforce Learning Collaboratives

Community Health Center, Inc. (CHC) has opened its common application for learning collaboratives. Through it, staff from HRSA-supported health centers and PCAs can apply to focus on:

  • Comprehensive and Team-Based Care (October-June 2024)
  • Postgraduate Nurse Practitioner Residency and Fellowship Programs (October-March 2024)
  • Health Professions Student Training (January-June 2024)
  • HIV Prevention (January-June 2024)

NHSC Loan Repayment Program

Health Professional Students’ Loan Repayment Application Open Now

The 2024 National Health Service Corps (NHSC) Students to Service Loan Repayment Program is now open. Final-year nursing, medical, and dental students can apply for up to $120,000 in exchange for a three-year commitment providing primary care services at NHSC-approved sites in high-need areas.

We added a $40,000 supplement for medical students who commit to providing OB/GYN services in a maternity care target area. Apply by 7:30 p.m. ET on Thursday, December 7.


Tribal Communities: Help Your Providers Keep More Money in Their Pockets

Our NHSC loan repayment and scholarship programs can help eliminate health professional student loan debt. BHW is co-hosting an informational webinar and Q&A session for health care students, professionals, and facilities that serve tribal communities. The National Council of Urban Indian Health and the National Indian Health Board are BHW’s co-hosts.

Tuesday, September 19
1:00-2:00 p.m. ET
Join the day of the session


Oral Health

Integration of Diabetes and Oral Health Learning Collaborative

The National Network for Oral Health Access (NNOHA) invites health centers to apply for this opportunity. Participants will use their systems-level framework to adopt and implement oral health core clinical competencies. The goals are to integrate oral health and primary care and improve patient outcomes. Apply by Tuesday, September 12.


Additional Resources

Unlocking HCV Care in Key Settings

The National Viral Hepatitis Roundtable and the National Alliance of State and Territorial AIDS Directors invite health center staff to join. Speakers will showcase models and best practices for integrating hepatitis C virus (HCV) testing and treatment in key settings, including health centers.

Tuesday, September 12, and Wednesday, September 13
12:30-5:00 p.m. ET
Registration page


Eyes on Access: Children’s Vision and Eye Health in Community Health Centers

Join Prevent Blindness, the Association of Clinicians for the Underserved (ACU), and the School-Based Health Alliance (SBHA) to learn about common vision disorders among children, best practices for screening and assessment, and strategies for completing referrals for eyecare. You’ll also learn about models of investment for pediatric eye care in health centers.

Wednesday, September 20
2:00-3:15 p.m. ET
Registration page


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Training Calendar

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Visit our online calendar for details on these and all scheduled events.

Through September 12

Health Literacy Assessment for Community Health Centers
Wednesday, September 6
1:00-2:00 p.m. ET
Registration page, use subscription key: TJCEd, or login with previous credentials

FY 2023 Early Childhood Development Supplemental Funding Award Recipient Presentation
Wednesday, September 6
2:00-3:00 p.m. ET
Registration page

Health Network: A Care Coordination Program for Patients Who Move During Treatment (in English with live interpretation in Spanish)
Hosted by the Migrant Clinicians Network
Thursday, September 7
1:00-2:00 p.m. ET
Registration page

HITEQ Highlights: Navigating Compliance Challenges with the Information Blocking Rule
Hosted by the Health Information Technology, Evaluation, and Quality (HITEQ) Center
Thursday, September 7
1:00-2:30 p.m. ET
Registration page

PCHP FY 2023 Post-Award Briefing
Thursday, September 7
2:00-3:00 p.m. ET
Registration page

Empowering Your Workforce: Considerations for Implementing & Responding to Staff Satisfaction Surveys
Hosted by ACU’s STAR2 Center
Thursday, September 7
3:00-4:00 p.m. ET
Registration page

Embracing Patient Safety Through a Blame-Free, Just Culture
Hosted by Renaye James Healthcare Advisors
Friday, September 8
Noon-1:15 p.m. ET
Registration page

National Telehealth Conference
Tuesday, September 12
9:00 a.m.-4:30 p.m. ET
Registration page

Unlocking HCV Care in Key Settings
Hosted by the National Viral Hepatitis Roundtable and the National Alliance of State & Territorial AIDS Directors
Tuesday, September 12,
and Wednesday, September 13
12:30-5:00 p.m. ET
Registration page

Patient-Centered Medical Home (PCMH) National Training – Care Management
Tuesday, September 12
2:00-3:00 p.m. ET
Registration page

GUIDE Model Presentation
Co-hosted by BHW and CMS
Tuesday, September 12
4:00-5:00 p.m. ET
Join the day of the session


Upcoming

Achieving Excellence through HRSA Accreditation and PCMH Recognition
Hosted by the Accreditation Association for Ambulatory Health Care (AAAHC)
Wednesday, September 13
1:00-2:30 p.m. ET
Visit AAAHC's website to sign up for a free account and register for the session.

UDS Basics: Orientation to Terms and Resources
Wednesday, September 13
1:00-2:30 p.m. ET
Registration page

Bridge Funding Post-Award Submission Q&A
Thursday, September 14
Noon-1:00 p.m. ET
Join the day of the session

Today with Macrae: Health Center Program Updates
Thursday, September 14
2:00-3:00 p.m. ET
Join the day of the session
Join by phone: 833-568-8864
Webinar ID: 160 345 8842

The Early Project Planning Phases of a Capital Development Project
Hosted by Capital Link
Thursday, September 14
3:00-4:00 p.m. ET
Registration page

Addressing Staff Burnout in Rural Settings
Tuesday, September 19
2:00-3:00 p.m. ET
Join the day of the session

UDS Mapper Advanced Topic: Using the UDS Mapper to Explore Measures of Social Need
Tuesday, September 19
2:00-3:00 p.m. ET
Registration page

Bridge Funding Office Hours Wednesday, September 20
2:00-3:00 p.m. ET
Registration page

Eyes on Access: Children’s Vision and Eye Health in Community Health Centers
Co-hosted by ACU, SBHA, and Prevent Blindness
Wednesday, September 20
2:00-3:15 p.m. ET
Registration page

UDS Clinical Quality Measures Deep Dive
Thursday, September 21
12:30-2:00 p.m. ET
Registration page

Academic Partnerships in Community Health Centers
Hosted by NNOHA
Tuesday, September 26
2:00-3:00 p.m. ET
Registration page
**1.0 CDE is available**

PCA NOFO Q&A
Thursday, September 28
Noon-1:00 p.m. ET
Join the day of the session

Webinars are hosted by HRSA unless otherwise noted.