July 14, 2014
July is Cleft & Craniofacial Awareness & Prevention Month
Each year, about 4,400 infants in the United States are born with a cleft lip with or without a cleft palate and about 2,700 infants are born with a cleft palate alone (1), which together are called ‘orofacial clefts.’ CDC’s National Center on Birth Defects and Developmental Disabilities (NCBDDD) is learning more about orofacial clefts by tracking and conducting research to guide prevention efforts.
Just like the many families affected by children with birth defects, CDC wants to find out what causes these conditions. We look at factors that might increase the risk of a mother having a child with orofacial clefts. For example, women who smoke during pregnancy are more likely to have a baby with an orofacial cleft than women who do not smoke (2).
To understand how orofacial clefts impact affected children and their families, CDC and its partners conduct studies on health care use and medical costs (3-5), barriers to care (6), quality of life and outcomes (7-9). For example, in a recent study conducted in one state using data from a birth defects tracking program, researchers found that families can have problems accessing medical care (ex. costs, transportation, and getting referrals to treatment) for their children with orofacial clefts (6).
To read more information about Cleft Lip and Cleft Palate from the CDC, including one mother’s story, click here.
Other resources:
Advocacy materials from the Cleft Palate Foundation.
Connecticut Resource Guide from AmeriFace.
In This Week’s Issue
Announcements
Trainings & Webinars
Funding Opportunities
SBIRT
Ask CHCACT!
Upcoming CHCACT Meetings
Resources
This Week in Health Policy News
Events/Educational Opportunities
Announcements
HHS recently announced that $100 million to support 150 new health center sites will be available through the Affordable Care Act. The purpose of the Health Center Program New Access Point (NAP) funding opportunity is to improve the health of the Nation’s underserved communities and vulnerable populations by increasing access to comprehensive, culturally competent, quality primary health care services. NAP funding provides operational support for new primary health care service delivery sites. NAP applications must be submitted via Grants.gov and the HRSA Electronic Handbooks (EHB). You can find the HRSA-15-016 application package at Grants.gov and it must be completed and successfully submitted to Grants.gov by 11:59 pm ET on August 20, 2014. Applications must be completed and successfully submitted by 8:00 pm ET on October 7, 2014 using the HRSA Electronic Handbooks (EHB). Applicants can only begin Step 2 in HRSA EHB after Step 1 in Grants.gov has been completed by the assigned due date and HRSA has assigned the application a tracking number. More information on this funding opportunity is available at http://www.hrsa.gov/grants/apply/assistance/nap/. There will be a NAP Applicant Technical Assistance Call on Thursday, July 17 at 1:30 PM. You can join the call online at https://hrsaseminar.adobeconnect.com/fy15nap/ or call-in using 888-795-3252, Passcode — 2066988, no pre-registration required.
National Health Center Week is coming! August 10 – August 16 is less than a month away! Don’t forget to check out all the helpful resources on the NHCW website at healthcenterweek.com. Please forward information for events to Nick: ntorres@chcact.org
SAVE THE DATE! Join United Community & Family Services (UCFS) for a ribbon cutting ceremony as they celebrate the completion of their renovation/expansion project and National Health Center Week. August 13, 2014 from 7:45 AM – 9:30 AM in Norwich. More details are available here.
Take Action Now: Access is the Answer Support Letter Collection. NACHC has a goal set for every Health Center to collect 5 letters of support from local elected officials and 10 letters of support from community partners. The local support letter drive is a crucial step in the Access is the Answer Campaign. Click here for more details.
SAVE THE DATE! The American Lung Association 2014 Annual Influenza Update will take place at Woodwinds (29 School Ground Road in Branford), September 11, 2014, 8:00 AM – 3:45 PM. For more details, contact Michelle Caul (860-838-4370).
Send us your success stories! How are the outreach and enrollment efforts going at your health center? How many people have you helped so far? We’d love to know. Please send your success stories to ask@chcact.org.
Tweet of the Week
NEW: Op-Ed on @ctnewsjunkie from our CEO, Evelyn Barnum: The Current Model of Health Care Delivery is Unsustainable http://t.co/o8IyWhPiJA
— CHCACT (@CTHealthCenters) July 9, 2014
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New on Get-Centered
Our New Get-Centered Blog features a reflection from our CEO, Evelyn Barnum on the recent farewell event for Norwalk Community Health Center’s Larry Cross.
SBIRT in Your Corner
Learn more about CT SBIRT here!
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Trainings & Webinars
Fiscal Year 2015 Budget Period Progress Report (BPR) Technical Assistance Webinar — Tuesday, July 15, 2014, 2:00 PM – 3:00 PM. The BPR is a streamlined process for grantees applying for non-competitive continuation funding in the HRSA Electronic Handbooks (EHB). The BPR will be used by HRSA to assess progress and significant changes to approved Health Center Program funded activities. HRSA will release the FY 2015 BPR Noncompeting Continuation Instructions soon. All Health Center Program grantees requesting non-competitive continuation funding in Fiscal Year 2015 must submit a BPR according to these instructions. BPHC will host a webinar to provide technical assistance about the BPR Instructions. To participate in this session, use the following link: BPR Webinar. Connect to the audio line using 888-795-3252; Participant Code: 9045628
SAMHSA-HRSA: The Foundations of Culturally Appropriate Integrated Services for LGBT Individuals. Integrated primary care and behavioral health providers can create culturally appropriate, highly accessible integrated care to members of the lesbian, gay, bisexual, and transgender (LGBT) community with behavioral health conditions. Join CIHS and the CDC National Behavioral Health Network for Tobacco & Cancer Control to discuss ways to evaluate current organizational barriers to accessing care, strategies for reducing these barriers, and actionable steps for implementing culturally appropriate services. Review how to internally evaluate your agency’s services, and leave with an understanding of best practices and resources to increase engagement efforts with the LGBT community. July 16, 2:00 PM – 3:30 PM. Click here to register.
(Date Changed): Community Health Vote. Best Practices for conducting an effective voter engagement program. Nonpartisan voter engagement can help health centers and other safety net providers meet their organization’s mission and maximize effectiveness by educating and engaging the public. By fully and energetically working to engage staff, board and patients, you help ensure that the promise of our democracy is fully realized. The Community Health Vote program is conducted in a completely nonpartisan manner in compliance with the law governing organizations with 501c3 status. *Now July 16, 2:00 PM. Click here to register
Making Connections & Supporting Change: The Teach-With-Stories Method. The Teach-With-Stories (TWS) Method is a simple, five-step facilitation process that can be used by lay educators and health professionals as a vehicle for education that touches on the emotional, mental, and spiritual dimensions of a person’s experience and life challenges. In this session, participants will review the underlying values and steps of the Teach-With-Stories Method and why it can help strengthen the effectiveness of care and reputation of patient-centered medical homes in communities. Monday July 21, 2:00 PM – 3:00 PM. Click here to register.
BPHC All Programs Webcast — Thursday, July 24, 2014, 2:00 PM – 3:30 PM. This webcast will provide updates on current BPHC activities and future plans for Fiscal Year 2014. To view the webcast on the day of the session, save this link: http://services.choruscall.com/links/hrsa140724.html
ICD-10 Workshops for FQHC Staff. CHCACT is hosting two days of training for FQHC staff to build upon lessons from the March 25th ICD-10 training in Hartford. The first workshop at Northwestern Connecticut Community College in Winsted on July 10 was a success. Generations Family Health Center in Willimantic will host the next training on July 25. To accommodate different schedules, each workshop day will be broken into 2 sessions – just pick whichever session works best for you!
Click here for details about the July 25th workshop in Willimantic
NACHC Corporate Compliance. The Maine Primary Care Association is hosting a Corporate Compliance training July 23-24 in Portland, ME. The training will be led by a team from Feldesman, Tucker, Leifer, Fidell, LLC, and is intended for FQHC CEOs, COOs, CFOs, CMOs, Board Members, Compliance Officers, QA Directors, and Site Directors. Full registration details are available here.
Preparing for HRSA Operational Site Visits – July 31, 2:00PM – 3:00PM. A HRSA Operational Site Visit (OSV) is an onsite evaluation of a health center’s ability to meet the 19 health center program requirements including a clinical and financial performance review. ‘Not Met’ health center program requirements found during the HRSA OSV could lead to a condition on the health center’s grant. This anxiety inducing 2.5-day onsite evaluation process has Health Care for the Homeless grantees seeking recommendations on what to expect and how they can best prepare for their visits. Click here to register for the webinar.
Institute for Healthcare Improvement. Behavioral Health Integration: A Key Step Towards the Triple Aim. It’s no secret that behavioral health and physical health are inseparable — when patients have both behavioral health and chronic medical conditions they experience poorer outcomes and higher costs than patients with a medical condition alone. Integrating behavioral health and primary care is a key component of the Triple Aim, leading to better outcomes, better patient experience of care, and lower per capita costs, particularly for patients with multiple chronic conditions. Begins August 14, 2014. Details are available here.
COPE (Collaborative Opioid Prescribing Education) for REMS. Prescribing opioids safely ultimately depends on the trust between prescriber and patient. Training can enhance trust by improving communication and collaborative skills. COPE-REMS is an interactive, self-paced, online training developed at the University of Washington-Seattle. This no-cost, online CME course is aimed at opioid prescribing providers—including physicians, registered nurses, ARNPs, physician assistants, psychologists—and other care managers who are involved in treating patients with chronic pain. Click here for more information.
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Funding Opportunities
REMINDER from HRSA: There are several critical actions you must take to ensure competitive Health Center Program applications can be submitted successfully. First, your organization must have an active SAM.gov registration at the time of application submission. Second, you must have an active AOR (Authorized Organization Representative) in Grants.gov that is approved to submit an application. As a matter of HHS grants policy, without a current SAM.gov registration and a registered AOR, your application will be rejected in grants.gov without further consideration.
Click here to view all of HRSA’s open funding opportunities.
HRSA 14-092 Collaborative Improvement and Innovation Network on School-Based Health Services. This announcement solicits applications for the fiscal year (FY) 2014 Collaborative Improvement and Innovation Network on School-Based Health Services (CoIIN-SBHS) Program. It provides a mechanism for gathering and analyzing new and critically needed information for improving practice and quality of care among school-based health centers (SBHCs) and comprehensive school mental health programs (CSMHPs), identifying trends and emerging best practices for the field of school-based health services, supporting the development of innovative practices, explicating the attributes of successful model programs, and explaining how low performing programs can improve. Closing date for applications: July 17, 2014. Click here for more details.
HRSA 14-147 Reproductive and Environmental Health Network. This announcement solicits applications for a new project entitled Reproductive and Environmental Health Network. This funding opportunity announcement (FOA) seeks to administer a cooperative agreement that will improve maternal and fetal health outcomes through providing education, individualized counseling, improved access to resources, and advancing the knowledge base related to the safety of exposures to medication and environmental agents before, during, and after pregnancy. The purpose of the Reproductive and Environmental Health Network funding opportunity is to fund a national organization to improve maternal and fetal health outcomes by providing evidence-based information on the safety of exposures in pregnancy and lactation. Closing date for applications: July 21, 2014. Click here for more details.
HRSA 14-084 Promoting Health Services for Women. This announcement solicits applications for the Promoting Preventive Health Services for Women initiative. The purpose of this initiative is to improve women’s health across the lifecourse by increasing the use of clinical preventive services. This will be accomplished by: Increasing the number of women enrolled in health insurance; Raising consumer awareness of the importance of clinical preventive services; and Supporting providers in the delivery of quality preventive services. These objectives will be accomplished by a coalition of organizations representing women’s health care providers who will: Develop and implement strategies to assist uninsured women in obtaining health insurance coverage; Develop and implement strategies to promote awareness among consumers about the importance of clinical preventive services; and Provide information and training to providers to support the quality provision of these services. Closing date for applications: July 21, 2014. Click here for more details.
HRSA 15-008 Service Area Competition. The Health Center Program targets the Nation’s neediest populations and geographic areas by currently funding approximately 1,300 health centers that operate over 9,000 service delivery sites in every state, the District of Columbia, Puerto Rico, the Virgin Islands, and the Pacific Basin. In 2013, more than 21 million patients, including medically underserved and uninsured patients, received comprehensive, culturally competent, quality primary health care services through the Health Center Program. This Funding Opportunity Announcement (FOA) solicits applications for the Health Center Program’s Service Area Competition (SAC). Closing date for applications: July 23, 2014. Click here for more details.
HRSA 15-009 Service Area Competition. Health centers improve the health of the Nation’s underserved communities and vulnerable populations by ensuring access to comprehensive, culturally competent, quality primary health care services. This Funding Opportunity Announcement (FOA) solicits applications for the Health Center Program’s Service Area Competition (SAC). The FOA details the SAC eligibility requirements, review criteria, and awarding factors for organizations seeking a grant for operational support for an announced service area under the Health Center Program, including Community Health Center (CHC, section 330(e)), Migrant Health Center (MHC, section 330(g)), Health Care for the Homeless (HCH, section 330(h)), and/or Public Housing Primary Care (PHPC, section 330(i)). For the purposes of this document, the term “health center” refers to the diverse types of health centers (i.e., CHC, MHC, HCH, and/or PHPC) supported under section 330 of the PHS Act, as amended. Closing date for applications: July 30, 2014. Click here for more details.
New Markets Tax Credits Allocation Awards Announced. The U.S. Department of the Treasury’s Community Development Financial Institutions Fund (CDFI Fund) announced $3.5 billion in New Markets Tax Credit (NMTC) allocation awards aimed at revitalizing low-income communities and increasing economic opportunity nationwide. More information is available here. Applications for CDFI & CDE Certification are being accepted on an ongoing basis. Click here for application trainings and deadlines.
The Aetna Foundation announces the opening of its 2014 Regional Grants Program – GoLocal: Cultivating Healthy Communities. This grant program will help to support initiatives that encourage healthy eating and active living, particularly within low-income, underserved and minority communities. Grants will be awarded for $25,000 and $50,000 over two cycles. The second cycle is June 16, 2014 – July 30, 2014. Visit the Aetna Foundation website for more information.
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Ask CHCACT!
“Ask CHCACT,” a new advice column, will feature questions from health center staff, answered by your favorite CHCACT staff members! For the first several months, the column will focus exclusively on Outreach & Enrollment. Send your questions to ask@chcact.org! Ask CHCACT columns are also archived on the Outreach & Enrollment Resources section of the CHCACT web site. This site is now available to the public, with no log-in requirement!
Will Simmons answers this week’s question:
Will Simmons, Community HealthCorps Member, answers this week’s question.
Q: I’m a CAC and I’ve heard that I will need to recertify in order to be able to continue enrolling consumers during the next open enrollment period; what do I need to do for that and by when? What if I have new staff I want to train?
A: Yes you do need to recertify. All CACs will need to go through the recertification process, even if they just completed their training this past June. Staff must complete the process by November 15th (the beginning of open enrollment). If you have previously been certified, you will just have to complete some online modules and webinars, and then pass a revised version of the CAC exam (80% or higher). More information will be coming out from AHCT as the process approaches, so keep an eye on your inbox! We expect online training to begin in August!
If you need to train new staff, or maybe you’re a CAC who feels a little rusty and wants to do the whole training course over again, you need to register by contacting maryjean.sznurkowski@ct.gov who will send you instructions on how to register. The training will consist of online modules and two in-person training days, which must be completed in order. The online modules will begin in August, with in person days starting up in September. Staff will also have to pass the CAC exam (80%, only 2 tries allowed), and sign and return the CAC program policy agreement. As with recertification, staff must complete this process by November 15th. This year’s training will be significantly different from last year’s, with many sections revised to provide more relevant examples to reflect the populations CACs serve and with a better connection between the web portal and policy/eligibility rules. Once you’ve signed up, keep an eye on your inbox as August approaches!
Upcoming CHCACT Meetings
“Coffee and En-Rolls” – a bi-weekly meeting for Certified Application Counselors (CACs) and their supervisors, facilitated by CHCACT consultant Fran Freer and AmeriCorps member Will Simmons. Join us every other Thursday @ 9:00 am to share Best Practices and hear the latest news about Access Health CT and enrollment: 888-994-2509, participant passcode 519603#. (Please note new number). Upcoming dates: July 24
CYFAN Network Ryan White Training – Tuesday July 22, 10 AM – 12 PM in the CHCACT Conference Room. Robin McHaelen of True Colors will present this training called Bridges and Barriers: What LGBT Youth and Their Families Want Their Providers to Know. This training is designed to provide a greater understanding of the risks, challenges and strengths of the Lesbian, Gay, Bisexual, and Transgender (LGBT) community and to learn appropriate interventions for providing quality health care for our LGBT patients.
Quarterly Healthcare for the Homeless Meeting: Thursday July 24, 10 AM – 12 PM in the CHCACT Conference Room. During the meeting we are hosting a guest speaker from Columbus House to present on their Medical Respite Program as well as planning for HCH day events.
ICD-10 Workshops for FQHC Staff. CHCACT is hosting two days of training for FQHC staff to build upon lessons from the March 25th ICD-10 training in Hartford. The first workshop at Northwestern Connecticut Community College in Winsted on July 10 was a success. Generations Family Health Center in Willimantic will host the next training on July 25. To accommodate different schedules, each workshop day will be broken into 2 sessions – just pick whichever session works best for you!
Click here for details about the July 25th workshop in Willimantic
All CHCACT Staff can be reached by calling 860.667.7820.
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This Week in Health Policy News
Here is a sampling of health policy news from around the state. If you see something in your local newspaper that you would like featured here in future weeks, please contact Deb Polun at dpolun@chcact.org.
Featured Stories
7.10.14 The Day: Saturday Evening Hours Including Live Chat Added for Problem Gamblers (feat. UCFS)
7.9.14 CT NewsJunkie Op-Ed: The Current Model of Health Care Delivery is Unsustainable (by Evelyn Barnum)
7.8.14 It’s Relevant/Norwalk: A Prescription to Read (feat. Norwalk Community Health Center)
State Health News
7.14.14 CT Health I-Team: Medical Homes Improve Quality, Lower Costs, But Challenges Remain
7.10.14 CT Mirror: Children Stuck in Crisis – CT’s Psychiatric Emergency Gets Worse
7.10.14 CT Health I-Team: Long ER Stays for Kids in Crisis on the Rise
7.8.14 Hartford Business Journal: St. Mary’s To Join For-Profit Tenet
ACA/Health Reform
7.11.14 Kaiser Health News: Obamacare Lowers Uninsured Rate, Three Studies Find
7.11.14 CT NewsJunkie: Health Care Advocates Raise Questions About Shared Savings
7.11.14 Hartford Courant: AG’s Office Talks to Access Health Regarding Misplaced Backpack
7.11.14 CT Mirror: Access Health CT Finds Glitch Behind Cancellations
7.11.14 CT Mirror: Health System Overhaul Plan Has Medicaid Advocates Worried
7.10.14 CT NewsJunkie: 5,700 Dropped From ACA Plans in CT
7.8.14 Governing: Oregon Medicaid Model Covers More But Costs Less
National/Other Health News
7.11.14 NY Times: Senators Query Hepatitis C Drug’s High Costs
7.11.14 NY Times: Doubts on Fasting Before Cholesterol Tests
7.10.14 Kaiser Health News: Adults with Serious Mental Illness Face 80% Unemployment
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Resources
CMS initiative helps people make the most of their new health coverage
Quality in Action: Increasing Access to HIV Testing, Care, and Treatment. Patients and other members of your community may not know that they are living with HIV infection. In fact, the Centers for Disease Control and Prevention (CDC) estimates that 1 in 6 people living with HIV are unaware of their infection. People who do not know they are HIV positive will not receive the care and treatment they need to stay healthy. They also may unknowingly pass HIV to others. Knowledge of their HIV status allows people to make informed decisions about lifestyle choices and high-risk behaviors that may result in HIV transmission. You can review this Special Edition Quality in Action newsletter with your board, providers, and staff.
New Interactive Summer Safety Guide from Stamford Hospital. In the woods, at the beach, or at the park, this new guide provides facts and tips for keeping you and your family healthy this summer. Click here for the safety guide.
Capital Link Publications. As part of their assistance to health centers, Capital Link has developed a collection of resource publications to assist health centers in accomplishing specific tasks related to the capital development process. These publications are provided to Federally Qualified Health Centers (FQHCs) and Primary Care Associations (PCAs) free of charge. Their resources, including publications, reports, and past webinars are available here.
ECRI Institute has made the webinar “Building and Maintaining an Effective Triage System” available in its archive for those who were unable to participate last month. The webinar is available here. You will need log-in credentials from ECRI to access their resources. If you need access, send an email to Clinical_RM_Program@ecri.org or call (610) 825-6000 ext. 5200.
Key Findings from the 2013 Kaiser Women’s Health Survey –The 2013 Kaiser Women’s Health Survey addresses a wide range of topics that are at the heart of women’s health care as a result of the ACA. The findings presented in this report examine women’s coverage, access, and affordability to care, as well as their connections to health providers and use of preventive services. The report can be found here.
The National Institute for Children’s Health Quality has developed a free, interactive Collaborative Action Now to Defeat Obesity (CAN DO) Playbook. Details are available here.
SAMHSA has released a helpful Behavioral Health Barometer. It contains data that you may find useful for grants and reports. It is available on their website here.
The PBRN Resource Center is pleased to announce the recent launch of a PBRN Playlist on the AHRQ Primary Care YouTube Channel. This playlist contains video recordings of national webinars hosted by the AHRQ PBRN Resource Center. The channel and all recordings can be accessed here.
ECRI Institute announces new resources for Credentialing and Privileging Non-Physician Providers and Staff. Credentialing is not just for physicians and other clinical providers. HRSA Policy Information Notice (PIN) 2002-22 states that health centers must credential any individual who is required to be licensed, registered, or certified by the state, commonwealth, or territory in which the health center is located. This list includes, but is not limited to, licensed independent practitioners (LIPs) (e.g., physicians, dentists, nurse practitioners, nurse midwives) as well as other licensed or certified personnel such as registered nurses, licensed practical nurses, physician’s assistants, laboratory technicians, social workers, medical assistants, dental hygienists, and nutritionists. The list should include locum tenens and volunteers as well. Click here to read their Get Safe! announcement and access their checklists and other resources.
The SAMHSA-HRSA Center for Integrated Health Solutions Telebehavioral Health Training and Technical Assistance Series is designed to help safety net providers and rural health clinics understand and adopt telebehavioral health services. The implementation of telehealth services for mental health and substance abuse allows for increased access to these services, particularly in rural or underserved areas. The 6-session training will provide health centers with the tools/resources necessary to identify and implement a telebehavioral health program. Learn more here.
The American College of Physicians (ACP) has launched a High Value Care Coordination Toolkit intended to improve communication about referrals between primary care and subspecialist providers. The toolkit includes a checklist of information that must be provided in a generic referral to a subspecialist, a checklist of information that must be provided in a subspecialist’s response to a referral request, model care coordination agreement templates between several providers and care settings, and an outline of recommendations to providers that can help them prepare patients for referral using a patient- and family-centered approach.
Birth to 5: Watch Me Thrive! – HHS and the Administration for Children and Families has launched Birth to 5: Watch Me Thrive! to encourage healthy child development, universal development and behavioral screening for children, and support for the families and providers who care for them.
Scope of Project Webpage: HRSA has released a new “Scope of Project” Page on the BPHC website. This page provides a “one-stop-shop” for Health Center Program Scope of Project and Change-in-Scope policy, process, and resources. View the new Scope of Project webpage.
New Rural Mental Health and Substance Abuse Toolkit Launched. The Rural Assistance Center, University of Minnesota Rural Health Research Center, and the NORC Walsh Center for Rural Health Analysis launched this toolkit, designed to help rural communities and organizations develop and implement programs that meet the targeted mental health needs of communities based on proven approaches and strategies.
ECRI has developed Asthma Care for the Pediatric Patient. Asthma is a challenging, common, chronic childhood illness associated with significant school absenteeism, emergency department visits, and hospital admissions. Racial and ethnic disparities in both asthma management and outcomes put safety net populations at particular risk. This self-assessment checklist will help healthcare providers assess and develop a patient-focused asthma treatment plan.
Check out the This Week in CHCACTion! Resources Archive on the CHCACT web site here! It’s chock full of webinars and other informative resources compiled from our weekly bulletins. You can also visit a password-protected FQHCs Resources Library which includes a message board to facilitate communication across centers. To gain access to the FQHC Resources, contact Deb Polun, at dpolun@chcact.org.
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Events/Educational Opportunities
Click here to view our full events calendar. Click here for NACHC Seminars/Conferences/Webcasts.
Welcome to our new events calendar! The calendar is updated on a regular basis with upcoming events, webinars, educational opportunities, outreach activities and more. You can sort the calendar by category and subscribe to calendar updates by clicking here.
Comments About the Bulletin
For any questions or comments about This Week in CHCACTion, please contact Deb Polun.
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