Weekly E-Blast:  
Voicing the latest news on Communities in Need
In This Issue
Out of this nettle, danger, we pluck this flower, safety.  ~William Shakespeare   
For safety is not a gadget but a state of mind.  ~Eleanor Everet 
"Safety First" is "Safety Always."  ~Charles M. Hayes
Better a thousand times careful than once dead.  ~Proverb
Precaution is better than cure.  ~Edward Coke
As soon as you see a mistake and don't fix it, it becomes your mistake.  ~Author Unknown 
Safety is a cheap and effective insurance policy.  ~Author Unknown 
Safety means first aid to the uninjured.  ~Author Unknown
Accidents, and particularly street and highway accidents, do not happen - they are caused.  ~Ernest Greenwood
Have news to share with us? Want to be featured on our next E-Digest? Want to read about something in particular? Please email us at 

Let's Stay Connected
June 6, 2013 
Community Health Center Spotlight
We are so proud of our member CHCs and all your accomplishments! 
Want your Health Center featured on our next E-Digest? Have any special events or announcements coming up? You could be next! Please contact Aneeqa Chowdhury at to be placed in the SPOTLIGHT!
MACHC Happenings
Has your Health Center signed up for your Access to Care Regional Forum?
Sign up NOW!
Forum discusses your state's latest on Health Reform and the Marketplace.
Host Agency
Meeting Location

Sheraton Hotel and Conference Center

1570 North DuPont Highway
Dover, DE, 19901
Kent County

Robin Lawrence

Margaret O'Neill Bldg. 
410 Federal St., Suite 7 
Dover, DE 19901
*There is NO registration fee or charge associated with attending the forum, but you are requested to RSVP

Eastern Shore (Harford, Cecil, Kent, Queen Anne's, Caroline, Talbpot, Dorchester, Wicomico, Worcester, Somerset Counties)
June 10, 1:00 pm to 3:00 pm
Chesapeake College 
1000 College Circle, Wye Mills, Todd Perfoorming Arts Center, Rooms EDC- 27 an the Todd Performing Arts Center lobby


Central Maryland (Howard. Amme Arundel Counties)
June 12, 10:00 am to 12 noon
Howard County Health Department
7180 Columbia Gateway Drive, Columbia MD
Western Maryland (Carroll, Frederick, Washington, Allegany, Garrett Counties)
June 18, 1:00 pm to 3:00 pm
Venice (Best Western) Hotel (Ballroom)
431 Dual Highway, Hagerstown MD
Washington Metro region (Montgomery, Prince George's Counties)
June 20, 10:00 am to 12:00 pm
Silver spring Civil Building
One Veterans Place, Silver Spring MD
Baltimore Metro region (Baltimore City, Baltimore County)
June 25, 10:00 am to 12 noon
UMBC Tech Center, 1450 S. Rolling Rd, Baltimore MD
SIGN UP ASAP for either next Thursday OR Friday

When: Thursday, June 13th OR Friday, June 14th, 2013

Due to the changing landscape of healthcare, particularly the implementation of Health Care Reform, the focus of this year's cultural competency training is on cultural and linguistical barriers to accessing care. The training will provide new techniques in addressing cultural and linguistic barriers to care with an emphasis on the fundamental elements of Cultural
Competency for Health Care Professionals and will assist participants in providing more culturally sensitive services in a health care setting.  

When: Wednesday, June 15, 2013 - 12pm
  • Provide an overview of the relationship-centered care model and its importance in all patient interactions
  • Identify skills and tools for use in building relationships in interactions with patients and caregivers
  • Establish a standard office communication framework to encourage and improve patient motivation

The Centers for Medicare & Medicaid Services (CMS) has scheduled several webinar trainings on the health insurance Marketplace for partners and stakeholders. The Level 1 webinar offers a one-hour high-level overview of the accomplishments of the Affordable Care Act and a basic introduction to the Marketplace, highlighting who is eligible and how the Marketplace will work. The Level 2 webinar offers a two-hour detailed review of the Marketplace, including eligibility, enrollment, plan structure, Medicaid expansion, and the streamlined application. Registration is required.


SAVE THE DATE for the MACHC Annual Conference 

When: September 19-20, 2013

Where: Turf Valley Conference Center in Ellicott City, MD

*Registration details to come in the coming weeks!*  

Policy, Advocacy and Legislation
National News
For the past several years, hospital CEOs have been talking a big game about accountable care-the latest health care model, which pays doctors and hospitals for quality, rather than the volume of services they provide. ACOs make providers jointly accountable for the health of their patients, giving them financial incentives to cooperate and to save money by avoiding unnecessary tests and procedure
A federal appeals court in New York on Wednesday ordered that some types of emergency contraceptives be made available for now to women of all ages without a prescription, adding another layer of confusion to a complex and intensely political fight over the drug's availability.

The National Branding Campaign


With more than 43 billion people  eligible to enroll in private insurance starting this October 1, FQHCs strive to create an identifiable unifying identity for themselves. This is where the National Branding Campaign for Our Health Centers comes into place. 

The campaign is a national branding effort to strengthen recognition of our Health Centers as a unified and nationwide network of quality community-based primary care providers.  Initially created at the state level by the Pennsylvania Association of Community Health Centers (PACHC) and its membership, the National Association of Community Health Centers has expanded the campaign nationwide.


Why a National Brand?

The evolving health care environment is ushering in new financing and insurance structures, new marketplace players, and greater opportunities to expand health care access to more medically underserved and uninsured Americans.  It is more important than ever that our unique and cost-effective Health Center model, i.e., Federally Qualified Health Centers (FQHCs), is readily identifiable and distinguished from other provider types. 

FQHCs are present in over 9,000 rural and urban communities across America.  They have a successful track record second to none in the delivery of affordable quality care to more than 22 million people.  They play a significant role in lowering health care costs and producing savings for the nation's health care system and the American taxpayer.


The FQHC Brand Components  

MACHC recently hosted a Branding Webinar for MD and DE Health Centers with CEO of PACHC, Cheri Reinhart and Event and Communications Coordinator, Kirsten Keyes, as guest speakers. If you missed the webinar and would like access, please click here.

The National Association of Community Health Centers has recently released three new Briefs on key topics for state policy makers:
  1. Health Insurance Exchanges: Key Issues for Community Health Centers provides analyses of the major policy issues impacting FQHCs for the different types of exchanges.
  2. Medicaid Premium Assistance and Health Insurance Exchanges addresses some of the most common questions that have been raised in two parts: an overview of the different Medicaid eligibility groups and coverage and benefits they are entitled to, and a discussion on how Exchanges will likely interact with Medicaid under the Arkansas proposal, which is being used as the model.
  3. State Fiscal Year 2013 Funding for Community Health Centers: Funding Levels Remain Inadequate Amidst Signs of Leveling Off Cuts shows that 29 states appropriated $287 million for the state fiscal year 2013, a 14% decline from last year
Reporting for Kaiser Health News, Eric Whitney writes: "Health and Human Services Secretary Kathleen Sebelius announced the agency's latest liberation of data from its vast trove of health care information this week, making public for the first time price and quality specifics for 30 different out-patient procedures at hospitals nationwide. But this data stream is not big enough or fast enough for some entrepreneurs "
Americans shopping for health insurance in the new health insurance Marketplace might face an unexpected obstacle. If they don't have a bank account, they might not be able to receive aid. Insurers are increasingly unwilling to accept debit or credit card payments. A recent report showed that in some states, almost a third of those eligible for premium subsidies on the Marketplace do not have a regular bank account. In April, the Department of Health & Human Services (HHS) addressed the issue in a letter to health insurers indicating that they must be able to accept payment in ways that are non-discriminatory.
is just 65 days away - August 11-17! Click hereto access media templates in both English and Spanish. 
All health centers are encouraged to post Health Center Week celebration and event details on the website here - the password to post events is: healthy.  While NHCW 2013 is August 11-17, events occurring anytime during the entire month of August are welcome to be posted on the website.

Invite Your Legislators during NHCW!

NACHC strongly encourages Community Health Centers nationwide to celebrate National Health Center Week (NHCW) in August by holding events, inviting Members of Congress to visit health centers in the districts, and hosting events, such as health fairs, community celebrations, or media events to educate the public about the mission and value of health centers. The theme for this year's NHCW is: Celebrating America's Health Centers: Transforming Health Care in Our Local Communities. 
Visit the National Health Center Week website for information and resources. 
State News

Maryland Attorney General Douglas Gansler urged state regulators Tuesday, June 4th, to cap the amount that insurers can raise premiums under the new health care law to no more than 5 percent until more is known about how the sweeping federal legislation will affect health costs. The call comes as the Maryland Insurance Administration reviews requests by insurers to raise rates on those who will buy coverage from a statewide exchange, or open marketplace, established under the Affordable Care Act.

Mt. Washington Pediatric Hospital hopes a three-story, 6,300-square-foot addition will mean families will wait a few weeks, rather than months, for appointments.

The hospital will move and expand its behavioral health program and the program for children who have severe feeding issues. This will free up 2,500 square feet in the existing building, which it will renovate and use for weight loss, rehabilitation and other clinical programs.  

Finance & Business

Selling of Obamacare underway

The Obama administration is reaching out to Democrats and Republicans in Congress as it gears up to try to sell Obamacare to the public this summer. For the Democrats, the meetings are part of a substantial messaging effort that will get under way to encourage people to sign up for health coverage through the new Obamacare exchanges starting on Oct. 1. They've involved high-level officials and lawmakers. The message? Rely on the facts, not the politics, of the health law. Now is the time to give Obamacare a constituent outreach touch, la other government programs such as Medicare and Social Security: Help people sign up, participants say
The Affordable Care Act, which has become known as Obamacare, will require small businesses with 50 or more employees to offer health care coverage to their workers. Some have suggested that could be discouraging hiring by small businesses
Affordable Care Act News

Health Reform Timeline

* Health Insurance Exchanges Open for low to middle income Americans to make it easier for them to shop for health insurance. Those making over 400% of the poverty level can shop on the exchange but will not receive tax credits or discounts. The insurance purchased on the exchange doesn't go into effect until Jan 1st, 2014.

* Tax credits, discounts on out-of-pocket costs, tax breaks and other subsides are available o n the exchange. The help you get on the exchange is directly related to your gross adjusted income.

* There is a .9% ObamaCare Medicare tax on those making over $200k as an individual or $250k as a business or family. This accounts for somewhere between 1.5% and 4.2% of tax payers (these numbers are from recent IRS and census reports, 2% is often used as a rough and not inaccurate estimate. Most sources agree the number is under 3%. 3% is also the number of businesses making over this amount in taxable income).

* 3.8% Medicare tax on unearned income over $200 for individuals and $250 for families and businesses.

* $500,00 deduction cap on compensation paid to insurance company workers

* ObamaCare lays out new rules about the amount that can be contributed to an FSA. A cap of $2,500 is applied to reform FSA's and prevent individuals from overpaying and then needing to rush to use the money before it disappears.

* Part D Coverage Gap or "Donut Hole" reduction goes into effect

* Eliminates deduction for Part D retiree drug subsidies for employers

* increases (7.5% to 10%) threshold at which medical expenses, as a % of income, can be deductible)

Grants & Funding Opportunities

CMS Round 2 Innovation Awards

Application Deadline:  Letter of Intent by June 28, 2013 at 3:00 pm EDT; applications by August 15, 2013 3:00 pm EDT 

CMS will spend up to $1 billion for awards and evaluation of projects from across the country that test new payment and service delivery models that will deliver better care and lower costs for Medicare, Medicaid, and Children's Health Insurance Program (CHIP) enrollees. The second round of the Health Care Innovation Awards will support public and private organizations in four defined areas that have a high likelihood of driving health care system transformation and delivering better outcomes. Specifically, in this second round, CMS is seeking proposals in the following categories:

  • Models that are designed to rapidly reduce Medicare, Medicaid, and/or CHIP costs in outpatient and/or post-acute settings.
  • Models that improve care for populations with specialized needs.
  • Models that test approaches for specific types of providers to transform their financial and clinical models.
  • Models that improve the health of populations - defined geographically (health of a community), clinically (health of those with specific diseases), or by socioeconomic class - through activities focused on engaging beneficiaries, prevention (for example, a diabetes prevention program or a hypertension prevention program), wellness, and comprehensive care that extend beyond the clinical service delivery setting.

Bottom of Form

All applicants must submit, as part of their application, the design of a payment model that is consistent with the new service delivery model that they propose.


Faculty Loan Repayment Program
Application Deadline: June 27, 2013 by 7:30 pm EDT
Up to $40,000 per eligible individual to support health profession educator education for a two-year service commitment, with opportunity for one additional contract with an additional two-year service commitment. The program requires a funding match from the applicant's health professions school.


 Application Deadline: June 30, 2013  
The purpose of the 340B Peer-to-Peer Network is to connect 340B entities and stakeholders with high performing sites, called leading practice sites that have exemplary 340B pharmacy service offerings. These sites serve as guides to help covered entities strengthen their 340B programs from inventory management to quality care initiatives. Sites that receive the status of a 340B Peer-to-Peer recognized site will be asked to dedicate two members of their team to share their expertise and leading practices - for a limited amount of time per month - with other safety-net organizations to help these organizations achieve results and establish sound business practices. Selected entities will receive:
  • A participation plaque
  • Acknowledgement in publications
  • Membership in APhA for three leadership team members
  • Peer-to-Peer annual stipends of $10,000/year
  • Financial support for select conference attendance to represent 340B stakeholders


 Community Access to Child Health (CATCH) Implementation Funds Program 

Application Deadline: July 31, 2013

Awards for $5,000 - $12,000 to support pediatricians in the initial and/or pilot stage of implementing community-based child health projects related to medical home access, health services to uninsured/underinsured, secondhand smoke exposure, immunization programs, and Native American child health.  
Application Deadline: July 31, 2013  
Planning grants for pediatricians to develop innovative, community-based initiatives that increase children's access to medical homes or to specific health services not otherwise available.


As part of our commitment to build a stronger, more empowered workforce, the National Council has partnered with USC to offer a $2,500 scholarship ($1,250 for advanced standing) for your employees when they enroll in the MSW@USC program in 2013.

Program Start Date                                                       Application Deadline
August 7, 2013                                                                June 25, 2013
September 3, 2013                                                         July 22, 2013
September 3, 2013 - Advanced Standing                   July 1, 2013

Your employees can request more information by clicking here. They should mention their National Council membership to admissions counselors to qualify for the scholarship. 

You can also sign up here to request a special onsite or virtual information session just for your staff.

June is National Safety Month! 

Each June, the National Safety Council encourages organizations to get involved and participate in National Safety Month. NSM is an annual observance to educate and influence behaviors around leading causes of preventable injuries and deaths.


This year's theme, "Safety Starts with Me," was inspired by the pillar of Leadership and Employee Engagement from the Journey to Safety Excellence.Successful organizations engage everyone in safety and create a culture where people feel a personal responsibility not only for their own safety, but for that of their coworkers, family and friends. While leadership from the top is important, creating a culture where there is a sense of ownership of safety by all, makes everyone in the organization a safety leader. 

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Copyright 2013. All Rights Reserved.