MACHC
Weekly E-Blast:  
Voicing the latest news on Communities in Need
In This Issue

National Health Center Week, was last week! How did the event(s) at your Health Center go? 
Don't forget to participate in MACHC's Facebook Contest to win some cash for your health center now. Check the SPOTLIGHT section now. 
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 aneeqa@machc.com. 

August 17, 2015
MACHC SPOTLIGHT
Happy National Health Center Week 2015  (NHCW15)
Congratulations to all of our Health Centers in MD & DE on showcasing your successes in creative and innovative ways at the NHCW15 events. Thank you for hosting such fun and interactive events for your community! 

 
*****MACHC Members' Facebook NHCW Contest*****
In celebration of NHCW, MACHC will join you in contributing and showcasing the various efforts through a bit of fun and healthy competition! We will be hosting a Facebook Picture & Video Contest for our members. MD and DE FQHCs are asked to LIKE us on Facebook  and post a NHCW picture or video showcasing the fun event! Winners will be chosen on how many 'LIKES' you can get for your picture so please ask your staff members to like MACHC's page. 
There will be four prizes: 1st Place for $1,000, 2nd Place will be $500; and 2 runner ups will win $250 each.  The contest will be the week of national health center week, starting August 9th and ending August 15th. 
***Contest Deadline Extended:
Many of you have emailed us (aneeqa@machc.com) your NHCW pics. We thank you for that but remember the point of the contest is to have your health center page LIKE MACHC's Facebook page and post to make your health center be more active on social media. However, if you have an issue with your Facebook Page settings, you can send Aneeqa Chowdhury an email on Monday, August 17th and ask to post your pictures from YOUR FACEBOOK page (yes, your health center must have a Facebook Page).
You have an EXTRA WEEK (until August 21st) to have your colleagues, friends and family to get as many likes as possible to WIN one of the four prizes. 
The contest is an opportunity to use your creativity and teamwork to garner attention for your health center. The prizes for the contest is a surprise so check the next Eblast to find out more!
Meanwhile, please send MACHC a quick email telling us about your NHCW event(s) and start thinking about what kind of pic/video you want to capture and share for the contest.
Good luck and may the LIKES be ever in your favor!



Great News!  Please join MACHC in congratulating Community Clinic Inc., Health Care For the Homeless, Total Health Care, Henrieta Johnson Medical Center and La Red Health Center for receiving the FY New Access Point Awards!!!!

The following is the press release from HRSA and the Hyperlink to see the awards:  

During National Health Center Week, HHS announces an additional $169 million in Affordable Care Act funding to 266 community health centers
Health and Human Services Secretary Sylvia M. Burwell announced today $169 million in Affordable Care Act funding to 266 new health center sites in 46 states, the District of Columbia and Puerto Rico for the delivery of comprehensive primary health care services in communities that need them most. These new health center sites are projected to increase access to health care services for over 1.2 million patients. These awards build on the $101 million awarded to 164 new health center sites in May 2015.
"Across the country, health centers have provided a source of high-quality primary care for people in rural and urban communities for 50 years," said Acting Deputy Secretary Mary Wakefield. "These Affordable Care Act funds build on the strong legacy of the health center program and provide even more individuals and families with access to the care they need the most."
This investment will add to the more than 700 new health center sites that have opened as a result of the Affordable Care Act, including those awarded earlier this year. What started with one clinic in rural Mississippi and another in South Boston is today a national program that supports 1,300 community-based and patient-directed health centers with 9,000 sites serving nearly 23 million people.
"Health centers now provide primary care to one in fourteen people living in the United States," said HRSA Acting Administrator Jim Macrae. "These awards mean that more communities than ever can count on a health center to help meet the increasing demand for primary care."
From August 9th  through the 15th, more than 1,000 events will be held around the country in observance of National Health Center Week, an annual celebration that highlights the many accomplishments of the Nation's health centers.

MACHC HAPPENINGS

MACHC EVENTS
    
(1) Outreach & Enrollment Call 
Friday, September 11th, 2015
1-866-740-1260 Access 4319483
Who: Outreach Staff
Discuss state updates, best practices, barriers/issues that need attention and provide any support and advocacy where needed.

(2) Operations / Leadership Conference  
Dec 3rd, 2015;  8:00AM -5:00PM
Turf Valley Conference Center
2700 Turf Valley Road
EllicottMD 21042
The learning sessions promise to be informative and empowering for our membership, partners, and collaborators to learn from one another and leading experts in areas of:
Advanced Access, Payment Reform, Human Resources/Workforce Development, Operationalizing Fee Scales, Shared Services, Care Coordination Complexity Scale, Pathways of Communication for Referral, Making the Leap to Becoming ACO's, Maximizing Your Human Capital, Community Partnerships / Collaboration, Fostering Innovations in Your Clinic or Health Center, Leading with Laser Focus (Studer Group) and Growing Your Health Centers Footprint Strategically.
Additional info about the conference will be posted HERE

(3) SAVE THE DATE
UDS Training
Dec 4th, 2015;  8:00AM
Turf Valley Conference Center
2700 Turf Valley Road
Ellicott, MD 21042
Additional details about Training and registration will be posted HERE


----------------------------------

Board of Directors Meetings:
(Third Friday @ 11:00 a.m.)

  • OTHER EVENTS

  • (1)  NACHC's 2015 Community Health Institute (CHI)
    August 22- 25th, 2015
    Orlando, Florida
    More info HERE
    Community Health Institute (CHI) & EXPO is the largest and most important annual gathering of 2000 community health center managers, clinicians, employees, board members and leaders. Every aspect of the community health center movement is represented and fully-vested at CHI, making it an excellent networking opportunity.
    The NACHC 2015 Community Health Institute (CHI) is scheduled to kick off in Orlando as key provisions of the Affordable Care Act (ACA) are being implemented and health centers continue to expand to meet growing demand for primary care services.  The vast changes in the health care environment set in motion by ACA implementation raise new issues for Community Health Centers and their patients in all areas of operations - financial, clinical and policy. The NACHC CHI will bring together the most up-to-date information about the transformation now taking shape, and give you the tools to stay strategically competitive in the new Health Insurance Marketplace.

    (3) Three Strategies for Effective Referrals to Specialty Mental Health and Addition Services Webinar - Wednesday, August 19, 2015, 2:30pm - 4:00pm, ET. 
    Join the SAMHSA-HRSA Center of Integrated Health Solutions
    for this webinar highlighting three providers who each successfully implemented a different strategy of referral to specialty care. Learn how these providers foster community partnerships to effectively meet their patients' needs for mental health and addiction treatment.

    (4) Rescheduled: HRSA Substance Abuse Expansion Resources Webinar - Tuesday, September 8, 2015, 2:00pm - 3:00pm, ET.  HRSA, in conjunction with other federal partners, is hosting this webinar to highlight information and resources to assist health centers improve and expand the delivery of substance use disorder services, including providing medication-assisted treatment.
     Join the webinar the day of the session. For audio, dial-in to 888-603-6974, pass code 2911439.

     
    (5) Save the Date for the Maryland Chronic Disease Conference
    On September 8-9, 2015 in Baltimore, Maryland, DHMH will be hosting the Inaugural Chronic Disease Conference.  The Maryland Chronic Disease Conference aims to explore challenges and opportunities in public health as well as approaches to prevent and control chronic diseases and associated risk factors. The conference will identify best practices, examine existing barriers, and develop a roadmap for future programs in Maryland. The core focus of the Conference will be the four CDC Chronic Disease Domains-Epidemiology/Surveillance; Environmental Approaches; Health Care System Interventions and Community Programs Linked to Clinical Services.
    For more information please visit: Maryland Chronic Disease Conference 
    Emergency Preparedness Events: 

      Barrier Precautions and Controls for Highly Infectious Disease
                    Target Audience/Disciplines
                    The target audience for this course is emergency medical services, healthcare, and public health professionals with a requirement to triage, transport, and treat persons with a highly           infectious disease.
                    Overview
    The Barrier Precautions and Controls for Highly Infectious Disease (BPCHID) course is a 3 day course which provides the student with the best practice knowledge and skill for triaging, transporting, transferring, treating, and managing persons with highly infectious diseases. Students participate in a guided discussion of best practices for managing and treating persons with a highly infectious disease from identification or presentation through conclusion and final outcome of treatment. Students receive demonstrations and practical experience in the proper donning and doffing of personal protective equipment (PPE) required to prevent provider and other patient contamination. At the conclusion students conduct a series of patient management and treatment exercises in a realistic healthcare setting to include presentation at an emergency room and treatment in a hospital isolation ward using best practice barrier precautions and infection control procedures.
     
                    Week Offered
     
    The online application process is now available.
    You'll need your FEMA SID and password to apply.

    There is a possible Measles Outbreak being investigated in Maryland. 
    The Baltimore County Department of Health, Baltimore City Health Department, and DHMH are currently investigating a possible case of measles in a Baltimore County resident.  The patient presented with a febrile rash illness that was clinically diagnosed as measles.  Specimens tested at the DHMH Laboratories Administration were IgM positive but PCR negative. Given the discrepant laboratory results, we consulted the Centers for Disease Control and Prevention. Specimens will be forwarded to CDC for additional testing that may help confirm or rule out measles, but CDC recommended proceeding as if this is confirmed measles while test results are pending.
    Baltimore County and Baltimore City are identifying and managing contacts, including persons who were in the Sinai Hospital ED on Thursday, August 6.  However it is possible that other local health departments might get questions about possible exposures to measles.  The case patient would have been potentially infectious from August 1 to August 9. 
    Key messages to the public:
    • The measles virus is highly contagious to susceptible persons. It is spread through the air when someone with measles coughs or sneezes (and by direct contact with infected nose or throat secretions). The virus can remain contagious in the environment for up to 2 hours
    • Symptoms to look for include:
      • o   Rash that starts on the face and neck and then spreads. The rash fades in the order which it appears.
      • o   High fever
      • o   Runny nose
      • o   Red, watery eyes
      • o   Cough (sometimes like croup)
      • o   Small red spots, with blue and white centers inside the mouth (Koplik spots)
    • Infants, pregnant women, and those with weakened immune systems are at higher risk of measles complications.
    • Measles immunization may be effective as prophylaxis for contacts if given within 72 hours of exposure.  If vaccine cannot be given, immune globulin may be administered to high risk susceptible persons within 6 days of exposure.   If outside the window for prophylaxis, contacts should be monitored for the development of symptoms consistent with measles.
    • Measles is considered a serious health risk to those who have NOT been fully vaccinated with two doses of MMR administered on or after the first birthday, do not have physician-diagnosed history of measles, or a titer indicating immunity.
    • Unvaccinated individuals should consult their healthcare providers or their local health department if they do not have a healthcare provider.
    • Person with a rash, fever and symptoms consistent with measles should first notify their doctor or a hospital emergency department prior to presenting, so appropriate infection control measures can be implemented.
    Suspect measles cases should be reported to DHMH immediately at (410)767-6679 or after hours by calling 410-795-7365.

     
    Do you have a personal preparedness kit yet? Sign up ASAP for this free workshop taught by Hopkins to learn about preparedness planning and to walk away with supplies and resources for your kit: http://1.usa.gov/1HVe1SZ

    How Prepared Is Your Community for an Emergency? 

    Download the kit checklist: 

    Family communication and evacuation plan: 


    -----------------------------------------------------------------------------------------------------

    ATTENTION MD FQHCS 
     
    1. MACHC's Table Top Exercise (see slides attached) After Action Report Improvement Plan (AARIP). Please find AARIP attached here. Additionally, the Situational Manual discussed during the discussion is attached here

    2. DHMH Satellite Phone Recall FQHCs that still have the satellite phones distributed by DHMH 4 years ago, please send them back to: 
    L. Kay Webster, MPH
    Office of Preparedness & Response
    Maryland Department of Health and Mental Hygiene
    300 W. Preston Street, Ste. 202
    Baltimore, MD  21201 
    3. Please get in touch with your Regional Coordinators if you have not already done so and be more active in your Regional Coalition. You should already have their contacts in emails I have sent within this year numerous times. Please find them below: 
     
    Regions I and II Health Care Coalition 
    [Allegany, Frederick, Garrett and Washington Counties]
    Alison Robinson
    Allegany County Health Department
    12501 Willowbrook Road
    Cumberland, MD  21502
    301-759-5238 (Office)
    443-934-2232 (Mobile)
    301-777-2069 (Fax)
    alison.robinson@maryland.gov 

     
    [Baltimore City; Anne Arundel, Baltimore, Carroll, Harford and Howard Counties]
    Edward Johnson
    Harford County Health Department
    120 S. Hays Street, Suite 230
    Bel Air, MD  21014 
    410-877-1031 (Office)
    443-388-6290 (Mobile)
     
    Region IV -
    [Caroline, Cecil, Dorchester, Kent, Queen Anne's, Somerset, Talbot, Wicomico and Worcester Counties]
    Kristin McMenamin
    Kent County Health Department
    A.F. Whitsitt Center
    300 Scheeler Road, P.O. Box 229
    Chestertown, MD  21620
    410-778-4861 (Office)
    443-690-3091 (Mobile)
    410-778-4862 (Fax)

     
    NEW REGION V COORDINATOR
    Region V  Emergency Preparedness Coalition
    [Calvert, Charles, Montgomery, Prince George's and St. Mary's Counties]
    Casey Owens
    Office of Preparedness & Response
    Maryland Department of Health and Mental Hygiene
    300 W. Preston Street, Ste. 202
    Baltimore, MD  21201 
    casey.owens@maryland.gov

     
    4. Find ATTACHED (Please click here) the guide was developed to provide hospitals in California with a useful tool for developing and implementing effective respiratory protection programs, with an emphasis on protecting health care workers from aerosol transmissible diseases. It was prepared by the Occupational Health Branch (OHB) of the California Department of Public Health (CDPH) with funding from the National Institute for Occupational Safety and Health (NIOS H) National Personal Protective Technology Laboratory (NPPTL).  It sure looks like something that we can perhaps modify for Maryland.   
    , you will find the template for setting up a respiratory protection program in hospitals.  

    5. MACHC conducted two FQHCs with Planning for Onsite Drill/Exercise in February 5th & 6th, 2015. The follow up call with ALL MACHC member health centers and partners was held Thursday, March 12th. Due to the large file size of Active Shooter documents, an email to all attendees and FQHC POIs was sent out. Please alert Aneeqa Chowdhury (aneeqa@machc.com) if you have not received the link.

    6. MACHC provided support to all Baltimore Health Centers during the Baltimore Riots end of April-May 2015. We thank all of our member FQHCs and partners for the support and seamless communication which created transparency and effective communication of needs during the pressing time. Please email us at MACHC if you have any comments regarding the events that occurred. 

     
    *** Look for the latest EP related updates RIGHT HERE!
    Policy, Advocacy and Legislation
    National News
    It looks like 2016 will be the year of telemedicine. While we've been hearing about the potential of telemedicine for years, three-quarters of large employers intend to offer health benefits that will make the service available next year. That's up from about half this year, according to a National Business Group on Health Survey released Wednesday on changes large businesses expects to see to health benefits and costs. The DC-based nonprofit surveyed 140 large companies across the U.S. Among the findings, employers project health care costs to increase about 5 percent in 2016

    The 2014 UDS data and related reports (Rollup, Summary, and Trend report) will be available starting Friday, August 7, 2015 on BPHC's UDS website.

    The HRSA Bureau of Primary Health Care (BPHC) has created new instructional videos for health center grantees navigating HRSA's Electronic Handbooks (EHB) Help Pages. The short instructional videos are designed to assist with necessary tasks in EHB. 

    Almost 950,000 new customers selected health coverage on HealthCare.gov outside of the open-enrollment period after they became eligible due to changes such as losing their employer-provided insurance or having a baby, according to a government report on the federal health insurance exchange. With the new consumers who enrolled during the year due to changes in their circumstances, the Obama administration remains on track to meet its goal of 9.1 million to 9.9 million people who have paid for coverage through the insurance exchanges by the end of 2015. 
    Scott Walker said Thursday he knows and likes John Kasich and Chris Christie, but the Wisconsin governor said that unlike the chief executives of Ohio and New Jersey, he didn't accept Affordable Care Act Medicaid expansion dollars. ... Walker said Kasich is "a good guy" and has "a solid record in Ohio." "There's a couple of differences between me and any of the other governors on the (debate) stage the other night, meaning Gov. Christie and Gov. Kasich," he said. "I didn't take the Medicaid expansion under Obamacare," as Kasich and Christie did. "I think that's important to a lot of Republicans -- that I didn't further Obamacare." 
    GOP presidential candidate Dr. Ben Carson on Wednesday accused Planned Parenthood of disproportionately opening clinics in black neighborhoods as a way to "control that population." In an interview with Fox News late Wednesday, Carson claimed Planned Parenthood's founder, Margaret Sanger, was a racist who intentionally opened abortion clinics in predominately black neighborhoods. 
    On July 15th, the Obama administration released a report "Modernizing and Streamlining Our Legal Immigration System for the 21st Century" with the goal of eliminating many administrative headaches and burdens. The Society for Human Resources Management reports that many of the ideas it proposed are included in the report. The report follows a thorough review by the federal Department of State and Department of Homeland Security. It is hoped that the use of a modernized information technology infrastructure will expedite visa application processes.
    Insurance Lobby That Fought Hillarycare And Obamacare Now Has Sturdy Bridges To Democrats  
    When the former head of the U.S. government's health insurance programs was hired in July to run a lobby that had spent tens of millions of dollars trying to derail Obamacare, it was more than just another spin of Washington's revolving door. Marilyn Tavenner, former administrator of the Centers for Medicare and Medicaid Services, became chief executive of America's Health Insurance Plans, the industry's main lobbying group, which is known as AHIP. As the latest of a half-dozen prominent architects and overseers of Obamacare to move into the health industry, her move signified growing ties between health insurers and Democrats despite battles over the Affordable Care Act
    Listen to the following HRSA archived webinar on  Ins & Outs of Lobbying for HRSA Grantees on-demand webcast will help you understand and comply with federal laws and restrictions.
    State News
    DELAWARE
    Next Delaware Healthcare Comission Meeting is on September 3rd at 9am --- DelTech Terry Campus

    One of the health law's key protections was putting a cap on how much people can be required to pay out of pocket for medical care each year. Now some employers say the administration is unfairly changing the rules that determine how those limits are applied and that the changes will be costly.
    In addition, the employers and some Republicans on Capitol Hill are questioning whether federal officials have the authority to modify those rules.
    Under the health law, the maximum that a consumer with individual coverage can be required to pay in deductibles, copayments and coinsurance for in-network care is $6,600. People with family plans max out at $13,200. These limits apply to all plans except those that have grandfathered status under the law. Once someone hits the spending limit, the health plan pays 100 percent of the cost of medical care for the law's 10 essential health benefits, which cover most services.

    Delaware will receive a chunk of federal funding to reduce trafficking, distribution and use of heroin under a new initiative from the White House
    MARYLAND
    Gov. Larry Hogan's top housing official said Friday that he wants to look at loosening state lead paint poisoning laws, saying they could motivate a mother to deliberately poison her child to obtain free housing.
    Kenneth C. Holt, secretary of Housing, Community and Development, told an audience at the Maryland Association of Counties summer convention here that a mother could just put a lead fishing weight in her child's mouth, then take the child in for testing and a landlord would be liable for providing the child with housing until the age of 18.
    56,000 children in Baltimore are at risk for lead poisoning--could result in permanent brain damage & death. Do not blame the parents but instead the cumulative effort of discriminatory housing practices that result in poor health. We need much more lead testing, not less; and help more families, not blame them

    On a cold March day, Baltimore's new health commissioner, Leana Wen, spoke with a group of young people at a community forum during a listening tour of the city. Wen remembers that one of the children, an eight-year-old boy, didn't seem particularly interested in the material she was presenting.
    "I don't need to hear all this stuff about heart disease and STDs," Wen recalls him saying. His two brothers died before age sixteen, the boy said. Why should he care about disease and long-term health issues when he didn't see himself living much longer?

    Finance & Business
    One of the health law's key protections was to cap how much consumers can be required to pay out of pocket for medical care each year. Now some employers say the administration is unfairly changing the rules that determine how those limits are applied, and they're worried it will cost them more. 

    AAPC, a large training and credentialing organization, offers an online code translator tool to compare ICD-9 with ICD-10-CM codes. The ICD-9-CM code set of 17,000 codes will increase to over 140,000 ICD-10 codes. The tool allows you to map the expansion of codes.  This tool is based on the General Equivalency Mapping (GEM) files published by the Centers for Medicare & Medicaid Services (CMS. Keep in mind that while many codes in ICD-9-CM map directly to codes in ICD-10, in some cases, a clinical analysis may be required to determine which code or codes should be selected.
     
    CMS ICD-10 Coding Resources
    The Centers for Medicare & Medicaid Services (CMS)  has posted a complete list of the 2016 ICD-10-CM valid codes and code titles on the 2016 ICD-10-CM and GEMs web page as well as other ICD-10 resources.  These resources are useful  to help ensure providers are reporting all characters in a valid ICD-10-CM code and will assist providers who are unsure if additional characters are needed, such as the addition of a 7th character in order to arrive at a valid code. 
    Visit theICD-10 Medicare Fee-For-Service Provider Resourcesweb page for a complete list of Medicare Learning Network educational materials. 
    The
    Latest News on ACA
    OUR WORK CONTINUES

    The Centers for Medicare & Medicaid Services (CMS) has released a new set of outreach and educational materials in the form of a toolkit titled Living Well, designed to help beneficiaries understand the preventive services available to them under Medicaid and CHIP. Living Well emphasizes the importance of services like regular check-ups, vaccines, and screenings to identify and prevent diseases when they are most treatable. The toolkit features a number of customizable posters, fact sheets, social media posts and graphics, and strategies that you can use for getting the word out about Medicaid coverage of preventive services. Other CMS outreach tools are available byclicking here.
      
    The Centers for Medicare & Medicaid Services (CMS) has recently added an additional way for consumers to submit a request to appeal Marketplace decisions. Consumers now have the option to fax instead of mail their appeal requests to the Marketplace. Consumers can now appeal by:  
    • Writing an appeal request in the form of a letter or complete an appeals request form for their state of residence and mailing to Health Insurance Marketplace, Attn: Appeals, 465 Industrial Blvd.,London, KY 40750-0061; OR
    • Faxing an appeal request to this secure fax line: 1-877-369-0129
    Regardless of how submitted, an explanation of why the appeal is being requested and a copy of the eligibility determination notice that is being appealed should be included.  Click here for more information on Marketplace appeals, including which Marketplace decisions can be appealed.

    When Your Hospital Is In-Network, But Your Doc Isn't
    Patients who have insurance and go to in-network hospitals may still wind up with unexpected bills. It happens when doctors are out of network and don't take a patient's insurance. In those instances, patients may owe the balance between what the provider charges and what the insurance plan is willing to pay. It's often referred to as surprise billing, a form of balance billing, and it's a situation that Michael Trost of Dingmans Ferry, Pa. encountered this past spring. An unanticipated trip to an in-network hospital and the subsequent surgery from an out-of-network doctor resulted in a surprise bill of $32,325

    Marketplace Call Center and SHOP Call Center Hours
    Health Insurance Marketplace Call Center: For customer service support, to start or finish an application, compare plans, enroll or ask a question. 1-800-318-2596 (TTY: 1-855-889-4325).  Available 24/7. Closed Memorial Day, July 4th, Labor Day, Thanksgiving, and Christmas.
    SHOP Call Center: For customer service support, including assisting employers and employees apply for and enroll in SHOP. 1-800-706-7893 (TTY: 711).  Available M-F 9:00 am-7:00 pm EST. 
    MACHC Conference Call Updates
    Join MACHC's next O/E Call on September 11th!  (see events section for full details)
    As you are aware, there have been some changes for the 2016 ACA Open Enrollment Period. With these changes come the need for client recertification through the MD Healthcare Exchange. This mandate presents opportunities for the FQHC's to get a head start on their enrollment counseling. For this year's campaign, MACHC is working with Patrice Wallace again on a new broadcast and print creative; and, a new radio format that will not only reach our target demos but will enhance the diversity of the demos. Please attend the call for some more details.

    The application period for new ACSE's has been extended! 
    The new dead-line is August 15, 2015. If you have questions regarding your application, please contact Jody Hartzell at jody.hartzell@maryland.gov
    In addition the application is now a Word Document that will be sent to the email acse.cac@maryland.gov. As we were experiencing website application problems, this new submission process will allow the submitter to know the application was received.
    ACSE Application for new entities:

    CAC Application for new application counselors: http://www.marylandhbe.com/certified-application-counselor-application/


    CAC Training Steps:
    Please see the attached instructions for the HUB.
    CREATE ACCOUNT IN THE HUB - All certified staff, including new applicants and returning application counselors and certified application counselors must create or re-activate an account on THE HUB Learning Management System.  THE HUB will deliver all web-based training, including the updated policy training (available in August 2015) which is mandatory for all certified staff.  Certified staff will also use THE HUB to register for any non-mandatory training and to register to take the on-site proctored exam. 


     
    Maryland--Call Center Note:
    Direct Line for Navigators and CAC to MHBE Call Center--Regarding the Call Center # 844-224-6762 It should be noted that: If you need customer assistance from the call center, CAC's should call this number.
    Grants & Funding Opportunities



    BPHC released the FY 2016 SAC funding opportunity announcement (HRSA-16-005) for service areas with a March 1, 2016 project period start date. Technical assistance materials are available on the SAC Technical Assistance web site.

    HRSA is pleased to announce the release of the Fiscal Year 2016 Substance Abuse Service Expansion Funding Opportunity Announcement (HRSA-16-074). This funding opportunity will provide approximately $100 million through competitive supplements to support an estimated 300 existing health centersto improve and expand the delivery of substance use disorder services, with a focus on medication-assisted treatment for opioid use disorder.
    Applications are due in Grants.gov by September 28, 2015 at 11:59pm, ET. Required supplemental information must be submitted via HRSA EHBs by October 14, 2015, 5:00pm, ET. 

    Application Deadline: None  
    Eligible state and local government agencies and nonprofit organizations, including health centers, can obtain property that the federal government no longer needs through the Federal Surplus Personal Property Donation Program.

    Application Deadline: Applications accepted on an ongoing basis
    Funding for hunger prevention, self-sufficiency, healthcare, and education to those who are underserved. 

    Application Deadline: Applications accepted on an ongoing basis
    Provides seed funding to emerging nonprofits, or to new projects of established organizations in the areas of education; environment; health and human services; and hunger and nutrition. Pennsylvania is one of 13 eligible states.

    Application Deadline:  Applications Accepted on an Ongoing Basis
    The Community Response Fund supports organizations, activities, and events that address access to needed oral health care and community resources that improve oral health. Programs that address an immediate response to an urgent issue that impacts access to clinical care, provide short-term access to needed care for the underserved, or sustain organizations experiencing short-term challenges are the focus. A limited number of program concepts that provide longer term solutions or essential services for particularly underserved populations will also be considered. The program will also support Missions of Mercy clinics.

     
    National Training and Technical Assistance Cooperative Agreement (NCA) Funding Opportunity Announcement (FOA) (HRSA-15-140) - HRSA released Fiscal Year (FY) 2015 NCA FOA (HRSA-15-140)  which will provide approximately $3 million  to support 3-4 awards to national organizations that will provide training and technical assistance to potential and existing Health Center Program grantees and look-alikes. The organizations will provide training in the areas of oral health services, health information technology and data, and clinical workforce development.
    Applications are due to Grants.gov by Monday, June 1, 2015. This NCA funding opportunity is a Grants.gov only application. 

    Rural Health Funding Opportunities

    Community Response Fund
    The Community Response Fund supports organizations, activities, and events that address access to needed oral healthcare and community resources that improve oral health. Programs that address an immediate response to an urgent issue that impacts access to clinical care, provide short-term access to needed care for the underserved, or sustain organizations experiencing short-term challenges are the focus. A limited number of program concepts that provide longer term solutions or essential services for particularly underserved populations will also be considered. The program will also support Missions of Mercy clinics.
    DEADLINE: ongoing basis
    ELIGABILITY: The DentaQuest Foundation makes grants to a variety of organizations that are engaged improving oral health. Grants are not made to individuals.
    CONTACT: Matthew Bond, Grants and Programs Manager: Matthew.Bond@DentaQuestFoundation.org 

    Substance Abuse Service Expansion
    Funds to support the improvement or expansion of substance abuse services in existing Health Centers, with a specific focus on treatment of opioid use disorders in underserved populations. Programs should establish a new, or enhance an existing, integrated primary care/behavioral health model of care in order to coordinate the services necessary for patients to achieve and sustain recovery.
    Total funding available: $100,000,000
    Number of awards: Up to 310 awards
    Award amount: Up to $325,000 per year for 2 years
    DEADLINE: Sep. 28, 2015
    ELIGABILITY: Existing Health Center Program award recipients that currently receive funding under section 330 of the Public Health Service Act. Health Centers that received new start/new award funding in FY 2015 are not eligible to apply.
    CONTACT: For business, administrative, or fiscal questions:
    Joi Grymes-Johnson
    jgrymes@hrsa.gov
    301.443-2632
    For programmatic or technical assistance questions:
    Shannon McDevitt
    bphcsa@hrsa.gov
    301.594.4300

    340B Peer-to-Peer Program
    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 for covered entities that are interested in improving patient care. This approach provides the opportunity for practice sites to reach their peers and strengthen the 340B program 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.
    FUNDING AVALIABLE: Peer-to-Peer annual stipends of $10,000/year
    ELIGABILITY: Applications must be submitted by a 340B entity listed on the Office of Pharmacy Affairs (OPA) 340B database as a participating 340B entity.
    Healthcare Connect Fund
    The Healthcare Connect Fund provides funding to healthcare providers for telecommunications and internet access services, as well as network equipment, at a flat discounted rate of 65%. Participants can apply as a member of the consortium or a stand-alone entity.
     
    FUNDING AVAILABLE: Participants will receive a flat rate discount of 65%. There is an annual spending cap of $400,000,000.
    ELIGIBLITY: Rural public or nonprofit healthcare providers (HCPs) are eligible. Consortia may be comprised of both rural and non-rural HCPs. All consortia must consist of more than 50% rural participation within three years of receipt of the first funding commitment obtained through the HCF Program. Connections to, and equipment located at, eligible off-site data centers and administrative offices are eligible for support.
    CONTACT: rhc-assist@usac.org

    USAC Rural Health Care Telecommunications Program
    Health care providers are permitted to apply to receive reduced rates for a variety of telecommunications services under the Rural Health Care Program. Health care providers may seek support for multiple telecommunications services of any bandwidth and for monthly Internet service charges.
     
    FUNDING AVALIABLE: The level of support depends on the HCP's location and the type of service chosen. Health Care Providers are permitted to apply to receive reduced rates for a variety of telecommunication services under the RHCD program. HCPs may seek support for multiple telecommunications services of any bandwidth.

    As a result of recent Federal Communications Commission (FCC) action, health care participants may be eligible to receive a 25% discount on their monthly Internet service charges. These services are limited to the monthly Internet net access charge, monthly charges for web hosting and web addresses.
    ELIGIBILITY: Community health centers or health centers providing health care to migrants
    CONTACT: rhc-admin@universalservice.org

    Wells Fargo Corporate Giving Programs
    Wells Fargo supports nonprofit organizations that work on a community level in the areas of human services, arts and culture, community development, civic responsibility, education, environmental consciousness, and volunteerism.
    CONTACT: Ashley Williams -- Community Support Rep -- Wells Fargo
    ashley.l.williams@wellsfargo.com   

    Anthem Foundation Grants
    Anthem Foundation Grants (formerly known as WellPoint Foundation grants) support health and wellness programs in 25 states. MARYLAND!
    DEADLINE: August 28, 2015
    Priority areas include programs that promote:
    *Healthy hearts, including prevention and wellness programs that address  cardiovascular diseases and  strokes, smoking, obesity, hypertension, and stressful and sedentary lifestyles
    *Cancer prevention and early detection
    *Diabetes prevention
    *Healthy maternal practices
    *Healthy, active lifestyles
     
    Maryland Small Grants Program
    The Maryland Small Grants Program awards funding to nonprofit organizations that provide direct services to poor and vulnerable populations.
    FUNDING AVALIABLE: Award Ceiling: $50,000
    CONTACT: Amy Kleine, Program Director, Basic Human Needs
    410-654-8500, ext. 268
    Email: akleine@hjweinberg.org

    Delaware Collaborative Grants
    Delaware Collaborative Grants will offer funding for programs involving a collaboration of two or more nonprofits within a single county.
    A broad range of projects have been supported including:
    *Sexual abuse prevention
    *Financial empowerment programs
    *Anti-hunger coalitions
    *Aging networks
    *Homelessness prevention services offered through a community health center
    DEADLINE: Sep. 15, 2015
    AVALIABLE FUNDING: Award Ceiling: $100,000
    CONTACT: Beth Bouchelle
    302.504.5239
    bbouchelle@delcf.org

    Accelerating Community-Centered Approaches in Health
    Accelerating Community-Centered Approaches in Health will support innovative population health programs and policies that work to improve health at the community level, including the use of new financial models to achieve cost effective solutions.
    CONTACT: Phone: 248.643.9630
     

    Commonwealth Fund Health Grants
    The Commonwealth Fund promotes a high performing healthcare system that achieves better access, improved quality, and greater efficiency, particularly for society's most vulnerable, including people with low-incomes, the uninsured, minority Americans, young children, people with disabilities, and the elderly.
    The Fund supports independent research on healthcare issues and makes grants to improve healthcare practice and policy. The Commonwealth Fund actively seeks to support projects on innovative approaches to addressing problems within its areas of focus.
    CONTACT: Email: grants@cmwf.org
    Phone: 212.606.3800

    USDA Community Facilities Loan and Grant Program
    The USDA Community Facilities Loan and Grant Program provides loans, grants, and loan guarantees for essential community facilities in rural areas. Priority is given to healthcare, education, and public safety projects. Funds may be used to construct, enlarge, or improve facilities.
    AVALIABLE FUNDING: Amount varies. Grants are authorized on a graduated scale. Applicants located in small communities with low populations and low incomes will receive a higher percentage of grants.
    CONTACT: Bill McGowan, State Director
    1221 College Park Drive, Suite 200
    Dover, DE  19904
    Voice: (302) 857-3580 www.rd.usda.gov/de
    www.rd.usda.gov/md
    Shared Services Corner 
    Check out the comprehensive Credentialing Checklist. This can help your health center adhere to all the regulations,receive the payments at the appropriate time and forecast any financial constraints due to credentialing early.

    MACHC now offers  a myriad of Shared Services for member convenience. 
    Please check out the attached flier for additional details on the services  offered.
    Clinical Quality 
    A new survey from The Commonwealth Fund and The Kaiser Family Foundation asked primary care providers-physicians, nurse practitioners, and physician assistants-about their experiences with and reactions to recent changes in health care delivery and payment. Providers' views are generally positive regarding the impact of health information technology on quality of care, but they are more divided on the increased use of medical homes and accountable care organizations. Overall, providers are more negative about the increased reliance on quality metrics to assess their performance and about financial penalties. Many physicians expressed frustration with the speed and administrative burden of Medicaid and Medicare payments. An earlier brief focused on providers' experiences under the ACA's coverage expansions and their opinions about the law.

    A majority of health care organizations have programs to provide emotional support to health care workers after adverse events, but features vary widely and there are substantial opportunities to improve services, according to a study by AHRQ. Clinicians involved in medical errors are often referred to as "second victims" because they can experience persistent negative effects such as guilt, embarrassment, self-doubt and fear that can have serious consequences on their well-being, work performance and patient safety. Researchers conducted an electronic survey of 575 members of the American Society for Healthcare Risk Management, including risk managers, executives, patient safety officers, directors of quality and compliance officers, to ascertain how they would characterize the structure and performance of their provider support program, if a program was available. Investigators found that while 74 percent of health care organizations maintain a support system, they vary widely and many lack important elements recommended by national standards. The study underscores the need for health care organizations to provide support systems for health care workers involved in adverse events.
    Diabetes Report Card Released
    The Centers for Disease Control & Prevention (CDC) has published the 2014 Diabetes Report Card providing information on the status of diabetes in the United States.  It includes data on diabetes, gestational diabetes, pre-diabetes, preventive care practices, risk factors, quality of care, outcomes, progress towards meeting national diabetes goals and, to the extent possible, national and state trends.
     
    Consumers older than 65 may have difficulty using Web applications to identify providers that meet their needs, according to an AHRQ-funded study. Researchers created a Web application that enabled Rhode Island consumers to compare home health agencies based on information such as services offered and health outcomes. They conducted usability testing of the Web application using two focus groups, totaling 14 older consumers looking for information about home health agencies and six hospital case managers. Investigators noted that while Web applications are a cost-effective way to disseminate information, it is important to ensure that people with low literacy, low health literacy and low computer proficiency can access, understand and use these applications. Although the researchers based their initial design on best practices, user testing showed that they overestimated the extent to which older adults were familiar with using computer applications. Researchers subsequently adopted simpler navigation and additional user prompts. 
    Health Observances This Week


     
    August is National Breastfeeding Awareness Month. 

    The breastfeeding campaign, funded by the U.S. Department of Health and Human Services, hopes to empower women to commit to breastfeeding by highlighting new research showing that babies who are exclusively breastfed for six months are less likely to develop ear infections, diarrhea and respiratory illnesses, and may be less likely to develop childhood obesity.

    In celebration of Breastfeeding Awareness Month, we've compiled the following guide to serve as your one-stop resource for the information and support you'll need to be successful at breastfeeding. Arm yourself with information now, and you'll thank yourself later for giving your baby the best possible start in life.

    The Support You Need

    From the proper latch to the perfect nursing bra--everything you need to know to make breastfeeding work for you and your baby.

    Breastfeeding can be difficult for some women in the first few weeks, but it gets easier and more natural with time. Here, you'll find answers to our readers' most frequently asked questions about breastfeeding.

    Boutique-style stores that specialize in breastfeeding--with bras, pumps, lotions, potions and virtually everything else in between--are sprouting up in cities nationwide. Check our guide to see if there's one near you.

    Breastfeeding may be more difficult than you expect. The right help can make all the difference.

    Lactation consultants' best advice for successful breastfeeding


    The Benefits of Breastfeeding

    It will make your baby healthier and smarter. There are lifelong benefits for you, too.

    The abundance of good things in mother's milk offers your baby lifelong benefits.


    Breastfeeding On-the-Go

    The nuts and bolts of pumping breast milk for your baby

    Real Mothers Share Their Stories

    The best tricks often come from moms who've been there.

    Superman's got nuthin' on Supermom

    Sometimes a nursing mother needs a good euphemism.

    From short nipples to pumping in public, some surprising nursing challenges and how five women overcame them.


    Has your FQHC joined 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.

     

    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.

    Mid-Atlantic Association of Community Health Centers | | aneeqa@machc.com |