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The Week Ahead

 
Important Dates
Work Groups
  • Behavioral Health Work Group
    NCCHCA Offices 

    Staff Contact: Alice Pollard
  • Dental Directors Meetings
    11 am to 2 pm
    NCCHCA offices
    **Friday, April 5, 2019 NEW 

    Friday, July 19, 2019
    Friday, October 18, 2019
    Staff Contact: Marti Wolf 
     
  •  Diabetes Work Group
    10:30 am to 1:30 pm
    April 10, 2019 at Clinical Conference
    July 18, 2019
    October 30, 2019 
    Staff Contact: Carey O’Reilly
     
  • MAT Discussion Group
    Staff Contact: Alice Pollard
     
  • Pharmacy Directors Meetings
    11 am to 2 pm
    NCCHCA offices

    May 8, 2019
    August 14, 2019
    November 6, 2019
    Staff Contact: Marti Wolf
     
  • Medical Directors Meeting
    April 11, 2019 5:30 pm -7:30 pm 

    Staff Contact: Marti Wolf
     
  • QUICHE Work group  
    2019 dates
    10:00 am to 2:00 pm
    NCCHCA offices

    April 10, 2019 - Clinical Conference
    July 31, 2019
    October 17, 2019
    Staff Contact: Carey O’Reilly
Signature Events

Clinical Conference on Quality and Chronic Disease
CONFIRMED! Dr. Judith Steinberg, CMO, BPHC will present the opening plenary.
Tracks include care coordination, team-based care, behavioral health, oral health, diabetes, SDoH and more.
Tentative agenda here.
New on OneDrive
NEW PASSWORD IS REQUIRED DUE TO OFFSHORE TAMPERING. Contact Marti for new password.  
 
Upcoming Events
  • Health Center Resiliency Bootcamp: presented by Americares
    April 3-4, 2019 
    Register Here
    Flyer
     
  • NEW! FTCA University hosted by NCCHCA 
    May 15-16, 2019
    FTCAU Flyer.pdf
    Registration and Information Here
     
  • NC Primary Care Conference
    June 2019
    More information coming soon
     
  • Finance Essentials Academy
    September 10 & 11, 2019
    Crowne Plaza Executive Park, Charlotte, NC
    More information coming soon
     
  • East Coast Migrant Stream Forum 
    October 2019
    More information coming soon

Partner Events
  • 2019 STD Update 
    March 20, 2019

    Winston-Salem, NC
    Information and Registration 
     
  • Pharmacy Law Update
    March 28, 2019
    webinar 7-9 pm
    Register here
     
  • MAT Coding and Billing- NACHC Webinar
    March 13, 2019
    2 pm - 3 pm
    View Webinar Here (no registration)

     
  • Opioid Summit
    June 11-12
    Raleigh
    More information here
     
  • Training for New Clinical Directors
    Training for New Clinical Directors provides the core knowledge and competencies that all health center Clinical Directors need to function as effective managers, leaders, and advocates for their health centers and communities. Clinical Directors, including Site Directors in their position for two years or less are encouraged to enroll. Below are the two training dates:

 

New to Community Health Centers? Learn about them here. 

New on OneDrive

Clinical Conference on Quality and Chronic Disease
CONFIRMED! Dr. Judith Steinberg, CMO, BPHC will present the opening plenary.
Tracks include care coordination, team-based care, behavioral health, oral health, diabetes, SDoH and more.
Tentative agenda here.
April 11-12, 2019
Sheraton Chapel Hill
Registration is OPEN -REGISTRATION CLOSES SOON


CONTENTS
Emergency Preparedness: Communications Key Considerations by NNCC
Family Planning Title X New Regs Released
Hepatitis C Screening and Treatment part 1 archived webinar
Measles Outbreak: CDC Asks Providers to Assist in Control
Team-based Care Guide


CDC requests healthcare providers' help in containing measles outbreaks; 159 measles cases from 10 states reported
On February 27, CDC's National Center for Immunization and Respiratory Diseases sent the following email to partners, with a request to share widely.
From January 1 to February 21, 2019, 159* people from 10 states (CA, CO, CT, GA, IL, KY, NY, OR, TX, and WA) have been reported as having measles. Six outbreaks (defined as 3 or more linked cases) have been reported, in Rockland County, New York; Monroe County, New York; New York City; Washington; Texas; and Illinois. Of these outbreaks, 2 outbreaks are ongoing from 2018.
 
CDC is asking for your help to ensure that all patients are up to date on MMR vaccine. When it comes to vaccinations, parents trust the expertise of their doctor more than anyone else. Explain to patients that MMR vaccine is the best protection against measles infection.
 
Here’s what you can do:
1. Send an e-mail blast to your members.
CDC drafted the following message that you can share with healthcare professionals in your network:
From January 1 to February 21, 2019, 159* people from 10 states (CA, CO, CT, GA, IL, NJ, NY, OR, TX, and WA) have been reported as having measles. Six outbreaks (defined as 3 or more linked cases) have been reported, in Rockland County, New York; Monroe County, New York; New York City; Washington; Texas; and Illinois. Of these outbreaks, 2 outbreaks are ongoing from 2018. CDC urges healthcare professionals to ensure that all patients are up to date on MMR vaccine, including before international travel.

What Should Clinicians Do?

  • Discuss the importance of MMR vaccine with parents. Listen and respond to parents’ questions. When parents have questions, it does not necessarily mean they won’t accept vaccines. Sometimes, they simply want your answers to their questions. 
  • Ensure all patients are up to date on measles, mumps, rubella (MMR) vaccine.
    • Children need 2 doses of MMR: one dose at 12–15 months and another dose at 4–6 years.
    • Before any international travel, infants 6–11 months need 1 dose of MMR vaccine, children 12 months and older need 2 doses separated by at least 28 days, and teenagers and adults who do not have evidence of immunity against measles need 2 doses separated by at least 28 days.
  • Consider measles in patients presenting with febrile rash illness and clinically compatible measles symptoms (cough, coryza, and conjunctivitis), and ask patients about recent travel internationally or to domestic venues frequented by international travelers, as well as a history of measles exposures in their communities.
  • Promptly isolate patients with suspected measles to avoid disease transmission and immediately report the suspect measles case to the health department.
  • Obtain specimens for testing from patients with suspected measles, including viral specimens for genotyping, which can help determine the source of the virus. Contact the local health department with questions about submitting specimens for testing. 
For more information, including guidelines for patient evaluation, diagnosis and management, visit www.cdc.gov/measles/hcp/index.html.
 
2. Post measles buttons, banners, and links to CDC communication resources for healthcare professionals.
By posting measles buttons and banners on your website or blog, you will remind clinicians to consider measles diagnoses. They link to CDC’s measles webpage for healthcare professionals. Get these web tools here: www.cdc.gov/measles/resources/web-buttons.html.
 
You can also post a link to CDC’s Provider Resources for Vaccine Conversations with Parents, which aim to strengthen communication between healthcare professionals and parents. Specific resources to highlight include: 
3. Share information about measles with parents and the public in your office. 4. Learn more about measles and encourage your members to do the same.
Below is information about measles that you can promote to other healthcare professionals:

*Preliminary data reported to CDC’s National Center for Immunization and Respiratory Diseases.


Title X Family Planning Final Rule Released
from KFF

On Monday, March 4, 2019, the Trump Administration published final regulations for the federal Title X family planning program that could dramatically reshape the safety-net program. Some of the major changes in the new regulations focus on disqualifying providers who offer abortion services from the Title X program and banning participating providers from referring patients to others who can provide abortions. Clinics that have been offering women reproductive health care with the support of Title X funds may now be faced with the need to either lay off staff, reduce services or hours, or in some cases, close their doors. As a result, these regulations will leave more women with fewer options to obtain time-sensitive, affordable, and high quality family planning care for their reproductive health.  

A new KFF issue brief reviews the final provisions highlighting changes from current rules and the implications for low-income people and the providers who serve them. The brief also provides information on historical and current legal challenges to Title X regulations. Over 20 states and several other organizations have filed federal court motions to block the final regulations from going into effect in the coming months.

In addition to the brief, KFF’s Alina Salganicoff, Vice President and Director of Women’s Health Policy, answered three questions about the final regulations recently in the new feature Ask KFF.
Issue Brief here

This newsletter is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under cooperative agreement number 5 U58CS06835-13-00, State and Regional Primary Care Association Cooperative Agreement for $1,415,574.00 with 0% financed with non-federal sources.  This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.

Copyright © 2019 North Carolina Community Health Center Association, All rights reserved.


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