CDC Guideline for Prescribing Opioids for Chronic Pain
After protracted debate over federal guidelines for prescribing opioids, the Centers for Disease Control and Prevention has clarified its position, stating that its three-year-old recommendations were not intended to deny clinically appropriate treatment to patients who suffer acute or chronic pain from conditions such as cancer and sickle cell disease. Those guidelines, which focus on chronic pain except for cancer and end-of-life care, target primary care physicians because family doctors write the vast majority of prescriptions for painkillers.
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CDC Issues Key Clarification on Guideline for Prescribing Opioids for Chronic Pain
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CoPay Update
There has been an increasing number of Medicaid beneficiaries who are being turned away for inability to pay a copay, especially when trying to fill prescriptions. Some pharmacies do not use the KyHealthNet/MMIS system, so they aren't seeing the copay or poverty indicators.
DMS will be sending out a letter to pharmacists soon to remind them that no one at/below 100% FPL should be turned away and that even those above 100% FPL should get a 72-hour supply of medicine, if it is medically necessary.
Provider fact sheet
Beneficiary fact sheet
Here is the DMS dedicated provider line, which many providers aren't aware of: 502-619-3816.
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Kentucky's Medicaid expansion boosts colon cancer screenings, study says
That’s a significant increase for a state that has the highest rate of colon cancer incidence in the country, according to the Centers for Disease Control and Prevention. While more Kentucky Medicaid patients were diagnosed with colon cancer after the expansion - a 132.4% increase - researchers found more of them survived. This was especially true in eastern Kentucky, where Medicaid coverage of Appalachian patients increased by 199%.
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Kentucky students aren’t getting all the shots they should have. What the stats show.
The latest statewide immunization survey of Kentucky students showed that the percentage of kindergartners who received required immunizations against diseases ranging from chickenpox to hepatitis B was below the state’s goal of 95 percent.
University of Kentucky pediatric infectious diseases associate professor Sean McTigue is concerned about that data, including that the 2018 state immunization survey showed that only 91.6 percent of kindergartners were immunized against chicken pox.
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2019 KY Health Coalitions Directory
If you are involved in a Kentucky health coalition, we want to hear from you! Please enter the coalition’s information for the Foundation for a Healthy Kentucky’s 2019 Health Coalition Directory by April 19.
The Foundation for a Healthy Kentucky's goal in publishing the Kentucky Health Coalition Directory is to support the important work coalitions do by offering capacity building trainings, sharing funding opportunities, and connecting people with shared interests in order to foster collaboration. We want to see every county and every coalition included!
Follow the link: https://www.surveymonkey.com/r/KYHealthCoalitionDir to submit your Coalition’s information before April 19.
If you have questions about the directory, please contact Rachelle Seger at rseger@healthy-ky.org or 502-238-2139.
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eClinicalWorks - Work Smart Webinar Series
eClinicalWorks started Work Smart Webinar Series in 2019. The last two webinars on EMR and Billing Tips and Tricks were well attended. This month we have “Exchange data with other EHR seamlessly” webinar on 4/25 at 2PM EST. It would be great if you can notify eCW Health Centers in your state about this webinar on Interoperability.
eClinicalWorks customers can go to their Support Portal - my.eclinicalworks.com > knowledge > health centers > webinars to sign up for this and future webinars. Below is the abstract for your reference.
Abstract:
Overcoming the barriers that divide medical systems is a key step toward ensuring providers have all of the information they need to provide quality care and ensure patient safety. eClinicalWorks is live with Carequality and CommonWell Health Alliance, the leading frameworks for the exchange of clinical data among EMRs to support our providers in this on-going effort. In addition to these new initiatives, existing integrations including Direct and Health Information Exchanges are key to more seamless data flow industry-wide.
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Uniform Data System Updates
- When Will the 2018 Uniform Data System (UDS) Data Be Ready?
HRSA has received several inquiries about the timing of the 2018 UDS data release. We are reviewing the data included in the health center reports and expect to release the data in August on HRSA’s website.
- UDS Reporting Survey
As part of the UDS Modernization Initiative, new functionalities within the EHBs and new offline reporting features were introduced for the 2018 reporting period. We invite all health centers to provide feedback for improvement through a short survey, which should take no more than five minutes to complete. Participation is voluntary and all responses are anonymous. The survey will close on Friday, May 3.
- 2019 UDS Reporting Changes TA
HRSA presents a TA webinar that will provide an overview of the changes for the calendar year (CY) 2019 UDS data collection and reporting activities for reports submitted by February 15, 2020. We will also discuss possible changes for 2020 UDS and revised clinical measures resulting from continued alignment with electronic specified clinical quality measures. Read a summary of the approved changes in the UDS Changes Program Assistance Letter (PAL).
Thursday, May 9
1:00-2:30 p.m. ET
Join the webcast the day of the session
Call-in: 888-233-9404
Passcode: 6379668
Register here and we’ll send you presentation materials ahead of time.
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2019 KPCA Spring Conference Registration is still OPEN!
Thursday, May 16th & Friday, May 17th, 2019
Embassy Suites, 1801 Newtown Pike, Lexington, KY, 40511
This year's Spring Conference theme will be "Changing the Quality Calculus from Pay-for-Performance (P4P) to Value-Based Care
Agenda
Register & See More
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KPCA's Shared Services Corner
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KPCA Offering Member Clinics Access to Modules within MedTrainer
The Kentucky Primary Care Association is presenting members with a new way to manage some of your compliance requirements by providing a single source solution to the administration of some key compliance folders and putting them in one place for easy tracking and auditing.
MedTrainer will provide easy access to you and your employees for online healthcare focused training, bringing e-learning to life, easy access by employees to learning curriculums they can access from anywhere; MedTrainer offers Compliance tools that allows clinics to manage many different types of risk related activities from one easy location through an incident reporting tool; risk assessment tool; compliance checklist; OSHA reporting; and HIPAA Risk mitigation.
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Check out KPCA's Newest Provider Recruitment Partners!!
The Inline Group solves unsolvable physician and advanced practitioner staffing problems through truly innovative technology, a pioneering model and passionate specialists who actually care. Focused on primary care, behavioral health and urgent care specialties, the group aims to ease the pain felt by employers and practitioners by transparently providing highly personalized introductions with no strings attached.
Members, please log in to your KPCA account to view the The Inline Group Agreement for Use.
Contact Information
If you have any questions about the The Inline Group, please let Lindey Young, lyoung@kypca.net know!
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New Funding Opportunities
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New Supplemental Funding Opportunity Available: FY 2019 Integrated Behavioral Health Services
On Friday, March 29, HRSA announced the availability of $200 million in supplemental funding to health centers for Integrated Behavioral Health Services (IBHS). IBHS funding will increase access to high-quality integrated behavioral health services, including prevention or treatment of mental health conditions and/or SUDs, including opioid use disorder (OUD).
Eligible health centers will receive emails announcing the availability of the Electronic Handbooks (EHBs) application module on Friday, April 5. Applications are due in EHBs by Monday, May 13, at 5:00 p.m. ET.
Join us for one or both of the upcoming live Question and Answer (Q&A) Sessions:
- Monday, April 15, noon-1:30 p.m. ET
- Monday, April 29, noon-1:30 p.m. ET
Be sure to watch the recorded presentation prior to the Q&A Sessions. Visit the technical assistance (TA) webpage for connection details for the Q&A Sessions and additional TA resources. Contact the IBHS TA Team with questions
New Funding Opportunity: Oral Health Infrastructure
On Friday, March 22, HRSA announced the availability of $76 million in one-time supplemental funding for Oral Health Infrastructure (OHI) to support health center infrastructure enhancements. These investments will increase access to new or enhanced high-quality, integrated oral health services, including those provided via telehealth and virtual dentistry
Applications are due in Grants.gov by Monday, April 22 (11:59 p.m. ET), and EHBs by Tuesday, May 21 (5:00 p.m. ET). Visit the OHI TA webpage for more information and contact the OHI TA Team with questions.
National Health Service Corps develops new Rural Community Loan Repayment Program
National Health Service Corps (NHSC) officials have announced that a new financial assistance program for health care providers -- the Rural Community Loan Repayment Program -- will accept applications later this spring. The program is designed for professionals working to combat the opioid epidemic in the country's rural communities.
Developed in coordination with the Federal Office of Rural Health Policy's Rural Communities Opioid Response Program initiative, the NHSC's new program seeks to expand access to evidence-based substance use disorder treatment, assist in recovery, and prevent overdose deaths.
Basic information about the program can be found here. More details -- including application instructions and the application deadline -- will be posted at a later date
National Health Service Corps Scholarship Program
Through the Health Resources and Services Administration, the National Health Service Corps (NHSC) will provide tuition, fees, and monthly stipend for full-time enrollment in primary health care professions training for up to four school years. In exchange, NHSC scholars will commit to serving in a high-need urban, rural, or frontier community upon graduation.
Apply now through May 16, 7:30 p.m. ET
2019 Application and Program Guidance
NHSC Scholarship Application Webinar
Thursday, April 18 from 1-2 p.m. ET
Join the webinar 
Dial-in: 800-857-4256 | Passcode: 9890584
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Outreach & Enrollment Update
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KPCA is a proud supporter and member of the Oral Health Progress and Equity Network (OPEN).
Webinars
Oral Health Infrastructure Toolkit
Friday, April 12, Noon-1:00 p.m. ET, Register here
Fundamentals of Health Center Dental Programs for Non-Clinicians: Financials
Thursday, April 18, 1:00-2:00 p.m. ET Register here
**1.0 CDE credit**
Evaluating Your Infection Prevention and Control Program
Tuesday, April 23, 2:00-3:00 p.m. ET , Register here
Interprofessional Practice
Thursday, April 25th, 1-2 pm ET, Register
Promoting equity in children’s dental care through Medicaid and CHIP
Tuesday, April 30th, 2 pm ET, Register
Oral Health for Patients with Developmental Disabilities
Tuesday, Apr 30, 2019 4 - 5 pm ET Register
Using the Health Center Dental Dashboard for Tracking, Measuring, and Improvement
Thursday, May 9, 1:00-2:00 p.m. ET Register here
Events
American Association for Community Dental Programs
Sunday, April 14th, Memphis, TN See Agenda here
National Oral Health Conference
April 15-17, Memphis, TN See More
2019 DQA Conference
May 17-18, Chicago, Ill., Register
Tri-State Oral Health Summit
June 14-15, Birmingham, AL Register
2019 CAMBRA Coalition Conference
August 15-16, Denver, Colorado, See More
ADA/FDI World Dental Congress
September 4-8 - San Francisco, CA See More
NNOHA Annual Conference
October 13-16, Las Vegas, NV See More
Opportunity for Funding
Networks for Oral Health Integration within the Maternal and Child Health Safety Net - Apply by April 29
Ryan White HIV/AIDS Program Part F Dental Reimbursement Program - Apply by April 25
On-Demand Webinars
Resources
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Pharmacy Update: Communicate Effectively
Effective communication is born out of effective listening. Start with open-ended questions which should allow one to learn more about a patient’s specific difficulties and tailor any counseling to that specific situation. It is important to check your patients’ understanding of medication instructions. Research has shown that patients are three times more likely to not take their medications when their providers did not have a collaborative communication style. Patients were also six times less likely to take their medications when a healthcare provider didn’t ask about social issues such as housing, employment and partner relationships.
Misconceptions, poor communication keep eligible adults from statin use-According to a new report in the Journal of American Heart Association many patients who could benefit from taking statins have never been prescribed them, and those who were offered or initiated treatment don’t take them now because of side effects or fear of side effects. Patient surveys were used to determine why they underutilized statins including non-initiation, refusal, and discontinuation. Of those not on a statin, 59.2% reported never being offered a prescription; while 10.1% declined a statin; and 30.7% had discontinued therapy. The most common reasons listed for declining or discontinuation statins were fear of side effects and perceived side effects. The study also reported responses that many people perceived statins as unsafe (70.4% of current users vs. 36.9% of those who declined and 37.4% of those who discontinued) or ineffective (86.3%, 67.4% and 69.1%, respectively). The willingness to take a statin was high at 67.7% of those never offered, and 59.7% of patients who discontinued a statin said they would consider initiating or retrying a statin. The study did accept the possibly that some people may not have remembered being offered a statin so that may have been a reason for overestimation of percentage of people who were never offered one. However, if a patient does not remember the conversation, maybe the discussion was not an effective one.
All content provided by Paula Straub, RPh, Precision Healthcare Delivery.
Pharmacy Access Office Hours on Thursday April 18, 2:00 ET will focus on Clinic-Administered Drugs
Pharmacy Access Office Hours are a monthly opportunity for health center and PCA staff to ask questions and share information about pharmacy-related issues access activities. They are supported by NACHC’s cooperative agreement with BPHC, and are held the third Thursday of each month at 2:00pm Eastern. This month’s session will include a brief presentation about reimbursement, 340B, and related issues involving clinic-administered drugs. Participation is free and there is no pre-registration; simply log-in here at 2:00pm ET on Thursday, April 18. Questions submitted in advance to Colleen Meiman at cmeiman@nachc.org will receive priority.
Ceiling price for drugs purchased under 340B is now available on HRSA database
Effective Monday April 1, health centers and other 340B-eligible providers can verify the “ceiling price” for all the drugs they purchase under 340B. The ceiling price is the maximum amount that a manufacturer may charge for a drug; however, it may not match a health center’s actual cost for a drug, as it does not include fees paid to distributors, or additional discounts that the manufacturer offers voluntarily. More information on HRSA’s Ceiling Price Database – including who can access the pricing data and the confidentiality restrictions that apply -- is available in this HRSA webinar. More information on 340B pricing is available in Chapter 4 of the NACHC 340B Manual for Health Centers.
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April
Oral Health Infrastructure Toolkit
Friday, April 12, Noon-1:00 p.m. ET, Register here
FY 2019 Integrated Behavioral Health Services Q&A Session
Monday, April 15, Noon-1:30 p.m. ET, Join the webcast the day of the session
Call-in: 888-233-9404, Passcode: 6747147
American Telemedicine Association Annual Conference and Expo
April 14-16, New Orleans, LA, Register
2019 National Rural EMS & Care Conference
April 17-18, Charleston, SC, Register
Beyond Quality of Care Measures: Preventing Cervical and Breast Cancer in Health Center Programs
Thursday, April 18, 1:00-2:00 p.m. ET, Register here
Fundamentals of Health Center Dental Programs for Non-Clinicians: Financials
Thursday, April 18, 1:00-2:00 p.m. ET Register here
**1.0 CDE credit**
NACHC Pharmacy Office Hours: Clinic-Administered Drugs
Thursday, April 18, 2:00-3:00 p.m. ET, Join office hours the day of the session
Submit a question in advance
Diabetes Continuum of Care: Using Health Promotion/Behavior Change to Address Childhood and Adult Obesity and Diabetes
Thursday, April 18 2:00-3:30 p.m. ET Register here
Using Health Information Technology to Enhance Opioid Use Disorder Treatment
Thursday, April 18, 3:00-4:30 p.m. ET, Register here
The Health Information and Technology, Evaluation and Quality Center (HITEQ) Highlights: Using Health Information Technology to Enhance Opioid Use Disorder Treatment
Thursday, April 18, 3:00-4:30 p.m. ET, Register here
Western Kentucky RHC Network Meeting
Friday, April 19, Hopkinsville, KY, Register
Chronic Disease Self-Management Program Master Trainer Course
April 22nd -26th, Prestonsburg, KY, See More, Register
UDS Mapper Special Topics
Tuesday, April 23, 2:00-3:00 p.m. ET, Register here
Evaluating Your Infection Prevention and Control Program in Dental Settings
Tuesday, April 23, 2:00-3:00 p.m. ET , Register here
Diabetes Continuum of Care: Using the CHW and Enabling Services Workforce to Address SDOH and Diabetes
Tuesday, April 23, 2:00-3:30 p.m. ET Register here
Patient-Centered Medical Home Teleconferences: PCMH Standards, Part 2
Tuesday, April 23, 2:00-4:00 p.m. ET
Call-in: 844-676-8471, Conference ID: 1400361
The Health Information and Technology, Evaluation and Quality Center (HITEQ) Highlights: Growing and Sustaining a Data Driven Culture
Tuesday, April 23, 3:00-4:00 p.m. ET, Register here
Streamlining Medicare Site Enrollment
Wednesday, April 24, 2:00-3:30 p.m. ET, Join the webcast the day of the session
Call-in: 888-233-9404, Passcode: 8901264
Interprofessional Practice
Thursday, April 25th, 1-2 pm ET, Register
Two Sides of the Same Coin: Addressing SDOH and Enabling Services Data Collection
Thursday, April 25, 1:30-2:30 p.m. ET, Register here
Building Surge Capacity for Health Centers
Thursday, April 25, 2:00-3:00 p.m. ET, Register here
National Rx Abuse & Heroin Summit
April 22-25, Atlanta, GA, Register
Central States Integration Summit
April 25-26th, 2019, La Vista, Nebraska, Draft Agenda, Register
Improving HPV Vaccination Rates in Schools
Friday, April 26, 2019, 8:30 AM - 3 PM, Cincinnati, OH Register
Caring for Aetna Better Health female members, HEDIS, and how to reduce your practice “no-show” rate
Monday, April 29th, 12 pm ET, Register
Promoting equity in children’s dental care through Medicaid and CHIP
Tuesday, April 30th, 2 pm ET, Register
Caring for Aetna Better Health female members, HEDIS, and how to reduce your practice “no-show” rate
Tuesday, April 30th, 3 pm ET, Register
The “Shoestring Budget” Plan for Doing HPV Vaccination Quality Improvement in Primary Care Offices
Tuesday, April 30, 2019 3-4:15 Pm ET Register
Oral Health for Patients with Developmental Disabilities
Tuesday, April 30, 4:00-5:00 p.m. ET, Register here
May
Telehealth & Chronic Care Management
Wednesday, May 1, 2:00-3:00 p.m., Register here
Community Health Workers in HIV Care: Insights from the Field
Thursday, May 2, 2:00-3:00 p.m. ET, Register here
HEP Talk: Hepatitis B Testing
Thursday, May 2, 3:30-4:15 p.m. ET, Join the webcast the day of the session
Call-in: 888-469-1381, Passcode: 5689947
KRHA Northeast Regional Meeting
Friday, May 3rd, Morehead, KY Register
42nd Annual National Rural Health Association Rural Health Conference
May 7-10, Atlanta, GA, Register
2019 Kentucky Asthma Symposium
May 7th, Georgetown, KY, Register
2019 Allergy & Asthma Day on Capitol Hill
May 8th, Washington, DC, Register
Introduction to the UDS Mapper
Wednesday, May 8, 2:00-3:00 p.m. ET, Register here
Using the Health Center Dental Dashboard for Tracking, Measuring, and Improvement
Thursday, May 9, 1:00-2:00 p.m. ET Register here
Opioid Abuse Disorder Care & Community Alignment Workshop
Monday, May 13th, Pikeville, KY Register
Diabetes Care & Community Alignment Workshop
Tuesday, May 14th, Hazard, KY, Register
2019 KPCA Spring Conference
May 16 - 17, Lexington, KY, Register
Kentucky Telehealth Summit
Thursday, May 23rd, Bowling Green, KY Register
Motivational Interviewing for Vaccine Hesitancy Train the Trainer Workshop
Thursday, May 23, 9:00 AM to 4:30 PM, Lexington, KY Register
Assessing Risk and Providing Basic Services at Primary Care Settings
Thursday, May 23, 2:00-3:00 p.m. ET, Registration information coming soon
UDS Mapper Advanced Topics: Opioid Intervention
Friday, May 24, 11:00 a.m.-noon ET, Register here
Get SMART: Safe Means of Administering the Right Therapy
May 29th & 30th , Bowling Green, KY See More
June
Connecting Clients to Oral Health Services
Thursday, June 6, 2:00-3:00 p.m. ET Registration information coming soon
2019 Kentucky Rural Health Clinic Summit
Friday, June 7th, Richmond, KY Register
Diabetes Care & Community Alignment Workshop
Wednesday, June 19th, Bowling Green, KY Register
Kentucky Opioid Summit
Monday, June 24th, Lexington, KY, See More
2019 Kentucky Medical Law Update
Tuesday, June 25th, Morehead, Ky Register
July
2019 KRHA's Viral Hepatitis Conference
Wednesday, July 31st, Lexington, KY Save the Date
August
Annual Kentucky eHealth Summit
August 15-16, 2019, Lexington, Ky Save the Date
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Grant and Scholarships Opportunities
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