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New Hampshire CEO Update

June 24, 2022
New Hampshire Updates

New Hampshire Health Alert Network

On June 20th, NH DHHS released a HAN announcing that the CDC’s Advisory Committee on Immunization Practices unanimously voted to recommend COVID-19 vaccination for infants and young children using either the Moderna (for persons 6 months through 5 years of age) or the Pfizer-BioNTech (for persons 6 months through 4 years of age) COVID-19 vaccines.

On June 6th, NH DHHS released its second HAN regarding the Monkeypox outbreak, when Monkeypox testing should be considered, and additional resources for health care patients and providers.

On May 20th, NH DHHS released its first HAN regarding Monkeypox with clinical recommendations. 

Office of Congressman Chris Pappas - Baby Formula Shortage Resources

The Office of Congressman Chris Pappas has shared the resources below for parents looking for the most up-to-date public health guidance on baby formula, including specialty formula. Please share these resources with your staff and community members.   In New Hampshire, the State WIC Program has approximately 70 formulas that can be issued, which has significantly increased available options. Here is the current formulary, updated June 15, 2022, and instructions for converting from metric to ounces.

If anyone has any questions they should contact their local WIC agency. Nutrition staff will assist families who have questions, need to have their formula changed on their e-WIC card, or need help on preparation of international formulas.
 
It is important that providers write down all the brands when requesting special formula, including store brands, on the formula line. This way nutrition staff can work with the family to change the assigned food package over the phone based on availability in the store. This can be done even while the participant is shopping if necessary.

Thank you for all of your help getting the word out in your communities! 

Announcing Wellness Link

The Partnership for Public Health, Inc. has officially launched WellnessLink! PPH is one of New Hampshire’s 13 regional public health networks and has partnered with UNH’s Center on Aging and Community Living and NH Department of Health and Human Services to deliver a one-stop resource for COVID-19 related concerns for older people. Older people in New Hampshire can protect their health by calling 866-452-1693. They will receive, at no-cost-to-them, easy to understand, accurate coordination and information for COVID-19 testing, vaccination and follow-up care. Please share the WellnessLink “Protect Your Health” flyer in your networks.
Federal Updates

SCOTUS

Earlier today, the Supreme Court released the anticipated decision that overturns Roe v. Wade and Planned Parenthood v. Casey. The decision is similar to the leaked draft, but includes the dissent and a response to the dissent. Some early reporting can be found on CNN and The Washington Post (Scotusblog has a brief article and will post their detailed analysis later today or tomorrow). Bi-State released the following statement on the decision:
 
The Supreme Court’s decision to overturn Roe Vs. Wade will have a profound negative impact on a person’s ability to protect their mental and physical wellbeing.  Every person should have the right to control their own health care decisions. As a health care organization, we strongly believe individuals should be able to access all the services they need – including reproductive services. We are disheartened to learn of the recent Supreme Court decision that restricts those rights.

First Edition of Climate and Health Outlook from HHS and OCCH

The Office of Climate Change and Health Equity and the Department of Health and Human Services have released the first edition of Climate and Health Outlook. The May 2022 edition discusses Extreme Heat.  

FTCA Deeming Applications Due July 8

FTCA deeming applications for CY2023 are due 7/8/22 at 11:59 pm. If you do not create and submit an FTCA application by this deadline, you will have to reapply as an initial applicant and may be subject to a site visit prior to obtaining deeming approval for CY 2023. HRSA has shared the following resources to support this process (including the attached Credentialing and Privileging List Quick Reference Guide:  
  • Calendar Year (CY) 2023 Program Assistance Letter (PAL 2022-01)  
  • The Health Center Program Compliance Manual - includes all of the credentialing and privileging requirements of: Chapter 5: Clinical Staffing, Chapter 10: Quality Improvement/Assurance, and Chapter 21: FTCA Deeming Requirements 
  • The Health Center FTCA Program CY 2023 Deeming Office Hours.
    • June 27, 2022, 2:00-3:00 pm
      • Claims Management Requirements
      • Risk Management Requirements
Questions should be directed to Health Center Program Support (formerly the BPHC Helpline) by phone: 877-464-4772 (option 1) or in this online form

Fenway Institute Monkeypox Information

The Fenway has a Monkeypox Information landing page on their website to ensure accurate information for the LGBTQI community. Live links to the IDSA Monkeypox in the U.S. presentation, printable infographics, and fact sheets for gay and bisexual men are on the Information page. (Please note: The July 13th video posted here has good discussion on addressing stigma at approximately 39 minutes).

COVID-19 Vaccine Available for Children Under 5

On Saturday, June 18, CDC’s Advisory Committee on Immunization Practices (ACIP) recommended the use of COVID-19 vaccine for patients ages 6 months-4 years (Pfizer-BioNTech) and ages 6 months-5 years (Moderna). See the CDC statement. These recommendations are in line with Authorizations of the Pfizer-BioNTech and Moderna COVID-19 vaccines for this age group. We encourage you to make these vaccines available to children under 5 as soon as possible.
 
Pediatric COVID-19 Vaccination Resources: The following resources are available to help health centers implement the recommendation for vaccines for children:

EUAs: Other Resources: 
Emergency Preparedness

Emergencies Happen: What Health Centers Need To Know

As of this month, both hurricane and wildfire season have begun. But we know that emergencies can impact health centers at any time. Health centers and Primary Care Associations  play an important role before, during, and after emergency events. During emergencies, PCAs gather critical health center information and report the status of service delivery sites to HRSA. For health centers in impacted areas, we ask that you report site-level status to your PCA as soon as you are able. If you have questions about program requirements or scope of project, please use the BPHC Contact Form. Visit HRSA’s Emergency Preparedness, Response, and Recovery Resources for Health Centers webpage for information about change in scope for temporary sites, 340B program enrollment under emergency declarations, and FTCA coverage during emergencies.

Bi-State's Emergency Preparedness Google Drive

Bi-State is continuously updating an Emergency Preparedness Google document. To request help with a table top exercise, after-action review, or other training needs, please contact Colleen at cdowling@bistatepca.org, and we can link you to the state coalition who are glad to assist!

GSHCC Weekly Newsletter

Click here to view the Granite State Health Care Coalition's Newsletter with emergency preparedness engagement opportunities. 
Bi-State's Meeting Schedule

NH CEO Meetings

First Tuesday of the month, 9:00-11:00 am
We will not be holding NH CEO Calls during July and August. 

NH & VT CFO Meetings

Every other month, third Thursday, 1:30-2:30 pm

NH & VT CMO Meetings

Bi-Weekly, Wednesdays, 7:30-8:15 am
CMO calls are held the 1st & 3rd Wednesday of the month for 45 minutes.
Vaccine Confidence Resources
Bi-State's Vaccine Confidence Google Drive
Bi-State is continuously updating a COVID-19 vaccine resource and vaccine confidence Google document with the most recent information at the top of each section.
Questions for Bi-State?

New Hampshire
Please contact:
Colleen Dowling
603-228-2830 Ext. 127
cdowling@bistatepca.org

Vermont
Please contact:
Kaylana Blindow
802-229-0002 Ext. 226
kblindow@bistatepca.org
Snake relaxing on a hemlock branch. 
Photo credit: Ashley Zickefoose
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