HRSA Bureau of Primary Health Care AllPrograms Webcast

HRSA Bureau of Primary Health Care All-Programs Webcast Speaker notes: [2: 00 – 2: 03 p. m. – 3 minutes] Tuesday, July 23, 2019 Jim Macrae Associate Administrator Bureau of Primary Health Care (BPHC) • Good afternoon, and good morning to folks out on the West coast. • Welcome to the HRSA Bureau of Primary Health Care’s July All-Programs Webcast!

AGENDA BPHC All-Programs q What’s Happening q Diabetes q Ending the HIV Epidemic q Continuous Compliance q Mark Your Calendar q Q&A Speaker notes: [2: 03 – 2: 05 p. m. – 2 minutes] • Our Agenda for today: • We have a lot to cover on our agenda today, including updates on funding, diabetes and HIV. • Then we’ll hear from Tasha Akitobi with some important information about Continuous Compliance • Q&A – We will have plenty of time for questions, which you can start asking questions now. Please use the “submit a question” button toward the top of the window under the HRSA logo. 2

Recognition • Health Center Quality Leader: Coming Soon! • National Quality Leader: Coming Soon! Speaker notes: [2: 05 – 2: 08 p. m. – 3 minutes] • As part of our commitment to recognize health centers as quality leaders, we will once again be issuing quality awards. Congratulations to all of you who receive this recognition and thankyou for the quality care you provide. 3

Health Center Week Celebrating America’s Health Centers: Rooted in Communities August 4 -10 Speaker notes: [2: 08 – 2: 10 p. m. – 2 minutes] Health Center Week is just a couple weeks away! The 2018 UDS data is scheduled to release during this week so please stay tuned. 4

Upcoming Awards July -Health Center Controlled Networks [2: 10 – 2: 16 p. m. – 6 minutes] Now let’s talk about upcoming grant awards. In July, we will release the new HCCN awards. This is exciting because we have more health centers participating in these networks than ever before. In August, we will be making QIA and IBHS awards. Finally, in September, we will be awarding New Access Points and supplemental funding for Oral Health Infrastructure awards. August -Integrated Behavioral Health Services -Quality Improvement Awards September -New Access Points -Oral Health Infrastructure 5

Health Workforce Connector Post Training Opportunities • Advertise training opportunities for students • View profiles of interested candidates • Post opportunities for expanded discipline/specialty groups Visit Connector. hrsa. gov Speaker notes: [2: 16 – 2: 18 p. m. – 2 minutes] In addition to connecting career-seeking clinicians with National Health Service Corps (NHSC) and Nurse Corps-approved sites, the Health Workforce Connector now allows site recruiters to post training opportunities for students. Speak to thousands of trainees and clinicians who are actively seeking employment. Connect with trainees committed to your mission! Also, the next Virtual Job Fair is scheduled for August 7. Secure a 15 -minute time slot to discuss your health center’s benefits, clinical environment, and populations served, with a motivated audience of career-seeking clinicians nationwide. Speak to thousands of trainees and clinicians who are actively seeking employment. Interested health centers can visit Jobfair. hrsa. gov to register. Register for the August 7 Virtual Job Fair at jobfair. hrsa. gov. 6

New Departmental Initiatives Ending the HIV Epidemic Advancing American Kidney Health Speaker notes: [2: 18 – 2: 27 p. m. – 9 minutes] As many of you know, earlier this year the Department announced the “Ending the HIV Epidemic: A Plan for America” initiative seeking to reduce new HIV infections to less than 3, 000 per year by 2030. The initiative will focus initial efforts in 48 counties, Washington, DC, San Juan (PR), and seven states with substantial rural HIV burden. BPHC is working with our HRSA partners on finalizing a NOFO for release later this summer, so stay tuned. In the mean while, feel free to visit BPHC’s newly updated HIV and Health Center Promising Practices webpages for HIV data and resources. Also, on July 10 th, the White House launched the Advancing American Kidney Health initiative seeking to improve the lives of Americans suffering from kidney disease, expand options for American patients, and reduce healthcare costs. Diabetes is the leading cause of kidney disease in the United States. Approximately 1 out of 4 adults with diabetes has kidney disease and patients with poorly controlled diabetes are at increased risk for chronic kidney disease, a condition which can cost approximately $70, 000 to $90, 000 per patient per year. (United States Renal Data System, 2013). Routine screening and monitoring of blood glucose levels with hemoglobin A 1 c (Hb. A 1 c) tests as well as foot and dilated eye exams have been shown to help prevent or mitigate complications of diabetes, including diabetic neuropathy, retinopathy, vascular, and kidney disease. Health centers already play a critical role in promoting diabetes management, and preventing kidney disease. Last year, health centers cared for over two million adult patients with diabetes and nearly one-third of them had poorly controlled diabetes (defined as Hb. A 1 c >9% or no test within the year). In the coming year, BPHC will look to expand its Diabetes Quality Improvement Initiative efforts to further support kidney health. 7

Continuous Compliance Speaker notes: [2: 27 – 2: 37 p. m. – 10 minutes] Now I’m going to turn it over to Tasha Akitobi from the Health Services Offices to talk about Continuous Compliance. Tasha Akitobi, Senior Advisor Office of Southern Health Services 8

Support for Continuous Compliance Reduced Number of Conditions Technical Assistance Faster Resolution of Conditions Tools (SVP, Conditions Library) Compliance Manual Fewer compliancerelated one-year project periods 9

Continuous Compliance: FY 2019 Service Area Competition Applications FY 2019 SAC Applications Awarded and Use of External Correspondence (EC) FY 2019 SAC Applications With and Without Conditions 6; 1% 160; 34% 310; 66% No preliminary findings of noncompliance Preliminary findings resolved through EC 470; 99% With No Conditions With Conditions Source: HRSA Electronic Handbooks 10

Continuous Compliance: CY 2019 Operational Site Visits Non-Compliant Element Totals for Health Centers in CRO 32; 28% 82; 72% OSVs With All Conditions Resolved through CRO OSVs With Some Conditions Resolved through CRO Number of Health Centers CY 2019 OSVs With Conditions Resolved through CRO Number of Non-Compliance Elements in Initial CRO Source: HRSA Electronic Handbooks (Date Range 1/22/2019 -6/24/2019) 11

Continuous Compliance: CY 2019 Operational Site Visits Top 5 Non-Compliant Elements Identified on-site Program Requirement Element Required and Additional Services a. Providing and Documenting Services within Scope of Project Board Authority c. Exercising Required Authorities and Responsibilities Clinical Staffing d. Procedures for Review of Privileges Clinical Staffing Top 5 Non-Compliant Elements Placed as Conditions Program Requirement Element Required and Additional Services a. Providing and Documenting Services within Scope of Project Clinical Staffing f. Credentialing and Privileging of Contracted or Referral Providers Board Authority f. Credentialing and Privileging of Contracted or Referral Providers c. Exercising Required Authorities and Responsibilities Clinical Staffing e. Credentialing and Privileging Records Contracts and Subawards f. Required Contract Provisions Source: HRSA Electronic Handbooks (Date Range 1/22/2019 -6/24/2019) 12

Top Tips • Address the areas of non-compliance immediately • Monitor EHB/e-mail and quickly respond to CRs • Review the draft site visit report within the CR and the specific condition language to determine what is needed to demonstrate compliance • The on-site BPHC Representative is your POC for CR-related inquiries Speaker notes: Important Tips: • Begin working on the areas of non-compliance immediately so you are able to take full advantage of the process • Routinely check EHB/e-mail to quickly identify Correspondence Requests • Be timely in responses to requests • Review the draft site visit report attached within the Correspondence Request (CR) and the specific condition language to identify what documentation is needed to submit to HRSA in order to demonstrate compliance • The on-site BPHC Representative is the point of contact for any questions related to the Correspondence Request Notes: External Correspondence will be used again for FY 2020 SAC/RDs Compliance Resolution Opportunity will continue to be used throughout 2019 BPHC will continue to refine the process, system and FAQs Provide feedback through the site visit evaluation task and upcoming stakeholder surveys 13

Mark Your Calendar Upcoming All-Programs Webcasts § Tuesday, September 24 § 2 -3 p. m. ET § Thursday, November 21 § 2 -3 p. m. ET Speaker notes: [2: 37 -2: 38 p. m. – 1 minute] [Tonya] Thank you, Tasha! Now let’s look at some upcoming calendar items. We’ve added this slide in direct response to feedback we received on our previous All-Programs webcast survey. We also include important events and trainings in every edition of the Primary Health Care Digest newsletter. 14

Mark Your Calendar Upcoming Webinars: 1. Read about them in the Primary Health Care Digest. 2. Visit the Technical Assistance Calendar on our website. Speaker notes: [2: 38 -2: 39 p. m. – 1 minute] • • • We’ve planned a number of webinars on topics that we know are important to all of you, for example, building behavioral health workforce capacity or using home visiting partnerships to promote maternal and child health. You can find out more about upcoming webinars in two ways: reading the Digest (the details about those I just mentioned are in today’s Digest) or visiting the Technical Assistance Calendar on our website. I encourage you to check out these opportunities! 15

Speaker notes: [2: 39 -2: 40 p. m. – 1 minute] Mark Your Calendar HRSA-Sponsored Regional Trainings on PCMH HRSA is sponsoring (and Primary Care Associations have organized) some Patient-Centered Medical Home regional trainings. Health Center, PCA, HCCN, and NCA staff are eligible to register. The trainings will cover the National Committee for Quality Assurance’s Intro and Advanced courses. • The intro course covers the process for achieving PCMH recognition and the concepts of PCMH transformation. • The advanced course is for individuals who have applied NCQA PCMH Recognition requirements in the practice setting and will cover key characteristic to sustain a successful medical home. We’ve shared the registration information in past Digests, including this morning’s, but will repeat it again in next week’s issue. Region 8: Aug 7 -9 Region 1: Sep 25 -27 Region 4: Oct 22 -24 Region 5: Nov 12 -14 Region 9: Nov 19 -21 Trainings for Regions 6 and 10 are completed 16

Q&A Thank you for participating! To ask a question, use the “submit a question” button at the top of the window under the HRSA logo You can also dial 1 - 877 -917 -3612 Use the passcode: “Webcast” Please then press *1 to enter the question queue Please mute your computer speakers when asking a question Speaker notes: [2: 40 -2: 55 p. m. – 15 minutes] We are ending a few minutes early to complete our survey. Thank you in advance for sharing your valuable feedback. Please remember to complete today’s survey 17

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