This session will provide the latest updates from the three national patient-centered medical home (PCMH) organizations recognized by HRSA through its Accreditation and Patient-Centered Medical Home Recognition Initiative, which has as its priority to support health centers to achieve national quality standards and ongoing quality improvement. Speakers from the National Committee for Quality Assurance (NCQA), The Joint Commission (TJC), and the Accreditation Association of Ambulatory Healthcare (AAAHC) will discuss their PCMH recognition/accreditation programs: new and existing programs, benefits and challenges, start-up and maintenance, and guidance around top risks and stumbling blocks.
Since enacted in August of 2014, the Veterans Access, Choice and Accountability Act ("Choice Act") has expanded options for how veterans enrolled for healthcare with the VA can choose to access healthcare in their communities. The Choice Act opened the door for health centers to serve more veterans in their communities and strengthen partnerships with both local VA facilities and veteran non-profit organizations in the community. Since becoming law, the Choice Act has been refined and updated to simplify processes and better meet the needs of veterans.
The extension of the Choice Act beyond August 7, 2017, provides time for congressional and VA leadership to work on further needed changes to this act. Of interest to health centers is the notion of an expanded and improved community provider program. Earlier efforts in this area have named health centers as "core" community providers in any expanded community care partnership arrangements. This session will provide an update on the Choice program and other VHA programs directed at providing veterans care within their communities; detail resources and strategies aimed at increasing veteran community care; and highlight health centers that are connecting, engaging, and serving veterans within their communities.
The congressional landscape in 2017 has been a roller coaster, with major debates on budget priorities, healthcare, and other key policy issues that directly impact health centers and our patients. We'll look at the latest developments on Capitol Hill, including what's happening with the health center funding cliff, workforce policy, Medicaid, 340B, telehealth, and other priority issues. We'll also discuss how best to use the NACHC Federal Affairs team as a resource.
Emerging alternative payment models (APMs) and accountable care organization (ACO) models increasingly require accurate social determinant of health (SDH) and community resource information. Infrastructure and processes are required to collect and aggregate patient and community-level SDH data, and efficiently utilize it to connect patients to the right community services, evaluate risk, transform care, and maximize new payment models. In OCHIN's network, health centers have been using the Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences (PRAPARE) tool developed by NACHC, the Association of Asian Pacific Community Health Organizations, the Oregon Primary Care Association, and the Institute for Alternative Futures to collect and respond to SDH data. Presenters will share lessons learned on aggregating data across OCHIN's member health centers and analyzing that data to inform care transformation and APMs.
The UDS 2016 requirement to report sexual orientation and gender identity (SO/GI) data inspired health centers to collect this information from patients for the first time. In order to implement systems to collect this demographic data, many health centers learned that they needed to educate patients on the "why" of sharing this personal information; engage staff in understanding why care teams need to understand a patient's sexual orientation and gender identity; educate the healthcare organization about what factors may impact a lesbian, gay, bisexual, and/or transgender patient's quality of care and experience of care; and use quality improvement methods to develop systems incorporating workforce skills and responsibilities and HIT fields and forms to collect, report, and begin to use SO/GI data to improve patient care. In this two-hour session, experts from the field will share promising practices for collecting SO/GI data and then lead a discussion about outstanding challenges and next steps for use of SO/GI data.
Motivational interviewing (MI) is a counseling method for enhancing an individual's internal motivation for positive behavior change through exploring and resolving ambivalence. With this approach, patients are effectively engaged in a discussion about their problematic behavior, typically stemming from behavioral health and other medical and psychological conditions. In this session, attendees will learn that by employing a person-centered counseling style, care providers at all levels can improve communication with patients, more effectively explore and address problematic behaviors, improve patients' medical and psychological health, and reduce their own work stress. This course is intended for individuals with a beginning or intermediate MI skill level.
The National Institutes of Health's (NIH) All of Us (AoU) Research Program is a nationwide effort to gather health data from one million or more participants reflecting the nation's diversity, with a goal of generating a platform for biomedical research to improve health. Participants will contribute physical measurements, biospecimens, survey responses, and EHR data. AoU is initially recruiting participants in healthcare provider organizations (HPO) and direct volunteer sites across the country. In preparation for expanding this program within the safety net community, including Federally Qualified Health Centers (FQHC), AoU is piloting the implementation of this research protocol in six FQHCs. This "study within a study" is exploring and testing the implementation of the AoU research protocol within an FQHC setting and within the diverse communities they serve. The FQHC pilot will generate lessons learned and provide recommendations to scale-up participation to other FQHCs. Pilot FQHC sites, including Centro de Salud de la Communidad San Ysidro (CA), Community Health Center, Inc (CT), Central Mississippi Civic Improvement Association (MS), Hudson River Health Care (NY) Eau Claire Cooperative Health Center (SC), and Cherokee Health Systems (WV), will be on hand to share their experiences.
In order to comply with the CMS Covered Outpatient Drug Rule, states have implemented a variety of strategies to establishing 340B Medicaid policy through state plan amendments (SPAs). This session will provide an overview of the approaches states have taken that impact health centers, the trends nationally that have emerged, and both long- and short-term anticipated consequences. Pharmacy leadership from health centers will describe their experience working with Medicaid on 340B polices, as well as the risks and opportunities they have encountered. Presenters will focus on the unique experiences of health centers, based upon lessons learned in this emerging area.
In today's polarized political climate, the news media are increasingly focused on healthcare and proposals that will impact the future operations of community health centers. Health centers and associations are already fielding questions from reporters about the repeal of the Affordable Care Act, proposals to block Medicaid, and immigration-related policy actions. This session will review and share best practices from the field when engaging media on these and other hot-button topics.
En un mundo de cambios políticos constantes, financiamiento incierto y para mejorar el entendimiento de los factores sociales que afectan la salud. Hoy es más importante que nunca, que usted, como un defensor de los centros de salud de su comunidad tenga los instrumentos y recursos necesarios para ser un campeón para su centro de salud. Esta sesión cubrirá los principios básicos de la defensa y los nuevos recursos de la Red de Defensores de los Centros de Salud y lo que usted puede hacer para apoyar a su centro de salud. En la segunda parte, aprenderá las estrategias para desarrollar y motivar a la base de defensores comunitarios en su comunidad incluyendo el uso de las redes sociales y la colección de cuentos diseñados para atraer la atención a temas importantes. En esta sesión obtendrá un plan para organizar y movilizar a su comunidad, y pasar a la acción de apoyo a los centros de salud y la salud en su comunidad.