Main Street Lending Program: Nonprofit Organization Lending

The Federal Reserve Board modified the Main Street Lending Program to provide greater access to credit for small and medium-sized nonprofit organizations impacted by the COVID-19 pandemic. In particular, the Board approved two new loan options – Nonprofit Organization New Loan Facility (NONLF) and Nonprofit Organization Expanded Loan Facility (NOELF). As of August 25, 2020, the NONLF and NOELF are not yet accepting loans for purchase of a participation. Updates on the operational status of the NONLF and NOELF will be available on the Federal Reserve Bank of Boston’s website. For additional information and to access the latest FAQs, click here.

CPCA produced this webcast alongside Colleen Ramires and Chris Bell at Moss Adams to educate community health centers about the programs’ requirements and help them prepare for the NONLF and NOELF applications once they are available.

Certintell, a strategic partner of CPCA, created a simple three-step process (the SET Method) to help health centers start or restart a process to define what their telehealth program should involve:

Survey the resources available
Execute the plan defined
Transition any processes that need improvement

This tool provides an opportunity for health centers to step back and evaluate their current processes for virtual care or to re-imagine how virtual care fits best in their organization.

CPCA, in partnership with Constant & Associates, developed a Pandemic Operations Plan Template specifically for health centers which integrates best practices identified for COVID-19 and topics such as medical surge, infection control, messaging, continuity and local partnerships. The webcast features a walkthrough of the template and a discussion of recommended pandemic operations activities.

Design Thinking is a patient-centered process that explores challenges and focuses on the patient experience to improve outcomes. Community Health Solutions breaks down Design Thinking and highlights a case example that overcomes barriers and strengthens the integration of behavioral health and medical models.

Presented by:
Stephen Horan, PhD
President & CEO, Community Health Solutions

In this webcast, behavioral health clinicians from CommuniCare Health Centers walk us through the main elements of a virtual visit, including: logistical considerations, consent to treat, screenings, emergency safety planning, and documentation. The audience can hear sample language and see live documentation within the electronic record. The demo visit is accompanied by a brief Q&A with CommuniCare Chief Behavioral Health Officer. 

This webcast addresses best practices for impacting rates of colorectal cancer screening at Axis Community Health. The webcast provides health center history, care team structure, electronic health record (EHR) & reporting tools, patient engagement & outreach, and continuous quality improvement. 

Presented by:
Amit Pabla, MHA
Chief Quality & Information Officer
Axis Community Health

Food banks are potential health center partners who can help tackle food insecurity and distribute food to your community. In this webcast, the California Association of Food Banks will speak about the COVID-19 situation, provide an update on California Food Banks during this pandemic, and explain how community health centers can work with food banks to make sure California’s food safety net has access to food.

Learning Objectives:
• Understand the goals and mission of the California Food Bank Association 
• Understand how your health center can form a partnership with your local food bank to provide food options to your patients
• Identify key steps to take at a community health center to meet patients food insecurity needs during the pandemic and beyond

The Coronavirus Aid, Relief, and Economic Security (CARES) Act allocated $349 billion for loan guarantees through the Paycheck Protection Program at the U.S. Small Business Administration. 
  
Starting April 3, 2020, eligible community health centers can apply to pay their employees during the COVID-19 crisis. The loan proceeds can be used to cover payroll costs, and most mortgage interest, rent, and utility costs over an eight-week period after the loan is made. 
  
CPCA created a webcast alongside Melissa Schoen and MaryKate Scott to share important information on how community health centers can :
• Calculate the loan
• Use the loan fund
• Qualify for loan forgiveness
• Submit an application

This webcast also reviews recommended immediate next steps given that loan applications are processed on a first come, first served basis.

 

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The significance of encounter data in a value-based payment system cannot be underscored enough, yet according to needs assessment data from CPCA’s CP3 program, very few health center staff understand what encounter data is. Learn in very simple terms what encounter data is and why it’s important to a health center. 

Presented by Rachel Tobey, Director, John Snow, Inc.

This project was supported by the California HealthCare Foundation (CHCF), which works to ensure that people have access to he care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more. 

 

Providing effective health care requires timely and comprehensive data sharing.  Health centers are asked to report on an ever-increasing number of performance measures (UDS, HEDIS, P4P).  In addition, many of us rely on grants which requires data from regular reporting.  Much of the data that would be helpful isn’t easily available to health centers. This video will share more about why it is difficult for health plans to share data and identify opportunities on how to approach a collaboration with your local health plan.

Presenter: Elizabeth Sekera, RN, Manager, Population Health, San Francisco Health Plan

This project was supported by the California HealthCare Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more. 

Special thanks to Adam Sharma, MPA, Director, Health Outcomes Improvement, San Francisco Health Plan, for his research and contribution specific to this video.

Health centers as an industry, while better today than 5 years ago, still have a long way to go in actively managing their assigned Medi-Cal members. This video will explain how assignment happens at the health plan level, the format membership takes when shared with a health center, and a few easy steps for health centers to take on a monthly basis to ensure members are assigned to the right health center, empaneled to the right provider, and inputted into the electronic medical record. The segment will conclude by sharing how active attention to correct membership assignment can position health centers for success. 

Presenter: Bradley Gilbert, MD, MPP, Director, California Department of Health Care Services

This project was supported by the California HealthCare Foundation (CHCF), which works to ensure that people have access to he care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.

Joe Gellatly, CEO & CoFounder, Medcurity, presents current threats and events that have occurred recently, and how you should respond to them, as a health care organization. 

During this session we'll explore the current landscape from recent breeches, and lessons learned from significant events, and highlight new threats you should be aware of. Stay to the end of the broadcast to receive a special offer. Medcurity protects health care organizations by helping them protect their patient information. 

Visit www.medcurity.com for additional information regarding their services.

Building The Business Case and Return on Investment for PCMH

The Patient Centered Medical Home is a model that aims to address all patient care needs and is a strategy health centers use to deliver on value-based care goals. A PCMH should allow providers to facilitate patient wellness at a lower cost, which in turn should make organizations more successful in value-based care models.  This webcast will go over a recent white paper from the National Committee for Quality Assurance and Milliman, the world’s largest providers of actuarial services, that provides guidance around business considerations for NCQA PCMH recognition.

• Learn how to calculate return on investment using the provided template;
• Learn how PCMH can reduce physician and staff burnout; and,
• Learn how to align PCMH recognition with quality improvement/HRSA requirements.

Strengthening graduate medical education programs and partnerships in community health centers is critical to developing the next generation of physicians dedicated to serving California's vulnerable patient populations. In order to ensure that we sustain and expand these training opportunities, CPCA worked with several partner organizations to develop a series of presentations focused on innovative curriculum, resident wellness, patient safety, scholarly activity, and more!

Thank you to the following organizations who contributed to the development of this series:
- WIPFLi, LLP
- UC Davis School of Medicine
- Milken Institute School of Public Health
- SAC Health System
- Scripps Chula Vista
- Physicians for a Healthy California
- UCSF Center for Excellence in Primary Care
- UCSF Fresno
- UCI/UCD Train the Trainers Primary Care Psychiatry Fellowship
- Kaiser Permanente Northern California Residency Programs

DISCLAIMER: This series was presented as a live, in-person, training opportunity for our members which we recorded in order to make it available to broader audiences. Some Q&A portions of these recordings are not audible. For questions regarding this or other series, please contact training@cpca.org.

Colorectal cancer is the third most commonly diagnosed cancer in both men and women. One in 22 men and one in 24 women will be diagnosed with colorectal cancer in their lifetime.

The 80% in Every Community initiative is led by the American Cancer Society (ACS), the Centers for Disease Control and Prevention (CDC), and the NCCRT (an organization co-founded by the ACS and CDC) to substantially reduce colorectal cancer as a major public health problem. 80% in Every Community continues the progress and commitment from the original 80% by 2018 initiative, and reemphasizes the dedication to partnership, collective action, and the pooling of resources to reach 80% colorectal cancer screening rates.

However, not everyone is benefiting equally. There are still too many communities with lower colorectal cancer screening rates – rural communities, certain racial and ethnic communities, low income communities.

This session provides:
1. A snapshot of California's most current colorectal cancer incidence, mortality, and screening data;
2. CRC screening guidelines and testing options; and,

Podcast companion episode can be found HERE.

Join national expert, Durado Brooks, MD, MPH, Vice President Cancer Control Interventions for the American Cancer Society.

 

Increased Access to Healthy Foods

Petaluma Health Center

Food insecurity is one of the top social needs facing community health center patients. This video showcases Petaluma Health Center and the innovative projects they’ve implemented to increase their patients access to healthy foods. Petaluma Health Center will shares details of how the projects were selected, the steps they took to implement the programs, while also sharing highlights, challenges, and next steps. You will hear insights to many different programs, including: Community Gardens; Demo Kitchens; Farmacy; Grocery Raffles; and, Strategic Partnerships.

Increase your knowledge on initiatives in California's community health centers to improve access to healthy foods.

Presented by:

Claire Feldman, MPH, Wellness Director, Petaluma Health Center
Fasih Hameed, MD, Associate Medical Director, Wellness, Petaluma Health Center

Community health centers (CHCs) have a long history of training health professionals to be the next leaders in community-based medicine and serving the underserved. Many CHCs have established their own ACGME-accredited physician residency programs, while others have established a strong partnership with a consortium, hospital, or academic institution. Several opportunities are currently available to support the development of new CHC residency programs and partnerships, so join us on this deep dive into Graduate Medical Education (GME) and come away with a better understanding of your next steps.

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The Accreditation Council for Graduate Medical Education (ACGME) sets standards for US graduate medical education programs and the institutions that sponsors them, and renders accreditation decisions based on compliance with these standards. Community health centers go through this rigorous process to obtain ACGME accreditation and start their own residency program. These webcasts will walk CHCs through the different requirements and applications needed to obtain ACGME accreditation.

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Sharing and validating provider data with health plans can be an administratively burdensome process that doesn't always produce reliable results. During this webcast, Integrated Healthcare Association (IHA) President & CEO, Jeff Rideout, MD will discuss the launch of the Symphony Provider Directory, a centralized platform that streamlines the way providers share and attest to provider data with health plans, improving California’s fragmented healthcare directories and ultimately access to coverage and care.

Join CPCA and IHA to learn about steps being taken in California to streamline this process, simplifying provider data management, improving accuracy in health plan directories, and ensuring regulatory compliance.

2020 UC Irvine/UC Davis Train New Trainers (TNT) Primary Care Psychiatry (PCP) Fellowship*

*OSHPD Scholarships Available!

Fellowship Application Deadline: May 6, 2019
OSHPD Scholarship Deadline:May 13, 2019

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The UC Irvine/UC Davis TNT PCP Fellowship is a year-long clinical education program for primary care-oriented providers and trainees providing over 50 hours of advanced training in primary care psychiatry.

• 2 weekend teaching sessions (January & August 2020) with 24-28 CME hours
• 1 hour/month mentorship with mentors experienced in primary care psychiatry
• 2 lectures/month: Interactive online case-based learning (20+ CME hours)
• Includes a copy of the new Primary Care Psychiatry Textbook 2nd Edition

LEARN MORE

The Fellowship also includes the January 2020 Essentials in Primary Care Psychiatry Conference. Topics include: AMPS primary care psychiatric assessment, mood/anxiety disorders, personality, psychosis, substance misuse, pain management and more.

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California Office of Statewide Health Planning and Development (OSHPD) Scholarship Information:

You must meet the minimum requirements to be considered:

• Be currently employed or have accepted employment as a primary care physician (family medicine, internal medicine, OB/GYN, or pediactrics) or emergency physician
• Work at a qualifying practice site in a FQHC/look-alike, Health Professional Shortage Area-Primary Care (HPSA-PC), or Primary Care Shortage Area (PCSA) in California
• Work at a practice site with at least 50 percent of patients from a medically underserved population (Medi-Cal, uninsured, or beneficiaries of another publicly funded program that serves patients who earn less than 250 percent of the federal poverty level)

This webcast provides an overview of the free, evidence-based smoking cessation services available from the California Smokers’ Helpline, as well as the proactive, electronic referral options available to health care providers. Best practices will also be shared from Alameda Health Systems and from Lifelong Community Health Centers for implementing e-referral in Federally Qualified Health Centers. Proactive provider referral results in a higher quitline participation rate (30-40%) than simply telling patients to call the Helpline (3-4%). As a designated Specialized Registry, the Helpline may also help eligible health professionals meet reporting standards such as Meaningful Use (MU), MACRA, MIPS, and Uniform Data Standards (UDS) for the Health Resources & Services Administration (HRSA).

• Presenters: Rina Edi, MD, Medical Director for the California Smokers’ Helpline, and Cathy McDonald, MD, Consultant for the Alcohol, Tobacco, and Other Drug (ATOD) Provider Network.
• Partners Neha Gupta, MD, Alameda Health System and Ryan Hensler, EMR Manager, Lifelong Community Health Centers

The Medical Alumni Volunteer Expert Network (MAVEN) helps improve access to quality healthcare for underserved populations by linking their expert volunteer physicians to clinics and organizations in need. Watch this webcast (23m:51s) and learn how you can become involved!  Also, visit their website at The MAVEN Project https://www.mavenproject.org/

This webcast will showcase two Community Health Centers in California who have developed targeted colorectal cancer (CRC) screening programs in order to better address language and cultural barriers among both their patients and staff. Listeners will learn how these programs were built, sustained and evaluated, including the metrics these CRC programs saw among specific targeted populations. Attendees will leave the webcast with an increased understanding how a tailored message and improved process can significantly impact the effectiveness of your own CRC program. This webcast is produced in partnership with the American Cancer Society.

Speaker: Adriana Bearse, MS, Program Manager, Research and Health Promotion, San Ysidro Health

This training is designed as an opportunity to address barriers and learn best practices impacting California Community Health Centers to afford attendees an opportunity to hear about operational, care delivery, and financial sustainability best practices related to this clinical area from their peers.

Presented by:

Debra Rosen, Director, Quality & Health Education, Northeast Valley Health Corporation

Updates in Initiatives & Training to Treat Opioid Dependence in CHCs

This webcast will identify and clarify existing and future resources for health centers and highlight some promising practices. As the proliferation of medication assisted treatment for opioid use dependence grows in the safety net, health centers may have questions or need more information about available training and resources.  

Presented by:
Judy Bartlett, Program Operations Director, Project ECHO, University of New Mexico Health Sciences Center
Agi Erickson, Director of Project EHCO, Weitzman Institute 
Kelly Pfeifer, MD, Director of High-Value Care, California Health Care Foundation

WEBCASTS

Making Dollars & Sense of Social Determinants of Health

Health centers across the state have been investing in addressing social determinants of health (SDOH) for many years and recently more and more data related to it is being shared. In this webcast you will learn what data can inform your own SDOH investment.

Learning Objectives:

• Increased knowledge on the financial data that can inform the investment for the patient population
• Increased ability to predict the expected return on investment from projects or programs related to SDOH
• Actionable steps other health centers can take to start analyzing their own ability to address specific SDOH aspects

Presented by: 
Jeremy Cantor, MPH, Senior Consultant, John Snow Inc.

CMS Emergency Preparedness Rule Part 1 & Part 2

To assist Community Health Centers (CHCs) in understanding and complying with the requirements of the Centers for Medicaid and Medicare Services (CMS) Emergency Preparedness Rule, CPCA offers this two-part webcast series. Learn about steps you can take now to ensure full compliance by the implementation date to avoid jeopardizing your health center's Medicaid and Medicare Benefits. 

Part 1 highlights the response and continuity of care regulations for CHCs as specified in the CMS Rule and discusses useful tips for implementing the Risk Assessment and Communication Plan components. Expert speakers share useful resources and ready-to-use templates to aide CHCs in conducting a Hazard Vulnerability Analysis (HVA) to meet their Risk Assessment requirement, as well as the key components of a Communication Plan.


Part 2 of this series focuses on healthcare coalitions, and the benefits that can be gleaned from active participation. Speakers will discuss the varying types of coalition structures and provide information on how CHCs can join their local healthcare coalition, share information on the resources coalitions provide to CHC members, and provide tips for communicating the value of coalition participation to your executive leadership. Most notably, speakers will offer tips for using coalition participation to meet CMS requirements, as well as review the benefits that coalitions will gain from clinic.