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HRSA Bureau of Primary Health Care All-Programs Webcast: Updates and Hepatitis Awareness Month

Join the HRSA Bureau of Primary Health Care's webcast for funding updates, a discussion on hepatitis, PCMH verification, integration of SUD and primary care, and the plan to end the HIV epidemic. Don't miss out on this informative session!

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HRSA Bureau of Primary Health Care All-Programs Webcast: Updates and Hepatitis Awareness Month

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  1. HRSA Bureau of Primary Health CareAll-Programs Webcast • [2:00 – 2:03 p.m. – 3 minutes] • Speaker Notes: • Good afternoon, and good morning to folks out on the West coast. • Welcome to the HRSA Bureau of Primary Health Care’s May All-Programs Webcast! Tuesday, May 14, 2019

  2. [2:03 – 2:05 p.m. – 2 minutes] • Speaker Notes: Our Agenda for today: • We have a lot to cover on our agenda today, including funding updates and the Service Area Considerations Request for Information. • 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. BPHC All-Programs AGENDA • What’s Happening • BPHC 2022 • Mark Your Calendar • Q&A

  3. Hepatitis Awareness Month Hepatitis C and the Opioid EpidemicThursday, May 163:00-3:45 p.m. ET Hepatitis C and the CureThursday, May 233:30-4:15 p.m. ET Hepatitis B and Perinatal Transmission Thursday, May 303:00-3:45 p.m. ET Don’t forget, Hepatitis Testing Day is Sunday, May 19! • [2:05 – 2:06 p.m. – 1 minute] • Speaker Notes: • In recognition of Hepatitis Awareness Month and Hepatitis Testing Day, HRSA is hosting  “HEP Talks.” • Like TED Talks, these are condensed and informative presentations focused on emerging and important viral hepatitis topics. • Each session features a brief talk by a viral hepatitis expert followed by an opportunity for discussion and questions. • There are three HEP Talks left. We’ll include the webcast links and call-in info in next week’s Digest.

  4. PCMH Verification Coming in June: Verify your Patient-Centered Medical Home sites! • [2:06 – 2:07 p.m. – 1 minute] • Speaker Notes: • Speaking of our Digest, please be on the lookout for an announcement next month where we’ll ask you to visit our website and verify your center’s Patient-Centered Medical Home recognition status. • The announcement will direct you to a webpage with our list of recognized health center sites and instructions on how to make corrections. • That’s coming in June. Please stay tuned so you can quickly respond.

  5. New SUD and Primary Care Integration Webpage • [2:07 – 2:08 p.m. – 1 minute] • Speaker Notes: • We recently unveiled a new webpage on our site where we’ve compiled resources to assist you in integrating substance use disorders treatment services into primary care delivery. It includes resources on medication-assisted treatment, trauma-informed care, and more. • You can find it in the Clinical Quality Improvement section of our site. • We’ll also include a link in next week’s Digest.

  6. Ending the HIV Epidemic: A Plan for America Diagnose All people living with HIV (PLWH) as early as possible after transmission Treat HIV rapidly and effectively to achieve sustained viral suppression Prevent People at highest risk of HIV with PrEP and prevention education Respond Rapidly and effectively to clusters and outbreaks of new HIV infections • [2:08 – 2:11 p.m. – 3 minutes] • Speaker Notes: • During the State of the Union Address, the Administration announced a new initiative “Ending the HIV Epidemic: A Plan for America.”  This would be a ten year initiative beginning in fiscal year 2020 to achieve the important goal of reducing new HIV infections in the United States to less than 3,000 per year by 2030.  • This level of reduction would essentially mean that HIV transmissions would be rare and meet the definition of ending the epidemic.  • The plan will fund three major areas of action: • Increasing investments in geographic hotspots through our existing, effective programs, such as the Ryan White HIV/AIDS Program, as well as a new program through community health centers that will provide medicine to protect persons at highest risk from getting HIV. • Using data to identify where HIV is spreading most rapidly and guide decision-making to address prevention, care and treatment needs at the local level. • Providing funds for the creation of a local HIV HealthForce in these targeted areas to expand HIV prevention and treatment. • Through the Health Resources and Services Administration’s Ryan White HIV/AIDS Program and the HRSA-funded Health Center Program, the agency would play in a leading role in helping to diagnose, treat, prevent and respond to end the HIV epidemic.

  7. Targeted Areas 48 counties, DC & San Juan account for 50% of new diagnosis 7 States with substantial rural HIV burden • [2:11 – 2:13 p.m. – 2 minutes] • Speaker Notes: • Most infections are now highly concentrated in certain geographic hotspots. • More than 50 percent of new HIV diagnoses in 2016 and 2017 occurred in 48 counties, Washington, D.C., and San Juan, Puerto Rico. • We also know certain rural areas carry a disproportionately high burden of HIV, especially in the South. • There are about 150 health centers with Ryan White funding working in these target areas. • Look for some funding to be coming out this summer to support efforts to prevent further spread of HIV in these areas. County contributing to 50% new HIV diagnoses in 2016 / 2017 State with disproportionate rural burden in 2016 / 2017

  8. HRSA Resources on Ending the HIV Epidemic HRSA webpage: https://www.hrsa.gov/ending-hiv-epidemic Health center webpage: www.bphc.hrsa.gov/hiv • [2:13 – 2:14 p.m. – 1 minute] • Speaker Notes: • We have some new resources that just launched that go into more detail about this initiative. • Please check them out and visit them regularly for more information. • We will be updating them regularly and hope to have some promising practices on our website in the next few months.

  9. NOFOs of Note Oral Health Infrastructure • Project Period Start Date: September 1 • Total Funding: ~$76 million • EHBs Deadline: May 21, 5 p.m. ET Integrated Behavioral Health Services • Project Period Start Date: September 1 • Total Funding: ~$200 million • [2:14 – 2:17 p.m. – 3 minutes] • Speaker Notes: • In March, we announced two new funding opportunities. • Oral Health Infrastructure: We announced about $76 million in one-time funding for oral health infrastructure investments. It is a competitive supplemental funding opportunity for infrastructure enhancements such as equipment, minor alternation/renovation, and training. The EHBs deadline is Next Tuesday, May 21 at 5 pm ET. Let me say that again, the EHB deadline is 5 pm Eastern Time. We have a number of resources on our website for applicants, and we encourage you to check those out. We expect to make approximately 250 awards in September. • Integrated Behavioral Health Services: We also announced $200 million in available funding for Integrated Behavioral Health Services, or as we call it, IBHS. IBHS builds on previous HRSA funding opportunities, such as SUD-MH and AIMS, to support health centers in overcoming immediate barriers to patient access to behavioral health services. Thanks to all of you who submitted by yesterday’s deadline. We’ve got good news for all of you who needed a deadline extension, we’ve reopened the system for a short period so you can submit. • SUD-MH: By now, all of you with a FY18 SUD-MH award should be very aware of the upcoming, May 18th deadline to hire an FTE. We look forward to receiving you progress reports to see how you have made progress with your hiring. Please remember that the due for submission of the SUD-MH progress report is 5/22.

  10. Summer FUNding – August/September • [2:17 – 2:20 p.m. – 3 minutes] • Speaker Notes: • Here’s how the summer is shaping up in terms of awards and some additional funding. • We expect to make the following awards in August/September: • IBHS • Quality Improvement Awards • New Access Points • Oral Health • Also coming this summer: • HCCN awards will be released (~$42 million) • And, finally, during the 2019 State of the Union address, the President announced the new “Ending the HIV Epidemic: Plan for America.” The President’s Budget has requested $50 million for the Health Center Program to address HIV in local communities.

  11. Linking Grant Funding to Performance: May 16 Webinar Learn from and inform UDS modernization Join us for an informational webinar on Thursday, May 16 from 1 to 2pm ET. • [2:20 – 2:22 p.m. – 2 minutes] • Speaker Notes: • More details can be found in our Primary Health Care Digest newsletter.

  12. Service Area Considerations Request for Information (RFI) • [2:22 – 2:24 p.m. – 2 minutes] • Slide Notes: • As announced in last week’s Digest, we released a Request for Information (RFI) on Service Area Considerations • The purpose of the RFI is to solicit feedback and additional ideas from external partners about factors and considerations related to assessing service area expansions. • We’re always looking for ways to maximize the impact of HCP expansion. These considerations include factors such as: • Parameters for Unmet need; • Proximity; • Reasonable boundaries for the service area; • Consultation with other local providers; • Demonstrated capacity and performance in the existing service area; and • Ensuring patient input/representation.

  13. How will HRSA use the Feedback? • Identify community trends and themes • Inform future service area-related policy considerations when existing health centers propose to add new sites • Assess impact to health center program future expansions • [2:24 – 2:26 p.m. – 2 minutes] • Speaker Notes: • Your feedback is very important and will help to identify community trends and themes • Feedback may inform HRSA decisions regarding Health Center Program expansion

  14. How to Submit Feedback • Feedback is requested from all Health Center Program external stakeholders • Include objective observations and responses • Submit feedback through the Health Center Program Service Area Considerations Feedback Form: https://bphc.hrsa.gov/rfi-health-center-program-service-area-considerations/ • Feedback accepted through July 8 • [2:26 – 2:28 p.m. – 2 minutes] • Speaker Notes: • We welcome feedback from health centers and other Health Center Program stakeholders, including Primary Care Associations, National Cooperative Agreements, as well as others who have an interest in health centers and potential health center expansion. • You have until July 8 to submit your feedback through the online form. You can find the link in the 5/7 Digest or on the website • Contact Health Center Program Support if you need assistance with the online form.

  15. Anticipated Service Area Considerations RFI Timeline • [2:28 – 2:29 p.m. – 1 minute] • Speaker Notes: • Again, the comment period is open until July 8. • We’ll review all submissions and expect to make a decision in the first quarter of 2020. • Please don’t hesitate to contact us if you have questions and/or need more details.

  16. Workforce Engagement and Well-Being Two volumes: May 2, May 8 Includes: • Assessment tools • Promising practices • Key articles and websites • Presentations • Speaker Notes: • Please check your inbox for these special edition Digests! • The objective of this special edition is to support health center clinicians in advancing health care delivery at your sites. • Having a healthy and engaged health center workforce is one of HRSA’s highest priorities. • We know that workforce well-being is a topic of interest to many of you; it’s so important that we had to make two editions to fit it all in—assessment tools, promising practices, key websites, articles. • We hope you find these useful. • If you aren’t receiving our Digest newsletter, subscribe by visit our BPHC website and using the search word Digest.

  17. AHRQ QuestionBuilder App • [2:31 – 2:32 p.m. – 1 minutes] • Speaker Notes: • The Agency for Healthcare Research and Quality recently released a new QuestionBuilder App. The app provides questions and other guidance for patients to help them better interact with their clinicians and is free on Apple and Google Play. • Look for a link in the next Primary Health Care Digest newsletter.

  18. BPHC 2022: Strategic Shifts Compliance-oriented grant maker Primary health care leader 1 Health centers as independent entities Health centers as interconnected entities 2 Interventions that address immediate medical needs Continuous, community-oriented, comprehensive care 3 Siloed functions Collaborative model 4 Separate data tools Integrated systems that inform decision-making 5 • [2:32 – 2:38 p.m. – 6 minutes] • Speaker Notes: • With a changing health care landscape around us, we are working through a process to re-envision how we do the work that we do. We are spending time being thoughtful about is working well within BPHC and what else we can do to better deliver the critical mission of ensuring access to high-quality, cost-effective primary care to the underserved. • Strategic Shifts: • Throughout the process to re-envision how we do the work that we do, we engaged staff throughout the Bureau, collaborated with our health center partners, and leaders throughout HRSA. This process helped us to realize that there are several shifts our Bureau needed to make to enhance the delivery of our critical mission. These shifts help to articulate where we would like to go as a Bureau in the future. • You may be thinking about how these shifts impact you, your organization, or your patients. You’ll note that we are still exploring these ideas and thinking through how we can make these a reality. As a key partner, we welcome your thoughts on these shifts as well. • Strategic Shifts: • We would like to elevate the visibility of HRSA as a predominant investor and catalyst for high-quality care throughout the country. As such, we first aspire to be a leader in the health care industry, rather than a compliance-oriented grant maker. • We also recognize that the health center program is a powerful network. In the future, we want to empower health centers to leverage the collective resources and knowledge of the broader network and industry in order to expand access to high-quality, cost-effective care for underserved populations. • Rather than focusing on acute patient medical needs, we want to address the big picture of patient care. We want to incentivize and equip health centers to continuously improve their quality and performance to effectively address the full scope of patients' health-related needs. This will require a deliberate shift to a model that incentivizes continuous, comprehensive, community-oriented care. • We also aspire to improve our operating model. We want to create capabilities that facilitate collaboration within BPHC, across HRSA and other government agencies, and with the health care industry and other sectors, to support a continuous, comprehensive approach to health. • This is one of the directions that we are most passionate about because we truly believe that we have the capabilities to effect a paradigm shift in care across the country. • It is our responsibility to use these capabilities to focus on the full scope of care. • 5) Data is changing the health care landscape. We need to harness the power of our internal and external data to improve efficiency of our business functions and support health centers. Effectively using data in an integrated fashion will better inform our decision-making, in turn optimizing delivery of care and improving health outcomes. • These shifts will help us in continuing deliver our important mission – to ensure accessible, high-quality, and cost-effective primary health care to communities. As an important partner, we will need your engagement and support as we determine how to make these shifts a reality.

  19. Data-Driven Insights from Health Centers We heard health centers… The NACHC Forum in March provided a unique opportunity to hear from health centers on current needs, opportunities, and challenges. More than 30 interviews with health center staff Several data-driven insights to guide change efforts Helping enhance our understanding, and confirm and challenge assumptions …feel both economic pressures and the economic impact on communities …desire a collaborative partnership with BPHC …feel regulations and resources don’t always promote localized care on-the-ground …have passionate, talented workforce • [2:38 – 2:47 p.m. – 9 minutes] • Speaker Notes: • Interviews at the NACHC Forum: • We are currently conducting analysis and research to determine how to best achieve our strategic shifts. Health Centers are an important source of insight and knowledge during this process. • During the NACHC Policy & Issues Forum in March 2019, our team interviewed more than 30 Health Centers on some of their core issues, challenges, needs, and opportunities. • These interviews produced rich insights and snapshots that enhance our understanding of the current environment. • Because we work so closely together, we have pre-conceived thoughts on what we can be doing better and what’s not working, and these interviews were useful in confirming or challenging our assumptions. • We were able to meet many different Health Centers during the conference and to draw some key insights that will help shape our strategy. We listed some of the main insights here, but these just scratch the surface of everything we learned through this exercise. • Key Insights: • One key insight is that you feel both economic pressures and economic impact you have on communities. • We recognize the economic pressures that you feel. For example, you’re competing with drug stores, private clinics and hospitals for both patients and skilled employees. • And we recognize the huge impact you have on your community. This goes beyond the impact to patients, and extends to the economic impact by providing some of the best jobs in their county. Some have even had to allay concerns from local leaders about what would happen if their health center lost funding. • Through our journey, we’re hoping to find ways to more effectively support the important role the Heath Center plays in local economies. • We heard many health centers say that they wanted more collaboration and open dialogue with BPHC. • We realize that you want a supportive partner in your mission. In fact, some health centers commented that they are looking for an advisor and co-investor to deliver their mission. • Yet, sometimes you feel that you only hear from BPHC when things go south. Many health centers struggle to see BPHC beyond funding and compliance. • We are going to work to figure out how we can be more collaborative and proactive in our partnerships. We are going to strive to be more hands-on and supportive before centers become non-compliant. • Across a few different areas, we heard that Heath Centers feel that national regulations and resources don’t always promote effective, localized care on-the-ground. • We know that Health Centers come in all shapes and sizes, and that rules and funding don’t always map neatly onto your day-to-day. We realize that it is important for Health Centers to remain focused on what their own patients and communities really need. • We are looking for ways to remain efficient at scale, while making our support more personalized. • Finally, we recognize that the people who work at Health Centers are talented, passionate, and driven people. This workforce has power and passion. • Staff at Health Centers are a tremendous untapped resource for local expertise, knowledge and passion. • We want to be better at engaging you and your teams to draw on this potential to improve health outcomes. • As we continue to develop our ideas, we will continue to engage you and make sure your insights and needs are reflected in improving the way we deliver services to the ultimate mission of increasing access to high quality, patient-centered health care for underserved populations in order to improve health outcomes and advance population health.

  20. Mark Your Calendar Upcoming All-Programs Webcasts • Tuesday, July 23, 2-3 p.m. ET • Tuesday, September 24, 2-3 p.m. ET • Thursday, November 21, 2-3 p.m. ET • [2:47-2:49 p.m. – 2 minutes] • Speaker Notes: • 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.

  21. 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- 877-950-3592 Use the passcode: “Webcast” Please then press *1 to enter the question queue Please mute your computer speakers when asking a question Please remember to complete today’s survey • [2:49-2:57 p.m. – 8 minutes] • Speaker Notes: • *If you end early, please say “We are ending a few minutes early to complete our survey. Thank you in advance for sharing your valuable feedback.” 20

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