Thursday, May 26, 2016

It's not too late to register for the Affiliate Convening!

June 9, 2016
8:00am - 3:00pm
Mile High Room at COPIC
7351 E. Lowry Blvd., Denver, CO
ClinicNET affiliates! Please join us for a day of education, information & networking. Topics will include policy and advocacy (including a legislative session update), practice transformation, leadership development, Medicaid and more. Light breakfast, and lunch will be served and there will be time to connect with your peers in the community safety net clinic world.

The ClinicNET Affiliate Leadership Cohort will meet immediately after the convening at COPIC in Mile High Room at 3:15-5:15pmRSVP to brooke.powers@clinicnet.org if you plan to attend. (Even if you are not able to attend the convening please still attend the cohort!)

Contact brooke.powers@clinicnet.org with questions.

Tuesday, May 24, 2016

Overtime Rule Effective December 1, 2016

On May 18, 2016 the Administration announced the release of the Final Rule from the Department of Labor regarding overtime regulations for workers and organizations.  According to the Department of Labor website, Key Provisions of the Final Rule are:
  1. Sets the standard salary level at the 40th percentile of earnings of full-time salaried workers in the lowest-wage Census Region, currently the South ($913 per week; $47,476 annually for a full-year worker);
  2. Sets the total annual compensation requirement for highly compensated employees (HCE) subject to a minimal duties test to the annual equivalent of the 90th percentile of full-time salaried workers nationally ($134,004); and
  3. Establishes a mechanism for automatically updating the salary and compensation levels every three years to maintain the levels at the above percentiles and to ensure that they continue to provide useful and effective tests for exemption.
  4. Additionally, the Final Rule amends the salary basis test to allow employers to use nondiscretionary bonuses and incentive payments (including commissions) to satisfy up to 10 percent of the new standard salary level.
  5. The effective date of the final rule is December 1, 2016. The initial increases to the standard salary level (from $455 to $913 per week) and HCE total annual compensation requirement (from $100,000 to $134,004 per year) will be effective on that date. Future automatic updates to those thresholds will occur every three years, beginning on January 1, 2020.
To read the fact sheet for non-profits please visit https://www.dol.gov/sites/default/files/overtime-nonprofit.pdf
To read the guidance for non-profits please visit https://www.dol.gov/whd/overtime/final2016/nonprofit-guidance.pdf

Free Department of Labor Webinars about the Overtime Final Rule
June 2, 2016, 1:00pm - 2:30pm, EST https://goo.gl/o6AnXn
June 9, 2016, 1:00pm - 2:30pm, EST https://goo.gl/6V5WSO

How to Foster Effective Communication with Patients and Families

"The National Center for Medical Home Implementation (NCMHI) is hosting the second webinar in a three part series focusing on advancing health equity and care quality in the pediatric medical home. Communicating effectively with all patients and families is crucial in providing care consistent with the medical home model. This webinar will identify effective visual, verbal, and written communication tools that can be used in practice for all patients and families, including those with limited English proficiency and health literacy".  Register Now!
[Source: NCMHI]

2016 Institute for Healthcare Improvement (IHI) offerings for ClinicNET affiliates

Through a generous grant from Kaiser Permanente's Community Benefit Program, ClinicNET is pleased to be able to offer to contributing ClinicNET Affiliates access to Institute for Healthcare Improvement (IHI) registration scholarships and travel support funding! Upcoming 2016 in-person and web-based training opportunities:

Web-based Trainings:  IHI Open School: offers online courses in quality improvement, patient safety, and leadership. Earn a Certificate of Completion or Continuing Education Credits. (1 year scholarships available)
---Leading Quality Improvement: Essentials for Managers - Begins June 14, 2016.  Managers play a vital role in meeting their organizations’ key strategic and improvement goals. As the bridge between senior leadership and the front lines, it is their job to turn high-level objectives into action at the department or unit level. This five-month, in-depth virtual program helps managers learn how to focus their staff’s efforts and improve processes to more effectively achieve organizational strategic goals.
---Expedition: Behavioral Health Integration – Beyond the Basics - Begins August 17, 2016.  A five-session training that teaches best practices and provides the opportunity to learn from experts in the field (as well as from peers). Participants will leave knowing how to sustainably implement the clinical, operational, and financial changes required to make meeting patients’ medical and behavioral health needs a standard part of primary care and begin testing changes to put ideas into action.​

In-person Trainings & Conferences:
---28th National Forum on Quality Improvement in Health Care - December 4-7, 2016 - Orlando, FL
Interested in participating in a training or conference? Click here to complete an online application! Contact Brooke Powers at brooke.powers@clinicnet.org or 720-863-7803 with any questions. [Source:IHI]




Thursday, May 19, 2016

The State Legislative Session is over!

Click here to review a Legislative Session Summary provided by Frontline Public Affairs.

You may recall the Governor's proposed FY 2016-17 budget did not initially include the continuation of the enhanced payments for Medicaid primary care services. However, thanks to the grassroots advocacy, media efforts, and direct lobbying of the Colorado Primary Care Alliance (a coalition of 20+ organizations), the Legislature authorized the transfer of $20 million in funds for the continuation of rate enhancements (87.3% of Medicare) for the following selected codes only:
  • Office Visit  (99201-99205, 99211-99215)
  • Preventive Medicine visits  (99381-99397)
  • Newborn (99460-99465, 99477-99486) 
  • Immunization Administration (90460-90461, 90471-90474)
  • Counseling and Health Risk Assessments (99401-99414, 99417-99429)
  • Critical Care Visit - Neonatal and Pediatric (99466-99476)
These funds are one-time and not built into the Medicaid rate base. Be sure to read HCPF's May 2016 Provider Bulletin for an official announcement!  The Alliance will be meeting to debrief on this year’s efforts and develop a go-forward strategy for FY 2017-18. Thank you to the many ClinicNET affiliates and partner organizations that participated in the advocacy efforts!

Questions? Contact Brooke Powers at brooke.powers@clinicnet.org 

Wednesday, May 18, 2016

Tips and Instructions for Submitting the Primary Care Fund (PCF) Application

This information is provided in response to questions raised at the annual conference held on May 3, 2016.

Email Submission
Beginning this year, PCF applications are to be submitted via email. Please submit your completed application and other necessary documentation (sliding fee scale, letter from outside entity, etc.) to primary.care@state.co.us  Primary Care Fund staff monitor this emailbox daily.

Creating Files to Submit
Instructions for submitting this year's application are found on Page 9 of the application.

Additional tips:

  1. Upon completion of your application and required attachments (Sliding Fee Scale, Waiver, Certification by Outside Entity, etc.) please print/scan them to a PDF.
  2. Each applicant will submit several separate PDF files as part of their application (see p. 9 of the Application).  These files may all be attached to one email, or separate emails may be submitted if the applicant agencies' email systems have file size limitations.
  3. Please include your clinic name as part of the file naming structure.  For example:  Clinic Name Application Response, Clinic Name Sliding Fee Schedule, Clinic Name Certification by Outside Entity, Clinic Name Letter from Outside Entity, etc.
  4. Applicants who submit a Waiver do not need to enter any text in questions #3 - 7 and may exclude questions #3 - #7 when creating their scanned Application Response file to submit.  (This is not mandatory.  It is also permissible for a Waiver applicant to respond to all questions within #3 - #7 by entering in "N/A" or "waived" and then including these pages in the scanned PDF file created for submission.)
  5. The signed "Confirmation by Applicant Agency" (p. 35 of the blank application form) must be signed and scanned in to be included in the Application Response file.

File Size Limitations
Given the estimated file size of completed Primary Care Fund Applications, the Department does not expect any issues related to file size limitations that would prohibit the electronic receipt of submissions by the Department.

Emergency Medicaid in Uninsured Count
If you provide primary care services to patients while they are eligible for Emergency-Only Medicaid, you may count them as uninsured for purposes of the Primary Care Fund unduplicated uninsured count.

Patients enrolled in a managed care organization should be encouraged to receive primary care services within their network.  If applicant agencies are not part of the approved network, these patients are not to be included in uninsured counts for purposes of the Primary Care Fund application.

If you have further questions, please email them to primary.care@hcpf.state.co.us. We will respond to you within 2 business days. [Source:  HCPF]

Funding Opportunities' Deadline Reminder

Women's Wellness Connection Targeted Outreach Program:
Due June 10, 2016
The Colorado Health Foundation Advance Care Planning:
Due June 15, 2016
The Colorado Health Foundation Activating Places and Spaces Together:
Due June 15, 2016
HRSA New Access Points:
Due by June 17, 2016
HRSA Using Community Health Workers to Improve Linkage and Retention in HIV Care:
Due July 12, 2016