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AACHC Highlight 
CHC Covid-19 Update
Since the first case of COVID-19 was reported in Arizona, community health centers (CHC) have been working with partners to effectively serve their patients during the pandemic. CHCs have stepped up to the challenge and remain on the front lines of the pandemic ensuring that their neighbors and families continue to receive healthcare services.

Health centers have turned to virtual visits. Many CHCs quickly adapted to the reality of COVID-19 and fast tracked the implementation of telehealth. Staff reached out to their  patients to ensure they have access to digital platforms and helping them to adapt to this new process to get their healthcare needs met. Currently, more than half of health center visits are conducted through telehealth or telephonic platforms.

Arizona CHCs are also offering curbside services to help keep people physically distanced. When patients arrive to pick up their prescriptions they call the listed phone number and their prescriptions are brought out to the car. In other cases, people who may not be able to use telehealth can drive to the CHC and be seen outside the facility or in their car as opposed to stepping into the physical building. CHCs are also actively involved in testing efforts and have setup drive-thru testing for their communities. One CHC recently hosted a drive-thru health fair. This included blood pressure check and glucose testing. They invited numerous partner organizations to table at the event and handed out additional resources to families who drove by in their cars.

Some CHCs have temporarily had to close their smaller sites and temporarily discontinued some services, like dental services. Regardless, they are trying to retain staff by allowing them to take some time off or work in different capacities so they may continue to help their community.

The Arizona Alliance for Community Health Centers (AACHC) has also been helping the CHCs by collaborating with partners to secure much need Personal Protection Equipment (PPE) for the health centers. A highlight includes recent work with Senator Kyrsten Sinema, Protect Arizona and General Dynamics, who all teamed up to secure PPE. The PPE was distributed, via private planes in some cases, to all the health centers ensuring that they can serve patients in a safe manner.

These are just a few examples of how CHCs continue to adapt and respond to the changing environment. We thank the CHCs and their staff for their continuous efforts and dedication. Please visit www.aachc.org to find a CHC near you or to learn more about the work of community health centers.

Erika Mach
Public Affairs and Communications Manager
Arizona Alliance for Community Health Centers
erikam@aachc.org
Welcome to Lindsey Ruivivar
The Alliance is pleased to announce that Lindsey Ruivivar (Roo-e-ve-var), will join the Alliance in June as our new Director of Grants and Business Development.  Lindsey comes to the Alliance with extensive federal, state and local Health Center experience.  Lindsey most recently worked at CHAS Health, a Health Center in Spokane, WA serving over 97k patients.  At CHAS, Lindsey was the Director of External Affairs responsible for community relations as well as identifying, writing and managing over $8 million in federal, state and locally funded grants.  Lindsey also implemented the CHAS Health Foundation.  Prior to CHAS, Lindsey worked for NACHC from 2011-13 as the Assistant Director for National Advocacy and began her Health Center career at the Ohio Association of Community Health Centers as the Government Affairs and Advocacy Coordinator in 2008-2011.
 
At the Alliance, Lindsey will be responsible for researching, identifying and writing for new grant opportunities while also monitoring existing funding steams.  She will also be responsible for working with Alliance members to identify and develop new business opportunities.  She has a B.A. in International Relations and Diplomacy from The Ohio State University.  Lindsey and her husband, Rodery are excited to relocate to Arizona!
 
Shawn K. Frick
Chief Strategy Officer
Arizona Alliance for Community Health Centers
shawnf@aachc.org
Key Health Center Guidance
2020 Health Center PCMH Quality Improvement Awards

Health centers that have Patient-Centered Medical Home (PCMH) recognition by Wednesday, July 1, 2020, may be eligible to receive the 2020 Health Center PCMH Recognition Quality Award. View the table of health centers with valid PCMH recognition status and the number of sites with PCMH recognition. If your health center serves multiple states, please be certain to check the number of sites for EACH state to calculate the total number of PCMH-recognized sites in HRSA’s Electronic Handbooks (EHBs).
  • If your health center’s PCMH recognition is accurate, no action is needed.
  • If it is inaccurate, please submit an update to your PCMH recognition information via the EHBs no later than Sunday, July 5. View instructions for submitting an update, including the acceptable forms of required documentation.

Canyonlands and North Country shared information on their SUD/OUD programs during a webinar hosted by the Center for Rural Health on May 21st. The recording and a copy of the slides can be accessed at this link.
AACHC is exploring oral health measurement through funding from the DentaQuest Partnership for Oral Health Advancement’s Driving Transformation in the Oral Health Safety Net Initiative. To learn more about the project, read our environmental scan report at this link.
CAAHEC partnered with Maricopa County Medical Society for a virtual event, “Legal Implications of COVID-19 for Medicine” on 05/20/2020. We are rolling out an event management system (Cvent) which we will be utilizing for upcoming events.  On that note, we are planning lots of upcoming events during the next couple months, most notably Motivational Interviewing, COVID Anxiety and Medication Assisted Therapy all of which will be virtual using telehealth/ distance learning so anyone can access these courses anywhere. For more information, contact Vanessa Stoll, CAAHEC Program Coordinator, Continuing Education, at vanessas@aachc.org. 
Stipends available for students participating in clinical rotations in Rural and Urban-Undeserved Sites
The Central Arizona Area Health Education Center (CAAHEC) is currently accepting applications from primary care students participating in a clinical rotation in Rural and Urban-Underserved Sites in the service area of Maricopa, Yavapai and Pinal Counties to receive a student stipend of $150. As part of this support, we ask that you participate in a community project while on your rotation. This project would be tailored to your interests and would require approximately 8 hours, including your planning time for the project. If your application is approved, we will send you more information on the program and the student stipend.Interested participants can fill out an online student application on the AACHC Website: http://www.aachc.org/student-application/. Click here for full details about this opportunity. 
Re-opening Dental Practices during COVID-19: Legal Analysis
This memo, authored by FTLF in partnership with NACHC, provides considerations for health centers in determining the re-opening of dental services during the COVID-19 pandemic. Brief analysis of FTCA coverage, malpractice liability, CDC guidance and applicable OSHA rules are provided.
Upcoming AACHC Events
Visit the AACHC Events page to view a full calendar of
upcoming events and trainings or to register. 

Medication Assisted Treatment in Community Health Centers: Infrastructure and Key Components


June 9
Webinar
Featuring: Dr. John Brooklyn

Dr. Brooklyn is board certified in family medicine and addiction medicine. He has been involved in every UVM Buprenorphine research study since 1992 while working at the Federally Qualified Community Health Centers of Burlington. He created the internationally recognized Vermont Hub and Spoke Model to integrate opioid treatment into primary care.

Learning Objective: Outline the key components of MAT Program and discuss other important coniseration for a health cener when setting up a a MAT Program. 

Click here to register for this event.

PrEP Train the Trainer


June 10
Virtual Training
Featuring: Dr. Kevin Ard

The National LGBT Health Education Center, a program of The Fenway Institute, is providing train-the-trainer sessions on how to use it’s newly revised PrEP Detailing Kit and Readiness Assessment tools. These clinical resources to help providers incorporate PrEP into their practices, including helpful resources such as tips on taking a comprehensive sexual history, frequently asked questions about PrEP and a pocket card about PrEP prescribing and monitoring. Sessions will cover basics and case scenarios for PrEP, and empower clinicians to train their teams on how to use the PrEP Detailing Kit to make fast and well-informed decisions about PrEP management and care.  

The session will last 2-3 hours and will be engaging and interactive. Participants will also receive a physical copy of the PrEP Detailing Kit to use in their practice. 

Click here to register for this event.

2020 Future Health Leaders Summer Camp


June 22-26
Registration Closes May 29

Virtual
Students must be currently enrolled high school students in grades 9-12 in 2019-2020. We seek students who are interested in exploring careers in the healthcare industry.
 
Students will need a device and consistent internet connection in order to participate in camp activities. Scholarships are available for qualifying students. Registration closes on May 29th.
 
Please contact Amaury Gama (amaury@seahec.org) for questions.
Click here to register for this event.

5th Annual Rural Women’s Health Symposium: 
Advancing Health Equity for Women


New Dates!
August 20-21
Sedona, AZ
This year’s theme is Advancing Health Equity for Women. The goal for this symposium is to explore a wide variety of approaches and factors that can impact women’s health through a health equity lens. “By health equity, we mean everyone has the opportunity to attain their highest level of health” (APHA). Find out more about inequities in this linked APHA document. We hope to raise awareness and increase knowledge of health related issues among women and health equity in rural Arizona.

Click here to register for this event.
Member News
Wesley Community and Health Center served over 160 people during their recent drive-thru health fair
Photo courtesy of Wesley Community and Health Center.
Mariposa Community Health Center celebrates National Nurses Week with events for staff, including a vehicle parade in their parking lot
Photo courtesy of Mariposa Community Health Center.
Mountain Park Health Center hosts a food distribution events to help families in the communities they serve
Photo courtesy of Mountain Park Health Center.
Educational Opportunities
& Networking Events

Supporting the Health and Economic Needs of Domestic Violence/Sexual Assault and Trafficking Survivors during the COVID-19 Public Health Emergency


June 3
Webinar

Human trafficking and domestic and sexual violence victims/survivors are experiencing increased isolation and danger as a result of social distancing measures during the COVID-19 public health emergency. The COVID-19 public health emergency has illuminated both urgent and ongoing health care needs for survivors, as well as economic and employment impact. This webinar will discuss the ways in which advocacy programs and collaborative partners are shifting their in-person and virtual approaches to meet the needs of trafficking survivors. The webinar will also identify tools and approaches for anti-human trafficking collaborations or task forces to expand their partnerships with health care and workforce development partners, to enhance safety and wellness for survivors.

Click here to register. 

Health and Housing Forum


June 4
Webinar

Arizona Housing Coalition and Arizona Partnership for Healthy Communities bring you:

A conversation among Arizona experts on the connections between public health and housing, specifically the lessons we can take away from COVID-19.

Panelists: Joan Serviss, Arizona Housing Coalition; Dede Yazzie Devine, Native American Connections; Marcus Johnson, Vitalyst Health Foundation. Moderated by Serena Unrein, Arizona Partnership for Healthy Communities.

Click here to register. 

Using Technology to Advance Prescribing Practices for PrEP


June 4
Webinar

1:00-2:00 p.m. ET
Register here

Centering Equity in Health and Housing Partnerships in Times of Crisis


June 4
Webinar

Hosted by the Corporation for Supportive Housing and the National Health Care for the Homeless Council, both HRSA-funded NCAs
Thursday, June 4
Noon-1:30 p.m. ET
Register here

Cultural Competence and Health Literacy Learning Collaborative


June 10
Webinar

Research on health literacy from the Institute of Medicine (IOM) states that over 90 million U.S. adults do not have needed literary skills to access and navigate U.S. health systems (Rudd & Anderson, 2006). As a result, patients disengage from the health system until they have no choice, thus ignoring their care and seeking alternative remedies or ways of coping. The complex process of providing health information to patients who either cannot speak English or cannot understand health instructions due to limited health literacy, make it difficult to improve health outcomes for some of the main chronic conditions treated by clinicians at Health Center Clinical Sites, including diabetes, cardiovascular diseases, kidney conditions, etc. Communication barriers between health care providers and patients, especially language barriers, can threaten health outcomes by increasing risk of medical error and making it more difficult for patients to understand their medical situation or to adhere to their medical regimen. When they do not receive linguistically appropriate health care, limited-English proficient (LEP) patients are less likely to understand provider instructions, thereby limiting their ability to adhere to prescribed medical regimens. As a result, healthcare organizations must pay closer attention to cross-cultural issues to meet the healthcare needs of the nation and continue to maintain a high standard of care.

Click here to register. 

Developing a Business Plan and Financial Forecast for a Health Center Capital Project


June 11
Webinar
This webinar is designed to assist health centers planning new or expanded facilities in developing a detailed business plan for their capital project. Drawing on our recently updated publication, Creating a Business Plan for Community Health Centers, we’ll examine each of the key components of a business plan, including financial forecasts, and how health centers can use this important document to help secure financing for their projects. Click here to learn more and to register. 

Empowerment and Self-Management of Diabetes - The Pharmacist and Diabetes Care



June 12
Webinar
Pharmacists play an important role in diabetes care by screening patients at high risk for diabetes, assessing patient health status and adherence to standards of care, educating patients to empower them to care for themselves, referring patients to other health care professionals as appropriate, and monitoring outcomes. This learning collaborative consists of 4 sessions and is designed to equip pharmacists with the knowledge, skills, and confidence needed to provide effective, evidence-based diabetes care in Health Center settings. Click here to learn more and to register. 

Deconstructing Health Center Scope of Project (Four-Part Series)



Starts June 15
Webinar
Deconstructing Health Center Scope of Project (Four-Part Series)
Series Starts June 15, 2020 @ 1 PM ET
Part I: Key Scope of Project Elements & Forms 5A, 5B, and 5C
Part II: Modes of Service Delivery, Contracts, and Referrals
Part III: Scope-Related Program Requirements and Benefits
Part IV: Changing Your Scope and Keeping Activities "Out of Scope"
General Information
The National Association of Community Health Workers (NACHW) has compiled a list of resources for Community Health Workers to better serve their communities during the national COVID-19 pandemic. These resources include general COVID-19 educational materials; easy to understand educational graphics; self-care and social distancing resources; capacity building tools; equity resources and support; and state laws and state and local agencies’ contact information. To access this list of resources please visit https://nachw.org/covid-19-resources/

Hepatitis C Virus Cost Calculator 

Our brand new Hepatitis C Virus (HCV) Cost Calculator is an interactive tool designed to evaluate the costs and benefits of Standard vs Enhanced HCV Care. This tool uses a numerical value-based model of health center staff training, screening, and treatment regimen to estimate the cost-benefit comparison and return on investment (ROI) to the health center. The cost calculator is a valuable tool to understand resource allocation when considering the expansion of HCV programming


Health centers play an important role in Ending the HIV Epidemic by screening patients for risk and encouraging HIV testing. While the COVID-19 public health emergency has made it more difficult to access traditional places where HIV testing is provided, including health centers, HIV screening continues to be essential to reducing new HIV infections and improving health outcomes for people living with HIV.

CDC has published guidance about HIV self-testing programs using an FDA-approved home test as a way to supplement ongoing HIV prevention efforts. In alignment with this guidance, health centers may purchase and provide HIV self-test kits to health center patients as an element of providing primary health care services to their patients.

Health centers that choose to make HIV self-test kits available to their patients should also ensure that systems are in place to provide the full range of enabling services including patient education, case management, and care coordination. In addition, for patients who report positive HIV self-test results, the health center should provide information and health education regarding follow-up confirmatory testing as well as linkage to treatment and care according to HIV care guidelines. Health centers must also follow appropriate state and local health department HIV surveillance program reporting requirements. Finally, if health centers opt to disseminate HIV self-test kits as part of their existing HIV prevention activities, they should incorporate these activities into Uniform Data System reporting, as appropriate.

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