MOUNTAIN/PLAINS CLINICAL NETWORK (MPCN)

STEERING COMMITTEE (SC) ONLINE MEETING MINUTES Wednesday, December 9, 2020, 12:15PM MT / 1:15PM CT

MEMBERS PRESENT

Joseph Davidson, PA-C Chastity Dolbec, RN, Chair Keith Horwood, MD

Betty Housey, RN Sandi Karr, MEd, LCPC, LAC, Vice Chair

Megan Littlefield, MD Jim McNeely, CFNP

Misty Rudebusch, BSN, PA-C Leah Schulz, DDS (by proxy)

CHAMPS STAFF PRESENT

Jen Anderson Helen Rhea Vernier

PCA STAFF PRESENT Lori Dumke (CHAD)

Valerie Nielsen (CCHN)

MEMBERS ABSENT David Gurule, PharmD Ron Malm, DO

Jonathan Muther, PhD

ACTION ITEMS

I. Call to Order The Chair, Chastity Dolbec, called the meeting to order at 12:17PM MT.

II. Approval of Meeting Minutes from October 27, 2020 Chastity shared that the minutes from the October 27 meeting were on pages one

through eight of the meeting packet. Keith Horwood motioned to approve the minutes. Megan Littlefield seconded the motion. The minutes were unanimously approved.

III. MPCN Steering Committee Membership

Jen Anderson shared that a current list of MPCN SC Membership could be found on page nine of the meeting packet. She noted that contact information for new

members could be found on that list.

IV. CHAMPS Patient Education Tools Revision Brainstorm

Jen shared that a selection of CHAMPS’ Patient Education Tools could be found on pages 10-18 of the meeting packet. She explained that the group usually works

through updating these materials on a regular basis but that the group had taken a break for much of 2020 given COVID. However, since the meeting agenda allowed for it, this meeting was an opportune time to start the review.

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Jen began by saying that she wanted the group to review several CHAMPS depression resources together, as a set, so that they could compare them to one another. She

shared that the first four documents listed in this section of the meeting packet were the Depression Self-Management Commitment, Managing Your Depression,

Depression Self Care Action Plan, and the Depression Self-Management Goals which spanned pages 10-15 of the meeting packet and that she wanted to review these first. She asked the group to look at those and offer any thoughts they had. Sandi

Karr shared some feedback on the Managing Your Depression sheet on page 12; she appreciated that the resource could be used for all age groups and a range of folks

with different understandings of the individual words because the images were so descriptive. She also appreciated the message highlighted at the top that depression is treatable. She noted that this resource highlighted the interdisciplinary nature of

depression treatment. Keith asked what the group thought about the images and whether they might need to be updated to look more modern. Megan included that

she did think an update might make it more effective for adolescents. Sandi agreed. Jen noted that CHAMPS would keep all content as is but update the pictures.

Sandi shared that RiverStone trains their providers in Motivational Interviewing (MI) and that the collaborative goal setting outlined in the Self-Management Commitment

tool found on pages 10-11 was in line with those practices. Megan reflected that this tool would be easy to fill out with a patient, encouraging that collaboration. Sandi

shared that she also liked that there were signature lines to make the resource feel like a contract. Jen asked the group how they felt about the layout of the Self-Management Commitment tool versus that of the Depression Self-Management Goals

(found on page 15 of the meeting packet). Lori shared that she found the element of filling in the blank from the Depression Self-Management Goals document more

useful than the list of options from the first page of the Self-Management Commitment tool. Sandi agreed that the first page of Self-Management Commitment was quite wordy. Megan shared that she appreciated that the second page of the

Self-Management Commitment asked the patient to make more of an active commitment with examples that were specific to their life. Sandi added that the scale

of likelihood was also in line with MI practices. Lori asked if when Sandi or Megan were using these, they would have the patient circle their commitment on each activity. Sandi responded that no, she would have the patient just pick a couple goals

at a time. That way this could be a working document that the care team and patient can come back to repeatedly.

Jen shared a draft online for the Self-Management Commitment tool CHAMPS had created based on the Wellness Tools update from 2019 noting that the way this was

laid out could address the group’s concerns around wordiness. Sandi shared that she would commit to utilizing these resources with the RiverStone behavioral health staff

and monitor the outcomes so that she could share them with the group at the next meeting. Megan shared that she felt the newly designed version looked more modern. Chastity added that it also looked a little more professional. Megan shared

that it might be nice to include the list of activities in addition to the blank space to fill in as the updated version did because it could be difficult to come up with

anything when one is really depressed. Sandi agreed saying that often her chronic

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pain patients cannot even remember what a fun activity is. Lori agreed that the list could be a good jumping-off point.

Jen summarized noting that the group felt the Self-Management Commitment could

be combined with the Depression Self-Management Goals in the new, updated version, including a signature line. She added that the Managing Your Depression document would be updated to be more modern but would still be a stand-alone

resource.

Next, Jen asked the group to review the tri-fold resource that began on page 14. Lori noted that this document was quite intense. Megan shared that as a primary care provider, she was not sure when she would use this but that perhaps it would be

more applicable for a behavioral health provider. Sandi noted that this might be a good provider wellness tool and that she would use it more for patients who were

curious and wanted to do some self-work and self-reflection. Given that, the group indicated that they would not change it.

Moving on, Jen drew the group’s attention to the Depression Fact Sheet. She shared that if the group liked the idea of it, CHAMPS could refresh it. Megan shared that she

felt it was a little long and that she thought if CHAMPS could condense the content to be more approachable that would be helpful. Lori shared that this resource would be

helpful as a bathroom flyer – a one-pager about what depression is, what it might look like, and how to get help quickly.

The final resource was different still with information on what patients should know about their antidepressant medications. Jen noted that this one was not updated in

2015 as the others had been. Megan shared that the graphics looked dated and that a refresh on those would be great. She added that the content was good and that she would think about where to put them in the clinic and let staff know to use them

regularly. Helen asked how important the group felt it was that these resources be brandable for individual health centers. Sandi and Megan responded that it was not

at all important to them. Helen explained that if they could be PDFs rather than Word documents they could be designed in a more sophisticated software. The group liked that idea and asked for the new resources to look better even if it meant they were

not available as Word documents.

INFORMATION ITEMS

I. CHAMPS Virtual Primary Care Conference a. Clinical Registration Reimbursement Request

Jen shared that information on the CHAMPS/NWRPCA Virtual Primary Care

Conference could be found beginning on page 19 of the meeting packet. She reminded those who needed to submit a reimbursement form to do so before December 15.

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II. CHAMPS Upcoming Events Jen shared that information on the upcoming Resiliency Collaborative and Spanish

Language Trainings could be found on pages 20-21 of the meeting packet, respectively.

Regarding the Resiliency Collaborative, Jen shared that registration was open and invited the group to share the opportunity with anyone from Region VIII health

centers who they thought might be interested. She added that this year, for the first time, several health center leaders had expressed gratitude about the collaborative,

showing positive leadership buy-in for the program and for resiliency work in general. Regarding the Spanish Language Training, Jen shared that CHAMPS planned to hold

the event online again, which would offer new flexibility. For 2021, CHAMPS and Ríos Associates would offer some new courses. The original, four-day medical Spanish

course would still be available for beginner and intermediate learners. In addition, they were planning to offer a two-day advanced class, a two-day training for oral health providers and staff, and a two-day training for behavioral health providers.

She added that registration would open in January.

III. CHAMPS/RMPHTC ECHOs Jen shared that CHAMPS and the Rocky Mountain Public Health Training Center

(RMPHTC) would be partnering again in 2021 for two ECHO Learning Communities. She noted that information on these could be found on page 22 of the meeting packet. She added that they were both in development. The first would be on

addressing suicide in primary care, for which more information would be available during the February MPCN SC meeting.

The second series would be on addressing childhood healthy weight, which would take place in the spring and for which more information would be available closer to

that time.

IV. Partnerships/Collaborations a. Rocky Mountain Network of Oral Health (RoMoNoH)

Jen reminded the group that CHAMPS had recently joined the Rocky Mountain

Network of Oral Health (RoMoNoH) Steering Committee and information from the last meeting was included in the last meeting packet. However, there had not been another meeting or additional information shared since then to be included in this

packet.

b. Region VIII Oral Health Peer Learning Network

Jen included that page 23 of the meeting packet was a flyer about the quarterly Region VIII Oral Health Peer Learning Network. She extended a thank you to Lori

from CHAD as well as WYPCA for their work in helping to create this group. Participants discussed the impact of COVID-19 on dental services and the current state of their oral health programs with an emphasis on staffing challenges. She

noted that the second meeting of the group would take place in February and would likely address topics related to training and staffing clinical support staff.

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c. Region VIII Health Care for the Homeless Collaborative

Jen brought the group’s attention to the flyer on page 24 of the meeting packet

regarding the Region VIII Health Care for the Homeless (HCH) Collaborative. She noted that this Collaborative was in its third year and included HCH grantees, other health centers that serve that population, and State PCA Special Population/Health

Equity leads. She noted that, predictably, the group had been focused on COVID-19 in recent meetings and that the plan was to discuss equitable vaccine distribution

with this population during the February meeting. She invited the group to share the flyer with colleagues they thought might be interested in joining.

V. COVID-19 Report Out Jen shared that CHAMPS’ COVID-19 Resources webpage had recently been refreshed

and split into eight individual webpages including a landing page that directs to General COVID-19 Resources, Health Center Operations, Health Equity, Influenza and

COVID-19 Vaccines, Provider Resources, Staff Safety and Wellness, and Telehealth. She noted that page 25 of the meeting packet had a flyer on this section of the website. Additionally, pages 26-27 contained the most recent Region VIII health

center combined COVID-19 data and infographic. She shared that these and past weeks’ data could be found on the General COVID-19 Resources webpage.

Jen then invited the group to share how things were going in their states and communities. She asked if everyone had been able to enroll as a COVID-19 vaccine

provider. Keith shared that the first five organizational recipients of the vaccine in Utah would be hospital systems. He noted that the providers from Community Health

Centers, Inc, (CHCI) who perform deliveries in those hospitals would hopefully get the vaccine as a result.

Megan included that the same would be true in Montana – that the first shipment of vaccines was going to hospitals. She added that Pfizer had recently released the

news that they would not be shipping as many vaccines to Montana as originally indicated. She also shared that the priority would be to vaccinate those who worked in the Emergency Department (ED), Intensive Care Unit (ICU), etc. first. She

anticipated that RiverStone would be using the Moderna vaccine but noted that there was still a lot that was unclear. Additionally, RiverStone had split their staff into tiers

for receipt of the vaccine and they were still not sure how many vaccines to expect when.

Lori shared that in the Dakotas, vaccines were being sent to referral hospitals but that health centers were due to begin receiving the Moderna version the next week.

She noted that the North Dakota Department of Health had developed an ethics committee to decide how the vaccine would be distributed. They hoped to be through Phase 1 by mid-to-late February. She noted that South Dakota was rolling things out

completely differently. They would be shipping to the largest hospitals and indicated that Public Health Departments and health centers would not be receiving vaccines

until Phase 2, which, if true, would be very concerning. Lori asked if Misty Rudebusch had heard anything else about this, but she indicated that she had not and was hoping to hear by the coming Friday.

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Keith asked if anyone was screening staff for the virus with testing. Lori responded yes. He noted that CHCI had recently begun screening staff, had found two

asymptomatic positives, and were now starting a conversation around what to do if staff refused to be tested. He asked the group also if any of them had decided what

to do if staff refused the vaccine. The group indicated they were thinking about that but did not have any policies in place.

VI. 2021 MPCN SC Meeting Schedule Jen shared that page 28 of the meeting packet included the proposed schedule for

meetings in 2021. She asked the group if keeping the second Wednesday of every other month 12:15-1:00PM MT/1:15-2:00PM CT with a special in-person meeting in October at the conference still worked for the group. The group indicated that this

timing still worked. Jen shared that she would send calendar invites to everyone for the whole year.

VII. NACHC/Advocacy Update

Jen shared that on page 29 there was a policy and advocacy update on budgeting

and COVID-19 funding, the Public Charge Rule, and NACHC’s ACE Program renewal. Jen then asked the group if they had any thoughts or additions to make on the

subject. Helen added that the Continuing Resolution which was set to expire on December 11 had been extended to December 18.

VIII. Other Business

Jen noted that a training calendar could be found on pages 30-32 of the meeting

packet.

She also shared that the annual Clinical, Quality Improvement, and Population Health Report shared during the recent CHAMPS Board of Director’s meeting could be found on pages 33-43 of the meeting packet. Though the group had heard all of these

announcements at MPCN SC meetings throughout the year, this was a nice place to see a round-up of everything this department of CHAMPS had done.

IX. Adjourn Online Meeting; Next Online Meeting: Wednesday, February 10,

2021

Jen thanked everyone for their attendance and the meeting was adjourned at 1:01PM MT.

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MPCN MOUNTAIN/PLAINS CLINICAL NETWORK 2021 STEERING COMMITTEE MEMBERS

MEMBER CHC PHONE E-MAIL START DATE

COLORADO David Gurule, PharmD Valley-Wide Health Systems, Inc. (719) 480-9351 guruled@vwhs.org 12/19 Jonathan Muther, PhD Salud Family Health Centers (303) 820-4725 jmuther@saludclinic.org 8/20 Leah Schulz, DDS Salud Family Health Centers (970) 484-0999 lschulz@saludclinic.org 10/18

MONTANA Sandi Karr, LCPC (Vice-Chair) RiverStone Health (406) 247-3350 sandi.lar@riverstonehealth.org 2/17

Megan Littlefield, MD RiverStone Health (406) 247-3214 megan.lit@riverstonehealth.org 5/12 NORTH DAKOTA Chastity Dolbec, RN (Chair) Coal Country Community Health Center (701) 873-4445 chastity@coalcountryhealth.com 5/12 SOUTH DAKOTA Jim McNeely, CFNP Rural Health Care, Inc. (605) 669-2121 jimm@ruralhc.net 10/05

Misty Rudebusch, BSN, PA-C Horizon Health Care (605) 772-5442 mrudebusch@horizonhealthcare.org 6/20 UTAH Keith Horwood, MD Community Health Centers, Inc. (801) 964-6214 khorwood@chc-ut.org 10/05

WYOMING

Joseph Davidson, PA-C Heritage Health Center (307) 661-9271 jdavidson@heritagehealthcenter.org 8/20 Ron Malm, DO Educational Health Center of Wyoming (307) 777-7911 rmalm@uwyo.edu 8/17 QUALITY IMPROVEMENT CONSULTANT Betty Housey, RN Spectra Health (701) 757-2808 betty.housey@spectrahealth.org 4/20 CHAMPS PRESIDENT

Kristi Halvarson Community Health Service, Inc. (218) 236-6502 khalvarson@chsiclinics.org 10/20 CHAMPS STAFF TITLE Julie Hulstein Executive Director (303) 867-9582 julie@champsonline.org

Jen Anderson Clinical Quality Improvement Director (303) 867-9583 jen@champsonline.org Andrea Martin Workforce Dev. & Member Services Director (303) 867-9581 andrea@champsonline.org Helen Vernier Programs Coordinator, Population Health (303) 867-9544 helen@champsonline.org

Ashley Hussein Programs Coordinator, WF & Comm. (303) 867-9584 ashley@champsonline.org Missy Durfey Programs Coordinator, COVID-19 Response (303) 867-9534 missy@champsonline.org Eleanor Franks Programs Coordinator, Health Professions Ed (303) 867-9538 eleanor@champsonline.org

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DEPRESSION

SELF-MANAGEMENT

GOALS, SUGGESTIONS, AND TOOLS

How to use this resource: You are the most important person in the treatment of your

depression. Your health care team may have prescribed

medications or other therapy for you, but it is very important for

you to be a part of the treatment team. Important elements in the

team approach are 1) communication, 2) planning, 3) organizing,

and 4) compliance. This document is intended to help you set

self-management goals and make plans to achieve them.

KEY TAKEAWAYS

────

Depression is

treatable.

────

You are an important

member of your

health care team.

────

Setting goals and

making a plan to

achieve them is

helpful.

────

Your treatment may

involve a variety of

elements.

CLINIC NAME

[INSERT LOGO IF DESIRED]

Street Address

City, ST ZIP Code

Telephone

Web Address

REFLECTION Use this space to reflect and write down the degree to which depression has

affected your general health, spirit, recreation/hobbies, and productivity.

____________________________________________________

____________________________________________________

____________________________________________________

____________________________________________________

____________________________________________________

____________________________________________________

____________________________________________________

____________________________________________________

____________________________________________________

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© 2021

Community Health Association of Mountain/Plains States

www.CHAMPSonline.org

WHICH ACTIVITIES BELOW CAN YOU

COMMIT TO PARTICIPATING IN?

Use the list in this section to note which activities

you can commit to participating in.

Physical Activities:

Clean the House

Clean the Yard/Garden

Dance

Exercise

Jog

Swim

Walk

Yoga

Other __________

Relaxation Activities:

Deep Breathing Exercises

Journal

Listen to a Podcast

Listen to Music

Meditate

Nap

Practice Mindfulness

Pray

Read

Take a Bath

Other __________

Pleasurable/Fun Activities:

Dance

Do Your Hobby

Go to a Support Group

Play a Game – Board, Video, Card

Read

Spend Time with Friends and Loved Ones

Volunteer

Watch a Movie

Watch TV

Other __________

Other Activities:

Other activities you plan to participate in:

___________________________________________

___________________________________________

___________________________________________

___________________________________________

___________________________________________

___________________________________________

HEALTH GOALS

The areas listed on the left are essential to the

recovery from depression. However, they are not

the only areas to work on.

Below, list any specific problem area that you feel

you need to work on.

Problem:

________________________________________

________________________________________

________________________________________

________________________________________

________________________________________

Goal:

________________________________________

________________________________________

________________________________________

________________________________________

________________________________________

Steps you need to complete:

________________________________________

________________________________________

________________________________________

________________________________________

________________________________________

How confident, on a scale of 1 to 10

(1 being not at all likely and 10 being

extremely likely), are you that you will

accomplish these goals?

(Circle one.)

1 2 3 4 5 6 7 8 9 10

_______________________________________________

Signature of Patient Date

_______________________________________________

Signature of Health Care Team Member Date

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Depression is treatable!

Updated 2021© Community Health Association of Mountain/Plains States (CHAMPS)

Things You Should Know About Your Antidepressant Medication

Keep all your appointments.

Take the medication exactly as

your provider prescribes - even if

you feel better.

Talk to your provider - ask

questions; tell them how you feel.

If you forget a dose, do not

double dose - take your next

dose at the regular time.

Your antidepressant medication is not addictive or habit-forming.

They are NOT uppers; they are NOT downers.

It is safe for you to take according to your provider's instructions.

If you are using alcohol or other drugs, please discuss this with your provider.

The first week is the hardest.

Some people have mild side effects, but

they don't feel the medication working yet.

Try to stick it out.

The side effects usually go away in a few

days and the medication should start to

work soon.

Symptoms Targeted byAntidepressant

MedicationSleep

Appetite

Concentration

Mood

Energy

Antidepressants only work if taken every day - and

many work best if taken at the same time every day.

Antidepressant Fact Sheet

Adapted from Ted Amann. May be reproduced for non-commercial use.

It takes time for your medication to work.

Most people begin to feel better in 1-4 weeks.

Don't give up if you don't feel better

right away.

Important Things for You To Do

Let's Talk About Side Effects

Always ask your pharmacist for a print-out of side effects for your medication.

Your provider wants you to know about these side effects:

1)

2)

3)

If you're thinking of stopping your medication, call your provider first.

A rash develops.

You experience severe side effects.

Stop Taking Your Medication and

Call Your Provider If...

Health Center Name:

Telephone Number:

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Depression is treatable!

Updated 2021© Community Health Association of Mountain/Plains States (CHAMPS)

Depression Fact Sheet

Who is At Risk for Depression?

Symptoms of Depression

What You Can Do If You Are

Depressed

Depression is an illness that involves the body, mood, and thoughts. Depression can impact appetite, sleep, and

thinking. A depressive disorder is not the same as feeling blue. It is not a sign of personal weakness and can't be

willed or wished away. People with a depressive illness cannot merely “pull themselves together” and get better.

Without treatment, symptoms can last from weeks to months to years. Treatment can help.

Those who have a family history of depression.

Those who have experienced a stressful or traumatic life event.

Those who lack the social support of a partner, friends, and extended family.

Those who use alcohol or drugs.

Those who have chronic pain or other medical conditions.

Not everyone who is depressed experiences every symptom of depression. The severity of symptoms varies with

individuals and also varies over time.

Persistent sad, anxious, or “empty” mood.

Feelings of hopelessness or pessimism.

Feelings of guilt, worthlessness, or helplessness.

Loss of interest or pleasure in hobbies and activities

that were once enjoyed, including sex.

Decreased energy, fatigue, or feeling slowed down.

Difficulty concentrating, remembering, making

decisions.

Insomnia, early-morning awakening, or oversleeping.

Lack of appetite and weight loss or overeating and

weight gain.

Thoughts of death or suicide; suicide attempts.

Restlessness, irritability.

Persistent physical symptoms that do not respond to

treatment, such as headaches, digestive disorders, and

chronic pain.

What is Depression?

If You Think You Have Depression

Adapted from Colorado Access. May be reproduced for non-commercial use.

Seek treatment. Don’t let misconceptions about

emotional illness or the discouragement of your

depression stop you. Either on your own or by

asking your support system to assist, contact your

health care team for help.

In the weeks until treatment becomes effective,

you can take some simple steps to help you deal

with life on a day-to-day basis:

Break large tasks into small steps,

Set easily managed priorities,

Participate in light exercise and relatively

undemanding social activities, such as

attending a movie or visiting a friend,

Don't isolate.

Discuss your symptoms with your care team.

If you, or someone you know, has been diagnosed

with depression and treatment has not been

effective within three months, get a second

consultation, preferably from a provider who

specializes in the treatment of this illness.

Remember, your depression is not your fault and it

can be effectively treated.

Contact the free National Suicide Prevention Lifeline

at 1-800-273-TALK (8255), available 24/7. When in

crisis or feeling suicidal, the worker on the line can

direct you to mental health services in your area.

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Make time for pleasurable activities.

Spend time with people who can support you.

Nourish yourself.

Managing Your Depression:Things You Can Do To Help Yourself

Stay physically active.

Depression is treatable!

Ride a Bike Exercise Go for a Walk Go for a Swim Play a Sport

Read a Book Listen to Music Watch TV or a Movie Do a Hobby Enjoy the Outdoors

Practice relaxing.

Talk with Friends Connect Exchange a Hug Play a Game Talk on the Phone

Get Plenty of Rest Take a BathPractice Mindfulness Enjoy Your Surroundings

Set simple goals and small steps.

Set Reasonable, Attainable Goals

Acknowledge Your Accomplishments

Don't Try to Solve Big Problems All at Once

Break Tasks Up into Smaller Steps

Drink Water Eat Plenty of Fruits and Vegetables Avoid Alcohol

Updated 2021 © Community Health Association of Mountain/Plains States (CHAMPS) Adapted from Ted Amann. May be reproduced for non-commercial use.

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INSERT CLINIC NAME, ADDRESS AND CONTACT INFORMATION HERE

Common causes of depression are:

• A chemical imbalance in the brain

• Genetics - depression can run in families

• Events in your life, such as a death or job loss

• Side affects from certain medications, drugs, alcohol, or having an illness

• PMS - women who experience PMS are more likely to be depressed

If you have some of these symptoms every day, all day, for 2 weeks or longer, you may have depression:

• No interest or pleasure in things you used to enjoy

• Feeling sad or empty

• Crying easily or crying for no reason

• Feeling slowed down or feeling unable to sit still

• Feeling worthless or guilty

• Weight gain or loss

• Thoughts about death or suicide

• Trouble thinking, remembering things, or focusing on what you're doing

• Trouble making everyday decisions

• Problems sleeping, or wanting to sleep all of the time

• Feeling tired all of the time

• Not caring about things you used to care about

Depression is treated by counseling, medication, and lifestyle changes. Medication, called antidepressants, may be prescribed in some cases but not in all cases. There are many kinds of antidepressants. They all work differently and have different side effects. The best kind of treatment may depend on what is causing your depression. Your health care provider can work with you to find the best way to treat your depression.

Depression affects one in four people in the United States and has many different causes. Depression is not caused by personal weakness, laziness, or lack of willpower.

Symptoms of Depression

Treating Depression

Causes of Depression

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When you are not engaged in your life or feel alone you are more likely to get depressed. Avoid this by staying connected to people, your body, and your goals.

• Stay connected to people ▪ Keep in touch with friends and family ▪ Call someone if you are feeling sad or thinking about suicide ▪ When you feel depressed don’t be alone

• Stay connected to your body ▪ Exercise most days ▪ Eat a healthy diet ▪ Sleep 7-9 hours a night (adults) ▪ Do not use drugs or alcohol to escape or feel numb

• Stay connected to your goals ▪ Set small goals and encourage yourself to reach them

If you do not feel better after starting treatment or slip back into depression after doing well you may feel like giving up. Keep going even when you feel frustrated. Keep going to counseling, keep taking your medications, and keep learning about depression. This will help you decrease your depression.

• Keep going to counseling

• Keep taking your prescribed medications ▪ Medications take a couple weeks to take affect. If you stop your medication you may never feel the full benefit of them. If you want to stop taking your antidepressants because you do not feel like they are working or you don’t like the side affects talk to your health care provider. Together you can come up with a treatment plan that works better for you.

• Keep learning about depression ▪ Learning about depression will remind you depression is not something you caused. It will also remind you that many people experience depression. It is not your fault and you are not alone. ▪ Learning about depression will educate you of the latest treatment options.

Stay Connected

If you or someone you know is going to commit suicide call 911.

If there is no immediate danger, there are several suicide hotlines you can call to connect to resources and get help.

Call these two hotlines 7 days a week 24 hours a day anywhere in the United States:

1-800-SUICIDE (1-800-784-2433)

1-800-273-TALK (1-800-273-8255)

Keep Going

Things You Can Do to Ease Your Depression 14

INSERT CLINIC NAME, ADDRESS AND CONTACT INFORMATION HERE

Anxiety can be a normal "alarm system" that alerts you to danger. However, if you are often afraid or anxious for no reason and this is getting in the way of your normal daily activities, you may have an anxiety disorder.

A Generalized Anxiety Disorder involves feeling tense and worried either frequently or constantly when there are no signs of trouble or any specific purpose for the worrying.

An anxiety disorder can be caused by a chemical imbalance in your body, an unconscious memory, or a side effect of a medicine or illness.

▪ Fast heartbeat, sweating, or shortness of breath

▪ Constant worry or obsession over small or large concerns

▪ Trouble concentrating or having mind go “blank”

▪ Stomach and intestinal problems including diarrhea

▪ Muscle tension or muscle aches ▪ Shaking or feeling easily startled

▪ Restlessness, irritability or feeling on edge

▪ Loss of sleep

Psychotherapy and medication are used to treat anxiety, but simple lifestyle changes can also help.

▪ Get plenty of sleep. ▪ Exercise everyday.

▪ Avoid stimulants. Stimulants include caffeine, alcohol, drugs, over-the-counter diet pills, and certain cough and cold medicines.

▪ Relax. Relax by practicing deep breathing, guided imagery, positive thinking, muscle relaxation or listening to relaxing music. There are handouts for learning to relax.

▪ Control your worry. Pick a specific time to worry. Focus on what's actually happening, rather than what “might” happen. Then let go of the worry and go on with your day

▪ Explore possible treatment plans with your health care provider. There may be behavioral therapies or medications available to lessen your anxiety.

Generalized Anxiety Disorder

How can I lessen my anxiety?

Symptoms of Anxiety:

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2020/2021 Region VIII Health Center Training & Technical Assistance Needs Assessment Summary Report

CHAMPS MPCN Steering Committee Only – February 2021

Community Health Association of Mountain/Plains States (CHAMPS) and the state

Primary Care Associations (SPCAs) of Region VIII have been jointly undertaking an annual

Region VIII Health Center Training and Technical Assistance (T/TA) Needs Assessment for

nine years. CHAMPS facilitates and coordinates regular online meetings of these

organizations to discuss results and lessons learned from previous years and to plan

updates and adjustments to upcoming assessments. CHAMPS builds and houses the online

survey, while the SPCAs distribute it to the most appropriate health center contacts within

each state (with CHAMPS assistance if requested). CHAMPS then distributes state-specific

results to each SPCA and utilizes the combined regional results, along with other

environmental data and surveys/assessments, input from governing and advisory bodies

and additional partners, etc., to monitor Region VIII health centers and design the most

appropriate, timely, impactful, and non-duplicative T/TA. Out of respect for the Region VIII

health centers currently dealing with the COVID-19 pandemic, CHAMPS and the Region VIII

SPCAs redesigned, shortened, and enhanced the survey methodology for the 2020/2021

Region VIII Health Center T/TA Needs Assessment in order to ensure only the most vital

questions were being asked in the most concise format possible.

Data for the 2020/2021 Region VIII Health Center T/TA Needs Assessment was

collected 1/4/21-1/15/21. Over 270 respondents provided input for this assessment

representing 60 of Region VIII’s 62 health centers (96.8%). These respondents

provided information about their top challenges/concerns and environmental changes that

have, and will, impact their health center, and rated their need for T/TA support related to

146 different topics in the areas of:

• ACCESS TO COMPREHENSIVE PRIMARY CARE (Access), including expanding/

integrating services and serving special and vulnerable populations (SVPs),

• CLINICAL QUALITY AND PERFORMANCE (CQP), including telehealth, social

determinants of health (SDOH), improving health outcomes, and additional clinical

priorities like preventing and managing diabetes, ending the HIV epidemic, mental

health screening and treatment, and COVID-19 testing and vaccines,

• EXECUTIVE DEVELOPMENT AND OPERATIONAL ADVANCEMENT (Exec. Dev. and Op.

Adv.), including board of directors, finance/operations, emergency preparedness and

response, and value-based care delivery (VBCD), and

• WORKFORCE DEVELOPMENT (WF Dev.) including workforce planning and workforce

advancement.

CHAMPS is in the process of undergoing an in-depth analysis of assessment results; the

following tables provide an overview of the findings utilized in the development of this Non-

Competing Continuation application.

2020/2021 Top 10 Ranked Challenges/Concerns Impacting Region VIII Health

Centers, in Addition to COVID-19

1. Burnout 6. 340B Regulations

2. Meeting Patient Targets/Projections 7. Recruitment of Providers

3. Retention of Staff 8. Billing/Coding Issues

4. Clinic Operations 9. Recruitment of Other Licensed Staff*

5. Telehealth 10. Behavioral Health Integration *New topic for 2020/2021 Needs Assessment. Region VIII Top 5 Ranked Challenges/Concerns, 2019:

1: Staff Retention; 2: Billing/Coding Issues; 3: Burnout; 4: Recruitment of Providers; 5: Meeting Patient Targets/Projections

16

2020/2021 Top Environmental Changes Impacting Region VIII Health Centers, in

Addition to COVID-19 (Topics selected by 25%+ of participants)

January-December 2020 Anticipated for January-December 2021

1. Patient Reductions (51.81%) 1. Funding Changes (32.64%)

2. C-Suite/Leadership Staff Turnover (31.09%) 3. Funding Changes (28.50%)

2020/2021 T/TA Topics Ranked as High Need* Section Area Topic Count Avg.

WF Dev. WF Adv.

Burnout Prevention (e.g., Wellness Programs,

Internal Support Groups, Mindfulness Training, Peer Support, etc.)

2.38

WF Dev. WF Adv. Support Staff Professional Development (e.g., Front Desk, Clinical Support, Customer Service, etc.)

2.37

WF Dev. WF Adv. Leadership Development and Training 2.30

WF Dev. WF Adv. Supervisory Skills Training 2.30

CQP Telehealth Remote Patient Engagement* 2.27

CQP SDOH Funding to Support Staff that Address SDOH 2.27

CQP Additional Clinical Priorities

UDS Measure around Depression Remission at 12 Months*

2.20

Exec. Dev. and Op.

Adv.

VBCD Identifying and Addressing Preventable High Costs within the Patient Population (e.g., Timely,

Actionable, Accurate Reports or Other Mechanisms)

2.17

Access Serving SVPs Other Vulnerable Populations (e.g., Immigrant/Refugee Populations, Patients Aged 65+, etc.); if High Need, Specify Population Group Below

2.15

CQP Telehealth Remote Patient Monitoring* 2.14

Exec. Dev. and Op.

Adv.

VBCD Analyzing Impact of Proposed Payment Models on

Revenues and Operating Cash Flows 2.13

WF Dev. WF Planning

Customizable Recruitment and Retention

Plans/Procedures (e.g., Marketing Plans, Succession Plans, Promising Recruitment Practices, etc.)

2.13

CQP SDOH Creating Workflows to Track and Address Patient Needs

2.12

WF Dev. WF Adv. Ensuring Team Members Work at Top of License 2.12

CQP SDOH Addressing Social Determinants of Health (SDOH) to Support Value-Based Care

2.11

WF Dev. WF Planning HR/Recruitment and Retention Metrics

Benchmarking 2.08

Exec. Dev. and Op. Adv.

VBCD Staff Capacity for Change (e.g., Training, Coaching,

Mentorship, etc.) 2.05

WF Dev. WF Planning Development of Staff Onboarding and

Education/Training Processes and Programs 2.04

CQP

Improving

Health Outcomes

Changing Health Behaviors (e.g., Group Visits, Motivational Interviewing, Population-Specific Evidence-Based Messaging, Patient Education Tools, etc.)

2.02

WF Dev. WF Adv. Staff Advancement Models (e.g., Career Ladders, Organizational Charts, New Provider Support, etc.)

2.02

CQP Telehealth Workflows and Staffing Optimization* 2.01 *New T/TA need topic for 2020/2021 Needs Assessment.

17

2020/2021 Region VIII Top Ten Ranked Topics Needing T/TA by Staff Type* Section Area Topic Count Avg.

ADMINISTRATIVE STAFF**

WF Dev. WF Adv. Burnout Prevention 62 2.44

WF Dev. WF Adv. Support Staff Professional Development 60 2.42

CQP Telehealth Remote Patient Engagement 56 2.39

WF Dev. WF Adv. Supervisory Skills Training 61 2.33

WF Dev. WF Adv. Leadership Development and Training 59 2.32

Exec. Dev. and Op. Adv.

VBCD Analyzing Impact of Proposed Payment Models on Revenues and Operating Cash Flows

42 2.31

CQP SDOH Funding to Support Staff that Address SDOH 39 2.26

CQP Telehealth Remote Patient Monitoring 54 2.26

WF Development

WF Planning Customizable Recruitment and Retention Plans/Procedures

44 2.23

CQP Additional Clinical

Priorities

UDS Measure around Depression Remission at 12 Months

29 2.19

Exec. Dev. and Op. Adv.

VBCD Identifying and Addressing Preventable High Costs within the Patient Population

42 2.19

CLINICAL STAFF***

WF Dev. WF Adv. Support Staff Professional Development 34 2.29

WF Dev. WF Adv. Burnout Prevention 38 2.26

WF Dev. WF Adv. Leadership Development and Training 35 2.26

WF Dev. WF Adv. Supervisory Skills Training 33 2.24

CQP Telehealth Remote Patient Engagement 43 2.23

CQP SDOH Funding to Support Staff that Address SDOH 31 2.23

CQP Additional Clinical Priorities

UDS Measure around Depression Remission at 12 Months

40 2.23

CQP Improving Health

Outcomes

Changing Health Behaviors 53 2.21

Access Serving SVPs Persons Experiencing Homelessness and/or Living in Public Housing

37 2.17

Exec. Dev.

and Op. Adv. VBCD

Identifying and Addressing Preventable High Costs

within the Patient Population 16 2.15

*Includes only topics with five+ respondents. **Includes Board member, Billing Coordinator/Manager, CEO/Executive Director, CFO/Finance Director, CIO/Information Technology Director, Clinic Manager, COO/Operations Director, Human Resources Director, Other Administrative Staff. ***Includes Behavioral Health Director, CDO/Dental Director, CMO/Medical Director, Patient Support, Provider, Quality Improvement Director/Officer, Other Clinical Staff.

18

CHAMPS Spanish LanguageTraining for Health Care

Professionals

Taught by always popular Ríos Associates instructors, this virtualtraining will allow for small class sizes and more one-on-one attention

from instructors.

The training offers the traditional four-day medical Spanish course forbeginner and intermediate language learners.

New in 2021: CHAMPS is offering special two-day Spanish courses

for Advanced Speakers, Oral Health Providers, and Behavioral Health Providers.

Class will be held in the morning, with optional tutoring sessions in the

afternoon.

To learn more and register , v is it the CHAMPS Events and Trainings webpage:

www.CHAMPSonl ine .org/events - t ra in ings#SLT

To Be Held Virtually: April 2021

RegisterNow!

¡Hola, señor! ¡Hola, doctor!

¿Qué tal?

19

CHAMPS/RMPHTC Project ECHOLearning Communities

Addressing Suicide in PrimaryCare ECHO Learning Community

This series aims to support primarycare team members by addressing

evidence-based practices forsuicide screening and treatment in

the primary care setting.

Over the course of four sessions,participants will discuss clinical and

operational strategies foraddressing suicide and providingsuicide safe care for health center

patients.

To learn more and register , v is it the CHAMPS Project ECHO webpage:

www.CHAMPSonl ine .org/events - t ra in ings/d is tance- learn ing/pro jectecho

Sessions Held Thursdays inMarch 12-1PM MT |1-2PM CT

March 4: Understanding Suicide inRegion VIII

March 11: Implementing ZeroSuicide Principles

March 18: Suicide Safe Care forPatients

March 25: Using a Strength-BasedApproach to Suicide Assessment

and Treatment

RegisterNow!

in partnership with

20

Rocky Mountain Public Health Training Center Training Announcement

Check out these training opportunities through the RMPHTC and partners!

Becoming Better Messengers Virtual Workshop (Feb. 16th) This hands-on workshop provides participants with an opportunity to explore how Moral Foundations Theory intersects with public health communication and to apply each of the 6 foundational values to highly relevant messaging challenges, including structural racism and COVID-19. More Info & Registration Community Engagement & Coalition Building Virtual Workshop (Feb. 26th) Learn about the principles of community engagement and how to optimize recruitment, meeting planning & design, decision-making strategies, and how different coalition structures can help support different coalition needs & goals. More Info & Registration

Designing Effective Meetings Virtual Workshop (Mar. 12th) This workshop focuses on how to plan and structure a meeting to achieve your desired outcomes. Expect to learn strategies and techniques to help you keep your meetings on point, engaging, and action-oriented. More Info & Registration Resilience Online Toolkit This online toolkit will help us define resilience accurately, explore how stress manifests, and figure out how best to exhibit resilience through the effects of stress. More Info & Registration

To learn more about these trainings and to view our full training directory, visit RMPHTC website at:

https://registrations.publichealthpractice.org/Training

21

D e n t a l P r a c t i c e s D u r i n g C O V I D - 1 9S t a f f i n g C h a l l e n g e sT r a i n i n g D e n t a l A s s i s t a n t s

T h i s q u a r t e r l y Z O O M v i d e o c o n f e r e n c i n g c a l lw i t h R e g i o n V I I I o r a l h e a l t h p r o f e s s i o n a l si n c l u d e s d e n t i s t s , h y g i e n i s t s , d e n t a lo p e r a t i o n s s t a f f , a n d o t h e r s w o r k i n g t os u p p o r t o r a l h e a l t h e f f o r t s a t R e g i o n V I I Ih e a l t h c e n t e r s .

T h i s m e e t i n g p r o v i d e s a p l a c e t o s h a r e b e s tp r a c t i c e s , d i s c u s s c h a l l e n g e s , h e a r f r o me x p e r t s i n t h e i r f i e l d , a n d i d e n t i f y d e s i r e dt r a i n i n g / t e c h n i c a l a s s i s t a n c e ; c a l l t o p i c s a n dd i r e c t i o n a r e d e t e r m i n e d b y s e s s i o np a r t i c i p a n t s w i t h C H A M P S a n d S t a t e P C As u p p o r t i n i m p l e m e n t a t i o n .

R e c e n t t o p i c s i n c l u d e :

Region VIII Oral Health Peer LearningNetworkTypical ly held the last Monday in

February, May, August, November.

For more information or to request an invitation,

please click here or emailJen@CHAMPSonline.org.

www.CHAMPSonline.org

22

Region VIII 1/22/2021 National 1/22/2021

40 67% 870 63%

Patients Tested for COVID‐19, Virus Detection (PCR, antigen)1

5,551 236,900

Racial and/or Ethnic Minority Patients 43.51% 47.59%Patients Tested Positive for COVID‐19, Virus Detection (PCR, 

antigen)1 719 33,004

Racial and/or Ethnic Minority Patients 48.54% 55.37%

Patients Tested by race and ethnicity, Virus Detection (PCR, 

antigen):2

Tested for 

COVID‐19

Tested 

Positive for 

COVID‐19

Tested for 

COVID‐19

Tested 

Positive for 

COVID‐19

White, Non‐Hispanic/Latino Patients 40.23% 33.94% 33.10% 29.33%

White, Hispanic/Latino Patients 23.35% 28.93% 17.30% 24.25%

Black/African American, Non‐Hispanic/Latino Patients 6.92% 4.45% 13.60% 11.44%

Black/African American, Hispanic/Latino Patients 0.25% 0.14% 1.47% 1.86%

Asian Patients3 1.50% 1.39% 3.05% 2.93%

American Indian/Alaska Native Patients3

2.30% 2.50% 1.37% 0.88%

Native Hawaiian/Other Pacific Islander Patients3

0.33% 0.42% 0.65% 0.77%

Patients with More than one race3 2.27% 2.78% 2.61% 2.81%

Hispanic/Latino Ethnicity Patients (Unreported/Refused to 

report race) 6.59% 7.93% 7.54% 10.42%

Non‐Hispanic/Latino Ethnicity Patients (Unreported/Refused 

to report race) 3.31% 1.81% 2.28% 1.96%

Unreported/Refused to Report Race and Ethnicity 12.95% 15.71% 17.03% 13.34%

Flu Vaccinations Administered 7,006 105,481

Racial and/or Ethnic Minority Patients 72.56% 77.99%

COVID‐19 Immunization Series Initiated 8,862 133,221

Racial and/or Ethnic Minority Patients 17.31% 33.24%

COVID‐19 Immunization Series Completed 1,328 8,192

Racial and/or Ethnic Minority Patients 33.66% 48.78%

Patients Administered Vaccine Flu

COVID‐19 

Series 

Initiated

COVID‐19 

Series 

Completed Flu

COVID‐19 

Series 

Initiated

COVID‐19 

Series 

Compeated

White, Non‐Hispanic/Latino Patients 19.91% 27.83% 49.02% 15.47% 38.11% 34.66%

White, Hispanic/Latino Patients 40.02% 8.76% 20.18% 27.07% 12.73% 29.83%

Black/African American, Non‐Hispanic/Latino Patients 3.91% 2.04% 3.09% 10.11% 6.78% 2.65%

Black/African American, Hispanic/Latino Patients 0.40% 0.02% 0.08% 2.00% 1.24% 0.28%

Asian Patients3 1.85% 1.74% 3.46% 24.66% 5.59% 2.10%

American Indian/Alaska Native Patients3

1.04% 0.66% 0.68% 0.72% 0.73% 8.98%

Native Hawaiian/Other Pacific Islander Patients3

0.80% 0.36% 0.15% 0.89% 1.22% 0.15%

Patients with More than one race3 16.63% 0.56% 1.43% 4.15% 1.52% 2.51%

Hispanic/Latino Ethnicity Patients (Unreported/Refused to 

report race) 7.91% 3.17% 4.59% 8.38% 3.42% 2.27%

Non‐Hispanic/Latino Ethnicity Patients (Unreported/Refused 

to report race) 0.80% 4.04% 12.19% 1.88% 5.37% 3.87%

Unreported/Refused to Report Race and Ethnicity 6.73% 50.83% 5.12% 4.65% 23.28% 12.70%

Health Centers with COVID‐19 Testing Capacity, Virus 

Detection (PCR, antigen) 100.00% 98.62%Health Centers with COVID‐19 Drive‐Up/Walk Up Testing 

Capacity, Virus Detection (PCR, antigen)4

72.50% 81.35%Average Turnaround Time for COVID‐19 Test Results, Virus 

Detection (PCR, antigen)4

<1 hour 17.50% 12.00%

12 Hours or Less 2.50% 3.96%

24 Hours 30.00% 13.40%

2‐3 Days 47.50% 59.67%

4‐5 Days 2.50% 9.09%

More Than 5 Days 0.00% 1.86%

Challenges in Deploying the COVID‐19  VaccineFinancial reimbursement for costs associated with vaccine 

administration 17.50% 18.62%

Staffing to administer the vaccine 27.50% 39.66%

Vaccine confidence 10.00% 15.40%

Vaccine storage capacity 17.50% 10.00%

Vaccine supply 65.00% 66.67%

Other 7.50% 8.28%

None 12.50% 11.61%

Health Center Weekly Visits Compared to Pre‐COVID 19 

Weekly Visits 73.18‐95.00% 83.17%

Health Center Sites Temporarily Closed 14 558Staff Tested Positive for COVID‐19, Virus Detection (PCR, 

antigen) 57 1,049

Staff Initiated COVID‐19 Immunization Series 764 24,074

Staff Completed COVID‐19 Immunization Series 1,764 17,060Health Center Staff Unable to Work (due to site/service 

closure, exposure, family/home obligations, lack of PPE, etc.) 0.00‐5.83% 4.37%

Average Percent of Health Center Visits Conducted Virtually 3.33‐29.17% 29.59%Health Centers Experiencing Challenges Obtaining Adequate 

Supply of Flu Vaccine 2.50% 4.14%

Health Centers with an adequate supply of Personal 

Protective Equipment (PPE) for:

6 or fewer 

days 7‐13 days 14‐20 days 21‐27 days

28 or more 

days

No supply 

challenge at 

this time

6 or fewer 

days 7‐13 days 14‐20 days 21‐27 days

28 or more 

days

No supply 

challenge at 

this time

Surgical Masks 0.00% 0.00% 7.50% 7.50% 27.50% 57.50% 0.69% 5.63% 8.62% 11.38% 32.07% 42.99%

N95/PPR Masks 5.00% 5.00% 10.00% 10.00% 27.50% 42.50% 2.18% 4.02% 7.82% 11.49% 32.18% 39.89%

Gowns 0.00% 5.00% 5.00% 10.00% 20.00% 60.00% 1.61% 7.01% 9.54% 12.30% 30.92% 43.33%

Gloves 0.00% 5.00% 5.00% 10.00% 35.00% 45.00% 3.22% 3.56% 6.32% 12.76% 30.34% 37.13%Face Masks/Goggles 0.00% 0.00% 5.00% 10.00% 27.50% 57.50% 1.15% 0.00% 0.00% 10.57% 31.61% 46.78%

2Percentages may not add to 100% due to rounding to the hundredths.

3Includes Hispanic/Latino and Non‐Hispanic/Latino.

1The reported number of patients tested do not represent the same patients included in the reported number of patients tested positive due to a lag between the date the specimen is collected and the availability of test results. Positivity rates cannot be inferred by

dividing patients tested positive by patients tested for this reason.

4Only health centers that responded having COVID‐19 testing capacity are included, n= 40 & 849 respectuvely. Percentages may not add to 100% due to health centers not reporting turnaround times or rounding to the hundredths.

Patients Vaccinated

Testing Logistics

Vaccine Logistics

Operations Logistics

Health Center COVID 19 Survey ‐ Region VIII Weekly Summary Report

Region VIII has 61 Health Center Grantees with 453 Service Sites. Nationally there are almost 1,400 Health Center Grantees with ~12,000 Service Sites.

Survey Date

# of Health Center Respondents

Patients Tested

23

2019 UDS Workforce Metrics

*Health Resources and Services Administration. 2019 Health Center data. Available from URL: http://bphc.hrsa.gov/uds/datacenter.aspx

[accessed August 11, 2020]. Highlights from 2019 State Reports-OnlineRollUps, Table WFC: Workforce. For more Region VIII UDS information,

visit http://champsonline.org/toolsproducts/publications-electronic-media/champs-publications#UDSsummary

**Health Center Program Awardees; Region VIII included two Health Center Look-Alike (LA) organizations in 2019. LA data is not included in this infographic.

Health Center Awardees

1,385 in the Nation

National and Region VIII Health Center Awardee Highlights

of Awardees in the Nation Have HP-ET Programs

69.31% 75.41% of Awardees in Region VIII

Have HP-ET Programs

Nation 13.23%

Region VIII 17.39%

SPONSOR SITES

*

Health Center Awardees Providing

Health Professions Education and Training (HP-ET) Programs

960 Awardees in the Nation and 46 in Region VIII provide professional education and/or training.

**

TRAINING SITE PARTNERS

Nation 73.96%

Region VIII 65.22%

MT ND

SDWY

COUT

A sponsor site hosts a comprehensive HP-ET program. A training site partner delivers focused,

time-limited HP-ET in support of a comprehensive curriculum hosted by another health profession education provider.

61 in Region VIII

HP-ET Programs expose health and allied health professions students, trainees, and residents to education and training programs at

health centers, enhancing these health centers' capabilities to recruit, develop, and retain their workforce.

Community Health Association of Mountain/Plains States (CHAMPS)

www.CHAMPSonline.org

24

2019 UDS Workforce Metrics*

MENTAL HEALTH & SUBSTANCE USE DISORDER (SUD)

Nurse Practitioners

Physician Assistants

Registered Nurses

Medical Assistants

This publication was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an

award totaling $719,941 with 20% financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views

of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.

HP-ET Offered By Discipline

Medical

Dental

Mental Health & SUD

Other Professionals

National and Region VIII Health Center Awardee Highlights

MOST COMMONLY TRAINED BY DISCIPLINE

Physicians

Dentists

Clinical Social Workers

Pharmacists

Medical Assistants

Dentists

Professional Counselors

Pharmacists

*Health Resources and Services Administration. 2019 Health Center data. Available from URL: http://bphc.hrsa.gov/uds/datacenter.aspx

[accessed August 11, 2020]. Highlights from 2019 State Reports-OnlineRollUps, Table WFC: Workforce. For more Region VIII UDS information,

visit http://champsonline.org/toolsproducts/publications-electronic-media/champs-publications#UDSsummary

As a Percent of All Medical Individuals Trained

22.96%

13.37%

21.22%

14.75%

11.53%

19.76%

13.26%

28.26%

MEDICAL

As a Percent of All Medical Individuals Trained

Region VIIINation

15.59%7.79%

15.60%40.27%

Professional Counselors SUD Personnel

4.99% 16.40%

As a Percent of All Mental Health & Substance Use Disorder Individuals Trained

Clinical Social Workers

36.40% 35.26%

Family Physicians

25

Policy & Advocacy Update February 2021

With a new Administration comes new policies, procedures, and advocacy priorities. In the first three weeks of his presidency, President Biden has written many Executive Orders (EOs), directed various Offices and Departments to make significant changes, and begun to put his agenda into motion.

Marketplace Special Enrollment Period

On Thursday, January 28, President Biden signed an EO establishing a new Special Enrollment Period (SEP) for the Affordable Care Act (ACA) Marketplace. This SEP will run from February 15 through May 15, 2021. During this time, people will be able to apply for coverage without needing to demonstrate that they have had a qualifying event. In Colorado, Region VIII’s only State-Based Marketplace (SBM), an SEP will run from February 8 through May 15, 2021, and consumers will not have to demonstrate that they have had a qualifying event.

340B “Dear Colleague” Letter

A new “Dear Colleague” letter is being circulated in the U.S. House of Representatives, urging the U.S Department of Health & Human Services (HHS) leadership to take immediate action to protect the 340B program. The letter is sponsored by the same bipartisan group of six House members that got 217 total representatives last fall—173 Democrats and 44 Republicans—to sign a letter opposing efforts to replace up-front 340B drug discounts with back-end rebates. The new “Dear Colleague” letter is addressed to HHS Secretary-nominee Xavier Becerra and copied to Acting Secretary Norris Cochran. It asks Becerra, upon confirmation, to:

• Begin assessing civil monetary penalties on manufacturers that deny 340B pricing to covered entities in violation of their obligations under the 340B statute;

• Require manufacturers to refund covered entities the discounts they have “unlawfully withheld since 2020”;

• Halt, through guidance or other means, any attempt to unilaterally change 340B upfront discounts to post-sale rebates;

• Immediately seat the new 340B administrative dispute resolution (ADR) panel to begin processing disputes within the program.

The letter is sponsored by Reps. Abigail D. Spanberger (D-VA), Cindy Axne (D-IA), David McKinley (R-WV), Dusty Johnson (R-SD), John Katko (R-NY), and Doris Matsui (D-CA). It has been endorsed by NACHC as well as other groups representing 340B providers.

Please encourage your colleagues to reach out to their House members to ask them to co-sign the letter by Thursday, February 11.

Public Charge

On Tuesday, February 2, President Biden signed an EO entitled “Restoring Faith in Our Legal Immigration Systems and Strengthening Integration and Inclusion Efforts for New Americans.” Among other provisions, the EO called for an “immediate review” of the Public Charge regulation, and for recommendations to “address concerns about the current public charge policies’ effect on the integrity of the Nation’s immigration system and public health.” It also calls on Federal agencies “to reduce fear and confusion among impacted communities” about the regulation. The Administration must still go through the entire notice-and-comment rulemaking process before it can rescind this regulation.

26

COMMUNITY HEALTH ASSOCIATION OF MOUNTAIN/PLAINS STATES

TRAINING & CONFERENCE CALENDAR

2021 February 17 CHAMPS Health Care for the Homeless Collaborative

www.champsonline.org

February 17 CHAMPS Resiliency Collaborative www.champsonline.org

February 22 CHAMPS Oral Health Peer Learning Network Meeting

www.champsonline.org

March 3 CHAMPS Resiliency Collaborative

www.champsonline.org

March 4 CHAMPS/RMPHTC Addressing Suicide in Primary Care ECHO Session 1

www.champsonline.org

March 11 CHAMPS/RMPHTC Addressing Suicide in Primary Care ECHO Session 2

www.champsonline.org

March 15-18 NACHC Policy & Issues Forum Marriott Wardman Park, Washington, DC

www.nachc.org

March 17 CHAMPS Resiliency Collaborative

www.champsonline.org

March 18 CHAMPS/RMPHTC Addressing Suicide in Primary Care ECHO Session 3

www.champsonline.org

March 22-26 Virtual Forum for Migrant and Community Health www.ncfh.org

March 24 CHAMPS 2020 Region VIII Health Center Workforce Data

Webcast www.champsonline.org

March 24 CHAMPS/RMPHTC Addressing Suicide in Primary Care

ECHO Session 4

www.champsonline.org

April 1 CHAMPS Virtual CORE Competencies for CHC Supervisors and Managers Session 1

www.champsonline.org

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April 7 CHAMPS Resiliency Collaborative

www.champsonline.org

April 8 CHAMPS Virtual CORE Competencies for CHC Supervisors and Managers Session 2

www.champsonline.org

April 15 CHAMPS Virtual CORE Competencies for CHC Supervisors and Managers Session 3

www.champsonline.org

April 19-20 CHAMPS Spanish Language Training for Oral Health Professionals

www.champsonline.org

April 21 CHAMPS Resiliency Collaborative

www.champsonline.org

April 22 CHAMPS Virtual CORE Competencies for CHC Supervisors and Managers Session 4

www.champsonline.org

April 22-23 CHAMPS Spanish Language Training for Medical Professionals (Beginner & Intermediate Levels) – Part 1

www.champsonline.org

April 26-27 CHAMPS Spanish Language Training for Behavioral Health Professionals

www.champsonline.org

April 26-27 CHAMPS Spanish Language Training for Medical

Professionals (Advanced) www.champsonline.org

April 29-30 CHAMPS Spanish Language Training for Medical

Professionals (Beginner & Intermediate Levels) – Part 2 www.champsonline.org

April 22 CHAMPS Virtual CORE Competencies for CHC Supervisors

and Managers Session 5 www.champsonline.org

May 4-6 NACHC Conference for Agricultural Worker Health

Grand Hyatt Denver, Denver, CO

www.nachc.org

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May 5 CHAMPS Resiliency Collaborative www.champsonline.org

May 10 CHAMPS Oral Health Peer Learning Network Meeting

www.champsonline.org

May 17-18 WYPCA Power of Rural Conference – Part 1 www.wypca.org

May 19 CHAMPS Health Care for the Homeless Collaborative

www.champsonline.org

May 19 CHAMPS Resiliency Collaborative www.champsonline.org

May 24-25 WYPCA Power of Rural Conference – Part 2 www.wypca.org

August 18 CHAMPS Health Care for the Homeless Collaborative

www.champsonline.org

August 20-24 NACHC Community Health Institute Hyatt Regency Orlando, Orlando, FL

www.nachc.org

October 23-26 CHAMPS/NWRPCA Annual Primary Care Conference Seattle Grand Hyatt, Seattle, WA

www.champsonline.org

November 8 CHAMPS Oral Health Peer Learning Network Meeting

www.champsonline.org

November 17 CHAMPS Health Care for the Homeless Collaborative www.champsonline.org

2022

March 21-24 NACHC Policy & Issues Forum Marriott Wardman Park, Washington, DC

www.nachc.org

August 28-30 NACHC Community Health Institute Hyatt Regency Chicago, Chicago, IL

www.nachc.org

October 15-18 CHAMPS/NWRPCA Annual Primary Care Conference

Westin Denver Downtown, Denver, CO www.champsonline.org

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2023

March 27-30 NACHC Policy & Issues Forum Marriott Wardman Park, Washington, DC

www.nachc.org

August 27-29 NACHC Community Health Institute Manchester Grand Hyatt, San Diego, CA

www.nachc.org

2024 March 11-14 NACHC Policy & Issues Forum

Marriott Wardman Park, Washington, DC www.nachc.org

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