The Association offers assistance with assessing and implementing quality initiatives in health centers. TPCA partners with community and state agencies to make available needed resources for our member health centers' clinical programs.
TPCA seeks out clinical quality initiatives that support the needs of health center communities and provides technical assistance.
The Association hosts several clinical meetings throughout the calendar year, including the Medical Director’s Meeting, the Dental Director’s Meeting and other various clinical training opportunities. The clinical program also serves as the Central Tennessee Area Health Education Center, which supports opportunities for health professions students to experience work in underserved areas of health care.
We work with partners to provide specialists through the telehealth equipment. Click here to see what is available.
Clinical Programs Update
December 6, 2012
Improving Cervical Cancer Screening
Improving Cervical Cancer Screening Part 1 is a webinar offered by the Texas Association of Community Health Centers. You can click here to register for the webinar scheduled for December 14, 2012.
Neonatal Abstinence Syndrome
On January 1, 2013, Neonatal Abstinence Syndrome will be added to the Department of Health’s list of Reportable Diseases and Events. Providers will be required to report cases to the Department at the time of diagnosis.
Dr. Michael Warren, Director of the Division of Family Health and Wellness with Tennessee Department of Health has requested TPCA share this information with its members. Please follow this link for more information.
October 18, 2012
Blood Lead Levels
Dr. Michael Warren, Director of the Division of Family Health and Wellness for theTennessee Department of Health has sent out a letter with the updated CDC guidelines for blood lead levels in children.
HealthHIV Recruitment Initiative
Katherine Mullen with HealthHIV is working to recruit clinicians to the organization's Workforce Capacity Building Initiative, which is a national HIV clinical mentoring program. You can read the workforce fact sheet here. HealthHIV's clinical mentoring program pairs physicians, nurse practitioners and physician assistants with HIV experts for individual coaching, training and education. It's free, involves minimal paperwork and is tailored to the needs of clinicians. The goal of the mentoring program is to increase providers' capacity to provide HIV care in community health clinics.
August 27, 2012
Influenza H3N2v Alert to Clinicians
We received this update from Dr. Michael Warren, Director, Division of Family Health and Wellness with Tennessee Department of Health. There is a new strain of influenza, most often seen in children who have had contact with pigs at agricultural fairs.
There is new strain of influenza causing infections in a growing number of people who have contact with pigs at agricultural fairs. Over 90% of cases have been in children – the illness looks clinically like seasonal influenza, but seasonal vaccine provides no protection. Tennessee has no cases yet, but we want the clinical community to be alert to influenza-like-illness cases and clusters among children as we get into fair season. The clinician update briefly describes Tennessee’s current surveillance plan.
Our state laboratory is accepting specimens with the proper complete lab form who see children with influenza-like-illness and recent pig/agricultural fair exposure. Clinicians who identify clusters of children with ILI at this time of year (when we are not normally seeing any seasonal influenza) are asked to contact the Department of Health Communicable and Environmental Diseases and Emergency Preparedness Division (615-741-7247) to discuss with one of our senior medical epidemiologists to help determine if testing at the state lab should be done. Please direct questions to Kelly.email@example.com.
Additional information from CDC is available at: http://www.cdc.gov/flu/swineflu/h3n2v-clinician.htm
NCQA PCMH Notice of Intent due 9/18/12 for Centers that Received BPHC Funding
The Notice of Intent (NOI) for centers that received the $35,000 from BPHC to support efforts transforming the practice to a Patient Centered Medical Home is due September 18, 2012. Here is a link to the NOI found on our website: http://www.tnpcaeducation.org/resourcelibrary/meetings_trainings/pcmh/pal201101noi.pdf. Once completed the NOI is submitted to: PCMHHinitiative@hrsa.gov.
FY 2012 Supplemental Funding for Quality Improvement in Health Centers
The purpose of this supplemental funding opportunity is to improve access to services, quality of care, and clinical outcomes for existing Section 330 funded health centers through the patient centered medical home (PCMH) model of care. The supplemental funding will specifically focus on improving outcomes related to cervical cancer screening for health center patients by supporting health centers in taking the operational steps necessary to achieve/increase/maintain PCMH recognition at their sites and improve cervical cancer screening outcomes.
Approximately $35 million is available to support this one-time, one-year supplemental funding, with eligible health centers able to request up to $60,000 in supplemental funds.
Eligible health centers were notified of the opportunity through a HRSA Electronic Handbook (EHB) message sent August 22, 2012. Please note, grantees with 5 or more active conditions at the time of award (mid-September) will not be awarded this supplemental funding.
For more information, visit http://www.hrsa.gov/grants/apply/assistance/pcmh/.
November 22, 2011
HEALTH HIV CAPACITY BUILDING OPPORTUNITY
HealthHIV is trying to develop medical homes in Tennessee by identifying centers eligible to participate in a unique capacity building project which focuses on building care and treatment services for patients living with HIV.
Tennessee ranks 18th highest in the US among cumulative reported AIDS cases. Rising infection rates coupled with inadequate funding, resources, and infrastructures have resulted in a disparate and catastrophic situation in our public health care systems in the South.
To address this reality, the AIDS Education and Training Centers (AETC) National Center for HIV Care in Minority Communities (NCHCMC), is providing health centers the opportunity to join the HIV in Primary CareLearning Community. This is a FREE opportunity and applications are currently being accepted. Help develop medical homes while addressing the needs of Tennesseans living with HIV.
This program is open to health centers meeting the following criteria:
- Federally Qualified Health Center (FQHC) or FQHC Look-Alike designation
- No direct funding from the Ryan White HIV/AIDS Program (sub-contractors and indirectly funded organizations are eligible)
- A minimum of 4 years providing primary medical care to racial/ethnic minority communities
Click here for more details on the eligibility, benefits, and application to this program. Contact Jarret Cassaniti at 202-507-4737 or Jarret@healthhiv.org with questions.
April 20, 2011
NCQA's NEW PATIENT-CENTERED MEDICAL HOME 2011 STANDARDS
What do they mean for practices?
In January, the National Committee for Quality Assurance (NCQA) released new standards for its Patient-Centered Medical Home (PCMH) program. The new standards call on medical practices to be more patient-centered and to reinforce federal "meaningful use" incentives for primary care practices to adopt health information technology.
NCQA's model is America's most widely-used PCMH program, and has grown to almost 2,000 recognized practice sites and over 9,000 clinicians. PCMHs deliver higher quality of care and higher quality of patient and provider experiences, and reduce hospitalization and ER visits. NCQA's medical home program works because it is practical and built on solid research; it is collaborative and flexible, addressing long standing issues in primary care. PCMH 2011 revisions are based on research and data from patients and practices.
Download the standards, free of charge.
The Survey Tool and companion application are submitted to achieve NCQA Recognition under the PCMH 2011 standards, are now available. Click here for more information.
What's New in PCMH 2011?
PCMH 2011 focuses more strongly on directing practices to organize care according to patients' preferences and needs. New standards emphasize access to care during and after office hours, and collaborating with patients and families to manage care. The patient-centered focus includes providing services in patients' preferred languages, helping them with self-care and facilitating their access to community resources.
Other enhancements to PCMH 2011 standards are:
• A patient experience survey (available mid 2011)
• Integration of behaviors affecting health; substance abuse; mental health; risk-factor assessment and management
• Emphasis on relationships with, and expectations of, subspecialists
• Increasing PCMH applicability to pediatric practices
Click here to learn more about the new NCQA PCMH standards.
April 5, 2011
GET SAFE! SIMPLE STEPS IMPROVE PATIENT CARE
This is the first in a series of Get Safe! checklists sent on a monthly basis. These checklists offer a quick method for focusing improvement efforts in free clinics and health centers. In order to access the resources most applicable to health centers, please log in to the Clinical Risk Management Program website. For a user name and password, e-mail Clinical_RM_Program@ecri.org or call (610) 825-6000 ext. 5200.
Avoid Communication Breakdowns
Communication breakdowns between providers and patients lead to adverse patient outcomes, patient dissatisfaction, and liability claims. By following simple steps for improving communication with patients, health centers and free clinics can significantly reduce the risk of adverse outcomes.
Use this checklist to assess current communication practices in your clinic:
- When a patient calls with an emergency, the staff should instruct the patient to access emergency medical services (e.g., call 911, go to emergency room).
- Instruct staff to never give advice that exceeds their scope of practice.
- Ensure professional staff responds quickly regarding urgent patient phone inquiries.
- Document telephone-based patient encounters. Documentation should be added to the patient's medical record after the patient's concerns have been addressed by the professional staff. See Patient Phone Inquiry or Patient Telephone Call Record for sample documentation forms.
- All telephone-based patient encounters should also be tracked on a master telephone encounter log.
- Always ask patients to repeat-back important information or instructions to ensure that the patient understands. Document the patient's repeat-back in the patient's medical record.
Want to learn more? Refer to the guidance article Communication and Patient Safety on the Clinical Risk Management Program website. All resources are provided for FREE by ECRI Institute on behalf of HRSA. Don't have access or want to attend a free, live demonstration of the website? E-Mail Clinical_RM_Program@ecri.org or call (610) 825-6000 ext. 5200.
Information provided by ECRI Institute is intended as guidance to be used consistent with the internal needs of your organization. This information is not to be viewed as required by ECRI Institute or the Health Resources and Services Administration.