QN July 2015
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Northwest Regional Primary Care Association
Timely News for Region X
July 2015 QuickLinks

120MED Limits & Pain Specialists
Diabetic Blindness
Ask Adele
Attributes of High Functioning Boards

Suite 330 News
Career Center
Region X Highlights
Professional Development
Thank you to our Annual Sponsors


Clifton Larson Allen


Community Health Plan of Washington


HomeStreet Bank


 Featured Vendors
 McKesson logo      

 Featured Articles

120MED Limits & Pain Specialists: Whose job is it to give the patient the bad news? 

Paul Coelho, MD, The Corvallis Clinic

Editor’s note: We will have a session on this topic on October 18 at our Fall Primary Care Conference in Seattle. Dr. Coelho is a member of NWRPCA’s Pain Management Online Community.

As a pain specialist in the Northwest, I have seen, over the past two years, a huge uptick in referrals for patients who have been maintained on high-dose opioids for years. Often there is no explanation for the referral except a note that seems to say, “I’m afraid of this patient’s dose. What should I do? Please clean this up for me.” We are moving the risk without mitigating it.

Read more


Are We Preventing Diabetic Blindness?

Jorge Cuadros, OD, PhD, University of California, Berkeley and EyePACS, LLC 

Editor's note: Dr. Cuadros will present data on a Washington diabetic retinal screening project at our Fall Primary Care Conference in October.

When is technology simply not enough of a “solution” to truly solve the “problem”? When the problem is rooted in the psychosocial aspects of non-adherence. My business is diabetic retinal exams through telemedicine, and it works beautifully – except when it fails to prevent vision impairment!

Read more

Ask Adele: Medicare Chronic Care Management Feed for FQHCs and RHCs

Adele Allison, Director, Provider Innovation Strategies, DST Health Solutions

Editor's note: Adele will be presenting on several topics at our Fall Primary Care Conference in October.

Question: With the Meaningful Use incentives tapering off and the lack of penalties for Medicaid eligible professionals, what motivation does a CHC have to continue with EHR adoption and use?

Read the answer


NWRPCA welcomes readers to submit articles in response to our features.


Suite 330: News from NWRPCA »

Welcome to New ATSU Medical Students!
Each year, NWRPCA welcomes ten new medical students to our A.T. Still SOMA/NWRPCA Portland campus. In 2015, their first white coats were purchased, on behalf of NWRPCA, by The Inline Group.

Read more

Anita Monoian Re-Elected as Region X Representative
Congratulations to Anita Monoian of Yakima Neighborhood Health Centers on her re-election to the NACHC Board of Directors Region X Regional Representative position.  Anita ran unopposed and was re-elected by acclamation. 

We’d also like to take this opportunity, as NWRPCA staff, to thank Anita again for her remarkable commitment and leadership as NWRPCA chair from May 2013 through May 2015. Many of you know that Anita has served on both the national and regional association boards for many years, and that, in addition to recently chairing NWRPCA, she also chaired the NACHC Board from 2009-2011 during the debate over and historic passage of national health reform. Some of you even know that she’s been the director of her health center since 1979, and that her decades of dedication to and hard work on behalf of the health center movement earned her, in 2001, the prestigious NACHC John E. Gilbert Award for Outstanding Leadership. We’d like to add that none of this professional recognition fully reveals the passion, intelligence, integrity, grit and wonderful sense of humor that characterizes this remarkable woman; it's been our privilege, as NWRPCA staff, to call her “Madame Chair” over the past several years and to get to know her even better.     

Farewell to Pauline Amell Nash
NWRPCA bids a fond farewell to Pauline Amell Nash, Marketing and Web Coordinator, who has moved on to a web development job with Seattle Public Schools.

"Pauline was instrumental in helping staff develop the potential of our new member management system, which includes our interactive web site,  powerful database, online communities, newsfeed and more," according to Lynn Gerlach, Development and Communication Manager. "She helped pioneer the transition of this newsletter and our email marketing program to our new system. At the same time, Pauline assumed full responsibility for our entire marketing program, significantly improving our social media and YouTube presence while maintaining close contact with our member health centers and their employees. Our loss is the school system's gain."

Congratulations to Eva McGinnis on Retirement 
It’s with a bittersweet mix of sadness, joy and appreciation that NWRPCA announces the coming retirement of Eva McGinnis.  Eva has led our Education and Training Program, also known as Learning Connections, as its Program Manager since November 2008.

Read more

NWRPCA Career Center »
NWRPCA helps more than 5,000 job seekers find great career opportunity listings.

Quality Coordinator

Cowlitz Family Health Center

Longview, WA

Medical Director

Interior Community Health Center

Fairbanks, AK  


Benefits and Entitlement Specialist

Central City Concern

Portland, OR 



Family Medicine Physician

Health West

Pocatello, ID 

Region X Highlights


Yukon-Kuskokwim Health Corporation is partnering with other organizations to create a holistic model for improving rural villages, starting with Oscarville. Read more

SEARHC dentists receive Academy of General Dentistry Fellowship Award. Read more

Tanana Chiefs Conference was created 100 years ago by Athabascans who wanted education, employment, land rights, and healthcare. Read more

Anchorage Neighborhood Health Center has recently hired five new providers, which will allow the health center to start seeing new patients again in the next few months. Read more


Heritage Health joins other Idaho health organizations in a project called Idaho Health Partners, which connects patients with primary care providers and community resources.  Read more


Fletcher Nash, Central City Concern HR employee, describes how a program of the Portland Police Bureau changed his life. Read more

Northwest Human Services works with other local organizations to help the homeless and protect them from extreme heat. Read more

Virginia Garcia Memorial Health Center remembers its namesake 40 years later, a little girl with a cut on her foot who was unable to access care.  Read more


Community Health of Central Washington graduates its first two family medicine residents, who will go on to practice in rural areas of Washington. Read more

Community Health Center of Snohomish County counselors met with veterans at Project Homeless Connect. Read more

Neighborcare Health offers free long-term contraceptives through Seattle public schools with  funding from Take Change, a Washington State Medicaid program. Read more

Mark Secord, Executive Director of Neighborcare Health, discusses the direction of healthcare in the country and at his organization. Read more 

Professional Development

NWRPCA Opportunities

Leaving money on the table? Effective revenue cycle management, including optimal coding and billing, is critical to your financial success. This six-webinar series, offered in two parts by our Featured Vendor, PMG, could make the difference between long-term fiscal sustainability and its unthinkable alternative.


Improving Revenue Cycle Management Skills for CHCs
Series 1: September 9, 23 and 30 – 12:00 to 1:30 PM PT
Medicare billing basics and PPS rate; effective reimbursement with payment posting


Series 2: October 7 and 14; November 3 – 12:00 to 1:30 PM PT
Demographic charge capture at the front desk; staffing your revenue cycle management team; and key performance indicators of fiscal health.


Instructors: Gervean Williams and Anne Frunk
Details and registration here



Confident in your Compliance?
Following the sweeping changes of 2013-14, including OMB’s Supercircular and HRSA’s PINs on both budgeting/accounting and the sliding fee discount scale, health centers need to position themselves to reduce the risks of waste, fraud and abuse while meeting the key responsibilities for effective administration.  


Feldesman Tucker Leifer Fidell presents Supercircular, Sliding Fee Scale, and Budget Pins: Federal Compliance Requirements for Health Centers
September 17-18 in Seattle


Instructors: Marcie Zakheim and Ted Waters
Details and registration here


Get Your Second Wind in Seattle!
Fall Primary Care Conference
Seattle, WA
October 17-20


Our conference will open and close with the words of two strong, smart women. Dr. Marilyn Gaston, former director of BPHC/HRSA and assistant surgeon general, will open the conference with “The Revolution Continues: Past, Present, and Future." Sallie Thieme Sanford, JD,associate professor at University of Washington School of Law, will close the conference with “The ACA after King v. Burwell: what now for primary and preventive care?”

Four full days will include a full day for IT specialists and timely sessions such as: Managing communication crises in the age of social media; Immigration and eligibility; How to merge and flourish; Newest standards for safe opioid prescribing; How SDOH figures into capital improvements; Using Six Sigma to improve clinic workflow; Optimizing your PCMH for better population health outcomes; Certifying your MAs; Diabetic retinopathy screening – is it working in Washington’s clinics?
Learn more and register now

19 Program Requirements Training Available Online
Retired HRSA project officer Beryl Cochran and health center management consultant Rebecca Johnson presented a six -session webinar series to an enthusiastic audience, “The 19 Program Requirements – Beyond the Site Visit.” The fantastic series examined each requirement, with a focus on operationalizing compliance activities to ensure readiness for site visits, competitive grant applications, and reducing the threat of conditions on grant awards. 
Learn more about the archived training


Opportunities from Our Learning Connections Partners

Montana Primary Care Association's CFO Bootcamp
The training will be led by BKD and in addition to CFOs, is also appropriate for CEOs, finance staff, or board members.
September 9-10, 2015
Bozeman, MT

Learn more about this fantastic training opportunity

Clinical Challenges in Opioid Prescribing: Balancing Safety and Efficacy
Substance Abuse and Mental Health Services Administration (SAMHSA) presents a free CME training in Tulalip, Washington on July 29, 2015 from 8am-5pm.

This training is designed to help medical professionals address the balance between providing optimal pain relief and preventing inappropriate use of opioid analgesics, including avoiding adverse outcomes for their patients, for the community, and for themselves.
Learn more and register for the training

Find more professional development opportunities on the NWRPCA trainings page



July 28 is World Hepatitis Day
Of the approximately 3.2 million people in the United States who have Hepatitis C, most do not know they are infected.
Visit NWRPCA's clinical resources page to learn more about testing for and treating hepatitis in health centers

Funding Opportunity: Interventions for Health Promotion and Disease Prevention in Native American Populations
View this funding announcement on the NWRPCA funding opportunities page

QuickNotes is the newsletter of Northwest Regional Primary Care Association. Each issue features a variety of information about community health, member news and spotlights, and important funding and workforce listings.

We welcome your comments and feedback as well as your news items. Please email us your thoughts and your news, resources and opportunities to share.


® Northwest Regional Primary Care Association 2015

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U58CS06846, "S/RPCAs," total award $950K, with 65% of program funded by nongovernmental sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

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Northwest Regional
Primary Care Association

200 W. Thomas St., Suite 330
Seattle, Washington, 98119
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