QuickNotes February 2016
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Northwest Regional Primary Care Association

Timely News for Region X
Billers and Coders Edition

February 2016 QuickLinks

Extending Community Health Worker Programs
Global Migration in Healthcare
Medical Student Rotation in Alaska
Healthcare Data Aggregation

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




Nonstop Wellness


HomeStreet Bank




Community Health Plan of Washington


Cardinal Health



Council Connections

 Featured Vendors



 Featured Articles

 Elaine Ezekial

Extending Community Health Worker Programs with the Multi-tiered Approach

Elaine Ezekiel, MHP Salud

Editor's Note: Elaine will be presenting on CHWs at the Western Forum for Migrant and Community Health, February 24-26 in Portland, OR

A multi-tiered model is used to distribute the responsibilities of CHWs based on the time commitment and expectations of their position, which can range from a part-time volunteer to a full-time staff member. When used effectively, this model allows a program to maximize resources, extend the reach of CHWs, and create a greater program impact.

Read more about the approach

Tina Castanares

People on the Move: Global Migration as a Context for what We Need to Do as Health Care and Public Health Providers

Dr. Tina Castañares, Board Member, One Community Health

Editor's Note: Dr. Castañares will be presenting on migration at the Western Forum for Migrant and Community Health February 24-26 in Portland, OR

In the field of migrant and community health, we’ve long regarded migration and immigration largely as a matter of seeking work and “making a better life” for one’s family.  But we’ve usually focused our attention on official US immigration policy, and even more on the conditions of life in this country once people have arrived.  Generally we’ve not considered the “migrant streams” in a broader context of global income inequities, injustices, climate change, and other forces creating such movement.    

Read more about migration

Jamie Viterna

My Experience in Alaska's Interior

Jamie Viterna, ATSU 


If I could describe the greatest adventure to have in medical school, it would be travelling to Alaska for a rotation in a remote village of the Interior.  My rotation was in Galena, Alaska at the Edgar Nollner Health Center.  This rotation solidified my desires to become a primary care provider and to work in a community in a rural and underserved area. 

Read more about Jamie's experience

Clayton Gillett


Data Aggregation - A Primer

Clayton Gillett, OCHIN

Healthcare is in the midst of a profound business model change. And we are all aware that the old model of “fee-for-service” medicine is over, and a new model is quickly emerging. But the new model is designed to maintain a patient-centered focus by developing processes to promote evidence-based medicine, patient engagement, and report on quality. To deliver on that promise, health systems need greatly enhanced data aggregation tools; however, it is difficult to evaluate these tools, and many do not understand how the system needs translate into data requirements. 

Learn about these new tools

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

Suite 330: News from NWRPCA »

It's "Billers and Coders Month" at NWRPCA!

Billers and coders are the backbone of community health centers.  Here at NWRPCA, we appreciate all your hard work!  

Spotlight on Billers and Coders

Alice Peter began working for the Council of Athabascan Tribal Governments (CATG) in 1998 as the Business Office Manager.  CATG operates clinics in the villages of Ft Yukon, Beaver, Birch Creek, Arctic Village and Venetie which are located in the Yukon Flats region of northeast Alaska near the Arctic Circle.  Ethel Wright came on board in 2000 as a Biller and Tamara Thomas also in 2000 as a Medical Biller.  Tamara has gone on to earn her CPC credential and is taking classes toward an Associate Degree in Health Information Management through the University of Alaska.




These three ladies do a fantastic job of navigating the ever-changing world of coding and billing and keeping the money coming in to support our health program!  Collectively, these ladies have 46 years of experience manning our business office!
-Cheryl Skiffington and Melinda Peter, Council of Athabascan Tribal Governments

Kavitha Prakash, a Coding Compliance Specialist at Virginia Garcia Kavitha PrakashMemorial Health Center, is an effective driver of change and process improvement. After studying finance and working at Intel, Kavitha spent 11 years out of the workforce to raise her three children. Last year, to prepare herself to reenter the workforce, she studied medical coding and  received her coding certification. Since joining Virginia Garcia, she has worked closely with providers to make process improvements and enhance the processes within her own department. Her passion for coding also took her down the route of coding apps, including educational apps for kids that can be downloaded from the iPhone App Store. When not working, her three kids keep her busy. She is an active runner and completed two marathons in the last two years and crochets blankets for kids. Of Virginia Garcia, Kavitha says, “The people are amazing. I look forward to coming to work every day.”
-Olivia MacKenzie, Virginia Garcia Memorial Health Center

Call for Award Nominations 

Two individual NWRPCA awards are given at our Annual Membership Meeting at the Spring Primary Care Conference in May. View past recipients on the NWRPCA website.


Legacy Award: Honors an individual who has dedicated his/her career to solving the problems of health, poverty and human rights and who has contributed toward the mission and recognition of community and migrant health centers in the Northwest region. Nominate someone

Summit Award: Honors an individual within the NWRPCA membership who has reached a singular level of achievement in a particular area of expertise or service. The 2016 Summit Award is given to an outstanding leader of the integration of social determinants of health within a health center. Nominate someone

NWRPCA Staff Learns about Member Health Centers

Each month Member Services posts interesting information and photos for a different health center in Region X. During February, our team is learning all about Ilanka Community Health Center.


340b Recertification

The annual recertification process begins February 12, 2016 and runs through March 9, 2016. This recertification is required of each covered entity in order to remain in the 340b program and the covered entity’s authorizing official and point of contact will receive a communication directly from OPA about the process.  For more information, check out OPA’s recertification page and a recent OPA webinar.

Abbreviated QuickNotes this Spring

NWRPCA Member Services Coordinator, Alyssa Panning, will be on maternity leave for the next three months.  Don't worry, you'll still receive QuickNotes, it will just be a shorter version. Stay tuned for information about our upcoming conferences and trainings!

Professional Development

NWRPCA Opportunities 

2016 Western Forum


Next Week!
Western Forum for Migrant and Community Health

February 24-26 in Portland, OR


It's not too late to register!  You can even register on-site. We hope to see you next week.


Learn more and register now

Nonstop Wellness

Creating a Health Benefits Package for Recruitment and Retention: Innovative Options that Will Save
April 13, 1:00-2:00pm PST


This 60-minute webinar (which includes 15 minutes for Q&A) will introduce an innovative way CHCs can strengthen their healthcare benefits packages to be more attractive to current and potential staff. Specific guidance will be provided on how to create improved, customized insurance plans that meet the needs of CHC employees, while also saving valuable – and much needed – dollars for both employers and employees.

Learn more and register

 Lisa Mouscher

Critical Skills for Mid-Level Managers
April 18-19 in Golden, CO


This course begins with an intensive two-day management skills program and continues with a capstone project back in the home health center. The course is designed to meet the specific needs of CHC mid-level managers and supervisors by providing hands-on management skill building for immediate implementation to strengthen both your teams and your organization.

Instructor: Lisa Mouscher, CEO and Lead Consultant at Sogence Training and Consulting

Learn more and register

Hosted in partnership with Community Health Association of Mountain/Plains States (CHAMPS)

2016 Spring Primary Care Conference 

Valerie Davidson

Spring Primary Care Conference
May 14-17 in Anchorage, AK


Keynote Speaker Announced: Valerie “Nurr’araaluk” Davidson, Commissioner, Alaska Department of Health and Social Services

Valerie “Nurr’araaluk” Davidson is an enrolled tribal member of the Orutsararmiut Native Council (ONC). Davidson has worked for over 15 years as a national policy maker on matters affecting Indian health.

Learn more about the Spring Conference

Exhibitor, sponsor, and advertiser opportunities are all available for the conference. Learn more about these fantastic ways to interact and network with healthcare professionals from across the Northwest.


Call for Abstracts for Fall Primary Care Conference
October 15-18 in Denver, CO

The abstract portal for the 2016 Fall Primary Care Conference is open.  The deadline for speaker proposals is Friday, June 17, 2016.

The 2016 CHAMPS/NWRPCA Fall Primary Care Conference, in partnership with WCN, provides education and training, information and resource sharing, coalition building, and program and policy development for like-minded community health professionals and their partners. Read more about past Fall Primary Care Conferences here

Submit an abstract

 CHC 101

Introduction to Community Health Centers, an interactive, dynamic and easy-to-complete online course, allows you to dive deeper into the world of community health centers (CHCs), exploring the history of the health justice and health equity movement and the roles and responsibilities of the current CHC. Now in their 50th year, CHCs are the critical primary care access points for underserved populations in the United States today.


As this course inherently honors CHCs, we have a special package deal available for health centers! Get full-year access to this course to use at your CHC for both current and future staff and board. It’s perfect for introducing everyone to the vibrant world of CHCs.


Take the course here

Webinar Series Available Now

Grant Writing: Plan for Your Next SAC or NAP Grant
The series will take the participants through the latest SAC grant guidance and identify what the reviewers are looking for in terms of compliance in each section. The presentation breaks down which sections in the SAC narrative, budget, forms and attachments are used to measure grantee compliance with each of the 19 Program Requirements.


19 Program Requirements – Beyond the Site Visit
The series examines each requirement, with a focus on operationalizing compliance activities to ensure readiness for site visits, competitive grant applications and reduce the threat of conditions on grant awards.

Opportunities from Our Learning Connections Partners

NACHC Policy & Issues Forum
March 16-20 in 
Washington, D.C.

Get the most up to date information and tools to stay ahead, competitive and ready for another year of health center advocacy.
Learn more and register 

Telehealth: Spanning the Care Continuum
March 21-23 in Seattle

The event will feature a keynote address by Dr. Jay Sanders, an internationally recognized pioneer in telehealth. Following the keynote, educational sessions in the clinical/administrative and technology tracks will be offered.
Learn more and register

WA Colorectal Cancer Roundtable
American Cancer Society and the WA State Department of Health 

March 25, 2016 at the Conference Center at Sea-Tac

The full-day program features research, success stories, and breakout sessions about evidence-based interventions working across our state, disparities in screening, diagnosis and treatment among underserved populations, and how we can collectively strengthen efforts to improve Washington’s CRC screening rates. Roundtable participants include clinic managers, providers, insurers, and quality professionals.  
Learn more about the roundtable

National Health Care for the Homeless Council, Spring Regional Training
March 31-April 1, 2016
Denver, CO

Health Care for the Homeless experts across the Rocky Mountains and Great Plains regions of the United States will offer tailored education to clinicians, administrators, consumers, and advocates of homeless health care services. 

Learn more


11th Annual Medical-Legal Partnership Summit "Health is a Shared Value"
National Center for Medical-Legal Partnership
April 6-8, 2016 in Indianapolis, IN

Each spring, the National Center for Medical-Legal Partnership hosts a national conference that brings together hundreds of leaders in government, law, medicine, nursing, public health and social work to share ideas, insights and best practices about how integrating legal care into health care can help combat health-harming social conditions.

Learn more

Find more professional development opportunities on the NWRPCA trainings page

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

Social Worker or Counselor

Unity Care NW


Bellingham, WA

Operations Process Specialist

Multnomah County Health Department

Portland, OR

Grants and Development Administrator

Anchorage Neighborhood Health Center


Anchorage, AK

Nurse Practitioner or Physician Assistant

Family Health Services


Burley, ID

Region X Highlights 

Brought to you by Jones and Roth  


Mat-Su Health Services provides free counseling for currently enrolled Mat-Su College students. Read full article

Southcentral Foundation received grant from Avon Breast Health Outreach Program to help with early detection of breast cancer in Alaska Native women. Read full article

$24,000 worth of narcotics stolen from Bethel Family ClinicRead full article 


Terry Reilly Health Services received over $82,000 in community development block grants from the city of Boise last year, helping maintain the sliding fee scale. Read full article

Michael Baker from Heritage Health and Heidi Traylor from Terry Reilly Health Services presented at committee hearing for Idaho's Primary Care Access Program bill. Read full article 


Grand Peaks celebrated grand opening of Rexburg location. Read full article


Community Health Centers of Lane County welcomes new Medical Director. Read full article

Marlene Putnam of the Tillamook County Health Department discusses the need for medical assistants and other health professionals. Read full article

Central City Concern conducts a Clean and Safe Program, picking up trash and cleaning to help make downtown more livable. Read full article

Wallace Medical Concern hosted first annual Homeless Health Day. Read full article

Representative John Huffman visited One Community Health and learned about the increased demand for services and current needs. Read full article

New St. Charles Health System clinic planned for La Pine, competing with La Pine Community Health Center. Read full article

Providers at Coastal Family Health Center will begin writing prescriptions for state and national parks and community recreation centers. Read full article


Dr. Malcolm Butler describes the pain management program at Columbia Valley Community Health. Read full article

Dr. Nathan Lilya at Community Health of Central Washington discusses diabetic retinopathy and eye health. Read full article

Yakima Neighborhood Health Services remembers deceased homeless in 11th annual memorial service. Read full article

Peninsula Community Health Services has a detailed emergency preparedness plan in place, especially for earthquakes. Read full article

The Meridian Center for Health in Seattle is an innovative public-private partnership model between Neighborcare Health, Public Health-Seattle & King County, and Valley Cities. Read full article

Community Health Center of Snohomish County walk-in clinic is now open on Sundays to reduce ER visits. Read full article

International Community Health Services hosts first Lunar New Year run to promote health for the API community. Read full article


Resources for Coders and Billers
Visit NWRPCA's website for information on ICD-10, billing resources, and more

February is American Heart Month
Visit NWRPCA's clinical resources page for more information on heart health


Funding Opportunity: Increasing Access to Medication-Assisted Treatment (MAT) in Rural Primary Care Practices 
See this funding announcement and more on our funding page

Chronic Pain: Join NWRPCA's pain management online community, where you can connect with others in the region who work with patients with chronic pain.  

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.


® Northwest Regional Primary Care Association 2016


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. 


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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