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April 2019


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Featured Articles

CHAS Health Nurse Practitioner Residency Program

Todd Smith, ARNP
Nurse Practitioner Program Clinical Director, CHAS Health


Three years ago, a group of forward thinking individuals at CHAS Health, an FQHC in Spokane, WA, recognized the need for well-trained ARNPs (Advanced Registered Nurse Practitioners) capable of managing complex medical patients, many of whom also have mental health issues or lack the basics of enough food or permanent housing. However, many new graduate NPs (Nurse Practitioners) can be overwhelmed by the intensity and responsibility of the work and the stress it brings. 

Read more

Telemedicine at your CHC: The Future is Here


Tammy Legg and Russell Stenquist

Account Managers at Henry Schein Medical


We’re still waiting for robot-piloted flying cars to transport patients to their physician appointments, but thanks to the latest advancements in digital medicine technology, particularly telemedicine, it’s possible to diagnose and treat patients almost anywhere, anytime.


Though telemedicine sounds futuristic, its origin has been traced back to the long-distance transfer of electrocardiograms by a Dutch physician in 19051. Currently, the National Conference of State Legislatures defines telemedicine, or telehealth, under four modalities:


Read more


Philanthropy for CHC Financial Vitality: Practical Food for Thought for Community Health Center Board Leaders 


Kelly Rondou, Director of Program Support, NWRPCA, and James A. Rice, PH.D FACHE, Managing Director, Governance and Leadership Integrated Healthcare Strategies, Gallagher Human Resources & Compensation Consulting 


Participants in recent governance academies on Boards and CHC Finances were invited to share their thoughts and experiences in order to plan and execute smart ideas for the purpose of raising friends and funds (Philanthropy) from beyond non-patient care service billing. The following insights are shared for your further discussion and planning at your next board meeting.

Read more



Data Points


Medicaid and FQHC Patient Revenue

Thomas Johnson, Data & Information Specialist, Northwest Regional Primary Care Association


In 2017, 55% of all health center patients in Region X were covered through Medicaid. In this article, I explore how the amount that FQHCS have charged to Medicaid has changed over time, as well as how the payments health centers have received relate to their total amount of patient-related revenue.

This is a complicated subject, with a lot of significance for health centers, and I'll go into greater depth on some of the topics introduced here in the next article. But for now let's look at total FQHC charges and revenue by payer type for each state in our region.

Read more


Suite 330 News














Submit an Abstract!

We invite you to submit an abstract for consideration to present at the 2019 NWRPCA/CHAMPS Fall Primary Care Conference. Submissions are due Friday, June 28, 2019. 


Submit an abstract today!



Write an Article

Share about your CHC or community health-related endeavor by writing an article for the Northwest Pulse! Email Crysta, Member Services Specialist, for more information.


Email Crysta

Professional Development

2019 Webinar Series: Substance Use Disorders: Prevention, Promising Practices, and Ethical Considerations

March-August 2019


This webinar series consists of 5, hour-long online sessions. Content will focus on foundation concepts related to Substance Use Disorders (SUDs), including addiction basics, prevention, talking with patients about addiction, provider self-awareness and bias, harm-reduction. Webinars will be led by a variety of subject matter experts. The series is ideal for doctors, prescribers, nurses, behavioral health staff/management, and anyone interested in learning foundational information, practical/applicable skills, and sharing best practices for SUD prevention and treatment. Develop professional skills and become better equipped to support patients experiencing addiction, and/or staff working with patients experiencing SUD or opioid use disorders.


Register now

2019 NWRPCA Spring Summit + Annual Membership Meeting

May 19-21, 2019 in Anchorage, AK


The annual NWRPCA Spring Summit (formerly known as the Spring Primary Care Conference) is one of our cornerstone offerings. Attend this year's conference in Anchorage, Alaska from May 19-21, 2019!


Over 2.5 days, learn from prominent speakers, hear federal policy updates, and network with primary care colleagues. Event highlights new to the Spring Primary Care Conference format include Region X peer learning, collaboration, and professional development.


The NWRPCA Spring Summit also hosts NWRPCA's annual membership meeting.


Register now


Introduction to PCMH: Foundational Concepts of the Medical Home

May 22-23, 2019 in Anchorage, AK


The Alaska Primary Care Association (APCA), in collaboration with NWRPCA, is pleased to bring the expertise of the National Committee for Quality Assurance (NCQA) to Alaska with an upcoming two-part education seminar for health professionals. This 1.5 day training covers the 2017 NCQA PCMH standards, and is designed for any health care professional, decision-maker, or consultant interested in getting the inside perspective directly from expert faculty from NCQA in evaluating a primary care practice and their ability to become recognized as a Patient Centered Medical Home by NCQA.


Register now


Advanced PCMH: Mastering the Medical Home Transition

May 24, 2019 in Anchorage, AK


The Alaska Primary Care Association (APCA), in collaboration with NWRPCA, is pleased to bring the expertise of the National Committee for Quality Assurance (NCQA) to Alaska with an upcoming two-part education seminar for health professionals. This 1 day interactive program is geared towards individuals with significant knowledge of the NCQA PCMH Standards and experience implementing those standards in a practice setting and who have attended the Introduction to PCMH 2017 seminar; and those who intent to obtain the individual PCMH Content Expert Certification credential.


Register now

CORE Competencies for First-Time CHC Managers and Supervisors

July 30-31, 2019 in Portland, OR


This two-day workshop is ideal for Region X (Alaska, Idaho, Oregon, and Washington) CHC managers, supervisors, directors, and leadership. Participants learn through a highly interactive course to: develop flexible, responsive, productive, and customer-focused teams, utilize behavioral interviewing to hire staff with the right skills and fit for the long term, coach and develop employees, communicate for results, strengthen trust, and de-escalate conflict, and much more.


Register now

2019 Fall Primary Care Conference 

October 5-8, 2019 in Seattle, WA


The 2019 CHAMPS/NWRPCA Fall Primary Care Conference, in partnership with WCN, to be held in Seattle, WA October 5-8, 2019, provides education and training, information and resource sharing, coalition building, and program and policy development for like-minded community health professionals and their partners.

Register Now

Opportunities & Resources from our Partners

Rural Maternity and Obstetrics Management Strategies Program

HRSA announces the opportunity to apply for funding under HRSA's Rural Maternity and Obstetrics Management Strategies (RMOMS) program. The purpose of the RMOMS program is to improve access to and continuity of maternal and obstetrics care in rural communities. 

Applications due May 24, 2019

Click here to learn more




HRSA announces the availability of $200 million in supplemental funding for Integrated Behavioral Health Services (IBHS). IBHS will increase access to high-quality integrated behavioral health services, including prevention or treatment of mental health conditions and/or substance use disorders, including opioid use disorder. Organizations currently receiving Health Center Program operational grant funding are eligible to apply for up to $145,000.

Applications due May 13, 2019
Click here to learn more


Migrant Clinicians Network Webinar

A Team-based Approach to Improving Opioid Management in Primary Care for Vulnerable Populations Webinar will introduce the Six Building Blocks program which provides an evidence-based quality improvement roadmap to help primary care teams implement effective, guideline-driven care for their chronic pain and long-term opioid therapy patients. The session will discuss lessons learned during the implementation of this program and address key elements needed to transform systems of care. Faculty will also discuss upcoming opportunities for more in depth training and resource development designed to address pain management and opioid misuse in the primary care setting

April 30th 1:00 PM ET

Click here to learn more


Service Area Considerations Request for Information Available for Preview 
HRSA is pleased to announce the release of the Health Center Program Service Area Considerations Request for Information (RFI). HRSA seeks input from the public on service area considerations that may inform HRSA decisions regarding Health Center Program expansion through an existing health center’s addition of new service delivery sites.
These considerations include factors such as:

  • Parameters for unmet need;
  • Proximity;
  • Reasonable boundaries for the service area;
  • Consultation with other local providers;
  • Demonstrated capacity and performance in existing service area; and
  • Ensuring patient input/representation.

The Service Area RFI announcement will begin with a 30-day preview period. Instructions on how external stakeholders may submit feedback are forthcoming. Following the preview period, HRSA will accept public feedback for 60 days and plans to announce those details in a future Primary Health Care Digest newsletter. We look forward to receiving your feedback.



Notice of Funding Opportunity for Rural Providers: Small Health Care Provider Quality Improvement Program 
HRSA recently released a notice of funding opportunity that will support up to 32 public or private nonprofit health care providers located in rural areas to improve patient care in their communities. HRSA expects to invest approximately $6.4 million for this program, which aims to improve the quality of rural health care through an evidence-based approach to primary care that has proven effective in rural areas. Previously funded organizations under this program designed and carried out projects focused on coordinated care for patients, chronic disease management, integrated care delivery systems, and reduced admissions for emergency rooms and hospitals, among other issues for rural providers. Objectives for this program, which is competitive every three years, include improved health outcomes, better engagement of patients and their caregivers, and continuous improvement to chronic disease management. Grantees also are encouraged to implement quality improvement activities that measure value by outcomes, establish and maintain PCMHs, and integrate behavioral health into the primary care setting.
View the announcement on to learn more. Applications are due by Monday, April 22.



Call for Applications: Strategies for Diabetes Management with Vulnerable Populations Learning Collaborative 
The Association of Asian Pacific Community Health Organizations (AAPCHO), Health Outreach Partners (HOP), and the National Health Care for the Homeless Council (NHCHC)—all HRSA-funded NCAs—will convene a learning collaborative focused on diabetes management in special populations. This cohort of clinical and non-clinical health center staff will learn about effective population-specific approaches, document efforts and effectiveness, and establish new goals using the framework of a Change Map to guide their diabetes prevention and management work. Applicants must be existing or potential Health Center Program grantees and must have at least one staff member representing clinical and one staff member representing non-clinical practices. A total of 2-3 clinical and non-clinical health center staff must attend four learning sessions between May and August.

Apply by Friday, April 19.

Click here to learn more



View the latest funding opportunities, as well as other educational resources and information, on our website.

NWRPCA Career Center

Post available jobs at your health center or view current openings at NW health centers.


Recent openings:


Alaska: Executive Director at Native Village of Eyak

Idaho: Dentist at Terry Reilly Health Services

Oregon: Accountant at Mosaic Medical


Washington:  CFO at Cowlitz Family Health Center

Educational Opportunities

Attend one of our in-person workshops or online webinars. Previously recorded events are also available.

Region X Highlights

Read news highlights about Region X health centers.


Recent articles:


Alaska: Alaska could be the first state to implement Medicaid block grant


Idaho: Idahoans share stories, memories for Farmworker Awareness Week


Oregon: Multnomah County Chair Kafoury announces new mental health center, family shelter spaces


Washington: Kitsap County Jail offers medication-assisted treatment for opioid addiction

Thank you to our Annual Sponsors


Quest Diagnostics






Community Health Plan of Washington


Featured Vendors





Henry Schein

Northwest Pulse 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 2019


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 at


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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