2/29/2016 WAFCC Newsletter ­ Feb. 2016 Q1

https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1123804505715&format=html&print=true 1/16

WAFCC ­ Newsletter ­ February 2016 ­ Q1 This April, the Association is spearheading Wisconsin's first­ever annual Free and Charitable Clinics Week(April 4 ­ 10), because we want everyone else to know that #TheNeedContinues! Have you RSVP'd for Free &Charitable Clinic Week April 4­10? We need you ­ please RSVP by March 1st! LEARN MORE & RSVP.

WAFCC Brief Updates

#TheNeedContinues February 2016

Dear FCC Friends & Supporters,

The Center for Medicare and Medicaid released final open enrollmentnumbers, tallying up to 12.7 million Americans ­ 239,034Wisconsinites! This year, the federally run Healthcare.gov gained 4million new enrollees. More than 17 million people who previously didnot have insurance have been covered so far by the Affordable CareAct. In fact, the Milwaukee Area won the Healthy CommunitiesChallenge ­signed up 89,480 people in the Milwaukee area had boughta health plan on the federal marketplace (healthcare.gov), a 72%increase from 52,115 people at the end of the open­enrollment periodlast year. That is 75.2 percent of the uninsured who were eligible forcoverage under the federal health reform law at the start of theenrollment period, according to a statement. That's enormous progress

In This Issue

WAFCC UpdatesClinic Spotlight

Zika VirusTobacco Cessation

State Health Innovation PlanFunding Opportunities

State Health Innovation Plan5 R's Tobacco

WAFCC NavigatorsFundraising Events

Feb Health News LuncheonHealthWatch Conference

5 R's Tobacco

2/29/2016 WAFCC Newsletter ­ Feb. 2016 Q1

https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1123804505715&format=html&print=true 2/16

on one of health care's biggest problems, access to health insurance.

But as the chart below shows, slightly more than 30 million people inthe U.S. remained uninsured as of last year. The uninsured are not amonolithic group as identified in WAFCC's #TheNeedContinuesHandout and #TheNeedContinues for free and charitable clinics.

Image Source: Kaiser Family Foundation chart of eligibility for health coverage underthe Affordable Care Act among non­elderly uninsured Americans in 2015.

For the month of January, BadgerCare (Medicaid/Forward Health) therewas a small jump in childless adult coverage, attributed to last minutevisitors to healthcare.gov, before open enrollment closed January 31st.Current enrollment stands at 147,825, up 1,476 from December2015. Enrollment of parents and caretakers steadily decreased since abrief uptick in February and March of last year. However, some parentsand caretakers may have maintained coverage through incomeextensions. While 625 parents and caretakers lost BadgerCare Pluslast month, income extensions increased by 1,247.

Unfortunately, children continue to lose BadgerCare Plus coverage atan alarming rate. It is unclear where they are going ­ whether it be theHealth Insurance Marketplace, income extensions, or uninsured.BadgerCare Plus has lost 15,302 children from coverage since January2015. Since a peak enrollment month (March 2015), 20,452 childrenhave been dropped. WAFCC is curious if 1) your clinic accepts childpatients and 2) if you have seen an increase in child patients. TAKEPOLL.

5 A's TobaccoDocumentary Unveiling

Advocacy DayWI FCC Week April 4 ­ 10

Monthly ED CallsSpring WAFCC SummitStandards of Excellence

CommitteeCatherine CasparyFPL Caculator

BadgerCare ReviewsBadgerCare Gap Criteria

ACCESS FeedbackSEPs & 60 Days

Members Only Section WebsiteNAFC SymposiumImpact15 Pledge

#TheNeedContinuesDocumentary UnveilingTues. April 5 @ 11am

You may have heard that WAFCCis making #TheNeedContinuesDocumentary (Watch Preview),

that explains the critical safety­netrole free and charitable clinicsplay in Wisconsin post­ACA

(Affordable Care Act).

WAFCC will be hosting adocumentary unveiling/premiereevent in Madison on Tuesday,

2/29/2016 WAFCC Newsletter ­ Feb. 2016 Q1

https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1123804505715&format=html&print=true 3/16

There is also a concerning trend that many insurance companies arenot going to pay insurance agents commissions for plans they writeduring special enrollment or outside of open enrollment. Health insurerstypically pay agents a flat fee or a small percentage of the monthlypremium. If companies want to restrict enrollment and avoid somesicker patients, they can try to do so by reducing the incentive foragents to sell their policies across the board or at certain times.California's health exchange may require its health plans to pay salescommissions to insurance agents to keep insurers from shunning thesickest and costliest patients. It will be interesting to see howWisconsin addresses this situation.

WAFCC is very excited for our upcoming events ­ Free & CharitableClinic Week (April 4­10), #TheNeedContinues Documentary unveiling(April 5 @ 11am), Spring Summit (June 17th), and the Monthly EDCalls. We hope can attend all or some of these!

Please feel free to contact me at any time (262) 949­2971 orKatherineGaulke@hotmail.com. WAFCC is here to serve you!

Best Regards,KatherineKaterine Gaulke, PhD, MHAExecutive Director WAFCC(262) 949­2971 / KatherineGaulke@hotmail.com

SPOTLIGHT CLINIC: Albrecht Free Clinic

NEW LOCATION ­ NEW SERVICES!

April 5th at 11am at the Capitol(2 E. Main Street) in Madison inRoom 412N. Light refreshmentswill be served (sponsored by

Waddell & Reed in Madison). Wewould love for you, your

volunteers, your staff, and yourboard members to attend! RSVPtoday! Many thanks to LindsayHammons & Cynthia Altman for

all their hardwork on#TheNeedContinues

Documentary! We are incrediblygrateful for all you have done to

tell the FCC story and thecontinued need.

Advocacy Day at theCapitol April 4th & 5th

As part of Free & Charitable ClinicWeek April 4th ­ 10th, 2016,WAFCC will be schedulingmeetings with Wisconsinlegislators to discuss ourlegislative goals (below) and howFCCs are an integral part ofWisconsin's safety­net providers.

1. Declare the 1st week of AprilWisconsin's Free & CharitableClinic Week2. Expand VHCP (volunteerhealth care provider program) tocover out­of­state dentists and

2/29/2016 WAFCC Newsletter ­ Feb. 2016 Q1

https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1123804505715&format=html&print=true 4/16

The Albrecht Free Clinic (908 W. Washington St. West Bend, WI53095) was named for its founder, Dr. James E. Albrecht. "Doc"practiced medicine in Washington County throughout his entire career.Following retirement, Doc realized a life­long dream and founded theclinic in 1996 to ensure continuation of health care for WashingtonCounty residents. Anyone in who lives or works in Washington Countywith insufficient funds to follow traditional healthcare channels or doesnot possess health insurance coverage is encouraged to seek qualitymedical treatment at the Albrecht Free Clinic. Patients must live orwork in Washington County, be uninsured or under­insured and havean Income at 200% or less of FPL.

Albrecht Free Clinic (AFC) moved to their new location over Christmas2015 and New Year's holidays (see picture above). The West BendFire Dept Local 2025 volunteered to move AFC. WAFCC is impressedwith the community support for AFC! The Fire Department came onDec 20, 2015 and took all the large items and boxes that AFC staff &volunteers had packed and put them into the panel truck AFC hadsecured to help them move; as well as the Fire Department used theirown pick­up trucks and moved AFC in a matter of 4 hours! Over theholidays AFC staff and volunteers spent time unpacking all thoseboxes and finding a spot for things in their new, smaller home. By Jan5th, they were back open and seeing patients! READ MORE

dental hygienists3. Change that mental healthproviders be given the samewaiver as dentists allowing thefacility to be both the biller and theperformer for Medicaid4. Designate all Wisconsin freeand charitable clinics as "dentalresource shortage areas"5. Designate all Wisconsin freeand charitable clinics as "mentalhealth resource shortage areas.

We would love to have you, yourvolunteers, your staff, and yourboard members speak tolegislators with us! We willprovide a key talking point packetand DVDs with snips of thedocumentary to share with thelegislators when you meet withthem. RSVP here!

Wisconsin's 1st Free &Charitable Clinic Week

April 4 ­ 10

We will use the "Free &Charitable Clinics Week" to tellour communities who we are andwhat we do. Our objectives are to:1) Reach potential new patients,2) Let our donors know that theircontributions remain needed andvaluable, and 3) Increaserecognition from local electedofficials. But... we do not want tomake more work for you! TheAssociation exists to strengthenand support the work of the freeand charitable clinic sector inWisconsin. Coordinating,managing, and doing the "heavylifting" for this Free and Charitable

2/29/2016 WAFCC Newsletter ­ Feb. 2016 Q1

https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1123804505715&format=html&print=true 5/16

Zika Virus Considerations at FCCs

by Mary Ellen Beebe, RN, MSN, Director Salvation Army RedShield Medical Clinic (Manitowoc) & WAFCC Board Director

Dengue fever, chikungunya, West Nile, lymphatic filariasis, ebola,malaria, SARS. It seems like the list is endless. Now there is Zikavirus. Zika virus has been around since the 1940s, with little notice. Oflate, concerns have been raised due to mother­fetal transmission andsevere birth defects which can occur in an infant of a mother infectedwith the virus. Initially we may feel that it will have little impact on ourpractice at free and charitable clinics in Wisconsin. That is possible,but we must also consider that even though the mosquito which carriesit will be slower coming, if ever, the virus could reach our doorsquickly. Zika is a virus affecting people in Africa, the South Pacific,and now Central and South America. It is spreading rapidly, and hasaffected much of the Caribbean and Mexico. True, our clients do nottravel to these areas for vacation. But it is possible for an individual totravel from Central America to central Wisconsin in 3 days time, usingthe means that undocumented workers utilize to get here. They can getfrom Mexico, where Zika is a problem, in about a day and a half. Thatmakes the virus a concern for us at our clinics. The Zika virus seems to have little impact on the majority of peopleinfected. Typically, the most common symptoms of Zika virus diseaseare fever, rash, joint pain, and conjunctivitis (red eyes). The illness isusually mild with symptoms lasting from several days to a week.Severe disease requiring hospitalization is uncommon. In that sensewe are fortunate. It does affect pregnant women differently, however,with transmission from mother to fetus demonstrated, and severeproblems like microencephalopathy occurring. The CDC has specificrecommendations for travel for pregnant women, including warningsagainst travel to affected countries, and use of birth control, avoidanceof pregnancy if a female would travel to affected countries, and use ofmosquito repellants. What we need to focus on here is the impact it will have on ourpractice. In the past, it was thought to be transmitted exclusively bymosquito bite. Recent cases, however, indicate it may also betransmitted sexually and through blood transfusion. Additionally, theactive virus has been found in saliva, urine and semen. It is still notknown if it can be transmitted through other body fluids, and how longit will be active in those fluids. Since guidelines for diagnosis, care andprevention seem to be changing daily, it would seem only logical not togive you specific care here.

Clinics Week is our job ­ and oneof the benefits of yourmembership!

Clinics can participate in manyways, including:

1. Host an event duringApril... do you already havea cooking, exercise ornutrition class scheduledanyway? Would you like tohold an open house orreception? RSVP today!

2. Submit an op­ed article toyour local news outlet;samples are provided!

3. Give us your best patientstories so we can write thearticle and get it placed

4. Another possibility is topartner with a DHS, UWExtension, or your localhealth system to promotepublic health during thisweek.

Technically, the "Free &Charitable Clinic Week" will beApril 4 ­ 10, however, we willinclude any event that occursduring that week as well as theentire month of April. WisconsinFree & Charitable Clinic Weekcoincides with National PublicHealth Week. We picked thisweek as free and charitable

2/29/2016 WAFCC Newsletter ­ Feb. 2016 Q1

https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1123804505715&format=html&print=true 6/16

Testing is available to confirm the diagnosis. If you should encounter aclient with symptoms described above, who may have been in a Zikaaffected area, it would be best to refer to the most current CDCguidlines. http://www.cdc.gov/zika/qa/index.html. Additionally, it isconsidered a reportable infection, and you will need to contact yourlocal health department to report a confirmed case.

Introducing the UW­CTRI Tobacco CessationOutreach Specialists

By Roger Dier and Allison Gorrilla, UW­CTRI

For fifteen years the University of Wisconsin School of Medicine'sCenter for Tobacco Research & Intervention (UW­CTRI) has sentOutreach Specialists across Wisconsin to help clinicians help theirpatients quit smoking. Four specialists (pictured below with Katherine)­Roger Dier (MS Education), Kris Hayden (BS VocationalRehabilitation), Allison Gorrilla (MPH) and Amy Skora (BS CommunityHealth)­have a combined thirty­one years of experience deliveringevidence­based, tobacco cessation resources to Wisconsin's clinicaland community health­care providers.

clinics are the essence of publichealth.

Please Take this survey to let usknow your interest in participatingin Free & Charitable Clinics WeekApril 4­10, 2016... please respondby March 1st! THANK YOU!

Monthly Executive Director/Manager Calls

WAFCC hosts monthly ExecutiveDirector / Clinic Manager

conference calls on the thirdFriday of the month from 11am ­

Noon. Please contactKatherineGaulke@hotmail.com for

details.

Upcoming Calls:

Friday, March 18th from 11am ­Noon ­ guest RX Outreach ­ howtheir program compliments PAPsand donated / free medications.

Friday, April 15th from 11am ­Noon ­ guest speaker S. MicheleCohen, PhD, LPC, LCPC.Michele will be speaking onTrauma Informed Care

Spring WAFCC Summit

The WAFCC Spring Summit willbe Friday, June 17th from

11:30am ­ 4:30pm in Dodgeville.SAVE THE DATE!

Just like last time, we will havetours of local clinics the daybefore ­ InHealth Community

2/29/2016 WAFCC Newsletter ­ Feb. 2016 Q1

https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1123804505715&format=html&print=true 7/16

Public health professionals make the biggest impact when they helppatients quit smoking. Nearly one in five Wisconsin deaths are due tosmoking. On average, twenty people a day in Wisconsin lose theirlives because of tobacco­related disease. Likewise, smoking remainsthe top killer in our nation. The adult tobacco use rate in Wisconsin isseventeen percent, but the decline in tobacco use has stagnated forcertain groups. Smoking rates remain high for people who have lowincomes, less education and are non­white. The same can be said ofpeople struggling with mental health issues and drug addiction,including alcohol.

Whether it's sharing all the tools of the Quit Line (1­800­QUIT­NOW),coaching techniques, medication information or developing asystematic approach to treating tobacco use, UW­CTRI outreach staffare eager to help you help your patients quit smoking. Here's the link toconnect with the UW­CTRI outreach staff person in your area:http://www.ctri.wisc.edu/providers­contact.htm. UW­CTRI will be atthe WAFCC June 17th Spring Summit in Dodgeville too!

State Health Innovation Plan

The SHIP (State Health Innovation process hascome tPlan) planning to an end (VIEW THE PLAN)and with it ends the federal funding of the SHIPstaff. Now Wisconsin is challenged to determinehow to advance this good plan. WAFCC has beenasked to be on the committee to explore the theopportunities identified in the SHIP. WAFCC isenthusiastic about the potential to use the energy

and ideas generated in the SHIP to accelerate Wisconsin's progresstoward these important SHIP goals.

Funding Opportunities

Walmart Community Grant ProgramThe 2016 grant cycle begins Feb. 1, 2016 and the application deadlineto apply is Dec. 31, 2016. Application may be submitted at any timeduring this funding cycle. Please note that applications will only remainpending in our system for 90 days. Awarded grants range from $250 to$2,500.Walmart and the Walmart Foundation have identified four coreareas of giving: Hunger Relief & Healthy Eating, Sustainability,Women's Economic Empowerment and Career Opportunity.

Clinic (Boscobel) and CommunityConnections Free Clinic

(Dodgeville). More details coming soon!

Standards of ExcellenceCommittee

On Friday, January 8, 2016, theWAFCC Board of Directorsapproved the formation of theStandards of Excellence

Committee, to be chaired byBoard Member, Mary Ellen Beebeof the Salvation Army Red ShieldMedical Clinic of Manitowoc. The

Standards of ExcellenceCommittee will seek to provide

reliable, quality and clinicprocedures and policies for mostof the things that really matter toWisconsin free and charitableclinics and their patients. TheseStandards of Excellence can thenbe referenced, used, adapted andshared by the Wisconsin free andcharitable clinics. Many of theother free and charitable clinicstate associations have similarcommittees, and their resourceswill be reviewed as a startingpoint for Wisconsin along withrequests WAFCC has already

received for policies andprocedure examples. If you wouldlike to join the committee, pleasecontact Mary Ellen Beebe. Wehave already posted some

policies and procedures on theMembers Only section of our

website.

2/29/2016 WAFCC Newsletter ­ Feb. 2016 Q1

https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1123804505715&format=html&print=true 8/16

Wisconsin Comprehensive Cancer Control ProgramThe Wisconsin Comprehensive Cancer Control Program (WI CCCProgram) is soliciting "2016 CCC Implementation Grants to IncreaseAccess to Quality Cancer Care" (2016 CCC Implementation Grants)proposals that support the implementation of strategies within Priority 9­ Increase Access to Quality Cancer Care ­ and at least one cross­cutting issue in the Wisconsin Comprehensive Cancer Control Plan2015­2020 (WI CCC Plan 2015­2020). The projects will beimplemented from July 1, 2016 ­ December 1,2017.

he Mayo Clinic Health System and Eau Claire Foundation areaccepting applications for the Hometown Health Grant program. Proposals should plan to improve nutrition, increase physical activityor reduce chronic disease in Dunn, Chippewa, Eau Claire, Barron,Trempealeau, Pierce, St. Croix and Buffalo counties. Grants up to$25,000 will be awarded. A Letter of Intent is due March 4.· AstraZeneca HealthCare Foundation will make grants up to $180,000 to projects that aim to improvecardiovascular health in their community. They are interested ininnovative programs that will produce measurable results anddemonstrate sustainability. Applications due February 25.

The Charles A. Frueauff Foundation is awarding grants in severalcategories including hospital equipment, outreach programs andeducational material. Deadlines are March 15 and September 15.

The federal Office of the Assistant Secretary for Preparedness andResponse is looking for videos for the "My Preparedness Story:Staying Healthy & Resilient" Video Challenge. They will acceptentries from filmmakers between 14­ 23 about how they are helping toprotect their community's health during disasters and every day. Winners will receive cash awards. Deadline is March 29.

The American Hospital Associations Foster G. McGawPrize awards hospitals and other health care organizations foroutstanding work in several areas including leadership and commitmentto community. The winning organization will receive $100,000 andnational recognition. Runners up will receive $10,000. Apply by April1.

The USDA Rural Development Distance Learning & TelemedicineGrant program will provide funds for rural residents to better accesstelecommunications and the Internet for education and health care. Funds may be used for capital assets (computer hardware, network

Catherine CasparyRURAL FCC Diabetic

Care Research

Catherine Caspary, MSN, APNPis a volunteer at Church HealthClinic in Beaver Dam. She isworking on her doctorate (DNP).Her capstone project is a needsassessment of the diabetic

population in a free clinic setting.She is working with five ruralWisconsin FCCs to understandhow they approach diabetic careand treatment. WAFCC looksforward to sharing her findings

with you and incorporating into theWAFCC Standards of Excellence.

ABC for Health FPL Caculator

In case you have not seen thisbefore, ABC for Health has a

useful calculator to determine FPLlevel of a family: GO!

BadgerCare ReviewsOccuring ­ PTs

payback premiums?

It is important that you tell allpatients transitioning to

BadgerCare, that if they have anyincome changes, to report theseimmediately to their Consortia orthey may have to payback theState. All counties receiveSWICA matches for the

BadgerCare customers everyquarter for all programs. When the

2/29/2016 WAFCC Newsletter ­ Feb. 2016 Q1

https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1123804505715&format=html&print=true 9/16

components, software, etc.), instructional programming and technicalassistance. Application deadline is March 14.

The Public Service Commission of WI will award grants throughthe Medical Telecommunications Equipment Program to non­profitmedical clinics or public health agencies to purchase medicaltelecommunications equipment. Applications are due March 31. Thewebsite has more information including information on past grantees.

WI Senate Committee Approved Healthcare Bills

The Senate Health and Human Services Committee signed off on anumber of healthcare­related bills late last week. Those included:

allowing physical therapists to order X­rays.allowing various professional boards in the Department ofSafety and Professional Services to promulgate guidelines onprescribing controlled substances.modifying regulations on opioid treatment services.requiring DHS to report information on an assessment placed onambulatory surgical centers.allowing pharmacists to administer injectable prescribed drugsto show patients how to do so.allowing pharmacists to provide a 90­day supply of certain drugsinstead of a 30­day supply.placing reporting requirements on the Prescription DrugMonitoring Program.

Source: Wisconsin Health News

WI Joint Finance Committee approves DHS transfers

The Joint Finance Committee last week approved shifting roughly$15.8 million within the Department of Health Services to supportupdates at the state's mental health institutions and centers for thedevelopmentally disabled.

The money will come from an approximately $33.2 million inunappropriated revenue for mental health institutions, according to theLegislative Fiscal Bureau.

The surplus is due to higher than expected civil commitments, which

information in CARES (Access)does not match what the

employer has reported to theState, then Economic Support has

to review the match, ask forincome verification from the

customer and/or the employer andthen determine if they would havebeen eligible if customer had

reported a change in income in atimely manner. Economic

Support also looks at reportingrequirements and timelines; whichmakes for a lengthy review. The

income Economic Supportreceives in the match form theState is the exact income thecustomer received for the

quarter. If the customer is overthe income limit and received

healthcare, they may have to payback the HMO capitation rate for

when they had coverage.

BadgerCare "Gap"Criteria

If you have patients that arecaught in the "Gap" between how

Marketplace figures income(annually) and BadgerCare figuresincome (monthly) ­ tell the patientto ask BadgerCare for a "GapCriteria Review". They will need

their denial letter from theMarketplace stating they shouldbe on BadgerCare and a denialletter from BadgerCare to requestthis. If they qualify for the "GapCriteria", the patient should haveconsistent BadgerCare coverage

for the year.

2/29/2016 WAFCC Newsletter ­ Feb. 2016 Q1

https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1123804505715&format=html&print=true 10/16

allowed Winnebago Mental Health Institute to operate at or nearcapacity and resulted in higher than anticipated revenues, LFB said. Anadditional $13.5 million came from Medicaid cost settlement payments.

The transfer includes:

$10.6 million in to improve IT infrastructure at the state's twomental health institutes and three centers for thedevelopmentally disabled.$1 million to complete work on two 20­bed forensic units atMendota Mental Health Institute in Madison.$1 million for design work on two additional units for forensictreatment at Mendota that DHS would request additional fundingin the next budget to complete.$1.4 million to buy and install a communication and patientmonitoring system at Mendota.$1.2 million to complete construction of a five­bed unit atWinnebago for the treatment of aggressive female patients.$600,000 to supplement the budget for outpatient competencyrestoration treatment.

Read the Legislation ­ Source Wisconsin Health News

WAFCC Navigators ­ Open Enrollment 3 Success!

Pictured: WAFCC Navigators Ana KarinaBurton (left) and Yazmin Daleo (right)

WAFCC's mission is to support,strengthen, and advocate for the

uniqueness of the Wisconsin free andcharitable clinics, the patients theyserve, and the communities withwhom they partner. To do this, we

must understand how Wisconsin freeand charitable clinic patients are

obtaining, choosing, and transitioningto insurance and why people arechoosing to not be uninsured. TheHealth Insurance Navigator is theperfect model for us to do this.

WAFCC is excited to partner with Covering Wisconsin and theWisconsin Navigator Collaborative to offer health insuranceMarketplace (healthcare.gov) and BadgerCare assistance in

Southwestern Wisconsin.The WAFCC Health Insurance Navigators,

ACCESS Wisconsin SeekingFeedback

The Department of HealthServices (DHS) is exploring thepossibility of providing certain

features of ACCESS(access.wi.gov) in a format that isaccessible from mobile deviceslike smartphones or tablets. Thegoals of this project is to reduce

agency workload, improvecustomer service, and reduce

churning.

DHS is in the early stages ofplanning and is currently seekingconsumer feedback to see whichfeatures applicants and memberswould prefer to have available ona mobile device. To obtain the

feedback, they've created a shortfive­question survey, which isavailable until February 26th!

The ACCESS homepage has alink to the survey on its

homepage. Members who signedup to receive online notices willreceiving an email asking them totake the questionnaire. DHS willalso ask Income Maintenanceagencies to help members andapplicants complete the survey.

DHS Newsletter Sign­Up

ForwardHealth Emails

*NEW*Special EnrollmentNo Tax Return 2014

2/29/2016 WAFCC Newsletter ­ Feb. 2016 Q1

https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1123804505715&format=html&print=true 11/16

Yazmin Daleo and Ana Karina Burton, are bilingual (Spanish) andassist with enrollment efforts in Southwest Wisconsin (Grant, Green,Iowa, Lafayette, and Richland Counties). Yazmin and Ana Karina arealso available to give presentations on the Marketplace. Contact themto schedule an appointment at Yazmin Daleo 608­331­0574 or Ana

Karina Burton 608­331­0237.

We are grateful to our community partners in Southwestern Wisconsinfor hosting events and promoting Health Insurance Navigator

Assistance. Big, HUGE, thank­you to the Southwestern WisconsinHealth Insurance Enrollment Steering Team: Community ConnectionsFree Clinic * Covering Wisconsin (formerly Covering Kids & Families) *Darlington Municipality * Grassroots Citizens of Wisconsin * Grant

County Department of Social Services * InHealth CommunityWellness Free Clinic * Iowa County Department of Social Services * Lundell Insurance * Upland Hills Health, Inc. * Southwest HealthCenter * UW Extension * Walker and Weier Insurance & Financial

Services.

Fundraising Event Ideas

Katherine recently attended HealthNet of Rock County's Pairings thatPlease. This event is a culinary experience, tasting a variety ofcheeses and inspired fare, each paired deliciously with acomplimentary beer or wine, tickets are $75 a person. Katherine'sfavorite was the roasted bacon wrapped dates with a blue cheesecenter paired with the Black Pearl "Oro" Red Blend Paarl South Africawine and the Arborio Rice station paired with Nottage Hill ChardonnaySouthern Eastern Australia wine. HealthNet also showed an inspiringpatient testimony prior to the Live Auction and Paddle Raise. WATCHIT HERE.

CMS is providinga specialenrollment period (SEP)for consumers who: 1) are not currently enrolled in2016 coverage through theFederally­facilitated Marketplace(FFM)/healthcare.gov, 2) are not receiving APTC in 2016because they failed to file a taxreturn for 2014 AND3) reconcile their APTC,and subsequently filed their 2014tax return and reconciled their2014 APTC.

This Special Enrollment Periodruns February 1st throughMarch 31st. After reconciling theirtax statements, consumers mustreturn to the Health CareMarketplace (healthcare.gov) toupdate their 2016 application, andattest to having filed a tax returnand reconciled 2014 APTC.

WAFCC Members OnlySection on Website

We have been working hard toadd information to our

Membership Only section of ourwebsite. Please check back

frequently and let us know itemsyou would like to see in this

section..

Become a Member

2/29/2016 WAFCC Newsletter ­ Feb. 2016 Q1

https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1123804505715&format=html&print=true 12/16

And of course ­ having photo booths at your events is a great way topromote your cause. Make sure to create a hashtag so you can trackand trend posted photos ant tweets. Pictured at HealthNet's Pairingsphoto booth: Ian Hedges (Healthnet Executive Director & WAFCCBoard), Katherine Gaulke (WAFCC Executive Director), Sara Nichols(Open Arms Free Clinic Executive Director), and Joan Iversen (OpenArms Free Clinic Board).

Please make sure to add WAFCC to your invite list for fundraisingevents! We would love to come support you! Please mail invites toWAFCC, 4979 Hickory Ct, Elkhorn, WI 53121. Katherine and theWAFCC Board of Directors will do our best to attend. WAFCC canalso help promote your events on our Facebook page and social media.

February Health News Luncheon

NAFC SymposiumSeptember 11 ­ 13

Come Celebrate the NAFC's15th Anniversary in the

"Happiest Place on Earth!"

NAFC 2016 Charitable HealthCare Symposium

In 2001, a dedicated andpassionate group of free clinicleaders recognized that theuninsured and the free clinics whoserve these patients needed anational voice and organization totell the important story of thosewith limited to no access to healthcare throughout the country. Andso, the National Association ofFree and Charitable Clinics(NAFC) was formed. 15 yearslater, the NAFC has grown andcontinues to work every day toensure that our clinics, staff andvolunteers have the tools neededto provide the medicallyunderserved with access toaffordable quality health care, andwe continue to be a national voicepromoting quality health care forall.

The 2016 Symposium will be heldin Orlando, Florida on September

2/29/2016 WAFCC Newsletter ­ Feb. 2016 Q1

https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1123804505715&format=html&print=true 13/16

Katherine & Dr. Arman Tahir (MCHC) attended the Wisconsin HealthNews lunch and conversation with Dr. Nick Turkal, Aurora Health CareCEO in Milwaukee. It was great to hear the vision of Aurora and thesupport for free and charitable clinics through the Better Together Fund.

Dr. Nick Turkal began his career more than 30 years ago as a familymedicine physician in rural Illinois. Now he leads Wisconsin's largestprivate employer as CEO of Aurora Health Care. "As a rural familyphysician, I planned to go to a small town and be there my wholecareer," Turkal said Thursday. "After a couple of years of being there, itbecame kind of clear that the way we train physicians and whatcommunities and individual patients need are sometimes mismatched.I got very interested in how we get to a more systematic approach tohealthcare."

At a Wisconsin Health News event in Milwaukee, Turkal talked aboutthe movement to paying for value rather than volume in healthcare. Healso discussed Aurora's $40 million investment in MarquetteUniversity's proposed Athletic Performance Research Center.

Wisconsinites Living Longer, but Not Always Healthier

While Wisconsinites are living longer, an increasing percentage aren'tliving healthier, according to a University of Wisconsin report. The

fourth annual report from the UW Population Health Institute warns thatif the trend isn't addressed, it could lead to poorer health outcomes andgreater disparities in healthcare in the future. Wisconsin overall are

continuing to live longer," Institute director Karen Timberlake said in an

11­13, 2016 at the Walt DisneyWorld Swan and Dolphin Resort.What better place to join togetherfor great educational sessions,important networking, and ofcourse, a little celebration fun!LEARN MORE. REGISTER.

NAFC Impact15 Pledge

Small changes lead to big results.As a nation, our health outcomesare becoming increasingly worse.

For 15 years, the NationalAssociation of Free and

Charitable Clinics has been incommunities across the nationproviding care to those who need

it most.

In celebration of NAFC's 15th

Anniversary, NAFC would like tochallenge everyone in 2016 tomake a small change to yourmonthly routine to benefit yourhealth. How will your small

change make an impact? Chosesomething to do daily, weekly, ormonthly in increments of 15. From15 more glasses of water to 15

more laps at the pool, we all knowthat a small change in

preventative care can lead to abetter and longer life.

Share this pledge initiative withyour clinic, patients, volunteers,staff, providers, family, friends,

2/29/2016 WAFCC Newsletter ­ Feb. 2016 Q1

https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1123804505715&format=html&print=true 14/16

interview with Wisconsin Health News. "But we are really not livingbetter, meaning we're not in the kind of health we would like to be." This report also shows a disturbing trend with the uninsured. The

graphs below show the percent of the population between ages 0­17and 18­64 without continuous health insurance coverage during thepast year. #TheNeedContinues for free and charitable clinics!

9th Annual HealthWatch Wisconsin Conference

Early bird prices are still in effect, and are good through February 29.The Three Steps to Health Care Coverage conference will focus onways to identify, optimize, and maintain coverage for individuals andfamilies. Our conference starts with the basics of health coverage inWisconsin and continue with more intermediate policy and advocacy

strategies.When: April 6 & 7, 2016 (come for one day or both!)

Where: Madison Masonic Center, 301 Wisconsin Avenue

The 5 R's Model for Patients Unwilling to Quit

For patients unwilling to quit, use a technique designed to increase thelikelihood of a future quit attempt. This technique draws upon theprinciples of motivational interviewing and can be put into practicethrough the 5R's.

Relevance Encourage patient to indicate why quitting ispersonally relevant

schoolmates, colleagues.You can download a printable

pledge card here. Use#myimpact15 when talking aboutyour pledge and encourage others

to participate as well!

Donate Today!

Contact Us

Dr. Katherine GaulkeExecutive Director(262) 949 ­ 2971

KatherineGaulke@hotmail.com

Yazmin DaleoHealth Insurance Navigator

608­331­0574ydaleo@wisc.edu

Ana Karina BurtonHealth Insurance Navigator

608­331­0237aburton6@wisc.edu

Catherine Caspary, MSNDNPc Intern ­ Diabetic Carecmcaspary@gmail.com

Join Our Mailing List

2/29/2016 WAFCC Newsletter ­ Feb. 2016 Q1

https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1123804505715&format=html&print=true 15/16

Risks Ask patient to identify potential negative consequencesof tobacco useReward Ask patient to identify potential benefits to quittingRoadblocks Ask patient to identify barriers to making a quitattemptRepetition Motivational interventions should be repeated everytime an unmotivated patient visits the clinic

The 5 A's Model for Tobacco Dependence

Tobacco dependence is a chronic health condition that needs multipleinterventions by a clinician or clinical team. The 5A's model is aneffective tool to screen for tobacco use and provide a brief interventionfor patients who are willing to quit.

Ask if the patient uses tobacco and document tobacco usestatus of every patient at every visitAdvise the patient to quit in a clear, strong, and personalizedmannerAssess whether the patient is ready to make a quit attemptAssist the patient willing to make a quit attempt. Offermedication and provide or refer for counselingArrange for follow­up with the patient

Have ideas for Newsletter articles? Please let KatherineGaulke@hotmail.com know!

Copyright © 2016. All Rights Reserved.

WAFCC ­ Wisconsin Association of Free & Charitable Clinics,4979 Hickory Court, Elkhorn, WI 53121

SafeUnsubscribe™ katherinegaulke@hotmail.com

Forward this email | Update Profile | About our service provider

Sent by katherinegaulke@hotmail.com in collaboration with

2/29/2016 WAFCC Newsletter ­ Feb. 2016 Q1

https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1123804505715&format=html&print=true 16/16

Try it free today