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1
Today with Macrae:
Health Center Program Updates
Thursday, May 27, 2021
Jim Macrae
Associate Administrator
Bureau of Primary Health Care (BPHC)
Today with Macrae: Health Center Program Updates
AGENDA
Maternal and Child Health
Funding and Program Updates
Mark Your Calendar
Q&A
3
Catching Up on Well-Child Visits &
Vaccinations During the COVID-19 Pandemic
May 27, 2021
Michael D. Warren, MD, MPH, FAAP
Associate Administrator
Maternal and Child Health Bureau (MCHB)
COVID-19 Vaccine Now Recommended for Ages 12+
• CDC’s Advisory Committee on Immunization Practices (ACIP)
voted to recommend the Pfizer-BioNTech COVID-19 Vaccine for
use in 12-15 year olds
• COVID-19 Vaccine is now available for people ages 12+
• COVID-19 vaccine can be co-administered simultaneously with
other vaccines
5
Declines in Pediatric Vaccinations & Well-Visits
• More missed well-child visits among:
Low-income children
Black or Latinx/Hispanic children
• Greater immunization decline among
public sector vaccine ordering
Declines in
well-child visits and Well-child visits are opportunity for:
immunizations Health assessment
during the COVID-19 Vaccination
pandemic Developmental screening
Counseling
Data Source: Findings from the RAPID National Pandemic Surveys of Families with Young Children and Childcare Providers.
Available at: https://medium.com/rapid-ec-project/health-still-interrupted-pandemic-continues-to-disrupt-young-childrens-
healthcare-visits-e252126b76b8 . Last accessed 05/13/2021.
6
COVID-19 Gaps in Routine Pediatric Vaccines
Compared to 2019,
fewer routine pediatric vaccines given
in 2020-21
Meningococcal Measles-
Conjugate containing
Rotavirus PCV13 DTaP Vaccine Tdap HPV vaccine
5.4%
8.1%
9.4%
15.3%
19.0% 19.5% 19.7%
Source: Dr. Melinda Wharton, CDC, National Center for Immunization and Respiratory Diseases. A Call to Action—Childhood
Immunization. April 20, 2021.
7
MCHB Activities
State
Radio Media Title V Child Care
Tour Agencies Providers
State
Employers Medicaid
Agencies
Community
School MCHB P4
Health
Systems Challenge
Centers
8
Promoting Pediatric Primary Prevention (P4) Challenge
Solicit bright ideas Demonstrate
from new voices improvement in
well visits and
immunizations
Easy process for Compete for share
application of $1 million in
cash prizes
9
P4 Challenge Phase 1 Winners
50 Partnerships
winners Include:
representing
Settings include: Churches
23
States 19 Community
health centers Fire departments
Academic medical
clinics
$10,000 Community
each Mobile organizations
units
10What are MCHB Grantees doing?
Special
Mobile health Community
immunization
units events
clinics
Regional
presentations Peer-to-peer
by Bright sharing
Futures / AAP
11Panelists
Dr. Michelle Aguilar
Head of Pediatrics
Venice Family Clinic, Venice, CA
Dr. Eda Chao
Assistant Chief of Pediatrics, Manhattan Clinic
Charles B. Wang Community Health Center, Inc., New York, NY
Ms. Megan McMillin
Chief Nursing Officer
Cumberland Family Medical Center, Burkesville, KY
12Contact Me
Michael D. Warren, MD, MPH, FAAP
Associate Administrator
Maternal and Child Health Bureau (MCHB)
Health Resources and Services Administration (HRSA)
301-443-2170
mchb.hrsa.gov
13Emergencies Happen
Visit for information about
change in scope, 340B
enrollment, and FTCA coverage:
Emergency Preparedness,
Response, and Recovery
Resources for Health Centers
14Overall COVID-19 Vaccines Administered to Date by
Health Centers: Known Race/Ethnicity
A total of 10,884,405 COVID-19 vaccine doses
10,000,000 have been administered by health centers to date. 9,141,336
9,000,000 8,575,794
7,931,253
8,000,000 7,277,854
7,000,000 6,458,660
6,000,000 5,560,148
5,000,000 4,672,959
3,941,233
4,000,000 3,264,498
3,000,000 2,670,691 61% 62%
2,076,985 61%
60%
2,000,000 1,561,387 59%
1,068,215 57%
818,497 56% 57%
1,000,000
36,539 104,964206,853 341,921567,638 54% 55%
35% 43% 45% 47% 51% 53% 51% 52% 53%
0
1/8/20211/15/20211/22/20211/29/20212/5/20212/12/20212/19/20212/26/20213/5/20213/12/20213/19/20213/26/20214/2/2021 4/9/20214/16/20214/23/20214/30/20215/7/20215/14/2021
Racial and/or Ethnic Minority Patients Other Patients (Non-Hispanic Whites)
Source: Health Center COVID-19 Weekly Survey, 2020-2021.
For additional information regarding Health Center COVID-19 Vaccinations Among Racial and Ethnic Minority Patients, please visit: Health Center
COVID-19 Vaccinations Among Racial and Ethnic Minority Patients Dashboard.
15COVID-19 Vaccines Administered to Date by Health
Centers: Race/Ethnicity Known - Vaccine Program
4,000,000
Through the Health Center COVID-19 Vaccine Program, a total of 3,565,790
3,500,000
4,132,682 COVID-19 vaccine doses have been administered by 3,182,778
3,000,000 participating health centers to date. 2,697,056
2,291,771
2,500,000
1,790,162
2,000,000
1,311,089
1,500,000
72%
915,328 72%
1,000,000 71%
609,597 71%
389,192 71%
500,000 70%
21,734 202,670
74,169 70% 69%
70% 65% 68% 69%
0
2/26/2021 3/5/2021 3/12/2021 3/19/2021 3/26/2021 4/2/2021 4/9/2021 4/16/2021 4/23/2021 4/30/2021 5/7/2021 5/14/2021
Racial and/or Ethnic Minority Patients Other Patients (Non-Hispanic Whites)
Source: Health Center COVID-19 Weekly Survey, 2020-2021
16COVID-19 Vaccines Administered to Date
by Health Centers: Special Populations Receiving Doses
Patients with Limited
English Proficiency:
Through the Health Center COVID-19 Vaccine Program, 24% (1,006,743) of doses
a total of 3,694,360 COVID-19 vaccine doses have been administered
by participating health centers to date. 1,006,743
902,775
Migratory & Seasonal Patients Who Are
Adolescents (Children Agricultural Patients Experiencing Residents of Public
less than 18 years) Workers: Homelessness: Housing:
1% (35,057) of doses 4% (155,283) of doses 3% (106,125) of doses 4% (150,280) of doses
143,801 155,283 138,067 150,280
97,029 106,125
35,057
N/A
2/26/2021-5/7/2021 2/26/2021-5/14/2021
Source: Health Center COVID-19 Weekly Survey, 2020-2021
17Community-Based Vaccination Efforts:
Week Ending 5/14/2021
42% of all health centers and 48% of vaccine program participants used mobile vans or held pop up
clinics to administer vaccines via a combined total of 1,847 community-based events last week.
1,200
1,029
1,000
799
800
645
600
400 364
200 173
142
0
All Heath Centers (n = 1,847 events) Vaccine Program Participants (n = 1,305 events)
Mobile Vans Pop-up Clinics School-Based Sites*
Source: Health Center COVID-19 Weekly Survey, 2020-2021.
*Collection of school-based sites data began with the 5/14/2021 survey.
18Health Center COVID-19 Vaccine Program:
All Health Centers - Orders
To date, health centers have ordered 6,794,610 doses for 2,203 sites.
8,000,000 801 900
790 813
7,000,000
768 800
717 6,794,610
657 6,239,440 700
6,000,000 625 5,933,160
5,489,150 6,578,540
600
5,000,000 500
4,575,000 500
4,000,000 400
3,653,830 400
325
3,000,000
2,577,430 300
225
2,000,000 199
1,807,310 200
113
1,000,000 1,130,290
723,150 100
220,700 497,240
0 0
3/1/2021 3/8/2021 3/15/2021 3/22/2021 3/29/2021 4/5/2021 4/12/2021 4/19/2021 4/26/2021 5/3/2021 5/10/2021 5/17/2021 5/24/2021
Participating Health Centers Vaccine Doses Ordered
Source: Health Center COVID-19 Vaccine Program Weekly Orders
19On My Mind
COVID-19 and
Amazing Health
Center Work
20More Than 10 Million COVID-19 Vaccine
Doses Administered
• As of May 19, HRSA-funded health centers and look-alikes have administered
10 million+ COVID-19 vaccine doses—with 61% provided to racial and ethnic
minorities.
• Your role has been essential in achieving the vaccination goals President Biden
has set for our nation. THANK YOU!
21Open Door Family Medical Center (Ossining, NY)
As of April 12, Open Door has administered more than 20,000 COVID-19 vaccines!
Pictured above (left to right): Michael Chen-Illamos, MD; Vanessa Liautaud, RN; Nathalie Hilaire, LPN; Karla Mogrovejo, PCT;
Jennifer Barreto Arevalo, RN; and Angelica Anzueto, LPN
22Sun River Health (Tarrytown, NY)
As of May 12, Sun River Health has administered more than 100,000
COVID-19 vaccine doses!
23Let Us Know About Your COVID-19 Efforts
• Please tell us how your health center is helping your
community address COVID-19.
We’d like to hear about efforts to promote equity in
vaccine distribution and boost vaccine confidence.
• Send materials to the Health Centers Stories mailbox at
healthcenterstories@hrsa.gov.
If sending a photo, be sure to include a signed photo
release. Make sure your photo is high-res!
• Further details in the Primary Health Care Digest.
24Funding Updates
FY 2021 American Rescue Plan
Awarded
Funding for Health Centers (H8F)
Funding for T/TA Partners (HQC, U5F, U3F)
NOFO Released
Funding Opportunity for Look-Alikes (L2C)
Funding Opportunity for Capital Improvements (C8E)
NOFO Coming Soon
Funding Opportunity for Native Hawaiian (H2C)
FY 2022 Optimizing Virtual Care
25FY 2022 SAC/BPR Extension Schedule
26Health Center Program Site Visit Protocol
27FTCA Redeeming Applications Due June 25
• The EHB System opened on April 23, 2021.
• Applications due on or before June 25, 2021, 11:59 p.m. ET, or the health center will
have to reapply as an initial applicant and may be subject to a site visit prior to
deeming approval.
• Visit the FTCA application process webpage for Technical Assistance Tools:
Program Assistance Letter – Overview of the application process and guidance for
submitting your application.
Technical Assistance Recordings (Deeming Overview, Volunteer Health Professionals, Risk
Management, National Practitioner Data Bank).
FTCA Application Demonstrating Compliance Tool Kit (sample Risk Management Training
Plan, Annual Risk Management Report to the Board, Credentialing and Privileging
Compliance Tool, etc.).
• Direct questions to Health Center Program Support:
By phone: 877-464-4772, option 1; or
Online: http://www.hrsa.gov/about/contact/bphc.aspx
28Remember…
• When you visit bphc.hrsa.gov – take the
survey that pops up
• February 15-August 15 – Federally-
facilitated Marketplace Special Enrollment
Period
29Mark Your Calendar
• Today with Macrae: Health Center Program Updates
Thursday, June 17, 3-4 p.m. ET
Thursday, July 29, 3-4 p.m. ET
Thursday, August 19, 3-4 p.m. ET
Thursday, September 30, 3-4 p.m. ET
30Questions?
31Thank You!
Bureau of Primary Health Care (BPHC)
Health Resources and Services Administration (HRSA)
Health Center Program Support
877-464-4772, 8 a.m. to 8 p.m. ET, Monday - Friday (except federal holidays)
bphc.hrsa.gov
Sign up for the Primary Health Care Digest
32Connect with HRSA
Learn more about our agency at:
www.HRSA.gov
Sign up for the HRSA eNews
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