Guidelines for Designating School-Based Health Centers as Title X Sites

TO: Title X Delegate Agencies
FROM: CFHC Area Managers
DATE: August 30, 2006
RE: CFHC Guidelines for Designating School-Based Health Centers (Community College and High School Student Health Centers) as Title X Sites.

Based on reviews of common findings from site evaluations, as well as recent requests by several agencies to add new Title X sites, CFHC is providing the following requirement guidance for Delegate Agencies that currently have or would like to add School-based Sites (Community Colleges and/or High School Health Centers) as Title X sites. Below are details of the necessary administrative, clinical and fiscal requirements to make these sites Title X compliant.

Administrative

The site must either be a Family PACT provider with a Family PACT number or be providing Family PACT services as a satellite clinic under one of the agency’s other Family PACT numbers.

The site staff must follow all Title X administrative and legal policies and procedures as stated in the Title X Program Guidelines. There should be a copy of the Title X Guidelines at the clinic site and all staff working at the site should be familiar with these Guidelines.  Title X Guidelines may be downloaded from the CFHC Samples File.

All data must be submitted through the Semi-Annual Progress Report (SPR) to CFHC under a site number assigned by CFHC to the community college/high school site.

If the clinic staff at the school-based site is employed by the community college/school district and not by the delegate agency, the Delegate Agency must provide documented programmatic, clinical and financial oversight that ensures that the school-based site is in compliance with Title X Program Guidelines. In addition, the terms of the relationship, roles and responsibilities of the school-based site and delegate agency must be clearly stated in a subcontract that has been approved by the Community College Governing Board/School Board as well as the Delegate Agency Governing Board. This subcontract must also include all administrative, clinical and financial requirements included in the Title X Program Guidelines.

Clinical

The site staff must follow all Title X clinical policies and procedures as stated in the Title X Program Guidelines.

If the clinic staff at the school-based site is employed by the community college/school district and not by the Delegate Agency, the staff must follow the same Continuous Quality Improvement/Continuous Quality Assurance (CQI/CQA) policies and procedures as the Delegate Agency. Additionally, these policies and procedures must be included in the subcontract referenced above in the Administrative section.

Finance

Site staff must follow all Title X policies and procedures as stated in the Title X Program Guidelines, the Code of Federal Regulations (CFR), OMB Circulars A-133 (as applicable), A-110 and CFHC fiscal policies and procedures. Additionally, Title X required financial statements and reports from the school-based site must be submitted to CFHC in accordance with contract requirements.

If you have any questions regarding these requirements or would like technical assistance, please feel free to contact your Area Manager.

Tell CFHC What You Think!

It is important that the California Family Health Council Inc. be able to secure the lowest prices for oral contraceptives as possible for Delegate Agencies.

To facilitate this process, if your agency dispenses oral contraceptives, your assistance is imperative. Please fill out our survey on generic oral contraceptive use.

Please provide us with the information and either email or fax your responses back to me by September 8, 2006.

Thank you.
Barbara Kass-Annese RNCNP, MSN
Medical Specialist, Provider Services
kass-anneseb@cfhc.org
Fax 213-369-4424

Deadline passed; survey removed 02/25/2008.

Learn More About Supervising and Mentoring Health Educators

From the experts at EPA, CFHC's Training, Education and Resource Division.

Supervising and Mentoring Health Educators: Tips for Improving Services

Read this helpful article from  EPA Division's Health Educators:

Practicing skills in an environment that supports their development and evolution is essential to becoming effective health educators and counselors.Supervisors are in a unique position to mentor health educators, helping them better meet the needs of clients. Read on..

A New Tool to Assess Health Educators

Use this helpful tool recommended by CFHC's  Resource Center:

The Educator Training Assessment Tool from the Association for Sexuality Education and Training (ASSET) is a great resource for anyone who supervises health educators. Use this handy tool to assess yourself, another individual, or your staff!

Training Health Educators: A Workshop for Supervisors

Go to a training on this important topic:

Health education skills have to be nurtured over time in the real world. As a supervisor, you are in a unique position to mentor health educators and help your staff to better meet the needs of your clients. Come to this creative, hands-on workshop. Training passed; link removed 02/25/2008

New Peer Provider Newsletter Up on Teensource.org

Peer Provider News is a quarterly on-line magazine for Peer Providers who work in family planning clinics and provide educational, emotional support and counseling services to other teens and young adults.

Don't miss the latest issue on the theme of Intimate Partner Abuse.

Peer Provider News is part of teensource.org, CFHC’s well-known web site for teens. We hope the information published here provides a space where you can:

• Share your experiences
• Explore issues
• Look up information
• Make connections with other Peer Providers
• Find out about best practices
• Learn about interesting programs, workshops, and conferences
• Read inspiring stories

If you’re a teen working with teens in the community, we really want to hear from you! If you’re an adult working with Peer Providers, we want to hear from you, too!

Call 1-800-428-5438 with your story ideas or email Donna Sanders at sandersd@cfhc.org

Join Peer Provider News. Share your story. Write an article. Pose for the camera.

Grow. Change. Bond.

Big Sale on EPA Materials for Title X Agencies

Attention all California Title X Delegate Agencies!!

Take advantage of this extraordinary opportunity to get high-quality, easy-to-read health education materials for your clients and staff! 

From September 1 through December 31, 2006, California Family Health Council invites you to order any health education materials in our EPA online store for a 30% Discount on all materials.

• Simply go to www.healthed.org and click on our EPA store.
• After you've made your selections, type in this code:  TX082006
• Your 30% discount will automatically be applied to the total.
• Or you can phone your order at 1-800-428-5438.  Say that you are a Title X delegate agency in California. 

Explore the many excellent materials on a variety of topics

• Birth control methods: There are booklets and information sheets that include the Patch and the Ring.  And don't miss our award-winning pamphlet on Emergency Contraceptive Pills in 5 different languages.
• Intimate Partner Abuse prevention: Find special booklets for teens, for pregnant women, as well as for women in general.
• Pregnancy and Parenting: You'll love the easy-to-read, colorful pamphlets on Exercise, Prenatal growth, and Working during Pregnancy among others.
• Men's Reproductive Health: Don't leave men out of the equation.  They need excellent information, too.  Check out our Sex and Birth Control:  What Men Want to Know.
• Sexually Transmitted Diseases: Clients diagnosed with a particular STI will find this client-focused series helpful.  There is also a general STD prevention booklet as well. 

We have two items that are offered at extra low special prices for Title X Agencies. 

• Fundamentals of Family Planning Manual for the low price of $50.
• The Multilingual Birth Control Kit, now at half price for $100.

While these two sale prices will not be reflected in the online order, these special prices will be applied before your credit card is debited. 

So don't miss this opportunity to get materials field-tested with clients like yours along with excellent professional resources that will enhance your staff training as well.

• You can use this coupon anytime from September 1 to December 31, 2006.
• Use the coupon code as many times as you like for any of the materials in our store.

If you have any questions, call me at 1-800-428-5438 or email me at murillov@cfhc.org. I'd be glad to help.

Veronica Estrella Murillo, MPH
Director of Health Education Resources
California Family Health Council   

FDA Approves Over-the-Counter Access for Plan B for Women 18 and Older

FOR IMMEDIATE RELEASE
P06-118
August 24, 2006

Prescription Remains Required for Those 17 and Under

The U.S. Food and Drug Administration (FDA) today announced approval of Plan B, a contraceptive drug, as an over-the-counter (OTC) option for women aged 18 and older. Plan B is often referred to as emergency contraception or the "morning after pill." It contains an ingredient used in prescription birth control pills--only in the case of Plan B, each pill contains a higher dose and the product has a different dosing regimen. Like other birth control pills, Plan B has been available to all women as a prescription drug. When used as directed, Plan B effectively and safely prevents pregnancy. Plan B will remain available as a prescription-only product for women age 17 and under.

Duramed, a subsidiary of Barr Pharmaceuticals, will make Plan B available with a rigorous labeling, packaging, education, distribution and monitoring program. In the CARE (Convenient Access, Responsible Education) program Duramed commits to:

• Provide consumers and healthcare professionals with labeling and education about the appropriate use of prescription and OTC Plan B, including an informational toll-free number for questions about Plan B;
• Ensure that distribution of Plan B will only be through licensed drug wholesalers, retail operations with pharmacy services, and clinics with licensed healthcare practitioners, and not through convenience stores or other retail outlets where it could be made available to younger women without a prescription;
• Packaging designed to hold both OTC and prescription Plan B. Plan B will be stocked by pharmacies behind the counter because it cannot be dispensed without a prescription or proof of age; and
• Monitor the effectiveness of the age restriction and the safe distribution of OTC Plan B to consumers 18 and above and prescription Plan B to women under 18.

Today's action concludes an extensive process that included obtaining expert advice from a joint meeting of two FDA advisory committees and providing an opportunity for public comment on issues regarding the scientific and policy questions associated with the application to switch Plan B to OTC use. Duramed's application raised novel issues regarding simultaneously marketing both prescription and non-prescription Plan B for emergency contraception, but for different populations, in a single package.

The agency remains committed to a careful and rigorous scientific process for resolving novel issues in order to fulfill its responsibility to protect the health of all Americans.

For more information on Plan B and today's action, please see: http://www.fda.gov/cder/drug/infopage/planB/default.htm.

Media Inquiries:
Julie Zawisza, 301-827-6242
Consumer Inquiries:
888-INFO-FDA

Nation Wide Resume & Job Search Website

www.minorityhiringplace.com

If you or someone you know are seeking employment, go to this website and add your resume and job search information.  This is a site setup to help minorities find jobs. Many cities, HBCU Colleges, and the National Black Chambers of Commerce are involved in this nation-wide effort. Job listings will begin showing up next Friday. We would like to flood the site with as many resumes of people interested in jobs as we can, to give proof that this is an excellent site for industry to pull from.

Please share with as many people as possible.

Chiquita Tillman
Administrative Assistant
Community Health Councils, Inc.

Get the Center for Health Training's Biannual Training Calendar

Download the Center for Health Training's biannual training calendar. The calendar lists training sessions planned in Federal Region 9 (California, Arizona, Hawaii and Nevada) for August 2006 through January 2007, as well as upcoming sessions for February through June.  It is in Adobe Acrobat (PDF) format and can be printed on legal size paper if you choose. Feel free to share the link with others.

Details, brochures and online registration for these sessions are posted approximately 8 weeks prior to the session date on our web site in the "Training and Events" section. Registration fees can be sent by check and we also anticipate being able to accept credit card payments soon.

There is a new Online Training area in the Training and Events section that contains web-based courses and streaming audio archives of past audio conferences.

Questions? Call us at 510-835-3700 or email oakland@jba-cht.com
Web site: http://www.centerforhealthtraining.org/

Calendar out of date; link removed 02/25/2008.

CDC releases 2006 STD Treatment Guidelines

The CDC released the 2006 STD Treatment Guidelines this month. Included in these updated guidelines are:

• an expanded diagnostic evaluation for cervicitis and trichomoniasis;
• new antimicrobial recommendations for trichomoniasis;
• additional data on the clinical efficacy of azithromycin for chlamydial infections in pregnancy;
• discussion of the role of Mycoplasma genitalium and trichomoniasis in urethritis/cervicitis and treatment-related implications;
• emergence of lymphogranuloma venereum protocolitis among men who have sex with men (MSM);
• expanded discussion of the criteria for spinal fluid examination to evaluate for neurosyphilis;
• the emergence of azithromycin- resistant Treponema pallidum;
• increasing prevalence of quinolone-resistant Neisseria gonorrhoeae in MSM;
• revised discussion concerning the sexual transmission of hepatitis C;
• postexposure prophylaxis after sexual assault;
• and an expanded discussion of STD prevention approaches.

SJR 22 Passes Legislature!

Thanks to all of your hard work, SJR 22 (Speier) has passed out of the California Legislature.  CFHC co-sponsored SJR 22 with the Junior Leagues of California and the California Microbicides Initiative.  SJR 22 is a resolution in support of the Microbicide Development Act, (S 550 and HR 3854), a piece of federal legislation to strengthen and accelerate microbicide research and development at the National Institutes of Health, the US Agency for International Development, and the Centers for Disease Control. SJR 22 passed both the Senate and the Assembly without receiving a single vote in opposition.  SJR 22 does not need the Governor’s signature.

The next challenge will be to capitalize on the momentum generated in California by the success of SJR 22 and the attention microbicides have received at the International Conference in HIV/AIDS presently taking place in Canada.   SJR 22 is proof that policymakers within California view microbicides as a priority to the people of California.  We urge the California Congressional delegation to sign on to the Microbicide Development Act.

Thanks to Senator Speier for her leadership on this issue, and again, thanks to all of you for your calls and letters.

Background: Microbicides are products, such as a cream or gel, which would prevent transmission of HIV and other STDs.   Women in California and around the world desperately need more HIV and STD prevention tools.  AIDS is now the number one cause of death among African American women aged 25-34 in the US, and in California, women represent the fastest growing population with AIDS.  In 1985, women comprised 7% of all AIDS cases in the US.  By 2002, this had almost quadrupled to 26%.

25th Anniversary of the Women’s Health Update

October 18-20, 2006
San Francisco Airport Marriott

Over the past 25 years we have seen many changes in women’s healthcare. This conference has strived to provide the most up-to-date, cutting-edge clinical content and this year is no different. An exciting program has been developed for this special anniversary. We hope you will join us!

Online registration for the Women’s Health Update is now open. Register Today!

Discounted registration and travel stipends are available to CFHC Title X Delegate Agency providers.  More information is available on the Women’s Health Update registration page.

Pre-Conference Workshop:  Don’t miss our Adolescent Healthcare workshop featuring Dr. Kenneth Ginsburg!

Wednesday, October 18th

As health care providers, we want to help keep young people safe, healthy and alive. It takes more than an accurate diagnosis and an appropriate treatment plan to succeed. We need to set a stage where teens feel valued, listened to and respected while being provided quality health care services.

Spend the morning with a dynamic and nationally acclaimed clinician and trainer, Dr. Kenneth Ginsburg, MD, MS Ed from The Children’s Hospital of Philadelphia, who will focus on improving communication skills and provide you with practical tools to work more effectively with teens and their parents.

Dr. Ginsburg lectures widely to professionals and parents in an effort to assure that children are prepared for a safe passage through adolescence. Dr. Ginsburg authored the book, “But I’m Almost 13:” An Action Plan to Raise a Responsible Adolescent, and has a new book coming out this fall, A Parent’s Guide to Building Resilience in Children and Teens: Giving Your Child Roots and Wings.

Clinical lectures will be offered in the afternoon to provide the latest updates on screening and treating adolescents for STIs, managing mood disorders in teens, and addressing obesity in your adolescent clients.

Online registration for the Women’s Health Update is now open. Register Today!

Event passed; registration link deleted 02/25/2008.

Generic Oral Contraceptive Use Survey

It is important that the California Family Health Council Inc. be able to secure the lowest prices for oral contraceptives as possible for Delegate Agencies. To facilitate this process, if your agency dispenses oral contraceptives, your assistance is imperative.

Please fill out our survey on generic oral contraceptive use. A chart of generic and brand oral contraceptives has been attached to the survey for your convenience.

Please provide us with the information and either email or fax your responses back to me by August 25. Thank you.

Barbara Kass-Annese RNCNP, MSN
Medical Specialist, Provider Services

Deadline passed; link to survey removed, 07/20/07.