1 / 16

CityMatCH January 17, 2008

CityMatCH January 17, 2008. Collaboration between Community Health Centers and Local Health Departments. Disclosure.

anoki
Download Presentation

CityMatCH January 17, 2008

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. CityMatCHJanuary 17, 2008 Collaboration between Community Health Centers and Local Health Departments

  2. Disclosure CDC, our planners, and our presenters wish to disclose they have no financial interest or other relationships with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters. Presentations will not include any discussion of the unlabeled use of a product or a product under investigational use

  3. Lyon County Health DepartmentdbaFlint Hills Community Health Center(LCHD/FHCHC) The ultimate collaboration

  4. Demographics Population of Lyon County: 35,560 Principal city population (Emporia): 26,780 Population of 4-county catchment area for community health center: 63,627 Majority of services provided to Lyon County residents, and maximum distance would not exceed 20 miles. Outlying counties: maximum travel distance, 50 miles

  5. Responding to community need As Lyon County Health Department meeting two essential services: community assessment and assurance led the organization to pursue community health center funding.

  6. Community Needs Lack of access to personal health care services was a significant unmet need leading to the initiative to secure funding and resulting in the collaboration. Local hospital was a key partner in the process. Lack of access to oral health services resulted in addition of dental clinic in 2000 Capacity shortage for mental health services resulted in addition of behavioral health services in 2002

  7. Historical Context • Great unmet need for primary health care both for uninsured and Medicaid recipients in Lyon and surrounding counties • County hospital provided funding to establish a small primary care clinic staffed by Advanced Registered Nurse Practitioner • County health department secured Federally Qualified Health Center Look-alike status • Community Health Center funding (Section 330) secured in 1997

  8. Organizational structure • Lyon County Health Department was the grantee and thus the CHC functioned as a public entity • 501(c)3 corporation established with a consumer majority board • Organization continued as a unit of county government until December 31, 2003

  9. August, 2001: The Question Can LCHD/FHCHC be a totally independent entity?

  10. July, 2002: The Answer NO Must maintain a connection to Lyon County as an instrumentality of government. This became a key issue. Instrumentality is a legal construct under Kansas law.

  11. The Charge Lyon County Commission authorized Flint Hills Community Health Center Board of Directors to move forward with an implementation plan to begin functioning as an instrumentality of government

  12. The Administrative Challenges of Functioning as a Public Entity Dual governance: County Board of commissioners and Community Health Center Board Duplication of work efforts in human resource and financial responsibilities More limited ability to be responsive to work force needs in the health care environment

  13. A new model for governance LCHD/FHCHC began functioning as an instrumentality of government effective January 1, 2004 Employees were transferred from Lyon County government to FHCHC Lyon County Health Department remains the grantee for Section 330 funds FHCHC Board of Directors has a contract with Lyon County Commission by which grants and their requisite responsibilities are assigned to FHCHC Contract also includes assignment of responsibility for public health functions

  14. Challenges • Maintaining level funding from county to sustain public health functions • Some loss of revenue for public health functions as state Medicaid agency does not allow the agency to bill both as a local health department and an FQHC

  15. Benefits • Collaboration with public health at its best • CHC has been easily incorporated into Public Health Preparedness Planning • One-stop for health care for low-income, underserved residents of catchment area (population-based health services, primary care, dental, and behavioral health • Cost effective with shared administration and infrastructure • Administrative challenges and duplication of work effort reduced or eliminated • Organization able to be more responsive to changes in health care environment

  16. Questions/Comments? For more information, contact: Lougene Marsh, MPA Executive Director 420 W. 15th Avenue Emporia, KS 66801 620-342-4864, x261 lmarsh@flinthillshealth.org

More Related