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2008 TICHA Creating Best Practices

Community Health Centers in Texas Fact Sheet (2007)Federally Qualified Health Centers (FQHCs) are local, non-profit or public entity, community owned healthcare providers serving low-income and medically underserved communities.Texas community health centers cared for more than 770,000 Texans in

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2008 TICHA Creating Best Practices

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    1. 2008 TICHA Creating Best Practices Federally Qualified Health Clinic’s (FQHC) Local Health Departments Other Partners

    3. What is a Federally Qualified Health Center (FQHC) What is a Federally Qualified Health Center (FQHC)? FQHC is a federal designation from the Bureau of Primary Health Care and the Center for Medicare and Medicaid Services (CMS) that is assigned to private non-profit or public health care organizations that serve predominantly uninsured or medically underserved populations. FQHCs are located in or serving a Federally designated Medically Underserved Area/Population (MUA or MUP). All FQHCs must operate under a consumer Board of Directors governance structure, and provide comprehensive primary health, oral, and mental health/substance abuse services to persons in all stages of the life cycle. FQHCs provide their services to all persons regardless of ability to pay, and charge for services on a Board approved sliding-fee scale that is based on patients’ family income and size. FQHCs must comply with Section 330 program expectations/requirements and all applicable federal and state regulations. FQHCs are also called Community/Migrant Health Centers (C/MHC), Community Health Centers (CHC), and 330 Funded Clinics. Information acquired from www.tachc.org

    4. FQHC’s and their role and goals in the community Role Serving the healthcare needs within a community for the uninsured, disenfranchised and underserved. Diversionary from emergency room (PCP) care to a maintain clinical setting for daily (PCP) care needs. Goal Increase access to anyone and everyone. Build a community based collaborative effort to increase community health and wellness.

    5. Where are FQHC’s located? The following counties have a DSHS listed FQHC (CIHCP Handbook; Section 4, Service Delivery, Page 77) Atascosa Eastland Jefferson Motley Travis Bailey El Paso Jim Wells Nacogdoches Uvalde Bee Fannin Kaufman Newton Val Verde Bexar Fort Bend Kinney Orange Webb Brazoria Frio Kleberg Pecos Wichita Brazos Galveston LaSalle Potter Willacy Briscoe Gonzales Leon Real Williamson Brown Gregg Live Oak Robertson Zavala Cameron Grimes Lubbock Rusk Collin Hale Madison San Patricio Comanche Hardin Maverick Shackelford Dallas Harris McLennan Starr Dawson Hidalgo Medina Tarrant Deaf Smith Hockley Midland Terrell Dimmit Hunt Montgomery Tom Green

    6. Federally Qualified Health Center (FQHC) Services Delivery Texas Health and Safety Code; Title 2. Health; Subtitle C. Indigent Health Care; Chapter 61. Indigent Health Care and Treatment Act require all FQHC Services be provided in an approved FQHC by a physician, a physician assistant, an advanced practice nurse, a clinical psychologists, or a clinical social worker. FQHC’s are paid at an encounter rate (Flat Rate Per Visit) not fee for service. (reference Section 4, Service Delivery, Page 77)

    7. Local Health Departments

    8. Mission To provide a range of services designed to promote healthy living through prevention, protection, and intervention.

    9. Health Department Role Rental Assistance Programs Utilities Assistance Programs Prescriptions Programs Indigent Burial Assistance Pharmaceutical Assistance Programs Serve the basic (PCP) healthcare needs within a community clinically for the uninsured, disenfranchised and underserved. Immunization Clinic for Children Immunization Clinic for Adults Travel Immunizations STD Clinic   TB Clinic Educational Instruction on Disease Management Needs assessment and referral to ‘Community Partners’ for individual and household needs.

    10. Quote: We will do anything you want, as long as it works for us.”

    12. Community Partners

    13. Something to think about… When did ‘Networking’ become a event for social gatherings only, and cease to be utilized in the workplace?

    14. What is a community partner? com-mu-ni-ty (noun) – 1. a body of persons having common interest and privileges, living in the same locality and under the same laws; 2. joint participation, sharing, or ownership; 3. likeness; common character; 4. the people in general: usually (the community chest) with a fund collected locally for the support of qualified local charities. part-ner (noun) – 1. one who is associated with another or others in some cooperative connection for mutual benefit on concerted action, as in business; an associate; 2. in games, one who plays with another against opponents; 3. one who dances with another; 4. a husband or a wife.

    15. Community Partners we know: 2-1-1 Call Center Adult Protective Services AIDS Foundation Child Protective Services Department of State Health Services HUD – Public Housing Mental Health Mental Retardation (MHMR) Red Cross Salvation Army Social Security Administration Texas Workforce Commission (TWC) United Way Veterans Affairs Office

    16. Other Community Partners: Area Agency on Aging Christians in Action Community Action Agency Family Shelters Food Bank Halfway Houses Legal Aide Lighthouse for the Blind Pharmaceutical Assistance Programs Primary Health Care Project Dignidad Rape Crisis Center Specialized Transportation Services YWCA Breast and Cervical Cancer Control Program

    17. Plan of action Educate Initiate Innovate Integrate

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