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COMMUNITY HEALTH CENTERS. Widescreen Presentation. IN Hawai‘i. Legislative Briefing – April 7, 2010. Tips and tools for creating and presenting wide format slides. BETH GIESTING, HAWAI‘I PRIMARY CARE ASSOCIATION. OVERVIEW. Federally-recognized Non-profit Underserved communities

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  1. COMMUNITY HEALTH CENTERS Widescreen Presentation IN Hawai‘i Legislative Briefing – April 7, 2010 Tips and tools for creating and presenting wide format slides BETH GIESTING, HAWAI‘I PRIMARY CARE ASSOCIATION

  2. OVERVIEW • Federally-recognized • Non-profit • Underserved communities • Vulnerable populations • Community governed

  3. DEMOGRAPHICS UNINSURED (24%) MEDICAID (47%) PRIVATE (22%) MEDICARE (7%) Coverage

  4. DEMOGRAPHICS RURAL (71%) URBAN (29%) Location

  5. DEMOGRAPHICS CAUCASIAN (25%) ASIAN (18%) NATIVE HAWAIIAN (27%) PACIFIC ISLANDER (17%) OTHER (13%) Ethnicity

  6. DEMOGRAPHICS 84% 200% Federal Poverty Level

  7. DEMOGRAPHICS CAUCASIAN (25%) UNINSURED (24%) NATIVE HAWAIIAN (27%) ASIAN (18%) PACIFIC ISLANDER (17%) RURAL (71%) MEDICAID (47%) URBAN (29%) PRIVATE (22%) 84% OTHER (13%) MEDICARE (7%) Poverty

  8. TRENDS +10% Patients

  9. TRENDS +26% Medicaid Patients

  10. TRENDS +46% Mental Health

  11. TRENDS +7% Rural Oahu: +29% Homeless

  12. TRENDS +46% +26% +7% Rural Oahu: +29% Medicaid Mental Health Homeless

  13. ENVIRONMENT • Poor Economy • Uninsured Population • Increased Demand for Services • Fragmented System • Potential Medicaid Surge (HCR)

  14. STATERESPONSE • AMHD decimated • COFA benefit reduction • Eligibility worker cuts • Payment lag • Proposed Cuts to Med-QUEST Benefits • Mass DHS Layoffs

  15. SYSTEM IN CRISIS Support Need

  16. TRANSFORMATION • Focus on Quality, Cost, Information Technology • CHCs as Medical Homes • Medicaid Modernization & Health Care Reform

  17. PATIENT-CENTERED MEDICAL HOME • Principles • Cost Effectiveness • Quality Dividends

  18. PCMH IN PRACTICE • National priority • Improved outcomes • Legislative initiatives

  19. CHCs AS MEDICAL HOMES • Quality Culture • Evidence-Based Care • Comprehensive, Integrated Services • Partnerships

  20. HAWAI‘I MEDICAL HOME PILOTS Kalihi-Palama Health Center Waimanalo Health Center West Hawai‘i Community Health Center Waianae Coast Comprehensive Health Center AlohaCare Hawai‘i Primary Care Association HMSA UHA

  21. LONG TERM SOLUTIONS • Essential to meet future demand • Innovation to transform safety net • Proving ground for entire system

  22. MEDICAID • CHCs are proven innovators • Savings from CHCs: $64.5 million • Proposed cuts disproportionately affect health centers

  23. MED-QUEST MODERNIZATION • Projected deficit: $160m • Innovation versus Cuts • Medical home incentives (90% FMAP)

  24. SUMMARY • CHCs are essential • System transformation • Partnerships • Policy support

  25. COMMUNITY HEALTH CENTERS Widescreen Presentation IN Hawai‘i Legislative Briefing – April 7, 2010 Tips and tools for creating and presenting wide format slides BETH GIESTING, HAWAI‘I PRIMARY CARE ASSOCIATION

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