1 / 19

Federally Qualified Health Centers

Federally Qualified Health Centers. Presented by Vicki M. Young, PhD October 19, 2010. Community Health Centers (CHCs) are community owned and operated, non-profit businesses that provide access to quality primary and preventive health care that is affordable to everyone.

macon
Download Presentation

Federally Qualified Health Centers

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. Federally Qualified Health Centers Presented by Vicki M. Young, PhD October 19, 2010

  2. Community Health Centers (CHCs) are community owned and operated, non-profit businesses that provide access to quality primary and preventive health care that is affordable to everyone. What Are Community Health Centers?

  3. Three Elements of the Health Center Model • Community Health Services • Community Economic Development • Community Participation

  4. Federal Requirements • Must be non-profit organization • Must have Governing Board dominated by health center patients • Must provide services based on community need (5 life cycles: perinatal, pediatric, adolescent, adult, geriatric) • Must see all patients regardless of their inability to pay • Must be located in an MUA or serve an MUP

  5. Federal Requirements • Must employ at a minimum, an Executive Director, Medical Director and a Finance Officer • May charge a nominal fee for patients who are <100% of federal poverty level (FPL) and must charge 100% for patients >200% of FPL • Must have a sliding fee scale for services for patients between 100% and 200% of FPL • Must address linguistic needs • Must be accessible

  6. Core Health Care Services • Primary Care • Family Practice • Internal Medicine • OB/GYN • Pediatrics • Other Health Care Services • Dental • Pharmacy • Mental Health • Diagnostic • Lab and X-ray • Ancillary/ Support Services • Outreach • Transportation • Communication Assistance • Case Management • Social Services • Nutrition • Podiatry

  7. Cancer Related Services • Primary Care Core Services • Screenings • Treatment • Referral • Supportive Care • Patient Education/ Self Management

  8. Other Facts • Physicians are covered under FTCA • Several of the CHCs have partnered/merged with private physician practices • Hospital affiliations may include residency training • Must have annual independent audits; also reviewed routinely by the federal government

  9. Other Facts • Must have 24-hour call arrangements • Support for the integration of mental health, oral health, pharmacy services

  10. South Carolina Community Health Centers • 19 CHC Corporate Grantees • 163 service sites • Served 300,000 + medical patients in 2009 • 275 provider FTEs

  11. Community Health Center Program • http://www.hrsa.gov/data-statistics/health-center-data/NationalData/index.html

  12. South Carolina Primary Health Care Association (SCPHCA) • THE MISSION • The mission of the South Carolina Primary Health Care Association is to provide a coordinating structure to assure access to community based primary, behavioral and other health care services to every community in South Carolina. • Direct Services through Migrant Health

  13. SCPHCA Functions Primary Care Association (all centers are members) Programs/Initiatives/Services Program/CommunityDevelopment Advocacy Research TA/Training HealthPolicy Partnerships

  14. SCPHCA Departments • Operations and Administration • Programs and Health Policy • Finance and Information Technology (IT) • Clinical Quality Improvement

  15. Clinical Quality Improvement Department • Focus on providing assistance to centers in the area of quality improvement • Provided through different mechanisms • Technical Assistance in the area of clinical practice and quality management (e.g., FTCA, Risk Management, Accreditation, Credentialing, Emergency Preparedness, Planned Care Models, CPR Training, etc.) • Training • Quarterly Clinical Network Meetings • Annual Clinical Retreat • Other ways we assist with quality improvement • Management/Coordination of Programs • Liaison Role between partners and member organizations • Research

  16. Current Challenges/Opportunities • Adequate Access to Care • Coordination of Care for Patients • Access to specialists due to • Uninsured numbers • No specialists in the area • Resources • Financial • Compensation for care • Timeliness of compensation • Human • Workforce • Facility

  17. Future Challenges/Opportunities • Dedicated funding to decrease the burden of the challenges • Workforce • Facility • Patient access to services • Preventive • Increased access to primary care services • Specialty and enhancing services • Some of current challenges will decrease but won’t be eliminated (e.g., workforce, coordinated care issues, etc.) • Establishing strategic partnerships

  18. Programmatic Areas of Interest • Meaningful Use • Patient Centered Medical Homes • Population Health • Data Assisted/Driven Decision Making • Integration of Enhancing Services

More Related