Kim Patton, PsyD Public Health Analyst U.S. Department of Health and Human Services

1. Health Center Program: Partnership OpportunitiesImproving Access and Quality Care for the Behavioral Health ClientMay 17-18, 2011Albuquerque, NM Kim Patton, PsyD Public Health Analyst U.S. Department of Health and Human Services Health Resources and Services Administration Office of Regional Operations

2. HRSA Activities • Nearly 20 million patients are served through more than 8000 HRSA-funded health centers sites, including 1 in 3 people with incomes below the poverty level. • Over 500,000 people living with HIV/AIDS receive services through more than 900 HRSA-funded Ryan White Clinics . Two-thirds are members of minority groups. • 34 million women, infants, children, and adolescents benefit from HRSA’s maternal and child health programs. • About 14,000 safety net providers participate in HRSA’s 340B low discount drug program. • Currently more than 6,700 National Health Service Corps clinicians are (or will be) working in underserved areas in exchange for loan repayment or scholarships.

3. HRSA, Public Health and the Affordable Care Act • Increasing Access to Primary Care • Investing in the Health Workforce • Supporting Maternal and Child Health • Broadening Access to 340b Program Discounts and Supporting Rural Programs

4. Increasing Access to Primary Care

5. Health Center Program National Presence 5

6. What is a “Health Center”? • Located in or serve a high need community • Governed by a community board • Providecomprehensive primary health care • Primary & Preventive Care • Enabling Services • Provide services available to all with fees adjusted based on ability to pay. • Meet otherperformance and accountability requirements regarding administrative, clinical, and financial operations Synonyms: Federally Qualified Health Centers (FQHC), Community Health Centers, Section 330 Health Centers

7. Health Center Program Overview (Calendar Year 2009) • 18.8 Million Patients • 92% At or Below 200% Poverty • 38% Uninsured • 63% Racial/Ethnic Minorities • Over 1 Million Homeless Individuals • 865,000 Migrant/Seasonal Farmworkers • 165,000  Residents of Public Housing 73.8 Million Patient Visits • 1,131 Grantees – half rural • 7,900+ Service Sites • Over 123,000 Staff • 9,100+ Physicians • 5,700+ NPs, PA, & CNMs Source: Uniform Data System, 2009

8. Health Center Services

9. Health Centers: Access 1/3 provide on-site substance use disorder services Screening, Brief Intervention, and Referral to Treatment (SBIRT) 2/3 provide on-site mental health services Depression - the third most common reason for a visit behind diabetes and hypertension. (2008 UDS Data)

10. Health Centers: Workforce • 3,400 Behavioral Health Workforce (2009 UDS Data) • 348 Psychiatrists • 318 Psychologists • 1,070 Social Workers • 822 Substance Use Disorder Service Providers • 826 Other Licensed Behavioral Health Provider

11. BPHC Quality Improvement Strategy • Develop and enhance access points • Transform HC care delivery system • Patient-Centered Medical/Health Home • Meaningful Use of HIT • Recruit, develop, retain skilled workforce • Integrate Health Centers into local health systems • Specialists, ER, Hospitals, ACOs • Public Health, other CBOs • Align policies and programs where possible

12. Kim Patton, PsyD Office of Regional Operations Health Resources and Services Administration Denver, CO Telephone: 303-844-7865 Email: KPatton@HRSA.gov Alex Ross, ScD Office of Strategic Priorities Office of Special Health Affairs Health Resources and Services Administration Rockville, MD Telephone: 301-443-1512 Email: ARoss@HRSA.gov Contact Information