FQHC Dental "Balancing Act": Establishing Productivity in CHCs

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MPCA

Health & Medicine Education

“ The FQHC Balancing Act ” Establishing Dental Encounters and Productivity in a Community Health Center Bob Russell, DDS,MPH

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Moving Target ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Goal #1 Establish a Bottom-line cost per encounter for providing dental care services

Goal #2 Monitor your Bottom-line cost per encounter annually

Goal #3 Allocate a proportion of total base 330 grant for dental operations

What to do? ,[object Object],[object Object],[object Object]

Components of Cost per Encounters ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Set Realistic Financial and Productivity Goals ,[object Object],[object Object],[object Object],[object Object],[object Object]

Productivity ,[object Object],[object Object]

Total Dental Operational Revenues Should Not Be Only Revenues Generated By Patient Service Collections Dental Cost Centers must include a proportion of all grant and other revenue resources allocated to the health center.

Productivity Sites should calculate the gross productivity, utilizing full fee charges as one measure of productivity. Average gross charges, presuming that the fees are market rate fees, should exceed $400,000/dentist/year

Productivity = Encounters ,[object Object],[object Object]

Productivity = Encounters Many sites have 220 days of care/FTE , so the math would be 1.54 patients per hour (8 hour day) or 12.3 patients/day . You may want to benchmark the productivity of your current program to see if greater efficiency can occur that would allow you to see new patients.

Productivity ,[object Object],[object Object],[object Object]

Fiscal Policy Management ,[object Object],[object Object],[object Object]

EXAMPLE: ,[object Object],[object Object],[object Object]

Example: Practical Application ,[object Object],[object Object],[object Object],[object Object],[object Object]

WHY? Matching available resources to population demographics is considered adequate justification . Good data helps the dental clinic avoid the potential of appearing selective or “cherry picking” for the sake of financial gain only.

Bureau of Primary Health Care Policy ,[object Object],[object Object]

Justification ,[object Object],[object Object]

Justification ,[object Object],[object Object],[object Object]

Application Limitations ,[object Object],[object Object],[object Object]

Managing Clinic Appointments ,[object Object],[object Object]

Rationale The FQHC is “still” available to all users within the centers fiscal and physical capacity

Active Promotions ,[object Object],[object Object]

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