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Creating Best Practices

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  • 1. 2008 TICHA Creating Best Practices Federally Qualified Health Clinic’s (FQHC) Local Health Departments Other Partners
  • 2.
    • 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 2007
    • Texas health centers grew 48% in number of patients served since the beginning of a federal health center expansion initiative in 2002.
    • 58 funded FQHCs and 3 FQHC-Look a-likes supporting nearly 300 health service delivery sites
    • Community health centers treat patients regardless of ability to pay.
    • 59 percent of patients are uninsured
    • 25 percent of patients rely on Medicaid and CHIP for health coverage
    • 65 percent of patients live below the federal poverty level
    • At least 78 percent of patients are ethnic minorities
    • In addition to primary care, community health centers offer other services including:
      • Pharmacy
      • Dental
      • Mental Health/Substance Abuse
      • Lab/X-ray
    • Some Heath centers provide enabling services including transportation, case management and translation
    • America’s Health Centers serve over 17 million people nationally.
    • ACCESS for All America plan to serve 30 million people by year 2015.
    • Information acquired from www.tachc.org
  • 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 .”
  • 11.  
  • 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