2008 TICHA Creating Best Practices Federally Qualified Health Clinic’s (FQHC) Local Health Departments Other Partners
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:
Mental Health/Substance Abuse
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
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
FQHC’s and their role and goals in the community
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.
Increase access to anyone and everyone.
Build a community based collaborative effort to increase community health and wellness.
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
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)
Local Health Departments
To provide a range of services designed to promote healthy living through prevention, protection, and intervention.
Health Department Role
Rental Assistance Programs
Utilities Assistance 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
Educational Instruction on Disease Management
Needs assessment and referral to ‘Community Partners’ for individual and household needs.
Quote: We will do anything you want, as long as it works for us .”
Something to think about… When did ‘Networking’ become a event for social gatherings only, and cease to be utilized in the workplace?
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.