Strategic Community Health Center Growth - Shawn Frick


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Strategic Community Health Center Growth
- Shawn Frick - as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit

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Strategic Community Health Center Growth - Shawn Frick

  1. 2. Strategic Community Health Center Growth Strengthening Ohio’s Safety Net Roundtable HealthPath Foundation of Ohio April 29, 2011 Shawn Frick [email_address] Director, State Growth Strategies
  2. 3. Health Center Focus 2011-15
  3. 4. Obama, Boehner and The Tea Party
  4. 5. Health Reform – Funding Growth Chart <ul><li>36% of total Trust Fund Pot (3.6B) has been allocated </li></ul><ul><li>Does not include $1.5B for capital projects </li></ul>
  5. 6. 2011 CHC Budget Results <ul><li>Reduced base appropriations to $1.59 billion from $2.19 billion </li></ul><ul><li>Health Center Trust Fund - $1.0 billion for FY ‘12 </li></ul><ul><li>Total Funding $2.6 billion for FY ‘12 </li></ul><ul><ul><li>$600 million taken from Trust Fund to sure up existing appropriations ($2.19 billion) </li></ul></ul><ul><ul><li>$250 million used for ARRA Funded Health Centers </li></ul></ul><ul><ul><li>FTCA, Across the board cuts and Supplemental funding to Cooperative Agreements </li></ul></ul><ul><li>About $60-92 million available for growth in FY ‘11 </li></ul>
  6. 7. Health Reform: What Does It Mean For Ohio? Current Ohio(2009) Patients by Payer Source (437k) Post-Reform (2015+) Patients By Payer Source (850k??) NOTE: Medicaid and Exchange patients will grow over the next 10 years. Private Insurance will likely decline. Ohio CHCs must increase Medicare patient population
  7. 8. Access Across Ohio <ul><li>Comprehensive needs analysis of each state indentifying: </li></ul><ul><ul><li>Priority communities for new health center development </li></ul></ul><ul><ul><li>Planned expansions of existing health </li></ul></ul><ul><ul><li>Coordination: PCA/Existing CHCs/New Entities </li></ul></ul><ul><li>Demonstrate that PCAs and health centers have a plan and are prepared to address their state’s needs. </li></ul><ul><li>Identify PCA T/TA for new/existing Health Centers to: </li></ul><ul><ul><li>Assure high scoring applications (90+) </li></ul></ul><ul><ul><li>Drive toward full service health centers </li></ul></ul><ul><li>Promote and defend the CHC mission </li></ul>
  8. 9. 2011-13 Strategies for Growth <ul><li>Focus on Existing Health Centers </li></ul><ul><ul><li>Must Expand Sites and Services Now </li></ul></ul><ul><ul><li>Stability is the key </li></ul></ul><ul><ul><li>Smart Growth to areas without a CHC site </li></ul></ul><ul><li>Come together as an provider! </li></ul><ul><ul><li>Must be united and strong </li></ul></ul><ul><ul><li>Future is dependent upon our business plans </li></ul></ul><ul><ul><li>Data, data, data </li></ul></ul><ul><ul><li>Marketing and Market Share </li></ul></ul><ul><li>Must be a driver in Ohio for the ACO and Exchanges </li></ul>
  9. 10. 2011 - Are there Opportunities ??? <ul><li>Time to think and plan!!!!! </li></ul><ul><li>$60-90 million in expansion funding (NAPs or Expanded Services) </li></ul><ul><li>NAP applications – viable until December 15, 2011 </li></ul><ul><li>Facility Improvement Program Opportunity ($750 M) </li></ul><ul><li>ACA Implementation – All providers will be affected by: </li></ul><ul><ul><li>Patient Centered Medical Homes </li></ul></ul><ul><ul><li>Meaningful Use </li></ul></ul><ul><ul><li>Accountable Care Organizations </li></ul></ul><ul><ul><li>State Exchanges </li></ul></ul>
  10. 11. Communities interested in Health Center designation should be… <ul><li>Completing 3-5 year strategic plans </li></ul><ul><ul><li>Where are high needs in your area? Nearby? </li></ul></ul><ul><ul><li>What are your capital needs: </li></ul></ul><ul><ul><ul><li>Facilities </li></ul></ul></ul><ul><ul><ul><li>Information Technology </li></ul></ul></ul><ul><ul><ul><li>Workforce </li></ul></ul></ul><ul><li>Merging with other CHCs? </li></ul><ul><li>Taking over practices or adding satellites (Look-Alike or Change in Scope) </li></ul>
  11. 12. 2011-15 Biggest Challenges ??? <ul><li>More Pressure </li></ul><ul><li>Challenges </li></ul><ul><ul><li>To integrate with other providers (including other CHCs) </li></ul></ul><ul><ul><li>To coordinate patient care to assure continuity and full sharing of clinical data/information. </li></ul></ul><ul><ul><li>To coordinate service delivery and match capacity while linking patients with enabling services. </li></ul></ul><ul><ul><li>Re-engineering our health center operations (data and insurance focused) </li></ul></ul>
  12. 13. Thank You! <ul><li>Any </li></ul><ul><li>Questions? </li></ul>