Creating Best Practices


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Creating Best Practices

  1. 1. 2008 TICHA Creating Best Practices Federally Qualified Health Clinic’s (FQHC) Local Health Departments Other Partners
  2. 2. <ul><li>Community Health Centers in Texas Fact Sheet (2007) </li></ul><ul><li>Federally Qualified Health Centers (FQHCs) are local, non-profit or public entity, community owned healthcare providers serving low-income and medically underserved communities. </li></ul><ul><li>Texas community health centers cared for more than 770,000 Texans in 2007 </li></ul><ul><li>Texas health centers grew 48% in number of patients served since the beginning of a federal health center expansion initiative in 2002. </li></ul><ul><li>58 funded FQHCs and 3 FQHC-Look a-likes supporting nearly 300 health service delivery sites </li></ul><ul><li>Community health centers treat patients regardless of ability to pay. </li></ul><ul><li>59 percent of patients are uninsured </li></ul><ul><li>25 percent of patients rely on Medicaid and CHIP for health coverage </li></ul><ul><li>65 percent of patients live below the federal poverty level </li></ul><ul><li>At least 78 percent of patients are ethnic minorities </li></ul><ul><li>In addition to primary care, community health centers offer other services including: </li></ul><ul><ul><li>Pharmacy </li></ul></ul><ul><ul><li>Dental </li></ul></ul><ul><ul><li>Mental Health/Substance Abuse </li></ul></ul><ul><ul><li>Lab/X-ray </li></ul></ul><ul><li>Some Heath centers provide enabling services including transportation, case management and translation </li></ul><ul><li>America’s Health Centers serve over 17 million people nationally. </li></ul><ul><li>ACCESS for All America plan to serve 30 million people by year 2015. </li></ul><ul><li>Information acquired from </li></ul>
  3. 3. What is a Federally Qualified Health Center (FQHC) <ul><li>What is a Federally Qualified Health Center (FQHC)? </li></ul><ul><li>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. </li></ul><ul><li>FQHCs are also called Community/Migrant Health Centers (C/MHC), Community Health Centers (CHC), and 330 Funded Clinics. </li></ul><ul><li>Information acquired from </li></ul>
  4. 4. FQHC’s and their role and goals in the community <ul><li>Role </li></ul><ul><li>Serving the healthcare needs within a community for the uninsured, disenfranchised and underserved. </li></ul><ul><li>Diversionary from emergency room (PCP) care to a maintain clinical setting for daily (PCP) care needs. </li></ul><ul><li>Goal </li></ul><ul><li>Increase access to anyone and everyone. </li></ul><ul><li>Build a community based collaborative effort to increase community health and wellness. </li></ul>
  5. 5. Where are FQHC’s located? <ul><li>The following counties have a DSHS listed FQHC </li></ul><ul><li>(CIHCP Handbook; Section 4, Service Delivery, Page 77) </li></ul><ul><li>Atascosa Eastland Jefferson Motley Travis </li></ul><ul><li>Bailey El Paso Jim Wells Nacogdoches Uvalde </li></ul><ul><li>Bee Fannin Kaufman Newton Val Verde </li></ul><ul><li>Bexar Fort Bend Kinney Orange Webb </li></ul><ul><li>Brazoria Frio Kleberg Pecos Wichita </li></ul><ul><li>Brazos Galveston LaSalle Potter Willacy </li></ul><ul><li>Briscoe Gonzales Leon Real Williamson </li></ul><ul><li>Brown Gregg Live Oak Robertson Zavala </li></ul><ul><li>Cameron Grimes Lubbock Rusk </li></ul><ul><li>Collin Hale Madison San Patricio </li></ul><ul><li>Comanche Hardin Maverick Shackelford </li></ul><ul><li>Dallas Harris McLennan Starr </li></ul><ul><li>Dawson Hidalgo Medina Tarrant </li></ul><ul><li>Deaf Smith Hockley Midland Terrell </li></ul><ul><li>Dimmit Hunt Montgomery Tom Green </li></ul>
  6. 6. Federally Qualified Health Center (FQHC) Services Delivery <ul><li>Texas Health and Safety Code; Title 2. Health; Subtitle C. Indigent Health Care; Chapter 61. Indigent Health Care and Treatment Act </li></ul><ul><li>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. </li></ul><ul><li>FQHC’s are paid at an encounter rate (Flat Rate Per Visit) not fee for service. (reference Section 4, Service Delivery, Page 77) </li></ul>
  7. 7. Local Health Departments
  8. 8. Mission <ul><li>To provide a range of services designed to promote healthy living through prevention, protection, and intervention. </li></ul>
  9. 9. Health Department Role <ul><li>Rental Assistance Programs </li></ul><ul><li>Utilities Assistance Programs </li></ul><ul><li>Prescriptions Programs </li></ul><ul><li>Indigent Burial Assistance </li></ul><ul><li>Pharmaceutical Assistance Programs </li></ul><ul><li>Serve the basic (PCP) healthcare needs within a community clinically for the uninsured, disenfranchised and underserved. </li></ul><ul><li>Immunization Clinic for Children </li></ul><ul><li>Immunization Clinic for Adults </li></ul><ul><li>Travel Immunizations </li></ul><ul><li>STD Clinic   </li></ul><ul><li>TB Clinic </li></ul><ul><li>Educational Instruction on Disease Management </li></ul><ul><li>Needs assessment and referral to ‘Community Partners’ for individual and household needs. </li></ul>
  10. 10. Quote: We will do anything you want, as long as it works for us .”
  11. 12. Community Partners
  12. 13. Something to think about… When did ‘Networking’ become a event for social gatherings only, and cease to be utilized in the workplace?
  13. 14. What is a community partner? <ul><li>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. </li></ul><ul><li>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. </li></ul>
  14. 15. Community Partners we know: <ul><li>2-1-1 Call Center </li></ul><ul><li>Adult Protective Services </li></ul><ul><li>AIDS Foundation </li></ul><ul><li>Child Protective Services </li></ul><ul><li>Department of State Health Services </li></ul><ul><li>HUD – Public Housing </li></ul><ul><li>Mental Health Mental Retardation (MHMR) </li></ul><ul><li>Red Cross </li></ul><ul><li>Salvation Army </li></ul><ul><li>Social Security Administration </li></ul><ul><li>Texas Workforce Commission (TWC) </li></ul><ul><li>United Way </li></ul><ul><li>Veterans Affairs Office </li></ul>
  15. 16. Other Community Partners: <ul><li>Area Agency on Aging </li></ul><ul><li>Christians in Action </li></ul><ul><li>Community Action Agency </li></ul><ul><li>Family Shelters </li></ul><ul><li>Food Bank </li></ul><ul><li>Halfway Houses </li></ul><ul><li>Legal Aide </li></ul><ul><li>Lighthouse for the Blind </li></ul><ul><li>Pharmaceutical Assistance Programs </li></ul><ul><li>Primary Health Care </li></ul><ul><li>Project Dignidad </li></ul><ul><li>Rape Crisis Center </li></ul><ul><li>Specialized Transportation Services </li></ul><ul><li>YWCA Breast and Cervical Cancer Control Program </li></ul>
  16. 17. Plan of action <ul><li>Educate </li></ul><ul><li>Initiate </li></ul><ul><li>Innovate </li></ul><ul><li>Integrate </li></ul>