WATTS HEALTHCARE CORPORATION Compton Avenue Los Angeles, CA (323)

What is an FQHC? A Federally Qualified Health Center (FQHC) is a comprehensive primary care clinic that: Has competed successfully for federal funds Has competed successfully for federal funds Receives these federal grant funds to serve the underserved Receives these federal grant funds to serve the underserved Receives grant funding directly from the Federal Government Receives grant funding directly from the Federal Government

Mission and Strategy: The key element of the health center’s mission must be to improve the health status of underserved populations. Health centers must assess the needs of underserved populations and design programs and services for the underserved. They must measure the effectiveness and quality of their services. They must operate as efficiently as possible. Health centers must collaborate with other organizations.

Clinical Program: Health centers must have a system of care that ensures access to primary and preventive services, and facilitates access to comprehensive health and social services. Access for the underserved is assured through a sliding fee schedule and acceptance of Medicare and Medicaid. They are not “free clinics.” Services must be responsive to the needs and culture of the target community and/or populations. Quality of health center services is paramount. Services include primary medical, dental, mental health and substance abuse.

Required Services for FQHCs Primary care Primary care Dental Dental Mental health Mental health Substance Abuse Substance Abuse Diagnostic lab and x-ray Diagnostic lab and x-ray Prenatal and perinatal Prenatal and perinatal Cancer and other disease screening Cancer and other disease screening Blood level screenings Blood level screenings Lead levels Lead levels Communicable diseases Communicable diseases Cholesterol Cholesterol Prenatal and perinatal Prenatal and perinatal Well child services Well child services Child and adult immunizations Child and adult immunizations Eye and ear screening for children Eye and ear screening for children Family planning services Family planning services Emergency medical Emergency medical Pharmaceutical Pharmaceutical Case management Case management Outreach and education Outreach and education Eligibility/Enrollment services Eligibility/Enrollment services Transportation and interpretation Transportation and interpretation Referrals Referrals

Governance: FQHCs must be a non-profit (501c3) or public entity The board must be at least 51% consumers of the services provided by the clinic (for both non-profits and public entities.) The board must assume full authority and oversight responsibility for the health center. The board carries out its legal and fiduciary responsibility by providing policy level leadership and by monitoring and evaluating the health centers performance.

Management and Finance: A strong management team is essential to health center success, ensuring that the health center is financially viable and cost-competitive. Health center management must be supported by strong personnel, financial, information, and clinical systems. Management Team consists of: Chief Executive Officer, Chief Medical Officer, and Chief Financial Officer of the non-profit or public entity organization.

So what is an FQHC Look Alike? A clinic that meets all the requirements of an FQHC, but has not been awarded federal grant funding. A clinic that meets all the requirements of an FQHC, but has not been awarded federal grant funding. FQHC Look Alikes “look like” an FQHC– open at least 32 hours per week, same services, governance, etc., as an FQHC. FQHC Look Alikes “look like” an FQHC– open at least 32 hours per week, same services, governance, etc., as an FQHC. Look Alikes are well-positioned to become grant funded FQHCs Look Alikes are well-positioned to become grant funded FQHCs

Watts Healthcare Corporation Who We Are? Private Non-Profit Corporation – 501(c)3 Private Non-Profit Corporation – 501(c)3 Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) Licensed Community Clinic in the State of California Licensed Community Clinic in the State of California Mission-Driven, Community-Based Corporation Mission-Driven, Community-Based Corporation Provider of Comprehensive Primary Health Care Services (medical & dental) Provider of Comprehensive Primary Health Care Services (medical & dental) Provider of Preventive Health Services ( In clinical facilities and in the community) Provider of Preventive Health Services ( In clinical facilities and in the community) Provider of Substance Abuse Treatment Services Provider of Substance Abuse Treatment Services Provider of Women’s, Infant and Children’s Program (WIC) Services (5 sites) Provider of Women’s, Infant and Children’s Program (WIC) Services (5 sites)

Watts Healthcare Corporation Who Our Clinical Programs Served in 2010 Served 23,182 patients with medical and dental services (64% female in 2010) Served 23,182 patients with medical and dental services (64% female in 2010) Provided 95,034 patient visits (Includes medical dental, substance abuse treatment and mental health visits. Does not include 3,588 case management/patient education visits provided in 2009) Provided 95,034 patient visits (Includes medical dental, substance abuse treatment and mental health visits. Does not include 3,588 case management/patient education visits provided in 2009) 76% had incomes below the Federal Poverty Level 76% had incomes below the Federal Poverty Level 33% were uninsured 33% were uninsured 60% were on Medi-Cal 60% were on Medi-Cal 56% were African American 56% were African American 38% were Latino 38% were Latino 40% were below 19 years of age 40% were below 19 years of age Prenatal care services provided to 667 women Prenatal care services provided to 667 women Mammograms provided for women 2,500 + in 2010 Mammograms provided for women 2,500 + in 2010

Watts Healthcare Corporation Primary Medical Services Two main Primary care sites: Watts Health Center & Crenshaw Community Health Center Two main Primary care sites: Watts Health Center & Crenshaw Community Health Center School-Based Clinic Services (David Starr Jordan High School) School-Based Clinic Services (David Starr Jordan High School) Adult Medicine Adult Medicine Pediatric and Adolescent Medicine Pediatric and Adolescent Medicine Obstetrics and Gynecology Obstetrics and Gynecology Urgent Care Services (8:00am to 8:00pm Monday – Saturday and most holidays) Urgent Care Services (8:00am to 8:00pm Monday – Saturday and most holidays)

Watts Healthcare Corporation Specialty Medical Services Vision care Services (Ophthalmology and Optometry) Vision care Services (Ophthalmology and Optometry) Radiology Services, including Mammography Radiology Services, including Mammography Podiatry Services Podiatry Services Physical Therapy Services Physical Therapy Services

Watts Healthcare Corporation Primary & Specialty Dental Services (16 Operatory Dental Clinics in the Watts Health Center) General Family Dentistry General Family Dentistry Children’s Dentistry Children’s Dentistry Oral Surgery Oral Surgery Operative Dentistry Operative Dentistry Pediatric Dentistry Pediatric Dentistry Periodontics Periodontics Crown & Bridge work Crown & Bridge work Full prosthetic device building Full prosthetic device building

Watts Healthcare Corporation Prevention and WIC Services PREVENTION SERVICES HIV/AIDS Prevention Services HIV/AIDS Prevention Services Tobacco Control Education and Cessation Services Tobacco Control Education and Cessation Services Nutrition Counseling Services Nutrition Counseling Services Maternal and Child Health Services Maternal and Child Health Services WIC SERVICES Services provided at 5 sites in South Los Angeles neighborhoods Services provided at 5 sites in South Los Angeles neighborhoods Average caseload of 21,000/mo. of which 56% are children Average caseload of 21,000/mo. of which 56% are children

Watts Healthcare Corporation Substance Abuse Treatment SUBSTANCE ABUSE TREATMENT SERVICES Provide 12-Step Recovery Services (Social Model) Provide 12-Step Recovery Services (Social Model) Provided 585 clients with either Outpatient or Residential Treatment Services in 2009 Provided 585 clients with either Outpatient or Residential Treatment Services in 2009 Operate the Lumpkin House Sober Living Facility (Transitional house for 6 women) Operate the Lumpkin House Sober Living Facility (Transitional house for 6 women) Prevention Services Prevention Services

Watts Healthcare Corporation Enabling Services ENABLING SERVICES Patient Transportation Services (operate a fleet of 7 ADA-compliant vans) Patient Transportation Services (operate a fleet of 7 ADA-compliant vans) Translation Services Translation Services Case Management Services Case Management Services

SO, FQHC’S CAN’T DO IT ALONE!!! Comprehensive and integrated community-based programming must be developed by: 1. Continue High Standards 2. Accessible to All 3. Outcome Planning

SO, FQHC’S CAN’T DO IT ALONE!!! (Cont’d) SO, FQHC’S CAN’T DO IT ALONE!!! (Cont’d) Outcome planning will ensure need assessment of community and services. Relationships will ensure maintaining core function for both Mental Health and Substance Abuse Community providers are critical to the FQHC interconnectedness Old and New services must be transformed by: 1. Expending population to be served 2. Improve prevention efforts 3. Establish standards measures for quality

SO, FQHC’S CAN’T DO IT ALONE!!! (Cont’d) SO, FQHC’S CAN’T DO IT ALONE!!! (Cont’d) We must help shape the basic benefit to include what we do and define for law makers: 1. SBIRT 2. Parity of Mental Health and Substance Use Disorders 3. Greater access to treatment by expansion of Medicaid 4. Collaborations 5. Develop relationship with insurance companies

OUR TASKS ARE GREAT and still evolving! Define basic benefits Define basic benefits Understand the importance of Residential Understand the importance of Residential Develop Medi-Cal SUD service and delivery system charge Develop Medi-Cal SUD service and delivery system charge Determine population Determine population Current Block Grant Current Block Grant Develop and implement a plan to integrate with Primary care Develop and implement a plan to integrate with Primary care Workforce development Workforce development Health Information Technology system (EHR) overview Health Information Technology system (EHR) overview Quality Measures Quality Measures