Partnering for Healthy Communities Since 1973 NC SCHOOL COMMUNITY HEALTH ALLIANCE Annual Meeting December 4, 2012

Early 70’s *Photo Courtesy of Cecil G. Sheps Center for Health Services Research

Early 70’s “State government could not merely issue edicts or dangle money; it had to engage in meaningful partnerships, be prepared to make long-term investments in communities, and nurture the leadership needed to deliver the desired improvements.” ~Jim Bernstein Clingman Medical Center, Wilkes County

OFFICE OVERVIEW 2012 The North Carolina Office of Rural Health and Community Care assists underserved communities and populations to develop innovative strategies for equal access, quality, and cost-effectiveness of health care for all. Work with communities to meet the health needs of all underserved residents Foster state and local partnerships with ownership vested in communities Provide in-depth technical assistance on an on-going basis Assure clear and measurable accountability Seek to eliminate health disparities PURPOSE PRINCIPLES

Office of Rural Health & Community Care Snapshot – Size and Budget Founded in Employees Budget (July 1, 2012) - $37,632,240 Appropriation (SFY 2013) - $16,244,397  Other Support (SFY 2013):  Federal (Grants and Medicaid) - $11,291,070  Other Grants and Provider Match - $10,096,773

Technical Assistance Key Elements: Market analysis Organizational analysis Practice development Practice management Architectural Graphic design Those supported through Technical Assistance: Rural Health Centers Community Health Centers Hospitals Health Departments Other Safety-Net Providers

 RURAL HEALTH CENTERS PROGRAM  MEDICAL AND DENTAL PLACEMENT SERVICES  NC HEALTHNET PROGRAM  PRESCRIPTION ASSISTANCE PROGRAM  COMMUNITY HEALTH GRANTS  RURAL HOSPITAL ASSISTANCE PROGRAM  FARMWORKER HEALTH PROGRAM Programs & Resources

MEDICAL, DENTAL, AND PSYCHIATRIC PLACEMENT SERVICES PROVIDES COMPREHENSIVE RECRUITMENT ASSISTANCE TO COMMUNITIES AND PRACTICES THAT SERVE UNDERSERVED RESIDENTS Placement Services

Medical, Dental, and Psychiatric Placement Services Recruit primary medical, dental, and psychiatric providers Secure candidate pool from in- state residencies, nationwide mailings, and national clinical meetings Provide personal contact with providers and communities to assure quality matches Provide travel assistance to sites for provider and spouse Offer incentives to providers locating in areas of greatest need (loan repayment or service bonus) Make optimal use of National Health Service Corps resources

Medical, Dental, and Psychiatric Placement Services Placement Statistics  Average placements per year over the past 6 FYs: 149  Placements to rural and underserved communities SFY 2011 and SFY 2012 Physicians3341 Physician Assistants2826 Nurse Practitioners2424 Certified Nurse Midwife11 Dentists2920 Dental Hygienists20 Psychiatrists1212 Licensed Clinical Social Workers11 Totals ……….125  Number of active PC, Dental, and/or Psychiatric recruitment opportunities as of 10/01/12: … 467 Primary care …………………… 434 Dental ……….……………………. 33  Number of active candidates in recruitment pool as of 10/01/2012: … 431 Primary care ……………… 363 Dental..…………………… 68  Number of incentive contracts issued SFY 2012: … 86  Average incentive contract SFY 2012: … $23,367

NC HealthNet Program LINKS SAFETY NET ORGANIZATIONS AND INDIGENT CARE PROGRAMS PROVIDING FREE AND LOW-COST HEALTH CARE SERVICES FOR UNINSURED ADULTS WITH COMMUNITY CARE OF NC’S ADMINISTRATIVE INFRASTRUCTURE AND NETWORKS OF PHYSICIANS AND CARE MANAGERS.

NC HealthNet Program Summary State appropriation ($4,800,000 recurring) to sustain existing HealthNet networks and develop new programs Grants support local efforts to increase access and quality of care through a coordinated delivery system Share and conserve limited resources through collaborative partnerships Office provides on-site technical assistance and monitoring

NC HealthNet Program Status Funding 34 networks providing services for the uninsured in 71 counties 96,000+ individuals have a primary care medical home 56,000+ individuals have access to needed prescription medications 37,000+ individuals with chronic medical conditions have a care coordinator

PROVIDES PRESCRIPTION ASSISTANCE SOFTWARE AND TECHNICAL ASSISTANCE TO COMMUNITY PRACTICES ASSISTING UNINSURED AND LOW-INCOME RESIDENTS IN OBTAINING PRESCRIPTION DRUGS. Prescription Assistance Program

Prescription Assistance Key Elements: Assists community organizations in establishing a Prescription Assistance Program for indigent patients Distributes and supports Prescription Assistance software that accesses pharmaceutical companies’ free and low-cost medication assistance programs Provides technical assistance through training sessions, on-site visits, and software support ChecKmeds NC is designed to help seniors enrolled in a Medicare Prescription Drug Plan manage their medications through one-on-one consultations with pharmacists. Program Statistics SFY 2012: MARP sites: 133 Number of patients served: 48,245 Value of medications received: $157,035,352 Medications Received: 249,146

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IMPROVES ACCESS TO HEALTHCARE SERVICES FOR NORTH CAROLINA'S UNDERSERVED RESIDENTS THROUGH GRANT FUNDING FOR SAFETY-NET PROVIDER ORGANIZATIONS Community Health Grants

Community Health Grants Program  Improve access to health care services for NC’s uninsured and indigent residents through a RFP  Non-profit primary care safety-net organizations, such as community health centers, rural health centers, local non-profit health centers, free clinics, public health departments, and school-based health centers, are eligible to apply  $4,407,473 received in appropriations  43 program grants and amendments awarded in SFY 12  ~ 44,100 uninsured and indigent users accessed health care through this grant process  39 counties benefiting from these grants

 ECONOMIC IMPACT OF HEALTH CARE ON NC STUDY  HEALTH PROFESSIONAL SHORTAGE ANALYSIS  CHILDREN’S HEALTH INSURANCE PROGRAM REAUTHORIZATION ACT (CHIPRA)  STATE HEALTH ACCESS PLAN (SHAP) – COMMUNITY CARE OF NC FOR UNINSURED PARENTS (CCNC-UP)  MULTI-PAYER MEDICAL HOME DEMONSTRATION Other Programs & Resources

JOHN PRICE, DIRECTOR ANNE BRASWELL, HEALTHNET MANAGER NC OFFICE OF RURAL HEALTH AND COMMUNITY CARE 2009 MAIL SERVICE CENTER RALEIGH, NC TELEPHONE: (919) WEBSITE: Contact Information