Community Health Centers: Relationships and Opportunities for Local Health Care Systems
Community Health Centers
Federally Qualified Health Center (FQHC) –History –Basic Requirements Key: Governance Staffing Reporting Outcomes –Services –Benefits
Outcomes Tracked & Reported Prenatal care/1 st tri. Immunizations (2 yr) Cervical CA screen Diabetes – A1c HTN - < 140/90 Low birth weight births Total cost/patient Medical cost/medical visit Net assets:expense Working capital: monthly expense Long term debt:equity
FQHC Look-Alike Same program benefits as FQHCs –Except FTCA coverage No federal grant!
What is This to Us??
Myths & Misconceptions CHCs want to put us out of business They’re competition They’re rich They want to take over health care
Put Us Out of Business CHCs need hospitals! –Inpatient –Trauma –Lab/radiology –Human resources –Recruitment
Competition Lab/diagnostic tests –MRI/CT Scans –Basic radiology –Lab Physicians
CHCs are Rich! About 54% uninsured About 75% have incomes < 200% FPL Federal grant for the uninsured Enabling services Comprehensive care
Taking Over Health Care Nationally, $2.2 billion program ACA provides another $11 billion Total U.S. healthcare spending: More than $2.3 trillion
The Future of Rural Health Survival! Partnerships New relationships New approaches New opportunities
Relationships & Opportunities Opportunities –Reduce readmissions –Decrease hospitalizations among uninsured –Decrease ER use by uninsured –Federal grant –Malpractice coverage for outpatient care –Establish a new healthcare delivery system
Relationships & Opportunities Relationships –Services Diagnostic tests ER Diversion –Staffing Shared physicians –Trust
Questions? Cathy Harding Executive Director Kansas Assoc. for the Medically Underserved