1. GRANTMAKERS PRESENTATION OCTOBER 2012 MEGAN HAASE, FNP CHIEF EXECUTIVE OFFICER

2. MISSION The mission of Mosaic Medical is to improve the lives and health of individuals and families we serve.

3. WHAT IS A FEDERALLY-QUALIFIED HEALTH CENTER (FQHC)? Federal designation assigned to private non-profit or public healthcare organizations that serve predominantly uninsured or medically underserved populations Mission is to provide high quality, comprehensive primary care for individuals & families regardless of insurance coverage or the ability to pay Community-owned, private nonprofit or public businesses governed by a board of directors comprised of area volunteers, over half of whom are patients Receive a federal grant under Section 300 of the Public Health Service Act that enables the organization to offer its services to qualified under and uninsured individuals and families on a sliding fee scale Are strongly linked to the communities they serve Work with other public and private health services to coordinate resources for effective patient care Partner with local government and community-based organizations to offer non-medical resources to their patients Offer their services in a culturally-sensitive environment, offering interpretive services on-site for all patients Offer enabling services on-site to address social needs

4. Patient Care in Clinic Care Coordination Behavioral Health Dental Health Technology CCO Funding PAST – CURRENT – FUTURE VIEW

5. Patient Care in Clinic Technology Care Coordination Behavioral Health CCO Funds Dental PAST – CURRENT – FUTURE VIEW

6. Patient Care in Clinic PAST FQHC Community Health Worker Social

7. Patient Care in Clinic PAST FQHC Community Health Worker Social CURRENT PCPCH RNCC Community Health Worker Pharmacist

8. Patient Care in Clinic PAST FQHC Community Health Worker Social CURRENT PCPCH RNCC Community Health Worker Pharmacist FUTURE Payment Reform Role development and standardization

9. Patient Care in Clinic Care Coordination Behavioral Health Dental Technology CCO Funding

10. Care Coordination PAST Patient guides care transition

11. Care Coordination PAST Patient guides care transition CURRENT Pilot projects related to transitions of care

12. Care Coordination PAST Patient guides care transition CURRENT Pilot projects related to transitions of care FUTURE Formal agreements for transitions of care

13. Patient Care in Clinic Care Coordination Behavioral Health Dental Technology CCO Funding

14. Behavioral Health PAST Behavioral Health>referral to outside resource

15. Behavioral Health PAST Behavioral Health>referral to outside resource CURRENT Imbedded Part Time

16. Behavioral Health PAST Behavioral Health>referral to outside resource CURRENT Imbedded Part Time FUTURE Full integration

17. Patient Care in Clinic Care Coordination Behavioral Health Dental Technology CCO Funding

18. Dental PAST Van

19. Dental PAST Van CURRENT Van + DCO

20. Dental PAST Van CURRENT Van + DCO FUTURE Integration

21. Patient Care in Clinic Care Coordination Behavioral Health Dental Technology CCO Funding

22. Technology PAST Paper Document

23. Technology PAST Paper Document CURRENT EMR Patient Portal

24. Technology PAST Paper Document CURRENT EMR Patient Portal FUTURE HIE Skype Visit Telemedicine

25. Patient Care in Clinic Care Coordination Behavioral Health Dental Technology CCO Funding

26. PAST Medicaid funding in silos

27. CCO Funding PAST Medicaid funding in silos CURRENT CCO Implementation Behavioral Health and physical health funding integrated under CCO

28. CCO Funding PAST Medicaid funding in silos CURRENT CCO Implementation Behavioral Health and physical health funding integrated under CCO FUTURE CCO expansion beyond Medicaid and integrate dental

29. Patient Care in Clinic Care Coordination Behavioral Health Dental Health Technology CCO Funding

30. Questions/Discussion