1. Community Health Centers: Relationships and Opportunities for Local Health Care Systems

2. Community Health Centers

3. Federally Qualified Health Center (FQHC) –History –Basic Requirements Key: Governance Staffing Reporting Outcomes –Services –Benefits

4. 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

5. FQHC Look-Alike Same program benefits as FQHCs –Except FTCA coverage No federal grant!

6. What is This to Us??

7. Myths & Misconceptions CHCs want to put us out of business They’re competition They’re rich They want to take over health care

8. Put Us Out of Business CHCs need hospitals! –Inpatient –Trauma –Lab/radiology –Human resources –Recruitment

9. Competition Lab/diagnostic tests –MRI/CT Scans –Basic radiology –Lab Physicians

10. CHCs are Rich! About 54% uninsured About 75% have incomes < 200% FPL Federal grant for the uninsured Enabling services Comprehensive care

11. Taking Over Health Care Nationally, $2.2 billion program ACA provides another $11 billion Total U.S. healthcare spending: More than $2.3 trillion

12. The Future of Rural Health Survival! Partnerships New relationships New approaches New opportunities

13. 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

14. Relationships & Opportunities Relationships –Services Diagnostic tests ER Diversion –Staffing Shared physicians –Trust

15. Questions? Cathy Harding Executive Director Kansas Assoc. for the Medically Underserved 785-233-8483 charding@kspca.org