1. TARA CALLAGHAN QUALITY IMPROVEMENT COORDINATOR SOUTHWEST MONTANA COMMUNITY HEALTH CENTER HEALTH CENTERS AND MEDICAL HOME

2. COMMUNITY HEALTH CENTERS Health centers are non-profit private or public entities that serve designated medically underserved populations/areas or special medically underserved populations comprised of migrant and seasonal farmworkers, the homeless or residents of public housing. Receive federal grant money to help subsidize cost of services for those patients at or below 200% of federal poverty level (determined by income and family size) Single person $23,340 Family of four $47,400

3. MEDICAL HOME MODEL IN CHCS Integrated services developed out of necessity before PCMH terminology became popular Primary Care Behavioral Health Clinical and retail pharmacy Case Management Dental Homeless Healthcare HRSA expects all health centers to become recognized PCMHs

4. PERFORMANCE IMPROVEMENT Health centers are required to have an ongoing Performance Improvement program Includes annual PI plan Many quality improvement efforts driven by UDS (Uniform Data System) requirements. UDS data are compared with national data to review differences between the U.S. population at large and those individuals and families who rely on the health care safety net for primary care. Disease Collaboratives Diabetes Depression Chronic Pain Congestive Heart Failure

5. FUNDING Health centers are continuously searching for public and private grant opportunities in order to fill gaps in services or expand upon offered services Montana CHCs participate in Medicaid Health Improvement Program Southwest MT CHC has not participated in any PCMH payment pilot programs