community health centers: relationships and opportunities for local health care systems
TRANSCRIPT
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Community Health Centers:
Relationships and Opportunities for
Local Health Care Systems
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Community Health Centers
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Community Health Centers
• Federally Qualified Health Center (FQHC)– History– Basic Requirements
• Key: Governance• Staffing• Reporting• Outcomes
– Services– Benefits
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Outcomes Tracked & Reported
• Prenatal care/1st 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
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FQHC Look-Alike
• Same program benefits as FQHCs
– Except FTCA coverage
• No federal grant!
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What is This to Us??
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Myths & Misconceptions
• CHCs want to put us out of business
• They’re competition• They’re rich• They want to take
over health care
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Put Us Out of Business
• CHCs need hospitals!– Inpatient– Trauma– Lab/radiology– Human resources– Recruitment
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Competition
• Lab/diagnostic tests– MRI/CT Scans– Basic radiology– Lab
• Physicians
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CHCs are Rich!
• About 54% uninsured• About 75% have
incomes < 200% FPL• Federal grant for the
uninsured
• Enabling services• Comprehensive care
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Taking Over Health Care
• Nationally, $2.2 billion program
• ACA provides another $11 billion
• Total U.S. healthcare spending: More than $2.3 trillion
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The Future of Rural Health
• Survival!
• Partnerships
• New relationships
• New approaches
• New opportunities
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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
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Relationships & Opportunities
• Relationships– Services
• Diagnostic tests• ER Diversion
– Staffing• Shared physicians
– Trust
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Questions?
Cathy Harding
Executive Director
Kansas Assoc. for the Medically Underserved
785-233-8483